Thank you mr. Chairman. Substance abuse affects tens of millions of americans. According to the hhs, more people die from drug overdoses in 2014 then any on record. Substance abuse has grown across multiple groups including women, privately insured and those [inaudible] Substance Abuse affects the wealthy and the poor and the urban. Its one of the first goals of the congress the Republican Leadership demonstrated its concern to drug test americans prior to then receiving federal funds. Indeed every republican member of the committee voted to allow widespread testing prior to getting their own earned benefits. The statement made clear that the republicans wanted to help identify people with problems to empower them to get the help they need. My amendment with representative sanchez would extend this approach to the beneficiaries of the 157. 6 billion windfall in the subtitle. Given that all the republicans on the committee voted to allow drug testing of all 2. 1 million workers receiving unemployment only get an average weekly benefit of 344 an average benefit of only 5,000. I feel strongly our committee should apply the same requirement to the 400 wealthiest taxpayers who will receive an average 7 million apiece per year from this deal. There will be a lot more temptation and access. Moreover, these beneficiaries are in a much better position to pay for the expensive highquality Treatment Services than the unemployed. My amendment simply requires these beneficiaries who will receive huge sums of money from the federal government to have a clean drug test each year prior to receiving their benefits. Given that my republican colleagues who often cited their commitment to helping those with drug problems identified that they have a problem so that they can receive treatment i hope my amendment will receive broad bipartisan support with an understanding that if it is good for the goose, then it ought to be good for the gander. I yield back the balance of my time. Does the gentleman wish to continue the point of order . Reservation is withdrawn. Does anyone wish to speak on the amendment . You are recognized to speak on the amendment. As a former special prosecutor serving on the committee, theres obviously probable cause search and seizure concerns about the amendment but given the preamble to the godfather behind every Great Fortune there lies a cry and i think there is a prima facie case of probable cause has been mac in this case and therefore we have no Fourth Amendment concerns unlike what you passed through earlier this year by requiring a Fourth Amendment search on poor people with no shoving at all of any criminal activity. So i think we are to support this out of common decency. I yield back. Anyone else wishing to speak on the amendment . Questions on the amendment offered. All those in favor signify. Those opposed . The noes have it. Roll call vote is requested. The clerk will call the roll. [roll call] [roll call] [roll call] [roll call] [roll call] [roll call] [roll call] [roll call] [roll call] [roll call] [roll call] the clerk will report the vote. The amendment is not agreed to. Are there additional amendments to the nature of the substitute . If there are no further amendments questions on the options of the amendment . All those in favor . Opposed . The amendment is agreed to and i will now recognize mr. Johnson with a purpose of offering a motion. Removed the committee transmit the print related to the repeal of the Investment Income taxed as amended to the House Committee on the budget in response to the reconciliation instructions. All those in favor say that i . In the opinion of the chair the motion is agreed to as amended transmitted to the House Committee the roll call is required and requested and the clerk will call the roll [roll call] [roll call] [roll call] [roll call] [roll call] [roll call] [roll call] [roll call] [roll call] [roll call] the clerk will report the vote the committee will show the order transmitted into the Committee Without objection asked to stop the authorized to make technical changes and members have two additional days to file with the Committee Additional views. The final order of business is the budget reconciliation relating to the repeal and replace the pulp related tax policies without objection the motion will be considered as read in at any point i offer an amendment to nature the substitute distributed in advance along with a green sheet explaining it and without objection it shall be considered as read open for amendment at any point and consider the amendment allow the chief of staff of the joint committee on taxation to provide the technical description of the amendment in the nature of the substitute and ask members of the questions so after the presentation. Thank you, chairman and members of the committee here before you are three joint committee documents, 14, 15, which described the underlining Committee Print and the nature of the substitute and 16 which is the revenue table for all of the positions covered in 14 and 15. I will try to go through the items quickly on the revenue table. The first series of items related to the present Exchange Premium credit under the Affordable Care act and the first provision would provide there is a full recapture of the excess payments. Theres also positions to make some modifications in transition to the Exchange Premium credits in particular providing that catastrophic only policies can apply and Premium Exchange credits can be utilized on the individual market. Those features would be effective for 2018 and the use of credits for policies that provide abortion benefits but also ineffective in 2018. There is a change in the fare family share contributions would be effective in 2019. After 2019, the Premium Exchange credits would be repealed. In the present law theres a smallbusiness credit for those businesses that offer Group Health Coverage to their employees. This applies at a rate of up to 50 for taxpaying businesses and up to 35 for taxexempt organizations like the Exchange Premium transition is a modification that provides coverage related to abortion wouldnt be allowed effective 2018. Smallbusiness credit itself would be repealed after 2019. The proposal before you would repeal the employer mandate and it would delay further the application of the excise tax known as the cadillac tax. It was sunset the delay after december 31 so the tax would come in 2025. Under present law, there is overthecounter medicine that are not prescribed or eligible for medical expenses for purpose of distribution and qualifying distributions from Health Savings account, flexible spending arrangements, Health Reimbursement arrangements in the proposal before you would make those overthecounter purchases qualifying expenditures regardless whether there is a prescription provided or not. The proposal would further reduce the increase penalty for distributions from non qualifying distributions from the hsa in the present while penalty 20 for both in qualifying distributions and it would return the penalty to the levels of 10 in the case of 15 in the case. Under present law for 2017 theres a limit on the maximum payment through the Health Flexible spending arrangement in the cafeteria plan proposal to repeal the limit. Under present law theres 2. 3 excise tax on medical devices. It is a moratorium in 2017 the proposal would repeal the tax in its entirety. The proposal would permit any deductions as qualifying medical expenses that are attributable to purchases of prescription medicine regardless of whether there is any subsidy received under Medicare Part d. The proposal would make permanent the 7. 5 above which the taxpayer may claim itemized deductions for medical expenses. It would repeal the additional 0. 9 tax on the earned income thats contributed to the Health Insurance trust fund that is applicable that income levels above 200,000. Lastly the proposal would increase maximum concretions to Health Savings accounts and allow both spouses to make contributions coordinating it into the same Health Savings account and it would also provide an extended grace period between the time which a Health Savings account is established and a high deductible plan is purchased. That describes a very brief while crew of a number i would be happy to answer in more detail. Any questions the members might have . You can see before you on 16 the line estimates for each position ive outlined into the total reflected on this table. You are recognized. I just want to say to my colleagues im trying to remember when we consider provisions of this importance advice1. Im not quite sure what the majority has in mind giving it this way when we could meet tomorrow in the daylight. I think you expect first of all you want to do this before the cbo report and also you think there wont be much attention to this with the press gone or tired. So i just want to indicate dont expect us to be asleep or to be inactive. Weve just begun to fight this bill. The public increasingly cares about this issue, and you can expect more town Hall Meetings that you wont want to go to. There is a distribution table on this provision that comes to 117 billion, right . You and some others have asked about the distribution. You are referring to the repeal of the 0. 9 healthinsurance tax. Work you distribute lets move this along. I want to show will everybody look at this . I heard of mr. Roskam talk about the issue of the growth or the opposite. I would ask the clerks to distribute the document and in the meantime stop if you could. No, go right ahead. The issue isnt whether we want growth. Its whether you want to refer to the top down economics. It hasnt worked before. This table shows in 2020 this is the distribution. Of the 11. 644 billion in 2020, 5. 829 goes to people with income over 1 million. Thats the distribution of this. Dont tell us you care about income inequality when you vote for this. And you just have heard the beginning of this. Its part of a 600 billiondollar loss revenue while millions will lose their way in terms of Health Insurance. Let me ask you about the tax credit. Thats part of this, right . Yes. Here we are considering a replacement for the tax credit that has been so vital at 1 00 in the morning. The Kaiser Foundation has analyzed the difference between the tax credits proposed in the republican bill and the premium tax credits now available under the aca. If it is found that the average tax credit under the republican bill would be 36 less than under the aca. If you have any different information . I cannot make that comparison for you. The credit amounts i went to quickly through the table, the credit amounts as you can see they varied b vary by age and ts starting at 2,000 per person i want to ask one other question. Do you disagree with this report that the average tax credit would be 33. 6 less than under the aca . I havent seen their reports so i shouldnt comment on it. Will let you take a look at the report and give us a response tomorrow if possible . [inaudible] we do need to try to follow regular order here find somebody to finish the question. Cpi plus one on the proposal. Please give us an analysis of that also. Mr. Thompson you are recognized. This provision reduces the monies that go into the of Medicare Trust fund over tenures. Is that correct . There repeal of the additional tax we estimate this is 117 billion. As i understand it the actuaries tell us that will reduce the financial longevity of the trust fund by three years . I have not seen or received a letter from the actual actuaries. I have no reason to dispute. If cbo was here with that be in their report to greg. I do not believe it is commenting on the of longevity of us unstressed fund as becky doesnt have the actuarial report by. About that was read into the wac record into the record and it is because it includes a loss of the interest can we assume 170 . If the actuaries have accounted for that balance i dont know what they assume for the revenue loss but it is reported as a loss of tax receipts to the trust fund. It is important Everybody Knows before we cast a vote that 170 billion hit three years less on the fiscal stability of the fund. If you vote for this you are telling your medicare constituency at home youre Cutting Three years on the financial viability of 170 billion. I yield back. Following along along the same line of thinking the president s press secretary said we should ignore the cbo is that your position that the figures should be ignored . Imitating my colleagues with uh joint committee of the us cbo does a professional job. That is what we thought you would say with the medicare actuaries as well. Guesstimate it is the 170 billion it that means a reduces the solvency by three years. But everybody remembers finally the proposals it is a difficult time and setting. About how this could impact medicare. And the passage of the Affordable Care act made medicare more solvent over a decade. So added to us solvency and increasing benefits with their essayed disagreement that many of us voted against the Medicare Advantage program to make the program hold because it seems to me on the face of this of mr. Thompson is correct will this reduce this . With this reduce solvency by three years . Day not familiar with the actuarys report but what i can report is but three seats are contributed to the Medicare Trust trust fund will fall by one his 17 billion over the 10 year period. But this all seems to be about tax cuts and not the health or wellbeing of americans older citizens. That is why i asked to be submitted for the record who has deep concerns and that this impact will be severe on Older Americans why aarp opposes this legislation and they think this point is probably the most moral point we can make in terms of what happens to over americans. So individuals can receive a tax break at the top end of the income scale . They know that the right. I yield back my time. Recognize myself. Besides revealing of damaging effects of the Affordable Care act replacement begins to restore state control so it can be better designed but also is seeks to restore the freemarket giving individuals the right at the heart of that from the one of the main differences limited to the qualified aliens. And the present definition but the term was first find in the regulations developed for the purposes of the eligibility in high risk pools of preexisting conditions. Some of qualified alien definition is much more narrow which was created the vacancy standoffish and. The unqualified alien definition is under 1641 for the purposes that you describe. Since this is a statutory definition is from Congress Rather than rule making . With eligibility and of that eligibility system that they are eligible to receive a advance payment and then what if the existing database related to the Affordable Care act . In terms of verification with the department of Homeland Security and it seems that the proposal that the irs will make a query to determine for the refundable credit that qualifies. Vat is the information that day verify. That is not the sole reason it is maintained. And always to fight the Obama Administration to resist efforts with the eligibility of income. Today we see the trump been ministrations partnership to empower them to take up that recommendation of the inspector generals to tighten up eligibility verification. I also believe they now have a partner in the tradition administration committed to ensuring that there is less fraud and more integrity in the system. Thank you. As i said at the outset, the criteria that might constituents want me to consider is both coverage stand quality anticosti and cost. Flu is cover that wont be covered . Dissect to will gain or lose coverage provided by this piece of legislation . Your question obviously is quite broad because you are asking how Overall Coverage affects the change in terms of the proposal before you. As mr. Brady was just indicating people that our eligible for this refundable credit our thoughts of citizens that our nationals of the United States and qualified aliens. Do not get a report as to who was covered by this plan quick. This is the analysis that has not been completed that the colleagues on the joint Committee Staff try to provide to uh Committee Budgetary effects of all proposals how that affects the Insurance Markets fixed. With your supposed to vote for the bill not knowing how the coverage will affect the redistrict . As i said before i do not have that information at the present time. Can you tell us if the reformers will make coverage more affordable or outofpocket cost quick. With the proposal envisions is that families if not covered by Group Insurance or military or specified coverages to look at the individual Insurance Market to enable them to afford insurance in the Insurance Market proposal that credits may be refundable or advanced payable. Does this proposal also revealed the individual mandate greg. Also the employer mandate. With that continuous coverage test fit in then to take the vantage of preexisting conditions and as i understand it, it is replaced with a 30 healthinsurance penalty on the premium. Is the correct . Receives that penalty class. And all volleyer question. And star medal have that answer. I am not sure that is within the time. I dont think hainaut the answer but i will check for you. Dont know the answer i will check. If thinking is fair that my constituents can evaluate the quality of the plans of what it will affect. And dont have the metrics by which to evaluate the quality and the cost is from cbo. Waiting for information on total budgetary effect premium koss and coverage fax. Tell us about the Health Savings account would is the average income . What about those people taking a vantage of those accounts . Will then just be beneficial to my constituency quick. I april sheet the information you are seeking im trying to see what sorts of information i have available. Not trying to filibuster your time. I do not have information on the distribution of current participants with Health Savings accounts. So basically not all employers provide Health Savings accounts. So only if your employer provides that can you actually be able to take advantage of any benefit to from that. No berger you can establish that as part of the individual plan. Before i yield back my time is it is hard to with quantified to the people that i represent what the coverage will be under this plan had reid dont know the cost. Its. And to recognize you. Mr. Chairman with these sections that we irritating so tell me about the medical device tax is not like the excise tax it is. Yes. What is the rate pdf . Applies to the manufacturers cost. But not to profit greg. Is the excise tax. To point 3 but that is on the gross cost of goods. If the manufacturer souls that to the wholesaler over 100 it is to dollars 0. 30 on 100 so we have examples of taxes we are supposed to be using for taxes that was increased with the Health Care Cost which by any logic any reason omaha person cant assume it will drive up the cost of health care exactly what has happened in the years since obamacare went into effect. Correct . They have gone up across the of board and they went up almost 30 percent Insurance Companies are losing money, pulling out 200 counties and my entire state has only one provider they are threatening to pull out because they cannot make money under the scenario and to see how this developed. I am understand why mr. Gruber said he had to rely on the stupidity of the American People to get it passed. Program have to read it before we pass it because i think she was afraid we could predict this. So to talk about the cadillac tax that is one of the things we are repealing that would apply additional tax to the employer provided plants. It is over a fixed amount correct . Yes, sir. It would increase annually the of inflation adjusted rates. That was not the rate of medical inflation but a standard consumer inflation rate. At 1 . Esp nikes stated that Health Care Cost would. [inaudible] Health Care Costs have been bracing faster. And his phidias statements he said that would make employer provided Health Insurance so expensive it could not be provided and people would be forced off of the exchanges. Is that the alternate play how this would work quick. I dont know exactly what the professor said but we do project thought that under president law or policy holders would be affected by the high premium excise tax that doesnt necessarily mean they are forced onto the exchange but to expect employee years to adjust compensation and plans so when it could mean some employers increase deductibles or rates of copay is reducing the cost of the policy. To do that is the benefit of compensation in between cash benefits in terms of total compensation little bit less in terms of the value of the health care plan. I want to raise a question. Before you recognize you made a statement talking about the president mr. Trump. January 2009 the night of the inauguration, your Republican House leadership and Republican Senate leadership made a decision that you would not support the president obama and make him a oneterm president now you dont have to work with . Then sydney betty else wish to dispute that for the sake of civility . Does anybody else to wish to question or strike last word we have 20 amendments a one to give every betty plenty of time. Does anybody wished to strike the last word . Mr. Chairman of former member of this committee of third a powerful offensive in is in january with the consequences of repealing the Affordable Care act and argued that repealing that individual mandate to bring into the risk pool causes them to leave the marketplace because that is what happened in Washington State we simply economic keep that as part of the Affordable Care act without also including meaningful protections to be sure the individual market does not collapse. This bill fails that test the American Academy of actuaries has learned that proposal is simply no substitute for that individual mandate. The republicans are playing a dangerous game and we should not let that happen. So i ask unanimous consent to submit for the record. Were being asked to vote on legislation on peoples premiums it is very irresponsible we are put in a position to know service to the American People. For the of record the democrats introduced this bill nearly 800 pages submitted midnight the night before with those cbos core not even based on the bill. So this was posted monday evening most of which has passed the house before and frankly it is much more transparent and open and they and the bill we were faced with. I was not here with the Affordable Care act was debated or past. So i know there is talk about what happened i know that they did not have the opportunity to participate. What i care about is today sitting here with legislation and you dont have the data at either end what matters is to make sure everyone has access to Affordable Quality Health care. Any other member wishing to strike the last word . It is really important because of your missing Critical Data on the quality of the benefits or the cost reapplying the voices of those represent progress want to take the time to let the committee know some of my constituents and their concerns. To submit for the record the story of a man the who wrote to me who said in 2008 my husband and i welcomed twins was typical with hearing loud loss a one was severely impacted by a difficult birth struggling with seizures and respiratory problems and related conditions when he finally came home his bill was 250,000 with a lifetime cap of 2 million we were concerned as a family. My husband has worked for the same company over 20 years if not for that hca he would not have been able to get the care he needed quality eventually lost to late 2015 i am forever grateful he was afforded the best care possible through they see a. I am retired and under 65 relying on the of aca to give me Health Care Insurance someone not have coverage if not for the aca i have not used in yet but i have had it since it first came to the market and i regret governor valley refuse to expand medicare in alabama have neighbors your sears impacted some do not make 2000 per year said they do not qualify. One friend recently had an accident and it cost him 4,000 to go to the doctor and he could not pay the bill i do not know what will happen to him and i can tell you i am pleased we have the aca. Likewise there is peter who says my wife and i are currently retired to we have three years to qualify for medicare and while we enjoy a good health and future to the doctor so we do not want to risk life savings by going without Health Insurance soviet role for the high deductible plan because that is all we could afford especially given the fact our governor did not expand medicaid. Without those credits be simply would not be able to afford any coverage pool hundred dollar fell vs 400 a month yes it is all we have to make sure it is affordable we support that otherwise could not have coverage scrapping inverses improving it does not make sense with a waste of money if we have to scrap the system to start over. Mr. Chairman i want to invoke the voices of those everpresent to say that i knew exactly how bad it would affect them with the full impact on their lives and think it is critically important to take the time to get that information. Idol why we rush through this tonight when we come back tomorrow or next week when the cbo has given us actual data on cost per call it is irresponsible of us to continue to debate and vote on a bill when we dont owe the full impact so to and folk the voices of a district to be sure were doing everything we can to make sure they do have access and coverage factual coverage for health care. Theres a reason why people should go broke or bankrupt or do without health care. Anyone wish to strike the last word greg. I am very concerned about the of the mens to the Medicaid Expansion as it will severely affect people in my district like the mother whose son is covered by medicaid call the office takeshi is worried if the expansion is rollback her son who is autistic will no longer be eligible to receive the care he needs. Person requires Health Services and frequent visits to the doctor but under this proposal he caboose services dealing with the percapita caps this plan does that help the evelyn keep coverage but places limits on how much they can receive which is it is cheaper to treat . In this plain and simple and more people will suffer now means choosing between medication and putting food on the table. This bill is a giveaway to the wealthy on the backs of the port. The clerk will distribute the amendment. Do you wish to continue your reservation and greg. It is withdrawn. The gentleman from massachusetts greg. Is consistent with a the questions it was raised earlier that i am offering this amendment on behalf of all democrats on the committee it strikes the repeal of the tax going into the Medicare Trust fund. The bill before us this morning makes severe cuts to medicare with 170 billion from the Medicare Trust fund in three years off of the life of the program according to their own actuaries. This interest that accrues with the actuarial data and it is ironic as the republican majority ricans of Medicare Trust fund over the next year they will go back to the routine complaints of entitlement reform. Tonight we have an example where they set the fire than three years from now they call the Fire Department to say the Medicare Trust fund is in a beaker shape than previously thought since enacted the first year of medicare 28point 5 were in poverty in 2015 it is eightpoint 8 as an extraordinary accomplishment. President trump has said over and over he will not touch medicare that apparently is inconsistent with what is about to take place. This eradicates Financial Support that beneficiaries have paid into. Therefore verbal any policy that takes away benefits is unfair. So eventually they and that medicare guaranteed to shift more cost and some with disabilities. So this 1, 2 punch line to charge Older Americans more than for those 65 and older but also for major providers it will rip away health care and Economic Security and encourage our colleagues to support this amendment and ultimately our seniors meal back the balance of my time. Just a quick question for my colleague. Wasnt dishroom with the passage of the Affordable Care act to the trust fund was extended by 11 years been exactly so this bill before us in the wee hours of the of morning would pullback by three years the trust fund . Not only that but negative you are suggesting that the delivery of the Affordable Care act offered at midnight was when the bill was published here we are almost 2 00 in the morning taking away American People have gone to sleep. There is the inconsistency without logic thank you for your question. Yield back. Couple minutes ago asking what i thought was a rhetorical question the last time i was here this time at night is when the aca pastel was sitting in different wrote what comes around goes around. I have a lot to cover here. It is also interesting that in the passage of this tax were basically talking about to be peeled weirs told and it will pay for two things but it really killed to that of a play for the underlying bill extend the life of the trust fund. Decanter really do both but with this surtax so the proof of that is when it comes to this conclusion not this particular component but the downward pressure on obamacare footstool Million People out of work fulltime because it disincentive baezs the work. So with all due respect to my friend this is not the direction we should be going in the yield back the balance of my time. I dont remember the exact time. Ideal back i yield back. We were not going through a series of amendments at to a clock in the morning but it remains of indescribable why be your doing it this way. When we have so many important issues before us. So you talk about the employment of what has occurred in the health sector. Millions are working today because millions more have health care and will supply with you the growth of jobs in the Health Care Field you just have the notion if you take the tax from wealthy people you will get more growth. But that isnt proven of the actual defense so i support this amendment i strongly support this amendment striking vat provisioned with threat as a guarantee for future generations i just want to highlight that medicare is the Vital Program with 50 million americans laugh 90,000 in the first Congressional District of washington was 10,000 new americans turning 65 everyday for generations to come a pillar of the middleclass always to have access to the care that they need some seniors deserve better the policymakers willing to work across the aisle to allow medicare for drug prices prior to my colleagues to vote yes and i yield pack. Strike the last word speaking on the amendment i agree that seniors do need better treatment i will share a quick story as jackie from maple valley says she is incredibly frustrated because as her premiums of the outofpocket cost having continued to increase ship is not experienced any increase of quality of health care retired on the fixedincome and is struggling because the premium increased again she prays every day to cover these costs she cannot afford to go to the doctor. All of my friend have shared stories all of those people will be covered by the year for getting about the group of people who have Health Insurance plans but dont have health care they cannot afford to go to the doctor or hospital. We try to address this group of people that all try to help but we go about it in a different way and i will use the balance of my time. Couple of minutes ago there millions of people working in the Health Care Sector and this gets into the inherent conflict that we saw earlier relating to the false promises that i have characterized in obamacare if you like your doctor you can keep it but that turned out to be done since the demise of others so now billions are working in health care as a result of aca but Labor Participation is a list in 30 years this is the direction it isnt theoretical we know what that looks like in full display and it has underperformed some now we need to repeal this law to have a transformational moment to do Something Else and this is far superior. The republican plan allows Insurance Companies to discriminate against Older Workers to allow five times of younger people had is the fact that a fax Older Americans but will submit for the record a erp record as not believe that this bill will help aging americans between the ages of 50 and 64. Is imperative to look at the purpose and motives i find it to be disturbing has vowed to end medicare as he no way he went on record to say really it is not the end goal i think that just goes to show that the republicans are more interested in giving tax cuts to the wealthy than health care to the many it is important we need to check ourselves at the end of the day we owe it to our constituency to do all that we can to vote in their best interest not our own best interest is very disturbing to me that the chief budget director of the former congressman and will vat has said is unacceptable and i with like to have the consent to enter into the record. Without objection. I would like to submit for the record there is more than a little irony going on tonight but posted at 11 34 p. M. This evening donald trump to the conservative leaders that if this fails will blame the dog democrats. Vat is a novel approach some now we wait for these Great Solutions and i have to say i was touched. Because this feeling and this awakening we dont have data confront of us but this will come over everyone and tomorrow everybody will wake up to say thank god for the republicans last night they gave tax cuts to the wealthy and it will trickle down to the seniors. Dont worry we dont have those tables. We only have to go by what the advocates say. So what the doctors have to say somehow they dont share that same dream that you have over there. And if all else fails blade the democrats. Keep backup. Please see yields for a quick question. Was that a tweet quick. It was reported by cnn. [laughter] did not say what we are thinking. [laughter] i will recognize myself very briefly leander stand the sincerity of this amendment that this did not improve medicare because as pointed out secretary 80 just sat in that chair and admitted to this committee it was the double counting spending went to spending on medicare and aca and could not do both went to the foreignexchange that the website could not register anybody or protect their privacy they went to the coop that ultimately the almost all failed to some americans were put out the impact was 700 billion of cuts impacting seniors as well finally to address the senior tax issue obamacare has a simple principle to punish young people conceive them help seniors. We are just the opposite. They paid the price of this horribly designed health care lob collapsing around this i recognize the intent of this amendment i urge and the defeat and with that all those in favor . Aye. Those opposed . The ayes have it a rollcall in is requested and a clerk will call the roll. [inaudible conversations] t11. [roll call] [roll call] [roll call] spread the gentlemen from new jersey please suspend while distributed. Did meg the gentlemen from new jersey is recognized. But the that this legislation should not shift cost to the states toward jeopardize coverage for more than 70 million americans. To cut and capping Medicaid Program friends on the other side have platitudes about flexibility and states rights sanders wants abilities with all of this medicaid talk boils down to one thing, cuts. Governors understand this, that is where youve seen republican governors waiting warning flags about republicans with their trying to do to medicaid. But this slashs medicaid to paid tax break the corporations and the wealthiest among us to the tune of hundreds of billions of dollars over the next decade. We only have early estimates at this point that the proposal shifted 70 billion of cost beyond the impact it is a safety net when they fall on hard times in the launch pad to help them get back if this program is often the only affordable insurance for millions of americans to buy Health Insurance on their own and for someone to say it is a tough choice between the iphone and health care. He must live on saturn. Beyond the impact of state budgets medicaid is a safety net for millions of americans falling on hard times the state of the jersey not become like your state pet the biggest beneficiaries of the Medicaid Expansion for restaurant and foodservice workers can elementary and secondary School Teachers former Health Service workers and janitors tiled the characters of those the most intolerable monus including those with disabilities and pregnant women and seniors