That remains in this bill and keep protection are gutted American people emergency rooms maternity care be oiled mental health care a string of things that you want In your insurance coverage including a crushing age tax for seniors now there is a real hypocrisy here every single member of Congress has been enrolled in the affordable care act I wanted So which one of you dropped out of it it was good enough for you we one person great one person to big deal it was good enough for you but it's not good enough for your constituents And you know what who's standing with you not the doctors in our country not the aarp for seniors not nurses not the cancer this time it's tired not anyone can ladies time is expired and memories are remind Lates man the American people members are reminded to directory March to the chair gentle from Texas Speaker is now my privilege to recognize the gentleman from cut kentucky the vice chairman of the health subcommittee In Commerce one minute one minute I think the gentleman for Texas for you thank you mister Speaker I rise today to urge my colleagues to support American healthcare act a constituent of mine from kentucky personally reach out to share her story under The cost of your family's monthly premium rose over one thousand dollars with the deductibles of over 12000 dollars in total almost half her income when she fell and broke three ribs she couldn't afford to go to the emergency room because of the astronomical to Double she suffered for weeks and just you can afford care and as you said in her own words and I quote I paid 50 percent of my income for something I am forced to buy but cannot use unquote in kentucky there are many counties with just one health insurer on Exchange that is not right a affordable health care means having real access to health care when you need it reduces access is not there when they need it for many Americans are urge my colleagues to support the American healthcare act and I go back to Balancing my time down from New Jersey this is think I wanna remind my College kentucky that his vote for the health care bill will take away protections for 800 and eighty one thousand people with preexisting conditions in kentucky and now I'd like to you a And they have to our ranking member of the House sub Committee mister Green coming text check that man and half thank you mister figure and members it's appalling was happening today on the House floor it appears to be let's just pass a bill no matter what it does Who gets hurt with it trump care is nothing more than broken promises and mean spirited policy it would be in higher health care cost for more than 24 million hard working Americans losing their health coverage he popular protection for guided Older Americans are hung out to dry the end of medicaid as we know it and cuts in Medicare if trump care passes Americans will be with preexisting conditions could be pushed off their insurance and sit in the high risk pools that are not affordable All high risk insurance pools do not work when everyone in the pool is a high risk and I was a state legislator we did that you have to have high risk pools and share the whale so this week people will be laugh restoring cause worst coverage interaction Here is frightening future for millions of Americans who need affordable dependable health care or left out in the cold there's an obvious here is bouncing reason why this boat is being rammed through without even a congressional budget office uh Estimate are opportunity for members they even know what's in it it doesn't want they don't want people figuring out the real world consequences of this devastation it mean American families history will not be kind to the people who support this offer bill and I reach my You say what is right and vote no on your back about my time in Texas the speakers this time on please to recognize the gentleman from Texas when one minute damage or National one that I think A friend from Texas the set it never quits with care is passed in two thousand 10 the Senate Democrats refused use a care for their personalized shirts most Americans though What's good for the goose is good for the gander my staff my family and I have been care since day one incredibly the Senate is at it again They don't want the American health crack to apply to them because it's not right there special and so they put a clause to observe Congress for the America correct so they can The buster the healthcare bill that dog did hunt in two thousand 10 eight 800 in two thousand seventeenth it is good for American people are bosses it's good For their service Congress us or is my kind to be true public service before hr 21 92 I will find some of New Jersey this is Speaker My my College from Texas that his vote for this bill could increase premiums for people with diabetes in Texas by 50 100 dollars and now I healed one and a half minutes to the gentleman from Colorado missed again tell a one half minutes Mister Speaker the American health care act was pulled from the House floor and March because the American people realized it was a deeply flawed bill that bill would have ripped health care coverage away from four million of our constituents for those lucky enough to maintain coverage the bill would have massively raise premiums deductibles and out of pocket has cost the crushing age tack of the bill would force older adults to pay Astronomically high premiums so what is the majority doing the last six weeks they made the bill worst the macarthur amendment let's States up out of the essential benefits of the not only would this jeopardize Insurance availability for the one third of Americans who have preexisting conditions it would let insurance companies deny coverage all together for maternity for emergency room for mental health and for other essential benefits And because of the car from amendment eliminates community ratings everybody's insurance cost would sky rocket I'm gonna tell you some my Republican colleagues are going to be really really sorry that A rush this bill to the floor before they got an amended the score and the reason is when we do get this and make no mistake we will get this they are going to find out that many more millions of people besides the 20 Our million people originally who are gonna lose their insurance are gonna be shock to wake up to find out if this trump care bill passes many millions more will lose their coverage I urge anova poorly conceived ledge Asian don't in Texas it's bigger this time please to recognize human Florida value valuable member of the health subcommittee on the energy and Commerce Committee Mr Miller office for one minute nashville I meant thank you thank you miss Speaker I Appreciate it I rise today and support hr 21 92 to ensure members of callers and staff are not example in the American health care at making good on our word this legislation will be passed along side the American healthcare And fix as a tech and decor your made to comply with Senate rules in our country lawmakers are not above the law elected officials and the people we represent should have the same healthcare period As an original Co sponsor of hr 21 92 I believe this this is common sense it's straightforward legislation and it is necessary uh as a companion bill to the American health care at its really Quite simple call Richard live by the same laws it creates with the American healthcare act becomes law members of Congress and staff will have the same health care as the American people I earned my passage of H 21 New two and conjunction with the American healthcare athlete yo back thank you John from New Jersey this is Speaker remind my colleagues from Florida that his vote for the health care bill will take away protection for three million 100 and 16000 people with pretty Austin conditions in Florida and now I feel a minute and a half to the gentleman from Pennsylvania mister master one half minutes thank you Mr chairman Mr chairman for the past seven years we've had 62 votes To repeal the affordable care act but Republicans have never want to put a plan on the floor for the American people will today we all get a chance to go on record as where we stand on this bill this Shameful cruel bill here the facts 24 million Americans are gonna lose their insurance if this bill becomes law over 839 billion dollars Gets cut out of the medicaid program the essential benefit package in States wiped up in my state it's taking care of people with mental illness and opioid addiction gone this takes on hundred 17 billion dollars out of the Medicare trust fund this is a health care bill Mass this is really a tax bill masquerading as a healthcare bill the plan here is to take this money And out of the health care system and use it for tax cuts that's what this bill is gonna do this creates a survival of the fittest healthcare for America if you are young if you were healthy if you are wealthy this bills Are you you're gonna do okay but what if you are old if you are sick if you are poor there's no coverage in this bill for you if you have a young child with cancer guess what Those benefits are gonna be paid you're gonna run out of benefits this high risk pools are a sham they are not adequately funded this build much I mean I need to inspire American people will remember down the taxes this bill today In Texas the Speaker let me you myself two minutes Democrats to math and the Speaker if I wish to know speak to the underlying macarthur amendment the bill is here to defy a Carter amendment specifically would allow States to wave three of cares costly mandates the stress that again it would allow States not require States that would allow States to wave three of Obama care is costly Mandates essential health benefits a trading and community rating in waiting these federal mandates health insurance would not be allowed but not be allowed to discriminate by gender or preexisting condition And no one would be denied coverage period and here is how it works the state may apply the wave essential health benefits or increase age rating ratio from inside the bills underlying five to one ratio they may also Change the way individuals who have not maintain continuous coverage or charge for their health care plan but only if the state has a risk sharing program in place like the federal invisible risk sharing program a Established by the palmer striker amendment in order to receive a labor a state must explain to the Secretary of health and human services how the program will reduce average premiums for patients increase in Moment for residents stabilize the state's health insurance market stabilize premiums for individuals living with preexisting conditions or increase the patient's health care options it is important to note That in order for in providing assistance to reduce premiums or other out of pocket cost individuals who may be subject to an increase in their monthly premiums because they reside in the state with an approved waiver Or have a preexisting condition are insured because they have not maintain continuous coverage and they purchase health insurance on the individual market for those individuals there will be 100 and 38 billion dollars down to assist with the assistance I Reserve my time New Jersey this is figure out the minute and a half to the gentleman from Illinois Michigan is know noise master one half minutes so understand this with the Republicans plans to exempt Members of Congress from the provisions of trump care until they got caught so here are five numbers that show just how deadly and dangerous the Republican bill is 24 million the number of children Adults and veterans who's health insurance will be ripped away 800 and eighty billion dollars the size of the cut of Medicare that cuts to medicaid threatening healthcare and long term care for seven four million people pragmatist women and children the elderly and the disabled 600 billion dollars that's the tax cut the goes to millionaires and billionaires and and corporations 700 Injured in 58 percent that's the premium increase 64 year old making 26000 dollars a year will pay because of the Republican age tax 17 percent that's the percent of a Comes who supported trump care before they made it worst the Republicans attempt to improve trump care is like trying to douse a dumps a dumpster fire with gasoline This bill is a disaster and anyone who votes Ford does so out there extreme apparel the American people are watching and they will not forget I yell back John in Texas They just a Speaker I would I would point out within the state of Illinois they were up eight plans in 20 15 five plans in 20 17 with a 57 percent increase in premiums now my pleasure to yield one minute to the general From Ohio a valuable member the energy and Commerce Committee Mr Johnson international not thank you Mr chairman thank you mister Speaker for giving time to speak up I hope I to agree on that members of Congress should be subject to the same rule The laws that the American people are and so I support my colleague Ms mc sally and in this legislation but you know I wanna speak to the big the bigger broader issue here I call it from Pennsylvania said what about that family with that kid that has cancer where was my colleagues and friends on the other side of the aisle when Obama care resulted in millions of Roasted cancellations and millions of Americans losing their coverage because of the broken promises where was my colleagues and the Democrats win millions of Americans were forced out of work because of the job killing policies of I'm a care let me tell you something the American people remember that and that's what happen in two thousand 10 we didn't hide in a back room to get what we're doing today done we've been working on it for six years and we're gonna get it On today we're gonna meet the promises that we made to the American people and starting today I'mma care is on its way out the door required coming from New Jersey bigger remind my College from Ohio that his vote for this bill We will take away protections for one million 919000 people in Ohio with three existing conditions and now I feel a minute and a half to the gentleman from North Carolina South Carolina for 90 seconds thank you mister blown so you've been working on For six years my information is that you posted this bill at eight o'clock last night the congressional budget office is not giving up the score they have not told the American people how much is gonna cost and how many people is going to affect you you sky I'm getting premiums for hardworking Americans who have preexisting conditions and that's what my colleagues need to understand if you are an average 40 you don't with a preexisting condition and have that beat is your premiums will rise 400 dollars a Month it is estimated if you have rheumatoid arthritis 800 dollars a month and heaven for bid if you have some preexisting condition involving cancer the numbers just go off the chart you know and I know this bill would not see Light of day in the Senate this is a political stunt to save face with your right wing base you know it and we know it if this wasn't so serious affecting the economy and the affordability of insurance I would say just go on and do it Because you will lose your opportunity to serve in this House and you will ultimately lose a majority don't do it forget about politics don't but think about the 24 million Americans who are not able to be able to afford health insurance Coverage that's why the American medical Association a R P nurses Association and all of the other stakeholder groups have pleaded with you they have called you off is they have written you letters ever written as letters don't do it I Ask you to vote no on this bill conceive legislation I have back fired in the gentleman and members are reminded to direct their remarks to the chair all times The gentleman Texas and mister Speaker directed to the chair I would just make note of the fact in North Carolina they are three plans offered in two thousand 15 down to two plans in two thousand 17 premium increase of eighty two percent in Now my pleasure to recognize another member the energy and Commerce Committee as well burger Michigan for one minute comes our National one minute Mr Speaker regardless of the miss being spun by the other side of the aisle that Fused to read a hundred 29 pages of the bill the affordable care act is anything but affordable my constituents have been asking for relief from this collapsing law for years they can no longer afford to pay more for less and Refusing to act is not an option under Obama care out of pocket expenses have skyrocketed not just for people and exchanges but for all patients premium increases are nearly four times larger than Previously projected unfortunately our colleagues on the other side of the aisle mister Speaker seem content with the current flawed system which puts the government in charge of people's health and promises coverage that is going away Hey let's vote increase choice lawyer lower cost enhance protection truly cover preexisting conditions and get Washington out of the way so that patients and their doctors are once Again at the Center of town buyers agents Mr Speaker John as times in style back jump from New Jersey misses Speaker remind my College from Michigan that his vote for this bill could increase premiums for those who are pregnant in Michigan by 13700 and nine two dollars per year and now I'd like to you a minute and a half to the general woman from California this film is recognized in a half thank you mister Speaker Republicans are turning their backs on the American people today there are no gi Eighties with this bill this bill will raise cost for families headlines people nearing retirement with H tax and we have coverage away the man's a man's of Americans and if that wasn't bad enough This revised trump care guts protection for people with free existing conditions people like cameron who is diagnosed with cancer at 24 years old because of the affordable care act He was able to access coverage and attend graduate school now course he has a preexisting condition this is personal for cameron and man's more in this country and they are not going to be silent As Republicans rush this legislation through mister Speaker lives are on the line I urge my Republican colleagues to have the courage to vote no on this legislation thank you you're back In Texas this time please recognize another valuable member the energy and Commerce Committee member the health subcommittee Mr Carter Georgia for one minute demo for one that Mr should be crowned rush today to urge my College Support the American health care act for the last seven years I've watched crush the health care system that I worked in for more than 30 years thanks to Obama care we have an insurance Exchange is with their to wear a third of the county's in our country have only one insure at home in Georgia 96 counties have only one choice in the Exchange that's not a choice a bama care is found in American healthcare act is critical to resuscitate our health care system and move it in the direction Where patients families and doctors are making decisions not the federal government and bureaucrats sitting behind a desk in Washington the American people need and deserve better and that is why we must pass the American With care act the let this legislation Obama care and rebuild the system that will deliver the choice and control that patients need and deserve all while ensuring that health insurance will not be allowed to discriminate by gender Our preexisting conditions and no one will be denied coverage period period thank you mister Speaker and I bet some New Jersey this is figure my my College from Georgia that his vote for the health care bill will take away protections for one million 700 and 91000 people with preexisting conditions in Georgia and now I feel a minute and a half to the vice ranking member of our Committee miss castor don't ask for one and a half now thank the gentleman for Building this bill will be devastating to families all across America the Republican bill rips coverage away from millions of Americans the last project Was 24 million they didn't wait for the new projection which is gonna be much higher three public and bill hurt Medicare it shortens the life of the Medicare trust fund just one we have more baby boomers retiring and Calling on Medicare it imposes a huge age tax because it makes of affordable insurance much less affordable if you're about 50 age 50 or older and a dirty little Good here that most people have not discussed is the harm it does to the medicaid guarantee for over 50 years in America we've said if you're disabled if you have a family member with alzheimer's if you Have a child with a complex medical condition you're not gonna be destitute because your health care is so as expensive that is one of the fundamental guarantees of medicaid for 50 years they take That away and go to the heart of the of the medical care that is provided under medicaid as well it's shameful but it got worse as it is as we approach the state they didn't have the votes he So they made it worst by going to the heart of the affordable care act which end to discrimination against our neighbors with a preexisting condition they also said essential health benefits are not gonna matter what good is an insurance policy If you buy the emergency room John from text me no taxi Scott this time inspired by this crass power play the trance first all the body the wealthiest in of this country vote no Gentle lady is gentle lady is no longer under recognition and the chair would ask members to respect the gavel and the time healed telling Texas and mister Speaker I would point out in the state of Florida they work 10 insured Plans available the individual market in 20 15 down to five plans in 20 17 with a 24 percent premium increase it is now my pleasure to recognize a very valuable member of the energy and Commerce Committee Mr College of New York for two minutes thank you Master two nights thank you mister Speaker for the past seven years the American people have pleaded with their representatives in Washington to repeal Obama care today every member of this body has the opportunity to do just that We have the chance to eliminate excruciatingly mandates and taxes that are suffocating our economy and market places under Obama care premiums have increased by over 37 percent since two thousand 14 and one third Of counties in this country have only one insurance provider four point seven million Americans were kicked off the insurance coverage they wanted to maintain despite President obama's promise that if you like your healthcare plan You can keep it but today we have the chance to lower premiums increase competition of months insurance providers and improve access to health insurance for all Americans and we finally have the chance to formally rejected On President of government over reach in the health care and take the first step towards giving patients control over their own health in Western New York this bill will have even more pro found of benefits the amendment that I authored Representative John faso will relieve County governments in New York of a two point three billion dollar unfunded mandate for standard County taxpayers by the governor of New York and will substantially reduce the tax Burdens of property owners across New York state this one provision of the American healthcare act will save tax payers in the eight counties that I represent over 400 and 70 million dollars a year this is the game Changer for local New York governments and restores of fundamental tenant of representative democracies that the level of government that makes the decision about spending should be responsible for raising those funds I am proud to stand up for Western new Workers whose voices have been silenced for too long and I am proud to vote for the freedom fiscal responsibility and local decision making this bill guarantees Thomas tire buy all my qualities to do the same and gentle from New Jersey misses Speaker My my colleague from New York that his vote for this bill will take away protection for three million 31000 people in New York with preexisting conditions and at this time we'd like to build a minute and a half to a champion from New York this Clark ladies recognized Happen it's I think you have rise today is drawing opposition to the American health care at this dangerous and destructive build these 24 million Americans without coverage it will cause the uninsured great for my district in brooklyn New York to sky Rocket to over 12 percent and leaves over 400000 brooklyn nights in my district without coverage because of the severe cuts to medicaid this bill will also put people in a terrible position of having to choose between being able to eight being able to obtain life sustaining medication or visiting their doctors which one do you mister Speaker suggest they choose for most Americans medicaid benefits are not the end goal but rather provides temper We support for seniors medicaid can mean the difference between nursing home care and dying alone I urge my colleagues to consider the harmful and deadly real life impact of this legislation and I vehemently a Those that I ask that we resist this this cynical reverse robin hood jam and that takes from the poor and gives to the rich as President lincoln said you can fool some of the people all of the time and all of The people some of the time but you can't fool all of the people all of the time this is a sham and we need to voted down thank you mister Speaker tera receive message and Senate mister Speaker A message from the Senate mister Speaker man sector I have been directed by just Center three from the House of the Senate as fast with an amendment age of five feet four and excited as the us wants to compete forward expo Act you know it's the concourse of the houses requested general Texas thank thank you Speaker at this time it's my pleasure to recognize very valuable member of Congress fellow physician The state of Florida doctor done for two minutes demos are nash tonight's thank you mister Speaker I rise today once again in support of the American healthcare act I do this as a doctor for the good of my patients we're here today To repeal Obama care to take healthcare decisions away from Washington bureaucrats and give it back to the people the American health care act will create a patient centered system that will lower the cost of health care and serve patients This act eliminates Obama cares taxes subsidies and mandates it defends planned parenthood puts medicaid on a budget and it is the largest entitlement reform in a generation without Washington Dates driving up costs and limiting access to care a Americans will have the freedom to obtain quality health care plans to fit their needs and a cost they can afford and all this talk about preexisting conditions this bill provides guaranteed in She wants let's not break our promise on repealing Obama care let's be true to our Ward we owe it to the people who send us here I support the American healthcare act mister Speaker and I urge all members to do the same are you back John from Jersey misses Speaker remind my College from Florida that his vote for this bill could increase premiums for people with asthma in Florida by four thousand 90 dollars per year and now I feel the minute and a half to the gentleman from massachusetts mister Kennedy John mesh is recommend for one half minute that you mister Speaker this Speaker with this legislation does on its surface is very clear it makes health care more expensive the more you need it the sicker or older or poor you are the further out of reach it will be 20 doctors and hospitals and nurses and the mental health community and patients have spoken up and spoken out against this bill