[House Hearing, 119 Congress]
[From the U.S. Government Publishing Office]


                        EXAMINING THE GROWTH OF
                       THE WELFARE STATE, PART I

=======================================================================1


                                HEARING

                               BEFORE THE

                      SUBCOMMITTEE ON HEALTH CARE
                         AND FINANCIAL SERVICES

                                OF THE

                         COMMITTEE ON OVERSIGHT
                         AND GOVERNMENT REFORM

                     U.S. HOUSE OF REPRESENTATIVES

                    ONE HUNDRED NINETEENTH CONGRESS

                             FIRST SESSION

                               __________

                           FEBRUARY 11, 2025

                               __________

                            Serial No. 119-4

                               __________

Printed for the use of the Committee on Oversight and Government Reform

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                               __________

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              COMMITTEE ON OVERSIGHT AND GOVERNMENT REFORM

                    JAMES COMER, Kentucky, Chairman

Jim Jordan, Ohio                     Gerald E. Connolly, Virginia, 
Mike Turner, Ohio                        Ranking Minority Member
Paul Gosar, Arizona                  Eleanor Holmes Norton, District of 
Virginia Foxx, North Carolina            Columbia
Glenn Grothman, Wisconsin            Stephen F. Lynch, Massachusetts
Michael Cloud, Texas                 Raja Krishnamoorthi, Illinois
Gary Palmer, Alabama                 Ro Khanna, California
Clay Higgins, Louisiana              Kweisi Mfume, Maryland
Pete Sessions, Texas                 Shontel Brown, Ohio
Andy Biggs, Arizona                  Melanie Stansbury, New Mexico
Nancy Mace, South Carolina           Robert Garcia, California
Pat Fallon, Texas                    Maxwell Frost, Florida
Byron Donalds, Florida               Summer Lee, Pennsylvania
Scott Perry, Pennsylvania            Greg Casar, Texas
William Timmons, South Carolina      Jasmine Crockett, Texas
Tim Burchett, Tennessee              Emily Randall, Washington
Marjorie Taylor Greene, Georgia      Suhas Subramanyam, Virginia
Lauren Boebert, Colorado             Yassamin Ansari, Arizona
Anna Paulina Luna, Florida           Wesley Bell, Missouri
Nick Langworthy, New York            Lateefah Simon, California
Eric Burlison, Missouri              Dave Min, California
Eli Crane, Arizona                   Ayanna Pressley, Massachusetts
Brian Jack, Georgia                  Rashida Tlaib, Michigan
John McGuire, Virginia
Brandon Gill, Texas

                                 ------                                

                       Mark Marin, Staff Director
                   James Rust, Deputy Staff Director
                     Mitch Benzine, General Counsel
               Dan Ashworth, Chief Counsel for Oversight
                Peter Spectre, Professional Staff Member
      Mallory Cogar, Deputy Director of Operations and Chief Clerk

                      Contact Number: 202-225-5074

                  Jamie Smith, Minority Staff Director

                      Contact Number: 202-225-5051
                                 ------                                

           Subcommittee on Health Care and Financial Services

                  Glenn Grothman, Wisconsin, Chairman
Paul Gosar, Arizona                  Raja Krishnamoorthi, Illinois 
Pete Sessions, Texas                     Ranking Member
Anna Paulina Luna, Florida           Emily Randall, Washington
John McGuire, Virginia               Wesley Bell, Missouri
Brandon Gill, Texas                  Lateefah Simon, California
                        
                        
                        C  O  N  T  E  N  T  S

                              ----------                              

                                                                   Page

Hearing held on February 11, 2025................................     1

                               Witnesses

                              ----------                              

Mr. Robert Rector, Senior Research Fellow, Center for Health and 
  Welfare Policy, The Heritage Foundation
Oral Statement...................................................     5
Ms. Patrice Onwuka, Director, Center for Economic Opportunity, 
  Independent Women's Forum
Oral Statement...................................................     6
Mr. Michael Linden (Minority Witness), Senior Policy Fellow, 
  Washington Center for Equitable Growth
Oral Statement...................................................     8

Written opening statements and bios are available on the U.S. 
  House of Representatives Document Repository at: 
  docs.house.gov.

                           Index of Documents

                              ----------                              

  * Statement for the Record, National Council on Disability; 
    submitted by Rep. Grothman.

  * Statement for the Record, Olympic Medical Center, re: SNAP; 
    submitted by Rep. Randall.

  * Report, Foundation of Government Accountability, ``Examining 
    Growth of the Welfare State''; submitted by Rep. Grothman.

  * Article, the World Economic Forum, ``New Research Busts 
    Welfare Dependency Myth''; submitted by Rep. Krishnamoorthi.

  * Report, the Center on Budget and Policy Priorities, 
    ``Medicaid Work Requirements Could Put 36M People at Risk''; 
    submitted by Rep. Krishnamoorthi.

Documents are available at: docs.house.gov.

 
                        EXAMINING THE GROWTH OF
                       THE WELFARE STATE, PART I

                              ----------                              


                       Tuesday, February 11, 2025

                     U.S. House of Representatives

              Committee on Oversight and Government Reform

           Subcommittee on Health Care And Financial Services

                                                   Washington, D.C.

    The Subcommittee met, pursuant to notice, at 1:30 p.m., 
Room 2247, Rayburn House Office Building, Hon. Glenn Grothman 
[Chairman of the Subcommittee] presiding.
    Present: Representatives Grothman, Gosar, Sessions, 
McGuire, Gill, Krishnamoorthi, Randall, Bell, and Simon.
    Mr. Grothman. The Committee will come to order. This is the 
Committee on Oversight and Government Reform. It is the 
Subcommittee on Health Care and Financial Services. I am the 
Subcommittee Chairman of this Committee.
    Welcome to the Subcommittee on Health Care and Financial 
Services' first hearing of the 119th Congress. Today, we will 
hear from expert witnesses about the enormous growth of the 
welfare state. In particular, we are going to be focusing on 
the effect on marriage that the current welfare state has.
    Over the past 50 years, millions of Americans have received 
benefits from various welfare programs. These programs allow 
low-income Americans to gain access to food, health care, and 
childcare.
    While many welfare programs are vital to the day-to-day of 
many, their design too often creates dependence on the system. 
The current status also leads people away from getting married. 
And the exponential growth in dependency on welfare programs 
has not corresponded with a proportional reduction in poverty 
at all.
    Today, more than one-in-five able-bodied working-age adults 
receive some form of welfare. In 2022 alone, the Federal 
Government spent nearly $1.2 trillion on more than 80 welfare 
programs.
    And these numbers have only grown since.
    Many of these programs incentivize recipients to remain in 
the program rather than find employment which would enable them 
to get out of the programs.
    Furthermore, almost all these programs penalize married 
couples for simply choosing marriage. Penalties occur when a 
married couple no longer qualifies for the same benefits as 
they would as individuals. There are about 70 different benefit 
programs that you could lose if you are a single parent by 
getting married.
    Due in part to these penalties, the percentage of children 
born to unmarried women has skyrocketed, and we all know many 
wonderful, wonderful single parents. In 1960, around 5 percent 
of children were born to unmarried women. Today, that number is 
around 40 percent. To anybody who cares about the next 
generation, these numbers should be deeply concerning.
    Marriage is the backbone of a stable society and is a force 
that encourages individuals to be responsible for their 
families instead of having to rely on government assistance. 
Not only is marriage associated with better financial 
institutions, but it is also associated with better mental 
health for married couples and their children.
    While I personally know many single parents who do an 
excellent job, studies have shown that children raised in 
single-parent households are at heightened risk for substance 
abuse, crime, bad educational outcomes, depression, and other 
disorders.
    Given that Federal policy should reflect the fact that 
children--well, it is time that Federal policy be changed so we 
stop discouraging and penalizing people for simply getting 
married. To better understand why this is the case, we must go 
back to the creation of many of these programs.
    While some welfare programs began under President Franklin 
Roosevelt, most were created or expanded under President Lyndon 
Johnson's so-called ``War on Poverty.'' President Johnson's 
stated goal in expanding the welfare state was to provide 
Americans the chance to pull themselves up out of poverty and 
reduce dependency. It was intended to enable Americans who had 
stumbled on hard times to make a comeback. But that is too 
often not the case in today's welfare system.
    Our current welfare system is designed to ensure dependence 
on the government and penalizes marriage.
    Sadly, the problems do not stop there. Many of the 
benefits, paid for by taxpayer dollars, are improperly going to 
illegal immigrants. In 2023, the Federal Government spent $23 
billion on health care for illegal immigrants and another $11.6 
trillion on food stamps, child nutrition, and other welfare 
programs.
    Not only are we spending billions on illegal immigrants, 
but often welfare programs are among the most common targets 
for scammers and fraudsters.
    Last year more than $100 billion in improper payments were 
made in programs like Medicaid, food stamps, and the Earned 
Income Tax Credit. This is bad for taxpayers, but bad for 
welfare recipients, as well.
    If we continue on our current path, it will become 
increasingly difficult to fund welfare programs, making it hard 
to justify the safety net for Americans.
    I look forward to hearing from our witnesses today, and 
they will help us better understand the enormous growth of the 
welfare state, so we want to see what we can do to prevent 
government dependency and empower Americans.
    I should point out there have always been people who are 
hostile, outright hostile, to the idea of marriage. I know a 
lot of the radical feminists, Kate Millett and that crew, in 
the 1960s, did not want to have a man in the family. Of course, 
Karl Marx, for people who follow him, also felt the family was 
a negative impact on society and wanted to destroy it. So, we 
do not have Kate Millett or Karl Marx get their way. Hence, we 
are having this hearing.
    Now I yield to Ranking Member Krishnamoorthi for his 
opening statement.
    Mr. Krishnamoorthi. Thank you, Mr. Chairman. I am looking 
forward to working with you on the important issues confronting 
our Nation within the jurisdiction of this Subcommittee. 
Particularly, I am looking forward to addressing the continuing 
failures and costs of our broken healthcare system.
    I will confess that I had hoped our first hearing together 
would have tackled one of those vital issues, such as PBM or 
health insurance reform. Chairman Grothman, you and I have been 
working with Chairman Comer and the Democrats for years to try 
to rein in the abuses of pharmacy benefit managers. We have 
further worked on concerns about health insurance companies 
stopping payments for critical medical services, such as, for 
instance, anesthesia--anesthesia rules limiting the use of 
anesthesia mid-operation, that were about to be implemented 
this past winter. But sadly, this Committee is focused today on 
antiquated debates about welfare.
    I know what I am talking about when it comes to safety net 
programs because I have personal experience with SNAP's 
predecessor, the Food Stamp program. I came to our country with 
my family when I was 3 months old so my father could continue 
his education and our family could embrace all the 
opportunities that America afforded it. But despite my family's 
best efforts, it was not always easy. Specifically, in the 
recession of 1973, my father lost his income. But thanks to the 
generosity of the people in the United States, its government, 
and the existence of these safety net programs, we were allowed 
to survive and flourish.
    Today, my father, who turned 86 today--it is his birthday--
is an engineering professor emeritus, having retired after 40 
years of teaching engineering at Bradley University in Peoria, 
Illinois. My brother is a doctor at the University of Chicago, 
and myself, I am honored to represent the people of Illinois' 
8th Congressional District in my fifth term. That is the 
American dream: the promise of a middle-class life with the 
opportunity for your children to have an even better life than 
you did.
    That dream was possible for my family because of my 
parents' hard work and the possibilities and the generosity of 
this country. However, it was also because the American people 
established programs like SNAP and public housing so my family 
could temporarily sustain itself in times of severe need.
    For families like mine, access to public housing and SNAP 
served as a critical social safety net and allowed us to bounce 
back from financial adversity. It remains true today for tens 
of millions of struggling Americans.
    House and Senate Republicans, according to recent reports, 
are discussing an upwards of $2 trillion cut to Medicaid, 
almost one-third of funding. This does not sound to me like 
simply rooting out waste and fraud. Unfortunately, it sounds 
like forcing tens of millions of children, pregnant women, 
seniors, and people from programs they desperately need.
    Helping our neighbors through safety net programs is good 
economic policy. In 2025, the USDA found that in an economic 
downturn, every dollar in additional SNAP benefits leads to a 
$1.54 increase in gross domestic product. This does not 
surprise me. Social safety net programs do not encourage 
laziness; they empower Americans to succeed on their own.
    The demonization of benefit recipients is appalling. We 
will unfortunately hear shortly the untrue characterizations of 
lower-income people that have been made by the Majority, which 
undermine the credibility of the reforms they offer. People on 
public benefits are not lazy, they are not dumb, and they are 
not bad people. Often, like my own family, they have fallen on 
hard times and they simply need a hand up. The help they seek, 
they hope, is temporary. The difference we make in their lives 
lasts a lifetime.
    I am not going to silently acquiesce to this Congress 
turning its back on hungry, frightened, cold children or their 
families anywhere in our country who need help, in order for 
the Majority to pay for tax cuts for special interests. That is 
wrong. I hope that this hearing shines light on the good work 
our country does every day in feeding, housing, and caring for 
its people.
    Thank you, and I yield back.
    Mr. Grothman. OK. I do not believe I demonized any people. 
I try to demonize the politicians who set up the program, not 
the people who wind up doing what they are, in essence, paid to 
do.
    But, to our sad disappointment, to all our wonderful people 
who showed up here, we now have to vote on the Floor. So, I 
apologize. We are going to reconvene--what should we say? 10 
minutes after they bang the gavel downstairs.
    So, we will see you guys again. I wish we would have 
brought you pizza or something or other. Thank you for being 
here.
    [Recess.]
    Mr. Grothman. Thank you all. Before we hear from the 
witnesses, I would like to enter a document called ``Examining 
the Growth of the Welfare State,'' put together by Hayden 
Dublois and Jonathan Ingram. And they work for, I assume a 
think tank thing, labeled FGA.
    Thank you. OK. I would like to welcome our witnesses today, 
Dr. Robert Rector, Ms. Patrice Onwuka, and Dr. Michael Linden.
    Mr. Rector is a Senior Research Fellow at The Heritage 
Foundation's Center for Health and Welfare Policy. Ms. Onwuka 
is the Director of the Center for Health and Welfare [sic] at 
the Independent Women's Forum. Dr. Linden is a Senior Policy 
Fellow at the Washington Center for Equitable Growth. We look 
forward to hearing what you all have to say on today's 
important topic.
    Pursuant to Committee Rule 9(g)--I hope they warned you of 
this in advance--the witnesses will please stand and raise your 
right hand.
    Do you solemnly swear or affirm that the testimony which 
you are about to give is the truth, the whole truth, and 
nothing but the truth, so help you God?
    [Chorus of ayes.]
    Mr. Grothman. Let the record show all the witnesses 
answered in the affirmative. Thank you. You may sit down again.
    We appreciate you being here today and look forward to your 
testimony.
    I would like to remind the witnesses that we have read your 
written statement already and it will appear in full in the 
hearing record. If you can, please limit your oral statement to 
5 minutes.
    As a reminder, please press the button on the microphone in 
front of you so that it is on, and the Members can hear you. 
When you begin to speak, the light in front of you will turn 
green. After 4 minutes, the light will turn yellow. When the 
red light comes on it means 5 minutes is up, and we would like 
to ask you to wrap up as quickly as you can.
    I now recognize Mr. Rector for the opening statement.

                       STATEMENT OF ROBERT RECTOR

                         SENIOR RESEARCH FELLOW

                  CENTER FOR HEALTH AND WELFARE POLICY

                        THE HERITAGE FOUNDATION

    Mr. Rector. Thank you for the opportunity to come here and 
speak today. I have worked on the welfare system for 40 years, 
going back to President Carter, so the issues are very dear to 
my heart. And today, I would like to talk about one of the core 
features of the welfare state, perhaps the core feature that is 
largely neglected, which is the marriage penalties within the 
welfare state.
    Those of you that are Republicans, you know all about 
marginal tax rates on labor. Everyone that is in the Republican 
Party knows about marginal tax rates on labor. So, the marginal 
tax rate on labor, if you go out and you earn $20, and the 
government takes away half of it, that would be a marginal tax 
rate of 50 percent. Everybody says, ``That is kind of bad.''
    What we do not know is marginal tax rates on marriage, OK. 
When Republican hear about marriage penalties, they are 
thinking about marriage penalties in the income tax code, which 
means basically families that pay income tax, which are those 
in the top half of the population, above $110,000 a year. But 
the marriage penalties are not in the income tax code. They are 
in the $1.6 trillion welfare state. There are 90 means-tested 
welfare programs, including 40 that go predominantly to 
families with kids, meaning single-parent families, and every 
one of those programs has an outrageous marginal tax rate on 
marriage, a penalty on marriage.
    So that we talk about marginal tax rates on labor, OK, it 
would be very hard if we earn a dollar and the government took 
away half of it. But the marginal tax rates on marriage are 
infant, OK. At least with the marginal tax rate on labor, if 
you work more you get to keep something of it. But if you are a 
low-income family, a potential mother and father, you face a 
net loss in income, a net negative in income, when you get 
married. It is as if you went to work and you earned $20 an 
hour, and the government dinged you $100 bucks. The more you 
work, the more you lose. It is a confiscation rate. It is not a 
marginal tax rate.
    And the reality of that is, because all of the welfare for 
programs, all of these 90 programs, they, for the most part, 
give maximum benefits when there are no earnings in the 
household, and then as earnings go up the benefits go down, 
right. But earnings are all the earnings in the household, the 
mother's and the father's. So, if the father is in the 
household and he is married and he holds a job, your earnings 
went up, your welfare benefits are confiscated, and they fall 
dramatically.
    Such that if you look at the testimony I put in, let us 
take a family with a mother that makes $20,000 a year, a father 
that makes $30,000 a year. Let us say they have two kids. If 
they are not married and they cohabit, they could have a joint 
income of around $80,000 from their earnings, plus about 
$30,000 coming out of the welfare state. However, if they 
marry, they lose $15,000 of that. It is a tax rate of about 30 
percent on their original earnings beforehand.
    If they are in housing, Section 8 or public housing, then 
their combined benefits, if they are not married, are over 
$90,000, earnings plus cash, food, housing, medical care, and 
housing. But if they get married, out of that $93,000, they are 
going to lose $28,000 in penalties.
    The answer is, they do not get married, because we have 
made marriage economically irrational for them through these 
horrendous penalties. And what we need to do is rebuild 
marriage, because if you look today, 1 out of 4 children in the 
United States are born to an unmarried woman who is cohabiting 
with the father of the child at the time of marriage. They 
often remain together for 10 years later, but they do not get 
married. Why do they not get married? Because this institution 
will penalize them, will take their money away when they do.
    We need to stop doing that. We need to take all of the 
waste and fraud and abuse--there is a 30 percent waste and 
fraud rate in the EITC--take some of that money, save it, and 
apply it over to giving more generous benefits to these low-
income couples when they do get married and they do do the 
right thing. And I think that you will have an enormous 
behavioral response to that.
    We also need to tighten up the work requirements on all of 
these programs. I was a principal author of welfare reform in 
the 1990s, and we believed that the work requirements would not 
have so much of an effect on labor but an effect on family 
formation, and they did. For example, the non-marital teen 
pregnancy rate, when we put work requirements in, it dropped 
about 70 to 80 percent immediately, and it did that also by 
reducing abortions at the same time.
    So, the public that we are talking about, no, they are not 
evil. They, in fact, want to do the right thing. And the right 
thing is to form a stable family and raise kids that way. But 
they cannot do that because you are going to penalize them for 
doing it. That is a terrible thing. We should do it anymore.
    Mr. Grothman. Thank you very much. Ms. Onwuka.

                      STATEMENT OF PATRICE ONWUKA

                                DIRECTOR

                    CENTER FOR ECONOMIC OPPORTUNITY

                       INDEPENDENT WOMEN'S FORUM

    Ms. Onwuka. Yes. Thank you, Chairman. Thank you, Ranking 
Member and Members, for inviting me to appear today. I am the 
Director of the Center for Economic Opportunity at Independent 
Women. And we know this is an important topic because we 
represent, we speak to you about, women and their issues.
    And we recognize that we have made significant strides in 
this Nation in attacking poverty, but there are still a lot of 
failures. And particularly as a Black woman, and the Black 
family, we have seen the impact of welfare policies on Black 
families.
    As has been mentioned, over 80 welfare programs, spending 
$1 trillion, yet we have so much duplication and opportunities 
for waste, fraud, and abuse.
    So, how can we overcome some of these challenges? Well, I 
will just mention, today we want to close the loopholes that 
Federal agencies and states exploit to grow program enrollment, 
we want to target improper payments, and we want to promote 
work and family.
    I will just say a word on our poverty rate. Right now, we 
have 36.8 million people living in poverty, according to the 
U.S. Census bureau. Although when you calculate people who 
receive non-cash payments--in-kind housing, other forms of 
subsidies--I think the actual poverty rate is much smaller, 
which is a good thing. But how do we ensure that these folks 
who are still unable to enjoy the benefits of prosperity are 
able to do that and be independent?
    When it comes to the actual fiscal impact of welfare 
programs, we are seeing that they are growing exponentially. 
Thirty-four percent is expected to be the increase in welfare 
spending over the next 10 years. And they are talking about 
going from $1.2 trillion to $1.6 trillion.
    We have many agencies tackling a lot of the same different 
problems, 15 agencies dedicated to providing food aid alone, 13 
hitting housing, 12 hitting health care, and 5 hitting cash 
aid.
    So, where can Congress focus its energy? Well, I think 
reforming eligibility and participation to, I say, quote, 
``right-size'' these mandatory spending welfare programs.
    So, talking about some of the loopholes. We say states, 
and, frankly, the Federal Government, have relaxed some 
eligibility requirements or expanded the definition of who is 
needy. In the latter case, states are providing benefits to 
individuals earning far above the poverty rates and the poverty 
line. We know very often, or I think we are familiar here, that 
SNAP grants categorical eligibility to TANF enrollees, and that 
means that these folks are being exempted from program income 
and asset limits. That is a loophole, at an expected cost of 
over $111 billion over the next decade to you, taxpayers. So, 
this is one of the loopholes that we should be figuring out how 
to close.
    We also want to make sure that when we look at the types of 
people who are participating in welfare programs, we want to 
make sure that these are folks who are talking advantage of the 
millions of open positions that are available in this economy. 
Right? So, a lot of these folks are able-bodied Americans, both 
those with children and without children. And I think that 
there is a case to be made that whether you are talking about 
Medicare, SNAP, or TANF, you have 60 percent rates or above of 
non-disabled adults who are able to work but receiving these 
benefits.
    So, how can we get them to work? Well, part of it is that 
states have been waiving, or they have been able to waive, 
requirements that individuals are working. Or sometimes states 
are using backdoor ways to dedicate Federal funded money to 
other priorities that are not promoting work and family 
formation, frankly.
    So, I think these are the ways that we need to attack the 
perverse incentives that encourage states and the Federal 
Government to reduce the dependency rates, whether you are 
talking about SNAP or some of the other programs.
    Fraud, waste, and abuse. It is not surprising that there is 
a lot of fraud and waste and abuse, and this is created because 
there is not a good amount of tracking of how much there is. 
The GAO estimated that taxpayers have lost probably $2.7 
trillion over the past 10 years, between $200 and maybe $500 
billion annually on fraudulent payments, while the GAO has 
already provided to Congress a roadmap for how to attack these 
things. Better reporting. We need to make sure that Federal 
agencies that are providing welfare are reporting, tracking, 
data collecting, providing oversight to ensure that people who 
are receiving benefits are the ones that should be receiving 
it.
    And going forward, being prepared for the emergencies that 
happen, and I think during COVID we saw a tremendous expansion 
in our welfare programs, and we have not seen a recission back 
down to normal levels, despite an economy that is generating 
millions of jobs, as we know.
    Finally, a quick point on marriage. There is a marriage 
penalty, and I think that marriage is an important part of this 
conversation. And we know that the success series--if you just 
graduate with a high school diploma, if you get a job and get 
married before having children, your likelihood of falling into 
poverty drops significantly. And even if you do not, even if 
you are single mom and you get married, the poverty rate falls, 
as well. So, we cannot leave marriage out of the discussion.
    Thank you so much.
    Mr. Grothman. Thank you. Mr. Linden?

                      STATEMENT OF MICHAEL LINDEN

                          SENIOR POLICY FELLOW

                 WASHINGTON CENTER FOR EQUITABLE GROWTH

    Mr. Linden. Thank you. Chairman Grothman, Ranking Member 
Krishnamoorthi, and Members of the Committee, I really want to 
thank you for my opportunity to be here today.
    Today, I am going to make three main points.
    First of all, Federal investments in health, nutrition, 
housing, and other work supports for low-and very low-income 
people are both a moral and an economic necessity. The major 
problem with our current approach is that we do not do enough 
to make sure that low-income children have a real path out of 
poverty, and that struggling families have a real chance at the 
middle class.
    Second, if you are interested in efficiency and cost 
savings, you are looking in the wrong place. The Federal tax 
code is rife with loopholes, special subsidies, and giveaways 
that benefit the very wealthy and giant corporations with 
little or no discernable public benefit.
    Third, it is indefensible to scapegoat hardworking 
Americans who are striving everyday just to make ends meet 
while the ultra-wealthy and giant corporations have been given 
trillions, literally trillions, in tax breaks, and even as we 
speak, this Congress is proposing yet another round of tax 
handouts.
    Investments in health care, nutrition, housing, and other 
work supports pay enormous dividends, not only for those 
families, but for the entire U.S. economy. Children who receive 
nutrition assistance have better health and lower health care 
costs their whole lives. Children whose mothers receive WIC do 
better in school than children whose mothers did not. Children 
of families who use rental assistance earn more as adults and 
are less likely to become single parents. Boosting the incomes 
of very poor families, including through, for example, the EITC 
or the Child Tax Credit, results in more schooling, more hours 
worked, and higher earnings in adulthood for the children of 
those families. Medicaid expansion has resulted in better 
financial security for millions, lower eviction rates, lower 
costs for hospitals, especially rural hospitals, fewer 
premature deaths, and positive statewide economic impacts.
    These conclusions, and the many others like them, are drawn 
from literally hundreds of studies. The facts are not disputed.
    But you do not have to pore over studies to find the 
benefit of these investments. You just have to talk to people 
who actually use them, and the Ranking Member spoke eloquently 
of his own experience with this.
    Take the story of Zoe, a young woman from Colorado, who 
recently shared her story with The Arc of the United States. 
She completed a 4-year college degree, like so many other 
people of her age, and is now applying to grad schools. Zoe has 
spinal muscular atrophy, or SMA, which is a genetic 
neuromuscular developmental disability. She relies on the 
caregiver support she receives through Medicaid in order to 
live independently while she pursues her education. For Zoe and 
the millions of other Americans who rely on Medicaid, one in 
five, in fact, slashing these programs would have devastating 
effects on their lives and their livelihoods.
    We invest too little, not too much, in reducing poverty and 
providing pathways into the middle class. The Federal 
Government spent just 1.3 percent of gross domestic product on 
``income supports'' in 2024, which is down from 1.8 percent a 
decade ago, and lower than the average of 2 percent from the 
past 30 years.
    Roughly one in five children is in poverty today, which is 
twice the rate of other developed countries.
    These numbers are especially concerning given that there 
are more working-age Americans in the labor force and working 
today than at almost any time in modern history.
    And that is why it is a grave mistake, both morally and 
economically, to slash benefits and services for low-income 
people. And do not be fooled. Adding bureaucratic red tape, 
narrowing eligibility requirements, setting arbitrary limits, 
all amount to the same thing: indefensible harm to poor 
families and our economy.
    But there is another place in the Federal budget that truly 
is bloated with wasteful costs, and subsidies, and 
counterproductive incentives, and that is the tax code. Over 
the past quarter-century, Congress has repeatedly enacted 
trillions of dollars in tax cuts that disproportionately 
benefit the wealthy.
    Consider the 40 percent reduction in the corporate tax rate 
that was passed in 2017 under President Trump. That single 
giveaway is estimated to have cost roughly $1 trillion to date, 
and will cost trillions more over the next decade. These 
corporations did not raise wages or create more jobs. They 
enriched their shareholders and their executives. That is the 
very definition of wasteful spending.
    Those who are quick to scrutinize the choices of a poor 
family receiving $6 a day in nutrition benefits never get 
around to asking whether a giant corporation is doing what they 
promised to do with their tax cuts, or whether they needed them 
in the first place.
    The truth is that far too many Americans are struggling to 
make ends meet while those at the top get richer and richer. 
And that is why most Americans support investing more, not 
less, in aid to poor families. And that is why I find it is 
surprising that Congress is considering spending another $5 
trillion, or more, not on lowering health care costs or 
improving public schools or expanding benefits to address 
marriage penalties, but to give tax cuts, mostly to people at 
the top. It is hard to take seriously claims that we spend too 
much on poor families as policy-makers write a budget that 
would take money out of their pockets to give it to 
billionaires. That is not effective government. That is highway 
robbery.
    Anyone truly interested in improving efficiency and 
reducing waste in the Federal Government should be appalled by 
efforts to scapegoat those living in poverty, while padding the 
pockets of the super wealthy.
    Mr. Grothman. Well, thank you. I am going to lead off with 
Mr. Rector. I think the purpose of this hearing is see whether 
it is appropriate, and we are supposed to treat all Americans 
equally, but whether it is appropriate to design programs such 
that we are doing what we can to discourage formation of the 
traditional American family.
    We will start out with Mr. Rector. How many welfare 
programs penalize married couples, about do you think?
    Mr. Rector. Yes, there are 90 such programs. Every single 
one of them has a significant marriage penalty. It is the way 
to understand these programs is if you had the income tax code 
where you did not have a category ``married, filing jointly,'' 
so that as soon as you got married you would be moved into a 
higher tax bracket and you would be penalized.
    Every program is designed like that. That makes no sense, 
OK. It never has made any sense. I have been watching this for 
40 years, and it will not make sense tomorrow. We need to stop 
doing that.
    Mr. Grothman. OK. Can you give me just a couple of maybe 
common programs that seem as if they were designed to punish 
traditional married couples?
    Mr. Rector. Absolutely. Food stamps, Section 8 housing, 
Medicaid, the Earned Income Tax Credit, WIC. Every single one 
of these programs operates this way, that if you get married to 
an employed man, to the employed father, you lose roughly half 
of those benefits. I mean, it does not make any sense, and it 
is an irony that most poor people understand this. They 
understand that they are going to lose benefits if they get 
married, so they cohabit, right, but they do not form stable 
bonds. They do not make public commitments, and so forth, 
because we basically said do not do that.
    You can hide the father in the home, to cohabit with him. 
Just do not tell us about it, OK, and you will be doing fine. 
But if you were to go out and make a public commitment, and so 
forth and so on, we are going to take $25,000 away from you. It 
is an absolutely nutty system, but it is the system that we 
have.
    Mr. Grothman. OK. Do you know about how much we spend today 
on what we refer to as welfare programs?
    Mr. Rector. Yes. I would say it is about $1.6 trillion. It 
is about six percent of GDP. I would say that we are probably 
spending about $700 billion on low-income families with 
children, and about 80 percent of that goes to single moms. It 
is a subsidy system for single parenthood. It has been since 
the beginning of the war on poverty. And if you take that, and 
you just take the total amount of money that we spend on 
families with kids, which is again close, probably to, $600 to 
$700 billion, and you divide it by, say, the bottom income 
third of the population, you come up with something like 
$60,000 per family.
    So, we say we do not spend enough--we do not even know how 
much money you spend. There is Federal record of total spending 
on means-tested programs for children. You have to go through 
the budget, line by line, and bring it out. And when you find 
it, it is an enormous amount of money. And we do not know where 
that money goes. If you were to go to any state in the United 
States and take any given family and ask the question, ``How 
much does this family get from welfare?'' no one knows the 
answer to that, because they are getting benefits from six or 
seven programs at the same time. It is all disparate, the 
programs do not talk to each other, and there is no record on 
how much they get.
    So, one of the clear things we ought to have is a clear 
record of what the family gets, integrated, so we know that, 
OK, and we also ought to put that into our poverty measurement 
system. We just were told, oh, we do not spend enough, and we 
have one in five children living in poverty today. Well, you 
have one in five children living in poverty because of that 
$600 or $700 billion that you spend. None of that is counted as 
income for purposes of poverty. It is all hidden. It is all off 
the books. And therefore, all the spending on any of these 
programs, by definition, has no effect on poverty, because it 
is not counted as income. Food stamps is not income. Housing is 
not income. The EITC is not income. It is all off the books. No 
matter how much you spend on it, it has no effect on poverty, 
except it makes it worse because you are going to reduce 
earnings. Earnings are counted. So, you are going to have more 
poverty, not less, as a result of these programs.
    Mr. Grothman. Thank you. Whenever I hear about this topic, 
I remember the stuff on Black Lives Matter, where one of their 
goals was to get rid of the traditional Western prescribed 
family. It did not prevent people from marching with them, 
despite their goal was to get rid of the family.
    Mr. Rector. Primary goal of Marx and Engels, as well.
    Mr. Grothman. Right. Ms. Onwuka, is it true that many 
welfare programs do not require recipients to work?
    Ms. Onwuka. It is true. When we look at a number of 
different programs, we see that either states have exempted 
individuals in their jurisdiction from work requirements or 
that there are programs that just simply do not have them. So, 
those are loopholes that I think should be closed, and Congress 
can work with states to ensure that states are not waiving 
these requirements.
    Mr. Grothman. I will give you guys just one more question, 
either one of you. Since this big explosion of what we call the 
welfare programs in the mid 1960s, do you know what has 
happened to the birth rate in which the father stays around and 
does not stay around, what effect Lyndon Johnson's programs had 
on that?
    Mr. Rector. Yes. When the war on poverty started, seven 
percent of children were born outside of wedlock. Today it is 
42 percent. It is particularly striking in the Black family, 
where the non-marital birth rate, the percentage of children, 
were outside of marriage. The Black family survived slavery, it 
survived Jim Crow, it survived the Depression, it survived 
World War II. So, when you get to the beginning of the war on 
poverty, about 15, 16 percent of Black children were born out 
of wedlock. In comes the war on poverty. All these different 
programs, liberalization of these programs, and the Black 
family literally disintegrates within a decade. And now you 
have close to 70 percent of Black children being born outside 
of wedlock because that is what you pay for. You get what you 
pay for.
    And that is not just within Blacks. It is also now 
beginning to affect moderate-income Whites, Hispanics. Every 
low-income family is suffering from that. You are very lucky 
that you have any marriage at all in the bottom half of the 
population, because they all pay penalties for the fact of 
being married.
    Mr. Grothman. Mr. Krishnamoorthi.
    Mr. Krishnamoorthi. Thank you, Mr. Chair. Good afternoon, 
Mr. Rector. You have written welfare payments, quote/unquote, 
``increase dependency.'' Isn't that right?
    Mr. Rector. I have written that many times.
    Mr. Krishnamoorthi. And in your opinion, dependency on 
welfare benefits is a bad thing, obviously.
    Mr. Rector. No, I would not say that. I would say that 
having welfare benefits is necessary. I am not against the 
welfare state. But I believe that the incentives of the welfare 
state should help people to go upward rather than to fall apart 
and go downward. And the system you have now----
    Mr. Krishnamoorthi. Let me just jump in here. I am talking 
about dependency. Over-dependency on welfare benefits is a bad 
thing?
    Mr. Rector. Long-term dependency certainly is, yes.
    Mr. Krishnamoorthi. Let me bring your attention to 
something that happened at the Republican National Convention 
last summer. In this visual, Teamsters President Sean O'Brian 
said, quote, ``The biggest recipients of welfare in this 
country are corporations,'' close quote. You do not dispute he 
said that, right?
    Mr. Rector. I guess not.
    Mr. Krishnamoorthi. In 2023, the CATO Institute, by no 
means a liberal think tank, found that the Federal Government 
spends more than $100 billion a year on what they call, quote/
unquote, ``corporate welfare.'' You do not dispute that they 
found that, right?
    Mr. Rector. No, I guess not.
    Mr. Krishnamoorthi. Now, Mr. Linden, according to the 
Brookings Institute, oil and gas companies annually receive $20 
billion in direct Federal subsidies that no other business in 
this country gets. And you do not dispute that the Brookings 
Institute found that either, right?
    Mr. Linden. Nope. That is absolutely right.
    Mr. Krishnamoorthi. Look, if we are going to talk about 
reforming the welfare state, Mr. Chair, let us also look at 
corporate welfare. In the words of Paul Ryan, the former 
Speaker, quote, ``Republicans cannot make the case to the 
American people that Republicans are the reform party if 
Republicans will not reform the giant corporate welfare state 
in Washington.''
    Chairman, this is a theme I will be returning to on this 
Committee as we proceed.
    Let me turn to my next topic. Sir, Mr. Rector, according to 
The Washington Post, you said the following, quote, ``Is 
poverty harmful for childhood?'' Question. ``I think not.'' You 
do not dispute that you said this, right?
    Mr. Rector. No.
    Mr. Krishnamoorthi. Let us explore if poverty is harmful. 
The NIH, under President Trump, found that poverty is 
consistently associated with academic achievement gaps, as 
early as kindergarten, and by age 14, lower-income students 
are, quote, ``a full year behind their peers.'' You do not 
dispute the NIH found that, right?
    Mr. Rector. I could explain what I am saying in the quote 
if you want me to.
    Mr. Krishnamoorthi. I am asking you, you do not dispute 
that the NIH found that these academic----
    Mr. Rector. I assume you do not want me to explain.
    Mr. Krishnamoorthi [continuing]. Gaps exist.
    Mr. Rector. No, I do not.
    Mr. Krishnamoorthi. I would like to bring your attention to 
a Department of HHS study, which finds that childhood poverty 
is associated with, quote, ``development delays, chronic 
illness, and nutritional deficits.'' Mr. Linden, you do not 
dispute that the HHS found that, and I presume that you agree 
with them.
    Mr. Linden. Yes. I mean, there are a lot of studies that 
show childhood poverty has long-term negative effects for the 
children and the economy as a whole.
    Mr. Krishnamoorthi. So academic gaps, development delays, 
along with chronic illness.
    Now, in addition, Mr. Rector, you said, to The Heritage 
Foundation in 2007, quote, ``Most poor children are super-
nourished.'' You do not dispute you said that, right?
    Mr. Rector. That is exactly what the USDA data shows. Yes, 
I have read the reports. Very few people have.
    Mr. Krishnamoorthi. You are not a doctor, right? You are 
not a medical doctor.
    Mr. Rector. No. I am an expert in these programs.
    Mr. Krishnamoorthi. You are not a medical doctor, are you?
    Mr. Rector. I do know more about nutrition----
    Mr. Krishnamoorthi. You know more about nutrition than a 
medical doctor?
    Mr. Rector. I know more about nutrition in welfare programs 
than any doctor.
    Mr. Krishnamoorthi. You are not a nutritionist, are you?
    Mr. Rector. I said exactly what I am saying. If you want to 
look at the----
    Mr. Krishnamoorthi. It is a simple yes-or-no question. You 
are not a nutritionist, are you?
    Mr. Rector. No. I----
    Mr. Krishnamoorthi. And you are not a----
    Mr. Rector. I am an expert in the food stamp program----
    Mr. Krishnamoorthi. Sir, anybody who----
    Mr. Rector [continuing]. And nutritional effects.
    Mr. Krishnamoorthi [continuing]. Anybody who----
    Mr. Rector. Do you want to talk about the food stamp 
program and its nutritional effects, or do you want to 
grandstand?
    Mr. Krishnamoorthi. Anybody who thinks that childhood 
poverty is not harmful to children unfortunately should not be 
talking about whether these welfare programs benefit families 
or not.
    Let me turn your attention----
    Mr. Rector. Would you like me to explain what I meant by 
that?
    Mr. Krishnamoorthi [continuing]. To my final topic, in my 
limited time. On January 31, Politico quoted Donald Trump as 
promising to, quote, ``love and cherish Medicaid.'' Mr. Linden, 
you do not dispute that Politico reported that, right?
    Mr. Linden. They definitely reported that.
    Mr. Krishnamoorthi. Donald Trump also promised that, quote, 
``The people will not be affected. Medicaid will only be more 
effective and better.'' That is what he said, right?
    Mr. Linden. That is what he is promising.
    Mr. Krishnamoorthi. Punchbowl News reported, quote, ``The 
Energy and Commerce Committee currently is eyeing up to $2 
trillion in cuts to Medicaid.'' You do not dispute they 
reported this, do you, Mr. Rector? This is what Punchbowl News 
said.
    Mr. Rector. I am not aware of that.
    Mr. Krishnamoorthi. Michael, can you tell us briefly what 
would happen if $2 trillion in cuts to Medicaid actually 
occurred, in terms of the number of people who would be dropped 
from Medicaid?
    Mr. Linden. Yes, tens of millions would lose coverage or 
benefits, or both. There is just no way around it. Those level 
of cuts, there is not tweaks or efficiencies to be found that 
is one-third of total Medicaid spending at the Federal level. 
It is not there. Just one of the proposals that I have heard 
being batted around would mean 36 million potential people 
would lose coverage. So, there is a lot of harm here.
    Mr. Krishnamoorthi. We are at a proverbial fork in the 
road. Either we keep President Trump's promise that ``the 
people will not be affected,'' close quote, or we accept 
trillions in cuts to our safety net programs that drop tens of 
millions of people, Americans, from the Medicaid rolls. This 
will not only affect them, this will devastate them.
    Thank you, and I yield back.
    Mr. Grothman. Thank you. Paul Gosar.
    Mr. Gosar. Yes, thank you, Mr. Chairman. I agree with all 
your comments, Mr. Rector. I think you have come up with really 
good ways.
    Let me ask you something first. I want to ask you, did 
AHCCCS in Arizona cut people off of the rolls?
    Mr. Rector. I am not entirely familiar with the specific 
program.
    Mr. Gosar. OK, so we got an exemption on Medicaid, and we 
did it ourselves. It did not cut.
    Mr. Rector. Was this the work requirements.
    Mr. Gosar. No, no, no. It was AHCCCS. It is called AHCCCS. 
It is a Medicaid--we got a waiver and we tried to hit different 
populations. So, just looking at the incentivization or the 
growth of a product does not mean you are cutting people off, 
does it?
    Mr. Rector. It depends on what you are doing.
    Mr. Gosar. Oh, that is all I wanted to hear, because it 
came across by saying it does.
    Mr. Rector. Well, Congressman----
    Mr. Gosar. No, it is my time. It is my time.
    Mr. Rector. If you are cutting----
    Mr. Gosar. It is my time. Hold on. Hold on. It is my time.
    Mr. Rector. Fair enough.
    Mr. Gosar. OK. So, if we were to look at using that FMAP, 
and you saying we are going to use inflation to carry it on, 
and block that back to the states, tell me how that 
disincentivizes opportunities. Tell me how that does.
    Mr. Rector. I can do that.
    Mr. Gosar. Go ahead, quickly.
    Mr. Rector. So, if you are block-granting Medicaid and you 
are capping the growth of Medicaid below health care costs, by 
definition----
    Mr. Gosar. No, I did not say that. I did not say that. I 
said capping it according to inflation.
    Mr. Rector. But health care costs grow faster than 
inflation----
    Mr. Gosar. That is----
    Mr. Rector [continuing]. In the private sector. And, in 
fact, the private sector grows faster than the public sector. 
So, if you are capping Medicaid costs below the growth of 
healthcare spending, then, by definition, you are going to be 
cutting Medicaid funding for the states, and states will have 
to either reduce benefits or cut people off the rolls. And the 
important thing here is the savings being considered here will 
be funneled into tax cuts for rich people and corporations. You 
are not putting those savings back into Medicaid. You are not 
saying let us make this work better. What you are saying----
    Mr. Gosar. OK, so, that is gratuitous.
    Mr. Rector. Let us cut taxes for rich people?
    Mr. Gosar. Ms. Onwuka, I am glad you brought up COVID, you 
know, because we went on this spending spree, of $4.8 to $7 
trillion. Not a single receipt exists out there. And NIH, we 
talk about the NIH doing this and that, this is the same NIH 
that gave us COVID and an improper appropriation to how we took 
care of it. You know, it is sick.
    So, can you tell me a little bit more about your opinion? 
Did this continuous enrollment opportunities for Medicaid, how 
does it buildup waste, fraud, and abuse?
    Ms. Onwuka. Sure. During COVID, obviously, and frankly 
during recessions, we tend to see the enrollments in Medicare 
and some of the other welfare programs increase. Now, that 
said, the economies bounce back, and so as people gain 
employment, they should fall off things like SNAP. They should 
fall off certain programs. But we have not seen that, and COVID 
supercharged that. Even with the Child Tax Credit, for example, 
that was expanded, a Republican idea, the Child Tax Credit, but 
it was expanded and morphed into universal basic income by 
paying it out in monthly increments to every household and 
removing work requirements.
    So, when you remove work requirements you provide waivers 
for states, and you create these loopholes where states can 
certainly roll people into these different programs, regardless 
of what their resources are or their income, then that is how 
you see these enrollments increase. And it is a shame that we 
are spending as much money that we are and our enrollment 
numbers are not falling. That is telling us something.
    Mr. Gosar. Well, I tell you what. I am so excited for this 
event, looking at this idea coming about, of wellness. I cannot 
tell you. I am a dentist, previously, so I love the fact that 
we are going to hopefully look at wellness, OK.
    But I want to know more about this. This Families First 
Coronavirus Response Act provided advanced Federal funding or 
the FMAP to states to continuously enroll Medicaid 
beneficiaries. I want to get to this point. So, what did the 
states do? They just kept enrolling. In fact, they never ever 
followed through. There was no accountability to it, everybody 
that was under this FMAP, OK. For 3 years we did this.
    So, tell me how you would feel about that aspect.
    Ms. Onwuka. Well, I mean, it is concerning when you have so 
many able-bodied people. We are not talking about people who 
have disabilities or are not able to work, but able-bodied 
people who are participating in programs like Medicaid because 
it has been expanded so much, we are talking about 60 percent 
of able-bodied adults on Medicaid, 25 million Americans who are 
reporting no earned income.
    So, that is telling us that there are people who can work, 
we know that there are millions of open positions, and they are 
participating in the Medicaid program, but they are not 
working. That is a problem that needs to be fixed, and there is 
something there that is broken that needs to be rectified.
    Mr. Gosar. And we are also seeing the fact that there is no 
accountability. The Federal Government is not going back, the 
states are not going back and saying, ``Hey, listen. You had 
private insurance. Why did you take this?'' So, there is no 
accountability whatsoever, so we just blanket across the board.
    I do want to thank you, Mr. Linden, because I think you 
were one of the people that supported my thing about McCarran-
Ferguson and developing in regard to health care. That is why I 
want to see new ideas, new advantages, all that across the 
board. So, from that I will say thank you. I will yield back.
    Mr. Linden. Thank you, Congressman.
    Mr. Grothman. Thank you. Next, we have Ms. Randall.
    Ms. Randall. Thank you so much, Mr. Chair. It is delightful 
to get the chance to talk about health care access in this 
first Subcommittee hearing, and I want to start out, being a 
new Member, and I do not know if this makes me a radical 
feminist or not, I am a married woman but I do not have a man 
in my family.
    But I do believe that we need to make sure that access to 
the services that folks need is not--that we do not create 
additional barriers. And I believe that because of really 
personal experience. When I was 7 years old, my sister, Olivia, 
was born with microcephaly, which is a complex disability. The 
doctors did not know how long she would live or if she would 
live. My dad had a good government civilian job, had good 
Federal employee insurance, but it would not have covered all 
of the equipment and specialists that Olivia needed to survive 
in our family. But because the Washington State legislature, in 
1993, was one of the first states in the country to expand 
Medicaid, Olivia was able to survive and thrive in our family. 
And because of special education funding, she was able to go to 
school, be integrated in her classroom.
    And that is when I learned that government can play a role 
in making people's lives better, and ensuring that families 
have the tools to build strong futures, ensuring that children, 
like my sister and my brother and I, can be civically involved 
community members and can build better for our kids and our 
kids' kids.
    I am also the first of my family to go to college. I 
benefited from financial aid. When my parents got divorced, my 
mom, after being a primary caregiver for my sister, struggled 
to re-enter the workforce, and SNAP benefits made a difference 
for us.
    You know, I went on to break a lot of barriers in my 
family, and was elected to the State Senate, where I had the 
chance to chair the Higher Education and Workforce Development 
Committee for 5 years, where I heard story after story after 
story that was like mine and my family's, working parents who 
were trying to go to school so that they could build a better 
future for their kids, who were penalized, and who were not 
able to dedicate the time to their schoolwork because they were 
trying to hit the work requirements. Students were penalized 
because they got a little bit of a raise, a tiny, tiny, tiny 
bit of a raise, which meant that they lost their childcare 
benefits or their housing benefits or their food assistance 
benefits. Those cliffs are what keep so many families in 
poverty.
    And I also believe that we should tackle the marriage 
penalty. I have talked to a number of particularly disabled 
parents who want to get married, who want to build a strong 
family unit, but who do not have the opportunity because they 
know that they will be made homeless by getting married and 
losing the benefits that are allowing their children to have 
health care and thrive.
    Mr. Linden, I do not know if you have tracked any of 
Washington State's response to the Great Recession. I assume 
that it is like many states, we were forced to make some cuts 
to our safety net programs. Can you speak at all about any 
other states that made cuts to programs, safety net programs, 
under the Great Recession, and what impact that had on 
families?
    Mr. Linden. Yes, absolutely. I think stepping back broadly, 
we know that when states and localities are forced to pull back 
on aid to struggling families because of economic resources, 
because the Federal Government has cut back, that the effects 
are very long-term. Certainly, people get hurt right away, but 
there is something in the economic literature that we call 
``scarring,'' kind of a gross term, but it does capture the 
real long-term effects of people getting thrown off of these 
programs before they are able to pick themselves up. You see it 
years and years afterwards. They have lower educational 
attainment, lower earnings, less attachment to the workforce. 
All the things that we want to see, you get the opposite of 
that.
    I am sure that happened in Washington State. It happened 
all over the country. It happened in other countries.
    Ms. Randall. We definitely saw that impact in Washington 
State, and in fact, what we saw was a greater strain on the 
budget long-term, because since we kicked folks off of programs 
that were allowing them to build themselves up, then we had to 
pay for housing and other safety net programs, longer term, not 
only for the parents but for the children as they grew up.
    Washington State, like many states in the country, also has 
extensive workforce shortage, and one of the ways that we meet 
that is by ensuring that folks get credential attainment after 
high school. We have a goal of 75 percent credential 
attainment. None of that is possible if we are ensuring that 
families are not able to access education, to keep a roof over 
their head, to send their kids to childcare, and to thrive. So, 
I hope as we think about what is good for families and what is 
good for our economy, we remember that these programs provide 
support.
    Thank you, Mr. Chairman. I yield back.
    Mr. Grothman. Thank you. We will now go to the gentleman 
from Texas, Mr. Sessions.
    Mr. Sessions. Mr. Chairman, thank you very much. Mr. 
Rector, I would like to play a game with you. What is the 
amount of money, total, that you believe a family of four, that 
is married, two children, what is the amount of money that you 
believe that they should have total benefits for?
    By the way, I think I am looking for you to help me in this 
endeavor.
    Mr. Rector. Maybe you are trying to figure out how much 
they currently get.
    Mr. Sessions. Well, no. I think what I am trying to say is 
if you go to the poverty level, line, and then you add in 
whatever amount of money you would choose to add in, what is 
that correct level that you believe would be something that 
would be a good number to say if a person makes this much, what 
is that number?
    Mr. Rector. I think that you can very easily, within the 
current system, ensure that any family that has work could have 
enough benefits to get to, say $100----
    Mr. Sessions. I am not saying that. Maybe I cut you off. I 
am sorry. Go ahead.
    Mr. Rector. The welfare system is designed to reinforce 
work and to supplement work.
    Mr. Sessions. And that is what I said. I said married----
    Mr. Rector. Right.
    Mr. Sessions [continuing]. And then what is that amount of 
money? I am trying to look at work and then amount of benefits, 
because I think there ought to be a sliding scale----
    Mr. Rector. Right.
    Mr. Sessions [continuing]. Up and down, instead of you do 
not qualify, or we do this, or we penalize. It ought to be, OK, 
if we decided--I am just going to say it--$100,000. I am 
playing the game I wanted you to play. If you just said, 
``$100,000, Congressman Sessions, would be an amount of money 
that I believe a family of four, husband that worked, husband 
and wife that are married, they need $100,000, however you 
cobble it together, to live.'' And then we looked at the amount 
of money that they make, and then we looked at the amount of 
money that they received benefits for. And we just said, 
$100,000. That way we are not penalizing marriage.
    Now I can have this wrong, but that is one way to look at 
it. And then you would go and sit down with a person, whoever 
it might be, maybe it is a computer, and say, I work and my 
salary is this, and my wife's salary is this, and our tax level 
is this. Maybe they do not pay any taxes. To get to $100,000, I 
am allowed to add in benefits that look like the following 
matters, and that we encouraged marriage instead of then 
telling them, ``No, you do not qualify,'' or what you do, let 
them package together the things that they believe they needed 
the most.
    What kind of game is that? Is that too much of an 
articulation of maybe a philosophy?
    Mr. Rector. No. I think if you look at what we currently 
spend, if we are spending through the means-tested welfare 
system close to $60,000 for every family that has an income in 
the bottom third of the population, it is a huge amount of 
money which no one knows where it is going, for the most part. 
But you can very easily, within that system, ensure that any 
family that has at least one working parent, has an income, oh, 
say 150 percent of the poverty rate. You can easily do that.
    But the current system, first of all, all the spending is 
hidden. It is not on the books, OK.
    Mr. Sessions. I agree with that, and we put it on the 
books.
    Mr. Rector. No, you do not. If you look at, like, the 
measurement of poverty, 95 percent of the $1.6 trillion you 
spend every year is off the books. It is not counted. It has 
effect on poverty.
    Mr. Sessions. I did not say you would not count it. I am 
saying we would count it.
    Mr. Rector. Oh, you definitely count it, and then you have 
a system that has incentives that promotes people to work----
    Mr. Sessions. I agree.
    Mr. Rector [continuing]. And to get married. And you get 
rid of all the fraud, which is in there, which is huge, and you 
can definitely do that for considerably less than you are 
spending today. But you have to be honest about what the 
benefits are, who is getting them. You have to count that in 
terms of measuring poverty. I mean, you have a $1.6 trillion 
welfare system.
    Mr. Sessions. Well, I have read Phil Gramm's book. I get 
that.
    Mr. Rector. OK.
    Mr. Sessions. I am trying to reverse engineer it. I am not 
trying to take the time of this important panel. I am trying to 
say, is that something that might be a better----
    Mr. Rector. Yes.
    Mr. Sessions [continuing]. Way to look at, because I think 
it is. For instance, the gentlewoman just before me talked 
about her mother had to probably quit work because of her 
sister. Not unusual. I have a Down syndrome son. There are 
people in family emergencies, and they cut down one person 
working, and all of a sudden much of their income is cut in 
half.
    So, I have dealt with these circumstances. I am trying to 
say it seems like we could have a workbook, a paper, that would 
say, OK, here is where you have got to be. You are at this. And 
our job is to try and get you there. And then make it easier 
for someone that is married to stay married. That way there is 
less back-and-forth.
    OK. I am interested in getting in touch with you. I am 
interested in seeing if we could design a sheet of paper that 
could be a potential model of saying if we get to this, how do 
we get to this, how do we encourage that, and then seeing if we 
can float that with any ideas around it.
    You are very kind. Thank you for playing my game. Mr. 
Chairman, I yield back.
    Mr. Grothman. Thank you. Ms. Simon.
    Ms. Simon. Thank you so much, Mr. Chair, and thank you to 
our witnesses who have come here today to talk about the issues 
surrounding family, and the health of our families, the health 
of our children. It is the reason that I came to the U.S. 
Congress.
    For the folks who are listening in, there are women and 
mothers who are escaping domestic violence, and families who 
have small children who are trying to finish school. You know, 
the farmer that called my office, out of district, so nervous, 
so nervous that there is the potentiality of his family losing 
benefits because our system will count his small amount of land 
and his farm equipment as assets, and he has a severely 
disabled child. I care so much, as you all do. I believe we 
uniquely all have a deep place in our professional and personal 
spaces for the American family.
    I do not believe that there--I am making an assumption, so 
I will ask--are there any members of the witnesses who came 
here today that were a single parent?
    [No response.]
    Ms. Simon. Any witnesses who have ever collected SNAP or 
WIC?
    [No response.]
    Ms. Simon. I appreciate it, because we need people on both 
sides, our advocates, our organizers, our academics.
    I was a teen mom, a single teen mom, and I had my daughter 
while I was in college, community college. And I worked three 
jobs, and I got $28 of food stamps. And because I am legally 
blind and I was not able to drive, I would have to catch a bus 
an hour in Martinez, Contra Costa County, in the Bay Area, to 
get that $28. At one point, it just felt like it was just too 
much. But I kept my WIC.
    And I would go to the grocery store--every month, you only 
get WIC once a month--and I would go and I was humiliated every 
single time purchasing beans and rice and milk, and being asked 
to put back because the milk maybe was two ounces more than the 
WIC stamps cost. Being poor is hard, trying to live up to the 
values in this country of working hard and raising children.
    In fact, I got married later on. My husband died of 
leukemia. I will tell this story every single day. My 13-year-
old is at school right now, in Washington, DC. It is a snow 
day. I am a single mom and a widow. No one is there to pick her 
up. I am asking her to wait on the stairs.
    So, when we are going to talk about families, let us really 
talk about families. We talked about so many of the stats that 
are put before us.
    I only have one question, but I want to give a little bit 
more background. During our last work week, members, I took 
members of my leadership of our party on a tour of University 
of California's Benioff Children's Hospital. It is an amazing 
facility, one of the state-of-the-art burn centers. It is a 
sickle cell center. They provide stem cell transplants to 
children. There are fears that much of this federally funded 
immediate care may be denied to low-income families who are 
just trying to survive.
    They are also really thinking about, the leaders of this 
hospital, they are thinking about what they are going to do 
should our Administration attack the 340B Drug Pricing Program. 
Again, as someone who spent a lot of time with my husband when 
he was living and dying, trying to move through cancer, the 
program is essential, not only for our adults fighting life-
critical diseases but for our children.
    And I also met with our federally qualified health centers, 
diabetes care, prenatal care. When I was pregnant as a 
teenager, I got all of my prenatal care from Planned 
Parenthood.
    I have one question. Actually, the question--I have a 
statement, actually, before the question, and let me get it 
clear. What I heard earlier was this estimation of poor women 
should immediately work when they give birth to their children, 
or it is really important to have work requirements. You know, 
I agree that folks should work. I have run organizations that 
put young women to work. But we do not have the same 
expectation for middle class and wealthy women. We are asking 
them to stay at home, take care of your babies.
    So, I am curious, you know, Mr. Linden, with all the 
hypocrisy in this conversation we know that poor folks struggle 
to just make it, and they are pathologized every step of the 
way. When we are talking about the plan to cut Medi-Cal at $2 
trillion, give me 7 seconds of what the effects could be on our 
low-income families in this country.
    Mr. Linden. Sure. Seven seconds. We would cut millions of 
people from their lifesaving health care, and for what? To fund 
tax cuts for billionaires. That is what the discussion is right 
now in Congress. Should we or should we not take health care 
away from low-and moderate-income families so that we can have 
more room to give tax cuts to billionaires and corporations. I 
think the American people would be pretty unhappy to find that 
is what is under discussion her.
    Ms. Simon. I appreciate it and I yield back. Thank you so 
much.
    Mr. Grothman. Thank you. The gentleman from Texas, Mr. 
Gill.
    Mr. Gill. Thank you, Mr. Chairman. I appreciate it. The 
great economist, Milton Friedman, once quipped that you can 
either have a welfare state or you can have open borders, but 
you should not have both, and I do not think you should have 
either, for one.
    You know, we have talked, and we have heard a lot over the 
past 4 years about root causes of mass illegal immigration into 
our country, and I would like to perhaps suggest a few of them, 
and they are coming from the other side of the aisle, in that 
we are creating a welfare state that incentivizes mass 
migration into our country from every country on the globe that 
is poorer than we are.
    My colleagues on the other side of the aisle like to say 
that illegal aliens cannot get welfare. I think that that is 
verifiably not true. In fact, illegal aliens and their families 
can receive welfare from about over a dozen different programs. 
I will list out a few of them: food stamps, child nutritional 
programs, Temporary Assistance for Needy Families, Supplemental 
Security Income, childcare and development block grants, the 
Earned Income Tax Credit, the Child Tax Credit, Obamacare 
premium tax credit, Obamacare cost sharing subsidies, Medicare, 
Medicaid, the Children's Health Insurance Program, Pell Grants, 
student loans, Head Start, public housing, and the Coronavirus 
State and Local Fiscal Recovery Fund.
    Whenever we think about how much money we are giving to 
illegal aliens, the numbers really are absolutely staggering, 
and I can give you just a few of them. Let me pull them up 
here. We spend, on illegal aliens and their families, over $3 
billion in primary and secondary education, $580 million on 
limited English proficiency programs, $239 million for migrant 
schooling, $2.8 billion for Head Start programs, over $8 
billion in uncompensated hospital expenditures, nearly $1.6 
billion for Medicaid births, almost $8 billion a year on 
Medicaid fraud, $5.4 billion for Medicaid for U.S.-born 
children of illegal aliens.
    In terms of law enforcement costs, we spend almost $1.7 
billion on Federal incarceration of illegal aliens, $4.1 
billion for enforcement and removal operations, $8.6 billion 
for Customs and Border Protection, $1.7 billion for other ICE 
operations, $237 million for State Criminal Alien Assistance 
Programs, over $8 billion for alien minors, and I am going to 
keep going, $191 million for DoD National Guard deployment.
    If we look just at welfare, we spend over $1.5 billion for 
meals in schools for illegal aliens and their children, $5.8 
billion for SNAP, just under $1 billion for WIC, $1.4 billion 
for TANF programs, $991 million for Child Care and Development 
Fund, $334 million for public housing, $600 million for 
Supplemental Security Income--I think in the context of a 
Federal debt that is at $36 trillion. I think that is utterly 
absurd.
    As it all comes out, according to various estimates, we are 
spending right around $50 billion, on the Federal level, on 
illegal aliens and their families, and about $100 billion a 
year on the state level, as well.
    Mr. Linden, I would like to start with you, and I know we 
only have a little bit of time. But do you think it makes sense 
that we provide welfare benefits for illegal aliens and their 
children?
    Mr. Linden. I think it does not make sense to spend 
multiple times that on subsidies to corporations and rich 
people.
    Mr. Gill. But do you think we should be taxing working 
class American families to pay for welfare for illegal aliens?
    Mr. Linden. I genuinely believe we should make sure that 
the welfare and health care and nutrition programs that we have 
in this country are going to the people who are entitled to 
them, who are in the law, what the law says who should get 
them. And I also think that if we are worried about the Federal 
deficit and debt, we are spending multiples times what you just 
described there on tax cuts for rich people and corporations. 
And I do not understand the focus----
    Mr. Gill. There is a difference between providing tax cuts 
for American citizens and providing handouts for illegal 
aliens.
    Mr. Linden. Huge beneficiaries of these tax cuts are 
foreign investors. One of my----
    Mr. Gill. I hope you guys continue----
    Mr. Linden. One of the biggest----
    Mr. Gill. I hope your side of the aisle continues defending 
welfare for illegal aliens, because Republicans will win every 
single election in perpetuity of that is your view.
    And Mr. Chairman, I yield my time. Thank you.
    Mr. Grothman. Well, thank you. Have another new person we 
are getting used to here.
    Mr. Bell from Missouri?
    Mr. Bell. Thank you, Mr. Chair. So, let us level set here. 
It is no secret that Republicans want to cut Federal programs 
that hardworking families rely on in order to fund tax cuts for 
the wealthiest among us. And Democrats will continue to fight 
for programs like Medicare, Medicaid, and Social Security 
because we cannot turn our backs on the people that need us 
most.
    A month ago, I was an elected DA back home, and I am going 
to give you all a piece of advice that I got a long time ago. 
You want to fix public safety? Fix your health systems. So, 
there is a public safety component to ensuring that everyone 
has access to quality healthcare
    So, like my colleague on the other side, I would also like 
to play a game. And we should be able to find bipartisan 
consensus that waste, fraud, and abuse within Federal programs 
is intolerable. We should also support Inspectors General and 
law enforcement personnel that have dedicated their careers to 
rooting out this fraud and recovering lost funds from bad 
actors.
    Instead, I have been very disappointed, and dismayed, for 
that fact, that President Trump spent his first week in office 
firing Inspectors General and career prosecutors, including 
people who were tasked with investigating and preventing fraud 
within the very programs our Republican colleagues claim are 
ripe for abuse. I want to stress the importance of our 
independent and nonpartisan Inspectors General. The work they 
do should be commended.
    So, let us also play a money or investment game. For the 
relatively small investment made in Offices of Inspector 
Generals, the taxpayer receives a massive return on that 
investment. In Fiscal Year 2023, Inspectors General detected 
and clawed back as much $93 billion in taxpayer funds. By one 
measure, for every $1 invested in an Office of Inspector 
Generals, $26 is saved by their oversight work.
    So, Mr. Linden, President Trump fired the HHS Inspector 
General in January. What impact will this have on the ability 
for people to defraud Medicare and Medicaid.
    Mr. Linden. It will make it a lot easier, and exactly as 
you said, Congressman, if we are really interested in rooting 
out waste, fraud, and abuse, I am all for that. We should be 
spending every single dollar of American taxpayers with 
responsibility and oversight. And when we find those savings, 
let us reinvest them into the people who actually need those 
benefits and who actually deserve those benefits, who will grow 
our economy. Let us not give that money to the wealthy and 
corporations.
    Mr. Bell. And staying on that, what signal does removing a 
watchdog send to bad actors intentionally seeking to defraud 
the government?
    Mr. Linden. It says that it is open season for fraudsters. 
If these Inspectors General are not on the job, looking out for 
the American taxpayer, who is doing it? Is it Elon Musk? I do 
not trust him.
    Mr. Bell. Our colleagues on the other side push this common 
misperception that increasing access to Federal programs will 
lead to rampant fraud and abuse. Why is that untrue?
    Mr. Linden. It is simply not true. We can absolutely 
increase access and the generosity of benefits, the 
availability of benefits, at the same time making sure that 
those benefits are going to the people who we intend them to go 
to and stopping scammers and fraudsters from taking advantage 
of the low-and moderate-income people who need those benefits.
    Mr. Bell. Without independent Inspectors General at the 
wheel, effective oversight diminishes, and programs that 
Congress established become far more vulnerable to waste, 
fraud, and abuse. If my colleagues across the aisle were truly 
serious about examining how to cut down on waste or fraud, then 
President Trump's purge of independent watchdogs would be a 
flashing red light telling us something is wrong. We should 
come together, make sure that independent Inspectors General 
are nominated, confirmed, and committed to a career that is 
free from political influence and games.
    Thank you, and I yield my time to the Ranking Member.
    Mr. Krishnamoorthi. Thank you, Mr. Bell. Inspectors 
General, you know, Mr. Rector, let me ask you this question. 
What is your opinion about the utility of having Inspectors 
General at the agencies where they are supposed to be rooting 
out waste, fraud, and abuse?
    Mr. Rector. Well, that is fine, but you actually have to 
work and do something about the reports they give you. For 
example, the Inspector General at the IRS has told us for 
decades that there is about a 37 percent fraud rate in the 
EITC. Now, I have read all those reports. I have done all that 
analysis.
    So, I could sit down here this afternoon and tell you 
exactly how to prevent all that fraud, prevent the money from 
going out the door in the first place, because it does not do 
any good to have an audit of 10,000 people when you have a 
caseload of 22 million. You say over and over again there is 
fraud, fraud, fraud. Nothing is done. I can tell you right now 
I could stop every single bit of that fraud in the EITC. I have 
already written out how to do it, OK.
    So, the question is whether you want to act on that fraud 
and act on those reports or whether you want to continue the 
fraud to flow out that door. The EITC is noted for having a 
high fraud rate. The reason for that is it is the only program 
that the government, correctly, audits. There are no meaningful 
audits in food stamps. There are none in Section 8. And if you 
had a good audit on them, you would find equal fraud rates 
there, as well, OK. But then when you know what the fraud is, 
you know how it is done, you have to stop it. We have known how 
the fraud is done in the EITC and the ACTC for decades, but 
there is nothing that is done to stop it. I could stop it 
tomorrow afternoon.
    Mr. Grothman. We will give my good buddy here, Mr. 
Krishnamoorthi, a follow-up.
    Mr. Krishnamoorthi. So, I am with you on this, which is 
what I hear you saying is, do the audit, but then act on it.
    Mr. Rector. Yes.
    Mr. Krishnamoorthi. So, the utility of Inspectors General 
is high, but you have to act on their advice.
    Mr. Rector. Absolutely.
    Mr. Krishnamoorthi. OK. Thank you.
    Mr. Grothman. OK. The new gentleman from Virginia, Mr. 
McGuire.
    Mr. McGuire. Thank you, Mr. Chairman. You know, it is 
immoral and indefensible to use taxpayer dollars to support a 
border invasion. Illegal aliens, the criminals, are robbing, 
raping, and killing the American people. It is also 
indefensible and immoral to put boys in girls' sports and boys 
in girls' bathrooms, and to allow this fentanyl being produced 
in China to come across the southern border and poison the 
American people. More people die every year from fentanyl 
overdose than died in the Vietnam War. They say age 18 to 45, 
it is the No. 1 cause of death in the country.
    I think it is also immoral and indefensible to spend $1.6 
trillion on these programs with no record of where that went. I 
think I heard testimony--is that correct, Mr. Rector, $1.6 
trillion, and we have no idea where it is going and how it is 
measured.
    Mr. Rector. That is correct. And to the extent that you 
have any measures, they hide it.
    Mr. McGuire. That is why President Trump got a mandate. 
There are two things missing in our country right now--trust, 
President Trump is bringing back trust because he is doing what 
he campaigned on. He got the popular vote, and he got the 
electoral college.
    But he is also bringing back fairness. Eighty percent of 
Americans, regardless of race, religion, creed, or party, 
believe that it is wrong to have boys in girls' sports. Yet for 
some reason our colleagues on the other side think that is OK. 
I think it is immoral and indefensible.
    I also think it is indefensible that there is no clear 
record of how much money each family gets. Is it $100,000? Is 
it $50,000? We have no idea.
    Ms.--I hope I do not pronounce it wrong--Onwuka?
    Ms. Onwuka. Onwuka.
    Mr. McGuire. Onwuka?
    Ms. Onwuka. Yes.
    Mr. McGuire. I really, really appreciate your comments on 
the family, the breakdown of the nuclear family. You know, I 
heard Mr. Rector say it does not make any sense why every 
single safety net program is against the family. Is that how 
you said that, Mr. Rector?
    Mr. Rector. That is correct.
    Mr. McGuire. That is just indefensible, and it makes no 
sense. And, I heard you say it makes no sense, but it makes 
sense to me why they are doing this, because the strength of 
our country is that our religious values, our Judeo-Christian 
values, this country was founded in the church, but it is also 
the strength of the nuclear family. And you remember, on the 
Black Lives Matter website, it used to say their purpose was to 
break down the nuclear family.
    So, when you say you do not know why they are doing it, I 
think they are telling us. And when someone is telling you why 
they are doing something, you should believe that.
    I would say that our social safety net should focus on 
supporting the truly poor and vulnerable, for able-bodied 
individuals that need assistance. And I would say work 
requirements for welfare programs are essential because they 
encourage self-sufficiency, reduce long-term dependency, and 
help individuals gain the skills and experience needed to 
achieve financial independence.
    Ms. Onwuka, in your testimony you stated that an estimated 
24.6 million able-bodied adults on Medicaid reported no earned 
income, and no one ever drops off the program. So, are they 
always poor forever? And during the pandemic that picked up.
    What factors contribute to this large number of non-working 
recipients?
    Ms. Onwuka. Well, in part it has to do with how people are 
enrolled and whether they qualify. And whether you are talking 
about Medicaid, SNAP, TANF, some of these other programs, there 
are lots of loopholes that can easily either roll people into 
some of these programs or waive the eligibility requirements. 
So, I think that is where the concern is.
    And if I may just make a quick point. I appreciated hearing 
some of the personal stories. I am an immigrant. I am a 
naturalized citizen. So, I came to this country, and I grew up 
in a very poor neighborhood. And a lot of people on programs 
that we are talking about today are my classmates. And I 
recognize that the ones who did well were the ones who had 
parents who were working and managed to move from dependency 
programs into independence. They saved and bought a house, like 
my family did, and moved out of the poor neighborhoods and away 
from the negative influences there.
    So, I think that my colleagues who want to see welfare 
reform are not doing it from an uncompassionate place but 
actually from a compassionate place, to say, you know what, we 
want you to be able to be a master of your own destiny, and 
that is by making sure you are moving from dependency into 
independence and fruitfulness.
    Mr. McGuire. I agree with that.
    Ms. Onwuka. And that comes with some of these tougher 
things that need to be done.
    Mr. McGuire. So, I was abandoned as a child, at 5 years 
old. I had been in the foster care system, nine different 
elementary schools. And we had some of those programs, as well. 
But we, by the strength of a family and working hard, we got 
our way out of that.
    Mr. Linden, do you believe there is dignity in work?
    Mr. Linden. Absolutely.
    Mr. McGuire. You know, one of the things I hear all around 
my district is we cannot find workers at our restaurant and at 
our other business. So, it is irresponsible to not know how 
much money is being spent and where it is being spent. And that 
is why I am so glad that President Trump got a mandate, and I 
trust Elon Musk. In just 2 weeks he has identified millions and 
millions of dollars in waste, fraud, and abuse that American 
people suspected, but we could not get a clear answer. And he 
is just getting started.
    And with that I yield back.
    Mr. Grothman. Thank you very much. We will--Mr. 
Krishnamoorthi has a couple of things he wants to take care of.
    Mr. Krishnamoorthi. Yes. I just wanted to do a little bit 
of housekeeping here. First, I want unanimous consent to enter 
this article by the World Economic Forum titled, quote, ``New 
research busts the myth of welfare dependency,'' which 
summarizes economic research showing the belief that social 
safety net programs cause dependency is not based on reality 
and nothing more than a misleading myth. I would like to enter 
that into the record.
    Mr. Grothman. OK. We will do that.
    Mr. Krishnamoorthi. And then I would like unanimous consent 
to enter into the record a report by the Center on Budget and 
Policy Priorities titled, ``Medicaid work requirements could 
put 36 million people at risk of losing health coverage.'' This 
report estimates 36 million people could lose Medicaid coverage 
if Republicans conditioned health coverage on a variety of 
requirements that are currently under consideration by the 
Energy and Commerce Committee.
    Mr. Grothman. Thank you. We will enter that into the 
record.
    Mr. Grothman. Now I will ask you if you want to do a 
closing statement.
    Mr. Krishnamoorthi. Yes. Thank you very much. Thank you, 
Mr. Chair, and thank you to our witnesses for devoting your 
time, and thank you to the audience for your attention, as 
well.
    First of all, I was moved by the different stories, 
personal stories, your own, Ms. Onwuka, as well as Mr. McGuire 
and Mr. Bell and Ms. Simon.
    I think that where social safety net programs work, they 
are transformative, and they enable people who are in real need 
to overcome that need and do great things, and to live the 
American dream.
    However, I will be the first to concede that there could be 
improvements. But can we do these improvements, can we work on 
these improvements in a thoughtful, bipartisan manner? I think 
the answer is yes.
    And so, for instance, with regard to work requirements, 
which Ms. Onwuka talks about, I think that more Democrats would 
be interested in working on this issue if they also heard about 
potential supports with regard to career technical vocational 
education that enables people to get the skills to acquire and 
keep the jobs that are out there in the workforce, that we need 
them to fill.
    I think more Democrats would also be very interested in 
working on this issue if we could talk about the issue of 
childcare, which is dramatically scarce, not only for poor 
people but for all people. I think everyone in this room who 
had ever had to pay for childcare knows how prohibitively 
expensive it is and how, we talk about a marriage penalty, 
there is a child penalty in this country right now that is 
operating to, in my opinion, really discourage family 
formation, and discourage all the things that we want good to 
happen in this country.
    So, I would just respectfully submit, Mr. Chairman, that if 
we could also talk about these issues in the context of the 
ones that you are talking about, I think we could really have a 
thoughtful discussion.
    Finally, I respectfully submit cuts of the magnitude being 
contemplated in the Energy and Commerce Committee or the Ways 
and Means Committee, cuts to the tune of $2 trillion to 
Medicaid, would absolutely be devastating to the tens of 
millions of families, especially on Medicaid expansion, who are 
benefiting from those supports today. In my home state of 
Illinois, about 700,000 to 800,000 Illinois residents are on 
Medicaid expansion. Are many of them able-bodied adults? 
Absolutely? Are many of them working? Yes. Are many of them 
incapable of affording private health insurance without these 
supports? The answer is absolutely, positively yes. That is why 
they crucially depend on Obamacare. They crucially depend on 
it.
    So, if we are going to take those supports away from them, 
they will not have access to healthcare, plain and simple, even 
as they continue to work, even as they struggle, even as they 
raise their children.
    So, that is the question on the table for my good friends 
on the other side, which is I understand you are looking for 
places to find money. I respectfully submit, do not find money 
on the backs of people--poor, working people who cannot get 
access to health care in any other way than through Medicaid 
and these crucial safety net programs.
    With that I want to say thank you, Mr. Chair, for your 
indulgence, and I yield back.
    Mr. Grothman. Thank you very much. I would like to make my 
closing statement and kind of go over where I, by the way, Ms. 
Onwuka, I wish we heard more from you. You are just tremendous, 
and I wish we did not have just 5 minutes per person here. We 
will have to bring you back for another panel on some other 
topic.
    OK. First of all, when I put together this hearing it was 
not my intent that we wind up talking about tax policy at all 
or even money that can be saved through these programs. We can 
save money, but the problem with these programs--but the 
biggest problem to me is not that they cost too much. It is 
that our current programs, as Mr.--oh, and by the way, the only 
example that I heard today in which somebody threw out we can 
do something with the money we save is Mr. Rector, who 
suggested taking some of the money we save on the abuse and 
putting it into changing the Earned Income Tax Credit, so it 
was not so hating of married couples like it is today.
    OK. The purpose of this Committee is saying that, well, 
while we expanded the welfare state overwhelmingly, what we did 
is we created a huge disincentive to raise children with a 
mother and father at home. That is incontrovertible. And there 
are all sorts of hypotheticals you can come up with, but Mr. 
Rector mentioned today a hypothetical in which you would 
penalize somebody $28,000 for marrying the father of her 
children. I would hope we would think that that was bad public 
policy.
    We did not get into, though it would be interesting to look 
at, the fact that there are some very scary progressive-type 
people who dislike marriage and dislike men in the home. I am 
thinking, of course, Marx himself; the radical feminist, Kate 
Millett; and that crowd, who were hanging around in the 1960s, 
and really just wanted to get the man out of the home. And 
while I can say they were extremists that did not appeal to a 
lot of people, my good friends in the Democratic Party sometime 
have a hard time saying no to their extremist friends.
    OK. I realize there are many great single parents. I know 
them. We all know them. Nevertheless, it is an uphill climb. 
And in my opinion, we pass bills in here dealing with crime 
problem, drug problem, even the education problem. I talk to 
school superintendents about this. All these things are made 
worse by the obvious incentive the Federal Government has right 
now in discouraging the old-fashioned nuclear family. And this 
is not something that just happened in a vacuum. Depending on 
the year you pick out, in the 1960s, in the 1950s, 4 to 7 
percent of the American families, when there was a new birth, 
it was out of wedlock. We are, right now, at 40 percent. That 
is a huge difference, and, in my opinion, it happened largely 
because of this huge welfare system, with 90 programs, or 
whatever Mr. Rector said, all with a marriage penalty in them. 
And I think as a result, people have understandably changed 
their behavior. That might not be the only way they have 
changed their behavior, but when you are going from 4 to 40 
percent, I think it is pretty obvious.
    I was disappointed that, upon looking at the $28,000 
penalty that Mr. Rector laid out, that Mr. Linden came back and 
said our problem we have got to put more money in these 
programs. Twenty-eight thousand is enough. We do not need a 
$38,000 or $48,000 penalty for getting married.
    So, in any event, otherwise I thought it was a good 
program. I think you all added something to the mix. And like I 
said, I hope people in Congress, both in the bill coming up in 
the near future and for a period longer than that, spend some 
time when they pass legislation and wonder, or spend some time 
analyzing whether their new program or old programs or the 90 
programs Mr. Rector brought up, whether those programs are 
overly favoring the option of not being married or otherwise.
    And I will say one other thing. When I get around my 
district there are two things I hear frequently, people who 
have relatives who are not getting married to get the 
benefits--it is so common--or friends not getting married to 
get the benefits, and, in something that was brought up by, I 
think, was it?
    Mr. Krishnamoorthi. Ms. Randall?
    Mr. Grothman. Could have been. One of them brought up the 
idea that they, in their life, had to stop working because of, 
you could say, the generosity of these programs. But if you 
talk to your employers, particularly employers who hire people, 
say, in that $14 to $20 dollar range, you would again and again 
find examples of employees who will not work extra hours 
because it penalizes them, and they would begin to lose their 
benefits.
    So, I was glad that she pointed that out, that that is a 
problem with these systems. I think the biggest problem is it 
discourages marriage, but the secondary problem is no question 
it discourages work and improving yourself along those lines.
    So, in any event, I have to say something here. I have got 
to take care of my business too. With that, and without 
objection, all Members have 5 legislative days within which to 
submit materials and additional written questions for the 
witnesses, which will be forwarded to the witnesses.
    If there is no further business, without objection, this 
Subcommittee stands adjourned. Thank you.
    [Whereupon, at 3:37 p.m., the Subcommittee was adjourned.]

                                 [all]