SUNUNU FLOOR STATEMENT REGARDING HEALTH
INSURANCE MARKETPLACE MODERNIZATION AND AFFORDABILITY ACT OF 2005
Mr. SUNUNU. Mr. President, I wish to speak to the
legislation before us and in particular to address some of the remarks
that were made earlier by Senator Kennedy from Massachusetts. He
raised concerns about the State of New Hampshire and suggested that
this legislation would be bad for the State of New Hampshire and
that the State of New Hampshire had already enacted legislation
identical to this. I think it is wrong for someone to provide information
that is not entirely accurate. I think that is inaccurate, and it
is not inaccurate in some very key areas.
First, the bands that were discussed that were enacted in the State
of New Hampshire were much smaller than the rating bands contemplated
in this legislation, and they did it in New Hampshire without any
transition period. Those are two very significant, specific differences
between this legislation and what was attempted in New Hampshire.
Second, as with any legislation, it cuts both ways. There were some
employers that saw increases in their premiums 2 and 3 years ago
that some claimed were a result of the legislation in New Hampshire,
but many businesses--in fact, the NFIB would suggest the majority
of businesses--in New Hampshire saw some great relief because they
are the smaller businesses that we are talking about, those who
would be allowed to improve their negotiating position through the
provisions in this bill. Moreover, this isn't a debate about one
State. This is a debate about providing increased access--increased
access--to plans that are negotiated by associations, by the members
of small businesses and, as a result, negotiating lower prices.
Finally, there was discussion about community rating and how objectionable
it is that there will be an ability to differentiate on price based
on a number of factors. I think the truth is, when you force that
kind of price control, you force adverse selection because if I
tell you that you have to charge the exact same price to anyone,
no matter what region, circumstance, or situation, then the insurer
will automatically market to the healthiest people because they
won't want to take on the additional costs associated with those
who might have significant needs that result in higher prices.
So if you go to price control, which is exactly what the other side
is suggesting, forcing the same price for everyone no matter who
is covered, businesses will naturally--naturally--only market to
those who are healthy and, as a result, reduce the accessibility
and availability of health insurance to those who might need it
most.
It is a dramatic, unintended consequence, and that is the exact
outcome that will be the result of the policies that are being suggested
by the other side. We need to be accurate in what we represent.
This is a good bill for small business and, as a result, it is an
excellent bill for New Hampshire because in New Hampshire, small
businesses make up over 95% of all firms with employees. If we want
to do something about the uninsured, the majority of whom are working
as self-employed or for small businesses, we need to take up the
exact kind of provisions that are in this bill: Increased access
of health insurance for those working in the smallest firms.
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