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Jackie Speier on Health Care

Democrat


We need universal access based on mandates

We need a program of universal access to healthcare based on individual and employer mandates with contribution caps for individuals and small businesses. We need a standard minimum benefit package that is fully transportable; and we need an information
Source: 2008 House campaign website, jackieforcongress.com, “Issues” , Apr 8, 2008

Voted NO on the Ryan Budget: Medicare choice, tax & spending cuts.

Proponent's Arguments for voting Yes:

[Sen. DeMint, R-SC]: The Democrats have Medicare on a course of bankruptcy. Republicans are trying to save Medicare & make sure there are options for seniors in the future. Medicare will not be there 5 or 10 years from now. Doctors will not see Medicare patients at the rate [Congress will] pay.

[Sen. Ayotte, R-NH]: We have 3 choices when it comes to addressing rising health care costs in Medicare. We can do nothing & watch the program go bankrupt in 2024. We can go forward with the President's proposal to ration care through an unelected board of 15 bureaucrats. Or we can show real leadership & strengthen the program to make it solvent for current beneficiaries, and allow future beneficiaries to make choices.

Opponent's Arguments for voting No:

[Sen. Conrad, D-ND]: In the House Republican budget plan, the first thing they do is cut $4 trillion in revenue over the next 10 years. For the wealthiest among us, they give them an additional $1 trillion in tax reductions. To offset these massive new tax cuts, they have decided to shred the social safety net. They have decided to shred Medicare. They have decided to shred program after program so they can give more tax cuts to those who are the wealthiest among us.

[Sen. Merkley, D-TK]: The Republicans chose to end Medicare as we know it. The Republican plan reopens the doughnut hole. That is the hole into which seniors fall when, after they have some assistance with the first drugs they need, they get no assistance until they reach a catastrophic level. It is in that hole that seniors have had their finances devastated. We fixed it. Republicans want to unfix it and throw seniors back into the abyss. Then, instead of guaranteeing Medicare coverage for a fixed set of benefits for every senior--as Medicare does now--the Republican plan gives seniors a coupon and says: Good luck. Go buy your insurance. If the insurance goes up, too bad.

Reference: Ryan Budget Plan; Bill HCR34&SCR21 ; vote number 11-HV277 on Apr 15, 2011

Voted NO on repealing the "Prevention and Public Health" slush fund.

Congressional Summary:Amends the Patient Protection and Affordable Care Act (PPACA) to repeal provisions establishing and appropriating funds to the Prevention and Public Health Fund (a Fund to provide for expanded and sustained national investment in prevention and public health programs to improve health and help restrain the rate of growth in private and public sector health care costs). Rescinds any unobligated balanced appropriated to such Fund.

Proponent's Argument for voting Yes:
[Rep. Pitts, R-PA]: Section 4002 of PPACA establishes a Prevention and Public Health Fund, which my bill, H.R. 1217, would repeal. The PPACA section authorizes the appropriation of and appropriates to the fund from the Treasury the following amounts:

We have created a slush fund from which the Secretary of HHS can spend without any congressional oversight or approval. I would suggest to my colleagues that, if you wanted more funding to go towards smoking cessation or to any other program, the health care law should have contained an explicit authorization. By eliminating this fund, we are not cutting any specific program. This is about reclaiming our oversight role of how Federal tax dollars should be used.

Opponent's Argument for voting No:
[Rep. Waxman, D-CA]: This bill represents the Republicans' newest line of attack to disrupt, dismantle, and to ultimately destroy the Affordable Care Act. For many years, Republicans have joined with Democrats in supporting programs to prevent disease, to promote health and, in turn, to cut health care costs. But today, the House will vote to end funding for the first and only Federal program with dedicated, ongoing resources designed to make us a healthier Nation.

Reference: To repeal the Prevention and Public Health Fund; Bill H.1217 ; vote number 11-HV264 on Apr 13, 2011

Voted YES on regulating tobacco as a drug.

Congressional Summary:Amends the Federal Food, Drug, and Cosmetic Act (FFDCA) to provide for the regulation of tobacco products by the Secretary of Health and Human Services through the Food and Drug Administration (FDA). Defines a tobacco product as any product made or derived from tobacco that is intended for human consumption. Excludes from FDA authority the tobacco leaf and tobacco farms.

Opponent's argument to vote No:Rep. HEATH SHULER (D, NC-11): Putting a dangerous, overworked FDA in charge of tobacco is a threat to public safety. Last year, the FDA commissioner testified that he had serious concerns that this bill could undermine the public health role of the FDA. And the FDA Science Board said the FDA's inability to keep up with scientific advancements means that Americans' lives will be at risk.

Proponent's argument to vote Yes: Rep. HENRY WAXMAN (D, CA-30): The bill before us, the Waxman-Platts bill, has been carefully crafted over more than a decade, in close consultation with the public health community. It's been endorsed by over 1,000 different public health, scientific, medical, faith, and community organizations.

Sen. HARRY REID (D, NV): Yesterday, 3,500 children who had never smoked before tried their first cigarette. For some, it will also be their last cigarette but certainly not all. If you think 3,500 is a scary number, how about 3.5 million. That is a pretty scary number. That is how many American high school kids smoke--3.5 million. Nearly all of them aren't old enough to buy cigarettes. It means we have as many boys and girls smoking as are participating in athletics in high schools. We have as many as are playing football, basketball, track and field, and baseball combined.

Reference: Family Smoking Prevention and Tobacco Control Act; Bill HR1256&S982 ; vote number 2009-H187 on Apr 2, 2009

Voted YES on expanding the Children's Health Insurance Program.

Congressional Summary:

Proponent's argument to vote Yes:

Rep. FRANK PALLONE (D, NJ-6): In the last Congress, we passed legislation that enjoyed bipartisan support as well as the support of the American people. Unfortunately, it did not enjoy the support of the President, who vetoed our bill twice, and went on to proclaim that uninsured children can simply go to the emergency room to have their medical needs met. As the Nation moves deeper into a recession and unemployment rates continue to rise, millions of Americans are joining the ranks of the uninsured, many of whom are children. We can't delay. We must enact this legislation now.

Opponent's argument to vote No:Rep. ROY BLUNT (R, MI-7): This bill doesn't require the States to meet any kind of threshold standard that would ensure that States were doing everything they could to find kids who needed insurance before they begin to spend money to find kids who may not have the same need. Under the bill several thousands of American families would be poor enough to qualify for SCHIP and have the government pay for their health care, but they'd be rich enough to still be required to pay the alternative minimum tax. The bill changes welfare participation laws by eliminating the 5-year waiting period for legal immigrants to lawfully reside in the country before they can participate in this program. In the final bill, we assume that 65% of the children receiving the benefit wouldn't get the benefit anymore. It seems to me this bill needs more work, would have benefited from a committee hearing. It doesn't prioritize poor kids to ensure that they get health care first.

Reference: SCHIP Reauthorization Act; Bill H.R.2 ; vote number 2009-H016 on Jan 14, 2009

Voted YES on overriding veto on expansion of Medicare.

Congressional Summary:Pres. GEORGE W. BUSH's veto message (argument to vote No):In addition, H.R. 6331 would delay important reforms like the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies competitive bidding program. Changing policy in mid-stream is also confusing to beneficiaries who are receiving services from quality suppliers at lower prices. In order to slow the growth in Medicare spending, competition within the program should be expanded, not diminished.

Proponent's argument to vote Yes: Sen. PATTY MURRAY (D, WA): President Bush vetoed a bill that would make vital improvements to the program that has helped ensure that millions of seniors and the disabled can get the care they need. This bill puts an emphasis on preventive care that will help our seniors stay healthy, and it will help to keep costs down by enabling those patients to get care before they get seriously ill. This bill will improve coverage for low-income seniors who need expert help to afford basic care. It will help make sure our seniors get mental health care.

Reference: Medicare Improvements for Patients and Providers Act; Bill HR.6331 ; vote number 2008-H491 on Jul 15, 2008

Require insurers to cover breast cancer treatment.

Speier co-sponsored Breast Cancer Patient Protection Act

Congressional Summary: Amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act, and the Internal Revenue Code to require coverage and radiation therapy for breast cancer treatment.

Congressional Findings:

  1. According to the American Cancer Society, excluding cancers of the skin, breast cancer is the most frequently diagnosed cancer in women.
  2. An estimated 40,480 women and 450 men died from breast cancer in 2008, and an estimated 182,460 new cases of invasive breast cancer were diagnosed in women, plus 1,990 cases in men.
  3. Most breast cancer patients undergo some type of surgical treatment.
  4. Treatment for breast cancer varies according to type of insurance coverage and State of residence.
  5. Currently, 20 States mandate minimum inpatient coverage after a patient undergoes a mastectomy.
  6. Breast cancer patients have reported adverse outcomes, including infection and inadequately controlled pain, resulting from premature hospital discharge following breast cancer surgery.
    Source: H.R.111 11-HR111 on Jan 5, 2011

    2012 Governor, House and Senate candidates on Health Care: Jackie Speier on other issues:
    CA Gubernatorial:
    Antonio Villaraigosa
    Eric Garcetti
    Jerry Brown
    Jerry Sanders
    CA Senatorial:
    Barbara Boxer
    Dianne Feinstein



    Lame-duck session 2012:
    KY-4: Thomas Massie(R)
    MI-11:Dave Curson(D)
    NJ-9: Donald Payne Jr.(D)
    WA-1: Suzan DelBene(D)

    Re-seated Former Reps:
    AZ-1: Ann Kirkpatrick(D)
    AZ-5: Matt Salmon(R)
    FL-8: Alan Grayson(D)
    IL-11:Bill Foster(D)
    NH-1: Carol Shea-Porter(D)
    NV-3: Dina Titus(D)
    NY-24:Dan Maffei(D)
    TX-36:Steve Stockman(R)

    2013 Resignations and Replacements:
    AL-1:Jo Bonner(R,resigned)
    IL-2:Jesse Louis Jackson(D,resigned)
    IL-2:Robin Kelly(D)
    MA-5:Ed Markey(D,to Senate)
    MA-8:Stephen Lynch(D)
    MO-8:Jo Ann Emerson(R,resigned)
    MO-8:Jason Smith(R,elected June 2013)
    SC-1:Tim Scott(R,resigned)
    SC-1:Mark Sanford(R)
    SC-1:Elizabeth Colbert-Busch(D)
    Newly-elected Democrats:
    AZ-9: Kyrsten Sinema
    CA-2: Jared Huffman
    CA-7: Ami Bera
    CA-15:Eric Swalwell
    CA-24:Julia Brownley
    CA-29:Tony Cardenas
    CA-35:Gloria Negrete McLeod
    CA-36:Raul Ruiz
    CA-41:Mark Takano
    CA-47:Alan Lowenthal
    CA-51:Juan Vargas
    CA-52:Scott Peters
    CT-5: Elizabeth Esty
    FL-18:Patrick Murphy
    FL-22:Lois Frankel
    FL-26:Joe Garcia
    HI-2: Tulsi Gabbard
    IL-8: Tammy Duckworth
    IL-10:Brad Schneider
    IL-12:Bill Enyart
    IL-17:Cheri Bustos
    MD-6: John Delaney
    MA-4: Joe Kennedy III
    MI-5: Dan Kildee
    MN-8: Rick Nolan
    NV-4: Steven Horsford
    NH-2: Annie Kuster
    NM-1: Michelle Lujan-Grisham
    NY-5: Grace Meng
    NY-10:Hakeem Jeffries
    NY-18:Sean Maloney
    OH-10:Joyce Beatty
    PA-17:Matt Cartwright
    TX-16:Beto O`Rourke
    TX-20:Joaquin Castro
    TX-23:Pete Gallego
    TX-33:Marc Veasey
    TX-34:Filemon Vela
    WA-6: Derek Kilmer
    WA-10:Denny Heck
    WI-2: Mark Pocan
    Newly-elected Republicans:
    AR-4: Tom Cotton
    CA-1: Doug LaMalfa
    CA-21:David Valadao
    CA-41:Paul Cook
    FL-3: Ted Yoho
    FL-6: Ron DeSantis
    FL-19:Trey Radel
    GA-9: Doug Collins
    IL-15:Rodney Davis
    IN-2: Jackie Walorski
    IN-5: Susan Brooks
    IN-6: Luke Messer
    KY-6: Andy Barr
    MI-11:Kerry Bentivolio
    MO-2: Ann Wagner
    MT-0: Steve Daines
    NY-26:Chris Collins
    NC-8: Richard Hudson
    NC-9: Robert Pittenger
    NC-11:Mark Meadows
    NC-13:George Holding
    ND-0: Kevin Cramer
    OH-2: Brad Wenstrup
    OH-14:Dave Joyce
    OK-1: Jim Bridenstine
    OK-2: Markwayne Mullin
    PA-4: Scott Perry
    PA-12:Keith Rothfus
    SC-7: Tom Rice
    TX-14:Randy Weber
    TX-25:Roger Williams
    UT-2: Chris Stewart
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    Page last updated: Jun 19, 2013