Markup of H.R. 1683, State Flexibility Act of 2011, Subcommittee on Health (May 12, 2011)
The Subcommittee on Health held a markup on Thursday, May 12, 2011, in 2123 Rayburn House Office Building on H.R. 1683. For 45 years, the Medicaid program has worked as a lifeline to millions of people, providing health care to the lowest income and medically needy Americans, including families, children and the elderly. If the bill that was approved by the Republican Majority in this markup were to become law, it would slash the number of people that could look to Medicaid and the Children's Health Insurance Program for their safety net.
Documents
Opening Statement of Ranking Member Henry A. Waxman, as prepared for delivery.
"Republicans are now using arguments like “flexibility” and “freedom” to make us believe that cutting people from access to prescription drugs, a primary care doctor, and nursing home and other long term care is the right thing to do. This is precisely the wrong way to go." -- Ranking Member Waxman
"Kids are 25% of the population [and] can't speak for themselves. But they are 100% of the future of this country." -- Rep. Dingell
H.R. 1683, the "State Flexibility Act of 2011," approved by roll call vote of 9 - 14.
Amendment by Rep. Pallone, defeated by roll call vote of 9 -13.
Exempts children from the repeal of Maintenance of Effort requirements in Medicaid and the Children's Health Insurance Program.
Amendment by Rep. Capps, defeated by roll call vote of 9 - 14.
Exempts seniors and individuals requiring nursing home care from the repeal of Maintenance of Effort requirements in Medicaid and the Children's Health Insurance Program.
Amendment by Rep. Engel, defeated by roll call vote of 9 -14.
Exempts women with children under 19 years of age (and living with them) from the repeal of Maintenance of Effort requirements in Medicaid and the Children's Health Insurance Program.
Letters Opposing H.R. 1683
American Academy of Pedicatrics: "The Academy is forced to oppose the bill because, if enacted, it would put guaranteed insurance coverage for more than 14 million lowincomechildren at risk."
National Association of Public Hospitals and Health Systems: "As the country's leading providers to Medicaid beneficiaries and the uninsured, we know the hidden cost of taking Medicaid away from patients who need it. Put simply: When people lose Medicaid, we all pay the premium."
Health Care for America Now: "The bill would increase the number of uninsured children, seniors and people with disabilities by repealing the Medicaid and CHIP coverage stability protections in the American Recovery and Reinvestment Act (ARRA) and the Affordable Care Act (ACA)."
AARP: "Medicaid often covers services that other programs, such as Medicare, do not generally cover, including home health aide and personal attendant care services, as well as nursing homeservices. In fact, Medicaid is the largest payer of long-term care for older adults and peoplewith disabilities."
Cancer Action Network, American Diabetes Association and American Heart Association: "On behalf of cancer, diabetes, heart disease, and stroke patients across the country, we call on lawmakers to oppose any efforts to restrict access to care for America’s poorest and sickest patients."
- AARP
- ACCSES
- Advocates for Youth
- AFL-CIO
- Alliance for a Just Society
- Alliance for Retired Americans
- American Academy of Pediatrics
- American Association for Geriatric Psychiatry
- American Association on Health and Disability
- American Association for Psychoanalysis
- American Association of Pastoral Counselors
- American Cancer Society Cancer Action Network
- American Counseling Association
- American Dental Education Association
- American Diabetes Association
- American Federation of State, County and Municipal Employees (AFSCME)
- American Health Care Association
- American Heart Association
- American Lung Association
- American Medical Rehabilitation Providers Association
- American Music Therapy Association
- American Network of Community Options and Resources
- American Nurses Association
- American Podiatric Medical Association
- American Public Health Association
- American Society on Aging
- Anxiety Disorders Association of America
- APSE
- Asian and Pacific Islander American Health Forum
- Association of Professional Chaplains
- Association of University Centers on Disabilities
- Autistic Self Advocacy Network
- Bazelon Center for Mental Health Law
- Black Women’s Health Imperative
- Catholic Health Association of the U.S.
- Center for Medicare Advocacy, Inc.
- Center for Rural Affairs
- Children Now
- Children’s Defense Fund
- CLASP
- Coalition on Human Needs
- CommonHealth ACTION
- Community Action National Network (CANN)
- Community Action Partnership
- Community Catalyst
- Community Organizations in Action
- Community Transportation Association of America
- Consumer Action
- Corporation for Supportive Housing
- Council of Administrators of Special Education
- CWLA
- Defeat Diabetes Foundation
- Direct Care Alliance
- Disability Rights Education and Defense Fund
- Disciples Justice Action Network
- Easter Seals
- Evangelicals for Social Action
- Faithful Reform in Health Care
- Families USA
- Family Voices
- First Focus Campaign for Children
- Health Care for America Now
- Hemophilia Federation of America (HFA)
- HIV Medicine Association
- Institute for Public Health Innovation
- International Parish Nurse Resource Center
- Japanese American Citizens League
- Jewish Council for Public Affairs
- Jewish Reconstructionist Federation
- LeadingAge
- League of United Latin American Citizens
- Learning Disabilities Association of America
- LGBT Cancer Project - Out With Cancer
- Main Street Alliance
- Medicare Rights Center
- Mennonite Central Committee U.S. Washington Office
- Mental Health America
- Metropolitan Community Churches and Global Justice Institute
- National Alliance of State and Territorial AIDS Directors (NASTAD)
- National Alliance on Mental Illness
- National Alliance to Advance Adolescent Health
- National Association for Children’s Behavioral Health
- National Association for Home Care & Hospice
- National Association for the Support of Long Term Care
- National Association of Area Agencies on Aging (n4a)
- National Association of Community Health Centers
- National Association of County Human Services Administrators
- National Association of Pediatric Nurse Practitioners
- National Association of People with AIDS (NAPWA)
- National Association of Public Hospitals and Health Systems
- National Association of Social Workers
- National Association of State Head Injury Administrators
- National Association of Urban Hospitals
- National Black Gay Men's Advocacy Coalition (NBGMAC)
- National Committee to Preserve Social Security and Medicare
- National Consumer Voice for Quality, Long-Term Care
- National Council for Community Behavioral Healthcare
- National Council of Jewish Women
- National Council of Women’s Organizations
- National Council on Aging
- National Disability Rights Network
- National Down Syndrome Congress
- National Family Planning and Reproductive Health Association
- National Health Law Program
- National Hispanic Council on Aging
- National Immigration Law Center
- National Indian Health Board
- National Medical Association
- National Minority AIDS Council
- National Multiple Sclerosis Society
- National Partnership for Women and Families
- National Physicians Alliance
- National Respite Coalition
- National Senior Citizens Law Center
- National Spinal Cord Injury Association
- National Viral Hepatitis Roundtable
- National Women’s Law Center
- National Women's Health Network
- OWL - The Voice of Midlife and Older Women
- Paralyzed Veterans of America
- PHI – Quality Care through Quality Jobs
- Planned Parenthood Federation of America
- Presbyterian Church (U.S.A.) Office of Public Witness
- Prescription Policy Choices
- Progressive States Action
- Project Inform
- Racial and Ethnic Health Disparities Coalition (REHDC)
- Raising Women's Voices for the Health Care We Need
- RESULTS
- Ryan White Medical Providers Coalition
- Sargent Shriver National Center on Poverty Law
- School Social Work Association of America
- SEIU
- State Associations of Addiction Services
- The AIDS Institute
- The Arc of the United States
- The Coalition of Behavioral Health Agencies, Inc.
- Treatment Access Expansion Project
- Treatment Communities of America
- Union for Reform Judaism
- United Church of Christ, Justice and Witness Ministries
- United Methodist Church – General Board of Church and Society
- United Spinal Association
- Universal Health Care Action Network (UHCAN)
- Us TOO International Prostate Cancer Education and Support Network
- VillageCare
- Visiting Nurse Associations of America
- Voices for America’s Children
- Volunteers of America
- VOR – Speaking out for people with intellectual disabilities
- Wider Opportunities for Women
- Women of Reform Judaism
- Women's Institute for a Secure Retirement (WISER)
Webcast
Bill Text of H.R. 1683, the "State Flexibility Act" (May 3, 2011).