This transcript is automatically generated
-- turning now to the supreme court's historic decision on.
The affordable care law joining us is congresswoman Nan Hayworth member of the house financial services committee member of the house doctors -- -- She is the only female doctor voting member of congress.
Also joining us tonight former Congressional Budget Office director.
Douglas Holtz -- And the attorney general -- -- -- of South Carolina.
Alan Wilson who joined the attorneys general of 45 other states in challenging obamacare in the for the Supreme Court thank you all for being here.
Is as the doctor in the house if you will congresswoman.
Your first reaction to the Supreme Court decision today.
Well it does not change our mission at all which is to free the American people from the burdens of this.
That's when he ten health law was well intended it has the right goals good affordable health care for all Americans affordable portable health insurance.
It is a bad law -- it hurts.
Rather than helps us it imposes -- two trillion dollar bureaucracy.
On the American people those dollars need to go to air.
Especially to Medicare half a trillion dollars out of Medicare when it's already going bankrupt.
Our seniors are working families -- taxpayers are small businesses.
All art in unconscionable and constantly burdened by this act.
And we need to repeal and replace with a common sense plan that works for the American people and puts them at the center of health care.
Attorney general Wilson.
Your thoughts first on the fact that.
The writing if you will of the the majority opinion.
And secondly that's likely impact.
On your state.
Well first let me say this.
-- the president and the members of congress supported this law shouldn't gloat too much because -- -- and into the dog called the car.
They they got their short term victory today but with a gonna have to explain over the next several months is.
How come two years ago when they were trying to pass this law not one single member of congress supported it called it attacks.
Because they don't wanna face the American people with attacks like this and then when he went to court the first thing they did is is they ran with their lawyers to -- argument that all this is attacks now.
And now the court.
Basically win back according to the dissent in re wrote the law.
To basically give the president the administration what they wanted to give them a tax he now owns the tax but now he's got to explain.
The American people why he basically -- -- -- passing this law not calling it attacks begin with -- now claiming it is attacks.
And and that the impact on the state of South Carolina and and -- -- and and your position going forward on the affordability care law itself.
Well let's not spoken to small business leaders in the members that it -- B today as -- as colleagues with the other attorneys general around the country.
And we -- all concerned for our states I mean obviously.
You know summer claiming a narrow victory with the Medicaid expansion vision I think it's going to be very harmful to the states in the long run.
Members of the insurance industry and small business owners are telling me that they're not going to be able to.
Comply with the onerous mandates and regulations that are coming their way.
Many -- going to have to and cut corners such as hiring people some insurance companies aren't going to be able to meet the mandates and some of them are gonna close down.
I mean this is gonna cause health care costs to go up is gonna make it harder for -- -- book working middle class families to get access to affordable health care in the next two to three years -- Let's turn to the man who are as a as a clear understanding of the national implications.
Of this this law this decision.
The former head of the Congressional Budget Office Douglas Holtz Aiken Doug.
Your your thoughts first your reaction to the to the decision.
Well I think as a legal matter I was quite amazed that it was possible to uphold the constitution.
And say the mandate violated the commerce clause and that the Medicaid expansions where accorsi use of federal power.
And yet maintain the law so.
Here we are this is now turn from a legal issue -- policy issue and I would concur with what the congresswoman said that the American people are still waiting for the Health Care Reform.
They need and deserve that provides high quality care low cost and affordable insurance options this is not that.
And we have to move in that direction unfortunate one thing the court did when exactly the wrong direction.
My reading of what they've done with the Medicaid expansions is they've given states the following choice.
They can't do -- Medicaid expansion and bear some of the cost.
Or they cannot.
Not cost themselves a dime and every one of those individuals would be eligible for subsidies in the federally subsidized exchanges.
That shifts the costs from the states to the federal government.
My expectation is this going to be.
Raising the price tag of this act by hundreds of billions of dollars.
If it does -- and it seems to me that you've identified.
A a significant -- with in this decision.
Of war -- for the for the federal government here.
And that is that the majority deciding that they could not -- that the federal government the Obama administration.
Could not nor could congress limit federal aid which was to be the sole person response to.
-- waiver or withdrawing from affordable care.
It looks like they can stand pat.
To no affect to -- disadvantage of the state.
It it's in fact a little bit stronger -- because in 2014.
Not only -- our governor -- stand pat.
That actually roll back their Medicaid.
They've expanded -- -- that that bare minimum required by the federal government.
And anyone who they were paying forty cents on the dollar for what we shifted over against the federal subsidies this they won't pay anything.
The taxpayer will be at risk for not just their costs that in fact more cost because.
Those insurance packages our are richer and and much more costly so.
Out this -- -- law which.
Have great financial risk for the nation to begin with.
There was always the chance that employers would choose to.
Dump their employees and the exchanges now have an opportunity for states to dump their Medicaid programs in the exchanges.
The offer price tag I think is quite high.
-- in congress from here if you use part of the Republican leadership.
The house has voted it seems like dozens of times on repealing obamacare another -- now been scheduled.
Or what is -- the eleventh of next month.
To -- in violent.
To what it.
Well no we weren't elect date on the pledge that we would repeal and replace that law.
We did have a -- in a house in jump in January 2011.
And it was not a symbolic vote that was the real will of the American people being expressed their last survey after survey has shown.
That the American people have not grown any funder of this bad lot.
In business ensuing months so we're gonna have another vote and we are going to hope that this time the senate.
Will come along with this because the American public has made its disapproval -- air.
All right congresswoman.
Douglas -- -- and we thank you for being with us.
Attorney general -- was always good to talk with you thank you so --