,,iii  #aad? ,,congress  #b;d ,session  
,s4 ,,res4 #efa  ,,9 ,,! ,,s5ate ,,( ,,!
 ,,unit$ ,,/ates  ,septemb] #ae1 #bjaf  
,mr4 ,m]kley 7= himself1 ,mr4 ,s*um]1   
,mrs4 ,murray1 ,mr4 ,durb91 ,mr4 ,s&]s1 
,ms4 ,/ab5[1 ,mrs4 ,box]1 ,mrs4 ,fe9/e91
 ,mr4 ,frank51 ,mr4 ,:iteh\se1 ,mr4     
,udall1 ,mr4 ,wyd51 ,mr4 ,br[n1 ,mrs4   
,gillibr&1 ,mr4 ,murphy1 ,mr4 ,m55dez1  
,mr4 ,re$1 ,mr4 ,c>d91 ,mr4 ,blum5?al1  
,mr4 ,casey1 ,mr4 ,m>key1 ,mrs4 ,%ahe51 
,mr4 ,b5net1 ,ms4 ,baldw91 ,ms4 ,w>r51  
,mr4 ,pet]s1 ,mr4 ,s*atz1 ,mr4 ,he9ri*1 
,mr4 ,leahy1 ,ms4 ,hirono1 ,ms4         
,mikulski1 ,mr4 ,reid1 & ,ms4 ,klobu*>7 
submitt$ ! foll[+ resolution2 :i* 0     
ref]r$ to ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions          
,,resolution  ,support+ ef=ts to        
increase competition & acc\ntability 9 !
 heal? insurance m>ketplace1 & to ext5d 
accessible1 quality1 af=dable heal? c>e 
cov]age to e ,am]ican ?r\gh ! *oice ( a 
public insurance plan4  ,:]eas "u !     
,pati5t ,protection & ,af=dable ,c>e    

,act 7,public ,law #aaa-adh2 #abd ,/at4 
#aai7 7ref]r$ to 9 ?is preamble z !     
,af=dable ,c>e ,act71 #bj1jjj1jjj       
,am]icans h ga9$ heal? insurance        
cov]age1 includ+ #aa1jjj1jjj ,am]icans t
 h cov]age ?r\gh ! public ex*anges      
creat$ by t ,act2 ,:]eas ! un9sur$ rate 
is at its l[e/ po9t 9 hi/ory1 b !re is m
 "w to be done to provide access to     
cov]age = ,am]icans t rema9 un9sur$1 &  
to r$uce d$uctibles & out-(-pocket co/s 
= ! #ca1jjj1jjj ,am]icans :o are        
curr5tly und]9sur$2 ,:]eas be=e ! date (
 enactm5t ( ! ,af=dable ,c>e ,act1      
millions ( individuals ) preexi/+       
conditions 7 d5i$ heal? cov]age by      
insurance companies t controll$ :o      
receiv$ heal? c>e 9 ! ,unit$ ,/ates2    
,:]eas pr(\nd disp>ities p]si/ 9 heal?  
outcomes bas$ on race1 e?nicity1 &      
geography1 & ne>ly #d1jjj1jjj adults1   
disproportionately p ( color1 lack      
cov]age z a result ( ! failure ( #ai    
,/ates to exp& ! ,m$icaid program "u    
title ,,xix ( ! ,social ,security ,act  

7#db ,u4,s4,c4 #acif et seq47 "u !      
,af=dable ,c>e ,act2 ,:]eas public      
insurance options = work]s' comp5sation 
insurance h result$ 9 l[] rates = small 
bus9esses & m competition 9 sev]al      
,/ates2 ,:]eas giv+ all ,am]icans !     
*oice ( a public1 nonpr(it heal?        
insurance option w\ld--  7#a7 lead to   
increas$ competition & r$uc$ premiums2  
7#b7 cut wa/eful sp5d+ on adm9i/ration1 
m>ket+1 & executive pay2 &  7#c7 ensure 
t consum]s h ! af=dable *oices !y       
des]ve2 ,:]eas e/abli%+ a ,/ate-bas$    
public heal? insurance plan is possible 
?r\gh ! use ( ,/ate innovation waiv]s   
e/abli%$ by ! ,af=dable ,c>e ,act1 :i*  
all[ ,/ates to promote unique1 creative1
 & innovative approa*es to implem5t+    
mean+ful heal? c>e re=m1 includ+ a      
public option2 ,:]eas public programs   
su* z ! ,m$ic>e program "u title ,,xviii
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acie et seq47 (t5 deliv] c>e 
m co/-effectively by limit+ adm9i/rative
 ov]head & secur+ bett] prices f        

provid]s2 & ,:]eas ! ,congressional     
,budget ,(fice has f\nd t a public heal?
 insurance option w\ld save taxpay]s    
billions ( doll>s3 ,n[1 !re=e1 be x  ,t 
! ,s5ate supports ef=ts to build on !   
,pati5t ,protection & ,af=dable ,c>e    
,act 7,public ,law #aaa-adh2 #abd ,/at4 
#aai7 by ensur+ t1 9 addition to ! heal?
 cov]age options provid$ by private     
insur]s1 e ,am]ican has access to a     
public heal? insurance option1 :i*1 :5  
e/abli%$1 w--  7#a7 /r5g!n competition2 
7#b7 improve af=dability = families by  
r$uc+ premiums & increas+ *oices2 &     
7#c7 save ,am]ican taxpay]s billions (  
doll>s4