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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

June 1, 2016 Weekly Columns
Rest assured. The Zika emergency response will be funded, and immediate needs are already being funded. The issue now is whether the funding will be paid for or irresponsibly added to the national credit card. That’s where Republicans disagree with Democrats and the administration.
May 26, 2016 Press Release
Washington, DC – Congressman Tom Cole (OK-04) released the following statement after he was appointed by Speaker Paul Ryan to serve on a bipartisan conference committee. Cole will be one of eight House Republican lawmakers tasked with finalizing comprehensive legislation to confront Zika and prevent its spread.
May 25, 2016 Press Release
Washington, D.C. – Congressman Tom Cole (OK-04) released the following statement after the U.S. House of Representatives this week passed H.R. 897, the Zika Vector Control Act.
May 23, 2016 Weekly Columns

Contrary to some of the overheated rhetoric coming out of the White House and the Democratic side of the aisle in Congress, the United States does not currently lack the resources to confront the Zika virus. While some have disingenuously suggested otherwise, the Administration already has money at its disposal right now to respond to the emergency. But I am also pleased to report that last week House Republicans passed a fiscally-responsible solution for the ongoing Zika crisis in order to protect those most vulnerable.  

May 18, 2016 News Stories
The House passed legislation Wednesday that would designate $622.1 million in existing federal funding to combat the Zika virus, putting the chamber on a collision course with a Senate plan to borrow $1.1 billion to fight the virus.
May 18, 2016 Press Release
Washington, DC – Congressman Tom Cole (OK-04) released the following statement after the U.S. House of Representatives passed H.R. 5243, the Zika Response Appropriations Act, to confront the Zika virus and prevent its spread. Cole is an original co-sponsor of the bill and a member of the House Committee on Appropriations.
May 18, 2016 News Stories
A leading Republican said Wednesday the House will ultimately approve just as much Zika virus funding – if not more – than the Senate, in an attempt to resolve the funding fight within the GOP.
May 13, 2016 Press Release
Washington, D.C. – Congressman Tom Cole (OK-04) released the following statement after a federal judge weighed in this week on House v. Burwell and ruled that the Obama Administration unlawfully used taxpayer dollars to fund portions of Obamacare.
April 19, 2016 News Stories
When Vice President Joe Biden laid out plans for his major cancer research initiative in January, some public health advocates were alarmed. The plan to work toward a cure was ambitious, but there was virtually no mention of the importance of cancer prevention.
April 14, 2016 News Stories
Pub­lic-health of­fi­cials’ con­cern over the Zika vir­us is in­creas­ing, and some key Re­pub­lic­ans on Cap­it­ol Hill are warm­ing to the idea that fight­ing the dis­ease might mean dol­ing out more funds—even­tu­ally.

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