The 112th Congress: What’s At Stake? by Congresswoman Donna M. Christensen

8/2/2019 The 112th Congress: Whats At Stake? by Congresswoman Donna M. Christensen

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THE 112TH CONGRESS:

WHATS AT STAKE?

Clean air, water and more

than just insurance!Congresswoman Donna M. Christensen

NEJC - 2012 1


2/27

THE MOST ANTIENVIRONMENT

CONGRESS IN HISTORY (LCV)

The House Republican assault on the environmenthas been reckless and relentless, said Rep.

Waxman. In bill after bill, for one industry after

another, the House has been voting toroll back environmental laws and

endanger public health. The Republican

anti-environment agenda is completely out-of-touch with what the American public wants.

-Congressman Henry Waxman, Ranking Member, House E&C Committee

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House Passed 2013 Budget on

Environmental Issues

The Ryan Budget- An Attack on CleanAir, Clean Water and AmericasTreasured landscapes NWF

2013 Ryan Republican Budget likesclean energy even less than 2012version - NRDC

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6/27

Examples of Potential Impact of

House Passed 2013 Budget

Cut as much as 19% in DOEs Clean energy programs

Within the Department of Energy (DOE), the budgettrims $3 billion for civilian DOE programs, whichinclude funding for the Federal Energy RegulatoryCommission and the Nuclear Regulatory Commission

Cut of $456 million to investments in public healthand the environment under EPA (possibly as much as$1.6 billion)

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In the Congress, the Republican leadership,

including Senate minority leader MitchMcConnell of Kentucky and House minority

leader John Boehner of Ohio, continue to

inveigh against healthcare reform.

We've fought on behalf of the

American people this week, andwe'll continue to fight until this bill

is repealed...7


8/27

Laws that were Enacted

that Undermine ACAProvisions:

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H.R. 3060 (Middle Class Tax Relief

and Job Creation Act of 2012): Cuts$6.25 Billion out of the Prevention

and Public Health Fund between

FY2013 to FY 2021.

H.R. 1217: This bill REPEALS the

Fund altogether and rescinds all

unobligated funds for the

Prevention and Public Health Fund.9


10/27

1. H.R. 1: Full-Year Appropriations Act,

2011. Cuts $2.2 billion (of the $6 billion)

Repealed free choice voucher program

Prohibits transfer of funds to pay for the

new U.S. Public Health Sciences Track

2. H.R. 1173:Repeals the CLASS Act (theCommunity Living Assistance Services and

Support program).

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11/27

1. H.R. 1216: Threatens funding for

Graduate Medical Education in

Qualified Teaching Health Centers

2. H.R. 1214: Repeals mandatory funding

for School-Based Health CenterConstruction (-$200 Million)

3. H.R. 1213: Repeals Funding for thePublic Health Exchanges.

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in 2011

4. H.R. 4: Repeals all health reform

measures that would be paid through

taxes.

5. H. Res. 9: Instructs certain committees

to report legislation replacing ACA.

6. H.R. 2: Repeals the Affordable CareAct.

7. H.R. 5: Repeals the Independent

Payment Advisory Board 12


13/27

House Passed 2013 Budget

on Health Care

Repeals the Affordable Care Act

Ends Medicare guarantee and raises costsfor seniors and people with disabilities

Turns Medicaid into a block grantjeopardizing access to health care and long

term care

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Minorities have benefitted from ACA

Already

Extended coverage to 26 year olds:

410,00 African Americans

736,000 Latino Americans

97,000 Asian Americans

29,000 American Indians/Alaskan Natives

Free preventive Care under Medicare:

2.4million African Americans

More than 500,000 Latino Americans

More than 500,000 Asian Americans14


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CBC / TRICAUCUS APPROACH

TO HEALTHCARE REFORM

Insurance is not enough

Health equity must be a core goal

Provisions must address health at

community level broadly15


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PPACA Promotes Health Equity

Increases access, security and safety ofhealth care

Makes the elimination of discrimination andhealth disparities and key goals

Creates a Public Health fund and programs

Invests in community based programs16


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Improves cultural competency in health

services and information

Expands access to mental health, substance

abuse and dental services

Funds programs that increases training of

underrepresented minorities in the health

workforce

Improves and expands data collection by

race, ethnicity and certain socioeconomic

factors 17


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Strengthens and expands Offices of MinorityHealth (and Womens Health)

Elevates Center of Minority Health & Health

Disparities to National Institute at NIH

Requires a National Strategy for Quality

Improvement in Health Care including to

eliminate health disparitiesCreated a National Prevention, Health

Promotion and Public Health Council

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The Congressional Black Caucus

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Health Disparities in the U.S. are

the manifestations of all ofsocietys other social inequalities.

Dr. Vicente Navarro

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CBC MEMBERS POSITIONS /

COMMITTEES ASSISTANT LEADER

Transportation &

Infrastructure 10 Oversight & Gov

Reform 4

Energy & Commerce

4 Appropriations 5

Budget 4

Financial Services 10

Small Business 4

Agriculture 2 Foreign Affairs 3

Armed Services -2

Veterans affairs -2

Homeland security -7

Education and labor -1

Judiciary - 4

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Key Provisions of CBC alternative

Budget

Unlike Republican Budget Protected social security, Medicare, SNAP, TANF, safety nets

Increased Pell Grants

Above the Presidents budget:

invested additional $25 billion in education and job training

Added $50 billion in transportation and infrastructure

Added $12 billion in advanced research and development

Added $10 billion for healthcare Created a Public health Insurance option

Reduced deficit by additional $3.4 trillion

Paid for with tax reform measures while extending middle class

tax cuts 22


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Health Equity and Accountability Act

of 2011 H.R. 2954

Title I: Data collection and reporting

Title II: culturally and Linguistically

Appropriate healthcare

Title III: Health workforce Diversity

Title IV: Improvement of Healthcare Services

Title V: Improving Health Outcomes for

Women, Children and Families

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Health Equity and Accountability Act

of 2011: H.R. 2954

Title VI: Mental Health

Title VII: Addressing High Impact MinorityDiseases

Title VIII: Health Information Technology

Title IX: Accountability and Evaluation Title X: Addressing Social determinants and

Improving Environmental Justice

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OTHER CBC INITIATIVES

Out of Poverty Caucus / Resolution

The 10/20/30 Initiative

Jobs Creating Legislation / Tours

Voter protection efforts /tour

Clergy outreach25


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CLOSING THE GAP

REPORT (2005)

Inequities within the health care system

and within larger social, environmental

and economic structures persist not

because of a dearth of solutions, but

because of a failure of political will

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Thank you and please join us at the

2012 Spring CBC Health Braintrust on

Tuesday, April 23-24, 2012 in Washington,DC.

This years theme is, Mobilizing to ProtectHealth Care Reform:

Were Not Going Back!

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Documents

The 112th Congress: What’s At Stake? by Congresswoman Donna M. Christensen