big white house ceremony sets up the day before. [inaudible conversation] i'm going to go back to my office. >> can you have her run off another? i'm going back to the office now. [inaudible conversation] stay

with me staying with innocent . >> the house budget committee got underway probably this morning at 10:00 eastern, they are breaking here for a series of votes on the house floor and then returning for more work to markup of the republican plan on healthcare. the second or third stage depending how you look at it on its way to floor action in the u.s. house, marked up last week from the energy and commerce committee and ways and means committee. here in the budget committee today, next will be the rules committee next week with floor action in the coming week or so as well. he will come back to this markup session with the budget committee gavel back in as we see who votes first on the house floor and that's going on now, follow that over on c-span2.

while they are in recess we will show you some of the beginning of the session this morning from the house budget committee. >> today we meet to report the recommendation submitted to the budget committee pursuant to reconciliation as set forth in title ii of, three, conference resolution on the budget for the fiscal year 2017. under the congressional budget act of 1974, the budget committee as the role of combining the reconciliation commissions of the committee are ways and means and energy and commerce and reporting the bill to the house without any substitute revisions. after reporting the measure, the committee will conclude with any final motion. under the agreement i've read with the ranking member, mister yarmouth from kentucky this will be conducted as follows. the ranking member and i will make an opening statement as

for our usual practice i ask that members in search of written statements, i will hold the record open until the end of the day for that purpose. we will proceed with a motion to report to the house the recommendations submitted to us pursuant to the reconciliation instruction. after voting, we will then enter entertain any wrap-up motions on these motions, there will be a total of 20 minutes of debate evenly divided. the proponents and opponents will be recognized for 10 minutes each with one minute for each proponent to close. >> i recognize the gentleman from indiana. >> madam chairman, since we were scheduled to have four votes later today, i asked consent that house 16 be

authorized to declare a recess at anytime. >> without objection, so ordered. without objection i would ask to submit extraneous materials to the record. we are here today to act on the american healthcare. this bill seeks to address one of the most fundamental policy challenges that weface . how to reduce the cost of healthcare and get all americans access to quality care. this is something house republicans have talked about for years and the opportunity is finally here to fulfill the promise we have made to the american people. under the leadership of speaker ryan, this body began to formalize an approach for patient centered healthcare under our better way plan.

the better way plan outlined our philosophy for healthcare reform. we need to take control of healthcare decisions away from the government and get it back to the patients and doctors. we need to reduce costs and ensure that everyone has access to quality care. and we need to reform and allow states to modernize programs like medicaid, to strengthen them and make sure they provide for people they were intended to help. that's what our bill does. the american healthcare act provides monthly tax credits not tied to a job or washington mandated program. this provides more flex ability to americans who don't currently have insurance with their employer and would lower costs by increasing competition and

choice. this bill also provides for more insurance options by allowing individuals and families to buy the insurance plan that they need and want at a price that they can afford. it's not the job of the government to tell all of insurance coverage they should purchase. our plan allows for people to choose the plan that bt meets their needs and increases the amount of money that can be placed in their healthcare savings accounts to ensure that the individuals and families can spend and save their healthcare dollars the way they want. the american healthcare act is also a once in a generation entitlement reform. medicaid spending is growing out of control and distill reforms and modernizes medicaid for the 21st century. reforming the program and giving states greater flexibility to make the program the needs of their citizens will protect the program and make sure it is available for the population it's intended to serve. after all, the issues that face california are very

different from the issues that face my state of tennessee. most importantly, this bill protects our most vulnerable citizens. in total, this bill reduces the deficit by 337 billion over 10 years and lowers taxes by 883 billion over the sign same time period for small business owners. at the same time, renewables will decrease by 10 percent 2026 and this legislation is a conservative vision for free market, patient centered healthcare. it dismants the obamacare's mandate on taxes. it puts healthcare decisions back in the hands of patients and doctors where they belong and as a nurse, i know how important this is. this is a conservative healthcare vision we've been talking about for 10 years. and it is our response to the outcry from our own constituents to rescue them obamacare. to my republican colleagues

who have doubts today, i encourage you don't cut off the discussion.stay in this effort and help us with this proposal, advancing it to the committee and pushing further conservative reform. members who desire to see this bill approved have every right to make their voices heard and we are united in our goal to repeal obamacare and replace it with a patient centered healthcare. now, obamacare is imploding. we were promised premiums that would decrease by $2500 and instead, average family premiums in the employer market soared by $4300. we were promised care costs would go down. instead, the bubbles have skyrocketed. we were promised we could keep doctor and our health insurance plan and instead, millions of americans have lost their insurance and the doctors that they like.

in short, the affordable care act was neither affordable, nor did it provide the quality of care the american people deserve. but we also have to remember that problems with obamacare not merely numbers on a page. i've been a nurse for 45 years and i saw the impact in the 1990s of a government run bill payer system that we had in tennessee as a pilot program called tenncare. i saw costs rise and quality of careful. it is what inspired me to get involved in public service in the first place. when i saw the same principles apply here, at the national level with obamacare, i felt compelled to bring my voice and my experience here to congress. i get calls every single day in my office both here and in washington and that my district level saying please help us, rescue us. premiums in my state have increased over 60 percent. there are parts of tennessee

that don't have a single insurance provider in the marketplace while other places in my state, people have an insurance card, but they can't get care. jenny from a resident of my district reached out to say our families insurance premium rose from $340 a month to $860 a month and i quote by her saying to us, health insurance shouldn't cost the same as a mortgage payment. george from west moreland in my district reached out to my office to say that this will be the first year since he was very young that he would not be able to afford health insurance. before obamacare, he was paying $458 a month for health insurance. this year, is premium is a whopping $1160 a month. he said, and i quote, ease do something. anything to work and help the situation. through the recent town hall where i had over 8000 constituents on my phone at

the same time my district, more than 70 percent surveyed said obamacare had a negative impact or no positive impact on their life. these are real stories from real people who been impacted by obamacare. these stories are the reason i am drawn to public service in the first place. he had a chance to fix these problems that are failing our healthcare system and i cannot sit idly by and let this opportunity pass. we made a promise to the american people to repeal this law and replace it with something that is patient centered, healthcare reform where americans can help the health insurance they want at a price they can afford and this bill is a good first step. it's not all that we are doing. my good friend and former chairman of this committee doctor tom price, now the secretary of hhs has begun the process of rolling back some of the burdensome relations and requirements

that were answered by obamacare. that process will continue as secretary price works to dismantle the regime of putting government between patients and their doctors and driving up the cost of coverage and at the same time, i look forward to future legislation which addresses issues that cannot be included in this reconciliation bill. these pieces of legislation will provide a more robust and competitive marketplace to bring down health care costs for all american. already my colleagues on the judiary committee education and workforce committee working on separate pieces of legislation that will fo greater competition among health care insurers that will implement significant medical malpractice reforms and that will allow small businesses demand together in association health plans and negotiate for lower costs for their employees. this is our three-pronged approach, delivering patient

centered healthcare reform. the american health care act as a strong first step in this process. it secures he conservative victories to lower-cost and puts patients back in charge of their health care decisions while ushering in the most significant forms to entitlement programs in decades . in accordance with the 1974 congressional budget act, the budget committee placed an important role in combining the legislation from the energy and commerce and ways and means committees into a single bill as outlined in the fiscal year 2017 budget resolution. i want to thank the committees who helped draft this legislation for their efforts and i look forward to today's markup. i strongly support this bill and i urge all my colleagues on both sides of the aisle to work with us to pass is important piece of legislation and bring relief to the american people. thank you, and with that i

yield to the ranking member lacks thank you german black, i have to admit i was at a loss on how to begin this opening statement. i don't know what else needs to be said when 24 million people will lose their health coverage if we pass this bill. i know the republicans spend about 35 estimates unreliable. my colleagues claim whatever they want from this bill of ds ohurebillions of dollars from medicaid, that's indisputable. the cuts grow larger every year, amounting to 25 percent of the program in 2026 and they get deeper and deeper every year after that. you can't cut medicaid that severely without dramatically cutting coverage and care and let's be clear about who would lose that coverage and care. it's parents struggling to get by on poverty level wages, seniors in nursing homes. children and people too disabled to work. this is not a health care bill, it is an ideological document, a fantasy about freedom and choice in a market that doesn't exist but

what is real about this bill is painfully real. it gives $6 billion in tax cuts to corporations and the wealthy, paid for in the worst possible way, by jeopardizing the health and well-being of american families. it takes life-saving healthcare from those in need to give tax cuts to the rich with devastating consequences for families across the country. this is robin hood in reverse far worse. speaker ryan loves to talk about giving people the freedom and choice to decide whether to have health insurance or not we had in getting insurance companies the freedom to cherry pick healthy enrollees and sell them stripped down health plans. that would work if young people also have the freedom to choose whether toget cancer or not forget in a serious accident or not , which they obviously don't . but that doesn't stop speaker ryan from pretending this bill will create some magical healthcare free market that exists nowhere in the world.

it's a fantasy land where young people don't get sick and apparently they don't grow old either or they don't have to worry about priced out of the market as this bill does.that's nonsense and that's why the cbo doesn't predict more people will be insured, cbo is exactly the opposite, that the number of people without insurance will nearly double. >> that's all you need to know if you want to know why this bill is being rushed to the floor. it was introduced last monday, marked up in the energy and commerce and ways and means committees two days lar. now before our committee, it will be on the house floor as soon areblican leadership can get there. there have been no congressional hearings on this legislation, not a single hearing on legislation that impacts the healthcare of every american family. if i were them, i wouldn't want to talk about this bill either. i certainly wouldn't want to defend it. the american people deserve

to know what's in it, so let's run through the facts. 14 million americans will lose coverage next year. that number rises to 24 million people by 2026 and in fact, it rises to 21 million in 2020. consider that, in just three years entire games under the affordable care act will be wiped out. these people will live in fear that they are always one serious illness or car accident away from bankruptcy. the nonpartisan congressional budget office estimates premiums in the market by 15 to 20 percent in 2018 and 2019. by the end of the decade, premiums will be 10 percent less than current law, but the main reason for that drop is largely because older peoplewill be priced out of the market , which i hope no one would want to brag about. for example, a 64-year-old

making less than $20,000 a year currently pays $1700 a year for coverage under the affordable care act. under this bill, that same person's premiums skyrocket to more than $14,000 a year. so he or she would have to spend more than half of their income to get coverage. that's not progress, that's a isis but it gets worse. for anyone in the individual market, other costs including deductibles will be higher. for lower income individuals, out-of-pocket will be significantly higher.this bill increases financial risk for consumers.it eliminates the requirement that insurers divide policies with certain actuarial values which means these companies can sell plans that offer less financial protection. plus, it takes 170 billion dollars from the medicare trust fund, shortening the life of that program by three years. it does all that, cutting

coverage for millions of americans, increasing costs and reducing care for millions more to give millionaires a $50,000 tax cut every year, and $144 billion tax cut insurance is and a $25 billion tax cut to the pharmaceutical industry. in a special tax to subsidize the compensation of healthcare insurance executives who often make $10 million or more a year. it's a remarkable document, particularly when you think about what was promised to the american people. with repeatedly said the republican replacement bill would preserve existing coverage , that everybody would have insurance . it would be less expensive and much better. that would be great. he also pledged that medicare and medicaid would not be got. none of that is in this bill. in fact, the exact opposite of every one of those promises from made to the american people is what's in this bill. the jury of health and human

services, price stated that that a covered right now, and nobody will be worse off financially, not true. the ryan promised no one would be left out in the cold and no one would be worse off. wrong. republican conference chairwoman kathy mcmorris rodgers pledged no one who has coverage because of obamacare today will lose that coverage. wrong again. you won't find any of those promises kept in this bill. promises made by the president of the united states, secretary of health and human services, the speaker of the house and other members of house congressional leadership. let's remember this bill is their first step. the republican strategy, a strategy they have publicly stated is to take away the affordable care act guarantees that serve maternity care, mental

health, substance abuse services and others will be covered. ultimately, this bill, future legislation and expected efforts to end consumer protections through regulation will put insurance companies back in charge, allowing them to once again decide who lives and who dies. i strongly oppose this bill and i am not alone in that opposition. exposed by america's hospitals, doctors, nurses, the aarp, the american cancer society, the american diabetes association, national disability rights network, governors from both sides of the island and more of our republican colleagues in the house. this bill is not what the american people want. they have made that clear by showing how holes across the country. we can improve the affordable care act and we should. so i heard mrepublan colleagues to vote no on this bill and work with us the

purpose of emotion. >> thank you, madam chairman i have a motion at the desk. >> the clerk will read the motion. >> emotion offered by represented doyle jeffries, mister doyle mister jeffrey the committee directed to chairman on request of the committee that the rule for consideration of the health care act they can order them in that would prohibit any provision of the bill taking effect until the secretary of health and human services certifies that relative to current law, its provisions and amendments result in an increase in the number of individuals without health insurance. more affordable healthcare as measured by the amount paid out-of-pocket for healthcare and three, better health insurance as noted by improved health insurance benefits. >> thank you madam chairman. this motion supports men the amendment to the bill that would prevent any provision

of the health care act from being implemented until the secretary of hhs certifies many fulfilled promises made by american donald trump to the american people. the president has promised there will be no increase in the number of individuals without health insurance. health care would become more affordable with wer out-of-pocket costs and that the quality of health insurance would be better. just this january, the president has said quote, were going to have insurance for everybody. that quote, people can expect to have great healthcare and that he is against the notion that quote, if you can't pay for it, you don't get it. we are hard-pressed to see how any of this bill's provisions fulfill any of the presidents promises. and the american people deserve to know specifically how our healthcare system is improved by taking insurance away from 24 million americans reedit stripping $880 billion out of medicaid

over 10 years and shoveling 600 billion in tax cuts to the wealthiest americans. which is nearly twice as much as the poultry $361 billion this bill provides in premium and cost sharing assistance to those americans who need it. the president has assured us that quote, we are going to have insurance for everybody. much less expensive and much better. this motion simply request a clear explanation as to why, under this bill, a typical 64-year-old with an income of $26,500 would be forced to now pay $14,000 in premiums by 2026, almost 13,000 more than what he or she pays now under obamacare.how is that less expensive and much better? i yielded to mister jeffries.

>> i think the distinguished for yielding, for his leadership . donald trump made three promises to the american people about healthcare. one, everyone will be covered. two, it will be more affordable. three, it will be much better. trumpcare breaks all three promises. it's a fraud. it's a sham. it's a charade.it's a hollywood style production that will destroyhealth care in america . first, trumpcare will lead to millions of americans losing their insurance. according to the cbo, within the next year 14 million additional americans will be without health care coverage. within the next 10 years, 24 million working americans will lose health insurance altogether. the president assured americans that affordability will not be the reason they

lose their coverage. yet trumpcare takes dead name at the poor, the sick and the elderly. the cbo estimate 14 million people will lose access to medicaid within the next 10 years. that same estimate projected before age 50 to 64 with incomes below 49,000 for a family of four would be more than twice as likely to be uninsured under this bill. trump care also guarantee a decrease in out-of-pocket costs, yet again trumpcare falls short. g oakley plan will force families into purchasing plans with even higher deductibles and higher cost-sharing and they will bear more of the cost of premiums, a 64-year-d with an income of 26,500 will pay almost $13,000 more for their premiums in the individual

market within the next 10 years. rising costs will hit older americans, low income families and people living in rural areas, especially hard. trump care will dramatically reduce the quality of health insurance. and almost $900 billion cut in medicaid will force dates to reduce benefits and limit care for low income families. it will be especially harmful for seniors in nursing homes and children with disabilities who rely on medicaid. this bill will also allow insurers to offer plans that willprovide significantly less protection , exposing enrollees to greater financial risk. we know that the cbo expects that insurerswill take it vantage of this , the design plan is mostly affordable for people who do not expect to need much medical care.

a scripture in matthew 25 versus 35 says, for i was hungry, you gave me something to eat. i was thirsty, you gave me something to drink. i was a stranger and you took me in. i was naked and you closed me. i was sick and you looked after me. trumpcare fails on all scores. i yielded back. >> i yielded one minute to the ranking member of our committee,erman from the commonwealth of kentucky, mister yarber. >> thank you mister boyle for yielding. just to elaborate a little bit on what's already been said, one of the key elements of this proposal and i think one of the most damaging ones is the guarantees of the coverage that we provided in the affordable care act. as i stated in my opening statement, this bill would

allow insurance companies to sell coverage without mental health coverage despite the fact that we have an enormous opiate and drug addiction problem in this country. it would allow insurance companies to reduce the actuarial values so a very small portion of the actual out-of-pocket costs of care would be the responsibility of the insured and not the insurance company. and in many other ways, increasing the exposure of the people covered under these policies. and again, another broken promise that our president made including, i might mention before yielding back, he did make the promise also that he would not touch medicare and this legislation cost $170 billion out of medicare trust funds and reduces financial viability program by three years. i yielded back.

>> now we'll do the gentleman from the commonwealth of massachusetts, mister moulton. >> i want to thank my colleague from pennsylvania for yielding the time. on sunday, health and human services secretary price said the house republican plan will leave no one worse off financially. no one worse off. tell that to the 14 million americans who won't have access to healthcare next year because of this bill. tell that to the 16 million seniors and individuals with disabilities will pay drastically more for healthcare next year because of this bill. tell that to the 3 billion veterans who will lose their healthcare coverage because of this bill. thank you for your service, but you will be a lot worse off.

don't take it from me, let's read the cbo report. the cbo report says that cost-sharing payments including deductibles would tend to be higher than those anticipated under the current law. once again, the american people are being told alternative facts by trump and his administration. thank you and i yielded back . >> i now yield one minute to mister,. >> thank you mister boyle and thank you for your leadership. as you pointed out the president promised three things, more coverage, better benefits and lower costs. so how is he going to do it? in 2000, he wrote and i quote, the canadian style single-payer system in which all payments are made for medical care are made to a single agency to help canadians live longer and healthier than americansthe

president fought in a single-payer system was the only way to live up to his promises . what you want to do is work with senator sanders for medicare for all if he's serious about living up to any of the commitments he's made. i yielded back my time i yield one minute to miss jackson-lee. >> both he and mister jeffries, thank you for this important amendment. let me take note of the speaker's comments to ensure that we know we arenot speaking about health care bill . for the reasons that this amendment is so important. speaker ryan indicated that in welfare reform, were talking about trillions in the end in this program. you're talking autundreds of billions a year through the country. this is so much bigger by orders of magnitude than healthcare reform. speaking about what you all are doing to medicaid. this is a must medicaid bill. it is not a health care bill.

and it ignores completely the response that has been given to the american people by the president, that everyone will have insurance. covered under the law can expect to have great healthcare. that is not the case and so i ask opposition to the bill in support of the amendment, i yelled back . >> thank you, i yield back. >> the gentleman yields back. now i'd like to recognize mister mcclintock for the opponent for 10 minutes. >> thank you madam chair. misters world and jeffries raise a good point regarding the structure of the tax credit in particular and i'm going to address that in my amendment number 11, but the certainty of the motion is illustrated in the cbo own report. provided an entire section of that report entitled uncertainty surrounding the estimates in which they admit, they can't predict how

federal agencies and states and insurers and employers, individuals and doctors and hospitals react to the law and they can't predict how the law would be implemented. interestingly remember president obama certifying to the nation that we see an average $2500 drop in the cost of our healthcare premiums. instead of using a $4300 increase in those premiu. obamacare average are up 25 percent last year, still bigger increases expected. i do think we remember president obama certifying to the nation that if you like your plan, you could keep your plan. millions of americans lost their plans and were forced onto the obamacare exchanges. one third of our counties have no choice at all. there's only one provider and another third are only two providers. i distinctly remember the cbo certifying that 21 million individuals would roll in

obamacare exchanges by 2016. in fact, only 11 million did. i don't believe that president obama deliberately lied about this.as yogi berra initially said, predictions are difficult, especially when they involve the future.the fact is, complex mental interventions in the marketplace create a wide variety of unintended and perverse consequences. we are dealing with the wreckage from such an intervention. we know for a fact that it hasn't worked well for a majority of americans, it's sent their premiums skyrocketing, denied and choices that the free market offers. it's set providers being from the market and it's sent taxpayer costs spiraling. nobody contends that the bill before us is a perfect plan, not even a complete plan. i wish we were sending a comprehensive reform that completely repeals obamacare

and replaces it with a healthy, vibrant, competitive and consumer driven market. it still consists of only those measures permitted under the reconciliation process and relies on administrative rules and follow-up legislation to complete the work. that's another of the limitations ofhe cbo's claim to clairvoyance that it only looks at one piece of the reform, the bill that's now before us without attempting to assess the other make measures that make it workable. i believe when all measures are implemented, consumers will have the widest range of choices to select a plan for their needs in a competitive environment where large number of health plans across the country are tripping over each other to offer consumers the best service at the lowest price and with the tax system that supports and assists family in keeping these plans within their financial reach. is that a certainty? of course not. it's more likely though to control costs and expand choices and insure accessibility and promote innovation and excellence in the current system. that i believe is a reasonable expectation.

i'd like to yield 1 and a half minutes to mister lewis from minnesota. >> thank you mister mcclintock. there's a lot of talk today about broken promises but the poster child has been the affordable care act. mister mcclintock talks about premiums nationwide, i can tell you about what happened in minnesota. the democratic governor mark dayton said the affordable care act is no longer affordable. they call it an emergency situation with premiums rising 50 to 67 percent in the last two years. when blue cross blue shield dropped out of a 100,000 minnesotans were left without a plan even though the president promised you keep your doctor, keep your plan. this is a debacle and everybody in minnesota knows it's a debacle. the exchanges are shot. the state of minnesota had to pass a $310 million emergency legislation just keep the exchange and the people bung on it marginally afloat. that's theris we are in. not to address this the best

of our ability would be a derelict of knowledge promises but our duty as a bottom. mcclintock.k to mister - >> i yield a minute and a half to mister postel of new york.>> i think my colleague and i appreciate the motion that is made by my colleagues on the other side. >> increases and deductibles. they can no longer afford it. they may have insurance in some instances they don't have something that's affordable,

that they can buy and that they can use for themselves and their families. and unfortunately the motion our colleagues are often on the other side is just washington speak. it doesn't even make a suggestion as to what the chair is supposed to do. it you wanted to exchange the tax credits advance refundable tax credits. want at the great things about the proposal in front of us is that we're finally starting to treat people who don't have employer-provided health insurance equalizing the tax treatment for those. there are 160, 170 million people that have employer-provided health insurance. it's not taxable to them but if you're the $45,000 household husband and wife with two kids, you get no tax preference at all if your employer doesn't provide insurance. this legislation addresses that. my colleagues on this i don't

think it's sufficient enough, don't think it's substantial. why aren't you suggesting to the chair that she addressed that with the rules committee? no, you offer a press release as a motion. this is typical washington speak that doesn't advance the process, that doesn't change anything. it's just looking to score political points. it's not looking to fix anything. and frankly, my friends, we've got to fix the mess that the aca has greater in the health insurance markets around this country, and that is what we're trying to do. as mr. mcclintock said, this is not a full plan, but it is a first step on making a full plan to replace it. i yield back spin up with you like to yield a minute and a half to mr. grossman of wisconsin. >> yeah, thank you. this is important to try to push this motion where we stand today. we are at a point where 30% of the counties there's only one plan left. if we waited another you are not

sure how many counties out there would be a boatload wouldn't have any at all. there are five states and that only have one plan. we get so little competition it's not surprising that the premiums are going up by 25% this year. i. i suppose there might be some people, some commentators want to say we ought to wait a year before taking this vote. if we waited a year we would see what type of premium increase you would have when you know competition at all. nevertheless, we're going for it with this bill today. the goal of this bill to bring a little more free market competition into the healthcare market which will result in what we need more than anything else, and that is have overall healthcare costs drop. there are individual businesses out there in the market, employers, who are doing a great job of containing the healthcare cost. they are doing it because they are not stuck in an obamacare monopoly type situation. there is no reason why healthcare costs in this country

shouldn't fall. you can look at health care procedures that are not covered by insurance and just like everything else driven by technology and things like basic, things like -- lasik, cosmetic surgery are falling. i think the private sector through a variety of means are causing or directing their employeeto have althcare costs go well below these being increases we're seeing an obamacare. so again, i think people have to remember what a train wreck obamacare is at this time. and even more what of a train wreck it would be if some irresponsible people had their way. we waited a year to see exactly what happens when the government try to take over this big segment of the economy. thank you. >> madame chairman, i would conclude by pointing out that the reason the cbo notes and

initiainitial drop-off in enrolt and increase in premiums is that they believe the only reason many people purchase these plans is because they are forced to buy them. i think that speaks volumes about obama cares family. markets work on the voluntary choices that are made by consumers and republican vision has always been one of the vibrant and competitive market where consumers have the widest possible range of choices and the support of tax code to ensure that every person has basic coverage within the financial reach. yield back. >> mr. boyle, the proponent, is recognized for one minutes to close. >> thank you, madam chair. i have to give the designers up trumpcare credit as this bill is somehow more damaging to working americans that a straightforwad repeal of the aca would have been. according to the nonpartisan congressional budget office, premiums will grow 24-29% in just two years. 52 million americans will be

uninsured within ten years. $170 million will be drained from the medicare trust fund, actual building of the lvency date by two years, and the number of ericans covered in the employer-provided insurance market, not the exchanges, will fall by 7 million. all of the evidence suggests that this bill will worsen every aspect of our healthcare system. and returns to a time before the aca when coverage was neither accessible nor affordable. the burden is on the trump administration to prove otherwise and to finally make good on its promises. thank you, madam chair spin the question is on the green to the motion offered by mr. boyle. all those in favor? those opposed cracks in the opinion of the chair the no's have it. a roll call vote has been requested. the clerk will call the role. [roll call]

[roll call] [roll call]

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>> are there any members have not voted or wish to change the vote cracks if not the clerk shall report. >> on that boat the ayes are 20 and the no's are 14. >> the no's have it and the motion is not agreed to. i never recognize mr. hickman for the purpose, higgins, for the purpose of motion, i want to remind you to our nine minutes on the clock and you'll get one minute to close. >> i have a motion at the desk spirit of the clerk will rea the motion. spirit the motion offered by representative higgins and mr. connell move the committee on the budget direct the chairman to request a map of the committee that the rule for consideration of american health care act make an order an amendment that would one strike

all provisions in the bill that repeats them of americans with health insurance coverage come increased cost to reduce benefits, to reduce the number of americans with health insurance cover come increased cost to reduce benefits and strike tax breaks in the bill for the wealthy, health insurance covers and their executives and pharmaceutical companies. >> mr. higgins is recognized for a total of ten minutes with one minute reserve to close. >> thank you, madam chair. yesterday president trump said that we are involved in a big fat, beautiful negotiation, that we are negotiating with everybody regarding the health care. know you are not, mr. president. this mess belongs to you or couch republicans and the insurance industry exclusively. this plan is a scam being perpetrated on and against the american people.

if you are 50-64, you get clobbered in fact, according to republican led congressional budget office, if you are 64, you make $26,000 a year, your health insurance bill will increase under your plan by more than $12,000. from $1700 a year to $14,000. by the by the way i would remind my colleagues you should know that the white house scored this bill as well, and there's a reason why you don't know about that. well, let me get you the big and fat of the presidency characterization. united health care is one of the largest health care providers in america, private insurance company. their ceo in 2004 was compensated with $66 million. it actually took a pay cut

beuse made $102 million in 2010. there is a provision in this bill that says explicitly this bill will allow insurance companies to claim exorbitant executive compensation as a business expense for deduction from taxes, okay? three weeks ago by department of justice opened up an investigation on united health care for overbilling medicare program, not by tens of millions of dollars, not by hundreds of millions of dollars, but by billions of dollars. so you're going to vote this massive tax cut to united health care, their executives and their cronies in the midst of all of this. this is morally reprehensible. i now yield three minutes. >> thank you, mr. higgins.

the cbo report shows that the numbers here just don't add up. you can't say that you're going to save a trillion dollars in the deficit and give folks must subsidy than they did under the affordable care act and still claim that people are not going to use -- lose their interest. so my concern and the reason i brought this motion with mr. higgins is let's just be honest about what's going on. if you want to give people less funding to buy subsidies because you think that that's going to lower some part of the defit, then just say you don't care about people who are lower middle class income families having insurance. it's going to be less people are getting medicaid. it's more important to give tax breaks for tax cuts to grow the economy. this is going to up the deficit. but what's wrong about this is let's not pretend.

let's have a philosophical debate about the issues. do we care about expanding coverage which is going to cost more, and isn't worth that cost as a society, or or do we care more about reducing cost and taking money away. we can debate that. let's have a debate about the facts, and that is what is so disconcerting is we are not debating the facts. i yield back the balance of my time. >> i now yield one minute to ms. >> inc. you very much. i want to thank yourself and congressman khanna for this motion. strong support of the. it would strike a massive tax breaks in this bill and ensure that no american -- is completely unconscionable that this so-called health bill continues republicans assault on the poor, low income individuals, families struggling to make ends meet.

does it by eating medicaid expansion and ripping health care away from 24 million americans. but we know this really isn't even a health care plan at all. let's call it what it really is, it's a massive tax cut for the wealthy disguised as a health care plan. this bill is a $600 billion tax giveaway which is the largest transfer of wealth from working families to the rich in our nation's history. what's more, tens of americans will suffer just so my republican colleagues can handle the 400 wealthiest families in america, a 2.8 billion tax break each year. by paying for it this is how they do it. using medicaid and insurance exchanges as a piggy bank to pay for these enormous tax breaks. really a disgrace. >> i yield one minute to mr. moulton. >> a couple days ago i received a call from a marine i served

with who is suffering from addiction and needed help. that's why he called. he needed help. i like to tell some of my republican colleagues who want to vote for this legislation to take the. >> caller: sam explained why that help is not going to be there next year for him. we are discussing here is not just about caps and budget. it's about our values. it's about what's right and wrong with health care in america today. and under the republican proposal, it is right for the rich to get better health care, for the poor to continue being sick. it is right for the sons and daughters of the richest americans to be well cared for while the sons and daughters of our veterans who put the lights on the line for our country are less sick. this is about our values, and i

think we collectively are failing to meet that test. i yield back. >> i now yield one minute to mr. boyle. >> thank you. i can't help note that there's a terrible irony about this trumpcare bill. we just went through the election like many places around the western world in which blue-collar families like the one that i was born and raised in, who have been suffering for 20, 30 years standing still finally were looking for something different. we are sick and tired of being ignored by washington d.c. you've had a populist uprising throughout the western world, and for three years stagnant incomes. so what do our friends in the majority do you finally take care of them wax they offer us a bill that actually gives a record tax cut to those making over $10 million a year.

i didn't quite believe it when i first heard about it so i read the language. if you are a ceo of a health insurance company who on average makes about $13 million a year, you'll get an aggregate a $400 million tax break, some populist. i yield back. >> yield one minute to ms. jayapal. >> thank you for your leadership to prevent this unprecedented shift of wealth from working people to millionaires, billionaires and corporations. let us be clear that this pay more for less bill is not a health care bill. it is a tax bill that gives $600 billion in tax cuts to the wealthiest, and it is paid for on the backs of poor and middle-class households. in fact,, the one basic principle that seems to be insistent in this bill is about the richer you are, the bigger tax cut. for instance, the top 4% of income earners earned more than

$300 million a year to get a total tax break of 275 million or about $200,000 a year each. meanwhile working families see the benefits cut and the premiums rise. madame chairman, this is america. we don't begrudge people good fortune, but this bill is pure greed. the rich get richer while 24 million people are stripped of health care. that is simply not right. i yield back. >> thank you, madam chair. i yield back spin i never denies the opponent of the motion, mr. smith from missouri or ten minutes. >> thank you chairman black here i clearly oppose this motion because it is our responsibility to limit the size and scope of the federal government, and that's what this bill does. we must advance this consumer solution to get control of spending and save our country from economic despair. when the folks on the other side of the aisle talk about taking away from the poor, you are talking about taking away from

the people i represent. i know the working poor. i know the lower middle class looks like because i represent the 14th most economically distressed congressional district in the country. that is out of 436 districts in my district than median household income, not of an individual, the household income is right at $40,000 a year. about 20% of the people live below the poverty line. according to kaiser estimates, less than 3.4% of the people in my congressional district enrolled in obamacare. through health care .gov. that's less, that's less than

26,000 people in south east, and south-central missouri. those people, the 3.4% were forced to participate in obamacare, and in 26 of the 30 counties that we have in our congressional district, how many choices did they have? one. one choice. i'll tell you what obamacare gave us. obamacare gave us in southeast and south-central missouri very few options. it took away our doctors. president obama promised you can keep your doctor. we lost our doctors. he promised that we could keep our health care plans. 4.7 million people lost their health care plans under obamacare. we lost our freedoms. but do you know what obamacare gave us? obamacare gave us tax increases

on the poor and the middle class. obamacare taxed wheelchairs picks and don't stand there on that side of the aisle and say that poor people don't use wheelchair obamacare taxed the poor and the middle class. actually, the majority was on the middle class to it was over $1 trillion of taxes, 2121 different tax increases. you can say you're talking point, but if you're telling me that poor does not use medical equipment, you are wrong. you are wrong and you tax that. you taxed drugs. you taxed numerous items. what this bill does is repeals over $800 billion worth of taxes you all pushed their bets on the backs of the poor and the middle class. in trumpcare, we are not taking away their health care. we are not raising their taxes. we are actually giving them more

options by stabilizing the market. our bill doesn't hurt the middle class like obamacare. it cuts 800 billion in taxes that they currently face because of obamacare. our bill doesn't pull the rug out from underneath the middle class. cbo said after we restored the freedom for people to buy health insurance, if they want it, 14 million people will choose not to buy it. it will be their choice once again, no longer a mandate from washington d.c. madam chair, i'd like to yield two minutes to mr. grossman. >> thank you. the problem i have with this motion is it that i think it's just fundamentally dishonest about who is paying for this pl, who is getting the benefit of this plan. if you fall back on the rhetoric

that somehow we are benefiting the rich and unfairly picking on the poor, under our plan we continue perhaps more than some of us like a very generous medicaid program, and we have tax credits. those tax credit refundable, i don't even like to put the word tax in there. it's misleading. it's a gift to the government towards your health insurance. now, where does the money come from the tax credits and where does the money come from medicaid? we know in this country and so you understand i'm not some mr. big apology for the rich. later we'll talk about taxi from andy will fight i think we -- at the middle class, the original plan. but we have to be honest. the top 3% of the tax returns pay for about 50% of our

government right now, which is to say the top 3% are going to pay for these tax credits, and the top 3% is going to pay for our generous medicaid program. okay. meanwhile come on the on the other end of things you can be a married couple, had a couple of kids, you can make almost $3000 a year and pay no taxes at all. meanwhile, our, our tax credits are phasing out when you begin to make $75,000 a year. that's wildly wealthy. i wish everybody in this country could make sai $75,000 a year bt there are a lot of middle-class guys making said of thousand dollars a year, and their ou okay. get up to run 90, $120,000 a year they will get no benefit at all. so what's happening under this plan is you are purely having the wealthy pay for the benefits, and i don't like to call them poor, but people without much money are the ones who are going to be getting something without taking anything in. that's just what's going on.

and to say something otherwise is just fundamentally dishonest as far as what's going on here. this is like many plans, something in which you don't have to work at all, hypothetically, to get these tax credits. so that's not the wealthy. you can make no money at all and get these tax credits. on the other hand if you are making, said a single person making one or 20, 130 grand a year, you are paying for these benefits are not getting any benefit back. so that's fine. it's the plant i voted for today but to say that we are having the wealthy somehow get some big benefit out of our medical system and were taking advantage of the so-called poor, that's just exact opposite of what's going on. >> thank you. i'd yield amendment and half to mr. bergman. >> i want to thank the gentleman for yielding time for me to speak on