I believe health reform is necessary because the status quo is not acceptable in Alaska. An estimated 133,000 Alaskans do not have health coverage today. Family insurance premiums more than doubled this decade and are projected to double again to nearly $25,000 in 2016, consuming more than 40 percent of family income. Alaska families with insurance currently pay a "hidden tax" of $1,900 annually to pay for care for those without health coverage. Providing health care to everyone is not just the moral thing to do, it's an economic must. Health spending in America now accounts for 18 percent of all economic output and if unchecked will keep rising and consume nearly one-third of the economy by the time my son is raising his own family. If we fail to act, the cost to our economy will be staggering and millions more families won't be able to afford basic health care.

Since the summer, I have hosted seven town halls, three smaller roundtable session and countless meetings and conversations on health reform with Alaskans.

I didn't come to Washington to defend the status quo, and am working hard to be part of the solution on health reform, which will save lives, save money and save Medicare.

My primary goals for the pending legislation are:

· Coverage - Providing health insurance to millions more Americans so they can afford to see a doctor when sick and get regular preventive care to stay healthy;

· Affordability - Demanding competition for and accountability from the insurance industry while driving down the costs of delivering health care;

· Accessibility - Hiring more doctors, nurses, physician assistants and other providers while supporting hospitals, building clinics and expanding health infrastructure.

In May, I shared my thoughts on health care and Alaska's needs with Finance Committee Chairman Max Baucus. You can read my letter to the Chairman here.

Then, in July, I joined eight other senators in sending a second letter to Chairman Baucus. In it, we urged the importance of making sure any final health reform bill significantly reduces the costs of delivering medical care. The centerpiece of reform is making sure health care coverage is accessible and affordable to all Americans; equally important is making universal coverage sustainable over the long term by "bending the cost curve" to drive down overall costs. You can read the letter here.

In December, I joined other freshman Democrats in introducing a detailed package of amendments designed to cut costs to consumers, increase value and innovation in the health care system and, according to the non-partisan Congressional Budget Office (CBO), save hundreds of millions of dollars. The package has been well received by health economists and other observers. You can read recent coverage here.

This has already been a landmark year in Congress on health issues, and I am proud to have voted to reauthorize and fund the Children's Health Insurance Program for five more years, and to require regulation of tobacco by the FDA, a bill I co-sponsored. Either of these measures stand alone as a huge advancement for the health and well being of Americans. Now all Alaskans stand to benefit from the passage of a meaningful health reform package as it is an investment in both our physical and economic well being.

Senate Health Care Bill

  • Side By Side Analysis of Senate and House Health Care Bills - This document provides a 'Side by Side' analysis of the content and provisions of health care reform legislation that has passed the U.S. Senate and the U.S. House of Representatives. The analysis was published in January by the independent non-partisan Kaiser Foundation. 100106 Kaiser SenHouSidebySide.pdf (876.1 KBs)
  • The Patient Protection and Affordable Care Act: H.R. 3590 Manager's Amendment - Introduced on Dec. 19, 2009, the Managers Amendment is the final amendment to the Patient Protection and Affordable Care Act. The Managers Amendment increases the savings in the legislation. The legislation will reduce the deficit by $132 billion over the first decade and by $1.3 trillion over the second decade. 091219 PPACA Managers Amendment.pdf (467.4 KBs)
  • The Patient Protection and Affordable Care Act: H.R. 3590 Substitute - Senate Majority Leader Harry Reid unveiled the Senate’s long-awaited health reform bill on Nov. 19. The measure was reviewed by the non-partisan Congressional Budget Office to cut the budget deficit by $127 billion over ten years. In the second decade of implementation, the bill will reduce the deficit by $650 billion. The bill will extend insurance coverage to 31 million Americans who are currently uninsured. HR 3590 Substitute.pdf (2.5 MBs)
  • Congressional Budget Office Analysis of The Patient Protection and Affordable Care Act - The independent and nonpartisan Congressional Budget Office (CBO) reviews the cost of proposed legislation. Attached is the CBO's analysis of the Senate Health Reform Legislation, the Patient Protection and Affordable Care Act: H.R. 3590 Substitute. 09118 CBO HC Letter.pdf (1.4 MBs)

The Cost of Health Care in Alaska

  • Alaska Health Reform by the Numbers: One Page Summary - Prepared by the Sen. Begich's office. This is a one page summary of the benefits of health care reform in Alaska. 20091218-HealthReformFactSheet.pdf (129.5 KBs)
  • Summary of the Patient Protection and Affordable Care Act: Senate Health Care Reform Legislation - A summary of the "10 Things to Know About the Legislation." 20091120-PatientProtectionAffordableCareAct-Final.pdf (111.2 KBs)
  • Kodiak Health Care Town Hall: Reform Will Help Individuals, Families and Businesses - Delivered through video conference to the Kodiak Chamber of Commerce on October 5, 2009, this slide show details how health care reform will help individuals and communities. 20090930-KodiakHealthCareTownHall.pptx (520.1 KBs)
  • The Case for Health Insurance Reform in Alaska - 2009_08_06-TheCaseforHealthReform.pdf (80.8 KBs)
  • Speech to the Anchorage Chamber of Commerce: August 10, 2009 - On August 10, 2009, I delivered this speech to the Anchorage Chamber of Commerce, accompanied by a PowerPoint presentation, which stressed the need for national health care reform. 090810 Anchorage Chamber Health Care Speech.pdf (154.6 KBs)
  • Speech to the Anchorage Chamber of Commerce PowerPoint: August 10, 2009 - On August 10, 2009, I presented this PowerPoint presentation to the Anchorage Chamber of Commerce. It makes the case for national health care reform and was accompanied by a one page handout. 090810 Anchorage Chamber Health Care PowerPoint.pdf (1.1 MBs)

Health Care Reform for Alaska:

Quality, Affordable Healthcare For All Alaskans

I am committed to ensuring quality, affordable health care for all Alaskans. The time to act is now, and we will not allow opponents of reform and the special interests who back them to delay the health reform we all deserve.

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Preserve Doctor-Patient Privacy

A patient's relationship with their doctor is a personal one, and no one should interfere with that relationship. I will work to ensure that health reform preserves the private patient-doctor relationship, keeping both insurance companies and the government out of the doctor's office.

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Choices for All Americans

I believe health reform should ensure that Americans have choices, including the choice to keep what they currently have. Americans should be able to choose their doctors, hospitals, and coverage, and be in control of their health care.

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Address The Workforce Shortage

Address the workforce shortage. We need more doctors but there also must be an expanded role for providers such as physician assistants, advanced nurse practitioners, nurse anesthetists, dental health aides and other professionals. In Alaska we should increase the number of state-subsidized medical school seats and residency positions, and create a strong loan repayment program.

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Strengthen The Indian Health Service And Reduce Health Disparities

Strengthen the Indian Health Service and reduce health disparities. The President's FY2010 budget makes a good start with a proposed increase of $454 million for IHS. This funding will support tribes as they work to administer programs at the local level and, when needed, pay for needed care outside the IHS system.

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Improve Veterans' Access To Care

Improve veterans' access to care. An increasing number of veterans have serious service-connected injuries. I believe they should be able to go to any nearby health provider without preauthorization and be covered by the Veterans Administration. This is particularly important to veterans who live in rural areas and are often quite far from VA hospitals or clinics.

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Protect and Strengthen Small Businesses

Protect and strengthen small business because new jobs from small private-sector employers have long been the engine of economic growth, and will drive recovery now. To keep the costs of health reform from falling disproportionately onto the smallest employers we must provide tax credits or subsidies for those covering their workers.

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Support Prevention and Wellness

Include a well-funded commitment to prevention and wellness. Significant cost savings and increased worker productivity will come from disease prevention and health promotion efforts.

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