tik
CCommonweatri oF Pennsvevania
(Orrice oF THe Governor
Hansisouns
October 16,2017
‘The Honorable Tom Marino
United States House of Representatives
2242 Rayburn House Office Building
‘Washington, DC 20510
Dear Congressman Marino:
Last week, President Trump announced that, effective immediately, he will no longer allow
the Department of Health and Human Services to make cost-sharing reduction payments to
ingurers. This decision, along with others along the way, will increase costs for families and
seniors and hurt the approximately .4 million Pennsylvanians with pre-existing condition.
‘While last week's acts were by the President, Congressional leaders are complicit in rate
increases across the county, as Washington has utterly failed to make commonsense changes to fix
cour healthcare system and bolster the Affordable Care Act. They have pursued political goals
instead of practical ones to actually help families and seniors. They have scutled bipartisan efforts
to stabilize our heath eae system and insurance markets. They have ignored countless governors,
surance leaders, and experts who have warned about the consequences ofboth their efforts and
‘The Affordable Care Actis not perfect ~no one believes that. Butt has made Pennsylvania
better. Since I expanded Medicaid, more than 700,000 of your constituents now have access t0
health eare ~ seniors, families, entrepreneurs, and people secking treatment for substance use