I would just suggest that it was Seema Verma who is the head of CMS who issued the guidance, so I think she is in a position to have a say about what she believes the guidance allows or doesn't. To be clear, to quote her letter again: ``The 2018 guidance does nothing to erode the PPACA's preexisting condition provisions.'' That is what she is saying. So I think that letter is important. She put it in writing. She has said that repeatedly, and so I take her at her word. I do. I include her letter in the Record. Centers for Medicare & Medicaid Services, Washington, DC, May 7, 2019. Hon. Greg Walden, Ranking Member, House Committee on Energy and Commerce, House of Representatives, Washington, DC. Dear Representative Walden: Thank you for your continued interest in new state flexibility available under guidance recently issued interpreting section 1332 of the Patient Protection and Affordable Care Act (PPACA) (the 2018 guidance). Working within the limitations of the PPACA, this 2018 guidance is an important element of the Administration's actions to expand options and lower costs for patients around the country. I wanted to take this opportunity to set the record straight and reaffirm this Administration's commitment to lowering healthcare costs, increasing consumer choices, and protecting our most vulnerable citizens, including those who have pre-existing conditions.…
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I again thank the gentleman from Virginia for his leadership on this and so much other legislation. Madam Speaker, I urge passage of the legislation, and I yield back the balance of my time.
I thank my friends on both sides of the aisle and our terrific staffs for their great work on these 16 pieces of legislation that we brought forward to the House floor from the Energy and Commerce Committee. I urge passage of this bill…
I, too, rise in support of H.R. 4499, the National Institute on Minority and Health Disparities Research Endowment Revitalization Act. Mr. Speaker, I thank my Committee on Energy and Commerce colleagues on both sides of the aisle…
I thank the gentlewoman from Michigan for her kind comments and her leadership on this legislation. Mr. Speaker, can I inquire how much time is remaining? The SPEAKER pro tempore. The gentleman from Oregon has 11\1/2\ minutes remaining.





