Congressman Lamar Smith

Representing the 21st District of Texas
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Health Care

stethoscope on a clipboard

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 are required to have health insurance by January 1, 2014 or will have to pay a fine.  Information about enrollment can be found at

Recent polls show that the more the American people find out about Obamacare, the less they like it.  A Pew Research Center/USA Today poll found that 55% of Americans disapprove of Obamacare, compared to only 42% who approve of the law. 

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– Congressman Lamar Smith (TX-21) issued the following statement in response to the American Health Care Act being withdrawn from the legislative schedule for Friday.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

Jan 26, 2017

The Alliance for Fair Coverage of Life Issues announces its second annual #CoverTheMarch campaign today, calling on the media to cover the 2017 March for Life and cover it fairly. The annual event held in Washington, D.C. draws hundreds of thousands of peaceful participants from all over the country. This year’s March for Life, Friday, January 27, marks the 44th anniversary of Roe v. Wade, the Supreme Court decision that legalized abortion on demand.

Jan 24, 2017

Washington, DC –  Today Congressman Lamar Smith (R-TX) voted in support of the No Taxpayer Funding for Abortion Act (H.R. 7) which passed in the House 238-183.

Jul 13, 2016

WASHINGTON – Congressman Lamar Smith (R-TX) voted in support of The Conscience Protection Act (S. 304), which protects health care providers who decline to participate in abortions as a matter of conscience. The bill passed in the House 245-182.

Jun 27, 2016

WASHINGTON – Today, Representative Lamar Smith (R-TX) gave the following statement on the U.S. Supreme Court’s 5-3 vote to strike down a Texas law (H.B. 2) designed to provide essential protections for the health and safety of women inside the state’s abortion facilities.

Congressman Lamar Smith: “Today, the Supreme Court ruled against life, common-sense safety measures and states’ rights. The court has encroached on the State of Texas’ ability to self-govern. And the court’s decision jeopardizes the safety of women who pursue abortion services.

May 20, 2016

Washington, DC – On Thursday, Congressman Lamar Smith (R-Texas) and a bipartisan group of Texas members of Congress sent a letter to the Department of Veterans’ Affairs Secretary Robert McDonald requesting answers and action on reports of scheduling wait time manipulation at VA facilities in Austin, San Antonio and Temple.