That has been around for about a month now. Rick santorum is going to tell you how history is on our side. Ron johnson will talk about numbers because that is what he does and dean heller will tell you about how this is a good deal for nevada and the country as a whole. I will start with this proposition. If you leave repealing and replacing obamacare is a good idea, this is your best and only happen. O make it Everything Else has failed except this approach, which will work if we get behind it. If you want a singlepayer Health Care System, this is your worst nightmare. Ends yourders, this dream of a singlepayer Health Care System for america. We need people on board now to stop what i think is inevitable if we fail, which is singlepayer health care for all which is the end of quality and the end of a sustainable federal budget. There are four three choices. Care, or ourrnie bill. That is where we are our. Count me out for propping up obamacare. Hell no to bernie care. Count me in for people in my state making decisions about health care versus some in washington. There is a lot of fight left in the Republican Party when it comes to repealing or replacing obamacare. The reason i know that is because i spent all of august talking about our failure and happy about the idea that the Republican Party after seven years promised to repeal and replace obamacare and is apparently ready to quit. The question is, is there any fight left in washington . Is there any fight in the Republican Senate . In the white house . There are a lot of companies dying to have another shot at health care a lot of colleagues of mine would like to talk about taking the power out of washington and returning it to the state and putting it in the hands of people you can actually complain to. Under a obamacare, if you do not like it, who do you complain to . You can complain to me but i dont want obamacare. According to this bill you can actually complain to a statehouse representative for probably lives in your neighborhood, goes to the same high school you go with your family, under bernie care you complain to a faceless bureaucrat. Obamacare,e care and there really is no innovation. Under this approach, 50 states deliver healtho care and over time, guess what . Some will figure out better than others. Those who do badly will copy those who do well. Under obamacare, you are no better than the bureaucrat or the most liberal member of the health and senate. This is a defining site for the future of health care and the defining party. We refuse to quit. We had them working on a bill i think should have been our first approach to repealing and replacing obamacare but it is now our last. Four states under obamacare get 40 of the money. If that bothers you, this is a chance to do something about it. If you live in a state and you sending money to maryland, new york, massachusetts, in california, bill. Ote for bernies propped up obama care. If you believe your state should have more money, more us. Ibility, then vote for i have been involved in a lot of things in the last 20 years. This is the most important thing i believe i will ever be involved in as a member of the United States senate. I know what awaits our country if we fail. The consolidation of health care at the hands of federal to grave. From cradle unlimited, unsustainable spending that the federal budget. There are two steps, and deal with medicaid. Slowly the growth of medicaid down in year eight. If we do nothing, by 2027 over 650ill be billion and spending. We are spending 459 billion today on the military. Let me say that again. To do nothing means we will be spending more than a decade on medicaid than we do to defend our country. This bill changes that. 44 of the money under obamacare goes to four states. We level out spending 10 years from now, 2026 and every state gets basically the same contribution from the federal government that will allow you to adjust if you have an older or sicker population. You can get more money. The goal is by 2026 to make sure every patient no matter where they live gets basically the same contribution from the federal government. Most americans believe that is there. An inequityels out in finding. It allows flexibility that obamacare would never embrace. It gives patients a boy in the health care that they would never have in the singlepayer system and in my point of view, it is the last and best hope for the Republican Party to show our we have ideas and that ideas are better than our friends ideas on the other side. Lastly, liberals will fight late tigers to the bitter end to get what they want. To those in the Republican Party we have not fought as hard as we could, they are right. To those conservatives who feel let down by this debate, you have every reason to be let down. Heres my call to the group of them party, and to all who believe that health care should be closer to the patient, not suck in washington. We need your help. The only thing stopping us from having this idea debated on the floor of the United States senate is lack of leadership. Bill cassidy. Thank you for eating her. In the know i worked Louisiana CharityHospital System for 25 years. The system was basically, if youre up for that is where he went. I learned that when a politician controls the dollars, the system lines up to serve the politician. If the patient controls the dollar, the system lines up to surfer. Were trying to give the patient the power. Upwant the system to line with a patient a matter where she lives. Some say my gosh, what is wrong with the status quo. There is a saying that obamacare only works if you did not. An example. A talkshow host in louisiana. Selfemployed. Child. Pecial needs his premium every years over 40,000 with a 5,000 deductible and an additional pharmaceutical deductible. Think of that. He is going to pay 50,000 a year between his premium and his deductibles. The mortgage of a 500,000 home and louisiana is considered to be one of the states in which the individual market is working relatively well. It does not work if you work. We try and change it. For people to have a Affordable Health care transfer. I have been accused of partisanship. A New York Times editorial cut opined draconian cuts. We have not reduced produced a billion. If they have not seen the bill, how do they know theyre a stroke on in cuts. Some of our democratic colleagues were produced of bipartisanship. Let meal just say, you have the right yet. Ofequalize the treatment wherever the patient lives. If she currently lives in a state with a him a chronic governor, it is 2026 web or should lives. Same amount provided for her care. We dont think of blue states are red states, we think of american states and patient. One example, the difference between what we would buy versus what they would receive. Indiana will receive 1. 5 billion the and 2026 relative to status quo, a state represented by a democratics and senator. Missouri, 1. 1 billion. For junior, and 2. 7 billion a partisanis is not role. This is a bill about the american patient, wherever she lives. Kaine thes, tim gentleman from virginia said he did not accuse us of partisanship but he wished there would be a better process. I agree. I hope there is a hearing. Lets not be disingenuous. So far from the other side of the aisle there has been no couple operation cooperation. They are paying 50,000 he year under the status quo. We can do better. All of the dollars for us to repeal the individual mandate, we get rid of the medical device tax. We take the dollars to the left. The way we decide what state gets what is everybody in the nation who earns between 50 and 138 of federal poverty level. Then you take each states sense of that National Population and that is where you began. Beginning in 2021 those dollars where a located, depending on what percent you have of the total National Population of among that income level. That is where we decide how to spending money. Beginning in 2022 we put in a risk adjustment, face it in. At the end we get a little bit more per patient. Those who are younger and healthier, everybody will get 10 percent. S or we also would we begin to phase and we want the allocation based on enrollment. As much as the ceo is going to doing that is, Jonathan Gruber fored that was an article there is which he says no system is to clean different statistically ignorant affect. Of a governor gets on board. If a governor gets on board it happens. 450siana and rolled thousand dollars in 18 months. We say towards the end, the amount of money you get will depend upon those you enroll but we are conservative. We dont think our headquarters best of all. The patient that has be a the person who gets it through her employer of she had a little extra money can receive premium support in order to get it through her employer. Jeffould also mention cruises amendment and the cassidycollins bill which allows a state to put money in a Health Savings account for a person to have their own entrance. Our polis to give patients power. This is great reform. Craigsurn it over to night i did one of my weekly town Hall Meetings and i had a nurse on the phone and the nurse Congress Gets it. They finally understand what is good for america and they finally understand what is best for the state of nevada. I remember in 2012 when obama was running for reelection. He was running against romney. I said, if romney does not win is going to make it very tough to reverse. Obamacare as we know it today has proven that has been a very. Ifficult task in fact, right now republicans have two plans. One to repeal but not replace. Both have not failed miserably. Weve come up with a third option. That is to repeal and replace. I will tell you this. Obamacare has not worked for all nevadans. A couple months ago, 14 of 17 , 14 of 17 counties were going to go bare after the first of next year. With the work of my Office SundayGovernors Office we were able to find a single carrier that would actually work for those 14 of 17 counties but unfortunately we found one carrier which means theres no competition or choices. You know that is only going to increase costs and those 14 or 17 counties. Another example, we have spent in the state of nevada over 18 my dollars because they cannot afford the product the government tells them they have to buy. So theyre paying the fine. Most make less than 50,000 he or. 80 of them. The least fortunate have to pay this fine because they cannot afford to for this product the government says they have to live. I said, obamacare does not work for all of nevada. Week, i had an interview with a show called the vet it newsmakers. Ae host of the show said in discussion with senator reid couple years ago that senator reid said there a singlepayer systems ultimate goal was to become a singlepayer system. We set up aars ago, system on the purpose was to get system. Singlepayer quoting the majority leader. The goal was to put together a piece of legislation that was supposed to fail. Obviously, that is working out. I do not think americans or nevadans deserve this. We need to find a way or word. Caspi,it out through heller, it johnson. This is a way forward, the most reliable. States,ns powers to the provides ultimate flexibility to governors and legislators regardless of whether they expanded medicaid or not. Gives nevadaal more money to Cover Health Care costs as it sees fit. This is the step forward. This is how were going to move forward. I have a plan that works for everyone. With that, ron johnson. They really did with senator grahams said, our last chance of repealing what i think has done a lot of harm t it has done some good but also harm. I will mention numbers. I dont want to disappoint. 560 Million People spent on medicaid. This share, we will spend 40 years. Clearly, unsustainable. My standpoint is we did not need obamacare. According to the Wisconsin Department of Public Health services, part of obamacare was 94 of wisconsinites had [laughter] 100,000 scots night are willing to pay the family. Per year. S than according to hhs, wisconsins premiums have by and large double because of the artificial nature. Haveny cases, premiums tripled. One thing i appreciate about president bill clinton talking about obamacare, the craziest thing in the world, he was talking about the forgotten man and women. People sometimes working 60 hours a week. Their premiums have doubled, i would say tripled or more. Coverage cut in half. They cannot afford obamacare and that is simply the truth. Fernand shery b, wrote to me. They literally had been cashing their 401 k s, selling their house, because they had to pay back the subsidies under obamacare. 60,000 year and they had to cash in their 401 k and lose their house. The forgotten men and women of obamacare that are forgotten by bureaucrats and washington, d. C. Those men and women wont be forgotten by legislators. Graham Cassidy Heller johnson, would it does is it returns the power to the states. It makes states more responsible. More responsive. Will comepremiums down because states will be granted more flexibility and it will be more fair. In wisconsin, it is proof positive, because of the leadership of governor state walker we are the only state to cover the gap. Denied subsidy for working poor. Work, good flexibility but no flight under obamacare. But there will be now a whole and thisclear process is a far fair process. Let me conclude by pointing out was senator graham also said. For my republican colleagues, this is not quite it enough. It does not do enough for eight repeal. I will never let perfect be the enemy of the good. Graham Cassidy Heller johnson is a vast improvement. It is not perfect. Still a ways to go. There are fixes weve got to initiate. This is better than obamacare which is leaving behind those forgotten men and women. Myent to commend all of colleagues. I want to commend dr. Walker for showing great leadership. With that, i will turn you over to rick santorum. Santorum rep. Santorum i have a disabled this was affecting our family personally and i was watching what was going on in washington and what i saw was the frustration that i think most americans see. The dysfunction of docketing anything done. I brought an idea to senator graham and have been working about him and members of the freedom caucus. Governor walker was one of the first i called to bounce this idea off of. I learn from experience 20 years is to talke best way to governors. Get governors, governor idea, and you have some leadership. Over the past several months we have been working with governors. The general has been incredible. Providing tremendous leadership in helping together this package you see here today. Other governors have tremendously contributed to this role credit goes to Lindsey Graham and then bill cassidy who has been working day and night on this bill and dean and ron. Not only the last choice but the best choice. Churchill said america always does the right thing after tries everything first. That is where we are here. Weve tried everything. This is an idea that will work to consider is proven to work. It is proven because back in 1996 we actually passed the only reform of an entitlement in the history of the country and that was welfare. It was a den families to dependent children which i was severally involved with. I came up with this idea because it is the same principles. Get the money out of washington, the ability to design programs and let them treat the population the money is designated foreign a way that meets the needs of the family sitting across the table. It worked and 99s sex and with that bipartisan support. Something not is in the current lexicon of peopleton, d c, but the building consensus should be. Replacel does not everything. Let me assure you in 1996 we did everything. We spent more money initially than what was being spent on welfare. That is not the case here, but and thereore money were a lot of purists conservatives who were against welfare reform only passive. It was not perfect. It was not a good compromise. Is, what welfare turned out to be because it has been the most successful reform of a program in the history, it has also been great for the american budget. Ne know how many times never. Do you ever hear a governor come washington and complain designer. Governors will maybe ham and talk about how much money is in the folders but i give a combo of money and flexibility. They works best for them will save money, get Better Health care for people i just like we did with welfare, will get this problem out of washington, d. C. , and have this debate where it belongs. It is the right approach at the right time. Welfare reform works because we are able to balance the option to make sure we gave enough money. For the purist, a lot of money. We get the money out of washington, we give the , werers flexibility going to have a big reform in my d. C. ,me and washington, if this bill passes. So for anybody who says they are getting power to the people are washington,r out of you have to question whether they mean what they say. That is what this bill does. Graham, you said this bill lacked leadership. Point, [indiscernible] get 50. Said, lets lets do a. We have the show. I have been im asking them to work overtime. Bernie will not to you how much is bill cost and how is going to pay for it. We can tell you exactly what this cause. Trillion dollars. Some a lot more concerned, we and the taxes of obamacare left them on phase. Unlike bernie, how we pay for it. Are a republican out there disappointed in our efforts to replace or repair, help me get 50 votes. Help us. The president. Mike pence. He is been awesome. Mr. President , help us. The president said if you can get 20 governors he would stand with them. Said the Republican Party has done his best to pick palin replaced, that is a joke. We can do this by ourselves is not unreasonable. We have given a pathway forward that is fair, fundamentally transforms medicine in the country, gives space since a stronger voice. Repairs and replaces obamacare forever. U