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House Meets At: First Vote Predicted: Last Vote Predicted:
9:00 a.m.: Legislative Business

Five “One Minutes”
10:30 – 11:30 a.m. 1:30 – 2:30 p.m.

H.Res. 308Rule providing for consideration of both H.R. 2192 – To amend the Public Health Service Act to eliminate the non-application of certain State waiver provisions to Members of Congress and congressional staff (Rep. McSally – Energy and Commerce) and H.R. 1628 – TrumpCare, as amended (Rep. Black – Budget) (Forty Minutes of Debate). The Rules Committee has recommended one Rule which would provide for consideration of two bills.

For H.R. 2192, the Rules Committee has recommended a closed Rule that provides for one hour of general debate equally divided between the Chair and Ranking Member of the Committee on Energy and Commerce.  The Rule allows one motion to recommit and waives all points of order against the legislation.

For H.R. 1628, the Rules Committee has recommended a Rule that provides for further consideration of H.R. 1628.  The Rule also self-executes three amendments, those amendments are: 

Palmer/Schweikert Amendment. Creates a $15 billion risk sharing program to help states offset a small portion of the impact of skyrocketing premiums for health coverage offered in the individual market that will result from the underlying legislation.
MacArthur Amendment. Allows states to waive protections under the Affordable Care Act, including essential health benefits, 3:1 age rating, and community rating, therefore allowing insurers to increase costs for consumers.
Upton/Long Amendment. Increases the Patient and State Stability Fund by $8 billion over five years due to address the wholly insufficient access to care that patients with pre-existing conditions will have as a result of the MacArthur Amendment, thereby putting a band-aid on coverage for those with pre-existing conditions.

The Rules Committee also rejected a motion by Mr. Hastings of Florida to making order and provide the appropriate waivers for every amendment submitted to H.R. 1628 to the Rules Committee and provide ten minutes of debate on each amendment.  Members are urged to VOTE NO.

H.R. 2192 – To amend the Public Health Service Act to eliminate the non-application of certain State waiver provisions to Members of Congress and congressional staff (Rep. McSally – Energy and Commerce) (One hour of debate).  The McSally amendment was introduced in response to the criticism that Republicans are exempting themselves from the consequences of TrumpCare that other Americans will have to live with. Neither TrumpCare nor the McSally amendment significantly impacts the way Members of Congress or their staff get health care in practice. However, the MacArthur amendment would exempt Members from provisions that will allow states to waive consumer protections in the Affordable Care Act, such as required coverage of Essential Health Benefits and prohibitions on discrimination against those with pre-existing conditions.  The McSally amendment would eliminate that exception.

Bill Text for H.R. 2192:
PDF Version

Complete Consideration of H.R. 1628 – Trump Care, as amended (Rep. Black – Budget) (Forty Minutes of Debate).  Republicans have worked for weeks now to get the votes for their harmful and irresponsible TrumpCare bill, and have only made it worse for the American people.

Before these changes were made, initial estimates from the Congressional Budget Office (CBO) found that the underlying legislation will take away coverage from 24 million Americans over the next decade, including seven million Americans currently covered by their employers. The bill will dramatically increase out-of-pocket costs, particularly for lower-income families and older Americans. An "age tax" imposed on those ages 50-64 will force many in this age group to pay at least five times as much as a younger person for the same plan.

The revisions made in the last few weeks make the bill worse by taking away consumer protections guaranteed under current law, including those that prohibit insurers from charging higher premiums to people with pre-existing conditions and that require coverage for essential health benefits, such as doctor's visits, emergency room visits, and prescription drugs. Instead of regular coverage for those with pre- existing conditions, states will provide so-called high-risk pools, a model that has long been characterized by higher premiums, higher deductibles and long waiting periods for coverage.

All of these cuts to middle class Americans’ health care are used to finance hundreds of billions in tax cuts.  Repeal of the Net Investment Income Tax and the Medicare payroll tax on high income earners, for example, exclusively benefit individuals earning more than $200,000 and couples earning over $250,000 per year, at a combined cost of over $270 billion.

The AARP, American Medical Association, American Nurses Association, American Hospital Association, American College of Physicians, American Academy of Family Physicians, National Nurses United and the American Academy of Pediatrics and many others have all come out against this legislation because it would prevent Americans across the country from receiving quality, affordable care.  The people on the front lines of health care, who help patients every day and experience the impact of decisions made in Washington, clearly see that TrumpCare is harmful and irresponsible.

Republicans have made a series of changes behind closed doors and are now jamming this bill through the House of Representatives just hours later because they do not want the American people to know what is in it.  This reckless plan is being brought to the Floor without any mark-ups, and without a score including the amendments from the Congressional Budget Office (CBO). With just a few hours' notice, very little debate, and without any input from the American people, Members are being forced to vote on a bill that will impact every American in this country.  Members are urged to VOTE NO.

Bill Text for H.R. 1628:
PDF Version

Postponed Suspension (1 bill)

  1. H.R. 1644 – Korean Interdiction and Modernization of Sanctions Act, as amended (Rep. Royce – Foreign Affairs)
The Daily Quote

“House Republican leaders planned to hold a showdown vote Thursday on their bill to repeal and replace large portions of the Affordable Care Act… The vote Thursday will carry enormous potential consequences — for millions of patients, for Mr. Trump’s legislative agenda and for Speaker Paul D. Ryan, who has failed twice in recent weeks to bring the bill to the House floor. The measure faces a wall of opposition from health care providers, patient advocates and retirees, and has been derided by many Senate Republicans… The American Medical Association and 10 organizations representing patients, including the American Heart Association and the advocacy arm of the American Cancer Society, reiterated their opposition to the House Republican bill on Wednesday, as did the retirees’ lobby AARP.”

     -     New York Times, 5/3/2017