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Lou Barletta on Health Care

 

 


Cross-state insurance; develop wellness programs

Our health care system is broken. It's time for our government to take a leadership role in helping private-practice doctors and hospitals develop wellness programs before patients get sick. Allow insurance companies to sell health care policies across state lines because increasing competition will help contain costs. Make sure big companies don't exclude employees whose positions have been created at just below full-time hours from health benefits offered to full time employees.
Source: 2010 House campaign website, loubarletta.com, "Issues" , Nov 2, 2010

Protected volunteer firefighters from ObamaCare

Named "Legislator of the Year" by the National Volunteer Fire Council for protecting volunteer fire companies from ObamaCare regulations, costs and penalties that would have crippled them. In Pennsylvania, 97 percent of all fire companies depend either entirely or mostly on volunteers. ObamaCare's threat to volunteer fire companies represented an unacceptable threat to public safety, and the House agreed by passing Lou's Protecting Volunteer Firefighters and Emergency Responders Act.
Source: 2018 Pennsylvania Gubernatorial website LouBarletta.com ,

Voted YES 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-OR]: 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 YES 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

Opposes government-run healthcare.

Barletta opposes the CC survey question on government-run healthcare

The Christian Coalition voter guide [is] one of the most powerful tools Christians have ever had to impact our society during elections. This simple tool has helped educate tens of millions of citizens across this nation as to where candidates for public office stand on key faith and family issues.

The CC survey summarizes candidate stances on the following topic: "Federal government run health care system"

Source: Christian Coalition Survey 10-CC-q5 on Aug 11, 2010

Repeal any federal health care takeover.

Barletta signed Club for Growth's "Repeal-It!" Pledge

The Club for Growth's "Repeal-It!" Pledge for candidates states, "I hereby pledge to the people of my district/state upon my election to the U.S. House of Representatives/U.S. Senate, to sponsor and support legislation to repeal any federal health care takeover passed in 2010, and replace it with real reforms that lower health care costs without growing government."

Source: Club for Growth's "Repeal-It!" Pledge 10-CfG-can on Jul 4, 2010

Increase funding for occupational & physical therapy.

Barletta signed Medicare Access to Rehabilitation Services Act (MARS)

Medicare Access to Rehabilitation Services Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act to repeal the cap on outpatient physical therapy, speech-language pathology, and occupational therapy services of the type furnished by a physician or as an incident to physicians' services.

SEC. 2. OUTPATIENT THERAPY CAP REPEAL.

Section 1833 of the Social Security Act (42 U.S.C. 1395(l)) is amended by striking subsection (g).

[Explanatory note from Wikipedia.com "Therapy Cap"]:

In 1997 Congress established per-person Medicare spending limits, or "therapy cap" for nonhospital outpatient therapy, but responding to concerns that some people with Medicare need extensive services, it has since placed temporary moratoriums on the caps. The therapy cap is a combined $1,810 Medicare cap for physical therapy and speech language pathology, and a separate $1,810 cap for occupational therapy ($1870 for 2011). Medicare patients requiring rehabilitation from disabilities, car accidents, hip injuries, stroke, and other ailments would be limited to roughly two months worth of treatments at an outpatient therapy clinic. Any patients that exceed the cap, whether they are healed or not, would have to stop therapy, or pay for the therapy services out of their own pocket.Several medical associations have lobbied against therapy caps because the bill inadvertently restricted disabled seniors, stroke patients, and other severe cases from receiving therapy treatments.

Source: HR.1546&S829 11-HR1546 on Apr 14, 2011

Sponsored merging Alzheimers diagnosis and care benefit.

Barletta co-sponsored HOPE for Alzheimer's Act

Congressional Summary:The purpose of this Act is to increase diagnosis of Alzheimer's disease and related dementias, leading to better care and outcomes for Americans living with Alzheimer's disease and related dementias. Congress makes the following findings:

  1. As many as half of the estimated 5.2 million Americans with Alzheimer's disease have never received a diagnosis.
  2. An early and documented diagnosis and access to care planning services leads to better outcomes for individuals with Alzheimer's disease.
  3. Combining the existing Medicare benefits of a diagnostic evaluation and care planning into a single package of services would help ensure that individuals receive an appropriate diagnosis as well as critical information about the disease and available care options.

Proponent's argument for bill: (The Alzheimer's Association, alz.org). The "Health Outcomes, Planning, and Education (HOPE) for Alzheimer's Act" (S.709/H.R. 1507) is one of the Alzheimer's Association's top federal priorities for the 113th Congress. The HOPE for Alzheimer's Act would improve diagnosis of Alzheimer's disease and increase access to information on care and support for newly diagnosed individuals and their families. It would also ensure that an Alzheimer's or dementia diagnosis is documented in the individual's medical record.

Source: S.709/H.R. 1507 13-H1507 on Apr 11, 2013

Religious exemption from ObamaCare individual mandate.

Barletta co-sponsored H.R.631 & S.352

Congressional Summary: To provide an additional religious exemption from the individual health coverage mandate. This Act may be cited as the 'Equitable Access to Care and Health Act' or the 'EACH Act'. The 'Religious Conscience Exemption' exempts individuals who are members of a recognized religious sect which relies solely on a religious method of healing, and for whom the acceptance of medical health services would be inconsistent with their religious beliefs.

Supporters reasons for voting YEA: (TheHill.com weblog, April 29, 2013): "We believe the EACH Act balances a respect for religious diversity against the need to prevent fraud and abuse," wrote Reps. Aaron Schock (R-IL) and William Keating (D-MA). "It is imperative we expand the religious conscience exemption now as the Administration is verifying the various exemptions to the individual mandate," they wrote. Religious exemption from ObamaCare has come up before, including contraception. The EACH Act, however, deals only with exemptions from the insurance mandate.

Opponents reasons for voting NAY: (CHILD, Inc. "Children's Healthcare Is a Legal Duty", Dec. 2014): The Christian Science church is pushing hard to get another religious exemption through Congress. The EACH Act exempts everyone with "sincerely held religious beliefs" from the mandate to buy health insurance. We are particularly concerned about uninsured children: hundreds of American children have died because of their family's religious objections to medical care. The EACH Act increases the risk to children in faith-healing sects and the cost to the state if the children do get medical care. Some complain that their church members should not have to pay for health care that they won't use. But insurance works on the assumption that many in the pool of policyholders will not draw from it. Most people with fire insurance don't have their homes burn, for example.

Source: EACH Act 15_H631 on Jan 30, 2015

Fully repealing ObamaCare is important, but not sufficient.

Barletta voted YEA Full Repeal of ObamaCare

Heritage Action Summary: This vote would fully repeal ObamaCare.

Heritage Foundation recommendation to vote YES: (2/3/2015): ObamaCare creates $1.8 trillion in new health care spending and uses cuts to Medicare spending to help pay for some of it. Millions of Americans already have lost, and more likely will lose, their coverage because of ObamaCare. Many Americans have not been able to keep their doctors as insurers try to offset the added costs of ObamaCare by limiting the number of providers in their networks. In spite of the promise, the law increases the cost of health coverage.

Secretary of Labor Robert Reich recommendation to vote NO: (robertreich.org 11/22/2013): Having failed to defeat the Affordable Care Act, Republicans are now hell-bent on destroying the ObamaCare in Americans' minds, using the word "disaster" whenever mentioning the Act, and demand its repeal. Democrats [should] meet the Republican barrage with three larger truths:

  1. The wreck of private insurance: Ours has been the only healthcare system in the world designed to avoid sick people. For-profit insurers have spent billions finding and marketing their policies to healthy people--while rejecting people with preexisting conditions, or at high risk.
  2. We could not continue with this travesty of a healthcare system: ObamaCare is a modest solution. It still relies on private insurers--merely setting minimum standards and "exchanges" where customers can compare policies.
  3. The moral imperative: Even a clunky compromise like the ACA between a national system of health insurance and a for-profit insurance market depends, fundamentally, on a social compact in which those who are healthier and richer are willing to help those who are sicker and poorer. Such a social compact defines a society.

Legislative outcome: Passed House 239-186-8; never came to a vote in the Senate.

Source: Supreme Court case 15-H0132 argued on Feb 3, 2015

Other governors on Health Care: Lou Barletta on other issues:
PA Gubernatorial:
Allyson Schwartz
Mark Critz
Michael Nutter
Scott Wagner
Tom Corbett
Tom Wolf
PA Senatorial:
Bob Casey

Gubernatorial Debates 2017:
NJ: Guadagno(R) vs.Phil Murphy(D vs.Ray Lesniak(D) vs.Mayor Steve Fulop(D) vs.Lesniak(D) vs.Wisniewski(D) vs.Ciattarelli(R) vs.Rullo(R)
VA: Gillespie(R) vs.Perriello(D) vs.Wittman(R) vs.Wagner(R) vs.Northam(D)
Gubernatorial Debates 2018:
AK: Walker(i) vs.(no opponent yet)
AL: Kay Ivey(R) vs.Countryman(D) vs.David Carrington (R) vs.Tommy Battle (R)
AR: Hutchinson(R) vs.(no opponent yet)
AZ: Ducey(R) vs.David Garcia (D)
CA: Newsom(D) vs.Chiang(D) vs.Villaraigosa(D) vs.Delaine Eastin (D) vs.David Hadley (R) vs.John Cox (R) vs.Zoltan Istvan (I)
CO: Ed Perlmutter (D) vs.Johnston(D) vs.Mitchell(R) vs.Cary Kennedy (D) vs.George Brauchler (R) vs.Doug Robinson (R)
CT: Malloy(D) vs.Drew(D) vs.Srinivasan(R) vs.David Walker (R)
FL: Gillum(D) vs.Graham(D) vs.Mike Huckabee (R) vs.Adam Putnam (R)
GA: Kemp(R) vs.Casey Cagle (R) vs.Hunter Hill (R) vs.Stacey Abrams (R)
HI: Ige(D) vs.(no opponent yet)
IA: Kim_Reynolds(R) vs.Leopold(D) vs.Andy McGuire (D) vs.Nate Boulton (D)
ID: Little(R) vs.Fulcher(R)
IL: Rauner(R) vs.Kennedy(D) vs.Pawar(D) vs.Daniel Biss (D) vs.J.B. Pritzker (D)
KS: Brewer(D) vs.Wink Hartman (R)
MA: Baker(R) vs.Gonzalez(D) vs.Setti Warren (D) vs.Bob Massie (R)
MD: Hogan(R) vs.Alec Ross (D) vs.Richard Madaleno (D)
ME: (no candidate yet)
MI: Whitmer(R) vs.El-Sayed(D) vs.Tim Walz (D)
MN: Coleman(D) vs.Murphy(D) vs.Otto(D) vs.Tina Liebling (DFL) vs.Tim Walz (DFL) vs.Matt Dean (R)
NE: Ricketts(R) vs.(no opponent yet)
NH: Sununu(R) vs.Steve Marchand (D)
NM: Grisham(D) vs.(no opponent yet)
NV: Jared Fisher (R) vs.(no opponent yet)
NY: Cuomo(R) vs.(no opponent yet)
OH: DeWine(R) vs.Schiavoni(D) vs.Sutton(D) vs.Taylor(R) vs.Jim Renacci (R) vs.Jon Husted (R) vs.Connie Pillich (D)
OK: Gary Richardson (R) vs.Connie Johnson (D)
OR: Brown(D) vs.Scott Inman (D)
PA: Wolf(D) vs.Wagner(R)
RI: Raimondo(D) vs.(no opponent yet)
SC: McMaster(R) vs.McGill(R) vs.Pope(R)
SD: Noem(R) vs.Jackley(R)
TN: Green(R) vs.Dean(D)
TX: Abbott(R) vs.(no opponent yet)
VT: Scott(R) vs.(no opponent yet)
WI: Walker(R) vs.Harlow(D)
WY: (no candidate yet)
Newly-elected governors (first seated in Jan. 2017):
DE-D: Carney
IN-R: Holcomb
MO-R: Greitens
NH-R: Sununu
NC-D: Cooper
ND-R: Burgum
VT-R: Scott
WV-D: Justice

Retiring 2017-18:
AL-R: Robert Bentley(R)
(term-limited 2018)
CA-D: Jerry Brown
(term-limited 2018)
CO-D: John Hickenlooper
(term-limited 2018)
FL-R: Rick Scott
(term-limited 2018)
GA-R: Nathan Deal
(term-limited 2018)
IA-R: Terry Branstad
(appointed ambassador, 2017)
ID-R: Butch Otter
(retiring 2018)
KS-R: Sam Brownback
(term-limited 2018)
ME-R: Paul LePage
(term-limited 2018)
MI-R: Rick Snyder
(term-limited 2018)
MN-D: Mark Dayton
(retiring 2018)
NM-R: Susana Martinez
(term-limited 2018)
OH-R: John Kasich
(term-limited 2018)
OK-R: Mary Fallin
(term-limited 2018)
SC-R: Nikki Haley
(appointed ambassador, 2017)
SD-R: Dennis Daugaard
(term-limited 2018)
TN-R: Bill Haslam
(term-limited 2018)
WY-R: Matt Mead
(term-limited 2018)
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Page last updated: Nov 25, 2017