Congressman Adam Smith

Representing the 9th District of Washington

Health Care

Health Care Reform

Historically, our health care system has cost too much, didn’t cover enough people, and incentivized inefficiencies. With these concerns in mind, Congress passed and the President signed into law the Patient Protection and Affordable Care Act, commonly referred to as the ACA. The primary goal of the ACA was to increase access to affordable health care for the medically uninsured and underinsured.

Starting in October 2013, individuals began signing up for health insurance through the state health insurance exchanges established by the ACA – websites where individual consumers and small businesses could compare and shop for health insurance plans available in their state. Five key provisions of the law came into effect at the start of 2014: the individual mandate; pre-existing condition coverage; employer mandate; subsidies; and online health insurance exchanges.  Further, the law enhanced the quality of healthcare for those on Medicare and disallowed health insurance providers from denying individuals coverage based on preexisting conditions. It closed the Medicare drug coverage gap known as the “donut hole” and allowed recent college graduates to remain on their parent’s health insurance plan. 

Though the ACA was by no means a cure-all to challenges faced in the health care sector, it has provided a good opportunity to begin to rein in excessive costs, improve quality of care, and expand access. Moving forward, we must continue to monitor how these policies are implemented and make adjustments as necessary. One of the most challenging aspects will continue to be keeping costs under control, as well as diligent implementation of programs designed to meet this goal. For instance, the ACA contains a number of opportunities for meaningful changes to our inefficient fee-for-service system, but these changes must be aggressively implemented. 

Health Information Technology

Advancing and streamlining our nation's health information technology system is one way in which to increase efficiency, as well as to improve the quality of care and reduce overall health care costs.  In spite of providing the most advanced medical care in the world, America's healthcare system is overly reliant on paper-based prescription and record keeping techniques that are expensive, inefficient, and sometimes lead to fatal healthcare mistakes.  Inadequate health information has resulted in medical errors, misdiagnosis, and needless test duplications that increase costs and reduce the overall quality of health care.

Health Information Technology (Health IT) has been a part of several important bills signed into law.  The American Recovery and Reinvestment Act included nearly $26 billion for hospitals and physicians to implement and improve health IT.  Additionally, the Patient Protection and Affordable Care Act included certain requirements around health IT in health care facilities and provided a grant program for long-term care facilities to purchase, lease, develop, and implement certified electronic health record technology.  Much more remains to be done to implement best use of health IT around the country and I am committed to ensuring that Congress does its part to ensure the success of health IT. 

Women’s Health

Personal health decisions should be left between women, their doctor, and their family; not the United States Congress. In recent years, we have seen numerous attacks on women’s health through efforts to limit access to contraception and reproductive services. I will continue to support and advocate for policies that protect women’s right to choose and improve access to family planning services.

Prescription Drug Pricing

Access and affordability of prescription drugs is critical for our health care system.  It is important that consumers are able to obtain affordable prescription drug coverage in a way that better regulates drug companies rather than passing the costs onto working Americans. I support funding and increasing the availability of resources for the Food and Drug Administration (FDA) to ensure timely, but thorough research, and testing of products like generic prescription drugs and am committed to ensuring the FDA has the personnel, procedures and equipment necessary to protect consumers and improve the drug approval process. 

I also support changes to and legislation that helps lower the cost of prescription drugs by attempting to incentivize more competition within the market. I will continue to work to enact policies that will help keep necessary medical treatments within reach for all those who need them. 

For more information on this issue, sign up to receive Congressman Smith’s email updates.

More on Health Care

Jan 4, 2017 Page

I want to serve my constituents in any way I can. Whether you need help with a federal agency, are trying to find out if federal grants are available for your project, or are considering applying to a service academy, my staff and I are accessible for those who need assistance.

 

Oct 5, 2016 Press Release

“Under current law, pharmaceutical companies holding a patent for a drug can develop, distribute, and market what is known as an Authorized Generic (AG) through a privileged process provided in the Hatch-Waxman Act (PL 98-417) that allows the brand-name company to introduce and begin sales of a generic product, rather than going through the ‘Abbreviated New Drug Application’ process that third-party generics must pursue.

Jun 27, 2016 Press Release

“Today the Supreme Court struck down two provisions of a dangerous anti-abortion law in Texas by a vote of 5 to 3. In the case of Whole Woman's Health v. Hellerstedt, a group of Texas abortion clinics and three doctors argued that a Texas state law requiring health providers have admitting privileges at a nearby hospital and perform abortions in ambulatory surgical centers was overly burdensome.

Apr 29, 2016 Press Release

“The House Armed Services Committee is maintaining its bipartisan tradition. We worked through a lot of issues throughout the mark-up process, including a number of very controversial provisions. We crafted legislation the way it is supposed to be done. We held productive debates, disagreed, voted, and at the end of the process we passed a very significant piece of legislation.

Apr 7, 2016 Event

Congressman Smith to Host Telephone Town Hall

Ninth District Congressman Adam Smith will host a Tele-Town Hall on Thursday, April 7, 2016.

Nov 9, 2015 Event

Congressman Smith to Host Town Hall in Seattle

Ninth District Congressman Adam Smith will host a Town Hall on November 9, 2015 in Seattle.  Congressman Smith is looking forward to meeting with constituents and hearing all questions and concerns. 

Who: Congressman Adam Smith

What: Rep. Smith is hosting a Town Hall event where constituents can meet and interact with the Congressman and voice concerns on the issues of the budget, immigration, education, climate change, and more. 

When: Monday, November 9th at 7:00 pm 

Jun 25, 2015 Press Release

Congressman Adam Smith released the following statement regarding the King v. Burwell Supreme Court Decision:

Mar 11, 2015 Event

Congressman Smith to Host Town Hall in Renton

Ninth District Congressman Adam Smith will host a Town Hall on March 11, 2015 in Renton.  Congressman Smith is looking forward to meeting with constituents and hearing all questions and concerns. The Congressman will be hosting more town halls around the 9th District this year and if you'd like to sign up for town hall updates, register here.

Who: Congressman Adam Smith

Mar 7, 2015 Event

Congressman Smith to Host Town Hall in Bellevue

Ninth District Congressman Adam Smith will host a Town Hall on March 7th, 2015 in Bellevue.  Congressman Smith is looking forward to meeting with constituents and hearing all questions and concerns. The Congressman will be hosting more town halls around the 9th District this year and if you'd like to sign up for town hall updates, register here.

Who: Congressman Adam Smith

Feb 20, 2015 Press Release

U.S. Rep. Adam Smith (WA-09) reintroduced legislation to fix unfair Medicare reimbursement rates that disproportionately hurt Washington State patients. Currently, many physicians who serve Medicare patients in Washington State are reimbursed at considerably lower rates than doctors in other parts of the country for providing the same services.  For example, in 2012, the average Medicare patient in Miami received over $17,000 in annual benefits, and the average Medicare patient in Seattle received only $7,300 in annual benefits.

Pages