2Center for American Progress | The Top 12 House Votes Against the Middle Class
class cope wih ever-rising healh care coss. (see he Cener or American Progressanalysis on heconsequences o repealinghe Aordable Care Ac) Te DemocraicSenae has vowed o proec he Aordable Care Ac.
Repeal of Essential Health Care Benefits Section of the Affordable Care Act (H.R. 1Amendment 430):
House Voe141. Adoped 239–183: Republicans 235–2; Democras4–181 on February 19, 2011
Tis amendmen would have barred unds made available in he Aordable Care Acrom being used by he deparmens o Healh and Human Services, Labor, or reasury or issuing regulaions or guidelines dening “essenial benes” as direced by he Aordable Care Ac. According o he law, all healh plans oered in individual andsmall-group markes, including Medicaid sae plans, mus include iems and services wihin a leas 10 caegories—known as essenial healh benes—by 2014.Te caegories are: ambulaory paien services; emergency services; hospializa-ion; maerniy and newborn care; menal healh and subsance use disorder services,including behavioral healh reamen; prescripion drugs; rehabiliaive and habiliaiveservices and devices; laboraory services; prevenive and wellness services, and chronicdisease managemen; and pediaric services, including oral and vision care.I repealed, middle-class amilies in need o aordable insurance coverage would onceagain be a he mercy o insurance companies, which could srucure bene plans oatrac only he healhies paiens—leaving hose who need medical coverage wihounecessary insurance.
Gutting Medicare and Medicaid
Adoption of the Ryan Budget (House Concurrent Resolution 34):
House Voe277. Adoped 235–193: Republicans 235–4; Democras 0–189 on April 15, 2011
Te budge proposed by Rep. Paul Ryan (R-WI) would have convered Medicaid inoa block-gran program run by individual saes and would have urned Medicare ino a“premium suppor sysem” or hose younger han 55—boh moves ha would sharply raise healh care coss or middle-class amilies. (see he Cener or American Progressanalysis on heRyan Budge) Te legislaion also called or consolidaing he curren six ax brackes o bene he wealhy a he expense o he middle class.