Affordable and Accessible Healthcare for All

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Our healthcare system is broken and it needs to be fixed.  People across the country are in desperate need of serious reforms that better serve them and their families. While the Affordable Care Act (ACA) took an important step forward by insuring close to 20 million Americans, many issues—such as escalating costs on individuals and small businesses, and high copayments and deductibles—remain. With 27 million Americans still uninsured today, Tulsi is committed to working to ensure that affordable healthcare is available to all Americans.  So far, every GOP version of healthcare reforms intended to replace the Affordable Care Act only make the problems worse, threatening to slash billions from Medicaid, strip away essential health benefits like maternity care, substance abuse treatment, and mental health services, expand a crippling age tax on our kūpuna, eliminate healthcare tax credits for over 7 million veterans, and break the bank for those with pre-existing conditions.

We need real healthcare reform that brings down costs, increases access to quality care, and ensures basic health services are available to all Americans.  As a cosponsor of H.R.676, the Expanded & Improved Medicare for All Act, Tulsi Gabbard is working towards a system that will provide universal healthcare to all Americans—a standard met by nearly every other major industrialized country in the world. We need a system that puts people first, ahead of the profits of insurance and pharmaceutical companies. The Medicare for All Act is an important step forward.

“I am committed to working to ensure that affordable healthcare is available to all Americans.” -Rep. Tulsi Gabbard

Protecting Medicare and Medicaid 
Medicare and Medicaid help nearly 130 million Americans, including close to 570,000 people in Hawaiʻi, access quality healthcare. Tulsi is continuing to work to increase Medicare reimbursement rates to help expand health care access and retain physicians in our rural communities. She has cosponsored legislation like the Medicare Premium Fairness Act to prevent premium and deductible increases for those enrolled in Medicare, and the Improving Access to Medicare Coverage Act to help ensure those who are most in need continue to have access to quality and affordable care.   

Fighting for the Healthcare Veterans Deserve 
While veterans have been experiencing delays and obstacles in receiving VA healthcare for decades, in 2014, our country's failure to fulfill its promise to our veterans was starkly exposed. At the Department of Veterans Affairs (VA), veterans faced wait times of 90 days or more to see a doctor. Hawaiʻi veterans experienced the worst wait times in the country, averaging 145 days—almost five months—just to see a primary care physician for the first time. As the VA crises unfolded, Tulsi introduced a bill called the Access to Care and Treatment Now for Veterans Act to allow veterans not getting timely healthcare from the VA to get care from non-VA medical providers. This policy was ultimately included in the Veterans Access, Choice, and Accountability Act that became law at the end of 2014. Tulsi is continuing to fight for our veterans, including working to eliminate the unacceptable wait times veterans still face today. 

“I successfully introduced legislation to allow veterans to get the immediate care they need.” -Rep. Tulsi Gabbard

Increasing Healthcare Access in Rural and Underserved Communities
People from every island deserve access to the highest quality of health care. In visits to Community Health Centers and Critical Access Hospitals throughout the state, Rep. Tulsi Gabbard has seen firsthand the challenges brought on by remote locations, lack of funding, and staff shortages. She is working to help solve these challenges and create greater access to care in our rural and underserved communities, and has cosponsored legislation like the bipartisan CONNECT for Health Act to remove Medicare barriers to tele-health and remote patient monitoring services.  She also passed an amendment in the FY16 National Defense Authorization Act to provide military retirees living more than 100 miles from a military treatment facility the option to re-enroll in TRICARE Prime. This amendment successfully reversed a 2013 policy that eliminated this access and created barriers for our veterans. 

Restoring the Federal Healthcare Promised to COFA Migrants
Rep. Tulsi Gabbard is also working to restore federal funding for health care that was promised to Compacts of Free Association (COFA) migrants. In 1996, Congress passed a law that made migrants from Micronesia, Palau, and the Marshall Islands ineligible for federal Medicaid dollars.  Without federal dollars, Hawai‘i has borne the cost of care for COFA migrants, which has strained our state’s resources. Each year, Hawai‘i spends an estimated $30 to $40 million to provide health care to these families. Tulsi introduced the Restore Medicaid to Compact of Free Association Migrants Act to right this wrong,  require the federal government to fulfill its obligations, honor our COFA, and share the cost of providing health care.

Addressing the Opioid Epidemic  
2.1 million people suffer from dependency and addiction to prescription opioid drugs in the United States. 80% of the world's pain pills are consumed in the U.S., even though we only have 5% of the world's population. This is an epidemic that reaches every corner of our nation. Tulsi has cosponsored legislation like the STOP OD Act (H.R.664) to help state and local governments raise awareness of the dangers of opioids like fentanyl, oxycodone and heroin, expand educational efforts to prevent opiate abuse and promote treatment and prevention.  She also voted to pass a series of bipartisan measures in the 114th Congress to address some of the widespread problems that have caused and perpetuated the national opioid crisis, including the Comprehensive Addiction and Recovery Act of 2016 (S.524) signed into law in July 2016, and has continued to call for drug companies perpetuating the crisis to be held accountable. 

"In my home state of Hawaiʻi, hospitalizations and emergency room visits for opioid-related conditions have more than doubled in the last decade. More people are now dying from overdoses than motor vehicle accidents.This opioid epidemic is killing 91 Americans all across this country every single day.​" -Rep. Tulsi Gabbard 

More on Affordable and Accessible Healthcare for All

December 13, 2013 Press Release

Washington, DC – Congresswoman Tulsi Gabbard (HI-02) today cosponsored legislation designed to stop the overuse of antibiotics on livestock, a practice that is accelerating the growth of antibiotic-resistant diseases among humans. The bill, called the Preservation of Antibiotics for Medical Treatment Act (PAMTA; H.R. 1150), aims to preserve the effectiveness of medically important antibiotics. It requires the government to not approve a new animal drug if it reduces the effectiveness of human antibiotics and drugs.

November 15, 2013 Press Release
Washington, DC – Congresswoman Tulsi Gabbard (HI-02) today voted to protect consumers from a greater risk of substantial price hikes in healthcare premiums. She voted against the Keep Your Health Plan Act (H.R. 3350), a bill that allows health insurers to offer plans that existed as of January 1, 2013 to current and future consumers, but will reduce the number of people entering the healthcare marketplaces, creating the likelihood of dramatically increased premiums. It passed the House today by a vote of 261-157.
 
November 1, 2013 Press Release
Washington, DC – Congresswoman Tulsi Gabbard (HI-02) today released the following statement on the implementation of the Affordable Care Act (ACA):
 
“While the ACA seeks to help millions of uninsured Americans get quality, affordable coverage, the glitch-ridden launch of the online exchanges, and other coverage-related problems, have raised serious concerns,” said Congresswoman Tulsi Gabbard.
 
September 19, 2013 Press Release

House passes bill to cut $40 billion in food aid to Americans over next 10 years

Washington, DC
– Congresswoman Tulsi Gabbard (HI-02) today voted against legislation that would cut nearly $40 billion from nutrition programs, including the Supplemental Nutrition Assistance Program (SNAP). The Nutrition Reform and Work Opportunity Act (H.R. 3102) doubles the amount of cuts that were proposed by the House in July. The bill passed today by a vote of 217 to 210.

July 17, 2013 Press Release

Washington, D.C. – Congresswoman Tulsi Gabbard (HI-02) voted today against two bills that would delay of the individual and small business insurance mandates required by the Patient Protection and Affordable Care Act (ACA). The Authority for Mandate Delay Act and the Fairness for American Families Act both passed the House today.

 Congresswoman Tulsi Gabbard released the following statement about her votes:

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