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Congressman Tom Cole

Representing the 4th District of Oklahoma

Healthcare

Nearly a decade since a Democrat-controlled Congress and President Obama passed the Patient Protection and Affordable Care Act, it is evident that Obamacare failed to live up to its many promises, particularly those related to affordability of and access to care.

In Oklahoma, premiums have increased 227 percent since 2014, and the lowest cost plan option in the Obamacare exchanges has increased 159 percent. Additionally, the number of insurers participating in the exchanges has dropped by two-thirds in that time. Clearly, Obamacare has done little to restrain the growth of health care costs and to provide consumers with choices in their health care. Unfortunately, some in Congress now believe we should abolish private, employer-sponsored insurance entirely and implement a single-payer system – in which the government manages health care costs and delivery – at a projected 10-year cost of at least $32 trillion over 10 years and with exorbitant new taxes.

The Need for Real Solutions

I believe Congress should work to implement a market-based system that gives consumers more choice and states the freedom to tailor health care options to meet the needs of their citizens. Some aspects of the current system enjoy bipartisan support, such as preserving the ability for young Americans to remain on their parents’ plans until age 26 as well as protections for pre-existing conditions and lifting bans on annual and lifetime limits.

However, Congress must move away from Obamacare’s one-size-fits-all approach and repeal its more onerous provisions like the health insurance and Cadillac taxes, which make premiums and health care more expensive, and cuts to Medicare providers, which endanger hospitals and Oklahoma’s rural health care facilities.

Solutions at the federal level should focus on:

  • Lowering prescription drug costs: While it is important to preserve incentives for manufacturers to innovate and create new and better drugs, affordability of prescription drugs remains a real problem for many Americans. That is why I support solutions to prevent the “evergreening” of patents, a practice when brand-name manufacturers file dubious patents on their drugs to extend their monopoly, and to encourage the quick entry of generic drugs into the market once patent and exclusivity periods expire. Competition in the drug space is a proven tool to reducing costs. The Government Accountability Office estimates that the market entry of generic drugs lowers brand-name prices over 50 percent within their first year on the market.
  • Encouraging medical research: As a former Chairman and now the Ranking Member of the House Appropriations subcommittee that funds the Department of Health and Human Services, I have been a strong supporter of increasing funding for the National Institutes of Health and the Centers for Disease Control and Prevention. Federal support for medical research at our nation’s universities and laboratories quickens the pace of research and offers the chance to bring to market new and innovate therapies based on discoveries made by American researchers.
  • Increasing competition in the health care industry: Americans deserve access to health care options that fit the needs of their family, and Congress should broaden the types of plans from which to choose from and permit the sale of insurance across state lines to encourage competition. In 2018, the House passed Republican legislation removing restrictions that barred most Obamacare exchange enrollees from accessing available lower cost plans options. Additionally, the Trump Administration has issued regulations to expand access to association health plans and short-term insurance that are estimated to result in 1.1 million newly insured. The Trump Administration is also working on guidance to facilitate the formation of inter-state pacts for the sale of health insurance across state borders between participating states.
  • Preventing waste, fraud and abuse: The non-partisan Government Accountability Office estimated waste, fraud and abuse within Medicare cost taxpayers $52 billion in fiscal year 2017. Estimates for Medicaid fraud are also in the tens of billions of dollars. By providing the resources necessary to combat waste, fraud and abuse, we can lower the cost of health care for everyone.
  • Expanding opportunities for consumer-directed care: Congress should pass legislation expanding access to Health Savings Accounts (HSAs), savings accounts that permit Americans to set aside pre-tax dollars for their health care costs. The median income of an HSA-holder is roughly $57,000, meaning these accounts directly benefit middle class Americans by making their health care dollars stretch further. In 2018, the Republican-led House passed a series of reforms to expand the number of health care plans that could be paired with an HSA, raise the maximum contribution amount and expand the number of services and products an HSA can cover.

More on Healthcare

July 29, 2016 Press Release
Washington, D.C. – Congressman Tom Cole (OK-04) released the following statement after the state of Florida confirmed that the four diagnosed cases of the Zika virus were caused by domestic mosquitos. The House of Representatives has provided more than $1.1 billion for the Zika response efforts, but it has yet to pass in the Senate.
 
July 18, 2016 Weekly Columns
As the summer months begin, we are reminded once more that the fight against the Zika virus is not over.  The fear of Zika breaching our shores has many Americans worried that partisan gridlock will prevent the government from taking the necessary steps to aggressively fight the potentially rapid spread of this horrible disease.
 
July 15, 2016 Press Release

Washington, D.C. - House Appropriations Committee Chairman Hal Rogers, along with Senate Appropriations Chairman Thad Cochran and other senior members of the House and Senate committees, today sent a joint letter to President Obama urging White House action on Zika funding.

July 15, 2016 Press Release
Washington, D.C. – Congressman Tom Cole (OK-04) released the following statement after the Senate failed to reconsider the Zika Conference Report, the legislation targeted at funding the Zika virus response efforts. The conference report had previously failed to pass in the Senate on its first attempt.
 
July 14, 2016 Press Release
Washington, D.C. - The House Appropriations Committee today approved the draft fiscal year 2017 Labor, Health and Human Services (LHHS) funding bill. The legislation includes funding for programs within the Department of Labor, the Department of Health and Human Services, the Department of Education, and other related agencies.
 
July 11, 2016 News Stories
With Congress remains deadlocked over funding to fight the Zika virus, senior GOP leaders are working to head off yet another big public health funding fight.
July 8, 2016 News Stories
Following in their Senate colleagues’ footsteps, a House subcommittee signed off on a budget increase for the National Institutes of Health Thursday.
June 23, 2016 Press Release

Washington, D.C. – Congressman Tom Cole (OK-04) released the following statement after the U.S. House of Representatives passed H.R. 2577, the conference report aimed at funding Military Construction, Veterans Affairs, and Related Agencies, as well as the Zika Response and Preparedness Act. This legislation would fund continuing military infrastructure projects and programs, and furthermore would include funding for confronting the Zika virus through Fiscal Year 2017.

June 17, 2016 Weekly Columns

More than six years after Obamacare was signed into law and forced upon the American people, the outlook for the law looks even bleaker than before. Throughout its implementation, millions of Americans have directly felt the negative consequences of the president’s unworkable law through lost coverage, unfair mandates and higher premiums. In fact, the already ridiculous premiums resulting from Obamacare are expected to see another dramatic increase in the coming year.   
 

June 6, 2016 Weekly Columns

Like many others across the United States, my family understands firsthand the toll that Alzheimer’s disease takes on those suffering with it and on their caregivers. What starts out as slight memory loss eventually leads to disappearing personalities and then no recollection of the people and memories that once filled an individual’s life. I remember how painful it was to see that happen to my father during the last several years of his life. Given my experience, I remain committed to helping find solutions to defeat the disease—for patients, caregivers and the entire country.

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