“The passage of the Affordable Care Act was a major milestone in fixing our broken health care system, ensuring that those with pre-existing conditions can access care, extending health insurance to millions of Americans, and helping to slow the growth of health care costs to their lowest rates in decades. But it’s clear we still have much more work to do to continue to improve our healthcare delivery system to make sure all Americans have access to quality, affordable health care.”
– Rep. Adam Schiff
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Improving Our Health Care Infrastructure
Rep. Schiff is a strong advocate for sensible health care reform and believes that access to affordable, quality health care is the key to a productive work force, small business innovation, as well as the health and economic security of American families. He is committed to full implementation of the Affordable Care Act, which has already expanded and improved access to health care for millions of Americans, marking a monumental step forward in fixing our country’s broken and costly health care system. Schiff also has a strong voting record in opposition to measures that would roll back the law’s protections for young adults, women, and people with pre-existing health conditions.
The ACA has been law for nearly a decade, expanding health insurance to more than 20 million Americans, protecting 133 million people lwith pre-existing conditions, ending lifetime and annual limits on health care, and allowing young people to stay on their parents’ insurance until age 26. It has become a core part of the American health care system.
The positive impact of the ACA is evident in California, where 1.5 million people have already benefited from a variety of private health plans obtained through Covered California, our state-based health insurance exchange. Schiff will continue to support efforts to bolster our health care system and fight back against attempts to dismantle the ACA as we move towards the goal of providing universal coverage to all Americans.
Protecting Medicare and Medicaid
Rep. Schiff is a strong proponent of important safety net programs that have dependably served our nation’s most vulnerable populations for decades, including seniors, people with complex health care needs, and low-income families. Schiff was an early advocate for the expansion of Medi-Cal to ensure that low-income children and families, pregnant women, and people with disabilities have access to free or low-cost quality health care. He also opposes transforming the Medicare program into a voucher-based system, which would increase health care costs for a majority of seniors in the traditional Medicare program and all seniors in Medicare Advantage.
In order to maintain a robust health care workforce to care for a growing Medicare population, Schiff is also a strong supporter of permanent Medicare reimbursement reform for physicians. Each year, Congress has had to override cuts to physician reimbursements which were mandated by the Balanced Budget Act of 1997 under a formula called the Sustainable Growth Rate (SGR). Schiff believes that this flawed formula should be repealed and replaced with a permanent solution which rewards physicians based on the quality of care they provide to Medicare beneficiaries.
Investing in Medical Research, Public, and Global Health
Rep. Schiff has consistently advocated for increased funding for the National Institutes of Health (NIH), which assists thousands of cutting-edge medical research projects across the nation that make a difference in the lives of millions of Americans. Nearly every single American has a friend or family member whose life has been improved by medical advances catalyzed by the NIH. Schiff also believes that consistent and long-term funding for the NIH is critical to ensuring that America remains competitive in the world of scientific progress.
Schiff also supports robust funding for HIV/AIDS, viral hepatitis, STD, and diabetes prevention programs at the Centers for Disease Control (CDC), which is tasked with overseeing the federal response to control and prevent the spread of diseases. He also supports the efforts of the health community to fight for global vaccines and immunization through the US Agency for International Development (USAID), UNICEF, and the Gavi Alliance. While we have made progress in our efforts to curb the prevalence of many debilitating diseases, there is still work to be done to completely eradicate them so they no longer pose a threat to the health of children worldwide.
Maintaining a Strong Health Care Workforce
California’s 28th District is home to a number of community health centers and world-renowned hospitals, including Cedars-Sinai Medical Center and the Children’s Hospital of Los Angeles. For this reason, Rep. Schiff has been a strong proponent of boosting the Community Health Center program, which helps to ensure that health centers can continue to remain responsive to community needs by providing high quality primary and preventive care. Schiff also supports the federally-funded Graduate Medical Education (GME) program, which is critical in attracting and preparing the best and brightest medical students for specialization in high-need fields such as primary care and children’s health care. To further address the predicted shortage of primary care physicians in the near future, Schiff is in favor of raising the current cap on the number of Medicare-supported GME slots across the country to encourage 15,000 new physicians to join the health care workforce.
Protecting a Woman’s Right to Choose
As a member of the Congressional Pro-Choice Caucus, Rep. Schiff is a long-time supporter of a woman's right to choose from a full range of reproductive options and believes such choices should rest with the woman, her physicians, and the family or friends she chooses to consult. Schiff has a strong voting record in opposition to a variety of anti-choice bills that restrict a woman’s right to choose and supports numerous initiatives to protect women at reproductive clinics and to provide increased funding for international and domestic family planning programs.
Combatting Vaccine Hesitancy and Misinformation
In March 2019, Rep. Schiff wrote to the CEOs of Google, Facebook, and Amazon to express concern over reports that their platforms were surfacing and recommending pages and content with unfounded or debunked theories about immunizations, discouraging vaccinations and endangering public health. The scientific and medical communities are in overwhelming consensus that vaccines are both effective and safe, and the misinformation circulated on tech platforms poses a great risk to public health and undermines decades of scientific progress made towards eradicating serious diseases.
Since 2015, Rep. Schiff has consistently introduced the bipartisan Vaccines Save Lives resolution, recognizing the importance of vaccines and immunizations in the United States. The resolution sends a message of unequivocal Congressional support for vaccines and urges parents, in consultation with their health care providers, to follow scientific evidence and the consensus of medical experts in favor of timely vaccination for the well-being of their children and surrounding communities.