During a House Energy Committee hearing last week, Rep. Lori Trahan (D-MA) questioned HHS Sec. Xavier Becerra about financial challenges for community hospitals and Steward Health Care.
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NewsTranscript
00:00 I recognize Ms. Trahan for five minutes for questions.
00:03 Thank you, Mr. Chairman. It's great to see you, Secretary Becerra.
00:06 As you and I have discussed before, community hospitals around the country are facing
00:13 significant financial challenges. In my home state of Massachusetts, those challenges are
00:18 being made worse by a private equity corporation that has prioritized profits over patients and
00:23 jeopardized the future of the nine hospitals it owns in the process. Mr. Secretary, as we
00:29 speak, Steward HealthCare, the largest for-profit, private equity-backed health network in the
00:35 country, is creating a health care crisis in working-class communities across Massachusetts,
00:40 just as it did when it drove Texas Vista Medical Center in San Antonio, Texas, into closure last
00:46 year when it was forced to sell off its hospitals in Utah just months earlier. Stewart is facing a
00:53 significant cash crunch because of blatant mismanagement by company executives who have
00:59 rewarded themselves with multi-million dollar salaries while accruing massive debts. Unsurprisingly,
01:06 Stewart has failed repeatedly, including in response to requests from myself and my colleagues
01:11 in the Massachusetts delegation to provide transparency regarding its intentions to
01:15 maintain the operation of their nine hospitals in our home state. So instead, it announced the sale
01:21 of its physician group to Optum, a subsidiary of UnitedHealth Group, while providing no insight
01:28 into the future of the hospitals their physicians practice in or what the proposed sale will mean
01:34 for vulnerable patients. So Mr. Secretary, many of the hard-working families I represent just
01:39 want to know that their government is paying attention to this issue and taking action
01:44 to keep their hospitals open. I'm hoping I can count on you to maintain a line of communication
01:52 with Massachusetts leaders to ensure that every possible action is taken and resources available
01:57 to keep community hospitals like Holy Family Hospital open and serving patients.
02:01 Congresswoman, we will do everything we can. This is actually a question more appropriate for me
02:09 when I was Attorney General because we try to take on some of these, I mean, they're vicious
02:14 investors that essentially try to gut the assets out of an institution and they just sort of
02:21 run out of dodge. And I can't tell you that we have authority because we don't govern
02:26 the licensing of hospitals and so forth at the federal level, that's all state,
02:30 but we are ready to work with Massachusetts to make sure health care is available to communities.
02:34 I appreciate that and I am encouraged by the recent work your department has done in
02:39 collaboration with the Department of Justice and the FTC regarding the effects of corporate
02:43 ownership trends in health care and my colleagues and I plan to submit comments as part of that
02:48 process. This year I'm spearheading efforts to commission a GAO study on hospital closures in
02:57 the last decade to identify the ownership models that have closed and assess the impact of those
03:03 closures on their communities. This type of study has been conducted for rural hospitals
03:08 but not on a broader scale. If you could just speak a little bit to how improved transparency
03:14 regarding hospital closures will help the agency to effectively address, respond to,
03:20 and mitigate future community hospital closures, that would be great. Yeah, we're actually doing
03:24 something very similar to that with nursing homes. We are tired of seeing nursing homes that get
03:30 bought up. They're usually owned by, you know, mom and pop's people who start them up for, you know,
03:35 wanting to help the community, then they get bought up. And before you know, you can't trace back who
03:40 the actual owner is. So now we are requiring nursing homes to provide information on who the
03:47 actual owners are because they set up so many LCCs, LLCs, excuse me, and so many different
03:52 sham corporations. It's tough to get to the bottom of it. And then when they run out of town,
03:56 after they gut the assets, people are left wondering what happened. So we would love to
04:00 work with you on being able to have more transparency in the health care sector. Thank
04:04 you. I do believe that, you know, we can agree that as we address closures and acquisitions that
04:10 don't benefit patients, that it's crucial to distinguish corporate for-profit hospitals
04:16 from their non-profit peers. I introduced bipartisan legislation with Congressman David Valdeo
04:22 to establish a federal designation for essential hospitals. And I hope my colleagues on the
04:29 committee will support this legislation. I hope to work with you, Mr. Secretary, to better support
04:34 the essential health systems that all of our communities depend on for life-saving care.
04:39 Thank you, Mr. Chairman. I yield back.
04:40 The gentlelady yields back. And that concludes all members of the subcommittee. And we have
04:45 two wave-ons. And remember, there's a vote on the floor, so we'll go quick.