Congressman Lamar Smith

Representing the 21st District of Texas
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Health Care

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On October 1, 2013, official enrollment began for participation in the health care exchanges under the so-called Affordable Care Act, also known as Obamacare. Under the law, all individuals were required to have health insurance by January 1, 2014 or will have to pay a fine.  Information about enrollment can be found at 

Obamacare is unpopular, unworkable, and unaffordable.  Even the President realizes this.  That’s why in July 2013, he gave businesses a one-year extension on the mandate that requires employers to provide health insurance to full-time employees.  Unfortunately, President Obama’s bargain for businesses means the full burden of Obamacare’s health care mandate falls squarely on the shoulders of hardworking Americans and their families.  But what’s good or businesses should be good for the American people too.

That’s why House Republicans are fighting to provide the same one year delay to individuals and families.  Congressman Smith has joined the House in voting more than 40 times to delay, defund, or repeal all or part of Obamacare. Rep. Smith supports replacing Obamacare with patient-centered reforms that will reduce health care costs, increase choices and reform liability laws.  The government overhaul of the health care system increases costs and creates taxes that are burdensome for working families and small businesses.

The House has acted to protect the American people from the onslaught of Obamacare’s new regulations and taxes.  It’s disappointing that the President and the Senate refuse to do the same.

More on Health Care

Mar 21, 2018

Washington, DC – Today Congressman Lamar Smith voted in support of the Right to Try Act of 2018, which expands terminal patients’ access to experimental treatments that could potentially save their lives. H.R. 5247, formally the Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2018, passed by a vote of 267-149.

Jan 20, 2018

Washington, DC – Today Congressman Lamar Smith (R-TX) gave the following statement on the Senate Democrats' vote to shut down the federal government.

Rep. Smith: “The American people can count.

“Forty-four Senate Democrats voted to shut down the government. Only four Senate Republicans wanted to do the same.

“So ten times as many Democrats as Republicans supported denying funds to our military, to children’s healthcare, and to everyday Americans.

May 4, 2017

Washington, DC – Congressman Smith (R-TX) released the following statement on his support of the American Health Care Act. The legislation passed in the house by a vote of 217 to 213. 

Rep. Smith: “I support the American Health Care Act, which eliminates burdensome taxes and mandates, reduces costs, and makes better health care accessible to all. This legislation allows for greater choice and puts Americans back in control of their health care.”

May 4, 2017

All but one Texas Republican U.S. House member, Rep. Will Hurd, R-Helotes, voted in favor of the GOP health care bill. All Democrats voted no. Here’s what Central Texas congressmen said following the vote:

May 4, 2017

Rep. Lamar Smith told Newsmax TV on Thursday that the revised American Health Care Act passed by the House included $8 billion for states over five years because "it just is absolutely politically impossible for them not to cover pre-existing conditions."

"They're going to have what's called high-risk groups that individuals will be in," the Texas Republican told "The Joe Pags Show" in an interview. "If they are in that category, they've got monetary incentives to cover individuals with pre-existing conditions.

Mar 24, 2017

WASHINGTON – Congressman Lamar Smith (TX-21) issued the following statement in response to the American Health Care Act being withdrawn from the legislative schedule for Friday. 

Congressman Smith: “Even though we did not vote on the American Health Care Act this week, I still feel we need to replace Obamacare with a health care policy that lowers premiums, lowers taxes and makes better health care accessible to all.”

Mar 7, 2017

Washington, DC – Congressman Smith (R-TX) released the following statement on the American Health Care Act.

Rep. Smith: “The health care insurance market is in a death spiral and is in need of a quick response. Without action to fix the mess Obamacare created, premiums and deductibles would continue to go up while the quality of patient care stagnates or declines.

Feb 28, 2017

Washington, DC – Congressman Lamar Smith gave the following statement in response to President Trump’s Joint Address.

Rep. Smith: “The President’s address tonight was a home run. How could anyone disagree with putting Americans first?

Feb 26, 2017

U.S. Rep. Lamar Smith made his way to San Marcos Wednesday to visit with constituents and deliver an update on what is happening in Washington.

This is not unusual for Smith, as he visits the Record at least twice a year — even in the years, like this one, that he isn’t running for re-election. These visits are not only informative, but also greatly appreciated by the journalists and management of this newspaper. 

Feb 22, 2017

Texas Rep. Lamar Smith of Congressional District 21 made a quick stop during his off-week to speak with Kerrville Area Chamber of Commerce members about a number of issues, as well as to give listeners a foretelling of immigration news to be released in the next two days.

“These certainly are historic, unprecedented times,” Smith said. “I don’t know of any president who has done more in his first 30 days — Trump has repealed 12 to 15 regulations in the last 30 days.”