Repeal of the Patient Protection and Affordable Care Act

Floor Speech

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Mr. SCOTT of Virginia. Mr. Speaker, I yield myself such time as I may
consume, and I rise in opposition to H.R. 596.

As the new ranking member on the Committee on Education and the
Workforce, I know that protecting access to affordable health care for
America's workers and families is a high priority. Despite scare
tactics and misinformation, the bottom line is that the Affordable Care
Act is working. Perhaps those who want to repeal the Affordable Care
Act have a short memory. It is important to remember why the Affordable
Care Act was passed in the first place.

Before the ACA, employer-provided coverage was shrinking. More and
more employers were dropping coverage altogether. There were months in
2008 and 2009 when 14,000 people a day were losing their health
insurance because employers were not providing it and because it was
above their ability to pay. From 1999 to 2010, the cost of premiums for
employer-provided health insurance increased by 138 percent while
workers' earnings only went up around 40 percent. And those who were
employed were often locked into their employment for fear of losing
their health care insurance because even though they wanted to retire,
they couldn't get insurance somewhere else, and so they were stuck in
that job.

Every American family with insurance had to pay a hidden tax of
approximately $1,000 per family for the cost of paying for those
without insurance who would go to the hospital and not pay, and so when
they went to the hospital, they would have to pay a little extra. That
little extra was about $1,000 per year for every family with insurance.
This was the reality that American workers and their families faced
before the passage of the Affordable Care Act. We should not go
backwards.

Today, thanks to the ACA, workers are enjoying the peace of mind that
they have options. If employer-provided coverage is not available, they
can enter the marketplace. If it is available, they have the security
of new consumer protections such as the requirement that at least 80
percent of the premiums be spent on actual health care, not corporate
jets and CEO bonuses. And we ended insurance practices such as caps on
payments that would only pay so much overall and then you are on your
own, or so much for your lifetime and then you are on your own. And
cancelations where they could just arbitrarily cancel your insurance
after you have paid premiums year after year. You get sick, and they
check and just want to cancel your premium. Those abuses can no longer
take place.

Employers will also suffer under a repeal. In 2014, premiums for
employer-provided health care grew at the lowest rate in 15 years. If
the ACA is repealed, many employers could again be charged health-
related premiums, so if they have a few sick employees, they will see
their premiums skyrocket. The vast majority of large employers who
provide health insurance to their employees may suffer an increase in
premiums due to the return of the hidden tax, the cost shifting of
uncompensated care.

And when employees leave a job, they are on their own to get
insurance, if they can, because there was a prohibition that they could
deny people with preexisting conditions. So if you have a preexisting condition and leave your job, who knows what is going to happen.

In addition, small employers would suffer since all small group
market reforms, including rating reforms, would disappear. Small
employers used to pay 18 percent more in premiums than large
businesses, on average. ACA leveled the playing field so now they are
paying rates like everybody else. If you repeal the Affordable Care
Act, they are up another 18 percent, where it was before.

Now we have heard all of the statistics: over 3 million uninsured
young adults have access to health insurance through their parents'
policies; 8 million senior citizens in the so-called Medicare doughnut
hole have been getting relief and have saved billions. Twelve million
more Americans have health insurance because of the Affordable Care
Act.

These numbers represent real people, and these real people would lose
access to their benefits if the Affordable Care Act is repealed. Those
trying to repeal the law should be honest to seniors about what would
happen to their free preventive care in the absence of the Affordable
Care Act. They should explain to young adults that repealing the law
would kick them off their parents' policies. They would have to explain
to millions of Americans who only have insurance because of the
Affordable Care Act--many for the first time in their lives--why they
will now have to go without coverage.

And while the Republican majority continues to talk about repeal, we
should be talking about the progress we have already made and how we
can continue to move in the right direction. So when the Republicans
talk about replacement of legislation, it is important to note that
there is no meaningful replacement proposal on the table. Delaying the
effective date of this repeal for 180 days does not make a meaningful
replacement any more plausible or likely.

This is the 56th attempt to repeal or undermine the Affordable Care
Act. This is a distraction, and I hope the Republican majority will
refocus efforts on real policy solutions for the American people,
American families, and workers.

I reserve the balance of my time.

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