My principles for strengthening health care have always remained the same. For a measure to receive my support it would have to achieve accessible, affordable and quality health care that works for all patients -- not just some.
When the House's health care proposal was first introduced, I announced I could not then support the bill as it was written. Over the past several weeks, the bill improved and was headed in a more promising direction, but still not something I could have supported.
Following today's adoption by the House to support and include an amendment I cosponsored and worked on making health care costs lower for Iowans with pre-existing conditions - even lower than they pay under the current Affordable Care Act law - the health care bill satisfied the essential principles I hold on strengthening health care and I voted to move this critical issue and process forward.
This is not the final bill, but a first step and I'm committed to continue working to advance policies and solutions improving health care for all Iowans -- not just some.