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premiums for individual market plans may go up as 
much as 50 percent because of the law. 
(2) The President pledged that Americans 
would be able to keep their health care plan if they 
liked it. But the non-partisan Congressional Budget 
Office now estimates 2 million Americans with em-
ployment-based health coverage will lose those plans. 
(3) Then-Speaker of the House, Nancy Pelosi, 
said that the President’s health care law would cre-
ate 4 million jobs over the life of the law and almost 
400,000 jobs immediately. Instead, the Congres-
sional Budget Office estimates that the law will re-
duce full-time equivalent employment by about 2.0 
million hours in 2017 and 2.5 million hours in 2024, 
‘‘compared with what would have occurred in the ab-
sence of the ACA.’’. 
(4) The implementation of the law has been a 
failure. The main website that Americans were sup-
posed to use in purchasing new coverage was broken 
for over a month. Since the President’s health care 
law was signed into law, the Administration has an-
nounced 23 delays. The President has also failed to 
submit any nominees to sit on the Independent Pay-
ment Advisory Board, a panel of bureaucrats that 
will cut Medicare by an additional $12.1 billion over 
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the next ten years, according to the President’s own 
budget. 
(5) The President’s health care law should be 
repealed and replaced with reforms that make af-
fordable and quality health care coverage available 
to all Americans. 
(b) POLICY
ON
REPLACING
THE
PRESIDENT’S 
HEALTH CARE LAW.—It is the policy of this resolution 
that the President’s health care law must not only be re-
pealed, but also replaced, for the following reasons: 
(1) The President’s health care law is a govern-
ment-run system driving up health care costs and 
forcing Americans to lose their health care coverage 
and should be replaced with a reformed health care 
system that gives patients and their doctors more 
choice and control over their health care. 
(2) Instead of a complex structure of subsidies, 
‘‘firewalls,’’ mandates, and penalties, a reformed 
health care system should make health care coverage 
portable. 
(3) Instead of stifling innovation in health care 
technologies, treatments, and medications through 
Federal mandates, taxes, and price controls, a re-
formed health care system should encourage re-
search and development. 
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(4) Instead of instituting one-size-fits-all direc-
tives from Federal bureaucracies such as the Inter-
nal Revenue Service, the Department of Health and 
Human Services, and the Independent Payment Ad-
visory Board, individuals and families should be free 
to secure the health care coverage that best meets 
their needs. 
(5) Instead of allowing fraudulent lawsuits, 
which are driving up health care costs, the medical 
liability system should be reformed while at the same 
time reaffirming that States should be free to imple-
ment the policies that best suit their needs. 
(6) Instead of using Federal taxes, mandates, 
and bureaucracies to address those who have trouble 
securing health care coverage, high risk pools should 
be established. 
(7) Instead of more than doubling spending on 
Medicaid, which is driving up Federal debt and will 
eventually bankrupt State budgets, Medicaid spend-
ing should be brought under control and States 
should be given more flexibility to provide quality, 
affordable care to those who are eligible. 
(8) Instead of driving up health care costs and 
reducing employment, a reformed health care system 
should lower health care costs, which will increase 
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economic growth an employment by lowering health 
care inflation. 
SEC. 604. POLICY STATEMENT ON MEDICARE. 
(a) FINDINGS.—The House finds the following: 
(1) More than 50 million Americans depend on 
Medicare for their health security. 
(2) The Medicare Trustees Report has repeat-
edly recommended that Medicare’s long-term finan-
cial challenges be addressed soon. Each year without 
reform, the financial condition of Medicare becomes 
more precarious and the threat to those in or near 
retirement becomes more pronounced. According to 
the Congressional Budget Office— 
(A) the Hospital Insurance Trust Fund 
will be exhausted in 2026 and unable to pay 
scheduled benefits; and 
(B) Medicare spending is growing faster 
than the economy and Medicare outlays are 
currently rising at a rate of 6 percent per year 
over the next ten years, and according to the 
Congressional Budget Office’s 2013 Long-Term 
Budget Outlook, spending on Medicare is pro-
jected to reach 5 percent of gross domestic 
product (GDP) by 2040 and 9.4 percent of 
GDP by 2088. 
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(3) The President’s health care law created a 
new Federal agency called the Independent Payment 
Advisory Board (IPAB) empowered with unilateral 
authority to cut Medicare spending. As a result of 
that law— 
(A) IPAB will be tasked with keeping the 
Medicare per capita growth below a Medicare 
per capita target growth rate. Prior to 2018, 
the target growth rate is based on the five-year 
average of overall inflation and medical infla-
tion. Beginning in 2018, the target growth rate 
will be the five-year average increase in the 
nominal GDP plus one percentage point, which 
the President has twice proposed to reduce to 
GDP plus one-half percentage point; 
(B) the fifteen unelected, unaccountable 
bureaucrats of IPAB will make decisions that 
will reduce seniors access to care; 
(C) the nonpartisan Office of the Medicare 
Chief Actuary estimates that the provider cuts 
already contained in the Affordable Care Act 
will force 15 percent of hospitals, skilled nurs-
ing facilities, and home health agencies to be-
come unprofitable in 2019; and 
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