The House Is Not In Session - Next Session Tuesday, November 20 At 10:30 AM
House Session - June 20, 2018

The House passed two bills intended to curb opioid addiction

Speakers:
Time
Action
  • 09:00:15 AM

    The House convened, starting a new legislative day.

    • 09:00:16 AM

      >>

      THE HOUSE WILL BE IN ORDER. PURSUANT TO THE ORDER OF THE HOUSE ON JANUARY…

      THE HOUSE WILL BE IN ORDER. PURSUANT TO THE ORDER OF THE HOUSE ON JANUARY 20. HOUSE OF JANUARY 8, 2018, THE CHAIR WILL NOW RECOGNIZE MEMBERS FROM LISTS SUBMITTED BY THE MAJORITY AND MINORITY LEADERS FOR MORNING HOUR DEBATE. THE CHAIR WILL ALTERNATE RECOGNITION BETWEEN THE PARTIES. ALL TIME SHALL BE EQUALLY ALLOCATED BETWEEN THE PARTIES AND IN NO EVENT SHALL DEBATE CONTINUE BEYOND 9:50 A.M. EACH MEMBER OTHER THAN THE MAJORITY AND MINORITY LEADERS AND THE MAJORITY WHIP SHALL BE LIMITED TO FIVE MINUTES. THE CHAIR RECOGNIZES THE GENTLEMAN FROM KANSAS, MR

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  • 09:00:22 AM

    MORNING-HOUR DEBATE

    The House proceeded with Morning-Hour Debate. At the conclusion of Morning-Hour, the House will recess until 10:00 a.m. for the start of legislative business.

    • 09:00:56 AM

      >>

      THANK YOU, MR. SPEAKER. IS GREAT TO SEE SOME ANY YOUTH IN THE AUDIENCE…

      THANK YOU, MR. SPEAKER. IS GREAT TO SEE SOME ANY YOUTH IN THE AUDIENCE TODAY AND LOOK FORWARD TO SHARING WHAT I THINK IS THE BIGGEST PROBLEM THAT IS FACING AMERICANS ARE AND HOW. THAT IS THE COST OF HEALTH CARE. NOT THE COST OF HEALTH CARE INCH -- INSURANCE, BUT TRULY THE COST OF HEALTH CARE ITSELF. WHEN I LOOK AT THE PROBLEMS FACING THIS COUNTRY, MOST OF US ARE CONCERNED ABOUT OUR NATIONAL DEBT. 28% OF OUR FEDERAL BUDGET GOES TOWARD HEALTH CARE RIGHT NOW. UNTIL WE CAN START DRIVING THE TRUE COST OF HEALTH CARE DOWN, WE WILL NEVER BE ABLE TO FIX THIS HUGE FEDERAL DEBT. WHEN I TALK TO SMALL BUSINESSES, BER ONE CONCERN IS THE COST OF HEALTH CARE. A SIXTH OF THEIR BUDGET IS GOING TOWARDS HEALTH CARE. CERTAINLY I BELIEVE THAT TRANSPARENCY, INNOVATION, AND CONSUMERISM ARE THE BASIC PRINCIPLES TO DRIVE DOWN THE COST OF HEALTH CARE. BUT I WANT TO STOP TODAY AND APPLAUD WHAT THE PRESIDENT AND SECRETARY OF LABOR DID YESTERDAY BY OPENING UP ASSOCIATION PLANS. THIS IS ONE SMALL PIECE THAT WILL HELP DRIVE DOWN THE COST OF HEALTH CARE FOR FOLKS WHO PURCHASE HEALTH CARE AS INDIVIDUALS WHO ARE IN SMALL GROUPS. THIS WILL START TO BREAK DOWN THE STATE WALLS WHICH PREVENT COMPETITIONS AND ONCE AGAIN ALLOW DIFFERENT GROUPS, ALL MY FARMERS COULD JOIN TOGETHER THROUGH THEIR ASSOCIATIONS OR OTHER SMALL BUSINESSES, WOULD BE ABLE TO -- HAVE BETTER PURCHASING POWER. THIS IS GOING TO GET 400,000 MORE PEOPLE MORE HEALTH INSURANCE AND QUALITY HEALTH INSURANCE WITH TRUE ACCESS TO HEALTH CARE. NOW ON THE HOUSE SIDE WE PASSED H.R. 1101, AND THAT BILL BASICALLY CODIFIES WHAT THE SECRETARY OF LABOR DID YESTERDAY. BUT LIKE SOME 6,000 OTHER BILLS, IT'S BEEN SITTING OVER IN THE SENATE AND IN THIS CASE IT'S BEEN SITTING IN THE SENATE FOR OVER A YEAR. WE NEED LEADERSHIPS ON BOTH SIDES OF THE HOUSE TO HELP DRIVE DOWN THE COST OF HEALTH CARE. WITH THAT, MR. SPEAKER, I YIELD BACK.

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    • 09:03:03 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN YIELDS BACK. THE CHAIR RECOGNIZES THE GENTLEMAN FROM…

      THE GENTLEMAN YIELDS BACK. THE CHAIR RECOGNIZES THE GENTLEMAN FROM GEORGIA, MR. LEWIS, FOR FIVE MINUTES.

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    • 09:03:07 AM

      MR. LEWIS

      MR. SPEAKER, I ASK UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR FIVE MINUTES.

    • 09:03:18 AM

      THE SPEAKER PRO TEMPORE

      WITHOUT OBJECTION. THE GENTLEMAN IS RECOGNIZED.

    • 09:03:20 AM

      MR. LEWIS

      AS WE STAND HERE A 5-YEAR-OLD WOKE UP IN A CAGE. SHE COMMITTED NO CRIME.…

      AS WE STAND HERE A 5-YEAR-OLD WOKE UP IN A CAGE. SHE COMMITTED NO CRIME. SHE CAME HERE SEEKING HOPE AND REFUGE. INSTEAD, MR. SPEAKER, SHE WAS TAKEN FROM HER PARENTS, FROM HER BROTHERS AND SISTERS, FROM ALL SHE KNOWS AND LOVES. SHE DOESN'T KNOW WHERE SHE LIVES. SHE DOES NOT KNOW WHERE HER FAMILY IS. SHE DOES NOT SPEAK THE LANGUAGE OF HER CAPTORS, AND SHE MAY NEVER SEE HER FAMILY AGAIN. THIS MORNING, MR. SPEAKER, THAT INNOCENT LITTLE CHILD CRYING IN A A CAGE. WE STAND HERE DOING NOTHING. AS INNOCENT LITTLE BABIES SIT IN MODERN CAGE. WE STAND HERE DOING NOTHING. DAY CAMPS. THAT'S NOT RIGHT. IT'S NOT FAIR. AND IT'S NOT JUST. MADAM SPEAKER, HISTORY WILL NOT BE KIND TO US IF WE CONTINUE TO PASS THIS UNBELIEVABLE INJUSTICE IT OUR O OWN CHILDREN. NOW I YIELD TO MR. CROWLEY FROM NEW YORK.

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    • 09:04:35 AM

      MR. CROWLEY-ILY

      THANK YOU, MR. LEWIS. THERE IS ONLY ONE WORD THAT GOES THROUGH MY MIND…

      THANK YOU, MR. LEWIS. THERE IS ONLY ONE WORD THAT GOES THROUGH MY MIND WHEN I THINK ABOUT WHAT THIS WHITE HOUSE IS DOING TO CHILDREN RIGHT NOW. IT'S SHAME. SHAME ON THEM. FOR YEARS WE SAW REPUBLICANS TRY TO ATTACK DEMOCRATS TO HAVING THE GALL TO OUR O OWN CHILDREN. GIVE MILLIONS OF AMERICANS HEALTH CARE. TORE TO RISK GLOBAL WARMING. YOUR LEADERS STOOD UP ON THIS FLOOR AND SAID SHAME ON US. SHAME ON YOU FOR LETTING THIS HAPPEN. FOR BEING WILLING TO LET KIDS BE KEPT IN WAREHOUSES BECAUSE YOU CAN'T STAND UP TO THIS PRESIDENT. THESE ARE CHILDREN. CHILDREN WHO DESERVE THE LOVE 6 A --OF A MOTHER AND FATHER. NOT SHAME ON US. SHAME CAGES OR CONCRETE FLOORS. THESE ARE CHILDREN'S. BABIES IN SOME CASES. THEY NEED SOMEONE TO COMFORT THEM WHEN THEY CAN'T SLEEP. TO COOL THEIR FOOD WHEN IT'S TOO HOT. TO GIVE THEM THOSE BAKSE OF LOVE AND KINDNESS THAT THESE CHILDREN NEED. WHAT THEY DON'T NEED US IS TO BE USED AS HOSTAGES FOR PRESIDENT TRUMP TO GET HIS ANTI-IMMIGRANT WISH LIST AND A WALL. THEY DON'T NEED TO BE DEMONIZED WHEN THE FAMILIES ARE SEEKING REFUGE. IF PRESIDENT TRUMP AND THE REPUBLICANS DON'T THINK THESE FAMILIES DESERVE ASYLUM OR PROTECTION, IF THEY DON'T THINK THESE PEOPLE DESERVE A CHANCE OF A A LIFE OF SAFETY THEY ARE WRONG. BUT THESE ARE MATTERS WE CAN DEBATE. BUT YOU MEAN TO TELL ME YOU DON'T THINK THESE CHILDREN DESERVE THE LOVE OF THEIR MOTHER AND COMFORT OF THEIR FATHER? YOU MEAN TO TELL ME THE BIBLE PUTS LAW ABOVE KEEPING FAMILIES TOGETHER? ABSOLUTELY NOT. SHAPE ON THIS WHITE HOUSE AND ON EVERYONE WHO STANDS WITH THEM. SHAPE ON OUR COUNTRY IF WE LET THIS CONTINUE.

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    • 09:06:04 AM

      MR. LEWIS

      AL GREEN, I NOW YIELD. THE MR. GREEN: I THANK THE GENTLEMAN FOR YIELDING.…

      AL GREEN, I NOW YIELD. THE MR. GREEN: I THANK THE GENTLEMAN FOR YIELDING. MR. SPEAKER, MADAM SPEAKER, THIS IS WHAT IT HAS COME TO. WE STAND HERE IN THE WELL OF THE HOUSE APPEALING TO IN A SENSE BEGGING THE PRESIDENT TO ACKNOWLEDGE THE UNDENIABLE TRUTH . THE UNDENIABLE TRUTH THAT THIS IS A CRISIS THAT HE CAN END WITH THE STROKE OF A PEN. THIS IS A CRISIS THAT HE HAS CREATED AND IT IS A CRISIS THAT HE CAN ELIMINATE. THE UNDENIABLE TRUTH IS THAT IF A PRESIDENT CAN SEE THESE BABIES CRYING AND PLEADING FOR THEIR PARENTS, MOMMA, FATHER, PAPA, IF A PRESIDENT CAN SEE THIS, AND NOT TAKE ACTION HIS HEART HAS HARDENED TO THE EXTENT THAT HE IS UNFIT TO BE PRESIDENT. I YIELD BACK.

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    • 09:07:23 AM

      MR. LEWIS

      MADAM SPEAKER, OUR NATION IS MOURNING. OUR NATION IS CRYING OUT. -- CRYING…

      MADAM SPEAKER, OUR NATION IS MOURNING. OUR NATION IS CRYING OUT. -- CRYING OUT TO SAVE OUR LITTLE CHILDREN. SAVE OUR BABIES. HISTORY WILL NOT BE KIND TO US AS A NATION AND AS A PEOPLE. OUR IF WE CONTINUE TO GO DOWN THIS ROAD. WE MUST STOP THE MADNESS AND STOP IT NOW. THERE WAS A NAME BY THE NAME OF RANDOLPH, WHO WAS A DEAN OF BLACK LEADERSHIP DURING THE 1960'S WHEN WE WERE PLANNING THE MARCH ON WASHINGTON. HE KEPT SAYING MAYBE OUR FOREMOTHERS AND FOREFATHERS ALL CAME TO THIS GREAT LAND IN DIFFERENT SHIPS, BUT WE'RE ALL IN THE SAME BOAT NOW. OUR LITTLE CHILDREN, OUR BABIES, OUR YOUNG PEOPLE ARE CRYING OUT FOR HELP. WE NEED HELP FROM MEMBERS OF CONGRESS. WE CAN DO BETTER.

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    • 09:08:24 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN'S TIME HAS EXPIRED.

    • 09:08:27 AM

      MR. LEWIS

    • 09:08:28 AM

      THE SPEAKER PRO TEMPORE

    • 09:08:33 AM

      MR. FITZPATRICK

      MR. SPEAKER, I RISE TODAY TO RECOGNIZE THE ACCOMPLISHMENTS OF SEVERAL…

      MR. SPEAKER, I RISE TODAY TO RECOGNIZE THE ACCOMPLISHMENTS OF SEVERAL YOUNG PEOPLE IN BUCKS COUNTY, PENNSYLVANIA THAT ARE ADVOCATING FOR ENVIRONMENTAL PROTECTION USING THEIR AUTISTIC -- ARTISTIC TALENTS. RECENTLY THE GALLERY IN NEWTOWN FEATURED AN EXHIBIT TITLED ONE PLANET, WILD WIFE VULNERABLE TO CLIMATE CHANGE. THIS GAVE STUDENTS UNDER THE GUIDANCE OF AN ARTIST THE ABILITY TO SHARE THEIR WILDLIFE PAINTINGS IN AN EFFORT TO SPREAD AWARE AWARENESS OF CLIMATE CHANGE. I'M PROUD TO ACKNOWLEDGE THEM NOW. VICTORIA, TAYLOR, AMANDA, OLIVIA, BRADY, ADDISON, EMILY, KATE LOGAN, JESSICA, NICOLE, GRACE PORTER, OLIVIA, NOLAN, CHRIS, VIOLET, GABBY, ABBY, AARON, KATIE, ELLA, AND ANNA. MADAM SPEAKER, I APPLAUD THE ACTIVISM, THOUGHTFULNESS, AND IMPRESSIVE ARTISTIC ABILITIES OF THESE YOUNG CITIZENS. I'M PROUD TO STAND WITH THEM AND CONTINUE TO FIGHT WITH MY COLLEAGUES TO COMBAT CLIMATE CHANGE AND PROTECT OUR ENVIRONMENT. MADAM SPEAKER, I RISE TODAY IN RECOGNITION OF TWO OUTSTANDING LAW ENFORCEMENT OFFICIALS IN BUCKS COUNTY, PENNSYLVANIA WHO ARE WORKING TIRELESSLY TO MAKE OUR COMMUNITY A SAFER PLACE. ASSISTANT DISTRICT ATTORNEY, MEGAN BROOKS, AND DEPUTY DISTRICT ATTORNEY CHRISTIAN MCELROY WERE SELECTED BY FELLOW PROSECUTORS IN HONOR OF THEIR PUBLIC SERVICE IN PURSUIT OF JUSTICE. MEGAN RECEIVED SAFER PLACE. ASSISTANT DISTRICT ATTORNEY, THE DANNY KALOUF MEMORIAL AWARD. DESCRIBED AS A RISING STAR, SHE WORKS FOR THE YOUTHFUL PROGRAM AND SPECIAL VICTIMS UNIT. SHE RECEIVED THE ROBERT MOSNER MEMORIAL AWARD. KNOWN FOR HER UNPARALLELED WORK ETHIC, KRISTEN IS THE CHIEF OF THE SPECIAL VICTIMS UNTSE UNIT AND ADULT SEX CRIMES AND DIRECTS THE INTERNSHIP PROGRAM. I COMMEND THESE FINE PUBLIC SERVANTS FOR THEIR DEDICATION TO LAW, TO SAFETY, AND TO PROTECTING OUR COMMUNITY. AND I APPLAUD DISTRICT ATTORNEY, MATT WINETRAUB FOR LEADING SUCH A FINE TIME OF ATTORNEYS WHO WORK TIRELESSLY ON BEHALF OF ALL OF US IN BUCKS COUNTY. MADAM SPEAKER, JUNE IS POSTTRAUMATIC STRESS DISORDER AWARENESS MONTH. I'D LIKE IT TAKE THIS TIME TO RECOGNIZE AN ORGANIZATION IN BUCKS COUNTY, PENNSYLVANIA, THAT WORKS TO REHABILITATE HEROES WHO STRUGGLE WITH THIS ILLNESS. SINCE 2014, SHAMROCK RANGE IN PIPERSVILLE HAS OFFERED EQUINE THERAPY TO HELP VETERANS AND FIRST RESPONDERS RECOVER FROM PTSD. FOUNDED BY JANET, A REGISTERED NURSE WHOSE FATHER SERVED IN THE VIETNAM WAR, SHAMROCK GREENS USES A RANGE OF EQUINE SERVICES INCLUDING RIDING THERAPY TO HELP ASSIMLATE OUR SERVICE MEN AND WOMEN BACK INTO SOCIETY FOLLOWING THEIR TOURS OF DUTY. AS A MEMBER OF THE HOMELAND SECURITY COMMITTEE, I'M CONTINUALLY IN AWE OF THE SACRIFICES OUR SOLDIERS AND OUR FIRST RESPONDERS THAT THEY MAKE EVERY DAY. I APPLAUD JANET FOR HER SERVICE TO OUR NATION'S HEROES. I ENCOURAGE ALL OUR CONSTITUENTS TO FOLLOW HER LEAD. TOGETHER WE CAN TEA FEET PTSD. -- WE CAN DEFEAT PTSD. I YIELD BACK.

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    • 09:12:25 AM

      THE SPEAKER PRO TEMPORE

    • 09:12:30 AM

      MR. ESPAILLAT

      MADAM SPEAKER, I RISE TODAY WITH A HEAVY HEART AS A FATHER, AS A…

      MADAM SPEAKER, I RISE TODAY WITH A HEAVY HEART AS A FATHER, AS A GRANDFATHER, AS A HUMAN BEING WHO CARES ABOUT CHILDREN I ASK FOR GOD'S SAKE, AMERICA, WHAT IS HAPPENING TO YOUR SOUL? THERE ARE 11,000 CHILDREN WHO ARE BEING HELD IN JAIL CELLS THROUGHOUT THE COUNTRY. FAMILIES ARRIVING AT THE BORDER SEEKING ASYLUM VOLUNTARILY, SEEKING REFUGE VOLUNTARILY, AND THEY ARE BEING DETAINED AND THEY ARE BEING HELD IN JAIL. CHILDREN AS YOUNG AS THE CHILDREN HERE TODAY CHILDREN HERE TODAY. AS YOUNG AS THE CHILDREN HERE TODAY ARE BEING HELD IN JAIL. BABIES ARE BEING SEPARATED FROM THEIR MOTHERS, EVEN WHILE BREAST-FEEDING THEM. THIS CONSTITUTES CHILD ABUSE. MADAM SPEAKER, SHOW SOME BASIC COMPASSION FOR THESE YOUNG CHILDREN, THEIR BROTHERS AND SISTERS, AND THEIR PARENTS. EVERY SINGLE MEMBER OF CONGRESS SHOULD BE ABLE TO STAND BEHIND THE SIMPLE IDEA THAT FAMILIES, REGARDLESS OF WHERE THEY ARE BORN, BELONG TOGETHER. I KNOW THAT JESUS OF NAZARETH WAS A REFUGEE. HE PAID THE ULTIMATE PRICE. MADAM SPEAKER, THIS IS A HISTORIC FIGHT FOR THE SOUL OF OUR NATION. WHETHER WE REMAIN A NATION OF ASPIRATIONS, OR WE BECOME A NATION OF DEPORTATIONS. THANK YOU, MADAM SPEAKER. I YIELD BACK MY TIME, REMAINING PART OF MY TIME TO THE GENTLEWOMAN, SHEILA JACKSON LEE.

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    • 09:14:21 AM

      MS. JACKSON LEE

      SHEILA JACKSON LEE.

    • 09:15:43 AM

      MR. ESPAILLAT

      MR. SPEAKER, I YIELD TO THE GENTLEWOMAN, NYDIA VELAZQUEZ.

    • 09:15:50 AM

      MS. VELAZQUEZ

      MR. SPEAKER, LOOK AT THESE YOUNG FACES. I SUSPECT MANY OF THESE CHILDREN…

      MR. SPEAKER, LOOK AT THESE YOUNG FACES. I SUSPECT MANY OF THESE CHILDREN ARE SEEING THE HOUSE FLOOR FOR THE VERY FIRST TIME. IT IS UNFORTUNATE THAT THEIR FIRST EXPERIENCE IN THIS TEMPLE OF DEMOCRACY. THE PEOPLE'S HOUSE IS TO BE HERE AS WE CALL OUR GOVERNMENT TO STOP TERRORIZING CHILDREN ON THE U.S.-MEXICO BORDER. THIS PAST WEEKEND, MR. SPEAKER, I TRAVELED WITH LEADER PELOSI AND THE CHAIR OF THE CONGRESSIONAL HISPANIC CAUCUS. WHAT WE SAW THERE WAS HEARTWRENCHING. WE HAVE HEARD THE AUDIO OF CHILDREN CRYING, MOMMY, PAPI. MR. SPEAKER, IT BEGS THE QUESTION, HAS OUR NATION LOST ITS WAY? BUT NOTHING IS AS HEARTWRENCHING AS SEEING THE CHILDREN IN PERSON. CHILDREN THAT WERE TAKEN FROM THE ARMS OF THEIR PARENTS. CHILDREN IN CAGES CRYING FOR THEIR PARENTS. THIS IS CHILD ABUSE. LET'S BE CLEAR, MR. SPEAKER, THIS TRAVESTY COULD END TODAY. DONALD TRUMP COULD END THIS TODAY BY A SINGLE PHONE CALL. TO MY REPUBLICAN FRIENDS ON THE OTHER SIDE OF THE AISLE, I SIMPLY SAY THIS. WHAT HAPPENED TO FAMILY VALUES? HISTORY WILL REMEMBER THIS MOMENT.

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    • 09:17:43 AM

      THE SPEAKER PRO TEMPORE

      THE CHAIR WILL REMIND ALL MEMBERS TO REFRAIN FROM REFERENCES TO GUEST ON…

      THE CHAIR WILL REMIND ALL MEMBERS TO REFRAIN FROM REFERENCES TO GUEST ON THE FLOOR. MEMBERS ARE REMINDED TO DIRECT THEIR REMARKS TO THE CHAIR. THE CHAIR NOW RECOGNIZES THE GENTLEMAN FROM ARIZONA, MR. GRIJALVA, FOR FIVE MINUTES.

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    • 09:17:56 AM

      MR. GRIJALVA

      THANK YOU, MADAM CHAIR. IT'S DIFFICULT TO FIND WORDS WHAT HAS UNFOLDED…

      THANK YOU, MADAM CHAIR. IT'S DIFFICULT TO FIND WORDS WHAT HAS UNFOLDED BEFORE THE EYES OF THE AMERICAN PEOPLE THESE LAST FEW DAYS. IT'S GOTTEN WORSE THE LAST FEW DAYS. TODAY I RISE IN DEFENSE OF CHILDREN ON THIS HOUSE FLOOR TO DEMAND OF THIS HOUSE AND MORE IMPORTANTLY THE TRUMP ADMINISTRATION TO END THIS CRUEL EXPLOITATION OF CHILDREN BY SEPARATING THEM FROM THEIR FAMILIES, BY TEARING CHILDREN FROM THEIR MOMS, AND WHAT APPEARS TO BE NO DOUBT A VERY CRAVEN POLITICAL TACTIC BY PRESIDENT TRUMP TO TRY TO HOLD HOSTAGE CHILDREN TO GET OTHER DRACONIAN ITEMS DONE ON HIS IMMIGRATION BILL. THIS TACTIC IS FUELED BY SOME VERY UGLY THINGS THAT THE AMERICAN PEOPLE HAVE TO REJECT. FUELED BY BIGOTRY. IT'S FUELED BY HATRED. IT'S FUELED BY FEAR MONGERING, AND IT'S NOW BEING FUELED BY THE ENDANGERMENT OF CHILDREN. AS A FATHER, AS A GRANDPA, I CANNOT BELIEVE HOW WE ARE DEBASING OUR NATION'S MORAL TRADITIONS, HOW WE ARE REPLACING OUR SACRED VALUES WITH AUTOCRATIC COMMENTS AND RHETORIC FROM THE PRESIDENT. MR. PRESIDENT, NO MORE LIES. NO MORE CHILD HOSTAGES. END THIS NOW. YOU CAN. AND FOR OUR NATION'S SAKE AND FOR THE CHILDREN'S SAKE, THIS NEEDS TO BE DONE. LET ME YIELD TO MY FRIEND, THE GENTLEMAN FROM CALIFORNIA, MR. GOMEZ.

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    • 09:19:32 AM

      THE SPEAKER PRO TEMPORE

      MEMBERS ARE REMINDED TO REFRAIN FROM ENGAGING IN PERSONALITIES TOWARD THE…

      MEMBERS ARE REMINDED TO REFRAIN FROM ENGAGING IN PERSONALITIES TOWARD THE PRESIDENT. THE GENTLEMAN FROM CALIFORNIA IS RECOGNIZED.

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    • 09:19:39 AM

      MR. GOMEZ

      MADAM SPEAKER, IT'S OBVIOUS THIS ADMINISTRATION DOESN'T CARE ABOUT THE…

      MADAM SPEAKER, IT'S OBVIOUS THIS ADMINISTRATION DOESN'T CARE ABOUT THE WELFARE OF IMMIGRANT CHILDREN BEING SEPARATED FROM THEIR PARENTS, BUT THEY SHOULD AT LEAST CARE WHAT KIND OF LONG-TERM IMPACT THEY WILL HAVE ON ALL CHILDREN. THOSE CURRENTLY LIVING IN THE UNITED STATES, DOCUMENTED OR NOT, U.S. CITIZENS OR NOT, BECAUSE WE ACT LIKE THESE KIDS, ALL KIDS DON'T KNOW WHAT'S GOING ON BUT THEY DO. THEY MIGHT NOT WATCH CNN, MSNBC, OR FOX, BUT THEY TALK TO THEIR CLASSMATES, SIBLINGS, TEACHERS AND CAREGIVERS, AND THEY ARE HEARING THAT KIDS ARE BEING TORN AWAY FROM THEIR PARENTS. AND WE HAVE TO ASK OURSELVES, WHAT ARE THEY THINKING? WHAT GOES ON THROUGH THEIR MINDS? ARE THE YOUNG ONES THINKING THEY CAN BE NEXT? AND I'M NOT EXAGGERATING BECAUSE SHORTLY AFTER THE ELECTION OF DONALD TRUMP, MY NEPHEW CRIED BECAUSE HE THOUGHT IF MY SISTER LEFT THE COUNTRY, BECAUSE SHE'S A RESIDENT AND NOT A U.S. CITIZEN, THAT SHE WOULD NOT BE ABLE TO RETURN. SO WE KNOW THAT THESE KIDS ARE PAYING ATTENTION. YES, WE NOT KNOW MORE CERTAIN WHAT THEY'RE ALL THINKING BUT WHAT WE DO KNOW IS THAT THIS POLICY MUST END NOW. THIS MUST STOP FOR THE IMMIGRANT CHILDREN AND FOR ALL OUR CHILDREN SO THAT THEY FEEL SECURE AND SAFE WHERE IT IS NATURAL, WHERE THEY FEEL LOVED AND THAT IS WITH THEIR PARENTS. AND I YIELD BACK TO MR. GRIJALVA.

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    • 09:20:58 AM

      MR. GRIJALVA

      THANK YOU, MR. GOMEZ. LET ME YIELD TO THE GENTLELADY FROM ILLINOIS, MY…

      THANK YOU, MR. GOMEZ. LET ME YIELD TO THE GENTLELADY FROM ILLINOIS, MY GOOD FRIEND, MS. SCHAKOWSKY.

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    • 09:21:05 AM

      MS. SCHAKOWSKY

      WHAT DO YOU CALL A COUNTRY THAT INSTITUTIONALIZES CHILD ABUSE? TRAGICALLY…

      WHAT DO YOU CALL A COUNTRY THAT INSTITUTIONALIZES CHILD ABUSE? TRAGICALLY TODAY YOU CALL THAT COUNTRY THE UNITED STATES OF AMERICA. WE HAVE HEARD THE CHILDREN SCREAMING. WE HAVE SEEN THE IMAGES OF CHILDREN BEING TOLD TO GO TO SLEEP IN CAGES. WE KNOW THAT CHILDREN HAVE BEEN RIPPED FROM THE BREASTS OF NURSING MOTHERS AND TAKEN AWAY, MAYBE NEVER TO BE FOUND TO BE REUNITED AGAIN. AS A MOTHER, AS A GRANDMOTHER, I CAN'T STAND IT. MADAM SPEAKER, CAN YOU STAND IT? CAN THIS COUNTRY STAND IT? WHAT HAPPENS TO THE SOUL OF AMERICA WHEN WE DO THIS TO CHILDREN? THESE PARENTS, THESE HAVE COME WITH THEIR CHILDREN FLEEING VIOLENCE, TAKE THINKING THEY'RE COMING TO THE LAND OF THE FREE, HOME OF THE BRAVE, THINKING THEY WILL GET ASYLUM. HERE IN THE UNITED STATES ARE AT LEAST THE CHANCE TO GET ASYLUM HERE AND TO BE SAFE, FINALLY, WITH THEIR CHILDREN. AND INSTEAD, THEY ARE PUT IN JAIL. THEY ARE PUT IN PRISON. I'M HERE TODAY WITH BRUCE AND FELIX, CHILDREN WHOSE PARENTS ARE IN THE GALLERY. THEY WILL GO HOME TONIGHT AND SLEEP IN A COMFORTABLE BED WHILE THOUSANDS OF CHILDREN ARE PUT TO SLEEP IN CAGES. I SAY TO YOU, MR. PRESIDENT, YOU CAN END THIS. THIS IS YOUR DECISION. PLEASE, FOR THE SAKE OF OUR COUNTRY, FOR THE SAKE OF THE CHILDREN, FOR THE SAKE OF FAMILIES, END THIS NOW. AND I YIELD BACK.

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    • 09:23:07 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLELADY'S TIME HAS EXPIRED. THE GENTLEMAN'S TIME HAS EXPIRED.…

      THE GENTLELADY'S TIME HAS EXPIRED. THE GENTLEMAN'S TIME HAS EXPIRED. MEMBERS ARE REMINDED TO DIRECT THEIR REMARKS TO THE CHAIR AND NOT TO THE PRESIDENT. THE CHAIR NOW RECOGNIZES THE GENTLEWOMAN FROM CALIFORNIA, MS. CHU, FOR FIVE MINUTES.

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    • 09:23:22 AM

      MS. CHU

      TODAY I BROUGHT TWO YOUNG PEOPLE, ALCIDES, AGE 11, AND JOSE, AGE 13. WHEN…

      TODAY I BROUGHT TWO YOUNG PEOPLE, ALCIDES, AGE 11, AND JOSE, AGE 13. WHEN I LOOK AT THEM, I THINK OF TWO DAYS AGO WHEN I VISITED THE TRUMP DETENTION CENTER AT THE SOUTHERN BORDER IN SAN DIEGO WITH MEMBERS AND LEADER PELOSI. THERE WE SAW CHILDREN TORN FROM THE ARMS OF THEIR PARENTS UNDER TRUMP'S ZERO TOLERANCE POLICY. WE TALKED TO THE KIDS. WE TALKED TO THE MENTAL HEALTH COUNSELORS WHO TOLD US THAT CHILDREN ARE TRAUMATIZED. MOST OF THEM HAVE COME HERE WITH THEIR PARENTS BECAUSE THEY WERE THREATENED WITH MURDER AND RAPE BY GANGS IN CENTRAL AMERICA AND MEXICO. BUT BECAUSE OF TRUMP'S POLICY OF SEPARATION, THESE CHILDREN HAVE LOST THE ONE CONSTANT PERSON IN THEIR LIVES. AS A PSYCHOLOGIST, I TOOK NOTE WHEN THE PRESIDENT OF THE AMERICAN ACADEMY OF PEDIATRICS VISITED DETAINED KIDS. SHE SAID NORMALLY KIDS LIKE THIS ARE RAMBUNCTIOUS AND RUNNING AROUND. BUT THESE KIDS ARE EITHER SCREAMING AND CRYING OR PERMANENTLY QUIET. AND IN FACT, THAT KIND OF TOXIC STRESS CAN PERMANENTLY AFFECT THEIR BRAINS. AND THERE IS ONLY ONE WAY TO DESCRIBE IT -- GOVERNMENT-SANCTIONED CHILD ABUSE. PRESIDENT TRUMP MUST OWN UP TO THE POLICY THAT IS HIS AND HIS ONLY. HE HAS THE POWER TO STOP THIS TERRIBLE CRUELTY. INSTEAD, HE'S USING THESE KIDS AS A BARGAINING CHIP FOR $25 BILLION FOR A BORDER WALL. IT'S TIME FOR HIM TO STOP, STOP RIPPING CHILDREN FROM THE ARMS OF THE PARENTS. AMERICA IS BETTER THAN THIS. AND NOW I YIELD TO THE GENTLELADY FROM FLORIDA, MS. CASTOR.

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    • 09:25:04 AM

      MS. CASTOR

      AND I THANK MY FRIEND FOR YIELDING TIME BECAUSE I WAS COMPELLED TO THE…

      AND I THANK MY FRIEND FOR YIELDING TIME BECAUSE I WAS COMPELLED TO THE FLOOR THIS MORNING TO PROTEST THIS CRUEL TRUMP-G.O.P. POLICY OF FAMILY SEPARATION. THIS IS A NEW POLICY. UNDER PAST PRESIDENTS, WHEN PEOPLE COME TO THIS COUNTRY LEGALLY ASKING FOR ASYLUM BECAUSE THEY'RE FLEEING VIOLENCE AND DOMESTIC VIOLENCE AND GANG VIOLENCE IN OTHER COUNTRIES, IT IS LEGAL TO REQUEST ASYLUM IN THE UNITED STATES OF AMERICA. UNDER THIS NEW TRUMP POLICY THAT IS SO CRUEL AND SO HORRIBLE, HE IS TRYING TO SEND A MESSAGE TO THE WORLD THAT THIS IS AN ANTI-IMMIGRANT COUNTRY. WE ARE NOT. HE'S TRYING TO SEND A MESSAGE TO THIS COUNTRY THAT CHILDREN CAN BE USED FOR PAWNS. WE'RE NOT GOING TO LET THAT HAPPEN. PRESIDENT TRUMP AND THE G.O.P. NOW WANT TO USE CHILDREN AS BARGAINING CHIPS TO TRY TO EXACT CONCESSIONS FROM DEMOCRATS ON A VERY ANTI-IMMIGRANT, VERY CRUEL, VERY WASTEFUL POLICY, AND WE NEED PEOPLE ACROSS AMERICA TO STAND UP AND SPEAK OUT. THE CALLS TO MY OFFICE ARE OVERWHELMING. PEOPLE THINK THIS FAMILY SEPARATION POLICY THAT RIPS CHILDREN AWAY FROM THEIR FAMILIES ARE HORRIBLE AND CRUEL AND IT IS AND WE NEED YOU TO KEEP THE CALLS COMING. WE ARE NOT GOING TO LET THIS HAPPEN. WE'RE NOT GOING TO LET CHILDREN CONTINUE TO BE RIPPED AWAY FROM THEIR FAMILIES, BUT WE NEED BACKUP. AND WE'RE HERE TO SAY, WE STAND WITH THE FAMILIES, WE LOVE THESE CHILDREN. EVERYONE SHOULD LOVE THESE CHILDREN, AND WE'RE NOT GOING TO PUT UP WITH TRUMP'S ANTI-IMMIGRANT HATEFUL POLICY ANY LONGER.

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    • 09:26:52 AM

      MS. CHU

      AND NOW I YIELD TO THE GENTLELADY FROM OREGON, MS. BONAMICI.

    • 09:26:56 AM

      MS. BONAMICI

      THANK YOU FOR YIELDING. I SPENT THE DAY BEFORE FATHER'S DAY AT THE FEDERAL…

      THANK YOU FOR YIELDING. I SPENT THE DAY BEFORE FATHER'S DAY AT THE FEDERAL PRISON IN OREGON MEETING WITH 123 ASYLUM-SEEKING IMMIGRANT MEN WHO ARE INCARCERATED IN PRISON. THEY WERE FLEEING HORRIFIC VIOLENCE AND RELIGIOUS PERSECUTION. THEY WERE CHRISTIAN AND SIKH MEN FROM INDIA. THERE WAS AN LGBTQ MAN FROM HONDURAS AND ANOTHER WAS TARGETED BY GANGS AND WE SPOKE WITH MEN WHO ARE SEPARATED FROM THEIR WIVES AND CHILDREN AND WHO ON FATHER'S DAY HAD NO IDEA WHERE THIS WERE OR HOW THEY WERE. CRIMINALIZING ASYLUM-SEEKERS AND SEPARATING FAMILIES IS CRUEL AND IT'S APPALLING AND NOW WE FIND OUT THERE ARE TENDER AGE SHELTERS. BABIES DON'T NEED THEIR OWN JAIL. THEY NEED THEIR OWN PARENTS. THIS MUST STOP. THE PRESIDENT AND THE DEPARTMENT OF JUSTICE COULD STOP IT RIGHT NOW. THE AMERICAN ACADEMY OF PEDIATRICS SAID SEPARATING FAMILIES IN THIS WAY CAUSES IRREPARABLE HARM. MISTREATING CHILDREN FOR POLITICAL LEVERAGE IS OUTSIDE OF MORAL BOUNDS, EVEN FOR THIS ADMINISTRATION. AS A MOTHER, IT BREAKS MY HEART. AS AN AMERICAN AND A GRANDDAUGHTER OF IMMIGRANTS, IT MAKES ME FURIOUS. IF THE PRESIDENT WON'T SIGN SOMETHING TODAY, WHICH YOU HE COULD, THEN SPEAKER RYAN, BRING US THE KEEPING FAMILIES TOGETHER ACT AND LET US DO SOMETHING ABOUT THIS HORRIFIC ATROCITY THAT'S HAPPENING TO CHILDREN AND TO PEOPLE WHO ARE COMING TO THIS COUNTRY SEEKING FREEDOM.

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    • 09:28:28 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEWOMAN'S TIME HAS EXPIRED. THE CHAIR RECOGNIZES THE GENTLEWOMAN…

      THE GENTLEWOMAN'S TIME HAS EXPIRED. THE CHAIR RECOGNIZES THE GENTLEWOMAN FROM NEW MEXICO, MS. LUJAN GRISHAM, FOR FIVE MINUTES.

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    • 09:28:35 AM

      MS. LUJAN GRISHAM

      THIS PAST WEEK MY COLLEAGUES AND I TRAVELED TO DIFFERENT PARTS OF THE…

      THIS PAST WEEK MY COLLEAGUES AND I TRAVELED TO DIFFERENT PARTS OF THE BORDER TO SEE FIRSTHAND HOW CHILDREN, MOTHERS AND FATHERS ARE BEING TERRORIZED BY THE MOST ANTI-IMMIGRANT, XENOPHOBIC AND RACIST ADMINISTRATION OF MY LIFETIME. WE DID THIS BECAUSE WE CANNOT STAND BY, CANNOT STAND IDLY BY AND WATCH THE MOST POWERFUL COUNTRY IN THE WORLD TEARING CHILDREN FROM THEIR MOTHERS AND THEIR FATHERS AT THEIR MOST VULNERABLE AND DESPERATE MOMENTS. THE STORIES OF BABIES AND TODDLERS BEING TORN FROM THE ARMS OF THEIR MOTHERS AND FATHERS, THE HEARTBREAKING AUDIO OF CHILDREN CRYING AND SCREAMING FOR THEIR PARENTS, THE ACCOUNT OF A DISTRAUGHT FATHER TAKING HIS OWN LIFE AFTER HIS OWN CHILD WAS WRESTLED FROM HIS ARMS AND OF A MOTHER WHO WAS DEPORTED BEFORE SHE COULD RECOVER HER SON FROM DETENTION. THESE ARE THE ATROCITIES PERPETRATED BY PRESIDENT TRUMP AND THEY MUST STOP. FAMILIES FLEEING VIOLENCE DESERVE AND HAVE A RIGHT TO PETITION THEIR CLAIM FOR ASYLUM, FOR THAT IS THE LAW OF THE LAND. I'M HERE WITH TWO CHILDREN TODAY TO CALL ON THIS ADMINISTRATION TO STOP THIS CRUEL, INHUMANE PRACTICE THAT BETRAYS WHO WE ARE AS A COUNTRY. THE PRESIDENT COULD MAKE THE DECISION TO END THIS PRACTICE RIGHT NOW AND DO THE RIGHT THING. FAILING THAT, CONGRESS MUST ACT. AND NOW I YIELD TIME TO MY DISTINGUISHED COLLEAGUE FROM WASHINGTON, PRAMILA JAY PAL. -- JAYAPAL.

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    • 09:30:25 AM

      MS. JAYAPAL

      I MET WITH WOMEN SEEKING ASYLUM. ONE WOMAN HAD LEFT HER -- HAD THREE…

      I MET WITH WOMEN SEEKING ASYLUM. ONE WOMAN HAD LEFT HER -- HAD THREE CHILDREN. THE FIRST CHILD WAS SHOT AND MURDERED BY GANGS. THE SECOND CHILD WAS SHOT AND PARALYZED BY GANGS. AND THE THIRD CHILD WAS THE CHILD SHE TRIED TO BRING HERE TO SAFETY. THESE ARE THE STORIES OF THE PEOPLE THAT ARE COMING ACROSS THE BORDER, AND ALL OF THE MOTHERS AND THE 174 PEOPLE THAT WERE AT THE FEDERAL PRISON HAD NOT EVEN BEEN ABLE TO SAY GOODBYE TO THEIR CHILDREN. THEY DID NOT KNOW WHERE THEIR CHILDREN WERE. THEY HAD BEEN SUBJECTED TO THE WORST CONDITIONS AT THE BORDER, AND, MADAM SPEAKER, WHAT IS THIS COUNTRY COMING TO? THIS IS A COUNTRY THAT SHOULD VALUE OUR CHILDREN, THAT SHOULD VALUE THE RIGHTS OF OUR CHILDREN, AND THESE CHILDREN ARE SITTING IN CAGES ON THE BORDER, IN TENT CITIES. THIS PRESIDENT CREATED THIS CRISIS AND THIS PRESIDENT CAN STOP THIS CRISIS RIGHT NOW WITH A PHONE CALL. DO NOT TELL US IT IS ABOUT CONGRESS. IT IS ABOUT THE PRESIDENT OF THE UNITED STATES WHO HAS CHOSEN TO TAKE THIS DEMOCRACY TO ITS VERY BOTTOM. THIS IS THE BOTTOM. THIS IS ABUSE. IT IS A HUMAN RIGHTS VIOLATION, AND WE MUST END IT. HE MUST END IT. AND WITH THAT I YIELD TO MY COLLEAGUE FROM ILLINOIS. .

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    • 09:31:51 AM

      MR. GAW TEAR RES.

      I WANT TO THANK ALL MY COLLEAGUES FROM ALL OVER THE UNITED STATES. I'D…

      I WANT TO THANK ALL MY COLLEAGUES FROM ALL OVER THE UNITED STATES. I'D LIKE TO ASK THEM ALL TO PLEASE STEP FORWARD AND BRING YOUR GUESTS. EVERY MEMBER OF CONGRESS IS ALLOWED TWO CHILDREN UNDER THE AGE OF 12. PLEASE BRING THEM FORWARD WITH YOU. I THINK MORE POWERFUL THAN ANYTHING I COULD SAY IS TO STAND WITH CHILDREN. PLEASE, PLEASE. WE ONLY HAVE FIVE MINUTES BUT LET'S TAKE THE MINUTE SO THE CHILDREN CAN STEP FORWARD. PLEASE BRING THEM FORWARD. ALL OF THE MEMBERS OF CONGRESS, YOU ARE ALL ALLOWED UNDER OUR RULES --

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    • 09:32:25 AM

      THE SPEAKER PRO TEMPORE

    • 09:32:31 AM

      MR. GUTIERREZ

      ALL OF THE CHILDREN PLEASE COME FORWARD. UNDER THE PROTECTION OF THE U.S.…

      ALL OF THE CHILDREN PLEASE COME FORWARD. UNDER THE PROTECTION OF THE U.S. HOUSE OF REPRESENTATIVES, WE'RE HERE WITH THE CHILDREN BECAUSE WE BELIEVE THAT THIS IS WHAT IS IMPORTANT. I WANT TO THANK ALL OF MY COLLEAGUES. I KNOW THAT THE RULES TO NOT ALLOW ALL OF YOU TO SPEAK, BUT I THINK YOU SPEAK WITH YOUR PRESENCE HERE AND WITH THESE CHILDREN IN YOUR ARMS. BUT I WANT TO TELL YOU SOMETHING, I KNOW THIS IS A TRAGIC MOMENT, BUT THIS SPEAK, BUT I THINK WEEKEND, I COULDN'T HAVE FELT PROUDER TO BE AN AMERICAN. I COULDN'T HAVE FELT PROUDER ABOUT JUST WHAT OUR EXCEPTIONALISM IS. I SAW AMERICANS EVERYWHERE ACROSS THIS COUNTRY STANDING UP FOR CHILDREN. STANDING UP FOR THOSE THAT ARE IN NEED. STANDING UP FOR MOMS AND DADS THAT ARE BEING SEPARATED LET'S CELEBRATE, TOO. THAT AMERICA SEES THIS INJUSTICE, SEE THIS IS CRUELTY, SEES THIS EVIL AND IT NOT REMAIN SILENT. AND THAT IS THE AMERICA THAT I AM SO HAPPY I WAS BORN INTO. WE HAVE A GREAT COUNTRY. AND LET'S REMEMBER THAT. SO LET'S KEEP THE FIGHT. LET'S KEEP THE FIGHT FOR THESE CHILDREN THAT ARE HERE. THEY ARE SO BEAUTIFUL. I WANT AMERICA --

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    • 09:33:40 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN'S TIME HAS EXPIRED.

    • 09:33:43 AM

      MR. GUTIERREZ

      THESE ARE THE CHILDREN --

    • 09:33:44 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN IS NO LONGER RECOGNIZED. THE CHAIR WILL REITERATE AN…

      THE GENTLEMAN IS NO LONGER RECOGNIZED. THE CHAIR WILL REITERATE AN ANNOUNCEMENT BY THE CHAIR. ON JULY 7, 2016, AN EXHIBITION INVOLVING MEMBERS TRAFFICKING THE WELL IS A BREACH OF DECORUM. PURSUANT TO SCLAUSE 12-A OF RULE 1RK THE CHAIR DECLARES THE HOUSE IN RECESS -- I BELIEVE THE TIME HAS EXPIRED. THE TIME HAS EXPIRED, SIR. THE TIME HAS EXPIRED. THE CHAIR HAS RULED. EXPIRED, SIR.

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    • 09:34:21 AM

      >>

      ASK FOR A RULING OF THE CHAIR.

    • 09:34:22 AM

      THE SPEAKER PRO TEMPORE

      OF THE CHAIR.

    • 09:34:29 AM

      >>

      UNTIL 10:00 A.M. THEY MAY START DEBATE TOMORROW DOWN TO IMMIGRATION BILLS.…

      UNTIL 10:00 A.M. >> THEY MAY START DEBATE TOMORROW DOWN TO IMMIGRATION BILLS. AND ALSO A REVOTE ON THE FOREIGN BILL WHICH FAILED LAST MONTH.

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  • 09:34:29 AM

    Recess

    The Speaker announced that the House do now recess. The next meeting is scheduled for 10:00 a.m. today.

    • 09:36:07 AM

      >>

    • 09:36:58 AM

      >>

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      >>

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      >>

    • 09:38:27 AM

      >>

    • 09:38:38 AM

      GUEST

    • 09:38:40 AM

      HOST

    • 09:38:46 AM

      GUEST

    • 09:38:55 AM

      HOST

    • 09:39:01 AM

      GUEST

    • 09:39:04 AM

      HOST

    • 09:39:13 AM

      GUEST

    • 09:59:56 AM

      ANNOUNCER

      DISCUSSION. THE U.S. HOUSE IS ABOUT TO BEGIN LEGISLATIVE WORK TAKING UP…

      DISCUSSION. THE U.S. HOUSE IS ABOUT TO BEGIN LEGISLATIVE WORK TAKING UP THREE OPIOID RELATED BILLS. ALSO A FOUR-YEAR AUTHORIZATION OF THE OFFICE OF NATIONAL DRUG CONTROL POLICY. AND DEBATE TOMORROW ONTO IMMIGRATION BILLS. NOW TO LIVE COVERAGE OF THE HOUSE.

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  • 10:00:02 AM

    Reconvened

    The House convened, returning from a recess continuing the legislative day of June 20.

    • 10:00:17 AM

      THE SPEAKER PRO TEMPORE

      THE HOUSE WILL BE IN ORDER. THE PRAYER WILL BE OFFERED BY THE GUEST…

      THE HOUSE WILL BE IN ORDER. THE PRAYER WILL BE OFFERED BY THE GUEST CHAPLAIN, RABBI MARK SCHIFTAN, THE TEMPLE CONDITION GREGATION OHABAI SHALOM, NASHVILLE, TENNESSEE.

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    • 10:00:18 AM

      Today's prayer was offered by Rabbi Mark Schiftan, The Temple: Congregation Ohabai Sholom, Nashville, TN.

      • 10:00:31 AM

        THE CHAPLAIN

        GOD BLESS THIS LAND AND ALL ITS INHABITANTS. THIS LAND BUILT ON…

        GOD BLESS THIS LAND AND ALL ITS INHABITANTS. THIS LAND BUILT ON FOUNDATIONS WE MAY CALL OUR OWN. PLEDGE TO LAW AND FREEDOM, IT EQUALITY AND HARMONY. OUR OWN. PLEDGE TO LAW AND FREEDOM, IT EQUALITY AND HARMONY. HAVEN FOR THE HUDDLED MASSES, YEARNING TO BREATHE FREE AND MUTUALLY INSPIRED HOPES AND DREAMS OF THOSE WHO CAME BEFORE US. THOSE WHO OFTEN FLED PERSECUTION, TO FIND SAFE HAVEN ON THIS NATION'S SHORES. FOR THEM AND FOR FUTURE GENERATIONS THAT FOLLOWED THEM, INCLUDING EACH AND EVERY ONE OF US. MORE THAN ANY OTHER INSTRUCTION IN THE. MORE THAN ANY OTHER INSTRUCTION IN THE BIBLE, IS THE SACRED REMINDER TO EMBRACE THE STRANGER, TO LOVE THE NEWCOMER AS MUCH OR EVEN MORE THAN THE NATIVE BORN. MAY WE, MAY YOU WHO LEAD US DO JUST THAT. HELP US, O GOD, TO FULFILL THE PROMISE OF AMERICA. MAY WE AND YOU WHO LEAD US BE TRUE TO THIS LAND AND ITS TRADITIONS. RENEW IN ALL OF US A ZEAL FOR JUSTICE, TEMPERED ALWAYS WITH MERCY. AWAKEN WITHIN US COMPASSION. SO WE MAY ENTER UPON THE FUTURE WITH RESTORED VISION AND DEDICATED AFRESH TO A PROUD DESTINY FOR ALL. AMEN.

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      • 10:02:44 AM

        THE SPEAKER PRO TEMPORE

        THE CHAIR HAS EXAMINED THE JOURNAL OF THE LAST DAY'S PROCEEDINGS AND…

        THE CHAIR HAS EXAMINED THE JOURNAL OF THE LAST DAY'S PROCEEDINGS AND ANNOUNCES TO THE HOUSE HIS APPROVAL THEREOF. PURSUANT TO CLAUSE 1 OF RULE 1, THE JOURNAL STANDS APPROVED.

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  • 10:02:49 AM

    SPEAKER'S APPROVAL OF THE JOURNAL

    The Chair announced that he had examined the Journal of the last day's proceedings and had approved it. Mr. Holding demanded that the question be put on agreeing to the Speaker's approval of the Journal and by voice vote, the Chair announced that the ayes had prevailed. Mr. Holding objected to the voice vote based upon the absence of a quorum and the Chair postponed further proceedings on the question of the Speaker's approval of the Journal until later in the legislative day.

    • 10:02:53 AM

      >>

      MR. SPEAKER.

    • 10:02:54 AM

      THE SPEAKER PRO TEMPORE

      FOR WHAT PURPOSE DOES THE GENTLEMAN FROM NORTH CAROLINA SEEK RECOGNITION.

    • 10:02:57 AM

      >>

      MR. SPEAKER, PURSUANT TO CLAUSE 1, RULE 1, I DEMAND A VOTE ON AGREEING TO…

      MR. SPEAKER, PURSUANT TO CLAUSE 1, RULE 1, I DEMAND A VOTE ON AGREEING TO THE SPEAKER'S APPROVAL OF THE JOURNAL. PROUD DESTINY FOR ALL. AMEN.

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    • 10:03:03 AM

      THE SPEAKER PRO TEMPORE

      THE QUESTION IS ON AGREEING TO THE SPEAKER'S APPROVAL. JOURNAL. SO MANY AS…

      THE QUESTION IS ON AGREEING TO THE SPEAKER'S APPROVAL. JOURNAL. SO MANY AS ARE IN FAVOR SAY AYE. THOSE OPPOSED, NO. THE AYES HAVE IT. THE JOURN STANDS APPROVED.

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    • 10:03:17 AM

      >>

      -- MR. THOSE OPPOSED, NO. HOLDING: MR. SPEAKER.

    • 10:03:19 AM

      THE SPEAKER PRO TEMPORE

      FOR WHAT PURPOSE DOES THE GENTLEMAN FROM NORTH CAROLINA SEEK RECOGNITION.

    • 10:03:22 AM

      MR. HOLDING

      I OBJECT TO THE VOTE ON THE GROUNDS THAT A QUORUM IS NOT PRESENT AND MAKE…

      I OBJECT TO THE VOTE ON THE GROUNDS THAT A QUORUM IS NOT PRESENT AND MAKE A A POINT OF ORDER A QUORUM IS NOT PRESENT.

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    • 10:03:26 AM

      THE SPEAKER PRO TEMPORE

      PURSUANT TO CLAUSE 8 OF RULE 20, FURTHER PROCEEDINGS ON THIS QUESTION ARE…

      PURSUANT TO CLAUSE 8 OF RULE 20, FURTHER PROCEEDINGS ON THIS QUESTION ARE POSTPONED. THE PLEDGE OF ALLEGIANCE WILL BE LED BY THE GENTLEMAN FROM PENNSYLVANIA, MR. THOMPSON.

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  • 10:03:34 AM

    PLEDGE OF ALLEGIANCE

    The Chair designated Mr. Thompson of PA to lead the Members in reciting the Pledge of Allegiance to the Flag.

    • 10:03:37 AM

      MR. THOMPSON

      I PLEDGE ALLEGIANCE TO THE FLAG OF THE UNITED STATES OF AMERICA AND TO THE…

      I PLEDGE ALLEGIANCE TO THE FLAG OF THE UNITED STATES OF AMERICA AND TO THE REPUBLIC FOR WHICH IT STANDS, ONE NATION UNDER GOD, INDIVISIBLE, WITH LIBERTY AND JUSTICE FOR ALL.

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  • 10:03:49 AM

    ONE MINUTE SPEECHES

    The House proceeded with one minute speeches, which by direction of the Chair would be limited to 15 per side of the aisle.

    • 10:03:50 AM

      The House received a message from the Clerk. Pursuant to the permission granted in Clause 2(h) of Rule II of the Rules of the U.S. House of Representatives, the Clerk notified the House that she had received the following message from the Secretary of the Senate on June 20, 2018 at 9:37 a.m.: That the Senate passed S. 2269.

      • 10:03:56 AM

        THE SPEAKER PRO TEMPORE

        ALL.

      • 10:04:03 AM

        MR. COOPER

        MR. SPEAKER, THE OPENING PRAYER TODAY WAS GIVEN BY RABBI MARK SCHIFTAN OF…

        MR. SPEAKER, THE OPENING PRAYER TODAY WAS GIVEN BY RABBI MARK SCHIFTAN OF NASHVILLE. THE SENIOR RABBI OF THE OLDEST AND LARGEST JEWISH CONGREGATION IN MIDDLE TENNESSEE. THE CONGREGATION DATES BACK TO 1851 WHEN THE VINE STREET SENIOR RABBI OF THE TEMPLE BEGAN WORSHIP SERVICES IN DOWNTOWN NASHVILLE, EVEN BEFORE THE CIVIL WAR. HE HAS LED TODAY'S TEMPLE FOR NEARLY 20 YEARS AND IS WELL-KNOWN AND BELOVED IN OUR COMMUNITY. HIS FAMILY ESCAPED THE HOLOCAUST FROM VIENNA, AUSTRIA, FLEEING FIRST TO SHANGHAI, CHINA, AND THEN IT SAN FRANCISCO. HE WAS EDUCATED AT SAN FRANCISCO STATE UNIVERSITY, THE HEBREW UNION OF LOS ANGELES, AND WAS ORDAINED AT THE HEBREW UNION OF CINCINNATI. UNDER HIS LEADERSHIP, THE TEMPLE HAS BEEN THE INDESPENCIBLE RELIGIOUS AND CULTURAL INSTITUTION FOR ALL OF MIDDLE TENNESSEE. I WOULD LIKE TO PERSONALLY THANK THE RABBI FOR HIS STRONG LEADERSHIP IN OUR COMMUNITY, FOR OUR PERSONAL FRIENDSHIP, AND OPENING THE HOUSE WITH PRAYER TODAY. THANK YOU.

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      • 10:05:19 AM

        THE SPEAKER PRO TEMPORE

        FOR WHAT PURPOSE DOES THE GENTLEMAN FROM ILLINOIS -- THE CHAIR WILL…

        FOR WHAT PURPOSE DOES THE GENTLEMAN FROM ILLINOIS -- THE CHAIR WILL ENTERTAIN UP TO 15 FURTHER REQUESTS FOR ONE MINUTE SPEECHES ON EACH SIDE OF THE AISLE. FOR WHAT PURPOSE DOES THE GENTLEMAN FROM ILLINOIS SEEK RECOGNITION.

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      • 10:05:26 AM

        >>

        I ASK THANK YOU.

      • 10:05:27 AM

        THE SPEAKER PRO TEMPORE

        UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE. REVISE AND EXTEND…

        UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE. REVISE AND EXTEND MY REMARKS.

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      • 10:05:32 AM

        THE SPEAKER PRO TEMPORE

        WITHOUT OBJECTION.

      • 10:05:33 AM

        >>

        WITHOUT OBJECTION.

      • 10:06:06 AM

        MR. HULTGREN

        7,000 ROHINGYA WERE KILLED IN THE FIRST MONTH OF THE VIOLENCE, WHILE AN…

        7,000 ROHINGYA WERE KILLED IN THE FIRST MONTH OF THE VIOLENCE, WHILE AN ESTIMATED 700,000 HAVE FLED TO BANGLADESH. AS THE TOM LANTOS HUMAN RIGHTS COMMISSION, WE HAVE WORKED TO BRING ATTENTION TO THE SICKENING DISCRIMINATION AND MISTREATMENT OF THE ROHINGYA. THE ON-COMING MONSOON SEASON WILL CAUSE MORE DIFFICULTIES FOR THE REFUGEES. CONGRESS MUST HOLD THE BURMESE MILITARY ACCOUNTABLE FOR THEIR ANGSTS AND PROVIDE THE NECESSARY AID NEEDED TO MEET THIS CRISIS. I YIELD BACK.

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      • 10:06:37 AM

        THE SPEAKER PRO TEMPORE

        FOR WHAT PURPOSE DOES THE GENTLEMAN FROM ILLINOIS SEEK RECOGNITION.

      • 10:06:40 AM

        >>

        ASK UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE. REVISE AND…

        ASK UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE. REVISE AND EXTEND MY REMARKS.

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      • 10:06:45 AM

        THE SPEAKER PRO TEMPORE

        WITHOUT OBJECTION, THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

      • 10:06:55 AM

        MR. SCHNEIDER

        THE TRUMP ADMINISTRATION'S ABHORRENT ADMINISTRATION POLICY THAT IS TEARING…

        THE TRUMP ADMINISTRATION'S ABHORRENT ADMINISTRATION POLICY THAT IS TEARING FAMILIES APART AND SEPARATING CHILDREN FROM THEIR PARENTS IS A SHAMEFUL BETRAYAL OF OUR VALUES. IT NEEDS TO END IMMEDIATELY. AMERICANS OF ALL POLITICAL STRIPES ARE CONTACTING OUR OFFICE HEARTBROKEN AND OUTRAGED BY THE IMAGES AND STORIES OF THE TREATMENT OF THESE VULNERABLE YOUNG PEOPLE BY OUR NATION. THE PRESIDENT AND HIS ATTORNEY HAVE CREATED THIS CRISIS. THE PRESIDENT HAS THE POWER TO IMMEDIATELY STOP THIS CRUELTY. BUT SO FAR, MR. SPEAKER, HE REFUSES TO DO SO. THAT'S WHY TODAY I'M PROUD TO JOIN MORE THAN 190 COLLEAGUES INTRODUCING LEGISLATION TO STOP THIS HUMANE TREATMENT OF CHILDREN AT OUR BORDER. THE KEEP FAMILIES TOGETHER ACT PROHIBITS DEPARTMENT OF HOMELAND SECURITY FROM SEPARATING CHILDREN FROM THEIR PARENTS EXCEPT IN EXTRAORDINARY CIRCUMSTANCES. THE BILL ALSO LIMITS CRIMINAL PROSECUTION OF ASYLUM SEEKERS FLEEING PERSECUTION, INCREASES CHILD WELFARE TRAINING, AND CREATES A POLICY PREFERENCE FOR FAMILY REUNIFICATION. I URGE MY FELLOW MEMBERS OF CONGRESS TO JOIN US ON THIS BILL. LET'S FIX THIS STAIN ON OUR CHARACTER OF OUR NATION.

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      • 10:08:07 AM

        THE SPEAKER PRO TEMPORE

        THE GENTLEMAN'S TIME HAS EXPIRED.

      • 10:08:10 AM

        MR. SCHNEIDER

      • 10:08:11 AM

        THE SPEAKER PRO TEMPORE

        FOR WHAT PURPOSE DOES THE GENTLEMAN FROM FLORIDA SEEK RECOGNITION.

      • 10:08:14 AM

        >>

        I REQUEST UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE. REVISE…

        I REQUEST UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE. REVISE AND EXTEND MY REMARKS AS NECESSARY.

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      • 10:08:18 AM

        THE SPEAKER PRO TEMPORE

        WITHOUT OBJECTION, THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

      • 10:08:20 AM

        >>

        MR. SPEAKER, I RISE TODAY TO HONOR TOM NEW BOWER, THE RECIPIENTS OF THE…

        MR. SPEAKER, I RISE TODAY TO HONOR TOM NEW BOWER, THE RECIPIENTS OF THE 2018 DEFENSE COMMUNITY LEADERSHIP AWARD. TOM IS A HIGHLY RESPECTED LEADER OF DEFENSE COMMUNITY IN FLORIDA AND A PERSONAL FRIEND OF MINE BACK IN BAY COUNTY, WHICH IS MY HOME. TOM HAS BEEN THE LEADING COMMUNICATOR BETWEEN OUR MILITARY AND CIVILIAN COMMUNITIES FOR AS LONG AS I CAN REMEMBER. HE WAS INSTRUMENTAL IN BRINGING THE MQ-9 REAPER WING TO THE AIR FORCE BASE AND WORKED TIRELESSLY TO SUPPORT AND PROTECT THE MILITARY MISSION LINE. BOTH TOM AND HIS WIFE ARE AIR FORCE BROADCASTS AND THEIR LOVE FOR OUR SOLDIERS, SAILORS, AND AIRMEN SHINES IN ALL THEY HAVE DO. TOM HAS BEEN BUILDING BETTER RELATIONS AND TIGHTER SENSE OF COMMUNITY BETWEEN MILITARY AND COMMUNITIES NOT ONLY IN BAY COUNTY BUT THROUGHOUT THE NATION.

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      • 10:09:12 AM

        MR. DUNN

        PLEASE JOIN ME IN CONGRATULATING TOM IN RECEIVING THIS PRESTIGIOUS AWARD…

        PLEASE JOIN ME IN CONGRATULATING TOM IN RECEIVING THIS PRESTIGIOUS AWARD AND THANKING HIM FOR HIS WORK FOR MILITARY COMMUNITIES THROUGHOUT THIS COUNTRY. I YIELD BACK.

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      • 10:09:21 AM

        THE SPEAKER PRO TEMPORE

        FOR WHAT PURPOSE DOES THE GENTLEMAN FROM GEORGIA SEEK RECOGNITION. A

      • 10:09:26 AM

        >>

        TO ADDRESS THE HOUSE FOR ONE MINUTE AND REVISE AND EXTEND.

      • 10:09:30 AM

        THE SPEAKER PRO TEMPORE

        WITHOUT OBJECTION, THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

      • 10:09:33 AM

        MR. JOHNSON

        THANK YOU, MR. SPEAKER. AS I SPEAK THE TRUMP REPUBLICANS WRESTLE ANOTHER…

        THANK YOU, MR. SPEAKER. AS I SPEAK THE TRUMP REPUBLICANS WRESTLE ANOTHER CHILD FROM THE ARMS OF A REFUGEE PARENT A REFUGEE PARENT AT OUR SOUTHERN BORDER, BUT I STILL RISE TODAY TO HONOR WORLD REFUGEE DAY. EVERY YEAR EVERY YEAR THOUSANDS OF REFUGEES JOURNEY TO THE UNITED STATES OF AMERICA IN SEARCH OF SAFETY BE IT FROM HUMAN RIGHTS VIOLATION AS, WARFARE, OR NATURAL DISASTERS. OR THE WAR ON DRUGS. WE PRIDE OURSELVES ON BEING A NATION OF IMMIGRANTS. I'M PROUD THAT CLARKSTON, GEORGIA, KNOWN AS THE ELLIS ISLAND OF THE SOUTH, IS IN MY DISTRICT. BUT TRUMP REPUBLICANS HAVE LAID WASTE TO OUR CUSTOM OF WELCOMING ASYLUM SEEKERS AS THEY COMMIT THE INHUMANE PRACTICE OF SEPARATING CHILDREN FROM THEIR PARENTS AT THE BORDER. AMERICA IS WEAKENED IN THE EYES OF THE WORLD AND SEPARATING FAMILIES IS OUR NATIONAL SHAME. THAT'S WHY I'M A PROUD CO-SPONSOR OF KEEP AMERICAN FAMILIES TOGETHER ACT. EXCUSE ME, KEEP FAMILIES TOGETHER ACT. CONGRESS MUST ACT NOW ON THIS IMPORTANT LEGISLATION. WITH THAT I YIELD BACK.

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      • 10:10:42 AM

        THE SPEAKER PRO TEMPORE

        FOR WHAT PURPOSE DOES THE GENTLEMAN FROM PENNSYLVANIA SEEK RECOGNITION.

      • 10:10:47 AM

        >>

        MR. SPEAKER, REQUEST UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE…

        MR. SPEAKER, REQUEST UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE. REVISE AND EXTEND MY REMARKS.

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      • 10:10:51 AM

        THE SPEAKER PRO TEMPORE

        WITHOUT OBJECTION, THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

      • 10:10:54 AM

        MR. THOMPSON

        THANK YOU, MR. SPEAKER. MR. SPEAKER, I RISE TODAY TO CONGRATULATE MS.…

        THANK YOU, MR. SPEAKER. MR. SPEAKER, I RISE TODAY TO CONGRATULATE MS. NICKI ELLIOTT TUCKER ON HER RETIREMENT. SHE'S A NURSING HOME ADMINISTRATOR. SHE HAS BEEN A DEDICATED LEADER AND SHE IS WELL LOVED BY THE RESIDENTS AND STAFF ALIKE. SHE HAS BEEN INSTRUMENTAL IN THE DEVELOPMENT OF THE CHARLES COAL TRANSITION CARE COMMITTEE. MICKEY WAS THE LIAISON BETWEEN MANOR. IT ALSO RECEIVED NUMEROUS AWARDS OVER THE YEARS WITH HER AT THE LIAISON BETWEEN THE TRANSITIONAL CARE TEAM AND THE CLINICAL PROGRAM AT SWEDEN VALLEY HELM. IN 2014 THE AMERICAN HEALTH ASSOCIATION WITH A NATIONAL BRONZE COMMITMENT OF QUALITY AWARD. 2008 THE MANOR WAS NAMED BUSINESS OF THE YEAR. 1994 RECEIVED THE OUTSTANDING EMPLOYER AWARD FROM THE PENNSYLVANIA DEPARTMENT OF LABOR. MR. SPEAKER, THESE ARE JUST SOME OF THE HIGHLIGHTS OF A LONG SPENT CAREER CARING FOR OTHERS. TO SAY SHE WILL BE MISSED IS AN UNDERSTATEMENT. I WISH HER THE BEST IN HER WELL DESERVED RETIREMENT. THANK YOU, MR. SPEAKER. I YIELD BACK THE BALANCE OF MY TIME.

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      • 10:12:01 AM

        THE SPEAKER PRO TEMPORE

        FOR WHAT PURPOSE DOES THE GENTLEMAN FROM -- THE GENTLEMAN SEEK RECOGNITION?

      • 10:12:08 AM

        >>

        I ASK UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE.

      • 10:12:11 AM

        THE SPEAKER PRO TEMPORE

        WITHOUT OBJECTION, THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

      • 10:12:13 AM

        MR. RYAN

        MR. SPEAKER, I THINK ABOUT MY WIFE AND I WHEN WE GO TO TAKE A COUPLE DAYS…

        MR. SPEAKER, I THINK ABOUT MY WIFE AND I WHEN WE GO TO TAKE A COUPLE DAYS AWAY FROM THE KIDS AND WE LEAVE OUR 4-YEAR-OLD WITH HIS GRANDPARENTS HOW HEARTBREAKING IT IS. TO EVEN LEAVE THAT KID WHEN YOU ARE LEAVING THEM WITH GRANDPARENTS. I THINK ABOUT -- I THINK ABOUT MY GREAT GRANDPARENTS WHO CAME HERE FROM ITALY AS IMMIGRANTS. I THINK ABOUT THE 13 YEARS OF CATHOLIC SCHOOL THAT I ATTENDED. I THINK ABOUT THE CONVERSATIONS IN WASHINGTON, D.C., ABOUT FAMILY VALUES, AND THEN I THINK ABOUT HOW IN THE MOST POWERFUL COUNTRY IN THE WORLD OUR GOVERNMENTAL POLICY IS TO STRIP KIDS, IMMIGRANTS. I THINK ABOUT THE 13 YEARS OF BABIES, TODDLERS, INFANTS FROM THEIR PARENTS. THE MOST POWERFUL COUNTRY IN THE WORLD HAS RESORTED TO THIS NONSENSE. THIS IS A JOKE. AND IT'S BY CHOICE, MR. SPEAKER. THIS IS A CHOICE THAT THE MOST POWERFUL MEN IN THE MOST POWERFUL COUNTRY ARE CHOOSING TO TAKE POOR KIDS AWAY FROM THEIR PARENTS.

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      • 10:13:25 AM

        THE SPEAKER PRO TEMPORE

        THE GENTLEMAN'S TIME HAS EXPIRED.

      • 10:13:26 AM

        MR. RYAN

        IT IS TIME FOR THIS MOST POWERFUL PRESIDENT TO ACT IMMEDIATELY AND STOP…

        IT IS TIME FOR THIS MOST POWERFUL PRESIDENT TO ACT IMMEDIATELY AND STOP THE AMERICAN CARNAGE.

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      • 10:13:34 AM

        THE SPEAKER PRO TEMPORE

        THE GENTLEMAN'S TIME HAS EXPIRED. THE CHAIR LAYS BEFORE THE HOUSE A…

        THE GENTLEMAN'S TIME HAS EXPIRED. THE CHAIR LAYS BEFORE THE HOUSE A COMMUNICATION.

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      • 10:13:45 AM

        THE CLERK

        THE HONORABLE THE SPEAKER, HOUSE OF REPRESENTATIVES. SIR, PURSUANT TO THE…

        THE HONORABLE THE SPEAKER, HOUSE OF REPRESENTATIVES. SIR, PURSUANT TO THE PERMISSION GRANTED IN CLAUSE 2-H OF RULE 2 OF THE RULES OF THE U.S. HOUSE OF REPRESENTATIVES, THE CLERK RECEIVED THE FOLLOWING MESSAGE FROM THE SECRETARY OF THE SENATE ON JUNE 20, 2018, AT 9:37 A.M. THAT THE SENATE PASSED SENATE 2269. APPOINTMENT, UNITED STATES CAPITOL PRESERVATION COMMISSION, SIGNED, SINCERELY, KAREN L. HAAS.

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      • 10:14:14 AM

        THE SPEAKER PRO TEMPORE

        FOR WHAT PURPOSE DOES THE GENTLEMAN FROM TEXAS SEEK RECOGNITION.

      • 10:14:17 AM

        MR. BURGESS

        MR. SPEAKER, BY DIRECTION OF THE COMMITTEE ON RULES, I CALL UP HOUSE…

        MR. SPEAKER, BY DIRECTION OF THE COMMITTEE ON RULES, I CALL UP HOUSE RESOLUTION 949, AND ASK FOR ITS IMMEDIATE CONSIDERATION.

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    • 10:14:21 AM

      Considered as privileged matter. H. Res. 949 — "Providing for consideration of the bill (H.R. 6) to provide for opioid use disorder prevention, recovery, and treatment, and for other purposes; providing for consideration of the bill (H.R. 5797) to amend title XIX of the Social Security Act to allow States to provide under Medicaid services for certain individuals with opioid use disorders in institutions for mental diseases; and providing for consideration of the bill (H.R. 6082) to amend the Public Health Service Act to protect the confidentiality of substance use disorder patient records."

      • 10:14:25 AM

        THE SPEAKER PRO TEMPORE

        THE CLERK WILL REPORT THE RESOLUTION.

      • 10:14:28 AM

        THE CLERK

        HOUSE CALENDAR NUMBER 154, HOUSE RESOLUTION 94. RESOLVED, THAT AT ANY TIME…

        HOUSE CALENDAR NUMBER 154, HOUSE RESOLUTION 94. RESOLVED, THAT AT ANY TIME AFTER ADOPTION OF THIS RESOLUTION THE SPEAKER MAY, PURSUANT TO CLAUSE 2-B OF RULE 18, DECLARE THE HOUSE RESOLVED INTO THE COMMITTEE OF THE WHOLE HOUSE ON THE STATE OF THE UNION FOR CONSIDERATION OF THE BILL, H.R. 6, TO PROVIDE FOR OPIOID USE DISORDER PREVENTION, RECOVERY, AND TREATMENT, AND FOR OTHER PURPOSES. THE FIRST READING OF THE BILL SHALL BE DISPENSED WITH. ALL POINTS OF ORDER AGAINST CONSIDERATION OF THE BILL ARE WAIVED. GENERAL DEBATE SHALL BE CONFINED TO THE BILL AND SHALL NOT EXCEED ONE HOUR EQUALLY DIVIDED AND CONTROLLED BY THE CHAIR AND RANKING MINORITY MEMBER OF THE COMMITTEE ON ENERGY AND COMMERCE. AFTER GENERAL DEBATE THE BILL SHALL BE CONSIDERED FOR AMENDMENT UNDER THE FIVE-MINUTE RULE. AN AMENDMENT IN THE NATURE OF A SUBSTITUTE CONSISTING OF THE TEXT OF RULES COMMITTEE PRINT 115-76, MODIFIED BY RULES COMMITTEE PRINT 115-78 AND THE AMENDMENT PRINTED IN PART A OF THE REPORT OF THE COMMITTEE ON RULES ACCOMPANYING THIS RESOLUTION, SHALL BE CONSIDERED AS ADOPTED IN THE HOUSE AND IN THE COMMITTEE OF THE WHOLE. THE BILL, AS AMENDED, SHALL BE THE BILL, AS AMENDED, SHALL BE CONSIDERED AS THE ORIGINAL BILL FOR THE PURPOSE OF FURTHER AMENDMENT UNDER THE FIVE-MINUTE RULE AND SHALL BE CONSIDERED AS READ. ALL POINTS OF ORDER AGAINST PROVISIONS IN THE BILL, AS AMENDED, ARE WAIVED. NO FURTHER AMENDMENT TO THE BILL, AS AMENDED, SHALL BE IN ORDER EXCEPT THOSE PRINTED IN PART B OF THE REPORT OF THE COMMITTEE ON RULES. EACH SUCH FURTHER AMENDMENT MAY BE OFFERED ONLY IN THE ORDER PRINTED IN THE REPORT, MAY BE OFFERED ONLY BY A MEMBER DESIGNATED IN THE REPORT, SHALL BE CONSIDERED AS READ, SHALL BE DEBATABLE FOR THE TIME SPECIFIED IN THE REPORT EQUALLY DIVIDED AND CONTROLLED BY THE PROPONENT AND AN OPPONENT, SHALL NOT BE SUBJECT TO AMENDMENT, AND SHALL NOT BE SUBJECT TO A DEMAND FOR DIVISION OF THE QUESTION IN THE HOUSE OR IN THE COMMITTEE OF THE WHOLE. ALL POINTS OF ORDER AGAINST SUCH FURTHER AMENDMENTS ARE WAIVED. AT THE CONCLUSION OF CONSIDERATION OF THE BILL FOR AMENDMENT THE COMMITTEE SHALL RISE AND REPORT THE BILL, AS AMENDED, TO THE HOUSE WITH SUCH FURTHER AMENDMENTS AS MAY HAVE BEEN ADOPTED. THE PREVIOUS QUESTION SHALL BE CONSIDERED AS ORDERED ON THE BILL, AS AMENDED, AND ANY FURTHER AMENDMENT THERETO TO FINAL PASSAGE WITHOUT INTERVENING MOTION EXCEPT ONE MOTION TO RECOMMIT WITH OR WITHOUT INSTRUCTIONS. SECTION 2. AT ANY TIME AFTER ADOPTION OF THIS RESOLUTION THE SPEAKER MAY, PURSUANT TO CLAUSE 2-B OF RULE 18, DECLARE THE HOUSE RESOLVED INTO THE COMMITTEE OF THE WHOLE HOUSE ON THE STATE OF THE UNION FOR CONSIDERATION OF THE BILL, H.R. 5797, TO AMEND TITLE 19 OF THE SOCIAL SECURITY ACT TO ALLOW STATES TO PROVIDE UNDER MEDICAID SERVICES FOR CERTAIN INDIVIDUALS WITH OPIOID USE DISORDERS IN INSTITUTIONS FOR MENTAL DISEASES. THE FIRST READING OF THE BILL SHALL BE DISPENSED WITH. ALL POINTS OF ORDER AGAINST CONSIDERATION OF THE BILL ARE WAIVED. GENERAL DEBATE SHALL BE CONFINED TO THE BILL AND SHALL NOT EXCEED ONE HOUR EQUALLY DIVIDED AND CONTROLLED BY THE CHAIR AND RANKING MINORITY MEMBER OF THE COMMITTEE ON ENERGY AND COMMERCE. AFTER GENERAL DEBATE THE BILL SHALL BE CONSIDERED FOR AMENDMENT UNDER THE FIVE-MINUTE RULE. THE AMENDMENT IN THE NATURE OF A SUBSTITUTE RECOMMENDED BY THE COMMITTEE ON ENERGY AND COMMERCE NOW PRINTED IN THE BILL, MODIFIED BY THE AMENDMENT PRINTED IN PART C OF THE REPORT OF THE COMMITTEE ON RULES ACCOMPANYING THIS RESOLUTION, SHALL BE CONSIDERED AS ADOPTED IN THE HOUSE AND IN THE COMMITTEE OF THE WHOLE. THE BILL, AS AMENDED, SHALL BE CONSIDERED AS THE ORIGINAL BILL FOR THE PURPOSE OF FURTHER AMENDMENT UNDER THE FIVE-MINUTE RULE AND SHALL BE CONSIDERED AS READ. ALL POINTS OF ORDER AGAINST PROVISIONS IN THE BILL, AS AMENDED, ARE WAIVED. NO FURTHER AMENDMENT TO THE BILL, AS AMENDED, SHALL BE IN ORDER EXCEPT THOSE PRINTED IN PART D OF THE REPORT OF THE COMMITTEE ON RULES. EACH SUCH FURTHER AMENDMENT MAY BE OFFERED ONLY IN THE ORDER PRINTED IN THE REPORT, MAY BE OFFERED ONLY BY A MEMBER DESIGNATED IN THE REPORT, SHALL BE CONSIDERED AS READ, SHALL BE DEBATABLE FOR THE TIME SPECIFIED IN THE REPORT EQUALLY DIVIDED AND CONTROLLED BY THE PROPONENT AND AN OPPONENT, SHALL NOT BE SUBJECT TO AMENDMENT, AND SHALL NOT BE SUBJECT TO A DEMAND FOR DIVISION OF THE QUESTION IN THE HOUSE OR IN THE COMMITTEE OF THE WHOLE. ALL POINTS OF ORDER AGAINST SUCH FURTHER AMENDMENTS ARE WAIVED. AT THE CONCLUSION OF CONSIDERATION OF THE BILL FOR AMENDMENT THE COMMITTEE SHALL RISE AND REPORT THE BILL, AS AMENDED, TO THE HOUSE WITH SUCH FURTHER AMENDMENTS AS MAY HAVE BEEN ADOPTED. THE PREVIOUS QUESTION SHALL BE CONSIDERED AS ORDERED ON THE BILL, AS AMENDED, AND ANY FURTHER AMENDMENT THERETO TO FINAL PASSAGE WITHOUT INTERVENING MOTION EXCEPT ONE MOTION TO RECOMMIT WITH OR WITHOUT INSTRUCTIONS. SECTION 3. UPON ADOPTION OF THIS RESOLUTION IT SHALL BE IN ORDER TO CONSIDER IN THE HOUSE THE BILL, H.R. 6082, TO AMEND THE PUBLIC HEALTH SERVICE ACT TO PROTECT THE CONFIDENTIALITY OF SUBSTANCE USE DISORDER PATIENT RECORDS. ALL POINTS OF ORDER AGAINST CONSIDERATION OF THE BILL ARE WAIVED. AN AMENDMENT IN THE NATURE OF A SUBSTITUTE CONSISTING OF THE TEXT OF RULES COMMITTEE PRINT 115-7 5 SHALL BE CONSIDERED AS ADOPTED. THE BILL, AS AMENDED, SHALL BE CONSIDERED AS READ. ALL POINTS OF ORDER AGAINST PROVISIONS IN THE BILL, AS AMENDED, ARE WAIVED. THE PREVIOUS QUESTION SHALL BE CONSIDERED AS ORDERED ON THE BILL, AS AMENDED, AND ON ANY FURTHER AMENDMENT THERETO, TO FINAL PASSAGE WITHOUT INTERVENING MOTION EXCEPT, ONE, ONE HOUR OF DEBATE EQUALLY DIVIDED AND CONTROLLED BY THE CHAIR AND RANKING MINORITY MEMBER OF THE COMMITTEE ON ENERGY AND COMMERCE, AND, TWO, ONE MOTION TO RECOMMIT WITH OR WITHOUT INSTRUCTIONS. SECTION 4. IN THE ENGROSSMENT OF H.R. 6, THE CLERK SHALL, A, ADD THE RESPECTIVE TEXTS OF H.R. 2851, H.R. 5735, AND H.R. 5797, AS PASSED BY THE HOUSE, AS NEW MATTER AT THE END OF H.R. 6, B, ASSIGN APPROPRIATE DESIGNATIONS TO PROVISIONS WITHIN THE ENGROSSMENT, AND, C, CONFORM CROSS-REFERENCES AND PROVISIONS FOR SHORT TITLES WITHIN THE ENGROSSMENT.

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  • 10:20:10 AM

    DEBATE

    The House proceeded with one hour of debate on H. Res. 949.

    • 10:20:12 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN FROM TEXAS IS RECOGNIZED FOR ONE HOUR.

    • 10:20:14 AM

      MR. BURGESS

      THANK YOU, MR. SPEAKER. AND FOR THE PURPOSES OF DEBATE ONLY, I YIELD THE…

      THANK YOU, MR. SPEAKER. AND FOR THE PURPOSES OF DEBATE ONLY, I YIELD THE CUSTOMARY 30 MINUTES TO THE GENTLEMAN FROM MASSACHUSETTS, MR. MCGOVERN, PENDING WHICH I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

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    • 10:20:26 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN IS RECOGNIZED.

    • 10:20:28 AM

      MR. BURGESS

      DURING CONSIDERATION OF THIS RESOLUTION, ALL TIME YIELDED IS FOR THE…

      DURING CONSIDERATION OF THIS RESOLUTION, ALL TIME YIELDED IS FOR THE PURPOSE OF DEBATE ONLY. AND, MR. SPEAKER, I ASK UNANIMOUS CONSENT THAT ALL MEMBERS MAY HAVE FIVE LEGISLATIVE DAYS TO REVISE AND EXTEND THEIR REMARKS. THE SPEAKER PRO TEMPORE: WITHOUT OBJECTION.

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    • 10:20:37 AM

      THE SPEAKER PRO TEMPORE

      THEIR REMARKS. THE SPEAKER PRO TEMPORE: WITHOUT OBJECTION.

    • 10:20:40 AM

      MR. BURGESS

      HOUSE RESOLUTION 949 PROVIDES FOR THE CONSIDERATION OF THREE IMPORTANT…

      HOUSE RESOLUTION 949 PROVIDES FOR THE CONSIDERATION OF THREE IMPORTANT BILLS AIMED AT CURBING THE DEADLY OPIOID EPIDEMIC PLAGUING THIS COUNTRY AND PROVIDING AMERICANS WITH TOOLS TO OVERCOME THEIR ADDICTIONS. H.R. 6, THE SUBSTANCE USE-DISORDER PREVENTION AND PROMOTES OPIOID RECOVERY AND TREATMENT FOR PATIENTS AND COMMUNITIES ACT, OR THE SUPPORT ACT, H.R. 5797, THE INDIVIDUALS IN MEDICAID DESERVE CARE THAT IS APPROPRIATE AND RESPONSIBLE IN ITS DELIVERY ACT, AND H.R. 6082, THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT. THE THREE BILLS INCLUDED IN TODAY'S RULE ALL SEEK TO ACCOMPLISH ONE GOAL -- TO ASSIST AMERICANS STRUGGLING WITH OPIOID ADDICTION AND CONTROLLING THEIR ADDICTIONS IN MOVING FORWARD IN ACHIEVING PRODUCTIVE AND HEALTHY LIVES. THE RULE PROVIDES FOR ONE HOUR OF DEBATE ON H.R. 6 EQUALLY DIVIDED AND CONTROLLED BY THE CHAIR AND THE RANKING MINORITY MEMBER OF THE COMMITTEE ON ENERGY AND COMMERCE. THE RULE MAKES IN ORDER EIGHT AMENDMENTS OFFERED BY BOTH REPUBLICANS AND DEMOCRATS. FURTHER, THE RULE PROVIDES THAT THE MINORITY -- THE RULE PROVIDES THE MINORITY WITH ONE MOTION TO RECOMMIT WITH OR WITHOUT INSTRUCTIONS. THE RESOLUTION ALSO PROVIDES FOR A STRUCTURED RULE FOR H.R. 5797, ALLOWING ONE HOUR OF DEBATE TO BE DIVIDED AND CONTROLLED BETWEEN THE CHAIR AND RANKING MINORITY MEMBER OF THE ENERGY AND COMMERCE COMMITTEE. THE RULE ALSO PROVIDES FOR DEBATE FOLLOWING AN AMENDMENT BY MRS. WALTERS FROM CALIFORNIA, AN ACTIVE MEMBER OF THE ENERGY AND COMMERCE COMMITTEE. FINALLY, THE RULE PROVIDES THE MINORITY WITH THE CUSTOMARY MOTION TO RECOMMIT WITH OUR WITHOUT INSTRUCTIONS. THE FINAL BILL INCLUDED IN TODAY'S RESOLUTION, H.R. 6082, WILL ALSO RECEIVE ONE HOUR OF DEBATE ON THE HOUSE FLOOR. AGAIN, EQUALLY DIVIDED AND CONTROLLED BY THE CHAIR AND THE RANKING MEMBER OF THE ENERGY AND COMMERCE COMMITTEE. AS THE COMMITTEE ON RULES RECEIVED NO GERMANE AMENDMENTS TO 6082, NO AMENDMENTS WERE MADE IN ORDER IN TODAY'S RULE. THE MINORITY DOES RECEIVE THE CUSTOMARY MOTION TO RECOMMIT WITH OR WITHOUT INSTRUCTIONS. THE STATISTICS THAT MANY OF US HAVE HEARD ON NUMEROUS OCCASIONS IN OUR DISTRICT TOWN HALLS, IN OPIOID ROUNDTABLES WITH STAKEHOLDERS, CONSTITUENT MEETINGS IN OUR OFFICES, AND IN OUR COMMITTEE HEARINGS, THESE ARE TRULY HEARTBREAKING STORIES WITH MORE THAN 115 PEOPLE DYING IN THE UNITED STATES EVERY DAY FROM AN OPIOID OVERDOSE. THAT IS FIVE PEOPLE PER HOUR. ACCORDING TO NATIONAL REPORTS, EMERGENCY ROOM AND OPIOID DEATHS HAVE QUAT RUPELED IN THE LAST 15 YEARS AND A PRELIMINARY ASAL CISINDICATE THOSE NUMBERS -- ANALYSIS INDICATE THOSE NUMBERS ARE TO RISE. PRESCRIPTION DRUGS, HEROIN, SYNTHETIC OPIOIDS, SUCH AS FENTANYL, IS INDEED AN URGENT NATIONAL CRISIS THAT THREATENS OUR HEALTH, SOCIAL WELFARE. LOCAL PARAMEDICS ARE COMING ACROSS PEOPLE OVERDOSING ON AN OPIOID DRUG OR A DRUG LACED WITH FENTANYL. THE OPIOID EPIDEMIC HAS AFFECTED FAMILIES NOT ONLY IN MY DISTRICT IN NORTH TEXAS BUT IN COMMUNITIES LARGE AND SMALL FROM MAINE TO CALIFORNIA. IT HAS ALSO IMPACTED AMERICAN EMPLOYERS AND BUSINESSES DUE TO LOST PRODUCTIVITY AND DIFFICULTY IN FINDING QUALIFIED CANDIDATES FOR EMPLOYMENT. PRESIDENT TRUMP IS RIGHT TO CALL THE EPIDEMIC THE CRISIS NEXT DOOR. THE EFFORTS OF THE ENERGY AND COMMERCE COMMITTEE AND THE COMPREHENSIVE ADDICTION AND RECOVERY ACT AND THE 21ST CENTURY CURES ACT IN THE PREVIOUS CONGRESS WERE A GOOD START, DELIVERING CRITICAL FUNDING AND RESOURCES TO COMMUNITIES HIT MOST HARD BY THE OPIOID EPIDEMIC. BUT THERE WAS MUCH MORE WE STILL COULD DO. TO START THIS PROCESS, THE ENERGY AND COMMERCE HEALTH SUBCOMMITTEE, WHICH I CHAIR, HELD A MEMBER DAY LAST OCTOBER WHERE OVER 50 BIPARTISAN MEMBERS OF THIS BODY, BOTH ON AND OFF THE COMMITTEE, SHARED THEIR PERSONAL STORIES FROM THEIR DISTRICTS AND OFFERED THEIR SOLUTIONS. THIS WAS FOLLOWED BY A SERIES OF THREE LEGISLATIVE HEARINGS WITH MARKUPS WHERE NEARLY 60 BILLS WERE CONSIDERED AND ADVANCED TO THE FULL ENERGY AND COMMERCE COMMITTEE THAT ACTED ON THESE BILLS SHORTLY THEREAFTER. THE CULMINATION OF THE WORK FROM THE ENERGY AND COMMERCE COMMITTEE AND OTHER HOUSE COMMITTEES HAS BROUGHT US TO CONSIDER MANY OF THESE POLICIES OVER THE COURSE OF THE LAST TWO WEEKS ON THE HOUSE FLOOR. IT REQUIRED AN ALL HANDS ON DECK APPROACH, AND I BELIEVE THAT THE AMERICAN PEOPLE WILL SEE THAT BY THIS WEEK'S END WE DID INDEED COME TOGETHER IN A BIPARTISAN FASHION AND WORK TO ADDRESS THIS CRISIS. TODAY'S RULE PROVIDES FOR CONSIDERATION OF THREE IMPORTANT BILLS THAT WILL EXPAND TREATMENT OPTIONS, DELIVER LIFE-SAVING SERVICES, AND MAKE NECESSARY PUBLIC HEALTH REFORMS, INCLUDING MEDICARE AND MEDICAID TO BOLSTER PREVENTION AND RECOVERY EFFORTS. FIRST, H.R. 5797, THE INDIVIDUALS IN MEDICAID DESERVE CARE THAT IS APPROPRIATE AND RESPONSIBLE IN ITS EXECUTION, I.M.D. ACT STATES IT WILL EXCLUDE BENEFICIARIES 21-64 WITH OPIOID USE DISORDER FOR FIVE YEARS' TIME. IT REMOVES A BARRIER TO CARE UNDER CURRENT LAW SO MEDICAID CAN COVER UP TO A TOTAL 30 DAYS OF CARE IN AN INSTITUTION FOR MENTAL DISEASE DURING A 12-MONTH PERIOD AND ELIGIBLE ENROLLEES CAN GET THE CARE THAT THEY ACTUALLY NEED. THE I.M.D. EXCLUSION IS ONE OF THE TREATMENT BARRIERS CONSISTENTLY IDENTIFIED BY STATE MEDICAID DIRECTORS, HEALTH POLICY EXPERTS, AND MANY PROVIDER GROUPS. CERTAINLY THIS EXCLUSION UNDER MEDICAID SIGNIFICANTLY LIMITS THE CIRCUMSTANCES UNDER WHICH FEDERAL MEDICAID MATCHING FUNDS ARE AVAILABLE FOR IN-PATIENT SERVICES OR FOR OUTPATIENT TREATMENTS. UNFORTUNATELY, THIS POLICY HAS BARRED INDIVIDUALS WITH AN OPIOID USE DISORDER AND MENTAL ILLNESS FROM ACCESSING SHORT-TERM ACUTE CARE IN PSYCHIATRIC HOSPITALS OR RECEIVING TREATMENT IN RESIDENTIAL SUBSTANCE USE DISORDER TREATMENT FACILITIES. A 2017 MEDICAID AND CHIP PAYMENT AND ACCESS COMMISSION REPORT STATED THAT THE MEDICAID I.M.D. EXCLUSION IS ONE OF THE FEW EXAMPLES IN THE MEDICAID PROGRAM WHERE FEDERAL FINANCIAL PARTICIPATION CANNOT BE USED FOR MEDICALLY NECESSARY AND OTHERWISE COVERED SERVICES FOR A SPECIFIC MEDICAID POPULATION RECEIVING TREATMENT IN A SPECIFIC SETTING. IN THE MIDST OF THE OPIOID CRISIS, STATES MUST LEVERAGE ALL AVAILABLE TOOLS TO COMBAT THIS EPIDEMIC. SECTION 1115 DEMONSTRATION WAIVERS ARE AN IMPORTANT TOOL, BUT SO FAR LESS THAN HALF THE STATES HAVE SOUGHT OR RECEIVED AN APPROPRIATE WAIVER FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES TO HELP PATIENTS WITH SUBSTANCE USE DISORDER. SO THE I.M.D. CARE ACT ALLOWS STATES THE OPTION TO USE THE STATE PLAN AMENDMENT PROCESS, WHICH IS GENERALLY FASTER, THAN USING WAIVERS. UNDER THIS PROCESS, ONCE THE STATE PLAN AMENDMENT IS SUBMITTED, THE CENTERS FOR MEDICARE AND MEDICAID SERVICES HAS 90 DAYS TO DECIDE OR THE PROPOSED CHANGE WILL AUTOMATICALLY GO INTO EFFECT. H.R. 5797 AMENDS AN OUTDATED LAW THAT HAS BEEN IN EFFECT SINCE THE ENACTMENT OF THE MEDICAID PROGRAM IN 1965. SINCE THAT TIME, THERE HAVE BEEN ADVANCES IN BEHAVIORAL HEALTH, THERE HAVE BEEN ADVANCES IN ADDICTION TREATMENT SERVICES WHERE MORE IMPROVED OPTIONS NOW EXIST. IT IS LONG OVERDUE TO REVISIT THIS POLICY SO THAT STATE MEDICAID PROGRAMS CAN BETTER MEET PATIENT'S NEEDS AND PHYSICIANS AND DOCTORS CAN -- PATIENTS' NEEDS AND PHYSICIANS AND DOCTORS CAN GIVE CARE ON AN INDIVIDUAL'S TREATMENT PLAN. NEXT, H.R. 6082, THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT, MAKES TIMELY REFORMS TO A PRIVACY LAW THAT AFFECTS PEOPLE ACCESS TO HEALTH CARE AND CREATES BARRIERS TO TREATMENT. SPECIFICALLY, THE BILL UPDATES THE PUBLIC HEALTH SERVICE ACT TO PERMIT SUBSTANCE USE DISORDER RECORDS TO BE SHARED AMONG COVERED ENTITIES AND 42 C.F.R. PART 2 PROGRAMS BY ALIGNING PART 2 WITH THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996. FOR THE PURPOSES OF TREATMENT, PAYMENT, OR HEALTH CARE OPTIONS. AS A PHYSICIAN, I BELIEVE IT IS VITAL THAT WHEN MAKING CLINICAL DECISIONS I HAVE ALL OF THE APPROPRIATE INFORMATION TO MAKE THE CORRECT DETERMINATION AND THE TREATMENT OF A PARTICULAR PATIENT. THOSE SUFFERING FROM SUBSTANCE USE DISORDER SHOULD RECEIVE THE SAME LEVEL OF TREATMENT AND CARE AS OTHER INDIVIDUALS. . PATIENTS AFFLICTED DESERVE TO BE TREATED BY PHYSICIANS WHO ARE ARMED WITH ALL OF THE NECESSARY INFORMATION TO PROVIDE THE BEST POSSIBLE CARE. I CERTAINLY DO UNDERSTAND AND RESPECT THAT PATIENT PRIVACY PROTECTION IS PARAMOUNT AND SHOULD BE HELD IN THE HIGHEST REGARD. THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT MAINTAINS THE ORIGINAL INTENT OF THE 1970 STATUTE BEHIND 4 C.F.R. PART 2 BY PROTECTING PATIENTS AND IMPROVING CARE COORDINATION. IN FACT, THIS BILL INCREASES PROTECTIONS FOR THOSE SEEKING TREATMENT BY MORE SEVERELY PENALIZING THOSE WHO SHARE PATIENT DATA TO NONCOVERED ENTITIES AND NONPART 2 PROGRAMS THAT -- UNDER CURRENT STATUTE WITH CERTAIN EXCEPTIONS. LASTLY, IT REQUIRES THE SECRETARY OF HEALTH AND HUMAN SERVICES TO, AMONG OTHER THINGS, ISSUE REGULATIONS, PROHIBITING DISCRIMINATION BASED ON DISCLOSED HEALTH DATA AND REQUIRING COVERED ENTITIES TO PROVIDE WRITTEN NOTICE OF PRIVACY PRACTICES. THE ISSUE OF STIGMA ASSOCIATED WITH SUBSTANCE USE DISORDER HAS BEEN A CONSTANT AND IN MANY OF THE DISCUSSIONS OF THE MEMBERS OF THE ENERGY AND COMMERCE COMMITTEE AND THE STAKEHOLDERS THAT WE HAVE HAD IN BOTH OUR OFFICES AND IN OUR HEARINGS. THIS CAREFULLY CRAFTED LEGISLATION SEEKS TO HELP BREAK THE STIGMA AND HELP INDIVIDUALS WITH THIS COMPLEX DISEASE GAIN ACCESS TO HEALTH CARE AND SUPPORT SERVICES CRITICAL TO GETTING THEM ON THE ROAD TO RECOVERY. WE SHOULD NOT CONTINUE TO SILO THE SUBSTANCE ABUSE DISORDER TREATMENT INFORMATION OF A SELECT GROUP OF PATIENTS IF WE WANT TO ENSURE THAT THESE PATIENTS ARE RECEIVING QUALITY CARE. THIS INFORMATION SHOULD BE INTEGRATED INTO OUR MEDICAL RECORDS AND INTO -- INTO OUR MEDICAL RECORDS AND COMPREHENSIVE CARE MODELS TO PREVENT SITUATIONS WHERE INTO -- INTO OUR MEDICAL RECORDS AND COMPREHENSIVE CARE MODELS TO PREVENT SITUATIONS WHERE PHYSICIANS, NOT KNOWING A PATIENT'S SUBSTANCE ABUSE -- INSURANCE FROM PATIENT SAFETY. PROVIDING HIGH QUALITY HEALTH CARE IS A TEAM EFFORT, PHYSICIANS LEADING THE TEAM MUST HAVE THE NECESSARY INFORMATION TO ADEQUATELY COORDINATE CARE. WE MUST ALIGN PAYMENT, OPERATION, AND TREATMENT IT ALLOW COORDINATION OF BOTH BEHAVE YORBLE AND PHYSICAL HEALTH SERVICES -- BEHAVIORAL AND PHYSICAL HEALTH SERVICES. THERE IS A REASON WHY THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION AND MOST OF THE HEALTH STAKEHOLDER COMMUNITY ARE ASKING FOR THIS CHANGE. CLEARLY THERE IS AN ISSUE HERE THAT MUST BE BE ADDRESSED. H.R. 6082 ACHIEVES THE GOAL AND CONTRIBUTES TO CONGRESS' EFFORT IN TRYING TO STEM THE CURRENT CRISIS. FINALLY, MR. SPEAKER, H.R. 6, SUBSTANCE USE DISORDER PREVENTION AND PROMOTES OPIOID RECOVERY AND TREATMENT THE CURRENT CRISIS. FOR PATIENTS AND COMMUNITIES ACT IS A PACKAGE OF BILLS THAT REFORM MEDICARE, MEDICAID, AND OTHER HEALTH PROVISIONS TO FURTHER COMBAT THIS CRISIS BY ADVANCING MANY CRITICAL INITIATIVES. AS WE ALL KNOW, THIS OPIOID EPIDEMIC IS IN OUR HOSPITALS, BUT IT'S ALSO IN OUR LIVING ROOMS AND ON OUR STREETS. OUR PARTNERS AT FEDERAL AGENCIES MUST RISE TO THE CHALLENGE AND DELIVER VITAL RESOURCES FOR STATES AND COMMUNITIES MOST DEVASTATED BY THE CRISIS. THE SUPPORT FOR PATIENTS AND COMMUNITIES ACT WILL DELIVER VITAL PROVIDE OR DEPARTMENT OF HEALTH AND HUMAN SERVICE, INCLUDING THE SENT FOR MEDICARE AND MEDICAID SERVICES AND THE FOOD AND DRUG ADMINISTRATION WITH THE NECESSARY TOOLS TO ADDRESS THIS CRISIS. TITLE ONE OF H.R. 6 ADDRESSES THE WAYS IN WHICH MEDICAID CAN BE USED TO INCREASE ACCESS TO QUALITY CARE AND MANAGEMENT FOR INDIVIDUALS SUFFERING FROM SUBSTANCE USE DISORDERS. SOME OF THE CHANGES IN MEDICAID REFLECT THE SUCCESS OF OUR STATE MEDICAID PROGRAMS BY IMPLEMENTING STATE SUCCESSES AT THE FEDERAL LEVEL. SECTION 101 UNDER TITLE 1 WILL EXPAND PROTECTION FOR AT-RISK YOUTH BY REQUIRING STATE MEDICAID PROGRAMS TO RESTORE MEDICAID COVERAGE OF A JUVENILE FOLLOWING THEIR RELEASE FROM INCARCERATION. THE NEXT SECTION WILL ALSO ALLOW A FORMER FOSTER YOUTH TO MAINTAIN THEIR MEDICAID COVERAGE ACROSS STATE LINES UNTIL THEY TURN 26 YEARS OF AGE. THESE ARE VULNERABLE POPULATIONS OF INDIVIDUALS THAT WILL GREATLY BENEFIT FROM INCREASED ACCESS TO TREATMENT. SECTION 105 BUILDS ON THE CURRENT STATE MEDICAID DRUG UTILIZATION REVIEW WHICH SAVES MONEY AND PROMOTES PATIENT SAFETY. THIS SECTION WILL REQUIRE STATE MEDICAID PROGRAMS TO HAVE SAFETY EDITS IN PLACE FOR OPIATE REFILLS, TO MONITOR CONCURRENT PRESCRIBING OF OPEN YACHTS, AND CERTAIN OTHER DRUGS -- OPIATES, AND CERTAIN OTHER DRUGS, AND MONITOR ANTI-PSYCHOTIC PRESCRIBING FOR CHILDREN. CARE FOR MOTHERS SUFFERING FROM SUBSTANCE USE DISORDER AND THEIR BABIES WHO ARE BORN WITH NEONATAL SYNDROME IS A GROWING PROBLEM IN THE FACE OF THIS EPIDEMIC. SECTION 106 REQUIRES H.H.S. TO IMPROVE CARE FOR THESE INFANTS WITH NEONATAL ABSTINENCE SYNDROME AND THEIR MOTHERS. IT ALSO REQUIRES THAT THE GENERAL ACCOUNTABILITY OFFICE STUDY THE GAPS IN MEDICAID COVERAGE FOR PREGNANT AND POSTPARTUM WOMEN WITH SUBSTANCE USE DISORDERS. SECTION 107 OF THE BILL PROVIDES ADDITIONAL INCENTIVES FOR MEDICAID HEALTH HOMES, FOR PATIENTS WITH SUBSTANCE USE DISORDER. MR. SPEAKER, THESE HEALTH HOMES WILL ALLOW STATES TO CREATE A COMPREHENSIVE PERSON CENTERED SYSTEM OF CARE COORDINATION FOR PRIMARY CARE, ACUTE AND BEHAVIORAL HEALTH CARE, INCLUDING MENTAL HEALTH AND SUBTANS USE. AS OUR HEALTH CARE SYSTEM MOVES TOWARDS CARING FOR THE WHOLE PERSON, IT'S IMPORTANT THAT WE HAVE OUR PATIENTS BE ABLE TO PROVIDE THAT COMPREHENSIVE CARE. THE SUPPORT FOR PATIENTS AND COMMUNITIES ACT ALSO ENABLES BETTER PAIN MANAGEMENT FOR OUR NATION'S MEDICARE BENEFICIARIES RANGING FROM INCREASED ACCESS TO SUBSTANCE USE TISS ORDER TREATMENT, INCLUDING THROUGH THE USE OF TELEHEALTH, TO MODIFICATION OF PHYSICIAN PAYMENT FOR CERTAIN NONOPIATE TREATMENTS AND AMBULATORY SURGERY CENTERS. TITLE 2 OF THE BILL CONTAINS MEDICARE PROVISIONS THAT ENCOURAGE THE USE OF NONOPIATE ANAL GEEZICS WHERE APPROPRIATE, AND ALSO AIMS TO DECREASE FRAUD AND ABUSE REGARDING PRESCRIPTIONS BY REQUIRING E-PRESCRIBING FOR THE COVERAGE OF COMPARED PART D CONTROLLED SUBSTANCES. H.R. 6 STRIFES TO PROVIDE SUPPORT FOR AT-RISK BENEFICIARIES WHO MIGHT FALL VICTIM TO SUBSTANCE ABUSE DISORDER. SECTION 20 ACCELERATES THE DEVELOPMENT AND USE OF DRUG MANAGEMENT PROGRAMS FOR AT-RISK BENEFICIARIES. WHILE THIS PROGRAM IS CURRENTLY VOLUNTARY BY PLAN YEAR 2021, IT WILL BECOME MANDATORY. LASTLY, THE BILL EXPANDS MEDICARE COVERAGE TO INCLUDE OPIATE TREATMENT PROGRAMS FOR THE PURPOSE OF PROVIDING MEDICATION ASSISTED TREATMENT. OPIOID TREATMENT PROGRAMS ARE NOT CURRENTLY MEDICARE PROVIDERS, WHICH FORCES MEDICARE BENEFICIARIES WHO NEED MEDICATION ASSISTED TREATMENT TO PAY OUT-OF-POCKET COSTS FOR THOSE SERVICES. THESE EFFORTS SHOULD PROVIDE IMPROVED ACCESS TO TREATMENT FOR MEDICARE BENEFICIARIES WHO HAVE SUBSTANCE USE DISORDER WHILE ALSO INCENTIVIZING THE USE OF OPIATE ATTORNEYS. WHICH HOPEFULLY -- OPIATE ALTERNATIVES WHICH HOPEFULLY WILL PREVENT IN THE DEVELOPMENT OF SUBSTANCE USE DISORDERS. EVEN THOUGH AN ESTIMATED 46,000 AMERICANS DIE INTERESTED OPIOID OVERDOSES BETWEEN OCTOBER 16 AND OCTOBER 17, THERE IS A LACK OF INNOVATION AND LACK OF INVESTMENT IN THE DEVELOPMENT OF NONADDICTIVE PAIN AND ADDICTION TREATMENT. A BILL THAT I INTRODUCED, H.R. 5806, THE 21ST CENTURY TOOLS FOR PAIN AND 16 AND OCTOBER 17, ADDICTION TREATMENTS, IS INCLUDED IN SECTION 301 ON H.R. 6 AND REQUIRES THE FOOD AND DRUG ADMINISTRATION TO HOLD AT LEAST ONE PUBLIC MEETING TO ADDRESS THE CHALLENGES AND BARRIERS OF DEVELOPING NONADDICTIVE MEDICAL PRODUCTS INTENDED TO TREAT PAIN OR ADDICTION. THE FOOD AND DRUG ADMINISTRATION IS ALSO REQUIRED TO ISSUE OR UPDATE EXISTING GUIDANCE DOCUMENTS TO HELP ADDRESS CHALLENGES TO DEVELOPING NONADDICTIVE MED CAN CAL PRODUCTS TO ISSUE OR UPDATE EXISTING TO TREAT PAIN -- MEDICAL PRODUCTS TO TREAT PAIN OR ADDICTION. I DID WORK CLOSELY WITH THE FOOD AND DRUG ADMINISTRATION TO GET THE POLICY IN THIS SECTION CORRECT AND ENSURE IT WILL CLARIFY THOSE PATHWAYS FOR PRODUCTS THAT ARE SO DESPERATELY NEEDED BY AMERICA'S PATIENTS. I HAVE REMAINING CONCERNS ABOUT THE LANGUAGE IN SECTION 303 THAT WILL ALLOW NONPHYSICIAN PROVIDERS TO PRESCRIBE A DRUG. WHILE I UNDERSTAND AND GREATLY APPRECIATE THE INTENT TO INCREASE ACCESS TO MEDICATION ASSISTED TREATMENT, AS A PHYSICIAN I ALSO RESPECT HOW COMPLICATED THE TREATMENT OF PATIENTS SUFFERING FROM SUBSTANCE USE DISORDER MAY BE. THE HYPOCRATIC OATH WE ALL KNOW, FIRST DO NO HARM. PATIENT SAFETY SHOULD BE OUR HIGHEST PRIORITY. THIS IS A COMPLEX PATIENT POPULATION, MR. SPEAKER. ON AVERAGE, PEOPLE WITH SUBSTANCE USE DISORDER DIE 20 YEARS SOONER THAN OTHER AMERICANS. ADDITIONALLY, IT IS A SCHEDULED THREE DRUG THAT CAN BE MISUSED AND COULD EXACERBATE THE UNDERLYING PROBLEM. I AM UNSURE ABOUT EXPANDING THESE AUTHORITIES TO ADDITIONAL NONPHYSICIAN PROVIDERS AT THE RISK OF MAKING THE PROBLEM WORSE. I HAVE WORKED TO STRENGTHEN THE REPORTING REQUIREMENTS OF THIS SECTION OF H.R. 6, AND LOOK FORWARD TO REVIEWING THAT REPORT ON THIS PARTICULAR POLICY. TAKEN TOGETHER, H.R. 6, THE SUPPORT FOR PATIENTS AND COMMUNITIES ACT, WILL IMPROVE ACCESS TO CARE FOR INDIVIDUALS SUFFERING FROM SUBSTANCE USE DISORDER, PROVIDE OUR HEALTH CARE SYSTEM WITH TOOLS AND RESOURCES THAT IT NEEDS TO CARE FOR PATIENTS AND TO HELP PREVENT FUTURE MISUSE OF OPEN YACHTS. -- OPIATES. BEFORE I CLOSE, I WOULD LIKE TO SHARE A QUOTE FROM PRESIDENT TRUMP. HE SAID, OGGET WE WILL FACE THIS CHALLENGE -- HE SAID, TOGETHER WE WILL FACE THIS CHALLENGE AS A NATIONAL FAMILY W CONVICTION, UNITY, AND COMMITMENT TO LOVE AND SUPPORT OUR NEIGHBORS IN TIME OF DIRE NEED. WORKING TOGETHER WE WILL DEFEAT THIS OPIATE EPIDEMIC, CLOSE QUOTE. THE NUMBER OF BILLS AND POLICIES ADVANCED ON THE HOUSE FLOOR THE LAST TWO WEEKS ILLUSTRATES OUR SHARED COMMITMENT AND I AM CONFIDENT THAT WE WILL MAKE SIGNIFICANT PROGRESS IN DEFEATING THIS EPIDEMIC. I URGE MY COLLEAGUES TO SUPPORT TODAY'S RULE AND THE THREE UNDERLYING BILLS THAT ARE CRITICAL TO OUR NATION'S EFFORT TO STEM THE OPIATE CRISIS. WITH THAT, MR. SPEAKER, I RESERVE THE BALANCE OF MY TIME.

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    • 10:42:06 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN RESERVES. THE GENTLEMAN FROM MASSACHUSETTS IS RECOGNIZED.

    • 10:42:10 AM

      MR. MCGOVERN

      THANK YOU, MR. SPEAKER. I WANT TO THANK THE GENTLEMAN FROM TEXAS, MR.…

      THANK YOU, MR. SPEAKER. I WANT TO THANK THE GENTLEMAN FROM TEXAS, MR. BURGESS, FOR THE CUSTOMARY 30 MINUTES. I ASK UNANIMOUS CONSENT TO REVISE AND EXTEND MY REMARKS. I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

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    • 10:42:21 AM

      THE SPEAKER PRO TEMPORE

      WITHOUT OBJECTION.

    • 10:42:23 AM

      MR. MCGOVERN

      MR. SPEAKER, MY REPUBLICAN COLLEAGUES ARE RUSHING TO CONGRATULATE…

      MR. SPEAKER, MY REPUBLICAN COLLEAGUES ARE RUSHING TO CONGRATULATE THEMSELVES FOR FINALLY ADDRESSING OPIATE ADDICTION. MR. SPEAKER, WHAT TOOK THEM SO LONG? THIS IS A EPIDEMIC THAT FUELED MORE DRUG OVERDOSES IN AMERICA IN 2016 THAN DIED IN THE VIETNAM WAR. IN FACT, OPIATES NOW KILL MORE PEOPLE EVERY YEAR THAN BREAST CANCER. 150 AMERICANS ARE DYING FROM THEM EVERY SINGLE DAY. THESE STATISTICS AREN'T NEW. THEY HAVE BEEN STARING THE REPUBLICANS IN THE FACE FOR MONTHS. THE PUBLIC HAS BEEN PUSHING THIS CONGRESS TO ACT, DEMOCRATS HAVE BEEN PUSHING MEASURE AFTER MEASURE AFTER MEASURE TO ADDRESS OPIATE ADDICTION, BUT THE MAJORITY HAS USED THEIR RESTRICTIVE AMENDMENT PROCESS TO BLOCK THEM FROM EVEN GETTING A VOTE ON THE HOUSE FLOOR. MORE THAN A DOZEN AMENDMENTS DEALING WITH OPIATES HAVE BEEN BLOCKED BY THE MAJORITY FROM EVEN GETTING A DEBATE. ONE OF THESE AMENDMENTS HAD BIPARTISAN SUPPORT BUT IT WAS BLOCKED ALL THE SAME. THIS FROM A REPUBLICAN MAJORITY THAT HAS ALREADY TURNED THIS CONGRESS INTO THE MOST CLOSED CONGRESS IN HISTORY. LET ME SAY THAT AGAIN. THESE GUYS, MY REPUBLICAN COLLEAGUES, HAVE PRESIDED OVER THE MOST CLOSED CONGRESS IN HISTORY. THEY HAVE ALREADY BEEN -- THERE HAVE ALREADY BEEN 86 COMPLETELY CLOSED RULES DURING THE 115TH CONGRESS. AND IT'S ONLY JUNE. THAT NUMBER IS EXPECTED TO GROW LATE THEY ARE WEEK AS THE MAJORITY CONSIDERS THEIR PARTISAN IMMIGRATION BILLS UNDER A CLOSED PROCESS. MR. SPEAKER, AS WELL-INTENTIONED AS THESE BILLS MAY BE, WE'RE NOT CONSIDERING -- WE AREN'T CONSIDERING THEM IN A VACUUM. HERE'S THE DEAL. WE'RE TAKING THEM UP AT A TIME WHEN REPUBLICANS ARE CONTINUING THEIR CRUSADE AGAINST THE AFFORDABLE CARE ACT. A LAW TH WE'RE TAKING THEMAT HAS HELPED MILLIONS OF AMERICANS SUFFERING FROM SUBSTANCE USE DISORDERS. THE TRUMP ADMINISTRATION IS REFUSING TO DEFEND THE A.C.A. GET THIS, ITS JUSTICE DEPARTMENT RECENTLY ASKED IN A LEGAL FILING FOR THE COURTS TO INVALIDATE THIS LAW'S PROTECTIONS FOR PRE-EXISTING CONDITIONS. MR. SPEAKER, DOES THE MAJORITY REALIZE THAT SUBSTANCE USE DISORDERS ARE A PRE-EXISTING CONDITION? IF REPUBLICANS ARE SUCCESSFUL, THEY WILL MAKE THE OPIATE CRISIS EVEN WORSE. IT DOESN'T STOP THERE. SOME CONSERVATIVE GROUPS ARE PUSHING THE MAJORITY TO TRY REPEALING THE A.C.A. COMPLETELY. AGAIN, BEFORE THE SUMMER'S OUT. THIS AFTER REPUBLICANS CAME WITHIN A FEW VOTES OF TAKING HEALTH CARE FROM 23 MILLION AMERICANS LAST YEAR. INCLUDING THOSE SUFFERING FROM OPIATE ADDICTION. THESE RIGHT-WING GROUPS RELEASE THEIR LATEST REPEAL PLAN YESTERDAY. SO THE WORDS FROM MY REPUBLICAN FRIENDS TODAY RING PARTICULARLY HOLLOW. MR. SPEAKER, WE ALL KNOW THAT THE BEST ANSWER TO A EPIDEMIC IS TO GET AS MANY PEOPLE AS POSSIBLE INTO TREATMENT AND TO PROVIDE THEM AND THEIR FAMILIES TO SUPPORT -- THE SUPPORT THEY NEED. ONE OF THE MOST EFFECTIVE WAYS TO ACCOMPLISH THIS IS TO EXPAND MEDICAID AND EXPAND TREATMENT OPTIONS FOR SUBSTANCE ABUSE THROUGH THE A.C.A. LAST OCTOBER, THE REPUBLICANS MADE CLEAR WHAT THEY THINK OF THE HUNDREDS OF THOUSANDS OF AMERICANS SUFFERING FROM OPIATE ADDICTION AND ALCOHOL AND DRUG ABUSE. . THEY PASSED A BUDGET THAT MAKES $1.3 TRILLION IN CUTS IN HEALTH CARE, INCLUDING A 30% CUT TO MEDICAID. MR. SPEAKER, REPUBLICANS CAN'T BEMOAN THE OPIOID EPIDEMIC ON ONE HAND AND VOTE TIME AND TIME AGAIN TO CUT THE HEALTH CARE SYSTEMS REQUIRED TO TREAT ADDICTION. NOR CAN YOU SET UP A BIASED-TIERED SYSTEM THAT GRANTS TREATMENT FOR OPIOID ADDICTION AT THE EXPENSE OF PROVIDING TREATMENT FOR ADDICTION AND ABUSE OF OTHER SUBSTANCES LIKE KEY PROVISIONS IN H.R. 5797. NOT ONLY IS THAT INHUMANE AND IMMORAL, BUT IT'S ALSO INEFFECTIVE. IT UNDERMINES THE ENTIRE HEALTH CARE SYSTEM OF TREATING SUBSTANCE ABUSE. MR. SPEAKER, MANY DEMOCRATS HAVE JOINED THE MAJORITY IN SUPPORTING ONE OF THESE BILLS, H.R. 6, THE SUPPORT FOR PATIENTS COMMUNITIES ACT. IT'S A GOOD BILL. IT WOULD HELP MEDICARE AND MEDICAID BETTER RESPOND TO SUBSTANCE USE DISORDERS. WE ARE WORKING WITH THE MAJORITY HERE. SO MR. SPEAKER, WHY WON'T THEY WORK WITH US TO DEFEND THE A.C.A., PRESERVE PROTECTIONS FOR PRE-EXISTING CONDITIONS AND EXPAND MEDICAID? NOW, I KNOW ASKING CONGRESSIONAL REPUBLICANS TO SHOW SOME EMPATHY RIGHT NOW IS A TALL ORDER. THIS IS A GROUP THAT'S FURTHERED PRESIDENT TRUMP'S SPIN ON FAMILY SEPARATIONS AT THE BORDER, A POLICY HE CAN CHANGE UNILATERALLY RIGHT NOW IF HE WANTED TO. I MEAN, CHILDREN ARE BEING RIPPED OUT OF THEIR PARENTS' ARMS IN TEARS AND KEPT IN CAGES, WAREHOUSES AND TENT CITIES. IT IS APPALLING AND IT IS UN-AMERICAN. YOU DON'T HAVE TO TAKE MY WORD FOR IT. REPUBLICANS LIKE FIRST LADY LAURA BUSH AND SENATOR JOHN MCCAIN HAVE SPOKEN OUT AGAINST IT. AND A U.S. ATTORNEY IN TEXAS MADE CLEAR IT WAS PRESIDENT TRUMP'S POLICY CHOICE ALONE. AND GET THIS, THIS IS A U.S. ATTORNEY WHO THE PRESIDENT HIMSELF APPOINTED. BUT CHANGE IS POSSIBLE. CONGRESSIONAL REPUBLICANS CAN SEE THE ERROR OF THEIR WAYS. THEY CAN REJECT THESE CALLS FOR REPEAL. THEY CAN STOP SITTING IDLY BY AS PRESIDENT TRUMP ATTACKS THE AFFORDABLE CARE ACT. AND THEY CAN START STANDING UP FOR THE 133 MILLION AMERICANS WITH PRE-EXISTING CONDITIONS. THAT INCLUDES THOSE SUFFERING FROM ADDICTION. THEY CAN STOP GIVING THE PRESIDENT COVER WHEN HE FALSELY CLAIMS THAT DEMOCRATS CAUSE THE CHAOS AT THE BORDER THAT HE CLEARLY CAUSED. STOP PLAYING WITH PEOPLE'S LIVES. WE'RE TALKING ABOUT THEIR HEALTH CARE. WE'RE TALKING ABOUT GETTING TREATMENT FOR ADDICTION. FOR GOD'S SAKE, WE ARE TALKING ABOUT TAKING CHILDREN OUT OF THE ARMS OF THEIR MOTHERS. THIS IS NOT A HANDFUL OF CASES. THIS IS THOUSANDS OF CASES. IT IS OUTRAGEOUS. IT'S TIME FOR THE ADULTS IN CONGRESS, MEN AND WOMEN OF CONSCIENCE, TO STAND UP FOR WHAT IS RIGHT, NOT ONLY ON THE OPIOID CRISIS, BUT ON SO MANY OTHER IMPORTANT ISSUES FACING THIS COUNTRY. I HOPE THE MAJORITY COMES TO ITS SENSES BEFORE IT'S TOO LATE. I RESERVE THE BALANCE OF MY TIME.

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    • 10:48:44 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN RESERVES. THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

    • 10:48:47 AM

      MR. BURGESS

      THANK YOU, MR. SPEAKER. AT THIS TIME I'M PLEASED TO RECOGNIZE A FELLOW…

      THANK YOU, MR. SPEAKER. AT THIS TIME I'M PLEASED TO RECOGNIZE A FELLOW MEMBER ON THE COMMITTEE OF ENERGY AND COMMERCE FOR THREE MINUTES.

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    • 10:48:57 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN IS RECOGNIZED FOR THREE MINUTES.

    • 10:49:00 AM

      >>

      THANK YOU. I RISE ON SUPPORT OF THE RULE AND WANT TO SPEAK ON MY SUPPORT…

      THANK YOU. I RISE ON SUPPORT OF THE RULE AND WANT TO SPEAK ON MY SUPPORT FOR H.R. 6082 WHICH ALLOWS FOR THE FLOW OF INFORMATION AMONG HEALTH CARE PROVIDERS AND HEALTH PLANS THAT'S NECESSARY TO FOSTER CARE COORDINATION, PROVIDE PROPER TREATMENT, PROMOTE PATIENT SAFETY, MAKE PAYMENT AND ULTIMATELY IMPROVE THE INDIVIDUAL'S HEALTH STATUS. WITHOUT ALIGNMENT FOR TREATMENT, THE FOLLOWING COULD NOT HAPPEN WITHOUT AN AUTHORIZATION. COORDINATING CARE ACROSS BEHAVIORAL AND MEDICAL SERVICES, CASE MANAGEMENT TO PROVIDE LONGER TERM SUPPORT AFTER A PATIENT ENDS SUPPORT AFTER A PATIENT ENDS TREATMENT, ENSURING APPROPRIATE, ADMINISTRATIVE AND FINANCIAL INTERACTION BETWEEN PROVIDER AND PLANS WHICH SUPPORT THE CORE FUNCTIONS OF TREATMENT AND PAYMENT FOR HIPAA-COVERED ENTITIES.

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    • 10:49:45 AM

      MR. COSTELLO

      ALSO, CONDUCTING QUALITY ASSESSMENT TO BETTER INTEGRATE BEHAVIORAL AND…

      ALSO, CONDUCTING QUALITY ASSESSMENT TO BETTER INTEGRATE BEHAVIORAL AND MEDICAL SERVICES. THIS INCLUDES, MR. SPEAKER, EVALUATING PROVIDER PERFORMANCE, CONDUCTING TRAINING PROGRAMS, AND ACCREDITATION, CERTIFICATION AND CREDENTIALING ACTIVITIES. PEOPLE WITH SUBSTANCE USE DISORDER DIE ON AVERAGE DECADES SOONER THAN OTHER AMERICANS. THIS IS LARGELY BECAUSE OF A STRIKINGLY HIGH INCIDENTS OF POORLY MANAGED, CO-OCCURRING CHRONIC DISEASES, INCLUDING HIV-AIDS, CARDIAC CONDITIONS, LUNG DISEASE, AND CIRRHOSIS. WHATEVER WE AS A NATION ARE DOING TO COORDINATE CARE FOR THIS HIGHLY VULNERABLE PATIENT POPULATION IS UTTERLY FAILING BY ANY REASONABLE MEASURE. AN EXTRAORDINARY ARRAY OF ORGANIZATIONS, HOSPITALS, PHYSICIANS, PATIENT ADVOCATES AND SUBSTANCE USE TREATMENT PROVIDERS HAVE APPROACHED OUR COMMITTEE TO CLEARLY STATE THAT EXISTING FEDERAL ADDICTION PRIVACY LAW, AND THAT'S WHAT H.R. 6082 IS FOCUSED ON, EXISTING PRIVACY LAW, IS ACTIVELY INTERFERING WITH CASE MANAGEMENT, CARE COORDINATION EFFORTS AND PRESERVING A FAILED AND DEADLY STATUS QUO. BLOCKING CERTAIN SUBSTANCE USE PROVIDERS FROM ACCESSING HEALTH RECORDS FROM THESE EXCHANGES, WHICH THE PART 2 REGULATIONS DO, ISOLATES PATIENTS IN THESE PROGRAMS FROM POWERFUL EXCHANGES OF HEALTH INFORMATION AND FROM THE PROTECTIONS OF HIPAA AND HIGH-TECH REGULATIONS GOVERNING THESE EXCHANGES. MR. SPEAKER, TREATING PATIENTS' SUBSTANCE USE AND ISOLATION FROM THEIR MEDICAL AND MENTAL CONDITIONS, WHICH DID PREDOMINATE CARE IN THE 1970'S IS NOT THE CURRENT STANDARD OF GOOD MEDICAL PRACTICE TODAY. THERE'S OVERWHELMING EVIDENCE NOW THAT PATIENTS' SUBSTANCE USE CANNOT BE TREATED ISOLATED FROM OTHER MENTAL CONDITIONS. WHEN THIS WAS WRITTEN THIS WAS NOT WIDELY LONE AND TREATMENT OF ADDICTION WAS SEPARATE FROM TREATMENT OF OTHER ILLNESSES. BY CONTINUING TO SEGREGATE SUBSTANCE USE DISORDER RECORDS FROM ANY TREATMENT SETTING, YOU ARE WILLING TO ALLOW THEM TO RECEIVE CARE THAT'S AT A LOWER QUALITY, HIGHER COST. MANY THAT HAVE ALCOHOL OR DRUG DISORDERS ARE AT INCREASED RISK OF RAPID REHOSPITALIZATION AFTER DISCHARGE AND GREATER HEALTH CARE USE AND COSTS. PATIENTS WHO HAVE MEDICAL ILLNESSES SUCH AS DIABETES OR CARDIOVASCULAR DISORDERS WHO ALSO HAVE A SUBSTANCE USE DISORDER USE HEALTH CARE SERVICES TWO TO THREE TIMES MORE OFTEN THAN THEIR PEERS. 30 SECONDS?

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    • 10:52:17 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN'S TIME HAS EXPIRED. THE GENTLEMAN FROM TEXAS.

    • 10:52:20 AM

      MR. BURGESS

      I YIELD AN ADDITIONAL MINUTE.

    • 10:52:22 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

    • 10:52:24 AM

      MR. COSTELLO

      USE HEALTH CARE SERVICES TWO TO THREE TIMES MORE AND COST OF CARE IS…

      USE HEALTH CARE SERVICES TWO TO THREE TIMES MORE AND COST OF CARE IS SIMILARLY MUCH HIGHER. FINALLY, MR. SPEAKER, UNTREATED ALCOHOL OR DRUG USE DURING PREGNANCY DRAMATICALLY INCREASES RISK OF POOR BIRTH OUTCOMES. NEONATAL INTENSIVE CARE USE AND GREATER INFANT AND MATERNAL HEALTH CARE USE. BUT TREATED AS PART OF PRENATAL CARE, INFANT AND MATERNAL HEALTH COSTS ARE NO DIFFERENT THAN THEIR NONSUBSTANCE USING PEERS. THAT'S WHY SUPPORT OF THIS RULE AND SUPPORT OF H.R. 6082 IS SO IMPORTANT. I YIELD BACK THE BALANCE OF MY TIME.

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    • 10:52:56 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN YIELDS BACK. THE GENTLEMAN FROM TEXAS RESERVES. AND THE…

      THE GENTLEMAN YIELDS BACK. THE GENTLEMAN FROM TEXAS RESERVES. AND THE GENTLEMAN FROM MASSACHUSETTS IS RECOGNIZED.

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    • 10:53:02 AM

      MR. MCGOVERN

      THANK YOU, MR. SPEAKER. LET ME JUST REMIND MY COLLEAGUES, AGAIN, BECAUSE I…

      THANK YOU, MR. SPEAKER. LET ME JUST REMIND MY COLLEAGUES, AGAIN, BECAUSE I THINK IT'S WORTH EMPHASIZING, THAT NO MATTER WHAT WE DO IN THE NEXT COUPLE OF DAYS WITH THESE BILLS THAT ARE GOING TO BE BEFORE THE HOUSE, THEY'RE RENDERED MEANINGLESS IF THE REPUBLICANS CONTINUE IN THEIR EFFORT TO CUT MEDICAID AND TO TAKE AWAY PROTECTIONS FOR PEOPLE WITH PRE-EXISTING CONDITIONS. AND SUBSTANCE USE DISORDER IS A PRE-EXISTING CONDITION AND REPUBLICANS WORKING WITH THE WHITE HOUSE ARE TRYING TO ELIMINATE THAT PROTECTION FOR PEOPLE. I DON'T GET IT. IT DOESN'T MAKE SENSE, BUT YOU OUGHT TO -- WE OUGHT TO MAKE SURE WE KEEP THIS DEBATE IN CONTEXT AND PEOPLE KNOW WHAT'S GOING ON OUT THERE. MR. SPEAKER, I'D LIKE TO YIELD SIX MINUTES TO THE GENTLEWOMAN FROM CALIFORNIA, MS. MATSUI.

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    • 10:53:50 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLELADY IS RECOGNIZED FOR SIX MINUTES.

    • 10:53:53 AM

      MS. MATSUI

      THANK YOU, MR. SPEAKER. MR. SPEAKER, I RISE IN OPPOSITION TO THIS RULE.…

      THANK YOU, MR. SPEAKER. MR. SPEAKER, I RISE IN OPPOSITION TO THIS RULE. THROUGHOUT THE ENERGY AND COMMERCE COMMITTEE'S PROCESS WRITING OPIOID LEGISLATION, I RAISED THE ISSUE WE NEED TO BE MAKING INVESTMENTS IN THE FULL SPECTRUM OF OUR BEHAVIORAL HEALTH SYSTEM IN ORDER TO TRULY ADDRESS THE ROOT CAUSE AND THE RESULTS OF THE OPIOID EPIDEMIC. WHILE CRISIS AND HIGH LEVEL INPATIENT CARE WILL ALWAYS BE NECESSARY FOR A SUBSET OF THE POPULATION AND WE MUST ENSURE IT IS ADEQUATELY FUNDED, WE CANNOT DO SO IN A VACUUM. WE NEED TO ENSURE THAT PEOPLE ALSO HAVE ACCESS TO ADEQUATE OUTPATIENT TREATMENT AND PREVENTION SERVICES. AND WHILE THE OPIOID EPIDEMIC IS FRONT AND CENTER IN ALL OUR MINDS, WE CANNOT FORGET PATIENTS SUFFERING FROM OTHER SUBSTANCE USE DISORDERS. IT IS IMPORTANT THAT WE DO NOT UNINTENTIONALLY SET UP A DISCRIMINATORY SYSTEM THAT WILL BE USELESS DURING THE NEXT EPIDEMIC, WHATEVER THAT MIGHT BE. WE WANT OUR LEGISLATIVE EFFORTS TO BOTH SAVE LIVES TODAY AND TO PREVENT EPIDEMICS LIKE THIS ONE IN THE FUTURE. STATES ALREADY HAVE THE OPTION TO WORK AROUND OUTDATED EXCLUSIONS IN I.N.D. FACILITIES AND STATES LIKE CALIFORNIA ARE ALREADY DOING SO IN A COMPREHENSIVE WAY, TAKING INTO ACCOUNT THE CONTINUUM OF CARE FOR OPIOID AND OTHER SUBSTANCE USE DISORDERS. IF WE'RE GOING TO BE SPENDING NEARLY $1 BILLION ADDITIONAL IN THE MEDICAID PROGRAM, WE NEED TO SPEND IT WISELY ON EXPANDING ACCESS TO SERVICES AND NOT NARROWLY DUPLICATING SOMETHING THAT IS ALREADY AVAILABLE. EVER SINCE THE EXCELLENCE IN MENTAL HEALTH DEMONSTRATION PROJECT PASSED INTO LAW IN 2014, I'VE BEEN FIERCELY ADVOCATING TO EXPAND THE PROGRAM. THE DEMONSTRATION PROJECT, WHICH I CO-AUTHORED WITH MY REPUBLICAN COLLEAGUE, CONGRESSMAN LANCE, AND MY SENATE COLLEAGUES, SENATORS STABENOW AND BLUNT, CERTIFIES A COMMUNITY BEHAVIOR HEALTH CLINICS, KNOWN AS CBHC'S, IT'S HALFWAY THROUGH ITS PERIOD AND SHOWING GREAT STATS. "BRIDGING THE ADDICTION TREATMENT GAP," IT SURVEYS CBHC'S OPERATING IN THE EXCELLENT ACT DEMONSTRATION STATES AND IT OFFERS HOPE. IT OFFERS NEAR UNIVERSAL ADOPTION OF MEDICATION-ASSISTED TREATMENT, OR M.A.T., FOR OPIOID USE DISORDER. 95% OF CLINICS IN THE PROGRAM ARE OFFERING AT LEAST ONE TYPE OF F.D.A.-APPROVED M.A.T. SECOND, 100% OF CCBHC'S HAVE EXPANDED THE SCOPE OF ADDICTION TREATMENT SERVICES UNDER THE DEMONSTRATION. FOR MANY CLINICS, THIS IS THE FIRST TIME SUCH SERVICES HAVE BEEN AVAILABLE IN THEIR COMMUNITIES, VERY OFTEN IN MEDICALLY UNDERSERVED AREAS. THIRD, EVEN WHILE SEEING MORE PATIENTS, 2/3 OF SURVAYED CCBHC'S HAVE SEEN AN INCREASE IN WAIT TIMES. AFTER AN INITIAL CALL OR REFERRAL, MOST OFFER SAME-DAY ACCESS TO CARE AND SOME CAN PROVIDE AN APPOINTMENT WITHIN A WEEK OR LESS. MR. SPEAKER, THE EXCELLENCE ACT IS SHOWING CONCRETE RESULTS IN TERMS OF PATIENT OUTCOMES. IN WESTERN NEW YORK STATE, MORE THAN 1,000 PEOPLE IN ERIE COUNTY DIED OF OPIOID OVERDOSES OVER THE LAST FIVE YEARS. 142 PEOPLE LOST THEIR LIVES IN 2016 ALONE. AT THE SAME TIME, ACCORDING TO MEDIA REPORTS, LOCAL POLICE CHIEFS ARE REPORTING A 60% REDUCTION IN OVERDOSE CALLS IN 2018. AUTHORITIES SPECIFICALLY CREDIT A CERTIFIED BEHAVIORAL HEALTH CLINIC IN THE CITY OF BUFFALO THAT IS PROVIDED MEDICATION-ASSISTED TREATMENT FOR PEOPLE BATTLING OPIOID ADDICTION WITHIN 24 TO 48 HOURS AFTER INITIAL ASSESSMENT. WE WANT TO EXPAND UPON THE SUCCESS FOR CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS ACROSS THE COUNTRY BY ALLOWING MEDICAID RUME BURSMENT ON A LARGER -- REIMBURSEMENT ON A LARGER SCALE. THE CLINICS ARE THE ONES IN PEOPLE'S NEIGHBORHOODS AND COMMUNITIES, THE ONES ON THE FRONT LINES TREATING BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER. IF WE DO NOT BUILD THEM UP AND INTEGRATE WITH OUR HEALTH SYSTEM, WE WILL NEVER ACHIEVE THE FULL CONTINUUM OF CARE THAT WE ARE LOOKING FOR. EVERY TIME I PUSH FOR AN EXPANSION OF EXCELLENCE PROGRAM IN THE ENERGY AND COMMERCE COMMITTEE ON FUNDING LEGISLATION ON THE FLOOR, I'VE BEEN TOLD WE DON'T HAVE THE DOLLARS AVAILABLE. HOWEVER, TODAY WE'RE TALKING ABOUT SPENDING NEARLY $1 BILLION ON SOMETHING THAT IS BOTH REDUNDANT AND I BELIEVE DOES NOT FULLY ADDRESS THE ENTIRE SPECTRUM OF CARE LIKE THE EXCELLENCE PROGRAM HAS. THAT'S WHY I OFFERED AN AMENDMENT TO H.R. 5797 BASED ON MY BIPARTISAN BILL, H.R. 3931, AND WHY I AM HERE DISCUSSING THIS ON THE FLOOR TODAY. I URGE MY COLLEAGUES TO FUND COMMUNITY HEALTH BEHAVIORAL CLINICS AND OUTPATIENT TREATMENT TO HELP ADDRESS THE OPIOID EPIDEMIC. WHEN WE LOOK BACK ON WHAT WE HAVE DONE TO ADDRESS THIS CRISIS, THIS WILL HAVE MORE OF A POSITIVE IMPACT TODAY AND IN THE LONG TERM IN COMPARISON WITH THE OTHER PROPOSALS WE ARE CONSIDERING. THANK YOU AND I YIELD BACK THE BALANCE OF MY TIME.

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    • 10:59:19 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLELADY YIELDS BACK. THE GENTLEMAN FROM MASSACHUSETTS RESERVES. AND…

      THE GENTLELADY YIELDS BACK. THE GENTLEMAN FROM MASSACHUSETTS RESERVES. AND THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

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    • 10:59:24 AM

      MR. BURGESS

      THANK YOU, MR. SPEAKER. I RECOGNIZE MYSELF FOR ONE MINUTE. I DO JUST WANT…

      THANK YOU, MR. SPEAKER. I RECOGNIZE MYSELF FOR ONE MINUTE. I DO JUST WANT TO REMIND US THAT 18 MONTHS AGO IN THE PREVIOUS CONGRESS WITH THE PASSAGE OF THE 21ST CENTURY CURES AND COMPREHENSIVE RECOVERY ACT, CARA, $1 BILLION WAS MADE AVAILABLE FOR TREATING PEOPLE WITH SUBSTANCE USE DISORDER THAT WAS THEN SUPPLEMENTED WITH THE PASSAGE OF THE MORE RECENT APPROPRIATIONS BILL LAST MONTH, TWO MONTHS AGO, WITH $4 BILLION. SO UNPRECEDENTED AMOUNT -- UNPRECEDENTED AMOUNTS OF MONEY HAVE BEEN AVAILABLE IN THE LAST 18 MONTHS TO COMBAT THIS CRISIS. AND THEN FINALLY, IT'S VERY, VERY DIFFICULT TO INTEGRATE CARE IF YOU DON'T REFORM THE 42 C.F.R. PART 2 WHICH IS BEFORE US TODAY. I RESERVE THE BALANCE OF MY TIME.

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    • 11:00:13 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN RESERVES. THE GENTLEMAN FROM MASSACHUSETTS IS RECOGNIZED.

    • 11:00:16 AM

      MR. MCGOVERN

      AGAIN, MR. SPEAKER, NONE OF WHAT WE'RE DOING HERE TODAY IS GOING TO MATTER…

      AGAIN, MR. SPEAKER, NONE OF WHAT WE'RE DOING HERE TODAY IS GOING TO MATTER IF THE REPUBLICANS AND THE TRUMP ADMINISTRATION ARE SUCCESSFUL IN CUTTING MEDICAID AND IN BASICALLY REMOVING THE GUARANTEE THAT PEOPLE WHO HAVE PRE-EXISTING CONDITIONS CANNOT BE DENIED INSURANCE. . IF THE TRUMP ADMINISTRATION IS SUCCESSFUL, INDIVIDUALS WITH PRE-EXISTING CONDITIONS ACROSS THE COUNTRY, INCLUDING INDIVIDUALS SUFFERING FROM OPIATE USE DISORDERS, BOTH IN THE INDIVIDUAL AND IN THE EMPLOYER MARKET COULD FACE A DENIAL OF COVERAGE OR SKYROCKETING PREMIUMS. BEYOND ANYTHING ANYBODY CAN AFFORD. I DON'T GET IT. I DON'T UNDERSTAND THE HYPOCRISY HERE. I KNOW THAT THE EFFORTS HERE TODAY ARE I DON'T GET IT. WELL-INTENTIONED. PEOPLE ARE TRYING TO DO THE RIGHT THING. BUT THEN YOU RUIN IT ALL WHEN YOU GOT THE FUNDING SOURCE THAT IS HELP PEOPLE DEAL WITH THE TREATMENT THEY NEED. THIS IS -- THIS HAS TO STOP. I KNOW SOME OF WELL-INTENTIONED. PEOPLE MY FRIENDS ARE -- HAVE IDEOLOGICAL BLINDERS ON WHEN IT COMES TO ANYTHING PASSED DURING THE OBAMA ADMINISTRATION, BUT WE GOT TO PUT THE AMERICAN PEOPLE FIRST. THIS IS A CRISIS THAT AFFECTS EVERY SINGLE COMMUNITY IN THIS COUNTRY. IF YOU ARE SUCCESSFUL, IF THIS ADMINISTRATION IS SUCCESSFUL WHAT THEY ARE TRYING TO DO TO UNDERCUT THE A.C.A., THEN COUNTLESS PEOPLE WILL NOT HAVE ACCESS TO HEALTH CARE, WILL NOT HAVE ACCESS TO THE TREATMENT THEY NEED. MR. SPEAKER, OUR NATION IS IN THE MIDST OF A DEVASTATING OPEN -- OPIATE CRISIS SPIRALING OUT OF CONTROL. THE CENTERS FOR DISEASE CONTROL AND PREVENTION HAS ALSO FOUND THAT OPIATES ARE RESPONSIBLE FOR SIX OUT OF 10 OVERDOSE DEATHS IN THE UNITED STATES. THE MESH PEOPLE -- MESH PEOPLE ARE IN -- AMERICAN PEOPLE ARE IN DESPERATE NEED OF STRONG ACTION BY THE CONGRESS TO STEM THE TIDE OF THE OPIATE SCOURGE. WE NOT MORE THAN LEGISLATION ON THE PERFECT RIFF RALS. WE MUST DIRECT RESOURCES TO THE STATES AND LOCAL COMMUNITIES ON THE FRONTLINES OF THIS DEVASTATING PUBLIC HEALTH RESOURCES TO THE STATES AND LOCAL COMMUNITIES ON THE FRONTLINES OF THIS DEVASTATING PUBLIC HEALTH CRISIS, WHERE ASSISTANCE IS NEEDED THE MOST. MR. SPEAKER, I WANT TO ASK MY COLLEAGUES TO DEFEAT THE PREVIOUS QUESTION. IF WE DO, I WILL OFFER AN AMENDMENT TO BRING UP REPRESENTATIVE LOEBSACK'S LEGISLATION, H.R. 4501RKS THE COMBATING OPIATE EPIDEMIC ACT THIS. BILL 4501RKS THE COMBATING OPIATE EPIDEMIC ACT THIS. BILL WOULD PROVIDE FUNDING FOR STATE GRANTS FOR THE PREVENTION, DETECTION, SURVEILLANCE AND TREATMENT OF OPIATE ABUSE. MR. SPEAKER, I ASK UNANIMOUS CONSENT TO INSERT THE TEXT OF MY AMENDMENT IN THE RECORD ALONG WITH EXTRANEOUS MATERIAL IMMEDIATELY PRIOR TO THE VOTE ON THE PREVIOUS QUESTION. I RESERVE MY TIME.

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    • 11:03:07 AM

      THE SPEAKER PRO TEMPORE

      WITHOUT OBJECTION, THE GENTLEMAN RESERVES. THE GENTLEMAN FROM TEXAS IS…

      WITHOUT OBJECTION, THE GENTLEMAN RESERVES. THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

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    • 11:03:11 AM

      MR. BURR GUESS

      I RESERVE AT THIS TIME.

    • 11:03:12 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN RESERVES. GENTLEMAN FROM MASSACHUSETTS IS RECOGNIZED.

    • 11:03:15 AM

      MR. MCGOVERN

      I WOULD LIKE TO NOW YIELD THREE MINUTES TO THE GENTLEMAN FROM CALIFORNIA,…

      I WOULD LIKE TO NOW YIELD THREE MINUTES TO THE GENTLEMAN FROM CALIFORNIA, MR. RUIZ.

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    • 11:03:18 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN FROM CALIFORNIA IS RECOGNIZED FOR THREE MINUTES.

    • 11:03:21 AM

      MR. RUIZ

      AS AN EMERGENCY MEDICINE PHYSICIAN, I KNOW FIRSTHAND WHAT THIS DEVASTATING…

      AS AN EMERGENCY MEDICINE PHYSICIAN, I KNOW FIRSTHAND WHAT THIS DEVASTATING OPIOID CRISIS DOES TO FAMILIES. TO INDIVIDUALS, TO CHILDREN, TO PARENTS. I HAVE TAKEN CARE OF MANY WHO HAVE COME IN OVERDOSED, BLUE IN THE FACE, NOT BREATHING. MANY WHICH I HAVE RESUSCITATED SUCCESSFULLY. AND A FEW TRAGIC LOSSES ALONG THE WAY. I KNOW THAT MANY OF THEM RELY ON BEING ABLE TO GET THE TREATMENT WHENEVER WE'RE ABLE TO CONVINCE THEM TO GET TREATMENT. BUT ONE OF THE BIGGEST CONCERNS THAT THEY HAVE IS, HOW MUCH IS THIS GOING TO COST? MANY OF THEM RELY ON MEDICAID TO BE ABLE TO TAKE ADVANTAGE OF SOME OF THE REHABILITATION AND MEDICATION ASSISTED TREATMENTS THAT ARE OFFERED TO THEM. BUT UNFORTUNATELY, MANY OF THEM BEING UNINSURED ARE UNABLE TO DO SO. SO THEN THEY REPEAT THE CYCLE OF ABUSE AND MISUSE. UNFORTUNATELY, AGAIN, THEY PRESENT THEMSELVES OVERDOSED IN THE EMERGENCY DEPARTMENT. I HAVE AN ARTICLE HERE THAT WOULD SHED LIGHT ON THE IMPORTANCE OF MEDICAID. I BRING MEDICAID UP BECAUSE I FEEL LIKE WE'RE TAKING A FEW GOOD STEPS FORWARD IN THIS OPIOID CRISIS, BUT WE'RE MISSING THE BIG PICTURE WHEN WE HAVE TO DEFEND MEDICAID OVER AN OVER AGAIN. UP TO 45% OF OPIOID ADDICTED PATIENTS RELY ON MEDICAID TO GET THEIR OPIOID REHAB OR MISUSE TREATMENTS TO GET BACK ON STEADY FOOTING. THERE IS AN ARTICLE HERE THAT I BROUGHT BY ALAN SHARP, ETH ALL, PUBLISHED IN THE -- ET. AL., PUBLISHED IN THE MAY 2018 JOURNAL OF PUBLIC HEALTH, ENTITLED THE IMPACT OF MEDICAID EXPANSION ON ACCESS TO OPIOID ANIMAL GEESICS, MEDICATION, AND MEDICATION ASSISTED TREATMENT. BY USING MEDICAID ENROLLMENT AND REIMBURSEMENT DATE FROM FROM 2011 TO 2016 IN ALL STATES, THEY FOUND THE F.D.A. APPROVED MEDICATION USE IN TREATING OPIOID USE DISORDERS BY USING TWO STATISTICAL MODELS. I WON'T BORE YOU WITH WHICH ONES THEY USED. THEY FOUND THAT ALTHOUGH OPIOID PRESCRIBING PER MEDICAID ENROLLEE INCREASED OVERALL, THEY OBSERVED NO DIFFERENCE BETWEEN EXPANSION AND NONEXPANSION STATES. THESE ARE STATES THAT EXPANDED MEDICAID. BY CONTRAST, PER ENROLLEE RATES OTHER DRUGS PRESCRIBED INCREASED MORE THAN 200% AFTER STATES EXPANDED ELIGIBILITY, MEANING THAT STATES THAT EXPANDED MEDICAID INCREASED MEDICATION ASSISTED TREATMENTS FOR OPIOID MISUSE DISORDERS BY 200%. THAT MEANS IT WORKS. WHEN PEOPLE GET MEDICAID THEY USE THEIR MEDICAID INSURANCE TO HELP GET OFF OF THEIR DEPENDENCY ON OPIOIDS. IN THE STATES THAT DID NOT EXPAND MEDICAID, ONLY LESS THAN 50% EXPANSION OF THE USE -- CAN YOU GIVE ME TWO MORE MINUTES.

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    • 11:06:32 AM

      MR. MCGOVERN

      YIELD AN ACONTIGUOUSAL TWO MINUTES.

    • 11:06:34 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN IS RECOGNIZED FOR TWO MINUTES.

    • 11:06:36 AM

      MR. RUIZ

      THE STATES THAT DIDN'T EXPAND THEIR MEDICAID ENROLLMENT, YOU SAW THAT…

      THE STATES THAT DIDN'T EXPAND THEIR MEDICAID ENROLLMENT, YOU SAW THAT THERE CONTINUED TO BE A DISPARATE -- DISPARITY OF PATIENTS BETWEEN THOSE STATES AND PATIENTS THAT EXPANDED THEIR MEDICAID IN THEIR -- AND THEIR ABILITY TO SEEK TREATMENT. WHEN WE ATTEMPT TO CUT MEDICAID IN ORDER TO PAY FOR THE TAX BREAKS WE TREATMENT. GAVE MILLIONAIRES AND BILLIONAIRES, WHEN WE CONTINUE DOWN THAT TERRIBLE PATH, I SHOULD SAY GOVERNMENT CONTINUES DOWN THAT TERRIBLE PATH TO REPEAL THE MEDICAID EXPANSION, WHICH WE MUST PROTECT, THEN WE'RE HURTING PATIENTS. WE'RE NOT PROVIDING THEM THE TOOLS THAT THEY NEED TO GET ACCESS TO TREATMENT. THE OTHER BIG PICTURE HERE IS THAT MENTAL HEALTH AND EMERGENCY CARE PAYMENTS ARE PART OF THE ESSENTIAL HEALTH BENEFITS. AND WE HAVE JUST COME -- WE JUST PASSED EXPERIENCES WHERE WEIGH HAD TO DEFEND KEEPING THESE ESSENTIAL HEALTH BENEFITS WITHIN THE AFFORDABLE HEALTH CARE ACT. FROM BEING REPEALED. WE KNOW THAT THOSE PATIENTS THAT GO TO THE EMERGENCY DEPARTMENT THAT ARE SUFFERING FROM OVERDOSE OR SEVERE SIDE EFFECTS FROM MISUSE OF THE OPIOID MEDICATION, THEY WON'T BE COVERED IF WE REPEAL THOSE ESSENTIAL HEALTH BENEFITS. FINALLY, HAVING AN ADDICTION IS A CHRONIC CONDITION. IT'S A MENTAL HEALTH DISORDER WITH ADDICTION CHARACTERISTICS. THIS CAN BE CONSIDERED A PRE-EXISTING ILLNESS. WE HAVE STATES THAT ARE TRYING TO REPEAL THIS THROUGH LITIGATION. WHEN THE GOVERNMENT DECIDES NOT TO DEFEND THOSE PROTECTIONS FOR PEOPLE WITH PRE-EXISTING WE HAVE STATES THAT ILLNESSES, THEY BASICALLY AGREE WITH THOSE THAT WANT TO REPEAL IT AND ALLOW -- FACILITATE THE CASE TO REPEAL THOSE PROTECTIONS FOR PRE-EXISTING ILLNESSES. IF THAT HAPPENS, AND IF THEY ARE SUCCESSFUL IN DOING SO, THAT MEANS THAT INSURANCE COMPANIES CAN DENY THOSE THAT ARE ADDICTED TO OPIOIDS, THE INSURANCE COMPANIES. I JUST WANT TO KEEP THE BIG PICTURE IN MIND AS WE GO FORWARD. THAT TAKING TWO STEPS FORWARD DOESN'T JUSTIFY TAKING 10 STEPS BACKWARD. I YIELD BACK THE BALANCE OF MY TIME.

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    • 11:09:02 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN'S TIME HAS EXPIRED. THE GENTLEMAN FROM MASSACHUSETTS…

      THE GENTLEMAN'S TIME HAS EXPIRED. THE GENTLEMAN FROM MASSACHUSETTS RESERVES. THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

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    • 11:09:09 AM

      MR. BURGESS

      YIELD MYSELF TWO MINUTES. MR. SPEAKER, THE GOOD NEWS IS THAT ALL FORMS OF…

      YIELD MYSELF TWO MINUTES. MR. SPEAKER, THE GOOD NEWS IS THAT ALL FORMS OF MEDICATED ASSISTED TREATMENT ARE REQUIRED FOR FIVE YEARS UNDER H.R. 6. SO I LOOK FORWARD TO THE GENTLEMAN'S SUPPORT WHEN WE GET TO THE VOTE. I RESERVE MY TIME.

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    • 11:09:24 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN RESERVES. GENTLEMAN FROM MASSACHUSETTS IS RECOGNIZED.

    • 11:09:27 AM

      MR. MCGOVERN

      CAN I INQUIRE OF THE GENTLEMAN FROM TEXAS HOW MANY MORE SPEAKERS HE HAS.

    • 11:09:33 AM

      MR. BURGESS

      I SEEM TO BE FRESH OUT.

    • 11:09:42 AM

      MR. MCGOVERN

      MR. SPEAKER, I YIELD MYSELF THE REMAINING TIME.

    • 11:09:44 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN IS RECOGNIZED.

    • 11:09:46 AM

      MR. MCGOVERN

      TODAY WE'RE ON THE FLOOR DISCUSSING THE OPIATE MCGOVERN: MR. SPEAKER, I AN…

      TODAY WE'RE ON THE FLOOR DISCUSSING THE OPIATE MCGOVERN: MR. SPEAKER, I AN EPIDEMIC PLAGUING CRISIS. THIS IS EVERY COMMUNITY IN THE COUNTRY. IT'S KILLING 115 PEOPLE EVERY SINGLE DAY. IT IS HEARTBREAKING AND, QUITE FRANKLY, I AM ASHAMED IT IS TAKING CONGRESS SO LONG TO ACT. BUT I WOULD AGAIN POINT OUT THAT ANYTHING WE DO IN THE NEXT FEW DAYS AND ANYTHING WE HAVE DONE GETS ERASED IF THE REPUBLICANS SUCCEED IN CUTTING MEDICAID AND IF THE PRESIDENT SUCCEEDS IN BASICALLY ELIMINATING PROTECTIONS FOR PEOPLE WITH PRE-EXISTING CONDITIONS. MR. SPEAKER, I THINK IT'S ALSO IMPORTANT THAT PEOPLE KNOW THERE IS A LOT OF STUFF GOING ON THIS WEEK. AND WE'RE ALSO WAITING WORD FROM THE HOUSE REPUBLICANS WHEN THE RULES COMMITTEE WILL HAVE AN EMERGENCY MEETING, I GUESS, TODAY, ON TWO IMMIGRATION BILLS THAT WERE POSTED AFTER 9:00 P.M. LAST NIGHT. THESE BILLS WERE DRAFTED WITHOUT ANY DEMOCRATIC INPUT. AND FROM WHAT WE WITH CAN TELL, THEY ARE DANGEROUS AND CERTAINLY NOT A COMPREHENSIVE SOLUTION TO IMMIGRATION REFORM. THEY HARM CHILDREN AND THEY LEAVE BEING DREAMERS BEHIND. THIS IS NOT WHAT OUR CONSTITUENTS WANT US TO DO. THEY WANT THE PRESIDENT TO DO WHAT HE COULD EASILY DO AND STOP SEPARATING CHILDREN FROM THEIR PARENTS. THE PRESIDENT SAYS THAT HE WANTS DEMOCRATS TO COME TO THE TABLE, BUT WE NEVER GET INVITED TO ANYTHING. I TRIED TO GO AND SEE THE PRESIDENT YESTERDAY WHEN THE REPUBLICANS WERE MEETING WITH HIM, BUT I WAS NOT ALLOWED TO GO INTO THE ROOM. I TRIED TO SHOUT AT THE PRESIDENT AS HE WAS WALKING BY, BUT HE WAS QUICKLY ESCORTED BY. I WANTED TO SHOW PIM I -- SHOW HIM THE PICTURES OF THE CHILDREN ON THE BORDER OF THE CHILDREN BEING TAKEN ESCORTED BY. I AWAY FROM THEIR PARENTS. THE PRESIDENT CONTINUES TO SPREAD MISTRUTHS ABOUT IMMIGRATION AND PRACTICALLY EVERY OTHER ISSUE THAT IS BEFORE THIS CONGRESS AND NATION. AND IT SEEMS JUST TO BE GETTING WORSE. THERE ARE SUCH THINGS AS FACTS. THERE ARE SUCH THINGS AS TRUTHS. YESTERDAY "THE WASHINGTON POST" P PUBLISHED AN ARTICLE TITLED, PRESIDENT TRUMP SEEMS TO BE SAYING MORE AND MORE THINGS THAT AREN'T TRUE. WELL, I'D LIKE TO TAKE A FEW MINUTES TO READ THIS ARTICLE BECAUSE THESE ARPT MY WORDS, MR. SPEAKER, THEY ARE THE WORDS OF THE "WASHINGTON POST," I'D LIKE TO TAKE A FEW SPECIFICALLY ASHLEY PARKER, WHO WROTE THE PIECE. IF THE PRESIDENT IS WATCHING I THINK IT'S HELPFUL FOR ME TO READ BECAUSE I KNOW HE DOESN'T READ SO MAYBE HE CAN HEAR THIS. HE'S DONE IT ON TWITTER, HE'S DONE IT IN THE WHITE HOUSE DRIVEWAY, AND HE'S DONE IT IN A SPEECH TO A BUSINESS GROUP. PRESIDENT TRUMP, A MAN ALREADY KNOWN FOR TRAFFICKING IN MISTRUTHS AND OUTRIGHT LIES, HAS BEEN OUTDOING HIMSELF WITH FALSEHOODS IN RECENT DAYS REPEATING AND AMPLIFYING BOGUS CLAIMS ON SEVERAL OF THE PRESIDENT TRUMP, A MAN ALREADY PRESSING CONTROVERSIES FACING HIS PRESIDENCY. SINCE PRESSING CONTROVERSIES FACING HIS PRESIDENCY. SINCE SATURDAY, TRUMP HAS TREATED FALSE OR MISLEADING INFORMATION AT LEAST SEVEN TIMES OWN THE TOPIC -- ON WING, INDULGES IN FREQUENT TWITTER SCREAMS. IN JUNE, TRUMP HAS BEEN TWEETING AT THE FASTEST RATE OF HIS PRESIDENCY. SO FAR AN AVERAGE OF INDULGES 11.3 MESSAGES PER DAY. INSIDE THE WHITE HOUSE, AIDES AND ADVISORS SAY THEY BELIEVE THE MEDIA IS UNWILLING TO GIVE TRUMP A FAIR TRUMP A FAIR SHOT AND IS KNEE-JERK READY TO ACCUSE HIM OF LYING, EVEN IN CASES WHERE THE FACTS SUPPORT HIS POINT. THE PRESIDENT OFTEN SEEKS TO PAINT A SELF-I SERVING AND SELF-AFFIRMING ALTERNATE REALITY FOR HIMSELF AND SUPPORTERS. DISPARAGING THE FAKE NEWS MEDIA, TRUMP OFFERS HIS OWN FILTER WHICH TO VIEW THE WORLD, OFFERING A COMPETING REALITY ON ISSUES, INCLUDING RELATIONSHIPS FORGED OR BROKEN AT THE GROUP OF SEVEN SUMMIT IN CANADA. THE SUCCESS OF THE SINGAPORE SUMMIT WITH THE NORTH KOREANS, AND HIS ADMINISTRATION'S ZERO TOLERANCE POLICY ON ILLEGAL IMMIGRATION. IT'S EXTRAORDINARY HOW HE HAS COMPLETELY INDIFFERENT TO THE TRUTH. THERE IS JUST NO RELATIONSHIP BETWEEN HIS STATEMENTS. ANYTHING HE UTTERS AND THE ACTUAL TRUTH OF THE MATTER, SAID THOMAS RUSH HOURRY, PRESIDENT EMERITUS OF THE HASTINGS CENTER, THE FOUNDING INSTITUTION IN THE FIELD OF BIOETHICS. AS FAR AS I CAN TELL, THE BEST WAY TO UNDERSTAND ANYTHING HE SAYS IS WHAT WILL BEST SERVE HIS INTERESTS BEST WAY TO UNDERSTAND ANYTHING HE SAYS IS WHAT WILL BEST SERVE HIS INTERESTS THE IN THE MOMENT. IT'S IRRESPECTIVE TO ANY VERSION OF THE TRUTH. ACCORDING TO AN AN NA -- AN ANALYSIS BY THE POST FACT CHECKER, TRUMP HAS MADE 3,251 FALSE FOR MISLEADING CLAIMS IN 479 DAYS. AN AVERAGE OF 6.5 SUCH CLAIMS PER DAY OF HIS PRESIDENCY. WITHIN THE PAST WEEK, TRUMP SEEMS TO HAVE RAMPED UP BOTH THE VOLUME AND THE INTENSITIES OF HIS FALSE STATEMENTS ON THE TWO MOST PROMINENT TOPICS CURRENTLY FACING HIS ADMINISTRATION. THE HARDLINE IMMIGRATION POLICY THAT HAS LED TO THE SEPARATION OF THOUSANDS OF CHILDREN FROM THEIR PARENTS, WHICH TRUMP ERRONEOUSLY BLAMES ON OTHERS, AND THE 500-PAGE INSPECTSOR GENERAL REPORT HE CLAIMS INCORRECTLY EXONERATES HIM AND SPECIAL COUNSEL ROBERT S. MUELLER'S PROBE OF THE RUSSIAN INTERFERENCE IN THE 2016 ELECTION. A PSYCHOLOGY RESEARCHER AT THE UNIVERSITY OF CALIFORNIA AT SANTA BARBARA SAID, TRUMP'S USE OF REPETITION IS A PARTICULARLY EFFECTIVE TECHNIQUE FOR CONVINCING HIS SUPPORTERS OF THE VERASITY OF HIS FALSE CLAIMS. IN PART BECAUSE MOST PEOPLE HAVE A TRUTH BIAS OR INITIAL INCLINATION TO ACCEPT WHAT OTHERS SAY AS TRUE. QUOTE, WHEN LIARS REPEAT THE SAME LIE OVER AND OVER AGAIN, THEY CAN GET EVEN MORE OF AN ADVANTAGE, AT LEAST AMONG THOSE WHO WANT TO BELIEVE THEM OR ARE NOT AT -- OR NOT ALL THAT MOTIVATED EITHER WAY. SAID IN AN EMAIL. . WHEN PEOPLE WANT TO BELIEVE THOSE LIES, A KIND OF NEW REALITY CAN BE CREATED. WHAT THEY HEARD STARTS TO SEEM LIKE IT'S JUST OBVIOUS AND NOT SOMETHING THAT NEEDS TO BE QUESTIONED. ON IMMIGRATION, TRUMP AND MANY TOP ADMINISTRATION OFFICIALS HAVE SAID THAT EXISTING U.S. LAWS AND COURT RULINGS HAVE GIVEN THEM NO CHOICE BUT TO SEPARATE FAMILIES TRYING TO CROSS ILLEGALLY INTO THE UNITED STATES, BUT IT'S ADMINISTRATION'S DECISION ANNOUNCED IN APRIL TO PROSECUTE ALL SOUTHERN BORDER CROSSINGS THAT HAS LED TO THE SEPARATION OF FAMILIES. NOW, THAT HASN'T STOPPED THE PRESIDENT FROM BLAMING DEMOCRATS FOR HIS ADMINISTRATION'S DECISIONS. QUOTE, DEMOCRATS ARE THE PROBLEM, TRUMP WROTE IN ONE TWEET. IN ANOTHER HE WAS MORE BLUNT. QUOTE, THE DEMOCRATS ARE FORCING THE BREAKUP OF FAMILIES AT THE BORDER WITH THEIR HORRIBLE AND CRUEL LEGISLATIVE AGENDA. NOW, MR. SPEAKER, LET ME DIVERT A LITTLE BIT HERE. THE TRUTH IS THE PRESIDENT CAUSED THIS CRISIS AND IT'S NOT JUST ME SAYING IT AND "THE WASHINGTON POST" IS SAYING. LOOK AT WHAT SOME OF THE REPUBLICANS SAID. LINDSEY GRAHAM SAID, PRESIDENT TRUMP COULD STOP THIS POLICY WITH A PHONE CALL. IF YOU DON'T LIKE FAMILIES BEING SEPARATED, YOU CAN CALL D.H.S. STOP DOING IT. SENATOR JOHN MCCAIN, THE ADMINISTRATION'S CURRENT FAMILY SEPARATION POLICIES IS AN AFFRONT TO DECENCY OF THE AMERICAN PEOPLE AND CONTRARY TO THE PRINCIPLES AND VALUES WHICH OUR NATION WAS FOUNDED. THE ADMINISTRATION HAS THE POWER TO RESCIND THIS POLICY. IT SHOULD DO SO NOW. SENATOR SUSAN COLLINS, FORMER FIRST LADY LAURA, I -- LAURA BUSH, I CAN GO ON AND ON. THEY ALL AGREE THE PRESIDENT IS NOT TELLING THE TRUTH. LET ME GO BACK TO THE ARTICLE. WHILE CONGRESS COULD PASS A LEGISLATIVE FIX, REPUBLICANS CONTROL BOTH THE HOUSE AND THE SENATE, MAKING IT DISINGENUOUS TO FINGER THE OPPOSING PARTY, AS THE PRESIDENT HAS REPEATEDLY DONE. NOW, SPEAKING TO THE NATIONAL FEDERATION OF INDEPENDENT BUSINESS ON TUESDAY, TRUMP, AGAIN, FALSELY PAINTED THE HUMANITARIAN CRISIS IN A BINARY CHOICE. WE CAN EITHER RELEASE ALL ILLEGAL IMMIGRANT MINERS AND FAMILIES WHO SHOW UP AT THE BORDER FROM CENTRAL AMERICA OR ARREST THE CRIME OF ILLEGALLY ENTRY, HE SAID. THOSE ARE THE TWO OPTIONS. ON TWITTER THE PRESIDENT TWICE IN THE PAST FOUR DAYS SINGLED OUT GERMANY FACING AN INCREASE IN CRIME. HE SAID CRIME IN GERMANY IS UP 10%. OFFICIALS DON'T WANT TO REPORT THESE CRIMES SINCE MIGE RANTS WERE ACCEPTED, -- MY GRANTS WERE ACCEPTED, TRUMP WROTE. HE SAID BE SMART, AMERICA, HE TWEET. CRIME IN GERMANY WAS DOWN 10% LAST YEAR. ACCORDING TO GERMAN INTERIOR MINISTER, THE COUNTRY'S REPORTED CRIME RATE LAST YEAR WAS ACTUALLY AT THE LOWEST POINT IN THREE DECADES. THE PRESIDENT HAS ALSO FALSELY CLAIMED THAT THE INSPECTOR GENERAL REPORT EXONERATED HIM FROM MUELLER'S PROBE. WHEN THE REPORT DID NOT DELVE INTO THE RUSSIA INVESTIGATION AT ALL. WHEN HE MADE THE ARGUMENT FRIDAY IN AN IMPROMPTU PRESS REPORT, WHY ARE YOU LYING ABOUT IT, SIR? WELL, TRUMP'S MESSAGING ON THE -- THE BOTTOM LINE, MR. SPEAKER, IS WE HAVE A --

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    • 11:18:57 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN'S TIME HAS EXPIRED.

    • 11:18:59 AM

      MR. MCGOVERN

      WE HAVE A PRESIDENT THAT HAS A PROBLEM WITH THE TRUTH. CONGRESS NEEDS TO…

      WE HAVE A PRESIDENT THAT HAS A PROBLEM WITH THE TRUTH. CONGRESS NEEDS TO STAND UP AND DO THE RIGHT THING. WE NEED TO SPEAK THE TRUTH. WE NEED TO EMBRACE THE TRUTH AND WE NEED TO SOME OF THE ISSUES THAT ARE OBEFORE THE AMERICAN PEOPLE. -- THAT ARE BEFORE THE AMERICAN PEOPLE.

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    • 11:19:12 AM

      THE SPEAKER PRO TEMPORE

      PEOPLE.

    • 11:19:13 AM

      TEMPORE

      FRANEFRANE -- MEMBERS ARE REMINDED TO REFRAIN FROM ENGAGING IN…

      FRANEFRANE -- MEMBERS ARE REMINDED TO REFRAIN FROM ENGAGING IN PERSONALITIES TOWARDS THE PRESIDENT. THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

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    • 11:19:20 AM

      MR. BURGESS

      THANK YOU, MR. SPEAKER. LET ME YIELD MYSELF THE BALANCE OF OUR TIME. I…

      THANK YOU, MR. SPEAKER. LET ME YIELD MYSELF THE BALANCE OF OUR TIME. I GUESS I DON'T NEED TO REMIND ANYONE THAT THE LIE OF THE YEAR FOR 2012, IF YOU LIKE YOUR DOCTOR YOU CAN KEEP YOUR DOCTORS, WORDS THAT WILL RING THROUGH THIS BODY PROBABLY FOR THE REST OF TIME. MR. SPEAKER, I WANT TO READ FROM THE STATEMENT OF ADMINISTRATION POLICY BACK -- BACK TO THE BUSINESS AT ALL. THE RULE ON THE THREE BILLS WE ARE CONSIDERING TODAY. THIS IS A STATEMENT OF ADMINISTRATION POLICY ADDRESSING THE OPIOID CRISIS HAS BEEN A TOP PRIORITY OF THE PRESIDENT SINCE DAY ONE. AND THE ADMINISTRATION WELCOMES LEGISLATION THAT COMPLEMENTS ITS EFFORTS TO END THE OPIOID CRISIS. THE ADMINISTRATION STRONGLY SUPPORTS HOUSE PASSAGE OF BIPARTISAN BILLS TO PROTECT PATIENTS ENROLLED IN MEDICARE AND MEDICAID, CREATE TARGETED PROGRAMS FOR AT-RISK POPULATIONS, EXPAND ACCESS TO MEDICATION-ASSISTED TREATMENT FOR OPIOID USE DISORDERS, AND TO PROVIDE RESOURCES FOR STATES AND COMMUNITIES STRUGGLING TO DEAL WITH THE SCALE OF THE OPENIATE CRISIS. THE STATEMENT -- OPIATE CRISIS. THE STATEMENT SAYS THIS REPRESENTS ARE BOLD STEPS TO TREAT AND PREVENT OPIOID ABUSE AND WILL SAVE COUNTLESS AMERICANS. THE ADMINISTRATION COMMENDS THE HOUSE ON TAKING UP THESE IMPORTANT BILLS. THE ADMINISTRATION SUPPORTS HOUSE PASSAGE OF H.R. 5797, H.R. 6082, AND H.R. 6. SO, MR. SPEAKER, TODAY'S RULE PROVIDES FOR THE CONSIDERATION OF THESE THREE IMPORTANT PIECES OF LEGISLATION AIMED AT ADDRESSING THE OPIOID CRISIS AFFECTING SO MANY OF OUR FELLOW AMERICANS. H.R. 6, THE SUBSTANCE USE DISORDER PREVENTION THAT PROMOTES OPIOID RECOVERY AND TREATMENT FOR PATIENTS AND COMMUNITIES ACT, H.R. 5797, THE INDIVIDUALS IN MEDICAL -- MEDICAID DESERVED CARE THAT'S APPROPRIATE, RESPONSIBLE IN ITS DELIVERY ACT. AND H.R. 6082, THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT WILL ALL PLAY A CRITICAL ROLE IN TREATING PATIENTS AND SPRIDING AMERICANS THE TOOLS TO PUT THE PIECES OF THEIR LIVES BACK TOGETHER AGAIN. I COMMEND CHAIRMAN WALDEN FOR HIS EFFORTS IN BRINGING SO MANY MEMBERS IN THIS BODY INTO THE DISCUSSION AND TAKING THE MANY IDEAS OFFERED BY MEMBERS INCORPORATING THEM INTO THE LEGISLATIVE PRODUCTS. THE RESULTS OF THOSE EFFORTS IS A LEGISLATIVE TRIO THAT THIS ENTIRE BODY CAN BE PROUD OF AND THIS ENTIRE BODY CAN SUPPORT. I THEREFORE, URGE MY COLLEAGUES TO SUPPORT TODAY'S RULE AND THE THREE UNDERLYING PIECES OF LEGISLATION. WITH THAT I YIELD BACK THE BALANCE OF MY TIME AND MOVE THE PREVIOUS QUESTION ON THE RESOLUTION.

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    • 11:22:09 AM

      THE SPEAKER PRO TEMPORE

      THE QUESTION IS ON ORDERING THE PREVIOUS QUESTION ON THE RESOLUTION. THOSE…

      THE QUESTION IS ON ORDERING THE PREVIOUS QUESTION ON THE RESOLUTION. THOSE IN FAVOR SAY AYE. THOSE OPPOSED, NO. IN THE OPINION OF THE CHAIR, THE AYES HAVE IT.

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    • 11:22:19 AM

      MR. MCGOVERN

      MR. SPEAKER.

    • 11:22:22 AM

      THE SPEAKER PRO TEMPORE

      THE GENTLEMAN FROM MASSACHUSETTS.

    • 11:22:24 AM

      MR. MCGOVERN

      I REQUEST THE YEAS AND NAYS.

    • 11:22:25 AM

      THE SPEAKER PRO TEMPORE

      THE YEAS AND NAYS ARE REQUESTED. THOSE FAVORING A VOTE BY THE YEAS AND…

      THE YEAS AND NAYS ARE REQUESTED. THOSE FAVORING A VOTE BY THE YEAS AND NAYS WILL RISE. A SUFFICIENT NUMBER HAVING ARISEN, THE YEAS AND NAYS ARE ORDERED. PURSUANT TO CLAUSE 8 OF RULE 20, FURTHER PROCEEDINGS ON THIS QUESTION WILL BE POSTPONED.

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    • 11:22:34 AM

      MR. BURGESS

      MR. SPEAKER, PURSUANT TO CLAUSE 4 OF RULE 16, I MOVE THAT WHEN THE HOUSE…

      MR. SPEAKER, PURSUANT TO CLAUSE 4 OF RULE 16, I MOVE THAT WHEN THE HOUSE ADJOURNS ON WEDNESDAY, JUNE 20, 2018, IT ADJOURN TO MEET AT 9:00 A.M. ON THURSDAY, JUNE 21, 2018, FOR MORNING HOUR DEBATE AND 10:00 A.M. FOR LEGISLATIVE BUSINESS.

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  • 11:22:37 AM

    POSTPONED PROCEEDINGS

    At the conclusion of debate on H. Res. 949, the Chair put the question on ordering the previous question, and by voice vote, announced that the ayes had prevailed. Mr. McGovern demanded the yeas and nays and the Chair postponed further proceedings on ordering the previous question until a time to be announced.

    • 11:22:52 AM

      THE SPEAKER PRO TEMPORE

      THE QUESTION IS ON THE MOTION TO FIX THE CONVENING TIME. THOSE IN FAVOR…

      THE QUESTION IS ON THE MOTION TO FIX THE CONVENING TIME. THOSE IN FAVOR SAY AYE. THOSE OPPOSED, NO. IN THE OPINION OF THE CHAIR, THE AYES HAVE IT. THE MOTION IS --

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    • 11:22:56 AM

      Pursuant to clause 4 of rule 16, Mr. Burgess moved that when the House adjourns on Wednesday, June 20, 2018, it adjourn to meet at 9 a.m. on Thursday, June 21, 2018 for morning-hour debate and 10 a.m. for legislative business.

      • 11:23:00 AM

        MR. MCGOVERN

        MR. SPEAKER, I'D LIKE A RECORDED VOTE ON THAT, PLEASE.

      • 11:23:04 AM

        THE SPEAKER PRO TEMPORE

        DOES THE GENTLEMAN ASK FOR THE YEAS AND NAYS?

      • 11:23:06 AM

        MR. MCGOVERN

        I ASK FOR THE YEAS AND NAYS.

      • 11:23:08 AM

        THE SPEAKER PRO TEMPORE

        THE YEAS AND NAYS ARE REQUESTED. THOSE FAVORING A VOTE BY THE YEAS AND…

        THE YEAS AND NAYS ARE REQUESTED. THOSE FAVORING A VOTE BY THE YEAS AND NAYS WILL RISE. A SUFFICIENT NUMBER HAVING ARISEN, THE YEAS AND NAYS ARE ORDERED. MEMBERS WILL RECORD THEIR VOTES BY ELECTRONIC DEVICE. PURSUANT TO CLAUSE 8 OF RULE 20, THE 15-MINUTE VOTE ON THE MOTION TO FIX THE CONVENING TIME WILL BE FOLLOWED BY FIVE-MINUTE VOTES ON ORDERING THE PREVIOUS QUESTION ON HOUSE RESOLUTION 949 AND ADOPTING HOUSE RESOLUTION 949 IF ORDERED. THIS IS A 15-MINUTE VOTE. [CAPTIONING MADE POSSIBLE BY THE NATIONAL CAPTIONING INSTITUTE, INC., IN COOPERATION WITH THE UNITED STATES HOUSE OF REPRESENTATIVES. ANY USE OF THE CLOSED-CAPTIONED COVERAGE OF THE HOUSE PROCEEDINGS FOR POLITICAL OR COMMERCIAL PURPOSES IS EXPRESSLY PROHIBITED BY THE U.S. HOUSE OF REPRESENTATIVES.]

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    • 11:23:43 AM

      On Motion to Fix the Convening Time Roll Call 272 - Yea and Nay vote pending.

      • 11:50:52 AM

        THE SPEAKER PRO TEMPORE

        ON THIS VOTE THE YEAS ARE 222. THE NAYS ARE 184 WITH ONE RECORDED AS…

        ON THIS VOTE THE YEAS ARE 222. THE NAYS ARE 184 WITH ONE RECORDED AS PRESENT. THE MOTION ADOPTED. THE UNFINISHED BUSINESS IS THE VOTE ON ORDERING THE PREVIOUS QUESTION ON HOUSE RESOLUTION 949 ON WHICH THE YEAS AND NAYS ARE ORDERED. THE CLERK WILL REPORT THE TITLE OF THE RESOLUTION.

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  • 11:50:56 AM

    House Vote 272 - On Motion to Fix the Convening Time

    Passed (222 - 184)
    Yea
    Nay

    Vote Details: Yea - 222
    Republican - 221
    Democratic - 1

    Vote Details: Nay - 184
    Democratic - 183
    Republican - 1

    Vote Details: Not Voting - 20
    Republican - 12
    Democratic - 8

    Vote Details: Present - 1
    Democratic - 1

    • 11:51:02 AM

      UNFINISHED BUSINESS

      The Chair announced that the unfinished business was on ordering the previous question on H. Res. 949, which was debated earlier and on which further proceedings had been postponed.

      • 11:51:10 AM

        Considered as unfinished business. H. Res. 949 — "Providing for consideration of the bill (H.R. 6) to provide for opioid use disorder prevention, recovery, and treatment, and for other purposes; providing for consideration of the bill (H.R. 5797) to amend title XIX of the Social Security Act to allow States to provide under Medicaid services for certain individuals with opioid use disorders in institutions for mental diseases; and providing for consideration of the bill (H.R. 6082) to amend the Public Health Service Act to protect the confidentiality of substance use disorder patient records."

        • 11:51:15 AM

          THE CLERK

          HOUSE CALENDAR NUMBER 154, HOUSE RESOLUTION 949, RESOLUTION PROVIDING FOR…

          HOUSE CALENDAR NUMBER 154, HOUSE RESOLUTION 949, RESOLUTION PROVIDING FOR CONSIDERATION OF THE BILL H.R. 6, TO PROVIDE FOR OPIOID USE DISORDER PREVENTION, RECOVERY, AND TREATMENT, AND FOR OTHER PURPOSES. PROVIDING FOR CONSIDERATION OF THE BILL H.R. 5797, TO AMEND TITLE 19 OF THE SOCIAL SECURITY ACT TO ALLOW STATES TO PROVIDE UNDER MEDICAID SERVICES FOR CERTAIN INDIVIDUALS WITH OPIOID USE DISORDERS AND INSTITUTION FOR MENTAL DISEASES. AND PROVIDING FOR CONSIDERATION OF THE BILL H.R. 6082, TO AMEND THE PUBLIC HEALTH SERVICE ACT TO PROTECT THE CONFIDENTIALITY OF SUBSTANCE USE DISORDER PATIENT RECORDS.

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        • 11:51:56 AM

          THE SPEAKER PRO TEMPORE

          THE QUESTION IS ON ORDERING THE PREVIOUS QUESTION. MEMBERS WILL RECORD…

          THE QUESTION IS ON ORDERING THE PREVIOUS QUESTION. MEMBERS WILL RECORD THEIR VOTES BY ELECTRONIC DEVICE. THIS WILL BE A FIVE-MINUTE VOTE. [CAPTIONING MADE POSSIBLE BY THE NATIONAL CAPTIONING INSTITUTE, INC., IN COOPERATION WITH THE UNITED STATES HOUSE OF REPRESENTATIVES. ANY USE OF THE CLOSED-CAPTIONED COVERAGE OF THE HOUSE PROCEEDINGS FOR POLITICAL OR COMMERCIAL PURPOSES IS EXPRESSLY PROHIBITED BY THE U.S. HOUSE OF REPRESENTATIVES.]

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      • 11:51:57 AM

        On ordering the previous question Roll Call 273 - Yea and Nay vote pending.

        • 11:58:41 AM

          THE SPEAKER PRO TEMPORE

          ON THIS VOTE THE YEAS ARE 2 IN 21. THE NAYS ARE -- 221. THE NAYS ARE 185.…

          ON THIS VOTE THE YEAS ARE 2 IN 21. THE NAYS ARE -- 221. THE NAYS ARE 185. THE PREVIOUS QUESTION IS ORDERED. THE QUESTION IS ON ADOPTION OF THE RESOLUTION. ALL THOSE IN FAVOR SAY AYE. ALL THOSE OPPOSED, NO. THE AYES HAVE IT.

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    • 11:58:49 AM

      House Vote 273 - On Ordering the Previous Question

      Providing for consideration of the bill (H.R. 6) to provide for opioid use disorder prevention, recovery, and treatment, and for other purposes; providing for consideration of the bill (H.R. 5797) to amend title XIX of the Social Security Act to allow States to provide under Medicaid services for certain individuals with opioid use disorders in institutions for mental diseases; and providing for consideration of the bill (H.R. 6082) to amend the Public Health Service Act to protect the confidentiality of substance use disorder patient records.

      Passed (221 - 185)
      Yea
      Nay

      Vote Details: Yea - 221
      Republican - 221

      Vote Details: Nay - 185
      Democratic - 185

      Vote Details: Not Voting - 21
      Republican - 13
      Democratic - 8

      • 11:58:51 AM

        On agreeing to the resolution Roll Call 274 - Recorded vote pending.

        • 11:58:56 AM

          MR. MCGOVERN

          MR. SPEAKER.

        • 11:58:58 AM

          THE SPEAKER PRO TEMPORE

          THE GENTLEMAN FROM MASSACHUSETTS.

        • 11:59:00 AM

          MR. MCGOVERN

          I ASK FOR A RECORDED VOTE, PLEASE.

        • 11:59:01 AM

          THE SPEAKER PRO TEMPORE

          A RECORDED VOTE IS REQUESTED. THOSE FAVORING A RECORDED VOTE WILL RISE. A…

          A RECORDED VOTE IS REQUESTED. THOSE FAVORING A RECORDED VOTE WILL RISE. A SUFFICIENT NUMBER HAVING ARISEN, A RECORDED VOTE IS ORDERED. MEMBERS WILL RECORD THEIR VOTES BY ELECTRONIC DEVICE. THIS IS A FIVE-MINUTE VOTE. [CAPTIONING MADE POSSIBLE BY THE NATIONAL CAPTIONING INSTITUTE, INC., IN COOPERATION WITH THE UNITED STATES HOUSE OF REPRESENTATIVES. ANY USE OF THE CLOSED-CAPTIONED COVERAGE OF THE HOUSE PROCEEDINGS FOR POLITICAL OR COMMERCIAL PURPOSES IS EXPRESSLY PROHIBITED BY THE U.S. HOUSE OF REPRESENTATIVES.]

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        • 12:05:49 PM

          THE SPEAKER PRO TEMPORE

          ON THIS VOTE THE YEAS ARE 225. THE NAYS ARE 180. THE RESOLUTION IS…

          ON THIS VOTE THE YEAS ARE 225. THE NAYS ARE 180. THE RESOLUTION IS ADOPTED. WITHOUT OBJECTION THE MOTION TO RECONSIDER IS LAID UPON THE TABLE. PURSUANT TO CLAUSE 8 OF RULE 20, THE CHAIR WILL POSTPONE FURTHER PROCEEDINGS TODAY ON MOTIONS TO SUSPEND THE RULES ON WHICH A RECORDED VOTE OR THE YEAS AND NAYS ARE ORDERED OR VOTES OBJECTED UNDER CLAUSE SIX OF RULE 20. THE HOUSE WILL RESUME PROCEEDINGS ON POSTPONED QUESTIONS AT LATER TIME. OBJECTED UNDER THE HOUSE WILL BE IN ORDER. THE HOUSE WILL BE IN ORDER. FREPS THE GENTLEMAN FROM MICHIGAN SEEK RECOGNITION.

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    • 12:05:58 PM

      House Vote 274 - On Agreeing to the Resolution

      Providing for consideration of the bill (H.R. 6) to provide for opioid use disorder prevention, recovery, and treatment, and for other purposes; providing for consideration of the bill (H.R. 5797) to amend title XIX of the Social Security Act to allow States to provide under Medicaid services for certain individuals with opioid use disorders in institutions for mental diseases; and providing for consideration of the bill (H.R. 6082) to amend the Public Health Service Act to protect the confidentiality of substance use disorder patient records.

      Passed (225 - 180)
      Aye
      No

      Vote Details: Aye - 225
      Republican - 220
      Democratic - 5

      Vote Details: No - 180
      Democratic - 177
      Republican - 3

      Vote Details: Not Voting - 22
      Republican - 11
      Democratic - 11

      • 12:06:00 PM

        Motion to reconsider laid on the table Agreed to without objection.

        • 12:06:18 PM

          The Speaker announced that votes on suspensions, if ordered, will be postponed until a time to be announced.

          • 12:07:29 PM

            >>

            MR. SPEAKER, I MOVE TO SUSPEND THE RULES AND PASS THE BILL H.R. 5928, AS…

            MR. SPEAKER, I MOVE TO SUSPEND THE RULES AND PASS THE BILL H.R. 5928, AS AMENDED. 5925 AS AMENDED.

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        • 12:07:32 PM

          Mr. Mitchell moved to suspend the rules and pass the bill, as amended. H.R. 5925 — "To codify provisions relating to the Office of National Drug Control, and for other purposes."

          • 12:07:40 PM

            THE SPEAKER PRO TEMPORE

            THE CLERK WILL REPORT THE TITLE OF THE BILL.

          • 12:07:43 PM

            THE CLERK

            H.R. 5925, A BILL TO CODIFY PROVISIONS RELATING TO THE OFFICE OF NATIONAL…

            H.R. 5925, A BILL TO CODIFY PROVISIONS RELATING TO THE OFFICE OF NATIONAL DRUG CONTROL, AND FOR OTHER PURPOSES.

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          • 12:07:51 PM

            THE SPEAKER PRO TEMPORE

            PURSUANT TO THE RULE, THE GENTLEMAN FROM MICHIGAN, MR. MITCHELL, AND THE…

            PURSUANT TO THE RULE, THE GENTLEMAN FROM MICHIGAN, MR. MITCHELL, AND THE GENTLEMAN FROM MARYLAND, MR. CUMMINGS, EACH WILL CONTROL 20 MINUTES OF THE THE CHAIR RECOGNIZES THE GENTLEMAN FROM MICHIGAN.

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        • 12:07:53 PM

          Considered under suspension of the rules.

        • 12:07:55 PM

          DEBATE

          The House proceeded with forty minutes of debate on H.R. 5925.

          • 12:08:00 PM

            MR. MITCHELL

            MR. SPEAKER, I ASK --

          • 12:08:03 PM

            THE SPEAKER PRO TEMPORE

            THE GENTLEMAN WILL SUSPEND. THE HOUSE WILL BE IN ORDER. THE HOUSE WILL BE…

            THE GENTLEMAN WILL SUSPEND. THE HOUSE WILL BE IN ORDER. THE HOUSE WILL BE IN ORDER. PLEASE TAKE YOUR CONVERSATIONS OFF THE FLOOR, MEMBERS. THE GENTLEMAN MAY CONTINUE.

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          • 12:08:26 PM

            MR. MITCHELL

            MR. SPEAKER, I ASK UNANIMOUS CONSENT THAT ALL MEMBERS MAY HAVE FIVE…

            MR. SPEAKER, I ASK UNANIMOUS CONSENT THAT ALL MEMBERS MAY HAVE FIVE LEGISLATIVE DAYS TO REVISE AND EXTEND THEIR REMARKS AND INCLUDE EXTRANEOUS MATERIAL ON THE BILL UNDER CONSIDERATION.

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          • 12:08:35 PM

            THE SPEAKER PRO TEMPORE

            WITHOUT OBJECTION.

          • 12:08:38 PM

            MR. MITCHELL

            MR. SPEAKER, I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

          • 12:08:41 PM

            THE SPEAKER PRO TEMPORE

            THE GENTLEMAN VIRGINIA TECH.

          • 12:08:43 PM

            MR. MITCHELL

            I RISE TODAY IN SUPPORT OF H.R. 5925, INTRODUCED BY THE GENTLEMAN FROM…

            I RISE TODAY IN SUPPORT OF H.R. 5925, INTRODUCED BY THE GENTLEMAN FROM SOUTH CAROLINA, CHAIRMAN GOWDY. THE COORDINATED RESPONSE TO INTERAGENCY STRATEGY AND INFORMATION SHARING, OR CRISIS ACT, IS A BILL TO RE-AUTHORIZE THE OFFICE OF NATIONAL DRUG CONTROL THIS. RELATIVELY SMALL OFFICE PLAYS AN IMPORTANT ROLE IN COORDINATING THE NATION'S DRUG CONTROL EFFORTS. THE OFFICE HAS BECOME INCREASINGLY IMPORTANT AS WE LOOK TO ENGAGE GOVERNMENTWIDE INITIATIVES TO COMBAT THE OPIOID EPIDEMIC. OVER THE PAST TWO WEEKS, WE PASSED MANY GOOD BILLS TO HELP COMBAT THE OPIOID EPIDEMIC. EACH OF THEM WILL MOVE US CLOSER TO ENDING THE OPIOID CRY SIFMENTS THIS BILL IS A CRITICAL PIECE OF THE PUZZLE. IT ENSURES FEDERAL, STATE, AND LOCAL GOVERNMENTS WORK WITH EACH OTHER AND OTHER NONGOVERNMENTAL ENTITIES TO ACHIEVE THE RESULTS WE'RE SEEKING. CONGRESS NEEDS TO PROVIDE THE OFFICE OF NATIONAL DRUG CONTROL THE AUTHORITIES IT NEEDS TO LEAD THE EFFORT TO COMBAT THE OPIOID CRISIS. THE CRISIS ACT DOES JUST THAT. THE CRISIS ACT UPDATES AND REAFFIRMS THE OFFICE'S IMPORTANT ROLE, THAT INCLUDES STRENGTHENING CERTAIN AUTHORITIES TO OPIOID CRISIS. EMPOWER THE OFFICE IN THE MIDST OF THIS DEVASTATING EPIDEMIC. THE OPIOID EPIDEMIC HAS IMPACTED NEARLY EVERY COMMUNITY ACROSS THE NATION. IN MY DISTRICT, ONE PERSON DIES ABOUT EVERY FOUR HOURS FOR AN OPIOID OVERDOSE. ONE OF THE MOST IMPORTANT ASPECTS OF THIS BILL IS THE COMPREHENSIVE RESPONSE PLAN, NOT ENOUGH IT PLI HAVE A PLAN, WE NEED ACTION TO FOLLOW THROUGH AND END THE EPYOID CRISIS. THE ACT REQUIRES MEASURABLE OBJECTIVES SO WE KNOW WHETHER THE PROGRAMS ARE WORKING. ACCOUNTABILITY'S AT THE HEART OF THIS BILL. THE CRISIS ACT REQUIRES THE OFFICE OF NATIONAL DRUG CONTROL TO DEVELOP A NATIONAL STRATEGY TO BE CARRIED OUT BY A WIDE ARRAY OF AGENCIES. IT THEN REQUIRES THE OFFICE TO OVERSEE AND COORDINATE IMPLEMATION OF WIDE ARRAY OF THIS -- IMPLEMENTATION OF THAT STRATEGY EACH YEAR AND WHETHER THE AGENCIES ARE MEETING THE SPECIFIC GOALS THAT HAVE STRATEGY. OUR COLLEAGUES IN THE HOUSE AND SENATE ARE ADVANCING A NUMBER OF BILLS TO ADDRESS THE OPIOID EPIDEMIC AND NEW INITIATIVES ARE BEING ANNOUNCED DAILY. I OFFERED AN AMENDMENT IN COMMITTEE MARKUP WITH THE SUPPORT OF CONGRESSMAN RASKIN WHICH BRINGS THE REQUIREMENTS FROM THE COLD RED ACT SPONSORED BY THE GENTLEMAN FROM PENNSYLVANIA, MR. ROTHFUS. THE CODE RED ACT AND AMENDMENT REQUIRE A COORDINATED TRACKING STRATEGY SYSTEM OF FEDERAL FUNDING BEING PUT TOWARD DRUG CONTROL EFFORTS THROUGHOUT THE COUNTRY. THIS SYSTEM INCLUDES A REPOSITORY OF GRANTS RELATED TO SUBSTANCE ABUSE TREATMENT, SPREENGS, AND ENFORCEMENT, AND IDENTIFY THOSE THAT ARE DUPLICATIVE. THE GOVERNMENT NEEDS TO KNOW EXACTLY WHAT BY THE GENTLEMAN FROM PENNSYLVANIA, MR. ROTHFUS. THE CODE RED ACT AND AMENDMENT REQUIRE A IT'S SPENDING, WHERE IT'S GOING, AND IF IT'S WORKING. THIS IS NOT THE TIME TO INVEST IN EFFECTIVE STRATEGIES, WE NEED TO IDENTIFY RESOURCE THAT IS WORK AND APPLY FEDERAL RESOURCES ACCORDINGLY. I WOULD LIKE TO THANK MY FELLOW COMMITTEE MEMBERS FOR ACCEPTING THE AMENDMENT. THE GENTLEMAN FROM MARYLAND, AND APPLY FEDERAL AND APPLY FEDERAL RESOURCES ACCORDINGLY. I WOULD LIKE TO THANK MY FELLOW COMMITTEE MEMBERS FOR ACCEPTING THE AMENDMENT. THE GENTLEMAN FROM MARYLAND, MR. RASKIN, FOR OFFERING IT WITH ME, AND MR. ROTHFUS FOR ALL THE WORK HE'S DONE IN FINDING AN EFFECTIVE APPROACH TO TACKLE THE OPIOID CRY SIFMENTS THERE ARE MANY BILLS AND PROPOSALS THAT SEEK TO ADDRESS THE OPIOID CRISIS, ONLY BE POSSIBLE WITH COMMITMENT TOWARDS A COORDINATED STRATEGY AND UNIFIED APPROACH. THIS BILL THROUGH THE RE-AUTHORIZATION OF THE NATIONAL DRUG CONTROL WILL PROVIDE THE COORDINATION, STRATEGY, AND UNIFIED APPROACH WE NEED. THIS IS AN IMPORTANT AND TIMELY BILL. I URGE MY COLLEAGUES TO SUPPORT IT. I RESERVE THE BALANCE OF MY TIME.

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          • 12:12:04 PM

            THE SPEAKER PRO TEMPORE

            THE GENTLEMAN RESERVES. THE GENTLEMAN FROM MARYLAND IS RECOGNIZED.

          • 12:12:07 PM

            MR. CUMMINGS

            THANK YOU VERY MUCH, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY…

            THANK YOU VERY MUCH, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

            Show Full Text
          • 12:12:10 PM

            THE SPEAKER PRO TEMPORE

          • 12:12:12 PM

            MR. COUPLE CANNINGS

            I WANT TO THANK CHAIRMAN GOWDY FOR HIS LEADERSHIP AND FOR WORKING TOGETHER…

            I WANT TO THANK CHAIRMAN GOWDY FOR HIS LEADERSHIP AND FOR WORKING TOGETHER TO CRAFT CANNINGS: I WANT TO THIS LEGISLATION. I THANK CHAIRMAN MEADOWS AND RANKING MEMBER CONNOLLY FOR HELPING US REACH THE COMPROMISES THAT MADE THIS LEGISLATION POSSIBLE. IN 1988, MR. SPEAKER, CONGRESS CREATED THE OFFICE OF NATIONAL DRUG CONTROL POLICY. THIS IS THE OFFICE THAT SHOULD BE COORDINATING OUR NATION'S DRUG CONTROL EFFORTS AND LEADING OUR RESPONSE TO THE DRUG CRISIS. WHICH IS NOW, BY THE WAY, KILLING 175 PEOPLE PER DAY. LET ME REPEAT THAT. KILLING 175 PEOPLE PER DAY. HOWEVER, ONDCP IS FAILING JUST WHEN WE NEED IT THE MOST. IN FACT, AN ARTICLE PUBLISHED THIS WEEK DESCRIBED THE OFFICE THIS WAY, AND I QUOTE, EMPTY DESKS, SQUABBLES, -- THE FAILURE IS GLARING. FOR EXAMPLE, THE OFFICE IS REQUIRED TO PRODUCE A NATIONAL DRUG CONTROL STRATEGY BY FEBRUARY 1 OF EACH YEAR. TWO FEBRUARY 1'S HAVE NOW COME AND TWO HAVE GONE. SINCE PRESIDENT TRUMP TWO FEBRUARY 1 TOOK OFFICE, THE TRUMP ADMINISTRATION STILL HAS NOT COME UP WITH A SOLUTION TO THIS MOST GLARING AND PAINFUL PROBLEM. THIS IS SIMPLY UNACCEPTABLE. LIFE EXPECTANCY IN THIS NATION IS FALLING BECAUSE WE'RE FAILING TO RESPOND APPROPRIATELY TO THIS DRUG CRISIS. WE URGENTLY NEED TO REVITALIZE AND STRENGTHEN ONDCP. H.R. 5925, THE THIS DRUG CRISIS. CRISIS ACT, WOULD MAKE CHANGES WE NEED AND WOULD IMPROVE OUR DRUG CONTROL EFFORTS IF IT IS FULLY FUNDED AND IMPLEMENTED. FULLY FUNDED AND IMPLEMENTED. IT WOULD EXPAND THE OFFICE'S AUTHORITY TO DIRECT RESOURCES WHERE THEY ARE MOST NEEDED. . IT WOULD STRENGTHEN DATA COLLECTIONS AND ANYWAY SOMETHING -- AND ANALYSIS TO HELP US DEVELOP THE REALTIME MONITORING WE MONITORING WE NEED TO UNDERSTAND THE RAPIDLY CHANGING DIMENSIONS OF THE OPIOID CRISIS. THE BILL INCORPORATES SEVERAL PROPOSALS I'VE OFFERED TO GIVE ONDC, P NEW AUTHORITIES -- ONDCP NEW AUTHORITIES, FOR CRIT CA CAL ASPECTS OF OUR -- FOR CRITICAL ASPECTS OF OUR RESPONSE TO THE CRISIS. I'VE OFTEN SAID WE MUST GO ABOUT THE BUSINESS OF BEING EFFECTIVE AND EFFICIENT IN WHAT WE DO. AND THESE ARE EXAMPLES OF THINGS THAT WILL MAKE ONDCP MORE EFFECTIVE AND EFFICIENT IN ADDRESSING THIS PROBLEM. FOR EXAMPLE, FOR THE FIRST TIME EVER IT WOULD CREATE A TREATMENT COORDINATOR WITHIN THE OFFICE RESPONSIBLE FOR COORDINATING EFFORTS TO EXPAND THE AVAILABILITY AND QUALITY OF EVIDENCE-BASED TREATMENT. IT WOULD ALSO REQUIRE THE OFFICE TO DEVELOP AND PROMULGATE MODEL STANDARDS FOR TREATMENT FACILITIES. RIGHT NOW TOO MANY SO-CALLED TREATMENT FACILITIES ARE TAKING ADVANTAGE OF DESPERATE FAMILIAR -- FAMILIES, CHARGING THEM OUTLANDISH OUTLANDISH PRICES, MILKING INSURANCE COMPANIES, BUT FAILING TO HELP THOSE IN NEED. AS A MATTER OF FACT, MANY PEOPLE ARE GOING INTO THESE PLACES SEEKING TO GET TREATMENT AND COME OUT WORSE OFF BECAUSE THEY'RE NOT BEING PROPERLY TREATED. REMEMBER WHAT I SAID. WE WANT IT TO BE EFFECT -- WE WANT TO BE EFFECTIVE AND EFFICIENT IN WHAT WE DO AND WE WANT TO MAKE SURE THAT TAXPAYERS' DOLLARS ARE SPENT APPROPRIATELY. I BELIEVE THAT IF H.R. 5925 IS ENACTED, AND FULLY IMPLEMENTED, IT WILL IMPROVE OUR DRUG CONTROL EFFORTS AND FOR THAT REASON I AM SUPPORTING THE MEASURE. HOWEVER, I WANT TO BE REAL CLEAR ABOUT SOMETHING. EVEN IF THIS BILL IS ENACTED AND FULLY IMPLEMENTED, THE DRUG CRISIS WE ARE FACING WILL LIKELY GET WORSE. THAT IS BECAUSE THIS BILL DOES NOT PROVIDE THE RESOURCES WE NEED TO TREAT MILLIONS OF AMERICANS WHO HAVE THE DISEASE OF ADDICTION. ACCORDING TO THE PRESIDENT'S OWN COMMISSION ON OPIOIDS, ONLY 10% OF INDIVIDUALS WHO NEED TREATMENT FOR SUBSTANCE ABUSE DISORDERS ARE GETTING IT. NO ONE BELIEVES THAT WE CAN FIGHT CANCER OR HEART DISEASE OR ALZHEIMER'S IF WE DON'T TREAT PEOPLE WHO HAVE THESE DISEASES. THE SAME IS TRUE HERE. IMAGINE SOMEONE GOING INTO THE DOCTOR'S OFFICE AND THE DOCTOR SAYS THAT, WELL, YOU'RE THE 10TH PERSON AND YOU'RE LUCKY TO GET TREATMENT. BUT THE OTHER NINE THAT CAME BEFORE YOU, THEY WON'T GET ANY TREATMENT. WE WOULD NOT STAND FOR THAT. IF WE DON'T TREAT PEOPLE WHO ARE ADDICTED, WE WILL NOT SOLVE THE DRUG CRISIS. WE MAY PASS THIS BILL TODAY, CELEBRATE THE PASSAGE AND SAY WE DID A GREAT JOB. WE MAY WORK WITH THE SENATE TO SEND IT TO THE PRESIDENT. THE PRESIDENT MIGHT EVEN SIGN IT. BUT THEN NEXT YEAR'S OVERDOSE FATALITY NUMBERS WILL COME OUT. THEY WILL SHOW THAT DEATHS ARE CONTINUING TO RISE. THEY WILL SHOW EMERGENCY ROOM VISITS INCREASING AGAIN. THEY WILL SHOW THE ECONOMIC EFFECTS OF A CRISIS THAT IS ALREADY COSTING US $500 BILLION A YEAR, CONTINUING TO GROW. IT DOESN'T HAVE TO BE THIS WAY. NO. IT DOESN'T HAVE TO BE THIS WAY. WE DON'T HAVE TO JUST NIBBLE AT THE EDGES OR REARRANGE THE DECK CHAIRS ON THE TITANIC. I'VE INTRODUCED LEGISLATION CALLED THE CARE ACT, WITH SENATOR ELIZABETH WARREN. MODELED DIRECTLY ON THE HIGHLY SUCCESSFUL BRIAN WHITE ACT WHICH CONGRESS PASSED WITH BIPARTISAN SUPPORT IN 1990 TO ADDRESS THE AIDS CRISIS. THE CARE ACT WOULD PROVIDE $10 BILLION A YEAR IN STABLE, PREDICTABLE FEDERAL FUNDING TO STATES, COUNTIES AND OTHER FRONTLINE RESPONDERS. THE CARE ACT WOULD PROVIDE FUNDS FOR RESEARCH TO TRAIN HEALTH PROFESSIONALS TO DIAGNOSE AND TREAT ADDICTION. IT WOULD ALSO PROVIDE HALF A BILLION DOLLARS PER YEAR TO PURCHASE LIFE-SAVING -- THE LIFE-SAVING DRUG NALOXONE AT DISCOUNTED PRICES AND DISTRIBUTE IT TO FIRST RESPONDERS, PUBLIC HEALTH AGENCIES AND THE PUBLIC. I OFFERED THE CARE ACT AS AN AMENDMENT TO THIS MEASURE CONSIDERS THIS WEEK. MY AMENDMENT WAS PAID FOR BY ROLLING BACK JUST A PORTION OF THE TAX CUTS GIVEN BY THE REPUBLICANS -- REPUBLICAN-CONTROLLED CONGRESS TO THE NATION'S LARGEST CORPORATIONS, INCLUDING THE DRUG COMPANIES THAT HAVE USED THEIR TAX BREAKS TO BUY BACK BILLIONS OF DOLLARS WORTH OF STOCK RATHER THAN LOWER DRUG PRICES. BY THE WAY, THERE'S SOMETHING WRONG WITH THAT PICTURE. BUT THE REPUBLICAN LEADERSHIP DID NOT MAKE MY AMENDMENT IN ORDER. THE HOUSE NEVER CONSIDERED IT. I SUPPORT H.R. 5925 AND OUR CRITICAL EFFORTS TO ENSURE THAT WE HAVE AN OFFICE THAT WILL EFFECTIVELY AND EFFICIENTLY COORDINATE OUR DRUG CONTROL EFFORTS. HOWEVER, WHEN OUR -- WHAT OUR NATION TRULY NEEDS IS FOR US TO SHOW THE POLITICAL COURAGE, THE POLITICAL COURAGE TO CHOOSE TO SAVE THE LIVES OF OUR FELLOW AMERICANS BY ADEQUATELY FUNDING TREATMENT. AND WITH THAT, MR. SPEAKER, I RESERVE THE BALANCE OF MY TIME.

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          • 12:22:48 PM

            THE SPEAKER PRO TEMPORE

            THE GENTLEMAN RESERVES THE BALANCE OF HIS TIME. THE GENTLEMAN FROM…

            THE GENTLEMAN RESERVES THE BALANCE OF HIS TIME. THE GENTLEMAN FROM MICHIGAN IS RECOGNIZED.

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          • 12:22:51 PM

            >>

            MR. SPEAKER, I APPRECIATE THE SUPPORT OF MY COLLEAGUE FOR THIS BIPARTISAN…

            MR. SPEAKER, I APPRECIATE THE SUPPORT OF MY COLLEAGUE FOR THIS BIPARTISAN EFFORT TO ADDRESS THE OPIOID CRISIS IN THIS COUNTRY. I ALSO APPRECIATE HIS EFFORTS TO SIGN EFFECTIVE AND EFFICIENTLY -- EFFORTS TO EFFECTIVELY AND EFFICIENTLY ADDRESS THAT CRISIS. HE WILL NOTE THAT IN THE LAST APPROPRIATIONS CYCLE WE INCREASED FUNDING FOR OPIOID TREATMENT BY ALMOST $4 BILLION THIS YEAR ALONE. THERE'S MUCH WORK TO BE DONE. IT IS A CRISIS. AND WE'RE WORKING TOGETHER TO ADDRESS THAT CRISIS.

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          • 12:23:18 PM

            MR. MITCHELL

            MR. SPEAKER, AT THIS POINT IN TIME I'D LIKE TO YIELD FIVE MINUTES TO THE…

            MR. SPEAKER, AT THIS POINT IN TIME I'D LIKE TO YIELD FIVE MINUTES TO THE GENTLEMAN FROM NORTH CAROLINA, THE CO-SPONSOR OF THE BILL, MR. MEADOWS.

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          • 12:23:25 PM

            THE SPEAKER PRO TEMPORE

            THE GENTLEMAN IS RECOGNIZED FOR FIVE MINUTES. ED MED ME THANK YOU, MR.…

            THE GENTLEMAN IS RECOGNIZED FOR FIVE MINUTES. ED MED ME THANK YOU, MR. SPEAKER. I THANK --

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          • 12:23:29 PM

            MR. MEADOWS

            THANK YOU, MR. SPEAKER. I THANK THE GENTLEMAN FOR HIS LEADERSHIP ON THIS…

            THANK YOU, MR. SPEAKER. I THANK THE GENTLEMAN FOR HIS LEADERSHIP ON THIS PARTICULAR INITIATIVE. AND MANAGING THIS BILL. MR. SPEAKER, I RISE IN SUPPORT OF H.R. 5925, THE CRISIS ACT. A BILL THAT I CO-SPONSORED WITH CHAIRMAN GOWDY AND MY GOOD FRIEND, THE RANKING MEMBER, MR. CUMMINGS, AS WELL AS RANKING MEMBER OF THE GOVERNMENT OPERATIONS SUBCOMMITTEE AND GOOD FRIEND, JERRY CONNOLLY. I WANT TO BEGIN BY THANKING MY COLLEAGUES FOR COMING TOGETHER ON THIS BIPARTISAN BILL. H.R. 5925 RE-AUTHORIZES THE OFFICE OF NATIONAL DRUG CONTROL POLICY, GIVES THE OFFICE GREATER RESPONSIBILITY BY ENHANCING THE OFFICE'S AUTHORITY TO COORDINATE AND OVERSEE THE NATIONAL DRUG CONTROL PROGRAMS AT THE NATIONAL, STATE AND LOCAL LEVELS. IT PROVIDES COMMUNITIES WITH A PROCESS FOR SHARING INFORMATION AND BEST PRACTICES, AND IMPLEMENTS RECOMMENDATIONS FROM THE PRESIDENT'S OPIOID COMMISSION. IT REQUIRES AN OPIOID RESPONSE PLAN TO COORDINATE WITH THE PRIVATE SECTOR AND THE IMPLEMENTATION OF THE COMMISSION'S RECOMMENDATIONS, AND TO FACILITATE THE DEVELOPMENT OF TREATMENT AND ABUSE-DETERRENT PRODUCTS. FINALLY, THIS BILL DESIGNATES THE UNITED STATES POSTAL SERVICE AS A NATIONAL DRUG CONTROL PROGRAM AGENCY AND REQUIRES THE OFFICE TO COORDINATE ACTIONS TO REDUCE THE FLOW OF ILLICIT DRUGS ENTERING THE COUNTRY THROUGH THE MAIL. THE ONGOING OPIOID EPIDEMIC HAS TAKEN COUNTLESS LIVES. TOUCHING LITERALLY EVERY COMMUNITY IN THE COUNTRY. THE NATIONAL RESPONSE TO THIS EPIDEMIC INVOLVES FEDERAL, STATE, LOCAL GOVERNMENTS, AND AGENCIES. AND IT INVOLVES THE TREATMENT COMMUNITY AND THE MEDICAL COMMUNITY AND THE LAW ENFORCEMENT COMMUNITY AND PLACES OF WORSHIP. AS WE MOBILIZE A NATIONAL RESPONSE, WE MUST ENSURE THAT EVERY EFFORT TO COMBAT THIS EPIDEMIC WORKS. AND WORKS WELL. WE'VE ALL HEARD TOO MANY TRAGIC LIFE-CHANGING AND FAR TOO OFTEN LIFE-ENDING STORIES OF OPIOID ADDICTION. THERE'S NO EASY WAY TO END THIS EPIDEMIC. BUT BY ESTABLISHING AN EFFECTIVE NATIONAL RESPONSE TO THIS EPIDEMIC, THIS BILL WILL SUPPORT THE PEOPLE AND THE COMMUNITIES STRUGGLING WITH THIS ADDICTION. MR. SPEAKER, IT IS THE VERY LIVES OF OUR FRIENDS, OUR NEIGHBORS AND OUR FAMILY MEMBERS THAT DEPEND ON US. SO I URGE MY COLLEAGUES TO SUPPORT THIS BILL. I'D ALSO LIKE TO GO A LITTLE BIT FURTHER, THOUGH. BECAUSE SO MANY TIMES WHEN WE COME TOGETHER IN A BIPARTISAN WAY IT IS MEMBERS OF CONGRESS WHO ARE UP HERE TAKING THE CREDIT FOR THE HARD WORK OF A GROUP THAT ACTUALLY BEHIND THE SCENES ARE DOING THE WORK. AND SO IT'S A BIG THANK YOU TO THE STAFF, TO KATIE, TO RICHARD, BETSY, AND SARA. AND TO THE RANKING MEMBER CUMMINGS' STAFF FOR ALL THEIR WORK AND DEDICATION AS WELL. AND ALSO TO SALI WALKER, WHO IS IN THE HOUSE LEGISLATIVE COUNCIL . THE MANY TIMES THEY DO THE WORK ON THE BILLS BEHIND THE SCENES AND NOBODY EVER SEES THEM OR THANKS THEM. SO ON THIS DAY I WANT TO MAKE SURE THAT WE ACKNOWLEDGE THEIR EFFORT AND THAT IT DOESN'T GO UNNOTICED AND WITH THAT, MR. SPEAKER, I YIELD BACK.

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          • 12:26:52 PM

            MR. MITCHELL

            I RESERVE THE BALANCE OF MY TIME.

          • 12:26:54 PM

            THE SPEAKER PRO TEMPORE

            THE GENTLEMAN RESERVES THE BALANCE OF HIS TIME. THE GENTLEMAN IS…

            THE GENTLEMAN RESERVES THE BALANCE OF HIS TIME. THE GENTLEMAN IS RECOGNIZED.

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          • 12:26:57 PM

            MR. CUMMINGS

            I YIELD MYSELF SUCH TIME AS I MAY CONSUME. I WANT TO TAKE A MOMENT BEFORE…

            I YIELD MYSELF SUCH TIME AS I MAY CONSUME. I WANT TO TAKE A MOMENT BEFORE I YIELD TO MY DISTINGUISHED COLLEAGUE, MR. CONNOLLY, TO ECHO WHAT MY GOOD FRIEND JUST SAID ABOUT OUR STAFFS. I TOO THANK OUR STAFFS FOR ALL THAT THEY'VE DONE. SO OFTEN THEY'RE UNSEEN, UNNOTICED AND FEEL, I'M SURE, UNAPPRECIATED AND UNAPPLAUDED. BUT OUR STAFFS WORK VERY, VERY HARD ON THIS AND I GIVE THE ULTIMATE APPLAUSE TO THEM. I WANT TO THANK YOU FOR RECOGNIZING THEM. I ALSO WANT TO THANK YOU, MR. MEADOWS, FOR WORKING SO HARD TO BRING ALL OF THIS TOGETHER. THANK YOU VERY MUCH. NOW, MR. SPEAKER, IT GIVES ME GREAT HONOR TO INTRODUCE THE DISTINGUISHED GENTLEMAN WHO IS THE VICE CHAIRMAN, THE VICE RANKING MEMBER OF THE OVERSIGHT AND GOVERNMENT REFORM COMMITTEE, A MAN WHO HAS JUST BEEN TIRELESS ON THIS ISSUE AND SO MANY OTHERS , BUT HAS DONE JUST A PHENOMENAL JOB, MR. CONNOLLY OF VIRGINIA. I YIELD THE GENTLEMAN SIX MINUTES.

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          • 12:28:03 PM

            THE SPEAKER PRO TEMPORE

            THE GENTLEMAN FROM VIRGINIA IS RECOGNIZED FOR SIX MINUTES.

          • 12:28:05 PM

            MR. CONNOLLY

            THANK YOU, MR. SPEAKER. AND I THANK MY FRIEND FROM MICHIGAN AND MY GOOD…

            THANK YOU, MR. SPEAKER. AND I THANK MY FRIEND FROM MICHIGAN AND MY GOOD FRIEND FROM NORTH CAROLINA FOR THEIR LEADERSHIP. I PARTICULARLY WANT TO THANK MY GOOD FRIEND FROM MARYLAND, MR. CUMMINGS. MR. CUMMINGS IS NOT ONLY A LEGISLATIVE EXPERT, BUT HE'S ALSO A MORAL VOICE. HE SPEAKS OF CLARITY AND ELOQUENCE, AS HE DID YESTERDAY, ABOUT INNOCENT CHILDREN BEING DETAINED AT THE SOUTHERN BORDER, AS AN -- AN UN-AMERICAN ACTIVITY. SOMETHING THAT DOESN'T REFLECT OUR VALUES. AND TODAY HE'S LENDING THAT SAME MORAL VOICE TO THE CRY ADVICE THAT AFFLICTS -- CRISIS THAT AFFLICTS SO MANY COMMUNITIES IN AMERICA, THE OPIOID ADDICTION CRISIS. I RISE TODAY, MR. SPEAKER, IN SUPPORT OF A COORDINATED RESPONSE THROUGH INTERAGENCY STRATEGY INFORMATION OR CRISIS ACT, TO RE-AUTHORIZE AND REVAMP THE OFFICE OF NATIONAL DRUG CONTROL POLICY. THE CHAIRMAN AND RANKING MEMBER OF OUR FULL COMMITTEE WORK CLOSELY TOGETHER AND WITH COMMITTEE MEMBERS TO PRODUCE A BIPARTISAN BILL THAT WAS REPORTED OUT OF THE COMMITTEE UNANIMOUSLY. I'M PROUD TO BE AN ORIGINAL CO-SPONSOR OF THE CRISIS ACT, WHICH NOT ONLY RE-AUTHORIZES ONDCP, BUT ALSO STRENGTHENS THAT OFFICE SO THAT IT HAS THE RESOURCES IT NEEDS TO COORDINATE AN EFFECTIVE RESPONSE TO THE OPIOID CRISIS. AND THAT'S SOMETHING MR. CUMMINGS STRESSED. IT'S NOT GOOD ENOUGH TO DO SOMETHING SYMBOLIC. WE'VE GOT TO ENSURE IT'S EFFECTIVE. ONDCP'S RESPONSIBILITIES ARE TO PRODUCE A NATIONAL DRUG CONTROL STRATEGY. CONGRESS CREATED IT IN 1988 AT THE HEIGHT OF THE CRACK COCAINE EPIDEMIC TO OVERSEE FEDERAL DRUG CONTROL EFFORTS AND TO ADVISE THE PRESIDENT AND THE ADMINISTRATION ON DRUG CONTROL POLICIES AND STRATEGIES. IT WAS DESIGNED TO OVERSEE THE NATIONAL DRUG CONTROL BUDGET, TO CARRY OUT THE GOALS AND POLICIES OF THAT STRATEGY, AND TO EVALUATE THE EFFECTIVENESS OF PROGRAMS ACROSS THE FEDERAL GOVERNMENT, IN IMPLEMENTING THE STRATEGY AND TO OVERSEE THE HIGH INTENSITY DRUG TRAFFICKING AREAS AND DRUG-FREE COMMUNITIES INITIATIVES. CONGRESS LAST AUTHORIZED THE ONDCP IN 2006. THE AUTHORIZATION EXPIRED IN 2010. THAT'S EIGHT YEARS AGO. AND SINCE THEN WE'VE DEVELOPED AN OPIOID CRISIS, THE MAGNITUDE OF WHICH WE'VE NEVER SEEN IN AMERICA. . WHILE ONDCP HAS RECEIVED ANNUAL APPROPRIATIONS, IT'S IMPORTANT KRONK RE-AUTHORIZE THIS PROGRAM AND REFLECT THE CRISIS WE'RE IN. THE OPIOID EPIDEMIC THAT'S CURRENTLY RAVAGING COMMUNITIES HAS TAKEN HUNDREDS OF THOUSANDS OF LIVES AND SHOWS NO SIGNS OF ABATING. EVERY DAY 115 AMERICANS DIE FROM AN OPIOID OVERDOSE. 115 AMERICANS. THE EPIDEMIC IS DESTROYING FAMILIES, OVERWHELMING FIRST RESPONDERS, STRAINING PUBLIC HEALTH AND CRIMINAL JUSTICE, AND CHILD WELFARE RESOURCES. THIS EPIDEMIC DOESN'T CARE WHERE YOU LIVE. OR WHAT POLITICAL PARTY YOU BELONG TO. BUT CRISIS HAS TOUCHED EVERY COMMUNITY AND EVERY CORNER OF OUR COUNTRY. IN MY STATE, THE COMMONWEALTH OF VIRGINIA, OPIOID OVERDOSE DEATHS SPIKED BY 40% TO 1,1 3 -- 1,133 FROM 2015 TO 2016. AND DEATHS FROM SYNTHETIC OPIOIDS ROSE FROM 263 TO 692 DURING THAT TIME PERIOD. NORTHERN VIRGINIA, WHERE I REPRESENT, THE GOOD PEOPLE OF FAIRFAX AND PRINCE WILLIAM COUNTIES, FAIRFAX COUNTY REPORTED AN INCREASE FROM 67 AND 97 OPIOID RELATED DEATHS FROM 2015 TO 2016. AND PRINCE WILLIAM, THE OTHER COUNTY I REPRESENT, INCREASED FROM 26 TO 59 DEATHS IN THAT TIME PERIOD. LAST MONTH, THE COMMISSIONER OF THE WEST VIRGINIA BUREAU OF PUBLIC HEALTH TESTIFIED BEFORE OUR COMMITTEE. HE SAID THAT THE CRISIS WILL GET WORSE BEFORE IT GETS BETTER. THAT WAS NOT WELCOME NEWS. AND YET DESPITE THE PRESIDENT'S PLEDGES AND HIS OWN COMMISSION ON COMBATING DRUG ADDICTION AND THE OPIOID CRISIS RECOMMENDATION THAT HE DECLARE AN OPIOID CRISIS NATIONAL EMERGENCY, THE PRESIDENT, PRESIDENT TRUMP, TOOK THE LUSCIOUS STEP DECLARING A PUBLIC HEALTH EMERGENCY LAST OCTOBER. 17 MONTHS INTO THIS ADMINISTRATION, ONDCP IS STILL WITHOUT A CONFIRMED DIRECTOR, AND THE ADMINISTRATION HAS FAILED TO PRODUCE A NATIONAL DRUG CONTROL STRATEGY. INSTEAD, THE PRESIDENT, PRESIDENT TRUMP, PROPOSED CUTTING ONDCP'S BUDGET BY MORE THAN 90%. THANK GOODNESS CONGRESS ON A BIPARTISAN BASIS DID NOT HEED THAT RECOMMENDATION. BUT JUST EARLIER THIS WEEK THE ACTING HEAD OF THE DRUG ENFORCEMENT AGENCY ANNOUNCED HE'S GOING TO BE RETIRING AT THE END OF THE MONTH. STATING THAT RUNNING THAT AGENCY IN AN ACTING CAPACITY FOR SO LONG HAD BECOME INCREASINGLY CHALLENGING. AS THIS ADMINISTRATION CONTINUES TO FAIL TO ADDRESS THE OPIOID EPIDEMIC, IT'S IMPERATIVE THAT WE TAKE IMMEDIATE AND DECISIVE ACTION ON A BIPARTISAN BASIS. RE-AUTHORIZING THE OFFICE OF NATIONAL DRUG CONTROL POLICY WITH ENHANCED AUTHORITIES WILL IMPROVE THE COORDINATION AND EFFECTIVENESS OF FEDERAL GOVERNMENT DRUG CONTROL EFFORTS. IT IS ONE OF THE MANY ONE OF THE MANY STEPS WE CAN TAKE TO ADDRESS THE OPIOID EPIDEMIC. IT WON'T SOLVE EVERYTHING, BUT IT IS A VERY IMPORTANT FIRST STEP. I HOPE THE ADMINISTRATION WILL JOIN US IN FIGHTING THIS CRISIS WITH REAL SOLUTIONS AND NOT EMPTY RHETORIC. I HOPE MY COLLEAGUES WILL JOIN US IN SUPPORTING THIS IMPORTANT BILL. I YIELD BACK.

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          • 12:34:13 PM

            THE SPEAKER PRO TEMPORE

            THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEMAN FROM…

            THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEMAN FROM MARYLAND RESERVES. THE GENTLEMAN FROM MICHIGAN IS RECOGNIZED.

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          • 12:34:20 PM

            >>

            I APPRECIATE MY COLLEAGUE FROM VIRGINIA, MR. CONNOLLY, SUPPORT OF THIS…

            I APPRECIATE MY COLLEAGUE FROM VIRGINIA, MR. CONNOLLY, SUPPORT OF THIS BIPARTISAN EFFORT. I CERTAINLY HOPE THE AMERICAN PEOPLE HAVE THE OPPORTUNITY TO SEE THIS EFFORT AND ADDRESS THIS CRISIS IN A BIPARTISAN BASIS.

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          • 12:34:31 PM

            MR. MITCHELL

            FAR TOO FREQUENTLY THEY SEE CONFLICT AND DISAGREEMENT BUT FORTH BY MEDIA…

            FAR TOO FREQUENTLY THEY SEE CONFLICT AND DISAGREEMENT BUT FORTH BY MEDIA AND OTHER SOURCES. THERE IS A GREAT DEAL WE WORK TOGETHER ON AND I THINK WE NEED TO STRESS THAT WHEN WE TALK TO PEOPLE ABOUT THIS CRISIS. MR. SPEAKER, IN A MOMENT I WILL YIELD TO THE GENTLEMAN FROM PENNSYLVANIA, MR. ROTHFUS. FIRST, LET ME GIVE HIM CREDIT BECAUSE HE'S THE HONS JUROR OF LEGISLATION WHICH MY AMENDMENT WAS BASED, H.R. 5980, THE CODE RED ACT. LIKE THE AMENDMENT I OFFERED WITH MR. RASKIN IN COMMITTEE, REQUIRES THE COORDINATED TRACKING SYSTEM OF FEDERAL FUNDING PUT TOWARDS DRUG CONTROL EFFORTS THROUGHOUT OUR COUNTRY. IT IS A SMART IDEA, ESPECIALLY GIVEN THE OPIOID EPIDEMIC IN OUR NATION, THE COSTS OF IT, AND I STRONGLY SUPPORTED IT. WITH THAT I YIELD FIVE MINUTES TO THE GENTLEMAN FROM PENNSYLVANIA,

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          • 12:35:17 PM

            THE SPEAKER PRO TEMPORE

            THE GENTLEMAN FROM PENNSYLVANIA IS RECOGNIZED FOR FIVE MINUTES.

          • 12:35:20 PM

            MR. ROTHFUS

            THANK YOU, MR. SPEAKER. I THANK YOU, REPRESENTATIVE MITCHELL. MR. SPEAKER,…

            THANK YOU, MR. SPEAKER. I THANK YOU, REPRESENTATIVE MITCHELL. MR. SPEAKER, I RISE IN SUPPORT OF H.R. 5925, THE COORDINATED RESPONSE TO INTERAGENCY STRATEGY INFORMATION YOU, REPRESENTATIVE SHARING ACT, OR CRISIS ACT. THIS BILL RE-AUTHORIZES THE OFFICE OF NATIONAL DRUG CONTROL POLICY WHICH HAS NOT BEEN RE-AUTHORIZED IN A VERY LONG TIME. IT MAKES NEEDED OVERHAULS AND UPDATES TO THE OFFICE AND STREAMLINES THE NAME OF THE OFFICE TO THE OFFICE OF NATIONAL DRUG CONTROL, OR ONDC. I COMMEND CHAIRMAN GOUDIN AND RANKING MEMBER CUMMINGS FOR WORKING IN BIPARTISAN MANNER. I ALSO THANK REPRESENTATIVE MITCHELL AND REPRESENTATIVE RASKIN FOR WORKING WITH ME TO INCORPORATE THE FIRST TWO RECOMMENDATIONS OF THE PRESIDENT'S OPIOID COMMISSION INTO THE CRISIS ACT. I INTRODUCE ADD SEPARATE BILL, THE COORDINATED OVERDOSE AND DRUG EPIDEMIC RESPONSE TO THE EMERGENCY DECLARATION ACT, OR CODE RED ACT, THAT AUTHORIZES ONDC TO ADDRESS THOSE COMMISSION RECOMMENDATIONS. ONDC WILL NOW BE AUTHORIZED TO IMPLEMENT A COORDINATED TRACKING SYSTEM OF ALL FEDERALLY FUNDED INITIATIVES AND GRANTS. THIS WILL HELP IDENTIFY BARRIERS AND GAPS IN FEDERAL EFFORTS RESPONDING TO THE OPIOID CRISIS. AND IT IDENTIFIES PLACES WHERE EFFORTS ARE BEING DUPLICATED AND POTENTIALLY WASTED. THIS LEGISLATION IMPROVES THE GRANT APPLICATION PROCESS BY STANDARDIZING AND STREAMLINING IT. THE MISSION HERE IS TO DEPLOY THOROUGH RESOURCES TO LOCALITIES THAT NEED THEM QUICKLY AND EFFICIENTLY INSTEAD OF LOCALITIES WASTING VALUABLE TIME AND RESOURCES FILLING OUT VARIOUS AGENCY APPLICATIONS. THE CRISIS ACT WILL FOSTER BETTER GOVERNMENT COORDINATION AND STRATEGY PLANNING. ONDC HAS CROSS AGENCY JURISDICTION TO COORDINATE THE EFFORTS AMONG DIFFERENT AGENCIES LIKE H.H.S. AND D.O.J. WHEN AGENCIES WORK TOGETHER, THE FORCE MULTIFLYING EFFECT CAN MAKE A HUGE DIFFERENCE. WE'RE MAKING PROGRESS ON THE OPIOID CRISIS, BIPARTISAN BILLS LIKE THE CRISIS ACT WILL HELP WIN THIS FIGHT AND HELP THE PEOPLE ENGAGE IN THE FIGHT LIKE THE NORTH HILLS OF PITTSBURGH, TRACY. TRACY PARTICIPATED IN THE PRESIDENT'S COMMISSION ON COMBATING DRUG ADICTION AND CONTINUES TO HELP FIND SOLUTIONS BACK IN PENNSYLVANIA. I THANK HER AND EVERYONE ELSE WHO IS MAKING A DIFFERENCE. I YIELD BACK THE BALANCE OF MY TIME.

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          • 12:37:23 PM

            THE SPEAKER PRO TEMPORE

            THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEMAN FROM --

          • 12:37:26 PM

            MR. MITCHELL

            I FIGHT AND HELP THE PEOPLE ENGAGE IN THE FIGHT LIKE THE RESERVE. AND I'D…

            I FIGHT AND HELP THE PEOPLE ENGAGE IN THE FIGHT LIKE THE RESERVE. AND I'D LIKE IT MAKE THE GENTLEMAN FROM MARYLAND AWARE I HAVE NO FURTHER SPEAK EARNS PREPARED TO CLOSE.

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          • 12:37:32 PM

            THE SPEAKER PRO TEMPORE

            THE GENTLEMAN FROM MARYLAND IS RECOGNIZED.

          • 12:37:34 PM

            MR. CUMMINGS

            THANK YOU VERY MUCH, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY…

            THANK YOU VERY MUCH, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

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          • 12:37:37 PM

            THE SPEAKER PRO TEMPORE

            THE GENTLEMAN IS RECOGNIZED.

          • 12:37:39 PM

            MR. CUMMINGS

            MR. SPEAKER, IN CLOSING I MUST POINT OUT THAT MY REPUBLICAN COLLEAGUES SAY…

            MR. SPEAKER, IN CLOSING I MUST POINT OUT THAT MY REPUBLICAN COLLEAGUES SAY THEY WANT TO ADDRESS THE OPIOID CRISIS. THEY ARE STANDING SILENT AS THE TRUMP ADMINISTRATION ACTIVELY TRIES TO DESTROY THE AFFORDABLE CARE ACT'S PROTECTIONS FOR PEOPLE WITH PRE-EXISTING CONDITIONS, WHICH IS, BY THE WAY, INCLUDES SUBSTANCE USE DISORDERS. IF WE AREN'T GOING TO TAKE AVAILABLE STEPS TO EXPAND ACCESS TO ADIGS -- ADDITIONAL TREATMENT, AT LEAST WE SHOULD ALL AGREE THAT WE SHOULDN'T ROLLED BACK PROTECTION THAT IS PREVENT INSURANCE COMPANIES FROM DISCRIMINATING AGAINST PEOPLE WITH SUBSTANCE USE DISORDERS. THEREFORE, WE SHOULD ALL BE WORKING TO PROTECT THE AFFORDABLE CARE ACT FROM THE TRUMP ADMINISTRATION'S EFFORTS-E EFFORT TO DESTROY -- EFFORT TO DESTROY THE ETENSION PROTECTION IT IS PROVIDES. AGAIN, REMIND ALL OF THAT THAT ONDCP IS A VERY IMPORTANT ENTITY . AND IT HAS A JOB TO DO. IT MUST BE PROPERLY FUNDED. AND A LOT OF PEOPLE WHEN THEY GIVE STATISTICS ABOUT OPIOIDS AND DRUGS, MR. SPEAKER, THEY FIND THEMSELVES SPEAKING ABOUT THE DEAD. I'M HERE TO TELL YOU THAT THERE ARE PIPELINES TO DEATH. AND THOSE ARE THE PEOPLE WHO ARE ADDICTED NOW. THOSE ARE THE ONES WHO ARE THINKING ABOUT IT, ABOUT TO START USING THOSE DRUGS. AND SO WE MUST ADDRESS NOT ONLY THE DEATHS AND STATISTICS, BUT WE MUST ADDRESS TREATMENT THAT IS EFFECTIVE AND EFFICIENT. BUT, AGAIN, I'M URGING MY COLLEAGUES TO VOTE FOR THIS BILL. BUT I WANT IT TO BE CLEAR THAT WE SHOULD NOT DUST OUR HANDS OFF AND SAY, UH-OH, DONE. IT'S NOT DONE. BECAUSE THERE IS SO MUCH MORE TO DO. WITH THAT, MR. SPEAKER, I YIELD BACK THE BALANCE OF MY TIME. AND URGE ALL MEMBERS TO VOTE FOR THIS LEGISLATION.

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          • 12:40:17 PM

            THE SPEAKER PRO TEMPORE

            THE GENTLEMAN FROM MARYLAND YIELDS BACK THE BALANCE OF HIS TIME. THE…

            THE GENTLEMAN FROM MARYLAND YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEMAN FROM MICHIGAN IS RECOGNIZED.

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          • 12:40:22 PM

            MR. MITCHELL

            MR. SPEAKER, I APPRECIATE MY COLLEAGUE'S SUPPORT OF THE BILL AND MY BRIEF…

            MR. SPEAKER, I APPRECIATE MY COLLEAGUE'S SUPPORT OF THE BILL AND MY BRIEF TIME HERE, YEAR AND A HALF, IT'S BECOME CLEAR TO ME THAT RARELY DO WE GET TO DUST OFF OUR HANDS AND SAY WE'RE DONE AROUND HERE. IT'S ALSO BECOME CLEAR TO ME THAT DEBATE OF A BILL RARELY STAYS ON THE TOPIC OF THE BILL OR SOLELY ON THE TOPIC OF THE BILL. YOU SEE, A.C.A., THE AFFORDABLE CARE ACT, IS NOT THE SOLE APPROACH TO ADDRESSING HEALTH CARE ISSUES IN THIS COUNTRY, PRE-EXISTING CONDITIONS, OR PRE-EXISTING CONDITIONS THAT AFFECT DRUG ABUSE. I BELIEVE WHEN WE PASSED THE AMERICAN HEALTH CARE ACT IN THIS HOUSE THAT THAT ADDRESSED PRE-EXISTING CONDITIONS, TREATMENT FOR SUBSTANCE ABUSE, AND USING THE WORDS OF MY COLLEAGUE, DID SO MORE EFFECT THIVELY AND EFFICIENTLY THAN THE AFFORDABLE CARE ACT DOES NOW. WE CLEARLY DISAGREE ON THAT. I RESPECT THAT AND WILL CONTINUE TO WORK CONDITIONS THAT AFFECT DRUG ABUSE. I ON IT. TODAY, WE'RE DEALING WITH THIS BILL. I URGE MY COLLEAGUES TO SUPPORT PASSAGE OF THIS BILL BECAUSE I BELIEVE THAT H.R. 5925 IS AN IMPORTANT STEP NOT ONLY RE-AUTHORIZING THE NATIONAL OFFICE ON DRUG CONTROL, BUT ALSO IN PROVIDING ADDITIONAL RESOURCES TO DO SO. WITH THAT, I URGE ADOPTION OF THE BILL. I YIELD BACK THE BALANCE OF MY TIME.

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          • 12:41:36 PM

            THE SPEAKER PRO TEMPORE

            THE GENTLEMAN FROM MICHIGAN YIELDS BACK THE BALANCE OF HIS TIME. THE…

            THE GENTLEMAN FROM MICHIGAN YIELDS BACK THE BALANCE OF HIS TIME. THE QUESTION IS WILL THE HOUSE SUSPEND THE RULES AND PASS THE BILL H.R. 5925. SO MANY AS ARE IN FAVOR SAY AYE -- AS AMENDED. SO MANY AS ARE IN FAVOR SAY AYE. THOSE OPPOSED, NO. IN THE OPINION OF THE CHAIR, 2/3 OF THOSE VOTING HAVING RESPONDED IN THE AFFIRMATIVE, THE RULES ARE SUSPENDED, THE BILL IS PASSED, AND WITHOUT OBJECTION THE MOTION TO RECONSIDER IS LAID UPON THE TABLE.

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        • 12:41:53 PM

          On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.

          • 12:41:54 PM

            Motion to reconsider laid on the table Agreed to without objection.

            • 12:42:17 PM

              Considered under the provisions of rule H. Res. 949. H.R. 6082 — "To amend the Public Health Service Act to protect the confidentiality of substance use disorder patient records."

              • 12:42:22 PM

                Rule provides for consideration of H.R. 6, H.R. 5797 and H.R. 6082. Rule provides for consideration of H.R. 6 and H.R. 5797 under structured rules; and provides for consideration of H.R. 6082 under a closed rule. Additionally, the rule directs the Clerk to, in the engrossment of H.R. 6, add the text of H.R. 2851, H.R. 5735, and H.R. 5797 as passed by the House as a new matter at the end of H.R. 6.

                • 12:43:18 PM

                  THE SPEAKER PRO TEMPORE

                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM TEXAS, MR. BURGESS, SEEK…

                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM TEXAS, MR. BURGESS, SEEK RECOGNITION.

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                • 12:43:24 PM

                  MR. BURGESS

                  PURSUANT TO HOUSE RESOLUTION 949, I CALLP THE BILL H.R. 6082, AND ASK FOR…

                  PURSUANT TO HOUSE RESOLUTION 949, I CALLP THE BILL H.R. 6082, AND ASK FOR ITS IMMEDIATE CONSIDERATION IN THE HOUSE.

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                • 12:43:32 PM

                  THE SPEAKER PRO TEMPORE

                  THE CLERK WILL REPORT THE TITLE OF THE BILL.

                • 12:43:34 PM

                  THE CLERK

                  H.R. 6082, A BILL TO AMEND THE PUBLIC HEALTH SERVICE ACT TO PROTECT THE…

                  H.R. 6082, A BILL TO AMEND THE PUBLIC HEALTH SERVICE ACT TO PROTECT THE CONFIDENTIALITY OF SUBSTANCE USE DISORDER PATIENT RECORDS.

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                • 12:43:44 PM

                  THE SPEAKER PRO TEMPORE

                  PURSUANT TO HOUSE RESOLUTION 949 AND AMENDMENT IN THE NATURE OF A…

                  PURSUANT TO HOUSE RESOLUTION 949 AND AMENDMENT IN THE NATURE OF A SUBSTITUTE CONSISTING OF THE TEXT OF THE RULES COMMITTEE PRINT 115-75, IS ADOPTED AND THE BILL AS BILL AS AMENDED IS CONSIDERED AS READ. THE BILL SHALL BE DEBATABLE FOR ONE HOUR EQUALLY DIVIDED AND CONTROLLED BY THE CHAIR AND RANKING MEMBER OF THE COMMITTEE ON -- ON ENERGY AND COMMERCE. THE GENTLEMAN FROM TEXAS, MR. BURGESS, AND THE GENTLEMAN FROM NEW JERSEY, MR. PALLONE, EACH WILL CONTROL 30 MINUTES. THE CHAIR RECOGNIZES THE GENTLEMAN FROM TEXAS, MR. BURGESS.

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            • 12:44:14 PM

              DEBATE

              The House proceeded with one hour of debate on H.R. 6082.

              • 12:44:18 PM

                MR. BURGESS

                MR. SPEAKER, I ASK UNANIMOUS CONSENT THAT ALL MEMBERS MAY HAVE FIVE…

                MR. SPEAKER, I ASK UNANIMOUS CONSENT THAT ALL MEMBERS MAY HAVE FIVE LEGISLATIVE DAYS TO REVISE AND EXTEND THEIR REMARKS AND INSERT EXTRANEOUS MATERIAL ON H.R. 6082.

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              • 12:44:28 PM

                THE SPEAKER PRO TEMPORE

                WITHOUT OBJECTION, SO ORDERED.

              • 12:44:29 PM

                MR. BURGESS

                MR. SPEAKER, I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

              • 12:44:32 PM

                THE SPEAKER PRO TEMPORE

              • 12:44:34 PM

                MR. BURGESS

                OVER THE COURSE OF THE PAST SEVERAL MONTHS, THE ENERGY AND COMMERCE…

                OVER THE COURSE OF THE PAST SEVERAL MONTHS, THE ENERGY AND COMMERCE SUBCOMMITTEE ON HEALTH HELD FOUR LEGISLATIVE HEARINGS ON BILLS TO ADDRESS THE OPIATE EPIDEMIC AND REPORTED 57 BILLS TO THE FULL COMMITTEE. OF THOSE 57 BILLS, ONLY ONE RECEIVED ITS OWN DISCREET HEARING. THAT BILL WAS H.R. 6082, THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT INTERDUTIESED BY REPRESENTATIVES MULLIN AND BLUMENAUER. AS A PHYSICIAN, I BELIEVE IT IS VITAL THAT DOCTORS HAVE ALL THE APPROPRIATE INFORMATION TO DETERMINE THE PROPER COURSE OF TREATMENT FOR A PATIENT, ENSURING PATIENT SAFETY AND PRIVACY AS REQUIRED BY FEDERAL REGULATION KNOWN AS HIPAA. THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT MAINTAINS THE ORIGINAL INTENT OF THE 1960 STATUTE BEHIND 42 C.F.R. PART 2 BY PROTECTING PATIENTS AND IMPROVING CARE COORDINATION. . IN FACT THE BILL INCREASES PROTECTIONS FOR THOSE SEEKING TREATMENT BY MORE SEVERELY PENALIZING THOSE WHO ILLEGALLY SHARE PATIENT DATA THAN UNDER THE CURRENT STATUTE. CURRENT PART TWO LAW DOES NOT PROTECT INDIVIDUALS FROM DISCRIMINATION BASED ON THEIR TREATMENT RECORDS AND TO THIS DATE THERE HAVE BEEN NO CRIMINAL ACTIONS UNDERTAKEN TO ENFORCE PART TWO. THIS BILL HAS A WIDE RANGE OF SUPPORT FROM NATIONAL AND STATE ORGANIZATIONS. SINCE THE BILL WAS INTRODUCED, THE ENERGY AND COMMERCE COMMITTEE HAS HEARD FROM OVER 100 ORGANIZATIONS IN ITS SUPPORT. ARGUABLY THE MOST NOTABLE SUPPORT FOR THIS LEGISLATION COMES FROM THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION IN THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE ASSISTANT SECRETARY FOR MENTAL HEALTH AND SUBSTANCE USE WROTE TO MR. MULLIN IN MARCH STATING THAT SAMHSA IS, QUOTE, ENCOURAGED TO SEE CONGRESS EXAMINE THE BENEFITS OF ALIGNING PART TWO WITH HIPAA, PATIENT PRIVACY IS, OF COURSE, CRITICAL, BUT SO TOO IS PATIENT ACCESS TO SAFE, EFFECTIVE AND COORDINATED TREATMENT, END QUOTE. I AGREE WITH THE DOCTOR THAT IN ORDER TO ENSURE PATIENT SAFETY, PHYSICIANS MUST HAVE AC -- SECURE ACCESS TO PATIENT RECORDS, INCLUDING SUBSTANCE USE DISORDER INFORMATION. WHEN THIS INFORMATION IS NOT PROVIDED TO HEALTH CARE PROFESSIONALS, THEY MAY END UP PRESCRIBING MEDICATIONS THAT HAVE DANGEROUS DRUG INTERACTIONS, OR MAY LEAD A PATIENT WHO IS IN RECOVERY TO BE INAPPROPRIATELY PRESCRIBED AN OPIATE AND FALL BACK INTO ADDICTION. ONE PARTICULAR COMPLICATION DRIVEN BY 42 C.F.R. PART TWO DIRECTLY IMPACTS THE CARE FOR PREGNANT WOMEN AND THEIR INFANTS. FOR WOMEN WHO ARE PREGNANT, PART TWO DOES NOT ALLOW REDISCLOSURE OF SUBSTANCE USE DISORDER MEDICAL DOCUMENTATION WITHOUT THEIR WRITTEN CONSENT. THIS LEADS TO FRAGMENTED CARE WHICH OPENS UP THE MOTHER AND HER BABY TO POTENTIAL HARM. ONE OF THE NATION'S LARGEST NOT-FOR-PROFIT MEDICAL ORGANIZATIONS NOTES, I'M QUOTING HERE, MOTHERS WHO CONTINUE TO USE DURING PREGNANCY AND WHO DO NOT WISH TO SIGN SECONDARY RELEASES TO ALLOW THEIR CARE PROVIDERS TO TREAT THEM COMPREHENSIVELY PUT THEIR UNBORN CHILDREN AT RISK FOR ADDICTION, END QUOTE. IT WATCHES THESE WOMEN AND THEIR INFANTS SUFFER RIGHT BEFORE THEIR EYES, BUT BECAUSE OF PART TWO, THEY CANNOT SHARE THE INFORMATION TO ENSURE THAT THE MOTHER AND BABY ARE GETTING PROPER CARE. AS AN OB-GYN PHYSICIAN MYSELF, I CANNOT IMAGINE HAVING THIS INFORMATION WITH HELD. SUCH A SITUATION WOULD LEAVE ME WITH THE INABILITY TO TREAT THE WHOLE PATIENT AND ENSURE THAT THE MOTHER IS HEALTHY AND HER BABY IS NOT ON A PATH FOR ADDICTION. IN ANOTHER SITUATION, A PATIENT WAS REFERRED TO A TREATMENT CENTER FOLLOWING AN EMERGENCY ROOM VISIT FOR AN OVERDOSE. THE PATIENT WAS NOT ABLE TO GIVE WRITTEN CONSENT TO HIS PROVIDERS DUE TO ACUTE INTOXICATION. DUE TO A LACK OF WRITTEN CONSENT, AND 42 C.F.R. PART TWO, THE TREATMENT FACILITY COULD NOT COMMUNICATE TO THE E.R. AND LEARN ABOUT THE PATIENT'S CONDITION OR CONFIRM THAT THE PATIENT HAD INDEED ENROLLED IN A DRUG TREATMENT CENTER, FURTHER DELAYING CRITICAL CARE COORDINATION. THERE IS CLEAR EVIDENCE THAT PART TWO IS A MASSIVE ROADBLOCK TO PROVIDING SAFE, QUALITY AND COORDINATED CARE TO INDIVIDUALS SUFFERING FROM SUBSTANCE USE DISORDER. THE ISSUE OF THE STIGMA ASSOCIATED WITH SUBSTANCE USE DISORDER HAS BEEN A CONSTANT IN ALL OF THE DISCUSSIONS THAT WE HAVE HAD, BOTH IN OUR OFFICES AND IN OUR HEARINGS. IN APRIL WE HEARD FROM NUMEROUS INDIVIDUALS WHO WERE PARENTS OF CHILDREN WHO DIED FROM OPIOID OVERDOSES. SOME NOTED THAT THEIR CHILDREN WERE AFRAID TO SEEK HELP FROM THEIR FAMILIES OR FROM HEALTH CARE PROFESSIONALS BECAUSE THEY WERE EMBARRASSED OR THEY FELT STIGMATIZED. WE SHOULD ENABLE PHYSICIANS TO FULLY CARE FOR THESE PATIENTS SUFFERING FROM SUBSTANCE USE DISORDER, AS IF THEY HAD ANY OTHER DISEASE. THE OVERDOSE PREVENTION PATIENT SAFETY -- AND PATIENT SAFETY ACT WILL DO JUST THAT -- THAT. THE FIRST STEP IN ADDRESSING A PROBLEM IS ADMITTING IT EXISTS. I WOULD LIKE TO POSE A QUESTION TO THOSE WHO ARE ARGUING AGAINST THIS LEGISLATION, IF WE CONTINUE TO SILO THE SUBSTANCE USE DISORDER TREATMENT INFORMATION OF A SELECT GROUP OF PATIENTS RATHER THAN INTEGRATING IT INTO OUR MEDICAL RECORDS AND COMPREHENSIVE CARE MODELS, HOW CAN WE ENSURE THAT THESE PATIENTS ARE IN FACT RECEIVING QUALITY CARE? HOW CAN WE REALLY TREAT SUBSTANCE USE DISORDER LIKE ALL OTHER COMPLEX HEALTH CONDITIONS? H.R. 6082 ENSURES ADEQUATE DATA PATIENT PROTECTION IN ACCORDANCE WITH FEDERAL LAW, WITH HIPAA. THERE ARE PROVISIONS IN THE LANGUAGE THAT ENSURE THAT THE DATA MAY ONLY BE USED FOR PURPOSES OF TREATMENT, PAYMENT OR HEALTH CARE OPERATIONS. SUBSTANCE USE DISORDER DATA CANNOT BE USED IN CRIMINAL, CIVIL OR ADMINISTRATIVE INVESTIGATIONS, ACTIONS OR PROCEEDINGS WITHOUT PATIENT CONSENT OR A COURT ORDER. ADDITIONALLY, THE LEGISLATION EXPLICITLY, EXPLICITLY PROHIBITS DISCRIMINATION AGAINST AN INDIVIDUAL ON THE BASIS OF THEIR PATIENT NEEDS. CURRENTLY PART TWO INCLUDES NO ANTI-DISCRIMINATION PROTECTIONS AND NO PROTECTIONS FOR INDIVIDUALS IF THERE IS A DATA BREACH OR IMPROPER DISCLOSURE. THINK ABOUT THAT FOR A MINUTE, MR. SPEAKER. THIS IS A 1970'S-ERA LAW. THERE WERE NOT DATA BREACHES BACK IN THE 1970'S. 42 C.F.R. PART TWO WAS NEVER INTENDED TO PROTECT A PATIENT IN THE INSTANCE OF A DATA BREACH. SHOULD ANY ENTITY OR INDIVIDUAL SHARE PATIENT DATA UNDER H.R. 6082, THEY IN FACT WILL BE SEVERELY PENALIZED. THERE'S A REASON WHY SAMHSA AND MOST OF THE HEALTH CARE STAKEHOLDER COMMUNITY IS ASKING FOR THIS CHANGE. CLEARLY THERE IS AN ISSUE HERE THAT MUST BE ADDRESSED. THIS OPIOID CRISIS IS HURTING OUR COUNTRY. THIS WILL ENABLE GREATER COORDINATION AMONG HEALTH CARE PROVIDERS IN PROVIDING QUALITY, EFFECTIVE CARE FOR INDIVIDUALS ACROSS THE COUNTRY WHO ARE BATTLING SUBSTANCE USE DISORDER. MY THANKS TO MR. MULLIN ON THE ENERGY AND COMMERCE COMMITTEE, TO MR. BLUMENAUER, FOR INTRODUCING THIS LEGISLATION THAT IS OF UTMOST IMPORTANCE. I URGE STRONG SUPPORT FOR THE BILL AND I WILL RESERVE THE BALANCE OF MY TIME.

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              • 12:52:41 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN RESERVES THE BALANCE OF HIS TIME. THE GENTLEMAN FROM NEW…

                THE GENTLEMAN RESERVES THE BALANCE OF HIS TIME. THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED.

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              • 12:52:45 PM

                MR. PALLONE

                THANK YOU, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

              • 12:52:48 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN IS RECOGNIZED.

              • 12:52:49 PM

                MR. PALLONE

                MR. SPEAKER, I RISE IN OPPOSITION TO H.R. 6082, THE OVERDOSE PREVENTION…

                MR. SPEAKER, I RISE IN OPPOSITION TO H.R. 6082, THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT. THIS LEGISLATION WOULD GREATLY HARM OUR EFFORTS TO COMBAT THE OPIOID EPIDEMIC. IF WE REALLY WANT TO TURN THE TIDE ON THIS CRISIS, WE MUST FIND WAYS TO GET MORE PEOPLE INTO TREATMENT FOR OPIOID USE DISORDER. IN 2016 THERE WERE ABOUT 21 MILLION AMERICANS AGE 12 OR OLDER IN NEED OF SUBSTANCE USE DISORDER TREATMENT, BUT ONLY FOUR MILLION OF THOSE 12 MILLION ACTUALLY RECEIVED TREATMENT. THAT MEANS 17 MILLION PEOPLE ARE GOING WITHOUT THE TREATMENT THEY NEED. AND FAILURE TO GET INDIVIDUALS WITH OPIOID USE DISORDER INTO TREATMENT INCREASES RISK OF FATAL AND NONFATAL OVERDOSES AS PEOPLE CONTINUE TO SEEK OUT ILLICIT OPIOIDS AS PART OF THEIR ADDICTION. INCREASING PRESENCE OF FENTANYL IN OUR DRUG SUPPLY ONLY HEIGHTENS THIS CONCERN. STRATEGIES THAT INCREASE THE NUMBER OF PEOPLE GETTING INTO AND REMAINING IN TREATMENT ARE PARTICULARLY IMPORTANT BECAUSE AS THESE TREATMENT STATISTICS SHOW, MAJOR CHALLENGES EXIST AT GETTING PEOPLE WITH SUBSTANCE USE DISORDERS TO ENTER TREATMENT IN THE FIRST PLACE. AND THIS HOUSE SHOULD NOT, AND STRESS SHOULD NOT, TAKE ANY ACTION THAT PUTS AT RISK PEOPLE SEEKING TREATMENT FOR ANY SUBSTANCE USE DISORDER, BUT PARTICULARLY OPIOID USE DISORDERS. UNFORTUNATELY THIS BILL RISKS DOING JUST THAT. REDUCING THE NUMBER OF PEOPLE WILLING TO COME FORWARD AND REMAIN IN TREATMENT BECAUSE THEY WORRY ABOUT THE NEGATIVE CONSEQUENCES THAT SEEKING TREATMENT CAN HAVE ON THEIR LIVES. AND THIS IS A VERY REAL CONCERN. THIS BILL WEAKENS PRIVACY PROTECTIONS THAT MUST BE IN PLACE FOR SOME PEOPLE TO FEEL COMFORTABLE ABOUT STARTING TREATMENT FOR THEIR SUBSTANCE USE DISORDER. ENSURING STRONG PRIVACY PROTECTIONS IS CRITICAL TO MAINTAINING AN INDIVIDUAL'S TRUST IN THE HEALTH CARE SYSTEM. AND THE WILLINGNESS TO OBTAIN NEEDED HEALTH SERVICES. THESE PROTECTIONS ARE ESPECIALLY IMPORTANT WHERE VERY SENSITIVE INFORMATION IS CONCERNED. THE INFORMATION THAT MAY BE INCLUDED IN THE TREATMENT RECORDS OF A SUBSTANCE USE DISORDER PATIENT ARE PARTICULARLY SENSITIVE BECAUSE DISCLOSURE OF SUBSTANCE USE DISORDER INFORMATION CAN CREATE TANGIBLE VULNERABILITIES THAT ARE NOT THE SAME AS OTHER MEDICAL CONDITIONS. FOR EXAMPLE, YOU ARE NOT INCARCERATED FOR HAVING A HEART ATTACK. YOU CANNOT LEGALLY BE FIRED FOR HAVING CANCER. AND YOU ARE NOT DENIED VISITATION TO YOUR CHILDREN DUE TO SLEEP APNEA. ACCORDING TO SAMHSA, THE NEGATIVE CONSEQUENCES THAT CAN RESULT FROM DISCLOSURE OF AN INDIVIDUAL'S SUBSTANCE USE DISORDER TREATMENT RECORD CAN INCLUDE LOSS OF EMPLOYMENT, LOSS OF HOUSING, LOSS OF CHILD CUSTODY, DISCRIMINATION BY MEDICAL PROFESSIONALS, AND INSURERS, ARREST, PROSECUTION AND INCARCERATION. THESE ARE REAL RISKS THAT KEEP PEOPLE FROM GETTING TREATMENT IN THE FIRST PLACE. AND WHILE I UNDERSTAND THAT THE ROLLBACK OF THE EXISTING PRIVACY PROTECTIONS TO THE HIPAA STANDARD WOULD LIMIT PERMISSIBLE DISCLOSURES WITHOUT PATIENT CONSENT TO HEALTH CARE ORGANIZATIONS, THIS IGNORES THE REALITY. IT MAY BE ILLEGAL FOR INFORMATION TO BE DISCLOSED OUTSIDE THESE HEALTH CARE ORGANIZATIONS, BUT WE KNOW, MR. SPEAKER, THAT INFORMATION DOES GET OUT. BREACHES DO HAPPEN. REMEMBER THE RECENT LARGE-SCALE AETNA BREACH THAT DISCLOSED SOME OF ITS MEMBERS' H.I.V. STATUS. BUT THERE ARE ALSO SMALL-SCALE BREACHES THAT DON'T MAKE THE NEWS, BUT CAN HAVE DEVASTATING CONSEQUENCES FOR PATIENTS TRYING TO RECOVER AND GET TREATMENT. FOR EXAMPLE, A RECENT INVESTIGATION DETAILED INSTANCES WHERE A HEALTH CARE ORGANIZATION'S EMPLOYEE PEEKED AT THE RECORD OF A PATIENT 61 TIMES AND POSTED DETAILS ON FACEBOOK WHILE ANOTHER IMPROPERLY SHARED A PATIENT'S HEALTH INFORMATION WITH THE PATIENT'S PAROLE OFFICER. BREACHES SUCH AS THIS ARE VERY CONCERNING. AND COULD OCCUR MORE OFTEN AS A RESULT OF THIS LEGISLATION. WHILE I APPRECIATE THE SPONSORS' EFFORTS TO ALLEVIATE THESE CONCERNS, I DO NOT BELIEVE THE POTENTIAL HARM THAT COULD BE CAUSED BY ELIMINATING THE PATIENT CONSENT REQUIREMENT UNDER EXISTING LAW FOR TREATMENT, PAYMENT AND HEALTH CARE OPERATIONS CAN BE REMEDIED THROUGH THE MEASURES INCLUDED IN THIS BILL. THE INCLUSIONS OF THESE PROVISIONS CANNOT COMPENSATE FOR THE RISK OF STIGMA, DISCRIMINATION AND NEGATIVE HEALTH AND LIFE OUTCOMES FOR INDIVIDUALS WITH OPIOID USE DISORDER THAT COULD RESULT FROM THE WEAKENING OF THE EXISTING PRIVACY PROTECTIONS. THAT'S WHY EVERY SUBSTANCE USE DISORDER PATIENT GROUP HAS COME OUT IN OPPOSITION TO THIS BILL. ACCORDING TO THE CAMPAIGN TO PROTECT PATIENT PRIVACY RIGHTS, A COALITION OF MORE THAN 100 ORGANIZATIONS, AND I'M QUOTING NOW, USING THE WEAKER HIPAA PRIVACY RULE STANDARD OF ALLOWING DISCLOSURE OF SUBSTANCE USE DISORDER INFORMATION WITHOUT PATIENT CONSENT FOR TREATMENT, PAYMENT AND HEALTH CARE OPERATIONS WILL CONTRIBUTE TO THE EXISTING LEVEL OF DISCRIMINATION AND HARM TO PEOPLE LIVING WITH SUBSTANCE USE DISORDERS, UNQUOTE. THE CAMPAIGN GOES ON TO SAY, AND AGAIN I QUOTE, THIS WILL ONLY RESULT IN MORE PEOPLE WHO NEED SUBSTANCE USE DISORDER TREATMENT BEING DISCOURAGED AND AFRAID TO SEEK THE HEALTH CARE THEY NEED DURING THE NATION'S WORST OPIOID CRISIS. THIS IS A RISK WE SIMPLY SHOULD NOT TAKE. AND YET THE MAJORITY IS BRINGING THIS BILL TO THE FLOOR TODAY DESPITE THE VERY REAL CONCERNS OF THESE EXPERTS. AND THESE GROUPS UNIQUELY UNDERSTAND WHAT'S AT STEAK FROM THIS LEGISLATION. BECAUSE MANY OF THEIR MEMBERS LIVE WITH OR ARE IN FEAR OF THE NEGATIVE CONSEQUENCES THAT RESULT FROM THE DISCLOSURE OF SUBSTANCE USE DISORDER DIAGNOSIS AND TREATMENT INFORMATION. IN FACT, THE NEGATIVE CONSEQUENCES THAT WILL RESULT FROM THE DISCLOSURE OF SOMEONE'S SUBSTANCE USE DISORDER WOULD TOTALLY EFFECT THAT INDIVIDUAL AND THEIR FEMALE. THEY WILL BEAR THE BURDEN IF WE GET THIS WRONG. THEY COULD BE AT RISK OF POTENTIALLY LOSING CUSTODY OF THEIR CHILD AND THEIR FREEDOM BY THE INCREASED RISK OF IMPROPER DISCLOSURE OF THEIR MEDICAL RECORD IF THIS BILL BECOMES LAW. AND THESE RISKS MAY SIMPLY JUST KEEP THEM FROM SEEKING POTENTIALLY LIFE-SAVING TREATMENT. AND THAT'S WHY SUBSTANCE USE DISORDER TREATMENT PROVIDERS HAVE ALSO RAISED CONCERNS. THE SOUTH CAROLINA ASSOCIATION OF OPIATE DEPENDENTS EXPLAINED, EVEN WITH THE GROWING AWARENESS THAT SUBSTANCE USE DISORDERS ARE A DISEASE, THE UNFORTUNATE TRUTH IS THAT PERSONS WITH SUBSTANCE USE DISORDER ARE STILL ACTIVELY DISCRIMINATED AGAINST. SUCH AS A BABY BEING TAKEN AWAY FROM A NEW MOTHER BECAUSE SHE'S ON METHADONE FOR AN OPIOID USE DISORDER, DESPITE LONGSTANDING COMPLIANCE WITH HER TREATMENT AND AFTNENCE FROM ILLEGAL DRUG USE. ANOTHER PROVIDER RAISED THE BOTTOM ADDICTION TREATMENT, ONE OF TWO MEDICAL ASSISTED TREATMENT FACILITIES IN IDAHO, EXPLAINED, AND I QUOTE, THAT OUR PATIENTS COME FROM EVERY WALK OF LIFE. INCLUDING PROFESSIONALS AND EXECUTIVES WITHIN OUR COMMUNITY. THEIR ANONYMITY AND PRIVACY IS OF UTMOST IMPORTANCE BECAUSE THEIR KOREA CAREERS AND LIVELIHOOD OFTEN DEPEND ON IT. KNOWING PEOPLE MAY SEEK TREATMENT WITHOUT FEAR OF BACKLASH AND DISCRIMINATION IS OFTEN A DECIDING FACTOR WHEN CONSIDERING ENTERING TREATMENT. TO UNDO THIS PROTECTION WILL DEEPLY EFFECT ONE'S ABILITY AND WILLINGNESS TO SEEK HELP. NOT ONLY ACCOUNT MEMBERS OF OUR COMMUNITY NOT AFFORD TO LOSE THEIR RIGHT TO CONFIDENTIALITY, BUT WE AS A NATION CANNOT AFFORD TO MOVE BACKWARDS IN OUR FIGHT TO COMBAT THIS OPIOID CRISIS. SO AGAIN, MR. SPEAKER, THESE ARE THE WORDS OF EXPERTS ON THE FRONTLINE, FIGHTING THIS EPIDEMIC. PEOPLE WHO SUFFER FROM SUBSTANCE USE DISORDER SHOULD BE ABLE TO DECIDE WITH WHOM TO SHARE THEIR TREATMENT RECORDS, FROM PROGRAMS AND FOR WHAT PURPOSES. THOSE RIGHTS ARE TAKEN AWAY FROM THEM UNDER THIS LEGISLATION AND I BELIEVE THAT'S WRONG. . I BELIEVE MAINTAINING THE HEIGHTENED PRIVACY PROTECTIONS UNDER EXISTING LAW REMAINS VITAL TO ENSURING ALL INDIVIDUALS WITH SUBSTANCE USE DISORDER CAN SEEK TREATMENT FOR THEIR SUBSTANCE USE DISORDER WITH CONFIDENCE THAT THEIR RIGHT TO PRIVACY WILL PROTECT IT. TO DO OTHERWISE AT THIS TIME IS JUST TOO GREAT A RISK AND I STRONGLY URGE MY COLLEAGUES TO LISTEN TO THE EXPERTS ON THIS SUBJECT AND TO VOTE NO ON THIS LEGISLATION. I RESERVE THE BALANCE OF MY TIME.

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              • 01:01:01 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN FROM NEW JERSEY RESERVES. THE GENTLEMAN FROM TEXAS IS…

                THE GENTLEMAN FROM NEW JERSEY RESERVES. THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

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              • 01:01:05 PM

                MR. BURGESS

                THANK YOU, MR. SPEAKER. AT THIS TIME I'M HAPPY TO RECOGNIZE THE GENTLEMAN…

                THANK YOU, MR. SPEAKER. AT THIS TIME I'M HAPPY TO RECOGNIZE THE GENTLEMAN FROM OKLAHOMA, THE PRINCIPAL SPONSOR OF THE BILL, THREE MINUTES, HE'S A VALUABLE MEMBER OF THE ENERGY AND COMMERCE COMMITTEE, MR. MULLIN, THREE MINUTES.

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              • 01:01:17 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN FROM OKLAHOMA IS RECOGNIZED FOR THREE MINUTES.

              • 01:01:20 PM

                MR. MULLIN

                I RISE TO SPEAK IN SUPPORT OF MY BILL, THE OVERDOSE PREVENTION AND PATIENT…

                I RISE TO SPEAK IN SUPPORT OF MY BILL, THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT. MY COLLEAGUE, MR. BLUMENAUER, AND I INTRODUCED THIS BILL TO HELP PHYSICIANS FIGHT THE OPIOID EPIDEMIC. THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT ALLOWS THE FLOW OF INFORMATION AMONG HEALTH CARE PROVIDERS AND HEALTH PLANNERS FOR THE PURPOSE OF TREATMENT, PAYMENT, AND HEALTH CARE OPERATIONS. UNFORTUNATELY, THERE'S AN OUTDATED FEDERAL GOVERNMENT MANDATE, 42 C.F.R. PART 2, WHICH IS CREATING A FIREWALL BETWEEN DOCTORS AND PATIENTS. MY BILL, THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT, WILL GIVE DOCTORS ACCESS TO PATIENTS' ADDICTION MEDICAL INFORMATION THAT CAN INTEGRATE THEIR CARE AND PREVENT TRAGIC OVERDOSES AND IMPROVE PATIENT SAFETY. SAMHSA HAS STATED, THE PRACTICE OF REQUIRING THE SUBSTANCE USE DISORDER INFORMATION TO BE ANY MORE PRIVATE THAN INFORMATION REGARDING OTHER CHRONIC ILLNESSES SUCH AS CANCER OR HEART DISEASE MAY ITSELF BE STIGMATIZING THE PATIENT. PATIENTS WITH SUBSTANCE USE DISORDERS SEEKING TREATMENT FOR ANY CONDITION HAVE A RIGHT TO HEALTH CARE PROVIDERS WHO FULLY UNDERSTAND AND ARE EQUIPPED WITH THE INFORMATION NEEDED TO PROVIDE THE HIGHEST QUALITY OF CARE. WHEN A PERSON VIOLATES PART 2, IT IS REFERRED TO THE JUSTICE DEPARTMENT AND THERE IS ONLY A $50 PENALTY. THERE'S BEEN ZERO CASES -- LET ME REPEAT THAT. THERE HAS BEEN ZERO CASES IN WHICH PART 2 WAS ENFORCED OR ANY ACTION TAKEN BY THE DEPARTMENT OF JUSTICE OR SAMHSA. THE PENALTY FOR NONCOMPLIANCE UNDERNEATH HIPAA ARE BASED ON A LEVEL OF NEGLIGENCE AND CAN RANGE FROM $100 TO $50,000 PER VIOLATION WITH A MAXIMUM OF $1.5 MILLION PER YEAR. THERE'S BEEN 173,472 CASES UNDERNEATH HIPAA VIOLATIONS SINCE 2003 WITH 97% OF THOSE COMPLAINTS RESOLVED. PATIENTS, DOCTORS, HOSPITALS, AND A BROAD SPECTRUM OF STAKEHOLDERS AGREE WE NEED TO END THIS OUTDATED FEDERAL GOVERNMENT MANDATE BY STOPPING THE PRIVATE SECTOR'S -- BY HELPING PREVENT THE PRIVATE SECTOR'S INNOVATION. I ENCOURAGE MY COLLEAGUES TO SUPPORT THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT. THANK YOU, MR. SPEAKER, AND I YIELD BACK.

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              • 01:03:52 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN YIELDS BACK. THE GENTLEMAN FROM TEXAS RESERVES. THE…

                THE GENTLEMAN YIELDS BACK. THE GENTLEMAN FROM TEXAS RESERVES. THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED. THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED.

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              • 01:04:01 PM

                MR. PALLONE

                MR. SPEAKER, I'D LIKE TO YIELD THREE MINUTES NOW TO THE GENTLEMAN FROM…

                MR. SPEAKER, I'D LIKE TO YIELD THREE MINUTES NOW TO THE GENTLEMAN FROM OREGON, MR. BLUMENAUER.

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              • 01:04:07 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN FROM OREGON IS RECOGNIZED FOR THREE MINUTES.

              • 01:04:23 PM

                MR. BLUMENAUER

                THANK YOU, MR. SPEAKER. I THANK MR. PALLONE FOR PERMITTING ME TO SPEAK ON…

                THANK YOU, MR. SPEAKER. I THANK MR. PALLONE FOR PERMITTING ME TO SPEAK ON THIS BILL. I RESPECT HIS EFFORTS AND I RESPECT A NUMBER OF HIS CONCERNS, BUT I DO THINK THAT THE WORK THAT WE HAVE DONE WITH MR. MULLIN, WITH THE COMMITTEE, AND I APPRECIATE THE SUBCOMMITTEE'S EXTRA EFFORTS TO TRY AND WORK THROUGH THESE ELEMENTS, LISTEN TO PEOPLE'S OBJECTIONS AND TRY AND DO IT RIGHT. THERE HAS BEEN NO ARGUMENT THAT THIS PROVISION HAS COST LIVES. THE FAILURE IN EMERGENCY ROOMS, OTHER CIRCUMSTANCES, FOR PEOPLE TO BE ABLE TO GET THE FULL PICTURE OF A PATIENT'S CONDITION ENDS UP SOMETIMES WITH TRAGIC CONSEQUENCES. WE HAVE YET TO HEAR ANY REASON WHY WE SHOULDN'T COORDINATE. NOW, I APPRECIATE CONCERNS ABOUT PATIENT PRIVACY, BUT AS DR. BURGESS, MY FRIEND FROM OKLAHOMA POINTED OUT, WE ARE STRENGTHENING PROVISIONS UNDER THIS BILL FOR DISCLOSURE. THE FACT THAT PEOPLE DON'T WANT TO STIGMATIZE THOSE WITH SUBSTANCE ABUSE, WE AGREE, BUT HAVING A SEPARATE SYSTEM THAT PEOPLE HAVE TO GO THROUGH JUST FOR SUBSTANCE ABUSE IMPLIES A STIGMA. THIS IS SOMETHING WRONG WITH THESE PEOPLE. YOU DON'T DO THIS FOR AIDS ANYMORE. THIS HARMONIZES WITH ALL THE OTHER HIPAA PROVISIONS. AND CANDIDLY, FORCING PEOPLE TO GET THROUGH YET ANOTHER STEP PROBABLY RAISES QUESTIONS ABOUT THE VALIDITY OF DISCLOSURE, RAISING QUESTIONS IN THE MINDS OF THOSE WHO GO THROUGH THAT. MR. SPEAKER, WE HAVE MADE, I THINK, TREMENDOUS PROGRESS DEALING WITH STIGMA, DEALING WITH PATIENT PROTECTION. WHAT WE'VE DONE FOR MENTAL HEALTH, WHICH HAS DEVASTATING CONSEQUENCES IN SOME CASES, IF PEOPLE'S RECORDS ARE REVEALED. WHAT HAPPENED WITH HIV-AIDS? THAT WOULD END UP WITH PEOPLE HAVING A STIGMA, AT RISK OF LOSING THEIR JOB, BEING OSTRACIZED. THERE ARE PROVISIONS IN THIS BILL THAT ARE THERE FOR HIV-AIDS, FOR MENTAL HEALTH, FOR EVERYTHING UNDER HIPAA. I REALLY DO THINK THAT TAKING A STEP BACK, UNDERSTANDING THAT HAVING SEPARATE AUTHORIZATIONS COMPLICATES THE COORDINATION AND INTEGRATION OF TREATMENT BECAUSE OFTENTIMES BEHAVIORAL HEALTH INFORMATION DOESN'T AWRY IN AN ORDERLY FASHION. IT'S ANOTHER STEP OF COMPLICATION THAT COULD HAVE TRAGIC CONSEQUENCES. IN FACT, THE SUBCOMMITTEE'S RECORD DEMONSTRATES THAT. THERE HAVE BEEN EXAMPLES WHERE PEOPLE HAVE DIED BECAUSE THE MEDICAL PROVIDERS DID NOT HAVE THE FULL PICTURE OF THE PATIENT. THIS LEGISLATION WILL FIX IT.

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              • 01:07:35 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN YIELDS BACK. THE GENTLEMAN FROM NEW JERSEY RESERVES, AND THE…

                THE GENTLEMAN YIELDS BACK. THE GENTLEMAN FROM NEW JERSEY RESERVES, AND THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

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              • 01:07:39 PM

                MR. BURGESS

                THANK YOU, MR. SPEAKER. AT THIS TIME IT'S MY PLEASURE TO RECOGNIZE THE…

                THANK YOU, MR. SPEAKER. AT THIS TIME IT'S MY PLEASURE TO RECOGNIZE THE CHAIRMAN OF THE FULL COMMITTEE, MR. WALDEN OF OREGON, FOR FIVE MINUTES.

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              • 01:07:46 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN FROM OREGON IS RECOGNIZED FOR FIVE MINUTES.

              • 01:07:48 PM

                MR. WALDEN

                THANK YOU, MR. SPEAKER. I WANT TO THANK DR. BURGESS, THE CHAIRMAN OF THE…

                THANK YOU, MR. SPEAKER. I WANT TO THANK DR. BURGESS, THE CHAIRMAN OF THE SUBCOMMITTEE ON HEALTH, FOR HIS FINE LEADERSHIP ON THIS ISSUE, ALONG WITH OUR COLLEAGUES, MR. MULLIN AND MY FRIEND FROM OREGON AND COLLEAGUE, MR. BLUMENAUER, WHO PUT A LOT OF WORK INTO THIS. I COMMEND MY COLLEAGUE FROM OREGON FOR HIS STRONG STATEMENT IN SUPPORT OF THIS LEGISLATION. COMBATING THE OPIOID EPIDEMIC HAS BEEN A TOP PRIORITY OF ALL OF US IN THIS CONGRESS AND ESPECIALLY ON THE ENERGY AND COMMERCE COMMITTEE, WHICH I CHAIR. WE'VE COMMITTED THE LAST YEAR AND A HALF TO EXAMINING THE WAYS WE CAN RESPOND TO SAVE LIVES, TO HELP PEOPLE IN OUR COMMUNITIES, AND TO END THIS DEADLY, DEADLY EPIDEMIC. DURING THAT TIME, I HEARD A LOT OF STORIES. BOTH AT THE HEARINGS HERE IN THE NATION'S CAPITAL AND BACK HOME IN OREGON WHERE I HAVE HELD MULTIPLE ROUNDTABLES AND MEETINGS IN THE COMMUNITIES ABOUT WHAT WE NEED TO DO TO HELP THE OUTCOME OF PATIENTS, OUR NEIGHBORS, OUR FRIENDS, SOME CASES FAMILY MEMBERS WHO ARE DEALING WITH THESE ADDICTIONS. EXTRAORDINARY ARRAY OF PEOPLE, INCLUDING PATIENTS, PARENTS OF THOSE SUFFERING WITH ADDICTION, THE OREGON ASSOCIATION OF HOSPITAL ASSOCIATION, THE OREGON GOVERNOR, KATE BROWN, SUBSTANCE USE DISORDER TREATMENT PROVIDERS HAVE ALL TOLD ME AND OUR COMMITTEE THAT EXISTING FEDERAL CONFIDENTIALITY REGULATIONS AND STATUTE KNOWN AS 42 C.F.R. PART 2, OR SIMPLY PART 2, ARE WORKING AGAINST, WORKING AGAINST PATIENTS AND MAKING IT HARDER TO EFFECTIVELY TREAT ADDICTION. THERE'S HARDLY ANYONE IN THE HEALTH CARE SECTOR THAT WE'VE NOT HEARD FROM ON THIS ISSUE, BUT ONE STORY REALLY COMES TO MIND AND THAT'S BRANDON MCKEY. BRANDON'S BROTHER, DUSTIN, HE TESTIFIED BEFORE OUR HEALTH SUBCOMMITTEE WHEN WE REVIEWED A NEAR IDENTICAL VERSION OF THIS LEGISLATION BACK IN MAY. TRAGICALLY, BRANDON DIED OF AN OVERDOSE AT 36 YEARS OF AGE. HE LEFT BEHIND THREE YOUNG CHILDREN. SPEAKING ABOUT HIS PASSING, HIS BROTHER, DUSTIN, TOLD THE SUBCOMMITTEE, AND I QUOTE, BRANDON'S DEATH WAS PREVENTABLE. HOWEVER, IN PART BECAUSE OF THE ANTIQUATED PROVISIONS IN PART 2, THE MEDICAL PROFESSIONALS THAT PRESCRIBED HIM OPIOID-BASED PAIN MEDICATIONS WERE NOT ABLE TO IDENTIFY HIM AS A HIGH-RISK INDIVIDUAL, CLOSED QUOTE. YOU SEE, BRANDON WAS PRESCRIBED OPIOIDS AFTER BACK SURGERY ON TWO SEPARATE OCCASIONS. DESPITE HIS HISTORY OF SUBSTANCE USE DISORDER. WITHIN A FEW MONTHS OF HIS SECOND SURGERY, BRANDON FATALLY OVERDOSED ON HEROIN. THAT'S WHY THIS BILL IS SO IMPORTANT. HEALTH RECORDS FOR SUBSTANCE USE DISORDER ARE THE ONLY, ONLY RECORDS THAT ARE SILOED IN THIS WAY, PREVENTING PHYSICIANS FROM SEEING A COMPLETE PICTURE OF A PATIENT THEY ARE TREATING. DOCTORS DON'T KNOW. ALL OTHER PROTECTED HEALTH INFORMATION FOR EVERY OTHER DISEASE FALLS UNDER HIPAA. THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT WILL HELP ALIGN FEDERAL POLICY STANDARDS, PRIVACY STANDARDS FOR SUBSTANCE USE DISORDER TREATMENT INFORMATION MORE CLOSELY WITH HIPAA SO THAT OUR DOCTORS AND OUR ADDICTION SPECIALISTS CAN PROVIDE THE HIGHEST AND SAFEST LEVEL OF TREATMENT. IN SHORT, THIS BILL WILL IMPROVE COORDINATION OF CARE FOR PATIENTS SUFFERING FROM SUBSTANCE USE DISORDER AND SAVE LIVES BY HELPING TO PREVENT OVERDOSES, DANGEROUS DRUG INTERACTIONS. NOW, I FULLY RESPECT AND UNDERSTAND THE PRIVACY CONCERNS THAT SOME STILL HAVE. AND THE SENSITIVITIES ABOUT THE IDEA ABOUT MAKING CHANGES TO A STATUTE THAT'S BEEN IN PLACE SINCE THE 1970'S, LONG BEFORE HIPAA. THAT'S WHY REPRESENTATIVES MULLIN AND BLUMENAUER WORKED IN A BIPARTISAN FASHION TO INCLUDE STRONG, UNLAWFUL DISCLOSURE PENALTIES, DISCRIMINATION PROTECTIONS, AND BREACH NOTIFICATION REQUIREMENTS IN THIS BILL. IN DOING SO, H.R. 6082 WILL ACTUALLY IMPROVE THE ABILITY TO PENALIZE THOSE WHO ILLEGALLY DISCLOSE A PATIENT'S INFORMATION. THIS ISN'T ABOUT USING THIS INFORMATION FOR ANY OTHER PURPOSE THAN TREATING THAT PATIENT SAFELY. BE CLEAR, THERE'S NO LEGAL WAY FOR A PATIENT'S SUBSTANCE USE DISORDER TREATMENT TO BE USED AGAINST THEM UNDER THIS BILL. THIS BILL, INSTEAD, EXPANDS PROTECTIONS FOR INDIVIDUALS SEEKING ADDICTION TREATMENT ABOVE AND BEYOND EXISTING LAW, AND IT WILL HELP US TURN THE TIDE ON THE OPIOID SCOURGE. SO I WANT TO THANK MR. MULLIN AND MR. BLUMENAUER ONCE AGAIN FOR THEIR WORK AND THE OTHER MEMBERS OF THE COMMITTEE. THIS BIPARTISAN BILL WILL SAVE LIVES. IT'S CRITICALLY IMPORTANT FOR OUR EFFORTS TO COMBAT THE OPIOID CRISIS, AND I URGE MY COLLEAGUES TO SUPPORT H.R. 6082, AND I YIELD BACK THE BALANCE OF MY TIME.

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              • 01:12:48 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN YIELDS BACK. THE GENTLEMAN FROM TEXAS RESERVES. THE…

                THE GENTLEMAN YIELDS BACK. THE GENTLEMAN FROM TEXAS RESERVES. THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED.

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              • 01:12:53 PM

                MR. PALLONE

                THANK YOU, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

              • 01:12:58 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN IS RECOGNIZED FOR AS MUCH TIME AS HE MAY CONSUME.

              • 01:13:01 PM

                MR. PALLONE

                MR. SPEAKER, PROPONENTS OF THIS LEGISLATION ARGUE TAKING AWAY PATIENT'S…

                MR. SPEAKER, PROPONENTS OF THIS LEGISLATION ARGUE TAKING AWAY PATIENT'S PRIVACY RIGHTS RELATED TO SUBSTANCE USE DISORDER TREATMENT RECORDS IS OK BECAUSE WE WOULD BE APPLYING THE HIPAA STANDARD THAT APPLIES TO OTHER SENSITIVE HEALTH CONDITIONS LIKE H.I.V. BUT I STRONGLY DISAGREE. INDIVIDUALS WITH SUBSTANCE USE DISORDER FACE RISKS BECAUSE OF THEIR MEDICAL CONDITIONS THAT THOSE WITH OTHER MEDICAL CONDITIONS DO NOT. ACCORDING TO SAMHSA, THOSE NEGATIVE CONSEQUENCES INCLUDE LOSS OF EMPLOYMENT, LOSS OF HOUSING, LOSS OF CHILD CUSTODY, DISCRIMINATION BY MEDICAL PROFESSIONALS AND INSURERS, ARRESTS, PROSECUTION, AND INCARCERATION. UNLIKE OTHER MEDICAL CONDITIONS, INCLUDING H.I.V., YOU CAN BE INCARCERATED, LEGALLY FIRED, AND DENIED VISITATION WITH YOUR CHILDREN DUE TO YOUR SUBSTANCE USE DISORDER. SO LET ME PAINT THIS PICTURE WITH A FEW EXAMPLES. A 20-YEAR-OLD PREGNANT WOMAN IN WISCONSIN VOLUNTARILY WENT TO A HOSPITAL TO SEEK TREATMENT FOR ADDICTION TO THE OPIOID OXYCONTIN. RATHER THAN PROVIDING TREATMENT, THEY CALLED STATE AUTHORITIES TO TELL ON THIS WOMAN. ANOTHER EXAMPLE PROVIDED TO THE COMMITTEE FROM A PROVIDER IN MARYLAND EXPLAINED, AND NOW I'M QUOTING, SOMETIME AGO WE HAD A YOUNG LADY IN OUR METHADONE MAINTENANCE PROGRAM THAT COMMITTED SUICIDE. SHE HAD TURNED HER LIFE AROUND. SHE WAS IN COLLEGE, WORKING FULL TIME, OWNED HER OWN CARE, WAS PURCHASING A HOUSE AND WAS NO LONGER USING ILLICIT SUBSTANCES. SHE HAD TO COMPLETE PROBATION FOR HER CRIMES THAT SHE HAD COMMITTED WHILE SHE WAS ACTIVELY USING THESE DRUGS. HER MOTHER DID NOT KNOW SHE WAS IN METHADONE TREATMENT. SHE DID NOT WANT HER MOTHER TO KNOW BECAUSE HER MOTHER DID NOT AGREE WITH METHADONE. AND THE JUDGE FOUND OUT SHE WAS IN THE METHADONE MAINTENANCE PROGRAM AND DISCLOSED IT IN A COURT HEARING WITH HER MOTHER PRESENT. THE JUDGE AND HER MOTHER INSISTED SHE, QUOTE, GET OFF THAT STUFF, AND SHE COMPLIED ONLY BECAUSE OF THE PRESSURE FROM BOTH TO DO SO. SHE BEGAN ABUSING ILLICIT SUBSTANCES AND PARTICIPATING IN ILLEGAL ACTIVITY TO OBTAIN THOSE SUBSTANCES. THE GUILT AND SHAME OF RETURNING TO WHAT SHE DESCRIBED AS A LIFE OF HELL LED HER TO WRITE A SUICIDE NOTE AND END HER LIFE. EXPERIENCES LIKE THIS IN ADDITION TO STORIES OF INDIVIDUALS WITH SUBSTANCE USE DISORDER WHO HAVE LOST JOBS, HOUSING, AND CHILD CUSTODY BECAUSE OF THEIR SUBSTANCE USE DISORDER ARE REASONS THAT SOME INDIVIDUALS WITH SUBSTANCE USE DISORDER FEAR COMING FORWARD TO ENTER TREATMENT DUE TO THE NEGATIVE CONSEQUENCES THAT RESULT, AND IT'S WHY MORE THAN 100 GROUPS, INCLUDING AIDS UNITED, JOINED THE CAMPAIGN TO PROTECT PATIENT PRIVACY RIGHTS HAVE JOINED TOGETHER TO FIGHT TO PROTECT THE HEIGHTENED PRIVACY PROTECTIONS THAT EXIST UNDER EXISTING LAW. FURTHER, UNLIKE THE PROPONENTS OF THIS LEGISLATION CONTEND, THE EXISTING LAW IS NOT AN ANOMALY. STATES LIKE FLORIDA HAVE LAWS REQUIRING WRITTEN PATIENT CONSENT FOR THE SHARING OF PATIENT'S SUBSTANCE USE DISORDER AND MENTAL HEALTH TREATMENT RECORDS WHILE OTHERS LIKE NEW YORK, KENTUCKY, AND TEXAS HAVE SUCH REQUIREMENTS FOR THE SHARING OF H.I.V. RECORDS. OTHER STATES HAVE SUCH REQUIREMENTS FOR REPRODUCTIVE HEALTH TREATMENT RECORDS. FURTHER, THE EXISTING LAW IS CONSISTENT WITH THE PROTECTIONS APPLIED TO SUBSTANCE USE DISORDER TREATMENT RECORDS. IN FACT, THE LAW GOVERNING THE CONFIDENTIALITY OF V.A. MEDICAL RECORDS, 38 U.S.C. 7332, IS CONSISTENT WITH AND BROADER THAN PART 2. UNLIKE THAT LAW, THE V.A. CANNOT SHARE A PATIENT'S SUBSTANCE USE DISORDER, H.I.V., OR SICKLE CELL ANEMIA TREATMENT RECORDS WITH ANOTHER PROVIDER WITHOUT WRITTEN PATIENT CONSENT. SO, MR. SPEAKER, I WANT TO STRESS, I DO BELIEVE THAT WE CAN LEARN AN IMPORTANT LESSON FROM OUR RESPONSE TO H.I.V., PARTICULARLY DURING THE HEIGHT OF THE AIDS EPIDEMIC. A CRITICAL PART OF THIS NATION'S RESPONSE TO THE AIDS EPIDEMIC WAS INCREASING THE PRIVACY PROTECTIONS APPLIED TO H.I.V. MEDICAL RECORDS. . SUCH ACTION WAS TAKEN BECAUSE PEOPLE WERE AFRAID DON'TER TREATMENT FOR AIDS H.I.V. BECAUSE OF THE NEGATIVE CONSEQUENCES THAT COULD RESULT. IN THE MIDST OF THE OPIOID EPIDEMIC, THIS BILL WOULD RESULT IN DOING JUST THE OPPOSITE. LOWERING THE PRIVACY PROTECTIONS APPLIED TO SUBSTANCE USE DISORDER MEDICAL RECORDS, DESPITE THE FACT THAT LIKE DURING THE AIDS EPIDEMIC SOME INDIVIDUALS WITH SUBSTANCE USE DISORDER REMAIN AFRAID TO ENTER TREATMENT BECAUSE OF THE NEGATIVE CONSEQUENCES THAT RESULT. AND IN MANY CASES THEY ONLY DO SO OUT OF THE PART 2 ASSURANCES THAT THEY CAN CONTROL TO WHOM AND FOR WHAT PURPOSES THEIR TREATMENT RECORD IS SHARED. THE INCREASED STIGMA, DISCRIMINATION AND CRIMINALIZATION FACED BY PEOPLE WITH SUBSTANCE USE DISORDER SUPPORT THE MAINTENANCE OF THE HEIGHTENED PRIVACY PROTECTIONS UNDER EXISTING LAW, IN MY OPINION. AND FOR SOME INDIVIDUALS, IT IS THESE PRIVACY PROTECTIONS THAT MAKE THEM FEEL SAFE DON'TER AND REMAIN IN TREATMENT FOR -- TO ENTER AND REMAIN IN TREATMENT FOR THE DISORDER. I'M AFRAID THAT BY PASSING THIS BILL WE COULD BE CREATING A BARRIERS THAT -- BARRIER THAT WILL KEEP PEOPLE FROM GETTING THE TREATMENT THEY NEED. THAT'S A RISK I'M SIMPLY NOT WILLING TO TAKE. I RESERVE THE BALANCE OF MY TIME.

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              • 01:18:15 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN FROM NEW JERSEY RESERVES. THE GENTLEMAN FROM TEXAS IS…

                THE GENTLEMAN FROM NEW JERSEY RESERVES. THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

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              • 01:18:19 PM

                MR. BURGESS

                THANK YOU, MR. SPEAKER. LET ME YIELD MYSELF TWO MINUTES FOR THE PURPOSE OF…

                THANK YOU, MR. SPEAKER. LET ME YIELD MYSELF TWO MINUTES FOR THE PURPOSE OF RESPONSE BEFORE I YIELD TO

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              • 01:18:25 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN IS RECOGNIZED.

              • 01:18:26 PM

                MR. BURGESS

                MR. SPEAKER, THE TRAGIC STORY THAT WAS JUST RELATED TO US REALLY ONLY…

                MR. SPEAKER, THE TRAGIC STORY THAT WAS JUST RELATED TO US REALLY ONLY REINFORCES THE NEED TO CHANGE THE STATUTE BEHIND 42 C.F.R. PART 2. THERE ARE SOME IMPORTANT FACTS MISSING FROM THE DESCRIPTION OF THE SITUATION THAT OCCURRED. IT APPEARS EVIDENCE AT LEAST ONE OR BOTH OF THE PARTIES INVOLVED, THE JUDGE AND/OR THE METHADONE MAINTENANCE PROGRAM, VIOLATED EXISTING REGULATIONS UNDER BOTH PART 2 AND HIPAA. UNDER PART 2, PATIENT RECORDS MAY ONLY BE DISCLOSED WITHOUT PATIENT CONSENT IF THE DISCLOSURE IS AUTHORIZED BY AN APPROPRIATE ORDER OF A COURT OF COMPETENT JURISDICTION. THERE MUST BE A SHOWING OF GOOD CAUSE IN WHICH THE COURT MUST WEIGH THE PUBLIC INTEREST AND NEED FOR DISCLOSURE AGAINST THE INJURY TO THE PATIENT, THE PHYSICIAN-PATIENT RELATIONSHIP, AND TREATMENT SERVICES. FURTHER, THE COURT MUST IMPOSE APPROPRIATE SAFEGUARDS AGAINST UNAUTHORIZED DISCLOSURE. IT IS NOT CLEAR FROM THE DESCRIPTION PROVIDED IN THE LETTER HOW THE JUDGE FOUND OUT ABOUT THE PATIENT'S PARTICIPATION IN A METHADONE MAINTENANCE PROGRAM. IF THE INFORMATION TO THE JUDGE WAS PROVIDED WITHOUT AN APPROPRIATE COURT ORDER, THEN THE METHADONE MAINTENANCE PROGRAM LIKELY VIOLATED THE REQUIREMENTS UNDER PART 2 TO SAFEGUARD THE PATIENT'S RECORDS FROM SUCH DISCLOSURE. IF THE INFORMATION WAS PROVIDED AS A RESULT OF A COURT ORDER, THEN IT IS POSSIBLE THAT THE JUDGE VIOLATED HIS OR HER ETHICAL OBLIGATIONS TO APPROPRIATELY WEIGH THE NEED FOR THE INFORMATION AND SAFEGUARD THE INFORMATION ONCE RECEIVED. UNDER HIPAA, THERE'S STILL AN OBLIGATION FOR THE PARTY SEEKING INFORMATION TO CONFIRM THAT REASONABLE EFFORTS HAVE BEEN MADE TO ENSURE THAT THE INDIVIDUAL HAS BEEN GIVEN NOTICE OF THE REQUEST FOR PERSONAL HEALTH INFORMATION AND THE OPPORTUNITY TO OBJECT, WHERE REASONABLE EFFORTS HAVE BEEN MADE FOR THE ORDER. COMPLIANCE WITH EITHER OF THESE REQUIREMENTS APPEARS TO HAVE BEEN LACKING IN THE SITUATION DESCRIBED IN THE LETTER. ALL OF THIS SUGGESTS THAT PART 2 CURRENTLY IS INSUFFICIENT TO PROTECT PATIENTS IN THESE SITUATIONS. THE LEGISLATION BEFORE US TODAY DOES NOT DECREASE THE PROTECTIONS AGAINST THE USE OF THE RECORDS.

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              • 01:20:32 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN'S TIME HAS EXPIRED.

              • 01:20:34 PM

                MR. BURGESS

                IN CRIMINAL PROCEEDINGS IT ALREADY EXISTS UNDER PART 2. BUT HIPAA MAKES…

                IN CRIMINAL PROCEEDINGS IT ALREADY EXISTS UNDER PART 2. BUT HIPAA MAKES THE PROTECTIONS STRONGER. HE WILL MET -- LET ME YIELD THREE MINUTES TO THE GENTLEMAN FROM INDIANA, MR. BUCSHON, A VALUABLE MEMBER OF OUR COMMITTEE AND OUR SUBCOMMITTEE.

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              • 01:20:48 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN FROM INDIANA IS RECOGNIZED FOR THREE MINUTES.

              • 01:20:51 PM

                MR. BUCSHON

                MR. SPEAKER, I RISE TODAY IN TO SPEAK IN STRONG SUPPORT OF H.R. 6082 THE…

                MR. SPEAKER, I RISE TODAY IN TO SPEAK IN STRONG SUPPORT OF H.R. 6082 THE OVERDOSE PROTECTION AND PATIENT SAFETY ACT. THIS LEGISLATION WILL IMPROVE THE ABILITY OF MEDICAL PROFESSIONALS TO PROPERLY CARE FOR PATIENTS BY ALLOWING PHYSICIANS ACCESS TO A PATIENT'S FULL MEDICAL RECORD. INCLUDING INFORMATION ABOUT SUBSTANCE USE DISORDER TREATMENT, WHILE ENSURING ROBUST PRIVACY PROTECTIONS. AS A PHYSICIAN, I KNOW THAT PATIENTS DON'T ALWAYS NOTIFY THEIR DOCTORS OF ALL THE MEDICATIONS THEY ARE TAKING AND NOT HAVING A COMPLETE MEDICAL RECORD OR KNOWING A PATIENT'S BACKGROUND CAN RESULT IN POTENTIALLY LIFE-THREATENING COMPLICATIONS RELATED TO MEDICAL TREATMENT. I HAVE SEEN THIS IN MY OWN PRACTICE AND MY WIFE SEES THIS ALMOST DAILY IN HER ANESTHESIA PRACTICE. THIS IS COMMONSENSE LEGISLATION WHICH WILL ENSURE PATIENTS RECEIVE APPROPRIATE HEALTH CARE WHILE ALSO ENSURING THE MEDICAL INFORMATION REMAINS PRIVATE. MR. CHAIRMAN, I URGE MY COLLEAGUES TO SUPPORT H.R. 6082 AND I YIELD BACK.

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              • 01:21:59 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEMAN FROM…

                THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEMAN FROM TEXAS RESERVES. THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED.

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              • 01:22:04 PM

                MR. PALLONE

                THANK YOU, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

              • 01:22:07 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN IS RECOGNIZED FOR AS MUCH TIME AS HE MAY CONSUME.

              • 01:22:11 PM

                MR. PALLONE

                SOME OF THE PROPONENTS OF THIS BILL ALSO MENTIONED THE OPIATE USE DISORDER…

                SOME OF THE PROPONENTS OF THIS BILL ALSO MENTIONED THE OPIATE USE DISORDER SITUATIONS IN EMERGENCY ROOMS AS A JUSTIFICATION FOR THE LEGISLATION. BUT I JUST WANT TO SAY, MR. SPEAKER, I THINK IT'S IMPORTANT TO NOTE THAT THE EXISTING LAW INCLUDES AN EXCEPTION TO THE PATIENT CONSENT REQUIREMENT. A PROVIDER CAN ACCESS A PATIENT'S SUBSTANCE USE DISORDER TREATMENT RECORDS IN THE CASE OF AN EMERGENCY AS DETERMINED BY THE PROVIDER, WITHOUT PATIENT CONSENT. ADDITIONALLY, NOTHING IN THE EXISTING LAW PREVENTS ANY PROVIDER FROM ASKING THEIR PATIENT ABOUT THEIR SUBSTANCE USE DISORDER HISTORY BEFORE PRESCRIBING ANY OPIOID, ESPECIALLY IN THE MIDST OF THE OPIOID EPIDEMIC. EVERY PROVIDER SHOULD ASK PATIENTS ABOUT THEIR OPIATE USE DISORDER HISTORY OF THE AND THEREFORE UNDER THE EXISTING LAW, AND EVERY OTHER PRIVACY LAW, THE DOCTOR CAN LEARN OF A PATIENT'S HISTORY BY ASKING THE PATIENT. THAT REMAINS, IN MY OPINION, THE OPT MILLION WAY OF LEARNING A -- OPTIMAL WAY OF LEARNING A PATIENT'S HISTORY, BECAUSE OUR ELECTRONIC RECORDS AREN'T INTEROPERABLE IN MANY CASES. THOSE UNDERLYING INTEROPERABILITY ISSUES THAT PREVENT INFORMATION SHARING, INCLUDING THE PART 2 INFORMATION IN CASES WHERE A PATIENT HAS AGREED TO SHARE THEIR INFORMATION WITH PROVIDERS, AREN'T GOING TO BE SOLVED BY THIS BILL. I YIELD BACK.

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              • 01:23:30 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME.

              • 01:23:34 PM

                MR. PALLONE

                SORRY, MR. CHAIRMAN. I JUST WANTED TO RESERVE. NOT YIELD BACK.

              • 01:23:38 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN FROM NEW JERSEY RESERVES. THE GENTLEMAN FROM TEXAS IS…

                THE GENTLEMAN FROM NEW JERSEY RESERVES. THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

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              • 01:23:41 PM

                MR. BURGESS

                THANK YOU, MR. SPEAKER. AT THIS TIME IT'S MY PLEASURE TO YIELD THREE…

                THANK YOU, MR. SPEAKER. AT THIS TIME IT'S MY PLEASURE TO YIELD THREE MINUTES TO THE GENTLEMAN FROM ILLINOIS, A VALUABLE MEMBER OF THE ENERGY AND COMMERCE COMMITTEE, MR. SHIMKUS.

                Show Full Text
              • 01:23:55 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN FROM ILLINOIS IS RECOGNIZED FOR THREE MINUTES.

              • 01:23:58 PM

                MR. SHIMKUS

                I ASK UNANIMOUS CONSENT TO REVISE AND EXTEND MY REMARKS.

              • 01:24:00 PM

                THE SPEAKER PRO TEMPORE

                WITHOUT OBJECTION. ILLINOIS, A VALUABLE

              • 01:24:02 PM

                MR. SHIMKUS

                THANK YOU, MR. SPEAKER. THIS COULD BE ON -- IT'S GOOD TO BE ON THE FLOOR…

                THANK YOU, MR. SPEAKER. THIS COULD BE ON -- IT'S GOOD TO BE ON THE FLOOR WITH MY GOOD FRIEND AND COLLEAGUE, RANKING MEMBER CONGRESSMAN PALLONE. I KNOW HIS HEART IS SOLID AND I KNOW HE BELIEVES THAT WE ARE CHALLENGING SOME PRIVACY CONCERNS AND I TAKE THAT IN THIS SPIRIT -- IN THE SPIRIT INTENDED. AS A REPUBLICAN, I WAS AN EARLY SUPPORTER OF ONE OF OUR FORMER COLLEAGUE'S MENTAL HEALTH PARITY ACT AND THE WHOLE INTENT OF THAT, FOR MANY OF US, WAS TO SAY, MENTAL HEALTH ILLNESS IS AN ILLNESS AND SHOULD BE ACCEPTED AS AN ILLNESS. BUT WHAT WE HAVE DONE UNDER THE FEDERAL CODE IS TO SEPARATE IT. AND SO I THINK THE INTENT OF WHAT WE'RE TRYING TO DO IS NOT SEPARATE IT. AND MAKE IT PART OF THE HEALTH RECORDS. WE'VE HEARD THE DEBATE ON BOTH SIDES. BUT THAT'S THE BASIC PREMISE FROM WHICH I COME. WE'VE HEARD THE TESTIMONY OF PEOPLE WHO THE INFORMATION WAS NOT SHARED WITH THE REGULAR VERSUS THE MENTAL HEALTH AND THEN PRESCRIPTIONS OCCURRING AND CATASTROPHIC EVENTS. THE INTENT OF THIS LEGISLATION IS TO HELP PATIENTS AND TO HELP PROVIDERS BETTER TAKE CARE OF THEIR PATIENTS. THIS IS NOT ABOUT TAKING AWAY PRIVACY, BUT TAKING CARE OF PEOPLE. IT'S ABOUT MAKING SURE PEOPLE HAVE THE APPROPRIATE LEVEL OF PRIVACY FOR THE SERVICES THEY'RE SEEKING. WE DON'T CREATE EXTRA PRIVACY BARRIERS SO SO THAT PEOPLE WITH HEART DISEASE, H.I.V. OR DIABETES CAN KEEP THEIR DOCTORS IN THE DARK AND WITHHOLD CRITICAL INFORMATION. THIS GOES BACK TO, AS WE'VE HEARD TODAY, 1970-ERA MANDATE. GARY MENDLE, A FOUNDER, LOST HIS SON BRIAN WHO WAS IN RECOVERY AFTER HE TRAGICALLY TOOK HIS OWN LIFE. GARY SAID THE FOLLOWING ABOUT LINING PART 2 WITH HIPAA. THE SOLUTION IS NOT TO KEEP THIS INFORMATION OUT OF ELECTRONIC HEALTH RECORDS AND NOT AVAILABLE. THE SOLUTION IS TO END THE STIGMA AND TO BRING THIS DISEASE AND MENTAL ILLNESS INTO THE HEALTH CARE SYSTEM, JUST LIKE DIABETES, CANCER OR OTHER DISEASES. AND I COULDN'T AGREE MORE WITH GARY. IF THERE IS -- HE ALSO SAID, IF THERE'S AN ISSUE RELATED TO UNINTENDED CONSEQUENCES, LET'S FIX THAT. I THINK IN THIS PIECE OF LEGISLATION, CONGRESSMAN MULLIN AND CONGRESSMAN BLUMENAUER ATTEMPTED TO DO THAT. GARY ALSO SAID, LET'S NOT KEEP THIS OUT OF THE HEALTH CARE SYSTEM, BECAUSE THEN WE JUST PERPETUATE THE SITUATION THAT'S CAUSING IT IN THE FIRST PLACE. I'LL CONTINUE. INDIVIDUALS WILL -- WITH OPIOID USE DISORDER DIE ON AVERAGE A DECADE SOONER THAN OTHER AMERICANS. THIS IS LARGELY BECAUSE OF THE STRUGGLING HIGH INCIDENCE OF POORLY MANAGED CO-OCCURRING CHRONIC DISEASES, INCLUDING HIV-AIDS, CARDIAC CONDITIONS, LUNG DISEASE AND OTHERS. WHATEVER WE AS A NATION ARE DOING TO COORDINATE CARE FOR THIS HIGHLY VULNERABLE PATIENT POPULATION IS UTTERLY FAILING BY ANY REASONABLE MEASURE.

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              • 01:27:06 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN'S TIME HAS EXPIRED.

              • 01:27:08 PM

                MR. SHIMKUS

                30 ADDITIONAL SECONDS?

              • 01:27:10 PM

                MR. BURGESS

                I YIELD AN ADDITIONAL 30 SECONDS.

              • 01:27:11 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN IS RECOGNIZED.

              • 01:27:13 PM

                MR. SHIMKUS

                THANK YOU, MR. SPEAKER. AN EXTRAORDINARY ARRAY OF ORGANIZATIONS,…

                THANK YOU, MR. SPEAKER. AN EXTRAORDINARY ARRAY OF ORGANIZATIONS, HOSPITALS, PHYSICIANS, PATIENT PHYSICIANS, PATIENT ADVOCATES AND SUBSTANCE USE TREATMENT PROVIDERS HAVE APPROACHED THIS COMMITTEE TO CLEARLY STATE THAT EXISTING FEDERAL ADDICTION PRIVACY LAW IS ACTIVELY INTERFERING WITH CASE MANAGEMENT AND CARE COORDINATION EFFORTS. ARGUING AGAINST THIS LEGISLATION PRESERVED A FAIL AND DEADLY STATUS QUO. I SUPPORT THIS PIECE OF LEGISLATION. I THANK MY COLLEAGUE FOR THE TIME AND YIELD BACK.

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              • 01:27:42 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEMAN FROM…

                THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEMAN FROM TEXAS RESERVES. THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED.

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              • 01:27:47 PM

                MR. PALLONE

                THANK YOU, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

              • 01:27:50 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN IS RECOGNIZED FOR AS MUCH TIME AS HE MAY CONSUME.

              • 01:27:53 PM

                MR. PALLONE

                I MENTIONED EARLIER THE VARIOUS GROUPS THAT ARE OPPOSED TO THIS…

                I MENTIONED EARLIER THE VARIOUS GROUPS THAT ARE OPPOSED TO THIS LEGISLATION BECAUSE OF THE PRIVACY CONCERNS. AND I ACTUALLY WOULD LIKE TO READ OR GO THROUGH SOME SECTIONS FROM THIS LETTER THAT WAS SENT TO MYSELF AND CHAIRMAN WALDEN FROM OVER 100 GROUPS, INCLUDING THE NEW JERSEY ASSOCIATION OF MENTAL HEALTH AND ADDICTION AGENCIES. AND THEY SAY, MR. SPEAKER, DEAR CHAIRMAN WALDEN AND RANKING MEMBER PALLONE, WE THE UNDERSIGNED NATIONAL, STATE AND LOCAL ORGANIZATIONS STRONGLY SUPPORT MAINTAINING THE CORE PROTECTIONS OF THE FEDERAL SUBSTANCE USE DISORDER PATIENT CONFIDENTIALITY LAW AND ITS REGULATIONS, REFERRED TO COLLECTIVELY AS PART 2. AND THEY SAY, WE REMAIN CONCERNED THAT USING A WEAKER HIPAA PRIVACY RULE STANDARD OF ALLOWING DISCLOSURE OF SUBSTANCE USE DISORDER INFORMATION WITHOUT PATIENT CONSENT OR OTHER WILL CONTRIBUTE TO THE EXISTING LEVEL OF DISCRIMINATION AND HARM TO PEOPLE LIVING WITH SUBSTANCE USE DISORDER. THIS WILL ONLY RESULT IN MORE PEOPLE WHO NEED SUBSTANCE USE DISORDER TREATMENT BEING DISCOURAGED AND AFRAID TO SEEK THE HEALTH CARE THEY NEED DURING THE NATION'S WORST OPIOID CRISIS. WE STRONGLY SUPPORT MAINTAINING PART 2'S CURRENT CORE PROTECTIONS FOR SUBSTANCE USE DISORDER INFORMATION, INSTEAD OF THOSE WEAKER HIPAA PRIVACY STANDARDS FOR THE FOLLOWING REASONS. AND THERE ARE FIVE. ONE, THE HEIGHTENED PRIVACY PROTECTIONS IN PART 2 ARE AS CRITICAL TODAY AS THEY WERE WHEN THEY WERE ENACTED MORE THAN 40 YEARS AGO, AND MUST BE PRESERVED. TWO, IN THE MIDST OF THE WORST OPIATE EPIDEMIC IN OUR NATION'S HEFTRY, -- HISTORY, WE MUST DOING EVERYTHING POSSIBLE TO INCREASE, NOT DECREASE, THE NUMBER OF PEOPLE WHO SEEK TREATMENT. THIRD, SUBSTANCE USE DISORDER IS UNIQUE AMONG MEDICAL CONDITIONS BECAUSE OF ITS CRIMINAL AND CIVIL CONSEQUENCES AND THE RAMPANT DISCRIMINATION THAT PEOPLE FACE. AND FOURTH, WITH SO MUCH AT STAKE, PATIENTS SHOULD RETAIN THE RIGHT TO CONSENT WHEN AND TO WHOM THEIR RECORDS ARE DISCLOSED, AS CURRENTLY FOUND IN PART 2. FINALLY, NUMBER FIVE, EFFECTIVE INTEGRATION OF SUBSTANCE USE DISORDER TREATMENT WITH THE REST OF THE HEALTH CARE SYSTEM IS CRITICALLY IMPORTANT. AN INFORMATION EXCHANGE IN ACCORDANCE WITH CONFIDENTIALITY LAW AND CURRENT TECHNOLOGY IS NOW POSSIBLE. TO FACILITATE THAT PROCESS, SAMHSA RECENTLY AMENDED THE PART 2 REGULATIONS TO FURTHER PROMOTE THE INTEGRATION OF CONFIDENTIALITY SUBSTANCE USE DISORDER INFORMATION INTO GENERAL HEALTH RECORDS. SO -- AND THEY FINALLY CONCLUDE, MR. SPEAKER, BY SAYING THAT WE RESPECTFULLY REQUEST THE HOUSE ENERGY AND COMMERCE COMMITTEE MAINTAIN THE CURRENT CONFIDENTIALITY REQUIREMENTS OF PART 2 TO SUPPORT INDIVIDUALS ENTERING AND STAYING IN THAT TREATMENT AND RECOVERY SERVICES. IF I COULD, MR. SPEAKER, I WOULD ASK UNANIMOUS CONSENT TO ENTER THIS LETTER FROM THESE PATIENTS.

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              • 01:30:48 PM

                THE SPEAKER PRO TEMPORE

                WITHOUT OBJECTION.

              • 01:30:49 PM

                MR. PALLONE

                AND I RESERVE THE BALANCE OF MY TIME. .

              • 01:30:56 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

              • 01:30:58 PM

                MR. BURGESS

                I YIELD MYSELF FOR THREE MINUTES.

              • 01:31:00 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN IS RECOGNIZED FOR THREE MINUTES.

              • 01:31:02 PM

                MR. BURGESS

                MR. SPEAKER, I'D LIKE TO POINT OUT THAT THERE ARE OVER 100 GROUPS IN…

                MR. SPEAKER, I'D LIKE TO POINT OUT THAT THERE ARE OVER 100 GROUPS IN SUPPORT OF THE PARTNERSHIP TO AMEND PART 2 AND A LETTER FROM THAT PARTNERSHIP SAYS IN PART, WE ARE PLEASED THAT THE BILL ALIGNS PART 2 WITH HIPAA'S CONSENT REQUIREMENTS FOR THE PURPOSES OF TREATMENT, PAYMENT, AND OPERATIONS WHICH WILL ALLOW THE APPROPRIATE SHARING OF SUBSTANCE USE DISORDER TO ENSURE THOSE WITH OPIOID USE DISORDER AND OTHER SUBSTANCE USE DISORDERS RECEIVE INTEGRATED CARE THEY NEED. WE DON'T WANT PATIENTS WITH SUBSTANCE USE DISORDERS TO BE MORE VULNERABLE AS A RESULT OF SEEKING TREATMENT FOR ADDICTION. THIS LEGISLATION STRENGTHENS PROTECTIONS AND LIMITS THE NUMBER OF INSTITUTIONS THAT HAVE ACCESS TO THEIR RECORDS. I AM NOT GOING TO READ ALL OF THE NAMES ON THE LIST, BUT SOME OF THE NOTABLE ONES ARE THE NATIONAL ALLIANCE FOR MENTAL ILLNESS, MENTAL HEALTH AMERICA, HAZELTON, BETTY FORD, HEALTH CARE LEADERSHIP COUNCIL, AMERICAN HOSPITAL ASSOCIATION, AMERICAN SOCIETY OF ADDICTION MEDICINE, CENTER STONE, NEW JERSEY HOSPITALS, NATIONAL ASSOCIATION OF ADDICTION TREATMENT PROVIDERS. AND MR. SPEAKER, I'D ALSO ASK UNANIMOUS CONSENT TO INSERT INTO THE RECORD THE LIST, THE ENTIRE LIST OF THE GROUPS IN FAVOR OF THE PARTNERSHIP TO AMEND 42 C.F.R. AND I RESERVE THE BALANCE OF MY TIME.

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              • 01:32:32 PM

                THE SPEAKER PRO TEMPORE

                WITHOUT OBJECTION AND THE GENTLEMAN FROM TEXAS RESERVES, AND THE GENTLEMAN…

                WITHOUT OBJECTION AND THE GENTLEMAN FROM TEXAS RESERVES, AND THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED.

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              • 01:32:37 PM

                MR. PALLONE

                MR. SPEAKER, I HAVE NO ADDITIONAL SPEAKERS. I DON'T KNOW IF THE GENTLEMAN…

                MR. SPEAKER, I HAVE NO ADDITIONAL SPEAKERS. I DON'T KNOW IF THE GENTLEMAN DOES -- THE CHAIRMAN DOES.

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              • 01:32:44 PM

                MR. BURGESS

                WE ARE READY TO CLOSE.

              • 01:32:47 PM

                MR. PALLONE

                OK. I'LL YIELD MYSELF SUCH TIME.

              • 01:32:49 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN IS RECOGNIZED.

              • 01:32:51 PM

                MR. PALLONE

                MR. SPEAKER, I JUST WANTED TO SAY IN CONCLUSION TODAY, AMIDST THE WORST…

                MR. SPEAKER, I JUST WANTED TO SAY IN CONCLUSION TODAY, AMIDST THE WORST OPIOID EPIDEMIC OUR COUNTRY HAS EVER FACED, I THINK IT'S REALLY IMPORTANT THAT WE NOT TAKE ANY ACTION THAT COULD RESULT IN ANY INDIVIDUAL WITH AN OPIOID USE DISORDER NOT SEEKING OR REMAINING IN TREATMENT FOR THIS LIFE-THREATENING CONDITION. I UNDERSTAND THE OPINIONS ON BOTH SIDES, BUT I DO THINK IF WE DON'T PROTECT THE EXISTING PRIVACY AND KEEP THE CURRENT LAW WITH REGARD TO PRIVACY THAT WE WILL SEE MANY INDIVIDUALS NOT SEEKING TREATMENT OR REMAINING IN TREATMENT. AND SO THAT'S WHY I STRONGLY OPPOSE THIS BILL AND I WOULD URGE MY COLLEAGUES TO VOTE NO AND I YIELD BACK THE BALANCE OF MY TIME.

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              • 01:33:32 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN FROM NEW JERSEY YIELDS BACK. THE GENTLEMAN FROM TEXAS IS…

                THE GENTLEMAN FROM NEW JERSEY YIELDS BACK. THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

                Show Full Text
              • 01:33:36 PM

                MR. BURGESS

                MR. SPEAKER, I'LL YIELD MYSELF THE BALANCE OF OUR TIME. MR. SPEAKER, BY…

                MR. SPEAKER, I'LL YIELD MYSELF THE BALANCE OF OUR TIME. MR. SPEAKER, BY CONTINUING TO SEGREGATE SUBSTANCE USE DISORDER RECORDS MEANS WE'RE WILLING TO ALLOW SOME PATIENTS TO RECEIVE CARE THAT'S POTENTIALLY LOWER QUALITY AT A HIGHER COST. TREATING PATIENTS SUBSTANCE USE DISORDER IN ISOLATION OF THEIR MEDICAL AND MENTAL HEALTH CONDITIONS WHICH PREDOMINATED CARE IN THE 1970'S IS NOT THE STANDARD FOR GOOD PRACTICE TODAY. THERE IS NOW OVERWHELMING EVIDENCE THAT PATIENTS SUBSTANCE USE DISORDERS CANNOT BE TREATED IN ISOLATION FROM OTHER HEALTH CARE CONDITIONS. IN THE 16970'S, WHEN PART 2 WAS -- 1970'S, WHEN PART 2 WAS WRINT, THIS WAS NOT WIDELY -- WRITTEN, THIS WAS NOT WIDELY ACCEPTED. MR. SPEAKER, FURTHER, I WOULD SAY THAT THE PROBLEM HERE IS WE NEED TO TREAT ADDICTION JUST LIKE ANY OTHER MEDICAL ILLNESS AND IMPROVE OUR OUTREACH TO PATIENTS WHO MEET THE CRITERIA FOR TREATMENT, MAINTAINING A DECADES' OLD INEFFECTIVE CONFIDENTIALITY LAW IS SIMPLY NOT GOING TO DO THAT. I URGE MY COLLEAGUES TO SUPPORT THE BILL. IT IS A GOOD BILL SUBMITTED BY MR. MULLIN AND MR. BLUMENAUER, AND I'LL YIELD BACK THE BALANCE OF MY TIME.

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              • 01:34:53 PM

                THE SPEAKER PRO TEMPORE

                THE GENTLEMAN FROM TEXAS YIELDS BACK. ALL TIME FOR DEBATE HAS EXPIRED.…

                THE GENTLEMAN FROM TEXAS YIELDS BACK. ALL TIME FOR DEBATE HAS EXPIRED. PURSUANT TO HOUSE RESOLUTION 949, THE PREVIOUS QUESTION IS ORDERED ON THE BILL, AS AMENDED. THE QUESTION IS ON THE ENGROSSED AND THIRD READING OF THE BILL. THOSE IN FAVOR SAY AYE. THOSE OPPOSED, NO. IN THE OPINION OF THE CHAIR, THE AYES HAVE IT. THIRD READING.

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              • 01:34:54 PM

                The previous question was ordered pursuant to the rule.

                • 01:35:19 PM

                  Mr. Pallone moved to recommit with instructions to the Committee on Energy and Commerce.

                  • 01:35:21 PM

                    THE CLERK

                    A BILL TO AMEND THE PUBLIC HEALTH SERVICE ACT TO PROTECT THE ACCOUNTALITY…

                    A BILL TO AMEND THE PUBLIC HEALTH SERVICE ACT TO PROTECT THE ACCOUNTALITY OF SUBSTANCE USE DISORDER PATIENT RECORDS.

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                  • 01:35:28 PM

                    MR. PALLONE

                    MR. SPEAKER, I AM OPPOSED TO H.R. 6082.

                  • 01:35:33 PM

                    THE SPEAKER PRO TEMPORE

                    THE GENTLEMAN QUALIFIES. THE CLERK WILL REPORT THE MOTION.

                  • 01:35:35 PM

                    THE CLERK

                    MR. PALLONE OF NEW JERSEY MOVES TO RECOMMIT THE BILL --

                  • 01:35:38 PM

                    MR. BURGESS

                  • 01:35:40 PM

                    THE SPEAKER PRO TEMPORE

                    THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

                  • 01:35:43 PM

                    MR. BURGESS

                    I RESERVE A POINT OF ORDER AGAINST THE MOTION.

                  • 01:35:46 PM

                    THE SPEAKER PRO TEMPORE

                    POINT OF ORDER IS RESERVED.

                  • 01:35:50 PM

                    THE CLERK

                    MR. PALLONE OF NEW JERSEY MOVES TO RECOMMIT THE BILL TO THE COMMITTEE ON…

                    MR. PALLONE OF NEW JERSEY MOVES TO RECOMMIT THE BILL TO THE COMMITTEE ON ENERGY AND COMMERCE CAN INSTRUCTIONS TO REPORT THE SAME BACK TO THE HOUSE FORTHWITH WITH THE FOLLOWING AMENDMENT.

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                  • 01:35:59 PM

                    MR. PALLONE

                    MR. SPEAKER, COULD I ASK THAT WE DISPENSE WITH THE READING OF THE MOTION?

                  • 01:36:05 PM

                    THE SPEAKER PRO TEMPORE

                    IS THERE OBJECTION? HEARING NONE, THE READING IS DISPENSED WITH. THE…

                    IS THERE OBJECTION? HEARING NONE, THE READING IS DISPENSED WITH. THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED FOR FIVE MINUTES.

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              • 01:36:08 PM

                DEBATE

                The House proceeded with 10 minutes of debate on the Pallone motion to recommit with instructions pending a reservation of a point of order. The instructions contained in the motion seek to require the bill to be reported back to the House with an amendment to promote subsection (k) to become a section entitled Developement and Dissemination of Model Training Programs for Substance Use Disorder Patient Records. Subsequently, the reservation was removed.

                • 01:36:16 PM

                  MR. PALLONE

                  MR. SPEAKER, THIS IS THE FINAL AMENDMENT TO THE BILL WHICH WILL NOT KILL…

                  MR. SPEAKER, THIS IS THE FINAL AMENDMENT TO THE BILL WHICH WILL NOT KILL THE BILL OR SEND IT BACK TO COMMITTEE. IF ADOPTED, THE BILL WILL IMMEDIATELY PROCEED TO FINAL PASSAGE, AS AMENDED. MR. SPEAKER, THIS AMENDMENT WOULD MAINTAIN THE PRIVACY RIGHTS PROVIDED TO INDIVIDUALS WITH SUBSTANCE USE DISORDER. THOSE PATIENTS WOULD RETAIN THEIR RIGHT TO DETERMINE WITH WHOM AND FOR WHAT PURPOSE TO SHARE THEIR SUBSTANCE USE DISORDER TREATMENT RECORDS FROM PART 2 PROGRAMS. RATHER THAN STRIP AWAY PATIENT'S PRIVACY RIGHTS, MY AMENDMENT WOULD INCORPORATE SECTION 509 FROM THE BIPARTISAN ALEXANDER-MURRAY BILL, S. 2680, THE OPIOID CRISIS RESPONSE ACT OF 2018, THAT WAS REPORTED OUT OF THE SENATE HEALTH COMMITTEE ON A BIPARTISAN BASIS AND THAT WAS INCORPORATED IN THE UNDERLYING LEGISLATION. THAT PROVISION REQUIRES THE SECRETARY TO SUPPORT THE DEVELOPMENT AND DISSEMINATION OF MODEL TRAINING PROGRAMS FOR SUBSTANCE USE DISORDER TREATMENT RECORDS UNDER PART 2. IT WOULD MAKE SURE THAT PATIENTS, FAMILY, PROVIDERS CAN UNDERSTAND HOW INFORMATION CAN BE PROTECTED AND SHARED UNDER PART 2. MY AMENDMENT WILL HELP US BETTER UNDERSTAND THE PRIVACY NEEDS OF INDIVIDUALS WITH SUBSTANCE USE DISORDER AS WELL AS HOW TO BALANCE THOSE NEEDS WITH THE INFORMATION NEEDS OF OUR HEALTH SYSTEM TO PROVIDE THE HIGHEST QUALITY CARE. SPECIFICALLY, MY AMENDMENT WOULD REQUIRE THE SECRETARY TO CONDUCT OR SUPPORT A STUDY TO BETTER UNDERSTAND THE PATIENT EXPERIENCE WITH PART 2 THROUGH THE EXAMINATION OF INFORMATION SHARING BEHAVIORS OF INDIVIDUALS WHO OBTAIN SUBSTANCE USE DISORDER TREATMENT AS PART 2 PROGRAMS. THIS STUDY WILL PROVIDE CRITICAL INSIGHT INTO THE CENTRAL QUESTION UNDER DEBATE TODAY. WHAT IS THE APPROPRIATE LEVEL OF PRIVACY PROTECTIONS THAT SHOULD BE APPLIED TO SUBSTANCE USE DISORDER TREATMENT RECORDS? WHILE THERE ARE A LOT OF OPINIONS AND PERSUASIVE EVIDENCE TO SUPPORT BOTH SIDES OF THIS DEBATE, THERE IS A LACK OF RESEARCH ON THIS ISSUE GENERALLY OR AS IT SPECIFICALLY RELATES TO PART 2. SUCH INFORMATION WILL HELP US BETTER UNDERSTAND THE LEVEL OF CONTROL INDIVIDUALS WITH SUBSTANCE USE DISORDERS NEED OVER THEIR MEDICAL RECORDS TO ENSURE THAT PRIVACY CONCERNS ARE NOT A BARRIER FOR SUCH INDIVIDUALS ACCEPTING POTENTIALLY LIFESAVING TREATMENT. AND WE NEED KNOW THE BALANCE BETWEEN THE NEEDS OF THESE INDIVIDUALS REGARDING THEIR SUBSTANCE USE DISORDER TREATMENT INFORMATION WITH THE NEEDS OF A COORDINATED HEALTH CARE SYSTEM TO BEST SERVE ITS PATIENTS. WE KNOW UNDER CURRENT LAW, SOME PATIENTS WHO RECEIVE SUBSTANCE USE DISORDER TREATMENT FROM PART 2 PROGRAMS CHOOSE NOT TO SHARE THEIR TREATMENT OUTSIDE THEIR PROVIDER. AND SOME CHOOSE WHICH PROVIDERS TO SEND IT TO. I BELIEVE IT'S CRITICAL WE UNDERSTAND WHY THE INDIVIDUALS ARE MADE THESE DIDE-SIGNIFICANCES AS WELL AS THE RIGHT TO MAKE SUCH A DECISION AFFECTED THEIR WILLINGNESS TO SEEK OR REMAIN IN TREATMENT. THIS AMENDMENT IS CONSISTENT WITH THE RECENT RECOMMENDATION FATHERS THE MEDICAID AND CHIP PAYMENT AND ACCESS COMMISSION AS PART OF THEIR JUNE, 2018, REPORT TO CONGRESS. THE COMMISSION STATED THAT AT THIS TIME THE COMMISSION DOES NOT RECOMMENDED ALIGNMENT OF PART 2 AND HIPAA. INSTEAD, THE COMMISSION RECOMMENDS ADDITIONAL SUBREGULATORY GUIDANCE, EDUCATION, AND TRAINING ON PART 2. AS I MADE CLEAR, MR. SPEAKER, I HAVE CONCERNS THAT THE UNDERLYING BILL WOULD HURT OUR EFFORTS TO RESPOND TO THE OPIOID EPIDEMIC AND COULD INCREASE THE ODDS THAT FEWER INDIVIDUALS WITH OPIOID USE DISORDER ENTER AND REMAIN IN TREATMENT. A RISK I BELIEVE TOO GREAT TO TAKE DURING THE WORST DRUG ABUSE EPIDEMIC OUR COUNTRY HAS EVER FACED. HOWEVER, I REALIZE THAT THERE IS ANOTHER SIDE TO THIS ARGUMENT AS ADVANCED BY THE PROPONENTS OF THIS BILL AND WE SHOULD NOT BE CONCERNED THIS BILL WILL AFFECT THE UPTICK OF TREATMENT. IN FACT, WE BELIEVE THIS SHOULD ONLY IMPROVE TREATMENT. RATHER THAN UNDERTAKE THE 50-STATE EXPERIMENT TO SEE WHICH SIDE IS RIGHT, WE SHOULD SUPPORT THE THOROUGH STUDY OF THIS ISSUE BEFORE TAKING ANY ACTION TO WEAKEN THE PRIVACY PROTECTIONS PROVIDED BY PART 2. AND THAT WAY WE CAN DETERMINE THE ACTUAL EFFECT ON TAKING AWAY INDIVIDUALS WITH SUBSTANCE USE DISORDER ABILITY TO HOW THEIR TREATMENT IS SHARED. THAT'S HOW WE'LL KNOW OF HOW THIS WILL BE AFFECTED. I THINK THE STAKES ARE TOO HIGH TO GET THIS WRONG. I URGE MY COLLEAGUES TO SUPPORT THIS AMENDMENT, TO INCREASE THE AWARENESS OF PATIENTS, FAMILIES, AND PROVIDERS ABOUT HOW THEIR TREATMENT RECORDS ARE PROTECTED AND CAN BE SHARED UNDER PART 2 AS WELL AS TO INCREASE OUR UNDERSTANDING OF THE PRIVACY NEEDS OF INDIVIDUALS WITH SUBSTANCE USE DISORDER. AND I THANK MY COLLEAGUES AND AT THIS TIME I'LL YIELD BACK, MR. SPEAKER.

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                • 01:41:01 PM

                  THE SPEAKER PRO TEMPORE

                  THE GENTLEMAN FROM NEW JERSEY YIELDS BACK. FOR WHAT PURPOSE DOES THE…

                  THE GENTLEMAN FROM NEW JERSEY YIELDS BACK. FOR WHAT PURPOSE DOES THE GENTLEMAN FROM SEX SEEK -- SEEK RECOGNITION?

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                • 01:41:09 PM

                  MR. BURGESS

                  MR. SPEAKER, I WITHDRAW MY POINT OF ORDER AND I RISE IN OPPOSITION TO THE…

                  MR. SPEAKER, I WITHDRAW MY POINT OF ORDER AND I RISE IN OPPOSITION TO THE MOTION TO RECOMMIT.

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                • 01:41:19 PM

                  THE SPEAKER PRO TEMPORE

                  THE POINT OF ORDER IS WITHDRAWN. THE GENTLEMAN FROM TEXAS IS RECOGNIZED…

                  THE POINT OF ORDER IS WITHDRAWN. THE GENTLEMAN FROM TEXAS IS RECOGNIZED FOR FIVE MINUTES.

                  Show Full Text
                • 01:41:23 PM

                  MR. BURGESS

                  I WILL URGE NO ON THE MOTION TO RECOMMIT AS IT WILL DESTROY THE INTENT OF…

                  I WILL URGE NO ON THE MOTION TO RECOMMIT AS IT WILL DESTROY THE INTENT OF THE BILL. ELIMINATING THE SHARING OF RECORDS FOR PURPOSES OF TREATMENT, PAYMENT, HEALTH CARE OPERATIONS COMPLETELY NEGATES THE ENTIRE PURPOSE OF THIS INITIATIVE. ALINING PART 2 WITH HIPAA FOR THE PURPOSES OF TREATMENT, PAYMENT, AND HEALTH CARE OPERATIONS, OPPONENTS OF THIS BILL HAVE OFFERED NO EVIDENCE OR FINDINGS TO BACK UP THEIR CLAIM THAT HIPAA IS INADEQUATE TO PROTECT SENSITIVE DATA CONSTAINED -- CONTAINED IN THE SUBSTANCE USE DISORDER RECORDS. HIPAA IS PROTECTING SENSITIVE INFORMATION IN A NUMBER OF AREAS. REAL INTEGRATION OF BEHAVIORAL HEALTH AND PRIMARY CARE SIMPLY CANNOT HAPPEN UNTIL WE ALIGN 42 C.F.R. PART 2 WITH HIPAA. THE OPPOSITION OF H.R. 6082 IS NOT BASED ON PROTECTING PRIVACY. IT'S BASED ON THE VERY SPECIFIC DISTRUST OF THE HEALTH CARE COMMUNITY TO PROPERLY PROVIDE CARE TO PEOPLE WITH SUBSTANCE USE DISORDER. THE VERY PEOPLE THAT WE'RE ASKING TO HELP US WITH THIS. AND YET THE RANKING MEMBER IS STRONGLY IN FAVOR OF NUMEROUS BILLS THAT SEEK TO EXPAND ACCESS TO EVIDENCE-BASED MEDICATION-ASSISTED TREATMENT, TELEHEALTH, INTEGRATION WITH MAINSTREAM MEDICINE, THE VERY THINGS THAT DEMAND ALIGNMENT WITH HIPAA. SO THE THINKING, MR. SPEAKER, TO BE KIND, IS INCONGRUOUS. PROHIBITING THE SHARE OF INFORMATION MAKES IT IMPOSSIBLE TO PRESCRIBE THE LATEST SUBSTANCE USE TREATMENT SAFELY. LIKE MOST PHARMACEUTICALS, METHADONE, HAVE DRUG INTERACTIONS AND ADVERSE EVENTS FROM DRUG INTERACTIONS CAN LEAD TO EMERGENCY HOSPITAL VISITS, SERIOUS INJURY, OR DEATH. WE MUST AMEND PART 2 SO WE CAN SAFELY PRESCRIBE MEDICATION-ASSISTED TREATMENT FOR PATIENTS. PUT SIMPLY, STANDARDS CLINICAL PRACTICES LIKE MEDICATION, RECONCILIATION ARE NOT FEASIBLE UNDER CURRENT FEDERAL LAW. FOR THAT REASON, I URGE MY COLLEAGUES TO VOTE NO ON THE MOTION TO RECOMMIT. VOTE YES ON THE MOTION -- THE UNDERLYING MOTION AND YIELD BACK THE BALANCE OF MY TIME.

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                • 01:43:39 PM

                  THE SPEAKER PRO TEMPORE

                  THE GENTLEMAN FROM TEXAS YIELDS BACK. WITHOUT OBJECTION, THE PREVIOUS…

                  THE GENTLEMAN FROM TEXAS YIELDS BACK. WITHOUT OBJECTION, THE PREVIOUS QUESTION IS ORDERED ON THE MOTION TO RECOMMIT. THE QUESTION IS ON THE MOTION. ALL THOSE IN FAVOR SAY AYE. THOSE OPPOSED, NO. MIRP, THE NOES IN THE OPINION OF THE CHAIR, THE NOES HAVE IT.

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                • 01:43:57 PM

                  MR. PALLONE

                  MR. SPEAKER, I ASK FOR THE YEAS AND NAYS.

                • 01:43:58 PM

                  THE SPEAKER PRO TEMPORE

                  THE YEAS AND NAYS ARE REQUESTED. THOSE FAVORING A VOTE FOR THE YEAS AND…

                  THE YEAS AND NAYS ARE REQUESTED. THOSE FAVORING A VOTE FOR THE YEAS AND NAYS WILL RISE. A SUFFICIENT NUMBER HAVING ARISEN, THE YEAS AND NAYS ARE ORDERED. PURSUANT TO CLAUSE 8 OF RULE 20, FURTHER PROCEEDINGS ON THIS QUESTION WILL BE POSTPONED.

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                • 01:44:04 PM

                  The previous question on the motion to recommit with instructions was ordered without objection.

                • 01:44:16 PM

                  POSTPONED PROCEEDINGS

                  At the conclusion of debate on Pallone motion to recommit with instructions, the Chair put the question on the motion, and by voice vote, announced that the noes had prevailed. Mr. Pallone demanded the yeas and nays and the Chair postponed further proceedings on the motion to recommit with instructions until a time to be announced.

                  • 01:45:14 PM

                    THE SPEAKER PRO TEMPORE

                    FOR WHAT PURPOSE DOES THE GENTLELADY FROM CALIFORNIA RISE?

                  • 01:45:16 PM

                    >>

                    MR. SPEAKER, I ASK UNANIMOUS CONSENT THAT ALL MEMBERS MAY HAVE FIVE…

                    MR. SPEAKER, I ASK UNANIMOUS CONSENT THAT ALL MEMBERS MAY HAVE FIVE LEGISLATIVE DAYS TO REVISE AND EXTEND THEIR REMARKS AND TO INCLUDE EXTRANEOUS MATERIAL ON THE BILL, H.R. 5797.

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                  • 01:45:26 PM

                    THE SPEAKER PRO TEMPORE

                    IS THERE OBJECTION? HEARING NONE, SO ORDERED.

                  • 01:45:28 PM

                    Considered under the provisions of rule H. Res. 949. H.R. 5797 — "To amend title XIX of the Social Security Act to allow States to provide under Medicaid services for certain individuals with opioid use disorders in institutions for mental diseases."

                    • 01:45:32 PM

                      MRS. WALTERS

                      MR. CHAIRMAN, I YIELD MYSELF SUCH TIME --

                  • 01:45:33 PM

                    Rule provides for consideration of H.R. 6, H.R. 5797 and H.R. 6082. Rule provides for consideration of H.R. 6 and H.R. 5797 under structured rules; and provides for consideration of H.R. 6082 under a closed rule. Additionally, the rule directs the Clerk to, in the engrossment of H.R. 6, add the text of H.R. 2851, H.R. 5735, and H.R. 5797 as passed by the House as a new matter at the end of H.R. 6.

                    • 01:45:34 PM

                      THE SPEAKER PRO TEMPORE

                      PURSUANT TO HOUSE RESOLUTION 949 AND RULE 18, THE CHAIR DECLARES THE HOUSE…

                      PURSUANT TO HOUSE RESOLUTION 949 AND RULE 18, THE CHAIR DECLARES THE HOUSE IN THE COMMITTEE OF THE WHOLE HOUSE ON THE STATE OF THE UNION FOR CONSIDERATION OF H.R. 5797. THE CHAIR APOINTS THE GENTLEMAN FROM ILLINOIS, MR. BOST, TO PROVIDE OVER THE COMMITTEE OF THE WHOLE.

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                  • 01:45:43 PM

                    House resolved itself into the Committee of the Whole House on the state of the Union pursuant to H. Res. 949 and Rule XVIII.

                    • 01:45:44 PM

                      The Speaker designated the Honorable Mike Bost to act as Chairman of the Committee.

                      • 01:45:55 PM

                        THE CHAIR

                        THE HOUSE IS IN THE COMMITTEE OF THE WHOLE HOUSE ON THE STATE OF THE UNION…

                        THE HOUSE IS IN THE COMMITTEE OF THE WHOLE HOUSE ON THE STATE OF THE UNION FOR THE CONSIDERATION OF H.R. 5797, WHICH THE CLERK WILL REPORT BY TITLE.

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                      • 01:46:04 PM

                        THE CLERK

                        A BILL TO AMEND TITLE 19 OF THE SOCIAL SECURITY ACT, TO ALLOW STATES TO…

                        A BILL TO AMEND TITLE 19 OF THE SOCIAL SECURITY ACT, TO ALLOW STATES TO PROVIDE UNDER MEDICAID SERVICES FOR CERTAIN INDIVIDUALS WITH OPIOID USE DISORDERS AND INSTITUTIONS FOR MENTAL DISEASES.

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                      • 01:46:17 PM

                        THE CHAIR

                        PURSUANT TO THE RULE, THE BILL IS CONSIDERED READ THE FIRST TIME. THE…

                        PURSUANT TO THE RULE, THE BILL IS CONSIDERED READ THE FIRST TIME. THE GENTLEWOMAN FROM CALIFORNIA, MRS. WALTERS, AND THE GENTLEMAN FROM NEW JERSEY, MR. PALLONE, EACH WILL CONTROL 30 MINUTES. THE CHAIR RECOGNIZES THE GENTLEWOMAN FROM CALIFORNIA.

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                  • 01:46:28 PM

                    GENERAL DEBATE

                    The Committee of the Whole proceeded with one hour of general debate on H.R. 5797.

                    • 01:46:35 PM

                      MRS. WALTERS

                      MR. CHAIRMAN, I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

                    • 01:46:39 PM

                      THE CHAIR

                      THE GENTLEWOMAN IS RECOGNIZED.

                    • 01:46:42 PM

                      MRS. WALTERS

                      THE OPIOID EPIDEMIC IS RAVAGING THIS NATION. FAMILIES HAVE BEEN TORN…

                      THE OPIOID EPIDEMIC IS RAVAGING THIS NATION. FAMILIES HAVE BEEN TORN APART, LIVES HAVE BEEN DESTROYED, AND COMMUNITIES ARE IN DANGE DOCTOR ARE ENDANGERED. THIS CRY -- ARE ENDANGERED. THIS CRISIS DOES NOT DISCRIMINATE. AMERICANS FROM ALL WALKS OF LIFE IN ALL 50 STATES ARE BEING HELD HOSTAGE BY THE SCOURGE OF OPIOIDS. TRAGICALLY, THE OPIOID EPIDEMIC CLAIMS THE LIVES OF 115 AMERICANS ON AVERAGE EACH DAY. IN MY HOME OF ORANGE COUNTY, CALIFORNIA, 361 PEOPLE DIED FROM OPIOID OVERDOSES IN 2015. THAT ACCOUNTS FOR A 50% INCREASE IN OVERDOSE DEATHS SINCE 2006. ACCORDING TO THE O.C. HEALTH CARE AGENCY'S 2017 OPIOID OVERDOSE AND DEATH IN ORANGE COUNTY REPORT, THE RATE OF OPIOID-RELATED EMERGENCY ROOM VISITS INCREASED BY OVER 140% IN 2005. BETWEEN 2011 AND 2015, ORANGE COUNTY EMERGENCY ROOMS TREATED NEARLY 7,500 OPIOID OVERDOSE AND ABUSE CASES. WE CAN PUT AN END TO THESE TRAGIC STATISTICS BY PROVIDING FULL ACCESS TO VARIOUS TREATMENT OPTIONS TO THOSE SEEKING HELP WITH THEIR ADDICTIONS. WHILE MANY OF THESE PATIENTS MAY BENEFIT FROM OUTPATIENT HEALTH, OTHERS NEED HIGHLY SPECIALIZED IN-PATIENT TREATMENT TO ENSURE THEY ARE RECEIVING THE MOST COLLINICALLY APPROPRIATE CARE. -- CLINICALLY APPROPRIATE CARE. THE I.M.D. CARE ACT WILL INCREASE ACCESS TO CARE FOR CERTAIN MEDICAID BENEFICIARIES WITH OPIOID USE DISORDER WHO NEED THE MOST INTENSIVE CARE POSSIBLE. IN-PATIENT CARE. CURRENT LAW PROHIBITS THE FEDERAL GOVERNMENT FROM PROVIDING FEDERAL MEDICAID MATCHING FUNDS TO STATES TO PROVIDE MENTAL DISEASE CARE TO MEDICAID-ELIGIBLE PATIENTS AGED 21 TO 64 IN FACILITIES DEFINED AS INSTITUTE OF MENTAL DISEASES COMMONLY KNOWN AS M.I.D.'S. THIS M.I.D. EXCLUSION MEANS THAT FEDERAL DOLLARS MAY NOBT PROVIDED FOR THE CARE OF MEDICAID-ELIGIBLE PATIENTS IN THIS AGE GROUP FOR SUBSTANCE USE DISORDER TREATMENTS AT HOSPITALS, NURSING FACILITIES OR OTHER INSTITUTIONS WITH MORE THAN 16 BEDS. IT IS TIME TO REPEAL THE I.M.D. EXCLUSION AND REMOVE THIS OUTDATED BARRIER TO IN-PATIENT TREATMENT. THE I.M.D. CARE ACT WOULD ALLOW STATES TO REPEAL FOR FIVE YEARS THE I.M.D. EXCLUSION FOR ADULT MEDICAID BENEFICIARIES WHO HAVE AN OPIOID USE DISORDER, WHICH INCLUDES HEROIN AND FENTANYL. THESE BENEFICIARIES WOULD RECEIVE TREATMENT IN AN I.M.D. FOR UP TO 30 DAYS OVER A 12-MONTH PERIOD, DURING WHICH TIME THE BENEFICIARY WOULD BE REGULARLY ASSESSED TO ENSURE THEIR TREATMENT AND HEALTH NEEDS REQUIRE IN-PATIENT CARE. THE BILL WOULD ALSO REQUIRE THE I.M.D. TO DEVELOP AN OUTPATIENT PLAN FOR THE INDIVIDUALS' ONGOING TREATMENT UPON DISCHARGE. THROUGHOUT THE ENERGY AND COMMERCE COMMITTEE'S WORK ON THE OPIOID CRISIS, THE I.M.D. EXCLUSION IS CONSISTENTLY IDENTIFIED AS A SIGNIFICANT BARRIER TO CARE FOR MEDICAID PATIENTS. NOT EVERY PATIENT NEEDS TREATMENT IN AN I.M.D. BUT THOSE WHO DO ARE OFTEN AMONG THE MOST VULNERABLE. WHAT ONCE WAS A WELL INTENDED EXCLUSION ON FEDERAL MEDICAID SPENDING HAS SINCE PREVENTED INDIVIDUALS FROM SEEKING TREATMENT. IN THE LIGHT OF THE OPIOID EPIDEMIC, I BELIEVE MY LEGISLATION STRIKES THE RIGHT BALANCE. I KNOW SOME HAVE SUGGESTED STATES CONTINUE TO SEEK C.M.S. WAIVERS, ALLOW MEDICAID TO PAY FOR I.M.D. CARE. WAIVERS CAN BE A GOOD OPTION FOR SOME STATES, BUT NOT ALL STATES WANT A WAIVER. IN FACT, LESS THAN HALF OF THE STATES HAVE APPLIED FOR WAIVER. ADDITIONALLY, A WAIVER CAN TAKE A SUBSTANTIAL AMOUNT OF TIME TO DEVELOP, REVIEW AND APPROVE. WE ARE LOSING TOO MANY FRIENDS AND FAMILY MEMBERS TO FORCE STATES TO NAVIGATE A LENGTHY AND UNCERTAIN WAIVER PROCESS. THE I.M.D. CARE ACT ALLOWS STATES TO ACT NOW TO ENSURE PATIENTS WHO ARE SUFFERING FROM ADDICTION GET THE CARE THEY NEED. THE NATIONAL GOVERNORS ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION HAVE ENDORSED THIS LEGISLATION. OTHER ORGANIZATIONS SUCH AS THE NATIONAL ASSOCIATION OF STATE MEDICAID DIRECTORS AND THE NATIONAL ASSOCIATION OF STATE MENTAL HEALTH DIRECTORS HAVE SUPPORTED THE IDEA OF CONGRESS ADDRESSING THE I.M.D. WHILE THE REPEAL OF THE I.M.D. EXCLUSION WOULD INCREASE MANDATORY OUTLAYS AND ADD COST TO THE MEDICAID SYSTEM, THE I.M.D. CARE ACT IS FULLY PAID FOR BY CURBING UNNECESSARY FEDERAL AND STATE MEDICAID OUTLAYS. I WANT TO THANK CHAIRMAN WALDEN AND MY COLLEAGUES ON THE HOUSE ENERGY AND COMMERCE COMMITTEE FOR THEIR SUPPORT OF THIS BILL. WHICH WILL PROVIDE MUCH-NEEDED CARE TO AMERICANS SUFFERING FROM OPIOID USE DISORDER. THROUGH THE I.M.D. CARE ACT, CONGRESS HAS A UNIQUE OPPORTUNITY TO REMOVE A BARRIER TO CARE AND BRING SPECIALIZED TREATMENT TO MEDICAID PATIENTS WHO DESPERATELY NEED IT. I URGE ALL MEMBERS TO SUPPORT THIS IMPORTANT BILL TODAY AND I RESERVE THE BALANCE OF MY TIME.

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                    • 01:52:03 PM

                      THE CHAIR

                      THE GENTLELADY FROM CALIFORNIA RESERVES. THE GENTLEMAN FROM NEW JERSEY IS…

                      THE GENTLELADY FROM CALIFORNIA RESERVES. THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED.

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                    • 01:52:07 PM

                      MR. PALLONE

                      THANK YOU, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

                    • 01:52:11 PM

                      THE CHAIR

                      THE GENTLEMAN IS RECOGNIZED.

                    • 01:52:13 PM

                      MR. PALLONE

                      MR. SPEAKER, I STAND IN OPPOSITION TO H.R. 5797, THE I.M.D. CARE ACT. I…

                      MR. SPEAKER, I STAND IN OPPOSITION TO H.R. 5797, THE I.M.D. CARE ACT. I THINK WE ALL DEGREE THAT WE NEED ALL THE TOOLS AVAILABLE TO US TO ADDRESS THE OPIOID CRISIS. IN-PATIENT TREATMENT SENTS THAT ARE FOCUS ON THE TREATMENT OF BEHAVIOR HEALTH NEEDS OF PATIENTS WITH SUBSTANCE USE DISORDER ARE PART OF THAT AND CONGRESS MUST DO WHAT WE CAN TO EASE ACCESS TO CARE. BUT I BELIEVE THIS LEGISLATION AS DRAFTED IS MISGUIDED. IT IS ALSO COUNTERPRODUCTIVE AND AN INEFFECTIVE USE OF SCARCE MEDICAID DOLLARS. BUT MORE IMPORTANTLY, IT MAY UNDERMINE THE ONGOING EFFORTS TO IMPROVE THE FULL CONTINUUM OF CARE FOR PEOPLE WITH SUB -- WITH SUBSTANCE USE DISORDER. THIS POLICY SPENDS MORE THAN $1 BILLION IN MEDICAID TO PAY FOR A POLICY THAT IS FAR NARROWER IN BOTH SCOPE AND FLEXIBILITY THAN WHAT MANY OF OUR STATES ALREADY HAVE AND ANY STATE COULD DO THROUGH MEDICAID SUBSTANCE USE DISORDER WAIVERS. IN ADDITION, THERE ARE MANY GAPS IN TREATMENT FOR MEDICAID BENEFICIARIES WITH SUBSTANCE USE DISORDER. YET THIS BILL DOES NOTHING TO INCENTIVIZE STATES TO PROVIDE THE FULL CONTINUUM OF CARE. COMMUNITY-BASED SERVICES ARE NECESSARY FOR BOTH PEOPLE NOT TREATED IN RESIDENTIAL IN-PATIENT FACILITIES AND ALSO FOR PEOPLE WHO LEAVE RESIDENTIAL IN-PATIENT TREATMENT AND NEED COMMUNITY-BASED SERVICES TO CONTINUE THEIR TREATMENT AND RECOVERY. WE ALREADY FACE A SHORTAGE OF COMMUNITY-BASED CARE FOR SUBSTANCE USE DISORDER AND SHOULD BE WORKING WITH STATES TO INCREASE THIS CAPACITY. YET THIS BILL DOESN'T TIE UP FEDERAL FUNDS FOR I.M.D. CARE TO IM-- IMPROVEMENTS IN COMMUNITY-BASED SERVICES. WITHOUT THAT CONNECTION, STATES SIMPLY WILL NOT PURSUE THESE NEEDED IMPROVEMENTS. AND WITHOUT INCENTIVES TO IMPROVE ACCESS TO TREATMENT MORE BROADLY, REPEALING THE I.M.D. EXCLUSION TO ONLY A NARROW POPULATION IN THIS CASE OPIOID USE, THROUGH LEGISLATION -- POPULATION, IN THIS CASE OPIOID USE, THROUGH LEGISLATION, MAY IN CREASE MORE EXPENSIVE TREATMENT. WE CAN'T PUSH A SYSTEM WHERE PEOPLE CYCLE IN AND OUT OF INSTITUTIONS. PEOPLE WITH SUBSTANCE USE DISORDER NEED A RANGE OF SUPPORTS TO STAY WELL AND SOBER LONG-TERM. NOT JUST THE LIMITED STAY IN AN I.M.D. EXISTING GUIDANCE FROM BOTH THE OBAMA AND TRUMP ADMINISTRATIONS ALLOWS STATES TO WAIVE THE I.M.D. EXCLUSIONS. IF THE STATE ALSO TAKES STEPS TO ENSURE THAT PEOPLE WITH SUBSTANCE USE DISORDER HAVE ACCESS TO OTHER CARE THEY NEED. INCLUDING PREVENTIVE, TREATMENT AND RECOVERY SERVICES. SO FAR THERE ARE 22 STATES, MR. SPEAKER, THAT HAVE WAIVERS APPROVED OR PENDING BEFORE THE ADMINISTRATION. I THINK THESE WAIVERS ARE IMPORTANT TO SUPPORT. MY HOME STATE OF NEW JERSEY HAS APPROVAL FOR A WAIVER RIGHT NOW. AND UNDER THAT WAIVER THEY EXPANDED ACCESS TO ALL SUBSTANCE USE DISORDER SERVICES IN THE MEDICAID PROGRAM. WE SHOULD BUILD ON THAT POLICY WHICH EMPHASIZES THE FULL CONTINUUM OF CARE WITH ANY BILLS THAT REPEAL THE I.M.D. EXCLUSION. IN ADDITION, I HAVE CONCERNS ABOUT CREATING A SYSTEM IN WHICH STATES -- WHEREBY ONLY SOME OF OUR MEDICAID BENEFICIARIES WITH SUBSTANCE USE DISORDER HAVE ACCESS TO THE FULL CONTINUUM OF CARE THAT THEY NEED. THIS BILL SPECIFICALLY LIMITS RESIDENTIAL TREATMENT TO ADULTS WITH OPIATE USE DISORDERS AND WITH THE POSSIBLE ADDITION OF AN AMENDMENT FOR COCAINE USE DISORDERS. BUT IT DOESN'T HELP THE OVERWHELMING MAJORITY OF INDIVIDUALS WITH SUBSTANCE USE DISORDER SUCH AS ALCOHOL, WHICH IS FAR MORE COMMONLY ABUSED. SO TREATMENT FOR SUBSTANCE USE DISORDER, ESPECIALLY IN THE MIDST OF OUR OPIOID CRISIS, MUST INCLUDE A COMPREHENSIVE APPROACH THAT ADDRESSES THE ENTIRETY OF A PATIENT'S MEDICAL AND PSYCHOLOGICAL CONDITIONS. THIS LEGISLATION CREATES A PERVERSE INCENTIVE TOWARDS INDIVIDUALS REPORTING OPIOID ABUSE OR GOING OUT AND GETTING ADDICTED TO OPIOIDS, FOR INSTANCE, IN THE HOPES OF GAINING ACCESS TO THE TREATMENT THAT THEY NEED. EXPANDING ACCESS TO IN-PATIENT RESIDENTIAL TREATMENT IN A VACUUM I THINK WOULD UNDERMINE STATE EFFORTS TO ENSURE THE AVAILABILITY OF SUBSTANCE USE DISORDER TREATMENT THAT MEETS THE NEEDS OF ALL PATIENTS IN THE MOST APPROPRIATE ENVIRONMENT. IN THE SHORT TIME THIS LEGISLATION HAS BEEN PUBLICLY AVAILABLE, COUNTLESS STAKEHOLDERS HAVE WEIGHED IN ON PARTICULARS OF THIS BILL, ECHOING MY CONCERNS TODAY. IN FACT, COALITIONS OF OVER 300 GROUPS, AS WELL AS OTHER MENTAL HEALTH, SUBSTANCE USE AND DISABILITY GROUPS HAVE SENT LETTERS IN OPPOSITION. . I THINK WE NEED TO WORK WITH STAKEHOLDERS. THIS ISSUE IS TOO IMPORTANT IMPORTANT TO GET WRONG. FOR THESE REASONS, MR. SPEAKER, I OPPOSE H.R. 5797, I URGE MY COLLEAGUES TO VOTE NO, AND I RESERVE THE BALANCE OF MY TIME.

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                    • 01:56:54 PM

                      THE CHAIR

                      THE GENTLEMAN RESERVES THE BALANCE OF HIS TIME. THE GENTLEWOMAN FROM…

                      THE GENTLEMAN RESERVES THE BALANCE OF HIS TIME. THE GENTLEWOMAN FROM CALIFORNIA IS RECOGNIZED.

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                    • 01:56:58 PM

                      MRS. WALTERS

                      I YIELD THREE NOINS THE GENTLEMAN FROM TEXAS, MR. BURGESS.

                    • 01:57:01 PM

                      THE CHAIR

                      THE GENTLEMAN FROM TEXAS IS RECOGNIZED FOR THREE MINUTES.

                    • 01:57:04 PM

                      MR. BURGESS

                      MR. SPEAKER, I WANT TO THANK MRS. WALTERS FOR INTRODUCING THIS…

                      MR. SPEAKER, I WANT TO THANK MRS. WALTERS FOR INTRODUCING THIS LEGISLATION. YOU KNOW, THROUGHOUT THIS COMMITTEE AND SUBCOMMITTEE'S WORK ON OPIOIDS, THE I.M.D. EXCLUSION HAS BEEN CONSISTENTLY IDENTIFIED BY MANY STAKEHOLDERS IN CONVERSATIONS NOT ONLY IN MY OFFICE, BUT WITH THE SUBCOMMITTEE AS BARRIER TO CARE FOR MEDICAID PATIENTS WHO NEED IN-PATIENT TREATMENT. IN THE FACE OF AN EPIDEMIC THAT IS HAKE -- HAS -- IS TAKING THE LIVES OF 115 AMERICANS ON AVERAGE EVERY DAY, I BELIEVE THIS POLICY STRIKES THE RIGHT BALANCE. THE I.M.D. CARE ACT TARGETS LIMITED RESOURCES TO REMOVE A BARRIER TO CARE BY ALLOWING STATES TO REPEAL THE I.M.D. EXCLUSION FOR FIVE YEARS FOR MEDICAID BENEFICIARIES BETWEEN THE AGES OF 21 AND 64, WHO HAVE AN OPIATE USE DISORDER. THIS APPROACH WILL PROVIDE STATES THE FLEXIBILITY TO INCREASE ACCESS TO INSTITUTIONAL CARE FOR THOSE WHO TRULY NEED IT. WHILE GETTING A WAIVER FROM C.M.S. FOR THE I.M.D. EXCLUSION IS A GOOD OPTION FOR MANY STATES , LESS THAN HALF THE STATES HAVE APPLIED FOR A WAIVER. WE ARE LOSING TOO MANY OF OUR FRIENDS AND NEIGHBORS EACH DAY TO THIS CRISIS TO ASK STATES TO GO THROUGH WHAT CAN BE A LENGTHY AND UNCERTAIN PROCESS TO SECURE A WAIVER. THE I.M.D. CARE ACT ALLOWS THE STATES TO ACT NOW TO ENSURE THEIR PATIENTS WHO ARE SUFFERING NOW FROM A TERRIBLE DISEASE CAN GET THE CARE THAT THEY NEED. AND GET IT NOW. I ASK MY MEMBERS -- FELLOW MEMBERS TO JOIN ME IN SUPPORT OF MRS. WALTERS' BILL. I YIELD BACK THE BALANCE OF MY TIME.

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                    • 01:58:37 PM

                      THE CHAIR

                      THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEWOMAN FROM…

                      THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEWOMAN FROM CALIFORNIA RESERVES. THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED.

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                    • 01:58:43 PM

                      MR. PALLONE

                      MR. SPEAKER, I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

                    • 01:58:47 PM

                      THE CHAIR

                      THE GENTLEMAN IS RECOGNIZED.

                    • 01:58:48 PM

                      MR. PALLONE

                      MR. SPEAKER, I WANTED TO SPEAK BRIEFLY ON A POINT THAT I THINK IS BEING…

                      MR. SPEAKER, I WANTED TO SPEAK BRIEFLY ON A POINT THAT I THINK IS BEING LOST HERE. THIS BILL PRESUMES THAT EXPANDING ACCESS TO RESIDENTIAL TREATMENT IS THE ANSWER. AND IT'S NOT NECESSARILY. WITHOUT ANY REQUIREMENT THAT STATES ADDRESS GAPS IN MEDICAID COMMUNITY-BASED SERVICES, I THINK THERE'S A POSSIBILITY THAT WE RISK MORE HARM THAN GOOD. THE FORMER DIRECTOR OF THE NATIONAL DRUG CONTROL POLICY HAS REMINDED US THAT MOST OF THESE I.M.D. FACILITIES PROVIDE DETOXIFICATION SERVICES. THE DETOXIFICATION IS ONLY THE FIRST STAGE OF ADDICTION TREATMENT. IT MAY INCREASE THE POTENTIAL FOR OVERDOSE IF PATIENTS DO NOT REMAIN IN TREATMENT OR HAVE ANY SUPPORT WHEN RELEASED, SINCE WITH DETOXIFICATION THEIR TOLERANCE FOR OPIOIDS IS SIGNIFICANTLY REDUCED. THE PROPOSAL BEFORE THE HOUSE WILL LIKELY CREATE AN OVERRELIANCE ON INSTITUTIONAL TREATMENT AND MAY EXACERBATE THE DEARTH OF COMMUNITY-BASED BEHAVIORAL HEALTH SERVICES. PEOPLE WITH SUBSTANCE USE DISORDER OFTEN FIND THEMSELVES UNABLE TO ACCESS INTENSIVE COMMUNITY-BASED BEHAVIORAL HEALTH SERVICES WHEN THEY NEED IT. AND LIKEWISE, MANY CANNOT ACCESS SERVICES IN THE COMMUNITY WHEN THEY'RE DISCHARGED FOLLOWING A CRISIS. INCENTIVIZING IN-PATIENT CARE MAY ACTUALLY INCREASE OPIOID OVERDOSE, THE VERY HARM THE CONGRESS IS SEEKING TO PREVENT. EXPERTS HAVE RAISED SERIOUS CONCERNS WITH THIS BILL'S INSTITUTIONAL FOCUS BECAUSE RECENT DATA SUGGESTS THAT IN-PATIENT DETOXIFICATION IS AN IMPORTANT PREDICTOR OF OVERDOSE, LARGELY BECAUSE MANY WHO RECEIVE IN-PATIENT CARE AREN'T THEN CONNECTED TO COMMUNITY-BASED TREATMENT PROGRAMS OR PUT ON MEDICATION, LEAVING THEM EXTREMELY VULNERABLE. . I AM CONCERNED WE MAY BE CONTRIBUTING TO THIS CRISIS WITH THIS LEGISLATION, AND I WOULD, AGAIN, RESERVE THE BALANCE OF MY TIME.

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                    • 02:00:36 PM

                      THE CHAIR

                      THE GENTLEMAN FROM NEW JERSEY RESERVES. THE GENTLEWOMAN FROM CALIFORNIA IS…

                      THE GENTLEMAN FROM NEW JERSEY RESERVES. THE GENTLEWOMAN FROM CALIFORNIA IS RECOGNIZED.

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                    • 02:00:40 PM

                      MRS. WALTERS

                      I YIELD FIVE MINUTES TO THE CHAIRMAN OF THE ENERGY AND COMMERCE, MR.…

                      I YIELD FIVE MINUTES TO THE CHAIRMAN OF THE ENERGY AND COMMERCE, MR. WALDEN.

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                    • 02:00:45 PM

                      THE CHAIR

                      THE GENTLEMAN FROM OKLAHOMA -- THE GENTLEMAN FROM OREGON IS RECOGNIZED FOR…

                      THE GENTLEMAN FROM OKLAHOMA -- THE GENTLEMAN FROM OREGON IS RECOGNIZED FOR FIVE MINUTES.

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                    • 02:00:50 PM

                      MR. WALDEN

                      YEAH. THEY FILM "PAINT YOUR WAGON" ABOUT OKLAHOMA IN OREGON. I KNOW THAT'S…

                      YEAH. THEY FILM "PAINT YOUR WAGON" ABOUT OKLAHOMA IN OREGON. I KNOW THAT'S WHAT YOU WERE PROBABLY THINKING, MR. SPEAKER. I WANT TO THANK MY COLLEAGUE, MIM WALTERS, AND THOSE -- MIMI WALTERS, AND THOSE WHO WORKED CLOSELY WITH HER ON THIS LEGISLATION. THAT'S WHY I SUPPORT IT, THE I.M.D. CARE ACT. THIS IS REALLY COMMONSENSE LEGISLATION, AND IT WILL MAKE A MEANINGFUL CHANGE TO THE WAY MEDICAID COVERS OPIOID USE DISORDER FOR ITS BENEFICIARIES. IN OTHER WORDS, LOW-INCOME PEOPLE IN AMERICA THAT GET THEIR MEDICAL ASSISTANCE THROUGH MEDICAID WILL GET MORE OPTION AND MORE HELP TO DEAL WITH THEIR ADDICTION. WE'RE DISCUSSING THIS BILL BECAUSE A SEVERELY OUTDATED POLICY LIMITS MEDICAID'S COVERAGE IN AN INSTITUTION FOR MENTAL DISEASE -- THAT'S WHAT I.M.D. IS, INSTITUTIONS FOR MENTAL DISEASE -- FOR JUST 30 DAYS. IT'S OLD, IT'S ANTIQUATED, IT DOESN'T WORK FOR TODAY'S TREATMENT REGIMENS. THIS EXCLUSION HAS BEEN IN PLACE FOR DECADES. CERTAINLY LONG BEFORE THE OPIOID CRISIS HIT OUR COUNTRY, AND IT'S NOW A BARRIER, A BARRIER TO CRITICAL CARE FOR LOW-INCOME PEOPLE ON MEDICAID WHEN THIS VULNERABLE POPULATION NEEDS HELP WITH THEIR ADDICTION THE MOST. REPRESENTATIVE WALTERS' THOUGHTFUL BILL WILL ALLOW STATE MEDICAID PROGRAMS FROM 2019 THROUGH 2023 TO REMOVE THIS ANTIQUATED FEDERAL BARRIER TO TREATMENT FOR THOSE ON MEDICAID. AGE 21 TO 26 WITH AN OPIOID USE DISORDER THROUGH A STATE PLAN AMENDMENT. IN DOING SO, MEDICAID WOULD PAY FOR UP TO 30 TOTAL DAYS OF A BENEFICIARY'S CARE IN AN I.M.D. DURING A 12-MONTH PERIOD YEAR. SO THIS IS LIMIT IN SCOPE. IT'S IN PARTNERSHIP WITH THE STATES. IT'S LOW-INCOME PEOPLE GETTING MORE PEOPLE FROM MEDICAID TO PAY FOR IN EXTRAORDINARILY IMPORTANT TREATMENT. THIS BILL ALSO COLLECTS MUCH-NEEDED DATA ON THE PROCESS. SO AFTER TAKING UP THIS OPTION, STATES WILL HAVE TO REPORT ON THE NUMBER OF INDIVIDUALS WITH OPIOID USE DISORDER UNDER THIS PLAN AND THEIR LENGTH OF STAY AND THE TYPE OF TREATMENT RECEIVED UPON DISCHARGE, SO THIS WILL HELP INFORM BETTER PROGRAMS DOWN THE LINE. AS A CONGRESS, WE'VE BEEN FOCUSED ON COMBATING THE OPIOID CRISIS FOR QUITE SOMETIME. THIS IS NOT OUR FIRST LEGISLATIVE ATTEMPT TO HELP PEOPLE NOT ONLY AVOID THIS ADDICTION BUT OVERCOME IT, AND IT WILL NOT BE OUR LAST. WE WILL LEGISLATE, WE WILL EVALUATE. WE WILL LEGISLATE, WE WILL EVALUATE AS REPUBLICANS AND DEMOCRATS HAVE BEEN DOING FOR SOME TIME BUT IT'S IMPORTANT STEP, THIS BILL, THAT CAN HELP PEOPLE GET THE VITAL TREATMENT THAT THEY NOW DON'T HAVE ACCESS TO. THE AMERICAN HOSPITAL ASSOCIATION AND THE NATIONAL GOVERNORS ASSOCIATION, REPUBLICANS AND DEMOCRATS, HOSPITALS AND GOVERNORS ACROSS THE COUNTRY HAVE SAID PLEASE DO THIS. THIS IS A NEED THAT'S UNMET. PLEASE HELP US CHANGE THIS ANTIQUATED FEDERAL LAW, AND MANY STAKEHOLDER GROUPS INCLUDING THE NATIONAL ASSOCIATION OF STATE MEDICAID DIRECTORS, THE PEOPLE WHO RUN THE MEDICAID PROGRAMS IN STATES, THE NATIONAL ASSOCIATION OF STATE MENTAL HEALTH DIRECTORS. THESE ARE PEOPLE WHO KNOW WHAT IS NEEDED MOST TO OVERCOME THESE SITUATIONS AND MANY OTHERS. THEY'VE TALKED TO US IN THE COMMITTEE. THEY TALKED TO ME PERSONALLY. THEY ARE PLEADING WITH CONGRESS TO GET RID OF THIS BARRIER TO CARE, THIS OUTDATED LAW, AND HELP PEOPLE GET TREATMENT, ESPECIALLY THE LOW-INCOME AMONG US. WE HAVE AN OPPORTUNITY TO DELIVER, TO HELP. WE HAVE AN OPPORTUNITY TO SAVE LIVES. IT IS OUR RESPONSIBILITY, AND WE NEED TO PASS THIS LEGISLATION, SO I COMMEND THE GENTLELADY FROM CALIFORNIA FOR BRINGING THIS ISSUE TO THE COMMITTEE AND SHEPHERDING IT THROUGH. IT IS SO IMPORTANT TO PASS THIS LEGISLATION. LET'S HELP THESE PEOPLE GET THE CARE THEY NEED AND WANT. WITH THAT, MR. SPEAKER, I YIELD BACK THE BALANCE OF MY TIME.

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                    • 02:04:56 PM

                      THE CHAIR

                      THE GENTLELADY RESERVES. THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED.

                    • 02:05:01 PM

                      MR. PALLONE

                      MR. CHAIRMAN, I HAVE NO ADDITIONAL SPEAKERS. I DON'T KNOW IF YOU DO. NO? I…

                      MR. CHAIRMAN, I HAVE NO ADDITIONAL SPEAKERS. I DON'T KNOW IF YOU DO. NO? I WILL BE PREPARED TO CLOSE THEN AT THIS POINT.

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                    • 02:05:13 PM

                      THE CHAIR

                      THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED.

                    • 02:05:15 PM

                      MR. PALLONE

                      THANK YOU. MR. CHAIRMAN, I JUST WANT TO, IF I CAN, IN CLOSING AND URGING…

                      THANK YOU. MR. CHAIRMAN, I JUST WANT TO, IF I CAN, IN CLOSING AND URGING OPPOSITION TO THIS BILL, THE REASON THE I.M.D. EXCLUSION WAS PUT IN PLACE IN THE BEGINNING WAS BECAUSE OF THE FEAR THAT PEOPLE WHO HAD OVERDOSE, WHO HAD OPIOID PROBLEMS WOULD BE PUT INTO INSTITUTIONS, IF YOU WILL. YOU KNOW, THROW AWAY THE KEY. IN OTHER WORDS, THEY PUT THEM IN THERE, MAYBE THEY GET DETOXED AND COME OUT, BUT WITHOUT ANY TREATMENT OR ANY FOLLOW-UP, COMMUNITY-BASED TREATMENT, THEY WOULD JUST GO BACK TO THE SAME THING AGAIN. THEY WOULD OVERDOSE AGAIN AND END UP BACK IN THE FACILITY. AND SO THE FEAR WAS THAT, YOU KNOW, WE HAVE THESE LARGE FACILITIES WHERE THEY GO IN AND WITHOUT ANY KIND OF CONTINUUM OF CARE, THE CYCLE JUST KEEPS REPEATING ITSELF. SO I JUST WANT MY COLLEAGUES TO BE MINDFUL OF THAT. WHAT HAPPENED WAS DURING THE OBAMA ADMINISTRATION, STATES HAD ASKED FOR WAIVERS FROM THE I.M.D. EXCLUSION, AND THE OBAMA ADMINISTRATION DECIDED THEY WOULD DO THAT, BUT IF THEY PROVIDED A CONTINUUM OF CARE AND COMMUNITY-BASED SERVICES SO THAT THE PROBLEM THAT LED TO THE I.M.D. EXCLUSION WOULD NOT REPEAT ITSELF. AND SO I GUESS MY FEAR IS TODAY, THIS SEEMS LIKE A SIMPLE SOLUTION. WE'LL GET RID OF THE 16-BED EXCLUSION BECAUSE WE NEED PEOPLE TO GO IN TO THESE INSTITUTIONS, BUT SINCE WE'RE NOT PROVIDING ANY CONTINUUM OF CARE OR COMMUNITY CARE IN ELIMINATING THIS EXCLUSION, IT GOES BACK TO THE SAME PROBLEM WHICH IS, WE DON'T WANT PEOPLE TO JUST BE WAREHOUSED TO DETOX, COME OUT AGAIN, OVERDOSE AGAIN, GO BACK IN WITHOUT ANY KIND OF COMMUNITY SERVICES. SO THAT'S WHY I'M MAKING THE ARGUMENT THAT THE ACTUAL WAIVERS THAT EXIST NOW OF WHICH I THINK ALMOST HALF OF THE STATES HAVE IS A MUCH BETTER ALTERNATIVE THAN JUST LIFTING AND GETTING RID OF THE EXCLUSION. AND SO THAT'S WHY I BELIEVE THAT THIS BILL IS MISPLACED AND WHY I WOULD URGE MY COLLEAGUES TO OPPOSE IT, BECAUSE I THINK IT MAY ACTUALLY GO BACK TO THE DAYS WHERE WE'RE JUST WAREHOUSING PEOPLE AND WE'RE NOT ACTUALLY GIVING THEM THE KIND OF TREATMENT THEY NEED. SO I WOULD URGE MY COLLEAGUES TO VOTE AGAINST THE BILL, AND I YOU YIELD BACK THE BALANCE OF MY TIME.

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                    • 02:07:44 PM

                      THE CHAIR

                      THE GENTLEMAN YIELDS BACK. THE GENTLELADY FROM CALIFORNIA IS RECOGNIZED.

                    • 02:07:47 PM

                      MRS. WALTERS

                      MR. SPEAKER, THE OPIOID CRISIS REQUIRES US TO ACT NOW. THE I.M.D.…

                      MR. SPEAKER, THE OPIOID CRISIS REQUIRES US TO ACT NOW. THE I.M.D. EXCLUSION IS CONSISTENTLY IDENTIFIED AS A SIGNIFICANT BARRIER TO CARE BY STATE MEDICAID DIRECTORS AND NUMEROUS OTHER STAKEHOLDER GROUPS. WE NEED TO PASS THIS BILL IN ORDER TO INCREASE ACCESS TO ACUTE, SHORT-TERM IN-PATIENT TREATMENT. I ASK MY COLLEAGUES TO SUPPORT THIS BILL AND HELP INDIVIDUALS SUFFERING WITH OPIOID ADDICTION. I YIELD THE REMAINDER OF MY TIME.

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                    • 02:08:13 PM

                      THE CHAIR

                      THE GENTLELADY YIELDS. ALL TIME FOR GENERAL DEBATE HAS EXPIRED. PURSUANT…

                      THE GENTLELADY YIELDS. ALL TIME FOR GENERAL DEBATE HAS EXPIRED. PURSUANT TO THE RULE, THE BILL SHALL BE CONSIDERED FOR AMENDMENT UNDER THE FIVE-MINUTE RULE. THE AMENDMENT IN THE NATURE OF A SUBSTITUTE RECOMMENDED BY THE COMMITTEE ON ENERGY AND COMMERCE PRINTED IN THE BILL, MODIFIED BY THE AMENDMENT PRINTED IN PART C OF HOUSE REPORT 115-766 SHALL BE CONSIDERED AS ADOPTED. THE BILL AS AMENDED SHALL BE CONSIDERED AS AN ORIGINAL BILL FOR PURPOSE OF FURTHER AMENDMENT UNDER THE FIVE-MINUTE RULE AND SHALL BE CONSIDERED AS READ. NO FURTHER AMENDMENT TO THE BILL AS AMENDED SHALL BE IN ORDER EXCEPT THOSE PRINTED IN PART D OF HOUSE REPORT 115-766. EACH SUCH FURTHER AMENDMENT MAY BE OFFERED ONLY IN THE ORDER PRINTED IN THE REPORT, BY A MEMBER DESIGNATED IN THE REPORT, AND SHALL BE CONSIDERED AS READ, SHALL BE DEBATED FOR THE TIME SPECIFIED IN THE REPORT EQUALLY DIVIDED AND CONTROLLED BY A PROPONENT AND OPPONENT AND SHALL NOT BE SUBJECT TO AMENDMENT AND DEMAND FOR DIVISION OF THE QUESTION. IT'S NOW IN ORDER TO CONSIDER AMENDMENT NUMBER 1 PRINTED IN PART D OF HOUSE REPORT 115-766 FOR WHAT PURPOSE DOES THE GENTLEMAN FROM ILLINOIS SEEK RECOGNITION?

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                    • 02:09:31 PM

                      An amendment, offered by Mr. Rush, numbered 1 printed in Part D of House Report 115-766 to expand treatment coverage to individuals suffering from cocaine use disorder (which includes crack cocaine).

                      • 02:09:39 PM

                        MR. RUSH

                        MR. CHAIRMAN, I HAVE AN AMENDMENT AT THE DESK.

                      • 02:09:43 PM

                        THE CHAIR

                        THE CLERK WILL DESIGNATE THE AMENDMENT.

                      • 02:09:45 PM

                        THE CLERK

                        AMENDMENT NUMBER 1 PRINTED IN PART D OF HOUSE REPORT 115-766 OFFERED BY…

                        AMENDMENT NUMBER 1 PRINTED IN PART D OF HOUSE REPORT 115-766 OFFERED BY MR. RUSH OF ILLINOIS.

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                      • 02:09:52 PM

                        THE CHAIR

                        PURSUANT TO THE HOUSE RESOLUTION 949, THE GENTLEMAN FROM ILLINOIS, MR.…

                        PURSUANT TO THE HOUSE RESOLUTION 949, THE GENTLEMAN FROM ILLINOIS, MR. RUSH, AND A MEMBER OPPOSED, EACH WILL CONTROL FIVE MINUTES. THE CHAIR RECOGNIZES THE GENTLEMAN FROM ILLINOIS.

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                      • 02:10:01 PM

                        MR. RUSH

                        THANK YOU, MR. CHAIRMAN. MR. CHAIRMAN, I YIELD MYSELF SUCH TIME AS I MAY…

                        THANK YOU, MR. CHAIRMAN. MR. CHAIRMAN, I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

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                      • 02:10:06 PM

                        THE CHAIR

                        THE GENTLEMAN IS RECOGNIZED.

                  • 02:10:06 PM

                    DEBATE

                    Pursuant to the provisions of H. Res. 949, the Committee of the Whole proceeded with 10 minutes of debate on the Rush amendment No. 1.

                    • 02:10:07 PM

                      MR. RUSH

                      MR. CHAIRMAN, I RISE TODAY TO OFFER MY AMENDMENT THAT FINALLY ADDRESSES A…

                      MR. CHAIRMAN, I RISE TODAY TO OFFER MY AMENDMENT THAT FINALLY ADDRESSES A LONG-STANDING GAP IN COVERAGE AND EXPANDS TREATMENT OPTIONS FOR THOSE SUFFERING FROM ADDICTION. THIS HOUSE, MR. CHAIRMAN, SHOULD BE COMMENDED FOR ITS WORK ON OPIOID ADDICTION, BUT LET US NOT FORGET THAT WE HAVE A SERIOUSLY -- SERIOUSLY IGNORED A PERVASIVE ADDICTION THAT IS KNOWN AS CRACK COCAINE. TO REMEDY THIS, MR. CHAIRMAN, MY AMENDMENT WOULD EXPAND THE BILL TO INCLUDE THOSE INDIVIDUALS SUFFERING FROM COCAINE USE DISORDER AND EXPLICITLY CLARIFIES THE INCLUSION OF COCAINE-BASED, MORE COMMONLY KNOWN AS CRACK COCAINE, WHICH ALONG WITH OPIOIDS, ARE A DOUBLE BARREL CAUSE OF DRUG-RELATED DEATHS IN COMMUNITIES LIKE MINE ALL ACROSS THIS NATION. TOO OFTEN, MR. CHAIRMAN, THIS HOUSE SEEMS TO ONLY FOCUS ON ISSUES WHEN THEY HAVE AFFECTED THE MAJORITY OF THE WHITE POPULATION. THIS LEAVES VULNERABLE, NONWHITE MINORITY AMERICANS WITHOUT ANY CHANCE TO ESCAPE FROM THEIR ILLNESS AND THEIR RESULTING SUFFERING. TOO OFTEN, MR. CHAIRMAN, THE GOVERNMENT'S RESPONSE TO MINORITY AMERICANS HAS BEEN MASS INCARCERATION INSTEAD OF TREATMENT. TOO OFTEN, MR. CHAIRMAN, CRISIS THAT IMPACTS THE AFRICAN-AMERICAN COMMUNITY IS SEEN AS A CRIMINAL JUSTICE PROBLEM, WHICH AFFECTS -- WHILE THOSE THAT AFFECT THE WHITE COMMUNITY IS SEEN AS A PUBLIC HEALTH PROBLEM. THAT PHENOMENA CHANGES TODAY. I KNOW OPPONENTS OF THIS AMENDMENT WILL SAY WE SHOULD BE EXPANDING COVERAGE TO ALL THOSE SUFFERING FROM ADDICTION. WELL, I WHOLEHEARTEDLY AGREE, MR. CHAIRMAN, WITH THAT STATEMENT. HOWEVER, WHILE MORE REMAINS TO BE DONE, TODAY'S ACTION IS A STEP IN THE RIGHT DIRECTION. THIS IS AN IMPORTANT MOMENT FOR THOSE THAT HAVE BEEN ADDICTED TO CRACK AND HAVE BEEN DENIED SUCH ACCESS TO TREATMENT. TODAY, THEY WILL FINALLY GET THE RELIEF AS WE MAKE HISTORIC PROGRESS IN THE FIGHT AGAINST ADDICTION AND THE INJUSTICE THAT CONTINUES TO TEAR COMMUNITIES APART. FOR THESE REASONS, I URGE ALL MY COLLEAGUES ON BOTH SIDES OF THE AISLE TO JOIN ME IN SUPPORTING THIS WORTHWHILE AND MEANINGFUL AMENDMENT. AND I RESERVE THE BALANCE OF MY TIME.

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                    • 02:13:44 PM

                      THE CHAIR

                      THE GENTLEMAN YIELDS BACK?

                    • 02:13:46 PM

                      MR. RUSH

                      I RESERVE.

                    • 02:13:47 PM

                      THE CHAIR

                      FOR WHAT PURPOSE DOES THE GENTLEMAN FROM OREGON RISE?

                    • 02:13:51 PM

                      MR. WALDEN

                      MR. SPEAKER, I RISE IN OPPOSITION TO THE AMENDMENT THOUGH I AM NOT OPPOSED…

                      MR. SPEAKER, I RISE IN OPPOSITION TO THE AMENDMENT THOUGH I AM NOT OPPOSED TO THE AMENDMENT.

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                    • 02:13:56 PM

                      THE CHAIR

                      THE GENTLEMAN IS RECOGNIZED FOR FIVE MINUTES.

                    • 02:13:58 PM

                      MR. WALDEN

                      MR. SPEAKER, I RISE IN SUPPORT OF THE RUSH AMENDMENT TO H.R. 5797, THE…

                      MR. SPEAKER, I RISE IN SUPPORT OF THE RUSH AMENDMENT TO H.R. 5797, THE I.M.D. CARE ACT. EARLIER TODAY, I SPOKE IN SUPPORT OF THE UNDERLYING BILL. IT WILL MAKE A MEANINGFUL CHANGE TO THE WAY MEDICAID COVERS OPIOID USE DISORDER FOR ITS BENEFICIARIES. THE AMENDMENT OFFERED BY MY FRIEND AND COLLEAGUE FROM ILLINOIS, REPRESENTATIVE BOBBY RUSH, WILL EXPAND ON THAT DEFINITION. IT WILL ALLOW MEDICAID TO PROVIDE COVERAGE FOR INDIVIDUALS SEEKING TREATMENT FROM CRACK AND CRACK COCAINE USAGE. LOOKING AT JUST 2016, OPIOIDS AND COCAINE CAUSED 82% OF ALL DRUG OVERDOSE DEATHS IN THE UNITED STATES. COCAINE ALONE KILLS MORE THAN 10,000 AMERICANS A YEAR. NEWS OUTLETS HAVE ALSO REPORTED FENTANYL BEING MIXED IN WITH COCAINE, FURTHER COMPLICATING THIS TRAGIC OPIOID CRISIS. THIS IS AN ISSUE THAT MR. RUSH HAS PASSIONATELY LED ON IN THE COMMITTEE, ON THE FLOOR, AND AT HOME IN HIS COMMUNITY. WE'VE DISCUSSED IT IN THE HEARING ROOM, AT LENGTH IN PRIVATE, WHILE WORKING TO FINE TUNE THIS LEGISLATION SO THE BEST POSSIBLE VERSION CAN BECOME LAW. SO I WANT TO THANK MR. RUSH FOR THIS AMENDMENT AND WANT PEOPLE TO KNOW THAT IT REALLY WILL IMPROVE AND EXPAND THE SCOPE OF THIS BILL, AND I URGE MY COLLEAGUES TO ADOPT THIS AMENDMENT AND SUPPORT THE UNDERLYING BILL WHICH WILL DRAMATICALLY HELP OUR RESPONSE FOR THE OPIOID EPIDEMIC FOR ALL AMERICANS, WHEREVER THEY LIVE. WITH THAT I'LL YIELD -- HOW MUCH TIME DO I HAVE LEFT?

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                    • 02:15:26 PM

                      THE CHAIR

                      THE GENTLEMAN HAS 3 1/2 MINUTES LEFT.

                    • 02:15:29 PM

                      MR. WALDEN

                      I YIELD TWO MINUTES -- ONE MINUTE TO THE GENTLEMAN, THE RANKING DEMOCRAT…

                      I YIELD TWO MINUTES -- ONE MINUTE TO THE GENTLEMAN, THE RANKING DEMOCRAT ON THE COMMITTEE, MR. PALLONE.

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                    • 02:15:35 PM

                      THE CHAIR

                      THE GENTLEMAN IS RECOGNIZED.

                    • 02:15:36 PM

                      MR. PALLONE

                      THANK YOU. I THANK MY CHAIRMAN FOR YIELDING. I SUPPORT MR. RUSH'S…

                      THANK YOU. I THANK MY CHAIRMAN FOR YIELDING. I SUPPORT MR. RUSH'S AMENDMENT, BUT I REMAIN IN STRONG OPPOSITION TO THE UNDERLYING BILL. . AS MR. RUSH NOTED IN OUR COMMITTEE, COCAINE USE CLAIMS FOR AFRICAN-AMERICAN LIVES THAN OLE YACHT USE AND BEEN A LARGER PROBLEM THAN OPIATE USE TISS ORDER. YET INCARCERATION, NOT TREATMENT, IS FAR TOO OFTEN THE RESPONSE. UNFORTUNATELY, ADDING A SINGLE ADDITIONAL DRUG DOES NOT MAKE THIS LEGISLATION WHOLE. NEARLY HALF OF ALL STATES ALREADY REIMBURSE FOR I.M.D.'S FOR ALL INDIVIDUALS SUBSTANCE ABUSE DISORDER, AND WE CAN AND SHOULD BUILD ON THAT POLICY AND STRENGTHEN THE FULL CONTINUUM OF CARE WITH ANY I.M.D. POLICY THIS BODY PASSES. THERE IS NO GOOD REASON POLICY OR OTHERWISE FOR US TO LEAVE THE OVERWHELMING MAJORITY OF MEDICAID BENEFICIARIES OUT IN THE COLD BECAUSE THEY HAVE THE MISFORTUNE TO BE ADDICTED TO, FOR INSTANCE, ALCOHOL OR METH, INSTEAD OF COCAINE OR OPIOIDS. AGAIN I SUPPORT THE AMENDMENT BUT REMAIN IN STRONG OPPOSITION TO THE UNDERLYING BILL. I THANK THE CHAIRMAN. YIELD BACK.

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                    • 02:16:45 PM

                      THE CHAIR

                      THE GENTLEMAN IS RECOGNIZED.

                    • 02:16:48 PM

                      MR. WALDEN

                      THANK YOU, MR. SPEAKER. I WOULD CONCLUDE MY COMMENTS BY EXPRESSING MY…

                      THANK YOU, MR. SPEAKER. I WOULD CONCLUDE MY COMMENTS BY EXPRESSING MY DISAPPOINTMENT I HAVE YET TO PERSUADE MY FRIEND FROM NEW JERSEY IT SUPPORT THE UNDERLYING BILL, THOUGH I APPRECIATE HIS SUPPORT OF THE RUSH AMENDMENT. WE KNOW THAT OUR GOVERNORS, WE KNOW THAT OUR STATE MEDICAID TRECTORS, WE KNOW THOSE MOST INVOLVED IN HELPING THOSE WITH ADDICTION HAVE PLED WITH US TO CHANGE THIS ANTIQUATED LAW SO THAT PEOPLE OF ALL COLORS, OF ALL BACKGROUNDS, OF ANYWHERE IN THIS COUNTRY, ESPECIALLY THE LOW-INCOME, CAN GET ACCESS TO MEANINGFUL, MODERN, HELPFUL ASSISTANCE TO OVERCOME THEIR ADDICTION. THAT'S WHAT THIS BILL DOES. I ENCOURAGE MY COLLEAGUES TO SUPPORT THE AMENDMENT. I ENCOURAGE THEM TO SUPPORT THE UNDERLYING BILL. WITH THAT UNLESS WE HAVE ANY OTHER SPEAKERS ON THIS MATTER, I YIELD BACK THE BALANCE OF MY TIME.

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                    • 02:17:40 PM

                      THE CHAIR

                      THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEMAN FROM…

                      THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEMAN FROM ILLINOIS IS RECOGNIZED.

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                    • 02:17:43 PM

                      MR. RUSH

                      MR. SPEAKER, MAY I INQUIRE AS TO HOW MUCH TIME I HAVE REMAINING.

                    • 02:17:46 PM

                      THE CHAIR

                      1 1/2 MINUTES.

                    • 02:17:47 PM

                      MR. RUSH

                      I WANT TO THANK YOU, MR. SPEAKER. MR. SPEAKER, BEFORE I CLOSE I JUST WANT…

                      I WANT TO THANK YOU, MR. SPEAKER. MR. SPEAKER, BEFORE I CLOSE I JUST WANT TO IN THE MOST SINCERE AND HUMBLE WAY THANK CHAIRMAN WALDEN FOR HIS OUTSTANDING LEADERSHIP ON THIS MATTER. AND FOR HIS UNDERSTANDING THE DIFFICULTY THAT MY CONSTITUENTS HAVE AS A RESULT OF THE OMISSION FROM TREATMENTS FOR CRACK OR COCAINE. SIMILARLY ADDICTION. I DO UNDERSTAND THE RANKING MEMBER ON THE FULL COMMITTEE, HIS PROBLEMS, HIS CONCERNS. I ACCEPT IT. MR. CHAIRMAN, WE HAVE TO GO FORWARD ON THIS CONTINUING AMENDMENT AND ON FINAL PASSAGE. I WANT TO THANK, MR. CHAIRMAN, WE HAVE TO GO FORWARD ON THIS CHAIRMAN, CONGRESSMAN WALDEN FOR WORKING WITH MY STAFF AND I ON THIS CRITICALLY IMPORTANT ISSUE. WITH THAT, MR. CHAIRMAN, I YIELD BACK THE BALANCE OF MY TIME.

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                    • 02:19:00 PM

                      THE CHAIR

                      THE GENTLEMAN YIELDS. THE QUESTION IS ON THE AMENDMENT OFFERED BY THE…

                      THE GENTLEMAN YIELDS. THE QUESTION IS ON THE AMENDMENT OFFERED BY THE GENTLEMAN FROM ILLINOIS. SO MANY AS ARE IN FAVOR SAY AYE. CHAIRMAN, CONGRESSMAN THOSE OPPOSED, NO. IN THE OPINION OF THE CHAIR, THE AYES HAVE IT.

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                    • 02:19:10 PM

                      MR. RUSH

                      I ASK FOR A ROLL CALL VOTE.

                    • 02:19:21 PM

                      THE CHAIR

                      PURSUANT TO CLAUSE 6 OF RULE 18 --

                    • 02:19:30 PM

                      MR. WALDEN

                      OUR SIDE WOULD BE HAPPY TO ACCEPT THIS AMENDMENT.

                    • 02:19:34 PM

                      MR. RUSH

                      THAT'S FINE.

                    • 02:19:36 PM

                      THE CHAIR

                      IN THE OPINION OF THE CHAIR, THE AYES HAVE IT. THE AMENDMENT IS AGREED TO.…

                      IN THE OPINION OF THE CHAIR, THE AYES HAVE IT. THE AMENDMENT IS AGREED TO. IT IS NOW IN ORDER TO CONSIDER AMENDMENT NUMBER 2 PRINTED IN PART D OF HOUSE REPORT 115-766. FOR WHAT PURPOSE DOES THE GENTLEMAN FROM MICHIGAN SEEK RECOGNITION.

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                  • 02:19:39 PM

                    On agreeing to the Rush amendment; Agreed to by voice vote.

                    • 02:19:56 PM

                      An amendment, offered by Mr. Kildee, numbered 2 printed in Part D of House Report 115-766 to add two requirements to the report that States are required to submit. The first would be information regarding the number of individuals suffering from co-occuring disorders and the disorders from which they suffer and the second would be information regarding access to community care for individuals suffering from a mental illness other than substance use disorder.

                      • 02:20:03 PM

                        MR. KILDEE

                        MR. CHAIRMAN, I HAVE AN AMENDMENT AT THE DESK.

                      • 02:20:06 PM

                        THE CHAIR

                        THE CLERK WILL DESIGNATE THE AMENDMENT.

                      • 02:20:08 PM

                        THE CLERK

                        AMENDMENT NUMBER 2, PRINTED IN PART D OF HOUSE REPORT NUMBER 115-766,…

                        AMENDMENT NUMBER 2, PRINTED IN PART D OF HOUSE REPORT NUMBER 115-766, OFFERED BY MR. KILDEE OF MICHIGAN.

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                      • 02:20:14 PM

                        THE CHAIR

                        PURSUANT TO HOUSE RESOLUTION 949, THE GENTLEMAN FROM MICHIGAN, MR. KILDEE,…

                        PURSUANT TO HOUSE RESOLUTION 949, THE GENTLEMAN FROM MICHIGAN, MR. KILDEE, AND A MEMBER OPPOSED, WILL EACH CONTROL FIVE MINUTES. THE CHAIR RECOGNIZES THE GENTLEMAN FROM MICHIGAN.

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                  • 02:20:19 PM

                    DEBATE

                    Pursuant to the provisions of H. Res. 949, the Committee of the Whole proceeded with 10 minutes of debate on the Kildee amendment No. 2.

                    • 02:20:33 PM

                      MR. KILDEE

                      THANK YOU, MR. CHAIRMAN. THIS LEGISLATION REQUIRES STATES TO SUBMIT A…

                      THANK YOU, MR. CHAIRMAN. THIS LEGISLATION REQUIRES STATES TO SUBMIT A REPORT ON THE NUMBER OF PATIENTS SERVED FOR EACH CONTROL FIVE MINUTES. THE CHAIR RECOGNIZES THE GENTLEMAN FROM MICHIGAN.

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                    • 02:20:40 PM

                      MR. KILDEE

                      THANK YOU, MR. CHAIRMAN. OPIOID USE DISORDER AT INSTITUTIONS FOR MENTAL…

                      THANK YOU, MR. CHAIRMAN. OPIOID USE DISORDER AT INSTITUTIONS FOR MENTAL DISEASES, THEIR LENGTH OF STAY, AND THE CARE THEY RECEIVED AFTER THEY WERE DISCHARGED. MY AMENDMENT WOULD ADD TWO REQUIREMENTS TO THAT REPORT. THE FIRST ADDITIONAL ELEMENT ADDRESSES CO-OCCURRING DISORDERS. MY AMENDMENT WOULD REQUIRE THAT STATES INCLUDE INFORMATION ON THE NUMBER OF INDIVIDUALS SUFFERING FROM THESE DISORDERS, AS WELL AS THE TYPE OF SPECIFIC DISORDERS FROM WHICH THEY SUFFER. CO-OCCURRING DISORDERS ARE TERRIBLE SITUATION IN WHICH A PERSON IS SIMULTANEOUSLY EXPERIENCING A MENTAL ILLNESS FROM WHICH THEY SUFFER. CO-OCCURRING AND SUBSTANCE ABUSE ISSUE. THIS IS ESPECIALLY PREVALENT IN OUR VETERAN POPULATION. WITH THE V.A. ESTIMATING ABOUT ONE THIRD OF VETERANS SEEKING TREATMENT FOR SUBSTANCE USE DISORDER ALSO MEET THE CRITERIA FOR POSTTRAUMATIC STRESS DISORDER. CO-OCCURRING DISORDERS CAN BE ESPECIALLY DIFFICULTY FOR DOCTORS TO DIAGNOSE BECAUSE OF HOW COMPLEX SYMPTOMS CAN BE. WITH ONE OFTEN MASKING SYMPTOMS OF THE OTHER. AS OF 2016, THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION ESTIMATES THAT OVER EIGHT MILLION ADULTS IN THE U.S. HAD CO-OCCURRING DISORDERS. HALF OF THEM DID NOT RECEIVE PROPER TREATMENT. AROUND 1/3 RECEIVED NO CARE FOR MENTAL ILLNESS OR SUBSTANCE USE DISORDER. IF WE'RE GOING TO GET TO THESE INDIVIDUALS, GET THEM THE HELP THEY NEED AND DESERVE, WE'RE GOING TO NEED TO KNOW WHAT CARE IS NEEDED AND HOW LARGE THE EXISTING TREATMENT GAP REALLY IS. MY AMENDMENT WILL HELP TO PROVIDE THAT DATA. THE SECOND ELEMENT OF MY AMENDMENT REQUIRES INFORMATION ON ACCESS TO COMMUNITY CARE FOR INDIVIDUALS SUFFERING FROM A MENTAL 1/3 RECEIVED NO CARE FOR MENTAL ILLNESS ILLNESS OTHER THAN SUBSTANCE USE DISORDER. FOR DECADES, OUR COUNTRY HAS SHIFTED MENTAL HEALTH CARE SERVICES AWAY FROM INSTITUTIONAL CARE INTO COMMUNITY HEALTH PROVIDERS. THAT IS SUBSTANTIAL PROGRESS THAT WE CERTAINLY DON'T WANT TO REVERSE OR ENDANGER. MAKE NO MISTAKE, PASSING THIS LEGISLATION WILL HAVE A DIRECT EFFECT ON ACCESS TO COMMUNITY CARE FOR PEOPLE WITH MENTAL DISEASES. WE SHOULD KNOW HOW MUCH AND TO WHAT EXTENT THAT IS THE CASE. MY AMENDMENT WILL PROVIDE CONGRESS WITH THE DATA ON WHETHER WE SHOULD KNOW THAT ACCESS IS INCREASING OR AS A RESULT OF THIS POTENTIAL LEGISLATION DECREASING. WE SHOULD NOT IN EFFORTS TO COMBAT THIS EPIDEMIC INADVERTENTLY CREATE UNCERTAINTY OR GREATER HARM FOR OTHER GROUPS OF PEOPLE, ESPECIALLY SUCH VULNERABLE GROUPS AS THOSE WITH MENTAL ILLNESS. MY AMENDMENT WILL PROVIDE CONGRESS WITH GREATER INFORMATION FOR US TO KNOW IF WE'RE DOING JUST THAT. I URGE MY COLLEAGUES TO SUPPORT THIS AMENDMENT. MR. CHAIRMAN, I RESERVE THE BALANCE OF MY TIME.

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                    • 02:23:26 PM

                      THE CHAIR

                      THE GENTLEMAN RESERVES. FOR WHAT PURPOSE DOES THE GENTLELADY FROM…

                      THE GENTLEMAN RESERVES. FOR WHAT PURPOSE DOES THE GENTLELADY FROM CALIFORNIA SEEK RECOGNITION.

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                    • 02:23:30 PM

                      >>

                      I CLAIM THE TIME IN OPPOSITION BUT I AM NOT OPPOSED TO THE AMENDMENT.

                    • 02:23:34 PM

                      THE CHAIR

                      WITHOUT OBJECTION, THE GENTLELADY IS RECOGNIZED.

                    • 02:23:36 PM

                      >>

                      I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

                    • 02:23:39 PM

                      THE CHAIR

                      THE GENTLELADY IS RECOGNIZED.

                    • 02:23:41 PM

                      >>

                      I WANT TO THANK MY COLLEAGUE, MR. KILDEE OF MICHIGAN, FOR OFFERING THIS…

                      I WANT TO THANK MY COLLEAGUE, MR. KILDEE OF MICHIGAN, FOR OFFERING THIS AMENDMENT TO H.R. 5797. THIS AMENDMENT SEEKS TO ADD SEVERAL COMPONENTS TO A STATE REPORT THAT IS INCLUDED IN H.R. 5797.

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                    • 02:23:53 PM

                      MRS. WALTERS

                      I APPRECIATE MR. KILDEE'S WORK ON THIS AMENDMENT. I THINK THAT THIS…

                      I APPRECIATE MR. KILDEE'S WORK ON THIS AMENDMENT. I THINK THAT THIS INFORMATION WOULD BE VALUABLE AND I'M HAPPY TO ACCEPT THE AMENDMENT. HOWEVER I WANT TO NOTE THAT WE WILL NEED TO TALK TO STATES ABOUT THE INFORMATION THIS AMENDMENT WOULD HAVE AND CHANGES MAY HAVE TO BE MADE DEPENDING O ON THAT FEEDBACK. I'M COMMITTED TO WORKING OUT THE TECHNICAL DETAILS OF THE AMENDMENT AS WE MOVE INTO CONFERENCE. I'D LIKE TO YIELD A MINUTE TO MR. PALLONE.

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                    • 02:24:17 PM

                      THE CHAIR

                      THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED.

                    • 02:24:19 PM

                      MR. PALLONE

                      THANK YOU. I THANK THE GENTLEWOMAN. MR. SPEAKER, I SUPPORT MY COLLEAGUE,…

                      THANK YOU. I THANK THE GENTLEWOMAN. MR. SPEAKER, I SUPPORT MY COLLEAGUE, REPRESENTATIVE KILDEE'S, AMENDMENT TO THIS LEGISLATION. IT IS CERTAINLY IMPORTANT TO REQUIRE STATES TO REPORT INFORMATION ON INDIVIDUALS WITH CO-OCCURRING DISORDERS AND WHAT DISORDERS ARE SUFFERING. AND IT IS EQUALLY IMPORTANT TO HAVE INFORMATION ON ACCESS TO COMMUNITY CARE FOR INDIVIDUALS SUFFERING FROM A BEHAVIOR HEALTH ISSUE OTHER THAN A SUBSTANCE USE DISORDER. I DO WANT TO STRESS THAT IN INFORMATION IS IMPORTANT OF THE UNDERLYING PROBLEM WITH THE I.M.D. CARE ACT CONTINUES. I BELIEVE THIS BILL IS AT BEST AN INEFFECTIVE USE OF SCARE MEDICAID DOLLARS AND MORE IMPORTANTLY IT MAY UNDERMINE ONGOING EFFORTS TO IMPROVE THE FULL CONTINUUM OF CARE FOR PEOPLE WITH SUBSTANCE USE DISORDERS. I THANK THE GENTLEWOMAN. I YIELD BACK.

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                    • 02:25:07 PM

                      THE CHAIR

                      THE GENTLEWOMAN FROM CALIFORNIA IS RECOGNIZED.

                    • 02:25:11 PM

                      MRS. WALTERS

                      I YIELD BACK THE BALANCE OF MY TIME.

                    • 02:25:13 PM

                      THE CHAIR

                      THE GENTLELADY YIELDS BACK. THE GENTLEMAN FROM MICHIGAN IS RECOGNIZED.

                    • 02:25:17 PM

                      MR. KILDEE

                      THANK YOU, MR. CHAIRMAN. I APPRECIATE THE COMMENTS OF BOTH MY COLLEAGUES.…

                      THANK YOU, MR. CHAIRMAN. I APPRECIATE THE COMMENTS OF BOTH MY COLLEAGUES. THIS IS AN EFFORT TO MAKE SURE THAT AS WE TAKE ON THIS EPIDEMIC WHATEVER PATH WE MAY TAKE THAT WE DO SO IN A WAY THAT GETS US THE BEST INFORMATION WE CAN TO DETERMINE WHETHER OR NOT WE'RE MAKING THE PROGRESS THAT THIS INTENDS TO. WE HAVE OUR THOUGHTS ABOUT THAT. THIS LEGISLATION AND THIS PARTICULAR AMENDMENT WOULD ENSURE THAT CONGRESS HAS THE INFORMATION IT NEEDS. I SUGGEST AND ENCOURAGE MY COLLEAGUES TO SUPPORT THE AMENDMENT. I APPRECIATE THE INDULGENCE OF THE CHAIR. I YIELD BACK THE BALANCE OF MY TIME.

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                    • 02:25:48 PM

                      THE CHAIR

                      THE QUESTION IS ON THE AMENDMENT OFFERED BY THE GENTLEMAN FROM MICHIGAN.…

                      THE QUESTION IS ON THE AMENDMENT OFFERED BY THE GENTLEMAN FROM MICHIGAN. SO MANY AS ARE IN FAVOR SAY AYE. THOSE OPPOSED, NO. IN THE OPINION OF THE CHAIR, THE AYES HAVE IT. THE AMENDMENT IS AGREED TO. IT IS NOW IN ORDER TO CONSIDER AMENDMENT NUMBER 3 PRINTED IN PART D OF HOUSE REPORT 115-766. FOR WHAT PURPOSE DOES THE GENTLEMAN FROM PENNSYLVANIA SEEK RECOGNITION.

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                  • 02:25:55 PM

                    On agreeing to the Kildee amendment; Agreed to by voice vote.

                    • 02:26:12 PM

                      MR. FITZPATRICK

                      MR. CHAIRMAN, I HAVE AN AMENDMENT AT THE DESK.

                    • 02:26:14 PM

                      THE CHAIR

                      THE CLERK WILL DESIGNATE THE AMENDMENT.

                    • 02:26:14 PM

                      An amendment, offered by Mr. Fitzpatrick, numbered 3 printed in Part D of House Report 115-766 to provide flexibility for States to allow the State plan amendment to include assessments to determine level of care and length of stay recommendations based upon criteria established or endorsed by a State agency pursuant to 1932(b)(1)(A)(i) of the Public Health Service Act.

                      • 02:26:16 PM

                        THE CLERK

                        AMENDMENT NUMBER 3, PRINTED IN PART D OF HOUSE REPORT NUMBER 115-7667.…

                        AMENDMENT NUMBER 3, PRINTED IN PART D OF HOUSE REPORT NUMBER 115-7667. OFFERED BY MR. FITZPATRICK OF PENNSYLVANIA.

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                      • 02:26:24 PM

                        THE CHAIR

                        PURSUANT TO HOUSE RESOLUTION 949, THE GENTLEMAN FROM PENNSYLVANIA, MR.…

                        PURSUANT TO HOUSE RESOLUTION 949, THE GENTLEMAN FROM PENNSYLVANIA, MR. FITZPATRICK, AND A MEMBER OPPOSED, EACH WILL CONTROL FIVE MINUTES. THE CHAIR RECOGNIZES THE GENTLEMAN FROM PENNSYLVANIA.

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                      • 02:26:34 PM

                        MR. FITZPATRICK

                        THANK YOU, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

                  • 02:26:41 PM

                    DEBATE

                    Pursuant to the provisions of H. Res. 949, the Committee of the Whole proceeded with 10 minutes of debate on the Fitzpatrick amendment No. 3.

                    • 02:26:44 PM

                      THE CHAIR

                    • 02:26:45 PM

                      MR. FITZPATRICK

                      MR. CHAIRMAN, I INTEND TEND TO WITHDRAW THE AMENDMENT BUT I WANT TO TAKE A…

                      MR. CHAIRMAN, I INTEND TEND TO WITHDRAW THE AMENDMENT BUT I WANT TO TAKE A MOMENT TO HIGHLIGHT AN ISSUE OF CRITICAL IMPORTANCE TO MY HOME STATE OF PENNSYLVANIA WHERE COMMUNITIES ACROSS THE COMMONWEALTH HAVE BEEN SUFFERING FROM THE SCOURGE OF THE OPIOID CRISIS. FIRST I WANT TO THANK THE COMMITTEE FOR TACKLING THE I.M.D. EXCLUSION PROBLEM. WE MUST ENSURE ACCESS TO TREATMENT TO GET PEOPLE SUFFERING WITH ADDICTION ON THE ROAD TO RECOVERY. GOING FORWARD WE MUST ENSURE THAT STATES HAVE THE FLEXIBILITY THAT THEY NEED TO PROVIDE ACCESS TO TREATMENT AND NOT UNINTENTIONALLY CREATE OBSTACLES OR BUREAUCRATIC -- THIS IS WHAT I HAD IN MIND WHEN I INTRODUCED MY ROAD TO RECOVERY ACT LAST YEAR. I WORKED WITH VARIOUS STAKEHOLDERS ACROSS THE NATION AND PENNSYLVANIA, INCLUDING PENNSYLVANIA STATE REPRESENTATIVE GIR RAN MOW ANTI-HEAD OF THE DRUG AND ALCOHOL SERVICE PROVIDERS ORGANIZATION OF PENNSYLVANIA. DELIB WRATHLY TAILORING CRITERIA TO MEET THEIR UNIQUE SITUATION WLRKS IT BE SPECIFIC LOCAL REALITIES, OR SOCIOECONOMIC FACTORS, NEED FLEXIBILITY AND SHOULD NOT BE BOUND SOLELY TO THE PROPRIETARY CRITERIA OF ONE ORGANIZATION WHO ENDORSED MY ROAD TO RECOVERY ACT, THAT INCLUDED THE SAME FLEXIBILITY, STATE FLEXIBILITY, CRITERIA PROVISION. I AM CONCERNED FOR PENNSYLVANIA AND OTHER SIMILARLY SITUATED STATES WHICH COULD BE LEFT BEHIND, ESPECIALLY IN THE PUBLIC-PATIENT AND RESIDENTIAL TREATMENT CONTEXT. FOR INSTANCE, IN PENNSYLVANIA WE CURRENTLY USE THE PENNSYLVANIA CLIENT PLACEMENT CRITERIA TOOL FOR DETERMINING THE APPROPRIATE LEVEL OF CARE FOR AN INDIVIDUAL SEEKING TREATMENT OR ALREADY WITHIN PENNSYLVANIA'S TREATMENT SYSTEM. AND THERE ARE SIMPLY DIFFERENCES BETWEEN THE A.C.M. STANDARD SPECIFIED IN THIS BILL AND THE CRITERIA USED BY MY HOME STATE OF PENNSYLVANIA. ADDITIONALLY, IN STATES THAT MAY BE TRANSITIONING TO THE DETERMINING THE APPROPRIATE LEVEL OF CARE FOR AN INDIVIDUAL SEEKING A.C.M. GUIDELINES, MUCH WORK IS NEEDED TO IMPLEMENT THESE CHANGES. SO STATES NEED THE FLEXIBILITY AND ASSURANCES TO BE ABLE TO ADDRESS FACILITY NEEDS DURING THIS TRANSITION PERIOD. THIS WOULD ENSURE ACCESS TO CARE IF THE STATE SEES A NECESSITY FOR IT. FURTHERMORE, THE C.M.S. GUIDANCE FOR THE STATES APPLYING FOR THE 1115 WAIVERS ALREADY GIVES THE ABILITY TO USE EITHER THE A.C.M. CRITERIA OR OTHER PATIENT PLACEMENT ASSESSMENT TOOLS. IN A MANUAL PUBLISHED BY THE SAMHSA DISCUSSES THE A.C.M. CRITERIA AND NOTES THE FOLLOWING. THE CRITERIA WERE NOT AS APPLICABLE TO PUBLICLY FUNDED PROGRAMS AS THE HOSPITALS, PRACTICES OR PRIVATE PRACTITIONER, GROUP PRACTICES, OTHER OR MEDICAL SETTINGS. THEREFORE SOME STATES SLEMENTED OR ADAPTED A.C.M. CRITERIA. IT SAYS SEVERAL STATES HAVE ADOPTED VARIATIONS OF THE CRITERIA TO FIT THEIR SYSTEMS AND THAT MANY STATES HAVE MADE SIGNIFICANT IMPROVEMENTS IN THE A.C.M. CRITERIA TO MAKE THEM MORE APPROPRIATE TO THEIR SYSTEMS AND EASIER TO USE. AS CAN YOU SEE, ONE SIZE, OR INC.M. CRITERIA. THIS CASE ONE CRITERIA MIGHT NOT FIT ALL FOR STATES THAT NEED TO TAYLOR -- AT THISOR TAILOR THEIR CRY TEAROR. I LOOK FORWARD TO WORKING WITH THE SENATE AND IN CONFERENCE TO PROVIDE STATES THE FLEXIBILITY THEY NEED. WITH THAT I RESERVE THE BALANCE OF MY TIME.

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                    • 02:30:07 PM

                      THE CHAIR

                      THE GENTLEMAN RESERVES. FOR WHAT PURPOSE DOES THE GENTLEMAN FROM OREGON…

                      THE GENTLEMAN RESERVES. FOR WHAT PURPOSE DOES THE GENTLEMAN FROM OREGON SEEK RECOGNITION.

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                    • 02:30:16 PM

                      MR. WALDEN

                      MR. SPEAKER, IF THE GENTLEMAN WOULD YIELD. RESERVES. FOR WHAT PURPOSE DOES…

                      MR. SPEAKER, IF THE GENTLEMAN WOULD YIELD. RESERVES. FOR WHAT PURPOSE DOES THE GENTLEMAN FROM FITZPATRICK: I YIELD.

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                    • 02:30:20 PM

                      THE CHAIR

                      THE GENTLEMAN FROM PENNSYLVANIA YIELDS.

                    • 02:30:22 PM

                      MR. WALDEN

                      SUCH TIME I MR. MAY CONSUME. MR. SPEAKER, I WANT TO THANK MR. FITZPATRICK…

                      SUCH TIME I MR. MAY CONSUME. MR. SPEAKER, I WANT TO THANK MR. FITZPATRICK AND HIS TEAM FOR AGREEING TO WORK WITH US ON THIS ISSUE. UNFORTUNATELY, ON THIS WELL THOUGHT OUT AMENDMENT WOULD SIGNIFICANTLY ALTER THE QUALITY STANDARDS WE HAVE BUILT INTO THE BASE BILL AND SUCH A CHANGE WOULD REQUIRE MORE SUBSTANTIAL VETTING WITH KEY STAKE HOLDERS THAN WE HAVE TIME FOR. BECAUSE OF THAT, WE'RE NOT IN A POSITION OF BEING ABLE TO ACCEPT THE AMENDMENT AT THIS TIME. . WELT WORK WITH STAKEHOLDERS TO -- WE WILL WORK WITH STAKEHOLDERS TO SEE IF THIS IS SOMETHING WE CAN ADD WHILE WE WORK WITH THE SENATE. I CONTINUE TO WORK WITH HIM ON THIS AND OTHER ISSUES AND WITH THE SENATE AS WE CONTINUE WORK ON THIS LEGISLATION. AND I YIELD BACK.

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                    • 02:31:05 PM

                      THE CHAIR

                      THE GENTLEMAN FROM PENNSYLVANIA IS RECOGNIZED.

                    • 02:31:07 PM

                      MR. FITZPATRICK

                      THANK YOU, MR. SPEAKER. I APPRECIATE THE REMARKS FROM THE CHAIRMAN AND…

                      THANK YOU, MR. SPEAKER. I APPRECIATE THE REMARKS FROM THE CHAIRMAN AND WITH THAT I ASK UNANIMOUS CONSENT TO WITHDRAW MY AMENDMENT.

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                    • 02:31:10 PM

                      By unanimous consent, the Fitzpatrick amendment was withdrawn.

                      • 02:31:13 PM

                        THE CHAIR

                        WITHOUT OBJECTION, SO ORDERED. THERE BEING NO FURTHER AMENDMENT, UNDER THE…

                        WITHOUT OBJECTION, SO ORDERED. THERE BEING NO FURTHER AMENDMENT, UNDER THE RULE, THE COMMITTEE RISES.

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                    • 02:31:22 PM

                      The House rose from the Committee of the Whole House on the state of the Union to report H.R. 5797.

                      • 02:31:44 PM

                        THE SPEAKER PRO TEMPORE

                        MR. CHAIRMAN.

                      • 02:31:45 PM

                        THE CHAIR

                        MR. SPEAKER, THE COMMITTEE OF THE WHOLE HOUSE ON THE STATE OF THE UNION…

                        MR. SPEAKER, THE COMMITTEE OF THE WHOLE HOUSE ON THE STATE OF THE UNION HAS UNDER CONSIDERATION H.R. 5797 AND PURSUANT TO HOUSE RESOLUTION 949 I REPORT THE BILL, AS AMENDED BY THAT RESOLUTION, BACK TO THE HOUSE WITH SUNDRY FURTHER AMENDMENTS ADOPTED IN THE COMMITTEE OF THE WHOLE.

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                      • 02:32:04 PM

                        THE SPEAKER PRO TEMPORE

                        THERE BEING NO FURTHER AMENDMENT, THE COMMITTEE OF THE WHOLE HOUSE ON THE…

                        THERE BEING NO FURTHER AMENDMENT, THE COMMITTEE OF THE WHOLE HOUSE ON THE STATE OF THE UNION REPORTS THAT THE COMMITTEE HAS HAD UNDER ITS CONSIDERATION THE BILL H.R. 5797 AND PURSUANT TO THE HOUSE RESOLUTION 949 REPORTS THE BILL, AS AMENDED, BY THAT RESOLUTION BACK TO THE HOUSE WITH SUNDRY FURTHER AMENDMENTS ADOPTED IN THE COMMITTEE OF THE WHOLE. UNDER THE RULE THE PREVIOUS QUESTION IS ORDERED. IS THERE A SEPARATE VOTE DEMANDED ON A FURTHER AMENDMENT DEMANDED IN THE COMMITTEE OF THE WHOLE? IF NOT WE WILL PUT THEM ENGROSSED. THE QUESTION IS ON ADOPTION OF THE AMENDMENTS. THOSE IN FAVOR SAY AYE. THOSE OPPOSED, NO. IN THE OPINION OF THE CHAIR, THE AYES HAVE IT. THE AMENDMENTS ARE ADOPTED. THE QUESTION IS ON ENGROSSMENT AND 1/3 READING OF THE BILL. THOSE IN FAVOR SAY AYE. -- AND THIRD READING OF THE BILL. THOSE IN FAVOR SAY AYE. THOSE OPPOSED, NO. THIRD READING.

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                    • 02:32:16 PM

                      The previous question was ordered pursuant to the rule.

                      • 02:32:25 PM

                        The House adopted the amendments en gross as agreed to by the Committee of the Whole House on the state of the Union.

                        • 02:32:49 PM

                          THE CLERK

                          A BILL TO AMEND TITLE 19 OF THE SOCIAL SECURITY ACT TO ALLOW STATES TO…

                          A BILL TO AMEND TITLE 19 OF THE SOCIAL SECURITY ACT TO ALLOW STATES TO PROVIDE UNDER MEDICAID SERVICES FOR CERTAIN INDIVIDUALS WITH OPIOID USE DISORDERS IN INSTITUTIONS FOR MENTAL DISEASE.

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                        • 02:33:01 PM

                          THE SPEAKER PRO TEMPORE

                          FOR WHAT PURPOSE DOES THE GENTLEWOMAN FROM FLORIDA SEEK RECOGNITION?

                      • 02:33:04 PM

                        Ms. Castor (FL) moved to recommit with instructions to the Committee on Energy and Commerce.

                        • 02:33:05 PM

                          MS. CASTOR

                          I HAVE A MOTION TO RECOMMIT AT THE DESK.

                        • 02:33:07 PM

                          THE SPEAKER PRO TEMPORE

                          IS THE GENTLEWOMAN OPPOSED TO THE BILL?

                        • 02:33:11 PM

                          MS. CASTOR

                          I AM IN THE CURRENT FORM.

                        • 02:33:13 PM

                          THE SPEAKER PRO TEMPORE

                          THE CLERK WILL REPORT THE MOTION.

                        • 02:33:15 PM

                          THE CLERK

                          MS. CASTOR OF FLORIDA MOVES TO RECOMMIT THE BILL H.R. 5797 TO THE…

                          MS. CASTOR OF FLORIDA MOVES TO RECOMMIT THE BILL H.R. 5797 TO THE COMMITTEE ON ENERGY AND COMMERCE WITH INSTRUCTIONS TO REPORT THE SAME BACK TO THE HOUSE FORTHWITH --

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                    • 02:33:19 PM

                      DEBATE

                      The House proceeded with 10 minutes of debate on the Castor motion to recommit with instructions pending a reservation of a point of order. The instructions contained in the motion seek to require the bill to be reported back to the House with an amendment to strike all that follows after section 1 and insert a section entitled Medicaid State Plan Option to Provide Services for Certain Individuals with Substance Use Disorders in Qualified Institutions for Mental Diseases. Subsequently, the reservation was removed.

                      • 02:33:23 PM

                        THE SPEAKER PRO TEMPORE

                        THE CLERK WILL SUSPEND. FOR WHAT PURPOSE DOES THE GENTLEWOMAN FROM FLORIDA…

                        THE CLERK WILL SUSPEND. FOR WHAT PURPOSE DOES THE GENTLEWOMAN FROM FLORIDA SEEK RECOGNITION?

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                      • 02:33:30 PM

                        >>

                        I HAVE A POINT OF ORDER.

                      • 02:33:32 PM

                        THE SPEAKER PRO TEMPORE

                        A POINT OF ORDER IS RESERVED. THE CLERK WILL CONTINUE.

                      • 02:33:37 PM

                        THE CLERK

                        MS. CASTOR OF FLORIDA MOVES TO RECOMMIT THE BILL H.R. 5797 TO THE…

                        MS. CASTOR OF FLORIDA MOVES TO RECOMMIT THE BILL H.R. 5797 TO THE COMMITTEE ON ENERGY AND COMMERCE WITH INSTRUCTIONS TO THE REPORT THE SAME --

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                      • 02:33:46 PM

                        MS. CASTOR

                        I ASK UNANIMOUS CONSENT TO DISPENSE WITH THE READING.

                      • 02:33:49 PM

                        THE SPEAKER PRO TEMPORE

                        IS THERE OBJECTION? WITHOUT OBJECTION, THE READING IS DISPENSED WITH. THE…

                        IS THERE OBJECTION? WITHOUT OBJECTION, THE READING IS DISPENSED WITH. THE GENTLEWOMAN IS RECOGNIZED FOR FIVE MINUTES.

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                      • 02:33:55 PM

                        MS. CASTOR

                        THANK YOU, MR. SPEAKER. MR. SPEAKER, THIS IS THE FINAL AMENDMENT TO THE…

                        THANK YOU, MR. SPEAKER. MR. SPEAKER, THIS IS THE FINAL AMENDMENT TO THE BILL. IT WILL NOT KILL THE BILL OR SEND IT BACK TO COMMITTEE. IF ADOPTED, THE BILL WILL IMMEDIATELY PROCEED TO PASSAGE, AS AMENDED. MR. SPEAKER, THE HOUSE HAS BEEN DEBATING LEGISLATION TO COMBAT THE OPIOID EPIDEMIC, AND WHILE MANY OF THE BILLS WE HEARD LAST WEEK AND THIS WEEK ARE FINE, TOGETHER THEY FAIL TO MEET THE CHALLENGE OF THIS VERY SERIOUS PUBLIC HEALTH CRISIS. WHEREIN WHERE IN AMERICA TODAY WE ARE LOSING 40,000 LIVES A YEAR DUE TO OPIOID ADDICTION. NOW, IN THE ENERGY AND COMMERCE COMMITTEE, OVER THE PAST FEW MONTHS, WE'VE HAD NUMEROUS HEARINGS AND HEARD FROM ALL SORTS OF EXPERTS AND FAMILIES AND THE D.E.A. AND HEALTH PROVIDERS AND THEN BACK HOME, FAMILIES HAVE BEEN EDUCATING US ON THE CHALLENGES OF DEALING WITH OPIOID ADDICTION. AND FAMILIES AND PUBLIC HEALTH EXPERTS AND THE MEDICAL COMMUNITY, THEY HAVE REACHED A CONSENSUS THAT WE NEED A MORE COMPREHENSIVE APPROACH TO TACKLE THE OPIOID EPIDEMIC THAT INCLUDES PREVENTION, COMMUNITY-BASED TREATMENT, AND INTEGRATED RECOVERY PLANS. BUT IT IS VERY DIFFICULT FOR US TO BE PROACTIVE IN A MEANINGFUL WAY ON THE OPIOID CRISIS WHEN THE REPUBLICANS AND THE WHITE HOUSE CONTINUE TO PRESS US BACKWARDS WHEN IT COMES TO ACCESS TO AFFORDABLE HEALTH CARE. JUST LAST WEEK, THE TRUMP ADMINISTRATION LAUNCHED A NEW ATTACK ON AMERICANS WITH PRE-EXISTING CONDITIONS, AND THAT INCLUDES FAMILIES STRUGGLING WITH OPIOID ADDICTION. PRESIDENT TRUMP AND THE G.O.P. ASKED A FEDERAL COURT TO STRIKE DOWN THE PROTECTION THAT PREVENTS INSURANCE COMPANIES FROM DENYING COVERAGE OR CHARGING MORE FOR A PRE-EXISTING CONDITION. THIS WOULD BE A DEVASTATING BLOW TO THOSE SUFFERING FROM ADDICTION. NOT TO MENTION CANCER OR DIABETES OR A HEART CONDITION OR MORE. THIS WILL LEAVE MORE FAMILIES WITHOUT INSURANCE AND MORE FAMILIES WITHOUT ADDICTION TREATMENT. PRESIDENT TRUMP AND THE G.O.P. WERE NOT SUCCESSFUL LAST YEAR IN RIPPING HEALTH COVERAGE AWAY FROM FAMILIES ACROSS THIS COUNTRY THROUGH LEGISLATION, SO NOW THEY'RE TRYING TO DO THIS THROUGH THE COURT SYSTEM. TAKE AWAY THE GUARANTEE OF HEALTH COVERAGE FOR MILLIONS OF AMERICANS WITH PRE-EXISTING CONDITIONS. THIS IS WRONG AND IT WILL MAKE THE OPIOID EPIDEMIC WORSE. INSTEAD, WE SHOULD BE WORKING TOGETHER TO DEVELOP AND FUND A COMPREHENSIVE ROBUST PLAN TO COMBAT AND TREAT ADDICTION. MR. SPEAKER, THIS IS WHY I'M PROPOSING AN AMENDMENT TO STRENGTHEN THE UNDERLYING BILL. MY AMENDMENT, MOST IMPORTANTLY, MAKES THE FIVE-YEAR LIMITED REPEAL OF THE I.M.D. EXCLUSION FOR INDIVIDUALS WITH SUBSTANCE USE DISORDERS CONTINGENT ON THE STATE EXPANDING MEDICAID. IT'S BASED ON THE MOST UP-TO-DATE RESEARCH AND EVERYTHING WE KNOW ABOUT HOW IMPORTANT MEDICAID AND MEDICAID EXPANSION IS TO TREATING OPIOID ADDICTION. MR. SPEAKER, MEDICAID IS CENTRAL TO TREATING ADDICTION BECAUSE FAMILIES CAN GET EARLY INTERVENTION AND TREATMENT, INCLUDING THE IMPORTANT MEDICAL-ASSISTED TREATMENT. IN FACT, MEDICAID SERVES FOUR OUT OF 10 OF NONELDERLY ADULTS WITH OPIOID ADDICTION. ACCORDING TO A 2016 STUDY BY THE NATIONAL COUNCIL ON BEHAVIORAL HEALTH, ABOUT 1.6 MILLION PEOPLE WITH SUBSTANCE USE DISORDERS NOW HAVE COVERAGE BECAUSE THEY LIVE IN ONE OF THE 31 STATES AT THE TIME THAT EXPANDED MEDICAID. SO THEY'RE MORE LIKELY TO RECEIVE TREATMENT, INCLUDING ACCESS TO NALOXONE AND OTHER DRUGS THAT HELP THEM STAY OFF THE OPIOIDS. THE AGENCY FOR HEALTH CARE RESEARCH AND QUALITY HIGHLIGHTED THE IMPORTANCE OF MEDICAID EXPANSION AND INCREASING INSURANCE COVERAGE AMONG PEOPLE WITH OPIOID USE DISORDERS JUST RECENTLY. THEY FOUND THAT THE SHARE OF HOSPITALIZATIONS IN WHICH THE PATIENT WAS UNINSURED FELL DRAMATICALLY IN STATES THAT HAD EXPANDED MEDICAID. FROM OVER 13% IN 2013 TO JUST 2.9% TWO YEARS LATER AFTER THOSE STATES EXPANDED MEDICAID. THE STEEP DECLINE INDICATES THAT MANY UNINSURED PEOPLE COPING WITH OPIOID ADDICTION GAINED COVERAGE THROUGH MEDICAID EXPANSION. MEDICAID IS PART OF THE SOLUTION TO THE OPIOID CRISIS, AND REPUBLICANS SHOULD NOT IRRESPONSIBLY PRESS TO CUT MILLIONS OF AMERICANS, TAKE AWAY THEIR LIFELINE AS THEY PROPOSE MASSIVE CUTS, AGAIN, TO MEDICAID. THE REPUBLICAN BUDGET CAME OUT JUST YESTERDAY. SURPRISE, SURPRISE. AGAIN, THEY GO AFTER FAMILIES WHO RELY ON MEDICAID, NOT JUST MEDICAID EXPANSION. THAT'S BEEN SO IMPORTANT TO TREATING FOLKS WHO SUFFER FROM ADDICTION. BUT FAMILIES, CHILDREN, OUR NEIGHBORS WITH DISABILITIES, FOLKS THAT RELY ON SKILLED NURSING CARE, THE REPUBLICAN BUDGET RELEASED YESTERDAY SAYS $1.5 TRILLION IN CUTS TO THOSE FAMILIES. THAT'S NOT GOING TO HELP SOLVE THE OPIOID EPIDEMIC. REPUBLICANS IN CONGRESS --

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                      • 02:39:05 PM

                        THE SPEAKER PRO TEMPORE

                        THE GENTLELADY'S TIME HAS EXPIRED.

                      • 02:39:07 PM

                        MS. CASTOR

                        FACING UP TO THE ADDICTION CRISIS AND ON THE OTHER SAY WE'RE TAKING AWAY…

                        FACING UP TO THE ADDICTION CRISIS AND ON THE OTHER SAY WE'RE TAKING AWAY WITH YOUR MEDICAID AND THOSE WITH PRE-EXISTING CONDITIONS. I YIELD BACK AND URGE APPROVAL OF MY MOTION.

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                      • 02:39:17 PM

                        THE SPEAKER PRO TEMPORE

                        FOR WHAT PURPOSE DOES THE GENTLEWOMAN FROM CALIFORNIA SEEK RECOGNITION?

                      • 02:39:20 PM

                        MRS. WALTERS

                        MR. SPEAKER, I WITHDRAW MY POINT OF ORDER AND CLAIM THE TIME IN OPPOSITION…

                        MR. SPEAKER, I WITHDRAW MY POINT OF ORDER AND CLAIM THE TIME IN OPPOSITION TO THE MOTION.

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                      • 02:39:24 PM

                        THE SPEAKER PRO TEMPORE

                        THE POINT OF ORDER IS WITHDRAWN. THE GENTLELADY IS RECOGNIZED.

                      • 02:39:29 PM

                        MRS. WALTERS

                        I RISE IN OPPOSITION TO THE COMMITH COMMIT. THE ENERGY AND COMMERCE…

                        I RISE IN OPPOSITION TO THE COMMITH COMMIT. THE ENERGY AND COMMERCE COMMITTEE HAS WORKED HARD TO MAKE THIS MONUMENTAL FIRST STEP IN REMOVING A DECADES' OLD BARRIER. CURRENTLY, THE LAW PROHIBITS MEDICAID BENEFICIARIES AGED 21 TO 64 FROM RECEIVING CARE IN AN INSTITUTION FOR MENTAL DISEASE, OR I.M.D. THIS PROHIBITION WAS SET INTO LAW IN THE 1960'S, LONG BEFORE THE OPIOID CRISIS AND THE TIME TO REPEAL IT IS IN A TARGETED MANNER IS NOW. NOW IS THE TIME BECAUSE 115 AMERICANS ARE DYING EACH DAY FROM OPIOID-RELATED DEATHS. NOW IS THE TIME BECAUSE ON AVERAGE 1,000 PEOPLE ARE TREATED IN EMERGENCY ROOMS FOR OPIOID MISUSE. I'M HAPPY TO WORK WITH MY COLLEAGUES ON EXPANDING ADDICTION TREATMENT SERVICES, BUT THAT SHOULD NOT DISTRACT FROM WHAT WE ARE CONSIDERING TODAY. INCREASING ACCESS TO SPECIALIZED IN-PATIENT TREATMENT FOR THE MOST VULNERABLE IN SOCIETY WHO ARE STRUGGLING WITH AN OPIOID ADDICTION. WE ARE HELPING TO ENSURE THAT PEOPLE GET THE CARE THEY NEED IN THE MIDST OF THIS CRISIS, AND MOST IMPORTANTLY, IT WILL SAVE LIVES. A RECENT MAC-PAC REPORT STATED THAT THE MEDICAID I.M.D. EXCLUSION ACTS AS A BARRIER FOR INDIVIDUALS WITH AN OPIOID USE DISORDER AND ONE OF THE FEW INSTANCES IN MEDICAID WHERE FEDERAL FINANCIAL PARTICIPATION CANNOT BE USED FOR MEDICALLY NECESSARY AND OTHERWISE COVERED SERVICES RECEIVING TREATMENT IN A SPECIFIC SETTING. THE I.M.D. CARE ACT IS VITAL TO HELPING OUR COMMUNITIES END THE OPIOID EPIDEMIC BY REMOVING THAT BARRIER. THIS BILL PROVIDES FOR A TARGETED REPEAL OF THE I.M.D. PROHIBITION. THE BILL GIVES STATES A QUICKER ALTERNATIVE THAN MEDICAID WAIVERS TO PROVIDE THIS MUCH-NEEDED CARE. THIS BILL WAS CAREFULLY CRAFTED TO ENSURE THAT PATIENTS ARE NOT BEING HELD IN I.M.D.'S FOR LONGER THAN NECESSARY AND THE BILL ALSO INCLUDES AN OFFSET. FOR THESE REASONS, THE NATIONAL GOVERNORS ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION SUPPORT THE BILL. NUMEROUS STAKEHOLDER GROUPS HAVE IDENTIFIED THE I.M.D. EXCLUSION REPEAL AS ONE OF THE MOST SIGNIFICANT REFORMS WE CAN MAKE TO END THE OPIOID CRISIS. THIS IS SUCH A CRITICAL FIRST STEP. I URGE MY COLLEAGUES TO OPPOSE THIS MOTION TO RECOMMIT AND VOTE YES ON FINAL PASSAGE. I YIELD THE BALANCE OF MY TIME.

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                      • 02:41:53 PM

                        THE SPEAKER PRO TEMPORE

                        WITHOUT OBJECTION, THE PREVIOUS QUESTION IS ORDERED ON THE MOTION TO…

                        WITHOUT OBJECTION, THE PREVIOUS QUESTION IS ORDERED ON THE MOTION TO RECOMMIT. THE QUESTION SON THE MOTION TO RECOMMIT. -- IS ON THE MOTION TO RECOMMIT. THOSE IN FAVOR SAY AYE. THOSE OPPOSED, NO. IN THE OPINION OF THE CHAIR, THE NOES HAVE IT.

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                      • 02:42:05 PM

                        MS. CASTOR

                        MR. SPEAKER, I ASK FOR THE YEAS AND NAYS.

                      • 02:42:09 PM

                        THE SPEAKER PRO TEMPORE

                        NAYS.

                    • 02:42:45 PM

                      POSTPONED PROCEEDINGS

                      At the conclusion of debate on Castor (FL) motion to recommit with instructions, the Chair put the question on the motion, and by voice vote, announced that the noes had prevailed. Ms. Castor (FL) demanded the yeas and nays and the Chair postponed further proceedings on the motion to recommit with instructions until a time to be announced.

                      • 02:42:51 PM

                        Recess

                        The Speaker announced that the House do now recess. The next meeting is subject to the call of the Chair.

                        • 03:45:23 PM

                          Reconvened

                          The House convened, returning from a recess continuing the legislative day of June 20.

                          • 03:45:24 PM

                            UNFINISHED BUSINESS

                            The Chair announced that the unfinished business was the question on the motion to recommit on H.R. 5797, which was debated earlier and on which further proceedings had been postponed.

                            • 03:45:39 PM

                              >>

                              WE'RE GOING TO BREAK AWAY FROM THIS TO GO LIVE TO THE FLOOR OF THE HOUSE…

                              WE'RE GOING TO BREAK AWAY FROM THIS TO GO LIVE TO THE FLOOR OF THE HOUSE FOR VOTES. MMIT ON H.R. 5787 -- 5797, THE QUESTION ON PASSAGE OF H.R. 57897 IF ORDERED. THE MOTION TO RECOMMIT ON H.R. 6082. THE QUESTION ON PASSAGE OF H.R. 6082 IF ORDERED AND AGREEING TO THE SPEAKER'S APPROVAL OF THE JOURNAL IF ORDERED. THE FIRST ELECTRONIC VOTE WILL BE CONDUCTED AS A 15-MINUTE VOTE. REMAINING ELECTRONIC VOTES WILL BE FIVE-MINUTE VOTES. THE UNFINISHED BUSINESS IS THE QUESTION ON AGREEING TO THE MOTION TO RECOMMIT ON H.R. 5797 OFFERED BY THE GENTLEWOMAN FROM FLORIDA, MS. CASTOR, ON WHICH THE YEAS AND NAYS WERE ORDERED. THE CLERK WILL REDESIGNATE THE MOTION.

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                            • 03:46:25 PM

                              Considered as unfinished business. H.R. 5797 — "To amend title XIX of the Social Security Act to allow States to provide under Medicaid services for certain individuals with opioid use disorders in institutions for mental diseases."

                              • 03:46:31 PM

                                THE CLERK

                                MOTION TO RECOMMIT ON H.R. 5797 OFFERED BY MS. CASTOR OF FLORIDA.

                              • 03:46:37 PM

                                THE SPEAKER PRO TEMPORE

                                THE QUESTION IS ON AGREEING TO THE MOTION TO RECOMMIT. MEMBERS WILL RECORD…

                                THE QUESTION IS ON AGREEING TO THE MOTION TO RECOMMIT. MEMBERS WILL RECORD THEIR VOTES BY ELECTRONIC DEVICE. THIS IS A 15-MINUTE VOTE. [CAPTIONING MADE POSSIBLE BY THE NATIONAL CAPTIONING INSTITUTE, INC., IN COOPERATION WITH THE UNITED STATES HOUSE OF REPRESENTATIVES. ANY USE OF THE CLOSED-CAPTIONED COVERAGE OF THE HOUSE PROCEEDINGS FOR POLITICAL OR COMMERCIAL PURPOSES IS EXPRESSLY PROHIBITED BY THE U.S. HOUSE OF REPRESENTATIVES.]

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                            • 03:46:46 PM

                              On motion to recommit with instructions Roll Call 275 - Yea and Nay vote pending.

                              • 04:13:42 PM

                                THE SPEAKER PRO TEMPORE

                                ON THIS VOTE, THE YEAS ARE 190 AND THE NAYS ARE 226. THE MOTION IS NOT…

                                ON THIS VOTE, THE YEAS ARE 190 AND THE NAYS ARE 226. THE MOTION IS NOT ADOPTED. THE QUESTION IS ON PASSAGE OF THE BILL. THOSE IN FAVOR SAY AYE. THOSE OPPOSED, NO. THE AYES HAVE IT.

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                          • 04:13:46 PM

                            House Vote 275 - On Motion to Recommit with Instructions

                            Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Delivery Act

                            Failed (190 - 226)
                            Yea
                            Nay

                            Vote Details: Yea - 190
                            Democratic - 190

                            Vote Details: Nay - 226
                            Republican - 226

                            Vote Details: Not Voting - 11
                            Republican - 8
                            Democratic - 3

                            • 04:13:49 PM

                              On passage Roll Call 276 - Yea and Nay vote pending.

                              • 04:14:03 PM

                                >>

                                MR. SPEAKER --

                              • 04:14:05 PM

                                THE SPEAKER PRO TEMPORE

                                FOR WHAT PURPOSE DOES THE GENTLEMAN FROM NEW JERSEY SEEK RECOGNITION?

                              • 04:14:08 PM

                                >>

                                ON THAT, I ASK FOR THE YEAS AND NAYS.

                              • 04:14:11 PM

                                THE SPEAKER PRO TEMPORE

                                THE YEAS AND NAYS ARE REQUESTED. THOSE FAVORING A VOTE BY THE YEAS AND…

                                THE YEAS AND NAYS ARE REQUESTED. THOSE FAVORING A VOTE BY THE YEAS AND NAYS WILL RISE. A SUFFICIENT NUMBER HAVING ARISEN, YEAS AND NAYS ARE ORDERED. MEMBERS WILL RECORD THEIR VOTES BY ELECTRONIC DEVICE. THIS IS A FIVE-MINUTE VOTE. [CAPTIONING MADE POSSIBLE BY THE NATIONAL CAPTIONING INSTITUTE, INC., IN COOPERATION WITH THE UNITED STATES HOUSE OF REPRESENTATIVES. ANY USE OF THE CLOSED-CAPTIONED COVERAGE OF THE HOUSE PROCEEDINGS FOR POLITICAL OR COMMERCIAL PURPOSES IS EXPRESSLY PROHIBITED BY THE U.S. HOUSE OF REPRESENTATIVES.]

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                              • 04:21:53 PM

                                THE SPEAKER PRO TEMPORE

                                ON THIS VOTE THE YEAS ARE 261. THE NAYS ARE 155. THE BILL IS PASSED.…

                                ON THIS VOTE THE YEAS ARE 261. THE NAYS ARE 155. THE BILL IS PASSED. WITHOUT OBJECTION, THE MOTION TO RECONSIDER IS LAID ON THE TABLE. THE HOUSE WILL COME TO ORDER. THE HOUSE WILL PLEASE COME TO ORDER. WILL ALL MEMBERS TAKE THEIR CONVERSATIONS OFF THE FLOOR. THE HOUSE WILL COME TO ORDER FOR A VERY IMPORTANT ANNOUNCEMENT. THE HOUSE WILL PLEASE COME TO ORDER. FOR WHAT PURPOSE DOES THE GENTLELADY FROM ALABAMA SEEK RECOGNITION?

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                          • 04:21:58 PM

                            House Vote 276 - On Passage

                            Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Delivery Act

                            Passed (261 - 155)
                            Yea
                            Nay

                            Vote Details: Yea - 261
                            Republican - 211
                            Democratic - 50

                            Vote Details: Nay - 155
                            Democratic - 140
                            Republican - 15

                            Vote Details: Not Voting - 11
                            Republican - 8
                            Democratic - 3

                            • 04:22:00 PM

                              Motion to reconsider laid on the table Agreed to without objection.

                              • 04:23:10 PM

                                MRS. ROBY

                                I ASK UNANIMOUS CONSENT TO SPEAK OUT OF ORDER FOR ONE MINUTE.

                              • 04:23:13 PM

                                THE SPEAKER PRO TEMPORE

                                THE GENTLELADY IS RECOGNIZED FOR ONE MINUTE.

                              • 04:23:16 PM

                                MRS. ROBY

                                I NOW LIKE TO YIELD TO THE GENTLEMAN FROM FLORIDA FOR AS MUCH TIME AS SHE…

                                I NOW LIKE TO YIELD TO THE GENTLEMAN FROM FLORIDA FOR AS MUCH TIME AS SHE WOULD LIKE TO CONSUME.

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                              • 04:23:22 PM

                                MS. WASSERMAN SCHULTZ

                                I THANK THE GENTLELADY AND THRILLED TO BE ABLE TO JOIN MY SISTERS ON TEAM…

                                I THANK THE GENTLELADY AND THRILLED TO BE ABLE TO JOIN MY SISTERS ON TEAM CONGRESS FOR THE 10TH ANNUAL CONGRESSIONAL WOMEN'S SOFTBALL GAME TONIGHT. MANY OF YOU KNOW THAT OUR GAME STARTED IN 2009 AFTER OUR FORMER COLLEAGUE, CONGRESSWOMAN JO ANN EMERSON, AND I CAME TOGETHER AND HATCHED A PLAN THAT UNLIKE THE MEN, WHO WE LOVE AND RESPECT AND CHEER ON IN THE BASEBALL GAME, THAT WOMEN BEING THE MORE COLLEGIAL SEX WOULD COME TOGETHER AND PLAY ON A BIPARTISAN TEAM AGAINST THE COMMON ENEMY -- THE PRESS. THE FIRST YEAR WE LOST OUR MINDS AND PLAYED OUR POLITICAL STAFF AT THE -- FROM THE R.N.C. --

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                              • 04:24:18 PM

                                THE SPEAKER PRO TEMPORE

                                THE HOUSE WILL PLEASE COME TO ORDER.

                              • 04:24:21 PM

                                MS. WASSERMAN SCHULTZ

                                THOSE OF YOU THAT WILL HERE THAT WE LOST OUR MINDS IN THE FIRST YEAR AND…

                                THOSE OF YOU THAT WILL HERE THAT WE LOST OUR MINDS IN THE FIRST YEAR AND ACTUALLY THOUGHT WE MIGHT BE ABLE TO TAKE ON OUR POLITICAL STAFF AT THE D.N.C., THE R.C.N., THE D.D.D. AND OTHER SORTED ALPHABET POLITICAL ORGANIZATIONS AND IT DIDN'T GO SO WELL. SO THE NEXT YEAR WE THOUGHT BETTER OF IT AND CAME TOGETHER TO TAKE ON THE PRESS CORPS. THROUGH THOSE YEARS WE HAVE HAD A HEARTY RECORD WHERE THE MEMBERS HAVE WONG THREE OUT OF THE NINE CONTESTS THAT WE HAVE ENGAGED IN -- WE HAVE WON THREE OUT OF THE NINE CONTESTS THAT WE HAVE ENGAGED IN. BUT MOST IMPORTANTLY WE PLAYED FOR THE YOUNG SURVIVAL COALITION, TO RAISE AWARENESS AND PUT A SPOTLIGHT ON THE MILLIONS OF YOUNG WOMEN WHO ARE UNDER 40 YEARS OLD WHO ARE DIAGNOSED WITH BREAST CANCER EVERY YEAR. MANY OF YOU KNOW THAT I AM A BREAST CANCER SURVIVOR NOW OF 10 YEARS. VERY THRILLED TO BE ABLE TO STAND IN FRONT OF YOU. THANK YOU. THANK YOU. AND BACK THEN I TOLD YOU THAT I WAS SO FEARFUL OF NOT BEING ABLE TO SEE THE SPECIAL EVENTS IN MY CHILDREN'S LIVES, THEIR BAR MITZVAHS, THEIR HIGH SCHOOL GRADUATIONS. I HAVE BEEN TO BOTH BAR MITZVAHS, GRADUATIONS. WE WANT TO MAKE SURE YOUNG WOMEN ACROSS THIS COUNTRY PAY ATTENTION TO THEIR BREAST HEALTH, KNOW WHAT'S NORMAL FOR THEM SO THEY KNOW WHEN SOMETHING FEELS DIFFERENT. WE ARE PROUD TO TELL YOU THIS YEAR WE WILL HAVE REACHED A MILESTONE WHERE WE HAVE RAISED $1.4 MILLION FOR THE YOUNG SURVIVAL COALITION. SO MY SISTERS, COME OUT AND JOIN US TONIGHT AT THE WATKINS RECREATION CENTER, 7:00 P.M. NOW I YIELD TO MY FRIEND FROM ALABAMA, MARTHA ROBY.

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                              • 04:26:15 PM

                                MRS. ROBY

                            • 04:26:49 PM

                              Considered as unfinished business. H.R. 6082 — "To amend the Public Health Service Act to protect the confidentiality of substance use disorder patient records."

                              • 04:26:50 PM

                                MS. WASSERMAN SCHULTZ

                                THANK YOU.

                              • 04:26:56 PM

                                THE SPEAKER PRO TEMPORE

                                WITHOUT OBJECTION, FIVE-MINUTE VOTING WILL CONTINUE. THE UNFINISHED…

                                WITHOUT OBJECTION, FIVE-MINUTE VOTING WILL CONTINUE. THE UNFINISHED BUSINESS IS THE QUESTION ON AGREEING TO THE MOTION TO RECOMMIT ON H.R. 6082 OFFERED BY THE GENTLEMAN FROM NEW JERSEY, MR. PALLONE, ON WHICH THE YEAS AND NAYS WERE ORDERED. THE CLERK WILL REDESIGNATE THE MOTION.

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                            • 04:27:06 PM

                              On motion to recommit with instructions Roll Call 277 - Yea and Nay vote pending.

                              • 04:27:14 PM

                                THE CLERK

                                MOTION TO RECOMMIT ON H.R. 6082 OFFERED BY MR. PALLONE OF NEW JERSEY.

                              • 04:27:18 PM

                                THE SPEAKER PRO TEMPORE

                                THE QUESTION IS ON AGREEING TO THE MOTION TO RECOMMIT. MEMBERS WILL RECORD…

                                THE QUESTION IS ON AGREEING TO THE MOTION TO RECOMMIT. MEMBERS WILL RECORD THEIR VOTES BY ELECTRONIC DEVICE. THIS WILL BE A FIVE-MINUTE VOTE. [CAPTIONING MADE POSSIBLE BY THE NATIONAL CAPTIONING INSTITUTE, INC., IN COOPERATION WITH THE UNITED STATES HOUSE OF REPRESENTATIVES. ANY USE OF THE CLOSED-CAPTIONED COVERAGE OF THE HOUSE PROCEEDINGS FOR POLITICAL OR COMMERCIAL PURPOSES IS EXPRESSLY PROHIBITED BY THE U.S. HOUSE OF REPRESENTATIVES.]

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                              • 04:34:17 PM

                                THE SPEAKER PRO TEMPORE

                                ON THIS VOTE, THE YEAS ARE 175, THE NAYS ARE 240, THE MOTION IS NOT…

                                ON THIS VOTE, THE YEAS ARE 175, THE NAYS ARE 240, THE MOTION IS NOT ADOPTED. THE QUESTION IS ON PASSAGE OF THE BILL. THOSE IN FAVOR SAY AYE. THOSE OPPOSED, NO. THE AYES HAVE IT. THE BILL IS PASSED --

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                          • 04:34:19 PM

                            House Vote 277 - On Motion to Recommit with Instructions

                            Overdose Prevention and Patient Safety Act

                            Failed (175 - 240)
                            Yea
                            Nay

                            Vote Details: Yea - 175
                            Democratic - 175

                            Vote Details: Nay - 240
                            Republican - 225
                            Democratic - 15

                            Vote Details: Not Voting - 12
                            Republican - 9
                            Democratic - 3

                            • 04:34:22 PM

                              On passage Roll Call 278 - Yea and Nay vote pending.

                              • 04:34:36 PM

                                >>

                                MR. SPEAKER.

                              • 04:34:39 PM

                                THE SPEAKER PRO TEMPORE

                                FOR WHAT PURPOSE DOES THE GENTLEMAN FROM NEW JERSEY SEEK RECOGNITION?

                              • 04:34:44 PM

                                >>

                                I ASK FOR THE YEAS AND NAYS.

                              • 04:34:46 PM

                                THE SPEAKER PRO TEMPORE

                                NAYS.

                              • 04:45:22 PM

                                THE SPEAKER PRO TEMPORE

                                THE SPEAKER PRO TEMPORE: ON THIS VOTE THE YEAS ARE 357. THE NAYS ARE 57.…

                                THE SPEAKER PRO TEMPORE: ON THIS VOTE THE YEAS ARE 357. THE NAYS ARE 57. THE BILL IS PASSED. WITHOUT OBJECTION, THE MOTION TO RECONSIDER IS LAID ON THE TABLE. PURSUANT TO CLAUSE 8 OF RULE 20, THE UNFINISHED BUSINESS IS THE QUESTION ON AGREEING TO THE SPEAKER'S APPROVAL OF THE JOURNAL, WHICH THE CHAIR WILL PUT DE NOVO. THE QUESTION IS ON AGREEING TO THE SPEAKER'S APPROVAL OF THE JOURNAL. THOSE IN FAVOR SAY AYE. THOSE OPPOSED, NO. IN THE OPINION OF THE CHAIR, THE AYES HAVE IT. THE JOURNAL STANDS APPROVED. FOR WHAT PURPOSE DOES THE GENTLELADY FROM TEXAS SEEK RECOGNITION?

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                          • 04:45:22 PM

                            House Vote 278 - On Passage

                            Overdose Prevention and Patient Safety Act

                            Passed (357 - 57)
                            Yea

                            Vote Details: Yea - 357
                            Republican - 217
                            Democratic - 140

                            Vote Details: Nay - 57
                            Republican - 7
                            Democratic - 50

                            Vote Details: Not Voting - 13
                            Republican - 10
                            Democratic - 3

                            • 04:45:24 PM

                              Motion to reconsider laid on the table Agreed to without objection.

                            • 04:45:34 PM

                              UNFINSIHED BUSINESS

                              The Chair announced that the unfinished business was on the Speaker's approval of the Journal and put the question de novo.

                              • 04:45:49 PM

                                On approving the Journal Agreed to by voice vote.

                                • 04:46:06 PM

                                  Ms. Granger filed a report from the Committee on Appropriations on H.R. 6157.

                                  • 04:46:11 PM

                                    MS. GRANGER

                                    MR. SPEAKER, I HAVE A PRIVILEGED REPORT AT THE DESK.

                                  • 04:46:14 PM

                                    THE SPEAKER PRO TEMPORE

                                    THE CLERK WILL REPORT THE TITLE BILL.

                                  • 04:46:17 PM

                                    THE CLERK

                                    REPORT TO ACCOMPANY H.R. 6157, A BILL MAKING APPROPRIATIONS FOR THE…

                                    REPORT TO ACCOMPANY H.R. 6157, A BILL MAKING APPROPRIATIONS FOR THE DEPARTMENT OF DEFENSE FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2019, AND FOR OTHER PURPOSES.

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                                  • 04:46:30 PM

                                    THE SPEAKER PRO TEMPORE

                                    REFERRED TO THE UNION CALENDAR AND ORDERED PRINTED. POINTS OF ORDER ARE…

                                    REFERRED TO THE UNION CALENDAR AND ORDERED PRINTED. POINTS OF ORDER ARE RESERVED. THE CHAIR WILL NOW ENTERTAIN REQUESTS FOR ONE-MINUTE SPEECHES. FOR WHAT PURPOSE DOES THE GENTLELADY FROM NORTH CAROLINA SEEK RECOGNITION?

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                              • 04:47:08 PM

                                ONE MINUTE SPEECHES

                                The House proceeded with further one minute speeches.

                                • 04:47:10 PM

                                  MS. FOXX

                                  I ASK UNANIMOUS CONSENT TO ADDRESS THE HOUSE AND I ASK THE SPEAKER CALL…

                                  I ASK UNANIMOUS CONSENT TO ADDRESS THE HOUSE AND I ASK THE SPEAKER CALL THE HOUSE TO ORDER.

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                                • 04:47:16 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE HOUSE WILL BE IN ORDER. THE HOUSE WILL BE IN ORDER. WITHOUT OBJECTION,…

                                  THE HOUSE WILL BE IN ORDER. THE HOUSE WILL BE IN ORDER. WITHOUT OBJECTION, THE GENTLEWOMAN IS RECOGNIZED FOR ONE MINUTE.

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                                • 04:47:33 PM

                                  MS. FOXX

                                  MR. SPEAKER, THE HOUSE IS NOT IN ORDER.

                                • 04:47:40 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE HOUSE WILL BE IN ORDER. WITHOUT OBJECTION, THE GENTLEWOMAN IS…

                                  THE HOUSE WILL BE IN ORDER. WITHOUT OBJECTION, THE GENTLEWOMAN IS RECOGNIZED FOR ONE MINUTE.

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                                • 04:47:48 PM

                                  MS. FOXX

                                  THANK YOU, MR. SPEAKER. I RISE TO HIGHLIGHT THE RECENTLY DESIGNATED…

                                  THANK YOU, MR. SPEAKER. I RISE TO HIGHLIGHT THE RECENTLY DESIGNATED OPPORTUNITY ZONES IN NORTH CAROLINA'S FIFTH DISTRICT. LAST MONTH, THE U.S. TREASURY APPROVED 22 OPPORTUNITY ZONES IN NORTH CAROLINA'S FIFTH DISTRICT AS PART OF THE TAX CUTS AND JOBS ACT. REFERRING TO AREAS WITH UNTAPPED ECONOMIC POTENTIAL, "THE NEW YORK TIMES" CALLED THE PROVENTIAL, QUOTE, THE FIRST NEW SUBSTANTIAL FEDERAL ATTEMPT TO AID THOSE COMMUNITIES IN MORE THAN A DECADE. WITH NEW INCENTIVES FOR LONG-TERM CAPITAL INVESTMENT, OPPORTUNITY ZONES ALLOW STATE AND LOCAL GOVERNMENTS TO FACILITATE INCREASED ECONOMIC DEVELOPMENT IN RURAL AND SUBURBAN AREAS, OFTEN OVERLOOKED FOR NEW INVESTMENTS AS COMPANIES ARE DRAWN TO THRIVING METROPOLITAN AREAS. THANKS TO THE TAX CUTS, THE AMERICAN ECONOMY IS BOOMING, AND OPPORTUNITY ZONES WILL SPREAD THAT PROSPERITY TO COMMUNITIES IN NEED OF NEW CAPITAL TO CREATE WEALTH AND GROW. I YIELD BACK, MR. SPEAKER.

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                                • 04:48:56 PM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM VIRGINIA SEEK RECOGNITION?…

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM VIRGINIA SEEK RECOGNITION? WITHOUT OBJECTION, THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

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                                • 04:49:11 PM

                                  MR. MCEACHIN

                                  MR. SPEAKER, Z.T.E., THE CHINESE TELECOM CORPORATION, POSES A CLEAR THREAT…

                                  MR. SPEAKER, Z.T.E., THE CHINESE TELECOM CORPORATION, POSES A CLEAR THREAT TO OUR SECURITY. THE PENTAGON HAS BANNED THE SALE OF Z.T.E. DEVICES ON U.S. BASES SAYING THEY MAY POSE AN UNACCEPTABLE RISK TO THE DEPARTMENT'S PERSONNEL, INFORMATION, AND MISSION. SIMILARLY, THERE'S NO DISPUTE THAT Z.T.E. PRESSURED IRON AND NORTH KOREA. THE DEPARTMENT OF COMMERCE INCITY TUITTED PENALTIES. -- INSTITUTED NEW PENALTIES. AS ELECTED OFFICIALS, ONE OF OUR MOST BASIC RESPONSIBILITIES IS TO KEEP AMERICANS SAFE IN GRANTING Z.T.E. AN UNDESERVED REPRIEVE, THE PRESIDENT DID THE OPPOSITE. IT IS UNACCEPTABLE. LAST WEEK THE SENATE APPROVED A NNDAA AMENDMENT. I AM PLEASED ABOUT THIS SUCCESS AND I SUPPORT EFFORTS TO MAINTAIN THAT LANGUAGE IN THE COMING NDAA CONFERENCE. I ENCOURAGE COLLEAGUES ON BOTH SIDES OF THE AISLE TO DO THE SAME. POLITICS NEED TO STOP AT THE WATER'S EDGE. CONGRESS CAN AND MUST DO WHAT THE PRESIDENT WILL NOT. THANK YOU, MR. SPEAKER, AND I YIELD BACK.

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                                • 04:50:26 PM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM TEXAS SEEK RECOGNITION?

                                • 04:50:31 PM

                                  MR. POE

                                  I ASK UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE AND TO REVISE…

                                  I ASK UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE AND TO REVISE AND EXTEND MY REMARKS.

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                                • 04:50:34 PM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION, THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

                                • 04:50:37 PM

                                  MR. POE

                                  MR. SPEAKER, LIEUTENANT GENERAL AUSTIN MILLER, YESTERDAY THE NOMINEE TO…

                                  MR. SPEAKER, LIEUTENANT GENERAL AUSTIN MILLER, YESTERDAY THE NOMINEE TO LEAD OUR FORCES IN AFGHANISTAN, TESTIFIED BEFORE THE SENATE THAT THE BIGGEST OBSTACLE TO SUCCESS IN AFGHANISTAN IS PAKISTAN. HE ECHOES THE SAME FRUSTRATIONS THE PRESIDENT EXPRESSED EARLIER THIS YEAR AND WHAT OTHERS IN THIS CHAMBER, INCLUDING MYSELF, HAS SAID FOR YEARS, THAT PAKISTAN IS PROVIDING SAFE HAVENS FOR TERRORISTS AND PLAYING BOTH SIDES. TERRORIST LEADERS EVEN ARROGANTLY MAKE PUBLIC APPEARANCES IN PAKISTAN WITH THE KNOWLEDGE OF THE GOVERNMENT. WHEN WE TAKE ACTION AGAINST TERRORISTS IN PAKISTAN, PAKISTAN OFFICIALS TYPICALLY CONDEMN US RATHER THAN TAKE STEPS TO IMPROVE COUNTERTERRORISM EFFORTS. PRESIDENT TRUMP AND THE INCOMING COMMANDER FOR U.S. FORCES IN AFGHANISTAN HOLD A REALISTIC VIEW OF PAKISTAN. PAKISTAN IS THE PROBLEM WITH SUCCESS IN AFGHANISTAN. THERE SHOULD BE NO AMERICAN MONEY SENT TO PAKISTAN UNTIL THEY STOP THEIR TREACHEROUS WAYS. OTHERWISE, THE 17-YEAR-OLD WAR IN AFGHANISTAN MAY NEVER END, AND THAT'S JUST THE WAY IT IS.

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                                • 04:51:52 PM

                                  THE SPEAKER PRO TEMPORE

                                  IS.

                                • 04:52:09 PM

                                  MR. PAYNE

                                  MR. SPEAKER, THERE ARE BABIES BEING RIPPED AWAY FROM THEIR PARENTS AT THE…

                                  MR. SPEAKER, THERE ARE BABIES BEING RIPPED AWAY FROM THEIR PARENTS AT THE SOUTHERN BORDER IN THE NAME OF THE AMERICAN PEOPLE. MAKE NO MISTAKE, THIS IS PART OF AN EVIL PLOT BY THE TRUMP ADMINISTRATION, AND IT HAS TO STOP. WHAT I WANT TO KNOW IS HOW THE TRUMP ADMINISTRATION IS KEEPING TRACK OF THESE CHILDREN. MY TRIPLETS DIDN'T CARRY IDENTIFICATION AROUND WHEN THEY WERE LITTLE BABIES. THAT WAS MY WIFE AND MY JOB TO BE ABLE TO IDENTIFY THEM AND SPEAK FOR THEM. WE WERE OUR KIDS AND WE COULD HAVE -- IF WE WERE WITH OUR KIDS WE COULD IDENTIFY THEM. IF THESE BABIES DON'T HAVE IDENTIFICATION, HOW WILL THEY BE REUNITED WITH THEIR PARENTS? HOW WILL THEY BE REUNITED WITH THEIR FAMILIES? THE AMERICAN PEOPLE DEMAND ANSWERS, MR. SPEAKER. THE AMERICAN PEOPLE DEMAND AN END TO THIS EVIL, TO THIS NEW G.O.P. NONPROFIT CAGE THE CHILDREN AND I YIELD BACK.

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                                • 04:53:19 PM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM TEXAS SEEK RECOGNITION? WITHOUT…

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM TEXAS SEEK RECOGNITION? WITHOUT OBJECTION, THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

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                                • 04:53:26 PM

                                  >>

                                  I'D LIKE TO REFLECT ON THE PAST SIX MONTHS IN THIS COUNTRY. ON DECEMBER…

                                  I'D LIKE TO REFLECT ON THE PAST SIX MONTHS IN THIS COUNTRY. ON DECEMBER 20, 2018, REPUBLICANS IN CONGRESS PASSED THE MOST HISTORIC TAX REFORM IN THREE DECADES KNOWN AS THE TAX CUTS AND JOBS ACT, THAT DAY WILL LONG BE REMEMBERED WHEN AMERICAN FAMILIES AND BUSINESSES WERE ONCE AGAIN MADE A PRIORITY. AS A SMALL BUSINESS OWNER MYSELF I SPENT MY TIME IN CONGRESS FIGHTING FOR TAX CUTS THAT WOULD ALLOW MAIN STREET TO BREATHE AGAIN. SMALL BUSINESS OPTIMISM IS AT AN ALL-TIME HIGH ACROSS TEXAS' 25TH DISTRICT.

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                                • 04:54:02 PM

                                  MR. WILLIAMS

                                  TAX REFORM HAS CREATED OVER ONE MILLION JOBS WHICH HAS BROUGHT…

                                  TAX REFORM HAS CREATED OVER ONE MILLION JOBS WHICH HAS BROUGHT UNEMPLOYMENT DOWN TO 3.8%. THAT'S INCREDIBLE. MR. SPEAKER, ALL OF THIS IS GREAT, BUT I WANT THE AMERICAN PEOPLE TO KNOW THAT WE ARE NOT DONE YET. CONGRESS IS NOT DONE YET. I'M CONTINUING TO WORK TO STRENGTHEN THE ECONOMY AND MAKE TAX CUTS PERMANENT. WE WILL FIGHT YEAR AFTER YEAR TO MAKE AMERICA MORE COMPETITIVE, KEEP OUR TAX CODE SIMPLER, FLATTER, AND FAIRER. BUSINESS IS SIMPLY GOOD. IN GOD WE TRUST. I YIELD BACK.

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                                • 04:54:34 PM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM RHODE ISLAND SEEK RECOGNITION?

                                • 04:54:41 PM

                                  MR. LANGEVIN

                                  MR. SPEAKER, I ASK UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE…

                                  MR. SPEAKER, I ASK UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE AND TO REVISE AND EXTEND MY REMARKS.

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                                • 04:54:45 PM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION, THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

                                • 04:54:48 PM

                                  MR. LANGEVIN

                                  MR. SPEAKER, I RISE TODAY TO RECOGNIZE LGBT PRIDE MONTH, A TIME TO…

                                  MR. SPEAKER, I RISE TODAY TO RECOGNIZE LGBT PRIDE MONTH, A TIME TO CELEBRATE THE DIVERSITY OF THE LGBT COMMUNITY AND HONOR THE STRENGTH OF THE LGBT PEOPLE THROUGHOUT HISTORY. I WAS PROUD TO GO TO THE PRIDE FEST IN RHODE ISLAND. THE STRUGGLE ISN'T OVER, MR. SPEAKER. IT'S MORE IMPORTANT THAN EVER THAT WE STAY STRONG AND VOCAL. WE AS A SOCIETY CANNOT AND SHOULD NOT ACCEPT THAT LGBT FACE DISCRIMINATION IN THIS COUNTRY EVERY DAY, WHETHER THEY ARE IN A CAKE SHOP, THE ARMED SERVICES, OR IN A SCHOOL BATHROOM. THAT'S WHY I'M PROUD TO CO-SPONSOR THE EQUALITY ACT, WHICH WAS INTRODUCED BY MY GOOD FRIEND AND COLLEAGUE FROM THE OCEAN STATE, CONGRESSMAN DAVID CICILLINE, AND CO-SPONSORED BY 196 OF MY COLLEAGUES. DISCRIMINATION IS NEVER JUSTIFIED. LET'S CELEBRATE OUR DIVERSITY AND PROMOTE A CULTURE OF TOLERANCE AND ACCEPTANCE, NOT ONLY DURING PRIDE BUT EVERY DAY OF THE YEAR. THANK YOU, MR. SPEAKER, AND I YIELD BACK THE BALANCE OF MY TIME.

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                                • 04:55:58 PM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM FLORIDA SEEK RECOGNITION?

                                • 04:56:00 PM

                                  >>

                                  TO ADDRESS THE HOUSE FOR ONE MINUTE AND TO REVISE AND EXTEND MY REMARKS.

                                • 04:56:03 PM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION, THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

                                • 04:56:06 PM

                                  >>

                                  THANK YOU, MR. SPEAKER. AND TODAY I RISE TO CELEBRATE THE OUTSTANDING WORK…

                                  THANK YOU, MR. SPEAKER. AND TODAY I RISE TO CELEBRATE THE OUTSTANDING WORK OF THE LEADERSHIP AND VOLUNTEERS AT THE EMERALD COAST WILDLIFE REFUGE IN MY DISTRICT. THE WILDLIFE REFUGE SERVICES THOUSANDS OF ANIMALS EACH YEAR FROM SANTA ROSA, WALTON, AND BAY COUNTIES. THEY PROVIDE SERVICES THROUGH RESCUE, REHAB AND ENVIRONMENTAL OUTREACH. OUR COMMUNITY LEADERS AND VOLUNTEERS HAVE SHOWN OVERWHELMING SUPPORT FOR THIS INCREDIBLE MISSION THAT INCLUDES EDUCATIONAL OUTREACH SO THAT YOUNG PEOPLE CAN LEARN MORE ABOUT OUR ENVIRONMENT AND THE FANTASTIC CRITTERS THAT WE SHARE THE PLANET WITH.

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                                • 04:56:36 PM

                                  MR. GAETZ

                                  I AM SO PROUD OF THE WILDLIFE REFUGE'S ACCOMPLISHMENTS OVER THE PAST…

                                  I AM SO PROUD OF THE WILDLIFE REFUGE'S ACCOMPLISHMENTS OVER THE PAST DECADE AND I LOOK FORWARD TO THE FUTURE IMPACT THEY WILL HAVE ON THEIR NEW HOME IN THE NAVAR COMMUNITY AND THROUGHOUT THE GREAT NORTHWEST FLORIDA.

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                                • 04:56:51 PM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLELADY FROM OHIO SEEK RECOGNITION?

                                • 04:56:54 PM

                                  MS. KAPTUR

                                  I ASK UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE.

                                • 04:56:56 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE HOUSE FOR ONE MINUTE.

                                • 04:56:57 PM

                                  TEMPORE

                                  WITHOUT OBJECTION, THE GENTLELADY IS RECOGNIZED FOR ONE MINUTE.

                                • 04:56:59 PM

                                  MS. KAPTUR

                                  MR. SPEAKER, LAST NIGHT OHIO WAS SUBJECTED TO ANOTHER TRUMP ADMINISTRATION…

                                  MR. SPEAKER, LAST NIGHT OHIO WAS SUBJECTED TO ANOTHER TRUMP ADMINISTRATION I.C.E. WORKER RAID INVOLVING ROUNDING UP 146 WORKERS AT MEAT PROCESSING PLANTS IN SALEM, CANTON, OHIO, MAKING OHIO AMONG THE TOP STATES IN THE UNION WHERE THESE WORKERS HAVE BEEN POACHED. AGAIN, DETROIT-BASED I.C.E. AGENTS SWOOPED INTO OHIO FULLY ARMED TO ROUND UP DOZENS OF WORKERS WHO TYLENOL IN ONE OF THE MOST LEAST ATTRACTIVE JOBS, COLD, BLOODY, SLIPPERY, YES, DANGEROUS HARD JOBS IN THE MEAT PROCESSING INDUSTRY, JOBS U.S. CITIZENS DON'T WANT. MY MESSAGE TO PRESIDENT TRUMP, STOP THE BARBARIC TACTICS, STOP BREAKING UP WORKING FAMILIES. IF WE DON'T FIX THIS SYSTEM, THESE AGRICULTURAL JOBS WILL BE OFF-SHORED AND WE'LL BE IMPORTING EVEN MORE OF OUR FOOD. LET US SET UP A DEPENDABLE SYSTEM TO REGULARIZE THE HIRING OF WORKERS. HEARTLAND STATES LIKE OHIO ARE CAPABLE OF CREATING A LEVEL PLAYING FIELD FOR BUSINESSES AND WORKERS FROM OUR COUNTRY AND ABROAD. TO TAKE THE CRIME OUT OF SEEKING EMPLOYMENT IN THE AMERICAS REQUIRES AMENDING NAFTA AND CAFTA BY UPDATING THOSE ACCORDS TO ADDRESS CONTINENTAL EMPLOYMENT STANDARDS. THE PRESIDENT CAMPAIGNED ON REFORMING NAFTA. WELL, MR. PRESIDENT, WE ARE MAKING YOU OFFER AN YOU SHOULDN'T REFUSE. SHOW OUR WORKERS AND COMPANIES SOME RESPECT. WE'LL MEET YOU AT ANYTIME, AT ANYPLACE TO BROKER A BETTER DEAL FOR OHIO AND HEARTLAND WORKERS, AND I YIELD BACK.

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                                • 04:58:23 PM

                                  THE SPEAKER PRO TEMPORE

                                  MEMBERS ARE REMINDED TO DIRECT THEIR REMARKS TO THE CHAIR. FOR WHAT…

                                  MEMBERS ARE REMINDED TO DIRECT THEIR REMARKS TO THE CHAIR. FOR WHAT PURPOSE DOES THE GENTLEMAN FROM TEXAS SEEK RECOGNITION?

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                                • 04:58:33 PM

                                  >>

                                  I ASK UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE AND TO REVISE…

                                  I ASK UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE AND TO REVISE AND EXTEND MY REMARKS.

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                                • 04:58:36 PM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION, THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

                                • 04:58:39 PM

                                  MR. BARTON

                                  THANK YOU. MR. SPEAKER, I RISE IN HONOR OF THE NEW HEAD FOOTBALL COACH AT…

                                  THANK YOU. MR. SPEAKER, I RISE IN HONOR OF THE NEW HEAD FOOTBALL COACH AT ENNIS HIGH SCHOOL, COACH SAM HAROLD. COACH SAME HAROLD WAS BORN IN 19 -- SAM HAROLD WAS BORN IN 1975 IN SEMINOLE, TEXAS. HE WENT TO BROWNWOOD, TEXAS, WHERE HE WAS VALEDICTORIAN. HE BECAME THE FIRST HIGH SCHOOL COACH IN ENNIS IN 1994. OVER THE NEXT 15 OR 16 YEARS, HE WON THREE STATE CHAMPIONSHIPS, WENT TO THE SEMIFINALS TWICE, WAS TEXAS HIGH SCHOOL COACH OF THE YEAR IN 1999, BECAME HEAD OF THE TEXAS HIGH SCHOOL COACHES ASSOCIATION, WAS IN THE TEXAS HIGH SCHOOL FOOTBALL HALL OF FAME. BUT IN 2005, HE CAME DOWN WITH MULTIPLE SCLOR OWE CISWHICH WAS NOT TREAT -- SCLOR CISWHICH WAS NOT TREATABLE BY CONVENTIONAL THERAPY. HE HAD TO GO OUT OF THE COUNTRY FOR STEM CELL TREATMENTS. THOSE WERE SUCCESSFUL. HE MOVED BACK TO THIS COUNTRY, CONTINUED TO LIVE IN ENNIS, TEXAS, STAY ACTIVE IN THE COMMUNITY. AND ABOUT TWO WEEKS AGO THE SCHOOL BOARD AND SCHOOL SUPERINTENDENT NAMED HIM AGAIN TO BE THE HEAD FOOTBALL COACH AT ENNIS HIGH SCHOOL. HE'S A VERY GREAT COACH BUT HE'S ALSO A GREATER MAN. HE'S VERY CHRISTIAN, HE'S GOOD WITH THE KIDS. HE'S JUST AN ABSOLUTE STELLAR INDIVIDUAL. CONGRATULATIONS TO COACH SAM HAROLD WHO'S ONCE AGAIN HEAD FOOTBALL COACH AT THE ENNIS LIONS WHO HAVE FIVE STATE CHAMPIONSHIPS IN THEIR HISTORY.

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                                • 05:00:09 PM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM MASSACHUSETTS SEEK RECOGNITION? .…

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM MASSACHUSETTS SEEK RECOGNITION? . WITHOUT OBJECTION, THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

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                                • 05:00:18 PM

                                  >>

                                  THANK YOU, MR. SPEAKER. THANK YOU, MR. SPEAKER. AMERICA IS KEEPING KIDS IN…

                                  THANK YOU, MR. SPEAKER. THANK YOU, MR. SPEAKER. AMERICA IS KEEPING KIDS IN CAGES. AMERICA IS KEEPING KIDS IN CAGES. MANY PEOPLE ACROSS OUR COUNTRY HAVE RISEN TO SAY THAT THIS IS NOT WHO WE ARE. IT DOESN'T REPRESENT OUR VALUES OR OUR IDEALS OR OUR CONSTITUTION. BUT THE SAD REALITY IS THAT TODAY THIS IS WHO WE ARE. YOU ARE AN AMERICAN, I AM AN AMERICAN. IT IS FELLOW AMERICANS WHO ARE RIPPING TODDLERS FROM THEIR MOTHERS AND FATHERS AND GUARDING THEM IN STEEL CAGES. AND IN TRUTH WE HAVE DONE THIS BEFORE. WE HEARD -- HERDED AMERICAN INDIANS INTO RESERVATIONS, WE TURNED OUR BACKS ON JEWS FLEEING FOR THEIR LIVES FROM THE HOLOCAUST. WE RIPPED CHILDREN FROM THEIR PARENTS WHEN WE SOLD THEM AS SLAVES. BUT WE ALL THOUGHT WE HAD LEARNED OUR LESSONS, MOVED PAST THOSE HATEFUL TIMES.

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                                • 05:01:10 PM

                                  MR. MOULTON

                                  WE HAVE BEEN ON A MARCH TO GROW AND INTO A COUNTRY WITH THE COURAGE TO…

                                  WE HAVE BEEN ON A MARCH TO GROW AND INTO A COUNTRY WITH THE COURAGE TO LIVE UP TO OUR VALUES AND SERVE AS A BEACON OF HOPE FOR THE WORLD. NOT REPEAT THE DARKEST PARTS OF OUR HISTORY. THE FAMILIES IN THESE DETENTION CENTERS AREN'T FLEEING TO THE U.S. TO TAKE OUR JOBS, THEY'RE RUNNING FOR THEIR LIVES. THEY'RE FLYING A WORLD OF RAPE, RANSOM, MURDER, WHERE THEIR SONS ARE BEING FORCED INTO VIOLENT GANGS AND THEIR DAUGHTERS ARE BEING STOLEN ON THEIR WAY TO SCHOOL AND BEING PROSTITUTED AS SEX SLAFSE. THE NATION THAT FAILS TO LIVE UP TO ITS CORE VALUES, THAT CAN'T ABIDE BY THE RIGHTS ENSHRINED IN ITS OWN CONSTITUTION ISN'T STRONG, MR. SPEAKER, IT IS WEAK. TODAY WE ARE STEALING KIDS FROM THEIR PARENTS AND WE ARE WEAK. ALTHOUGH IT IS THIS ADMINISTRATION'S POLICY THAT IS DIRECTLY RESPONSIBLE FOR THIS DISGUSTING PRACTICE, WE ARE ALL GUILTY AS FELLOW AMERICANS SO LONG AS IT GOES ON. LIFE, LIBERTY AND THE PURSUIT OF HAPPINESS. THESE ARE OUR CORE VALUES. LET'S LIVE UP TO THEM TODAY. I YIELD BACK.

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                                • 05:02:06 PM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM NEW YORK SEEK RECOGNITION?…

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM NEW YORK SEEK RECOGNITION? WITHOUT OBJECTION, THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

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                                • 05:02:17 PM

                                  >>

                                  THANK YOU, MR. SPEAKER. I RISE TODAY TO MEMORIALIZE MARTIN MARTINEZ AND TO…

                                  THANK YOU, MR. SPEAKER. I RISE TODAY TO MEMORIALIZE MARTIN MARTINEZ AND TO DRAW ATTENTION TO HIS STORY AND HIS STRUGGLE. MARTIN LIFBLINGED FOR OVER 30 YEARS HERE -- LIVED FOR OVER 30 YEARS HERE IN THE UNITED STATES. HE WORKED HARD, PAID TAXES, LEARNED ENGLISH. HE HAD TWO BEAUTIFUL AMERICAN CHILDREN. ONE OF THEM, MARIA, WORKED FOR THE PEOPLE OF THE UNITED STATES, THE HOUSE OF REPRESENTATIVES, AND FOR ME. MARTIN WAS A GOOD AMERICAN, BUT HE WAS ALSO AN UNDOCUMENTED IMMIGRANT. AND EVEN THOUGH HE WAS PUTTING HIMSELF AT RISK AND HE KNEW IT, HE AND HIS WIFE SELF-REPORTED TO THE GOVERNMENT TO DECLARE THEIR STATUS. THEY FOLLOWED EVERY INSTRUCTION THERNINGS GIVEN, AND THEY STAYED OUT OF ANY KIND OF TROUBLE. BUT THEY WERE STILL DEPORTED. SOON AFTER THE DEPORTATION, MARTIN PAID THE ULTIMATE PRICE AND LOST HIS LIFE ON FEBRUARY 27. NOW, HE HAD EXISTING HEART PROBLEMS BUT HIS DAUGHTER WILL TELL YOU, QUOTE, THIS ADMINISTRATION SEPARATED MY FAMILY AND MY DAD DIED OF A BROKEN HEART.

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                                • 05:03:16 PM

                                  MR. MALONEY

                                  MARIA AND HER BROTHER ARE NOW FORCED TO GRIEVE ALONE FOR THEIR MOTHER WAS…

                                  MARIA AND HER BROTHER ARE NOW FORCED TO GRIEVE ALONE FOR THEIR MOTHER WAS ALSO DEPORTED AND HAS BEEN BARRED FROM RE-ENTERING THE UNITED STATES FOR A DECADE. MARIA AND THE REST OF THE MARTINEZ FAMILY ARE FORCED TO SUFFER THE REAL HUMAN COST OF THIS ADMINISTRATION'S POLICIES. AND IT'S STORIES LIKE MARTIN'S THAT SO CLEARLY DEMONSTRATE THE NEED FOR COMPREHENSIVE IMMIGRATION REFORM. MARTIN'S STORY IS THE STORY OF MILLIONS OF IMMIGRANTS. IT'S OUR STORY. AND IT'S OUR RESPONSIBILITY TO LEARN FROM IT AND TO ACT. WE CAN'T BRING BACK MARTIN MARTINEZ, BUT WE CAN DO SOMETHING TO HEAL OUR COUNTRY. THANK YOU, MR. SPEAKER. I YIELD BACK.

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                                • 05:03:56 PM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLEWOMAN FROM TEXAS SEEK RECOGNITION?

                                • 05:03:59 PM

                                  MS. JACKSON LEE

                                  I ASK TO ADDRESS THE HOUSE FOR ONE MINUTE.

                                • 05:04:01 PM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION, THE GENTLEWOMAN IS RECOGNIZED FOR ONE MINUTE.

                                • 05:04:07 PM

                                  MS. JACKSON LEE

                                  AMERICA'S LISTENING TO THE PAIN OF SO MANY OF MY MEMBERS, MY COLLEAGUES,…

                                  AMERICA'S LISTENING TO THE PAIN OF SO MANY OF MY MEMBERS, MY COLLEAGUES, AS WE HAVE EXPERIENCED THE DEVASTATION OF WATCHING FAMILIES TORN APART FROM THEIR BABIES, THEIR TODDLERS, THEIR YOUNG CHILDREN. I'VE SPENT MY SUNDAY AND MONDAY, FATHER'S DAY, LOOKING AT THOSE WHO JUST SIMPLY WANTED AN OPPORTUNITY. HOLDING BABY ROGER IN MY HANDS WHOSE MOTHER HAD DIED AND WHOSE SISTER WAS RIPPED AWAY FROM HIM AND PROSECUTED CRIMINALLY FOR ENTERING THE UNITED STATES. OR BABY LEAH WHO WAS 1 YEAR OLD AND OBVIOUSLY FUSSY AND HAD BEEN IN SUCH A WAY THAT SHE WAS EXPERIENCING TRAUMA. AND YET WE NOW HAVE THIS EXECUTIVE ORDER THAT LOOKS AS IF THE PRESIDENT HAS DONE SOMETHING THAT HE COULD NOT HAVE DONE A FEW HOURS AGO, WHICH IS PICKING UP THE TELEPHONE AND TELLING THE PEOPLE AT THE BORDER TO CEASE AND DESIST. THOSE ARE GOOD PEOPLE WHO WORK THERE. THEY'RE ONLY FOLLOWING ORDERS. BUT THIS IS A TRAGIC EXECUTIVE ORDER. IT HAS NO HEART TO IT. BECAUSE WHAT IT DOES IS, YES, IT KEEPS THE FAMILIES TOGETHER IN A CRIMINAL POSTURE AND HOUSES THEM IN THE SAME CONDITIONS NOW ON MILITARY BASES, RATHER THAN ALLOWING THEM TO PROCEED THROUGH COURT PROCEEDINGS. EVEN THOUGH IN MY SOUTHERN DISTRICT OF TEXAS WE ARE 50,000 CASES IN BACKLOG BECAUSE, AS I GO TO THE BUDGET COMMITTEE, THIS ADMINISTRATION REFUSES TO GIVE US MORE JUDGES. THEY'RE TRYING TO OPEN ONE OF THESE PLACES IN MY CONGRESSIONAL DISTRICT AND I WANT TO CONGRATULATE HOUSTON BECAUSE HOUSTON IS STANDING FOR HUMANITY AND IT IS STANDING AS THE POPE HAS SAID, THAT EVERYONE DESERVES DIGNITY. THIS EXECUTIVE ORDER IS NOT WORTH THE PAPER IT'S WRITTEN ON BECAUSE IT COULD HAVE BEEN A PHONE CALL. NOT A DEMAND THAT IT'S ALL OF CONGRESS' FAULT. BUT I'M STANDING FOR THE CHILDREN AND WE'RE GOING TO SAVE THEM. I YIELD BACK.

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                                • 05:06:03 PM

                                  THE SPEAKER PRO TEMPORE

                                  ARE THERE ANY OTHER REQUESTS FOR ONE-MINUTE SPEECHES? UNDER THE SPEAKER'S…

                                  ARE THERE ANY OTHER REQUESTS FOR ONE-MINUTE SPEECHES? UNDER THE SPEAKER'S ANNOUNCED POLICY OF JANUARY 3, 2017, THE GENTLEMAN FROM TEXAS, MR. OLSON, IS RECOGNIZED FOR 60 MINUTES AS THE DESIGNEE OF THE MAJORITY LEADER.

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                              • 05:06:35 PM

                                SPECIAL ORDER SPEECHES

                                The House has concluded all anticipated legislative business and has proceeded to Special Order speeches.

                                • 05:06:55 PM

                                  MR. OLSON

                                  MR. SPEAKER, THE PURPOSE OF THIS SPECIAL ORDER IS TO TALK ABOUT AMERICA'S…

                                  MR. SPEAKER, THE PURPOSE OF THIS SPECIAL ORDER IS TO TALK ABOUT AMERICA'S ENERGY DOMINANCE. ESPECIALLY WITH NATURAL GAS. THIS CONVERSATION IS VERY IMPORTANT TODAY BECAUSE THE WORLD GAS CONFERENCE HAPPENS IN THIS TOWN, WASHINGTON, D.C., NEXT WEEK. WHAT A DIFFERENCE A DECADE MAKES . I JOINED TEXAS SENATOR PHIL GRAHAM'S OFFICE IN 1998, ONE UGLY WORD DESCRIBED AMERICAN OIL AND NATURAL GAS. THAT WORD WAS PEAK. EXPERTS HERE AND AROUND THE WORLD SAID AMERICA HAD PEAKED IN OUR PRODUCTION OF OIL AND NATURAL GAS. EVERY YEAR WE BUY MORE OIL AND GAS FROM FOREIGN SOURCES. WE HAD TO BUY OIL FROM SOME COMPANIES THAT DIDN'T LIKE US VERY MUCH AND HURT US BY TAKING OIL AWAY. NO ONE CARED ABOUT A GROUP CALLED OPEC UNTIL THEY STOPPED THE FLOW OF OIL THEY HAD AND THAT WE NEEDED. OPEC WAS LED BY ARAB NATIONS WHO WERE UPSET THAT WE RESUPPLIED OUR BEST ALLY EVER, ISRAEL, WHEN THEY WERE INVADED BY THEIR NEIGHBORS. IT HAPPENED IN 1973, IT HAPPENED AGAIN IN 1979. GAS PRICES DOUBLED OVERNIGHT. IN 1979, I HAD JUST GOTTEN MY DRIVER'S LICENSE. MY JOB WAS TO TAKE OUR FAMILY CARS AND FILL THEM WITH GAS THAT GOT DOWN TO A QUARTER OF A GALLON IN THE TANK. I GOT IN LINE FOR 45 MINUTES, OR MAYBE AS LONG AS AN HOUR. WE CAN ONLY PURCHASE 20 GALLONS OF GASOLINE. WE COULD ONLY BUY THAT GASOLINE ON DAYS PER YOUR LICENSE PLATE. IF THE LAST NUMBER WAS ODD, BUY GAS ON AN ODD DAY. EVEN, EVEN DAY. A GUY WAS BEHIND ME GETTING GAS ONE DAY WITH A LAWN MOWER, THAT'S HOW BAD IT WAS JUST ONE DECADE AGO. BUT THANKS TO THE AMERICAN PRIVATE SECTOR AND OUR INGENUITYY, HYDRAULIC FRACTURING , AMERICA HAS A WHOLE NEW WORLD ORDER FOR ENERGY. WE HAVE GLOBAL ENERGY DOMINANCE. AND THAT'S WHY WE'RE HERE TODAY, TO TALK ABOUT THAT HAPPENING IN AMERICA. RIGHT NOW OUR COUNTRY, AMERICA, IS THE NUMBER ONE PRODUCER OF OIL AND GAS IN THE ENTIRE WORLD. OUR NATURAL GAS INCREASINGLY POWERS OUR HOMES AND OUR BUSINESSES, MAKING OUR AIR CLEANER AND OUR ECONOMY STRONGER , ESPECIALLY ON THE GULF COAST, WHERE I'M FROM. OPEC KNOWS THEIR DAYS OF CONTROLLING THE MARKET AND PUNISHING PEOPLE FOR BAD ACTIONS THEY PERCEIVE ARE OVER. THEY HAVE RIGHT NOW, AS WE SPEAK, FLOODED THE MARKET WITH OIL TO TRY TO KEEP PRICES LOW AND STOP AMERICA'S NEWFOUND ENERGY DOMINANCE. THEY'VE TRIED AND THEY HAVE FAILED. WE HAD MORE OIL AND GAS THAN THEY HAD. WE HAVE THAT GAS. AND NOW WE'RE LETTING THE FREE MARKET TAKE OVER. AND WE HAVE A LOT MORE, IF WE CAN TAP THAT -- AND WE CAN TAP THAT AT A MOMENT'S NOTICE. AND THIS DOESN'T JUST MEAN AFFORDABLE POWER AND THE GASOLINE AT HOME. IT ALSO MEANS AMERICAN JOBS. OVER 800,000 JOBS LAST YEAR CAME FROM THE OIL AND GAS INDUSTRY INTO THIS COUNTRY. THIS RENAISSANCE, THIS DOMINANCE, HAS ALLOWED US TO EXPORT NATURAL GAS AND OIL FOR THE FIRST TIME SINCE 1975. OVER 40 YEARS NOT ON THE MARKET. WE WERE GOING FROM BASICALLY ZERO IMPORTS OF NATURAL GAS TO 10 BILLION CUBIC FEET PER DAY. IN EXPORTS. IT WASN'T LONG AGO WE WERE BUILDING TERMINALS TO IMPORT NATURAL GAS. AND NOW WE'RE REVERSING THEM TOKES PORT NATURAL GAS. THAT IS WHAT AMERICAN ENERGY DOMINANCE LOOKS LIKE. AS WE SAY IN TEXAS, THERE'S A NEW SHERIFF IN THE GLOBAL NATURAL GAS MARKET AND THAT SHERIFF, HIS NAME IS UNCLE SAM. AND THESE HUGE EXPORTS OF NATURAL GAS ARE HELPING AMERICA EXPORT LIQUID FREEDOM TO FRIENDS WE WANT TO HELP AND HURT THOSE USE ENERGY AS A WEAPON TO CONTROL OTHER COUNTRIES. FOR TOO LONG A FORMER K.G.B. SPY AND RUSSIA'S DE FACTO DICTATOR, VLADIMIR PUTIN, HAS CONTROLLED NATIONS THAT ESCAPED THE IRON CURTAIN, THE BERLIN WALL FELL IN 1991. NATIONS LIKE LITHUANIA, ESTONIA, POLAND AND UKRAINE WERE STILL BEHOLDEN TO WHAT TED POE CALLS THE NAPOLEON OF SIBERIA, MR. PUTIN. IF THEY DID NOT DO WHAT MR. PUTIN WANTED, THEY LOST ALL POWER. SUMMERS WERE SCORCHING. WINTERS WERE BITTER COLD. COMPLY OR PUNISH, YOU ARE NOT FREE. AMERICA RIGHT NOW IS TAKING THESE WEAPONS AWAY FROM MR. PUTIN, CHEAP NATURAL GAS TAKES AWAY THE HOOKS OF TYRANNY. THIS IS IMPORTANT. EVEN FOR COUNTRIES THAT DON'T BUY OUR GAS. BECAUSE OUR GAS IS MAKING THE MARKET A TRUE MARKET WITH COMPETITION AND LOWER PRICES. THAT MARKET PUTS A LID ON BAD ACTORS AND WHAT THEY CAN CHARGE. BUT SADLY, THIS EXPLOSION, THIS DOMINANCE CAUGHT THE PREVIOUS ADMINISTRATIONS BY SURPRISE AND WE WERE WAY BEHIND THE CURVE ON NATURAL GAS IN THE GLOBAL MARKET. GOOD NEWS. THE ENERGY AND COMMERCE COMMITTEE STEPPED UP IN THIS CONGRESS TO MAKE SURE WE GET THESE EXPORTS GOING, THESE PROJECTS APPROVED QUICKLY. WE MADE SURE THEY'RE SAFE, GREAT FOR OUR ENVIRONMENT, WITH MINIMUM IMPACTS. AND WE TAKE ALL THE LOCAL CONCERNS INTO ACCOUNT. BUT RED TAPE AND THESE SILLY DELAYS HURT US. WE HAVE STOPPED THAT AND GOT A FREE MARKET GOING IN SO MANY IMPORTANT WAYS. IN THIS CONGRESS, THE 115TH, WE'RE USING THIS NEW OPPORTUNITY TO EXPAND OUR NATION'S ENERGY DOMINANCE WITH NATURAL GAS. THIS MEANS FOR THE WHOLE WORLD, CHEAPER, CLEARER POWER. THE JOBS THAT COME WITH THAT, AND IT BRINGS AMERICAN JOBS BACK HOME FROM OVERSEAS. . RIGHT NOW AMERICA IS EXPORTING FREEDOM TO FRIENDS AND ALLIES AND TAKING AWAY A MONOPOLY FROM BAD ACTORS. GET READY, WORLD. UNCLE SAM IS COMING TO YOUR NEIGHBORHOOD, YOUR HOMETOWN. WITH THAT I'D LIKE TO YIELD TO THE CHAIRMAN OF THE ENERGY AND COMMERCE COMMITTEE, MR. WALDEN FROM OREGON, AS MUCH TIME AS HE REQUIRES.

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                                • 05:15:47 PM

                                  MR. WALDEN

                                  I THANK YOU, PEET. I WANT TO THANK MY -- I THANK YOU, PEETE. I WANT TO…

                                  I THANK YOU, PEET. I WANT TO THANK MY -- I THANK YOU, PEETE. I WANT TO THANK MY FRIEND FROM THE ENERGY AND COMMERCE SUBCOMMITTEE WHO HAS BEEN A REAL LEADER AROUND THE GLOBE AND I WANT TO TALK ABOUT THE SHALE REVOLUTION AND WHAT IT HAS REALLY MEANT, NOT ONLY FOR JOBS BUT ENERGY WORLDWIDE. THE INCREASE IN THE NATURAL GAS AREA HAS BEEN REMARKABLE. AMERICAN INNOVATION DID THIS. TECHNOLOGICAL ADVANCES DID THIS. IT TRANSFORMED THE UNITED STATES FROM AN IMPORTER OF NATURAL GAS TO A MAJOR EXPORTER, AND THE POSITIVE EFFECTS, ENORMOUS EFFECTS ARE BEING FELT AROUND THE GLOBE. OPEC AND THE ESTABLISHED GAS SUPPLIERS LIKE RUSSIA, THEY ALL BET AGAINST THE UNITED STATES. AND GUESS WHAT, THEY'VE LOST. NOW AS AMERICAN ENERGY EXPORTS RISE, U.S. L.N.G. EXPORTS ARE GOING ACROSS EUROPE, ASIA, YES, SOME OF OUR ALLIES IN THE MIDDLE EAST. THE RISE IN THE U.S. AS A GLOBAL ENERGY SUPERPOWER MEANS THAT ENERGY MARKETS ARE MORE OPEN, THEY'RE MORE TRANSPARENT AND COMPETITIVE THAN EVER BEFORE, AND WE'RE CREATING GREAT AMERICAN JOBS HERE. WE REALLY ARE. YOU LOOK AT THESE REGIONS WHERE THESE FINES HAVE BEEN DISCOVERED AND NOW ARE BEING DEVELOPED AND PEOPLE ARE GETTING GOOD WAGES, GOOD JOBS AND THEY'RE BUILDING OUT. IT MAKES US STRONGER. I KNOW PRESIDENT TRUMP, HE DIDN'T WANT TO SAY WE WANT TO BE ENERGY INDEPENDENT. HE WANTED TO SAY AMERICA'S GOING TO BE ENERGY DOMINANT, AND THAT'S WHAT WE'RE BECOMING AND THAT'S A GOOD THING. AND BY THE WAY, AS WE FIND THIS NEW NATURAL GAS, WHEN WE BUILD OUT MORE GENERATING FACILITIES, WE'RE ALSO REDUCING OUR CARBON EMISSIONS. WE'RE BELOW THE 1995 LEVELS. I DON'T THINK THERE'S A COUNTRY ON THE PLANET THAT'S REDUCED EMISSIONS MORE THAN THE UNITED STATES DURING THIS PERIOD. WE'RE MAKING PROGRESS, TOO, THERE. THE INCREASE IN L.N.G. EXPORTS AROUND THE GLOBE. IT'S THE RESULT OF CONTINUING EXPAND IN THE U.S. L.N.G. PROJECTS, SABINE PASS IN LOUISIANA AND COLE POINT IN MARYLAND COME ON LINE IN 2016. THAT'S INCREASED THE L.N.G. CAPACITY TO A BILLION CUBIC FEET PER DAY. THERE ARE FIVE MORE PROJECTS, ALBA ISLAND, GEORGIA, CAMERON IN LOUISIANA, 2018, FREEPORT, CORPUS CHRISTI, IN 2019. ONCE COMPLETED, U.S. L.N.G. EXPORT CAPACITY IS EXPECTED TO REACH 9.6 BILLION CUBIC FEET PER DAY BY THE END OF 2019. THAT'S THE END OF NEXT YEAR. MY HOME STATE OF OREGON WORK CONTINUES ON THE JORDAN COVE EXPORT FACILITY IN COOS BAY. AS EXPORT CAPACITY CONTINUES TO INCREASE, THE UNITED STATES IS PROJECTED TO BECOME THE THIRD LARGEST, THE THIRD LARGEST L.N.G. EXPORTER IN THE WORLD BY 2020. CLOSELY FOLLOWED -- FOLLOWING CLOSELY BEHIND AUSTRALIA AND QATAR. AS CHAIRMAN OF THE ENERGY AND COMMERCE COMMITTEE, I PRIORITIZED A PRO-GROWTH, PRO-CONSUMER, ALL-OF-THE-ABOVE, AND FRANKLY ALL--OF-THE-BELOW APPROACH ON NATURAL GAS. WE HELD A NUMBER OF HEARINGS. WE LOOKED INTO THE OVERALL IMPACTS OF NATURAL GAS DEVELOPMENT. ENORMOUS NUMBER OF NEW JOBS, GOOD FAMILY WAGE, MIDDLE-CLASS JOBS, ECONOMIC GROWTH. THE INCREASED USE OF NATURAL GAS FOR POWER GENERATION. THE REDUCTION CARBON EMISSIONS. NEED FOR NEW INFRASTRUCTURE. ADVANTAGES FOR DOMESTIC MANUFACTURING AND GLOBAL COMPETITIVENESS, WE LOOKED AT ALL OF THAT IN THE ENERGY AND COMMERCE COMMITTEE. MY COLLEAGUES, MANY OF WHOM YOU'LL HEAR FROM TONIGHT, MR. SPEAKER, THEY REALLY LED ON THIS. AND MY COLLEAGUE FROM TEXAS, MR. OLSON, HAS BEEN A FINE ENERGY ON ENERGY. WE NEED TO IMPROVE THE REGULATORY PROCESS SO WE CAN SOLVE SOME OF THE CHALLENGES THAT MAY PREVENT US FROM REACHING OUR FULL AMERICAN POTENTIAL. THIS IS OUR CENTURY. THIS IS THE AMERICAN CENTURY. WE'RE SEEING GREAT PROGRESS. WE CUT TAXES. WE'VE GROWN A MILLION JOBS. LOWEST UNEMPLOYMENT RATE IN DECADES. MORE JOB OPENINGS THAN PEOPLE TO FILL THEM. A LOT OF THAT HAS TO DUE WITH ENERGY. FOR EXAMPLE, MEMBERS OF THE ENERGY AND COMMERCE COMMITTEE HAVE INTRODUCED AND THE HOUSE HAS PASSED LEGISLATION THAT WOULD MODERNIZE THE PERMITTING PROCESS FOR INTERSTATE AND CROSS-BORDER NATURAL GAS PIPELINES AND L.N.G. EXPORT FACILITIES. THESE BILLS ALL PASSED THE HOUSE ON A BIPARTISAN BASIS. REPUBLICANS, DEMOCRATS GETTING TOGETHER, GETTING THINGS DONE. I'M ENCOURAGED BY THE SUPPORT THEY'RE RECEIVING IN THE SENATE, TOO. WHILE THESE BILLS HAVE NOT YET BEEN SIGNED INTO LAW, THE ADMINISTRATION, THE TRUMP ADMINISTRATION'S VERY RECEPTIVE TO OUR APPROACH TO IMPROVE COORDINATION AND PERMIT REVIEWS AND DEDICATE A SINGLE FEDERAL LEAD AGENCY. YOU KNOW, PART OF THE SWAMP BACK HERE IS SO MANY PEOPLE, SO MANY AGENCIES, SO MANY DUPLICATIVE PROCESSES HAVE BEEN ACCUMULATED FOR DECADES. IF YOU'RE THE INNOVATOR WHO WANTS TO DO SOMETHING NEW, IF YOU WANT TO GROW JOBS IN YOUR COMMUNITY, YOUR STATE, YOUR REGION, YOU GOT TO NAVIGATE THIS RED TAPE AND PERMITTING. ABOUT TIME YOU THINK YOU GOT TO DONE, SOME OTHER AGENCY SHOWS UP. AND THEN SOMEBODY ELSE. AND THEN SOMEBODY ELSE. YOUR ENORMOUS INVESTMENT LANGUISHES OUT THERE FOR YEARS AND YEARS AND YEARS. WE CAN DO BETTER THAN THAT. YOU CAN MAINTAIN ALL OF THE ENVIRONMENTAL -- IMPORTANT ENVIRONMENTAL LAW. IF WE HAVE A LEAD AGENCY, WE CAN FIND SOME EFFICIENCY. DO YOU THINK, MR. VICE CHAIRMAN, WE MIGHT FIND EFFICIENCY IN THE FEDERAL GOVERNMENT? I THINK IT'S POSSIBLE. I THINK WITH A LEAD AGENCY WE CAN. WITH THIS ONE AGENCY, ONE DECISION PROCESS IS NOW BEING ROLLED OUT BECAUSE THE TRUMP ADMINISTRATION WITH A GOAL TO CUT PERMITTING DOWN TO TWO YEARS OR LESS. I THINK WE CAN DO IT FASTER THAN THAT. THAT'S A BIG WIN. OUR ENERGY SECURITY IS STRONGER TODAY THAN AT ANY POINT IN AMERICA'S HISTORY. ANY POINT DUE IN LARGE PART TO NATURAL GAS. NATURAL GAS IS CONTRIBUTING TO JOBS AND ECONOMIC DEVELOPMENT. BOTH HERE IN AMERICA, HERE AT HOME. IT'S IMPROVING THE EFFICIENCY OF OUR POWER GENERATION FLEET. IT'S INCREASING THE COMPETITIVENESS OF OUR MANUFACTURERS WHO USE IT AS BOTH A FUEL AND A FEED STOCK. AND IT'S STRENGTHENING OUR HAND DIPLOMATICALLY. AND IT'S CREATING JOBS. JOBS, JOBS, JOBS. GOOD-PAYING JOBS. IT'S A WIN-WIN. IT'S ACROSS THE BOARD. AND SO, MR. VICE CHAIRMAN, I APPRECIATE YOUR LEADERSHIP ON THIS SPECIAL TIME FOR US TO COME TO THE HOUSE FLOOR AND SHARE THE GREAT PROGRESS OF THE ENERGY AND COMMERCE COMMITTEE AND THE COUNTRY, THE BIPARTISAN WORK WE'RE DOING, THE GREAT INNOVATIVE FUTURE THAT LIES BEFORE US. WITH THAT I WOULD YIELD BACK TO YOU.

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                                • 05:22:42 PM

                                  MR. OLSON

                                  THANK YOU, CHAIRMAN WALDEN. AND THANKS FOR REMINDING THE AMERICAN PEOPLE,…

                                  THANK YOU, CHAIRMAN WALDEN. AND THANKS FOR REMINDING THE AMERICAN PEOPLE, THE ENTIRE WORLD, THAT THIS AMERICAN DOMINANCE OF NATURAL GAS HAS MADE AMERICA'S AIR CLEANER FOR GLOBAL EMISSIONS. AS MY CHAIRMAN KNOWS, AMERICA HAS THE GREENHOUSE GAS EMISSIONS DOWN 11% IN THE LAST DECADE. 11%. I TOLD THAT TO PEOPLE IN INDIA THIS PAST MARCH AND THEY WERE STUNNED. HOW DID YOU GUYS DO THAT? OUR AIR IS SO DIRTY. WHAT SHOULD WE DO? IT'S SIMPLE. BUY AMERICAN LIQUIFIED NATURAL GAS, AND THEY'RE DOING THAT RIGHT NOW. THANK YOU, CHAIRMAN WALDEN. NEXT SPEAKER IS A GOOD FRIEND FROM OHIO, A MAN WHO MR. PUTIN FEARS BECAUSE HE HAS CONTROL OF WHAT'S CALLED THE UTICA SHALE, BILL JOHNSON, THE GREAT STATE OF OHIO.

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                                • 05:23:45 PM

                                  MR. JOHNSON

                                  WELL, I WANT TO THANK MY FRIEND AND COLLEAGUE, PEETE OLSON, FOR PARTNERING…

                                  WELL, I WANT TO THANK MY FRIEND AND COLLEAGUE, PEETE OLSON, FOR PARTNERING -- PEET OLSON, FOR PARTNERING WITH -- PETE OLSON, FOR PARTNERING WITH ME ON THIS SPECIAL ORDER. I'M HONORED TO SHARE THIS FLOOR TIME TO MR. OLSON TO TALK ABOUT THIS VERY IMPORTANT TOPIC AND I WANT TO THANK MANY OF MY COLLEAGUES ON THE ENERGY AND COMMERCE COMMITTEE FOR PARTICIPATING IN OUR SPECIAL ORDER TONIGHT TO TALK ABOUT THIS IMPORTANT TOPIC. YOU KNOW, I REPRESENT RURAL EASTERN AND SOUTHEASTERN OHIO WHICH IS NO STRANGER TO THE BENEFITS OF NATURAL GAS. MY DISTRICT SITS ON TOP OF, AS REPRESENTATIVE OLSON JUST MENTIONED, THE UTICA AND THE MARCELLUS SHALE PLATES WHICH HAVE LED TO A GROWING INTEREST IN NEW AND EXCITING MANUFACTURING OPPORTUNITIES LIKETH AIN CRACKER PLANTS ANDTH AIN -- LIKE ETHANE CRACKER PLANTS AND ONE REPORT FORECASTED THIS REGION WOULD SUPPLY 37% OF THE NATION YOU'S NATURAL GAS PRODUCTION BY 2040. THIS SAME REPORT FORECASTS THAT NATURAL GAS LIQUID PRODUCTION FROM THESE TWO PLATES WILL INCREASE FROM.53 MILLION BARRELS PER DAY IN 2017 TO 1.37 MILLION BARRELS PER DAY IN 2040. AN INCREASE OF OVER 150%. OTHER STUDIES PREDICT THAT THE REGION IS SUFFICIENT ETHANE FEED STOCK TO SUPPORT UP TO FIVE ETHANE CRACKER PLANTS. THESE OPPORTUNITIES ARE HUGE. THESE ARE MASSIVE CONSTRUCTION PROJECTS PUTTING UPWARDS OF 10,000 CONSTRUCTION WORKERS TO WORK OVER A SIX-YEAR PERIOD WITH UPWARDS OF 1,000 PERMANENT EMPLOYEES ONCE THOSE PLANTS GO OPERATIONAL. ADDITIONALLY, THE PROJECTS WITHIN THE REGION WILL HAVE A COMPARATIVE ADVANTAGE BECAUSE OF THE ACCESS TO AMPLE SUPPLIES OF LOCALLY PRODUCED, LOW-COST ETHANE AND THE FACT THE REGION IS IN CLOSE PROXIMITY OF POLYETHLINE CONSUMPTION. THESE BENEFITS ARE HELPING TO ENCOURAGE OIL AND GAS ACTIVITY THROUGHOUT OHIO, PENNSYLVANIA, AND WEST VIRGINIA. AS YOU'LL HEAR FROM MULTIPLE COLLEAGUES TONIGHT, THE U.S. IS NOW THE WORLD'S LEADING PRODUCER OF OIL AND NATURAL GAS, AND WE ARE PROJECTED TO BECOME A NET ENERGY EXPORTER BY 2026. NATURAL GAS PRODUCTION IS AT AN ALL-TIME HIGH, AND RESERVES ARE SO LARGE THAT THEY ARE PREDICTED TO MEET DOMESTIC DEMAND FOR ALMOST A CENTURY. OHIO ALONE REACHED NEW HEIGHTS IN OCTOBER, 2017, AS NATURAL GAS PRODUCTION REACHED 5.5 BILLION CUBIC FEET PER DAY. SIMPLY PUT, WE MUST DO EVERYTHING WE CAN TO TAKE COMPLETE ADVANTAGE OF THIS ABUNDANCE, AND THAT INCLUDES L.N.G. EXPORTS. HOWEVER, THE WINDOW OF OPPORTUNITY FOR AMERICAN L.N.G. EXPORTS WILL NOT REMAIN OPEN INDEFINITELY. THE U.S. IS IN FIERCE COMPETITION WITH OTHER L.N.G. EXPORTING NATIONS, AND IF AMERICA MISSES OUR OPPORTUNITY TO GET IN TO THESE INTERNATIONAL MARKETS IN A BIG WAY, OUR SHARE OF THE GLOBAL GAS MARKET COULD BE GREATLY REDUCED. SUBSEQUENTLY, OPPORTUNITIES TO SUPPORT OUR NATIONAL SECURITY AND STRENGTHEN THE ENERGY SECURITY OF OUR ALLIES THROUGH AMERICAN L.N.G. WILL DIMINISH AS WELL. SO WE MUST CONTINUE TO ELEVATE AND PROMOTE THE UNITED STATES AS A RELIABLE SOURCE OF NATURAL GAS ONTO THE WORLD MARKET WHICH WILL DIVERSIFY OUR FRIENDS AND ALLIES' ENERGY SOURCES, GREATLY REDUCE THEIR ABILITY TO SANGLE SUPPLIER AND CHANGE -- TO A SINGLE SUPPLIER AND CHANGE THE CONVERSATION AT THE TABLE WITH THE LIKES OF RUSSIA'S VLADIMIR PUTIN. STUDIES HAVE FOUND THAT L.N.G. EXPORTS SUPPORT THOUSANDS OF AMERICAN JOBS. MANY OF THEM WITHIN MANUFACTURING. I.C.F. INTERNATIONAL ESTIMATES THESE JOBS WILL OCCUR ACROSS THE ENTIRE VALUE CHAIN. TRANSLATING INTO MILLIONS OF DOLLARS IN NEW WAGES FOR AMERICAN WORKERS. IN FACT, THE DEPARTMENT OF ENERGY ONCE AGAIN HIGHLIGHTED THE BENEFITS OF L.N.G. EXPORTS WITH A STUDY IT RELEASED JUST THIS PAST WEEK. THIS STUDY, WHICH IS IN ADDITION TO FOUR OTHER STUDIES COMMISSIONED BY D.O.E. SINCE 2012, PRESENTED DATA THAT DEMONSTRATES JUST HOW L.N.G. EXPORTS ARE A NET BENEFIT TO OUR ECONOMY. ADDITIONALLY, THESE EXPORTS INCREASE OUR G.D.P. THEY LOWER THE TRADE DEFICIT. AND IT'S FOR THOSE REASONS, THESE REASONS THAT I HAVE LED THE EFFORT TO ENSURE THE U.S. DOES ALL IT CAN TO TAKE ADVANTAGE OF OUR ABILITY TO EXPORT NATURAL GAS. MOST RECENTLY, THE ENERGY AND COMMERCE COMMITTEE PASSED H.R. 4606, THE ENSURING SMALL SCALE L.N.G. CERTAINTY AND ACCESS ACT, OUT OF COMMITTEE IN A BIPARTISAN FASHION. I WAS PROUD TO AUTHOR THIS BILL WHICH SEEKS TO CODIFY THE DEPARTMENT OF ENERGY'S RECENT EFFORTS TO ENCOURAGE EXPORTS OF SMALL VOLUMES OF NATURAL GAS. THERE'S A SIGNIFICANT INTEREST IN POTENTIAL FOR U.S. NATURAL GAS IN THE CARIBBEAN, CENTRAL AMERICA, AND SOUTH AMERICA, ALTHOUGH NOT IN THE QUANTITY ITS THAT THE COURAGE LARGE SCALE DOMESTIC EXPORTING FACILITIES WERE BUILT TO ADDRESS VIA CONVENTIONAL LIQUIFIED NATURAL GAS TANKERS. H.R. 4606 WILL HELP THE U.S. TO ACT ON THESE INTERESTS THROUGH GREATER REGULATORY CERTAINTY AND A REDUCTION IN ADMINISTRATIVE REGULATORY BURDENS. NOW, WHEN I FIRST CAME TO CONGRESS IN 2011, I WORKED HARD TO ADVANCE THE IDEA THAT ENERGY INDEPENDENCE AND SECURITY ARE THE NEXT GREAT FRONTIERS FOR AMERICA. TODAY, ENERGY INDEPENDENCE AND SECURITY HAVE BEEN REPLACED BY A NEW CONCEPT. YOU HEARD REPRESENTATIVE OLSON MENTION IT. YOU HEARD CHAIRMAN WALDEN MENTION IT. IT'S CALLED ENERGY DOMINANCE, AND WITH IT ALL THE GLOBAL ECONOMIC AND GEOPOLITICAL IMPLICATIONS THAT COME WITH BEING THE KING OF THE ENERGY HILL. SUCH AN ENERGY VISION THAT HARNESSES AMERICA'S INNOVATIVE EXCEPTIONALISM WILL LEAD TO NEW DISCOVERIES IN TECHNOLOGIES AROUND DOMESTIC ENERGY PRODUCTION, STORAGE, DISTRIBUTION, AND USAGE AND WILL LEAD US TO GREATER ECONOMIC PROSPERITY AND JOB GROWTH. I'M EXCITED TO HELP FURTHER THAT VISION WHICH INCLUDES NATURAL GAS AND L.N.G. EXPORTS, AND I'M EXCITED FOR ALL THE GREAT OPPORTUNITIES THAT LIE AHEAD FOR OUR COUNTRY. I APPRECIATE THE OPPORTUNITY TO SPEAK ON THOSE BENEFITS TONIGHT, AND WITH THAT, REPRESENTATIVE OLSON, I YIELD BACK TO YOU. .

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                                • 05:30:55 PM

                                  MR. OLSON

                                  I THANK YOU FOR REMINDING ME THAT MARCELLUS IS IN YOUR DISTRICT. AND…

                                  I THANK YOU FOR REMINDING ME THAT MARCELLUS IS IN YOUR DISTRICT. AND REMIND ME OVER AND OVER THAT THE BENEFITS YOU'VE HAD IN OHIO, IN SOME ROUGH PARTS OF THE COUNTRY, HAD SOME BAD YEARS, SOME DOWN TIMES, WE HAVE SOMETHING IN TEXAS, A ROUGH PART OF TEXAS, NOT VERY MUCH GROWTH THERE. I WAS DOWN THERE ABOUT THREE YEARS AGO, MAN GOT HIS FIRST ROYALTY CHECK. HE WAS THRILLED. HE GOES TO HIS BANK TO DEPOSS -- DEPOSIT, HIS SUNDAY BEST SUIT ON, SAYS, PUT THIS IN MY ACCOUNT. HIS BANKER SAYS, GREAT, I GOT. IT PUTS IT IN HIS ACCOUNT. COMES BACK, OK, THAT'S $100,000 -- WHOA, WHOA, WHOA. $100,000? I THOUGHT IT WAS $1,000. HIS MIND COULD NOT SEE THE ZEROS, THE PERIODS, THE COMMAS. WE CHANGED HIS WORLD WITH AMERICAN ENERGY. SO THANK YOU, MY FRIEND. NEXT PERSON UP IS THE FORMER SPEAKER -- THE FORMER LEADER OF THIS COMMITTEE, THE CHAIRMAN, A PROUD TEXAS AGGIE, AND THE SINGLE -- THE MOST STRONGEST FORCE TO GET THE CRUDE EXPORT BAN LIFTED THAT WAS INSTALLED IN 1975, CHAIRMAN JOE BARTON FROM TEXAS.

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                                • 05:32:18 PM

                                  MR. BARTON

                                  THANK YOU, CONGRESSMAN OLESSON, AND THANK YOU FOR YOUR LEADERSHIP --…

                                  THANK YOU, CONGRESSMAN OLESSON, AND THANK YOU FOR YOUR LEADERSHIP -- OLSON, AND THANK YOU FOR YOUR LEADERSHIP AS VICE CHAIRMAN OF THE SUBCOMMITTEE AND TIRELESS LEADER ON BEHALF OF ENERGY IN THIS COUNTRY. I ALSO WANT TO THANK CONGRESSMAN JOHNSON FOR HIS STRONG EFFORTS AND ALSO COMPLIMENT HIM ON HIS PLAY IN THE LAST WEEKS -- WEEK'S CONGRESSIONAL BASEBALL GAME.

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                                • 05:32:40 PM

                                  MR. JOHNSON

                                  MY KNEES FEEL PRETTY GOOD.

                                • 05:32:42 PM

                                  MR. BARTON

                                  CONGRESSMAN DUNCAN WAS ALSO ON THE TEAM AND PLAYED WELL AT SHORTSTOP. OIL…

                                  CONGRESSMAN DUNCAN WAS ALSO ON THE TEAM AND PLAYED WELL AT SHORTSTOP. OIL WAS DISCOVERED ON PENNSYLVANIA BACK IN THE MID 1800'S AND, AS THE OIL INDUSTRY BEGAN TO DEVELOP, THEY MORE AND MORE WOULD RUN INTO WHAT WE WOULD TODAY CALL ASSOCIATED GAS. AND THEN EVERY NOW AND THEN THAT -- WHILE DRILLING FOR OIL, THEY'D HIT A WELL THAT DIDN'T HAVE ANY OIL, BUT ALL IT HAD WAS WHAT TODAY WE CALL NATURAL GAS. THEY DIDN'T KNOW WHAT TO DO WITH IT. THEY USED THE OIL TO MAKE KEROSENE AND LUBRICANTS AND HOME HEATING OIL AND THINGS LIKE THAT. BUT THEY DIDN'T HAVE A REAL PURPOSE FOR NATURAL GAS AND SO THEY WOULD JUST FLAIR IT. JUST LITERALLY IN THE FIELD LIGHT A MATCH, PUT A FLAIR PIPE UP AND FLAIR IT. AS TIME WENT ON THEY DISCOVERED THAT IT HAD A FAIRLY HIGH B.T.U. ENERGY COULD BE TENT AND THEY DISCOVERED A WAY TO -- CONTENT AND THEY DISCOVERED A WAY TO CONTAIN IT, TO STORE IT, TO TRANSPORT IT THROUGH PIPELINES BECAUSE IT WAS A GAS, IT WAS NOT A LIQUID IN ITS NATURAL STATE. AND SO WHILE IT WAS NOT AS VALUABLE AS OIL, IT HAD ENOUGH VALUE THAT IT WAS WORTH LOOKING FOR AND WORTH KEEPING. WELL, YOU ROCK ALONG, AND IN THE 1950'S AND 1960'S WE BEGAN TO SET PRICE CONTROLS ON NATURAL GAS. IN INTERSTATE COMMERCE. FEDERAL GOVERNMENT WOULD REGULATE THE PRICE AND AS A CONSEQUENCE, PEOPLE STOPPED LOOKING FOR IT. BECAUSE IT WASN'T ECONOMIC TO FIND IT, UNLESS YOU COULD FIND A WELL THAT YOU COULD SELL IN TRI-STATE COMMERCE. WITHIN THE STATE. WHEN I RAN FOR CONGRESS IN 1984, I RAN ON THE PLATFORM OF REPEALING WHAT WAS CALLED THE NATURAL GAS PRICE ACT OF 1978. WHERE CONGRESS HAD SET A PRICE CONTROL ON INTERSTATE NATURAL GAS. SOME CASES AS LOW AS TWO CENTS PER 1,000 CUBIC FEET. AND GAS IN THE TRI-STATE MARKET, DEEP GAS, WAS SELLING AS HIGH AS $15 FOR 1,000 CUBIC FEET. BIG DIFFERENCE BETWEEN $15 AND TWO CENTS. AND ONE OF MY FIRST ACCOMPLISHMENTS IN CONGRESS UNDER PRESIDENT GEORGE HERBERT BUSH, THE FIRST PRESIDENT BUSH, WAS TO SEE THE LGPA REPEALED. NATURAL GAS POLICY ACT OF 1978 WAS REPEALED. AND IT WAS MY AMENDMENT THAT DID THAT. SOUNDS VERY -- SO I WAS VERY PROUD OF THAT. ROCK ALONG A FEW MORE YEARS. AND IN 2005 I WAS CHAIRMAN OF THE ENERGY AND COMMERCE COMMITTEE AND WE WERE DOING A MAJOR ENERGY BILL, NATURAL GAS POLICY ACT OF 2005. AND WE DID A LOT OF THINGS IN THAT BILL, BUT ONE OF THE THINGS THAT WE DID, WE FELT AT THAT TIME THAT THERE WAS GOING TO BE A SHORTAGE OF NATURAL GAS IN THIS COUNTRY. AND SOME OF THE STATES, STATES LIKE MASSACHUSETTS AND CALIFORNIA, NEW YORK, WERE TRYING TO PROHIBIT IMPORT TERMINALS FOR NATURAL GAS, FOR LIQUEFIED NATURAL GAS, L -- L.N.G., BEING BUILT. THE STATES WOULD NOT GIVE THE PERMITS. SO IN THE INFINITE WISDOM OF THE CONGRESS, WE PASSED AS A PART OF THE NATURAL GAS POLICY -- THE ENERGY POLICY ACT OF 2005, A SECTION, AN AMENDMENT TO THE BILL THAT GAVE ULTIMATE DECISION MAKING AUTHORITY TO THE FEDERAL ENERGY REGULATORY COMMISSION OR FERC. BECAUSE WE THOUGHT WE WERE GOING TO NEED TO BUILD THESE IMPORT TERMINALS TO IMPORT NATURAL GAS AND THE STATES WERE GOING TO TRY TO THWART IT. SO WE REQUIRED A CONSULTATION WITH THE STATES. THE STATES HAD TO BE INVOLVED IN THE PROCESS, BUT THE ULTIMATE DECISION WOULD BE MADE BY THE FEDERAL GOVERNMENT UNDER THE AUSPICES OF THE FEDERAL ENERGY REGULATORY COMMISSION. WELL, A FUNNY THING HAPPENED, CONGRESSMAN OLSON. SOME OIL PRODUCERS AND GAS PRODUCERS DOWN IN TEXAS, ONE OF THEM WAS A TEXAS AGGIE, A GUY NAMED GEORGE MITCHELL, DECIDED THAT YOU HAD ALL THESE SHALE FORMATIONS AND THERE WERE HYDROCARBONENS IN THEM. BUT THEY WERE LIKE ROCK. LITERALLY, IF YOU LOOK AT A CORE SAMPLE OF SOME OF THESE SHALE FORMATIONS, WHICH ALL HAVE MENTIONED TODAY IN THIS SPECIAL ORDER, IT'S JUST LIKE SOLID -- IT IS SOLID ROCK. GEORGE MITCHELL AND OTHERS DECIDED, BY GOLLY, WE CAN GET NATURAL GAS OUT OF THAT IF WE FRACTURE THE ROCK UNDER PRESSURE AND CREATE TINY LITTLE CRACKS THAT THE NATURAL GAS CAN ESCAPE FROM. AND COME TO FIND OUT, IT WORKED. AND THEN THEY ALSO DECIDED, YOU KNOW WHAT, INSTEAD OF DRILLING THE CLASSIC VERTICAL WELL, WHAT IF WE BENT THE DRILL BIT AT A 90-DEGREE ANGLE AND DRILLED HORIZONTALLY? AND SON OF A GUN, IF THAT DIDN'T WORK TOO. SO THE COMBINATION OF HYDRAULIC FRACTURING WITH HORIZONTAL DRILLING MADE ALL OF THESE SHALE FORMATIONS ECONOMIC. AND THE RESULT HAS -- WAS AN ABSOLUTE BONANZA OF NATURAL GAS AVAILABLE AT ECONOMICALLY RECOVERABLE PRICES IN THE UNITED STATES OF AMERICA. CONGRESSMAN JOHNSON HAS MENTIONED SOME OF THE FORMATIONS UP IN HIS PART OF THE COUNTRY. AT CAN AND OF COURSE YOU'VE TALKED ABOUT THE -- AT CAN -- THE ATICA AND OF COURSE YOU'VE TALKED ABOUT THE EAGLEFORD SHALE IN TEXAS. ALL OVER THIS COUNTRY, PENNSYLVANIA, EVEN IN NEW YORK, CALIFORNIA, COLORADO, TEXAS, NEW MEXICO, LOUISIANA, ARKANSAS, OHIO, KANSAS. THERE ARE SHALE FORMATIONS LITERALLY ALMOST EVERYWHERE IN THE UNITED STATES AND IN MOST OF THOSE SHALE FORMATIONS, IT'S ECONOMICALLY RECOVERABLE TO DRILL FOR NATURAL GAS. AND IN SOME CASES FOR OIL ALSO. BUT TONIGHT WE'RE TALKING ABOUT NATURAL GAS. WELL, A FUNNY THING'S HAPPENED. WE DIDN'T NEED TO IMPORT NATURAL GAS. WE HAD SO MUCH OF IT, WE COULD EXPORT IT. AND WE USED THAT PROVISION WE PUT IN THE ENERGY POLICY ACT OF 2005 TO BEGIN TO LICENSE NOT IMPORT TERMINALS BUT EXPORT TERMINALS. AND YOU'VE ALREADY TALKED, CONGRESSMAN OLSON AND CONGRESSMAN JOHNSON AND CHAIRMAN WALDEN, AND I'M SURE MR. BUCSHON AND MR. DUNCAN WILL TAKE LATER, ABOUT THE ECONOMIC CONSEQUENCES OF THAT. WE'RE EXPORTING OR GOING TO EXPORT ABOUT $2 -- TWO BILLION CUBIC FEET A DAY THIS YEAR OF LIQUEFIED NATURAL GAS. WE'RE GOING TO QUADRUPLE THAT IN THE NEXT FEW YEARS. IF YOU LOOK AT THE ECONOMIC VALUE OF THAT, IF YOU ASSUME THAT YOU'RE SELLING IT OVERSEAS ABOUT $41,000 CUBIC FEET, THIS YEAR -- $4 1,000 CUBIC FEET, THIS YEAR WE'LL EXPORT THREE QUARTERS OF A TRILLION DOLLARS. A TRILLION DOLLARS IS A THOUSAND BILLION. WE'RE GOING TO BE EXPORTING SEVERAL TRILLION DOLLARS OF NATURAL GAS EVERY YEAR. HUNDREDS OF THOUSANDS OF JOBS. AN ECONOMIC -- I DON'T KNOW WHAT YOU WOULD CALL IT. A BONANZA. IT'S NOT A WINDFALL BECAUSE IT'S NOT LUCK. IT'S HARD WORK. AMERICAN INGENUITY AND AMERICAN TECHNOLOGY. BUT IT'S REVOLUTIONIZING THE ENERGY MARKETS. AS HAS BEEN POINTED OUT, WE'RE ALSO BEGINNING TO EXPORT OIL. AS A CONSEQUENCE OF THE BAN BEING REPEALED FOR CRUDE OIL EXPORTS. BUT THAT'S A STORY FOR ANOTHER SPECIAL ORDER. THE FUTURE FOR NATURAL GAS IN THIS COUNTRY AS A SOURCE OF FUEL IS UNLIMITED. THE ECONOMIC BENEFITS ARE OBVIOUS. BUT THERE'S ANOTHER BENEFIT. AND IT'S THE ABILITY TO EXPORT FREEDOM. WHEN WE EXPORT OUR NATURAL GAS, IN MANY CASES WE ARE EXCHANGING THE SOURCE OF THE SUPPLY FROM A TOTALITARIAN -- NOT QUITE TOTALITARIAN, BUT CERTAINLY NOT A TOTALLY DEMOCRATIC COUNTRY LIKE RUSSIA, WITH A FREE COUNTRY LIKE THE UNITED STATES. NOW, THERE ARE COUNTRIES, AND IT'S BEEN MENTIONED, QATAR, ALGERIA, SAUDI ARABIA, THAT ALSO ARE LARGE EXPORTS OF NATURAL GAS AND THEY'RE ALLIES OF THE UNITED STATES AND FRIENDS OF THE UNITED STATES. BUT THEY DON'T HAVE, AS OF YET, THE PURELY DEMOCRATIC INSTITUTIONS AND THE TOTALLY FREE MARKETS AND THE FREE MARKET CAPITALISTIC SYSTEM THAT WE HAVE HERE. SO WHEN WE SEND OUR NATURAL GAS OVERSEAS, WE'RE ALSO SENDING TO THE COUNTRIES THAT USE IT ECONOMIC AND IN SOME CASES POLITICAL FREEDOM. THEY CANNOT BE HELD HOSTAGE TO SOURCES OF SUPPLY THAT DON'T HAVE THE SAME DEMOCRATIC VALUES THAT WE DO. SO, AS CONGRESSMAN JOHNSON POINTED OUT EARLIER, THE WORLD NATURAL GAS CONFERENCE IS HERE IN WASHINGTON NEXT WEEK. A NUMBER OF US WILL PARTICIPATE IN THAT CONFERENCE. IT IS IT REALLY IS A TRIBUTE TO THE NATURAL GAS INDUSTRY IN THE UNITED STATES THAT THEY HAVE USED THE AMERICAN INNOVATIVE SPIRIT, AMERICAN TECHNOLOGY TO CREATE A PRODUCT WHICH BRINGS BENEFITS ECONOMICALLY HERE BUT OVERSEAS AND REALLY HELPS, IN MY OPINION, PUT FREEDOM IN THE DRIVER'S SEAT. IT'S A GREAT SPECIAL ORDER. I WANT TO THANK YOU, CONGRESSMAN OLSON, FOR LEADING IT AND THE OTHER MEMBERS OF THE ENERGY AND COMMERCE COMMITTEE FOR PARTICIPATING. I'M PROUD TO BE A PART OF THIS GROUP AND WITH THAT I YIELD BACK.

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                                • 05:44:43 PM

                                  MR. OLSON

                                  I THANK MY DEAR FRIEND FROM TEXAS. I WANT TO THANK YOU, DEAR FRIEND, FOR…

                                  I THANK MY DEAR FRIEND FROM TEXAS. I WANT TO THANK YOU, DEAR FRIEND, FOR ALSO SAYING THE NAME OF GEORGE MITCHELL. AS YOU KNOW, GEORGE MITCHELL REVOLUTIONIZED OUR ENERGY WITH HYDRAULIC FRACTURING, DIRECTIONAL DRILLING AT THE BARNETT SHALE IN FORT WORTH. IT TOOK HIM 35 OR 36 WELLS TO DRILL BEFORE THE FIRST ONE CAME BACK VIABLE AND THAT MONEY WAS PRIVATE SECTOR MONEY. NOT MONEY FROM D.C. THE PRIVATE SECTOR MADE THIS REVOLUTION POSSIBLE. I THANK MY FRIEND FOR -- AND BY THE WAY, SIR, THIS IS NOT COLLEGE STATION BUT PEOPLE THINK THAT CAR MAY BE, THE CORVETTE IN THE BACKGROUND, THE CONVERTIBLE, LOOKS LIKE 1959, MAYBE 1963. CONTINUING ON. A GOOD FRIEND, A DOCTOR FROM INDIANA, DR. LARRY BUCSHON, AS MUCH TIME AS YOU MAY NEED, SIR, HAVE AT IT.

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                                • 05:45:43 PM

                                  MR. BUCSHON

                                  THANK YOU, MR. OLSON, MR. JOHNSON, FOR HOSTING THIS. MANUFACTURING IS A…

                                  THANK YOU, MR. OLSON, MR. JOHNSON, FOR HOSTING THIS. MANUFACTURING IS A KEY INDUSTRY THAT HELPS DRIVE INDIANA'S STRONG ECONOMY. ACCORDING TO THE NATIONAL ASSOCIATION OF NATIONAL MANUFACTURERS, INDIANA MANUFACTURERS EXPORTED $38.7 BILLION IN GOODS AND EMPLOYED 16.8% OF THE HOOSIER WORK FORCE IN 2016. MUCH OF THE CREDIT FOR SUCH A STRONG MANUFACTURING PRESENCE IN INDIANA IS ITS RELATIONSHIP WITH NATURAL GAS. IN 2016, A COMPREHENSIVE STUDY WAS RELEASED DEALING THE POSITIVE EFFECTS THAT DOMESTIC NATURAL GAS BROUGHT TO COMMUNITIES ACROSS THE NATION. THE STUDY PREPARED BY THE NATIONAL ASSOCIATION OF MANUFACTURERS PROVIDES EXAMPLES OF HOW NATURAL GAS IS INCREASING THE INDUSTRIAL STRENGTH AND WORLDWIDE COMPETITIVENESS OF AMERICAN COMPANIES. AMONG THE FINDINGS, THE STUDY SAID, THAT THE NATURAL GAS INDUSTRY HAS ADDED NEARLY 9.9 MILLION TOTAL JOBS TO THE ECONOMY AND SAVED WORKING FAMILIES AN AVERAGE OF $1,300 IN DISPOSABLE INCOME IN A SINGLE YEAR THROUGH THE PRODUCTION AND USE OF SHALE GAS. COORLINGD TO THE STUDY, THE U.S. -- ACCORDING TO THE STUDY, THE U.S. SUPPLY OF NATURAL GAS IS PROJECTED TO INCREASE 48% THROUGHOUT THE COURSE OF THE NEXT DECADE, RESULTING FROM THE GROWING DEMAND FOR THIS ENERGY SOURCE. DURING PERIODS OF HIGH COMMODITY PRICES, COMPANIES THAT RELY ON HIGH VOLUME OF NATURAL GAS TO MANUFACTURE PRODUCTS CAN FIND IT DIFFICULT TO MAINTAIN A COMPETITIVE ADVANTAGE IN AN INCREASINGLY GLOBAL MARKET. HOWEVER, ABUNDANT SUPPLY OF DOMESTIC NATURAL GAS HAS LED TO A REDUCTION IN NATURAL GAS PRICES. IN TURN, THIS INCREASED AFFORDABILITY IS ALLOWING THESE COMPANIES TO INCREASE THEIR MANUFACTURING OUTPUT. FURTHER, THE TRANSPORTATION OF NATURAL GAS THROUGH AN EXPANDING NATIONAL PIPELINE NETWORK MEANS THIS CLEAN BURNING NATURAL RESOURCE IS ALSO BECOMING MORE ACCESSIBLE FOR AMERICAN COMPANIES AND PRESENTS A GROWING NUMBER -- AND PRESENTS A GROWING NUMBER OF MANUFACTURING OPPORTUNITIES. THOUGH THE INCREASED PRODUCTION OF DOMESTIC -- THROUGH THE INCREASED PRODUCTION OF DOMESTIC SHALE GAS ALONE, OVER A MILLION AMERICAN JOBS WERE CREATED TO HELP MEET THE DEMAND FOR THE ENERGY SOURCE. ADDITIONALLY, THE NEED FOR THE MANUFACTURING OF NEW NATURAL GAS TRANSMISSION PIPELINES ACROSS THE NATION ADDED SEVERAL HUNDRED THOUSAND JOBS ON TOP OF THAT. THIS SURGE IN NEW JOBS, COUPLED WITH THE MONETARY PROFITS GAINED FROM ADDITIONAL NATURAL GAS PRODUCTION HAS LED TO A G.D.P. HIKE OF $190 BILLION. ULTIMATELY, THIS TRANSLATES INTO MORE DISPOSABLE INCOME IN THE POCKETS OF HARDWORKING AMERICANS. FINALLY, THE USE OF NATURAL GAS, BOTH AS A FUEL SOURCE AND A RAW MATERIAL, HAS RESULTED IN ENVIRONMENTAL BENEFITS AS WELL. AND WE SHOULD NOT LOSE SIGHT OF THAT. WITH THE INTERNATIONAL WORLD GAS CONFERENCE JUST ONE WEEK AWAY, I'M PROUD OF THE CONTINUED GROWTH AND SUCCESS OF OUR DOMESTIC NATURAL GAS INDUSTRY WHICH IS HELPING TO POWER THIS COUNTRY'S ECONOMIC AND MANUFACTURING GROWTH. WITH THAT I YIELD BACK.

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                                • 05:48:56 PM

                                  MR. OLSON

                                  THANK YOU, DR. BUCSHON. AND I'D LIKE TO RECOGNIZE MY CO-HOST, MR. JOHNSON,…

                                  THANK YOU, DR. BUCSHON. AND I'D LIKE TO RECOGNIZE MY CO-HOST, MR. JOHNSON, TO FOLLOW-UP ON THOSE COMMENTS BY DR. BUCSHON. ANY COMMENTS YOU WANT TO MAKE, SIR, AS WE TRANSITION TO GOING OVERSEAS?

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                                • 05:49:09 PM

                                  MR. JOHNSON

                                  SURE. WELL, THANK YOU, MR. VICE CHAIR. YOU MENTIONED IT, CHAIRMAN WALDEN…

                                  SURE. WELL, THANK YOU, MR. VICE CHAIR. YOU MENTIONED IT, CHAIRMAN WALDEN MENTIONED IT, MR. BARTON MENTIONED IT. WE SHOULD BE CELEBRATING -- AND THAT'S WHAT WE ARE' DOING HERE TONIGHT -- WE'RE DOING HERE TONIGHT AND ALL AMERICANS SHOULD BE CELEBRATING THE GOOD FORTUNE TO BE BLESSED WITH SUCH AN ABUNDANCE OF NATURAL GAS. IN MY HOME STATE OF OHIO AND MANY OTHER AREAS IN THE MIDWEST AND APPALACHIA, THE PRODUCTION OF NATURAL GAS AND THE VALUABLE LIQUID BYPRODUCTS IS PROVIDING A MUCH-NEEDED BOOST TO OUR LOCAL ECONOMIES. LET ME GIVE YOU SOME FIGURES. 2011 TO THE END OF MAY, 2018, THE LOWEST DROP IN UNEMPLOYMENT IN MY -- IN THE COUNTIES THAT COMPRISE MY 18-COUNTY DISTRICT IS OVER 48%. SOME OF THOSE COUNTIES, ESPECIALLY THE ONES THAT HAVE THE HEAVY SHALE PLATES, HAVE SEEN DROPS OF UNEMPLOYMENT UPWARDS OF 60%. IT IS UNBELIEVABLE. IN ADDITION TO THE DIRECT BENEFITS, THE NATURAL GAS INDUSTRY ALSO SUPPORTS HUNDREDS OF THOUSANDS OF MANUFACTURING JOBS ACROSS THE COUNTRY AND SUPPLIES OUR INDUSTRIES WITH THE RELIABLE AND AFFORDABLE SOURCE OF DOMESTIC ENERGY. NEXT WEEK, AS THOUSANDS OF VISITORS AND DIGNITARIES FROM AROUND THE WORLD ARRIVE HERE IN D.C. TO ATTEND THE WORLD GAS CONFERENCE, WE SHOULD REFLECT ON OUR COUNTRY'S ENERGY DOMINANCE. YOU HEARD THAT TERM SEVERAL TIMES AND HOW THAT EFFECTS OUR STANDING ON THE WORLD STAGE. THE UNITED STATES HAS REMAINED THE WORLD'S TOP PRODUCER OF NATURAL GAS EVER SINCE 2009 WHEN WE SURPASSED RUSSIA IN PRODUCTION LEVELS. ADDITIONALLY, LAST YEAR WE SET A RECORD IN NATURAL GAS PRODUCTION WITH GROSS WITHDRAWALS REACHING ALMOST 91 BILLION CUBIC FEET PER DAY. I'M TELLING YOU, MR. VICE CHAIR AND MY OTHER COLLEAGUES HERE TONIGHT, THIS IS A BIG DEAL FOR AMERICA. I MEAN, IT'S CHARTING THE WAY FOR A NEW FUTURE OF ENERGY DOMINANCE AND LEVERAGE, NOT ONLY IN THE ECONOMIC ENERGY MARKETS BUT ALSO ON THE INTERNATIONAL STAGE. SO THERE'S A LOT OF REASONS TO BE OPTIMISTIC ABOUT WHERE AMERICA'S GOING ON THE ENERGY FRONT BECAUSE OF NATURAL GAS. AND WITH THAT I YIELD BACK.

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                                • 05:51:55 PM

                                  MR. OLSON

                                  I THANK MY CO-HOST, MR. SPEAKER. INQUIRE HOW MUCH TIME IS STILL AVAILABLE.

                                • 05:52:03 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN HAS 15 MINUTES.

                                • 05:52:05 PM

                                  MR. OLSON

                                  15 MINUTES. I YIELD NOW TO THE GENTLEMAN FROM SOUTH CAROLINA, THE HOME OF…

                                  15 MINUTES. I YIELD NOW TO THE GENTLEMAN FROM SOUTH CAROLINA, THE HOME OF WILLIAM BARRETT TRAVIS, THE COMMANDER OF THE ALAMO, AND YOU'RE RECOGNIZED.

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                                • 05:52:20 PM

                                  MR. GARRETT

                                  THANK YOU FOR YIELDING. YOU HEARD ABOUT THE ECONOMIC IMPACT ON HIS STATE…

                                  THANK YOU FOR YIELDING. YOU HEARD ABOUT THE ECONOMIC IMPACT ON HIS STATE WITH AMERICA'S ENERGY INDEPENDENCE AND THE RENAISSANCE WE'RE EXPERIENCING. CHAIRMAN WALDEN IN COMMITTEE TODAY, IT WAS A TAX REFORM COMMITTEE.

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                                • 05:52:38 PM

                                  MR. DUNCAN

                                  HE TALKED ABOUT TAX REFORM ON THE ENERGY SECTOR AND ALSO ON AMERICA. WE…

                                  HE TALKED ABOUT TAX REFORM ON THE ENERGY SECTOR AND ALSO ON AMERICA. WE ARE BLESSED IN THIS COUNTRY WITH NATURAL RESOURCES. WE'RE HAVING AN ABUNDANCE OF NATURAL GAS. WHAT DOES AN ABUNDANCE OF NATURAL GAS MEANS? THAT MEANS LAST YEAR FOR THE FIRST TIME SINCE 1957, WE ARE AN EXPORTER OF NATURAL GAS. NOW, WHAT DOES THAT MEAN NOT ONLY FOR AMERICAN PRODUCERS THAT ARE PROVIDING THE NATURAL GAS AND THE L.N.G. TERMINALS THAT ARE BEING BUILT ALONG THE COASTAL REGIONS IN HOUSTON, LOUISIANA, HOPEFULLY ONE DAY IN SOUTH CAROLINA WE WILL HAVE AN L.N.G. TERMINAL TO HELP US PLAY A PART IN THAT, BUT WHAT DOES THAT MEAN FOR OUR ALLIES AND FRIENDS AROUND THE WORLD? WELL, JUST THINK ABOUT IT. MEXICO IS A HUGE IMPORTER OF U.S. L.N.G. NOT ONLY ARE THEY IMPORTING NATURAL GAS THROUGH A PIPELINE FROM THE -- THE PLAYS -- PLACE DOWN AT EAGLE FORD AND WE KNOW THE SITUATION IN VENEZUELA. VENEZUELA IS IMPLODING. SO MANY COUNTRIES IN SOUTH AMERICAN, LATIN AMERICA, ARE RELYING ON VENEZUELAN ENERGY. THE CARIBBEAN COUNTRIES ARE RELYING ON THE VENEZUELAN ENERGY. IF WE CAN PROVIDE THROUGH L.N.G. EXPORTS SUSTAINABLE, RELIABLE, STABLE ENERGY SOURCES FOR THE CARIBBEAN NATIONS, THAT'S A GAME CHANGER FOR THEM. PANAMA, PANAMA CANAL BEING A DISTRIBUTION FOR U.S. L.N.G. TO BE DISTRIBUTED ALL THROUGH LATIN AMERICAN. I WAS IN SPAIN. THEY WANT TO BE THE L.N.G. IMPORTER FROM AMERICAN L.N.G. SO THEY CAN DISTRIBUTE AMERICAN L.N.G. ACROSS WESTERN EUROPE SO THAT WESTERN EUROPE CAN BE LESS RELYANT ON RUSSIAN GAS. EUROPE IS RELYING ON RUSSIAN GAS, AND RUSSIA DEFINITELY HAS USED THE SPIGOT FOR ENERGY SOURCES AS A POLITICAL TOOL AGAINST EUROPE. IN FACT, THE LITHUANIAN PRESIDENT RECENTLY SAID THIS. QUOTE, U.S. GAS IMPORTS TO LITHUANIA AND OTHER EUROPEAN COUNTRIES IS A GAME CHANGER IN THE MARKET. THIS IS AN END THE ADDICTION OF RUSSIAN GAS AND SECURE A COMPETITIVE AND DIVERSIFIED SUPPLY. AMERICAN L.N.G. EXPORTED OUR FRIENDS AND ALLIES AROUND THE WORLD IS A GAME CHANGER FOR THE JOE OWE POLITICS OF ENERGY -- GEOPOLITICS OF ENERGY. WE CAN PROVIDE ABUNDANT, NATURAL GAS WE HAVE PRODUCED IN THIS COUNTRY TO FOLKS AROUND THE WORLD AND LESSEN THEIR DEPENDENCE ON LESS RELIABLE SOURCES AND AMERICAN BUSINESSES WILL BENEFIT FROM THAT. OUR NEIGHBORS AND FRIENDS WILL BENEFIT FROM THAT. THAT'S YTS SO -- THAT'S WHY IT'S SO IMPORTANT. MR. VICE CHAIRMAN, THANK YOU FOR HOLDING THIS SPECIAL ORDER. I AM PASSIONATE ABOUT USING THE ABUNDANT RESOURCES WE HAVE IN THIS COUNTRY TO CHANGE LIVES AROUND THE GLOBE. WITH THAT I YIELD BACK.

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                                • 05:55:26 PM

                                  MR. OLSON

                                  THANK YOU. SINCE I'VE KNOWN YOU YOU HAVE BEEN A CHAMPION FOR AMERICAN…

                                  THANK YOU. SINCE I'VE KNOWN YOU YOU HAVE BEEN A CHAMPION FOR AMERICAN ENERGY INDEPENDENCE. DRILL, BABY, DRILL. FRACK, BABY, FRACK.

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                                • 05:55:34 PM

                                  MR. DUNCAN

                                  THAT'S RIGHT.

                                • 05:55:37 PM

                                  MR. OLSON

                                  WE HAVE THE CHAIRMAN, MR. SHIMKUS, FOR AS TIME AS HE MAY REQUIRE.

                                • 05:55:44 PM

                                  MR. SHIMKUS

                                  THANK YOU. I'M GLAD YOU HAVE OBVIOUSLY THE L.N.G. TERMINAL AND THE…

                                  THANK YOU. I'M GLAD YOU HAVE OBVIOUSLY THE L.N.G. TERMINAL AND THE LITHUANIAN FLAG THERE, INDEPENDENCE. I ALSO BROUGHT IT DOWN. I DON'T HAVE TO BE AS COMPLETE IN MY COMMENTS BECAUSE I'VE HEARD THE COMMENTS OF EASING EUROPEANS BE INDEPENDENT OF IMPORTED RUSSIAN NATURAL GAS. LITHUANIA IS ON THE BALTIC SEA. I AM THE CHAIR OF THE BALTIC CAUCUS. LITHUANIAN, ESTONIA, LATVIA. WATCHING AND ENCOURAGING THEM AND THEIR ACTUALLY LEADERSHIP OF EASTERN EUROPE. THEY SET OUT IN 2014 TO BECOME INDEPENDENT OF RUSSIAN GAS. AND SO THEY WENT THROUGH THE PROCESS OF GETTING THE L.N.G. TERMINAL. I LOVE THE NAME. IT'S CALLED THE INDEPENDENCE. SO THEY CAN BE INDEPENDENT AND FREE. THEY HAVE A HISTORY OF BEING EXTORTED BY THE RUSSIANS IN THE CRUDE OIL DEPARTMENT. THERE'S A REFINERY THERE WHICH A U.S. COMPANY BOUGHT. AND THEN THE RUSSIANS TURNED OFF THE OIL. SO THAT'S THE EXTORTIONS AND THE CONCERNS. NOW WHAT THEY HAVE IS THE ABILITY TO COMPETE IN THE OPEN MARKET. THEY HAD THEIR FIRST L.N.G. GAS COME FROM THE UNITED STATES EARLIER IN 2017. AND THEY NOW HAVE AN ABILITY TO NEGOTIATE FOR THE BEST PRICE, WHICH HELPS A LOT. FIRST OF ALL, IT HELPS THEIR CITIZENS. IT HELPS THEIR OBVIOUSLY BUSINESSES. IT ALSO HELPS THE ALLIES IN SURROUNDING COUNTRIES BECAUSE NOW WHAT THEY'VE BEEN ABLE TO DO IS NEGOTIATE THROUGH THE BALTIC REGION OF PIPELINES, STORAGE, AND TALKS -- AS WE HAVE HAD TALKS, AS YOU KNOW, ON SMALLER EXPORT L.N.G. VESSELS TO BE ABLE TO GET TO SMALLER COMMUNITIES. SO I'M -- WE ARE A PARTY OF ALL-OF-THE-ABOVE TECHNOLOGY. WE BELIEVE IN HAVING THE ENERGY RESOURCES TO COMPETE FOR LOWER PRICES. I'M GLAD YOU CAME DOWN HERE. I'M GLAD YOU'RE TALKING ABOUT THE FREEDOM IT'S PROVIDED FOR THE BALTIC COUNTRIES. I LOOK FORWARD TO CONTINUING SHIPPING U.S. LIQUIFIED NATURAL GAS, WHICH HELPS BALANCE OUR TRADE, CREATES JOBS IN AMERICA, TO OUR ALLIES AND FRIENDS AROUND THE GLOBE. THANK YOU FOR THIS TIME AND I YIELD BACK.

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                                • 05:58:36 PM

                                  MR. OLSON

                                  I THANK MY FRIEND. THIS IS NOT COORDINATED. WE CAME TOGETHER WITH…

                                  I THANK MY FRIEND. THIS IS NOT COORDINATED. WE CAME TOGETHER WITH PICTURES, INDEPENDENCE, INDEPENDENCE. BUT MY FRIEND, YOU KNOW THIS BETTER THAN I DO. HOW MANY PEOPLE TURN OUT -- THOSE ARE ORDINARY PEOPLE -- TURN OUT TO WATCH A TANKER COME INTO PORT? WHY ARE THEY COMING OUT TO WATCH THAT TANKER? BECAUSE THEY KNOW THAT TANKER IS THEIR FREEDOM FROM MR. PUTIN AND RUSSIA. MR. SPEAKER, INQUIRY, HOW MUCH TIME DO I HAVE LEFT?

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                                • 05:59:06 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN HAS EIGHT MINUTES REMAINING.

                                • 05:59:08 PM

                                  MR. OLSON

                                  EIGHT MINUTES. MR. TIPTON, YOU'RE UP, SIR. SCOTT TIPTON FROM COLORADO.

                                • 05:59:14 PM

                                  MR. TIPTON

                                  I'D LIKE TO THANK THE GENTLEMAN FROM TEXAS FOR YIELDING TIME. THIS IS…

                                  I'D LIKE TO THANK THE GENTLEMAN FROM TEXAS FOR YIELDING TIME. THIS IS REALLY ABOUT CREATING JOBS ON AMERICAN SOIL. CREATING OPPORTUNITIES, LITERALLY, FOR OUR FAMILIES TO BE HAVE BETTER PROSPECTS FOR THE FUTURE. MR. SPEAKER, I RISE TODAY TO BE ABLE TO TALK ABOUT NOT ONLY AMERICA BUT THE WORLD'S ENERGY FUTURE. IN MY DISTRICT IN COLORADO, WE BENEFIT FROM VAST RESOURCES. IN 2016 WE LEARNED THAT ONE OF THESE RESOURCES, NATURAL GAS, HAS EVEN GREATER POTENTIAL THAN INITIALLY THOUGHT. AFTER THE U.S. GEOLOGICAL SURVEY ANNOUNCED THAT A SHALE FORMATION AND TO BE THE SECOND LARGEST NATURAL GAS DEPOSIT IN THE UNITED STATES, THE ABUNDANCE OF NATURAL GAS IN WESTERN COLORADO PUTS US IN A UNIQUE POSITION TO CREATE JOBS HERE AT HOME AND ALSO SUPPLY AMERICAN ALLIES WITH RELIABLE SOURCES OF ENERGY WELL INTO THE FUTURE. FOR TOO LONG, OUR NATION'S ADVERSARIES HAVE SUPPLIED AMERICA'S ALLIES WITH ENERGY RESOURCES. WE CANNOT LET COUNTRIES LIKE RUSSIA LEAD IN THE GLOBAL ENERGY MARKET WHEN THE U.S. HAS THE RESOURCES TO BE ABLE TO SUPPLY COUNTRIES IN EUROPE AND ASIA WITH AFFORDABLE AND RELIABLE ENERGY. . I CALLED ON THE ADMINISTRATION TO EXAMINE A PROJECT TO ALLOW THE TAOS SEND L.N.G. TO ASIAN MARKETS. A PIPELINE WOULD TRANSFER THE GAS FROM WESTERN COLORADO TO THE JORDAN COVE TERMINAL IN OREGON. THE JORDAN COVE TERMINAL IS ESTIMATE TO HAVE HAD THE CAPACITY TO BE ABLE TO TRANSPORT 7.8 MILLION METRIC TONS OF L.N.G. ANNUALLY TO THE PACIFIC NORTHWEST STATION. UNFORTUNATELY, UNDER THE PREVIOUS ADMINISTRATION, FEDERAL ENERGY REGULAR WILLER TO COMMISSION DENIED THE APPLICATION FOR THE JORDAN COVE PROJECT CITING A LACK OF GLOBAL DEMAND. NOT LONG AFTER THE APPLICATION WAS DENIED, JORDAN COPE OBTAINED AN AGREEMENT FOR 75% OVER THE PIPELINE'S CAPACITY, PROVING THERE IS DEMAND. IT'S MY HOPE THAT THEY'LL APPROVE THE RESUBMITTED APPLICATION FOR THE PROJECT AND WE CAN BRING NEW JOBS TO COLORADO AND SEND CLEAN, AFFORDABLE ENERGY TO ASIA. AS WE WORK TO DECREASE THE FOOTPRINT OF ENVIRONMENTAL PRODUCTION IT CANNOT BE IGNORED THAT COUNTRIES LIKE CHINA AND INDIA CONTINUE TO BE STOFT TOP POLLUTERS. WE CAN CONTINUE TO BENEFIT COMMUNITIES ACROSS OUR NATION AND BY TRANSPORTING OUR ENERGY RESOURCES TO COUNTRIES AROUND THE GLOBE. THE UNITED STATES CAN HAVE A MEASURABLE IMPACT ON THE ECONOMIES AND ENVIRONMENTAL HEALTH OF COMMUNITIES OVERSEAS. THE UNITED STATES CANNOT SIT BACK AND LET OTHER COUNTRIES LEAD THE WORLD INTO THE ENERGY FUTURE. THE TIME FOR RESPONSIBLE DEVELOPMENT OF NATURAL GAS IS NOW AND TO BE ABLE TO CREATE JOBS HOOT -- JOSSES HERE AT HOME. WITH THAT I YIELD BACK AND THANK THE GENTLEMAN.

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                                • 06:02:23 PM

                                  MR. OLSON

                                  I THANK THE GENTLEMAN FROM COLORADO, YOU'RE ALWAYS WELCOME HERE, MY…

                                  I THANK THE GENTLEMAN FROM COLORADO, YOU'RE ALWAYS WELCOME HERE, MY FRIEND. THANK YOU FOR POINTING OUT THAT WE THINK OIL AND GAS IN AMERICA, WE THINK THE COAST THE GULF COAST, PACIFIC COAST, ATLANTIC COAST. BUT MY FRIEND REMINDED US IT'S NOT JUST THE COAST, BUT THE HEART AND SOUL OF AMERICA, STATES LIKE COLORADO, WYOMING, NORTH DAKOTA, ALL THESE STATES HAVE SHALE TRADE, ALL ARE BOOMING. I'D LIKE TO CLOSE WITH A COUPLE OF COMMENTS AND MAYBE TAKE A TOUR OF THE WORLD. WE START EXPORTING OUR NATURAL GAS LESS THAN TWO YEARS AGO. RIGHT NOW, 29 COUNTRIES HAVE RECEIVED AMERICAN LIQUEFIED NATURAL GAS. THOSE COUNTRIES ARE ORGENERAL TINA, BARBADOS, BRAZIL, DOMINICAN REPUBLIC, EGYPT, JAPAN, KUWAIT, MALTA, MEXICO, NETHERLANDS, PANAMA, PAKISTAN, SOUTH KOREA, SPAIN, TAIWAN, TURKEY, U.A.E. AND THE U.K. AMERICAN ENERGY HAS TOUCHED THE ENTIRE WORLD. WE ARE GIVING THEM THEIR FREEDOM. LIQUID AMERICAN FREE TOM SON THE MARKET RIGHT NOW. THANK YOU HAVE A GREAT NIGHT, I YIELD BACK.

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                                • 06:03:48 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN YIELDS BACK. UNDER THE SPEAKER -- SPEAKER'S ANNOUNCED POLICY…

                                  THE GENTLEMAN YIELDS BACK. UNDER THE SPEAKER -- SPEAKER'S ANNOUNCED POLICY OF JANUARY 3, 2017, THE CHAIR RECOGNIZES THE GENTLEMAN FROM TEXAS, MR. GOHMERT, FOR 30 MINUTES.

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                                • 06:04:11 PM

                                  MR. GOHMERT

                                  THANK YOU, MR. SPEAKER. I'M GRATEFUL TO MY REPUBLICAN FRIENDS FOR POINTING…

                                  THANK YOU, MR. SPEAKER. I'M GRATEFUL TO MY REPUBLICAN FRIENDS FOR POINTING OUT THE ADVANTAGES OF NATURAL GAS AND I MIGHT ADD WE HAD IN THE LAST CONGRESS A HEARING ABOUT WHAT WAS THE WORLD'S LARGEST SOLAR PLANT. BUT THIS WASN'T A PLANT THAT HAD SOLAR PANELS, IT HAD THOUSANDS OF MIRRORS POINTING TO THREE DIFFERENT TOWERS THAT WOULD SUPER HEAT THE WATER IN TERMS OF STEAM TO TURN TURBINES TO PRODUCE ELECTRICITY. I HAD ONE ARTICLE HERE, THIS FROM FEBRUARY, 2014. BUT IT TALKED TISSUE TALKED ABOUT THE SOLAR ELECTRIC GENERATING SYSTEM. SPRAWLING ACROSS ROUGHLY FIVE SQUARE MILES OF FEDERAL LAND IN THE MO JAVY DESERT AREA, NEAR THE CALIFORNIA-NEVADA BORDER. IT OPENED AND IT WAS GLORIFIED, THERE WAS $1.6 BILLION IN LOAN, FEDERAL LOAN, $600- SOMETHING-ODD-MILLION IN FWRABTS TO HELP THEM MAKE THEIR PAYMENTS. YEARS LATER THEY PAID, WELL, TWO YEARS AGO THEY PAID BACK I THINK $7 MILLION OF THE $2.2 BILLION. BUT ANYWAY THIS ARTICLE, THOUGH, WAS ABOUT THE WORLD'S LARGEST SOLAR PLANT SCORCHING BIRDS IN THE NEVADA DESERT FROM TESTIMONY WE HEARD, APPARENTLY THIS SOLAR PLANT, AS BIRDS WOULD FLY THROUGH THE SUPER HEATED SUNLIGHT IT WOULD CAUSE THEM TO EXPLODE IN FLAME WHICH IS WHY THE LOCALS CALL THEMMED FLAMERS. ORIGINALLY THEY WERE NOT EXPECTING TO SPEND A LOT OF MONEY CLEANING MIRRORS WITH WATER BECAUSE THEY THOUGHT IT WOULD BE DUST. THEY DIDN'T ANTICIPATE ALL THE FLAMING BIRD DEBRIS. BIAS BUT ANGRY, HATEFUL ANIMUS AGAINST DONALD TRUMP, REPUBLICANS, BUT CERTAINLY DONALD TRUMP. THE I.G. SEEMED CLEAR TO ME WITH HUNDREDS OF PAGES DOCUMENTING THE OVERWHELMING BIAS AMONG THOSE THAT WERE SUPPOSED TO BE FAIR AND IMPARTIAL, FIGURATIVELY DEPICTING JUSTICE BEING BLIND, WELL, IT WAS AS IF HOROWITZ DECIDED OK, HE GOT ALL THIS OVERWHELMING BIAS IT'LL MAKE THE REPUBLICANS HAPPY. I HAVE SO MANY DEMOCRATIC FRIENDS, I DON'T WANT THEM TO BE PERMANENTLY UPSET WITH ME. I'LL JUST CONCLUDE THERE'S NO EVIDENCE THAT BIAS AFFECTED THE INVESTIGATION AT ALL AND YET IN HIS OWN REPORDHORWITHS SAID, THIS IS ON PAGE 9, SAID MOST OF THE TEXT MESSAGES RAISING SUCH QUESTIONS PERTAINING TO THE INVESTIGATION, PARTICULARLY STRZOK'S AUGUST 8 TEXT MESSAGE WILL STOP, UNQUOTE, CANDIDATE TRUMP FROM BEING ELECTED WAS THAT STRZOK MIGHT BE ABLE TO TAKE ACTION TO AFFECT A PRESIDENTIAL CANDIDATE'S EELECT -- ELECTORAL PROSPECTS. WE DID NOT HAVE CONFIDENCE THAT HE WOULD PRIORITIZE THE HERE IT'S ESTABLISHED BEYOND ANY REASONABLE DOUBT, STRZOK NOT ONLY HATED TRUMP, WAS TRYING TO IMPRESS HIS MISTRESS, BUT IT WAS I.G. HORWITHS' OWN WORDS, LEADING UP THIS INVESTIGATION INTO HILLARY CLINTON'S EMAILS, HERE THEY HAD HUNDREDS OF THOUSANDS OF EMAILS FOUND ON THE ANTHONY WEINER LAPTOP AND IT WAS STRUCK'S DECISION, -- STRZOK'S DECISION, HE HAD THE AUTHORITY TO DECIDE AND HE DID DECIDE, WE'RE NOT GOING TO INVESTIGATE THAT, WE'RE NOT GOING TO MAKE THAT A PRIORITY, WE'RE GOING TO PUSH THAT ASIDE AND INSTEAD GO AFTER THIS SO-CALLED RUSSIA INVESTIGATION INVOLVING TRUMP. THAT EVEN STANDING ALONE IS OVERWHELMING EVIDENCE OF BIAS THAT AFFECTED THE INVESTIGATION. SO I KNOW MR. HORWITHS APPARENTLY WAS JUST TRYING TO KEEP FROM MAKING ALL OF HIS DEMOCRAT EXFRIENDS MAD SO HE THREW THEM THIS LITTLE GIFT, OK, CLEARLY THERE WAS ALL KINDS OF BIAS BUT I WILL SAY IN MY CONCLUSIONS THAT I COULDN'T FIND THAT IT -- THAT BIAS AFFECTED THE INVESTIGATION. CLEARLY IT DID. HE SAID IT IN HIS OWN WORDS. IT WAS STRZOK'S DECISION AND HE DECIDED NOT TO FOLLOW UP ON THAT AND IN FACT, WITH ALL OF MY FRIENDS ACROSS THE AISLE THAT CONTINUE TO REPEAT THE MANTRA THAT COMEY'S OCTOBER PRESS CONFERENCE COST HILLARY CLINTON THE ELECTION DESPITE THE EVIDENCE THAT SHE WAS NOT A GOOD CANDIDATE SHE DIDN'T DO WHAT WAS NEEDED TO HONESTLY AND OPENLY WIN AN ELECTION, WHEN IT CAME TO THESE EMAILS THAT NEEDED TO BE INVESTIGATED, IT SOUNDS A WHOLE LOT MORE LIKE WHAT HAPPENED WAS, EVEN COMEY CALLING THAT OCTOBER PRESS CONFERENCE WAS A COVER FOR HILLARY CLINTON BECAUSE THE ALTERNATIVE, KEPT HEARING FROM SOURCES I BELIEVE THAT THERE WERE F.B.I. AGENTS WHO WERE -- THEY HAD FOUND ALL THESE EMAILS OF HILLARY CLINTON'S THAT WERE SUPPOSED TO BE GONE. THEY DIDN'T HAVE THEM. THEY DESTROYED. THEY WERE BLEACHED. THEY WERE UNAVAILABLE BECAUSE SHE HAD OBSTRUCTED THE JUSTICE, SHE'D OBSTRUCTED JUSTICE BY DESTROYING EVIDENCE. THEY THOUGHT ALL THESE EMAILS WERE GONE AND ALL OF A SUDDEN, F.B.I. AGENTS ARE IN POSSESSION OF THESE MASSIVE NUMBER OF CLINTON EMAILS AND SO COMEY SAT ON THEM. IF COMEY HAD NOT CALLED THAT PRESS CONFERENCE, THEN IT APPEARS WHAT WAS LIKELY GOING TO HAPPEN, YOU WERE EITHER GOING TO HAVE F.B.I. AGENTS THAT LEARNED FROM COMEY HOW YOU GO ABOUT LEAKING AND WE SAW THE INFORMATION FROM THE I.G. HOROWITZ THAT APPARENTLY THERE WERE AGENTS IN -- AT THE TOP THAT WERE QUITE GOOD AT LEAKING INFORMATION, EVEN GETTING TICKETS AND DIFFERENT THINGS IN RETURN FOR THEIR LEAKING THAT THOSE AGENTS WOULD HAVE LEAKED THAT INFORMATION AND WHEN IT CAME OUT THAT THEY KNEW THEY HAD FOUND ALL THESE MISSING CLINTON EMAILS AND COMEY WAS SITTING ON IT, HE WAS OBSTRUCTING JUSTICE, THEN THAT WOULD HAVE DOOMED THE CLINTON CAMPAIGN. SHE WOULD HAVE LOST BY A WHOLE LOT BIGGER ONCE IT CAME OUT THAT COMEY WAS BLOCKING, OBSTRUCT, NOT ALLOWING THEM TO INVESTIGATE THESE NEWFOUND, WELL, NEWFOUND, THEY'D BEEN FOUND FOR A MONTH, THEY WERE SITTING ON THEM, AND WE FOUND OUT AT THE HEARING YESTERDAY THAT ACTUALLY, ROSENSTEIN MADE THE DECISION NOT TO ALLOW CONGRESS TO HAVE THOSE FOR THE LAST MONTH. WHO KNOWS HOW LONG HE MAY HAVE KNOWN ABOUT THEM. HE REALLY DOES NEED TO BE FIRED. HE NEEDS TO GO. BUT CLEARLY, SHE AB-- HE HAS OBSTRUCTED CONGRESS' INVESTIGATION. QUESTION IS, HOW MUCH OBSTRUCTION OF JUSTICE DO ROSEN -- DID ROSENSTEIN DO BACK IN 2016? WE DON'T KNOW BUT WE DO KNOW THERE WAS OBSTRUCTION AND APPARENTLY ACCORDING TO HOROWITZ IT WAS STRZOK THAT HAD THE AUTHORITY TO DECIDE, ARE WE GOING TO DICK DIGG INTO THESE NEWLY FOUND OR MONTH-LONG FOUND EMAILS FROM HILLARY CLINTON? OR ARE WE JUST GOING TO SET THOSE ASIDE BECAUSE THEY MIGHT HURT HILLARY CLINTON'S ELECTION AND INSTEAD GO AFTER THIS RUSSIA INVESTIGATION, TOTALLY BOGUS, BASED ON PURCHASES BY THE CLINTON CAMPAIGN. AND STRZOK, HE DECIDED, NOT GOING TO PURSUE THIS EVIDENCE THAT ACTUALLY BELOW ZERO HILLARY CLINTON'S CLAIMS OUT OF THE WATER, INSTEAD, WE ARE GOING TO PURSUE TRUMP. THAT IS ONE OVERWHELMING PIECE OF EVIDENCE THAT THE BIAS AFFECTED THE INVESTIGATION AND IT COULD HAVE BLOWN THE CAMPAIGN OUT OF THE ORDER WHERE IT WOULDN'T HAVE EVEN BEEN CLOSE. RATHER COMEY TO ALLOW IT TO LEAK OUT -- AND THERE ARE RUMORS AND I HAVE GOOD SOURCES AND INDICATIONS WERE WE MIGHT HAVE HAD ONE OR MORE F.B.I. AGENTS RESIGN OVER COMEY AND STRZOK OBSTRUCTING THE CLINTON EMAIL BEING INVESTIGATED, AND IF F.B.I. AGENTS HAD ET THEY ARE RE-SIGNED AND HAD A PRESS CONFERENCE AND TALKED ABOUT HOW THEY WERE OBSTRUCTING JUSTICE AND IT WOULD HAVE BEEN IN THEIR POSSESSION FOR A MONTH, THAT WOULD HAVE DEVASTATED THE CLINTON CAMPAIGN FAR WORSE. SO COMEY NOT WANTING TO HURT THE CLINTON CAMPAIGN, PREVERING TO HURT TRUMP, HE CALLED A PRESS CONFERENCE AND AS I SAID BACK IN OCTOBER WHEN I WAS ASKED ABOUT WHETHER OR NOT THIS WAS A SERIOUS INVESTIGATION, I SAID WE'LL KNOW IF IT COMES BACK IN TWO, THREE DAYS AND SAYS THERE IS NOTHING THERE, WE WILL KNOW FOR CERTAIN, THAT THIS WAS SIMPLY AN EFFORT TO PROTECT HILLARY CLINTON BECAUSE CLEARLY THEY COULD NOT PROPERLY INVESTIGATE ALL OF THOSE EMAILS IN SUCH A SHORT PERIOD, TWO, THREE DAYS. AND SURE ENOUGH, JUST A COUPLE OF DAYS LATER, COMEY COMES OUT, PRESS CONFERENCE, GEE, WE INVESTIGATED THESE MASSIVE NUMBER OF EMAILS. HILLARY CLINTON'S CLEAN. SO RATHER THAN DESTROYING HER CAMPAIGN, COMEY'S ACTION APPEARS THAT IT SAVED HER CAMPAIGN AND ALLOWED IT TO BE CLOSER. SO JUST THAT LITTLE BIT OF INFORMATION THAT I DIDN'T GET TO YESTERDAY. NOW IT'S ABSOLUTELY INCREDIBLE WHAT HAS GONE ON, NOT ON OUR SOUTHERN BORDER, THAT'S AMAZING ENOUGH, BUT ALL OF THE MAYHEM THAT HAS BEEN RAISED BY THE MEDIA, ALL OF THE OUTRAGE THAT'S BEEN EXPRESSED BY DEMOCRATS IS REALLY EXTRAORDINARY WHEN WE LOOK AT THE FACTS ABOUT WHAT'S BEEN GOING ON SINCE 1997, NOT NEW LAWS, NOT NEW TERRIBLY NEW LAWS, THAT THIS ADMINISTRATION IS WORKING WITH AND UNLIKE THE OBAMA ADMINISTRATION, THIS ADMINISTRATION HAS NOT SEEN FIT TO JUST FIT SPEAK NEW LAWS INTO EXISTENCE LIKE WITH DACA. PRESIDENT OBAMA LIKE ANY GOOD MONARCH, HE SPOKE THAT HE WANTED THIS LAW AND DIDN'T SIGN THE NEW LOYAL EDICT. HE JUST SPOKE IT INTO LAW. AND JEH JOHNSON. IT OVERRULED EXISTING LAW AND A LAW PASSED BY BIPARTISAN EFFORTS HERE IN THE HOUSE, SENATE, SIGNED BY PEOPLE LIKE BILL CLINTON AND OTHERS. BUT ANY WAY, HE SPOKE IT INTO LAW. HERE, WE HAVE AN ADMINISTRATION THAT REALLY DOES WANT TO FOLLOW THE LAW. AND I HAVE BEEN DOWN ON THE BORDER, ALL HOURS OF THE NIGHT. AND DAY AS WELL. BUT DURING THE OBAMA PRESIDENCY, I HAVE BEEN DOWN ON OUR BORDER AND I HAVE SEEN CHILDREN SEPARATED FROM THE ADULTS THEY WERE WITH. TALKING TO BORDER PATROL AGENTS. WE HAVE HEARD FROM I.C.E. OF COURSE, WHAT'S BEING THROWN FIGURATIVELY IS REALLY OUTRAGEOUS AND HURLED IN THE WAY OF BOTH WORDS AND ACTIONS TOWARDS PEOPLE SIMPLY FOLLOWING THE LAW THAT EVEN DEMOCRATS HELPED CREATE IS REALLY OUTRAGEOUS. BUT THERE IS AN ARTICLE BY MICHELLE MARK FROM JUNE 19 FROM "BUSINESS INSIDER." SEVERAL OFFICIALS TOOK TO SOCIAL MEDIA AND NEWS OUTLETS TO EXPLAIN A GALLERY OF PHOTOS THAT SHOWED CHILDREN SLEPPING IN SHODDY CONDITIONS. THE IMAGES THAT THEY PUBLISHED IN 2014 REFAST SURFACED AND QUICKLY PROMPTED BY OUR OUTRAGE ON TWITTER. TWO CHILDREN SLEEPING ON MATTRESSES ON THE FLOOR ON WHAT APPEARED TO BE A CAGE. THAT WAS THE OBAMA CHAGE. THIS THIS IS WHAT PEOPLE ARE GOING NUTS, SCREAMING AND HOLLERING. EVEN FORMER OBAMA ADMINISTRATION SHARED THE PHOTOS THAT THEY DEPICTED THE TRUM'S ADMINISTRATION OF IMMIGRANT CHILDREN WHO WERE FORCIBLY SEPARATED FROM THEIR PARENTS. THESE FORMER OBAMA OFFICIALS DIDN'T REALIZE THIS IS WHAT THEY DID, THIS IS WHAT THEY DID TO CHILDREN. AND THEN TO BE HOLIER THAN TH OMP U WITH AN ADMINISTRATION ENFORCING THE LAW THAT THE OBAMA ADMINISTRATION OFTEN VIOLATED WHEN THEY WERE GUILTY OF ACTUALLY FOLLOWING THE LAW THEMSELVES. THEY COULD HAVE MADE BETTER CONDITIONS. AND I'M HAPPY TO REPORT THAT THE CONDITIONS I SEE UNDER THE TRUMP ADMINISTRATION DOWN ON OUR SOUTHERN BORDER ARE MUCH BETTER THAN THE OBAMA ADMINISTRATION. THE FACILITIES ARE MUCH, MUCH BETTER. THERE WERE TERRIBLE SITUATIONS THAT THE OBAMA ADMINISTRATION CREATED DOWN ON OUR BORDER DURING PRESIDENT OBAMA'S TERM, ESPECIALLY THE SECOND TERM. IT WASN'T THAT SHOCKING WHAT WAS HAPPENING TO CHILDREN THEN AND IT HAS BEEN AMAZING -- THERE WAS ONE CHILD HOLDING ON TO A FENCE AND THAT WAS USED TO SHOW HOW TERRIBLE THIS SWEET LITTLE CHILD TURNS OUT. THAT WAS PART OF AN IMMIGRATION PROTEST. THIS CHILD WASN'T IN ANY KIND OF CAGE. IN FACT, THE OTHER PICTURES THAT HAVE NOW BEEN DISCOVERED SHOW, APPARENTLY SOME ADULT FIGURE WAS PART OF THE PROTEST, DUBBED THE KID THERE BUT IT WASN'T CAGED BY THE TRUMP ADMINISTRATION. THIS ARTICLE, A SPEECH WRITER FROM FORMER PRESIDENT OBAMA TWEETED, THIS IS HAPPENING RIGHT NOW AND THE OM DEBATE RIGHT NOW IS HOW IT FORCES OUR GOVERNMENT TO GET BACK TO OUR FAMILIES. AND HE LATER DELETED THE TWEET POINTED OUT THAT THE PHOTOS WERE TAKEN DURING THE OBAMA ADMINISTRATION. BUT BY THAT POINT, CRITICS RUSHED TO ACCUSE HIM TO CONCEAL THE TACTICS WHILE CONDEMNING TRUMP S'. HE SAID HE MADE A MISTAKE BEFORE CHECKING THEM ON TWITTER. AND HE SAID THEY WERE TAKEN IN 201 AND THE OBAMA ADMINISTRATION FACED AN INFLUX FLEEING VIOLENCE. UNQUOTE. I COULD TELL YOU THERE WERE MANY OF THESE PEOPLE THAT I SAW ALL HOURS OF THE NIGHT WEREN'T FLEEING VIOLENCE THAT THEY HAD THE OPPORTUNITY. AND I HAVE BEEN THERE WHEN SMALL CHILDREN BEING PASSED AMONG, THE BORDER PATROL IS AT ONE END OF THE GROUP OF PEOPLE THAT HAD COME IN ILLEGALLY ASKING QUESTIONS AND SHELTERING AROUND TO DECIDE WHO IS GOING TO CLAIM THIS CHILD AND SOME OCCASIONS THEY SAY, OH, NO. NO. NOT WITH ME, BY THEMSELVES. WHY DON'T YOU WALK UP HERE. SO IT IS ALSO INTERESTING WITH ALL THE OUTRAGE ABOUT THE 12,000 CHILDREN IF THEY ARE BEING TAKEN CARE OF. 10,000 OF THE 12,000 CAME UNACCOMPANIED WAS THE CLAIM. 40% OF THOSE COMING ARE TEENAGED MALES OF GANG AGE. AND WE KNOW, TURNS OUT, MANY OF THEM ARE GANG MEMBERS. WE KNOW JUST RECENTLY, YOU HAD A MS-13 MEMBER CLAIMING THE CHILD, MAY HAVE BEEN HIS CHILD, BUT THAT CHILD DID NOT NEED TO BE WITH AN MS-13 GANG MEMBER. AND DURING THE OBAMA ADMINISTRATION AND DURING THE BUSH ADMINISTRATION AND CLINTON ADMINISTRATION IT WASN'T UNCOMMON TO SEPARATE THE CHILDREN IF IT IS NOT A BEST INTEREST IN THE CHILD. AND AGAIN, FOR HEAVEN'S SAKE, WHETHER ACCOMPANIED OR UNACCOMPANIED WERE PLACED BY THEIR PARENTS IN A POSITION TO CROSS DEADLY TERRITORY, BE SUBJECTED TO SEX TRAFFICKERS -- SEX TRAFFICKING THEMSELVES AND BE SUBJECTED TO BECOMING SEX TRAFFICKERS. I HAVE SEEN IT AS A JUDGE. WHEN THERE WERE HEARINGS. I DIDN'T DO JUVENILE LAW. I HAVE SEEN IT. AND YOU HAVE PARENTS, IF THEY LET THEIR CHILD HERE IN TEXAS IN AMERICA DO THE THINGS THAT PARENTS FROM OTHER COUNTRIES ALLOW THEIR CHILDREN TO GO THROUGH, THERE'S A GOOD CHANCE, AT LEAST TEXAS WOULD HAVE GRABBED THAT CHILD AND SAID THIS IS AN UNFIT PARENT TO GO ACROSS DESERT AND BE IN THE HANDS OF GANG MEMBERS AND BE SUBJECT TO SEX TRAFFICKING AND DRUG TRAFFICKING AND THE BORDER PATROL, FREQUENTLY THEY WOULD ASK, HOW MUCH DO YOU PAY TO THE DRUG CARTEL, $8,000. YOU DIDN'T HAVE THAT KIND OF MONEY. AND OFTEN THE FINAL ANSWER AFTER $2,000, WHERE DID YOU GET THE REST? THE FINAL ANSWER WAS, THEY ARE GOING TO LET ME OFF WHEN I GET TO WHERE I'M GOING. HOW DO YOU WORK IT OFF. SEX OR DRUG TRAFFICKING IS THE WAY IT GOT WORKED OFF. ANY PARENT THAT WOULD SUBJECT THEIR CHILDREN TO THAT. AND THOSE WHO ARE DOWN THERE RIGHT NOW AND TRYING TO FIGURE OUT WHAT TO BE DONE, THE OUTRAGE WOULD BE WITH PARENTS THAT WOULD ALLOW THAT TO HAPPEN AND A POLITICAL PARTY OR WITH ANY PEOPLE THAT WOULD HANG OUT, SHINING OBJECT OF GREAT LIFE HERE, FREE BENEFITS, WELFARE, IF YOU'LL JUST COME ACROSS THE DESERT, RISK SEX AND DRUG TRAFFICKING. THE BORDER HAS TO BE SECURED. THAT IS THE HUMANE THING TO DO. WE STOPPED THE DRUGS THAT CAME ACROSS OUR BORDER, ESTIMATED LAST YEAR BY SOME, THEN THE CORRUPTION IN MEXICO AND CENTRAL AMERICA DRIES UP TO NEXT TO NOTHING. THOSE PEOPLE END UP WITH BETTER LIFE AND ECONOMY AND BETTER JOBS. THAT IS WHAT WE WOULD DO IF WE WERE A CARING NEIGHBOR. WE WOULD MAKE SURE THAT STOP THE DRUG TRAFFICKING. AND THESE POOR PEOPLE THAT ARE MADE TO BE DRUG MULES, MADE TO BE DRUG TRAFFICKERS, THEY ARE POISONING AMERICANS, IT IS A MATTER OF NATIONAL SECURITY. DONALD TRUMP IS RIGHT TO BE SO CONCERNED, TO WANT A ZERO TOLERANCE POLICY AND SO IS JEFF SESSIONS. AND WE CAN DEAL WITH THIS ISSUE, BUT IT'S A VERY SMALL PERCENTAGE THAT ARE PARENTS THAT ARE BEING SEPARATED FROM CHILDREN AND THERE WERE PARENTS THAT WERE BEING SEPARATED EVEN THOUGH "THE DALLAS MORNING NEWS" DOESN'T WANT TO ADMIT IT OR REMAIN IN TOTAL BLISSFUL IGNOREANCE. AND THE TRUMP ADMINISTRATION IS TRYING TO FIX THIS AND DO THINGS CORRECTLY. . TURNS OUT WHEN HOMELAND SECURITY SECRETARY NEIL ZEN WAS AT A MEXICAN RESTAURANT, SHE HAD PEOPLE SCREAMING AT HER, TRYING TO RUIN HER DINNER, ACCUSING HER OF DOING WHAT OTHERS IN THE OBAMA ADMINISTRATION HAD DONE. TURNS OUT ONE OF THOSE WAS AN EMPLOYEE AT THE DEPARTMENT OF JUSTICE. SOME WOULD SAY, AGAIN, POLITICAL BELIEFS SHOULDN'T HAVE -- SHOULDN'T ADVERSELY AFFECT A JOB WITH THE GOVERNMENT. WELL, IT SHOULD WHEN THAT JOB IS ENFORCING THE LAW. AND WHEN YOU WORK FOR THE DEPARTMENT OF JUSTICE AND YOU'RE GOING TO SCREAM AT PEOPLE BECAUSE THEY'RE FOLLOWING THE LAW, THEN YOU SHOULD NOT BE AT THE DEPARTMENT OF JUSTICE AND THIS PERSON THAT WAS SCREAMING AND BECOMING A NUISANCE AND CREATING PROBLEMS AND SCREAMING OUT IN IGNORANCE SHOULD NOT BE WORKING AT THE DEPARTMENT OF JUSTICE. JUST AS ANYBODY WHO IS BIASED FOR HILLARY CLINTON OR AGAINST HILLARY CLINTON SHOULD NOT HAVE BEEN INVESTIGATING HILLARY CLINTON. ANYBODY BIASED FOR OR AGAINST DONALD TRUMP SHOULD NOT HAVE BEEN INVESTIGATED DONALD TRUMP. IT DOES MATTER. AND I GUARANTEE YOU DEMOCRATIC CRIMINAL DEFENSE ATTORNEYS, EVEN THOUGH THERE WAS SOME EXPRESSED FAINED OUTRAGE, THEY WOULD HAVE BEEN, IF THEY HAD A CLIENT WHO HAD RUN FOR OFFICE, THE DEFENSE THAT WAS ON TRIAL FOR CRIMINAL CHARGE, THAT CRIMINAL DEFENSE ATTORNEY WOULD WANT TO KNOW WHICH JURORS SUPPORTED THEIR CLIENT AND WHICH WERE TOTALLY OPPOSED TO THEIR CLIENT IN THE LAST ELECTION. THEY WOULD WANT TO KNOW THAT MAYBE YOU DO THAT IN CHAMBERS, MAYBE YOU DO IT AT THE BENCH, BUT I WOULD HAVE A FEELING, I'VE HEARD THOSE CLAIMS FROM DEFENSE ATTORNEYS ABOUT THE RIGHT TO KNOW ABOUT THINGS AND SOMETIMES IT IS VERY PERSONAL INFORMATION. BUT IF IT TELLS A DEFENSE ATTORNEY ABOUT SOMEONE'S BIAS OR PREJUDICE, ABOUT A POTENTIAL -- WITHIN A POTENTIAL JUROR, THAT DEFENSE ATTORNEY REALLY ZRUZZ A RIGHT TO KNOW IN ORDER TO PROTECT THEIR CLIENT AND TO ENSURE THAT JUSTICE IS DONE BY FAIR AND IMPARTIAL ARBITERS. WE GOT PEOPLE AT THE JUSTICE DEPARTMENT STILL THAT ARE NOT FAIR, THEY'RE NOT IMPARTIAL, THERE'S A NEW RECORD HERE ACCORDING TO PAUL BEDARD'S ARTICLE YESTERDAY FROM WASHINGTON EXAMINER, NEW RECORD, 99% OF SEIZED BORDER KIDS FROM GUATEMALA, HONDURAS AND EL SALVADOR. OBAMA PROSECUTED NEARLY HALF A MILLION ILLEGAL ALIENS. HE DID. AND I THINK IN THOSE SITUATIONS THEY WERE TRYING TO FOLLOW THE LAW. THE ONLY REASON I BRING THAT UP IS THE FAINED OUTRAGE. FOR SOME PEOPLE IT'S NOT FAINED, THEY'RE REALLY OUTRAGED BECAUSE THEY DON'T REALIZE WHAT'S GONE ON BEFORE. SOME OF US HAVE SEEN IT. NOW 100% NO TOLERANCE POLICY THAT IS MUCH STRICTER THAN THE OBAMA ADMINISTRATION. BUT PRESIDENT OBAMA AND HILLARY CLINTON ARE BOTH ON VIDEO TALKING ABOUT HOW THEY'RE GOING TO DO THOSE TYPE OF THINGS TO DISCOURAGE PEOPLE FROM COMING IN ILLEGALLY. AND NOW THEY REALLY ARE FAINING OUTRAGE AND IT NEEDS TO STOP. LET'S WORK TOGETHER FOR A SOLUTION. I YIELD BACK.

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                                • 06:34:10 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN YIELDS BACK. UNDER THE SPEAKER'S ANNOUNCED SPOIL OF JANUARY…

                                  THE GENTLEMAN YIELDS BACK. UNDER THE SPEAKER'S ANNOUNCED SPOIL OF JANUARY 3, 2017 THIS EGENTLEMAN FROM OKLAHOMA, MR. RUSSELL IS RECOGNIZED FOR 0 MINUTES.

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                                • 06:34:30 PM

                                  MR. RUSSELL

                                  THANK YOU, MR. SPEAKER. DR. KEVIN PORT CUS, PROFESS -- PORTIKU --…

                                  THANK YOU, MR. SPEAKER. DR. KEVIN PORT CUS, PROFESS -- PORTIKU -- PORTICUS, A PROFESSORING MADE AN INTERESTING STATEMENT IN HIS STUDY, I QUOTE, AMERICAN'S -- AMERICA'S IMMIGRATION PROBLEM IS NOT WITH IMMIGRANT BUS WITH AMERICANS. IN ORDER FOR THE FOUNDERS POLICIES TO BE INTELLIGIBLE AND EFFECTIVE AMERICA MUST RETURN TO THE FOUNDERS' MINCE PLS OF JUSTICE. IF AMERICA IS NOT BASED ON THOSE PRINCIPLES, THEN IT IS LIKELY -- LIKE THE OTHER NATIONS AND THE IDEA OF AMERICA AS AN ASYLUM BECOMES MUDDLED AND INCOHERENT. IF WE ACCEPT FEUDAL OBLIGATION IN ITS MODERN INCARN RATION, BIRTH RIGHT CITIZENSHIP, THEN THE IDEAS OF GOVERNMENT BY CONSENT AND THE RIGHT TO IMMIGRATE BECOME OBSCURED. IF WE FORGET THAT CONSENT IS RECIPROCAL AND THE PURPOSE OF GOVERNMENT TO PROTECT THE INALIENABLE NATURAL RIGHTS OF ITS CITIZENS, THEN THE RIGHT AND DUTY TO RESTRICT IMMIGRATION AND NATURALIZATION BECOMES NOTHING BUT AN EXPRESSION OF RACISM AND NATIVISM. IF WE FORGET OUR HERITAGE AS A REFUGE FOR THE VIRTUOUS AND OPPRESSED OF THE WORLD THEN WE LOSE A SIGNIFICANT PART OF WHAT MAKES AMERICA EXCEPTIONAL. END QUOTE. MR. SPEAKER, I'M NOT AN IMMIGRATION EXPERT. I D, HUFFER, KNOW AND LOVE THE HISTORY OF OUR GREAT REPUBLIC. I SPEAK BEFORE AMERICA NOT AS A MEMBER OF ANY PARTY, BUT AS AN AMERICAN WHO HAS NEARLY GIVEN MY LIFE ON MULTIPLE BATTLEFIELDS IN DEFENSE OF HER CONSTITUTION. AS SUCH I'M DISTURBED AT THE ABANDONMENT OF PRINCIPLE BY BOTH SIDES OF THE AISLE, THE ACCEPTANCE OF SOUND BITES IN LUE OF -- IN LIEU OF FACT, AND THE FRAMING OF POPULAR SENTIMENTS TO LEVERAGE POWER. IN OUR NATIONAL IMMIGRATION DEBATE WE SUFFER MUCH BITTER CONTENTION WITH POLITICAL POWER BEING USED TO DIVIDE AMERICA ON HER FOUNDATIONS. IN THE HOPES THAT ONE SIDE MAY FORCE THE OTHER INTO ITS WILL. BUT WHAT OF IT? WHAT IF WE HAD NO RESPECT FOR THE LAW? WHAT IF WE CLOSED THE DOOR TO THE POOR AND WRETCHED MASSES? WHAT IF WE HAD NO SECURITY ON OUR BORDERS? WHAT IF WE ALLOWED PRIVILEGED CLASSES TO HAVE DISTINCTION IN IMMIGRATION? EITHER SIDE PREVAILING ON SUCH A COURSE WOULD END THE GREAT EXPERIMENT OF LIBERTY AND EQUALITY AMONG MANKIND AS EMBODIED IN THE VERY FABRIC OF OUR NATION. AND WITH ALL THE CRITIQUE ABOUT THE USE OF BIBLICAL PASSAGES TO SUPPORT VARIOUS VIEWS ON IMMIGRATION, HOW ABOUT THIS ONE FROM PROVERBS 29:12 THAT CAN BE LEVELED AGAINST BOTH SIDES OF OUR NATIONAL GOVERNMENT, AND I QUOTE -- IF A RULER PAYS ATTENTION TO LIES, ALL HIS SERVANTS BECOME WICKED, END QUOTE. MR. SPEAKER, DR. PORTIUS IS CORRECT THAT AMERICA'S IMMIGRATION PROBLEM IS NOT WITH IMMIGRANTS BUT WITH AMERICANS. WE SHOULD TAKE HIS COUNSEL TO EXAMINE HOW A PEOPLE BOUND BY LIBERTY AND EQUALITY RATHER THAN BIRTH RIGHT AND OBLIGATION SHOULD GOVERN THEMSELVES AND ACCOMMODATE THOSE SEEKING THE SAME. OUR FOUNDERS WERE DRIVEN BY THE PREMISE THAT ALL ARE CREATED EQUAL. ENDOWED BY THE CREATOR WITH CERTAIN INALIENABLE RIGHT, THAT AMONG THESE ARE LIFE, LIBERTY, AND THE PURSUIT OF HAPPINESS. IN THAT VEEN THEY CATEGORICALLY REJECTED THE NOTION OF OBLIGATION TO GOVERNMENT OR SERVITUDE TO LAND HOLDERS SIMPLY BY THE HAPPENSTANCE OF ONE'S BIRTH. WASHINGTON FRAMED IT SIMPLY BUT EFFECTIVELY. QUOTE, THE BOSOM OF AMERICA IS OPEN TO RECEIVE NOT ONLY THE OPULENT AND RESPECTED STRANGER BUT THE OPPRESSED AND PERSECUTED OF ALL NATIONS AND RELIGIONS. WHOM SHALL WE WELCOME TO A PARTICIPATION OF ALL OUR RIGHTS AND PRIVILEGES IF BY DECENCY AND PROPRIETY OF CONDUCT THEY APPEAR TO MERIT THE ENJOYMENT IN END QUOTE. THOMAS JEFFERSON CONVEYED IT ALONG THESE LINES. IF AN INDIVIDUAL CHOOSES TO DEPART FROM THE REGIME OF HIS BIRTH AND ASSOCIATE WITH A NEW ONE , HE HAS AN INHERENT RIGHT TO DO. SO JEFFERSON IN HIS FIRST ADDRESS TO CONGRESS, PUT IT THIS WAY, QUOTE, SHALL WE REFUSE THE UNHAPPY FUGITIVES FROM DISTRESS, HOPITY? SHALL THE OPPRESSED HUMANITY FIND NO ASYLUM ON THIS GLOBE? MIGHT NOT THE GENERAL CHARACTER AND CAPABILITIES OF A CITIZEN BE SAFELY COMMUNICATED TO EVERYONE MANIFESTING A BONA FIDE PURPOSE OF EMBARKING HIS LIFE AND FORTUNES PERMANENTLY WITH US? END QUOTE. TO ADDRESS THE DILEMMA OF VARIOUS STATES CREATING A PATCHWORK OF STANDARDS FOR WHO SHOULD BE OAR NOT BE ALLOWED AS IMMIGRANT, FRAMERS SETTLED THE ISSUE BY GRANTING CONGRESS THE POWER TO, QUOTE, ESTABLISH A UNIFORM NATURALIZATION RULE, END QUOTE. ENJOYING THE FRUIT OF SUCH IMMIGRATION POLICY, THE FRENCH PHILOSOPHER IN HIS "LETTERS FROM AN AMERICAN FARMER" PRAISED THE ECONOMIC LIBERTY AND PROSPERITY OF AMERICA SAYING, EUROPE CONTAINS HARDLY ANY DISTINCTION BUT LORDS AND PEASANTS. THIS LAND IS INHABITED BY FREEHOLDERS, IT IS HERE THAT THE IDLE BY MAY BE EMPLOYED, THE USELESS BECOME USEFUL AND THE POOR BECOME RICH, END QUOTE. THE FIRST FEDERAL NATURALIZATION LAW PASSED THIS CONGRESS THUNDER ECONSTITUTION REQUIRED TWO YEARS' RESIDENCY IN THE UNITED STATES. ONE YEAR'S RESIDENCY IN THE STATE HE WAS APPLYING FOR CITIZENSHIP. AN OATH OF LOYALTY AND AS AN INDICATION OF THE TIMES RATHER THAN MANY OF THE FRAMERS' EXPRESS WISHES THAT THE APPLICANT BE A FREE WHITE PERSON. SUBSEQUENT STATUTES INCREASED THE LENGTH OF TIME TO AS MUCH AS 14 YEARS, BUT BY 1802 CONGRESS SETTLED ON THE FIVE-YEAR RESIDENCY REQUIREMENT THAT PERSISTS TO THIS DAY. NO OTHER RESTRICTIONS WERE IMPOSED. NO INCENTIVES OR ENCOURAGEMENTS BY CLASS WERE INSTITUTED. LATER, THE CONGRESS ABOLISHED THE IMMIGRATION SLAVE TRADE IN 1808 AND FURTHER ELIMINATED THE NOTIONS OF CLASS STRUCTURE WITH THE PASSENGER ACT OF 1819. TO END INDENTURED SERVITUDE IMMIGRATION. IT WOULD TAKE ANOTHER 50 YEARS TO SECURE THE RIGHTS OF ALL MEN UNDER THE LAW BUT THE STEADY EFFORTS OF MANY WERE REALIZED WITHOUT ANY ALTERATION OF THE FRAMERS' ORIGINAL PRINCIPLES. AFTER THE CIVIL WAR THE 14TH, 15TH, AND 16TH AMENDMENTS SIMPLY AND RIGHTFULLY -- RIGHTLY APPLIED THOSE PRINCIPLES TO ALL AMERICANS NATURALLY BORN, FREED, OR NATURALIZED. AMERICAN ANATHEMA TO CLASS DISTINCTION GUIDE HER WELL IN THE FIRST CENTURY, GUIDING HER IN THE CIVIL WAR AS ALL MEN BECAME TRULY EQUAL UNDER THE LAW. REJECTED WAS AN OBLIGATION TO GOVERNMENT BY BIRTH BUT RATHER THE AMERICAN IDEAL WAS TO VOLUNTARILY CONSENT TO GOVERNMENT BY CHOICE. THIS IDEAL IN ITS PUREST SENSE WAS UPHELD UNTIL THE 1898 SUPREME COURT DECISION, THE UNITED STATES VS. WONG KIM ARC WHICH SOMEWHAT RETURNED THE FEUDALISTIC CITIZENSHIP BY BIRTH RIGHT CONTRARY TO THE VIEWS OF MANY FOUNDERS. WHILE DOING GOOD IN SECURING RIGHTS FOR CERTAIN INDIVIDUAL IT SET UP THE CONSTRUCT TO ELIMINATE THE RIGHTS OF THOSE NOT NATURALLY BORN WHO WISHED TO ASSOCIATE AS LAW-ABIDING IMMIGRANTS BY CHOICE. AMERICAN IMMIGRATION HAS LARGELY BEEN DRIN BY WORLD EVENTS. PRIOR TO THE GREAT DEPRESSION AND WORLD WAR II, ANNUAL IMMIGRATION COMPRISED.64% OF THE U.S. POPULATION WORK SPIKES AS HIGH AS 1.61%. IMMIGRANTS LAID THE RAILROADS AND WORKED THE FIELDS ACROSS THE NATION. FULLY ONE THIRD OF THE NATION'S POPULATION HAD BEEN BORN OVERSEAS OR HAD A PARENT WHO WAS AN IMMIGRANT. A FULL 20% OF THE DOUGH BOYS WE SENT TO FRANCE IN WORLD WAR I WERE NOT BORN IN THE UNITED STATES. FIGHTING TO SECURE OUR LIBERTY AND ALSO A NEW PLACE IN THE WORLD IN WHAT BECAME AN AMERICAN CENTURY. IMMIGRATION DROPPED SHARPLY DUE TO ECONOMICS, FEAR, AND WAR, WITH THE GREAT DEPRESSION. AND WORLD WAR II. BUT MIGRANT WORKERS STILL CAME BY THE HUNDREDS OF THOUSANDS DURING THE WAR. LABORERS FROM MEXICO AND CENTRAL AMERICA ENTERED THE AGRICULTURAL FIELDS AND FARMS AS WE FED OUR ARMIES AND OURSELVES. AN INSEPARABLE BOND BETWEEN AGRICULTURE AND THE GUEST WORKERS RESULTED IN DEMAND FOR FARMWORKERS AND INDUSTRIAL LABOR DURING THE WAR. THE UNITED STATES GOVERNMENT RECOGNIZED THIS WITH THE ROSERO ACCORD THAT ALLOWED FOR THESE WORKERS TO COME ANNUALLY TO MEET A CRISIS IN THE WAR AND A VIBRANT ECONOMIC GROWTH THEREAFTER. SUCCUMBING TO FEARS ABOUT UNCAPPED WOKERS IN OUR FIELDS, FARMS, OR ON OUR MACHINES AT HOME THIS CONGRESS ENDED THE ROSERO ACCORD IN 1964. AND WITH THE INSTITUTION OF NEW IMMIGRATION CAPS IN 1965. AN ALMOST IMMEDIATE SPIKE IN ILLEGAL IMMIGRATION ROSE AS SEASONAL WORKERS WITH NO GUARANTEE THEY'D MAKE THE NEXT SEASON'S QUOTA STAYED INSTEAD. THE PROBLEM BECAME SO BAD THAT CONGRESS AGAIN STRUGGLED WITH WHAT TO DO AND BY 1986 TOOK A STAB AT ACCOMMODATING THOSE THAT SOME ARGUED WOULD LIKELY HAVE BEEN CITIZENS AT NORMAL IMMIGRATION RATES IN EXCHANGE FOR STRENGTHENING OUR SOUTHERN BORDER. WE ONLY GOT THE IMMIGRANTS, WHEN BOTH WERE SORELY NEEDED. NOW, WE ARE HERE TODAY. ONLY.32% OF OUR POPULATION ARE IMMIGRANTS ARRIVING ANNUALLY. THAT IS MARKEDLY LOWER WHEN WE WERE FIGHTING THE CIVIL WAR. WHILE THE AGRICULTURAL INDUSTRY AND THE HOUSING AND CONSTRUCTION INDUSTRIES ARE SIM BEE YACHTCALLY INTINED, WE INSTEAD ADDRESS IMMIGRATION ISSUES SEPARATE FROM WHAT USED TO BE HANDLED UNDER THE ROSERO ACCORD. WHILE THE ECONOMIC DRIVERS ARE PULLING IMMIGRANTS TO SEEK A BETTER LIFE IN OUR COUNTRY, WE WILL RESTRICT ALREADY SMALL PERCENTAGES OF OUR POPULATION TO EVEN SMALLER ONES, DESPITE THE FACT THAT OUR UNEMPLOYMENT NUMBERS ARE LOWER THAN OUR JOB OPENINGS FOR THE FIRST TIME IN AMERICAN HISTORY. WHAT WHAT COULD WE DO. LOW-HANGING FRUIT WOULD BE TO SECURE OUR BORDER AND PROVIDE RESIDENCY. A BIPARTISAN MAJORITY COULD VOTE FOR SUCH A CLEAN MEASURE, THEN ONCE THAT IS DONE, WE CAN ESTABLISH A UNIFORM NATURALIZATION RULE TO ADDRESS FURET RULES. THE SOLUTIONS OFFERED TO US ARE TO DEMONIZE FAMILY MY DEPRATION AND ACCOMMODATE FOR THOSE WHO ARE ABLE TO PAY A MILLION BUCKS AND END THE HOPES OF THOSE WISHING TO COME HERE LEGALLY. WE HAVE MANY CLAIMS FLOATING AROUND THESE AUGUST CHAMBERS. HERE ARE SOME OF THEM. IMMIGRANTS ARE TAKING OUR JOBS. IMMIGRANTS ARE DESTROYING OUR WAY OF LIFE. WE ARE FLODDED BY LEGAL AND ILLEGAL IMMIGRATION. HERE'S THE REALITY. THE PERCENTAGE OF NATURE--BORN WORKERS DO NOT EXIST. WE CAN EITHER IMPORT WORKERS OR WE CAN IMPORT OUR FOOD. IN A STUDY PUBLISHED IN 2013, AN ECONOMIST DID A 15-YEAR ANALYSIS ON NORTH CAROLINA'S FARM MARKET CONCLUDING THERE IS NO SUPPLY OF NATIVE FARM LABORERS IN THE STATE. THIS WAS TRUE IN THE DEPTH. IN 2011 WITH 6,511 FARM JOBS AVAILABLE, 2,668, WITH THEM APPLYING FOR JOBS. MORE THAN 90% OF THEM, A WHOPPING OF 2458 PEOPLE WERE HIRED, BUT JUST 163 EVEN SHOWED UP FOR THE FIRST DAY'S WORK. ONLY SEVEN NATIVE WORKERS COMPLETED THE GROWING SEASON, FILLING 1/10 OF 1% OF THE OPEN FARM JOBS. THIS IS NOT AN ABNORMALITY. M IP GRANT, THAT MAY CHANGE. AS I STATED, WE COULD EITHER IMPORT WORKERS OR IMPORT FOOD. THE PROBLEM WITH THE WORK FORCE MAY BE DEEPER. IN 2017, ACCORDING TO THE CENTERS FOR DISEASE CONTROL. AGES 15-44, WHICH IS 33% AND THE LOWEST RECORDED RATE OF BIRTH SINCE THE GOVERNMENT STARTED TRACKING BIRTH RATES. OUR BIRTH RATE IS 1.84. A NATION MUST HAVE 1.2 BIRTH RATE TO SUSTAIN ITSELF. AND 1. TO 1.5 MILLION CHILDREN A YEAR. WE IMGREAT 1.5 MILLION. IF ONE WERE TO SUBTRACT THE IMMIGRANTS, OUR BIRTH RATES WOULD BE LOWER. AS IN THE PAST, IMMIGRANTS ARE SUSTAINING OUR NATIONAL GROWTH. IN SPITE OF OURSELVES AND JUST BARELY. THE ISSUE OF FAMILY IMMIGRATION WAS ORIGINALLY CONCEIVED AS A WAY TO ENSURE IMMIGRANTS THAT THEY HAD A STRUCTURE, KNEE DEPATING OR REDUCING THE NEED FOR GOVERNMENT ASSISTANCE. NOW IF CURRENT PROPOSALS BECOME LAW THE OPPOSITE IS LIKELY TO OCCUR AS IT DID BEFORE FAMILY MIGRATION WAS INSTEWEDED. IS IT THE DIVERSITY NAME THAT OFFENDS US. THE REALITY IS, THE VISAS ENSURE THAT THEY COME FROM A WIDE SPECTRUM OF NATIONS. A STUDY PUBLISHED A COUPLE OF MONTHS AGO THAT DIVERSITY RECIPIENTS ARE ACTUALLY BETTER SKATED THAN NATURALLY BORN CITIZENS. 47% HAD A COLLEGE DEGREE. SEEMS TO ME, MR. SPEAKER, WE COULD USE MORE OF THIS TYPE OF IGNORANCE AND LACK OF SKILL. AMERICANS HAVE HAD CONCERNS ABOUT IMMIGRANTS. WE FRET OVER LANGUAGE. STUDIES SHOW SECOND GENERATION AND SPEAK VIRTUALLY NOTHING OF THEIR OLD TONGUE. IN OUR CURRENT NATIONAL DEBATE, IMMIGRANTS CARRY SOME WORRISOME TRAITS. HARD WORKING AND SMALL BUSINESS ENTREPRENEURS. AS A CONSERVATIVE, IT SOUND LIKE A LOT OF THE THINGS I STAND FOR. AS AN AMERICAN, IT SOUND LIKE THE AMERICA AMERICA I FOUGHT FOR. IMMIGRANTS HAVE DEFENDED THEIR COUNTRY WITH THEIR LIVES. THE SOLDIERS WERE IMMIGRANTS. ONE WAS NOT EVEN A CITIZEN BUT WON EARNED POSSIBLE HUMANLY. AND WE MUST REJECT A DANGEROUS PROPOSAL CREEPING INTO THE IMMIGRATION MEASURES, NAMELY THAT NONPERMANENT RESIDENTS CAN EARN A RESIDENCY BY MILITARY SERVICE. WE HAVE LONG ACCOMMODATED THEM TO EARN THEIR CITIZENSHIP. BUT TO PLACE THEM MAKES US NO BETTER THAN A FOREIGN LEGION. STATUE OF LIBERTY DOES NOT WEAR A BLIND FOLD. THAT IS RESERVED FOR LADY JUSTICE. WITH THE LAWS EVER AMERICANS ON ONE HAND BALANCED ON THOSE SEEKING CITIZENSHIP. AMERICANS ARE NOT FLOODED BY IMMIGRANTS. WE ARE WELL BELOW THE NORM HISTORICALLY. WE ARE STARVED BY RESTRICTIVE POLICY THAT MEETS NEITHER THE LAMP NOR THE ECONOMIC. LADY LIBERTY MUST RAISE HER ARM AND KEEP HER TORCH BURNING BRIGHTLY RATHER THAN A STIFF ARM AND MIDDLE FINGER. HER WORD MUST NOT SAY SEND US YOUR PHYSICIANS AND IF WE USE OUR AND XENOPHOBIC, THE ENEMIES WIN. AND WHAT MAKES AMERICA EXCEPTIONAL DICE, PERIOD. WE HAVE SO LOST OUR WAY ON IMMIGRATION THAT WE HAVE THOSE ACROSS OUR LAPPED REJECTING TYRANNY. LISTEN TO MEMBERS OF CONGRESS, NOT I WILL LEGALS, BUT REFUGEES, PEOPLE FLEEING FOR THEIR LIVES. LISTEN TO THESE STATEMENTS. FIGHTING IMMIGRATION IS THE BEST VOTE-GETTING ARGUMENT. IT CAN HE CAN TELL THE MAN HE IS OUT OF WORK BECAUSE SOME ALIEN HAS HIS JOB. HERE'S ANOTHER ONE. CONGRESS MUST PROTECT THE YOUTH OF AMERICA FROM THIS FOREIGN INVASION. HOW ABOUT THIS ONE? AMERICAN CHILDREN HAVE FIRST CLAIM TO AMERICA'S CHART. THERE ARE MANY MORE, BUT THESE QUOTES WERE FROM 1939. REFUGEE WAS NOT FROM IRAQI MUSLIMS, IT WAS FOR GERMAN AND EASTERN JUREN JEWS. IT WAS FOR 20,000 CHILDREN THEY WERE TRYING TO RECEIVE INTO THE COUNTRY. NOT ONLY COULD NOT ALLOW JEWISH CHILDREN TO ENTER OUR COUNTRY IN 1939, OUR CONGRESS THAT I'M HEARING HAS HURDLE AFTER HURDLE TO MAKE IT MORE DIFFICULT FOR THOSE REFUGEES AND IMMIGRANTS TO ENTER OUR COUNTRY. SEE THE GAP DURING THAT TIME? THEY WERE UNFORTUNATELY SUCCESSFUL. MR. SPEAKER, AMERICA PROTECTS HER LIABILITY AND DEFENDS HER SHORES NOT BY PUNISHING THOSE WHO WOULD BE FREE BUT GUARDING LIBERTY WITH HER LIFE. AMERICANS NEED TO SACRIFICE AND WAKE UP. WE MUST NOT BECOME ENMISS IN THE FABRIC OF OUR REPUBLIC. IF WE DEPIFF UP WHO WE ARE WITHOUT A FIGHT. WE GUARD OUR WAY OF LIFE WITH VIDGE LANCE AND MUST BE WATCHFUL. WE HAVE TO HAVE EACH OTHER'S BACK. BY MAINTAINING WHO WE ARE AMIDST THE THREAT AND THE HATRED AND THE TRIALS, WE WIN. PATRICK HENRY DID NOT GIVE ME SAFETY AND ECONOMY OR DEPIFF ME DEATH. HE SAID GIVE ME LIBERTY. WE HAVE DEFENDED OUR WAY OF LIFE FOR ROUGHLY 240 YEARS. NOW WE AS AMERICANS MUST DEFEND IT AGAIN AND DEFEND IT WITH THE CRITICS EATING CHEESE PU FMPFMPSMP AND DEFEND IT WHEN VOTERS ARE CAUGHT UP WITH SINCERE PASSION DEMANDING SINCERITY BASED ON FACT THAT ARE NOT TRUE. WE MUST DEFEND IT WITH OUR WARRIORS WHO FIGHT TO KEEP THE FREEDOM OFF OUR SHORES. BUT LIBERTY, WHEN LOST, TAKES GENERATIONS IF EVER TO REGAIN. WILL AN AERIAL DURANT WROTE THIS WARNING AND I QUOTE, CIVILIZATION IS NOT INHERITED BUT HAS TO BE EARNED AND LEARNED BY EACH GENERATION ANEW. CIVILIZATION WOULD DIE AND WE SHOULD BE SAVAGES AGAIN, END QUOTE. I'M ASKING ALL AMERICANS TO PLEASE PAY FOR THIS CONGRESS AND SPECIFICALLY OR OUR PRESIDENT. HOW MUCH TIME HAVE WE SPENT AT HOME REGARDLESS OF WHAT WE THINK? HOW MUCH COUPLE HAVE WE SOUGHT FROM THE ALMIGHTY. IT IS GOD WHO HAS DEPIFFEN US THE SMASHING OF FREEDOM. HE WILL TAKE US AND DEPIDE US IN TIMES OF CLICE IS IF WE ASK HIM AND HUMBLE OURSELVES AND SEEK HIS FAITH AS A NATION. THE APOSTLE JAMES INSTRUCTS US, ANY OF YOUR LAST WISDOM GIVES TO LIBERTY AP WITHOUT REPROVERP AND IT WILL BE GIVEN TO HIM. MR. SPEAKER, MAYBE OUR LACK OF DOING THAT IS HOW WE GOT HERE IN THE FIRST PLACE. I YIELD BACK MY TIME.

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                                • 06:57:13 PM

                                  THE SPEAKER PRO TEMPORE

                                • 06:57:13 PM

                                  TEMPORE

                              • 06:57:14 PM

                                Recess

                                The Speaker announced that the House do now recess. The next meeting is subject to the call of the Chair.

                                • 09:00:16 AM

                                  >>

                                  THE HOUSE WILL BE IN ORDER. PURSUANT TO THE ORDER OF THE HOUSE ON JANUARY…

                                  THE HOUSE WILL BE IN ORDER. PURSUANT TO THE ORDER OF THE HOUSE ON JANUARY 20. HOUSE OF JANUARY 8, 2018, THE CHAIR WILL NOW RECOGNIZE MEMBERS FROM LISTS SUBMITTED BY THE MAJORITY AND MINORITY LEADERS FOR MORNING HOUR DEBATE. THE CHAIR WILL ALTERNATE RECOGNITION BETWEEN THE PARTIES. ALL TIME SHALL BE EQUALLY ALLOCATED BETWEEN THE PARTIES AND IN NO EVENT SHALL DEBATE CONTINUE BEYOND 9:50 A.M. EACH MEMBER OTHER THAN THE MAJORITY AND MINORITY LEADERS AND THE MAJORITY WHIP SHALL BE LIMITED TO FIVE MINUTES. THE CHAIR RECOGNIZES THE GENTLEMAN FROM KANSAS, MR

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                                • 09:00:56 AM

                                  >>

                                  THANK YOU, MR. SPEAKER. IS GREAT TO SEE SOME ANY YOUTH IN THE AUDIENCE…

                                  THANK YOU, MR. SPEAKER. IS GREAT TO SEE SOME ANY YOUTH IN THE AUDIENCE TODAY AND LOOK FORWARD TO SHARING WHAT I THINK IS THE BIGGEST PROBLEM THAT IS FACING AMERICANS ARE AND HOW. THAT IS THE COST OF HEALTH CARE. NOT THE COST OF HEALTH CARE INCH -- INSURANCE, BUT TRULY THE COST OF HEALTH CARE ITSELF. WHEN I LOOK AT THE PROBLEMS FACING THIS COUNTRY, MOST OF US ARE CONCERNED ABOUT OUR NATIONAL DEBT. 28% OF OUR FEDERAL BUDGET GOES TOWARD HEALTH CARE RIGHT NOW. UNTIL WE CAN START DRIVING THE TRUE COST OF HEALTH CARE DOWN, WE WILL NEVER BE ABLE TO FIX THIS HUGE FEDERAL DEBT. WHEN I TALK TO SMALL BUSINESSES, BER ONE CONCERN IS THE COST OF HEALTH CARE. A SIXTH OF THEIR BUDGET IS GOING TOWARDS HEALTH CARE. CERTAINLY I BELIEVE THAT TRANSPARENCY, INNOVATION, AND CONSUMERISM ARE THE BASIC PRINCIPLES TO DRIVE DOWN THE COST OF HEALTH CARE. BUT I WANT TO STOP TODAY AND APPLAUD WHAT THE PRESIDENT AND SECRETARY OF LABOR DID YESTERDAY BY OPENING UP ASSOCIATION PLANS. THIS IS ONE SMALL PIECE THAT WILL HELP DRIVE DOWN THE COST OF HEALTH CARE FOR FOLKS WHO PURCHASE HEALTH CARE AS INDIVIDUALS WHO ARE IN SMALL GROUPS. THIS WILL START TO BREAK DOWN THE STATE WALLS WHICH PREVENT COMPETITIONS AND ONCE AGAIN ALLOW DIFFERENT GROUPS, ALL MY FARMERS COULD JOIN TOGETHER THROUGH THEIR ASSOCIATIONS OR OTHER SMALL BUSINESSES, WOULD BE ABLE TO -- HAVE BETTER PURCHASING POWER. THIS IS GOING TO GET 400,000 MORE PEOPLE MORE HEALTH INSURANCE AND QUALITY HEALTH INSURANCE WITH TRUE ACCESS TO HEALTH CARE. NOW ON THE HOUSE SIDE WE PASSED H.R. 1101, AND THAT BILL BASICALLY CODIFIES WHAT THE SECRETARY OF LABOR DID YESTERDAY. BUT LIKE SOME 6,000 OTHER BILLS, IT'S BEEN SITTING OVER IN THE SENATE AND IN THIS CASE IT'S BEEN SITTING IN THE SENATE FOR OVER A YEAR. WE NEED LEADERSHIPS ON BOTH SIDES OF THE HOUSE TO HELP DRIVE DOWN THE COST OF HEALTH CARE. WITH THAT, MR. SPEAKER, I YIELD BACK.

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                                • 09:03:03 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN YIELDS BACK. THE CHAIR RECOGNIZES THE GENTLEMAN FROM…

                                  THE GENTLEMAN YIELDS BACK. THE CHAIR RECOGNIZES THE GENTLEMAN FROM GEORGIA, MR. LEWIS, FOR FIVE MINUTES.

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                                • 09:03:07 AM

                                  MR. LEWIS

                                  MR. SPEAKER, I ASK UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR FIVE MINUTES.

                                • 09:03:18 AM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION. THE GENTLEMAN IS RECOGNIZED.

                                • 09:03:20 AM

                                  MR. LEWIS

                                  AS WE STAND HERE A 5-YEAR-OLD WOKE UP IN A CAGE. SHE COMMITTED NO CRIME.…

                                  AS WE STAND HERE A 5-YEAR-OLD WOKE UP IN A CAGE. SHE COMMITTED NO CRIME. SHE CAME HERE SEEKING HOPE AND REFUGE. INSTEAD, MR. SPEAKER, SHE WAS TAKEN FROM HER PARENTS, FROM HER BROTHERS AND SISTERS, FROM ALL SHE KNOWS AND LOVES. SHE DOESN'T KNOW WHERE SHE LIVES. SHE DOES NOT KNOW WHERE HER FAMILY IS. SHE DOES NOT SPEAK THE LANGUAGE OF HER CAPTORS, AND SHE MAY NEVER SEE HER FAMILY AGAIN. THIS MORNING, MR. SPEAKER, THAT INNOCENT LITTLE CHILD CRYING IN A A CAGE. WE STAND HERE DOING NOTHING. AS INNOCENT LITTLE BABIES SIT IN MODERN CAGE. WE STAND HERE DOING NOTHING. DAY CAMPS. THAT'S NOT RIGHT. IT'S NOT FAIR. AND IT'S NOT JUST. MADAM SPEAKER, HISTORY WILL NOT BE KIND TO US IF WE CONTINUE TO PASS THIS UNBELIEVABLE INJUSTICE IT OUR O OWN CHILDREN. NOW I YIELD TO MR. CROWLEY FROM NEW YORK.

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                                • 09:04:35 AM

                                  MR. CROWLEY-ILY

                                  THANK YOU, MR. LEWIS. THERE IS ONLY ONE WORD THAT GOES THROUGH MY MIND…

                                  THANK YOU, MR. LEWIS. THERE IS ONLY ONE WORD THAT GOES THROUGH MY MIND WHEN I THINK ABOUT WHAT THIS WHITE HOUSE IS DOING TO CHILDREN RIGHT NOW. IT'S SHAME. SHAME ON THEM. FOR YEARS WE SAW REPUBLICANS TRY TO ATTACK DEMOCRATS TO HAVING THE GALL TO OUR O OWN CHILDREN. GIVE MILLIONS OF AMERICANS HEALTH CARE. TORE TO RISK GLOBAL WARMING. YOUR LEADERS STOOD UP ON THIS FLOOR AND SAID SHAME ON US. SHAME ON YOU FOR LETTING THIS HAPPEN. FOR BEING WILLING TO LET KIDS BE KEPT IN WAREHOUSES BECAUSE YOU CAN'T STAND UP TO THIS PRESIDENT. THESE ARE CHILDREN. CHILDREN WHO DESERVE THE LOVE 6 A --OF A MOTHER AND FATHER. NOT SHAME ON US. SHAME CAGES OR CONCRETE FLOORS. THESE ARE CHILDREN'S. BABIES IN SOME CASES. THEY NEED SOMEONE TO COMFORT THEM WHEN THEY CAN'T SLEEP. TO COOL THEIR FOOD WHEN IT'S TOO HOT. TO GIVE THEM THOSE BAKSE OF LOVE AND KINDNESS THAT THESE CHILDREN NEED. WHAT THEY DON'T NEED US IS TO BE USED AS HOSTAGES FOR PRESIDENT TRUMP TO GET HIS ANTI-IMMIGRANT WISH LIST AND A WALL. THEY DON'T NEED TO BE DEMONIZED WHEN THE FAMILIES ARE SEEKING REFUGE. IF PRESIDENT TRUMP AND THE REPUBLICANS DON'T THINK THESE FAMILIES DESERVE ASYLUM OR PROTECTION, IF THEY DON'T THINK THESE PEOPLE DESERVE A CHANCE OF A A LIFE OF SAFETY THEY ARE WRONG. BUT THESE ARE MATTERS WE CAN DEBATE. BUT YOU MEAN TO TELL ME YOU DON'T THINK THESE CHILDREN DESERVE THE LOVE OF THEIR MOTHER AND COMFORT OF THEIR FATHER? YOU MEAN TO TELL ME THE BIBLE PUTS LAW ABOVE KEEPING FAMILIES TOGETHER? ABSOLUTELY NOT. SHAPE ON THIS WHITE HOUSE AND ON EVERYONE WHO STANDS WITH THEM. SHAPE ON OUR COUNTRY IF WE LET THIS CONTINUE.

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                                • 09:06:04 AM

                                  MR. LEWIS

                                  AL GREEN, I NOW YIELD. THE MR. GREEN: I THANK THE GENTLEMAN FOR YIELDING.…

                                  AL GREEN, I NOW YIELD. THE MR. GREEN: I THANK THE GENTLEMAN FOR YIELDING. MR. SPEAKER, MADAM SPEAKER, THIS IS WHAT IT HAS COME TO. WE STAND HERE IN THE WELL OF THE HOUSE APPEALING TO IN A SENSE BEGGING THE PRESIDENT TO ACKNOWLEDGE THE UNDENIABLE TRUTH . THE UNDENIABLE TRUTH THAT THIS IS A CRISIS THAT HE CAN END WITH THE STROKE OF A PEN. THIS IS A CRISIS THAT HE HAS CREATED AND IT IS A CRISIS THAT HE CAN ELIMINATE. THE UNDENIABLE TRUTH IS THAT IF A PRESIDENT CAN SEE THESE BABIES CRYING AND PLEADING FOR THEIR PARENTS, MOMMA, FATHER, PAPA, IF A PRESIDENT CAN SEE THIS, AND NOT TAKE ACTION HIS HEART HAS HARDENED TO THE EXTENT THAT HE IS UNFIT TO BE PRESIDENT. I YIELD BACK.

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                                • 09:07:23 AM

                                  MR. LEWIS

                                  MADAM SPEAKER, OUR NATION IS MOURNING. OUR NATION IS CRYING OUT. -- CRYING…

                                  MADAM SPEAKER, OUR NATION IS MOURNING. OUR NATION IS CRYING OUT. -- CRYING OUT TO SAVE OUR LITTLE CHILDREN. SAVE OUR BABIES. HISTORY WILL NOT BE KIND TO US AS A NATION AND AS A PEOPLE. OUR IF WE CONTINUE TO GO DOWN THIS ROAD. WE MUST STOP THE MADNESS AND STOP IT NOW. THERE WAS A NAME BY THE NAME OF RANDOLPH, WHO WAS A DEAN OF BLACK LEADERSHIP DURING THE 1960'S WHEN WE WERE PLANNING THE MARCH ON WASHINGTON. HE KEPT SAYING MAYBE OUR FOREMOTHERS AND FOREFATHERS ALL CAME TO THIS GREAT LAND IN DIFFERENT SHIPS, BUT WE'RE ALL IN THE SAME BOAT NOW. OUR LITTLE CHILDREN, OUR BABIES, OUR YOUNG PEOPLE ARE CRYING OUT FOR HELP. WE NEED HELP FROM MEMBERS OF CONGRESS. WE CAN DO BETTER.

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                                • 09:08:24 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN'S TIME HAS EXPIRED.

                                • 09:08:27 AM

                                  MR. LEWIS

                                • 09:08:28 AM

                                  THE SPEAKER PRO TEMPORE

                                • 09:08:33 AM

                                  MR. FITZPATRICK

                                  MR. SPEAKER, I RISE TODAY TO RECOGNIZE THE ACCOMPLISHMENTS OF SEVERAL…

                                  MR. SPEAKER, I RISE TODAY TO RECOGNIZE THE ACCOMPLISHMENTS OF SEVERAL YOUNG PEOPLE IN BUCKS COUNTY, PENNSYLVANIA THAT ARE ADVOCATING FOR ENVIRONMENTAL PROTECTION USING THEIR AUTISTIC -- ARTISTIC TALENTS. RECENTLY THE GALLERY IN NEWTOWN FEATURED AN EXHIBIT TITLED ONE PLANET, WILD WIFE VULNERABLE TO CLIMATE CHANGE. THIS GAVE STUDENTS UNDER THE GUIDANCE OF AN ARTIST THE ABILITY TO SHARE THEIR WILDLIFE PAINTINGS IN AN EFFORT TO SPREAD AWARE AWARENESS OF CLIMATE CHANGE. I'M PROUD TO ACKNOWLEDGE THEM NOW. VICTORIA, TAYLOR, AMANDA, OLIVIA, BRADY, ADDISON, EMILY, KATE LOGAN, JESSICA, NICOLE, GRACE PORTER, OLIVIA, NOLAN, CHRIS, VIOLET, GABBY, ABBY, AARON, KATIE, ELLA, AND ANNA. MADAM SPEAKER, I APPLAUD THE ACTIVISM, THOUGHTFULNESS, AND IMPRESSIVE ARTISTIC ABILITIES OF THESE YOUNG CITIZENS. I'M PROUD TO STAND WITH THEM AND CONTINUE TO FIGHT WITH MY COLLEAGUES TO COMBAT CLIMATE CHANGE AND PROTECT OUR ENVIRONMENT. MADAM SPEAKER, I RISE TODAY IN RECOGNITION OF TWO OUTSTANDING LAW ENFORCEMENT OFFICIALS IN BUCKS COUNTY, PENNSYLVANIA WHO ARE WORKING TIRELESSLY TO MAKE OUR COMMUNITY A SAFER PLACE. ASSISTANT DISTRICT ATTORNEY, MEGAN BROOKS, AND DEPUTY DISTRICT ATTORNEY CHRISTIAN MCELROY WERE SELECTED BY FELLOW PROSECUTORS IN HONOR OF THEIR PUBLIC SERVICE IN PURSUIT OF JUSTICE. MEGAN RECEIVED SAFER PLACE. ASSISTANT DISTRICT ATTORNEY, THE DANNY KALOUF MEMORIAL AWARD. DESCRIBED AS A RISING STAR, SHE WORKS FOR THE YOUTHFUL PROGRAM AND SPECIAL VICTIMS UNIT. SHE RECEIVED THE ROBERT MOSNER MEMORIAL AWARD. KNOWN FOR HER UNPARALLELED WORK ETHIC, KRISTEN IS THE CHIEF OF THE SPECIAL VICTIMS UNTSE UNIT AND ADULT SEX CRIMES AND DIRECTS THE INTERNSHIP PROGRAM. I COMMEND THESE FINE PUBLIC SERVANTS FOR THEIR DEDICATION TO LAW, TO SAFETY, AND TO PROTECTING OUR COMMUNITY. AND I APPLAUD DISTRICT ATTORNEY, MATT WINETRAUB FOR LEADING SUCH A FINE TIME OF ATTORNEYS WHO WORK TIRELESSLY ON BEHALF OF ALL OF US IN BUCKS COUNTY. MADAM SPEAKER, JUNE IS POSTTRAUMATIC STRESS DISORDER AWARENESS MONTH. I'D LIKE IT TAKE THIS TIME TO RECOGNIZE AN ORGANIZATION IN BUCKS COUNTY, PENNSYLVANIA, THAT WORKS TO REHABILITATE HEROES WHO STRUGGLE WITH THIS ILLNESS. SINCE 2014, SHAMROCK RANGE IN PIPERSVILLE HAS OFFERED EQUINE THERAPY TO HELP VETERANS AND FIRST RESPONDERS RECOVER FROM PTSD. FOUNDED BY JANET, A REGISTERED NURSE WHOSE FATHER SERVED IN THE VIETNAM WAR, SHAMROCK GREENS USES A RANGE OF EQUINE SERVICES INCLUDING RIDING THERAPY TO HELP ASSIMLATE OUR SERVICE MEN AND WOMEN BACK INTO SOCIETY FOLLOWING THEIR TOURS OF DUTY. AS A MEMBER OF THE HOMELAND SECURITY COMMITTEE, I'M CONTINUALLY IN AWE OF THE SACRIFICES OUR SOLDIERS AND OUR FIRST RESPONDERS THAT THEY MAKE EVERY DAY. I APPLAUD JANET FOR HER SERVICE TO OUR NATION'S HEROES. I ENCOURAGE ALL OUR CONSTITUENTS TO FOLLOW HER LEAD. TOGETHER WE CAN TEA FEET PTSD. -- WE CAN DEFEAT PTSD. I YIELD BACK.

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                                • 09:12:25 AM

                                  THE SPEAKER PRO TEMPORE

                                • 09:12:30 AM

                                  MR. ESPAILLAT

                                  MADAM SPEAKER, I RISE TODAY WITH A HEAVY HEART AS A FATHER, AS A…

                                  MADAM SPEAKER, I RISE TODAY WITH A HEAVY HEART AS A FATHER, AS A GRANDFATHER, AS A HUMAN BEING WHO CARES ABOUT CHILDREN I ASK FOR GOD'S SAKE, AMERICA, WHAT IS HAPPENING TO YOUR SOUL? THERE ARE 11,000 CHILDREN WHO ARE BEING HELD IN JAIL CELLS THROUGHOUT THE COUNTRY. FAMILIES ARRIVING AT THE BORDER SEEKING ASYLUM VOLUNTARILY, SEEKING REFUGE VOLUNTARILY, AND THEY ARE BEING DETAINED AND THEY ARE BEING HELD IN JAIL. CHILDREN AS YOUNG AS THE CHILDREN HERE TODAY CHILDREN HERE TODAY. AS YOUNG AS THE CHILDREN HERE TODAY ARE BEING HELD IN JAIL. BABIES ARE BEING SEPARATED FROM THEIR MOTHERS, EVEN WHILE BREAST-FEEDING THEM. THIS CONSTITUTES CHILD ABUSE. MADAM SPEAKER, SHOW SOME BASIC COMPASSION FOR THESE YOUNG CHILDREN, THEIR BROTHERS AND SISTERS, AND THEIR PARENTS. EVERY SINGLE MEMBER OF CONGRESS SHOULD BE ABLE TO STAND BEHIND THE SIMPLE IDEA THAT FAMILIES, REGARDLESS OF WHERE THEY ARE BORN, BELONG TOGETHER. I KNOW THAT JESUS OF NAZARETH WAS A REFUGEE. HE PAID THE ULTIMATE PRICE. MADAM SPEAKER, THIS IS A HISTORIC FIGHT FOR THE SOUL OF OUR NATION. WHETHER WE REMAIN A NATION OF ASPIRATIONS, OR WE BECOME A NATION OF DEPORTATIONS. THANK YOU, MADAM SPEAKER. I YIELD BACK MY TIME, REMAINING PART OF MY TIME TO THE GENTLEWOMAN, SHEILA JACKSON LEE.

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                                • 09:14:21 AM

                                  MS. JACKSON LEE

                                  SHEILA JACKSON LEE.

                                • 09:15:43 AM

                                  MR. ESPAILLAT

                                  MR. SPEAKER, I YIELD TO THE GENTLEWOMAN, NYDIA VELAZQUEZ.

                                • 09:15:50 AM

                                  MS. VELAZQUEZ

                                  MR. SPEAKER, LOOK AT THESE YOUNG FACES. I SUSPECT MANY OF THESE CHILDREN…

                                  MR. SPEAKER, LOOK AT THESE YOUNG FACES. I SUSPECT MANY OF THESE CHILDREN ARE SEEING THE HOUSE FLOOR FOR THE VERY FIRST TIME. IT IS UNFORTUNATE THAT THEIR FIRST EXPERIENCE IN THIS TEMPLE OF DEMOCRACY. THE PEOPLE'S HOUSE IS TO BE HERE AS WE CALL OUR GOVERNMENT TO STOP TERRORIZING CHILDREN ON THE U.S.-MEXICO BORDER. THIS PAST WEEKEND, MR. SPEAKER, I TRAVELED WITH LEADER PELOSI AND THE CHAIR OF THE CONGRESSIONAL HISPANIC CAUCUS. WHAT WE SAW THERE WAS HEARTWRENCHING. WE HAVE HEARD THE AUDIO OF CHILDREN CRYING, MOMMY, PAPI. MR. SPEAKER, IT BEGS THE QUESTION, HAS OUR NATION LOST ITS WAY? BUT NOTHING IS AS HEARTWRENCHING AS SEEING THE CHILDREN IN PERSON. CHILDREN THAT WERE TAKEN FROM THE ARMS OF THEIR PARENTS. CHILDREN IN CAGES CRYING FOR THEIR PARENTS. THIS IS CHILD ABUSE. LET'S BE CLEAR, MR. SPEAKER, THIS TRAVESTY COULD END TODAY. DONALD TRUMP COULD END THIS TODAY BY A SINGLE PHONE CALL. TO MY REPUBLICAN FRIENDS ON THE OTHER SIDE OF THE AISLE, I SIMPLY SAY THIS. WHAT HAPPENED TO FAMILY VALUES? HISTORY WILL REMEMBER THIS MOMENT.

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                                • 09:17:43 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE CHAIR WILL REMIND ALL MEMBERS TO REFRAIN FROM REFERENCES TO GUEST ON…

                                  THE CHAIR WILL REMIND ALL MEMBERS TO REFRAIN FROM REFERENCES TO GUEST ON THE FLOOR. MEMBERS ARE REMINDED TO DIRECT THEIR REMARKS TO THE CHAIR. THE CHAIR NOW RECOGNIZES THE GENTLEMAN FROM ARIZONA, MR. GRIJALVA, FOR FIVE MINUTES.

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                                • 09:17:56 AM

                                  MR. GRIJALVA

                                  THANK YOU, MADAM CHAIR. IT'S DIFFICULT TO FIND WORDS WHAT HAS UNFOLDED…

                                  THANK YOU, MADAM CHAIR. IT'S DIFFICULT TO FIND WORDS WHAT HAS UNFOLDED BEFORE THE EYES OF THE AMERICAN PEOPLE THESE LAST FEW DAYS. IT'S GOTTEN WORSE THE LAST FEW DAYS. TODAY I RISE IN DEFENSE OF CHILDREN ON THIS HOUSE FLOOR TO DEMAND OF THIS HOUSE AND MORE IMPORTANTLY THE TRUMP ADMINISTRATION TO END THIS CRUEL EXPLOITATION OF CHILDREN BY SEPARATING THEM FROM THEIR FAMILIES, BY TEARING CHILDREN FROM THEIR MOMS, AND WHAT APPEARS TO BE NO DOUBT A VERY CRAVEN POLITICAL TACTIC BY PRESIDENT TRUMP TO TRY TO HOLD HOSTAGE CHILDREN TO GET OTHER DRACONIAN ITEMS DONE ON HIS IMMIGRATION BILL. THIS TACTIC IS FUELED BY SOME VERY UGLY THINGS THAT THE AMERICAN PEOPLE HAVE TO REJECT. FUELED BY BIGOTRY. IT'S FUELED BY HATRED. IT'S FUELED BY FEAR MONGERING, AND IT'S NOW BEING FUELED BY THE ENDANGERMENT OF CHILDREN. AS A FATHER, AS A GRANDPA, I CANNOT BELIEVE HOW WE ARE DEBASING OUR NATION'S MORAL TRADITIONS, HOW WE ARE REPLACING OUR SACRED VALUES WITH AUTOCRATIC COMMENTS AND RHETORIC FROM THE PRESIDENT. MR. PRESIDENT, NO MORE LIES. NO MORE CHILD HOSTAGES. END THIS NOW. YOU CAN. AND FOR OUR NATION'S SAKE AND FOR THE CHILDREN'S SAKE, THIS NEEDS TO BE DONE. LET ME YIELD TO MY FRIEND, THE GENTLEMAN FROM CALIFORNIA, MR. GOMEZ.

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                                • 09:19:32 AM

                                  THE SPEAKER PRO TEMPORE

                                  MEMBERS ARE REMINDED TO REFRAIN FROM ENGAGING IN PERSONALITIES TOWARD THE…

                                  MEMBERS ARE REMINDED TO REFRAIN FROM ENGAGING IN PERSONALITIES TOWARD THE PRESIDENT. THE GENTLEMAN FROM CALIFORNIA IS RECOGNIZED.

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                                • 09:19:39 AM

                                  MR. GOMEZ

                                  MADAM SPEAKER, IT'S OBVIOUS THIS ADMINISTRATION DOESN'T CARE ABOUT THE…

                                  MADAM SPEAKER, IT'S OBVIOUS THIS ADMINISTRATION DOESN'T CARE ABOUT THE WELFARE OF IMMIGRANT CHILDREN BEING SEPARATED FROM THEIR PARENTS, BUT THEY SHOULD AT LEAST CARE WHAT KIND OF LONG-TERM IMPACT THEY WILL HAVE ON ALL CHILDREN. THOSE CURRENTLY LIVING IN THE UNITED STATES, DOCUMENTED OR NOT, U.S. CITIZENS OR NOT, BECAUSE WE ACT LIKE THESE KIDS, ALL KIDS DON'T KNOW WHAT'S GOING ON BUT THEY DO. THEY MIGHT NOT WATCH CNN, MSNBC, OR FOX, BUT THEY TALK TO THEIR CLASSMATES, SIBLINGS, TEACHERS AND CAREGIVERS, AND THEY ARE HEARING THAT KIDS ARE BEING TORN AWAY FROM THEIR PARENTS. AND WE HAVE TO ASK OURSELVES, WHAT ARE THEY THINKING? WHAT GOES ON THROUGH THEIR MINDS? ARE THE YOUNG ONES THINKING THEY CAN BE NEXT? AND I'M NOT EXAGGERATING BECAUSE SHORTLY AFTER THE ELECTION OF DONALD TRUMP, MY NEPHEW CRIED BECAUSE HE THOUGHT IF MY SISTER LEFT THE COUNTRY, BECAUSE SHE'S A RESIDENT AND NOT A U.S. CITIZEN, THAT SHE WOULD NOT BE ABLE TO RETURN. SO WE KNOW THAT THESE KIDS ARE PAYING ATTENTION. YES, WE NOT KNOW MORE CERTAIN WHAT THEY'RE ALL THINKING BUT WHAT WE DO KNOW IS THAT THIS POLICY MUST END NOW. THIS MUST STOP FOR THE IMMIGRANT CHILDREN AND FOR ALL OUR CHILDREN SO THAT THEY FEEL SECURE AND SAFE WHERE IT IS NATURAL, WHERE THEY FEEL LOVED AND THAT IS WITH THEIR PARENTS. AND I YIELD BACK TO MR. GRIJALVA.

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                                • 09:20:58 AM

                                  MR. GRIJALVA

                                  THANK YOU, MR. GOMEZ. LET ME YIELD TO THE GENTLELADY FROM ILLINOIS, MY…

                                  THANK YOU, MR. GOMEZ. LET ME YIELD TO THE GENTLELADY FROM ILLINOIS, MY GOOD FRIEND, MS. SCHAKOWSKY.

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                                • 09:21:05 AM

                                  MS. SCHAKOWSKY

                                  WHAT DO YOU CALL A COUNTRY THAT INSTITUTIONALIZES CHILD ABUSE? TRAGICALLY…

                                  WHAT DO YOU CALL A COUNTRY THAT INSTITUTIONALIZES CHILD ABUSE? TRAGICALLY TODAY YOU CALL THAT COUNTRY THE UNITED STATES OF AMERICA. WE HAVE HEARD THE CHILDREN SCREAMING. WE HAVE SEEN THE IMAGES OF CHILDREN BEING TOLD TO GO TO SLEEP IN CAGES. WE KNOW THAT CHILDREN HAVE BEEN RIPPED FROM THE BREASTS OF NURSING MOTHERS AND TAKEN AWAY, MAYBE NEVER TO BE FOUND TO BE REUNITED AGAIN. AS A MOTHER, AS A GRANDMOTHER, I CAN'T STAND IT. MADAM SPEAKER, CAN YOU STAND IT? CAN THIS COUNTRY STAND IT? WHAT HAPPENS TO THE SOUL OF AMERICA WHEN WE DO THIS TO CHILDREN? THESE PARENTS, THESE HAVE COME WITH THEIR CHILDREN FLEEING VIOLENCE, TAKE THINKING THEY'RE COMING TO THE LAND OF THE FREE, HOME OF THE BRAVE, THINKING THEY WILL GET ASYLUM. HERE IN THE UNITED STATES ARE AT LEAST THE CHANCE TO GET ASYLUM HERE AND TO BE SAFE, FINALLY, WITH THEIR CHILDREN. AND INSTEAD, THEY ARE PUT IN JAIL. THEY ARE PUT IN PRISON. I'M HERE TODAY WITH BRUCE AND FELIX, CHILDREN WHOSE PARENTS ARE IN THE GALLERY. THEY WILL GO HOME TONIGHT AND SLEEP IN A COMFORTABLE BED WHILE THOUSANDS OF CHILDREN ARE PUT TO SLEEP IN CAGES. I SAY TO YOU, MR. PRESIDENT, YOU CAN END THIS. THIS IS YOUR DECISION. PLEASE, FOR THE SAKE OF OUR COUNTRY, FOR THE SAKE OF THE CHILDREN, FOR THE SAKE OF FAMILIES, END THIS NOW. AND I YIELD BACK.

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                                • 09:23:07 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLELADY'S TIME HAS EXPIRED. THE GENTLEMAN'S TIME HAS EXPIRED.…

                                  THE GENTLELADY'S TIME HAS EXPIRED. THE GENTLEMAN'S TIME HAS EXPIRED. MEMBERS ARE REMINDED TO DIRECT THEIR REMARKS TO THE CHAIR AND NOT TO THE PRESIDENT. THE CHAIR NOW RECOGNIZES THE GENTLEWOMAN FROM CALIFORNIA, MS. CHU, FOR FIVE MINUTES.

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                                • 09:23:22 AM

                                  MS. CHU

                                  TODAY I BROUGHT TWO YOUNG PEOPLE, ALCIDES, AGE 11, AND JOSE, AGE 13. WHEN…

                                  TODAY I BROUGHT TWO YOUNG PEOPLE, ALCIDES, AGE 11, AND JOSE, AGE 13. WHEN I LOOK AT THEM, I THINK OF TWO DAYS AGO WHEN I VISITED THE TRUMP DETENTION CENTER AT THE SOUTHERN BORDER IN SAN DIEGO WITH MEMBERS AND LEADER PELOSI. THERE WE SAW CHILDREN TORN FROM THE ARMS OF THEIR PARENTS UNDER TRUMP'S ZERO TOLERANCE POLICY. WE TALKED TO THE KIDS. WE TALKED TO THE MENTAL HEALTH COUNSELORS WHO TOLD US THAT CHILDREN ARE TRAUMATIZED. MOST OF THEM HAVE COME HERE WITH THEIR PARENTS BECAUSE THEY WERE THREATENED WITH MURDER AND RAPE BY GANGS IN CENTRAL AMERICA AND MEXICO. BUT BECAUSE OF TRUMP'S POLICY OF SEPARATION, THESE CHILDREN HAVE LOST THE ONE CONSTANT PERSON IN THEIR LIVES. AS A PSYCHOLOGIST, I TOOK NOTE WHEN THE PRESIDENT OF THE AMERICAN ACADEMY OF PEDIATRICS VISITED DETAINED KIDS. SHE SAID NORMALLY KIDS LIKE THIS ARE RAMBUNCTIOUS AND RUNNING AROUND. BUT THESE KIDS ARE EITHER SCREAMING AND CRYING OR PERMANENTLY QUIET. AND IN FACT, THAT KIND OF TOXIC STRESS CAN PERMANENTLY AFFECT THEIR BRAINS. AND THERE IS ONLY ONE WAY TO DESCRIBE IT -- GOVERNMENT-SANCTIONED CHILD ABUSE. PRESIDENT TRUMP MUST OWN UP TO THE POLICY THAT IS HIS AND HIS ONLY. HE HAS THE POWER TO STOP THIS TERRIBLE CRUELTY. INSTEAD, HE'S USING THESE KIDS AS A BARGAINING CHIP FOR $25 BILLION FOR A BORDER WALL. IT'S TIME FOR HIM TO STOP, STOP RIPPING CHILDREN FROM THE ARMS OF THE PARENTS. AMERICA IS BETTER THAN THIS. AND NOW I YIELD TO THE GENTLELADY FROM FLORIDA, MS. CASTOR.

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                                • 09:25:04 AM

                                  MS. CASTOR

                                  AND I THANK MY FRIEND FOR YIELDING TIME BECAUSE I WAS COMPELLED TO THE…

                                  AND I THANK MY FRIEND FOR YIELDING TIME BECAUSE I WAS COMPELLED TO THE FLOOR THIS MORNING TO PROTEST THIS CRUEL TRUMP-G.O.P. POLICY OF FAMILY SEPARATION. THIS IS A NEW POLICY. UNDER PAST PRESIDENTS, WHEN PEOPLE COME TO THIS COUNTRY LEGALLY ASKING FOR ASYLUM BECAUSE THEY'RE FLEEING VIOLENCE AND DOMESTIC VIOLENCE AND GANG VIOLENCE IN OTHER COUNTRIES, IT IS LEGAL TO REQUEST ASYLUM IN THE UNITED STATES OF AMERICA. UNDER THIS NEW TRUMP POLICY THAT IS SO CRUEL AND SO HORRIBLE, HE IS TRYING TO SEND A MESSAGE TO THE WORLD THAT THIS IS AN ANTI-IMMIGRANT COUNTRY. WE ARE NOT. HE'S TRYING TO SEND A MESSAGE TO THIS COUNTRY THAT CHILDREN CAN BE USED FOR PAWNS. WE'RE NOT GOING TO LET THAT HAPPEN. PRESIDENT TRUMP AND THE G.O.P. NOW WANT TO USE CHILDREN AS BARGAINING CHIPS TO TRY TO EXACT CONCESSIONS FROM DEMOCRATS ON A VERY ANTI-IMMIGRANT, VERY CRUEL, VERY WASTEFUL POLICY, AND WE NEED PEOPLE ACROSS AMERICA TO STAND UP AND SPEAK OUT. THE CALLS TO MY OFFICE ARE OVERWHELMING. PEOPLE THINK THIS FAMILY SEPARATION POLICY THAT RIPS CHILDREN AWAY FROM THEIR FAMILIES ARE HORRIBLE AND CRUEL AND IT IS AND WE NEED YOU TO KEEP THE CALLS COMING. WE ARE NOT GOING TO LET THIS HAPPEN. WE'RE NOT GOING TO LET CHILDREN CONTINUE TO BE RIPPED AWAY FROM THEIR FAMILIES, BUT WE NEED BACKUP. AND WE'RE HERE TO SAY, WE STAND WITH THE FAMILIES, WE LOVE THESE CHILDREN. EVERYONE SHOULD LOVE THESE CHILDREN, AND WE'RE NOT GOING TO PUT UP WITH TRUMP'S ANTI-IMMIGRANT HATEFUL POLICY ANY LONGER.

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                                • 09:26:52 AM

                                  MS. CHU

                                  AND NOW I YIELD TO THE GENTLELADY FROM OREGON, MS. BONAMICI.

                                • 09:26:56 AM

                                  MS. BONAMICI

                                  THANK YOU FOR YIELDING. I SPENT THE DAY BEFORE FATHER'S DAY AT THE FEDERAL…

                                  THANK YOU FOR YIELDING. I SPENT THE DAY BEFORE FATHER'S DAY AT THE FEDERAL PRISON IN OREGON MEETING WITH 123 ASYLUM-SEEKING IMMIGRANT MEN WHO ARE INCARCERATED IN PRISON. THEY WERE FLEEING HORRIFIC VIOLENCE AND RELIGIOUS PERSECUTION. THEY WERE CHRISTIAN AND SIKH MEN FROM INDIA. THERE WAS AN LGBTQ MAN FROM HONDURAS AND ANOTHER WAS TARGETED BY GANGS AND WE SPOKE WITH MEN WHO ARE SEPARATED FROM THEIR WIVES AND CHILDREN AND WHO ON FATHER'S DAY HAD NO IDEA WHERE THIS WERE OR HOW THEY WERE. CRIMINALIZING ASYLUM-SEEKERS AND SEPARATING FAMILIES IS CRUEL AND IT'S APPALLING AND NOW WE FIND OUT THERE ARE TENDER AGE SHELTERS. BABIES DON'T NEED THEIR OWN JAIL. THEY NEED THEIR OWN PARENTS. THIS MUST STOP. THE PRESIDENT AND THE DEPARTMENT OF JUSTICE COULD STOP IT RIGHT NOW. THE AMERICAN ACADEMY OF PEDIATRICS SAID SEPARATING FAMILIES IN THIS WAY CAUSES IRREPARABLE HARM. MISTREATING CHILDREN FOR POLITICAL LEVERAGE IS OUTSIDE OF MORAL BOUNDS, EVEN FOR THIS ADMINISTRATION. AS A MOTHER, IT BREAKS MY HEART. AS AN AMERICAN AND A GRANDDAUGHTER OF IMMIGRANTS, IT MAKES ME FURIOUS. IF THE PRESIDENT WON'T SIGN SOMETHING TODAY, WHICH YOU HE COULD, THEN SPEAKER RYAN, BRING US THE KEEPING FAMILIES TOGETHER ACT AND LET US DO SOMETHING ABOUT THIS HORRIFIC ATROCITY THAT'S HAPPENING TO CHILDREN AND TO PEOPLE WHO ARE COMING TO THIS COUNTRY SEEKING FREEDOM.

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                                • 09:28:28 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEWOMAN'S TIME HAS EXPIRED. THE CHAIR RECOGNIZES THE GENTLEWOMAN…

                                  THE GENTLEWOMAN'S TIME HAS EXPIRED. THE CHAIR RECOGNIZES THE GENTLEWOMAN FROM NEW MEXICO, MS. LUJAN GRISHAM, FOR FIVE MINUTES.

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                                • 09:28:35 AM

                                  MS. LUJAN GRISHAM

                                  THIS PAST WEEK MY COLLEAGUES AND I TRAVELED TO DIFFERENT PARTS OF THE…

                                  THIS PAST WEEK MY COLLEAGUES AND I TRAVELED TO DIFFERENT PARTS OF THE BORDER TO SEE FIRSTHAND HOW CHILDREN, MOTHERS AND FATHERS ARE BEING TERRORIZED BY THE MOST ANTI-IMMIGRANT, XENOPHOBIC AND RACIST ADMINISTRATION OF MY LIFETIME. WE DID THIS BECAUSE WE CANNOT STAND BY, CANNOT STAND IDLY BY AND WATCH THE MOST POWERFUL COUNTRY IN THE WORLD TEARING CHILDREN FROM THEIR MOTHERS AND THEIR FATHERS AT THEIR MOST VULNERABLE AND DESPERATE MOMENTS. THE STORIES OF BABIES AND TODDLERS BEING TORN FROM THE ARMS OF THEIR MOTHERS AND FATHERS, THE HEARTBREAKING AUDIO OF CHILDREN CRYING AND SCREAMING FOR THEIR PARENTS, THE ACCOUNT OF A DISTRAUGHT FATHER TAKING HIS OWN LIFE AFTER HIS OWN CHILD WAS WRESTLED FROM HIS ARMS AND OF A MOTHER WHO WAS DEPORTED BEFORE SHE COULD RECOVER HER SON FROM DETENTION. THESE ARE THE ATROCITIES PERPETRATED BY PRESIDENT TRUMP AND THEY MUST STOP. FAMILIES FLEEING VIOLENCE DESERVE AND HAVE A RIGHT TO PETITION THEIR CLAIM FOR ASYLUM, FOR THAT IS THE LAW OF THE LAND. I'M HERE WITH TWO CHILDREN TODAY TO CALL ON THIS ADMINISTRATION TO STOP THIS CRUEL, INHUMANE PRACTICE THAT BETRAYS WHO WE ARE AS A COUNTRY. THE PRESIDENT COULD MAKE THE DECISION TO END THIS PRACTICE RIGHT NOW AND DO THE RIGHT THING. FAILING THAT, CONGRESS MUST ACT. AND NOW I YIELD TIME TO MY DISTINGUISHED COLLEAGUE FROM WASHINGTON, PRAMILA JAY PAL. -- JAYAPAL.

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                                • 09:30:25 AM

                                  MS. JAYAPAL

                                  I MET WITH WOMEN SEEKING ASYLUM. ONE WOMAN HAD LEFT HER -- HAD THREE…

                                  I MET WITH WOMEN SEEKING ASYLUM. ONE WOMAN HAD LEFT HER -- HAD THREE CHILDREN. THE FIRST CHILD WAS SHOT AND MURDERED BY GANGS. THE SECOND CHILD WAS SHOT AND PARALYZED BY GANGS. AND THE THIRD CHILD WAS THE CHILD SHE TRIED TO BRING HERE TO SAFETY. THESE ARE THE STORIES OF THE PEOPLE THAT ARE COMING ACROSS THE BORDER, AND ALL OF THE MOTHERS AND THE 174 PEOPLE THAT WERE AT THE FEDERAL PRISON HAD NOT EVEN BEEN ABLE TO SAY GOODBYE TO THEIR CHILDREN. THEY DID NOT KNOW WHERE THEIR CHILDREN WERE. THEY HAD BEEN SUBJECTED TO THE WORST CONDITIONS AT THE BORDER, AND, MADAM SPEAKER, WHAT IS THIS COUNTRY COMING TO? THIS IS A COUNTRY THAT SHOULD VALUE OUR CHILDREN, THAT SHOULD VALUE THE RIGHTS OF OUR CHILDREN, AND THESE CHILDREN ARE SITTING IN CAGES ON THE BORDER, IN TENT CITIES. THIS PRESIDENT CREATED THIS CRISIS AND THIS PRESIDENT CAN STOP THIS CRISIS RIGHT NOW WITH A PHONE CALL. DO NOT TELL US IT IS ABOUT CONGRESS. IT IS ABOUT THE PRESIDENT OF THE UNITED STATES WHO HAS CHOSEN TO TAKE THIS DEMOCRACY TO ITS VERY BOTTOM. THIS IS THE BOTTOM. THIS IS ABUSE. IT IS A HUMAN RIGHTS VIOLATION, AND WE MUST END IT. HE MUST END IT. AND WITH THAT I YIELD TO MY COLLEAGUE FROM ILLINOIS. .

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                                • 09:31:51 AM

                                  MR. GAW TEAR RES.

                                  I WANT TO THANK ALL MY COLLEAGUES FROM ALL OVER THE UNITED STATES. I'D…

                                  I WANT TO THANK ALL MY COLLEAGUES FROM ALL OVER THE UNITED STATES. I'D LIKE TO ASK THEM ALL TO PLEASE STEP FORWARD AND BRING YOUR GUESTS. EVERY MEMBER OF CONGRESS IS ALLOWED TWO CHILDREN UNDER THE AGE OF 12. PLEASE BRING THEM FORWARD WITH YOU. I THINK MORE POWERFUL THAN ANYTHING I COULD SAY IS TO STAND WITH CHILDREN. PLEASE, PLEASE. WE ONLY HAVE FIVE MINUTES BUT LET'S TAKE THE MINUTE SO THE CHILDREN CAN STEP FORWARD. PLEASE BRING THEM FORWARD. ALL OF THE MEMBERS OF CONGRESS, YOU ARE ALL ALLOWED UNDER OUR RULES --

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                                • 09:32:25 AM

                                  THE SPEAKER PRO TEMPORE

                                • 09:32:31 AM

                                  MR. GUTIERREZ

                                  ALL OF THE CHILDREN PLEASE COME FORWARD. UNDER THE PROTECTION OF THE U.S.…

                                  ALL OF THE CHILDREN PLEASE COME FORWARD. UNDER THE PROTECTION OF THE U.S. HOUSE OF REPRESENTATIVES, WE'RE HERE WITH THE CHILDREN BECAUSE WE BELIEVE THAT THIS IS WHAT IS IMPORTANT. I WANT TO THANK ALL OF MY COLLEAGUES. I KNOW THAT THE RULES TO NOT ALLOW ALL OF YOU TO SPEAK, BUT I THINK YOU SPEAK WITH YOUR PRESENCE HERE AND WITH THESE CHILDREN IN YOUR ARMS. BUT I WANT TO TELL YOU SOMETHING, I KNOW THIS IS A TRAGIC MOMENT, BUT THIS SPEAK, BUT I THINK WEEKEND, I COULDN'T HAVE FELT PROUDER TO BE AN AMERICAN. I COULDN'T HAVE FELT PROUDER ABOUT JUST WHAT OUR EXCEPTIONALISM IS. I SAW AMERICANS EVERYWHERE ACROSS THIS COUNTRY STANDING UP FOR CHILDREN. STANDING UP FOR THOSE THAT ARE IN NEED. STANDING UP FOR MOMS AND DADS THAT ARE BEING SEPARATED LET'S CELEBRATE, TOO. THAT AMERICA SEES THIS INJUSTICE, SEE THIS IS CRUELTY, SEES THIS EVIL AND IT NOT REMAIN SILENT. AND THAT IS THE AMERICA THAT I AM SO HAPPY I WAS BORN INTO. WE HAVE A GREAT COUNTRY. AND LET'S REMEMBER THAT. SO LET'S KEEP THE FIGHT. LET'S KEEP THE FIGHT FOR THESE CHILDREN THAT ARE HERE. THEY ARE SO BEAUTIFUL. I WANT AMERICA --

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                                • 09:33:40 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN'S TIME HAS EXPIRED.

                                • 09:33:43 AM

                                  MR. GUTIERREZ

                                  THESE ARE THE CHILDREN --

                                • 09:33:44 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN IS NO LONGER RECOGNIZED. THE CHAIR WILL REITERATE AN…

                                  THE GENTLEMAN IS NO LONGER RECOGNIZED. THE CHAIR WILL REITERATE AN ANNOUNCEMENT BY THE CHAIR. ON JULY 7, 2016, AN EXHIBITION INVOLVING MEMBERS TRAFFICKING THE WELL IS A BREACH OF DECORUM. PURSUANT TO SCLAUSE 12-A OF RULE 1RK THE CHAIR DECLARES THE HOUSE IN RECESS -- I BELIEVE THE TIME HAS EXPIRED. THE TIME HAS EXPIRED, SIR. THE TIME HAS EXPIRED. THE CHAIR HAS RULED. EXPIRED, SIR.

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                                • 09:34:21 AM

                                  >>

                                  ASK FOR A RULING OF THE CHAIR.

                                • 09:34:22 AM

                                  THE SPEAKER PRO TEMPORE

                                  OF THE CHAIR.

                                • 09:34:29 AM

                                  >>

                                  UNTIL 10:00 A.M. THEY MAY START DEBATE TOMORROW DOWN TO IMMIGRATION BILLS.…

                                  UNTIL 10:00 A.M. >> THEY MAY START DEBATE TOMORROW DOWN TO IMMIGRATION BILLS. AND ALSO A REVOTE ON THE FOREIGN BILL WHICH FAILED LAST MONTH.

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                                • 09:36:07 AM

                                  >>

                                • 09:36:58 AM

                                  >>

                                • 09:37:58 AM

                                  >>

                                • 09:38:13 AM

                                  >>

                                • 09:38:27 AM

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                                • 09:38:38 AM

                                  GUEST

                                • 09:38:40 AM

                                  HOST

                                • 09:38:46 AM

                                  GUEST

                                • 09:38:55 AM

                                  HOST

                                • 09:39:01 AM

                                  GUEST

                                • 09:39:04 AM

                                  HOST

                                • 09:39:13 AM

                                  GUEST

                                • 09:59:56 AM

                                  ANNOUNCER

                                  DISCUSSION. THE U.S. HOUSE IS ABOUT TO BEGIN LEGISLATIVE WORK TAKING UP…

                                  DISCUSSION. THE U.S. HOUSE IS ABOUT TO BEGIN LEGISLATIVE WORK TAKING UP THREE OPIOID RELATED BILLS. ALSO A FOUR-YEAR AUTHORIZATION OF THE OFFICE OF NATIONAL DRUG CONTROL POLICY. AND DEBATE TOMORROW ONTO IMMIGRATION BILLS. NOW TO LIVE COVERAGE OF THE HOUSE.

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                                • 10:00:17 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE HOUSE WILL BE IN ORDER. THE PRAYER WILL BE OFFERED BY THE GUEST…

                                  THE HOUSE WILL BE IN ORDER. THE PRAYER WILL BE OFFERED BY THE GUEST CHAPLAIN, RABBI MARK SCHIFTAN, THE TEMPLE CONDITION GREGATION OHABAI SHALOM, NASHVILLE, TENNESSEE.

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                                • 10:00:31 AM

                                  THE CHAPLAIN

                                  GOD BLESS THIS LAND AND ALL ITS INHABITANTS. THIS LAND BUILT ON…

                                  GOD BLESS THIS LAND AND ALL ITS INHABITANTS. THIS LAND BUILT ON FOUNDATIONS WE MAY CALL OUR OWN. PLEDGE TO LAW AND FREEDOM, IT EQUALITY AND HARMONY. OUR OWN. PLEDGE TO LAW AND FREEDOM, IT EQUALITY AND HARMONY. HAVEN FOR THE HUDDLED MASSES, YEARNING TO BREATHE FREE AND MUTUALLY INSPIRED HOPES AND DREAMS OF THOSE WHO CAME BEFORE US. THOSE WHO OFTEN FLED PERSECUTION, TO FIND SAFE HAVEN ON THIS NATION'S SHORES. FOR THEM AND FOR FUTURE GENERATIONS THAT FOLLOWED THEM, INCLUDING EACH AND EVERY ONE OF US. MORE THAN ANY OTHER INSTRUCTION IN THE. MORE THAN ANY OTHER INSTRUCTION IN THE BIBLE, IS THE SACRED REMINDER TO EMBRACE THE STRANGER, TO LOVE THE NEWCOMER AS MUCH OR EVEN MORE THAN THE NATIVE BORN. MAY WE, MAY YOU WHO LEAD US DO JUST THAT. HELP US, O GOD, TO FULFILL THE PROMISE OF AMERICA. MAY WE AND YOU WHO LEAD US BE TRUE TO THIS LAND AND ITS TRADITIONS. RENEW IN ALL OF US A ZEAL FOR JUSTICE, TEMPERED ALWAYS WITH MERCY. AWAKEN WITHIN US COMPASSION. SO WE MAY ENTER UPON THE FUTURE WITH RESTORED VISION AND DEDICATED AFRESH TO A PROUD DESTINY FOR ALL. AMEN.

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                                • 10:02:44 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE CHAIR HAS EXAMINED THE JOURNAL OF THE LAST DAY'S PROCEEDINGS AND…

                                  THE CHAIR HAS EXAMINED THE JOURNAL OF THE LAST DAY'S PROCEEDINGS AND ANNOUNCES TO THE HOUSE HIS APPROVAL THEREOF. PURSUANT TO CLAUSE 1 OF RULE 1, THE JOURNAL STANDS APPROVED.

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                                • 10:02:53 AM

                                  >>

                                  MR. SPEAKER.

                                • 10:02:54 AM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM NORTH CAROLINA SEEK RECOGNITION.

                                • 10:02:57 AM

                                  >>

                                  MR. SPEAKER, PURSUANT TO CLAUSE 1, RULE 1, I DEMAND A VOTE ON AGREEING TO…

                                  MR. SPEAKER, PURSUANT TO CLAUSE 1, RULE 1, I DEMAND A VOTE ON AGREEING TO THE SPEAKER'S APPROVAL OF THE JOURNAL. PROUD DESTINY FOR ALL. AMEN.

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                                • 10:03:03 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE QUESTION IS ON AGREEING TO THE SPEAKER'S APPROVAL. JOURNAL. SO MANY AS…

                                  THE QUESTION IS ON AGREEING TO THE SPEAKER'S APPROVAL. JOURNAL. SO MANY AS ARE IN FAVOR SAY AYE. THOSE OPPOSED, NO. THE AYES HAVE IT. THE JOURN STANDS APPROVED.

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                                • 10:03:17 AM

                                  >>

                                  -- MR. THOSE OPPOSED, NO. HOLDING: MR. SPEAKER.

                                • 10:03:19 AM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM NORTH CAROLINA SEEK RECOGNITION.

                                • 10:03:22 AM

                                  MR. HOLDING

                                  I OBJECT TO THE VOTE ON THE GROUNDS THAT A QUORUM IS NOT PRESENT AND MAKE…

                                  I OBJECT TO THE VOTE ON THE GROUNDS THAT A QUORUM IS NOT PRESENT AND MAKE A A POINT OF ORDER A QUORUM IS NOT PRESENT.

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                                • 10:03:26 AM

                                  THE SPEAKER PRO TEMPORE

                                  PURSUANT TO CLAUSE 8 OF RULE 20, FURTHER PROCEEDINGS ON THIS QUESTION ARE…

                                  PURSUANT TO CLAUSE 8 OF RULE 20, FURTHER PROCEEDINGS ON THIS QUESTION ARE POSTPONED. THE PLEDGE OF ALLEGIANCE WILL BE LED BY THE GENTLEMAN FROM PENNSYLVANIA, MR. THOMPSON.

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                                • 10:03:37 AM

                                  MR. THOMPSON

                                  I PLEDGE ALLEGIANCE TO THE FLAG OF THE UNITED STATES OF AMERICA AND TO THE…

                                  I PLEDGE ALLEGIANCE TO THE FLAG OF THE UNITED STATES OF AMERICA AND TO THE REPUBLIC FOR WHICH IT STANDS, ONE NATION UNDER GOD, INDIVISIBLE, WITH LIBERTY AND JUSTICE FOR ALL.

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                                • 10:03:56 AM

                                  THE SPEAKER PRO TEMPORE

                                  ALL.

                                • 10:04:03 AM

                                  MR. COOPER

                                  MR. SPEAKER, THE OPENING PRAYER TODAY WAS GIVEN BY RABBI MARK SCHIFTAN OF…

                                  MR. SPEAKER, THE OPENING PRAYER TODAY WAS GIVEN BY RABBI MARK SCHIFTAN OF NASHVILLE. THE SENIOR RABBI OF THE OLDEST AND LARGEST JEWISH CONGREGATION IN MIDDLE TENNESSEE. THE CONGREGATION DATES BACK TO 1851 WHEN THE VINE STREET SENIOR RABBI OF THE TEMPLE BEGAN WORSHIP SERVICES IN DOWNTOWN NASHVILLE, EVEN BEFORE THE CIVIL WAR. HE HAS LED TODAY'S TEMPLE FOR NEARLY 20 YEARS AND IS WELL-KNOWN AND BELOVED IN OUR COMMUNITY. HIS FAMILY ESCAPED THE HOLOCAUST FROM VIENNA, AUSTRIA, FLEEING FIRST TO SHANGHAI, CHINA, AND THEN IT SAN FRANCISCO. HE WAS EDUCATED AT SAN FRANCISCO STATE UNIVERSITY, THE HEBREW UNION OF LOS ANGELES, AND WAS ORDAINED AT THE HEBREW UNION OF CINCINNATI. UNDER HIS LEADERSHIP, THE TEMPLE HAS BEEN THE INDESPENCIBLE RELIGIOUS AND CULTURAL INSTITUTION FOR ALL OF MIDDLE TENNESSEE. I WOULD LIKE TO PERSONALLY THANK THE RABBI FOR HIS STRONG LEADERSHIP IN OUR COMMUNITY, FOR OUR PERSONAL FRIENDSHIP, AND OPENING THE HOUSE WITH PRAYER TODAY. THANK YOU.

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                                • 10:05:19 AM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM ILLINOIS -- THE CHAIR WILL…

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM ILLINOIS -- THE CHAIR WILL ENTERTAIN UP TO 15 FURTHER REQUESTS FOR ONE MINUTE SPEECHES ON EACH SIDE OF THE AISLE. FOR WHAT PURPOSE DOES THE GENTLEMAN FROM ILLINOIS SEEK RECOGNITION.

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                                • 10:05:26 AM

                                  >>

                                  I ASK THANK YOU.

                                • 10:05:27 AM

                                  THE SPEAKER PRO TEMPORE

                                  UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE. REVISE AND EXTEND…

                                  UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE. REVISE AND EXTEND MY REMARKS.

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                                • 10:05:32 AM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION.

                                • 10:05:33 AM

                                  >>

                                  WITHOUT OBJECTION.

                                • 10:06:06 AM

                                  MR. HULTGREN

                                  7,000 ROHINGYA WERE KILLED IN THE FIRST MONTH OF THE VIOLENCE, WHILE AN…

                                  7,000 ROHINGYA WERE KILLED IN THE FIRST MONTH OF THE VIOLENCE, WHILE AN ESTIMATED 700,000 HAVE FLED TO BANGLADESH. AS THE TOM LANTOS HUMAN RIGHTS COMMISSION, WE HAVE WORKED TO BRING ATTENTION TO THE SICKENING DISCRIMINATION AND MISTREATMENT OF THE ROHINGYA. THE ON-COMING MONSOON SEASON WILL CAUSE MORE DIFFICULTIES FOR THE REFUGEES. CONGRESS MUST HOLD THE BURMESE MILITARY ACCOUNTABLE FOR THEIR ANGSTS AND PROVIDE THE NECESSARY AID NEEDED TO MEET THIS CRISIS. I YIELD BACK.

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                                • 10:06:37 AM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM ILLINOIS SEEK RECOGNITION.

                                • 10:06:40 AM

                                  >>

                                  ASK UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE. REVISE AND…

                                  ASK UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE. REVISE AND EXTEND MY REMARKS.

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                                • 10:06:45 AM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION, THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

                                • 10:06:55 AM

                                  MR. SCHNEIDER

                                  THE TRUMP ADMINISTRATION'S ABHORRENT ADMINISTRATION POLICY THAT IS TEARING…

                                  THE TRUMP ADMINISTRATION'S ABHORRENT ADMINISTRATION POLICY THAT IS TEARING FAMILIES APART AND SEPARATING CHILDREN FROM THEIR PARENTS IS A SHAMEFUL BETRAYAL OF OUR VALUES. IT NEEDS TO END IMMEDIATELY. AMERICANS OF ALL POLITICAL STRIPES ARE CONTACTING OUR OFFICE HEARTBROKEN AND OUTRAGED BY THE IMAGES AND STORIES OF THE TREATMENT OF THESE VULNERABLE YOUNG PEOPLE BY OUR NATION. THE PRESIDENT AND HIS ATTORNEY HAVE CREATED THIS CRISIS. THE PRESIDENT HAS THE POWER TO IMMEDIATELY STOP THIS CRUELTY. BUT SO FAR, MR. SPEAKER, HE REFUSES TO DO SO. THAT'S WHY TODAY I'M PROUD TO JOIN MORE THAN 190 COLLEAGUES INTRODUCING LEGISLATION TO STOP THIS HUMANE TREATMENT OF CHILDREN AT OUR BORDER. THE KEEP FAMILIES TOGETHER ACT PROHIBITS DEPARTMENT OF HOMELAND SECURITY FROM SEPARATING CHILDREN FROM THEIR PARENTS EXCEPT IN EXTRAORDINARY CIRCUMSTANCES. THE BILL ALSO LIMITS CRIMINAL PROSECUTION OF ASYLUM SEEKERS FLEEING PERSECUTION, INCREASES CHILD WELFARE TRAINING, AND CREATES A POLICY PREFERENCE FOR FAMILY REUNIFICATION. I URGE MY FELLOW MEMBERS OF CONGRESS TO JOIN US ON THIS BILL. LET'S FIX THIS STAIN ON OUR CHARACTER OF OUR NATION.

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                                • 10:08:07 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN'S TIME HAS EXPIRED.

                                • 10:08:10 AM

                                  MR. SCHNEIDER

                                • 10:08:11 AM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM FLORIDA SEEK RECOGNITION.

                                • 10:08:14 AM

                                  >>

                                  I REQUEST UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE. REVISE…

                                  I REQUEST UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE. REVISE AND EXTEND MY REMARKS AS NECESSARY.

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                                • 10:08:18 AM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION, THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

                                • 10:08:20 AM

                                  >>

                                  MR. SPEAKER, I RISE TODAY TO HONOR TOM NEW BOWER, THE RECIPIENTS OF THE…

                                  MR. SPEAKER, I RISE TODAY TO HONOR TOM NEW BOWER, THE RECIPIENTS OF THE 2018 DEFENSE COMMUNITY LEADERSHIP AWARD. TOM IS A HIGHLY RESPECTED LEADER OF DEFENSE COMMUNITY IN FLORIDA AND A PERSONAL FRIEND OF MINE BACK IN BAY COUNTY, WHICH IS MY HOME. TOM HAS BEEN THE LEADING COMMUNICATOR BETWEEN OUR MILITARY AND CIVILIAN COMMUNITIES FOR AS LONG AS I CAN REMEMBER. HE WAS INSTRUMENTAL IN BRINGING THE MQ-9 REAPER WING TO THE AIR FORCE BASE AND WORKED TIRELESSLY TO SUPPORT AND PROTECT THE MILITARY MISSION LINE. BOTH TOM AND HIS WIFE ARE AIR FORCE BROADCASTS AND THEIR LOVE FOR OUR SOLDIERS, SAILORS, AND AIRMEN SHINES IN ALL THEY HAVE DO. TOM HAS BEEN BUILDING BETTER RELATIONS AND TIGHTER SENSE OF COMMUNITY BETWEEN MILITARY AND COMMUNITIES NOT ONLY IN BAY COUNTY BUT THROUGHOUT THE NATION.

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                                • 10:09:12 AM

                                  MR. DUNN

                                  PLEASE JOIN ME IN CONGRATULATING TOM IN RECEIVING THIS PRESTIGIOUS AWARD…

                                  PLEASE JOIN ME IN CONGRATULATING TOM IN RECEIVING THIS PRESTIGIOUS AWARD AND THANKING HIM FOR HIS WORK FOR MILITARY COMMUNITIES THROUGHOUT THIS COUNTRY. I YIELD BACK.

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                                • 10:09:21 AM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM GEORGIA SEEK RECOGNITION. A

                                • 10:09:26 AM

                                  >>

                                  TO ADDRESS THE HOUSE FOR ONE MINUTE AND REVISE AND EXTEND.

                                • 10:09:30 AM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION, THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

                                • 10:09:33 AM

                                  MR. JOHNSON

                                  THANK YOU, MR. SPEAKER. AS I SPEAK THE TRUMP REPUBLICANS WRESTLE ANOTHER…

                                  THANK YOU, MR. SPEAKER. AS I SPEAK THE TRUMP REPUBLICANS WRESTLE ANOTHER CHILD FROM THE ARMS OF A REFUGEE PARENT A REFUGEE PARENT AT OUR SOUTHERN BORDER, BUT I STILL RISE TODAY TO HONOR WORLD REFUGEE DAY. EVERY YEAR EVERY YEAR THOUSANDS OF REFUGEES JOURNEY TO THE UNITED STATES OF AMERICA IN SEARCH OF SAFETY BE IT FROM HUMAN RIGHTS VIOLATION AS, WARFARE, OR NATURAL DISASTERS. OR THE WAR ON DRUGS. WE PRIDE OURSELVES ON BEING A NATION OF IMMIGRANTS. I'M PROUD THAT CLARKSTON, GEORGIA, KNOWN AS THE ELLIS ISLAND OF THE SOUTH, IS IN MY DISTRICT. BUT TRUMP REPUBLICANS HAVE LAID WASTE TO OUR CUSTOM OF WELCOMING ASYLUM SEEKERS AS THEY COMMIT THE INHUMANE PRACTICE OF SEPARATING CHILDREN FROM THEIR PARENTS AT THE BORDER. AMERICA IS WEAKENED IN THE EYES OF THE WORLD AND SEPARATING FAMILIES IS OUR NATIONAL SHAME. THAT'S WHY I'M A PROUD CO-SPONSOR OF KEEP AMERICAN FAMILIES TOGETHER ACT. EXCUSE ME, KEEP FAMILIES TOGETHER ACT. CONGRESS MUST ACT NOW ON THIS IMPORTANT LEGISLATION. WITH THAT I YIELD BACK.

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                                • 10:10:42 AM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM PENNSYLVANIA SEEK RECOGNITION.

                                • 10:10:47 AM

                                  >>

                                  MR. SPEAKER, REQUEST UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE…

                                  MR. SPEAKER, REQUEST UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE. REVISE AND EXTEND MY REMARKS.

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                                • 10:10:51 AM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION, THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

                                • 10:10:54 AM

                                  MR. THOMPSON

                                  THANK YOU, MR. SPEAKER. MR. SPEAKER, I RISE TODAY TO CONGRATULATE MS.…

                                  THANK YOU, MR. SPEAKER. MR. SPEAKER, I RISE TODAY TO CONGRATULATE MS. NICKI ELLIOTT TUCKER ON HER RETIREMENT. SHE'S A NURSING HOME ADMINISTRATOR. SHE HAS BEEN A DEDICATED LEADER AND SHE IS WELL LOVED BY THE RESIDENTS AND STAFF ALIKE. SHE HAS BEEN INSTRUMENTAL IN THE DEVELOPMENT OF THE CHARLES COAL TRANSITION CARE COMMITTEE. MICKEY WAS THE LIAISON BETWEEN MANOR. IT ALSO RECEIVED NUMEROUS AWARDS OVER THE YEARS WITH HER AT THE LIAISON BETWEEN THE TRANSITIONAL CARE TEAM AND THE CLINICAL PROGRAM AT SWEDEN VALLEY HELM. IN 2014 THE AMERICAN HEALTH ASSOCIATION WITH A NATIONAL BRONZE COMMITMENT OF QUALITY AWARD. 2008 THE MANOR WAS NAMED BUSINESS OF THE YEAR. 1994 RECEIVED THE OUTSTANDING EMPLOYER AWARD FROM THE PENNSYLVANIA DEPARTMENT OF LABOR. MR. SPEAKER, THESE ARE JUST SOME OF THE HIGHLIGHTS OF A LONG SPENT CAREER CARING FOR OTHERS. TO SAY SHE WILL BE MISSED IS AN UNDERSTATEMENT. I WISH HER THE BEST IN HER WELL DESERVED RETIREMENT. THANK YOU, MR. SPEAKER. I YIELD BACK THE BALANCE OF MY TIME.

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                                • 10:12:01 AM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM -- THE GENTLEMAN SEEK RECOGNITION?

                                • 10:12:08 AM

                                  >>

                                  I ASK UNANIMOUS CONSENT TO ADDRESS THE HOUSE FOR ONE MINUTE.

                                • 10:12:11 AM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION, THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

                                • 10:12:13 AM

                                  MR. RYAN

                                  MR. SPEAKER, I THINK ABOUT MY WIFE AND I WHEN WE GO TO TAKE A COUPLE DAYS…

                                  MR. SPEAKER, I THINK ABOUT MY WIFE AND I WHEN WE GO TO TAKE A COUPLE DAYS AWAY FROM THE KIDS AND WE LEAVE OUR 4-YEAR-OLD WITH HIS GRANDPARENTS HOW HEARTBREAKING IT IS. TO EVEN LEAVE THAT KID WHEN YOU ARE LEAVING THEM WITH GRANDPARENTS. I THINK ABOUT -- I THINK ABOUT MY GREAT GRANDPARENTS WHO CAME HERE FROM ITALY AS IMMIGRANTS. I THINK ABOUT THE 13 YEARS OF CATHOLIC SCHOOL THAT I ATTENDED. I THINK ABOUT THE CONVERSATIONS IN WASHINGTON, D.C., ABOUT FAMILY VALUES, AND THEN I THINK ABOUT HOW IN THE MOST POWERFUL COUNTRY IN THE WORLD OUR GOVERNMENTAL POLICY IS TO STRIP KIDS, IMMIGRANTS. I THINK ABOUT THE 13 YEARS OF BABIES, TODDLERS, INFANTS FROM THEIR PARENTS. THE MOST POWERFUL COUNTRY IN THE WORLD HAS RESORTED TO THIS NONSENSE. THIS IS A JOKE. AND IT'S BY CHOICE, MR. SPEAKER. THIS IS A CHOICE THAT THE MOST POWERFUL MEN IN THE MOST POWERFUL COUNTRY ARE CHOOSING TO TAKE POOR KIDS AWAY FROM THEIR PARENTS.

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                                • 10:13:25 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN'S TIME HAS EXPIRED.

                                • 10:13:26 AM

                                  MR. RYAN

                                  IT IS TIME FOR THIS MOST POWERFUL PRESIDENT TO ACT IMMEDIATELY AND STOP…

                                  IT IS TIME FOR THIS MOST POWERFUL PRESIDENT TO ACT IMMEDIATELY AND STOP THE AMERICAN CARNAGE.

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                                • 10:13:34 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN'S TIME HAS EXPIRED. THE CHAIR LAYS BEFORE THE HOUSE A…

                                  THE GENTLEMAN'S TIME HAS EXPIRED. THE CHAIR LAYS BEFORE THE HOUSE A COMMUNICATION.

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                                • 10:13:45 AM

                                  THE CLERK

                                  THE HONORABLE THE SPEAKER, HOUSE OF REPRESENTATIVES. SIR, PURSUANT TO THE…

                                  THE HONORABLE THE SPEAKER, HOUSE OF REPRESENTATIVES. SIR, PURSUANT TO THE PERMISSION GRANTED IN CLAUSE 2-H OF RULE 2 OF THE RULES OF THE U.S. HOUSE OF REPRESENTATIVES, THE CLERK RECEIVED THE FOLLOWING MESSAGE FROM THE SECRETARY OF THE SENATE ON JUNE 20, 2018, AT 9:37 A.M. THAT THE SENATE PASSED SENATE 2269. APPOINTMENT, UNITED STATES CAPITOL PRESERVATION COMMISSION, SIGNED, SINCERELY, KAREN L. HAAS.

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                                • 10:14:14 AM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM TEXAS SEEK RECOGNITION.

                                • 10:14:17 AM

                                  MR. BURGESS

                                  MR. SPEAKER, BY DIRECTION OF THE COMMITTEE ON RULES, I CALL UP HOUSE…

                                  MR. SPEAKER, BY DIRECTION OF THE COMMITTEE ON RULES, I CALL UP HOUSE RESOLUTION 949, AND ASK FOR ITS IMMEDIATE CONSIDERATION.

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                                • 10:14:25 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE CLERK WILL REPORT THE RESOLUTION.

                                • 10:14:28 AM

                                  THE CLERK

                                  HOUSE CALENDAR NUMBER 154, HOUSE RESOLUTION 94. RESOLVED, THAT AT ANY TIME…

                                  HOUSE CALENDAR NUMBER 154, HOUSE RESOLUTION 94. RESOLVED, THAT AT ANY TIME AFTER ADOPTION OF THIS RESOLUTION THE SPEAKER MAY, PURSUANT TO CLAUSE 2-B OF RULE 18, DECLARE THE HOUSE RESOLVED INTO THE COMMITTEE OF THE WHOLE HOUSE ON THE STATE OF THE UNION FOR CONSIDERATION OF THE BILL, H.R. 6, TO PROVIDE FOR OPIOID USE DISORDER PREVENTION, RECOVERY, AND TREATMENT, AND FOR OTHER PURPOSES. THE FIRST READING OF THE BILL SHALL BE DISPENSED WITH. ALL POINTS OF ORDER AGAINST CONSIDERATION OF THE BILL ARE WAIVED. GENERAL DEBATE SHALL BE CONFINED TO THE BILL AND SHALL NOT EXCEED ONE HOUR EQUALLY DIVIDED AND CONTROLLED BY THE CHAIR AND RANKING MINORITY MEMBER OF THE COMMITTEE ON ENERGY AND COMMERCE. AFTER GENERAL DEBATE THE BILL SHALL BE CONSIDERED FOR AMENDMENT UNDER THE FIVE-MINUTE RULE. AN AMENDMENT IN THE NATURE OF A SUBSTITUTE CONSISTING OF THE TEXT OF RULES COMMITTEE PRINT 115-76, MODIFIED BY RULES COMMITTEE PRINT 115-78 AND THE AMENDMENT PRINTED IN PART A OF THE REPORT OF THE COMMITTEE ON RULES ACCOMPANYING THIS RESOLUTION, SHALL BE CONSIDERED AS ADOPTED IN THE HOUSE AND IN THE COMMITTEE OF THE WHOLE. THE BILL, AS AMENDED, SHALL BE THE BILL, AS AMENDED, SHALL BE CONSIDERED AS THE ORIGINAL BILL FOR THE PURPOSE OF FURTHER AMENDMENT UNDER THE FIVE-MINUTE RULE AND SHALL BE CONSIDERED AS READ. ALL POINTS OF ORDER AGAINST PROVISIONS IN THE BILL, AS AMENDED, ARE WAIVED. NO FURTHER AMENDMENT TO THE BILL, AS AMENDED, SHALL BE IN ORDER EXCEPT THOSE PRINTED IN PART B OF THE REPORT OF THE COMMITTEE ON RULES. EACH SUCH FURTHER AMENDMENT MAY BE OFFERED ONLY IN THE ORDER PRINTED IN THE REPORT, MAY BE OFFERED ONLY BY A MEMBER DESIGNATED IN THE REPORT, SHALL BE CONSIDERED AS READ, SHALL BE DEBATABLE FOR THE TIME SPECIFIED IN THE REPORT EQUALLY DIVIDED AND CONTROLLED BY THE PROPONENT AND AN OPPONENT, SHALL NOT BE SUBJECT TO AMENDMENT, AND SHALL NOT BE SUBJECT TO A DEMAND FOR DIVISION OF THE QUESTION IN THE HOUSE OR IN THE COMMITTEE OF THE WHOLE. ALL POINTS OF ORDER AGAINST SUCH FURTHER AMENDMENTS ARE WAIVED. AT THE CONCLUSION OF CONSIDERATION OF THE BILL FOR AMENDMENT THE COMMITTEE SHALL RISE AND REPORT THE BILL, AS AMENDED, TO THE HOUSE WITH SUCH FURTHER AMENDMENTS AS MAY HAVE BEEN ADOPTED. THE PREVIOUS QUESTION SHALL BE CONSIDERED AS ORDERED ON THE BILL, AS AMENDED, AND ANY FURTHER AMENDMENT THERETO TO FINAL PASSAGE WITHOUT INTERVENING MOTION EXCEPT ONE MOTION TO RECOMMIT WITH OR WITHOUT INSTRUCTIONS. SECTION 2. AT ANY TIME AFTER ADOPTION OF THIS RESOLUTION THE SPEAKER MAY, PURSUANT TO CLAUSE 2-B OF RULE 18, DECLARE THE HOUSE RESOLVED INTO THE COMMITTEE OF THE WHOLE HOUSE ON THE STATE OF THE UNION FOR CONSIDERATION OF THE BILL, H.R. 5797, TO AMEND TITLE 19 OF THE SOCIAL SECURITY ACT TO ALLOW STATES TO PROVIDE UNDER MEDICAID SERVICES FOR CERTAIN INDIVIDUALS WITH OPIOID USE DISORDERS IN INSTITUTIONS FOR MENTAL DISEASES. THE FIRST READING OF THE BILL SHALL BE DISPENSED WITH. ALL POINTS OF ORDER AGAINST CONSIDERATION OF THE BILL ARE WAIVED. GENERAL DEBATE SHALL BE CONFINED TO THE BILL AND SHALL NOT EXCEED ONE HOUR EQUALLY DIVIDED AND CONTROLLED BY THE CHAIR AND RANKING MINORITY MEMBER OF THE COMMITTEE ON ENERGY AND COMMERCE. AFTER GENERAL DEBATE THE BILL SHALL BE CONSIDERED FOR AMENDMENT UNDER THE FIVE-MINUTE RULE. THE AMENDMENT IN THE NATURE OF A SUBSTITUTE RECOMMENDED BY THE COMMITTEE ON ENERGY AND COMMERCE NOW PRINTED IN THE BILL, MODIFIED BY THE AMENDMENT PRINTED IN PART C OF THE REPORT OF THE COMMITTEE ON RULES ACCOMPANYING THIS RESOLUTION, SHALL BE CONSIDERED AS ADOPTED IN THE HOUSE AND IN THE COMMITTEE OF THE WHOLE. THE BILL, AS AMENDED, SHALL BE CONSIDERED AS THE ORIGINAL BILL FOR THE PURPOSE OF FURTHER AMENDMENT UNDER THE FIVE-MINUTE RULE AND SHALL BE CONSIDERED AS READ. ALL POINTS OF ORDER AGAINST PROVISIONS IN THE BILL, AS AMENDED, ARE WAIVED. NO FURTHER AMENDMENT TO THE BILL, AS AMENDED, SHALL BE IN ORDER EXCEPT THOSE PRINTED IN PART D OF THE REPORT OF THE COMMITTEE ON RULES. EACH SUCH FURTHER AMENDMENT MAY BE OFFERED ONLY IN THE ORDER PRINTED IN THE REPORT, MAY BE OFFERED ONLY BY A MEMBER DESIGNATED IN THE REPORT, SHALL BE CONSIDERED AS READ, SHALL BE DEBATABLE FOR THE TIME SPECIFIED IN THE REPORT EQUALLY DIVIDED AND CONTROLLED BY THE PROPONENT AND AN OPPONENT, SHALL NOT BE SUBJECT TO AMENDMENT, AND SHALL NOT BE SUBJECT TO A DEMAND FOR DIVISION OF THE QUESTION IN THE HOUSE OR IN THE COMMITTEE OF THE WHOLE. ALL POINTS OF ORDER AGAINST SUCH FURTHER AMENDMENTS ARE WAIVED. AT THE CONCLUSION OF CONSIDERATION OF THE BILL FOR AMENDMENT THE COMMITTEE SHALL RISE AND REPORT THE BILL, AS AMENDED, TO THE HOUSE WITH SUCH FURTHER AMENDMENTS AS MAY HAVE BEEN ADOPTED. THE PREVIOUS QUESTION SHALL BE CONSIDERED AS ORDERED ON THE BILL, AS AMENDED, AND ANY FURTHER AMENDMENT THERETO TO FINAL PASSAGE WITHOUT INTERVENING MOTION EXCEPT ONE MOTION TO RECOMMIT WITH OR WITHOUT INSTRUCTIONS. SECTION 3. UPON ADOPTION OF THIS RESOLUTION IT SHALL BE IN ORDER TO CONSIDER IN THE HOUSE THE BILL, H.R. 6082, TO AMEND THE PUBLIC HEALTH SERVICE ACT TO PROTECT THE CONFIDENTIALITY OF SUBSTANCE USE DISORDER PATIENT RECORDS. ALL POINTS OF ORDER AGAINST CONSIDERATION OF THE BILL ARE WAIVED. AN AMENDMENT IN THE NATURE OF A SUBSTITUTE CONSISTING OF THE TEXT OF RULES COMMITTEE PRINT 115-7 5 SHALL BE CONSIDERED AS ADOPTED. THE BILL, AS AMENDED, SHALL BE CONSIDERED AS READ. ALL POINTS OF ORDER AGAINST PROVISIONS IN THE BILL, AS AMENDED, ARE WAIVED. THE PREVIOUS QUESTION SHALL BE CONSIDERED AS ORDERED ON THE BILL, AS AMENDED, AND ON ANY FURTHER AMENDMENT THERETO, TO FINAL PASSAGE WITHOUT INTERVENING MOTION EXCEPT, ONE, ONE HOUR OF DEBATE EQUALLY DIVIDED AND CONTROLLED BY THE CHAIR AND RANKING MINORITY MEMBER OF THE COMMITTEE ON ENERGY AND COMMERCE, AND, TWO, ONE MOTION TO RECOMMIT WITH OR WITHOUT INSTRUCTIONS. SECTION 4. IN THE ENGROSSMENT OF H.R. 6, THE CLERK SHALL, A, ADD THE RESPECTIVE TEXTS OF H.R. 2851, H.R. 5735, AND H.R. 5797, AS PASSED BY THE HOUSE, AS NEW MATTER AT THE END OF H.R. 6, B, ASSIGN APPROPRIATE DESIGNATIONS TO PROVISIONS WITHIN THE ENGROSSMENT, AND, C, CONFORM CROSS-REFERENCES AND PROVISIONS FOR SHORT TITLES WITHIN THE ENGROSSMENT.

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                                • 10:20:12 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM TEXAS IS RECOGNIZED FOR ONE HOUR.

                                • 10:20:14 AM

                                  MR. BURGESS

                                  THANK YOU, MR. SPEAKER. AND FOR THE PURPOSES OF DEBATE ONLY, I YIELD THE…

                                  THANK YOU, MR. SPEAKER. AND FOR THE PURPOSES OF DEBATE ONLY, I YIELD THE CUSTOMARY 30 MINUTES TO THE GENTLEMAN FROM MASSACHUSETTS, MR. MCGOVERN, PENDING WHICH I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

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                                • 10:20:26 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN IS RECOGNIZED.

                                • 10:20:28 AM

                                  MR. BURGESS

                                  DURING CONSIDERATION OF THIS RESOLUTION, ALL TIME YIELDED IS FOR THE…

                                  DURING CONSIDERATION OF THIS RESOLUTION, ALL TIME YIELDED IS FOR THE PURPOSE OF DEBATE ONLY. AND, MR. SPEAKER, I ASK UNANIMOUS CONSENT THAT ALL MEMBERS MAY HAVE FIVE LEGISLATIVE DAYS TO REVISE AND EXTEND THEIR REMARKS. THE SPEAKER PRO TEMPORE: WITHOUT OBJECTION.

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                                • 10:20:37 AM

                                  THE SPEAKER PRO TEMPORE

                                  THEIR REMARKS. THE SPEAKER PRO TEMPORE: WITHOUT OBJECTION.

                                • 10:20:40 AM

                                  MR. BURGESS

                                  HOUSE RESOLUTION 949 PROVIDES FOR THE CONSIDERATION OF THREE IMPORTANT…

                                  HOUSE RESOLUTION 949 PROVIDES FOR THE CONSIDERATION OF THREE IMPORTANT BILLS AIMED AT CURBING THE DEADLY OPIOID EPIDEMIC PLAGUING THIS COUNTRY AND PROVIDING AMERICANS WITH TOOLS TO OVERCOME THEIR ADDICTIONS. H.R. 6, THE SUBSTANCE USE-DISORDER PREVENTION AND PROMOTES OPIOID RECOVERY AND TREATMENT FOR PATIENTS AND COMMUNITIES ACT, OR THE SUPPORT ACT, H.R. 5797, THE INDIVIDUALS IN MEDICAID DESERVE CARE THAT IS APPROPRIATE AND RESPONSIBLE IN ITS DELIVERY ACT, AND H.R. 6082, THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT. THE THREE BILLS INCLUDED IN TODAY'S RULE ALL SEEK TO ACCOMPLISH ONE GOAL -- TO ASSIST AMERICANS STRUGGLING WITH OPIOID ADDICTION AND CONTROLLING THEIR ADDICTIONS IN MOVING FORWARD IN ACHIEVING PRODUCTIVE AND HEALTHY LIVES. THE RULE PROVIDES FOR ONE HOUR OF DEBATE ON H.R. 6 EQUALLY DIVIDED AND CONTROLLED BY THE CHAIR AND THE RANKING MINORITY MEMBER OF THE COMMITTEE ON ENERGY AND COMMERCE. THE RULE MAKES IN ORDER EIGHT AMENDMENTS OFFERED BY BOTH REPUBLICANS AND DEMOCRATS. FURTHER, THE RULE PROVIDES THAT THE MINORITY -- THE RULE PROVIDES THE MINORITY WITH ONE MOTION TO RECOMMIT WITH OR WITHOUT INSTRUCTIONS. THE RESOLUTION ALSO PROVIDES FOR A STRUCTURED RULE FOR H.R. 5797, ALLOWING ONE HOUR OF DEBATE TO BE DIVIDED AND CONTROLLED BETWEEN THE CHAIR AND RANKING MINORITY MEMBER OF THE ENERGY AND COMMERCE COMMITTEE. THE RULE ALSO PROVIDES FOR DEBATE FOLLOWING AN AMENDMENT BY MRS. WALTERS FROM CALIFORNIA, AN ACTIVE MEMBER OF THE ENERGY AND COMMERCE COMMITTEE. FINALLY, THE RULE PROVIDES THE MINORITY WITH THE CUSTOMARY MOTION TO RECOMMIT WITH OUR WITHOUT INSTRUCTIONS. THE FINAL BILL INCLUDED IN TODAY'S RESOLUTION, H.R. 6082, WILL ALSO RECEIVE ONE HOUR OF DEBATE ON THE HOUSE FLOOR. AGAIN, EQUALLY DIVIDED AND CONTROLLED BY THE CHAIR AND THE RANKING MEMBER OF THE ENERGY AND COMMERCE COMMITTEE. AS THE COMMITTEE ON RULES RECEIVED NO GERMANE AMENDMENTS TO 6082, NO AMENDMENTS WERE MADE IN ORDER IN TODAY'S RULE. THE MINORITY DOES RECEIVE THE CUSTOMARY MOTION TO RECOMMIT WITH OR WITHOUT INSTRUCTIONS. THE STATISTICS THAT MANY OF US HAVE HEARD ON NUMEROUS OCCASIONS IN OUR DISTRICT TOWN HALLS, IN OPIOID ROUNDTABLES WITH STAKEHOLDERS, CONSTITUENT MEETINGS IN OUR OFFICES, AND IN OUR COMMITTEE HEARINGS, THESE ARE TRULY HEARTBREAKING STORIES WITH MORE THAN 115 PEOPLE DYING IN THE UNITED STATES EVERY DAY FROM AN OPIOID OVERDOSE. THAT IS FIVE PEOPLE PER HOUR. ACCORDING TO NATIONAL REPORTS, EMERGENCY ROOM AND OPIOID DEATHS HAVE QUAT RUPELED IN THE LAST 15 YEARS AND A PRELIMINARY ASAL CISINDICATE THOSE NUMBERS -- ANALYSIS INDICATE THOSE NUMBERS ARE TO RISE. PRESCRIPTION DRUGS, HEROIN, SYNTHETIC OPIOIDS, SUCH AS FENTANYL, IS INDEED AN URGENT NATIONAL CRISIS THAT THREATENS OUR HEALTH, SOCIAL WELFARE. LOCAL PARAMEDICS ARE COMING ACROSS PEOPLE OVERDOSING ON AN OPIOID DRUG OR A DRUG LACED WITH FENTANYL. THE OPIOID EPIDEMIC HAS AFFECTED FAMILIES NOT ONLY IN MY DISTRICT IN NORTH TEXAS BUT IN COMMUNITIES LARGE AND SMALL FROM MAINE TO CALIFORNIA. IT HAS ALSO IMPACTED AMERICAN EMPLOYERS AND BUSINESSES DUE TO LOST PRODUCTIVITY AND DIFFICULTY IN FINDING QUALIFIED CANDIDATES FOR EMPLOYMENT. PRESIDENT TRUMP IS RIGHT TO CALL THE EPIDEMIC THE CRISIS NEXT DOOR. THE EFFORTS OF THE ENERGY AND COMMERCE COMMITTEE AND THE COMPREHENSIVE ADDICTION AND RECOVERY ACT AND THE 21ST CENTURY CURES ACT IN THE PREVIOUS CONGRESS WERE A GOOD START, DELIVERING CRITICAL FUNDING AND RESOURCES TO COMMUNITIES HIT MOST HARD BY THE OPIOID EPIDEMIC. BUT THERE WAS MUCH MORE WE STILL COULD DO. TO START THIS PROCESS, THE ENERGY AND COMMERCE HEALTH SUBCOMMITTEE, WHICH I CHAIR, HELD A MEMBER DAY LAST OCTOBER WHERE OVER 50 BIPARTISAN MEMBERS OF THIS BODY, BOTH ON AND OFF THE COMMITTEE, SHARED THEIR PERSONAL STORIES FROM THEIR DISTRICTS AND OFFERED THEIR SOLUTIONS. THIS WAS FOLLOWED BY A SERIES OF THREE LEGISLATIVE HEARINGS WITH MARKUPS WHERE NEARLY 60 BILLS WERE CONSIDERED AND ADVANCED TO THE FULL ENERGY AND COMMERCE COMMITTEE THAT ACTED ON THESE BILLS SHORTLY THEREAFTER. THE CULMINATION OF THE WORK FROM THE ENERGY AND COMMERCE COMMITTEE AND OTHER HOUSE COMMITTEES HAS BROUGHT US TO CONSIDER MANY OF THESE POLICIES OVER THE COURSE OF THE LAST TWO WEEKS ON THE HOUSE FLOOR. IT REQUIRED AN ALL HANDS ON DECK APPROACH, AND I BELIEVE THAT THE AMERICAN PEOPLE WILL SEE THAT BY THIS WEEK'S END WE DID INDEED COME TOGETHER IN A BIPARTISAN FASHION AND WORK TO ADDRESS THIS CRISIS. TODAY'S RULE PROVIDES FOR CONSIDERATION OF THREE IMPORTANT BILLS THAT WILL EXPAND TREATMENT OPTIONS, DELIVER LIFE-SAVING SERVICES, AND MAKE NECESSARY PUBLIC HEALTH REFORMS, INCLUDING MEDICARE AND MEDICAID TO BOLSTER PREVENTION AND RECOVERY EFFORTS. FIRST, H.R. 5797, THE INDIVIDUALS IN MEDICAID DESERVE CARE THAT IS APPROPRIATE AND RESPONSIBLE IN ITS EXECUTION, I.M.D. ACT STATES IT WILL EXCLUDE BENEFICIARIES 21-64 WITH OPIOID USE DISORDER FOR FIVE YEARS' TIME. IT REMOVES A BARRIER TO CARE UNDER CURRENT LAW SO MEDICAID CAN COVER UP TO A TOTAL 30 DAYS OF CARE IN AN INSTITUTION FOR MENTAL DISEASE DURING A 12-MONTH PERIOD AND ELIGIBLE ENROLLEES CAN GET THE CARE THAT THEY ACTUALLY NEED. THE I.M.D. EXCLUSION IS ONE OF THE TREATMENT BARRIERS CONSISTENTLY IDENTIFIED BY STATE MEDICAID DIRECTORS, HEALTH POLICY EXPERTS, AND MANY PROVIDER GROUPS. CERTAINLY THIS EXCLUSION UNDER MEDICAID SIGNIFICANTLY LIMITS THE CIRCUMSTANCES UNDER WHICH FEDERAL MEDICAID MATCHING FUNDS ARE AVAILABLE FOR IN-PATIENT SERVICES OR FOR OUTPATIENT TREATMENTS. UNFORTUNATELY, THIS POLICY HAS BARRED INDIVIDUALS WITH AN OPIOID USE DISORDER AND MENTAL ILLNESS FROM ACCESSING SHORT-TERM ACUTE CARE IN PSYCHIATRIC HOSPITALS OR RECEIVING TREATMENT IN RESIDENTIAL SUBSTANCE USE DISORDER TREATMENT FACILITIES. A 2017 MEDICAID AND CHIP PAYMENT AND ACCESS COMMISSION REPORT STATED THAT THE MEDICAID I.M.D. EXCLUSION IS ONE OF THE FEW EXAMPLES IN THE MEDICAID PROGRAM WHERE FEDERAL FINANCIAL PARTICIPATION CANNOT BE USED FOR MEDICALLY NECESSARY AND OTHERWISE COVERED SERVICES FOR A SPECIFIC MEDICAID POPULATION RECEIVING TREATMENT IN A SPECIFIC SETTING. IN THE MIDST OF THE OPIOID CRISIS, STATES MUST LEVERAGE ALL AVAILABLE TOOLS TO COMBAT THIS EPIDEMIC. SECTION 1115 DEMONSTRATION WAIVERS ARE AN IMPORTANT TOOL, BUT SO FAR LESS THAN HALF THE STATES HAVE SOUGHT OR RECEIVED AN APPROPRIATE WAIVER FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES TO HELP PATIENTS WITH SUBSTANCE USE DISORDER. SO THE I.M.D. CARE ACT ALLOWS STATES THE OPTION TO USE THE STATE PLAN AMENDMENT PROCESS, WHICH IS GENERALLY FASTER, THAN USING WAIVERS. UNDER THIS PROCESS, ONCE THE STATE PLAN AMENDMENT IS SUBMITTED, THE CENTERS FOR MEDICARE AND MEDICAID SERVICES HAS 90 DAYS TO DECIDE OR THE PROPOSED CHANGE WILL AUTOMATICALLY GO INTO EFFECT. H.R. 5797 AMENDS AN OUTDATED LAW THAT HAS BEEN IN EFFECT SINCE THE ENACTMENT OF THE MEDICAID PROGRAM IN 1965. SINCE THAT TIME, THERE HAVE BEEN ADVANCES IN BEHAVIORAL HEALTH, THERE HAVE BEEN ADVANCES IN ADDICTION TREATMENT SERVICES WHERE MORE IMPROVED OPTIONS NOW EXIST. IT IS LONG OVERDUE TO REVISIT THIS POLICY SO THAT STATE MEDICAID PROGRAMS CAN BETTER MEET PATIENT'S NEEDS AND PHYSICIANS AND DOCTORS CAN -- PATIENTS' NEEDS AND PHYSICIANS AND DOCTORS CAN GIVE CARE ON AN INDIVIDUAL'S TREATMENT PLAN. NEXT, H.R. 6082, THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT, MAKES TIMELY REFORMS TO A PRIVACY LAW THAT AFFECTS PEOPLE ACCESS TO HEALTH CARE AND CREATES BARRIERS TO TREATMENT. SPECIFICALLY, THE BILL UPDATES THE PUBLIC HEALTH SERVICE ACT TO PERMIT SUBSTANCE USE DISORDER RECORDS TO BE SHARED AMONG COVERED ENTITIES AND 42 C.F.R. PART 2 PROGRAMS BY ALIGNING PART 2 WITH THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996. FOR THE PURPOSES OF TREATMENT, PAYMENT, OR HEALTH CARE OPTIONS. AS A PHYSICIAN, I BELIEVE IT IS VITAL THAT WHEN MAKING CLINICAL DECISIONS I HAVE ALL OF THE APPROPRIATE INFORMATION TO MAKE THE CORRECT DETERMINATION AND THE TREATMENT OF A PARTICULAR PATIENT. THOSE SUFFERING FROM SUBSTANCE USE DISORDER SHOULD RECEIVE THE SAME LEVEL OF TREATMENT AND CARE AS OTHER INDIVIDUALS. . PATIENTS AFFLICTED DESERVE TO BE TREATED BY PHYSICIANS WHO ARE ARMED WITH ALL OF THE NECESSARY INFORMATION TO PROVIDE THE BEST POSSIBLE CARE. I CERTAINLY DO UNDERSTAND AND RESPECT THAT PATIENT PRIVACY PROTECTION IS PARAMOUNT AND SHOULD BE HELD IN THE HIGHEST REGARD. THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT MAINTAINS THE ORIGINAL INTENT OF THE 1970 STATUTE BEHIND 4 C.F.R. PART 2 BY PROTECTING PATIENTS AND IMPROVING CARE COORDINATION. IN FACT, THIS BILL INCREASES PROTECTIONS FOR THOSE SEEKING TREATMENT BY MORE SEVERELY PENALIZING THOSE WHO SHARE PATIENT DATA TO NONCOVERED ENTITIES AND NONPART 2 PROGRAMS THAT -- UNDER CURRENT STATUTE WITH CERTAIN EXCEPTIONS. LASTLY, IT REQUIRES THE SECRETARY OF HEALTH AND HUMAN SERVICES TO, AMONG OTHER THINGS, ISSUE REGULATIONS, PROHIBITING DISCRIMINATION BASED ON DISCLOSED HEALTH DATA AND REQUIRING COVERED ENTITIES TO PROVIDE WRITTEN NOTICE OF PRIVACY PRACTICES. THE ISSUE OF STIGMA ASSOCIATED WITH SUBSTANCE USE DISORDER HAS BEEN A CONSTANT AND IN MANY OF THE DISCUSSIONS OF THE MEMBERS OF THE ENERGY AND COMMERCE COMMITTEE AND THE STAKEHOLDERS THAT WE HAVE HAD IN BOTH OUR OFFICES AND IN OUR HEARINGS. THIS CAREFULLY CRAFTED LEGISLATION SEEKS TO HELP BREAK THE STIGMA AND HELP INDIVIDUALS WITH THIS COMPLEX DISEASE GAIN ACCESS TO HEALTH CARE AND SUPPORT SERVICES CRITICAL TO GETTING THEM ON THE ROAD TO RECOVERY. WE SHOULD NOT CONTINUE TO SILO THE SUBSTANCE ABUSE DISORDER TREATMENT INFORMATION OF A SELECT GROUP OF PATIENTS IF WE WANT TO ENSURE THAT THESE PATIENTS ARE RECEIVING QUALITY CARE. THIS INFORMATION SHOULD BE INTEGRATED INTO OUR MEDICAL RECORDS AND INTO -- INTO OUR MEDICAL RECORDS AND COMPREHENSIVE CARE MODELS TO PREVENT SITUATIONS WHERE INTO -- INTO OUR MEDICAL RECORDS AND COMPREHENSIVE CARE MODELS TO PREVENT SITUATIONS WHERE PHYSICIANS, NOT KNOWING A PATIENT'S SUBSTANCE ABUSE -- INSURANCE FROM PATIENT SAFETY. PROVIDING HIGH QUALITY HEALTH CARE IS A TEAM EFFORT, PHYSICIANS LEADING THE TEAM MUST HAVE THE NECESSARY INFORMATION TO ADEQUATELY COORDINATE CARE. WE MUST ALIGN PAYMENT, OPERATION, AND TREATMENT IT ALLOW COORDINATION OF BOTH BEHAVE YORBLE AND PHYSICAL HEALTH SERVICES -- BEHAVIORAL AND PHYSICAL HEALTH SERVICES. THERE IS A REASON WHY THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION AND MOST OF THE HEALTH STAKEHOLDER COMMUNITY ARE ASKING FOR THIS CHANGE. CLEARLY THERE IS AN ISSUE HERE THAT MUST BE BE ADDRESSED. H.R. 6082 ACHIEVES THE GOAL AND CONTRIBUTES TO CONGRESS' EFFORT IN TRYING TO STEM THE CURRENT CRISIS. FINALLY, MR. SPEAKER, H.R. 6, SUBSTANCE USE DISORDER PREVENTION AND PROMOTES OPIOID RECOVERY AND TREATMENT THE CURRENT CRISIS. FOR PATIENTS AND COMMUNITIES ACT IS A PACKAGE OF BILLS THAT REFORM MEDICARE, MEDICAID, AND OTHER HEALTH PROVISIONS TO FURTHER COMBAT THIS CRISIS BY ADVANCING MANY CRITICAL INITIATIVES. AS WE ALL KNOW, THIS OPIOID EPIDEMIC IS IN OUR HOSPITALS, BUT IT'S ALSO IN OUR LIVING ROOMS AND ON OUR STREETS. OUR PARTNERS AT FEDERAL AGENCIES MUST RISE TO THE CHALLENGE AND DELIVER VITAL RESOURCES FOR STATES AND COMMUNITIES MOST DEVASTATED BY THE CRISIS. THE SUPPORT FOR PATIENTS AND COMMUNITIES ACT WILL DELIVER VITAL PROVIDE OR DEPARTMENT OF HEALTH AND HUMAN SERVICE, INCLUDING THE SENT FOR MEDICARE AND MEDICAID SERVICES AND THE FOOD AND DRUG ADMINISTRATION WITH THE NECESSARY TOOLS TO ADDRESS THIS CRISIS. TITLE ONE OF H.R. 6 ADDRESSES THE WAYS IN WHICH MEDICAID CAN BE USED TO INCREASE ACCESS TO QUALITY CARE AND MANAGEMENT FOR INDIVIDUALS SUFFERING FROM SUBSTANCE USE DISORDERS. SOME OF THE CHANGES IN MEDICAID REFLECT THE SUCCESS OF OUR STATE MEDICAID PROGRAMS BY IMPLEMENTING STATE SUCCESSES AT THE FEDERAL LEVEL. SECTION 101 UNDER TITLE 1 WILL EXPAND PROTECTION FOR AT-RISK YOUTH BY REQUIRING STATE MEDICAID PROGRAMS TO RESTORE MEDICAID COVERAGE OF A JUVENILE FOLLOWING THEIR RELEASE FROM INCARCERATION. THE NEXT SECTION WILL ALSO ALLOW A FORMER FOSTER YOUTH TO MAINTAIN THEIR MEDICAID COVERAGE ACROSS STATE LINES UNTIL THEY TURN 26 YEARS OF AGE. THESE ARE VULNERABLE POPULATIONS OF INDIVIDUALS THAT WILL GREATLY BENEFIT FROM INCREASED ACCESS TO TREATMENT. SECTION 105 BUILDS ON THE CURRENT STATE MEDICAID DRUG UTILIZATION REVIEW WHICH SAVES MONEY AND PROMOTES PATIENT SAFETY. THIS SECTION WILL REQUIRE STATE MEDICAID PROGRAMS TO HAVE SAFETY EDITS IN PLACE FOR OPIATE REFILLS, TO MONITOR CONCURRENT PRESCRIBING OF OPEN YACHTS, AND CERTAIN OTHER DRUGS -- OPIATES, AND CERTAIN OTHER DRUGS, AND MONITOR ANTI-PSYCHOTIC PRESCRIBING FOR CHILDREN. CARE FOR MOTHERS SUFFERING FROM SUBSTANCE USE DISORDER AND THEIR BABIES WHO ARE BORN WITH NEONATAL SYNDROME IS A GROWING PROBLEM IN THE FACE OF THIS EPIDEMIC. SECTION 106 REQUIRES H.H.S. TO IMPROVE CARE FOR THESE INFANTS WITH NEONATAL ABSTINENCE SYNDROME AND THEIR MOTHERS. IT ALSO REQUIRES THAT THE GENERAL ACCOUNTABILITY OFFICE STUDY THE GAPS IN MEDICAID COVERAGE FOR PREGNANT AND POSTPARTUM WOMEN WITH SUBSTANCE USE DISORDERS. SECTION 107 OF THE BILL PROVIDES ADDITIONAL INCENTIVES FOR MEDICAID HEALTH HOMES, FOR PATIENTS WITH SUBSTANCE USE DISORDER. MR. SPEAKER, THESE HEALTH HOMES WILL ALLOW STATES TO CREATE A COMPREHENSIVE PERSON CENTERED SYSTEM OF CARE COORDINATION FOR PRIMARY CARE, ACUTE AND BEHAVIORAL HEALTH CARE, INCLUDING MENTAL HEALTH AND SUBTANS USE. AS OUR HEALTH CARE SYSTEM MOVES TOWARDS CARING FOR THE WHOLE PERSON, IT'S IMPORTANT THAT WE HAVE OUR PATIENTS BE ABLE TO PROVIDE THAT COMPREHENSIVE CARE. THE SUPPORT FOR PATIENTS AND COMMUNITIES ACT ALSO ENABLES BETTER PAIN MANAGEMENT FOR OUR NATION'S MEDICARE BENEFICIARIES RANGING FROM INCREASED ACCESS TO SUBSTANCE USE TISS ORDER TREATMENT, INCLUDING THROUGH THE USE OF TELEHEALTH, TO MODIFICATION OF PHYSICIAN PAYMENT FOR CERTAIN NONOPIATE TREATMENTS AND AMBULATORY SURGERY CENTERS. TITLE 2 OF THE BILL CONTAINS MEDICARE PROVISIONS THAT ENCOURAGE THE USE OF NONOPIATE ANAL GEEZICS WHERE APPROPRIATE, AND ALSO AIMS TO DECREASE FRAUD AND ABUSE REGARDING PRESCRIPTIONS BY REQUIRING E-PRESCRIBING FOR THE COVERAGE OF COMPARED PART D CONTROLLED SUBSTANCES. H.R. 6 STRIFES TO PROVIDE SUPPORT FOR AT-RISK BENEFICIARIES WHO MIGHT FALL VICTIM TO SUBSTANCE ABUSE DISORDER. SECTION 20 ACCELERATES THE DEVELOPMENT AND USE OF DRUG MANAGEMENT PROGRAMS FOR AT-RISK BENEFICIARIES. WHILE THIS PROGRAM IS CURRENTLY VOLUNTARY BY PLAN YEAR 2021, IT WILL BECOME MANDATORY. LASTLY, THE BILL EXPANDS MEDICARE COVERAGE TO INCLUDE OPIATE TREATMENT PROGRAMS FOR THE PURPOSE OF PROVIDING MEDICATION ASSISTED TREATMENT. OPIOID TREATMENT PROGRAMS ARE NOT CURRENTLY MEDICARE PROVIDERS, WHICH FORCES MEDICARE BENEFICIARIES WHO NEED MEDICATION ASSISTED TREATMENT TO PAY OUT-OF-POCKET COSTS FOR THOSE SERVICES. THESE EFFORTS SHOULD PROVIDE IMPROVED ACCESS TO TREATMENT FOR MEDICARE BENEFICIARIES WHO HAVE SUBSTANCE USE DISORDER WHILE ALSO INCENTIVIZING THE USE OF OPIATE ATTORNEYS. WHICH HOPEFULLY -- OPIATE ALTERNATIVES WHICH HOPEFULLY WILL PREVENT IN THE DEVELOPMENT OF SUBSTANCE USE DISORDERS. EVEN THOUGH AN ESTIMATED 46,000 AMERICANS DIE INTERESTED OPIOID OVERDOSES BETWEEN OCTOBER 16 AND OCTOBER 17, THERE IS A LACK OF INNOVATION AND LACK OF INVESTMENT IN THE DEVELOPMENT OF NONADDICTIVE PAIN AND ADDICTION TREATMENT. A BILL THAT I INTRODUCED, H.R. 5806, THE 21ST CENTURY TOOLS FOR PAIN AND 16 AND OCTOBER 17, ADDICTION TREATMENTS, IS INCLUDED IN SECTION 301 ON H.R. 6 AND REQUIRES THE FOOD AND DRUG ADMINISTRATION TO HOLD AT LEAST ONE PUBLIC MEETING TO ADDRESS THE CHALLENGES AND BARRIERS OF DEVELOPING NONADDICTIVE MEDICAL PRODUCTS INTENDED TO TREAT PAIN OR ADDICTION. THE FOOD AND DRUG ADMINISTRATION IS ALSO REQUIRED TO ISSUE OR UPDATE EXISTING GUIDANCE DOCUMENTS TO HELP ADDRESS CHALLENGES TO DEVELOPING NONADDICTIVE MED CAN CAL PRODUCTS TO ISSUE OR UPDATE EXISTING TO TREAT PAIN -- MEDICAL PRODUCTS TO TREAT PAIN OR ADDICTION. I DID WORK CLOSELY WITH THE FOOD AND DRUG ADMINISTRATION TO GET THE POLICY IN THIS SECTION CORRECT AND ENSURE IT WILL CLARIFY THOSE PATHWAYS FOR PRODUCTS THAT ARE SO DESPERATELY NEEDED BY AMERICA'S PATIENTS. I HAVE REMAINING CONCERNS ABOUT THE LANGUAGE IN SECTION 303 THAT WILL ALLOW NONPHYSICIAN PROVIDERS TO PRESCRIBE A DRUG. WHILE I UNDERSTAND AND GREATLY APPRECIATE THE INTENT TO INCREASE ACCESS TO MEDICATION ASSISTED TREATMENT, AS A PHYSICIAN I ALSO RESPECT HOW COMPLICATED THE TREATMENT OF PATIENTS SUFFERING FROM SUBSTANCE USE DISORDER MAY BE. THE HYPOCRATIC OATH WE ALL KNOW, FIRST DO NO HARM. PATIENT SAFETY SHOULD BE OUR HIGHEST PRIORITY. THIS IS A COMPLEX PATIENT POPULATION, MR. SPEAKER. ON AVERAGE, PEOPLE WITH SUBSTANCE USE DISORDER DIE 20 YEARS SOONER THAN OTHER AMERICANS. ADDITIONALLY, IT IS A SCHEDULED THREE DRUG THAT CAN BE MISUSED AND COULD EXACERBATE THE UNDERLYING PROBLEM. I AM UNSURE ABOUT EXPANDING THESE AUTHORITIES TO ADDITIONAL NONPHYSICIAN PROVIDERS AT THE RISK OF MAKING THE PROBLEM WORSE. I HAVE WORKED TO STRENGTHEN THE REPORTING REQUIREMENTS OF THIS SECTION OF H.R. 6, AND LOOK FORWARD TO REVIEWING THAT REPORT ON THIS PARTICULAR POLICY. TAKEN TOGETHER, H.R. 6, THE SUPPORT FOR PATIENTS AND COMMUNITIES ACT, WILL IMPROVE ACCESS TO CARE FOR INDIVIDUALS SUFFERING FROM SUBSTANCE USE DISORDER, PROVIDE OUR HEALTH CARE SYSTEM WITH TOOLS AND RESOURCES THAT IT NEEDS TO CARE FOR PATIENTS AND TO HELP PREVENT FUTURE MISUSE OF OPEN YACHTS. -- OPIATES. BEFORE I CLOSE, I WOULD LIKE TO SHARE A QUOTE FROM PRESIDENT TRUMP. HE SAID, OGGET WE WILL FACE THIS CHALLENGE -- HE SAID, TOGETHER WE WILL FACE THIS CHALLENGE AS A NATIONAL FAMILY W CONVICTION, UNITY, AND COMMITMENT TO LOVE AND SUPPORT OUR NEIGHBORS IN TIME OF DIRE NEED. WORKING TOGETHER WE WILL DEFEAT THIS OPIATE EPIDEMIC, CLOSE QUOTE. THE NUMBER OF BILLS AND POLICIES ADVANCED ON THE HOUSE FLOOR THE LAST TWO WEEKS ILLUSTRATES OUR SHARED COMMITMENT AND I AM CONFIDENT THAT WE WILL MAKE SIGNIFICANT PROGRESS IN DEFEATING THIS EPIDEMIC. I URGE MY COLLEAGUES TO SUPPORT TODAY'S RULE AND THE THREE UNDERLYING BILLS THAT ARE CRITICAL TO OUR NATION'S EFFORT TO STEM THE OPIATE CRISIS. WITH THAT, MR. SPEAKER, I RESERVE THE BALANCE OF MY TIME.

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                                • 10:42:06 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN RESERVES. THE GENTLEMAN FROM MASSACHUSETTS IS RECOGNIZED.

                                • 10:42:10 AM

                                  MR. MCGOVERN

                                  THANK YOU, MR. SPEAKER. I WANT TO THANK THE GENTLEMAN FROM TEXAS, MR.…

                                  THANK YOU, MR. SPEAKER. I WANT TO THANK THE GENTLEMAN FROM TEXAS, MR. BURGESS, FOR THE CUSTOMARY 30 MINUTES. I ASK UNANIMOUS CONSENT TO REVISE AND EXTEND MY REMARKS. I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

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                                • 10:42:21 AM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION.

                                • 10:42:23 AM

                                  MR. MCGOVERN

                                  MR. SPEAKER, MY REPUBLICAN COLLEAGUES ARE RUSHING TO CONGRATULATE…

                                  MR. SPEAKER, MY REPUBLICAN COLLEAGUES ARE RUSHING TO CONGRATULATE THEMSELVES FOR FINALLY ADDRESSING OPIATE ADDICTION. MR. SPEAKER, WHAT TOOK THEM SO LONG? THIS IS A EPIDEMIC THAT FUELED MORE DRUG OVERDOSES IN AMERICA IN 2016 THAN DIED IN THE VIETNAM WAR. IN FACT, OPIATES NOW KILL MORE PEOPLE EVERY YEAR THAN BREAST CANCER. 150 AMERICANS ARE DYING FROM THEM EVERY SINGLE DAY. THESE STATISTICS AREN'T NEW. THEY HAVE BEEN STARING THE REPUBLICANS IN THE FACE FOR MONTHS. THE PUBLIC HAS BEEN PUSHING THIS CONGRESS TO ACT, DEMOCRATS HAVE BEEN PUSHING MEASURE AFTER MEASURE AFTER MEASURE TO ADDRESS OPIATE ADDICTION, BUT THE MAJORITY HAS USED THEIR RESTRICTIVE AMENDMENT PROCESS TO BLOCK THEM FROM EVEN GETTING A VOTE ON THE HOUSE FLOOR. MORE THAN A DOZEN AMENDMENTS DEALING WITH OPIATES HAVE BEEN BLOCKED BY THE MAJORITY FROM EVEN GETTING A DEBATE. ONE OF THESE AMENDMENTS HAD BIPARTISAN SUPPORT BUT IT WAS BLOCKED ALL THE SAME. THIS FROM A REPUBLICAN MAJORITY THAT HAS ALREADY TURNED THIS CONGRESS INTO THE MOST CLOSED CONGRESS IN HISTORY. LET ME SAY THAT AGAIN. THESE GUYS, MY REPUBLICAN COLLEAGUES, HAVE PRESIDED OVER THE MOST CLOSED CONGRESS IN HISTORY. THEY HAVE ALREADY BEEN -- THERE HAVE ALREADY BEEN 86 COMPLETELY CLOSED RULES DURING THE 115TH CONGRESS. AND IT'S ONLY JUNE. THAT NUMBER IS EXPECTED TO GROW LATE THEY ARE WEEK AS THE MAJORITY CONSIDERS THEIR PARTISAN IMMIGRATION BILLS UNDER A CLOSED PROCESS. MR. SPEAKER, AS WELL-INTENTIONED AS THESE BILLS MAY BE, WE'RE NOT CONSIDERING -- WE AREN'T CONSIDERING THEM IN A VACUUM. HERE'S THE DEAL. WE'RE TAKING THEM UP AT A TIME WHEN REPUBLICANS ARE CONTINUING THEIR CRUSADE AGAINST THE AFFORDABLE CARE ACT. A LAW TH WE'RE TAKING THEMAT HAS HELPED MILLIONS OF AMERICANS SUFFERING FROM SUBSTANCE USE DISORDERS. THE TRUMP ADMINISTRATION IS REFUSING TO DEFEND THE A.C.A. GET THIS, ITS JUSTICE DEPARTMENT RECENTLY ASKED IN A LEGAL FILING FOR THE COURTS TO INVALIDATE THIS LAW'S PROTECTIONS FOR PRE-EXISTING CONDITIONS. MR. SPEAKER, DOES THE MAJORITY REALIZE THAT SUBSTANCE USE DISORDERS ARE A PRE-EXISTING CONDITION? IF REPUBLICANS ARE SUCCESSFUL, THEY WILL MAKE THE OPIATE CRISIS EVEN WORSE. IT DOESN'T STOP THERE. SOME CONSERVATIVE GROUPS ARE PUSHING THE MAJORITY TO TRY REPEALING THE A.C.A. COMPLETELY. AGAIN, BEFORE THE SUMMER'S OUT. THIS AFTER REPUBLICANS CAME WITHIN A FEW VOTES OF TAKING HEALTH CARE FROM 23 MILLION AMERICANS LAST YEAR. INCLUDING THOSE SUFFERING FROM OPIATE ADDICTION. THESE RIGHT-WING GROUPS RELEASE THEIR LATEST REPEAL PLAN YESTERDAY. SO THE WORDS FROM MY REPUBLICAN FRIENDS TODAY RING PARTICULARLY HOLLOW. MR. SPEAKER, WE ALL KNOW THAT THE BEST ANSWER TO A EPIDEMIC IS TO GET AS MANY PEOPLE AS POSSIBLE INTO TREATMENT AND TO PROVIDE THEM AND THEIR FAMILIES TO SUPPORT -- THE SUPPORT THEY NEED. ONE OF THE MOST EFFECTIVE WAYS TO ACCOMPLISH THIS IS TO EXPAND MEDICAID AND EXPAND TREATMENT OPTIONS FOR SUBSTANCE ABUSE THROUGH THE A.C.A. LAST OCTOBER, THE REPUBLICANS MADE CLEAR WHAT THEY THINK OF THE HUNDREDS OF THOUSANDS OF AMERICANS SUFFERING FROM OPIATE ADDICTION AND ALCOHOL AND DRUG ABUSE. . THEY PASSED A BUDGET THAT MAKES $1.3 TRILLION IN CUTS IN HEALTH CARE, INCLUDING A 30% CUT TO MEDICAID. MR. SPEAKER, REPUBLICANS CAN'T BEMOAN THE OPIOID EPIDEMIC ON ONE HAND AND VOTE TIME AND TIME AGAIN TO CUT THE HEALTH CARE SYSTEMS REQUIRED TO TREAT ADDICTION. NOR CAN YOU SET UP A BIASED-TIERED SYSTEM THAT GRANTS TREATMENT FOR OPIOID ADDICTION AT THE EXPENSE OF PROVIDING TREATMENT FOR ADDICTION AND ABUSE OF OTHER SUBSTANCES LIKE KEY PROVISIONS IN H.R. 5797. NOT ONLY IS THAT INHUMANE AND IMMORAL, BUT IT'S ALSO INEFFECTIVE. IT UNDERMINES THE ENTIRE HEALTH CARE SYSTEM OF TREATING SUBSTANCE ABUSE. MR. SPEAKER, MANY DEMOCRATS HAVE JOINED THE MAJORITY IN SUPPORTING ONE OF THESE BILLS, H.R. 6, THE SUPPORT FOR PATIENTS COMMUNITIES ACT. IT'S A GOOD BILL. IT WOULD HELP MEDICARE AND MEDICAID BETTER RESPOND TO SUBSTANCE USE DISORDERS. WE ARE WORKING WITH THE MAJORITY HERE. SO MR. SPEAKER, WHY WON'T THEY WORK WITH US TO DEFEND THE A.C.A., PRESERVE PROTECTIONS FOR PRE-EXISTING CONDITIONS AND EXPAND MEDICAID? NOW, I KNOW ASKING CONGRESSIONAL REPUBLICANS TO SHOW SOME EMPATHY RIGHT NOW IS A TALL ORDER. THIS IS A GROUP THAT'S FURTHERED PRESIDENT TRUMP'S SPIN ON FAMILY SEPARATIONS AT THE BORDER, A POLICY HE CAN CHANGE UNILATERALLY RIGHT NOW IF HE WANTED TO. I MEAN, CHILDREN ARE BEING RIPPED OUT OF THEIR PARENTS' ARMS IN TEARS AND KEPT IN CAGES, WAREHOUSES AND TENT CITIES. IT IS APPALLING AND IT IS UN-AMERICAN. YOU DON'T HAVE TO TAKE MY WORD FOR IT. REPUBLICANS LIKE FIRST LADY LAURA BUSH AND SENATOR JOHN MCCAIN HAVE SPOKEN OUT AGAINST IT. AND A U.S. ATTORNEY IN TEXAS MADE CLEAR IT WAS PRESIDENT TRUMP'S POLICY CHOICE ALONE. AND GET THIS, THIS IS A U.S. ATTORNEY WHO THE PRESIDENT HIMSELF APPOINTED. BUT CHANGE IS POSSIBLE. CONGRESSIONAL REPUBLICANS CAN SEE THE ERROR OF THEIR WAYS. THEY CAN REJECT THESE CALLS FOR REPEAL. THEY CAN STOP SITTING IDLY BY AS PRESIDENT TRUMP ATTACKS THE AFFORDABLE CARE ACT. AND THEY CAN START STANDING UP FOR THE 133 MILLION AMERICANS WITH PRE-EXISTING CONDITIONS. THAT INCLUDES THOSE SUFFERING FROM ADDICTION. THEY CAN STOP GIVING THE PRESIDENT COVER WHEN HE FALSELY CLAIMS THAT DEMOCRATS CAUSE THE CHAOS AT THE BORDER THAT HE CLEARLY CAUSED. STOP PLAYING WITH PEOPLE'S LIVES. WE'RE TALKING ABOUT THEIR HEALTH CARE. WE'RE TALKING ABOUT GETTING TREATMENT FOR ADDICTION. FOR GOD'S SAKE, WE ARE TALKING ABOUT TAKING CHILDREN OUT OF THE ARMS OF THEIR MOTHERS. THIS IS NOT A HANDFUL OF CASES. THIS IS THOUSANDS OF CASES. IT IS OUTRAGEOUS. IT'S TIME FOR THE ADULTS IN CONGRESS, MEN AND WOMEN OF CONSCIENCE, TO STAND UP FOR WHAT IS RIGHT, NOT ONLY ON THE OPIOID CRISIS, BUT ON SO MANY OTHER IMPORTANT ISSUES FACING THIS COUNTRY. I HOPE THE MAJORITY COMES TO ITS SENSES BEFORE IT'S TOO LATE. I RESERVE THE BALANCE OF MY TIME.

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                                • 10:48:44 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN RESERVES. THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

                                • 10:48:47 AM

                                  MR. BURGESS

                                  THANK YOU, MR. SPEAKER. AT THIS TIME I'M PLEASED TO RECOGNIZE A FELLOW…

                                  THANK YOU, MR. SPEAKER. AT THIS TIME I'M PLEASED TO RECOGNIZE A FELLOW MEMBER ON THE COMMITTEE OF ENERGY AND COMMERCE FOR THREE MINUTES.

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                                • 10:48:57 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN IS RECOGNIZED FOR THREE MINUTES.

                                • 10:49:00 AM

                                  >>

                                  THANK YOU. I RISE ON SUPPORT OF THE RULE AND WANT TO SPEAK ON MY SUPPORT…

                                  THANK YOU. I RISE ON SUPPORT OF THE RULE AND WANT TO SPEAK ON MY SUPPORT FOR H.R. 6082 WHICH ALLOWS FOR THE FLOW OF INFORMATION AMONG HEALTH CARE PROVIDERS AND HEALTH PLANS THAT'S NECESSARY TO FOSTER CARE COORDINATION, PROVIDE PROPER TREATMENT, PROMOTE PATIENT SAFETY, MAKE PAYMENT AND ULTIMATELY IMPROVE THE INDIVIDUAL'S HEALTH STATUS. WITHOUT ALIGNMENT FOR TREATMENT, THE FOLLOWING COULD NOT HAPPEN WITHOUT AN AUTHORIZATION. COORDINATING CARE ACROSS BEHAVIORAL AND MEDICAL SERVICES, CASE MANAGEMENT TO PROVIDE LONGER TERM SUPPORT AFTER A PATIENT ENDS SUPPORT AFTER A PATIENT ENDS TREATMENT, ENSURING APPROPRIATE, ADMINISTRATIVE AND FINANCIAL INTERACTION BETWEEN PROVIDER AND PLANS WHICH SUPPORT THE CORE FUNCTIONS OF TREATMENT AND PAYMENT FOR HIPAA-COVERED ENTITIES.

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                                • 10:49:45 AM

                                  MR. COSTELLO

                                  ALSO, CONDUCTING QUALITY ASSESSMENT TO BETTER INTEGRATE BEHAVIORAL AND…

                                  ALSO, CONDUCTING QUALITY ASSESSMENT TO BETTER INTEGRATE BEHAVIORAL AND MEDICAL SERVICES. THIS INCLUDES, MR. SPEAKER, EVALUATING PROVIDER PERFORMANCE, CONDUCTING TRAINING PROGRAMS, AND ACCREDITATION, CERTIFICATION AND CREDENTIALING ACTIVITIES. PEOPLE WITH SUBSTANCE USE DISORDER DIE ON AVERAGE DECADES SOONER THAN OTHER AMERICANS. THIS IS LARGELY BECAUSE OF A STRIKINGLY HIGH INCIDENTS OF POORLY MANAGED, CO-OCCURRING CHRONIC DISEASES, INCLUDING HIV-AIDS, CARDIAC CONDITIONS, LUNG DISEASE, AND CIRRHOSIS. WHATEVER WE AS A NATION ARE DOING TO COORDINATE CARE FOR THIS HIGHLY VULNERABLE PATIENT POPULATION IS UTTERLY FAILING BY ANY REASONABLE MEASURE. AN EXTRAORDINARY ARRAY OF ORGANIZATIONS, HOSPITALS, PHYSICIANS, PATIENT ADVOCATES AND SUBSTANCE USE TREATMENT PROVIDERS HAVE APPROACHED OUR COMMITTEE TO CLEARLY STATE THAT EXISTING FEDERAL ADDICTION PRIVACY LAW, AND THAT'S WHAT H.R. 6082 IS FOCUSED ON, EXISTING PRIVACY LAW, IS ACTIVELY INTERFERING WITH CASE MANAGEMENT, CARE COORDINATION EFFORTS AND PRESERVING A FAILED AND DEADLY STATUS QUO. BLOCKING CERTAIN SUBSTANCE USE PROVIDERS FROM ACCESSING HEALTH RECORDS FROM THESE EXCHANGES, WHICH THE PART 2 REGULATIONS DO, ISOLATES PATIENTS IN THESE PROGRAMS FROM POWERFUL EXCHANGES OF HEALTH INFORMATION AND FROM THE PROTECTIONS OF HIPAA AND HIGH-TECH REGULATIONS GOVERNING THESE EXCHANGES. MR. SPEAKER, TREATING PATIENTS' SUBSTANCE USE AND ISOLATION FROM THEIR MEDICAL AND MENTAL CONDITIONS, WHICH DID PREDOMINATE CARE IN THE 1970'S IS NOT THE CURRENT STANDARD OF GOOD MEDICAL PRACTICE TODAY. THERE'S OVERWHELMING EVIDENCE NOW THAT PATIENTS' SUBSTANCE USE CANNOT BE TREATED ISOLATED FROM OTHER MENTAL CONDITIONS. WHEN THIS WAS WRITTEN THIS WAS NOT WIDELY LONE AND TREATMENT OF ADDICTION WAS SEPARATE FROM TREATMENT OF OTHER ILLNESSES. BY CONTINUING TO SEGREGATE SUBSTANCE USE DISORDER RECORDS FROM ANY TREATMENT SETTING, YOU ARE WILLING TO ALLOW THEM TO RECEIVE CARE THAT'S AT A LOWER QUALITY, HIGHER COST. MANY THAT HAVE ALCOHOL OR DRUG DISORDERS ARE AT INCREASED RISK OF RAPID REHOSPITALIZATION AFTER DISCHARGE AND GREATER HEALTH CARE USE AND COSTS. PATIENTS WHO HAVE MEDICAL ILLNESSES SUCH AS DIABETES OR CARDIOVASCULAR DISORDERS WHO ALSO HAVE A SUBSTANCE USE DISORDER USE HEALTH CARE SERVICES TWO TO THREE TIMES MORE OFTEN THAN THEIR PEERS. 30 SECONDS?

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                                • 10:52:17 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN'S TIME HAS EXPIRED. THE GENTLEMAN FROM TEXAS.

                                • 10:52:20 AM

                                  MR. BURGESS

                                  I YIELD AN ADDITIONAL MINUTE.

                                • 10:52:22 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN IS RECOGNIZED FOR ONE MINUTE.

                                • 10:52:24 AM

                                  MR. COSTELLO

                                  USE HEALTH CARE SERVICES TWO TO THREE TIMES MORE AND COST OF CARE IS…

                                  USE HEALTH CARE SERVICES TWO TO THREE TIMES MORE AND COST OF CARE IS SIMILARLY MUCH HIGHER. FINALLY, MR. SPEAKER, UNTREATED ALCOHOL OR DRUG USE DURING PREGNANCY DRAMATICALLY INCREASES RISK OF POOR BIRTH OUTCOMES. NEONATAL INTENSIVE CARE USE AND GREATER INFANT AND MATERNAL HEALTH CARE USE. BUT TREATED AS PART OF PRENATAL CARE, INFANT AND MATERNAL HEALTH COSTS ARE NO DIFFERENT THAN THEIR NONSUBSTANCE USING PEERS. THAT'S WHY SUPPORT OF THIS RULE AND SUPPORT OF H.R. 6082 IS SO IMPORTANT. I YIELD BACK THE BALANCE OF MY TIME.

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                                • 10:52:56 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN YIELDS BACK. THE GENTLEMAN FROM TEXAS RESERVES. AND THE…

                                  THE GENTLEMAN YIELDS BACK. THE GENTLEMAN FROM TEXAS RESERVES. AND THE GENTLEMAN FROM MASSACHUSETTS IS RECOGNIZED.

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                                • 10:53:02 AM

                                  MR. MCGOVERN

                                  THANK YOU, MR. SPEAKER. LET ME JUST REMIND MY COLLEAGUES, AGAIN, BECAUSE I…

                                  THANK YOU, MR. SPEAKER. LET ME JUST REMIND MY COLLEAGUES, AGAIN, BECAUSE I THINK IT'S WORTH EMPHASIZING, THAT NO MATTER WHAT WE DO IN THE NEXT COUPLE OF DAYS WITH THESE BILLS THAT ARE GOING TO BE BEFORE THE HOUSE, THEY'RE RENDERED MEANINGLESS IF THE REPUBLICANS CONTINUE IN THEIR EFFORT TO CUT MEDICAID AND TO TAKE AWAY PROTECTIONS FOR PEOPLE WITH PRE-EXISTING CONDITIONS. AND SUBSTANCE USE DISORDER IS A PRE-EXISTING CONDITION AND REPUBLICANS WORKING WITH THE WHITE HOUSE ARE TRYING TO ELIMINATE THAT PROTECTION FOR PEOPLE. I DON'T GET IT. IT DOESN'T MAKE SENSE, BUT YOU OUGHT TO -- WE OUGHT TO MAKE SURE WE KEEP THIS DEBATE IN CONTEXT AND PEOPLE KNOW WHAT'S GOING ON OUT THERE. MR. SPEAKER, I'D LIKE TO YIELD SIX MINUTES TO THE GENTLEWOMAN FROM CALIFORNIA, MS. MATSUI.

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                                • 10:53:50 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLELADY IS RECOGNIZED FOR SIX MINUTES.

                                • 10:53:53 AM

                                  MS. MATSUI

                                  THANK YOU, MR. SPEAKER. MR. SPEAKER, I RISE IN OPPOSITION TO THIS RULE.…

                                  THANK YOU, MR. SPEAKER. MR. SPEAKER, I RISE IN OPPOSITION TO THIS RULE. THROUGHOUT THE ENERGY AND COMMERCE COMMITTEE'S PROCESS WRITING OPIOID LEGISLATION, I RAISED THE ISSUE WE NEED TO BE MAKING INVESTMENTS IN THE FULL SPECTRUM OF OUR BEHAVIORAL HEALTH SYSTEM IN ORDER TO TRULY ADDRESS THE ROOT CAUSE AND THE RESULTS OF THE OPIOID EPIDEMIC. WHILE CRISIS AND HIGH LEVEL INPATIENT CARE WILL ALWAYS BE NECESSARY FOR A SUBSET OF THE POPULATION AND WE MUST ENSURE IT IS ADEQUATELY FUNDED, WE CANNOT DO SO IN A VACUUM. WE NEED TO ENSURE THAT PEOPLE ALSO HAVE ACCESS TO ADEQUATE OUTPATIENT TREATMENT AND PREVENTION SERVICES. AND WHILE THE OPIOID EPIDEMIC IS FRONT AND CENTER IN ALL OUR MINDS, WE CANNOT FORGET PATIENTS SUFFERING FROM OTHER SUBSTANCE USE DISORDERS. IT IS IMPORTANT THAT WE DO NOT UNINTENTIONALLY SET UP A DISCRIMINATORY SYSTEM THAT WILL BE USELESS DURING THE NEXT EPIDEMIC, WHATEVER THAT MIGHT BE. WE WANT OUR LEGISLATIVE EFFORTS TO BOTH SAVE LIVES TODAY AND TO PREVENT EPIDEMICS LIKE THIS ONE IN THE FUTURE. STATES ALREADY HAVE THE OPTION TO WORK AROUND OUTDATED EXCLUSIONS IN I.N.D. FACILITIES AND STATES LIKE CALIFORNIA ARE ALREADY DOING SO IN A COMPREHENSIVE WAY, TAKING INTO ACCOUNT THE CONTINUUM OF CARE FOR OPIOID AND OTHER SUBSTANCE USE DISORDERS. IF WE'RE GOING TO BE SPENDING NEARLY $1 BILLION ADDITIONAL IN THE MEDICAID PROGRAM, WE NEED TO SPEND IT WISELY ON EXPANDING ACCESS TO SERVICES AND NOT NARROWLY DUPLICATING SOMETHING THAT IS ALREADY AVAILABLE. EVER SINCE THE EXCELLENCE IN MENTAL HEALTH DEMONSTRATION PROJECT PASSED INTO LAW IN 2014, I'VE BEEN FIERCELY ADVOCATING TO EXPAND THE PROGRAM. THE DEMONSTRATION PROJECT, WHICH I CO-AUTHORED WITH MY REPUBLICAN COLLEAGUE, CONGRESSMAN LANCE, AND MY SENATE COLLEAGUES, SENATORS STABENOW AND BLUNT, CERTIFIES A COMMUNITY BEHAVIOR HEALTH CLINICS, KNOWN AS CBHC'S, IT'S HALFWAY THROUGH ITS PERIOD AND SHOWING GREAT STATS. "BRIDGING THE ADDICTION TREATMENT GAP," IT SURVEYS CBHC'S OPERATING IN THE EXCELLENT ACT DEMONSTRATION STATES AND IT OFFERS HOPE. IT OFFERS NEAR UNIVERSAL ADOPTION OF MEDICATION-ASSISTED TREATMENT, OR M.A.T., FOR OPIOID USE DISORDER. 95% OF CLINICS IN THE PROGRAM ARE OFFERING AT LEAST ONE TYPE OF F.D.A.-APPROVED M.A.T. SECOND, 100% OF CCBHC'S HAVE EXPANDED THE SCOPE OF ADDICTION TREATMENT SERVICES UNDER THE DEMONSTRATION. FOR MANY CLINICS, THIS IS THE FIRST TIME SUCH SERVICES HAVE BEEN AVAILABLE IN THEIR COMMUNITIES, VERY OFTEN IN MEDICALLY UNDERSERVED AREAS. THIRD, EVEN WHILE SEEING MORE PATIENTS, 2/3 OF SURVAYED CCBHC'S HAVE SEEN AN INCREASE IN WAIT TIMES. AFTER AN INITIAL CALL OR REFERRAL, MOST OFFER SAME-DAY ACCESS TO CARE AND SOME CAN PROVIDE AN APPOINTMENT WITHIN A WEEK OR LESS. MR. SPEAKER, THE EXCELLENCE ACT IS SHOWING CONCRETE RESULTS IN TERMS OF PATIENT OUTCOMES. IN WESTERN NEW YORK STATE, MORE THAN 1,000 PEOPLE IN ERIE COUNTY DIED OF OPIOID OVERDOSES OVER THE LAST FIVE YEARS. 142 PEOPLE LOST THEIR LIVES IN 2016 ALONE. AT THE SAME TIME, ACCORDING TO MEDIA REPORTS, LOCAL POLICE CHIEFS ARE REPORTING A 60% REDUCTION IN OVERDOSE CALLS IN 2018. AUTHORITIES SPECIFICALLY CREDIT A CERTIFIED BEHAVIORAL HEALTH CLINIC IN THE CITY OF BUFFALO THAT IS PROVIDED MEDICATION-ASSISTED TREATMENT FOR PEOPLE BATTLING OPIOID ADDICTION WITHIN 24 TO 48 HOURS AFTER INITIAL ASSESSMENT. WE WANT TO EXPAND UPON THE SUCCESS FOR CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS ACROSS THE COUNTRY BY ALLOWING MEDICAID RUME BURSMENT ON A LARGER -- REIMBURSEMENT ON A LARGER SCALE. THE CLINICS ARE THE ONES IN PEOPLE'S NEIGHBORHOODS AND COMMUNITIES, THE ONES ON THE FRONT LINES TREATING BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER. IF WE DO NOT BUILD THEM UP AND INTEGRATE WITH OUR HEALTH SYSTEM, WE WILL NEVER ACHIEVE THE FULL CONTINUUM OF CARE THAT WE ARE LOOKING FOR. EVERY TIME I PUSH FOR AN EXPANSION OF EXCELLENCE PROGRAM IN THE ENERGY AND COMMERCE COMMITTEE ON FUNDING LEGISLATION ON THE FLOOR, I'VE BEEN TOLD WE DON'T HAVE THE DOLLARS AVAILABLE. HOWEVER, TODAY WE'RE TALKING ABOUT SPENDING NEARLY $1 BILLION ON SOMETHING THAT IS BOTH REDUNDANT AND I BELIEVE DOES NOT FULLY ADDRESS THE ENTIRE SPECTRUM OF CARE LIKE THE EXCELLENCE PROGRAM HAS. THAT'S WHY I OFFERED AN AMENDMENT TO H.R. 5797 BASED ON MY BIPARTISAN BILL, H.R. 3931, AND WHY I AM HERE DISCUSSING THIS ON THE FLOOR TODAY. I URGE MY COLLEAGUES TO FUND COMMUNITY HEALTH BEHAVIORAL CLINICS AND OUTPATIENT TREATMENT TO HELP ADDRESS THE OPIOID EPIDEMIC. WHEN WE LOOK BACK ON WHAT WE HAVE DONE TO ADDRESS THIS CRISIS, THIS WILL HAVE MORE OF A POSITIVE IMPACT TODAY AND IN THE LONG TERM IN COMPARISON WITH THE OTHER PROPOSALS WE ARE CONSIDERING. THANK YOU AND I YIELD BACK THE BALANCE OF MY TIME.

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                                • 10:59:19 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLELADY YIELDS BACK. THE GENTLEMAN FROM MASSACHUSETTS RESERVES. AND…

                                  THE GENTLELADY YIELDS BACK. THE GENTLEMAN FROM MASSACHUSETTS RESERVES. AND THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

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                                • 10:59:24 AM

                                  MR. BURGESS

                                  THANK YOU, MR. SPEAKER. I RECOGNIZE MYSELF FOR ONE MINUTE. I DO JUST WANT…

                                  THANK YOU, MR. SPEAKER. I RECOGNIZE MYSELF FOR ONE MINUTE. I DO JUST WANT TO REMIND US THAT 18 MONTHS AGO IN THE PREVIOUS CONGRESS WITH THE PASSAGE OF THE 21ST CENTURY CURES AND COMPREHENSIVE RECOVERY ACT, CARA, $1 BILLION WAS MADE AVAILABLE FOR TREATING PEOPLE WITH SUBSTANCE USE DISORDER THAT WAS THEN SUPPLEMENTED WITH THE PASSAGE OF THE MORE RECENT APPROPRIATIONS BILL LAST MONTH, TWO MONTHS AGO, WITH $4 BILLION. SO UNPRECEDENTED AMOUNT -- UNPRECEDENTED AMOUNTS OF MONEY HAVE BEEN AVAILABLE IN THE LAST 18 MONTHS TO COMBAT THIS CRISIS. AND THEN FINALLY, IT'S VERY, VERY DIFFICULT TO INTEGRATE CARE IF YOU DON'T REFORM THE 42 C.F.R. PART 2 WHICH IS BEFORE US TODAY. I RESERVE THE BALANCE OF MY TIME.

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                                • 11:00:13 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN RESERVES. THE GENTLEMAN FROM MASSACHUSETTS IS RECOGNIZED.

                                • 11:00:16 AM

                                  MR. MCGOVERN

                                  AGAIN, MR. SPEAKER, NONE OF WHAT WE'RE DOING HERE TODAY IS GOING TO MATTER…

                                  AGAIN, MR. SPEAKER, NONE OF WHAT WE'RE DOING HERE TODAY IS GOING TO MATTER IF THE REPUBLICANS AND THE TRUMP ADMINISTRATION ARE SUCCESSFUL IN CUTTING MEDICAID AND IN BASICALLY REMOVING THE GUARANTEE THAT PEOPLE WHO HAVE PRE-EXISTING CONDITIONS CANNOT BE DENIED INSURANCE. . IF THE TRUMP ADMINISTRATION IS SUCCESSFUL, INDIVIDUALS WITH PRE-EXISTING CONDITIONS ACROSS THE COUNTRY, INCLUDING INDIVIDUALS SUFFERING FROM OPIATE USE DISORDERS, BOTH IN THE INDIVIDUAL AND IN THE EMPLOYER MARKET COULD FACE A DENIAL OF COVERAGE OR SKYROCKETING PREMIUMS. BEYOND ANYTHING ANYBODY CAN AFFORD. I DON'T GET IT. I DON'T UNDERSTAND THE HYPOCRISY HERE. I KNOW THAT THE EFFORTS HERE TODAY ARE I DON'T GET IT. WELL-INTENTIONED. PEOPLE ARE TRYING TO DO THE RIGHT THING. BUT THEN YOU RUIN IT ALL WHEN YOU GOT THE FUNDING SOURCE THAT IS HELP PEOPLE DEAL WITH THE TREATMENT THEY NEED. THIS IS -- THIS HAS TO STOP. I KNOW SOME OF WELL-INTENTIONED. PEOPLE MY FRIENDS ARE -- HAVE IDEOLOGICAL BLINDERS ON WHEN IT COMES TO ANYTHING PASSED DURING THE OBAMA ADMINISTRATION, BUT WE GOT TO PUT THE AMERICAN PEOPLE FIRST. THIS IS A CRISIS THAT AFFECTS EVERY SINGLE COMMUNITY IN THIS COUNTRY. IF YOU ARE SUCCESSFUL, IF THIS ADMINISTRATION IS SUCCESSFUL WHAT THEY ARE TRYING TO DO TO UNDERCUT THE A.C.A., THEN COUNTLESS PEOPLE WILL NOT HAVE ACCESS TO HEALTH CARE, WILL NOT HAVE ACCESS TO THE TREATMENT THEY NEED. MR. SPEAKER, OUR NATION IS IN THE MIDST OF A DEVASTATING OPEN -- OPIATE CRISIS SPIRALING OUT OF CONTROL. THE CENTERS FOR DISEASE CONTROL AND PREVENTION HAS ALSO FOUND THAT OPIATES ARE RESPONSIBLE FOR SIX OUT OF 10 OVERDOSE DEATHS IN THE UNITED STATES. THE MESH PEOPLE -- MESH PEOPLE ARE IN -- AMERICAN PEOPLE ARE IN DESPERATE NEED OF STRONG ACTION BY THE CONGRESS TO STEM THE TIDE OF THE OPIATE SCOURGE. WE NOT MORE THAN LEGISLATION ON THE PERFECT RIFF RALS. WE MUST DIRECT RESOURCES TO THE STATES AND LOCAL COMMUNITIES ON THE FRONTLINES OF THIS DEVASTATING PUBLIC HEALTH RESOURCES TO THE STATES AND LOCAL COMMUNITIES ON THE FRONTLINES OF THIS DEVASTATING PUBLIC HEALTH CRISIS, WHERE ASSISTANCE IS NEEDED THE MOST. MR. SPEAKER, I WANT TO ASK MY COLLEAGUES TO DEFEAT THE PREVIOUS QUESTION. IF WE DO, I WILL OFFER AN AMENDMENT TO BRING UP REPRESENTATIVE LOEBSACK'S LEGISLATION, H.R. 4501RKS THE COMBATING OPIATE EPIDEMIC ACT THIS. BILL 4501RKS THE COMBATING OPIATE EPIDEMIC ACT THIS. BILL WOULD PROVIDE FUNDING FOR STATE GRANTS FOR THE PREVENTION, DETECTION, SURVEILLANCE AND TREATMENT OF OPIATE ABUSE. MR. SPEAKER, I ASK UNANIMOUS CONSENT TO INSERT THE TEXT OF MY AMENDMENT IN THE RECORD ALONG WITH EXTRANEOUS MATERIAL IMMEDIATELY PRIOR TO THE VOTE ON THE PREVIOUS QUESTION. I RESERVE MY TIME.

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                                • 11:03:07 AM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION, THE GENTLEMAN RESERVES. THE GENTLEMAN FROM TEXAS IS…

                                  WITHOUT OBJECTION, THE GENTLEMAN RESERVES. THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

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                                • 11:03:11 AM

                                  MR. BURR GUESS

                                  I RESERVE AT THIS TIME.

                                • 11:03:12 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN RESERVES. GENTLEMAN FROM MASSACHUSETTS IS RECOGNIZED.

                                • 11:03:15 AM

                                  MR. MCGOVERN

                                  I WOULD LIKE TO NOW YIELD THREE MINUTES TO THE GENTLEMAN FROM CALIFORNIA,…

                                  I WOULD LIKE TO NOW YIELD THREE MINUTES TO THE GENTLEMAN FROM CALIFORNIA, MR. RUIZ.

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                                • 11:03:18 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM CALIFORNIA IS RECOGNIZED FOR THREE MINUTES.

                                • 11:03:21 AM

                                  MR. RUIZ

                                  AS AN EMERGENCY MEDICINE PHYSICIAN, I KNOW FIRSTHAND WHAT THIS DEVASTATING…

                                  AS AN EMERGENCY MEDICINE PHYSICIAN, I KNOW FIRSTHAND WHAT THIS DEVASTATING OPIOID CRISIS DOES TO FAMILIES. TO INDIVIDUALS, TO CHILDREN, TO PARENTS. I HAVE TAKEN CARE OF MANY WHO HAVE COME IN OVERDOSED, BLUE IN THE FACE, NOT BREATHING. MANY WHICH I HAVE RESUSCITATED SUCCESSFULLY. AND A FEW TRAGIC LOSSES ALONG THE WAY. I KNOW THAT MANY OF THEM RELY ON BEING ABLE TO GET THE TREATMENT WHENEVER WE'RE ABLE TO CONVINCE THEM TO GET TREATMENT. BUT ONE OF THE BIGGEST CONCERNS THAT THEY HAVE IS, HOW MUCH IS THIS GOING TO COST? MANY OF THEM RELY ON MEDICAID TO BE ABLE TO TAKE ADVANTAGE OF SOME OF THE REHABILITATION AND MEDICATION ASSISTED TREATMENTS THAT ARE OFFERED TO THEM. BUT UNFORTUNATELY, MANY OF THEM BEING UNINSURED ARE UNABLE TO DO SO. SO THEN THEY REPEAT THE CYCLE OF ABUSE AND MISUSE. UNFORTUNATELY, AGAIN, THEY PRESENT THEMSELVES OVERDOSED IN THE EMERGENCY DEPARTMENT. I HAVE AN ARTICLE HERE THAT WOULD SHED LIGHT ON THE IMPORTANCE OF MEDICAID. I BRING MEDICAID UP BECAUSE I FEEL LIKE WE'RE TAKING A FEW GOOD STEPS FORWARD IN THIS OPIOID CRISIS, BUT WE'RE MISSING THE BIG PICTURE WHEN WE HAVE TO DEFEND MEDICAID OVER AN OVER AGAIN. UP TO 45% OF OPIOID ADDICTED PATIENTS RELY ON MEDICAID TO GET THEIR OPIOID REHAB OR MISUSE TREATMENTS TO GET BACK ON STEADY FOOTING. THERE IS AN ARTICLE HERE THAT I BROUGHT BY ALAN SHARP, ETH ALL, PUBLISHED IN THE -- ET. AL., PUBLISHED IN THE MAY 2018 JOURNAL OF PUBLIC HEALTH, ENTITLED THE IMPACT OF MEDICAID EXPANSION ON ACCESS TO OPIOID ANIMAL GEESICS, MEDICATION, AND MEDICATION ASSISTED TREATMENT. BY USING MEDICAID ENROLLMENT AND REIMBURSEMENT DATE FROM FROM 2011 TO 2016 IN ALL STATES, THEY FOUND THE F.D.A. APPROVED MEDICATION USE IN TREATING OPIOID USE DISORDERS BY USING TWO STATISTICAL MODELS. I WON'T BORE YOU WITH WHICH ONES THEY USED. THEY FOUND THAT ALTHOUGH OPIOID PRESCRIBING PER MEDICAID ENROLLEE INCREASED OVERALL, THEY OBSERVED NO DIFFERENCE BETWEEN EXPANSION AND NONEXPANSION STATES. THESE ARE STATES THAT EXPANDED MEDICAID. BY CONTRAST, PER ENROLLEE RATES OTHER DRUGS PRESCRIBED INCREASED MORE THAN 200% AFTER STATES EXPANDED ELIGIBILITY, MEANING THAT STATES THAT EXPANDED MEDICAID INCREASED MEDICATION ASSISTED TREATMENTS FOR OPIOID MISUSE DISORDERS BY 200%. THAT MEANS IT WORKS. WHEN PEOPLE GET MEDICAID THEY USE THEIR MEDICAID INSURANCE TO HELP GET OFF OF THEIR DEPENDENCY ON OPIOIDS. IN THE STATES THAT DID NOT EXPAND MEDICAID, ONLY LESS THAN 50% EXPANSION OF THE USE -- CAN YOU GIVE ME TWO MORE MINUTES.

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                                • 11:06:32 AM

                                  MR. MCGOVERN

                                  YIELD AN ACONTIGUOUSAL TWO MINUTES.

                                • 11:06:34 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN IS RECOGNIZED FOR TWO MINUTES.

                                • 11:06:36 AM

                                  MR. RUIZ

                                  THE STATES THAT DIDN'T EXPAND THEIR MEDICAID ENROLLMENT, YOU SAW THAT…

                                  THE STATES THAT DIDN'T EXPAND THEIR MEDICAID ENROLLMENT, YOU SAW THAT THERE CONTINUED TO BE A DISPARATE -- DISPARITY OF PATIENTS BETWEEN THOSE STATES AND PATIENTS THAT EXPANDED THEIR MEDICAID IN THEIR -- AND THEIR ABILITY TO SEEK TREATMENT. WHEN WE ATTEMPT TO CUT MEDICAID IN ORDER TO PAY FOR THE TAX BREAKS WE TREATMENT. GAVE MILLIONAIRES AND BILLIONAIRES, WHEN WE CONTINUE DOWN THAT TERRIBLE PATH, I SHOULD SAY GOVERNMENT CONTINUES DOWN THAT TERRIBLE PATH TO REPEAL THE MEDICAID EXPANSION, WHICH WE MUST PROTECT, THEN WE'RE HURTING PATIENTS. WE'RE NOT PROVIDING THEM THE TOOLS THAT THEY NEED TO GET ACCESS TO TREATMENT. THE OTHER BIG PICTURE HERE IS THAT MENTAL HEALTH AND EMERGENCY CARE PAYMENTS ARE PART OF THE ESSENTIAL HEALTH BENEFITS. AND WE HAVE JUST COME -- WE JUST PASSED EXPERIENCES WHERE WEIGH HAD TO DEFEND KEEPING THESE ESSENTIAL HEALTH BENEFITS WITHIN THE AFFORDABLE HEALTH CARE ACT. FROM BEING REPEALED. WE KNOW THAT THOSE PATIENTS THAT GO TO THE EMERGENCY DEPARTMENT THAT ARE SUFFERING FROM OVERDOSE OR SEVERE SIDE EFFECTS FROM MISUSE OF THE OPIOID MEDICATION, THEY WON'T BE COVERED IF WE REPEAL THOSE ESSENTIAL HEALTH BENEFITS. FINALLY, HAVING AN ADDICTION IS A CHRONIC CONDITION. IT'S A MENTAL HEALTH DISORDER WITH ADDICTION CHARACTERISTICS. THIS CAN BE CONSIDERED A PRE-EXISTING ILLNESS. WE HAVE STATES THAT ARE TRYING TO REPEAL THIS THROUGH LITIGATION. WHEN THE GOVERNMENT DECIDES NOT TO DEFEND THOSE PROTECTIONS FOR PEOPLE WITH PRE-EXISTING WE HAVE STATES THAT ILLNESSES, THEY BASICALLY AGREE WITH THOSE THAT WANT TO REPEAL IT AND ALLOW -- FACILITATE THE CASE TO REPEAL THOSE PROTECTIONS FOR PRE-EXISTING ILLNESSES. IF THAT HAPPENS, AND IF THEY ARE SUCCESSFUL IN DOING SO, THAT MEANS THAT INSURANCE COMPANIES CAN DENY THOSE THAT ARE ADDICTED TO OPIOIDS, THE INSURANCE COMPANIES. I JUST WANT TO KEEP THE BIG PICTURE IN MIND AS WE GO FORWARD. THAT TAKING TWO STEPS FORWARD DOESN'T JUSTIFY TAKING 10 STEPS BACKWARD. I YIELD BACK THE BALANCE OF MY TIME.

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                                • 11:09:02 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN'S TIME HAS EXPIRED. THE GENTLEMAN FROM MASSACHUSETTS…

                                  THE GENTLEMAN'S TIME HAS EXPIRED. THE GENTLEMAN FROM MASSACHUSETTS RESERVES. THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

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                                • 11:09:09 AM

                                  MR. BURGESS

                                  YIELD MYSELF TWO MINUTES. MR. SPEAKER, THE GOOD NEWS IS THAT ALL FORMS OF…

                                  YIELD MYSELF TWO MINUTES. MR. SPEAKER, THE GOOD NEWS IS THAT ALL FORMS OF MEDICATED ASSISTED TREATMENT ARE REQUIRED FOR FIVE YEARS UNDER H.R. 6. SO I LOOK FORWARD TO THE GENTLEMAN'S SUPPORT WHEN WE GET TO THE VOTE. I RESERVE MY TIME.

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                                • 11:09:24 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN RESERVES. GENTLEMAN FROM MASSACHUSETTS IS RECOGNIZED.

                                • 11:09:27 AM

                                  MR. MCGOVERN

                                  CAN I INQUIRE OF THE GENTLEMAN FROM TEXAS HOW MANY MORE SPEAKERS HE HAS.

                                • 11:09:33 AM

                                  MR. BURGESS

                                  I SEEM TO BE FRESH OUT.

                                • 11:09:42 AM

                                  MR. MCGOVERN

                                  MR. SPEAKER, I YIELD MYSELF THE REMAINING TIME.

                                • 11:09:44 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN IS RECOGNIZED.

                                • 11:09:46 AM

                                  MR. MCGOVERN

                                  TODAY WE'RE ON THE FLOOR DISCUSSING THE OPIATE MCGOVERN: MR. SPEAKER, I AN…

                                  TODAY WE'RE ON THE FLOOR DISCUSSING THE OPIATE MCGOVERN: MR. SPEAKER, I AN EPIDEMIC PLAGUING CRISIS. THIS IS EVERY COMMUNITY IN THE COUNTRY. IT'S KILLING 115 PEOPLE EVERY SINGLE DAY. IT IS HEARTBREAKING AND, QUITE FRANKLY, I AM ASHAMED IT IS TAKING CONGRESS SO LONG TO ACT. BUT I WOULD AGAIN POINT OUT THAT ANYTHING WE DO IN THE NEXT FEW DAYS AND ANYTHING WE HAVE DONE GETS ERASED IF THE REPUBLICANS SUCCEED IN CUTTING MEDICAID AND IF THE PRESIDENT SUCCEEDS IN BASICALLY ELIMINATING PROTECTIONS FOR PEOPLE WITH PRE-EXISTING CONDITIONS. MR. SPEAKER, I THINK IT'S ALSO IMPORTANT THAT PEOPLE KNOW THERE IS A LOT OF STUFF GOING ON THIS WEEK. AND WE'RE ALSO WAITING WORD FROM THE HOUSE REPUBLICANS WHEN THE RULES COMMITTEE WILL HAVE AN EMERGENCY MEETING, I GUESS, TODAY, ON TWO IMMIGRATION BILLS THAT WERE POSTED AFTER 9:00 P.M. LAST NIGHT. THESE BILLS WERE DRAFTED WITHOUT ANY DEMOCRATIC INPUT. AND FROM WHAT WE WITH CAN TELL, THEY ARE DANGEROUS AND CERTAINLY NOT A COMPREHENSIVE SOLUTION TO IMMIGRATION REFORM. THEY HARM CHILDREN AND THEY LEAVE BEING DREAMERS BEHIND. THIS IS NOT WHAT OUR CONSTITUENTS WANT US TO DO. THEY WANT THE PRESIDENT TO DO WHAT HE COULD EASILY DO AND STOP SEPARATING CHILDREN FROM THEIR PARENTS. THE PRESIDENT SAYS THAT HE WANTS DEMOCRATS TO COME TO THE TABLE, BUT WE NEVER GET INVITED TO ANYTHING. I TRIED TO GO AND SEE THE PRESIDENT YESTERDAY WHEN THE REPUBLICANS WERE MEETING WITH HIM, BUT I WAS NOT ALLOWED TO GO INTO THE ROOM. I TRIED TO SHOUT AT THE PRESIDENT AS HE WAS WALKING BY, BUT HE WAS QUICKLY ESCORTED BY. I WANTED TO SHOW PIM I -- SHOW HIM THE PICTURES OF THE CHILDREN ON THE BORDER OF THE CHILDREN BEING TAKEN ESCORTED BY. I AWAY FROM THEIR PARENTS. THE PRESIDENT CONTINUES TO SPREAD MISTRUTHS ABOUT IMMIGRATION AND PRACTICALLY EVERY OTHER ISSUE THAT IS BEFORE THIS CONGRESS AND NATION. AND IT SEEMS JUST TO BE GETTING WORSE. THERE ARE SUCH THINGS AS FACTS. THERE ARE SUCH THINGS AS TRUTHS. YESTERDAY "THE WASHINGTON POST" P PUBLISHED AN ARTICLE TITLED, PRESIDENT TRUMP SEEMS TO BE SAYING MORE AND MORE THINGS THAT AREN'T TRUE. WELL, I'D LIKE TO TAKE A FEW MINUTES TO READ THIS ARTICLE BECAUSE THESE ARPT MY WORDS, MR. SPEAKER, THEY ARE THE WORDS OF THE "WASHINGTON POST," I'D LIKE TO TAKE A FEW SPECIFICALLY ASHLEY PARKER, WHO WROTE THE PIECE. IF THE PRESIDENT IS WATCHING I THINK IT'S HELPFUL FOR ME TO READ BECAUSE I KNOW HE DOESN'T READ SO MAYBE HE CAN HEAR THIS. HE'S DONE IT ON TWITTER, HE'S DONE IT IN THE WHITE HOUSE DRIVEWAY, AND HE'S DONE IT IN A SPEECH TO A BUSINESS GROUP. PRESIDENT TRUMP, A MAN ALREADY KNOWN FOR TRAFFICKING IN MISTRUTHS AND OUTRIGHT LIES, HAS BEEN OUTDOING HIMSELF WITH FALSEHOODS IN RECENT DAYS REPEATING AND AMPLIFYING BOGUS CLAIMS ON SEVERAL OF THE PRESIDENT TRUMP, A MAN ALREADY PRESSING CONTROVERSIES FACING HIS PRESIDENCY. SINCE PRESSING CONTROVERSIES FACING HIS PRESIDENCY. SINCE SATURDAY, TRUMP HAS TREATED FALSE OR MISLEADING INFORMATION AT LEAST SEVEN TIMES OWN THE TOPIC -- ON WING, INDULGES IN FREQUENT TWITTER SCREAMS. IN JUNE, TRUMP HAS BEEN TWEETING AT THE FASTEST RATE OF HIS PRESIDENCY. SO FAR AN AVERAGE OF INDULGES 11.3 MESSAGES PER DAY. INSIDE THE WHITE HOUSE, AIDES AND ADVISORS SAY THEY BELIEVE THE MEDIA IS UNWILLING TO GIVE TRUMP A FAIR TRUMP A FAIR SHOT AND IS KNEE-JERK READY TO ACCUSE HIM OF LYING, EVEN IN CASES WHERE THE FACTS SUPPORT HIS POINT. THE PRESIDENT OFTEN SEEKS TO PAINT A SELF-I SERVING AND SELF-AFFIRMING ALTERNATE REALITY FOR HIMSELF AND SUPPORTERS. DISPARAGING THE FAKE NEWS MEDIA, TRUMP OFFERS HIS OWN FILTER WHICH TO VIEW THE WORLD, OFFERING A COMPETING REALITY ON ISSUES, INCLUDING RELATIONSHIPS FORGED OR BROKEN AT THE GROUP OF SEVEN SUMMIT IN CANADA. THE SUCCESS OF THE SINGAPORE SUMMIT WITH THE NORTH KOREANS, AND HIS ADMINISTRATION'S ZERO TOLERANCE POLICY ON ILLEGAL IMMIGRATION. IT'S EXTRAORDINARY HOW HE HAS COMPLETELY INDIFFERENT TO THE TRUTH. THERE IS JUST NO RELATIONSHIP BETWEEN HIS STATEMENTS. ANYTHING HE UTTERS AND THE ACTUAL TRUTH OF THE MATTER, SAID THOMAS RUSH HOURRY, PRESIDENT EMERITUS OF THE HASTINGS CENTER, THE FOUNDING INSTITUTION IN THE FIELD OF BIOETHICS. AS FAR AS I CAN TELL, THE BEST WAY TO UNDERSTAND ANYTHING HE SAYS IS WHAT WILL BEST SERVE HIS INTERESTS BEST WAY TO UNDERSTAND ANYTHING HE SAYS IS WHAT WILL BEST SERVE HIS INTERESTS THE IN THE MOMENT. IT'S IRRESPECTIVE TO ANY VERSION OF THE TRUTH. ACCORDING TO AN AN NA -- AN ANALYSIS BY THE POST FACT CHECKER, TRUMP HAS MADE 3,251 FALSE FOR MISLEADING CLAIMS IN 479 DAYS. AN AVERAGE OF 6.5 SUCH CLAIMS PER DAY OF HIS PRESIDENCY. WITHIN THE PAST WEEK, TRUMP SEEMS TO HAVE RAMPED UP BOTH THE VOLUME AND THE INTENSITIES OF HIS FALSE STATEMENTS ON THE TWO MOST PROMINENT TOPICS CURRENTLY FACING HIS ADMINISTRATION. THE HARDLINE IMMIGRATION POLICY THAT HAS LED TO THE SEPARATION OF THOUSANDS OF CHILDREN FROM THEIR PARENTS, WHICH TRUMP ERRONEOUSLY BLAMES ON OTHERS, AND THE 500-PAGE INSPECTSOR GENERAL REPORT HE CLAIMS INCORRECTLY EXONERATES HIM AND SPECIAL COUNSEL ROBERT S. MUELLER'S PROBE OF THE RUSSIAN INTERFERENCE IN THE 2016 ELECTION. A PSYCHOLOGY RESEARCHER AT THE UNIVERSITY OF CALIFORNIA AT SANTA BARBARA SAID, TRUMP'S USE OF REPETITION IS A PARTICULARLY EFFECTIVE TECHNIQUE FOR CONVINCING HIS SUPPORTERS OF THE VERASITY OF HIS FALSE CLAIMS. IN PART BECAUSE MOST PEOPLE HAVE A TRUTH BIAS OR INITIAL INCLINATION TO ACCEPT WHAT OTHERS SAY AS TRUE. QUOTE, WHEN LIARS REPEAT THE SAME LIE OVER AND OVER AGAIN, THEY CAN GET EVEN MORE OF AN ADVANTAGE, AT LEAST AMONG THOSE WHO WANT TO BELIEVE THEM OR ARE NOT AT -- OR NOT ALL THAT MOTIVATED EITHER WAY. SAID IN AN EMAIL. . WHEN PEOPLE WANT TO BELIEVE THOSE LIES, A KIND OF NEW REALITY CAN BE CREATED. WHAT THEY HEARD STARTS TO SEEM LIKE IT'S JUST OBVIOUS AND NOT SOMETHING THAT NEEDS TO BE QUESTIONED. ON IMMIGRATION, TRUMP AND MANY TOP ADMINISTRATION OFFICIALS HAVE SAID THAT EXISTING U.S. LAWS AND COURT RULINGS HAVE GIVEN THEM NO CHOICE BUT TO SEPARATE FAMILIES TRYING TO CROSS ILLEGALLY INTO THE UNITED STATES, BUT IT'S ADMINISTRATION'S DECISION ANNOUNCED IN APRIL TO PROSECUTE ALL SOUTHERN BORDER CROSSINGS THAT HAS LED TO THE SEPARATION OF FAMILIES. NOW, THAT HASN'T STOPPED THE PRESIDENT FROM BLAMING DEMOCRATS FOR HIS ADMINISTRATION'S DECISIONS. QUOTE, DEMOCRATS ARE THE PROBLEM, TRUMP WROTE IN ONE TWEET. IN ANOTHER HE WAS MORE BLUNT. QUOTE, THE DEMOCRATS ARE FORCING THE BREAKUP OF FAMILIES AT THE BORDER WITH THEIR HORRIBLE AND CRUEL LEGISLATIVE AGENDA. NOW, MR. SPEAKER, LET ME DIVERT A LITTLE BIT HERE. THE TRUTH IS THE PRESIDENT CAUSED THIS CRISIS AND IT'S NOT JUST ME SAYING IT AND "THE WASHINGTON POST" IS SAYING. LOOK AT WHAT SOME OF THE REPUBLICANS SAID. LINDSEY GRAHAM SAID, PRESIDENT TRUMP COULD STOP THIS POLICY WITH A PHONE CALL. IF YOU DON'T LIKE FAMILIES BEING SEPARATED, YOU CAN CALL D.H.S. STOP DOING IT. SENATOR JOHN MCCAIN, THE ADMINISTRATION'S CURRENT FAMILY SEPARATION POLICIES IS AN AFFRONT TO DECENCY OF THE AMERICAN PEOPLE AND CONTRARY TO THE PRINCIPLES AND VALUES WHICH OUR NATION WAS FOUNDED. THE ADMINISTRATION HAS THE POWER TO RESCIND THIS POLICY. IT SHOULD DO SO NOW. SENATOR SUSAN COLLINS, FORMER FIRST LADY LAURA, I -- LAURA BUSH, I CAN GO ON AND ON. THEY ALL AGREE THE PRESIDENT IS NOT TELLING THE TRUTH. LET ME GO BACK TO THE ARTICLE. WHILE CONGRESS COULD PASS A LEGISLATIVE FIX, REPUBLICANS CONTROL BOTH THE HOUSE AND THE SENATE, MAKING IT DISINGENUOUS TO FINGER THE OPPOSING PARTY, AS THE PRESIDENT HAS REPEATEDLY DONE. NOW, SPEAKING TO THE NATIONAL FEDERATION OF INDEPENDENT BUSINESS ON TUESDAY, TRUMP, AGAIN, FALSELY PAINTED THE HUMANITARIAN CRISIS IN A BINARY CHOICE. WE CAN EITHER RELEASE ALL ILLEGAL IMMIGRANT MINERS AND FAMILIES WHO SHOW UP AT THE BORDER FROM CENTRAL AMERICA OR ARREST THE CRIME OF ILLEGALLY ENTRY, HE SAID. THOSE ARE THE TWO OPTIONS. ON TWITTER THE PRESIDENT TWICE IN THE PAST FOUR DAYS SINGLED OUT GERMANY FACING AN INCREASE IN CRIME. HE SAID CRIME IN GERMANY IS UP 10%. OFFICIALS DON'T WANT TO REPORT THESE CRIMES SINCE MIGE RANTS WERE ACCEPTED, -- MY GRANTS WERE ACCEPTED, TRUMP WROTE. HE SAID BE SMART, AMERICA, HE TWEET. CRIME IN GERMANY WAS DOWN 10% LAST YEAR. ACCORDING TO GERMAN INTERIOR MINISTER, THE COUNTRY'S REPORTED CRIME RATE LAST YEAR WAS ACTUALLY AT THE LOWEST POINT IN THREE DECADES. THE PRESIDENT HAS ALSO FALSELY CLAIMED THAT THE INSPECTOR GENERAL REPORT EXONERATED HIM FROM MUELLER'S PROBE. WHEN THE REPORT DID NOT DELVE INTO THE RUSSIA INVESTIGATION AT ALL. WHEN HE MADE THE ARGUMENT FRIDAY IN AN IMPROMPTU PRESS REPORT, WHY ARE YOU LYING ABOUT IT, SIR? WELL, TRUMP'S MESSAGING ON THE -- THE BOTTOM LINE, MR. SPEAKER, IS WE HAVE A --

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                                • 11:18:57 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN'S TIME HAS EXPIRED.

                                • 11:18:59 AM

                                  MR. MCGOVERN

                                  WE HAVE A PRESIDENT THAT HAS A PROBLEM WITH THE TRUTH. CONGRESS NEEDS TO…

                                  WE HAVE A PRESIDENT THAT HAS A PROBLEM WITH THE TRUTH. CONGRESS NEEDS TO STAND UP AND DO THE RIGHT THING. WE NEED TO SPEAK THE TRUTH. WE NEED TO EMBRACE THE TRUTH AND WE NEED TO SOME OF THE ISSUES THAT ARE OBEFORE THE AMERICAN PEOPLE. -- THAT ARE BEFORE THE AMERICAN PEOPLE.

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                                • 11:19:12 AM

                                  THE SPEAKER PRO TEMPORE

                                  PEOPLE.

                                • 11:19:13 AM

                                  TEMPORE

                                  FRANEFRANE -- MEMBERS ARE REMINDED TO REFRAIN FROM ENGAGING IN…

                                  FRANEFRANE -- MEMBERS ARE REMINDED TO REFRAIN FROM ENGAGING IN PERSONALITIES TOWARDS THE PRESIDENT. THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

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                                • 11:19:20 AM

                                  MR. BURGESS

                                  THANK YOU, MR. SPEAKER. LET ME YIELD MYSELF THE BALANCE OF OUR TIME. I…

                                  THANK YOU, MR. SPEAKER. LET ME YIELD MYSELF THE BALANCE OF OUR TIME. I GUESS I DON'T NEED TO REMIND ANYONE THAT THE LIE OF THE YEAR FOR 2012, IF YOU LIKE YOUR DOCTOR YOU CAN KEEP YOUR DOCTORS, WORDS THAT WILL RING THROUGH THIS BODY PROBABLY FOR THE REST OF TIME. MR. SPEAKER, I WANT TO READ FROM THE STATEMENT OF ADMINISTRATION POLICY BACK -- BACK TO THE BUSINESS AT ALL. THE RULE ON THE THREE BILLS WE ARE CONSIDERING TODAY. THIS IS A STATEMENT OF ADMINISTRATION POLICY ADDRESSING THE OPIOID CRISIS HAS BEEN A TOP PRIORITY OF THE PRESIDENT SINCE DAY ONE. AND THE ADMINISTRATION WELCOMES LEGISLATION THAT COMPLEMENTS ITS EFFORTS TO END THE OPIOID CRISIS. THE ADMINISTRATION STRONGLY SUPPORTS HOUSE PASSAGE OF BIPARTISAN BILLS TO PROTECT PATIENTS ENROLLED IN MEDICARE AND MEDICAID, CREATE TARGETED PROGRAMS FOR AT-RISK POPULATIONS, EXPAND ACCESS TO MEDICATION-ASSISTED TREATMENT FOR OPIOID USE DISORDERS, AND TO PROVIDE RESOURCES FOR STATES AND COMMUNITIES STRUGGLING TO DEAL WITH THE SCALE OF THE OPENIATE CRISIS. THE STATEMENT -- OPIATE CRISIS. THE STATEMENT SAYS THIS REPRESENTS ARE BOLD STEPS TO TREAT AND PREVENT OPIOID ABUSE AND WILL SAVE COUNTLESS AMERICANS. THE ADMINISTRATION COMMENDS THE HOUSE ON TAKING UP THESE IMPORTANT BILLS. THE ADMINISTRATION SUPPORTS HOUSE PASSAGE OF H.R. 5797, H.R. 6082, AND H.R. 6. SO, MR. SPEAKER, TODAY'S RULE PROVIDES FOR THE CONSIDERATION OF THESE THREE IMPORTANT PIECES OF LEGISLATION AIMED AT ADDRESSING THE OPIOID CRISIS AFFECTING SO MANY OF OUR FELLOW AMERICANS. H.R. 6, THE SUBSTANCE USE DISORDER PREVENTION THAT PROMOTES OPIOID RECOVERY AND TREATMENT FOR PATIENTS AND COMMUNITIES ACT, H.R. 5797, THE INDIVIDUALS IN MEDICAL -- MEDICAID DESERVED CARE THAT'S APPROPRIATE, RESPONSIBLE IN ITS DELIVERY ACT. AND H.R. 6082, THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT WILL ALL PLAY A CRITICAL ROLE IN TREATING PATIENTS AND SPRIDING AMERICANS THE TOOLS TO PUT THE PIECES OF THEIR LIVES BACK TOGETHER AGAIN. I COMMEND CHAIRMAN WALDEN FOR HIS EFFORTS IN BRINGING SO MANY MEMBERS IN THIS BODY INTO THE DISCUSSION AND TAKING THE MANY IDEAS OFFERED BY MEMBERS INCORPORATING THEM INTO THE LEGISLATIVE PRODUCTS. THE RESULTS OF THOSE EFFORTS IS A LEGISLATIVE TRIO THAT THIS ENTIRE BODY CAN BE PROUD OF AND THIS ENTIRE BODY CAN SUPPORT. I THEREFORE, URGE MY COLLEAGUES TO SUPPORT TODAY'S RULE AND THE THREE UNDERLYING PIECES OF LEGISLATION. WITH THAT I YIELD BACK THE BALANCE OF MY TIME AND MOVE THE PREVIOUS QUESTION ON THE RESOLUTION.

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                                • 11:22:09 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE QUESTION IS ON ORDERING THE PREVIOUS QUESTION ON THE RESOLUTION. THOSE…

                                  THE QUESTION IS ON ORDERING THE PREVIOUS QUESTION ON THE RESOLUTION. THOSE IN FAVOR SAY AYE. THOSE OPPOSED, NO. IN THE OPINION OF THE CHAIR, THE AYES HAVE IT.

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                                • 11:22:19 AM

                                  MR. MCGOVERN

                                  MR. SPEAKER.

                                • 11:22:22 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM MASSACHUSETTS.

                                • 11:22:24 AM

                                  MR. MCGOVERN

                                  I REQUEST THE YEAS AND NAYS.

                                • 11:22:25 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE YEAS AND NAYS ARE REQUESTED. THOSE FAVORING A VOTE BY THE YEAS AND…

                                  THE YEAS AND NAYS ARE REQUESTED. THOSE FAVORING A VOTE BY THE YEAS AND NAYS WILL RISE. A SUFFICIENT NUMBER HAVING ARISEN, THE YEAS AND NAYS ARE ORDERED. PURSUANT TO CLAUSE 8 OF RULE 20, FURTHER PROCEEDINGS ON THIS QUESTION WILL BE POSTPONED.

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                                • 11:22:34 AM

                                  MR. BURGESS

                                  MR. SPEAKER, PURSUANT TO CLAUSE 4 OF RULE 16, I MOVE THAT WHEN THE HOUSE…

                                  MR. SPEAKER, PURSUANT TO CLAUSE 4 OF RULE 16, I MOVE THAT WHEN THE HOUSE ADJOURNS ON WEDNESDAY, JUNE 20, 2018, IT ADJOURN TO MEET AT 9:00 A.M. ON THURSDAY, JUNE 21, 2018, FOR MORNING HOUR DEBATE AND 10:00 A.M. FOR LEGISLATIVE BUSINESS.

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                                • 11:22:52 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE QUESTION IS ON THE MOTION TO FIX THE CONVENING TIME. THOSE IN FAVOR…

                                  THE QUESTION IS ON THE MOTION TO FIX THE CONVENING TIME. THOSE IN FAVOR SAY AYE. THOSE OPPOSED, NO. IN THE OPINION OF THE CHAIR, THE AYES HAVE IT. THE MOTION IS --

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                                • 11:23:00 AM

                                  MR. MCGOVERN

                                  MR. SPEAKER, I'D LIKE A RECORDED VOTE ON THAT, PLEASE.

                                • 11:23:04 AM

                                  THE SPEAKER PRO TEMPORE

                                  DOES THE GENTLEMAN ASK FOR THE YEAS AND NAYS?

                                • 11:23:06 AM

                                  MR. MCGOVERN

                                  I ASK FOR THE YEAS AND NAYS.

                                • 11:23:08 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE YEAS AND NAYS ARE REQUESTED. THOSE FAVORING A VOTE BY THE YEAS AND…

                                  THE YEAS AND NAYS ARE REQUESTED. THOSE FAVORING A VOTE BY THE YEAS AND NAYS WILL RISE. A SUFFICIENT NUMBER HAVING ARISEN, THE YEAS AND NAYS ARE ORDERED. MEMBERS WILL RECORD THEIR VOTES BY ELECTRONIC DEVICE. PURSUANT TO CLAUSE 8 OF RULE 20, THE 15-MINUTE VOTE ON THE MOTION TO FIX THE CONVENING TIME WILL BE FOLLOWED BY FIVE-MINUTE VOTES ON ORDERING THE PREVIOUS QUESTION ON HOUSE RESOLUTION 949 AND ADOPTING HOUSE RESOLUTION 949 IF ORDERED. THIS IS A 15-MINUTE VOTE. [CAPTIONING MADE POSSIBLE BY THE NATIONAL CAPTIONING INSTITUTE, INC., IN COOPERATION WITH THE UNITED STATES HOUSE OF REPRESENTATIVES. ANY USE OF THE CLOSED-CAPTIONED COVERAGE OF THE HOUSE PROCEEDINGS FOR POLITICAL OR COMMERCIAL PURPOSES IS EXPRESSLY PROHIBITED BY THE U.S. HOUSE OF REPRESENTATIVES.]

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                                • 11:50:52 AM

                                  THE SPEAKER PRO TEMPORE

                                  ON THIS VOTE THE YEAS ARE 222. THE NAYS ARE 184 WITH ONE RECORDED AS…

                                  ON THIS VOTE THE YEAS ARE 222. THE NAYS ARE 184 WITH ONE RECORDED AS PRESENT. THE MOTION ADOPTED. THE UNFINISHED BUSINESS IS THE VOTE ON ORDERING THE PREVIOUS QUESTION ON HOUSE RESOLUTION 949 ON WHICH THE YEAS AND NAYS ARE ORDERED. THE CLERK WILL REPORT THE TITLE OF THE RESOLUTION.

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                                • 11:51:15 AM

                                  THE CLERK

                                  HOUSE CALENDAR NUMBER 154, HOUSE RESOLUTION 949, RESOLUTION PROVIDING FOR…

                                  HOUSE CALENDAR NUMBER 154, HOUSE RESOLUTION 949, RESOLUTION PROVIDING FOR CONSIDERATION OF THE BILL H.R. 6, TO PROVIDE FOR OPIOID USE DISORDER PREVENTION, RECOVERY, AND TREATMENT, AND FOR OTHER PURPOSES. PROVIDING FOR CONSIDERATION OF THE BILL H.R. 5797, TO AMEND TITLE 19 OF THE SOCIAL SECURITY ACT TO ALLOW STATES TO PROVIDE UNDER MEDICAID SERVICES FOR CERTAIN INDIVIDUALS WITH OPIOID USE DISORDERS AND INSTITUTION FOR MENTAL DISEASES. AND PROVIDING FOR CONSIDERATION OF THE BILL H.R. 6082, TO AMEND THE PUBLIC HEALTH SERVICE ACT TO PROTECT THE CONFIDENTIALITY OF SUBSTANCE USE DISORDER PATIENT RECORDS.

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                                • 11:51:56 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE QUESTION IS ON ORDERING THE PREVIOUS QUESTION. MEMBERS WILL RECORD…

                                  THE QUESTION IS ON ORDERING THE PREVIOUS QUESTION. MEMBERS WILL RECORD THEIR VOTES BY ELECTRONIC DEVICE. THIS WILL BE A FIVE-MINUTE VOTE. [CAPTIONING MADE POSSIBLE BY THE NATIONAL CAPTIONING INSTITUTE, INC., IN COOPERATION WITH THE UNITED STATES HOUSE OF REPRESENTATIVES. ANY USE OF THE CLOSED-CAPTIONED COVERAGE OF THE HOUSE PROCEEDINGS FOR POLITICAL OR COMMERCIAL PURPOSES IS EXPRESSLY PROHIBITED BY THE U.S. HOUSE OF REPRESENTATIVES.]

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                                • 11:58:41 AM

                                  THE SPEAKER PRO TEMPORE

                                  ON THIS VOTE THE YEAS ARE 2 IN 21. THE NAYS ARE -- 221. THE NAYS ARE 185.…

                                  ON THIS VOTE THE YEAS ARE 2 IN 21. THE NAYS ARE -- 221. THE NAYS ARE 185. THE PREVIOUS QUESTION IS ORDERED. THE QUESTION IS ON ADOPTION OF THE RESOLUTION. ALL THOSE IN FAVOR SAY AYE. ALL THOSE OPPOSED, NO. THE AYES HAVE IT.

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                                • 11:58:56 AM

                                  MR. MCGOVERN

                                  MR. SPEAKER.

                                • 11:58:58 AM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM MASSACHUSETTS.

                                • 11:59:00 AM

                                  MR. MCGOVERN

                                  I ASK FOR A RECORDED VOTE, PLEASE.

                                • 11:59:01 AM

                                  THE SPEAKER PRO TEMPORE

                                  A RECORDED VOTE IS REQUESTED. THOSE FAVORING A RECORDED VOTE WILL RISE. A…

                                  A RECORDED VOTE IS REQUESTED. THOSE FAVORING A RECORDED VOTE WILL RISE. A SUFFICIENT NUMBER HAVING ARISEN, A RECORDED VOTE IS ORDERED. MEMBERS WILL RECORD THEIR VOTES BY ELECTRONIC DEVICE. THIS IS A FIVE-MINUTE VOTE. [CAPTIONING MADE POSSIBLE BY THE NATIONAL CAPTIONING INSTITUTE, INC., IN COOPERATION WITH THE UNITED STATES HOUSE OF REPRESENTATIVES. ANY USE OF THE CLOSED-CAPTIONED COVERAGE OF THE HOUSE PROCEEDINGS FOR POLITICAL OR COMMERCIAL PURPOSES IS EXPRESSLY PROHIBITED BY THE U.S. HOUSE OF REPRESENTATIVES.]

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                                • 12:05:49 PM

                                  THE SPEAKER PRO TEMPORE

                                  ON THIS VOTE THE YEAS ARE 225. THE NAYS ARE 180. THE RESOLUTION IS…

                                  ON THIS VOTE THE YEAS ARE 225. THE NAYS ARE 180. THE RESOLUTION IS ADOPTED. WITHOUT OBJECTION THE MOTION TO RECONSIDER IS LAID UPON THE TABLE. PURSUANT TO CLAUSE 8 OF RULE 20, THE CHAIR WILL POSTPONE FURTHER PROCEEDINGS TODAY ON MOTIONS TO SUSPEND THE RULES ON WHICH A RECORDED VOTE OR THE YEAS AND NAYS ARE ORDERED OR VOTES OBJECTED UNDER CLAUSE SIX OF RULE 20. THE HOUSE WILL RESUME PROCEEDINGS ON POSTPONED QUESTIONS AT LATER TIME. OBJECTED UNDER THE HOUSE WILL BE IN ORDER. THE HOUSE WILL BE IN ORDER. FREPS THE GENTLEMAN FROM MICHIGAN SEEK RECOGNITION.

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                                • 12:07:29 PM

                                  >>

                                  MR. SPEAKER, I MOVE TO SUSPEND THE RULES AND PASS THE BILL H.R. 5928, AS…

                                  MR. SPEAKER, I MOVE TO SUSPEND THE RULES AND PASS THE BILL H.R. 5928, AS AMENDED. 5925 AS AMENDED.

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                                • 12:07:40 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE CLERK WILL REPORT THE TITLE OF THE BILL.

                                • 12:07:43 PM

                                  THE CLERK

                                  H.R. 5925, A BILL TO CODIFY PROVISIONS RELATING TO THE OFFICE OF NATIONAL…

                                  H.R. 5925, A BILL TO CODIFY PROVISIONS RELATING TO THE OFFICE OF NATIONAL DRUG CONTROL, AND FOR OTHER PURPOSES.

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                                • 12:07:51 PM

                                  THE SPEAKER PRO TEMPORE

                                  PURSUANT TO THE RULE, THE GENTLEMAN FROM MICHIGAN, MR. MITCHELL, AND THE…

                                  PURSUANT TO THE RULE, THE GENTLEMAN FROM MICHIGAN, MR. MITCHELL, AND THE GENTLEMAN FROM MARYLAND, MR. CUMMINGS, EACH WILL CONTROL 20 MINUTES OF THE THE CHAIR RECOGNIZES THE GENTLEMAN FROM MICHIGAN.

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                                • 12:08:00 PM

                                  MR. MITCHELL

                                  MR. SPEAKER, I ASK --

                                • 12:08:03 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN WILL SUSPEND. THE HOUSE WILL BE IN ORDER. THE HOUSE WILL BE…

                                  THE GENTLEMAN WILL SUSPEND. THE HOUSE WILL BE IN ORDER. THE HOUSE WILL BE IN ORDER. PLEASE TAKE YOUR CONVERSATIONS OFF THE FLOOR, MEMBERS. THE GENTLEMAN MAY CONTINUE.

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                                • 12:08:26 PM

                                  MR. MITCHELL

                                  MR. SPEAKER, I ASK UNANIMOUS CONSENT THAT ALL MEMBERS MAY HAVE FIVE…

                                  MR. SPEAKER, I ASK UNANIMOUS CONSENT THAT ALL MEMBERS MAY HAVE FIVE LEGISLATIVE DAYS TO REVISE AND EXTEND THEIR REMARKS AND INCLUDE EXTRANEOUS MATERIAL ON THE BILL UNDER CONSIDERATION.

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                                • 12:08:35 PM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION.

                                • 12:08:38 PM

                                  MR. MITCHELL

                                  MR. SPEAKER, I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

                                • 12:08:41 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN VIRGINIA TECH.

                                • 12:08:43 PM

                                  MR. MITCHELL

                                  I RISE TODAY IN SUPPORT OF H.R. 5925, INTRODUCED BY THE GENTLEMAN FROM…

                                  I RISE TODAY IN SUPPORT OF H.R. 5925, INTRODUCED BY THE GENTLEMAN FROM SOUTH CAROLINA, CHAIRMAN GOWDY. THE COORDINATED RESPONSE TO INTERAGENCY STRATEGY AND INFORMATION SHARING, OR CRISIS ACT, IS A BILL TO RE-AUTHORIZE THE OFFICE OF NATIONAL DRUG CONTROL THIS. RELATIVELY SMALL OFFICE PLAYS AN IMPORTANT ROLE IN COORDINATING THE NATION'S DRUG CONTROL EFFORTS. THE OFFICE HAS BECOME INCREASINGLY IMPORTANT AS WE LOOK TO ENGAGE GOVERNMENTWIDE INITIATIVES TO COMBAT THE OPIOID EPIDEMIC. OVER THE PAST TWO WEEKS, WE PASSED MANY GOOD BILLS TO HELP COMBAT THE OPIOID EPIDEMIC. EACH OF THEM WILL MOVE US CLOSER TO ENDING THE OPIOID CRY SIFMENTS THIS BILL IS A CRITICAL PIECE OF THE PUZZLE. IT ENSURES FEDERAL, STATE, AND LOCAL GOVERNMENTS WORK WITH EACH OTHER AND OTHER NONGOVERNMENTAL ENTITIES TO ACHIEVE THE RESULTS WE'RE SEEKING. CONGRESS NEEDS TO PROVIDE THE OFFICE OF NATIONAL DRUG CONTROL THE AUTHORITIES IT NEEDS TO LEAD THE EFFORT TO COMBAT THE OPIOID CRISIS. THE CRISIS ACT DOES JUST THAT. THE CRISIS ACT UPDATES AND REAFFIRMS THE OFFICE'S IMPORTANT ROLE, THAT INCLUDES STRENGTHENING CERTAIN AUTHORITIES TO OPIOID CRISIS. EMPOWER THE OFFICE IN THE MIDST OF THIS DEVASTATING EPIDEMIC. THE OPIOID EPIDEMIC HAS IMPACTED NEARLY EVERY COMMUNITY ACROSS THE NATION. IN MY DISTRICT, ONE PERSON DIES ABOUT EVERY FOUR HOURS FOR AN OPIOID OVERDOSE. ONE OF THE MOST IMPORTANT ASPECTS OF THIS BILL IS THE COMPREHENSIVE RESPONSE PLAN, NOT ENOUGH IT PLI HAVE A PLAN, WE NEED ACTION TO FOLLOW THROUGH AND END THE EPYOID CRISIS. THE ACT REQUIRES MEASURABLE OBJECTIVES SO WE KNOW WHETHER THE PROGRAMS ARE WORKING. ACCOUNTABILITY'S AT THE HEART OF THIS BILL. THE CRISIS ACT REQUIRES THE OFFICE OF NATIONAL DRUG CONTROL TO DEVELOP A NATIONAL STRATEGY TO BE CARRIED OUT BY A WIDE ARRAY OF AGENCIES. IT THEN REQUIRES THE OFFICE TO OVERSEE AND COORDINATE IMPLEMATION OF WIDE ARRAY OF THIS -- IMPLEMENTATION OF THAT STRATEGY EACH YEAR AND WHETHER THE AGENCIES ARE MEETING THE SPECIFIC GOALS THAT HAVE STRATEGY. OUR COLLEAGUES IN THE HOUSE AND SENATE ARE ADVANCING A NUMBER OF BILLS TO ADDRESS THE OPIOID EPIDEMIC AND NEW INITIATIVES ARE BEING ANNOUNCED DAILY. I OFFERED AN AMENDMENT IN COMMITTEE MARKUP WITH THE SUPPORT OF CONGRESSMAN RASKIN WHICH BRINGS THE REQUIREMENTS FROM THE COLD RED ACT SPONSORED BY THE GENTLEMAN FROM PENNSYLVANIA, MR. ROTHFUS. THE CODE RED ACT AND AMENDMENT REQUIRE A COORDINATED TRACKING STRATEGY SYSTEM OF FEDERAL FUNDING BEING PUT TOWARD DRUG CONTROL EFFORTS THROUGHOUT THE COUNTRY. THIS SYSTEM INCLUDES A REPOSITORY OF GRANTS RELATED TO SUBSTANCE ABUSE TREATMENT, SPREENGS, AND ENFORCEMENT, AND IDENTIFY THOSE THAT ARE DUPLICATIVE. THE GOVERNMENT NEEDS TO KNOW EXACTLY WHAT BY THE GENTLEMAN FROM PENNSYLVANIA, MR. ROTHFUS. THE CODE RED ACT AND AMENDMENT REQUIRE A IT'S SPENDING, WHERE IT'S GOING, AND IF IT'S WORKING. THIS IS NOT THE TIME TO INVEST IN EFFECTIVE STRATEGIES, WE NEED TO IDENTIFY RESOURCE THAT IS WORK AND APPLY FEDERAL RESOURCES ACCORDINGLY. I WOULD LIKE TO THANK MY FELLOW COMMITTEE MEMBERS FOR ACCEPTING THE AMENDMENT. THE GENTLEMAN FROM MARYLAND, AND APPLY FEDERAL AND APPLY FEDERAL RESOURCES ACCORDINGLY. I WOULD LIKE TO THANK MY FELLOW COMMITTEE MEMBERS FOR ACCEPTING THE AMENDMENT. THE GENTLEMAN FROM MARYLAND, MR. RASKIN, FOR OFFERING IT WITH ME, AND MR. ROTHFUS FOR ALL THE WORK HE'S DONE IN FINDING AN EFFECTIVE APPROACH TO TACKLE THE OPIOID CRY SIFMENTS THERE ARE MANY BILLS AND PROPOSALS THAT SEEK TO ADDRESS THE OPIOID CRISIS, ONLY BE POSSIBLE WITH COMMITMENT TOWARDS A COORDINATED STRATEGY AND UNIFIED APPROACH. THIS BILL THROUGH THE RE-AUTHORIZATION OF THE NATIONAL DRUG CONTROL WILL PROVIDE THE COORDINATION, STRATEGY, AND UNIFIED APPROACH WE NEED. THIS IS AN IMPORTANT AND TIMELY BILL. I URGE MY COLLEAGUES TO SUPPORT IT. I RESERVE THE BALANCE OF MY TIME.

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                                • 12:12:04 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN RESERVES. THE GENTLEMAN FROM MARYLAND IS RECOGNIZED.

                                • 12:12:07 PM

                                  MR. CUMMINGS

                                  THANK YOU VERY MUCH, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY…

                                  THANK YOU VERY MUCH, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

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                                • 12:12:10 PM

                                  THE SPEAKER PRO TEMPORE

                                • 12:12:12 PM

                                  MR. COUPLE CANNINGS

                                  I WANT TO THANK CHAIRMAN GOWDY FOR HIS LEADERSHIP AND FOR WORKING TOGETHER…

                                  I WANT TO THANK CHAIRMAN GOWDY FOR HIS LEADERSHIP AND FOR WORKING TOGETHER TO CRAFT CANNINGS: I WANT TO THIS LEGISLATION. I THANK CHAIRMAN MEADOWS AND RANKING MEMBER CONNOLLY FOR HELPING US REACH THE COMPROMISES THAT MADE THIS LEGISLATION POSSIBLE. IN 1988, MR. SPEAKER, CONGRESS CREATED THE OFFICE OF NATIONAL DRUG CONTROL POLICY. THIS IS THE OFFICE THAT SHOULD BE COORDINATING OUR NATION'S DRUG CONTROL EFFORTS AND LEADING OUR RESPONSE TO THE DRUG CRISIS. WHICH IS NOW, BY THE WAY, KILLING 175 PEOPLE PER DAY. LET ME REPEAT THAT. KILLING 175 PEOPLE PER DAY. HOWEVER, ONDCP IS FAILING JUST WHEN WE NEED IT THE MOST. IN FACT, AN ARTICLE PUBLISHED THIS WEEK DESCRIBED THE OFFICE THIS WAY, AND I QUOTE, EMPTY DESKS, SQUABBLES, -- THE FAILURE IS GLARING. FOR EXAMPLE, THE OFFICE IS REQUIRED TO PRODUCE A NATIONAL DRUG CONTROL STRATEGY BY FEBRUARY 1 OF EACH YEAR. TWO FEBRUARY 1'S HAVE NOW COME AND TWO HAVE GONE. SINCE PRESIDENT TRUMP TWO FEBRUARY 1 TOOK OFFICE, THE TRUMP ADMINISTRATION STILL HAS NOT COME UP WITH A SOLUTION TO THIS MOST GLARING AND PAINFUL PROBLEM. THIS IS SIMPLY UNACCEPTABLE. LIFE EXPECTANCY IN THIS NATION IS FALLING BECAUSE WE'RE FAILING TO RESPOND APPROPRIATELY TO THIS DRUG CRISIS. WE URGENTLY NEED TO REVITALIZE AND STRENGTHEN ONDCP. H.R. 5925, THE THIS DRUG CRISIS. CRISIS ACT, WOULD MAKE CHANGES WE NEED AND WOULD IMPROVE OUR DRUG CONTROL EFFORTS IF IT IS FULLY FUNDED AND IMPLEMENTED. FULLY FUNDED AND IMPLEMENTED. IT WOULD EXPAND THE OFFICE'S AUTHORITY TO DIRECT RESOURCES WHERE THEY ARE MOST NEEDED. . IT WOULD STRENGTHEN DATA COLLECTIONS AND ANYWAY SOMETHING -- AND ANALYSIS TO HELP US DEVELOP THE REALTIME MONITORING WE MONITORING WE NEED TO UNDERSTAND THE RAPIDLY CHANGING DIMENSIONS OF THE OPIOID CRISIS. THE BILL INCORPORATES SEVERAL PROPOSALS I'VE OFFERED TO GIVE ONDC, P NEW AUTHORITIES -- ONDCP NEW AUTHORITIES, FOR CRIT CA CAL ASPECTS OF OUR -- FOR CRITICAL ASPECTS OF OUR RESPONSE TO THE CRISIS. I'VE OFTEN SAID WE MUST GO ABOUT THE BUSINESS OF BEING EFFECTIVE AND EFFICIENT IN WHAT WE DO. AND THESE ARE EXAMPLES OF THINGS THAT WILL MAKE ONDCP MORE EFFECTIVE AND EFFICIENT IN ADDRESSING THIS PROBLEM. FOR EXAMPLE, FOR THE FIRST TIME EVER IT WOULD CREATE A TREATMENT COORDINATOR WITHIN THE OFFICE RESPONSIBLE FOR COORDINATING EFFORTS TO EXPAND THE AVAILABILITY AND QUALITY OF EVIDENCE-BASED TREATMENT. IT WOULD ALSO REQUIRE THE OFFICE TO DEVELOP AND PROMULGATE MODEL STANDARDS FOR TREATMENT FACILITIES. RIGHT NOW TOO MANY SO-CALLED TREATMENT FACILITIES ARE TAKING ADVANTAGE OF DESPERATE FAMILIAR -- FAMILIES, CHARGING THEM OUTLANDISH OUTLANDISH PRICES, MILKING INSURANCE COMPANIES, BUT FAILING TO HELP THOSE IN NEED. AS A MATTER OF FACT, MANY PEOPLE ARE GOING INTO THESE PLACES SEEKING TO GET TREATMENT AND COME OUT WORSE OFF BECAUSE THEY'RE NOT BEING PROPERLY TREATED. REMEMBER WHAT I SAID. WE WANT IT TO BE EFFECT -- WE WANT TO BE EFFECTIVE AND EFFICIENT IN WHAT WE DO AND WE WANT TO MAKE SURE THAT TAXPAYERS' DOLLARS ARE SPENT APPROPRIATELY. I BELIEVE THAT IF H.R. 5925 IS ENACTED, AND FULLY IMPLEMENTED, IT WILL IMPROVE OUR DRUG CONTROL EFFORTS AND FOR THAT REASON I AM SUPPORTING THE MEASURE. HOWEVER, I WANT TO BE REAL CLEAR ABOUT SOMETHING. EVEN IF THIS BILL IS ENACTED AND FULLY IMPLEMENTED, THE DRUG CRISIS WE ARE FACING WILL LIKELY GET WORSE. THAT IS BECAUSE THIS BILL DOES NOT PROVIDE THE RESOURCES WE NEED TO TREAT MILLIONS OF AMERICANS WHO HAVE THE DISEASE OF ADDICTION. ACCORDING TO THE PRESIDENT'S OWN COMMISSION ON OPIOIDS, ONLY 10% OF INDIVIDUALS WHO NEED TREATMENT FOR SUBSTANCE ABUSE DISORDERS ARE GETTING IT. NO ONE BELIEVES THAT WE CAN FIGHT CANCER OR HEART DISEASE OR ALZHEIMER'S IF WE DON'T TREAT PEOPLE WHO HAVE THESE DISEASES. THE SAME IS TRUE HERE. IMAGINE SOMEONE GOING INTO THE DOCTOR'S OFFICE AND THE DOCTOR SAYS THAT, WELL, YOU'RE THE 10TH PERSON AND YOU'RE LUCKY TO GET TREATMENT. BUT THE OTHER NINE THAT CAME BEFORE YOU, THEY WON'T GET ANY TREATMENT. WE WOULD NOT STAND FOR THAT. IF WE DON'T TREAT PEOPLE WHO ARE ADDICTED, WE WILL NOT SOLVE THE DRUG CRISIS. WE MAY PASS THIS BILL TODAY, CELEBRATE THE PASSAGE AND SAY WE DID A GREAT JOB. WE MAY WORK WITH THE SENATE TO SEND IT TO THE PRESIDENT. THE PRESIDENT MIGHT EVEN SIGN IT. BUT THEN NEXT YEAR'S OVERDOSE FATALITY NUMBERS WILL COME OUT. THEY WILL SHOW THAT DEATHS ARE CONTINUING TO RISE. THEY WILL SHOW EMERGENCY ROOM VISITS INCREASING AGAIN. THEY WILL SHOW THE ECONOMIC EFFECTS OF A CRISIS THAT IS ALREADY COSTING US $500 BILLION A YEAR, CONTINUING TO GROW. IT DOESN'T HAVE TO BE THIS WAY. NO. IT DOESN'T HAVE TO BE THIS WAY. WE DON'T HAVE TO JUST NIBBLE AT THE EDGES OR REARRANGE THE DECK CHAIRS ON THE TITANIC. I'VE INTRODUCED LEGISLATION CALLED THE CARE ACT, WITH SENATOR ELIZABETH WARREN. MODELED DIRECTLY ON THE HIGHLY SUCCESSFUL BRIAN WHITE ACT WHICH CONGRESS PASSED WITH BIPARTISAN SUPPORT IN 1990 TO ADDRESS THE AIDS CRISIS. THE CARE ACT WOULD PROVIDE $10 BILLION A YEAR IN STABLE, PREDICTABLE FEDERAL FUNDING TO STATES, COUNTIES AND OTHER FRONTLINE RESPONDERS. THE CARE ACT WOULD PROVIDE FUNDS FOR RESEARCH TO TRAIN HEALTH PROFESSIONALS TO DIAGNOSE AND TREAT ADDICTION. IT WOULD ALSO PROVIDE HALF A BILLION DOLLARS PER YEAR TO PURCHASE LIFE-SAVING -- THE LIFE-SAVING DRUG NALOXONE AT DISCOUNTED PRICES AND DISTRIBUTE IT TO FIRST RESPONDERS, PUBLIC HEALTH AGENCIES AND THE PUBLIC. I OFFERED THE CARE ACT AS AN AMENDMENT TO THIS MEASURE CONSIDERS THIS WEEK. MY AMENDMENT WAS PAID FOR BY ROLLING BACK JUST A PORTION OF THE TAX CUTS GIVEN BY THE REPUBLICANS -- REPUBLICAN-CONTROLLED CONGRESS TO THE NATION'S LARGEST CORPORATIONS, INCLUDING THE DRUG COMPANIES THAT HAVE USED THEIR TAX BREAKS TO BUY BACK BILLIONS OF DOLLARS WORTH OF STOCK RATHER THAN LOWER DRUG PRICES. BY THE WAY, THERE'S SOMETHING WRONG WITH THAT PICTURE. BUT THE REPUBLICAN LEADERSHIP DID NOT MAKE MY AMENDMENT IN ORDER. THE HOUSE NEVER CONSIDERED IT. I SUPPORT H.R. 5925 AND OUR CRITICAL EFFORTS TO ENSURE THAT WE HAVE AN OFFICE THAT WILL EFFECTIVELY AND EFFICIENTLY COORDINATE OUR DRUG CONTROL EFFORTS. HOWEVER, WHEN OUR -- WHAT OUR NATION TRULY NEEDS IS FOR US TO SHOW THE POLITICAL COURAGE, THE POLITICAL COURAGE TO CHOOSE TO SAVE THE LIVES OF OUR FELLOW AMERICANS BY ADEQUATELY FUNDING TREATMENT. AND WITH THAT, MR. SPEAKER, I RESERVE THE BALANCE OF MY TIME.

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                                • 12:22:48 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN RESERVES THE BALANCE OF HIS TIME. THE GENTLEMAN FROM…

                                  THE GENTLEMAN RESERVES THE BALANCE OF HIS TIME. THE GENTLEMAN FROM MICHIGAN IS RECOGNIZED.

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                                • 12:22:51 PM

                                  >>

                                  MR. SPEAKER, I APPRECIATE THE SUPPORT OF MY COLLEAGUE FOR THIS BIPARTISAN…

                                  MR. SPEAKER, I APPRECIATE THE SUPPORT OF MY COLLEAGUE FOR THIS BIPARTISAN EFFORT TO ADDRESS THE OPIOID CRISIS IN THIS COUNTRY. I ALSO APPRECIATE HIS EFFORTS TO SIGN EFFECTIVE AND EFFICIENTLY -- EFFORTS TO EFFECTIVELY AND EFFICIENTLY ADDRESS THAT CRISIS. HE WILL NOTE THAT IN THE LAST APPROPRIATIONS CYCLE WE INCREASED FUNDING FOR OPIOID TREATMENT BY ALMOST $4 BILLION THIS YEAR ALONE. THERE'S MUCH WORK TO BE DONE. IT IS A CRISIS. AND WE'RE WORKING TOGETHER TO ADDRESS THAT CRISIS.

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                                • 12:23:18 PM

                                  MR. MITCHELL

                                  MR. SPEAKER, AT THIS POINT IN TIME I'D LIKE TO YIELD FIVE MINUTES TO THE…

                                  MR. SPEAKER, AT THIS POINT IN TIME I'D LIKE TO YIELD FIVE MINUTES TO THE GENTLEMAN FROM NORTH CAROLINA, THE CO-SPONSOR OF THE BILL, MR. MEADOWS.

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                                • 12:23:25 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN IS RECOGNIZED FOR FIVE MINUTES. ED MED ME THANK YOU, MR.…

                                  THE GENTLEMAN IS RECOGNIZED FOR FIVE MINUTES. ED MED ME THANK YOU, MR. SPEAKER. I THANK --

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                                • 12:23:29 PM

                                  MR. MEADOWS

                                  THANK YOU, MR. SPEAKER. I THANK THE GENTLEMAN FOR HIS LEADERSHIP ON THIS…

                                  THANK YOU, MR. SPEAKER. I THANK THE GENTLEMAN FOR HIS LEADERSHIP ON THIS PARTICULAR INITIATIVE. AND MANAGING THIS BILL. MR. SPEAKER, I RISE IN SUPPORT OF H.R. 5925, THE CRISIS ACT. A BILL THAT I CO-SPONSORED WITH CHAIRMAN GOWDY AND MY GOOD FRIEND, THE RANKING MEMBER, MR. CUMMINGS, AS WELL AS RANKING MEMBER OF THE GOVERNMENT OPERATIONS SUBCOMMITTEE AND GOOD FRIEND, JERRY CONNOLLY. I WANT TO BEGIN BY THANKING MY COLLEAGUES FOR COMING TOGETHER ON THIS BIPARTISAN BILL. H.R. 5925 RE-AUTHORIZES THE OFFICE OF NATIONAL DRUG CONTROL POLICY, GIVES THE OFFICE GREATER RESPONSIBILITY BY ENHANCING THE OFFICE'S AUTHORITY TO COORDINATE AND OVERSEE THE NATIONAL DRUG CONTROL PROGRAMS AT THE NATIONAL, STATE AND LOCAL LEVELS. IT PROVIDES COMMUNITIES WITH A PROCESS FOR SHARING INFORMATION AND BEST PRACTICES, AND IMPLEMENTS RECOMMENDATIONS FROM THE PRESIDENT'S OPIOID COMMISSION. IT REQUIRES AN OPIOID RESPONSE PLAN TO COORDINATE WITH THE PRIVATE SECTOR AND THE IMPLEMENTATION OF THE COMMISSION'S RECOMMENDATIONS, AND TO FACILITATE THE DEVELOPMENT OF TREATMENT AND ABUSE-DETERRENT PRODUCTS. FINALLY, THIS BILL DESIGNATES THE UNITED STATES POSTAL SERVICE AS A NATIONAL DRUG CONTROL PROGRAM AGENCY AND REQUIRES THE OFFICE TO COORDINATE ACTIONS TO REDUCE THE FLOW OF ILLICIT DRUGS ENTERING THE COUNTRY THROUGH THE MAIL. THE ONGOING OPIOID EPIDEMIC HAS TAKEN COUNTLESS LIVES. TOUCHING LITERALLY EVERY COMMUNITY IN THE COUNTRY. THE NATIONAL RESPONSE TO THIS EPIDEMIC INVOLVES FEDERAL, STATE, LOCAL GOVERNMENTS, AND AGENCIES. AND IT INVOLVES THE TREATMENT COMMUNITY AND THE MEDICAL COMMUNITY AND THE LAW ENFORCEMENT COMMUNITY AND PLACES OF WORSHIP. AS WE MOBILIZE A NATIONAL RESPONSE, WE MUST ENSURE THAT EVERY EFFORT TO COMBAT THIS EPIDEMIC WORKS. AND WORKS WELL. WE'VE ALL HEARD TOO MANY TRAGIC LIFE-CHANGING AND FAR TOO OFTEN LIFE-ENDING STORIES OF OPIOID ADDICTION. THERE'S NO EASY WAY TO END THIS EPIDEMIC. BUT BY ESTABLISHING AN EFFECTIVE NATIONAL RESPONSE TO THIS EPIDEMIC, THIS BILL WILL SUPPORT THE PEOPLE AND THE COMMUNITIES STRUGGLING WITH THIS ADDICTION. MR. SPEAKER, IT IS THE VERY LIVES OF OUR FRIENDS, OUR NEIGHBORS AND OUR FAMILY MEMBERS THAT DEPEND ON US. SO I URGE MY COLLEAGUES TO SUPPORT THIS BILL. I'D ALSO LIKE TO GO A LITTLE BIT FURTHER, THOUGH. BECAUSE SO MANY TIMES WHEN WE COME TOGETHER IN A BIPARTISAN WAY IT IS MEMBERS OF CONGRESS WHO ARE UP HERE TAKING THE CREDIT FOR THE HARD WORK OF A GROUP THAT ACTUALLY BEHIND THE SCENES ARE DOING THE WORK. AND SO IT'S A BIG THANK YOU TO THE STAFF, TO KATIE, TO RICHARD, BETSY, AND SARA. AND TO THE RANKING MEMBER CUMMINGS' STAFF FOR ALL THEIR WORK AND DEDICATION AS WELL. AND ALSO TO SALI WALKER, WHO IS IN THE HOUSE LEGISLATIVE COUNCIL . THE MANY TIMES THEY DO THE WORK ON THE BILLS BEHIND THE SCENES AND NOBODY EVER SEES THEM OR THANKS THEM. SO ON THIS DAY I WANT TO MAKE SURE THAT WE ACKNOWLEDGE THEIR EFFORT AND THAT IT DOESN'T GO UNNOTICED AND WITH THAT, MR. SPEAKER, I YIELD BACK.

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                                • 12:26:52 PM

                                  MR. MITCHELL

                                  I RESERVE THE BALANCE OF MY TIME.

                                • 12:26:54 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN RESERVES THE BALANCE OF HIS TIME. THE GENTLEMAN IS…

                                  THE GENTLEMAN RESERVES THE BALANCE OF HIS TIME. THE GENTLEMAN IS RECOGNIZED.

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                                • 12:26:57 PM

                                  MR. CUMMINGS

                                  I YIELD MYSELF SUCH TIME AS I MAY CONSUME. I WANT TO TAKE A MOMENT BEFORE…

                                  I YIELD MYSELF SUCH TIME AS I MAY CONSUME. I WANT TO TAKE A MOMENT BEFORE I YIELD TO MY DISTINGUISHED COLLEAGUE, MR. CONNOLLY, TO ECHO WHAT MY GOOD FRIEND JUST SAID ABOUT OUR STAFFS. I TOO THANK OUR STAFFS FOR ALL THAT THEY'VE DONE. SO OFTEN THEY'RE UNSEEN, UNNOTICED AND FEEL, I'M SURE, UNAPPRECIATED AND UNAPPLAUDED. BUT OUR STAFFS WORK VERY, VERY HARD ON THIS AND I GIVE THE ULTIMATE APPLAUSE TO THEM. I WANT TO THANK YOU FOR RECOGNIZING THEM. I ALSO WANT TO THANK YOU, MR. MEADOWS, FOR WORKING SO HARD TO BRING ALL OF THIS TOGETHER. THANK YOU VERY MUCH. NOW, MR. SPEAKER, IT GIVES ME GREAT HONOR TO INTRODUCE THE DISTINGUISHED GENTLEMAN WHO IS THE VICE CHAIRMAN, THE VICE RANKING MEMBER OF THE OVERSIGHT AND GOVERNMENT REFORM COMMITTEE, A MAN WHO HAS JUST BEEN TIRELESS ON THIS ISSUE AND SO MANY OTHERS , BUT HAS DONE JUST A PHENOMENAL JOB, MR. CONNOLLY OF VIRGINIA. I YIELD THE GENTLEMAN SIX MINUTES.

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                                • 12:28:03 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM VIRGINIA IS RECOGNIZED FOR SIX MINUTES.

                                • 12:28:05 PM

                                  MR. CONNOLLY

                                  THANK YOU, MR. SPEAKER. AND I THANK MY FRIEND FROM MICHIGAN AND MY GOOD…

                                  THANK YOU, MR. SPEAKER. AND I THANK MY FRIEND FROM MICHIGAN AND MY GOOD FRIEND FROM NORTH CAROLINA FOR THEIR LEADERSHIP. I PARTICULARLY WANT TO THANK MY GOOD FRIEND FROM MARYLAND, MR. CUMMINGS. MR. CUMMINGS IS NOT ONLY A LEGISLATIVE EXPERT, BUT HE'S ALSO A MORAL VOICE. HE SPEAKS OF CLARITY AND ELOQUENCE, AS HE DID YESTERDAY, ABOUT INNOCENT CHILDREN BEING DETAINED AT THE SOUTHERN BORDER, AS AN -- AN UN-AMERICAN ACTIVITY. SOMETHING THAT DOESN'T REFLECT OUR VALUES. AND TODAY HE'S LENDING THAT SAME MORAL VOICE TO THE CRY ADVICE THAT AFFLICTS -- CRISIS THAT AFFLICTS SO MANY COMMUNITIES IN AMERICA, THE OPIOID ADDICTION CRISIS. I RISE TODAY, MR. SPEAKER, IN SUPPORT OF A COORDINATED RESPONSE THROUGH INTERAGENCY STRATEGY INFORMATION OR CRISIS ACT, TO RE-AUTHORIZE AND REVAMP THE OFFICE OF NATIONAL DRUG CONTROL POLICY. THE CHAIRMAN AND RANKING MEMBER OF OUR FULL COMMITTEE WORK CLOSELY TOGETHER AND WITH COMMITTEE MEMBERS TO PRODUCE A BIPARTISAN BILL THAT WAS REPORTED OUT OF THE COMMITTEE UNANIMOUSLY. I'M PROUD TO BE AN ORIGINAL CO-SPONSOR OF THE CRISIS ACT, WHICH NOT ONLY RE-AUTHORIZES ONDCP, BUT ALSO STRENGTHENS THAT OFFICE SO THAT IT HAS THE RESOURCES IT NEEDS TO COORDINATE AN EFFECTIVE RESPONSE TO THE OPIOID CRISIS. AND THAT'S SOMETHING MR. CUMMINGS STRESSED. IT'S NOT GOOD ENOUGH TO DO SOMETHING SYMBOLIC. WE'VE GOT TO ENSURE IT'S EFFECTIVE. ONDCP'S RESPONSIBILITIES ARE TO PRODUCE A NATIONAL DRUG CONTROL STRATEGY. CONGRESS CREATED IT IN 1988 AT THE HEIGHT OF THE CRACK COCAINE EPIDEMIC TO OVERSEE FEDERAL DRUG CONTROL EFFORTS AND TO ADVISE THE PRESIDENT AND THE ADMINISTRATION ON DRUG CONTROL POLICIES AND STRATEGIES. IT WAS DESIGNED TO OVERSEE THE NATIONAL DRUG CONTROL BUDGET, TO CARRY OUT THE GOALS AND POLICIES OF THAT STRATEGY, AND TO EVALUATE THE EFFECTIVENESS OF PROGRAMS ACROSS THE FEDERAL GOVERNMENT, IN IMPLEMENTING THE STRATEGY AND TO OVERSEE THE HIGH INTENSITY DRUG TRAFFICKING AREAS AND DRUG-FREE COMMUNITIES INITIATIVES. CONGRESS LAST AUTHORIZED THE ONDCP IN 2006. THE AUTHORIZATION EXPIRED IN 2010. THAT'S EIGHT YEARS AGO. AND SINCE THEN WE'VE DEVELOPED AN OPIOID CRISIS, THE MAGNITUDE OF WHICH WE'VE NEVER SEEN IN AMERICA. . WHILE ONDCP HAS RECEIVED ANNUAL APPROPRIATIONS, IT'S IMPORTANT KRONK RE-AUTHORIZE THIS PROGRAM AND REFLECT THE CRISIS WE'RE IN. THE OPIOID EPIDEMIC THAT'S CURRENTLY RAVAGING COMMUNITIES HAS TAKEN HUNDREDS OF THOUSANDS OF LIVES AND SHOWS NO SIGNS OF ABATING. EVERY DAY 115 AMERICANS DIE FROM AN OPIOID OVERDOSE. 115 AMERICANS. THE EPIDEMIC IS DESTROYING FAMILIES, OVERWHELMING FIRST RESPONDERS, STRAINING PUBLIC HEALTH AND CRIMINAL JUSTICE, AND CHILD WELFARE RESOURCES. THIS EPIDEMIC DOESN'T CARE WHERE YOU LIVE. OR WHAT POLITICAL PARTY YOU BELONG TO. BUT CRISIS HAS TOUCHED EVERY COMMUNITY AND EVERY CORNER OF OUR COUNTRY. IN MY STATE, THE COMMONWEALTH OF VIRGINIA, OPIOID OVERDOSE DEATHS SPIKED BY 40% TO 1,1 3 -- 1,133 FROM 2015 TO 2016. AND DEATHS FROM SYNTHETIC OPIOIDS ROSE FROM 263 TO 692 DURING THAT TIME PERIOD. NORTHERN VIRGINIA, WHERE I REPRESENT, THE GOOD PEOPLE OF FAIRFAX AND PRINCE WILLIAM COUNTIES, FAIRFAX COUNTY REPORTED AN INCREASE FROM 67 AND 97 OPIOID RELATED DEATHS FROM 2015 TO 2016. AND PRINCE WILLIAM, THE OTHER COUNTY I REPRESENT, INCREASED FROM 26 TO 59 DEATHS IN THAT TIME PERIOD. LAST MONTH, THE COMMISSIONER OF THE WEST VIRGINIA BUREAU OF PUBLIC HEALTH TESTIFIED BEFORE OUR COMMITTEE. HE SAID THAT THE CRISIS WILL GET WORSE BEFORE IT GETS BETTER. THAT WAS NOT WELCOME NEWS. AND YET DESPITE THE PRESIDENT'S PLEDGES AND HIS OWN COMMISSION ON COMBATING DRUG ADDICTION AND THE OPIOID CRISIS RECOMMENDATION THAT HE DECLARE AN OPIOID CRISIS NATIONAL EMERGENCY, THE PRESIDENT, PRESIDENT TRUMP, TOOK THE LUSCIOUS STEP DECLARING A PUBLIC HEALTH EMERGENCY LAST OCTOBER. 17 MONTHS INTO THIS ADMINISTRATION, ONDCP IS STILL WITHOUT A CONFIRMED DIRECTOR, AND THE ADMINISTRATION HAS FAILED TO PRODUCE A NATIONAL DRUG CONTROL STRATEGY. INSTEAD, THE PRESIDENT, PRESIDENT TRUMP, PROPOSED CUTTING ONDCP'S BUDGET BY MORE THAN 90%. THANK GOODNESS CONGRESS ON A BIPARTISAN BASIS DID NOT HEED THAT RECOMMENDATION. BUT JUST EARLIER THIS WEEK THE ACTING HEAD OF THE DRUG ENFORCEMENT AGENCY ANNOUNCED HE'S GOING TO BE RETIRING AT THE END OF THE MONTH. STATING THAT RUNNING THAT AGENCY IN AN ACTING CAPACITY FOR SO LONG HAD BECOME INCREASINGLY CHALLENGING. AS THIS ADMINISTRATION CONTINUES TO FAIL TO ADDRESS THE OPIOID EPIDEMIC, IT'S IMPERATIVE THAT WE TAKE IMMEDIATE AND DECISIVE ACTION ON A BIPARTISAN BASIS. RE-AUTHORIZING THE OFFICE OF NATIONAL DRUG CONTROL POLICY WITH ENHANCED AUTHORITIES WILL IMPROVE THE COORDINATION AND EFFECTIVENESS OF FEDERAL GOVERNMENT DRUG CONTROL EFFORTS. IT IS ONE OF THE MANY ONE OF THE MANY STEPS WE CAN TAKE TO ADDRESS THE OPIOID EPIDEMIC. IT WON'T SOLVE EVERYTHING, BUT IT IS A VERY IMPORTANT FIRST STEP. I HOPE THE ADMINISTRATION WILL JOIN US IN FIGHTING THIS CRISIS WITH REAL SOLUTIONS AND NOT EMPTY RHETORIC. I HOPE MY COLLEAGUES WILL JOIN US IN SUPPORTING THIS IMPORTANT BILL. I YIELD BACK.

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                                • 12:34:13 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEMAN FROM…

                                  THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEMAN FROM MARYLAND RESERVES. THE GENTLEMAN FROM MICHIGAN IS RECOGNIZED.

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                                • 12:34:20 PM

                                  >>

                                  I APPRECIATE MY COLLEAGUE FROM VIRGINIA, MR. CONNOLLY, SUPPORT OF THIS…

                                  I APPRECIATE MY COLLEAGUE FROM VIRGINIA, MR. CONNOLLY, SUPPORT OF THIS BIPARTISAN EFFORT. I CERTAINLY HOPE THE AMERICAN PEOPLE HAVE THE OPPORTUNITY TO SEE THIS EFFORT AND ADDRESS THIS CRISIS IN A BIPARTISAN BASIS.

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                                • 12:34:31 PM

                                  MR. MITCHELL

                                  FAR TOO FREQUENTLY THEY SEE CONFLICT AND DISAGREEMENT BUT FORTH BY MEDIA…

                                  FAR TOO FREQUENTLY THEY SEE CONFLICT AND DISAGREEMENT BUT FORTH BY MEDIA AND OTHER SOURCES. THERE IS A GREAT DEAL WE WORK TOGETHER ON AND I THINK WE NEED TO STRESS THAT WHEN WE TALK TO PEOPLE ABOUT THIS CRISIS. MR. SPEAKER, IN A MOMENT I WILL YIELD TO THE GENTLEMAN FROM PENNSYLVANIA, MR. ROTHFUS. FIRST, LET ME GIVE HIM CREDIT BECAUSE HE'S THE HONS JUROR OF LEGISLATION WHICH MY AMENDMENT WAS BASED, H.R. 5980, THE CODE RED ACT. LIKE THE AMENDMENT I OFFERED WITH MR. RASKIN IN COMMITTEE, REQUIRES THE COORDINATED TRACKING SYSTEM OF FEDERAL FUNDING PUT TOWARDS DRUG CONTROL EFFORTS THROUGHOUT OUR COUNTRY. IT IS A SMART IDEA, ESPECIALLY GIVEN THE OPIOID EPIDEMIC IN OUR NATION, THE COSTS OF IT, AND I STRONGLY SUPPORTED IT. WITH THAT I YIELD FIVE MINUTES TO THE GENTLEMAN FROM PENNSYLVANIA,

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                                • 12:35:17 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM PENNSYLVANIA IS RECOGNIZED FOR FIVE MINUTES.

                                • 12:35:20 PM

                                  MR. ROTHFUS

                                  THANK YOU, MR. SPEAKER. I THANK YOU, REPRESENTATIVE MITCHELL. MR. SPEAKER,…

                                  THANK YOU, MR. SPEAKER. I THANK YOU, REPRESENTATIVE MITCHELL. MR. SPEAKER, I RISE IN SUPPORT OF H.R. 5925, THE COORDINATED RESPONSE TO INTERAGENCY STRATEGY INFORMATION YOU, REPRESENTATIVE SHARING ACT, OR CRISIS ACT. THIS BILL RE-AUTHORIZES THE OFFICE OF NATIONAL DRUG CONTROL POLICY WHICH HAS NOT BEEN RE-AUTHORIZED IN A VERY LONG TIME. IT MAKES NEEDED OVERHAULS AND UPDATES TO THE OFFICE AND STREAMLINES THE NAME OF THE OFFICE TO THE OFFICE OF NATIONAL DRUG CONTROL, OR ONDC. I COMMEND CHAIRMAN GOUDIN AND RANKING MEMBER CUMMINGS FOR WORKING IN BIPARTISAN MANNER. I ALSO THANK REPRESENTATIVE MITCHELL AND REPRESENTATIVE RASKIN FOR WORKING WITH ME TO INCORPORATE THE FIRST TWO RECOMMENDATIONS OF THE PRESIDENT'S OPIOID COMMISSION INTO THE CRISIS ACT. I INTRODUCE ADD SEPARATE BILL, THE COORDINATED OVERDOSE AND DRUG EPIDEMIC RESPONSE TO THE EMERGENCY DECLARATION ACT, OR CODE RED ACT, THAT AUTHORIZES ONDC TO ADDRESS THOSE COMMISSION RECOMMENDATIONS. ONDC WILL NOW BE AUTHORIZED TO IMPLEMENT A COORDINATED TRACKING SYSTEM OF ALL FEDERALLY FUNDED INITIATIVES AND GRANTS. THIS WILL HELP IDENTIFY BARRIERS AND GAPS IN FEDERAL EFFORTS RESPONDING TO THE OPIOID CRISIS. AND IT IDENTIFIES PLACES WHERE EFFORTS ARE BEING DUPLICATED AND POTENTIALLY WASTED. THIS LEGISLATION IMPROVES THE GRANT APPLICATION PROCESS BY STANDARDIZING AND STREAMLINING IT. THE MISSION HERE IS TO DEPLOY THOROUGH RESOURCES TO LOCALITIES THAT NEED THEM QUICKLY AND EFFICIENTLY INSTEAD OF LOCALITIES WASTING VALUABLE TIME AND RESOURCES FILLING OUT VARIOUS AGENCY APPLICATIONS. THE CRISIS ACT WILL FOSTER BETTER GOVERNMENT COORDINATION AND STRATEGY PLANNING. ONDC HAS CROSS AGENCY JURISDICTION TO COORDINATE THE EFFORTS AMONG DIFFERENT AGENCIES LIKE H.H.S. AND D.O.J. WHEN AGENCIES WORK TOGETHER, THE FORCE MULTIFLYING EFFECT CAN MAKE A HUGE DIFFERENCE. WE'RE MAKING PROGRESS ON THE OPIOID CRISIS, BIPARTISAN BILLS LIKE THE CRISIS ACT WILL HELP WIN THIS FIGHT AND HELP THE PEOPLE ENGAGE IN THE FIGHT LIKE THE NORTH HILLS OF PITTSBURGH, TRACY. TRACY PARTICIPATED IN THE PRESIDENT'S COMMISSION ON COMBATING DRUG ADICTION AND CONTINUES TO HELP FIND SOLUTIONS BACK IN PENNSYLVANIA. I THANK HER AND EVERYONE ELSE WHO IS MAKING A DIFFERENCE. I YIELD BACK THE BALANCE OF MY TIME.

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                                • 12:37:23 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEMAN FROM --

                                • 12:37:26 PM

                                  MR. MITCHELL

                                  I FIGHT AND HELP THE PEOPLE ENGAGE IN THE FIGHT LIKE THE RESERVE. AND I'D…

                                  I FIGHT AND HELP THE PEOPLE ENGAGE IN THE FIGHT LIKE THE RESERVE. AND I'D LIKE IT MAKE THE GENTLEMAN FROM MARYLAND AWARE I HAVE NO FURTHER SPEAK EARNS PREPARED TO CLOSE.

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                                • 12:37:32 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM MARYLAND IS RECOGNIZED.

                                • 12:37:34 PM

                                  MR. CUMMINGS

                                  THANK YOU VERY MUCH, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY…

                                  THANK YOU VERY MUCH, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

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                                • 12:37:37 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN IS RECOGNIZED.

                                • 12:37:39 PM

                                  MR. CUMMINGS

                                  MR. SPEAKER, IN CLOSING I MUST POINT OUT THAT MY REPUBLICAN COLLEAGUES SAY…

                                  MR. SPEAKER, IN CLOSING I MUST POINT OUT THAT MY REPUBLICAN COLLEAGUES SAY THEY WANT TO ADDRESS THE OPIOID CRISIS. THEY ARE STANDING SILENT AS THE TRUMP ADMINISTRATION ACTIVELY TRIES TO DESTROY THE AFFORDABLE CARE ACT'S PROTECTIONS FOR PEOPLE WITH PRE-EXISTING CONDITIONS, WHICH IS, BY THE WAY, INCLUDES SUBSTANCE USE DISORDERS. IF WE AREN'T GOING TO TAKE AVAILABLE STEPS TO EXPAND ACCESS TO ADIGS -- ADDITIONAL TREATMENT, AT LEAST WE SHOULD ALL AGREE THAT WE SHOULDN'T ROLLED BACK PROTECTION THAT IS PREVENT INSURANCE COMPANIES FROM DISCRIMINATING AGAINST PEOPLE WITH SUBSTANCE USE DISORDERS. THEREFORE, WE SHOULD ALL BE WORKING TO PROTECT THE AFFORDABLE CARE ACT FROM THE TRUMP ADMINISTRATION'S EFFORTS-E EFFORT TO DESTROY -- EFFORT TO DESTROY THE ETENSION PROTECTION IT IS PROVIDES. AGAIN, REMIND ALL OF THAT THAT ONDCP IS A VERY IMPORTANT ENTITY . AND IT HAS A JOB TO DO. IT MUST BE PROPERLY FUNDED. AND A LOT OF PEOPLE WHEN THEY GIVE STATISTICS ABOUT OPIOIDS AND DRUGS, MR. SPEAKER, THEY FIND THEMSELVES SPEAKING ABOUT THE DEAD. I'M HERE TO TELL YOU THAT THERE ARE PIPELINES TO DEATH. AND THOSE ARE THE PEOPLE WHO ARE ADDICTED NOW. THOSE ARE THE ONES WHO ARE THINKING ABOUT IT, ABOUT TO START USING THOSE DRUGS. AND SO WE MUST ADDRESS NOT ONLY THE DEATHS AND STATISTICS, BUT WE MUST ADDRESS TREATMENT THAT IS EFFECTIVE AND EFFICIENT. BUT, AGAIN, I'M URGING MY COLLEAGUES TO VOTE FOR THIS BILL. BUT I WANT IT TO BE CLEAR THAT WE SHOULD NOT DUST OUR HANDS OFF AND SAY, UH-OH, DONE. IT'S NOT DONE. BECAUSE THERE IS SO MUCH MORE TO DO. WITH THAT, MR. SPEAKER, I YIELD BACK THE BALANCE OF MY TIME. AND URGE ALL MEMBERS TO VOTE FOR THIS LEGISLATION.

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                                • 12:40:17 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM MARYLAND YIELDS BACK THE BALANCE OF HIS TIME. THE…

                                  THE GENTLEMAN FROM MARYLAND YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEMAN FROM MICHIGAN IS RECOGNIZED.

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                                • 12:40:22 PM

                                  MR. MITCHELL

                                  MR. SPEAKER, I APPRECIATE MY COLLEAGUE'S SUPPORT OF THE BILL AND MY BRIEF…

                                  MR. SPEAKER, I APPRECIATE MY COLLEAGUE'S SUPPORT OF THE BILL AND MY BRIEF TIME HERE, YEAR AND A HALF, IT'S BECOME CLEAR TO ME THAT RARELY DO WE GET TO DUST OFF OUR HANDS AND SAY WE'RE DONE AROUND HERE. IT'S ALSO BECOME CLEAR TO ME THAT DEBATE OF A BILL RARELY STAYS ON THE TOPIC OF THE BILL OR SOLELY ON THE TOPIC OF THE BILL. YOU SEE, A.C.A., THE AFFORDABLE CARE ACT, IS NOT THE SOLE APPROACH TO ADDRESSING HEALTH CARE ISSUES IN THIS COUNTRY, PRE-EXISTING CONDITIONS, OR PRE-EXISTING CONDITIONS THAT AFFECT DRUG ABUSE. I BELIEVE WHEN WE PASSED THE AMERICAN HEALTH CARE ACT IN THIS HOUSE THAT THAT ADDRESSED PRE-EXISTING CONDITIONS, TREATMENT FOR SUBSTANCE ABUSE, AND USING THE WORDS OF MY COLLEAGUE, DID SO MORE EFFECT THIVELY AND EFFICIENTLY THAN THE AFFORDABLE CARE ACT DOES NOW. WE CLEARLY DISAGREE ON THAT. I RESPECT THAT AND WILL CONTINUE TO WORK CONDITIONS THAT AFFECT DRUG ABUSE. I ON IT. TODAY, WE'RE DEALING WITH THIS BILL. I URGE MY COLLEAGUES TO SUPPORT PASSAGE OF THIS BILL BECAUSE I BELIEVE THAT H.R. 5925 IS AN IMPORTANT STEP NOT ONLY RE-AUTHORIZING THE NATIONAL OFFICE ON DRUG CONTROL, BUT ALSO IN PROVIDING ADDITIONAL RESOURCES TO DO SO. WITH THAT, I URGE ADOPTION OF THE BILL. I YIELD BACK THE BALANCE OF MY TIME.

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                                • 12:41:36 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM MICHIGAN YIELDS BACK THE BALANCE OF HIS TIME. THE…

                                  THE GENTLEMAN FROM MICHIGAN YIELDS BACK THE BALANCE OF HIS TIME. THE QUESTION IS WILL THE HOUSE SUSPEND THE RULES AND PASS THE BILL H.R. 5925. SO MANY AS ARE IN FAVOR SAY AYE -- AS AMENDED. SO MANY AS ARE IN FAVOR SAY AYE. THOSE OPPOSED, NO. IN THE OPINION OF THE CHAIR, 2/3 OF THOSE VOTING HAVING RESPONDED IN THE AFFIRMATIVE, THE RULES ARE SUSPENDED, THE BILL IS PASSED, AND WITHOUT OBJECTION THE MOTION TO RECONSIDER IS LAID UPON THE TABLE.

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                                • 12:43:18 PM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM TEXAS, MR. BURGESS, SEEK…

                                  FOR WHAT PURPOSE DOES THE GENTLEMAN FROM TEXAS, MR. BURGESS, SEEK RECOGNITION.

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                                • 12:43:24 PM

                                  MR. BURGESS

                                  PURSUANT TO HOUSE RESOLUTION 949, I CALLP THE BILL H.R. 6082, AND ASK FOR…

                                  PURSUANT TO HOUSE RESOLUTION 949, I CALLP THE BILL H.R. 6082, AND ASK FOR ITS IMMEDIATE CONSIDERATION IN THE HOUSE.

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                                • 12:43:32 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE CLERK WILL REPORT THE TITLE OF THE BILL.

                                • 12:43:34 PM

                                  THE CLERK

                                  H.R. 6082, A BILL TO AMEND THE PUBLIC HEALTH SERVICE ACT TO PROTECT THE…

                                  H.R. 6082, A BILL TO AMEND THE PUBLIC HEALTH SERVICE ACT TO PROTECT THE CONFIDENTIALITY OF SUBSTANCE USE DISORDER PATIENT RECORDS.

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                                • 12:43:44 PM

                                  THE SPEAKER PRO TEMPORE

                                  PURSUANT TO HOUSE RESOLUTION 949 AND AMENDMENT IN THE NATURE OF A…

                                  PURSUANT TO HOUSE RESOLUTION 949 AND AMENDMENT IN THE NATURE OF A SUBSTITUTE CONSISTING OF THE TEXT OF THE RULES COMMITTEE PRINT 115-75, IS ADOPTED AND THE BILL AS BILL AS AMENDED IS CONSIDERED AS READ. THE BILL SHALL BE DEBATABLE FOR ONE HOUR EQUALLY DIVIDED AND CONTROLLED BY THE CHAIR AND RANKING MEMBER OF THE COMMITTEE ON -- ON ENERGY AND COMMERCE. THE GENTLEMAN FROM TEXAS, MR. BURGESS, AND THE GENTLEMAN FROM NEW JERSEY, MR. PALLONE, EACH WILL CONTROL 30 MINUTES. THE CHAIR RECOGNIZES THE GENTLEMAN FROM TEXAS, MR. BURGESS.

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                                • 12:44:18 PM

                                  MR. BURGESS

                                  MR. SPEAKER, I ASK UNANIMOUS CONSENT THAT ALL MEMBERS MAY HAVE FIVE…

                                  MR. SPEAKER, I ASK UNANIMOUS CONSENT THAT ALL MEMBERS MAY HAVE FIVE LEGISLATIVE DAYS TO REVISE AND EXTEND THEIR REMARKS AND INSERT EXTRANEOUS MATERIAL ON H.R. 6082.

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                                • 12:44:28 PM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION, SO ORDERED.

                                • 12:44:29 PM

                                  MR. BURGESS

                                  MR. SPEAKER, I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

                                • 12:44:32 PM

                                  THE SPEAKER PRO TEMPORE

                                • 12:44:34 PM

                                  MR. BURGESS

                                  OVER THE COURSE OF THE PAST SEVERAL MONTHS, THE ENERGY AND COMMERCE…

                                  OVER THE COURSE OF THE PAST SEVERAL MONTHS, THE ENERGY AND COMMERCE SUBCOMMITTEE ON HEALTH HELD FOUR LEGISLATIVE HEARINGS ON BILLS TO ADDRESS THE OPIATE EPIDEMIC AND REPORTED 57 BILLS TO THE FULL COMMITTEE. OF THOSE 57 BILLS, ONLY ONE RECEIVED ITS OWN DISCREET HEARING. THAT BILL WAS H.R. 6082, THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT INTERDUTIESED BY REPRESENTATIVES MULLIN AND BLUMENAUER. AS A PHYSICIAN, I BELIEVE IT IS VITAL THAT DOCTORS HAVE ALL THE APPROPRIATE INFORMATION TO DETERMINE THE PROPER COURSE OF TREATMENT FOR A PATIENT, ENSURING PATIENT SAFETY AND PRIVACY AS REQUIRED BY FEDERAL REGULATION KNOWN AS HIPAA. THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT MAINTAINS THE ORIGINAL INTENT OF THE 1960 STATUTE BEHIND 42 C.F.R. PART 2 BY PROTECTING PATIENTS AND IMPROVING CARE COORDINATION. . IN FACT THE BILL INCREASES PROTECTIONS FOR THOSE SEEKING TREATMENT BY MORE SEVERELY PENALIZING THOSE WHO ILLEGALLY SHARE PATIENT DATA THAN UNDER THE CURRENT STATUTE. CURRENT PART TWO LAW DOES NOT PROTECT INDIVIDUALS FROM DISCRIMINATION BASED ON THEIR TREATMENT RECORDS AND TO THIS DATE THERE HAVE BEEN NO CRIMINAL ACTIONS UNDERTAKEN TO ENFORCE PART TWO. THIS BILL HAS A WIDE RANGE OF SUPPORT FROM NATIONAL AND STATE ORGANIZATIONS. SINCE THE BILL WAS INTRODUCED, THE ENERGY AND COMMERCE COMMITTEE HAS HEARD FROM OVER 100 ORGANIZATIONS IN ITS SUPPORT. ARGUABLY THE MOST NOTABLE SUPPORT FOR THIS LEGISLATION COMES FROM THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION IN THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE ASSISTANT SECRETARY FOR MENTAL HEALTH AND SUBSTANCE USE WROTE TO MR. MULLIN IN MARCH STATING THAT SAMHSA IS, QUOTE, ENCOURAGED TO SEE CONGRESS EXAMINE THE BENEFITS OF ALIGNING PART TWO WITH HIPAA, PATIENT PRIVACY IS, OF COURSE, CRITICAL, BUT SO TOO IS PATIENT ACCESS TO SAFE, EFFECTIVE AND COORDINATED TREATMENT, END QUOTE. I AGREE WITH THE DOCTOR THAT IN ORDER TO ENSURE PATIENT SAFETY, PHYSICIANS MUST HAVE AC -- SECURE ACCESS TO PATIENT RECORDS, INCLUDING SUBSTANCE USE DISORDER INFORMATION. WHEN THIS INFORMATION IS NOT PROVIDED TO HEALTH CARE PROFESSIONALS, THEY MAY END UP PRESCRIBING MEDICATIONS THAT HAVE DANGEROUS DRUG INTERACTIONS, OR MAY LEAD A PATIENT WHO IS IN RECOVERY TO BE INAPPROPRIATELY PRESCRIBED AN OPIATE AND FALL BACK INTO ADDICTION. ONE PARTICULAR COMPLICATION DRIVEN BY 42 C.F.R. PART TWO DIRECTLY IMPACTS THE CARE FOR PREGNANT WOMEN AND THEIR INFANTS. FOR WOMEN WHO ARE PREGNANT, PART TWO DOES NOT ALLOW REDISCLOSURE OF SUBSTANCE USE DISORDER MEDICAL DOCUMENTATION WITHOUT THEIR WRITTEN CONSENT. THIS LEADS TO FRAGMENTED CARE WHICH OPENS UP THE MOTHER AND HER BABY TO POTENTIAL HARM. ONE OF THE NATION'S LARGEST NOT-FOR-PROFIT MEDICAL ORGANIZATIONS NOTES, I'M QUOTING HERE, MOTHERS WHO CONTINUE TO USE DURING PREGNANCY AND WHO DO NOT WISH TO SIGN SECONDARY RELEASES TO ALLOW THEIR CARE PROVIDERS TO TREAT THEM COMPREHENSIVELY PUT THEIR UNBORN CHILDREN AT RISK FOR ADDICTION, END QUOTE. IT WATCHES THESE WOMEN AND THEIR INFANTS SUFFER RIGHT BEFORE THEIR EYES, BUT BECAUSE OF PART TWO, THEY CANNOT SHARE THE INFORMATION TO ENSURE THAT THE MOTHER AND BABY ARE GETTING PROPER CARE. AS AN OB-GYN PHYSICIAN MYSELF, I CANNOT IMAGINE HAVING THIS INFORMATION WITH HELD. SUCH A SITUATION WOULD LEAVE ME WITH THE INABILITY TO TREAT THE WHOLE PATIENT AND ENSURE THAT THE MOTHER IS HEALTHY AND HER BABY IS NOT ON A PATH FOR ADDICTION. IN ANOTHER SITUATION, A PATIENT WAS REFERRED TO A TREATMENT CENTER FOLLOWING AN EMERGENCY ROOM VISIT FOR AN OVERDOSE. THE PATIENT WAS NOT ABLE TO GIVE WRITTEN CONSENT TO HIS PROVIDERS DUE TO ACUTE INTOXICATION. DUE TO A LACK OF WRITTEN CONSENT, AND 42 C.F.R. PART TWO, THE TREATMENT FACILITY COULD NOT COMMUNICATE TO THE E.R. AND LEARN ABOUT THE PATIENT'S CONDITION OR CONFIRM THAT THE PATIENT HAD INDEED ENROLLED IN A DRUG TREATMENT CENTER, FURTHER DELAYING CRITICAL CARE COORDINATION. THERE IS CLEAR EVIDENCE THAT PART TWO IS A MASSIVE ROADBLOCK TO PROVIDING SAFE, QUALITY AND COORDINATED CARE TO INDIVIDUALS SUFFERING FROM SUBSTANCE USE DISORDER. THE ISSUE OF THE STIGMA ASSOCIATED WITH SUBSTANCE USE DISORDER HAS BEEN A CONSTANT IN ALL OF THE DISCUSSIONS THAT WE HAVE HAD, BOTH IN OUR OFFICES AND IN OUR HEARINGS. IN APRIL WE HEARD FROM NUMEROUS INDIVIDUALS WHO WERE PARENTS OF CHILDREN WHO DIED FROM OPIOID OVERDOSES. SOME NOTED THAT THEIR CHILDREN WERE AFRAID TO SEEK HELP FROM THEIR FAMILIES OR FROM HEALTH CARE PROFESSIONALS BECAUSE THEY WERE EMBARRASSED OR THEY FELT STIGMATIZED. WE SHOULD ENABLE PHYSICIANS TO FULLY CARE FOR THESE PATIENTS SUFFERING FROM SUBSTANCE USE DISORDER, AS IF THEY HAD ANY OTHER DISEASE. THE OVERDOSE PREVENTION PATIENT SAFETY -- AND PATIENT SAFETY ACT WILL DO JUST THAT -- THAT. THE FIRST STEP IN ADDRESSING A PROBLEM IS ADMITTING IT EXISTS. I WOULD LIKE TO POSE A QUESTION TO THOSE WHO ARE ARGUING AGAINST THIS LEGISLATION, IF WE CONTINUE TO SILO THE SUBSTANCE USE DISORDER TREATMENT INFORMATION OF A SELECT GROUP OF PATIENTS RATHER THAN INTEGRATING IT INTO OUR MEDICAL RECORDS AND COMPREHENSIVE CARE MODELS, HOW CAN WE ENSURE THAT THESE PATIENTS ARE IN FACT RECEIVING QUALITY CARE? HOW CAN WE REALLY TREAT SUBSTANCE USE DISORDER LIKE ALL OTHER COMPLEX HEALTH CONDITIONS? H.R. 6082 ENSURES ADEQUATE DATA PATIENT PROTECTION IN ACCORDANCE WITH FEDERAL LAW, WITH HIPAA. THERE ARE PROVISIONS IN THE LANGUAGE THAT ENSURE THAT THE DATA MAY ONLY BE USED FOR PURPOSES OF TREATMENT, PAYMENT OR HEALTH CARE OPERATIONS. SUBSTANCE USE DISORDER DATA CANNOT BE USED IN CRIMINAL, CIVIL OR ADMINISTRATIVE INVESTIGATIONS, ACTIONS OR PROCEEDINGS WITHOUT PATIENT CONSENT OR A COURT ORDER. ADDITIONALLY, THE LEGISLATION EXPLICITLY, EXPLICITLY PROHIBITS DISCRIMINATION AGAINST AN INDIVIDUAL ON THE BASIS OF THEIR PATIENT NEEDS. CURRENTLY PART TWO INCLUDES NO ANTI-DISCRIMINATION PROTECTIONS AND NO PROTECTIONS FOR INDIVIDUALS IF THERE IS A DATA BREACH OR IMPROPER DISCLOSURE. THINK ABOUT THAT FOR A MINUTE, MR. SPEAKER. THIS IS A 1970'S-ERA LAW. THERE WERE NOT DATA BREACHES BACK IN THE 1970'S. 42 C.F.R. PART TWO WAS NEVER INTENDED TO PROTECT A PATIENT IN THE INSTANCE OF A DATA BREACH. SHOULD ANY ENTITY OR INDIVIDUAL SHARE PATIENT DATA UNDER H.R. 6082, THEY IN FACT WILL BE SEVERELY PENALIZED. THERE'S A REASON WHY SAMHSA AND MOST OF THE HEALTH CARE STAKEHOLDER COMMUNITY IS ASKING FOR THIS CHANGE. CLEARLY THERE IS AN ISSUE HERE THAT MUST BE ADDRESSED. THIS OPIOID CRISIS IS HURTING OUR COUNTRY. THIS WILL ENABLE GREATER COORDINATION AMONG HEALTH CARE PROVIDERS IN PROVIDING QUALITY, EFFECTIVE CARE FOR INDIVIDUALS ACROSS THE COUNTRY WHO ARE BATTLING SUBSTANCE USE DISORDER. MY THANKS TO MR. MULLIN ON THE ENERGY AND COMMERCE COMMITTEE, TO MR. BLUMENAUER, FOR INTRODUCING THIS LEGISLATION THAT IS OF UTMOST IMPORTANCE. I URGE STRONG SUPPORT FOR THE BILL AND I WILL RESERVE THE BALANCE OF MY TIME.

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                                • 12:52:41 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN RESERVES THE BALANCE OF HIS TIME. THE GENTLEMAN FROM NEW…

                                  THE GENTLEMAN RESERVES THE BALANCE OF HIS TIME. THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED.

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                                • 12:52:45 PM

                                  MR. PALLONE

                                  THANK YOU, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

                                • 12:52:48 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN IS RECOGNIZED.

                                • 12:52:49 PM

                                  MR. PALLONE

                                  MR. SPEAKER, I RISE IN OPPOSITION TO H.R. 6082, THE OVERDOSE PREVENTION…

                                  MR. SPEAKER, I RISE IN OPPOSITION TO H.R. 6082, THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT. THIS LEGISLATION WOULD GREATLY HARM OUR EFFORTS TO COMBAT THE OPIOID EPIDEMIC. IF WE REALLY WANT TO TURN THE TIDE ON THIS CRISIS, WE MUST FIND WAYS TO GET MORE PEOPLE INTO TREATMENT FOR OPIOID USE DISORDER. IN 2016 THERE WERE ABOUT 21 MILLION AMERICANS AGE 12 OR OLDER IN NEED OF SUBSTANCE USE DISORDER TREATMENT, BUT ONLY FOUR MILLION OF THOSE 12 MILLION ACTUALLY RECEIVED TREATMENT. THAT MEANS 17 MILLION PEOPLE ARE GOING WITHOUT THE TREATMENT THEY NEED. AND FAILURE TO GET INDIVIDUALS WITH OPIOID USE DISORDER INTO TREATMENT INCREASES RISK OF FATAL AND NONFATAL OVERDOSES AS PEOPLE CONTINUE TO SEEK OUT ILLICIT OPIOIDS AS PART OF THEIR ADDICTION. INCREASING PRESENCE OF FENTANYL IN OUR DRUG SUPPLY ONLY HEIGHTENS THIS CONCERN. STRATEGIES THAT INCREASE THE NUMBER OF PEOPLE GETTING INTO AND REMAINING IN TREATMENT ARE PARTICULARLY IMPORTANT BECAUSE AS THESE TREATMENT STATISTICS SHOW, MAJOR CHALLENGES EXIST AT GETTING PEOPLE WITH SUBSTANCE USE DISORDERS TO ENTER TREATMENT IN THE FIRST PLACE. AND THIS HOUSE SHOULD NOT, AND STRESS SHOULD NOT, TAKE ANY ACTION THAT PUTS AT RISK PEOPLE SEEKING TREATMENT FOR ANY SUBSTANCE USE DISORDER, BUT PARTICULARLY OPIOID USE DISORDERS. UNFORTUNATELY THIS BILL RISKS DOING JUST THAT. REDUCING THE NUMBER OF PEOPLE WILLING TO COME FORWARD AND REMAIN IN TREATMENT BECAUSE THEY WORRY ABOUT THE NEGATIVE CONSEQUENCES THAT SEEKING TREATMENT CAN HAVE ON THEIR LIVES. AND THIS IS A VERY REAL CONCERN. THIS BILL WEAKENS PRIVACY PROTECTIONS THAT MUST BE IN PLACE FOR SOME PEOPLE TO FEEL COMFORTABLE ABOUT STARTING TREATMENT FOR THEIR SUBSTANCE USE DISORDER. ENSURING STRONG PRIVACY PROTECTIONS IS CRITICAL TO MAINTAINING AN INDIVIDUAL'S TRUST IN THE HEALTH CARE SYSTEM. AND THE WILLINGNESS TO OBTAIN NEEDED HEALTH SERVICES. THESE PROTECTIONS ARE ESPECIALLY IMPORTANT WHERE VERY SENSITIVE INFORMATION IS CONCERNED. THE INFORMATION THAT MAY BE INCLUDED IN THE TREATMENT RECORDS OF A SUBSTANCE USE DISORDER PATIENT ARE PARTICULARLY SENSITIVE BECAUSE DISCLOSURE OF SUBSTANCE USE DISORDER INFORMATION CAN CREATE TANGIBLE VULNERABILITIES THAT ARE NOT THE SAME AS OTHER MEDICAL CONDITIONS. FOR EXAMPLE, YOU ARE NOT INCARCERATED FOR HAVING A HEART ATTACK. YOU CANNOT LEGALLY BE FIRED FOR HAVING CANCER. AND YOU ARE NOT DENIED VISITATION TO YOUR CHILDREN DUE TO SLEEP APNEA. ACCORDING TO SAMHSA, THE NEGATIVE CONSEQUENCES THAT CAN RESULT FROM DISCLOSURE OF AN INDIVIDUAL'S SUBSTANCE USE DISORDER TREATMENT RECORD CAN INCLUDE LOSS OF EMPLOYMENT, LOSS OF HOUSING, LOSS OF CHILD CUSTODY, DISCRIMINATION BY MEDICAL PROFESSIONALS, AND INSURERS, ARREST, PROSECUTION AND INCARCERATION. THESE ARE REAL RISKS THAT KEEP PEOPLE FROM GETTING TREATMENT IN THE FIRST PLACE. AND WHILE I UNDERSTAND THAT THE ROLLBACK OF THE EXISTING PRIVACY PROTECTIONS TO THE HIPAA STANDARD WOULD LIMIT PERMISSIBLE DISCLOSURES WITHOUT PATIENT CONSENT TO HEALTH CARE ORGANIZATIONS, THIS IGNORES THE REALITY. IT MAY BE ILLEGAL FOR INFORMATION TO BE DISCLOSED OUTSIDE THESE HEALTH CARE ORGANIZATIONS, BUT WE KNOW, MR. SPEAKER, THAT INFORMATION DOES GET OUT. BREACHES DO HAPPEN. REMEMBER THE RECENT LARGE-SCALE AETNA BREACH THAT DISCLOSED SOME OF ITS MEMBERS' H.I.V. STATUS. BUT THERE ARE ALSO SMALL-SCALE BREACHES THAT DON'T MAKE THE NEWS, BUT CAN HAVE DEVASTATING CONSEQUENCES FOR PATIENTS TRYING TO RECOVER AND GET TREATMENT. FOR EXAMPLE, A RECENT INVESTIGATION DETAILED INSTANCES WHERE A HEALTH CARE ORGANIZATION'S EMPLOYEE PEEKED AT THE RECORD OF A PATIENT 61 TIMES AND POSTED DETAILS ON FACEBOOK WHILE ANOTHER IMPROPERLY SHARED A PATIENT'S HEALTH INFORMATION WITH THE PATIENT'S PAROLE OFFICER. BREACHES SUCH AS THIS ARE VERY CONCERNING. AND COULD OCCUR MORE OFTEN AS A RESULT OF THIS LEGISLATION. WHILE I APPRECIATE THE SPONSORS' EFFORTS TO ALLEVIATE THESE CONCERNS, I DO NOT BELIEVE THE POTENTIAL HARM THAT COULD BE CAUSED BY ELIMINATING THE PATIENT CONSENT REQUIREMENT UNDER EXISTING LAW FOR TREATMENT, PAYMENT AND HEALTH CARE OPERATIONS CAN BE REMEDIED THROUGH THE MEASURES INCLUDED IN THIS BILL. THE INCLUSIONS OF THESE PROVISIONS CANNOT COMPENSATE FOR THE RISK OF STIGMA, DISCRIMINATION AND NEGATIVE HEALTH AND LIFE OUTCOMES FOR INDIVIDUALS WITH OPIOID USE DISORDER THAT COULD RESULT FROM THE WEAKENING OF THE EXISTING PRIVACY PROTECTIONS. THAT'S WHY EVERY SUBSTANCE USE DISORDER PATIENT GROUP HAS COME OUT IN OPPOSITION TO THIS BILL. ACCORDING TO THE CAMPAIGN TO PROTECT PATIENT PRIVACY RIGHTS, A COALITION OF MORE THAN 100 ORGANIZATIONS, AND I'M QUOTING NOW, USING THE WEAKER HIPAA PRIVACY RULE STANDARD OF ALLOWING DISCLOSURE OF SUBSTANCE USE DISORDER INFORMATION WITHOUT PATIENT CONSENT FOR TREATMENT, PAYMENT AND HEALTH CARE OPERATIONS WILL CONTRIBUTE TO THE EXISTING LEVEL OF DISCRIMINATION AND HARM TO PEOPLE LIVING WITH SUBSTANCE USE DISORDERS, UNQUOTE. THE CAMPAIGN GOES ON TO SAY, AND AGAIN I QUOTE, THIS WILL ONLY RESULT IN MORE PEOPLE WHO NEED SUBSTANCE USE DISORDER TREATMENT BEING DISCOURAGED AND AFRAID TO SEEK THE HEALTH CARE THEY NEED DURING THE NATION'S WORST OPIOID CRISIS. THIS IS A RISK WE SIMPLY SHOULD NOT TAKE. AND YET THE MAJORITY IS BRINGING THIS BILL TO THE FLOOR TODAY DESPITE THE VERY REAL CONCERNS OF THESE EXPERTS. AND THESE GROUPS UNIQUELY UNDERSTAND WHAT'S AT STEAK FROM THIS LEGISLATION. BECAUSE MANY OF THEIR MEMBERS LIVE WITH OR ARE IN FEAR OF THE NEGATIVE CONSEQUENCES THAT RESULT FROM THE DISCLOSURE OF SUBSTANCE USE DISORDER DIAGNOSIS AND TREATMENT INFORMATION. IN FACT, THE NEGATIVE CONSEQUENCES THAT WILL RESULT FROM THE DISCLOSURE OF SOMEONE'S SUBSTANCE USE DISORDER WOULD TOTALLY EFFECT THAT INDIVIDUAL AND THEIR FEMALE. THEY WILL BEAR THE BURDEN IF WE GET THIS WRONG. THEY COULD BE AT RISK OF POTENTIALLY LOSING CUSTODY OF THEIR CHILD AND THEIR FREEDOM BY THE INCREASED RISK OF IMPROPER DISCLOSURE OF THEIR MEDICAL RECORD IF THIS BILL BECOMES LAW. AND THESE RISKS MAY SIMPLY JUST KEEP THEM FROM SEEKING POTENTIALLY LIFE-SAVING TREATMENT. AND THAT'S WHY SUBSTANCE USE DISORDER TREATMENT PROVIDERS HAVE ALSO RAISED CONCERNS. THE SOUTH CAROLINA ASSOCIATION OF OPIATE DEPENDENTS EXPLAINED, EVEN WITH THE GROWING AWARENESS THAT SUBSTANCE USE DISORDERS ARE A DISEASE, THE UNFORTUNATE TRUTH IS THAT PERSONS WITH SUBSTANCE USE DISORDER ARE STILL ACTIVELY DISCRIMINATED AGAINST. SUCH AS A BABY BEING TAKEN AWAY FROM A NEW MOTHER BECAUSE SHE'S ON METHADONE FOR AN OPIOID USE DISORDER, DESPITE LONGSTANDING COMPLIANCE WITH HER TREATMENT AND AFTNENCE FROM ILLEGAL DRUG USE. ANOTHER PROVIDER RAISED THE BOTTOM ADDICTION TREATMENT, ONE OF TWO MEDICAL ASSISTED TREATMENT FACILITIES IN IDAHO, EXPLAINED, AND I QUOTE, THAT OUR PATIENTS COME FROM EVERY WALK OF LIFE. INCLUDING PROFESSIONALS AND EXECUTIVES WITHIN OUR COMMUNITY. THEIR ANONYMITY AND PRIVACY IS OF UTMOST IMPORTANCE BECAUSE THEIR KOREA CAREERS AND LIVELIHOOD OFTEN DEPEND ON IT. KNOWING PEOPLE MAY SEEK TREATMENT WITHOUT FEAR OF BACKLASH AND DISCRIMINATION IS OFTEN A DECIDING FACTOR WHEN CONSIDERING ENTERING TREATMENT. TO UNDO THIS PROTECTION WILL DEEPLY EFFECT ONE'S ABILITY AND WILLINGNESS TO SEEK HELP. NOT ONLY ACCOUNT MEMBERS OF OUR COMMUNITY NOT AFFORD TO LOSE THEIR RIGHT TO CONFIDENTIALITY, BUT WE AS A NATION CANNOT AFFORD TO MOVE BACKWARDS IN OUR FIGHT TO COMBAT THIS OPIOID CRISIS. SO AGAIN, MR. SPEAKER, THESE ARE THE WORDS OF EXPERTS ON THE FRONTLINE, FIGHTING THIS EPIDEMIC. PEOPLE WHO SUFFER FROM SUBSTANCE USE DISORDER SHOULD BE ABLE TO DECIDE WITH WHOM TO SHARE THEIR TREATMENT RECORDS, FROM PROGRAMS AND FOR WHAT PURPOSES. THOSE RIGHTS ARE TAKEN AWAY FROM THEM UNDER THIS LEGISLATION AND I BELIEVE THAT'S WRONG. . I BELIEVE MAINTAINING THE HEIGHTENED PRIVACY PROTECTIONS UNDER EXISTING LAW REMAINS VITAL TO ENSURING ALL INDIVIDUALS WITH SUBSTANCE USE DISORDER CAN SEEK TREATMENT FOR THEIR SUBSTANCE USE DISORDER WITH CONFIDENCE THAT THEIR RIGHT TO PRIVACY WILL PROTECT IT. TO DO OTHERWISE AT THIS TIME IS JUST TOO GREAT A RISK AND I STRONGLY URGE MY COLLEAGUES TO LISTEN TO THE EXPERTS ON THIS SUBJECT AND TO VOTE NO ON THIS LEGISLATION. I RESERVE THE BALANCE OF MY TIME.

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                                • 01:01:01 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM NEW JERSEY RESERVES. THE GENTLEMAN FROM TEXAS IS…

                                  THE GENTLEMAN FROM NEW JERSEY RESERVES. THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

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                                • 01:01:05 PM

                                  MR. BURGESS

                                  THANK YOU, MR. SPEAKER. AT THIS TIME I'M HAPPY TO RECOGNIZE THE GENTLEMAN…

                                  THANK YOU, MR. SPEAKER. AT THIS TIME I'M HAPPY TO RECOGNIZE THE GENTLEMAN FROM OKLAHOMA, THE PRINCIPAL SPONSOR OF THE BILL, THREE MINUTES, HE'S A VALUABLE MEMBER OF THE ENERGY AND COMMERCE COMMITTEE, MR. MULLIN, THREE MINUTES.

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                                • 01:01:17 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM OKLAHOMA IS RECOGNIZED FOR THREE MINUTES.

                                • 01:01:20 PM

                                  MR. MULLIN

                                  I RISE TO SPEAK IN SUPPORT OF MY BILL, THE OVERDOSE PREVENTION AND PATIENT…

                                  I RISE TO SPEAK IN SUPPORT OF MY BILL, THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT. MY COLLEAGUE, MR. BLUMENAUER, AND I INTRODUCED THIS BILL TO HELP PHYSICIANS FIGHT THE OPIOID EPIDEMIC. THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT ALLOWS THE FLOW OF INFORMATION AMONG HEALTH CARE PROVIDERS AND HEALTH PLANNERS FOR THE PURPOSE OF TREATMENT, PAYMENT, AND HEALTH CARE OPERATIONS. UNFORTUNATELY, THERE'S AN OUTDATED FEDERAL GOVERNMENT MANDATE, 42 C.F.R. PART 2, WHICH IS CREATING A FIREWALL BETWEEN DOCTORS AND PATIENTS. MY BILL, THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT, WILL GIVE DOCTORS ACCESS TO PATIENTS' ADDICTION MEDICAL INFORMATION THAT CAN INTEGRATE THEIR CARE AND PREVENT TRAGIC OVERDOSES AND IMPROVE PATIENT SAFETY. SAMHSA HAS STATED, THE PRACTICE OF REQUIRING THE SUBSTANCE USE DISORDER INFORMATION TO BE ANY MORE PRIVATE THAN INFORMATION REGARDING OTHER CHRONIC ILLNESSES SUCH AS CANCER OR HEART DISEASE MAY ITSELF BE STIGMATIZING THE PATIENT. PATIENTS WITH SUBSTANCE USE DISORDERS SEEKING TREATMENT FOR ANY CONDITION HAVE A RIGHT TO HEALTH CARE PROVIDERS WHO FULLY UNDERSTAND AND ARE EQUIPPED WITH THE INFORMATION NEEDED TO PROVIDE THE HIGHEST QUALITY OF CARE. WHEN A PERSON VIOLATES PART 2, IT IS REFERRED TO THE JUSTICE DEPARTMENT AND THERE IS ONLY A $50 PENALTY. THERE'S BEEN ZERO CASES -- LET ME REPEAT THAT. THERE HAS BEEN ZERO CASES IN WHICH PART 2 WAS ENFORCED OR ANY ACTION TAKEN BY THE DEPARTMENT OF JUSTICE OR SAMHSA. THE PENALTY FOR NONCOMPLIANCE UNDERNEATH HIPAA ARE BASED ON A LEVEL OF NEGLIGENCE AND CAN RANGE FROM $100 TO $50,000 PER VIOLATION WITH A MAXIMUM OF $1.5 MILLION PER YEAR. THERE'S BEEN 173,472 CASES UNDERNEATH HIPAA VIOLATIONS SINCE 2003 WITH 97% OF THOSE COMPLAINTS RESOLVED. PATIENTS, DOCTORS, HOSPITALS, AND A BROAD SPECTRUM OF STAKEHOLDERS AGREE WE NEED TO END THIS OUTDATED FEDERAL GOVERNMENT MANDATE BY STOPPING THE PRIVATE SECTOR'S -- BY HELPING PREVENT THE PRIVATE SECTOR'S INNOVATION. I ENCOURAGE MY COLLEAGUES TO SUPPORT THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT. THANK YOU, MR. SPEAKER, AND I YIELD BACK.

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                                • 01:03:52 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN YIELDS BACK. THE GENTLEMAN FROM TEXAS RESERVES. THE…

                                  THE GENTLEMAN YIELDS BACK. THE GENTLEMAN FROM TEXAS RESERVES. THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED. THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED.

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                                • 01:04:01 PM

                                  MR. PALLONE

                                  MR. SPEAKER, I'D LIKE TO YIELD THREE MINUTES NOW TO THE GENTLEMAN FROM…

                                  MR. SPEAKER, I'D LIKE TO YIELD THREE MINUTES NOW TO THE GENTLEMAN FROM OREGON, MR. BLUMENAUER.

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                                • 01:04:07 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM OREGON IS RECOGNIZED FOR THREE MINUTES.

                                • 01:04:23 PM

                                  MR. BLUMENAUER

                                  THANK YOU, MR. SPEAKER. I THANK MR. PALLONE FOR PERMITTING ME TO SPEAK ON…

                                  THANK YOU, MR. SPEAKER. I THANK MR. PALLONE FOR PERMITTING ME TO SPEAK ON THIS BILL. I RESPECT HIS EFFORTS AND I RESPECT A NUMBER OF HIS CONCERNS, BUT I DO THINK THAT THE WORK THAT WE HAVE DONE WITH MR. MULLIN, WITH THE COMMITTEE, AND I APPRECIATE THE SUBCOMMITTEE'S EXTRA EFFORTS TO TRY AND WORK THROUGH THESE ELEMENTS, LISTEN TO PEOPLE'S OBJECTIONS AND TRY AND DO IT RIGHT. THERE HAS BEEN NO ARGUMENT THAT THIS PROVISION HAS COST LIVES. THE FAILURE IN EMERGENCY ROOMS, OTHER CIRCUMSTANCES, FOR PEOPLE TO BE ABLE TO GET THE FULL PICTURE OF A PATIENT'S CONDITION ENDS UP SOMETIMES WITH TRAGIC CONSEQUENCES. WE HAVE YET TO HEAR ANY REASON WHY WE SHOULDN'T COORDINATE. NOW, I APPRECIATE CONCERNS ABOUT PATIENT PRIVACY, BUT AS DR. BURGESS, MY FRIEND FROM OKLAHOMA POINTED OUT, WE ARE STRENGTHENING PROVISIONS UNDER THIS BILL FOR DISCLOSURE. THE FACT THAT PEOPLE DON'T WANT TO STIGMATIZE THOSE WITH SUBSTANCE ABUSE, WE AGREE, BUT HAVING A SEPARATE SYSTEM THAT PEOPLE HAVE TO GO THROUGH JUST FOR SUBSTANCE ABUSE IMPLIES A STIGMA. THIS IS SOMETHING WRONG WITH THESE PEOPLE. YOU DON'T DO THIS FOR AIDS ANYMORE. THIS HARMONIZES WITH ALL THE OTHER HIPAA PROVISIONS. AND CANDIDLY, FORCING PEOPLE TO GET THROUGH YET ANOTHER STEP PROBABLY RAISES QUESTIONS ABOUT THE VALIDITY OF DISCLOSURE, RAISING QUESTIONS IN THE MINDS OF THOSE WHO GO THROUGH THAT. MR. SPEAKER, WE HAVE MADE, I THINK, TREMENDOUS PROGRESS DEALING WITH STIGMA, DEALING WITH PATIENT PROTECTION. WHAT WE'VE DONE FOR MENTAL HEALTH, WHICH HAS DEVASTATING CONSEQUENCES IN SOME CASES, IF PEOPLE'S RECORDS ARE REVEALED. WHAT HAPPENED WITH HIV-AIDS? THAT WOULD END UP WITH PEOPLE HAVING A STIGMA, AT RISK OF LOSING THEIR JOB, BEING OSTRACIZED. THERE ARE PROVISIONS IN THIS BILL THAT ARE THERE FOR HIV-AIDS, FOR MENTAL HEALTH, FOR EVERYTHING UNDER HIPAA. I REALLY DO THINK THAT TAKING A STEP BACK, UNDERSTANDING THAT HAVING SEPARATE AUTHORIZATIONS COMPLICATES THE COORDINATION AND INTEGRATION OF TREATMENT BECAUSE OFTENTIMES BEHAVIORAL HEALTH INFORMATION DOESN'T AWRY IN AN ORDERLY FASHION. IT'S ANOTHER STEP OF COMPLICATION THAT COULD HAVE TRAGIC CONSEQUENCES. IN FACT, THE SUBCOMMITTEE'S RECORD DEMONSTRATES THAT. THERE HAVE BEEN EXAMPLES WHERE PEOPLE HAVE DIED BECAUSE THE MEDICAL PROVIDERS DID NOT HAVE THE FULL PICTURE OF THE PATIENT. THIS LEGISLATION WILL FIX IT.

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                                • 01:07:35 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN YIELDS BACK. THE GENTLEMAN FROM NEW JERSEY RESERVES, AND THE…

                                  THE GENTLEMAN YIELDS BACK. THE GENTLEMAN FROM NEW JERSEY RESERVES, AND THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

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                                • 01:07:39 PM

                                  MR. BURGESS

                                  THANK YOU, MR. SPEAKER. AT THIS TIME IT'S MY PLEASURE TO RECOGNIZE THE…

                                  THANK YOU, MR. SPEAKER. AT THIS TIME IT'S MY PLEASURE TO RECOGNIZE THE CHAIRMAN OF THE FULL COMMITTEE, MR. WALDEN OF OREGON, FOR FIVE MINUTES.

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                                • 01:07:46 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM OREGON IS RECOGNIZED FOR FIVE MINUTES.

                                • 01:07:48 PM

                                  MR. WALDEN

                                  THANK YOU, MR. SPEAKER. I WANT TO THANK DR. BURGESS, THE CHAIRMAN OF THE…

                                  THANK YOU, MR. SPEAKER. I WANT TO THANK DR. BURGESS, THE CHAIRMAN OF THE SUBCOMMITTEE ON HEALTH, FOR HIS FINE LEADERSHIP ON THIS ISSUE, ALONG WITH OUR COLLEAGUES, MR. MULLIN AND MY FRIEND FROM OREGON AND COLLEAGUE, MR. BLUMENAUER, WHO PUT A LOT OF WORK INTO THIS. I COMMEND MY COLLEAGUE FROM OREGON FOR HIS STRONG STATEMENT IN SUPPORT OF THIS LEGISLATION. COMBATING THE OPIOID EPIDEMIC HAS BEEN A TOP PRIORITY OF ALL OF US IN THIS CONGRESS AND ESPECIALLY ON THE ENERGY AND COMMERCE COMMITTEE, WHICH I CHAIR. WE'VE COMMITTED THE LAST YEAR AND A HALF TO EXAMINING THE WAYS WE CAN RESPOND TO SAVE LIVES, TO HELP PEOPLE IN OUR COMMUNITIES, AND TO END THIS DEADLY, DEADLY EPIDEMIC. DURING THAT TIME, I HEARD A LOT OF STORIES. BOTH AT THE HEARINGS HERE IN THE NATION'S CAPITAL AND BACK HOME IN OREGON WHERE I HAVE HELD MULTIPLE ROUNDTABLES AND MEETINGS IN THE COMMUNITIES ABOUT WHAT WE NEED TO DO TO HELP THE OUTCOME OF PATIENTS, OUR NEIGHBORS, OUR FRIENDS, SOME CASES FAMILY MEMBERS WHO ARE DEALING WITH THESE ADDICTIONS. EXTRAORDINARY ARRAY OF PEOPLE, INCLUDING PATIENTS, PARENTS OF THOSE SUFFERING WITH ADDICTION, THE OREGON ASSOCIATION OF HOSPITAL ASSOCIATION, THE OREGON GOVERNOR, KATE BROWN, SUBSTANCE USE DISORDER TREATMENT PROVIDERS HAVE ALL TOLD ME AND OUR COMMITTEE THAT EXISTING FEDERAL CONFIDENTIALITY REGULATIONS AND STATUTE KNOWN AS 42 C.F.R. PART 2, OR SIMPLY PART 2, ARE WORKING AGAINST, WORKING AGAINST PATIENTS AND MAKING IT HARDER TO EFFECTIVELY TREAT ADDICTION. THERE'S HARDLY ANYONE IN THE HEALTH CARE SECTOR THAT WE'VE NOT HEARD FROM ON THIS ISSUE, BUT ONE STORY REALLY COMES TO MIND AND THAT'S BRANDON MCKEY. BRANDON'S BROTHER, DUSTIN, HE TESTIFIED BEFORE OUR HEALTH SUBCOMMITTEE WHEN WE REVIEWED A NEAR IDENTICAL VERSION OF THIS LEGISLATION BACK IN MAY. TRAGICALLY, BRANDON DIED OF AN OVERDOSE AT 36 YEARS OF AGE. HE LEFT BEHIND THREE YOUNG CHILDREN. SPEAKING ABOUT HIS PASSING, HIS BROTHER, DUSTIN, TOLD THE SUBCOMMITTEE, AND I QUOTE, BRANDON'S DEATH WAS PREVENTABLE. HOWEVER, IN PART BECAUSE OF THE ANTIQUATED PROVISIONS IN PART 2, THE MEDICAL PROFESSIONALS THAT PRESCRIBED HIM OPIOID-BASED PAIN MEDICATIONS WERE NOT ABLE TO IDENTIFY HIM AS A HIGH-RISK INDIVIDUAL, CLOSED QUOTE. YOU SEE, BRANDON WAS PRESCRIBED OPIOIDS AFTER BACK SURGERY ON TWO SEPARATE OCCASIONS. DESPITE HIS HISTORY OF SUBSTANCE USE DISORDER. WITHIN A FEW MONTHS OF HIS SECOND SURGERY, BRANDON FATALLY OVERDOSED ON HEROIN. THAT'S WHY THIS BILL IS SO IMPORTANT. HEALTH RECORDS FOR SUBSTANCE USE DISORDER ARE THE ONLY, ONLY RECORDS THAT ARE SILOED IN THIS WAY, PREVENTING PHYSICIANS FROM SEEING A COMPLETE PICTURE OF A PATIENT THEY ARE TREATING. DOCTORS DON'T KNOW. ALL OTHER PROTECTED HEALTH INFORMATION FOR EVERY OTHER DISEASE FALLS UNDER HIPAA. THE OVERDOSE PREVENTION AND PATIENT SAFETY ACT WILL HELP ALIGN FEDERAL POLICY STANDARDS, PRIVACY STANDARDS FOR SUBSTANCE USE DISORDER TREATMENT INFORMATION MORE CLOSELY WITH HIPAA SO THAT OUR DOCTORS AND OUR ADDICTION SPECIALISTS CAN PROVIDE THE HIGHEST AND SAFEST LEVEL OF TREATMENT. IN SHORT, THIS BILL WILL IMPROVE COORDINATION OF CARE FOR PATIENTS SUFFERING FROM SUBSTANCE USE DISORDER AND SAVE LIVES BY HELPING TO PREVENT OVERDOSES, DANGEROUS DRUG INTERACTIONS. NOW, I FULLY RESPECT AND UNDERSTAND THE PRIVACY CONCERNS THAT SOME STILL HAVE. AND THE SENSITIVITIES ABOUT THE IDEA ABOUT MAKING CHANGES TO A STATUTE THAT'S BEEN IN PLACE SINCE THE 1970'S, LONG BEFORE HIPAA. THAT'S WHY REPRESENTATIVES MULLIN AND BLUMENAUER WORKED IN A BIPARTISAN FASHION TO INCLUDE STRONG, UNLAWFUL DISCLOSURE PENALTIES, DISCRIMINATION PROTECTIONS, AND BREACH NOTIFICATION REQUIREMENTS IN THIS BILL. IN DOING SO, H.R. 6082 WILL ACTUALLY IMPROVE THE ABILITY TO PENALIZE THOSE WHO ILLEGALLY DISCLOSE A PATIENT'S INFORMATION. THIS ISN'T ABOUT USING THIS INFORMATION FOR ANY OTHER PURPOSE THAN TREATING THAT PATIENT SAFELY. BE CLEAR, THERE'S NO LEGAL WAY FOR A PATIENT'S SUBSTANCE USE DISORDER TREATMENT TO BE USED AGAINST THEM UNDER THIS BILL. THIS BILL, INSTEAD, EXPANDS PROTECTIONS FOR INDIVIDUALS SEEKING ADDICTION TREATMENT ABOVE AND BEYOND EXISTING LAW, AND IT WILL HELP US TURN THE TIDE ON THE OPIOID SCOURGE. SO I WANT TO THANK MR. MULLIN AND MR. BLUMENAUER ONCE AGAIN FOR THEIR WORK AND THE OTHER MEMBERS OF THE COMMITTEE. THIS BIPARTISAN BILL WILL SAVE LIVES. IT'S CRITICALLY IMPORTANT FOR OUR EFFORTS TO COMBAT THE OPIOID CRISIS, AND I URGE MY COLLEAGUES TO SUPPORT H.R. 6082, AND I YIELD BACK THE BALANCE OF MY TIME.

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                                • 01:12:48 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN YIELDS BACK. THE GENTLEMAN FROM TEXAS RESERVES. THE…

                                  THE GENTLEMAN YIELDS BACK. THE GENTLEMAN FROM TEXAS RESERVES. THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED.

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                                • 01:12:53 PM

                                  MR. PALLONE

                                  THANK YOU, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

                                • 01:12:58 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN IS RECOGNIZED FOR AS MUCH TIME AS HE MAY CONSUME.

                                • 01:13:01 PM

                                  MR. PALLONE

                                  MR. SPEAKER, PROPONENTS OF THIS LEGISLATION ARGUE TAKING AWAY PATIENT'S…

                                  MR. SPEAKER, PROPONENTS OF THIS LEGISLATION ARGUE TAKING AWAY PATIENT'S PRIVACY RIGHTS RELATED TO SUBSTANCE USE DISORDER TREATMENT RECORDS IS OK BECAUSE WE WOULD BE APPLYING THE HIPAA STANDARD THAT APPLIES TO OTHER SENSITIVE HEALTH CONDITIONS LIKE H.I.V. BUT I STRONGLY DISAGREE. INDIVIDUALS WITH SUBSTANCE USE DISORDER FACE RISKS BECAUSE OF THEIR MEDICAL CONDITIONS THAT THOSE WITH OTHER MEDICAL CONDITIONS DO NOT. ACCORDING TO SAMHSA, THOSE NEGATIVE CONSEQUENCES INCLUDE LOSS OF EMPLOYMENT, LOSS OF HOUSING, LOSS OF CHILD CUSTODY, DISCRIMINATION BY MEDICAL PROFESSIONALS AND INSURERS, ARRESTS, PROSECUTION, AND INCARCERATION. UNLIKE OTHER MEDICAL CONDITIONS, INCLUDING H.I.V., YOU CAN BE INCARCERATED, LEGALLY FIRED, AND DENIED VISITATION WITH YOUR CHILDREN DUE TO YOUR SUBSTANCE USE DISORDER. SO LET ME PAINT THIS PICTURE WITH A FEW EXAMPLES. A 20-YEAR-OLD PREGNANT WOMAN IN WISCONSIN VOLUNTARILY WENT TO A HOSPITAL TO SEEK TREATMENT FOR ADDICTION TO THE OPIOID OXYCONTIN. RATHER THAN PROVIDING TREATMENT, THEY CALLED STATE AUTHORITIES TO TELL ON THIS WOMAN. ANOTHER EXAMPLE PROVIDED TO THE COMMITTEE FROM A PROVIDER IN MARYLAND EXPLAINED, AND NOW I'M QUOTING, SOMETIME AGO WE HAD A YOUNG LADY IN OUR METHADONE MAINTENANCE PROGRAM THAT COMMITTED SUICIDE. SHE HAD TURNED HER LIFE AROUND. SHE WAS IN COLLEGE, WORKING FULL TIME, OWNED HER OWN CARE, WAS PURCHASING A HOUSE AND WAS NO LONGER USING ILLICIT SUBSTANCES. SHE HAD TO COMPLETE PROBATION FOR HER CRIMES THAT SHE HAD COMMITTED WHILE SHE WAS ACTIVELY USING THESE DRUGS. HER MOTHER DID NOT KNOW SHE WAS IN METHADONE TREATMENT. SHE DID NOT WANT HER MOTHER TO KNOW BECAUSE HER MOTHER DID NOT AGREE WITH METHADONE. AND THE JUDGE FOUND OUT SHE WAS IN THE METHADONE MAINTENANCE PROGRAM AND DISCLOSED IT IN A COURT HEARING WITH HER MOTHER PRESENT. THE JUDGE AND HER MOTHER INSISTED SHE, QUOTE, GET OFF THAT STUFF, AND SHE COMPLIED ONLY BECAUSE OF THE PRESSURE FROM BOTH TO DO SO. SHE BEGAN ABUSING ILLICIT SUBSTANCES AND PARTICIPATING IN ILLEGAL ACTIVITY TO OBTAIN THOSE SUBSTANCES. THE GUILT AND SHAME OF RETURNING TO WHAT SHE DESCRIBED AS A LIFE OF HELL LED HER TO WRITE A SUICIDE NOTE AND END HER LIFE. EXPERIENCES LIKE THIS IN ADDITION TO STORIES OF INDIVIDUALS WITH SUBSTANCE USE DISORDER WHO HAVE LOST JOBS, HOUSING, AND CHILD CUSTODY BECAUSE OF THEIR SUBSTANCE USE DISORDER ARE REASONS THAT SOME INDIVIDUALS WITH SUBSTANCE USE DISORDER FEAR COMING FORWARD TO ENTER TREATMENT DUE TO THE NEGATIVE CONSEQUENCES THAT RESULT, AND IT'S WHY MORE THAN 100 GROUPS, INCLUDING AIDS UNITED, JOINED THE CAMPAIGN TO PROTECT PATIENT PRIVACY RIGHTS HAVE JOINED TOGETHER TO FIGHT TO PROTECT THE HEIGHTENED PRIVACY PROTECTIONS THAT EXIST UNDER EXISTING LAW. FURTHER, UNLIKE THE PROPONENTS OF THIS LEGISLATION CONTEND, THE EXISTING LAW IS NOT AN ANOMALY. STATES LIKE FLORIDA HAVE LAWS REQUIRING WRITTEN PATIENT CONSENT FOR THE SHARING OF PATIENT'S SUBSTANCE USE DISORDER AND MENTAL HEALTH TREATMENT RECORDS WHILE OTHERS LIKE NEW YORK, KENTUCKY, AND TEXAS HAVE SUCH REQUIREMENTS FOR THE SHARING OF H.I.V. RECORDS. OTHER STATES HAVE SUCH REQUIREMENTS FOR REPRODUCTIVE HEALTH TREATMENT RECORDS. FURTHER, THE EXISTING LAW IS CONSISTENT WITH THE PROTECTIONS APPLIED TO SUBSTANCE USE DISORDER TREATMENT RECORDS. IN FACT, THE LAW GOVERNING THE CONFIDENTIALITY OF V.A. MEDICAL RECORDS, 38 U.S.C. 7332, IS CONSISTENT WITH AND BROADER THAN PART 2. UNLIKE THAT LAW, THE V.A. CANNOT SHARE A PATIENT'S SUBSTANCE USE DISORDER, H.I.V., OR SICKLE CELL ANEMIA TREATMENT RECORDS WITH ANOTHER PROVIDER WITHOUT WRITTEN PATIENT CONSENT. SO, MR. SPEAKER, I WANT TO STRESS, I DO BELIEVE THAT WE CAN LEARN AN IMPORTANT LESSON FROM OUR RESPONSE TO H.I.V., PARTICULARLY DURING THE HEIGHT OF THE AIDS EPIDEMIC. A CRITICAL PART OF THIS NATION'S RESPONSE TO THE AIDS EPIDEMIC WAS INCREASING THE PRIVACY PROTECTIONS APPLIED TO H.I.V. MEDICAL RECORDS. . SUCH ACTION WAS TAKEN BECAUSE PEOPLE WERE AFRAID DON'TER TREATMENT FOR AIDS H.I.V. BECAUSE OF THE NEGATIVE CONSEQUENCES THAT COULD RESULT. IN THE MIDST OF THE OPIOID EPIDEMIC, THIS BILL WOULD RESULT IN DOING JUST THE OPPOSITE. LOWERING THE PRIVACY PROTECTIONS APPLIED TO SUBSTANCE USE DISORDER MEDICAL RECORDS, DESPITE THE FACT THAT LIKE DURING THE AIDS EPIDEMIC SOME INDIVIDUALS WITH SUBSTANCE USE DISORDER REMAIN AFRAID TO ENTER TREATMENT BECAUSE OF THE NEGATIVE CONSEQUENCES THAT RESULT. AND IN MANY CASES THEY ONLY DO SO OUT OF THE PART 2 ASSURANCES THAT THEY CAN CONTROL TO WHOM AND FOR WHAT PURPOSES THEIR TREATMENT RECORD IS SHARED. THE INCREASED STIGMA, DISCRIMINATION AND CRIMINALIZATION FACED BY PEOPLE WITH SUBSTANCE USE DISORDER SUPPORT THE MAINTENANCE OF THE HEIGHTENED PRIVACY PROTECTIONS UNDER EXISTING LAW, IN MY OPINION. AND FOR SOME INDIVIDUALS, IT IS THESE PRIVACY PROTECTIONS THAT MAKE THEM FEEL SAFE DON'TER AND REMAIN IN TREATMENT FOR -- TO ENTER AND REMAIN IN TREATMENT FOR THE DISORDER. I'M AFRAID THAT BY PASSING THIS BILL WE COULD BE CREATING A BARRIERS THAT -- BARRIER THAT WILL KEEP PEOPLE FROM GETTING THE TREATMENT THEY NEED. THAT'S A RISK I'M SIMPLY NOT WILLING TO TAKE. I RESERVE THE BALANCE OF MY TIME.

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                                • 01:18:15 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM NEW JERSEY RESERVES. THE GENTLEMAN FROM TEXAS IS…

                                  THE GENTLEMAN FROM NEW JERSEY RESERVES. THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

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                                • 01:18:19 PM

                                  MR. BURGESS

                                  THANK YOU, MR. SPEAKER. LET ME YIELD MYSELF TWO MINUTES FOR THE PURPOSE OF…

                                  THANK YOU, MR. SPEAKER. LET ME YIELD MYSELF TWO MINUTES FOR THE PURPOSE OF RESPONSE BEFORE I YIELD TO

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                                • 01:18:25 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN IS RECOGNIZED.

                                • 01:18:26 PM

                                  MR. BURGESS

                                  MR. SPEAKER, THE TRAGIC STORY THAT WAS JUST RELATED TO US REALLY ONLY…

                                  MR. SPEAKER, THE TRAGIC STORY THAT WAS JUST RELATED TO US REALLY ONLY REINFORCES THE NEED TO CHANGE THE STATUTE BEHIND 42 C.F.R. PART 2. THERE ARE SOME IMPORTANT FACTS MISSING FROM THE DESCRIPTION OF THE SITUATION THAT OCCURRED. IT APPEARS EVIDENCE AT LEAST ONE OR BOTH OF THE PARTIES INVOLVED, THE JUDGE AND/OR THE METHADONE MAINTENANCE PROGRAM, VIOLATED EXISTING REGULATIONS UNDER BOTH PART 2 AND HIPAA. UNDER PART 2, PATIENT RECORDS MAY ONLY BE DISCLOSED WITHOUT PATIENT CONSENT IF THE DISCLOSURE IS AUTHORIZED BY AN APPROPRIATE ORDER OF A COURT OF COMPETENT JURISDICTION. THERE MUST BE A SHOWING OF GOOD CAUSE IN WHICH THE COURT MUST WEIGH THE PUBLIC INTEREST AND NEED FOR DISCLOSURE AGAINST THE INJURY TO THE PATIENT, THE PHYSICIAN-PATIENT RELATIONSHIP, AND TREATMENT SERVICES. FURTHER, THE COURT MUST IMPOSE APPROPRIATE SAFEGUARDS AGAINST UNAUTHORIZED DISCLOSURE. IT IS NOT CLEAR FROM THE DESCRIPTION PROVIDED IN THE LETTER HOW THE JUDGE FOUND OUT ABOUT THE PATIENT'S PARTICIPATION IN A METHADONE MAINTENANCE PROGRAM. IF THE INFORMATION TO THE JUDGE WAS PROVIDED WITHOUT AN APPROPRIATE COURT ORDER, THEN THE METHADONE MAINTENANCE PROGRAM LIKELY VIOLATED THE REQUIREMENTS UNDER PART 2 TO SAFEGUARD THE PATIENT'S RECORDS FROM SUCH DISCLOSURE. IF THE INFORMATION WAS PROVIDED AS A RESULT OF A COURT ORDER, THEN IT IS POSSIBLE THAT THE JUDGE VIOLATED HIS OR HER ETHICAL OBLIGATIONS TO APPROPRIATELY WEIGH THE NEED FOR THE INFORMATION AND SAFEGUARD THE INFORMATION ONCE RECEIVED. UNDER HIPAA, THERE'S STILL AN OBLIGATION FOR THE PARTY SEEKING INFORMATION TO CONFIRM THAT REASONABLE EFFORTS HAVE BEEN MADE TO ENSURE THAT THE INDIVIDUAL HAS BEEN GIVEN NOTICE OF THE REQUEST FOR PERSONAL HEALTH INFORMATION AND THE OPPORTUNITY TO OBJECT, WHERE REASONABLE EFFORTS HAVE BEEN MADE FOR THE ORDER. COMPLIANCE WITH EITHER OF THESE REQUIREMENTS APPEARS TO HAVE BEEN LACKING IN THE SITUATION DESCRIBED IN THE LETTER. ALL OF THIS SUGGESTS THAT PART 2 CURRENTLY IS INSUFFICIENT TO PROTECT PATIENTS IN THESE SITUATIONS. THE LEGISLATION BEFORE US TODAY DOES NOT DECREASE THE PROTECTIONS AGAINST THE USE OF THE RECORDS.

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                                • 01:20:32 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN'S TIME HAS EXPIRED.

                                • 01:20:34 PM

                                  MR. BURGESS

                                  IN CRIMINAL PROCEEDINGS IT ALREADY EXISTS UNDER PART 2. BUT HIPAA MAKES…

                                  IN CRIMINAL PROCEEDINGS IT ALREADY EXISTS UNDER PART 2. BUT HIPAA MAKES THE PROTECTIONS STRONGER. HE WILL MET -- LET ME YIELD THREE MINUTES TO THE GENTLEMAN FROM INDIANA, MR. BUCSHON, A VALUABLE MEMBER OF OUR COMMITTEE AND OUR SUBCOMMITTEE.

                                  Show Full Text
                                • 01:20:48 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM INDIANA IS RECOGNIZED FOR THREE MINUTES.

                                • 01:20:51 PM

                                  MR. BUCSHON

                                  MR. SPEAKER, I RISE TODAY IN TO SPEAK IN STRONG SUPPORT OF H.R. 6082 THE…

                                  MR. SPEAKER, I RISE TODAY IN TO SPEAK IN STRONG SUPPORT OF H.R. 6082 THE OVERDOSE PROTECTION AND PATIENT SAFETY ACT. THIS LEGISLATION WILL IMPROVE THE ABILITY OF MEDICAL PROFESSIONALS TO PROPERLY CARE FOR PATIENTS BY ALLOWING PHYSICIANS ACCESS TO A PATIENT'S FULL MEDICAL RECORD. INCLUDING INFORMATION ABOUT SUBSTANCE USE DISORDER TREATMENT, WHILE ENSURING ROBUST PRIVACY PROTECTIONS. AS A PHYSICIAN, I KNOW THAT PATIENTS DON'T ALWAYS NOTIFY THEIR DOCTORS OF ALL THE MEDICATIONS THEY ARE TAKING AND NOT HAVING A COMPLETE MEDICAL RECORD OR KNOWING A PATIENT'S BACKGROUND CAN RESULT IN POTENTIALLY LIFE-THREATENING COMPLICATIONS RELATED TO MEDICAL TREATMENT. I HAVE SEEN THIS IN MY OWN PRACTICE AND MY WIFE SEES THIS ALMOST DAILY IN HER ANESTHESIA PRACTICE. THIS IS COMMONSENSE LEGISLATION WHICH WILL ENSURE PATIENTS RECEIVE APPROPRIATE HEALTH CARE WHILE ALSO ENSURING THE MEDICAL INFORMATION REMAINS PRIVATE. MR. CHAIRMAN, I URGE MY COLLEAGUES TO SUPPORT H.R. 6082 AND I YIELD BACK.

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                                • 01:21:59 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEMAN FROM…

                                  THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEMAN FROM TEXAS RESERVES. THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED.

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                                • 01:22:04 PM

                                  MR. PALLONE

                                  THANK YOU, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

                                • 01:22:07 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN IS RECOGNIZED FOR AS MUCH TIME AS HE MAY CONSUME.

                                • 01:22:11 PM

                                  MR. PALLONE

                                  SOME OF THE PROPONENTS OF THIS BILL ALSO MENTIONED THE OPIATE USE DISORDER…

                                  SOME OF THE PROPONENTS OF THIS BILL ALSO MENTIONED THE OPIATE USE DISORDER SITUATIONS IN EMERGENCY ROOMS AS A JUSTIFICATION FOR THE LEGISLATION. BUT I JUST WANT TO SAY, MR. SPEAKER, I THINK IT'S IMPORTANT TO NOTE THAT THE EXISTING LAW INCLUDES AN EXCEPTION TO THE PATIENT CONSENT REQUIREMENT. A PROVIDER CAN ACCESS A PATIENT'S SUBSTANCE USE DISORDER TREATMENT RECORDS IN THE CASE OF AN EMERGENCY AS DETERMINED BY THE PROVIDER, WITHOUT PATIENT CONSENT. ADDITIONALLY, NOTHING IN THE EXISTING LAW PREVENTS ANY PROVIDER FROM ASKING THEIR PATIENT ABOUT THEIR SUBSTANCE USE DISORDER HISTORY BEFORE PRESCRIBING ANY OPIOID, ESPECIALLY IN THE MIDST OF THE OPIOID EPIDEMIC. EVERY PROVIDER SHOULD ASK PATIENTS ABOUT THEIR OPIATE USE DISORDER HISTORY OF THE AND THEREFORE UNDER THE EXISTING LAW, AND EVERY OTHER PRIVACY LAW, THE DOCTOR CAN LEARN OF A PATIENT'S HISTORY BY ASKING THE PATIENT. THAT REMAINS, IN MY OPINION, THE OPT MILLION WAY OF LEARNING A -- OPTIMAL WAY OF LEARNING A PATIENT'S HISTORY, BECAUSE OUR ELECTRONIC RECORDS AREN'T INTEROPERABLE IN MANY CASES. THOSE UNDERLYING INTEROPERABILITY ISSUES THAT PREVENT INFORMATION SHARING, INCLUDING THE PART 2 INFORMATION IN CASES WHERE A PATIENT HAS AGREED TO SHARE THEIR INFORMATION WITH PROVIDERS, AREN'T GOING TO BE SOLVED BY THIS BILL. I YIELD BACK.

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                                • 01:23:30 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME.

                                • 01:23:34 PM

                                  MR. PALLONE

                                  SORRY, MR. CHAIRMAN. I JUST WANTED TO RESERVE. NOT YIELD BACK.

                                • 01:23:38 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM NEW JERSEY RESERVES. THE GENTLEMAN FROM TEXAS IS…

                                  THE GENTLEMAN FROM NEW JERSEY RESERVES. THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

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                                • 01:23:41 PM

                                  MR. BURGESS

                                  THANK YOU, MR. SPEAKER. AT THIS TIME IT'S MY PLEASURE TO YIELD THREE…

                                  THANK YOU, MR. SPEAKER. AT THIS TIME IT'S MY PLEASURE TO YIELD THREE MINUTES TO THE GENTLEMAN FROM ILLINOIS, A VALUABLE MEMBER OF THE ENERGY AND COMMERCE COMMITTEE, MR. SHIMKUS.

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                                • 01:23:55 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM ILLINOIS IS RECOGNIZED FOR THREE MINUTES.

                                • 01:23:58 PM

                                  MR. SHIMKUS

                                  I ASK UNANIMOUS CONSENT TO REVISE AND EXTEND MY REMARKS.

                                • 01:24:00 PM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION. ILLINOIS, A VALUABLE

                                • 01:24:02 PM

                                  MR. SHIMKUS

                                  THANK YOU, MR. SPEAKER. THIS COULD BE ON -- IT'S GOOD TO BE ON THE FLOOR…

                                  THANK YOU, MR. SPEAKER. THIS COULD BE ON -- IT'S GOOD TO BE ON THE FLOOR WITH MY GOOD FRIEND AND COLLEAGUE, RANKING MEMBER CONGRESSMAN PALLONE. I KNOW HIS HEART IS SOLID AND I KNOW HE BELIEVES THAT WE ARE CHALLENGING SOME PRIVACY CONCERNS AND I TAKE THAT IN THIS SPIRIT -- IN THE SPIRIT INTENDED. AS A REPUBLICAN, I WAS AN EARLY SUPPORTER OF ONE OF OUR FORMER COLLEAGUE'S MENTAL HEALTH PARITY ACT AND THE WHOLE INTENT OF THAT, FOR MANY OF US, WAS TO SAY, MENTAL HEALTH ILLNESS IS AN ILLNESS AND SHOULD BE ACCEPTED AS AN ILLNESS. BUT WHAT WE HAVE DONE UNDER THE FEDERAL CODE IS TO SEPARATE IT. AND SO I THINK THE INTENT OF WHAT WE'RE TRYING TO DO IS NOT SEPARATE IT. AND MAKE IT PART OF THE HEALTH RECORDS. WE'VE HEARD THE DEBATE ON BOTH SIDES. BUT THAT'S THE BASIC PREMISE FROM WHICH I COME. WE'VE HEARD THE TESTIMONY OF PEOPLE WHO THE INFORMATION WAS NOT SHARED WITH THE REGULAR VERSUS THE MENTAL HEALTH AND THEN PRESCRIPTIONS OCCURRING AND CATASTROPHIC EVENTS. THE INTENT OF THIS LEGISLATION IS TO HELP PATIENTS AND TO HELP PROVIDERS BETTER TAKE CARE OF THEIR PATIENTS. THIS IS NOT ABOUT TAKING AWAY PRIVACY, BUT TAKING CARE OF PEOPLE. IT'S ABOUT MAKING SURE PEOPLE HAVE THE APPROPRIATE LEVEL OF PRIVACY FOR THE SERVICES THEY'RE SEEKING. WE DON'T CREATE EXTRA PRIVACY BARRIERS SO SO THAT PEOPLE WITH HEART DISEASE, H.I.V. OR DIABETES CAN KEEP THEIR DOCTORS IN THE DARK AND WITHHOLD CRITICAL INFORMATION. THIS GOES BACK TO, AS WE'VE HEARD TODAY, 1970-ERA MANDATE. GARY MENDLE, A FOUNDER, LOST HIS SON BRIAN WHO WAS IN RECOVERY AFTER HE TRAGICALLY TOOK HIS OWN LIFE. GARY SAID THE FOLLOWING ABOUT LINING PART 2 WITH HIPAA. THE SOLUTION IS NOT TO KEEP THIS INFORMATION OUT OF ELECTRONIC HEALTH RECORDS AND NOT AVAILABLE. THE SOLUTION IS TO END THE STIGMA AND TO BRING THIS DISEASE AND MENTAL ILLNESS INTO THE HEALTH CARE SYSTEM, JUST LIKE DIABETES, CANCER OR OTHER DISEASES. AND I COULDN'T AGREE MORE WITH GARY. IF THERE IS -- HE ALSO SAID, IF THERE'S AN ISSUE RELATED TO UNINTENDED CONSEQUENCES, LET'S FIX THAT. I THINK IN THIS PIECE OF LEGISLATION, CONGRESSMAN MULLIN AND CONGRESSMAN BLUMENAUER ATTEMPTED TO DO THAT. GARY ALSO SAID, LET'S NOT KEEP THIS OUT OF THE HEALTH CARE SYSTEM, BECAUSE THEN WE JUST PERPETUATE THE SITUATION THAT'S CAUSING IT IN THE FIRST PLACE. I'LL CONTINUE. INDIVIDUALS WILL -- WITH OPIOID USE DISORDER DIE ON AVERAGE A DECADE SOONER THAN OTHER AMERICANS. THIS IS LARGELY BECAUSE OF THE STRUGGLING HIGH INCIDENCE OF POORLY MANAGED CO-OCCURRING CHRONIC DISEASES, INCLUDING HIV-AIDS, CARDIAC CONDITIONS, LUNG DISEASE AND OTHERS. WHATEVER WE AS A NATION ARE DOING TO COORDINATE CARE FOR THIS HIGHLY VULNERABLE PATIENT POPULATION IS UTTERLY FAILING BY ANY REASONABLE MEASURE.

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                                • 01:27:06 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN'S TIME HAS EXPIRED.

                                • 01:27:08 PM

                                  MR. SHIMKUS

                                  30 ADDITIONAL SECONDS?

                                • 01:27:10 PM

                                  MR. BURGESS

                                  I YIELD AN ADDITIONAL 30 SECONDS.

                                • 01:27:11 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN IS RECOGNIZED.

                                • 01:27:13 PM

                                  MR. SHIMKUS

                                  THANK YOU, MR. SPEAKER. AN EXTRAORDINARY ARRAY OF ORGANIZATIONS,…

                                  THANK YOU, MR. SPEAKER. AN EXTRAORDINARY ARRAY OF ORGANIZATIONS, HOSPITALS, PHYSICIANS, PATIENT PHYSICIANS, PATIENT ADVOCATES AND SUBSTANCE USE TREATMENT PROVIDERS HAVE APPROACHED THIS COMMITTEE TO CLEARLY STATE THAT EXISTING FEDERAL ADDICTION PRIVACY LAW IS ACTIVELY INTERFERING WITH CASE MANAGEMENT AND CARE COORDINATION EFFORTS. ARGUING AGAINST THIS LEGISLATION PRESERVED A FAIL AND DEADLY STATUS QUO. I SUPPORT THIS PIECE OF LEGISLATION. I THANK MY COLLEAGUE FOR THE TIME AND YIELD BACK.

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                                • 01:27:42 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEMAN FROM…

                                  THE GENTLEMAN YIELDS BACK THE BALANCE OF HIS TIME. THE GENTLEMAN FROM TEXAS RESERVES. THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED.

                                  Show Full Text
                                • 01:27:47 PM

                                  MR. PALLONE

                                  THANK YOU, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

                                • 01:27:50 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN IS RECOGNIZED FOR AS MUCH TIME AS HE MAY CONSUME.

                                • 01:27:53 PM

                                  MR. PALLONE

                                  I MENTIONED EARLIER THE VARIOUS GROUPS THAT ARE OPPOSED TO THIS…

                                  I MENTIONED EARLIER THE VARIOUS GROUPS THAT ARE OPPOSED TO THIS LEGISLATION BECAUSE OF THE PRIVACY CONCERNS. AND I ACTUALLY WOULD LIKE TO READ OR GO THROUGH SOME SECTIONS FROM THIS LETTER THAT WAS SENT TO MYSELF AND CHAIRMAN WALDEN FROM OVER 100 GROUPS, INCLUDING THE NEW JERSEY ASSOCIATION OF MENTAL HEALTH AND ADDICTION AGENCIES. AND THEY SAY, MR. SPEAKER, DEAR CHAIRMAN WALDEN AND RANKING MEMBER PALLONE, WE THE UNDERSIGNED NATIONAL, STATE AND LOCAL ORGANIZATIONS STRONGLY SUPPORT MAINTAINING THE CORE PROTECTIONS OF THE FEDERAL SUBSTANCE USE DISORDER PATIENT CONFIDENTIALITY LAW AND ITS REGULATIONS, REFERRED TO COLLECTIVELY AS PART 2. AND THEY SAY, WE REMAIN CONCERNED THAT USING A WEAKER HIPAA PRIVACY RULE STANDARD OF ALLOWING DISCLOSURE OF SUBSTANCE USE DISORDER INFORMATION WITHOUT PATIENT CONSENT OR OTHER WILL CONTRIBUTE TO THE EXISTING LEVEL OF DISCRIMINATION AND HARM TO PEOPLE LIVING WITH SUBSTANCE USE DISORDER. THIS WILL ONLY RESULT IN MORE PEOPLE WHO NEED SUBSTANCE USE DISORDER TREATMENT BEING DISCOURAGED AND AFRAID TO SEEK THE HEALTH CARE THEY NEED DURING THE NATION'S WORST OPIOID CRISIS. WE STRONGLY SUPPORT MAINTAINING PART 2'S CURRENT CORE PROTECTIONS FOR SUBSTANCE USE DISORDER INFORMATION, INSTEAD OF THOSE WEAKER HIPAA PRIVACY STANDARDS FOR THE FOLLOWING REASONS. AND THERE ARE FIVE. ONE, THE HEIGHTENED PRIVACY PROTECTIONS IN PART 2 ARE AS CRITICAL TODAY AS THEY WERE WHEN THEY WERE ENACTED MORE THAN 40 YEARS AGO, AND MUST BE PRESERVED. TWO, IN THE MIDST OF THE WORST OPIATE EPIDEMIC IN OUR NATION'S HEFTRY, -- HISTORY, WE MUST DOING EVERYTHING POSSIBLE TO INCREASE, NOT DECREASE, THE NUMBER OF PEOPLE WHO SEEK TREATMENT. THIRD, SUBSTANCE USE DISORDER IS UNIQUE AMONG MEDICAL CONDITIONS BECAUSE OF ITS CRIMINAL AND CIVIL CONSEQUENCES AND THE RAMPANT DISCRIMINATION THAT PEOPLE FACE. AND FOURTH, WITH SO MUCH AT STAKE, PATIENTS SHOULD RETAIN THE RIGHT TO CONSENT WHEN AND TO WHOM THEIR RECORDS ARE DISCLOSED, AS CURRENTLY FOUND IN PART 2. FINALLY, NUMBER FIVE, EFFECTIVE INTEGRATION OF SUBSTANCE USE DISORDER TREATMENT WITH THE REST OF THE HEALTH CARE SYSTEM IS CRITICALLY IMPORTANT. AN INFORMATION EXCHANGE IN ACCORDANCE WITH CONFIDENTIALITY LAW AND CURRENT TECHNOLOGY IS NOW POSSIBLE. TO FACILITATE THAT PROCESS, SAMHSA RECENTLY AMENDED THE PART 2 REGULATIONS TO FURTHER PROMOTE THE INTEGRATION OF CONFIDENTIALITY SUBSTANCE USE DISORDER INFORMATION INTO GENERAL HEALTH RECORDS. SO -- AND THEY FINALLY CONCLUDE, MR. SPEAKER, BY SAYING THAT WE RESPECTFULLY REQUEST THE HOUSE ENERGY AND COMMERCE COMMITTEE MAINTAIN THE CURRENT CONFIDENTIALITY REQUIREMENTS OF PART 2 TO SUPPORT INDIVIDUALS ENTERING AND STAYING IN THAT TREATMENT AND RECOVERY SERVICES. IF I COULD, MR. SPEAKER, I WOULD ASK UNANIMOUS CONSENT TO ENTER THIS LETTER FROM THESE PATIENTS.

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                                • 01:30:48 PM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION.

                                • 01:30:49 PM

                                  MR. PALLONE

                                  AND I RESERVE THE BALANCE OF MY TIME. .

                                • 01:30:56 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

                                • 01:30:58 PM

                                  MR. BURGESS

                                  I YIELD MYSELF FOR THREE MINUTES.

                                • 01:31:00 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN IS RECOGNIZED FOR THREE MINUTES.

                                • 01:31:02 PM

                                  MR. BURGESS

                                  MR. SPEAKER, I'D LIKE TO POINT OUT THAT THERE ARE OVER 100 GROUPS IN…

                                  MR. SPEAKER, I'D LIKE TO POINT OUT THAT THERE ARE OVER 100 GROUPS IN SUPPORT OF THE PARTNERSHIP TO AMEND PART 2 AND A LETTER FROM THAT PARTNERSHIP SAYS IN PART, WE ARE PLEASED THAT THE BILL ALIGNS PART 2 WITH HIPAA'S CONSENT REQUIREMENTS FOR THE PURPOSES OF TREATMENT, PAYMENT, AND OPERATIONS WHICH WILL ALLOW THE APPROPRIATE SHARING OF SUBSTANCE USE DISORDER TO ENSURE THOSE WITH OPIOID USE DISORDER AND OTHER SUBSTANCE USE DISORDERS RECEIVE INTEGRATED CARE THEY NEED. WE DON'T WANT PATIENTS WITH SUBSTANCE USE DISORDERS TO BE MORE VULNERABLE AS A RESULT OF SEEKING TREATMENT FOR ADDICTION. THIS LEGISLATION STRENGTHENS PROTECTIONS AND LIMITS THE NUMBER OF INSTITUTIONS THAT HAVE ACCESS TO THEIR RECORDS. I AM NOT GOING TO READ ALL OF THE NAMES ON THE LIST, BUT SOME OF THE NOTABLE ONES ARE THE NATIONAL ALLIANCE FOR MENTAL ILLNESS, MENTAL HEALTH AMERICA, HAZELTON, BETTY FORD, HEALTH CARE LEADERSHIP COUNCIL, AMERICAN HOSPITAL ASSOCIATION, AMERICAN SOCIETY OF ADDICTION MEDICINE, CENTER STONE, NEW JERSEY HOSPITALS, NATIONAL ASSOCIATION OF ADDICTION TREATMENT PROVIDERS. AND MR. SPEAKER, I'D ALSO ASK UNANIMOUS CONSENT TO INSERT INTO THE RECORD THE LIST, THE ENTIRE LIST OF THE GROUPS IN FAVOR OF THE PARTNERSHIP TO AMEND 42 C.F.R. AND I RESERVE THE BALANCE OF MY TIME.

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                                • 01:32:32 PM

                                  THE SPEAKER PRO TEMPORE

                                  WITHOUT OBJECTION AND THE GENTLEMAN FROM TEXAS RESERVES, AND THE GENTLEMAN…

                                  WITHOUT OBJECTION AND THE GENTLEMAN FROM TEXAS RESERVES, AND THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED.

                                  Show Full Text
                                • 01:32:37 PM

                                  MR. PALLONE

                                  MR. SPEAKER, I HAVE NO ADDITIONAL SPEAKERS. I DON'T KNOW IF THE GENTLEMAN…

                                  MR. SPEAKER, I HAVE NO ADDITIONAL SPEAKERS. I DON'T KNOW IF THE GENTLEMAN DOES -- THE CHAIRMAN DOES.

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                                • 01:32:44 PM

                                  MR. BURGESS

                                  WE ARE READY TO CLOSE.

                                • 01:32:47 PM

                                  MR. PALLONE

                                  OK. I'LL YIELD MYSELF SUCH TIME.

                                • 01:32:49 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN IS RECOGNIZED.

                                • 01:32:51 PM

                                  MR. PALLONE

                                  MR. SPEAKER, I JUST WANTED TO SAY IN CONCLUSION TODAY, AMIDST THE WORST…

                                  MR. SPEAKER, I JUST WANTED TO SAY IN CONCLUSION TODAY, AMIDST THE WORST OPIOID EPIDEMIC OUR COUNTRY HAS EVER FACED, I THINK IT'S REALLY IMPORTANT THAT WE NOT TAKE ANY ACTION THAT COULD RESULT IN ANY INDIVIDUAL WITH AN OPIOID USE DISORDER NOT SEEKING OR REMAINING IN TREATMENT FOR THIS LIFE-THREATENING CONDITION. I UNDERSTAND THE OPINIONS ON BOTH SIDES, BUT I DO THINK IF WE DON'T PROTECT THE EXISTING PRIVACY AND KEEP THE CURRENT LAW WITH REGARD TO PRIVACY THAT WE WILL SEE MANY INDIVIDUALS NOT SEEKING TREATMENT OR REMAINING IN TREATMENT. AND SO THAT'S WHY I STRONGLY OPPOSE THIS BILL AND I WOULD URGE MY COLLEAGUES TO VOTE NO AND I YIELD BACK THE BALANCE OF MY TIME.

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                                • 01:33:32 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM NEW JERSEY YIELDS BACK. THE GENTLEMAN FROM TEXAS IS…

                                  THE GENTLEMAN FROM NEW JERSEY YIELDS BACK. THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

                                  Show Full Text
                                • 01:33:36 PM

                                  MR. BURGESS

                                  MR. SPEAKER, I'LL YIELD MYSELF THE BALANCE OF OUR TIME. MR. SPEAKER, BY…

                                  MR. SPEAKER, I'LL YIELD MYSELF THE BALANCE OF OUR TIME. MR. SPEAKER, BY CONTINUING TO SEGREGATE SUBSTANCE USE DISORDER RECORDS MEANS WE'RE WILLING TO ALLOW SOME PATIENTS TO RECEIVE CARE THAT'S POTENTIALLY LOWER QUALITY AT A HIGHER COST. TREATING PATIENTS SUBSTANCE USE DISORDER IN ISOLATION OF THEIR MEDICAL AND MENTAL HEALTH CONDITIONS WHICH PREDOMINATED CARE IN THE 1970'S IS NOT THE STANDARD FOR GOOD PRACTICE TODAY. THERE IS NOW OVERWHELMING EVIDENCE THAT PATIENTS SUBSTANCE USE DISORDERS CANNOT BE TREATED IN ISOLATION FROM OTHER HEALTH CARE CONDITIONS. IN THE 16970'S, WHEN PART 2 WAS -- 1970'S, WHEN PART 2 WAS WRINT, THIS WAS NOT WIDELY -- WRITTEN, THIS WAS NOT WIDELY ACCEPTED. MR. SPEAKER, FURTHER, I WOULD SAY THAT THE PROBLEM HERE IS WE NEED TO TREAT ADDICTION JUST LIKE ANY OTHER MEDICAL ILLNESS AND IMPROVE OUR OUTREACH TO PATIENTS WHO MEET THE CRITERIA FOR TREATMENT, MAINTAINING A DECADES' OLD INEFFECTIVE CONFIDENTIALITY LAW IS SIMPLY NOT GOING TO DO THAT. I URGE MY COLLEAGUES TO SUPPORT THE BILL. IT IS A GOOD BILL SUBMITTED BY MR. MULLIN AND MR. BLUMENAUER, AND I'LL YIELD BACK THE BALANCE OF MY TIME.

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                                • 01:34:53 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM TEXAS YIELDS BACK. ALL TIME FOR DEBATE HAS EXPIRED.…

                                  THE GENTLEMAN FROM TEXAS YIELDS BACK. ALL TIME FOR DEBATE HAS EXPIRED. PURSUANT TO HOUSE RESOLUTION 949, THE PREVIOUS QUESTION IS ORDERED ON THE BILL, AS AMENDED. THE QUESTION IS ON THE ENGROSSED AND THIRD READING OF THE BILL. THOSE IN FAVOR SAY AYE. THOSE OPPOSED, NO. IN THE OPINION OF THE CHAIR, THE AYES HAVE IT. THIRD READING.

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                                • 01:35:21 PM

                                  THE CLERK

                                  A BILL TO AMEND THE PUBLIC HEALTH SERVICE ACT TO PROTECT THE ACCOUNTALITY…

                                  A BILL TO AMEND THE PUBLIC HEALTH SERVICE ACT TO PROTECT THE ACCOUNTALITY OF SUBSTANCE USE DISORDER PATIENT RECORDS.

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                                • 01:35:28 PM

                                  MR. PALLONE

                                  MR. SPEAKER, I AM OPPOSED TO H.R. 6082.

                                • 01:35:33 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN QUALIFIES. THE CLERK WILL REPORT THE MOTION.

                                • 01:35:35 PM

                                  THE CLERK

                                  MR. PALLONE OF NEW JERSEY MOVES TO RECOMMIT THE BILL --

                                • 01:35:38 PM

                                  MR. BURGESS

                                • 01:35:40 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM TEXAS IS RECOGNIZED.

                                • 01:35:43 PM

                                  MR. BURGESS

                                  I RESERVE A POINT OF ORDER AGAINST THE MOTION.

                                • 01:35:46 PM

                                  THE SPEAKER PRO TEMPORE

                                  POINT OF ORDER IS RESERVED.

                                • 01:35:50 PM

                                  THE CLERK

                                  MR. PALLONE OF NEW JERSEY MOVES TO RECOMMIT THE BILL TO THE COMMITTEE ON…

                                  MR. PALLONE OF NEW JERSEY MOVES TO RECOMMIT THE BILL TO THE COMMITTEE ON ENERGY AND COMMERCE CAN INSTRUCTIONS TO REPORT THE SAME BACK TO THE HOUSE FORTHWITH WITH THE FOLLOWING AMENDMENT.

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                                • 01:35:59 PM

                                  MR. PALLONE

                                  MR. SPEAKER, COULD I ASK THAT WE DISPENSE WITH THE READING OF THE MOTION?

                                • 01:36:05 PM

                                  THE SPEAKER PRO TEMPORE

                                  IS THERE OBJECTION? HEARING NONE, THE READING IS DISPENSED WITH. THE…

                                  IS THERE OBJECTION? HEARING NONE, THE READING IS DISPENSED WITH. THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED FOR FIVE MINUTES.

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                                • 01:36:16 PM

                                  MR. PALLONE

                                  MR. SPEAKER, THIS IS THE FINAL AMENDMENT TO THE BILL WHICH WILL NOT KILL…

                                  MR. SPEAKER, THIS IS THE FINAL AMENDMENT TO THE BILL WHICH WILL NOT KILL THE BILL OR SEND IT BACK TO COMMITTEE. IF ADOPTED, THE BILL WILL IMMEDIATELY PROCEED TO FINAL PASSAGE, AS AMENDED. MR. SPEAKER, THIS AMENDMENT WOULD MAINTAIN THE PRIVACY RIGHTS PROVIDED TO INDIVIDUALS WITH SUBSTANCE USE DISORDER. THOSE PATIENTS WOULD RETAIN THEIR RIGHT TO DETERMINE WITH WHOM AND FOR WHAT PURPOSE TO SHARE THEIR SUBSTANCE USE DISORDER TREATMENT RECORDS FROM PART 2 PROGRAMS. RATHER THAN STRIP AWAY PATIENT'S PRIVACY RIGHTS, MY AMENDMENT WOULD INCORPORATE SECTION 509 FROM THE BIPARTISAN ALEXANDER-MURRAY BILL, S. 2680, THE OPIOID CRISIS RESPONSE ACT OF 2018, THAT WAS REPORTED OUT OF THE SENATE HEALTH COMMITTEE ON A BIPARTISAN BASIS AND THAT WAS INCORPORATED IN THE UNDERLYING LEGISLATION. THAT PROVISION REQUIRES THE SECRETARY TO SUPPORT THE DEVELOPMENT AND DISSEMINATION OF MODEL TRAINING PROGRAMS FOR SUBSTANCE USE DISORDER TREATMENT RECORDS UNDER PART 2. IT WOULD MAKE SURE THAT PATIENTS, FAMILY, PROVIDERS CAN UNDERSTAND HOW INFORMATION CAN BE PROTECTED AND SHARED UNDER PART 2. MY AMENDMENT WILL HELP US BETTER UNDERSTAND THE PRIVACY NEEDS OF INDIVIDUALS WITH SUBSTANCE USE DISORDER AS WELL AS HOW TO BALANCE THOSE NEEDS WITH THE INFORMATION NEEDS OF OUR HEALTH SYSTEM TO PROVIDE THE HIGHEST QUALITY CARE. SPECIFICALLY, MY AMENDMENT WOULD REQUIRE THE SECRETARY TO CONDUCT OR SUPPORT A STUDY TO BETTER UNDERSTAND THE PATIENT EXPERIENCE WITH PART 2 THROUGH THE EXAMINATION OF INFORMATION SHARING BEHAVIORS OF INDIVIDUALS WHO OBTAIN SUBSTANCE USE DISORDER TREATMENT AS PART 2 PROGRAMS. THIS STUDY WILL PROVIDE CRITICAL INSIGHT INTO THE CENTRAL QUESTION UNDER DEBATE TODAY. WHAT IS THE APPROPRIATE LEVEL OF PRIVACY PROTECTIONS THAT SHOULD BE APPLIED TO SUBSTANCE USE DISORDER TREATMENT RECORDS? WHILE THERE ARE A LOT OF OPINIONS AND PERSUASIVE EVIDENCE TO SUPPORT BOTH SIDES OF THIS DEBATE, THERE IS A LACK OF RESEARCH ON THIS ISSUE GENERALLY OR AS IT SPECIFICALLY RELATES TO PART 2. SUCH INFORMATION WILL HELP US BETTER UNDERSTAND THE LEVEL OF CONTROL INDIVIDUALS WITH SUBSTANCE USE DISORDERS NEED OVER THEIR MEDICAL RECORDS TO ENSURE THAT PRIVACY CONCERNS ARE NOT A BARRIER FOR SUCH INDIVIDUALS ACCEPTING POTENTIALLY LIFESAVING TREATMENT. AND WE NEED KNOW THE BALANCE BETWEEN THE NEEDS OF THESE INDIVIDUALS REGARDING THEIR SUBSTANCE USE DISORDER TREATMENT INFORMATION WITH THE NEEDS OF A COORDINATED HEALTH CARE SYSTEM TO BEST SERVE ITS PATIENTS. WE KNOW UNDER CURRENT LAW, SOME PATIENTS WHO RECEIVE SUBSTANCE USE DISORDER TREATMENT FROM PART 2 PROGRAMS CHOOSE NOT TO SHARE THEIR TREATMENT OUTSIDE THEIR PROVIDER. AND SOME CHOOSE WHICH PROVIDERS TO SEND IT TO. I BELIEVE IT'S CRITICAL WE UNDERSTAND WHY THE INDIVIDUALS ARE MADE THESE DIDE-SIGNIFICANCES AS WELL AS THE RIGHT TO MAKE SUCH A DECISION AFFECTED THEIR WILLINGNESS TO SEEK OR REMAIN IN TREATMENT. THIS AMENDMENT IS CONSISTENT WITH THE RECENT RECOMMENDATION FATHERS THE MEDICAID AND CHIP PAYMENT AND ACCESS COMMISSION AS PART OF THEIR JUNE, 2018, REPORT TO CONGRESS. THE COMMISSION STATED THAT AT THIS TIME THE COMMISSION DOES NOT RECOMMENDED ALIGNMENT OF PART 2 AND HIPAA. INSTEAD, THE COMMISSION RECOMMENDS ADDITIONAL SUBREGULATORY GUIDANCE, EDUCATION, AND TRAINING ON PART 2. AS I MADE CLEAR, MR. SPEAKER, I HAVE CONCERNS THAT THE UNDERLYING BILL WOULD HURT OUR EFFORTS TO RESPOND TO THE OPIOID EPIDEMIC AND COULD INCREASE THE ODDS THAT FEWER INDIVIDUALS WITH OPIOID USE DISORDER ENTER AND REMAIN IN TREATMENT. A RISK I BELIEVE TOO GREAT TO TAKE DURING THE WORST DRUG ABUSE EPIDEMIC OUR COUNTRY HAS EVER FACED. HOWEVER, I REALIZE THAT THERE IS ANOTHER SIDE TO THIS ARGUMENT AS ADVANCED BY THE PROPONENTS OF THIS BILL AND WE SHOULD NOT BE CONCERNED THIS BILL WILL AFFECT THE UPTICK OF TREATMENT. IN FACT, WE BELIEVE THIS SHOULD ONLY IMPROVE TREATMENT. RATHER THAN UNDERTAKE THE 50-STATE EXPERIMENT TO SEE WHICH SIDE IS RIGHT, WE SHOULD SUPPORT THE THOROUGH STUDY OF THIS ISSUE BEFORE TAKING ANY ACTION TO WEAKEN THE PRIVACY PROTECTIONS PROVIDED BY PART 2. AND THAT WAY WE CAN DETERMINE THE ACTUAL EFFECT ON TAKING AWAY INDIVIDUALS WITH SUBSTANCE USE DISORDER ABILITY TO HOW THEIR TREATMENT IS SHARED. THAT'S HOW WE'LL KNOW OF HOW THIS WILL BE AFFECTED. I THINK THE STAKES ARE TOO HIGH TO GET THIS WRONG. I URGE MY COLLEAGUES TO SUPPORT THIS AMENDMENT, TO INCREASE THE AWARENESS OF PATIENTS, FAMILIES, AND PROVIDERS ABOUT HOW THEIR TREATMENT RECORDS ARE PROTECTED AND CAN BE SHARED UNDER PART 2 AS WELL AS TO INCREASE OUR UNDERSTANDING OF THE PRIVACY NEEDS OF INDIVIDUALS WITH SUBSTANCE USE DISORDER. AND I THANK MY COLLEAGUES AND AT THIS TIME I'LL YIELD BACK, MR. SPEAKER.

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                                • 01:41:01 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM NEW JERSEY YIELDS BACK. FOR WHAT PURPOSE DOES THE…

                                  THE GENTLEMAN FROM NEW JERSEY YIELDS BACK. FOR WHAT PURPOSE DOES THE GENTLEMAN FROM SEX SEEK -- SEEK RECOGNITION?

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                                • 01:41:09 PM

                                  MR. BURGESS

                                  MR. SPEAKER, I WITHDRAW MY POINT OF ORDER AND I RISE IN OPPOSITION TO THE…

                                  MR. SPEAKER, I WITHDRAW MY POINT OF ORDER AND I RISE IN OPPOSITION TO THE MOTION TO RECOMMIT.

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                                • 01:41:19 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE POINT OF ORDER IS WITHDRAWN. THE GENTLEMAN FROM TEXAS IS RECOGNIZED…

                                  THE POINT OF ORDER IS WITHDRAWN. THE GENTLEMAN FROM TEXAS IS RECOGNIZED FOR FIVE MINUTES.

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                                • 01:41:23 PM

                                  MR. BURGESS

                                  I WILL URGE NO ON THE MOTION TO RECOMMIT AS IT WILL DESTROY THE INTENT OF…

                                  I WILL URGE NO ON THE MOTION TO RECOMMIT AS IT WILL DESTROY THE INTENT OF THE BILL. ELIMINATING THE SHARING OF RECORDS FOR PURPOSES OF TREATMENT, PAYMENT, HEALTH CARE OPERATIONS COMPLETELY NEGATES THE ENTIRE PURPOSE OF THIS INITIATIVE. ALINING PART 2 WITH HIPAA FOR THE PURPOSES OF TREATMENT, PAYMENT, AND HEALTH CARE OPERATIONS, OPPONENTS OF THIS BILL HAVE OFFERED NO EVIDENCE OR FINDINGS TO BACK UP THEIR CLAIM THAT HIPAA IS INADEQUATE TO PROTECT SENSITIVE DATA CONSTAINED -- CONTAINED IN THE SUBSTANCE USE DISORDER RECORDS. HIPAA IS PROTECTING SENSITIVE INFORMATION IN A NUMBER OF AREAS. REAL INTEGRATION OF BEHAVIORAL HEALTH AND PRIMARY CARE SIMPLY CANNOT HAPPEN UNTIL WE ALIGN 42 C.F.R. PART 2 WITH HIPAA. THE OPPOSITION OF H.R. 6082 IS NOT BASED ON PROTECTING PRIVACY. IT'S BASED ON THE VERY SPECIFIC DISTRUST OF THE HEALTH CARE COMMUNITY TO PROPERLY PROVIDE CARE TO PEOPLE WITH SUBSTANCE USE DISORDER. THE VERY PEOPLE THAT WE'RE ASKING TO HELP US WITH THIS. AND YET THE RANKING MEMBER IS STRONGLY IN FAVOR OF NUMEROUS BILLS THAT SEEK TO EXPAND ACCESS TO EVIDENCE-BASED MEDICATION-ASSISTED TREATMENT, TELEHEALTH, INTEGRATION WITH MAINSTREAM MEDICINE, THE VERY THINGS THAT DEMAND ALIGNMENT WITH HIPAA. SO THE THINKING, MR. SPEAKER, TO BE KIND, IS INCONGRUOUS. PROHIBITING THE SHARE OF INFORMATION MAKES IT IMPOSSIBLE TO PRESCRIBE THE LATEST SUBSTANCE USE TREATMENT SAFELY. LIKE MOST PHARMACEUTICALS, METHADONE, HAVE DRUG INTERACTIONS AND ADVERSE EVENTS FROM DRUG INTERACTIONS CAN LEAD TO EMERGENCY HOSPITAL VISITS, SERIOUS INJURY, OR DEATH. WE MUST AMEND PART 2 SO WE CAN SAFELY PRESCRIBE MEDICATION-ASSISTED TREATMENT FOR PATIENTS. PUT SIMPLY, STANDARDS CLINICAL PRACTICES LIKE MEDICATION, RECONCILIATION ARE NOT FEASIBLE UNDER CURRENT FEDERAL LAW. FOR THAT REASON, I URGE MY COLLEAGUES TO VOTE NO ON THE MOTION TO RECOMMIT. VOTE YES ON THE MOTION -- THE UNDERLYING MOTION AND YIELD BACK THE BALANCE OF MY TIME.

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                                • 01:43:39 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE GENTLEMAN FROM TEXAS YIELDS BACK. WITHOUT OBJECTION, THE PREVIOUS…

                                  THE GENTLEMAN FROM TEXAS YIELDS BACK. WITHOUT OBJECTION, THE PREVIOUS QUESTION IS ORDERED ON THE MOTION TO RECOMMIT. THE QUESTION IS ON THE MOTION. ALL THOSE IN FAVOR SAY AYE. THOSE OPPOSED, NO. MIRP, THE NOES IN THE OPINION OF THE CHAIR, THE NOES HAVE IT.

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                                • 01:43:57 PM

                                  MR. PALLONE

                                  MR. SPEAKER, I ASK FOR THE YEAS AND NAYS.

                                • 01:43:58 PM

                                  THE SPEAKER PRO TEMPORE

                                  THE YEAS AND NAYS ARE REQUESTED. THOSE FAVORING A VOTE FOR THE YEAS AND…

                                  THE YEAS AND NAYS ARE REQUESTED. THOSE FAVORING A VOTE FOR THE YEAS AND NAYS WILL RISE. A SUFFICIENT NUMBER HAVING ARISEN, THE YEAS AND NAYS ARE ORDERED. PURSUANT TO CLAUSE 8 OF RULE 20, FURTHER PROCEEDINGS ON THIS QUESTION WILL BE POSTPONED.

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                                • 01:45:14 PM

                                  THE SPEAKER PRO TEMPORE

                                  FOR WHAT PURPOSE DOES THE GENTLELADY FROM CALIFORNIA RISE?

                                • 01:45:16 PM

                                  >>

                                  MR. SPEAKER, I ASK UNANIMOUS CONSENT THAT ALL MEMBERS MAY HAVE FIVE…

                                  MR. SPEAKER, I ASK UNANIMOUS CONSENT THAT ALL MEMBERS MAY HAVE FIVE LEGISLATIVE DAYS TO REVISE AND EXTEND THEIR REMARKS AND TO INCLUDE EXTRANEOUS MATERIAL ON THE BILL, H.R. 5797.

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                                • 01:45:26 PM

                                  THE SPEAKER PRO TEMPORE

                                  IS THERE OBJECTION? HEARING NONE, SO ORDERED.

                                • 01:45:32 PM

                                  MRS. WALTERS

                                  MR. CHAIRMAN, I YIELD MYSELF SUCH TIME --

                                • 01:45:34 PM

                                  THE SPEAKER PRO TEMPORE

                                  PURSUANT TO HOUSE RESOLUTION 949 AND RULE 18, THE CHAIR DECLARES THE HOUSE…

                                  PURSUANT TO HOUSE RESOLUTION 949 AND RULE 18, THE CHAIR DECLARES THE HOUSE IN THE COMMITTEE OF THE WHOLE HOUSE ON THE STATE OF THE UNION FOR CONSIDERATION OF H.R. 5797. THE CHAIR APOINTS THE GENTLEMAN FROM ILLINOIS, MR. BOST, TO PROVIDE OVER THE COMMITTEE OF THE WHOLE.

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                                • 01:45:55 PM

                                  THE CHAIR

                                  THE HOUSE IS IN THE COMMITTEE OF THE WHOLE HOUSE ON THE STATE OF THE UNION…

                                  THE HOUSE IS IN THE COMMITTEE OF THE WHOLE HOUSE ON THE STATE OF THE UNION FOR THE CONSIDERATION OF H.R. 5797, WHICH THE CLERK WILL REPORT BY TITLE.

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                                • 01:46:04 PM

                                  THE CLERK

                                  A BILL TO AMEND TITLE 19 OF THE SOCIAL SECURITY ACT, TO ALLOW STATES TO…

                                  A BILL TO AMEND TITLE 19 OF THE SOCIAL SECURITY ACT, TO ALLOW STATES TO PROVIDE UNDER MEDICAID SERVICES FOR CERTAIN INDIVIDUALS WITH OPIOID USE DISORDERS AND INSTITUTIONS FOR MENTAL DISEASES.

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                                • 01:46:17 PM

                                  THE CHAIR

                                  PURSUANT TO THE RULE, THE BILL IS CONSIDERED READ THE FIRST TIME. THE…

                                  PURSUANT TO THE RULE, THE BILL IS CONSIDERED READ THE FIRST TIME. THE GENTLEWOMAN FROM CALIFORNIA, MRS. WALTERS, AND THE GENTLEMAN FROM NEW JERSEY, MR. PALLONE, EACH WILL CONTROL 30 MINUTES. THE CHAIR RECOGNIZES THE GENTLEWOMAN FROM CALIFORNIA.

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                                • 01:46:35 PM

                                  MRS. WALTERS

                                  MR. CHAIRMAN, I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

                                • 01:46:39 PM

                                  THE CHAIR

                                  THE GENTLEWOMAN IS RECOGNIZED.

                                • 01:46:42 PM

                                  MRS. WALTERS

                                  THE OPIOID EPIDEMIC IS RAVAGING THIS NATION. FAMILIES HAVE BEEN TORN…

                                  THE OPIOID EPIDEMIC IS RAVAGING THIS NATION. FAMILIES HAVE BEEN TORN APART, LIVES HAVE BEEN DESTROYED, AND COMMUNITIES ARE IN DANGE DOCTOR ARE ENDANGERED. THIS CRY -- ARE ENDANGERED. THIS CRISIS DOES NOT DISCRIMINATE. AMERICANS FROM ALL WALKS OF LIFE IN ALL 50 STATES ARE BEING HELD HOSTAGE BY THE SCOURGE OF OPIOIDS. TRAGICALLY, THE OPIOID EPIDEMIC CLAIMS THE LIVES OF 115 AMERICANS ON AVERAGE EACH DAY. IN MY HOME OF ORANGE COUNTY, CALIFORNIA, 361 PEOPLE DIED FROM OPIOID OVERDOSES IN 2015. THAT ACCOUNTS FOR A 50% INCREASE IN OVERDOSE DEATHS SINCE 2006. ACCORDING TO THE O.C. HEALTH CARE AGENCY'S 2017 OPIOID OVERDOSE AND DEATH IN ORANGE COUNTY REPORT, THE RATE OF OPIOID-RELATED EMERGENCY ROOM VISITS INCREASED BY OVER 140% IN 2005. BETWEEN 2011 AND 2015, ORANGE COUNTY EMERGENCY ROOMS TREATED NEARLY 7,500 OPIOID OVERDOSE AND ABUSE CASES. WE CAN PUT AN END TO THESE TRAGIC STATISTICS BY PROVIDING FULL ACCESS TO VARIOUS TREATMENT OPTIONS TO THOSE SEEKING HELP WITH THEIR ADDICTIONS. WHILE MANY OF THESE PATIENTS MAY BENEFIT FROM OUTPATIENT HEALTH, OTHERS NEED HIGHLY SPECIALIZED IN-PATIENT TREATMENT TO ENSURE THEY ARE RECEIVING THE MOST COLLINICALLY APPROPRIATE CARE. -- CLINICALLY APPROPRIATE CARE. THE I.M.D. CARE ACT WILL INCREASE ACCESS TO CARE FOR CERTAIN MEDICAID BENEFICIARIES WITH OPIOID USE DISORDER WHO NEED THE MOST INTENSIVE CARE POSSIBLE. IN-PATIENT CARE. CURRENT LAW PROHIBITS THE FEDERAL GOVERNMENT FROM PROVIDING FEDERAL MEDICAID MATCHING FUNDS TO STATES TO PROVIDE MENTAL DISEASE CARE TO MEDICAID-ELIGIBLE PATIENTS AGED 21 TO 64 IN FACILITIES DEFINED AS INSTITUTE OF MENTAL DISEASES COMMONLY KNOWN AS M.I.D.'S. THIS M.I.D. EXCLUSION MEANS THAT FEDERAL DOLLARS MAY NOBT PROVIDED FOR THE CARE OF MEDICAID-ELIGIBLE PATIENTS IN THIS AGE GROUP FOR SUBSTANCE USE DISORDER TREATMENTS AT HOSPITALS, NURSING FACILITIES OR OTHER INSTITUTIONS WITH MORE THAN 16 BEDS. IT IS TIME TO REPEAL THE I.M.D. EXCLUSION AND REMOVE THIS OUTDATED BARRIER TO IN-PATIENT TREATMENT. THE I.M.D. CARE ACT WOULD ALLOW STATES TO REPEAL FOR FIVE YEARS THE I.M.D. EXCLUSION FOR ADULT MEDICAID BENEFICIARIES WHO HAVE AN OPIOID USE DISORDER, WHICH INCLUDES HEROIN AND FENTANYL. THESE BENEFICIARIES WOULD RECEIVE TREATMENT IN AN I.M.D. FOR UP TO 30 DAYS OVER A 12-MONTH PERIOD, DURING WHICH TIME THE BENEFICIARY WOULD BE REGULARLY ASSESSED TO ENSURE THEIR TREATMENT AND HEALTH NEEDS REQUIRE IN-PATIENT CARE. THE BILL WOULD ALSO REQUIRE THE I.M.D. TO DEVELOP AN OUTPATIENT PLAN FOR THE INDIVIDUALS' ONGOING TREATMENT UPON DISCHARGE. THROUGHOUT THE ENERGY AND COMMERCE COMMITTEE'S WORK ON THE OPIOID CRISIS, THE I.M.D. EXCLUSION IS CONSISTENTLY IDENTIFIED AS A SIGNIFICANT BARRIER TO CARE FOR MEDICAID PATIENTS. NOT EVERY PATIENT NEEDS TREATMENT IN AN I.M.D. BUT THOSE WHO DO ARE OFTEN AMONG THE MOST VULNERABLE. WHAT ONCE WAS A WELL INTENDED EXCLUSION ON FEDERAL MEDICAID SPENDING HAS SINCE PREVENTED INDIVIDUALS FROM SEEKING TREATMENT. IN THE LIGHT OF THE OPIOID EPIDEMIC, I BELIEVE MY LEGISLATION STRIKES THE RIGHT BALANCE. I KNOW SOME HAVE SUGGESTED STATES CONTINUE TO SEEK C.M.S. WAIVERS, ALLOW MEDICAID TO PAY FOR I.M.D. CARE. WAIVERS CAN BE A GOOD OPTION FOR SOME STATES, BUT NOT ALL STATES WANT A WAIVER. IN FACT, LESS THAN HALF OF THE STATES HAVE APPLIED FOR WAIVER. ADDITIONALLY, A WAIVER CAN TAKE A SUBSTANTIAL AMOUNT OF TIME TO DEVELOP, REVIEW AND APPROVE. WE ARE LOSING TOO MANY FRIENDS AND FAMILY MEMBERS TO FORCE STATES TO NAVIGATE A LENGTHY AND UNCERTAIN WAIVER PROCESS. THE I.M.D. CARE ACT ALLOWS STATES TO ACT NOW TO ENSURE PATIENTS WHO ARE SUFFERING FROM ADDICTION GET THE CARE THEY NEED. THE NATIONAL GOVERNORS ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION HAVE ENDORSED THIS LEGISLATION. OTHER ORGANIZATIONS SUCH AS THE NATIONAL ASSOCIATION OF STATE MEDICAID DIRECTORS AND THE NATIONAL ASSOCIATION OF STATE MENTAL HEALTH DIRECTORS HAVE SUPPORTED THE IDEA OF CONGRESS ADDRESSING THE I.M.D. WHILE THE REPEAL OF THE I.M.D. EXCLUSION WOULD INCREASE MANDATORY OUTLAYS AND ADD COST TO THE MEDICAID SYSTEM, THE I.M.D. CARE ACT IS FULLY PAID FOR BY CURBING UNNECESSARY FEDERAL AND STATE MEDICAID OUTLAYS. I WANT TO THANK CHAIRMAN WALDEN AND MY COLLEAGUES ON THE HOUSE ENERGY AND COMMERCE COMMITTEE FOR THEIR SUPPORT OF THIS BILL. WHICH WILL PROVIDE MUCH-NEEDED CARE TO AMERICANS SUFFERING FROM OPIOID USE DISORDER. THROUGH THE I.M.D. CARE ACT, CONGRESS HAS A UNIQUE OPPORTUNITY TO REMOVE A BARRIER TO CARE AND BRING SPECIALIZED TREATMENT TO MEDICAID PATIENTS WHO DESPERATELY NEED IT. I URGE ALL MEMBERS TO SUPPORT THIS IMPORTANT BILL TODAY AND I RESERVE THE BALANCE OF MY TIME.

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                                • 01:52:03 PM

                                  THE CHAIR

                                  THE GENTLELADY FROM CALIFORNIA RESERVES. THE GENTLEMAN FROM NEW JERSEY IS…

                                  THE GENTLELADY FROM CALIFORNIA RESERVES. THE GENTLEMAN FROM NEW JERSEY IS RECOGNIZED.

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                                • 01:52:07 PM

                                  MR. PALLONE

                                  THANK YOU, MR. SPEAKER. I YIELD MYSELF SUCH TIME AS I MAY CONSUME.

                                • 01:52:11 PM

                                  THE CHAIR

                                  THE GENTLEMAN IS RECOGNIZED.

                                • 01:52:13 PM

                                  MR. PALLONE

                                  MR. SPEAKER, I ST