Hearing of the Health Subcommittee of the House Energy and Commerce Committee - Opening Statement of Rep. Pallone, Hearing on Examining the Extension of Safety Net Programs

Hearing

A little over a month ago, House Republicans voted to repeal the Affordable Care Act and
gut the Medicaid program in order to give tax cuts to the rich and privileged few. The result --
23 million people could lose health insurance -- 3 million of them children. And then
yesterday, Senate Republicans finally made public their bill where they proposed even
steeper cuts to Medicaid.
And now, today, Republicans will talk about the importance of our safety net programs -- the
Children's Health Insurance Program -- CHIP -- and the Community Health Center Fund. I
agree wholeheartedly about the importance of extending these programs. But what our
Republican colleagues seem to ignore is that our safety net is interconnected. To tear down
Medicaid, which is supported by CHIP and community health centers, is misguided and
hypocritical.
Mr. Chairman, I believe you should judge a nation by how it treats its children. CHIP covers
8.9 million kids. It stands on the shoulders of a strong Medicaid program that covers 37.1
million more children. Every single one of these kids deserves access to a doctor, access to
good health care, and we should be able to meet this very basic need for them. Yet every
Republican on this Committee voted for a bill in Committee that capped health coverage for
kids in every one of our communities. As a result of that vote, three million children would
lose their health insurance. That is simply not right.
Today we will also have a conversation about Community Health Centers -- the providers
that serve so many of our most vulnerable children.The Community Health Center Fund provides 70 percent of the funding for the Health Center
Program, which accounts for 20 percent of revenue for community health centers. According
to estimates, failure to reauthorize this funding would result in the closure of approximately
2,800 health center locations, 50,000 current clinicians and other staff losing their jobs, and
most importantly 9 million patients losing access to care.
I strongly believe a swift reauthorization of this funding is important. At the same time, I'd
like to remind my Republican colleagues that Medicaid is the largest single funding source
for community health centers -- providing more than 40 percent of their revenue during fiscal
year 2016. We cannot ignore the devastating consequences that Republican efforts to cut
Medicaid by $834 billion over the next ten years will have on community health centers and
millions of Americans. This includes 4 in 10 children living in poverty nationwide, who
currently receive care at community health centers.
Make no mistake: I strongly support an immediate long-term extension of CHIP and the
Health Center Fund. Anything less in these uncertain times created by Republicans will
simply not do. But, I will not sit by and categorize and prioritize children by program--every
child matters to me.
Trumpcare harms children. The Trump budget doubles down on its cuts to programs for our
nation's kids. So I urge my colleagues to first immediately reverse course, and preserve and
strengthen the Medicaid program. Our nation's children deserve nothing less.
I yield the remainder of my time.

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