Health care Tiberi was critical of the
Affordable Care Act (ACA) and expressed agreement with House Speaker
Paul Ryan's framework to replace it. On February 17, 2017, Tiberi told the
Ripon Society that his plan to change the ACA was more complex than a single piece of legislation. It involved relying on the regulatory power of
Tom Price as
HHS Secretary, the
budget reconciliation process, and bipartisan legislation. His comments also suggested that he no longer thought a full repeal of the ACA was necessary. He said "it's not just about repealing. Maybe it's about modifying some provisions of the Affordable Care Act." The conservative
Club for Growth ran a television ad criticizing Tiberi for his positions on healthcare. The ad accused Tiberi of blocking President
Trump's efforts to repeal the ACA. Tiberi refused to hold
town hall meetings to discuss healthcare policy during the February and Easter 2017
congressional recesses. This position was opposed by his seat's predecessor and Ohio Governor,
John Kasich, who called eliminating
Medicaid coverage for 700,000 Ohioans "a very, very bad idea, because we cannot turn our back on the most vulnerable." The cuts to Medicaid were estimated to cost Ohio between $16–18 billion and would cut services to children in special education.
Pre-existing conditions The ACA prevents health insurance companies from both denying coverage and increasing premiums for individuals on the basis of
pre-existing medical conditions. Tiberi co-sponsored legislation with
Greg Walden to prevent this practice in the event that the ACA is repealed. According to Joseph Antos of the
American Enterprise Institute, this policy would be difficult to pair with a repeal of the ACA. This is because without the
individual mandate of the ACA, persons with pre-existing conditions would make up a disproportionate amount of the insured pool and drive up insurance premiums. Additionally, an amendment to the AHCA would allow states to waive the requirement that insurers not charge those with pre-existing conditions higher premiums.
Employer-sponsored insurance As part of the repeal, Tiberi considered taxing some health benefits provided by employers. The
AHCA bill allows states to eliminate
essential health benefits. This removes the protections for
employer-provided insurance that limited
copayment amounts and lifetime limits.
American Health Care Act Tiberi supported the
AHCA bill that would partially repeal and replace the
ACA through the
budget reconciliation process. Among other things, it replaces the
individual mandate with a surcharge for those who have a lapse in insurance coverage, substitutes
means-tested subsidies for insurance premiums with fixed
refundable tax credits tied to age, and repeals taxes on those making over $250,000. For an earlier version of the bill, the
Congressional Budget Office has estimated that these provisions, together with the cuts to
Medicaid and the elimination of its expansion, would have led to a loss of insurance for 24 million. An analysis of the CBO report by the progressive advocacy group
Center for American Progress estimated that 39,500 of those who will lose insurance would come from the congressman's own district. Tiberi praised the CBO report. The legislation was privately constructed before it was debated by
Ways and Means and the
Energy and Commerce committees. After 18 hours of debate, Tiberi voted the legislation out of the Ways and Means Committee at 4:30 am on March 9, 2017. The initial version of the bill was not brought to the House floor for a vote. Tiberi voted for an amended version of the bill that passed the House on May 4, 2017. The amended version exempts Congress from the elimination of
essential health benefit protections for the general public. The vote occurred less than 24 hours after the final version was publicly available and before the CBO was able to analyze its cost and consequences. Following the vote, congressional Republicans celebrated the vote with
President Trump in the
Rose Garden, but Tiberi was not in attendance. The CBO analysis of the final version Tiberi voted for concluded that the legislation would cause 23 million to be left without health insurance, including one million Ohioans.
Privacy Tiberi voted to repeal Internet privacy rules established by the
FCC. The repeal of the rule was done using the
Congressional Review Act. The rule would have allowed
ISPs to sell customers' private browsing information only if they consented to such use. Tiberi's only public statement on the issue was a tweet to an opinion article on
Forbes' website. A
YouGov poll showed that 71% of Americans disapproved of the repeal, while 12% supported it.
Labor Tiberi voted to eliminate rules in the
Fair Labor Standards Act that required
time-and-a-half compensation for working
overtime. The legislation allows employers to instead compensate overtime work with time off.
Older Americans Act Then-chairman of the Select Education Subcommittee, Tiberi wrote the bill that reauthorized the Older Americans Act through fiscal year 2011. This bill provides most of the funding for social services and nutritional programs for the nation's seniors. Tiberi received an 86 from the Retire Safe-Positions and a 10 from Alliance for Retired Americans-Lifetime Score. Tiberi wrote and sponsored the Older Americans Act Amendments of 2006. Tiberi supported a full repeal of Obamacare, saying "government has no place in getting between a patient's relationship with their doctor."
Education reform Tiberi supported reform to the No Child Left Behind bill. He introduced legislation to improve local flexibility by allowing some school districts to go to the Secretary of Education and present their own plan for the allocation of Title 1 federal funding for approval. This amendment was signed into law in 2002. During the 109th Congress, Tiberi served as the Chair the Education and Workforce Subcommittee on Select Education—a subcommittee with jurisdiction over issues related to international and graduate education programs. The Teachers of English to Speakers of Other Languages (TESOL)-Positions rated Tiberi at 50%. Tiberi also wanted to bring reform through a searchable database that would include an assessment of every piece of federal funding and the Education Oversight Subcommittee that he was appointed Vice-Chairman to in his first year in Congress. Citizens Against Government Waste-Positions gave Tiberi a 78% rating. ==Legislation==