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. 

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More on Health Care

May 11, 2006 Press Release

“I am pleased that I supported H.R. 5122, the Fiscal Year (FY) 2007 Department of Defense (DoD) Authorization Bill, which passed out of the U.S. House of Representatives and onto the U.S. Senate with broad bipartisan support,” said U.S. Rep. Adam Smith (D-Tacoma). “Our servicemen and women, and their families, sacrifice each and every day for the freedoms that we enjoy. This critical legislation fulfills the commitment we owe them, particularly in this time of war. Also included was $50 billion in so-called bridge funds to cover the first portion of war costs for the coming fiscal year.

Apr 4, 2006 Press Release

Today, U.S. Representative Adam Smith (D-WA) gave the keynote address at the Distributed Diagnosis in Home Healthcare Conference (D2H2) held in Arlington, Virginia to discuss the importance of Health Information Technology (Health IT).  The University of Washington is one of the main organizers for this national conference on health information technology.

Feb 23, 2006 Op-Ed

Without changes to our health-care system, analysts predict that Medicaid will bankrupt every state in as few as 20 years. Over the next decade, federal and state combined expenditures on Medicaid will reach $5.2 trillion, forcing states to cut benefits and raise taxes.

The good news is that recent innovations in health-information technology provide new solutions that will improve access and care to Medicaid recipients, simultaneously saving our federal and state governments money. It's time that we bring health care into the 21st century.

Jan 11, 2006 Press Release

U.S. Rep. Adam Smith (WA-09) today issued the following statement on H.R. 3, a bill to expand federal funding for embryonic stem cell research.  The bill passed the House of Representatives today by a vote of 253 to 174.

“More than 70 percent of Americans support stem cell research.  House Democrats promised to expand funding for this potentially life-saving and life-changing science.  I’m pleased to report that in the first 100 hours of the 110th Congress, we made good on our promise. 

Dec 17, 2005 Press Release

Today, Congressman Adam Smith (D-WA) was pleased that H.R. 3402, which reauthorizes the Department of Justice (DOJ) programs for fiscal years 2006-2009, passed the House of Representatives. The bill would authorize approximately $24.4 billion for the Federal Bureau of Investigation (FBI) and $3.4 billion for the U.S. Marshals Service, which is charged with protecting federal courthouses and our domestic airliners, among other duties. Another $3.9 billion is authorized for the Bureau of Alcohol, Tobacco, Firearms and Explosives.

Dec 14, 2005 Press Release

Today, Congressman Adam Smith (D-Tacoma) voted against H.R. 3010, the conference report for the Departments of Labor, Health and Human Services, and Education Appropriations Act for FY06.

“This conference report is the latest example that the Republican majority in Congress is out of touch with the values and needs with the majority of Americans,” said Smith. “As a matter of fact, the Republicans will have spent more on tax cuts this year than they will on all education and labor programs. This is unacceptable.”

Dec 8, 2005 Press Release

Congressman Adam Smith (D-WA) introduced the “Enhancing America’s Guard and Reserve” (EAGR) Act, H.R. 4468. This bill is a comprehensive package of benefits aimed at increasing the quality-of-life of members of America’s National Guard and Reserve and their families. The bill would provide universal access to military health care (TRICARE) for all drilling reservists, enhanced education benefits through the Montgomery G.I. Bill, retirement age reductions, tax breaks for employers who hire reservists, and other beneficial provisions.

Nov 18, 2005 Press Release

Today, U.S. Representative Adam Smith (D-Tacoma) voted for the Conference Report on the FY 2006, Military Quality of Life and Veterans Affairs Appropriations Act. This bill rectifies the shortfall in veterans’ health care and also included Smith’s request for a $1.42 million earmark for construction of the Homeland Security Multi-Functional Education Center at Camp Murray, near Tacoma, Washington.

Nov 18, 2005 Press Release

Congressman Adam Smith (D-Tacoma) made the following statement concerning the Budget Reconciliation:

Nov 17, 2005 Press Release

Today, Congressman Adam Smith (D-Tacoma) voted against H.R. 3010, the conference report for the Departments of Labor, Health and Human Services, and Education Appropriations Act for FY06. He made the following statement:

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