[Pages S1861-S1862]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

                       REPUBLICAN HEALTHCARE BILL

  Mr. BARRASSO. Mr. President, it was 7 years ago that Democrats in 
Congress passed ObamaCare. They promised lower healthcare costs. What 
they delivered was a Washington mandate

[[Page S1862]]

for expensive insurance that many people found actually wasn't 
insurance they could use, even though they were forced to buy it. For 7 
years, Americans have suffered under the consequences of that decision 
by this body and by the former President.
  Less than 7 weeks into the Trump administration, Republicans 
introduced a plan to give Americans real healthcare reform. The 
American people know that ObamaCare has been a disaster, one broken 
promise after another. I hear about this every weekend when I am home 
in Wyoming. I heard about it this past weekend. There is now only one 
insurance company that is willing to offer ObamaCare coverage in my 
entire State. There are 1,000 counties all across the country in the 
same situation--only one option. This is not a marketplace; it is a 
  As a doctor who has practiced medicine for 25 years, I can tell you 
that when it comes to healthcare, the last thing patients want to hear 
is that they don't have a choice: It is this or nothing. That is why 
Republicans promised we were going to repeal the restrictions in 
ObamaCare that limit people's choices. We promised to give people 
options, not mandates. The healthcare bill we are debating now is the 
first step to keeping that promise.
  The bill starts to give people more choices so they can pick what is 
right for them and for their families. I want to talk about three ways 
that it does this.
  First, the bill removes the mandates. It ends both the individual and 
the employer mandates. It eliminates the penalties that hard-working 
families have to pay if they decide that overpriced ObamaCare insurance 
isn't right for them. This was one of the most outrageous and unfair 
parts of the healthcare law. These mandates will be gone.
  Second, the bill that the House is considering cuts taxes. It gets 
rid of the ObamaCare tax on prescription drugs. It gets rid of the 
ObamaCare tax on health insurance. It gets rid of the taxes on 
artificial appliances, such as pacemakers and artificial joints. 
Overall, the bill eliminates 15 different taxes. These taxes are 
obviously passed on to consumers; repealing them helps to bring down 
the cost of care.
  Third, the repeal bill creates options for people and for States. It 
encourages people to find creative ways to help make healthcare costs 
more affordable for them. It expands how people can use health savings 
accounts, which is a great option for many people. It helps States do 
innovative things, such as create high risk pools to bring down costs 
for everybody. It gives States more flexibility when it comes to 
Medicaid Programs.
  Let's face it: Medicaid is broken, and ObamaCare just threw more 
people onto this second-class health insurance. Just last week, we got 
evidence of how badly Medicaid is harming patients. The chief executive 
at the Mayo Clinic said in his speech that his hospital is going to 
give precedence to people with private insurance over people on 
Medicaid. The supporters of ObamaCare said that their biggest success 
is the number of people who got coverage by being put into Medicaid. 
Well, it is clear that many of these people are being harmed by being 
in Medicaid, a system that has been broken for decades. It is alarming 
and it is also appalling.
  We have to fundamentally reform the Medicaid Program. To do that, we 
have to give States more options for coming up with the reforms that 
work for them and for the people who live in those States. Every State 
is different, and a one-size-fits-all mandate from Washington will 
never work for all of the States all across the country. Democrats 
tried it, and it failed dramatically.
  ObamaCare is collapsing all around us. We have to do something, and 
we have to start now. In the next couple of months, insurance companies 
are going to start making decisions about what they are going to do for 
next year, 2018. They will be figuring out how much they want to charge 
and whether they want to be involved in the ObamaCare exchanges at all. 
People have been losing their coverage and losing choices ever since 
the Democrats wrote the healthcare law and the President signed it 7 
years ago. I believe it is going to get worse every day that we delay.
  There are Democrats who don't really seem to care much about any of 
that. They would rather set the whole healthcare system on a path to 
fall apart completely before they will ever admit that they were wrong. 
Hard-working Americans and families across the country don't have that 
luxury. There are still 25 million Americans without insurance even 7 
years after ObamaCare has been in place. Every year, people have gotten 
letters in the mail telling them that their plans have been canceled. 
That is the reality of ObamaCare. Democrats want to pretend that 
everything is fine, but that is absolutely not true.
  That is why it is so important that President Trump jumped in right 
away to take important steps to help stabilize the marketplace. He 
recognized what Democrats won't admit--that these ObamaCare markets are 
falling apart. So the President has already started doing what he can 
to stabilize the markets, to make sure people keep their options for 
health coverage. The Department of Health and Human Services has taken 
steps to preserve programs that ObamaCare tried to eliminate. These are 
plans that people already had and they liked and the law tried to say 
they could no longer exist. The Trump administration has said people 
can continue on those plans. The administration also tightened up some 
of the rules to make sure people actually pay the premiums for this 
year's insurance before they are allowed to sign up for next year. The 
administration is taking commonsense steps that will make it harder for 
people to game the system and that will lower the cost for everyone 
else. These are important steps. The administration is going to be 
doing a lot more to protect families and to create more options.
  This repeal bill isn't perfect; nobody says it is. Still, it is a 
monumental shift away from ObamaCare. The American people will be 
better off with this repeal plan. They will be better off with the 
additional reforms that we will continue to push after this bill.
  I hope that Democrats will join us and offer their own ideas about 
what these additional reforms will look like. I hope they realize that 
families are better off when they have more choices, not fewer. We are 
better off when people can decide what is better for them and their 
families, not when government tells them what to do. We are better off 
when healthcare decisions are left to patients and doctors, not to 
Washington bureaucrats and insurance companies. We are better off when 
people have freedom and options, not mandates and penalties.
  America needs healthcare reform. What we had before ObamaCare wasn't 
working; I saw that as a doctor. What we have now isn't working, 
either. It is time for everyone to admit that and to take this 
opportunity to start repairing the damage, start creating real reform. 
As Ronald Reagan said: It is better to get 80 percent of what you want 
rather than go over the cliff with a flag flying. The American people 
are asking for our help, and we cannot turn our backs on them now.
  Mr. President, I yield the floor.
  I suggest the absence of a quorum.
  The PRESIDING OFFICER. The clerk will call the roll.
  The legislative clerk proceeded to call the roll.
  Mr. BARRASSO. Mr. President, I ask unanimous consent that the order 
for the quorum call be rescinded.
  The PRESIDING OFFICER. Without objection, it is so ordered.