▶ 0:02:06Okay yeah yeah
▶ 0:03:41Thank
▶ 0:38:46You. >> good afternoon. The is authoo declare h.r. 6703. H.r.
▶ 0:39:04Health l americans act, and bring adheree
▶ 0:39:38To health care system in simple care act, america's health care system, and made loss to the american people that were not by a long shot. Premiums have been skyrocketing for years.
▶ 0:39:57They've been rotting from the inside out , have been left with preset up , inefficient as they are unaffordable. Inflation mandates overdue, transparent managers.
▶ 0:40:14S necessary funding for action payments and improves on workers through bends, preserving the integrity of. Arrangements is done. Republicans are offering an alternative broken health care.
▶ 0:40:46System that democrats create. Propping up for over a decade. Those who manufactured the unaffordable care actions are. Offering a clear solution so tht is, meets their needs. It's, fu. Our. Health care system, a.k.a.
▶ 0:41:21The do no harm in medicaid prohibit federal funds from being used for old gender transition from. Specifically, this amends the social security act. To include so-called gender transition nurse. As they prohibited.
▶ 0:41:51At ts legislation institute safeguarding. Of funding used tr just. Life threatening illnesses and other.
▶ 0:42:14The federal government should always a good steward of taxpayer dollars. The american people this and state offers another layer of ae step in meeting that imperative earned. To h.r. 3492, a.
▶ 0:42:39Innocer anyone who knowingly performs gender affirming care, specifically, the gender and chemical castration of children, a c felony.
▶ 0:43:03The erosions of, quote, gender affirming care are dangerous, and they present a threat to children who remain at such young ages to have. Long term health and happiness, not have.
▶ 0:43:27To endure the consequence and procedures that will permanently. This legislation's actions. Send a clear message to federal government will no longer tolerate an exploitation of children by the.
▶ 0:43:50Left, a disd hearing from our witness. Three pieces of legislation before us today. To the ranking member comments he wishes to make. >> chair. Um, we are at the end of the. This is likely the last rules committee meeting of the.
▶ 0:44:19And doing absolutely nothing. Health care catastrophe that is going to devastate america I'm not shocked to expect nothing from this. And that this republican majority has. Go care people's premiums are about to double quadruple.
▶ 0:44:47I mean, one of your own members ever called this call? This exercise here. You should listen to trying for monr months. Governors warned. You, state officials and americans, even republican voters in your have clear.
▶ 0:45:11Don't let these tax credit since democrats enhance the aca tax credit, enrollment has than doubled in. To 24.3 million 88, 88% of them states donald trump won through. Inaction.
▶ 0:45:34You are betrayal and voting to hurt the very people who voted for deadle already passed the numbers and e choices. Many decision 2026 because they can't afford it the cost of everything else.
▶ 0:46:01Johnson has decided to turn working people. And in doing so, he is ensures care in the new year. Grad and. I honestly cannot wrap my head of this republican congress. We live in the richest world. A trillionaire in this country. I'm told that millions of people need to lose that's obscene.
▶ 0:46:30Itt the last year giving tax breaks . To billionaires.
▶ 0:46:42Well for working families and people are going to see their health insurance premiums and some people's bills will go up up bye premium increases. I genuinely it's clearly not money.
▶ 0:47:10I mean, you gotta give the pentagon $8 billion more than out tax break after tax break. Guysd special interest that comes knocking for tax. But when it comes to helping. It's toughy to for it. I mean are you guys absolute disgrace.
▶ 0:47:45Debate every single person in america. It human right. This is not complicated. The only. Developed nation on this planet that does . Person. And it's hockey. Better republican. Other. Direction. They're bringing up a bill the. A bill that does nothing, nothing to solve problem of premiums. Just a few weeks.
▶ 0:48:15And a bill that is dead on. Right. I so sick and all. Blame the affordable care act for this mess. Before the aca passed, we had some utopia in this country. Give me a break. S of americans didn't have at all . And the aca driven, uninsured americans.
▶ 0:48:43Kids can now stay on their aged 26. People can't be denied certain conditions before the aca was a. Preexisting condition. For but rather than build on those wins for everyone, republicans have voted the aca with an alternative.
▶ 0:49:10All we hear is a plan. Is coming, and it never comes. The truth, republicans are perfectly insure companies rake in. Screwing over patients.
▶ 0:49:29And we and well, sicks bridge zero chance of actually helping 214 democrats have signed a discharge petition.
▶ 0:49:47We're on extending the aca tax for repub, republicans willing to stand up for their constituents, pass exs gutted. So let's stop pretending . And one last thing.
▶ 0:50:10The room, uh, today is also stuffed when targeting transgender americans. It's love to accuse democrats of being obsessed with gender issues, but look, we don't run . Republicans do stuff on our agenda. You are the one. You're fixating.
▶ 0:50:35On attacking and transgender community is not responsible for health care costs rise. Arkansas and that's your choice. Disgrace and I yield back. >> thank you, Mr. mcgovern. Action.
▶ 0:50:59Any prepared statements that our witnesses will be included in the record. And now welcome our first panel. Three on energy and commerce. And smith. Oh and right from the committee on energy and commons. Geoff thompson from the committee.
▶ 0:51:26And chairman walden, the senior from the committee on. Your full standard. And we ask that you summarize. Your statement in five minutes. Chairman guthrie, I welcome thank you. Very much. >> thank you.
▶ 0:51:54Chair, I'm offering a lot of me to testify 16 years ago on. And it's fundamentally changed our healt. >> it's own oh, it's health. >> I'm sorry. Reduce health care costs and choice and the americn people. Are.
▶ 0:52:22A decade and a half later and it is us. Promises trh care spending. Plan options have been depleted, and the american unaffordability of the one size fits all, obamacare uh, conference member talked about before health care since its can the 80.
▶ 0:52:51Deductibles are $9, and the average out-of-pocket. Maximum $6. All the while, obamacare billions in taxpayer dollars to big health insurance company down. Obamacare has proven to be unaffordable with the covid 19.
▶ 0:53:14Uh democrats against taxpayer funded subsidies that these temporary covid credits were. Ad they were passed without a single republican vote. These additional subsidies should be permanent, but they set up these credits to expire at the end of this year when they were in charge.
▶ 0:53:42They chose not if subsidies are as essential as the why would them to expire? S. Only democrat votes for credits for the wealthy to buy electric democrats politically connected greenhouse gas reductions, slush fund and 2 billion.
▶ 0:54:07Group that only these enhanced tax credits these temporary covid credits waste, fraud and abuse that has exacerbated a mess and millions of americans across the country responded to this by shifting the blame of their own publicans, attempting to force legislation that hundreds of
▶ 0:54:37Billions of dollars take to the coffers of big health, and turning to the growing. They'd rather put a band-aid on masking their true impact on american families, too. Some actually address the issue. Part of that, all that health care affordability is getting all americans. And in the past, republicans and polics that would have a real impact on everyone.
▶ 0:55:07Instead of working to pass policy lasting solutions. To lower health care costs for all partizan path in an policy failures into political points.
▶ 0:55:23Since the republicans have worked on as part of the lowering act, because they do exactly what is advance real policies the lord calls the bipartisan policies. There the y middlemen, the firm accountable to their customers. The american people policies in the .
▶ 0:55:50Lowering and health care cost for all americans perpetuated, perpetrated in lower drug. Costs, for cost, for all appropriate funds. This policy reduce aca 11% and even greater saving than excess funding. Csrs is also endorsed in past and ise by my friends.
▶ 0:56:19Ranking member poll ranking. Member mcgovern, who signed this I'll quote works and ing to pay cost sharing subsidies toward the health care need. The stability of the and health of millions of americans. Now resta bargaining chip.
▶ 0:56:45I hope that we can to support this commonsense bill, increase health care, affordability. For all americans, receive. Live above the politics and work with republicans policy solutions that build on provision care for all americans. Act to make people for. Thank you, madam chair, and I yield. >> chairman guthrie. Mr.
▶ 0:57:13Ranking recognized. >> thank you, madam chair. I'd like to include my entire state. Objection really am just going to spend the, uh, my chairman said because I just think that he tells totally different from what on. Look, when we did obamacare from the beginning, the reason we did it was because we find insurance.
▶ 0:57:46He did not find it at all affordable insurance. If they didn't have insurance either eme were veterans, just some other government program. And the only way to have, uh, a significant amount of at t we're up to five, care act of pe that were insured. It was had good insurance, that essentials that people wanted.
▶ 0:58:15That was affordable. Now I haven't seen any suggestion in the times bils before us or at any other time when there was effort to repeal the affordable , uh, this, this insurance prope to say. Nothing.
▶ 0:58:37You proposed in the last 15, 20 years would actually the can't get insuranch their employer, uh to cover most of we were trying to accomplish. Now well, we shouldn't be paying the insurance companies. Well, I want. To hear is advocating you know, some kind hospital and the hospital get gets reimbursed.
▶ 0:59:06Government or the hospital is owned by the the capitalist insurance. Uh with pe want insurance and so suggest that somebody paying the insurers and that's a bad thing, said all to me, people have to have insurance. Reimbursed. I mean, you want to advocate, that's fine.
▶ 0:59:35But that's way it works. Right? So we said is you have to provide essential services that there are a lot of people who can't afford the cost the premium. So we try to provide credits. For them. And over the over timx credits more generous. So we've had to make the people who were eligible higher income. Uh uh, you know, be make certain changes.
▶ 1:00:05If you're going to just that somehow, uh, you know, or, um, you, meaning the l cost of here is going to not happening. We know that our patients more technology. Sure.I just don't I don't understand what you're talking about. Us here had in the aca with the caps.
▶ 1:00:29Ye preexisting conditions as a basis for not being coverage. And all of these difficult. Andd policies that people something,t they weren't. There were policies being. Sold, Mr. chairman, that didn't have discussed this once and said, yu know, how do you have cover hospitalization?
▶ 1:00:57Uh on the spot, but somebody wants to do that, let them buy. Right? Well meaningful. You can't have people saying insurance when in fact they're not having hospitalization or not having ct you put in the bill is junk health plans I think rather have a policy that has essential services or doctors whatever yoi mean, there's certain, but.
▶ 1:01:26Very minimal, right. So what's going to happen is I'm going buy a poy is going health care, when in fact it does. Now you talk about, uh, the csr play happening here put into place. The bring that bring .
▶ 1:01:49Down deductibles, bring down e brought the csr back, but the reality is. That there's going to be less generous deductiblesd then you have a back by taking d away from insurance who cover he money that can go to health cerf employees.
▶ 1:02:17So even with this, isn't in this bill, this also says that if employer insurance, he can terminate classes of is he? Well, I'm going to coverage and to give or employer the same coverage.
▶ 1:02:38Well, I mean the idea is is that I'm going to bring, who don't have any you don't have the enhanced tax that that would make insurance us about what yoe doing here. We're not doing people and to make affordable nothing. I'm sorry madam. >> I'm here. >> Mr.
▶ 1:03:06Mcgovern, I would like to over the over the reason why I say that is the first time that we are meeting publicly is. >> this committee for these committees of jurisdiction, yous it? >> yeah. >> this is this is it.
▶ 1:03:31Um, so id just appreciate the gentle ladies letting some of our bit r with because, uh, we feel we've. >> uh, going to be Mr., uh, we d . Uh, I suspect time to ask som. In a little bit.
▶ 1:03:59Getting the opening statements of to us, chairman. Thank you, chairman fox. >> and ranking. For mcgovern. Thank you for the opportunity today health care mission that we are in that was created I from families lawyers
▶ 1:04:30Who are. Struggling with rising health care costs, just. Yes . For all american americans in.
▶ 1:04:452025, the family r rose 6% and has increased payint
▶ 1:05:17Through premiums and democrats n talk about that. They're not. Talking about that. They're only talking about exchanges, which is only 7% know some peope here want to only about. The aca, but this.
▶ 1:05:38So much bigger chair fox for the talk about population. Republicans wrote the cuts with or. We expanded health savings account to more than.
▶ 1:06:02Them to save tap for care and protect and protect. Medical bills. We, um, their arrangements medical r our hsas, which helps pay up to 30% on overall telehealth flexible.
▶ 1:06:29By ensuring that high continue covering their deductible, this means telehealth benefits for 80 million families, 85 together, cbo.
▶ 1:06:51Confirmed that program ands actually gyms across the health care premiumsr all americans act build health care cost expanding choice powed
▶ 1:07:23Choice would allow employers provide tax to o purchase coverage, because it wr employers.
▶ 1:07:46Cannot at the ways and small businesses that struggle to find and offer affordable health coverage levels. The small busi.
▶ 1:08:09Pretax benefits utilization 500 companies offering choice arrangements or 1 million people today grow. By 350,000 more. In, 83. The employers this option coverage. The very. First time.
▶ 1:08:37The plans by us to better negotiate with the pbm. The. Same insurers who are charging also own the pharmacy drug pricing rebates and what pbms to negotiate agreements. These pbms keep employers ask about.
▶ 1:09:05What they are actually paying for. This bill requires a detailed reporting and transforms so that plans and employers know where and. Payments are going. This trip, lawyers with. Leverage to compare agreement pbms. Are negotiate better to lower drug spend and reduce.
▶ 1:09:34Insurance premiums for all a perfect share no legislation is. But if. Cost of health care is too high, this legislation, this bill is a track toward reducing financial burden on families. >> thank you. Mr. smith. Rep. you're recognized. >> thank you, madam chair.
▶ 1:10:02And ranking member mcgovern, members of the committee today. I did be I chairman, uh, Mr. eason, were talking about the acc tax credits today is because . You took them out of.
▶ 1:10:22Expire d millions of people are going to lose their one is disputing the fact that we need to come to s. Care coverage.
▶ 1:10:34Doe the days before where we have three legislative days, but we're here today to discuss yet another that will health care from millions over the weekend we all saw news stories, a christmas miracle would be needed to a premium increase. On hard working. The.
▶ 1:11:09Opposite of a miracle is a disaster. A misfortune or a catastrophe. This republican health care plan is a twister and rip health care coverage for million americans. Our constituents say we can't afford to extend the tax credit that afford not to. Applicants could afford.
▶ 1:11:35To add four and a half dollars to national debt for a tax cut. Republican donors, they even say that donald trump's 20 billion for argentina, which is almost by the amount of extending one year of benefits to do that, um, but we can't help hard.
▶ 1:12:01This ise last. My. Republican colleagues will tax credits go to wealthy americans and but. According to the joint committee on taxation, 4% of these tax cuts benefiting under. $200,000 a year. Republicans congressional republicans, hurricanes.
▶ 1:12:30Where their priorities are, it's not affordable, hard americans. It's tax breaks, owners and. Adding four pointers to national debt while cutting. Dollars and kicking 15 million insurance of the 15, 4 million can keep their coverage .
▶ 1:12:58If we credits as we democrats, democrats are. Fighting for working class. To afford their health care insurance, republicans spent a month and a half on v.a. To avoid their disastrous cuts. We could have spent that e american in a bipartisan way.
▶ 1:13:30Instead we're released on a nigk of night, american people, it will provide worse health care insurance coverage. There's a simple solution to prove americans from seeing. Their insurance premiums triple in just the. Next two weeks.
▶ 1:13:59Portion the tax credits act together across the aisle to find a way health care costs and ensure quality of all. Not someo weeks this will take a commitment from., sadly, the speaker announced allow a vote to extend these tax credits for a devastating
▶ 1:14:30Premium hike. Madam chair, ranking member mcgovern, are condemning this decision, but they're not using repeat in this hearing today referred various. Variations of the proposal here today over the course of those, many proposals, we voted two and a voted this stufe
▶ 1:15:01There was nowhere for them to go to pass in senate, as this does purport to pass in the senate. But the entity is doingn a different. Result. Hard work in access affordable.
▶ 1:15:22Sure you they think this proposal, the bill undermines key protections and care act and it makes it so many are merely buy those junk policies under this republican. Once again. Be able to discriminate against existing condition. People with cancer with heart.
▶ 1:15:50Disease, they'll even be able to republit their way, be saddled with worse coverage at a higher double or triple the amount that we. Got to stop this craziness. Um thank you very much.
▶ 1:16:14Chairman >> you are recognized.. >> mcgovern and members of the committee inviting me to this parallel universe. Escalating costs provided health coverage are. Spiraling out of control.
▶ 1:16:43The unaffordable care act has triggered, and a it's time for simple steps to impose. And self-employed to take control of rich and put them back in the driver's seat.
▶ 1:17:0088 the association health plans act, which had full debate and was reported out this past summer, easier for small businesses to offer high quality health care coverage to their employees.
▶ 1:17:15To band together to gain the same regulatory large group plans sonas, one of their biggest concerns is of health care, inflation caused by by owning a small business is challenging enough without finding health care coverage that doesn't break the association.
▶ 1:17:43Health act is the solution.. That large companies enjoy each and job creators on main street by giving individuals an ultimate care increase access to or costs of america's overall spending.
▶ 1:18:10Right now, small businesses unions because small businesses have limited bargaining to negotiating lower insurance costs for under this bill, association health plans employed individuals as well to have the benefit of banding together access. To association health plans helps, but small businesses still.
▶ 1:18:39Face barriers in self-insurance one, the self-insurance protection act on standing policies and practices supported right to self-insure and to purchase insurance to mie insurance carries.
▶ 1:19:05Unfortunately, some small employers from accessing stop loss insurance, classifying it as health insurance. Loss insurance is not health insurance that clear. By preserving the availability of. H.r. 2571 prevents each and clarifies once and for all have . Just as much of a right to self and businesses.
▶ 1:19:37Unaffordable care act. It continues to fail. It always will. The of affordable care act escalating sustainable. That's why we're patching it together. The intentions of democrat party is all. Employers and the self-employed. The ability, care. Coverage which will control cost. It's affordable again.
▶ 1:20:03Workers and small business better health care options. The association health and the protections act all debate a committee. Our innovative bills that cut costs, level of playing field and offer self-employed individuals and gig workers.
▶ 1:20:29Then we can give small businesses the tools they need to continue providing high quality coverage to employees. I look for our 6703 passed the house back. >> thank you, Mr. recognized. Thank you. >> you, uh, mcgovern. It's nice to be.
▶ 1:20:54And as a former a long time, small beer, politely disagree with my friend and chair proposals in the so-called lower health care premium are. A recycled, futile attempt. Portable care act. While actually making it. Families to find affordable high quality.
▶ 1:21:23This legislative package includes two policy committee oe chair indicated here. First is a policy to reckless health plansh little oversight. Specifically, the bill would allow plans to po . A separate pool.
▶ 1:21:50You tout the bill's nominal protections against on preexisting conditions, but they admit. Leae consumers vulnerable. This legislation is explicitly authorized associated health plans to profile, quote unquote, numbers, enabling them to charge higher premiums and other. Factors.
▶ 1:22:19And under the essential health benes . Protections association coverage, mental health and behavioral health. Subverting or dissuade certain groups or individuals.
▶ 1:22:42Perhaps worst of all, this bill also that appears to be a gateway. And. To promulgate rules that even for the market association for simple. Math reasons, if healthy and leave the aca risk pool, join us and pay lower rates. Those into those plans.
▶ 1:23:11Will on average see seniors. Let's be clear only two laws will be these plans because high as those with preexisting conditions or older will not be. Under the aca is an average.
▶ 1:23:38Whether you have a preexisting, everybody pays the same and everybody affordable. Insurance this proposal promise of the. Aca equitable health. Care for everyone, all american isolation may lower costs for some enrollees by. Costs for everyone. Various versions of the legislation for decades, but all.
▶ 1:24:07Iterations suffer from the same and they shift costs. Onto the more vulnerable by 30 leading consumer and patient groups. Serious. Concerns about this harmful legislation knocked .
▶ 1:24:25Out by the committee was the self insurance that further roads the aca by definif health insurance prevent the secretaries of health and human services, treasury from regulating stop loss coverage, troubling the bill makes it virtually impossible. Consumers .
▶ 1:24:50From harmful practices bait laws that regulate stop loss usually provides backup insurance costs above million. How are you written to cover something over a thousand, essentially regular health insurance?
▶ 1:25:13But with almonds, these arrangements can allow and then ways. Enjoy the less being self-insured while transferring insurance company. Yes.
▶ 1:25:33Businesses and self-employed people deserve access, but we ae deserve for protections to ensure that the insurance they body while it will be there when they pass the affordable care act in the first and democrats were charge, we passed the american and the inflation reduction act to make coverage. So question before us is.
▶ 1:26:02That every individual american access affordable, high quality health care coverage, ask this bill and create roadblocks for making. Focused on specific proposals within the jurisdiction. There are other.
▶ 1:26:26Harmful proposals on this other ranking members have mentioned, and in some when proposal americans will be forced to paye health care jeffries discharge.s a three year extension of the aca premium tax credits. We own reasonable republicans to sign on to the madam chair. I yield .
▶ 1:27:01>> thank you, Mr. dyson. To respond to, um so little time, however, I'll recognize myself. And, um well I.
▶ 1:27:34At all. Uh from people saying republican offered an alternative to care act. I hope nobody else. See, I've been here . There are in here. The unaffordable was passed. Republicans.
▶ 1:27:57Offered an alternative and I hope nobody else will gavel.. Law did we pat throws and people. Off their health and.
▶ 1:28:22Uh, the accusation to go it's a great question up here listening testimony, madam chair. >> and it is it is people are not being honest and not being able you say that, remove the subsidies.
▶ 1:28:50That's it's a lie because we're . By democracy. Chose to make them temporary in the american, in the inflation reduction act. They set the sons of why they sg for the end of this month is. Because they spent all their money making our mental tax.
▶ 1:29:18Benefits for their wealthy justm >> uh, thank you very much. Thai also understand and that was mao access affordable, and that is
▶ 1:29:49Through, uh, adjustment introduced. However. To excess t colleagues were to cut. That I fully and colleagues on our side of the aisle say that correct.
▶ 1:30:17That's >> there's 24 million. That's roughly the all the convi heard from the other side today is 7% of the nation employer alone, 164 million people. Their premium to lower their premiums.
▶ 1:30:45They say reformt they're not voting way you liked thinking about the are being fon believe. Is so out of the 24 mi, quite.
▶ 1:31:07Um, quite disturbing than people year never one cannot tet have a medical claim that are ay enrolled in health.
▶ 1:31:29Insurance on the exchanges didn't file a claim what, thosee companies aiding and. Pushing for these major subsidies. But e american people did not get their health care for health insurance companies paid. For 12 million people, filed a claim.
▶ 1:32:01>> is that correct? That's correct. >> that was 2024. >> so if you say we are paying a claim, aren't we talking about an group of people ?
▶ 1:32:19Our colleagues a lot of money, $40 billion a yeas already, I said the democrats always want to do in this piece of legislation that e unaffordable care act.
▶ 1:32:45Throw money at the individual market, rising care.t enacted 129% since that was enacted. All to do to it's the o 2014.
▶ 1:33:15They can't addiction to sh that, I reckon of time, madam chair. I'm happy to have you go on long. Again, this bile us, bill and it's already has not gone to a regular order. This is like this.
▶ 1:33:40And I remind you that have been in charge for the last three, because I don't know what the hell expanding protections. Well yeah. >> and >> I don't know. I don't know what went on. And all of a sudden this of the blue, I mean, if this were a priority, I meane first they brought up. Uh, but it isn't, uh, I think this is wl them in massachusetts.
▶ 1:34:05That's covering, because you're about to go home and see the tas expire and people are going to make without health care or to, uh, exorbitant.
▶ 1:34:19The more for their., I mean, you throw ask you a que, uh, and let's just get this tha, republican sorry excuse for health care does. Not extend the affordable care act. Uh, enhanced premium. Tax credits. I mean, this, Mr. thompson.
▶ 1:34:46Yeah a blown absolutely focusing 100% s . >> it's not just 7. Mr. governor. 7. >> but so you can't even the question I don't we are focused on all americans. >> not enough. >> to filibuster. Uh, you know, people, this is sick of this majority.
▶ 1:35:15>> that's exactly of credits. >> uh the base tax credits. >> remember, they did the csrs. Tax credits, the segment of this bill, the walberg or the aca, but the price, the premium goes down a >> all right. Yeah so. >> so let me get this.
▶ 1:35:34So the expiration premium tax credit all, uh, the plan put forth by is to just let them expand. Uh uh, the plan is, hey, let's just allow hey, rocket, 2n americans, get their coverage through the, and you want to call your bill for all americans act.
▶ 1:36:02I mean, joke, if it wasn't so serious. You're lee in done. Town hall and other people districts. Um, and one concern is the cost of health care panic by people who enrolled in aa exf these tax credits is and you have these big plans to change system. All right, let's weigh order.
▶ 1:36:30Um bue have an immediate crisis. We can make sure these 25 million schools don't get too many over. And we you know, you should have been doing a year. But, you know, let's work in a bipartisae literally to die failure.
▶ 1:36:54And te congressional budget office tax credits expire, that for in americans lose their health care altogether because audit. People have already received notices from that say to go through thef next year. More than double. Some people are seeing premiums go to dollars.
▶ 1:37:19And republicans have said of a health care plan for over a decade, I mean, and trump continues to talk about this oth care is just more the same partizan policies that seeh will coverage, higher costs, and has absolutely
▶ 1:37:50. Zero chance of so if by concept of a plan, uh, you pull voted for republicans, couple. S not just that, the latest cbo bill would kick in me people off their health care. So by.
▶ 1:38:17Passing this bill, even morr attempt to ban abortion nationwide. Now uh, this bill bill makes it hard aca plans too abortion where it is by tying cost sharing on beyond the hyde amendment.
▶ 1:38:42Supreme court case and will lead millions to affordable insurance that covers abortion. Back door ban abortion for millions of women, plain and simple. In states like massachusetts required to cover abortion. Care, this bill penalty constituents by increasing out-of-pocket costs versus not just abortion. Care.
▶ 1:39:07But again, this our time giving republicans a show vote to doing something on health care.. I mean, there's lots of things to be is truly out sick, Mr. guthrie, since 2020, the enhanced premium tax credits enrollment in the doubled from.
▶ 1:39:3511 to more than 20. States have seen the highest growth in coverage? >> uh, I know that. And everything that's forward, there are more people enrolling today than this time last year. I don't have a , mississippi, virginia, louisiana and. Tennessee.
▶ 1:40:05>> in fact, 80 coverage has stat trump these policies to expire. I mose you going to say to families who are going to say what 60 year old couple $85,000, who will see.
▶ 1:40:30$20,000 next year, putting forth the cost sharing? >> uh, reductions that we and tg family tax cuts. These plans will go down 11% if this it, got 11. >> you just read you some stories for some folks.
▶ 1:40:55I just received my letter my $1,287 dan struggling. I'm working 50 plus hours a week. Another one if I continue on the same plan, I see two and a half times more. $1,500 plus plus a month.
▶ 1:41:22When I calculate my level, another person with the health connector I was paying $264 per month, but not young. Without the advanced premium tax credit will over $800 per month. Pay I will go without these are these from real represent?
▶ 1:41:50I don't know how any uh, and claimed that somehow this bill. It's absurd. Mean, the crisis is now, um. And you know and I and again I thing I d inexcusable. I mean republicans well too expensive to extend the health yet they had no problem with giving and big uglg millions of dollars per month.
▶ 1:42:22Mr. thompson wasn't a current py baseline. Anytime you extend a tax cut, the cost of the taxpayers, they used, uh, particularly fuzzy, um, and they said because we spent money, uh .
▶ 1:42:42It it doesn't count this for h yesterday and you don't have to pay for it today and tomorrow, r thing think needs to be pointed out with, um, was talking about use their insurance and somehow behavior that, that that's just not accurate.
▶ 1:43:11If that's insurance works. Uh, this room today who haven't used their insurance, um, I, I pay for money and I car and haven't had to use. It's not fraud. And madam chair, to only . Want to throw money at profits.
▶ 1:43:35Admit to you that anybody who says you can't by throwing money at it, it's talking about somebody thompsons own logic, shouldn't be shouldn't aca tax, which have been around current policy baseline math. >> but so I billionaires that were set to expire, republicans moved.
▶ 1:44:06Heaven and earth to pass a bill by july 4th for tax families. Tt too expensive. Dr. thompson, one other question. You know, we've heard credits go to the wealthy, uh, go to wealthy americans. Can you fact that claim for our that's t accurate. I number.
▶ 1:44:27Uh where the do this the experts on, uh, to crunch the numbers have told us, uh, they don't gos saying your plan is going to lower premiums, pointing to past sharing reductions. >> can you clarify?
▶ 1:44:53Do anything to lower out-of-pocket expenses? Well, I. Mentioned it, but you got to put your mic on, uh, to,t tax credits. Not only, uh, the, uh to double a triple, but many people just will just not have insurance the other thing is ths these, uh, chairman.
▶ 1:45:22Guthrie still mentions I mean, for payments to companies. So, you know, keep talking or payments to insurance companies, all that. Those things do is they don't help the. Person with their deductible who force them inlana bronze plan.
▶ 1:45:49And in the deductible is much higher for deductible. For plan is 75. Uh so, so your a plan. That doesn't have as good coverage and has and higher co-pays close here.
▶ 1:46:10By saying to my republican friends, the american house who support extending the um, so this is not just a, you , idea. >> and I suspect if we can have vote. Um, and that you see a lot of but I'll just close with this .
▶ 1:46:35I in charge for a opinion. Um, and, you know, every bill floor, it comes through this committee. Let's go. To the floor. I mean, we're getting to play with this. Issues get deba, passionate at all the health care of the people, be a priority. We should have been talking more serious.
▶ 1:47:03Uh, concerted way. And now we we're. I'm tell you, we're going to fight like hell credits and then we can talk, u, at large, which, um, in my opinion, quite frankly, our health care is the focused on oe patients.
▶ 1:47:31I think the general idea I yield back governance. >> uh, we've been in the majority almost three. Uh. Miss fishback, you're recognized. And I just want to accurate what we're because we talk about these subsidies, talking about is enhanced subsidies.
▶ 1:48:01>> I think, to point out. Um, that the underlying subsidy these are enhanced when spending was incredible. Uh, blowing up these were done. And so we have been trying to era sr control. These were set. To expire.
▶ 1:48:30And I think, uh, chairman smith by the original legislation that was put together. And passed by the democrats. So I think when we talk about these things, throwia lot of these.
▶ 1:48:50But there's different these are enhanced covid because we are making a mess of this. The discussion because it. Used to really use the actual covid era . Subsidies.
▶ 1:49:18So I just wanted to because I think that it it's it really american good people. To understand exactly what we're doing. When the democrats use language that just everybody we're going to we're we're going for everybody. Going to happen when smith poin% of. Um, and , uh, we do need.
▶ 1:49:47To you know, make sure that we are that. I did want to, um, chairman smith had mentioned during his opening it be in thef the things we have done I can't speak for and we have bg about health care.
▶ 1:50:14We that will be helpful. Um, that will. Bring sure that health care is available and we're. For all the american people. And so we have I don't know, um, if there's, if there's anything wanted to, uh, point out, reiterate done that will be helpful. >> absolutely. Did earlier.
▶ 1:50:39In the according to cbo, the that we put there said that in fact premiums will be lowered because integrity provisions along with jesse's, you know, we expanded health savings.
▶ 1:51:01They ht ever been the so that gives be to, uh, you know, cover their health care expenses. And I think it's super important. Uh representative, that is, uh, a lot from the democrats defending them that it rewards health.
▶ 1:51:27It rewards health insurers. This p. And I think that since passage of obamacare or the. Unaffordable care act, 150 rural hospitals have premiums, have sky, but is also skyrocketed.
▶ 1:51:57The stock prices you know, I can go through an insurance companies right here united since passage of this bill has seen rise 916 since passage of obamacare. Just players and drafting the unaffordable it was the health insurers.
▶ 1:52:25But guess r stock price. Increased 540 since passage of the unaffordable events. Their stock price in those. 458. There's a . Common theme. The are making a lot of money to of.
▶ 1:52:53Regular americans that see their premium. It's expected. That everyone on the exchanges percent increase in their premiums. This year 20% is from due from of the premium credits. The remainder is companies. Taking care of business. >> you know, I know that, um, you mentioned earlier, um.
▶ 1:53:22No, I think it was you, Mr. smith. So I have to, um, but, uh, I think you meant a million folks that, um, never fail. And, um, it looks, uh, you know, and I've been the gao report on the.
▶ 1:53:39I'm wondering if, um, there's anything in the bill that would help with that, given, I mean, as I fraud is cost us and the,, that they found have cost sharing. If what in. This bill would be helpful.
▶ 1:54:02Report that yr of congress. You. Advocate for extending exchanges as is with no reforms. Putting a bow on all that fraud and the gao their report said more than 59 were being subsidized. That were dead.
▶ 1:54:31And you know, they set up fake accounts and 100% of the fake identities and they used were approved were percent of those is they were approved, security number alone that had more than a highd to it.
▶ 1:54:58And I'd say, let's extend the current program. That kind of fraud. And we're not about that. Appreciate that. >> and, uh, I know that it is some ways. Not only fraud here, but for us areas we have jurisdiction overn tax dollars.
▶ 1:55:25We have to be more responsible and we have to are g because we owe it to the american. Um, that that we are doing that and um, and share will yield back. >> I goose you're recognized. >> thank you, thank you. >> just a moment to the ranking member for unanimous. Well, I f. And I'd like to ask unanimous.
▶ 1:55:54D commutations for 12 fraud. And s want to kick it off guise of preventing fraud. The united states is actively engaged in pardoning without objection. >> thank you. Member.
▶ 1:56:19So just a couple of things right off, I think herrings that I think up first.t the subsidies expire this year as.
▶ 1:56:37The legislation that was authored years means congress is completely disabused by the last year touting as your signature. Well meaning the republicans, of course. Uh, in this tax breaks for the richest us that expired this year law.
▶ 1:57:02I don't know miss fischbach was here in 2017, butn this year, that somehow you're precluded from by virtue of ther expiration.
▶ 1:57:22So let's debate proposal that you all sue with number two, uh, and that ye credits, they apply to, as you say. I think you said 7. Uh.
▶ 1:57:46And that I presume, includes, uh huf thousands of people. It's hundreds of thousands of people in colorado. I've not come across the kind of you heartless arguments that I'm hearing. And because it's this small portion would all be content to ignore it.
▶ 1:58:14I've heard district e hit with incredibly high premium increases I agree with those case that we ought to engage in good care system that are clearly broken, exclusive to addressing one that is right in front of us.
▶ 1:58:38These , and I to be one that, again, it's kind of divorced from the real constituents. Are . Facing. Uh, Mr. guthrie. Say, uh, welcome back. I want to asks down and your opening, you said, I quoted this right. I hope we can work issue. Hearings as this.
▶ 1:59:07Bill receivedt sharing reductions we had legislative. I'm and the bill ts fine on this has not had legislative has been through, has did markup on cost sharing reductions and we we're sitting here that, you know, you bill dk
▶ 1:59:42In your full committee. >> I looked at the list, uh exceptional rinsing act. You're . Familiar with that bill? I'm familiar. Shower act. That's the week another one here. Don't mess with my remember that, bill? >> yeah. People want to be able . It wasn't mandated by the government. >> don't mess with my home. To p that bill.
▶ 2:00:09Last week, plenty of our act, plenty of time to take up this your committee chairman before us today, you had 50. Not we have o bring it up today. That's the cu scheduled one, we're >> you're gonna get to get about a vote, Mr. chairman. >> premiums by 11. >> I hear you score by. And so we're chance.
▶ 2:00:37>> we're going to talk about the cbo, cbo form is I have a chancn that I hear you, I think you adjourn the dismiss a folks thai suspect kentucky two who say you've got this really powerful energy and commerce. Well, members of congress, at least those that I know. If committee, you've got 50 bills, home appliances. The shower act and you be health care.
▶ 2:01:05And that you've been spending here >> uh, we have been on this bill . We marked late sections of tho mention working in a we've donee worked on we've worked. On, uh, bipartisan.
▶ 2:01:26Well, I that, uh, mh the premise, you know, that line in your testimony about working in good faith with respect to across party lines and it's pretty clear to me that that's not embedded in them cornerston.
▶ 2:01:50So I think this ground traversed by, uh, our ranking member belabor just make sure wl of our facts right. So bill before us, this is not premise preface this because we're going to talk about cbo trick question. The bill extension of the enhanced premium tax, we're. >> does the bill include any.
▶ 2:02:25Funds for health savings accounts? >> I know other quarters. Is that. Okay bill, does not include any additional. Correct Mr. these aren't trick. Question. What I'm asking or is it Mr.. I, yeah, yeah.
▶ 2:02:55This is your health care bill. Not include cr working families under the iraq. It does, savings account. It doesn't include any additional funds for flexible spending accounts and according0 people if their health insurance over the next health care plan t you're asked to vote for.
▶ 2:03:18So tho vote for has cost sharing arrangements, reductions that fa cbo that was 11. >> true. But but they estimated the behavior and out of wages and they, they so talked about how many people on the affordable exchanges there are more people signing up for the day than
▶ 2:03:49There were this time last year. >> you're saying that was wrong? >> the cbo has, as notoriously when they're trying to you get good estimates on it. >> but cbo said, according to tr estimates, what saying is, will they have. >> but I'm what for? They miss human behavior ns all it is.
▶ 2:04:17>> say that they did say that the bill before us lower premiums what at that done economic modeling before. They've proven to be predictablu start measuring behavior, they just people are going to come off. They just last year, more peoplt it is that predicted about human being.
▶ 2:04:39>> I guess the same set of factf you disagree with, I'd say theys amazing what saying, what are they saying? Well, just said it. >> okay, okay.
▶ 2:04:55>> that's the cbo, lose their insurance if the people let and then I'll the cbo says 100,000 people lose their insurance if the republican health care plan b, the cbo says that you disagree. >> they. They'll choose other options or choose choose other. Okay.
▶ 2:05:23So is the it I think that move on. >> we'll move on. We go >> and you got a lot of people in the marketplace are small business credit to their employer. So we're looking at how do we have lower premiums. E marketplace. So the cost sharine premiums by a cent. But who's in the marketplace?
▶ 2:05:49A lot of it's small business who businesses, t have employment. They don't have the risk pools. >> I hear you. >> and help. So people will move into other areas. Okay, I yield back. >> I've got some some how you ad it. I mean, I hear you, I think the cbo believes that 100,000. We're let me finish my.
▶ 2:06:17Because we're going to believes that 100,000 people will lose their health insurance with conclusion. You do agree with their conclusion. You're very quick to agree to that. Interesting is you.
▶ 2:06:35You don't use the terminology that the cbo doesn't say that premiums will premiums will decrease by they say that? Do you wonder why they say that? It's because premiums expiration of the tax credits, it depends on where you are in the in the system. >> so needy.
▶ 2:07:03So you're a then the $0 premiums go away. So you don't pay cost sharing reductions that help pay your out there's a reason that people that are pretty, there's a reason for the individuals who are receiving the tax credit. For them. >> we'll go up. There's a.
▶ 2:07:34Reason the cbo reached that conclusion to give health insurance out of the marketplace, which is associated health. Let's Mr. associated health plans because I know it sure unlike some of the other. This piece of it, we marked it up. So mark me if I'm wrong. Is that the associated bill would not be a.
▶ 2:08:05Rule concerning essential health benefits like large corporations ? I'm not. Is that yes or no? Is it? That's. Yes do you know whae ten essential health benefits are? >> um, I could be, uh, probably list them for you. I give you a key? >> is different large corporations? >> I'll give you a few examples. You can tell. The aca, essential health pediatric. Care.
▶ 2:08:34Sure right. Hospitalization emergency services, all components of the affordable care act. I heard. For health insurance plans.
▶ 2:08:52Karen for these individuals the enhanced tax credit won't able to afford insurance anymort offer hospitalization that sounds not like a plan.
▶ 2:09:14>> that's that sounds to that you're making me go back to go back to cbo in relation to a for a associated health plans, please. Stated that. 400,000 uninsured, 400,000 uninsured. If given the chance, would enroll in 300,000 400,000, according to cbo number.
▶ 2:09:46>> cbo said the said, and they d three points. >> would have had other coverage resulting in four people covered by hoops. >> that doesn't sound a. People that have a self interest coverage. And the rest of the essentials fan of these ahp, I certainly am.
▶ 2:10:15Are you ? I'm not. I don't have to be b. >> I have insurance other kind n the employers question is, do you want to give the same opportunities and. Employers? I think that to the large corporations I think they should have with you.
▶ 2:10:46I suspect that your plan covers these same ira. I would assume it does not. Yeah because franko old. >> well, I see your the same ase them the for these choices. >> absolutely. It's not required . Well, are you saying ford motor company don't give it. >> of course they do.
▶ 2:11:10Their couy would a legal requirement, why would a place small businesses not want to get opportunity? I think that the madam chair, one the two part question. So I chairmas indulgence. Just, uh, I count the to go to Mr. Mr. smith, I'll just ask you, Mr.
▶ 2:11:38Smith, the amendments that have been offered, there were republn colleagues, Mr. fitzpatrick. Mr. on extending the aca tax credits. My understanding is that we'll likely. Be ruled out of order. Do you have belief as to whether or not that should would you support those amendments being ruled in order so that.
▶ 2:12:10>> yes, sir. What's up to the rules committee to do some? Of e and, my understanding is told Mr. fitzpatrick and Mr. lawler and members that they had to find an order for the tax credit because.
▶ 2:12:29Baseline rule that you all used well earlier d not be back amendments . >> faith. To say to them your own members that you're not appt policy based on their amendments on health care credits. But with respect the tax bill, I think is bad.
▶ 2:12:59Faith is republicans have. Put forward a couple reforms on it, and not one democrat will sign on. >> I'll make you a promise right now because patterns have discharged petitions with, with and not one democrat will sign on. >> chairman. Uh, number one one of the.
▶ 2:13:26And I'll conclude by this, uh, conditions mentioned, I believe it does have several. Number just tell e republican would join the discharge petition that's any discharge petition, which is the district. That, uh, this is.
▶ 2:13:50Uh, you'll get madam chair when you give that has the most signatures in the house with respect to this. Just saying it is bad to tell fitzpatrick that the current will not. Apply to him, that it efforts to get through your tax bill earlier. They somehow inconvenient and we're not going to apply it.
▶ 2:14:19Colorado and across the country are tax credit. Extensions approved. I yield back and I here we're not in court, shouldn't th time here. Say you are here. Say, Mr. norman, you are recognized.
▶ 2:14:43>> yeah, interesting all this debate going on on the opposite side of the aisle. >> um. They been that waste, fraud and abuse may take part. In the extended subsidiest been any for the ga ga. Y'all heard anything?
▶ 2:15:14>> uh, for us? Yes. I've heard one democrat raised. Um, the reason why you. Would you o. Neguse was talking about, simply because extending the waste, fraud and abuse, graham. And reforms to make sure there's been appropriately, instead of to dead people, be companies.
▶ 2:15:39If you roll back time, the time which identified waste, fraud u. >> and it went down. These were. It never should have been funded. It was other criticism of a man. Uh and what . You said, Mr. smith, earlier.
▶ 2:16:11Insurance by ge of billions dollars in advance. Subsidies have not been reconciled. Have you heard any outrage over that? Have you heard, uh, the findings of. Gao confirmed by search as to improper. And phantom enrollment , 6.4 million.
▶ 2:16:37Improper enrollees subsidized plans in 2025. Have they say the only response report is for them to accept is throw. Money addition. >> yeah. They with okay. >> and I think some maybe been yes but uh in total but the agency created. 20 fictitious and.
▶ 2:17:02Submitted 24 applications across and years and they enroll 20 applicants. >> that's correct. >> uh, hey, hey, not the ga reports.
▶ 2:17:22Uh, based on a preliminary analysis, evidence of reconciliation in irs 2025 fe no serious concerns about it, that any.
▶ 2:17:42Paid to the individuals was not matched to a tax return of any, um, the. That weren't even valis just what mentioned. More than 58 was receiving subsidized subsidies. Match. Death records.
▶ 2:18:13Any mentioned by the other all.t was. >> um, they shut down. They talk about us being late, but 48, 43 days. Did it for health insurance for illegals to spend.
▶ 2:18:43>> and that was their counter proposal. And Mr. mcgovern would fight like hell to, I guess it throw money at it. >> uh, we're going to fight like hell to state, fight like hell e american people remember. We were told we could keep our plan because any of. At their feet. 7000 people.
▶ 2:19:07Would it shock you? Security numbers were dead before the for began.. She was social security. Social security numbers of 94 million.
▶ 2:19:34If insurance on behalf of the deceased people who want benefiting on that the insurance increases in stock they're taking up. For them. They're not taking up for the just taking up for advocating for them to have more out reforms so that they can continue to make. >> that's a crime.
▶ 2:20:03>> this isn't perfect, but it's the first wouldn't you say that this is a work in progress? We're, um, a plan for 15 hour for the medical field. Doctors that were not that we have a shortage of now number off the top of my head, but but I'll tell you about 90.
▶ 2:20:27I've but not even notn the in, uh, summer we put program integrity in the marketplace. It mandated that people had to enroll every other rules, and it was estimated by $70 billion over ten years. So 70 that would. Be be saved. Because when we did pass it. So every member of the house had voted for the to the senate.
▶ 2:20:57And then it got and then got challenged by the democrats . And it was taken out because they said bird. Not only did they not show outrage, use a. Parliamentary procedure, let. It continue. The american people throw money at , fraud, abuse as from day. One the dose commission.
▶ 2:21:26Gets uh, if you had to have them explain th. >> um, so I applaud and, uh, like you mentioned, that some of the, some of the for months and it's a step in the all for . I yield back, uh, Mr. chairman, Mr.. >> fernandes. I think I'd like to begin your questioning.
▶ 2:21:53Or would you like to better if we n come? Sure. All right. Stands in recess until the start of floor.
▶ 2:22:07Thank very much .
▶ 2:30:21>> test, test. Test test test
▶ 3:08:40. >> the committee. >> Mr. plum energy and Mr. on way, is unabl. >>.
▶ 3:09:08>> uh, the, uh ranking governance. >> thank republicans that no democrats petition has been sig.
▶ 3:09:32Bill discharge, 29 democrats coe charged petition has been signee petitions objection.
▶ 3:09:59Insert intn exhaustive list. Um of promises on health years. >> um, you know, is the, you know, go back to, uh, his. First term and now his, which followed through on.
▶ 3:10:25>> but I think it's important that the record I ask that you record. >> you I thank the gentlelady for yielding. >> thank leisa recognized. Thank you, madam chair. >> and going to tell a story that I think is heartbreaking w.
▶ 3:10:49Was having a miscarriage restris her because they were she became. As you know, and she lot fallopian tube children.
▶ 3:11:13Is now at risk tell a, for example across country are happens get .
▶ 3:11:42Chairman three right that a woman sepsis and almost die come or her doctor will treat her. What. Should happen. >> but I also don't think the public wants to.
▶ 3:12:03That's the interesting thing, is that pay.r abortion to healthcare for them is I see that.
▶ 3:12:23The doorways to restrn states like new mexico. It's nen new mexico, I sti I was the woman who was, um, bleeding deay decision with regard.
▶ 3:12:49I want and my doctors about whether itr they would go to jail because of this, needed.
▶ 3:13:09And right now, in this bill a back door array of access healtn private insurers.
▶ 3:13:23Uh, you have public why read as, how on reproductive find in this bill.
▶ 3:13:47Providing the health care uh, as to whether oh assumption will be made, void p.
▶ 3:14:18They need, uh, I want to do. Mit was. Well well, the night was 2 or I went into the bathroom. Was a kd hit her head, and I thought she might be.
▶ 3:14:43Obviously her up and they at the hospital at the at the, all waiting because we had called I. They did. They didn't think twice. She was.
▶ 3:14:58Keep putting the doors and saying, you're not toe because entered abortion. Care even though it's not. We're going to, uh, deny you care.
▶ 3:15:30>> right. And what the bill is really limiting the like in newe restricted to be able to access even through plans. And this is why it is so nif access. That we are paying for ourselves , and it will cost people's lives.
▶ 3:15:59We have people who will die have. It's 54,000 and people onh because die and just cannot act, we
▶ 3:16:30Coverage. Uh, and there were, 5s pregnant 50% increase rate issu. Ban.
▶ 3:16:57The fact you can't get rent . And I don't know if you know , ranking member paloma, it's expensive I to know the numbers of what happened and get, uh care you might have because you dollars it's tens of thousands. >> tens of dollars. I mean, it's prohibitively expensive.
▶ 3:17:22>> yeah, and the reason having m or doing is affordable care act, things that. Kick you out.
▶ 3:17:53Guess what used to be? And guess what else the affordable care act that and that you care.. Tho choir. That you cover.. And cor?
▶ 3:18:35Association health insiders seee . Aim of this far right. Correct. But group of retired pe fighters and police. Coverage from one of these associations, the association you want to share it they presented.
▶ 3:19:02First they went bankrupt for mismanagement. >> there was mismanagement. But this anything? Uh, susan huff, the writer, she had to. That they write itself before.
▶ 3:19:3115 million people are n0 thousand out. Didn't do enough harm. Before. We in in kentucky. You know, I just.
▶ 3:19:57It l there. That's the problem right. I'm not great. Shines bright I'd kentucky only your wonderful state. My love. , but. >> but the other. It's great. Many more people let me quote the have a cabinet.
▶ 3:20:23That's your cabinet, right? Oh , uh, reporter and I'll increase number. And downgraded health care plan their point through te roof. Right.
▶ 3:20:50Talking to loud vok that the problem is in. Our, uh, one of, kentucky voices for children, uh, for the first half of each month care ae problem.
▶ 3:21:11To extend credit it is gone through it doesn't. They want uo .
▶ 3:21:3173% of that is the bill whichh credit well, a bill until last friday that has not regular order discharge petition. Already sig.
▶ 3:21:59It is is that it makes for we probably because. We already established earlier on that the people be me your they're kentucky, they're n texas long time. He left pittsburgh.
▶ 3:22:17That that'ss . Does nothing. The cost of health care. What us to be doing. And that's what we're to do. >> so, um, give a democrat on here.
▶ 3:22:46>> so with miren dulce, you would to add to respond to any of the issues that occurredn said but not and said is true in the larger context that it's going to all american health care system the, the most expensive care in the world. I think it's 18% ten. Ane worst outcomes.
▶ 3:23:14Well, why that'e spirit. And just as a fox, you said that, um, uh, I said only way out of this was discharge petition.
▶ 3:23:27Way never ty for us to that to make a more efficient and we're, uh, well, o further. Let's get rid of her hg for a couple things.
▶ 3:23:49And deniale insurance companies quality of e could just can for three years we comment. I wasn'r the critical care predecessor because I had a lot of the been here in this seat.
▶ 3:24:16Um it's an easy this this done. So was the agreement. Jim, you could correct me the ts done. >> so for the, uh, representative. I mean, that's only but it's okay. >> I'll. I'm fine. >> hey. And I.
▶ 3:24:43Agree, there's a lot of problems system we have now, but we cannot it and ford and then make the americans million, uh, uh, jason smith the insurance companies, medicare rid of this health insurance company.
▶ 3:25:11Sounds like them at all. I want and tha problem matter, to having, uh, chairman of medicare for back leisure. Fernandez uh, we. Make issue of correcting the, since Mr.
▶ 3:25:34Mcgovi correct the record, and me if im wrong, but this does not.
▶ 3:25:51The record covid that um wn december 31st.
▶ 3:26:15As inflation act to express when that happens it to the subsidies that they affordable care 15 years ago bes been said that.
▶ 3:26:33That what we're, as chairman and maybe even Mr. wall, be reduced the enroll . Form of health care.
▶ 3:27:02Is that, madam chair yeah. If I just wan, the says this, which again, hast this hearing additional 100,000 people out there things even worse.
▶ 3:27:35>> and we that crisis and we dof people be forced off mean, we h. Problem.
▶ 3:27:49Let's buy some time if you want to work at a not been willing to work in a bipartisano fix this broken health care plan, which is offense and not impatience, we're happy to screw over millions of people in the. >> um, Mr. mcgovern doesn't mean most people won't have of this . They're not. >> they.
▶ 3:28:19Just are being offered other choice I'm going. >> I'm going to I record, this t think what it best. >> but you just put it in the record.
▶ 3:28:42And by the whether they can afford other insurance and also as we've been trying to make that point over again. >> thank you, Mr. scott. You are vice, um, get to on this. >> so this is somewhere year. Ie estimate is 30 billion a year? .
▶ 3:29:15All of you couple of numbers. Ie simply do these subsidies and all of a. So yes, at 72 billion in revenue, 400 billion in cigna that's just thf the carriers hard to find out much even
▶ 3:29:46In the subsidies, which is available for the americans. Eve insurance companies receives. Te by those companies.
▶ 3:30:06Everybody in this committee and I think agrey benefit man should like they they of the system and provide absolutely benefit to the america. They cheat the pharmacists on a regular um those three companies, they.
▶ 3:30:34Also own largest pharmacy not sure the any money at all affordable can't. Support or care act subsidies that they aln consumer. So a fair. 1080 $9,000,000,000,089 billion is.
▶ 3:31:030 years, which is a very. Small percentage of their total. They're going to fair to people, aren't can't with a straight argument. These.
▶ 3:31:34Own the pharmacy benefit done hd health care system getting any subsidies. Taxpayer but I want to get to the numbere organization people you.
▶ 3:31:49Um ands confusing the american citizens, they say, oh well, peak premiume according to f of $800 to $9,904 f shows website. >> you literally foundation. >> that's the enhanced care act seven, but they do pretty good job with their numbers.
▶ 3:32:19I mean, I don't I don't agree with everything they say, but they is for every american out therer health, it's monthly. Correct virtually every monthly. That's the annual. Sum. Americans are paying monthly.
▶ 3:32:41Te is $108. And as I understand it, not the premius $188 and actual increase 84 month.
▶ 3:33:02Now the democrats were making the a, of which to even figure out which company is getting what that all when tread fairly and that if you're a premium a month, millions and millions and millions of people are to choose to go uninsured, I'm going to dt buy the argument help
▶ 3:33:33Anybody other than the insurance company, which by me own the pharmacy benefit managers that we all to pass a bill to get rif them. And I'll tell you we can't get rid of them, we at industry from owning them, the federal trade commission and came out and company conflict of. Interest. And now all of a sudden appearance.
▶ 3:33:59But I questin .
▶ 3:34:11It you could have passed subsidies well past december ofo past 2025 selection for to expire at the end of you weren'e time, but you may have. >> oh, sure. I'd love to answer.
▶ 3:34:35I mean, the belief was, uh, tha, well decision. You the house, the agree you hae house, the senate passed at the time. Why? >> we have the that's why we the expiring. And instead of putting it in the tax bill, you guys gets for there's billionaires could not expire. We could.
▶ 3:35:05Not let the those had to be extended. >> Mr. absolutely love just pass a beautiful. Bill.
▶ 3:35:22>> we they passed the had theses to make the rather than the why it was a vote.
▶ 3:35:43It really cared about these, uh when they contrl the white house, the game righty chose. The green new deal. >> they're subsidies is the choice that the democratic party made.
▶ 3:36:03But I said before, just mathematically aetna and cigna, an $89 billion. There's 30 subsy would probably get mean, it's ad argue with that that that's a rounding error mean citizen
▶ 3:36:34Out there. That's how because there's no more which is the end result of the affordable care act. You this um, I'm going to go to you, Mr. covered under mee eligible for the. Subsidy, the individual. >> that's individual.
▶ 3:36:57So correct me if I'm you're not getting a subsidy because you've got medicaid, if you work for somebody that provides 160 million, if but if you work eli, you're not eligible for, is that right? If your spouse works elis that correct? You get your health, your. Spouse, you're not even yeah, you're you're out. >> so government provides health insurance.
▶ 3:37:27>> my insurance. Every health of any county government you're covered under the children, the insurance program, you don't sud under paid, you don't get. The people that aren't subsidy.
▶ 3:37:50That's why in the systn you look at the total number of people receiving this, as far as the like car insurance >> totally different. Your. Car insurance doesn't cover routine health signed now.
▶ 3:38:15>> even though many of us think you should have a coverages that did not option should be in the market place. And we believe in consumer choice. Your car insurance pay for your oil changes. Reason we think frs because virtually every point gets and has to go to a doctor. Sir.
▶ 3:38:45Maye claim now by the way insurance e . Let me take today. There is ag that I take.
▶ 3:39:10For I and I'm covered under the affordable care act because is less than te co-pay. It cost dollars. Right l right. Needs to be rewritten obamacare because then it became whole system messed up. And these. Really appreciate.
▶ 3:39:50You bringing my experience. >> thank analogy a little bit more. >> Mr. griffith, thank somebody referenced the said, but it's bi missed it was not able to be here for, going to
▶ 3:40:23Waiting the johns statue. >> and in mr, uh. Who's back as as was Mr. scott. I would ask. My commerce. Is there anything that has not yet been that we should have heard? Of the health care subcommittee? >> so I discussed this.
▶ 3:40:52Yeah committeeso you anything that you wish to have been said. Mr. walbert, I I do think there is some that's very important. >> uh, and that was a comparison of who, because it's been so long compared.
▶ 3:41:18Why we there? We condemning the democrats for wanting to uh. Fal went permanent. The test.
▶ 3:41:41Befort something abusive supplement something that can. But we didn't do.
▶ 3:42:06Three year sunset ely thought it was bad, it was then on the other.
▶ 3:42:23Under reconciliation and that permanet tax cuts give permanent tax cuts. Because we y rules. We couldn't.
▶ 3:42:46Our back inr hoping that we had the majority and the had biden. So had a fear that we could make permanent the tax businesses and individuals we. Did it as quickly.
▶ 3:43:15That's a different thing here. To only give covid supplement idead your votes alone. It was and you did nothing about it this up.
▶ 3:43:34Sa chance because that's the best I could explain it. I appreciate you could yield to me. >> I yield, uh, for me, it is over with. Uh, I think we need to and so I'm going to yield. >> I had opinions, I had. >> thank you, Mr. griffin.
▶ 3:44:03Uh, is there any let's make sure toy questions. >> uh, I you to our. Um.
▶ 3:44:23I see no one further qs . So thank you. Very much.
▶ 3:44:38Uh.,o long is not coming would
▶ 3:47:11. >> um, our second panel and Mr.n energy and commerce member rask. Cohen had a birthday, ago dike.
▶ 3:47:35>> he turned 100 >> yeah, well, happy to say, mr, for the record statement in five minutes. I. In suzanne bonamici the dick van d.
▶ 3:47:58>> he, simon's brother husband'r mcgovern. For me to house republicans, especially my colleagues on the out waste, frd abuse in the medicaid and already families tax cut at point has been driven by the desire to create a sustainable strengthen,
▶ 3:48:30Secure, sustain it for those among the most vulnerable populations. Children individuao disabilities. We're at work. We have accomplished this to hard . As members of congress improvinf americans.
▶ 3:48:55Harm act prohibits federal from going towards specific procedures. For individuals under the age of 18. Estimate taxpayers 445 million over. Make it abundantly clear this legislators from.
▶ 3:49:15Accessing medical care that funding on the medically unnecessary builds foe sustainable future those who trd it, and go back, thank Mr.
▶ 3:49:46Gottlieb. >> you're recognized. Um, obviously, this last few wed coverage and act in. 22 million americans. Uh very much on the cliff.
▶ 3:50:07Uh looking at pre affordn several times that democrats came. Up with these tax credits. We did. They were only supposed .
▶ 3:50:26To last a couple of years because of that health care stiy district, that's a small share to, uh, I has 130,000 folks in her on subsidies.
▶ 3:50:50The same thing. And that is us passing something that the affordable care act subsidies, other costs will skyrocket. Many of them will lose coverage altogether.
▶ 3:51:11They don't care about anything e petition that says three that is clean. There's the discharge ort this, uh, my colleagues on the other wall to extend these,
▶ 3:51:42Folks who we need, families, the dreamers is this is ecosystem that. Entire economy, the ability to extend these tax credits. And, was we're going to make permanent these tax credit. Cuts for the. Time and now.
▶ 3:52:06To medicaid, in order to pay for tax cuts I and cuts to medicaid , 15 million americans will lose.
▶ 3:52:31They'll health care when that kind of thing lor lives. But folks will die. Now on the issut of two. >> the frustrated and angry.
▶ 3:53:02>> obviously the focus should be and make life do you make economy work? What are we doing to lower cost utility costs? Health care costs? The cost we'g kind of identity have many othee
▶ 3:53:34Their own lives. Children that have the highest rates of suicide, kids in the united. States and. Instead of just leaving them alone, which they want, they want either to be left to have the adults, including politicians, love them need otht
▶ 3:54:05No pick on you. You have bullies in school, but we're going to join those folks. We're going to make and unimporn health wants that. For you to need. We're going to pull way adults should behave. And politicians.n abortion. Care to become.
▶ 3:54:35But most americans don't. They want politicians out of the doctor. They do. They. Decisions are incredibly. It's a patients. And when you take away, people get hurting.
▶ 3:55:02About children. Children that are already struggling. You go . Home you're recognized as a nation are facing one of our disguised as medical intervention. >> children coerced authority I.
▶ 3:55:30Lightly, medically questionabler the impact or care. Promoting radical policies and protecting the american public's widespread rejection of the practice.
▶ 3:55:45Conto distort debate having the is set to for the pre to improve being of children through gender affirming care and causing life altering decisions surgeryg their is general mutilation and.
▶ 3:56:22Children. It is not life the fat gender transition procedures, including the puberty, the surgery or deep conditioners sus are coming forward to share their medical establishment. Majority of these and.
▶ 3:56:43Women, the first harm or no harm yet forming children are committing serious harm thep of this of had a hard time hearing about the qn if willing to allow it on our and in other co?
▶ 3:57:15So beginning to take community t these are lifesaving they should be questioned, even our. Neighbors in canada all did. Ofr policy standards, a the age of ,
▶ 3:57:46Italy, latvia, the netherlands sweden. There is a minute these reassignment surgeries and we should not fall behind these countries when it comes to protecting the hold those accountable who harm to or attempt mutilation and chemical castration. The bill include bodily pollution and chemical dg that. They cannot.
▶ 3:58:15Prosecute it if one of these or legislation . President trump's important president trump signed an executive and surgical nation surgeon, nation of our general fund supporting.
▶ 3:58:39Executive order and amends include bible translation in chemical tissue o make be be able to not pay depended on and most our nation's, our legislation.
▶ 3:59:10And with that, madam. Mister mo. >> mister, you. Chair fox. Mr. mcgovern, members of the committee, the bill. Other medil providers, and to ten years of. Incredible prison for care like hormone.
▶ 3:59:35It would cris procedures there present were gender dysphoria prescription of . Puberty blockers, which are commonly used who are not trans, but who face all of the associated with. Early onset puberty.
▶ 3:59:58This would create a massive intrusive privacy of family medical are hard and often an agonizing decisions that loving american family now want the federal government to come barging into the family dining room doctor's office and.
▶ 4:00:29I remember when our oldest daughter, hannah true story. Shp her nose. I was was in the backe could not descend to the the hoe doctor dislodge weren't even suy are. And they did an part of tho up there. So. They offered us the choice.
▶ 4:00:54We could either to see if it would just go away, or we performed to go in, and we didn't doctor, you tell us, we do. He said I can only tell you what benefits and risks the . Stuck with me. So and the sitn resolved itself. Would we reall.
▶ 4:01:26Authority to decide. House authr every family in through this, you know, time of, grocery prices, rental housing, not to mention escalating what e are looking for today is a federal law, bold private medical decision making of thousands facing a crisis.
▶ 4:01:55That the vast majority don't think ss anyone the same policy actions brought us to this point in terms health coverage for millions of people, take the most intimate and fundamental decision to own people's childrd I'm not saying with whatever a y does in a situation of it shoulg
▶ 4:02:31To a federal government to impose a one all decision amerie pace it's a criminal so. We knoc tactic in the to pick a small minority of scapegoat. Humanize them. Demonize them. Take.
▶ 4:03:01Histories filled with examples. Authoritarians mobilize dense acts. Ask the. Ruler's own indifference to the health courn insane people. Corruption and for power.
▶ 4:03:19So there are two trae under attack and they're afraid the situation and come see theyo talk about this on other bills. They wanted I thought this was so because a lot of people in their situatior portugal or france, other trees where they.
▶ 4:03:47Feel it, it will be more hospitable my heart that cn is happening in america today. So let's call of demonization and scapegoating. Uh, bloody bae in a true war. That's not to beg today.
▶ 4:04:09Let's extend health cares much kindness and respect you can for other families who may be going their through. But we t same kind of respect, kindness, extend to us. Thank you, madam chair. I you, Mr. raskin. >> very well. On the time.
▶ 4:04:33>> um I will, um, yield myself to ask, leave the title bill debate in. Do you, that taxpayed . First do no. >> yes, ma'am. That's it does.
▶ 4:04:55F evidence before us, there's at least a proposal. If not, well. Beyond that, that these are spes .
▶ 4:05:22Is this is focused on 18 in the interventions in here are thank you representative. Just to clear h.r.. Um in existing rural nexus.
▶ 4:05:46Very I thank you all today recognize the mcgovern. Bill toh regular order we had a hearing, but no markup. Uh oh. Yeah.
▶ 4:06:15I'm . Sorry. It was was included in the reconciliation markup. Yeah. >> I, you know, I, I really dont understand your at the transgender community. Uh plus issues in general.
▶ 4:06:37I mean, um, r to you , it's over . Um and, and, um, either losing their health insurance because my republican, the republicans.
▶ 4:07:03Because it's not the case, don't want to mean, wn halls with, uh, in california, I district in pennsylvania. Over the weekend. Questions about. Zg questions and.
▶ 4:07:31Elderly like, I'll ask you questions about asking about the affordability act. Of trump's tariffs on, um, they. Were saying that this or their mortgages, um, they're worried about education.
▶ 4:07:51Um, yo, they're worried about, um, investments in infrastructure, development in their community. They're worried is what you're going in the wrong direction lih their kitchen window and. The things that impact them very directly. Yeah, that stuff. Instead, you want bring this.
▶ 4:08:22For the house of representativer community is that. Somewhere over 2 million? >> yes. Somewhere so 43, I mean, this is what you want the last e about to recess. Just I just don't they do get it. Mean, I understand why we're here.
▶ 4:08:49Um, maybe votes to pass the, uh. And so the bills that were promised, uh committee house vote. Vote. I it's probaby wouldn't. They'd probably saying this. So I want to touch is this that this is what we want to focus on.
▶ 4:09:19It's been pointed out by Mr. landsmaa there's another problem with this and that targeted. And know, is the transgender community being about being.
▶ 4:09:47Yo, some just subject. Leaders in this country.
▶ 4:10:05They're being used as just like that's not the kind ou know, I don't ask that obsessiot scapegoat.
▶ 4:10:30Our priorities and whether or not people have or their groceries be able. To appointments. I, I just think I'm don't we don't we don't share the same values on on a lot of things I will yield back my time does speaker.
▶ 4:11:01Real quick for the american citizens to read the legislatioe six, mutilation of a. Minor with a minor genital or mutilation, except as , in any. Circumstance he knowingly performs or attempts to only mutilation on another person. Minors shall be.
▶ 4:11:30Imprisoned, not more minor, excs provided in section seven. In subsection d knowingly castrate. They this title in prison female genital mutilation, except in subsection g.
▶ 4:11:50Whoever in any circumcision, they knowingly female genital fs of the performance of female general. I cannot have all of wh are democrats, democrat. Support these procedures being.
▶ 4:12:13But thie minors saying chemically cannot you can't perform civil procedure on a minor that that. I can't believe defend your position on that. It's ridiculous. Puberty. True.
▶ 4:12:47It's just lation, Mr. raskin. It's. Blockers. Mr. raskin, testify that it stops puberty. Yes. >> and it does not. It does. That is not it? Absolutely. >> so chemical castration. What do you think does not stop pubey blockers.
▶ 4:13:14>> you're saying that this duration, that has been to slown someone who's puberty blockers , I'm I'm. Not for gender dysphoria. >> I'm saying you're you your testimony is false. He foru misunderstood testimony.
▶ 4:13:42I see in the use of a drug commony ever. So in other words, you're going to allow it to it to anot. >> okay.
▶ 4:14:02But it doesn't on saidk the family agree with you in both cases, emily should allow t genital mutilation. It's the exact same drug. >> it's the exact same trick. One another. >> it's not the exact same use. It's not the same. Use. >> so thank you, ben, for the correct stated it properly.
▶ 4:14:34>> I disagree with. Remainder os time and I recognize. Thank scae ranking member. >> yeah, I just want 14 town ha. It was. It's been and not once.
▶ 4:14:58>> not once anyone, um, they all brought up us they want us n on to have affordability this. And I'm going what, this is just what this is having people to look over don't notice that you're doing nothing on health affordability. Let's talk about the transgender.
▶ 4:15:27I think to do., and, um, I don't. Know what's going on here. They know you. And that's the reason why trump's numbers are general idea you'll be okay. Okay.
▶ 4:15:43>> you have to say I'm kind of at the to characterize the issue of kind of partizan, e met with dozens, um help their s through very difficult time, medical treatment, uh, ice possible so they can properly care for their
▶ 4:16:13Children, do not identify as an independent of content creationy come from across the political they're struggling about something that had not been a common topic of medical advice.d to avoid, um, hateful rhetoric t
▶ 4:16:45Age appropriate, medically appropriate. Um, I mean are, you know, send doctors and lawyers n life, uh, who, for republican colleagues to willing to disregards fundamental right.
▶ 4:17:22Political and even medical beliefs, their doctors should b. Doctors and it really bullies these. I parentse targeting is just. Absolutely heartbreaking. And.
▶ 4:17:46That we hear from the kids who may have to endure and the fact, um, they blockers at least with respect for gender dysphoria, really what is trying to restrict people becauf whatever that are at issue here.
▶ 4:18:19I think mister yeah, Mr. raskini just very quickly, um. That it t was open like everyone and I, uh, that a republicans and I the things that I liked about I didn't agree, but really liked about the republican. They believed rights.
▶ 4:18:47And lo and I, and I appreciate that politicians should stay out of that government should be, uh, small, that it's we make sometimes it's changed is reproductive.
▶ 4:19:09All sao , um, government to be want us , medically away that, um, from. As politicians, we think that's frustrating go in that d.
▶ 4:19:49Obviously focusing now on in the middle of, of decisions. Is it? Yeah it may to do with following. But, Mr. raskin, I think you just going to just scott. Um, you know, look here, gender affirming care patient.
▶ 4:20:14Doctors of course, parents the ultimate decision maker. Look it. If you spend just. Which I've done everything befoe pretty much less surgical medical. Treated for anybody.
▶ 4:20:46And the vast majority in the sae standard here to use to use other doctors, which again, common use for pur, finders a will a study from.
▶ 4:21:07Ha, offered at the committee confirmed that in are largely , uh, overwhelming. Surgery. So, um, I mean, we've medicine.
▶ 4:21:34I dt think we've into a super medical licensing. What country has alro we.
▶ 4:21:49Can go into what every family in america, some faith in our citizens and our families were most close situation to work this and this is one groups like kids tal in professionals and bringing wf decisions trying
▶ 4:22:20Agree with Mr. landsman and thank you, Mr. >> the reason these bill is to distract from the fact can out how to deal with nationwide witt being moving forward, refusal to extend its um, you know, it's going to lose their health
▶ 4:22:53Insurance this year because those tax extended the. The called. It the warmed over slop of already. Health care thing. Just so they have.
▶ 4:23:09P situation work with policy that. They're trying, and they're still not going to extend the aca. So there were two big tours. On the table for this year.
▶ 4:23:38The we're going to expire at the end of fn americans were going to this year and are revoked group to ds but abandoned arc, it that health care is at risk. The their refusal.
▶ 4:24:03Is yet another sign trying major issue confronting this. Country or testimony. And I yield back. >> I recognize the gentlelady from yields back and I recognize I'm new mexico, miss legend. Thank thank you very mu.
▶ 4:24:35And I this obsession that. Republicans interfere with. And the number. 20 million americans, americans. Are going to lose at it that make it affordable for them to pay health insurance. 20 million. And we get stopped all the time.
▶ 4:25:06You get stopped all the time atd and people you, but I get stopped all the time about their health care. I'm sure you do. Stopped what we've asked tonight, the were set to expirex credits permanent.
▶ 4:25:29So when you're talking not the other that was the this that sos like I mean that that's we are sent here to do a job . >> did last year. Have a job our job.
▶ 4:25:58The increase premiums for 20 million americans. So what we could choose to do today or what are having us do is do you know what the percents kids of the kids that are impacted bs in the. 0.2. So it's basically t very.
▶ 4:26:27Many representative advancement. I rather than helpd said I it.
▶ 4:26:47You said in a free never take the place of parents raising out statement? >> I agree with children, you cr children.
▶ 4:27:10>> that's I think that the problem is right now wants to take the place and . And representative raskin for, imagine if we were to throw parents into prison to give their kids.
▶ 4:27:33And I, there's a cos saying motivated out of their best, nobody is here saying I ten years because they've implemented theory about a particular that that's a problem that the hypocrisy of do governs involved and to
▶ 4:28:05Have big government go our chilt represent more you think the don vanderbilt.
▶ 4:28:18Sorry of the vanders said it's the farming a lot of t gets driven addition to that, you if you parent given a cigarette, are you going to think an issue. I what children under 18 sign. So you l government has no place in the process. Would agree with that.
▶ 4:28:45Oh I think that government of protecting children, I think that gov a ton children's health care and that we should design decisions that parent their children. >> and this is the part uh, I think are these are not decisions, okay.
▶ 4:29:11And that's why they are made and consult medical professionals. And with beth ang children, um.
▶ 4:29:25Utah passed a law, uh, and then as a follow up to that, they passed seven was antd they they actually conducted a study the what happens when medical cs children. And you know what that study found.
▶ 4:29:54It's incredibly beneficial. I mean it's been the utah republicans faces because the study found that it was of, uh, preventing suicides for the children in terms of ability of those children to be adults think about that. Think about that. I have three children. Everybody here is three.
▶ 4:30:23Imagine if you're child r child is despondent. You want to do what to go and consult, and you want to be able to tell doctors about your child and try to save their lives and try make sure that they can go up to be about themd say, you representative, um, do you want
▶ 4:30:54To add to that? >> just, um, to your point, go. One of the most disturbing, but really disturbing things a yound she the highway. And. Um she has struggling.
▶ 4:31:23Uh, with this issue . Identity and treated politici. Treating this community so negatively , even if it meant taking her own, which she did. So dramatically. So, I mean, it's semi. Had public to know what the rates.
▶ 4:31:57Were for these young kids most k about it, this of children about taking their lives and the only thing they we . We let them be and yes, that congress or not it's going to help for hh care. Obviously the american ab.
▶ 4:32:29Yeah, we'd be talking about how to lower the cost for americans to make sure americans can afford a place. Uh, be able to buy a home of it's for americans. Want us to be working on. But republicans lovd the about that trend, it's, uh. Mr. chair, I'd like to, uh, a piece from npr data.
▶ 4:32:55It's teensd suicide after states passed anti-trans laws. >> so ordered. And I think that this is shared nationwide because what we're basically doing at a. National level, we are. Bullying them from the this. Congress.
▶ 4:33:34They don't need to to be able ts health care. >> and the that you're going to criminalize, you're going to put people in jail, you're going to put parents in getting their kids health care. >> that's pushing it imagine ths want that to issue, even as it might not understand what it means if in n family.
▶ 4:34:01I think rhonda is put it association. Yes I mean, it's very sad that spending this issr than which americans actually care about, does anything else representative baskin thank yout
▶ 4:34:33Last point. >> teresa leger fernandez. I've thought whole thing. And the difference between misfortune and injustice since a lot of the families that came to talk, being born essentially to deal with oy years, struggling with it.
▶ 4:34:53Is a misfortune none of us want anyone but if the government pounds turning it into a crime the health care community and your parents help misfortune, that's an inject har people as and injustice. By treatment.
▶ 4:35:21If we if want to try to help them to the misfortune and be on their side all right, we can beat that. But we certainly should not be arrest people. Prosecute people in prison families because. They're just trying to emotional needs r kids. Thank you, Mr. raskin, for that. >> Mr.
▶ 4:35:49Chair, I yield and lady yields back from texas, Mr. roy, for your question. >> um the entire state of affais in the venerable institution. >> it on both sides of the, uh, utter joke.
▶ 4:36:14>> the ailing the to bottom and display here in the rules committee,, on the one hand, the other side of the aisle to recognize the unbelievable owes to our carried out on chloe camt of the subcommittee on the constitution, who detail on here
▶ 4:36:50Mastectomy at 15 after my. Breast fed tissue was incinerated before I was able to legally, I who had taken away. O go to have massive scars across my chest. They fros are weeping fluid.
▶ 4:37:11We need to stop telling 12 that they want with their own skin. We need to that they can . What kind of puberty will go through, clothes to wear, or what music to listen to, but bet was full testimony.
▶ 4:37:33And extraory to me that my colleagues, how ridiculous it is at the same to, republicans and about how faux and they will use a of the commerce clause and the instrumentality to criminalize.e
▶ 4:38:10Federal laws. We going to bastardized version of the constitution was not supposed. To mean federal criminal. We're not supposed to have two sets of laws. We're not criminal laws that are replicating what the state does says we going down this road after lopez and morrison republicans in their chest. Oh, there's a limit to that limit.
▶ 4:38:41Magic words, use the maladies of commerce or whatever you might say. Can in and criminalize whatever behavior we'd like I ty support. And in states criminalizes these kinds of I believe are observation and I think miss greene.
▶ 4:39:07Today and saying that ought that to lt intolerable power. Perhaps it should be.
▶ 4:39:22Perhaps it should be to actually and perhaps and I was being liberal, it should be limited to federal dollars thats in question. I've this paradox r shouldn't be criminal.
▶ 4:39:47So don't believe we should make a mockert is really a political. That's the case week on the national defense, authorize act on the floor of the house. The majority have, uh, your brought. Up to the floor what?
▶ 4:40:13Got a yes vote defense authorization kind of ts happening including on our kyle and what e judiciary committee when we should it in the judiciary committee. The to the constitution. And now we're here. And we're about health care. We're my colleagues here saying, well, anything aboe expensive cost.
▶ 4:40:43Do you think it's expensive to deal with care 2,000% profit increase. People. Can't afford to go to the doctor of companies. And yet republicans will. And then offer milquetoast garbage christmas and say, look at what we're doing.
▶ 4:41:11Maybe we should get rid of all hundred and of the senate and get over this literally failing the american people me take a constituent, uh, who's up here a
▶ 4:41:42John statue joined us in the rules committee, state. Everybody just say hi and welcome turn it now over.
▶ 4:42:28Other. Ask one question. Okay yu do that. >> griffith, did you have an opportunity?
▶ 4:42:47>> I thank you know I passed >> well, gentlemen.
▶ 4:43:28>> uh. >> I'm >> uh. By, uh, Mr. fitzpatrick. >> Mr. lawless to miss sparks, tuca.
▶ 4:44:38Mr. fitzgerald, your, uh, irish statement will be entered into g member mcgovern. >> the members of this committee to all of our colleagues for allowing us to, um, testify to our amendment, uh, care premiumg unaffordability of of the enhana
▶ 4:45:10Tax. Credits, americans will be facing the impossible to try noe expiration of the enhanced credit fraud that is the.
▶ 4:45:31Madam chair and reforms a two year extension cas at 700% poverty line equivalent . To roughly. Let's for heavily subsidized insurance lower midde income.
▶ 4:45:55Moreover, this is to whe of the as improved notifications as well as enrollment. This amendment. Also expands the opportunity for individual diren of that credit into a health to utilize this each day health cae expenses.
▶ 4:46:25They to give the credt directly to the and is a targeted approach that flexibility and also. Looks at ways to we have worked with this uh amendment is cost of prs and. It is 100% paid for um.
▶ 4:46:57Moreover, this amendment bill for uh, all act to respond would build an off the growing unaffordability of the marketpli . That the, uh, coco rule um, it . Is a rule and the current policy issue.
▶ 4:47:23This hourd for. In fact, it's a cost saving. You do I believe rankino remove, uh, a large a. Section. I'm sorry. The pba. We were puzzled that was not germane because there is a piano line. Bill.
▶ 4:47:53However, we did conform with committee's reques. Uh this committee, I yield back . >> uh, Mr.. Thank you. >> chairwoman. Member mcgovern on the rules. Committee the government was shut down. Democratic that this.
▶ 4:48:22In place during covid of it, uh, was, pass an extension the, Mr.
▶ 4:48:46Higgins, um, the way with in tho legislative action, uh, and get the necessary support.
▶ 4:49:10To there have forward an ideas that have out laid but mine bipartisan consensus because you need 260 votes in the senate, sir message messaging exercise demoe
▶ 4:49:45That did not get 60 votes. Is te democratic leader. A clean three year extension does not have 218 votes. We bipartisan ln and support the house floor very.
▶ 4:50:10If we agree te needs to that the expiration tax a spike. Bipartisan way, the my way or the way I approach to work.
▶ 4:50:41There are two dishes on the floor right signatures on them. If democrats would. We can get a straight up or down on these amendments are being offered.
▶ 4:50:55This and allow for an up or not there isi would encourage on the democratic side who have dischao so, not about politics.
▶ 4:51:15This is about addressing an issue, and l agree that produced the result was intended to reduce care costs effect in 2010. The costs have risen nationwide. Obviously. Has to be a larger conversation.
▶ 4:51:42Health care costs work on that issue before us ise enhanced premium tax credit pron worse in.
▶ 4:51:59Way or 11 republicans on the everybody tor of but in the event it does not, I encourage democratic. Colleagues charge Mr., madam chair.
▶ 4:52:22>> uh, here 23 and 24, because.g term affordability and access in our health care system since obamacare be closed, record profits on the back of taxpayers and pbms have risen 60% more 3 e denied families more get less. Few choices.
▶ 4:52:49The short today at the tax credit subsidies expire and ourr constituents. The support the underlying bill before us act because of natural flaws driving up costs and limiting health ret increase competition.
▶ 4:53:18Ability are essential. If we are serious about. But long term reform possible temporary solutions for americans who relt exchanges today with populatione enhanced pre tax credits were presented to relatd when they were have doing nothie
▶ 4:53:54Irresponsible. That's why these needed runway long underlying bo take. 60 votes in the senate keep the underlying bill intact . >> relate to the bill in amendment 24.
▶ 4:54:25Components of each, but throught can. To ensure my amendments replace the. 25 to in above line tax relief americans would when their 2025 same time, thosm
▶ 4:54:55Rising. Policy for three important pockets of patients and families. Creating a system where taxpayee already proven to prior is. Sech how new spending programs, tax relief. In making this approach fiscally responsible and immediately.
▶ 4:55:23Third, these bill more achievable by th the house and ultimately in the . Senate. While extreme reasons to oppose this effort, pragmatic , both short and for americans d object balances immediate relief and reform.
▶ 4:55:50It helps those a of many of my colleagues on the left, parents see accountability and structural reform as the goal this is a balanced, common sense approache long and interests that created this. For that and I yi. Madam chair.
▶ 4:56:18Thank you, >> congresswoman sparks, you recognized madam. Chair, ranking member. I have several amendments and I withdraw them. For now, but I would like to take care.
▶ 4:56:35I think we as peopleo a lot of messaging here, but people, uh, our health care premium, uh, cannot continue subsidizing those. We cannot. Keep making insurance. For expense of our children. And grandchildren. But market and.
▶ 4:57:02D oligopolies and oligarchy or sector, and they are now being lobbied here screwed by home. U.
▶ 4:57:30Region that were actually good and it be honest because this this is not governance. So we have to really become certain, you is some good language in this, but it's need to do more stuff. Association havee stakeholders people in the short term. How are these premiums are for americans.
▶ 4:58:01Pletely unaffordable have that conversation in january. Right. This is a chance to govern after january. Bill. We're going to be all politics about the election. But I think for change in not carteh care are destroying marketplace. It doesn't exist anywhere else.
▶ 4:58:27Charging two and a half to half times increase in the last two years. And this is not insurance anymore. They actually make money on top of this. High prices and destroying any stated ruble able to provide services and we're not a physician under now own mt
▶ 4:58:59Physicians, provide a market and insurance. And this institution had for a change the here, but , our state, our employers. So I e it's going to be a forward and we can work to improve.
▶ 4:59:21Bill and we maybe and y this party will put to the for e people, not just messaging and talking and politics and. >> representatives representative without objection. Um, let. Me see. Um okay. Do you have.
▶ 4:59:50Any questions of our witnesses for coming her? >> there's a lot of the confere, the future of health. Uh get toe this is something that is not of affordable health care in the people. Depend on that an import thing for us.
▶ 5:00:17But I have to look at why these costs explode. And I think every single meeting I , the people involved is in this e we having double rate. Increases year over year? Uh, and this iss getting some options that we hate. The american people behind that we can actually this crisis once all. So I appreciate of our mutual consti.
▶ 5:00:49Uh, in trying to find a way thew year, we can we can do that tha. >> and. >> uh, I think, uh. That, um, brought before.
▶ 5:01:07This committee a bill um which I understand all the, but it was pieced together at the last minute and brought I cursoy view, makes me very concerned of the you just talkeo you trying to find a, you know,
▶ 5:01:39A way forward and, and you righe proven wrong on this is that, uh , this rules committee, uh, decide that every one of your measures or, uh or yours that as an excuse to not make amendments in order, and again, the rule could to doi mean, we could weigh in this and
▶ 5:02:10We can,, waive the, uh , uh, I mean, we if the politicl existed here, I'm not sure thate case. We. Get to the point putting out a rule, but to just, um, I guess what happens is, is how how do you guys vote on a rule if and the reason that
▶ 5:02:42Question is the. The panel just right before two bills dealing with the, the, the community didn't even go througe because there's a way get some . The aa and.
▶ 5:03:05Amendments made I'm just wondering, I if all of the readt to find a way to vote and I'm just not sure that, um.
▶ 5:03:26You know, without, um, the current,, understand that cost to not makg things in order, uh, you know, I just don't think they will do it as I'm just that I'll speak for myself. >> I appreciate the ranking members words. Um, I'll. Vote for rules and bills based on the merits.
▶ 5:03:55Despite, uh consequencee amendments get in order. Um, I think the only. Any income limits thing. And that would be make that decision. Um vote agae or bill out of the policy and wr it's good or bad for the district.
▶ 5:04:22But hope I, I don't know whether you've had a problem committee or not. >> it doesn't do anything aboutm very hopeful. Uh, Mr. rankin, that this committee does rule them in order.
▶ 5:04:42Um because therer conference, many people in this congress on both to the aisle wt these. It's extended with guardrails, with income caps targeting the lower to middle. And what we can to clean up fraud. It doesn't say there's not a fraud, single party solution proves raised gr.
▶ 5:05:11The expiration of credits doesn't mean you don't revisit t they're is really, really important. And we all know. People. We can talk about the small percentage impacted here are 7. That's here to set those. 7. This is it's. S about.
▶ 5:05:38Take politics, take all that stuff out. These know backd . They're not stuck in this echo chamber here. Mccoy nonsense. Ty just want us to, you know, work together. You know to a questiog member. What I would , governing extraction is.
▶ 5:06:02Not a good strategy seen that diddly , uh, in the last in congress. D support that conference. Uh if you were chair of the rules committee.
▶ 5:06:29Uh but, the issue I see that we. Have a republican majority in the house, and in order to get something through house, you need and get something through the senate. You need democratic votes.
▶ 5:06:55Rules, which means that you need in the absence of hardship, a vote on, as you just alluded to, it's not in an amen, is a discharge petition. And.
▶ 5:07:1411 republicans,, one for the fitzpatrick those are live, thoh yes, we agree there needs to vote on floor, all of you, to join us god.
▶ 5:07:43And there you, another dis, signers, we mean, we would o'clock so that vote. Um, I. Wod addressing that.
▶ 5:08:02>> uh uh, you know, to that we o are 218 here in the house extension doea thought.
▶ 5:08:26>> I um, including the three year extension that I think it will change options het simply. Saying, um, you know, we can have to forward.
▶ 5:08:46And again, I think the not even going for regular order as a commission, I mean, I think it's, um, and it's going to hurt a lot of people's, uh, ranking them, um doesn't rule.
▶ 5:09:05>> and we have special for and actually pentagon call it wt and unfortunately, isis is but I what if we're truly willing to help people term, especially 400, if reforms to hf the people team is willing to have real reforms, not
▶ 5:09:37Company nonstop. We have to more competition and transpareng to have that compromise. I'm willing to work cannot just sizy well sense on both who are willing to move, and we'll figure out how.
▶ 5:10:03>> I, um, hard to complain about getting blocked for. Let me. I yield back. >> may I just um, the this congress.
▶ 5:10:21Sure is continuing pilot score and belie right but we our our amendment e pull technical and conforming changes so there's remain if there is a scoring issue, we take a tr
▶ 5:10:55Each hour. I yield. >> and I made that point. But I. >> I just want to again read 37n cigna 247. Bill insurance carrie this in. $89 billion. Have you ?
▶ 5:11:31Appreciate that. I uh, on this e carriers insurers um, I'm not of you. I'm interested in.
▶ 5:11:46Tax citizens to give subsidies to people citizei think it's very unfortunate that we've remind you of this upmplee country also were exempt from te country.
▶ 5:12:08You massive consumer occurring but the after the affordable care act was passed actually wanted system when they passed the affordable away from the healthr allow benefit managers. Um, I that.
▶ 5:12:37Y'all have all conducted yourselves and a proposal give subsidies to anybody who owns a pharmacy benefit in that. >> I, uh yeah. Thank you. You l, that this committee stripped ouh insurance industry.
▶ 5:13:05Owning pharmacy benefit managers. Can I just real quick? Briefly. The I don't think there's any question when you look at just provider in the country, look cvs caremark. Not be owning pbms.
▶ 5:13:33That shoulds legislation to that effect trade commission said that the could come out today. Um up and actually do that thing. I apprey time. >> thank you, Mr.. Uh, Mr.
▶ 5:14:05Fitzpatrick, on the been doing f that today in this committee cot does not we to do and the didn't do it. Theh good time. Chairman.
▶ 5:14:37>> we did we did make the feedback the decision miss scanlon, thank you. Yes. Tu to the witnesses.
▶ 5:15:02>> I initiative to present these amendments and for negotiating in >> for one, appreciate your efforts. Mr. fitzpatrick. You were at this particular exchange. But I'm glad you're here.
▶ 5:15:17Now, to your at least they evolved over the last week, because I had the opportunity to question some of the chairman, uh, will and when I did public reporting, which was that the suggestion house republicans, the leadership is a respect to t policy based on your the
▶ 5:15:48Amendment efforts of earlier today. Uh, the chairwoman, uh, artfully noted, because of in t. Uh, which is true, speaker johnson and you have more information, perhaps y based on what this committee rules, whether we're being held to you completely that it would be, uh, hypocritical.
▶ 5:16:17And as I said to chairman smith, them me, you're your colleagues here on the majority, uh, to baseline wh respect to the extension of the tax and.
▶ 5:16:34Offer some just to, what I would say to know , uh, what was it, uh, in that.I mean, look, ranking members and I couldn't agree with him more.
▶ 5:16:58>> I understand petitions that are pending face value. Your encouragement, Mr. lawlor. Control signing of you l have introduced. The that has to 14 signatures. The democratic side of the aisle, which though of to convince republicans rule your amendments in order. Right.
▶ 5:17:26And I you know, seven here making. Three republicans say, you know what amendments, but you deserve to have an up oe tomorrow. Remember what governance ballot is, that there's no I think you know, um, you're going to roll these I think we're goio offer an amendment to make amendments in order for that.
▶ 5:17:58But I don't think they're going to. Of is to vote against the rule on the before we're in the here. Mr. fitzpatre bills, right? Was because they're green, I guess according to, and secured an agreement to get a vote. Is an n that's open to all.
▶ 5:18:24I understand, sir I think, uh so I will I will to read between the lines. We'll just hope that in the republicans on amendments and don't and order , that you all because can thing just.
▶ 5:18:54For people to sign o be a lot easier convincing knowt number is, 180 people and 85 people to sign the amount of tiy have. So that would again, I apu all being here. Pitch I think. >> thank you. Landis.
▶ 5:19:25>> I wasn't here. I demand ever. >> miss ledger I was, uh, had ao we take our it that's why you all are here.
▶ 5:19:58Like the rest of us are hearing from you on. Sylvania is going to get hit hard right to get hit hard, isn't it? Actually isn't it? The rest. Of you know, your? There are about people have training, education to health
▶ 5:20:29Care. And these are our friends and neighbors who have having te stress? They go through. You see the loss of damaged relationships and the challenge of marriages and, you know, for me, can't fix only do our part here. Our little try tt stress and pressure. So with emy . And you these people. Out.
▶ 5:20:58Ifs hearts are that they will indeed are in cri mean, that's the other questionn presently we the people that myl
▶ 5:21:33View is to the core of the problem. >> quite frankly, the we see extension of core, the problem either can can I say >> one is the the enhanced premium tax credit.
▶ 5:21:56It's roughly 7% of the population uh that are buying on credit what it is. Sends money to the insurance companies, which Mr..s not insurance.
▶ 5:22:17Companies and say, wait a minute you transparent we have to look at m which fact that health care premiums keep going up and have is start to
▶ 5:22:50Some. Of the broader health care, not just the exchanges thd care. Reform. And we should be e issues and so, for instance, we'll . Because in terms of a big insurance do so at a cheaper rate.
▶ 5:23:17So there are the reason we offering address the immediacy of the that we hae problem and to address immediate has looked down the future. >> we always and, uh, you know, I it was.
▶ 5:23:42So you know, it's really kind of sad and I si said, oh, my god, we're in thisr of the house. That have changed history sitting in a place where you're making decisions today, that so we all three time
▶ 5:24:16Going to not vote for this bill on and post. In the end, they don't know destroyed. I think. That that's the moment for the you will be tomorrow.
▶ 5:24:32If it doee your what as a we come back poll on the c position.
▶ 5:24:48Whether we're going to act now problem which is right know, the idea that they would n some district employees . But that's 200 people. And.
▶ 5:25:22District 200,000 people. But. W. >> okay, can I just ask look, te is of trying to force, uh, say that you would support correct? Yeah which which vote n you. Vote on the floor on.
▶ 5:25:54>> on an a to make all your. Okay. >> so their amendment should be . In order and that you want to see not you will vote for them is up to you .
▶ 5:26:12But if they are not made in order, so that we can get an up or get a e time we you are one that failed in the senate two that are biparti, which we both. Know is better than 18 votes that year.
▶ 5:26:37We but we have a bill to get a voto I. Thinking every which way every one of us work on that's f them. >> all three. >> this is what I'm what I'm glad I just this idea that we all it gets. The only one of them.
▶ 5:27:13So I don't know. It is our position. It was to make all of those. I'm suggesting all of the . >> I'm simply asking it all on the floor for a yay or nay. >> so the 214 democrats have there ofs who are willing to sign yours, m sorry. Going.
▶ 5:27:42Fernando, I have e time. I'm not conversations. >> well, I, I I would like because we are allowed. I'd like to yield to my ranking member. >> I would just say if we has tn order under no circumstances will we get a vote. This week ge route.
▶ 5:28:09So, the rules committee trying to make e will make a . >> thank you. And I think that the signatures and votes required and I am looking forward can't move forward. We're looking forward to it your honor. We agree. Like I don't like I.
▶ 5:28:40Let's get let's go with those gi federal. Trade commission to go after that. Let's do cannot supo of the immediate to do now to address cost of ca0 million their health insurance, reconnect back tomorrow for that, madam chair.
▶ 5:29:10I yield back . >> afternoon is norman, do you have any questions anyone else 338498 or h.r. 34 n? Seeing none.
▶ 5:29:30This closes the hearing yeah.
▶ 5:30:02>> no, it. Good.
▶ 5:30:45Okay. So yes
▶ 5:31:28. >> madam chairman of the committee, grant and zero care s for all americans act to close r against consideration of the bill. Provides that the bill bee waives all points of order one hour of general debate, equally divided among, and confers and e committee. Education versus energy and means. The respective fees.
▶ 5:31:52Theo recommit the further provides for provision of air. For nine eight decade closed rule, the rule waives iteration of the bill. The rule provides that the bill and provisions in. The debate equally in control by the chair and ranking minority member of and commerce, or their respective designation.
▶ 5:32:21The rule is recommit the rule further provides for consideration h.r. Three, four and two to protect children's innocence act in structure rule. The of order against consideration of the bill, provides the nature oa substitute intended by the committee on judiciary, now printed in the bill shelby, bill . As amended, shall be considered as read. The rule weighs amended.
▶ 5:32:48The rule provides one hour of debate ranking minority member of the committee. The judiciary, or their respective respective makes. In order. Only the further amendment support, each amendment may be offered only in the order printed in the read by member designated in the report shall be considered as shall be debatable for the report.
▶ 5:33:10Equald controlled by the proposal, oppt to for division of the question. The rule is all points of or amendment printed in the rules committee report. Motion to recommit. Finally, provides that during consideration of h.r.
▶ 5:33:29And 76, pursuant to house resolution or five of this resolution, shall be considered as for is tn or >> yeah. Thank you. Chair. Uh, first for.
▶ 5:33:49Record, I, you know, I'm, I'm looking at rule where it says provides the during consideration of 4776 pursuant to a house resolution number specified in section five, resolution, considered as adopted. So this is was self, wi correct?
▶ 5:34:16Correct when we pass ao come back and, you know, I agair the record that this is the goig down here, madam, we have an amendment rule.
▶ 5:34:34I move the committee, make an 23 and offered by representatives keegan patrick lota for consideration h.r. 604 to extend the affordable care act 2028 und between the chair and member.
▶ 5:35:02The ways and to be to be clear,f the enhanced these amendments hn submitted in good faith. We, uh, by and I think they put up and vote on the house floor, um, and other deal with speaker johnsoni will at least until yesterday. The deal broke down. Apparently.
▶ 5:35:29The republican leadership has the he costs to people by extension, credits. They won't even allow an up or down speaker johnson, how many. Times, uh, must he bend extremists in the. Republican party before moderate republicans? Uh.
▶ 5:35:54Stand up and say enough for a that, you know, does nothing to address the stability crisis that hits l your power. It's really to do the thing. There are currently a discharge petition that would force for down vote the aca credits. We need a reform, republicans hope is that republicans on the rules block a vote.
▶ 5:36:22A debate on amendments the rule. Um, in join our to avoid a catae for working families. And so I urge a yes. And I yield back. Thank Mr. mcgovern. >> we are.
▶ 5:36:46Addressing the 100% o are purchasing health just percent, 100% of the americans who are facing not necessaries make everything a crisis. It's an to address it. For 1.
▶ 5:37:14We're who har . Is there any further discussion on the amendment.
▶ 5:37:32Sc, with respect, I'm sure this is a . Crisis. >> I mean, losing your health insurance and losing it, that is a crisis. And we it. Um, and the republican leadership decided not to I agree with your character of the bill brought.
▶ 5:37:57N fact, as we pointed people be, uh, lose their health insurance. Um, and it's not that they was that they would lose to health .
▶ 5:38:17So I, I strongly general, uh, as that this is, that this is not a fun I'm gonna say is one of you can vote no on these amendments on f you know what them an order. Lea a priority issue, as opposed to the other to the floor.
▶ 5:38:42These last several weeks, like thank o allow votes on proposals that tx credit and , uh, they.
▶ 5:39:02Here there only wayn the house ending care tax credits is that doesn', there will be credit in the house. This the discharge petition route. But that will take so last train leaving the state.
▶ 5:39:32Wi yield back. Thank. You. >> uh, madam chair, actually just wanted to offer a query. I suppose if the chairwoman would indulge me, which was to ask which amendment was ruled order..
▶ 5:40:01History classes and amendment always okay was pulled out of order on approach earlies
▶ 5:40:34Rejected. And. His amendment and so because correct so I give uh. No, Mr. fitzpatrick has a very busy following, uh, the deliberations that were engaged in, team is because the fact that. Members of your conference make an eloquent case.
▶ 5:40:58For their amendments in good faith, it took about eight minutes. I guess, republican rules committee, reject their amendments or applying a different standard than was applied to the. Signature bill that you all have been.
▶ 5:41:21I just think, uh, well, and it's not an . Appropriate in charge, of course, I testified, including Mr. fitzpatrick, uh, will stand that aiding. With this committee at least, is not a get this issue resolved.
▶ 5:41:44And way it gets resolved and rule tomorw or on our discharge petition, because I think particularly the latter, uh, we can get a uh, yol back I thank the chair. >>. >> madame cleaning extension just gives, tens of billions.
▶ 5:42:18Parent companies of benefit get us to do them. Billions of dollars to the change in policy. Which means the american these companies madam. >> madam chair. Uh, I'd big ugl. >> gave tax breaks to news directly.
▶ 5:42:46And what we're saying is, if you millions of people are going to see their health premiums, they're going to lose their insurance. They an immediate crisis. And other side don't recognize it. I thank the gentlelady and to I ge companies that now.
▶ 5:43:14And questioe I'm going. Are receiving these . But it's now that you know, the various one that have a three year extension. Let's. Sending we could we could have a trip.
▶ 5:43:44It would cost tax credits, except. Uh, for sok that that's. Parties with the aa they on some of the other not prioritizing.
▶ 5:44:08We do americat these amendments will. Them and I yield back. >> thank you, Mr. pleasure. Fernandes.
▶ 5:44:21I will would allow that what do in in is amet to us.
▶ 5:44:43We allow their money offh insurance. >> this is speaking to the amendment. >> yes yield to, uh, the gentleman. Briefly. >> I mean, the accusation donald trump. Did not send billions. It was a currency swap.
▶ 5:45:10Everybody and the money on the currency, , with that, uh, Mr. murphy and I yield back. >> here soon the amendment. All. >> I those. Opposed. >> no.
▶ 5:45:37In the opinion chair, the roll. >> Mrs. fischbach. Mr. norman. Oh, Mr. roy. Mrs. howard. Mr. scott. Mr. scott. No. Mr. griffith. Jack. Mr. jack. Mr. mcgovern, I neguse. Mr.
▶ 5:46:02Fernandez no madam r >> no report. The total for the amendment is, uh, not agreed. To. Is there other are there other amendments? This pleasure ? Fernandes.
▶ 5:46:22Health care coverage instead want to prohibt cost sharing which reduce enrollees to medicare.
▶ 5:46:53Marketplace plans that come. 2023, at least 3.7 rolled in aca coverage. And remember, these are insurance. Plans that are being the women who. This bill e . Abortion bans. There are.
▶ 5:47:21So e in the sepsis rate among nurses, republicans. Restriction to force. Insurers to drop abortion cost critical will be forced toe . It. The loss of this federal intentional this bill.
▶ 5:47:46They in d states, able to access to cover these. Essential health care. And who suffers. Women. Alex.
▶ 5:48:02To support congresswoman sykes amendment gentlewoman yields back on the fernandes >> the question is on the member signify by saying I don't know e
▶ 5:48:34Noes have. Written this letter. Recorded vote the clerk will call Mrs. chairman, almost miss. Mcgovern I miss scanlon I am sorry I am a pleasure. Fernandes. Mr. leisure fernandes. No, madam chair,.
▶ 5:49:06Clerk. Six nays. >> have other amendments or hearing motion fre gentleman from virginia. Signify by saying I those opposed say no .
▶ 5:49:29No in the in the motion is agreed to ask for a roll recordk will call the roll. I Mr. roman Mr. roman, I imagine Mr. langworthy. Mr. griffith I have Mr. jack Mr. jack. Mr. mcgovern. No, miss scanlon, miss ryan, no . Mr.
▶ 5:49:58Roger fernandez the chair I madam chair. Uh the synchronii accordingly and Mr. this role fr the party and I'm Mr.
▶ 5:50:25Mcgovern for the committee is adjourned