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. 

Medicare for All 

I continue to work to ensure that health care remains affordable and accessible to everyone. The Expanded and Improved Medicare For All Act, H.R. 676, represents an important step forward in improving our health care system by establishing a single-payer, health care for all program.

Under this legislation, all individuals living in the United States or U.S. territories would have access to:

  • free primary care and prevention services
  • dietary and nutritional therapies
  • prescription drugs
  • emergency care
  • long-term care
  • mental health services
  • dental services
  • vision care

I am proud to cosponsor this legislation that recognizes health care as a basic human right.  

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. 

Community Health Centers

I support the work of Community Health Centers (CHCs) because they play an important role in our society by providing quality and affordable health care to low-income and medically underserved individuals.  There are over 9,000 community, migrant, public housing, and homeless health center delivery sites located in all 50 states of the United States, and they serve more than 22 million patients.  CHCs operate in rural and urban communities that are designated as medically underserved because health care is either scarce or non-existent. 

Further, health centers improve access to care for tens of thousands of Washingtonians who are uninsured, are a part of the working poor, or are newly jobless.  They offer services that many other providers do not, such as transportation, translation, and culturally sensitive health care that can overcome prevalent barriers.  Their costs of care rank among the lowest, and they reduce the need for more expensive hospital in-patient and specialty care, providing significant savings for taxpayers.  CHCs lower overall health care costs, improve the health of their patients and create economic opportunities in the communities they serve by providing jobs and training local individuals.  This local approach to health care, along with an emphasis on comprehensive preventative care, generates roughly $24 billion in annual savings to the health care system nationwide.

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More on Health Care

Oct 19, 2017 Press Release

Washington, D.C. – Today, Congressman Smith introduced the Protecting Airport Communities from Particle Emissions Act. Recent studies have indicated that ultrafine particles (UFPs) from a variety of sources could have detrimental impacts on human health.

Oct 6, 2017 Press Release

“Today, in an abhorrent attack on women’s rights the Trump Administration ended the federal requirement for employers to cover birth control. This dangerous decision turns back the clock by enabling employers to discriminate under the guise of religious freedom. The birth control mandate has allowed millions to access affordable contraception and given women autonomy over their reproductive health and futures. Health care must include access to affordable birth control and reproductive services.

Oct 5, 2017 Press Release

Congress has a responsibility to put forth a budget that expands opportunities for American families to prosper. We must invest in education, affordable health care, rebuilding our collapsing infrastructure, and growing our economy for everyone. The Democratic budget proposals offered this week on the House Floor would do just that.   

Sep 24, 2017 Event

Join Congressman Adam Smith for a Town Hall Meeting

Ninth District Congressman Adam Smith is looking forward to meeting with constituents to hear their concerns, answer questions and discuss issues facing Congress.

Sunday, September 24, 2017 - 3:30pm to 4:30pm
Newport High School
4333 Factoria Blvd SE
Bellevue, WA 98006
United States

Space is limited so please RSVP if you are able to attend.

Jul 27, 2017 Press Release

“The “Security Minibus” appropriations bill the House is currently debating is completely disconnected from the realities that our country faces and the spending choices we must make. This spending package includes funding for the Department of Defense, Department of Veterans Affairs, Legislative Branch, Department of Energy, the Army Corps of Engineers, agencies of the Department of Interior, and several independent agencies.

May 23, 2017 Press Release

“Instead of proposing a budget that makes available the tools Americans and this country need to succeed, the Trump Administration has proposed a disastrous and ideologically-driven budget that demonstrates this President’s complete lack of interest in or understanding of the realities of governing. The President has doubled down on his earlier campaign promises, and makes clear he wants to limit the government’s ability to improve the lives of working Americans and diminish our country’s role in the world. 

May 4, 2017 Press Release

“House Republicans voted today to eliminate essential health benefits and protections for Americans.  No one—especially not those Republicans who voted to pass it—bothered to consider the costs or the actual impacts of the American Health Care Act (AHCA) on working Americans, those with pre-existing conditions, and people who rely on Medicare and Medicaid. The Affordable Care Act (ACA) was by no means a cure to all of our healthcare challenges, but today’s bill ignores any opportunity for meaningful changes, and instead represents a dangerous leap backwards.

Apr 27, 2017 Press Release

“Our current tax code is overly-complex; there is no question it needs reexamination and overhaul. The tax proposal released today by President Trump would be disastrous.  Its almost singular focus on cutting taxes for wealthy people and companies will harm working people and undermine a healthy economy.

Mar 14, 2017 Press Release

“I am strongly opposed to the Republican plan to replace the Patient Protection and Affordable Care Act (ACA), also known as ‘Obamacare.’ This legislation, known as the American Health Care Act (AHCA), introduced earlier this month, would take health insurance away from millions of people, hurt low-income and older Americans, and create considerable uncertainty about health care and insurance.

Mar 4, 2017 Event

Ninth District Congressman Adam Smith will host a Town Hall on Saturday, March 4, 2017 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 issues of the budget, immigration, education, the economy, national security and more. 

When: Saturday, March 4, 2017, 10:00 am to 11:30 am