IV 
111TH CONGRESS 
1ST SESSION 
H. RES. 621 
Ensuring access to affordable and quality health care without increasing 
the Federal budget or contributing to market inflation while providing 
greater choices for patient-focused care for individuals and families. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 9, 2009 
Mrs. MCMORRIS RODGERS submitted the following resolution; which was re-
ferred to the Committee on Energy and Commerce, and in addition to 
the Committees on Ways and Means and the Judiciary, for a period to 
be subsequently determined by the Speaker, in each case for consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
RESOLUTION 
Ensuring access to affordable and quality health care without 
increasing the Federal budget or contributing to market 
inflation while providing greater choices for patient-fo-
cused care for individuals and families. 
Whereas there are real challenges facing the United States 
health care system, and Congress continues to debate 
how to expand access to affordable, quality health care 
and health insurance coverage; 
Whereas the United States spends substantially more on 
health care than other developed countries, with total 
health care spending reaching $2,200,000,000,000 a year 
or close to $7,000 for each American; 
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Whereas health care spending consumes about 17 percent of 
the gross domestic product; 
Whereas there are approximately 46 million uninsured in the 
United States; 
Whereas 18 to 35 year olds are the most underinsured sec-
tion of the population; 
Whereas more than half of the uninsured work for a small 
business; 
Whereas every American should have health insurance cov-
erage and the freedom to choose and control it; 
Whereas health care is personal and the doctor-patient rela-
tionship must be protected; 
Whereas Americans value choice and control over their health 
care decisions; 
Whereas greater government involvement in our Nation’s 
health sector would lead to higher costs, fewer medical 
discoveries and treatments, delays in access to care, and 
excessive and expensive increases in paperwork and bu-
reaucracy; 
Whereas Americans can improve quality and access in a way 
that also reduces costs by bringing more competition and 
choice into the health care sector and by giving people 
additional tools and incentives to become equal partners 
in managing their health spending and their care; and 
Whereas Americans must begin to refocus our Nation’s 
health sector on encouraging wellness and prevention, 
since health problems caught early are far less expensive 
to effectively address and treat: Now, therefore, be it 
Resolved, That it is the sense of the House of Rep-
resentatives that in order to ensure access to affordable 
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and quality health care without increasing the Federal 
budget or contributing to market inflation while providing 
greater choices for patient-focused care for individuals and 
families, the following principles should be included in any 
health care bill considered by the 111th Congress: 
(1) The ability to receive point-of-service health 
care in preventative, emergency, and rehabilitative 
settings in rural and urban areas. This must also 
advance critical health care training programs to re-
tain health care professionals and find a meaningful, 
long-term solution for the sustainable growth rate 
formula that will accurately reimburse physicians for 
the care they provide to Medicare beneficiaries. 
(2) With refundable tax credits for the pur-
chase of health insurance by low-income recipients 
together with tax credits for small businesses and 
access to association and small business, the cost of 
health care is within the reach of families and indi-
viduals while reducing costs without hurting the pa-
tient. 
(3) Medical liability reform to bring much need-
ed change to the civil justice system that is being ex-
ploited by trial lawyers and is responsible for driving 
up malpractice and health care costs. 
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(4) Safe and effective health service with meas-
urable results through the implementation of health 
information technology. 
(5) Build new incentives into health plans to 
encourage wellness, prevention, and to provide incen-
tives for people to make smart choices involving 
their health, care, treatment, and health insurance 
coverage. 
(6) Give people the ability to choose the best 
health care plan and options to meet their individual 
and family needs through portable health insurance 
and Health Savings Accounts. 
Æ 
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