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A resolution expressing the sense of the Senate that the Department of Justice should reverse its position in Texas v. United States, No. 4:18-cv-00167-O (N.D. Tex.).
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III
116TH CONGRESS
1ST SESSION
S. RES. 134
Expressing the sense of the Senate that the Department of Justice should
reverse its position in Texas v. United States, No. 4:18–cv–00167–
O (N.D. Tex.).
IN THE SENATE OF THE UNITED STATES
APRIL 2, 2019
Mrs. SHAHEEN (for herself, Mr. SCHUMER, Mr. WYDEN, Mrs. MURRAY, Mrs.
FEINSTEIN, Mr. JONES, Mr. BROWN, Mr. CARPER, Ms. ROSEN, Mr.
DURBIN, Mr. MURPHY, Mr. BOOKER, Mr. REED, Mr. TESTER, Ms.
HIRONO, Ms. BALDWIN, Ms. KLOBUCHAR, Mr. SANDERS, Mr. LEAHY,
Mr. VAN HOLLEN, Mr. WARNER, Mr. PETERS, Mr. WHITEHOUSE, Ms.
HASSAN, Ms. STABENOW, Mr. UDALL, Mr. MERKLEY, Mr. MANCHIN, Mr.
BLUMENTHAL, Mr. MENENDEZ, Ms. CORTEZ MASTO, Mr. CARDIN, Ms.
SINEMA, Ms. DUCKWORTH, Mr. MARKEY, Mrs. GILLIBRAND, Mr. COONS,
Ms. WARREN, Mr. HEINRICH, Mr. CASEY, Ms. CANTWELL, Mr. KAINE,
Mr. SCHATZ, Ms. SMITH, Mr. BENNET, Mr. KING, and Ms. HARRIS) sub-
mitted the following resolution; which was referred to the Committee on
the Judiciary
RESOLUTION
Expressing the sense of the Senate that the Department
of Justice should reverse its position in Texas v. United
States, No. 4:18–cv–00167–O (N.D. Tex.).
Whereas, on February 26, 2018, 18 State attorneys general
and 2 Governors filed a lawsuit in the United States Dis-
trict Court for the Northern District of Texas, Texas v.
United States, No. 4:18–cv–00167–O (N.D. Tex.) (in
this preamble referred to as ‘‘Texas v. United States’’),
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•SRES 134 IS
arguing that the requirement of the Patient Protection
and Affordable Care Act (Public Law 111–148; 124 Stat.
119) (in this preamble referred to as the ‘‘ACA’’) to
maintain minimum essential coverage is unconstitutional
and, as a result, the court should invalidate the entire
law;
Whereas, in a June 7, 2018, letter to Congress, then Attor-
ney General Jefferson Sessions announced that the De-
partment of Justice—
(1) would not defend the constitutionality of the
minimum essential coverage provision; and
(2) would argue that provisions protecting individ-
uals with pre-existing medical conditions (specifically the
provisions commonly known as ‘‘community rating’’ and
‘‘guaranteed issue’’) are inseverable from the minimum
essential coverage provision and should be invalidated;
Whereas, in the June 7, 2018, letter to Congress, Attorney
General Sessions also advised Congress that ‘‘the Depart-
ment will continue to argue that Section 5000A(a) is sev-
erable from the remaining provisions of the ACA’’, indi-
cating a difference from the plaintiffs’ position in Texas
v. United States;
Whereas, on December 14, 2018, the United States District
Court for the Northern District of Texas issued an order
that declared the requirement to maintain minimum es-
sential coverage unconstitutional and struck down the
ACA in its entirety, including protections for individuals
with pre-existing medical conditions;
Whereas the decision of the United States District Court for
the Northern District of Texas was stayed and is pending
appeal before the United States Court of Appeals for the
Fifth Circuit;
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•SRES 134 IS
Whereas, on March 25, 2019, the Department of Justice, in
a letter to the United States Court of Appeals for the
Fifth Circuit, changed its position and announced that
the entire ruling of the United States District Court for
the Northern District of Texas should be upheld and the
entire ACA should be declared unconstitutional;
Whereas, prior to 2014, individuals with pre-existing medical
conditions were routinely denied health insurance cov-
erage, subject to coverage exclusions, charged unafford-
able premium rates, exposed to unaffordable out-of-pock-
et costs, and subject to lifetime and annual limits on
health insurance coverage;
Whereas as many as 133,000,000 nonelderly people in the
United States—
(1) have a pre-existing condition and could have
been denied coverage or only offered coverage at an exor-
bitant price had they needed individual market health in-
surance prior to 2014; and
(2) will lose protections for pre-existing conditions if
the ruling of the United States District Court for the
Northern District of Texas is upheld in Texas v. United
States;
Whereas, as of March 2019, employers cannot place lifetime
or annual limits on health coverage for their employees,
and if the ruling of the United States District Court for
the Northern District of Texas is upheld, more than
100,000,000 people in the United States who receive
health insurance through their employer could once again
face lifetime or annual coverage limits;
Whereas, prior to 2010, Medicare enrollees faced massive
out-of-pocket prescription drug costs once they reached a
certain threshold known as the Medicare ‘‘donut hole’’,
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and since the donut hole began closing in 2010, millions
of Medicare beneficiaries have saved billions of dollars on
prescription drugs;
Whereas, at a time when 3 in 10 adults report not taking
prescribed medicines because of the cost, if the ruling of
the United States District Court for the Northern Dis-
trict of Texas is upheld, seniors enrolled in Medicare
would face billions of dollars in new prescription drug
costs;
Whereas, as of March 2019, 37 States and the District of
Columbia have expanded or voted to expand Medicaid to
individuals with incomes below 138 percent of the Fed-
eral poverty level, providing health coverage to more than
12,000,000 newly eligible people;
Whereas, if the ruling of the United States District Court for
the Northern District of Texas is upheld, the millions of
individuals and families who receive coverage from Med-
icaid could lose eligibility and no longer have access to
health care;
Whereas, as of March 2019, many people who buy individual
health insurance are provided tax credits to reduce the
cost of premiums and assistance to reduce out-of-pocket
costs such as copays and deductibles, which has made in-
dividual health insurance coverage affordable for millions
of people in the United States for the first time;
Whereas, if the ruling of the United States District Court for
the Northern District of Texas is upheld, the health in-
surance individual exchanges would be eliminated and
millions of people in the United States who buy health
insurance on the individual marketplaces could lose cov-
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•SRES 134 IS
erage and would see premium expenses for individual
health insurance increase exorbitantly; and
Whereas, if the ruling of the United States District Court for
the Northern District of Texas is upheld, people in the
United States would lose numerous consumer protections,
including the requirements that—
(1) plans offer preventive care without cost-sharing;
(2) young adults can remain on their parents’ insur-
ance plan until age 26; and
(3) many health insurance plans offer a comprehen-
sive set of essential health benefits such as maternity
care, addiction treatment, and prescription drug cov-
erage: Now, therefore, be it
Resolved, That it is the sense of the Senate that the
1
Department of Justice should—
2
(1) protect individuals with pre-existing condi-
3
tions, seniors struggling with high prescription drug
4
costs, and the millions of people in the United States
5
who newly gained health insurance coverage since
6
2014; and
7
(2) reverse its position in Texas v. United
8
States, No. 4:18–cv–00167–O (N.D. Tex.).
9
Æ
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