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tv   U.S. House of Representatives Legislative Business  CSPAN  May 11, 2016 4:00pm-6:01pm EDT

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the speaker pro tempore: on this vote the yeas are 412. the nays are four. he bill is passed. without objection, the motion to reconsider is laid on the table. the unfinished business is the vote on the motion of the gentleman from pennsylvania, mr. barletta, to suspend the rules and pass h.r. 4843, as amended, on which the yeas and nays are ordered. the clerk will report the title
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of the bill. the clerk: union calendar number 423. h.r. 4843, a bill to amend the child abuse prevention and treatment act to require certain monitoring and oversight, and for other purposes. the eaker pro tempore: question is will the house suspend the rules and pass the bill, as amended. 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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the speaker pro tempore: on this vote the yeas are 421. the nays are zero. 2/3 having responded in the affirmative, the rules are suspended and the bill is passed. without objection, the motion to reconsider is laid on the table.
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the speaker pro tempore: the house will be in order. members, take your conversations off the floor. the house will be in order. members are asked to take their conversations off the floor.
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the speaker pro tempore: the house will be in order. members are asked to take your conversations off the floor. for what purpose does the gentleman from kentucky seek recognition?
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>> mr. speaker, i move the house suspend the rules and pass the bill -- the speaker pro tempore: the gentleman will suspend. for what purpose does the gentleman from louisiana seek recognition? >> mr. speaker, i ask unanimous consent to take from the speaker's table the bill h.r. 4336 with senate amendments thereto and to concur in the senate amendment. the speaker pro tempore: the clerk will report the title of the bill and the senate amendment. the clerk: h.r. 4336, an act to amend title 38 united states code to provide for the burial in arlington national cemetery of the cremated remains of certain persons whose services has been determined to be active service, senate amendments. one, on page 2, line 1, strike burial and insert inearnment. two, page -- on page 2, line 8, strike that and insert that comma. three, on page 2, line 11, insert above ground before
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inearnment. amend the title so as to read, an act to amend title 38, united states code, to provide for the inearnment in arlington national cemetery of the cremated remains of certain persons whose service has been determined to be active service. the speaker pro tempore: is there objection to the original request of the gentleman from louisiana? without objection, the senate amendments are agreed to and a motion to reconsider is laid on the table. without objection, the title is amended. 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 on which the vote incurs objection under clause 6 of rule 20.
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members are asked to take their conversations off the floor. any record votes on postponed questions will be taken later. for what purpose does the gentleman from kentucky seek recognition? mr. guthrie: mr. speaker, i move the house suspend the rules and pass the bill h.r. 4976. the speaker pro tempore: the clerk will report the title of the bill. the clerk: h.r. 4976, a bill to require the commissioner of food and drugs to seek recommendations from an advisory committee of the food and drug administration before approval of certain new drugs that are opioids without abuse-deterrent properties, and or other purposes. the speaker pro tempore: pursuant to the rule, the gentleman from kentucky, mr. guthrie, and the gentleman from texas, mr. green, each will control 20 minutes. the chair recognizes the gentleman from kentucky. mr. guthrie: mr. speaker, i ask unanimous consent that all members may have five legislative days to revise and xtend their remarks and insert
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extraneous materials in the record on the bill. the speaker pro tempore: without objection. mr. guthrie: mr. speaker, i yield myself such time as i may consume. the speaker pro tempore: before the gentleman is recognized, he house will be in order. the house will be in order. the gentleman from kentucky is recognized. mr. guthrie: mr. speaker, i rise in support of h.r. 4976, the opioid review modernization act of 2016, introduced by sean patrick maloney of new york and leonard lance of new jersey. opioid use disorder and overdose deaths have reached epidemic levels. a comprehensive approach is needed to reverse these trends and the tragic toll they have taken on families and communities across our country. the food and drug administration does have a critical role to play in such
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an approach. patients living with serious pain must have access to safe and effective therapies to help them function and lead productive lives. f.d.a. reviews prescription pain relievers, like all new drug products to determine whether their benefits outweigh their risks. it is important that f.d.a. hears recommendations from expert advisory committees prior to making key product and labeling decisions, particularly to ensure that any such risks are effectively communicated, understood and mitigated. . t requires the f.d.a. receives input regarding approval of new opioids that do not abuse properties. in addition to labeling any opioid for pediatric use. they have to finalize requirements and generic opoid -- opioid medications.
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and the medication strategy programs. this bill would strengthen the action plan to finding outcomes with meaningful time frames. i urge my colleagues to support h.r. 4976 and i reserve my time. the speaker pro tempore: the gentleman reserves the balance of his time. the gentleman from texas is recognized. mr. green: thank you, mr. speaker, and i yield myself such time as i may consume. mr. speaker, i rise in my support of h.r. 49786, the opioid review and modernization act. we know there is not one solution in addressing the opioids crisis that is striking communities across the country. the approach that balances the appropriate use of opioidses requires the involvement of many government agencies including the food and drug administration. as the agency tasked with reviewing pain medications for safety and effectiveness, the
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f.d.a. can play a critical role for safe use by patients. i was pleased when they announced earlier that the agency developed a comprehensive action plan to help reduce the burden on american families and communities. the f.d.a. outlined concrete steps it intended to take, including expanding use of advisory communities before approving opioids drugs, updating a risk evaluation and mitigation strategy program to incorporate advisory committee recommendations regarding medical training for pain management and prescribing of opoids and taking actions to xpand patient access to help discourage the abuse. the opioids review modernization act puts bills on these efforts and require the f.d.a. to work
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closely with expert advisory committees before labeling decisions, develop recommendations regarding the prescriber education programs that address extended release and long-acting opioidses and those who should participate and how often and encourage development of generic opioidses. h.r. 4976 will engage a key public agency, f.d.a., to help address our current crisis. by approving regulatory oversight while assisting prescribers in the safe dispensing of these products. i thank representative sean maloney and congressman leonard lance in introducing this bill and i encourage my colleagues to support h.r. 4976 and i reserve. the speaker pro tempore: the gentleman reserves the balance of his time. the gentleman from kentucky is recognized. mr. guthrie: i yield three minutes to the gentleman from
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new jersey, mr. lance. the speaker pro tempore: mr. lance, the gentleman from new jersey is recognized for three minutes. mr. lance: thank you, mr. speaker. and i thank mr. guthrie of ken tuck and mr. green of texas for their leadership on this overall issue and we on the energy and commerce committee have worked in a completely bipartisan fashion on the terrible crisis that affects the american people. mr. speaker, i rise in strong support of h.r. 4976. the opoid review modernization act. i thank sean patrick maloney for his partnership on this legislation and i certainly thank chairman upton and ranking member pallone of the energy and commerce committee for leading this and other bipartisan bills to passage today that address this pressing national issue. this bill and the larger package together are a great step forward in the fight against the
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scurge ever drug addiction. in my home state of new jersey, we face a drug epidemic that is hitting many communities hard and that is true across the entire nation. this crisis strains law enforcement and taxpayer resources and of course, tragically cuts too many lives short. h.r. 4976 targets opioids addiction's strong ties to prescription drug abuse and the issue of overprescription. studies have shown health care providers write nearly 300 million opioids prescriptions a year in this country. that number is truly staggering. our legislation will make sure that the food and drug administration rigorously reviews the benefits and the risks of opioids pain medications and how they are communicated to prescribers and
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patients. the bill reforms critical product approval and labeling decisions and it encourages the development and approval of opioidses with abuse deterrent properties. a federal health agencies must be working in concert with the medical and pharmaceutical communities to combat drug abuse and this legislation makes that happen. a last week, i met with prosecutor, anthony kerns on what law enforcement is doing on the ground level to fight this epidemic. and the county prosecutor is the equivalent of the county district attorney in most states across the nation. public sernant -- servants are doing all they ca to protect our children and protect our communities drug-free. but this legislation will help in their efforts and give them and other governmental entities more critical tools.
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those in washington and local leaders need to be working together for the benefit of the american people. h.r. 4976 and the larger package will work toward that goal and ultimately help combat this drug abuse crisis. mr. speaker, i yield back. the speaker pro tempore: the gentleman yields back the balance of his time. the gentleman reserves and the gentleman from texas is recognized. mr. green: i yield three minutes to congressman maloney, a co-sponsor of this bill. the speaker pro tempore: the gentleman is recognized for three minutes. mr. maloney: i echo my thanks for chairman upton and ranking member pallone and mr. lance from new jersey. i rise in support of my legislation, h.r. 4976, the opioids review modernization act. this is a growing epidemic especially in the communities i represent in the lower hudson valley of new york. after more than 55 town halls
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with my neighbors across the hudson valley in the last 3 1/2 years, there is no subject i have heard more in visits throughout communities. i hear heartbreaking stories of addiction and of loss. and we have had far too many funerals. i talked to cynthia and she said her son is struggling and can't find a meeting locally. a woman from samantha said she is worried about the lack of options. patricia in warwick, has said the facilities there lack the basic necessities for treating addictslike her son. we have shortage of beds. in duchess county, new york, alone we have seen 160% increase in the number of drug overdoses since 2009. this epidemic is being felt nationwide. it doesn't care about the color of your skin or size of your
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paycheck. deaths have more than tripled in 2010 in our country and driven by an addiction first to prescription pain medication. we have 47,000 people dying a year, 125 americans every day. it is a staggering figure, and we in congress can and must do more to fight this growing epidemic. my bill takes an important step to avoid opioids addiction and avoid further loss by using new technologies and common sense. specifically, it would require the food and drug administration to consult with expert advisory committees for approval of new opioidses that do not use abuse deterrent properties. we know this can thwart the misuse of these products by people who are struggling with addiction of the the legislation would utilize these deterrent properties and the f.d.a. can do
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more and we can require them to evaluate and make recommendations on better programs to prevent prescribers of opioids from overpre-subscribing because it is that overprescription that leads people into trouble. as part of a comprehensive package of legislation to combat the epidemic, my bill is one more tool in our tool kit. providing incentives for companies to use anti-abuse technologies and create a plan to educate our doctors about the potential dangers. i urge my colleagues to vote yes on this important measure, and i yield back. the speaker pro tempore: the gentleman yields back the balance of his time. the gentleman from kentucky is recognized. mr. guthrie: i have no further speakers and i reserve. the speaker pro tempore: the gentleman from texas is recognized. mr. green: i would like to yield ree minutes to congresswoman buse toss -- ok -- we don't have
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any other speakers and i would be glad to yield back. mr. guthrie: this bill is important in the larger package of bills and i urge my colleagues to support this measure, h.r. 4976 and i yield back. the speaker pro tempore: the gentleman yields back the balance of his time. and the gentleman from texas yield back. the question is will the house suspend the rules and pass the bill h.r. 4976. those in favor say aye. those opposed, no. in the opinion of the chair, 2/3 being in the affirmative, the rules are suspended, the bill is passed and without objection, the motion to reconsider is laid n the table. for what purpose does the gentleman from kentucky seek recognition? mr. guthrie: i move that the house suspend the rules and pass the bill h.r. 3680 as amended. the speaker pro tempore: the clerk will report the title of the bill. the clerk: h.r. 3680, a bill to
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provide for the secretary of health and human services to carry out a grant program for co-prescribing opioid overdose reversal drugs. the speaker pro tempore: pursuant to the rule, the gentleman from kentucky, and the gentleman from texas, mr. green, each will control 20 minutes. the chair recognizes the gentleman from kentucky. mr. guthrie: i ask unanimous consent that all members may have five legislative days to revise and extend their remarks and insert extraneous materials on the record on the bill. the speaker pro tempore: without objection. mr. guthrie: i recognize myself as much time as i may consume. the speaker pro tempore: the gentleman is recognized. mr. guthrie: i rise in support of h.r. 3680, the co-prescribing to reduce overdoses act of 2016. introduced by mr. sarbanes from maryland. in 1999, there were 61.over dose deaths involving opioid involving prescriptions and
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heroin. the rate of overdose for individuals aged 24-34 nearly tripled going from 1.8 per 100,000 to 23.1. an opoid that can prevent overdose deaths by binding to the receptors in the body and preventing the overdose. the world health estimated that if this drug was readily available, 20,000 deaths could be prevented. h.r. 3680 is a step in promoting wider access of over opioids reversal drugs. it directs the secretary of health and human services to carry out a grant program for co-prescribing opioids drugs and develops best practices. i urge my colleagues to support this and i reserve. the speaker pro tempore: the gentleman reserves the balance
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of his time. and the gentleman from texas is recognized. mr. green: i yield myself such time as i may consume. the speaker pro tempore: the gentleman is recognized. mr. green: i rise to voice my support for h.r. 3680 co-prescribing to reduce overdoses act. we must do more and ensure who are suffering have potential access. a drug has been proven effective and cost effective public health intervention. melaon reverses and used to treat far cannotic overdoses. the recent efforts to improve the efforts through first responders and community organizations providing the drug at-risk patients and reduce overdoses. the co-prescribing would create a demonstrate grant program to
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facilitate this drug. co-prescribing refers to the practice of prescribing an opioids prescription to patients that have risk of overdose and this could be patients for long-term chronic pain management or patients who have been discharged from emergency care following poisoning or intoxication from opioids. the bill would further funding and train health care providers on co-prescribing and establish member nism for tracking patients in their health outcomes and other efforts to expand access. we must act swiftly and send the growing prescription of drug epidemic. the co-prescribing would reduce act and critical part of the fight against our devastating drug crisis. i want to thank the bill's
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sponsor, representative sarbanes, for his leadership and introducing this bill. i urge my colleagues to support h.r. 3680 and and i reserve. . mr. guthrie: i yield to the gentleman from pennsylvania, the chairman, is recognized for three minutes. the speaker pro tempore: the gentleman from pennsylvania, the chairman, is recognized for three minutes. r. smith: i rise in support of h.r. 3680. every person in my district knows someone that's been impacted by this crisis and each day that we wait is another day we go without taking action to save the lives of the people feeling the terrible effects of this addiction. mr. shuster: each day without action is another day that our communities are ravaged by
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these drugs. we can combat this crisis and repair our communities. this is a needed step that both republicans and democrats are working together to achieve. i strongly support this legislation because it will provide funding to our health centers to co-prescribe naloxone, a life-saving drug. affected t has been by this crisis. naloxone will be readily available to health care individuals. these efforts are one part of a broader solution that will undoubtedly save lives. i applaud my colleagues on both sides of the aisle for taking these steps and i look forward to making our communities a safer place by ridding them of this epidemic and i urge all my colleagues to support h.r. 3680 and yield back. the speaker pro tempore: the gentleman yields back. and -- mr. guthrie: i reserve the balance of my time. the speaker pro tempore: the gentleman reserves. and the gentleman from texas is recognized. mr. green: mr. speaker, i'm happy to yield three minutes to our colleague on our committee,
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congressman sarbanes from maryland. the speaker pro tempore: and the gentleman is recognized. mr. sarbanes: i thank the gentleman for yielding. mr. speaker, i first want to thank ranking members pallone and green as well as chairman upton and pitts for working diligently with me to bring this bill to the floor today. this bipartisan bill, the co-prescribing to reduce overdoses act, would create a demonstration project to encouraging prescribing verdose opioid drugs such as naloxone, as well as to a relative of such a close patient. why is this bill needed, mr. speaker? more than 100 americans are dying every single day to preventable drug overdose and overdose fatality is now the leading cause of accidental death in the nation. in 2014 in my home state of maryland, there were 887 opioid-related deaths. in baltimore, 192 people died from heroin overdoses.
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in anne arundel county in 2013, there were 360 opioid overdoses, fatal and nonfatal. 49 of those were fatal. the problem is getting worse. om 2001 to 2013, there was a five-fold increase in the total number of deaths from heroin. this is an epidemic but it is an epidemic that we can begin to stem if we take action. naloxone is a drug that safely and effectively reverses both opioid and heroin induced overdoses if administered in time. it's been used by nonmedical personnel with minute mull training for over 15 years and has reduced mortality by over 50%. more people need access to this life-saving medication. one part of that proactive approach is the idea of co-prescribing naloxone to patients or their caregivers who are taking opioids and are
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at high risk of overdose. the co-prescribing to reduce overdoses act would create a demonstration project to encourage co-prescribing of naloxone and other opioid reversal drugs. this bill has been enduresed by the a.m.a., the american society of addiction medicine, he harm reduction coalition. we have five republican co-sponsors, i am pleased to say, this is a bipartisan issue affecting virtually every part of the country and i'm pleased as well, to note that the bill received unanimous support in the energy and commerce committee. i urge support of this bill today because i know it will save lives and help begin to stem the tide of this terrible epidemic. i also support the other bills being debated this evening and believe these are all important initiatives to address the opioid crisis. however, it is just as critical we provide adequate resources
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for all aspects of this epidemic to prevent addiction, to provide effective treatment and to increase access to life-saving opioid reversal drugs in order to truly bring an end to this epidemic. mr. speaker, i urge support of this important legislation, and i yield back my time. the speaker pro tempore: the gentleman yields back, and the gentleman from kentucky is recognized. mr. guthrie: thank you, mr. speaker. one of the great privileges of the people's house, people come here from all walks of life with all different expertise, and so i'd like to recognize the only registered pharmacist that serves in the house of representatives who's here to speak on this and several of the bills today is my good friend, representative carter from georgia. the speaker pro tempore: the gentleman from georgia is recognized. mr. carter: i thank the gentleman for yielding. mr. speaker, i rise today in support of h.r. 3680, the co-prescribing to reduce overdoses act, to give patients the tools they need to protect themselves from opioid overdoses. h.r. 3680 calls for the
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department of health and human services to create a grant program that will increase the ability for health care providers to co-prescribe opioid reversal medication, like naloxone, when those prescriber provide opioid-base medication for patients. this new direction by h.h.s. will work to decrease the risk of fatally overdoses on opioids while also allowing health care providers to learn more about the opioid reversal medication benefits. in addition, with the grant money, providers will be able to track patient outcomes to make sure the reversal medication has the desired effect. as a life-long pharmacist, i considered it my duty to always care for my patients and give them every tool i can to protect and serve them the best way i can and i've carried this duty to the united states house of representatives. the co-prescribing to reduce overdoses act does just this and is a major step in the right direction to ending the opioid addiction deaths in
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america. i encourage all of my colleagues to support this bill, and i thank you, mr. speaker, and i yield back. mr. guthrie: i reserve the balance of my time. the speaker pro tempore: the gentleman reserves, and the gentleman from texas is recognized. mr. green: mr. speaker, we have no other speakers and will be glad to -- mr. guthrie: we have no other speakers as well. mr. green: i'll be glad to yield back my time. the speaker pro tempore: the gentleman from texas yields back. mr. guthrie: thank you, mr. speaker. i appreciate mr. sarbanes from maryland for bringing this forward and all the work he's put into this. i urge my colleagues to support this legislation and i yield back. the speaker pro tempore: the gentleman from kentucky yields back. the question is will the house suspend the rules and pass h.r. 3680. as amended. those in favor say aye. those opposed, no. in the opinion of the chair, 2/3 having responded in the firmative, the rules are
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suspended, the bill is passed, and without objection, the motion to reconsider is laid on the table. for what purpose does the gentleman from kentucky seek recognition? mr. guthrie: mr. speaker, i move that the house suspend the rules and pass the bill h.r. 4978, as amended. the speaker pro tempore: the clerk will report the title of the bill. the clerk: h.r. 4978, a bill to require the government accountability office to submit to congress a report on neonatal abstinence syndrome, n.a.s., in the united states and its treatment under . dicaid the speaker pro tempore: pursuant to the rule, the gentleman from kentucky, mr. guthrie, and the gentleman from texas, mr. green, each will control 20 minutes. the chair recognizes the gentleman from kentucky. mr. guthrie: mr. speaker, i recognize myself for as much time as i may consume. the speaker pro tempore: the gentleman is recognized. mr. guthrie: mr. speaker, i rise in support of h.r. 4978, supporting and healthy babies act. first, the bill requires the
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government accountability office to carefully study ways to care for babies born with neonatal abstinence syndrome, n.a.s. n.a.s. is a drug withdrawal syndrome that most commonly occurs after an in utero exposure to opioids that have sadly grown in prevalence in recent years. as the new england journal of medicine, from 2000 to 2009, neonatal abstinence syndrome in the united states nearly tripled with several states reporting even larger increases. that same study noted in 2013 the number of nicu hospital days nationwide atranscripted to infants with n.a.s. was six to seven times greater than it was in 2004. so this bill will expand our of care of -- knowledge of care of n.a.s. babies i will requiring g.a.o. to study what is known of the prevalence of n.a.s. babies in the u.s. the number of babies and access to care for n.a.s. babies under state medicaid programs.
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based on the recommendation of representative andy barr, the bill also directs g.a.o. to identify what is known about best practices providing care for infants with n.a.s. this comprehensive study, including the research focusing on best practices, can help us improve our efforts to provide care for some of the most vulnerable among us. this bill takes the second important step to combat opioid abuse by fixing the unintended consequence of the medicaid drug rebate program that discourages providers from producing opioids that is harder to abuse. and drugs from the definition of line extension for the purpose of calculating medicaid rebates, abuse-der alternative formulas represents a critically important tool in the federal policy toolbox. in its opioid action plan, f.d.a. said its goal is to expand access to abuse-deterrent formulation to discourage abuse. in the a.d.f. guidance to
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guidance, they consider the development of these products a high public policy priority. this policy enjoys bipartisan support. was introduced by bilirakis previously. this was included in the president's f.y. 2017 budget which know that correcting the law would continue development of abuse-deterrent formulation. this policy can help save lives. four million americans misuse painkillers and more than 16,000 individuals die from prescription painkiller doses each year. this change will help ensure there is continued investment in important abuse-deterrent drug technologies to help reduce the number of patients who abuse opioid drugs. finally, to help offset the cost of medicaid drug rebate change, this bill includes a third policy that was sponsored by representative bilirakis in the past and was recently included in the president's 2017 budget. the program integrity algorithm
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program that c.m.s. uses. today, the mathematical algorithm and technologies that c.m.s. uses in medicare, medicaid and chip are fraught with waste, fraud and abuse. these algorithms are becoming publicly known, fraudsters can redirect their schemes to other areas of medicare, medicaid and chip or adjust their schemes to avoid detection. this policy will simply prevent the disclosure of these anti-fraud tools from freedom of information laws relate -- related laws while still allowing c.m.s. and state medicaid and chip programs freely share algorithms and analytical tools. doing so saves taxpayers' money and offsets the cost of the rebate policy. mr. speaker, this bill will enhance our knowledge on how to care for infants with n.a.s., encourage more abuse-deterrent formulas. i urge support for this commonsense bipartisan piece of legislation, and i reserve the balance of my time. the speaker pro tempore: the
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gentleman reserves, and the gentleman from texas is recognized. mr. green: thank you, mr. speaker. i yield myself such time as i may consume. the speaker pro tempore: the gentleman is recognized. mr. green: mr. speaker and members, i rise to voice my support for h.r. 4978, the nurturing and supporting healthy babies act. nearly every community in every state has been impacted by heroin and opioid addiction. tragically you, newborns are the most vulnerable victims of this epidemic. it's estimated over 25 minutes, a baby is born suffering from neonatal abstinence syndrome, or opioid withdrawal. according to a study by the new england journal of medicine, from 2004 to 2013, the incidents in n.a.s. has quadrupled. neonatal abstinence syndrome, or n.a.s., arises from the exposure of opioids during pregnancy and impacts far too many of our nation's newborns. maternal exposure of opioids can include both prescription and nonprescription medication and the subsequent neonatal
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withdrawal can result in extended hospital stays and heartbreaking symptoms. it is associated with preterm births, low birth weight, complications such as respiratory distress and seizures. this bill is important part of our efforts to combat the drug abuse. the legislation will expand our knowledge of care and treatment for babies with n.a.s. it will direct the g.a.o. to identify the prevalence of n.a.s. in the number of cases covered by medicaid. the setting of care for these infants and the identity access barriers to treatment. it will further our ability to meet this crisis head on and provide america's children with the healthy start they deserve. i want to thank the bill's sponsor, representative bustos, for her leadership in introducing this bill and encourage my colleagues to support the bill.
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i reserve. the speaker pro tempore: the gentleman reserves. the gentleman from kentucky is recognized. >> i want to yield two minutes to the gentleman from west virginia. the speaker pro tempore: the gentleman is recognized. >> as you've heard, every 25 minutes in this nation, a baby is born who was exposed to drugs during pregnancy. this is called neonatal abstinence syndrome or n.a.s. it's a devastating kay to begin one's rife. today before the house is the n.a.s. healthy babies act and i'm proud to sponsor this to expand our knowledge and care for n.a.s. babies. hearing babies cry as they suffer drug withdrawal is heartbreaking. we can only address this crisis by working together. for the past phi years i have worked tirelessly in my hometown of huntington, west virginia, to help those treating newborns with n.a.s. to help find new and
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innovative treatment methods. this firsthand experience highlighted the many challenges facing hospitals, doctors, nurses, and others seeking to treat these babies and it has shown me the suffering these babies experience and just how much we need to help them. this bill will bring much-needed information on best practice models of care to our health care providers for the most vulnerable -- vulnerablely impacted by this drug crisis. through this bill we will also learn more about how many newborns are suffering from withdrawal and more about the federal obstacles to treating them. this bill will bring us closer to guaranteing a healthy and happy start to life for every newborn. thank you to the energy and commerce committee's chairman, chairman upton, chairman pitts for their tireless work to find solutions to the drug crisis and to help n.a.s. babies start
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their lives healthy and happy. thank you to congresswoman cherie bustos for joining me in co-spon -- co-sponsthorg legislation. mr. jenkins: we are making progress, we must continue to strive for solutions to this epidemic and i yield back. the speaker pro tempore: the gentleman yields back. the gentleman from kentucky reserves. the gentleman from texas is recognized. mr. green: i rise to allow ms. bustos time for three minutes. the speaker pro tempore: the gentlewoman is recognized for three minutes. ms. bustos: thank you mr. speaker, and thank you, mr. green, for allowing me time. mr. speaker, every 25 minutes, as we've heard, every 25 minutes in america, another baby is born adicked to heroin or other deadly opioids. it results from their mother's struggle with addiction. as the heroin ep epidemic sweep
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ours towns and cities throughout the united states, it impacts far too many families. many of the most overlooked victims have been the most vulnerable among us. it's heart wrenching and it's terrible that an innocent newborn, trembling and crying uncontrollably, clenching her small fists and gasping for air. again, is born every 5 minutes. these are just a few of the symptoms babies face when they're born addicted to opioids. nothing from my perspective as a mother and grandmother could be more demanding of our immediate attention. that's why i joined congressman evan jenkins from west virginia to introduce the nurturing and supporting healthy babies act. this borne legislation will provide care for babies born with neonatal abstinence
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syndrome and expand our knowledge of care for these babies. it will improve access to care for n.a.s. babies and direct the accountability office to direct any federal obstacles -- obstaclicals to care -- obstacles to care. it will ensure we're doing everything we can to help babies born with addiction and withdrawalful we must do our part to help all children reach their full potential. i yield back the balance of my time. the speaker pro tempore: the gentlelady yields back. the gentleman from kentucky is recognized. >> i would like to yield two minutes to my colleague from florida, mr. bilirakis. the speaker pro tempore: the gentleman is recognized for two minutes. mr. bilirakis: thank you, mr. speaker, i appreciate it. i rise in support of h.r. 4978 , the nurturing and supporting healthy babies act. this bill will help our most vulnerable americans. h.r. 4978 will require the g.a.o. to report on the
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prevalence of neonatal abstinence syndrome to help determine the size and scope of this prescription drug problem and its impact on newborns. neonatal abstinence syndrome refers to a gruff on -- group of conditions that occurs when a child is born addicted to narcotics and going through withdrawal. this unfortunately affect misdistrict in florida, all over the country, i visited the babies in the hospital. in 2013, during a drug summit in pasco county, health officials discussed the growing problem of babies born addicted to prescription drugs. pinellas county, my home county, at the time ranked first in the state for babies born addicted. we must do all we can to help those struggling infants and their families. this bill also includes two provisions i worked on to reform medicaid payments for deterrent frmlations and fight fraud and
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medicare and medicaid. currently medicaid does sot cover formulations for generic drugs. we spoke to secretary burwell and she suggested a need for a legislative fix. this bill also includes a ovision to protect a predictive analytic algorithm which identifies the improper claims in medicare. these tools designed to prevent fraud, need to be protected from being disclosed to bad actors. back in 2013, i introduced legislation to protect these predictive analytic algorithms from the freedom of information act disclosure and h.r. 4978 includes this important legislation. this legislation will help protect our newborns and all those facing prescription drug
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abuse and addiction. again, i thank representative general decision -- jenkins and the energy and commerce committee and i urge my colleagues to support h.r. 497 . thank you and i yield back the balance of my time. the speaker pro tempore: the gentleman yields back the gentleman from kentucky reserves. the gentleman from texas is recognized. mr. green: we have no further speakers and i'm glad to yield back my time. the speaker pro tempore: the gentleman from texas yields ack. >> we do have a few more speakers. mr. green: i reserve in case anyone shows up. >> i would like to yield two minutes to my good friend the gentleman from kentucky, mr. barr. the speaker pro tempore: the gentleman is recognized. mr. barr: i thank the gentleman from kentucky, mr. guthrie, for his leadership on this issue. i want to thank my heeg from west virginia, mr. jenkins, for his leadership on this issue. i rise today to urge my colleagues to support his bill, h.r. 497 , the n.a.s. healthy
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babies act which seeks to increase our understanding of neonatal abstinence syndrome and would help further strengthen best practices for treating this dangerous but preventable condition. according to the national institute on drug abuse, there has been a dramatic increase in maternal opioid use and as a tragic result a baby is born suffering from neonay ta abstinence syndrome or n.a.s. every 25 minutes in the united states. to help address this public health challenge this legislation contains language drafted in coordination with my constituent university of kentucky pediatrician, dr. and membersda elsey of the sixth district drug abuse task force. it would mandate a study which would duane critical data about the specific treatment outcomes given to newborns with n.a.s. during and after their hospital stay and identify treatment outcomes this vital information would help lead pediatricians to
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provide improved care for the most vulnerable in our society. i would like to thank the leader's office and the energy and commerce committee staff for giving me an opportunity to include this important recommendation from the sixth congressional district drug abuse task force in this legislation. the opioid heroin crisis in america impacts every congressional district and my district is not immune. i'm proud that the people's house is taking up a series of important measures to combat this scourge in our society and i can't think of any more important measure than dealing with these innocent victims of n.a.s. thank you, mr. speaker, and i yield back the balance of my time. the speaker pro tempore: the gentleman yields back. and the gentleman from kentucky is recognized. mr. guthrie: i'd like to add to the record, i ask unanimous consent that all members have five legislative days to revise and extend their remarks and insert extraneous material in the record on the bill. the speaker pro tempore: without objection. mr. guthrie: i recognize my good friend and gentlelady from missouri ms. wagner for two
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minutes. the speaker pro tempore: the gentlelady is recognized for two minutes. ms. wagner: thank you. i thank the gentleman for yielding, and i thank you, mr. speaker. i rise today in support of the nurturing and supporting healthy babies act. which will improve care for babies who are so sadly suffering from exposure to opioids while in their mother's womb. hospital usage for opioid veruse in missouri increased 137% between 2005 and 2014. with the highest rates seen in the st. louis region. we must do everything we can to combat this epidemic from all angles. mr. speaker, it is absolutely heartbreaking to stand in front of you knowing that in the united states an opioid dependent baby is born every 20 minutes. immediately suffering from withdrawal. trembling. cry inconsoleably, clenching their tiny muscles a they gasp
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for breath. -- as they gasp for breath. my principal mission as a member of this chamber is to provide a voice for the voiceless and it is our duty to defend the most vulnerable, ensuring babies have access to care and allowing them to recover from these horrible physical and emotional circumstances is not only common sense, but mr. speaker, it's simply the right thing to do. i urge the passage of h.r. 4978 and i thank representative evan jenkins for introducing this legislation. i yield back. the speaker pro tempore: the gentlelady yields back. the gentleman from kentucky eserves. mr. guth re: i yield to the gentleman from georgia for two minutes. the speaker pro tempore: the gentleman is recognized for two minutes. >> i rise in support of h.r.
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4978, the n.a.s. healthy babies act because newborn infants deserve every opportunity to live a happy and healthy life. h.r. 4978 requires the government accountability office to compile a report on the am of babies born each year with n.a.s., medicare insurance coverage for families who have an n.a.s. baby and federal obstacles for children who seek treatment for n.a.s. mr. carter: with this new information we can increase our understanding of n.a.s. and our ability to provide care for babies born with n.a.s. this new understanding is vital considering the number of newborns with n.a.s. has increased with a rise in the numb of americans addicted to opioids. as a lifelong pharmacist i believe we should take every step possible to fight the addiction crisis in america and the protection of our children should be our top priority. i encourage all my colleagues to support this measure. thank you, mr. speaker, and i yield back. the speaker pro tempore: the gentleman yields back and again the gentleman from kentucky is ecognized.
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mr. guthrie: i yield to the great leader from maine, mr. quinn. the speaker pro tempore: the gentleman is recognized. mr. quinn: it cannot be said enough that every 25 minutes in this great country there is a baby born addicted to drugs. ast year alone, 1,000 of those babies were born in the great state of maine. 90% of these addicted infants are covered by medicaid and treated at local hospitals. but our hospitals are overwhelmed. they're not equipped to provide the specialized care that these babies desperately need to recover from the drugs in their tiny bodies. mr. poll quin: i'm proud to -- mr. poliquin: i'm proud to serve as a co-sponsor of this bill and i'm thrilled it's being
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considered today on the floor. i want to congratulate congressman evan jenkins from west virginia, a republican, and i want to congratulate congresswoman bustos of illinois, a democrat, for their leadership on this issue. this is not a political issue, mr. speaker. this is about our kids, this is about our babies, this is about that generation. now h.r. 4978 makes sure that we get the information we need as to how hospitals know the medical facilities are currently treating these addicted babies such that we can fill in the gap ith medicaid coverage. mr. speaker, every baby born into this world deserves our compassion and our care. this bill offers real hope for a healthy and a safe and a loving start for thousands of american babies born addicted
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to drugs. let's all get together and let's get this done, mr. speaker. this is not a political issue. this is about our kids. thank you, mr. speaker. i yield back my time. the speaker pro tempore: and the gentleman yields back and, the gentleman from kentucky is recognized. mr. guthrie: mr. speaker, i have no further speakers and i'm prepared to close. the speaker pro tempore: the gentleman from texas is recognized. mr. green: we yield back our time. mr. guthrie: i appreciate -- the speaker pro tempore: the gentleman yields back, and the gentleman from kentucky is recognized. mr. guthrie: mr. speaker, i appreciate my friend from west virginia and our colleague from illinois for moving this forward. i urge the passage of 4978 and would like for my colleagues to vote for this, and i yield back my time. the speaker pro tempore: and the gentleman yield it's back. the question is will the house suspend the rules and pass the bill h.r. 4978, as amended. those in favor say aye. those opposed, no. in the opinion of the chair, 2/3 having responded in the affirmative, the rules are suspended, the bill is passed, and without objection the motion to reconsider is laid on the table.
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without objection, the title is amended. for what purpose does the gentleman from kentucky seek recognition? mr. guthrie: mr. speaker, i move that the house suspend the rules and pass the bill h.r. 3691, as amended. the speaker pro tempore: the clerk will report the title of the bill. the clerk: union calendar a bill 28, h.r. 3691, to amend the public health service act to re-authorize the residential treatment programs for pregnant and postpartum women and to establish a pilot program to provide grants to state substance abuse agencies to promote innovative service for such women. the speaker pro tempore: pursuant to the rule, the gentleman from kentucky, mr. guthrie, and the gentleman from texas, mr. green, each will control 20 minutes. the chair recognizes the gentleman from kentucky. mr. guthrie: mr. speaker, i ask unanimous consent that all members may have five legislative days to revise and insert heir remarks and
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extraneous materials in the record on the bill. the speaker pro tempore: without objection. mr. guthrie: mr. speaker, i recognize myself for as much time as i may consume. the speaker pro tempore: the gentleman is recognized. mr. guthrie: mr. speaker, i rise in support of h.r. 369 1, the improving safe care for the prevention of infant abuse and the improving treatment for pregnant and postpartum women act of 2015 introduced by mr. ben ray lujan of new mexico, mr. tonko, ms. clarke, ms. matsui and mr. cardenas. the withdrawal symptoms with this continuing opioid use in pregnant women can lead to miscarriage or other negative birth outcomes. methadone can be used to treat disorder.opioid it can improved outcomes for both mothers and babies. unfortunately, babies exposed
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have oids inute row may neonatal abstinence syndrome, n.a.s. mothers suffering from opioid use disorder may be sent home with babies with n.a.s. with very little guidance and support which m have negative consequences for their babies. n.a.s. can result from the use of prescription opioids as prescribed for medical reasons. abuse of prescription opioid medication or heroin. the grant program re-authorized in 3691 will help support residential treatment facilities where women and their children receive support, education, treatment and counseling they need to address opioid addiction and n.a.s. the newly created pilot program will allow states more flexibility in providing these services for women and children in need. mr. speaker, i urge my colleagues to support this legislation, and i reserve the balance of my time. the speaker pro tempore: the gentleman reserves, and the gentleman from texas is recognized. mr. green: mr. speaker, i yield
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myself such time as i may consume. the speaker pro tempore: the gentleman is recognized. mr. green: mr. speaker, i rise to voice my support for h.r. 3691, the improvement treatment for pregnant and postpartum women act. the p.p.w. program is administered by the substance abuse and mental health services administration, samhsa. the program was designed to expand the availability of comprehensive residential substance abuse treatment, prevention and recovery support services for pregnant and postpartum women and their children. the program provides grants to public and nonprofit private entities to provide substance abuse disorder treatment to women in residential facilities. for too long our laws have taken a punitive approach for pregnant women and new mothers suffering from addiction. criminal approaches has failed to work. solutions should emphasize a nonpunitive public health approach like p.p.w. program.
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substance abuse treatment that supports the family as a uniunit has proven effective for maintaining sobriety and enhancing child well-being. there is a need for treatment options that are responsive to women's complex responsibilities. h.r. 3691 re-authorizes residential treatment programs for pregnant and postpartum women. it provides substance abuse treatment for women as well as their minor children. family-based treatment services include individual family counseling, prenatal, postpartum care and training on parenting. it would create a pilot program that would allow 25% of the grants to be made for outpatient treatment services. this would gave state substance abuse agencies greater flexibility to provide access to treatment and address gaps in the delivery of care for pregnant and postpartum women. including services in nonresidential settings and encourages new approaches to
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services to be available for pregnant women along with a continuum of care. i want to thank the bill's sponsor, representative ben ray lujan, who is a member of our energy and commerce committee and health subcommittee, for his leadership in introducing this bill. i urge my colleagues to support the improving treatment for pregnant and postpartum women act, and i reserve the balance of my time. the speaker pro tempore: the gentleman reserves, and the gentleman from kentucky is recognized. mr. guthrie: mr. speaker, i yield three minutes to the gentleman from georgia, mr. carter. the speaker pro tempore: and the gentleman from georgia is recognized for three minutes. mr. carter: i thank the gentleman for yielding. thank you, mr. speaker. i rise today in support of h.r. 691, the so pregnant and postpartum women can receive treatment when fighting opioid drug addiction. according to the national prenatal association, 4% of all live births in the u.s. occur have women who abuse prescription or illicit drugs such as opioid pain relievers. this would equate to 259,436
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births in 2014 from women who approve illicit or prescription drugs. this is simply unacceptable. we must take action to ensure that pregnant and postpartum women receive the care they need to protect american families. h.r. 3691 simply states that support should be extended for residential substance abuse treatment programs for pregnant and postpartum women through 2020 and the center for substance abuse treatment should carry out a pilot program to make grants to state substance abuse agencies to support services for pregnant and postpartum women who have a substance abuse disorder. by extending these services and working through this pilot program, we can ensure that pregnant and postpartum women can receive the care they need so that they can care for their families. that is why i am supporting h.r. 3691. i encourage my colleagues to support this bill so we can
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extend care to all mothers and soon-to-be mothers that fight drug addiction. thank you, mr. speaker, and i yield back. the speaker pro tempore: the gentleman yields back. and the gentleman from kentucky reserves. and the gentleman from texas is recognized. mr. green: mr. speaker, i'm proud to yield to a co-sponsor of the bill, congressman ben ray lujan, five minutes. the speaker pro tempore: and the congressman is recognized for five minutes. mr. lujan: mr. speaker, i like to start by thanking the chairman and ranking member of the energy and commerce committee, the subcommittee on health for their bipartisan efforts to address the nation's drug crisis and for advancing my legislation, the improving treatment for pregnant and postpartum women act. our nation continues to face a substance abuse crisis that is tearing apart communities and families. in new mexico, we have seen a crisis that is multigenerational. people growing up in communities where abuse is a commonplace. the grant program for residential treatment that my bill enhances is an important part of our effort to break the
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cycle of drug abuse that grips our communities. my bill would also increase funding for the pregnant and postpartum women grant. as originally written, my bill contains an authorization of $40 million significantly above the current level to avoid any cuts to existing residential programs. it's through bipartisan cooperation we arrived at a small increase over the next five years. by focusing on women with young children and soon-to-be mothers we help ensure these mothers get on the right path from the very beginning. people want to be better, but unfortunately too often there are too few resources and avenues for help. certainly this is true in new mexico which is among the states' most impacted by the epidemic plaguing our country. too many people are suffering, and too many people are being shut out from access to help. this bill helps address this by creating a demonstration project and the existing pregnant and postpartum grant
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program to allow grants to be used for nonresidential care. residential programs are critically important where they are available. in my home state of new mexico, there are far too few residential programs to serve the needs of my constituents. in addition, many of the existing facilities have wait lists with new mexico's vastness residential facilities are out of reach for too many. that's why this demonstration project is critical. it will allow us while continuing to pport residential treatment programs to explore how to ensure the services and care we are providing work for those in need. and while i am pleased we have been able to work together across the aisle in an effort to authorize increased funding and ensure the inclusion of the demonstration project, i think it's important to say more must be done. supporting residential facilities and innovation to make treatment more available is essential, and both will require significant
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investments. mr. speaker, in 2014, 47,055 people died from drug overdoses. that's 129 people per day. we must do more. i hope that as we continue this conversation beyond today we can all come to recognize the need for funding above and beyond what we are doing today. i respectfully ask for support of this bill and i yield back the balance of my time. the speaker pro tempore: the gentleman yields back. the gentleman from texas reserves. mr. green: mr. speaker, i reserve. the speaker pro tempore: and the gentleman from kentucky reserves -- is recognized. mr. guthrie: mr. speaker, i reserve. mr. green: mr. speaker, we have side. e speaker on our my colleague and neighbor
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side, the gentlelady from texas, ms. jackson lee. the speaker pro tempore: the entlelady is recognized. ms. jackson lee: i thank the gentleman for managing this elegislation, we are continuing our commitment on dealing with the issues of addiction in this instance opioid and other forms of addiction from alcohol to crack to cocaine but we are moving forward. i rise to support h.r. 3691, the improving treatment for pregnant postpartum women act of 2015. this is clear that this is an issue that has plagued both the woman and as well the newborn baby. let me offer to say that president obama has updated prescribing guidelines to encourage doctors to be more cautious when prescribing opioid painkillers and to emphasize nonopioid therapies for certain conditions. many times, women who are
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pregnant or under treatment. additionally the obama administration has awarded $94 million to improve the delivery of substance abuse programs. in the president's f.y. 2017 budget, the administration proposed $1.1 billion to combat drug addiction. as misuse of opiates has increased, so has the incidents of neonatal abstinence syndrome, referring to the medical effect on infants suffering drug withdrawal because their mothers were drug addicts. the g.a.o. report found that a lack of available treatment program for pregnant women and newborns with neonatal substance program syndrome, including the availability of comprehensive care and enabling services such as transportation and child care have hampered federal efforts to address the issue. i'm glad that this bill, why i rise to support it, re-authorizes residential treatment, grant programs for pregnant and postpartum women
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who have substance abuse problems that are administered by the health and human service department center for substance abuse treatment. increasingly authorized funding level by 6%. this gives me an opportunity to say that all of these bills, i know we will all join together to make sure the right funding is available for these bills to really make them work. i join in support of this legislation and add to it legislation that i've introduced improving safe care for prevention of infant abuse an neglect which i introduced recently to stop infant mortality and recidivism reduction act of 2016 which will help the federal bureau of prisons to improve effectiveness of the federal prison system for pregnant offenders by establishing a pie rot program of critical stage nurseries for children born to inmates. likewise at that time one may discover the concerns that are being expressed here today. however the improving treatment for pregnant and postpartum
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women act of 2015 also establishing a pilot program to provide grants to state substance abuse agencies to promote innovative service delivery models for pregnant women with a substance abuse disorder such as opioid addiction including for family-based services. his is a good bill because there are more than the adult that is being treated here. it's a good bill because we are concerned about that newborn nebt baby that needs to have a start on life and in this instance, this legislation will both treat the mother and provide assistance, residential and nonresidential care so that these individuals can have the start in life that they need. let us be reminded of the fact that this addiction, these drugs becomes an illness. we have seen overdoses cause loss of life. let us be part of stemming the tide but more importantly helping those who are trying to hang on to life and to start a
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new life and this legislation does that. i ask my colleague to support it. i thank the gentleman from texas again for his leadership and thank him for yielding to me, i yield back my time. the speaker pro tempore: the gentlelady yields back. the gentleman from texas reserves. mr. green: i reserve. the speaker pro tempore: and the gentleman from kentucky is recognized. mr. guthrie: i have no further speakers and i'm prepared to close. mr. green: i have no further speakers and yield back my time. the speaker pro tempore: the gentleman yields back. mr. guthrie: i encourage my colleagues to vote for h.r. 3691 and yield back. the speaker pro tempore: the gentleman yields back. the question is on passage of h.r. 3691. those in favor say aye. those opposed, no. in the opinion of the chair, 2/3 being in the affirmative, the bill is passed and without objection the motion to reconsider is laid on the table. for what purpose does the gentleman from kentucky seek recognition?
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mr. guthrie: i move that the house suspend the rules and pass the bill h.r. 1818 as amended. the speaker pro tempore: the clerk will report the title of the bill. the clerk: union calendar number 1426, h.r. 1818 a bill to amend the public service act to provide grants to states to streamline procedures for veterans with military emergency medical training to become civil ab medical emergency technicians. the speaker pro tempore: pursuant to the rule, the gentleman from kentucky, mr. guthrie and the gentleman from texas, mr. green, each will control 20 minutes. the chair recognizes the gentleman from kentucky. mr. guthrie: mr. speaker, i ask unanimous consent, all members may have five legislative days in which to revise and extend their remarks and insert extraneous materials into the record on the bill. the speaker pro tempore: without objection. mr. guthrie: i yield myself such time as i may consume. i rise in support of h.r. 1818.
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introduced by my colleague on the -- colleagues on the energy and commerce committee, presentative kinsinger and others, many soldiers when looking for a job, states don't recognize their training as applicable for emergency medical technicians. state licensing laws vary and ile some states make exceptions for military for a chance to sit for the licensing exam without repeating training, many do not this would provide grants to states to help streamline state requirements for veterans to enter the e.m.t. work force without unnecessary duplication of their training this will help them more easily transition to become civilian e.m.t.'s. it urge my colleagues to support this legislation and i reserve the balance of my time. the speaker pro tempore: the gentleman reserves. the gentleman from texas is recognized.
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mr. green: thank you, mr. speaker. i yield myself as much time as i may consume. the speaker pro tempore: without objection. mr. green: i rise in support of h.r. 1818, the veterans emergency medical technician support act. our nation's servicemen and women receive some of the best medical training and experience in emergency medicine while serving our country. their commitment to duty, training, real world experience and ability to work effectively in challenging environments make them exceptionally well suited for working in emergency medical technicians, e.m.t.'s upon their return to civilian life. however, experienced military medics who want to work as civilian e.m.t. job are often required to repeat their medical training at the most base exlevel to receive stertification to be hired. depending on the state a have to veteran may obtain or renew their e.m.s.
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license. the requirements can vary significantly by state. this is unnecessary and -- this is an unnecessary impediment for both ourer is vess personnel and our communities in need of qualified medical service personnel. we should not be keeping veterans out of the work force and withholding valuable medical personnel from supporting our communities. according to bureau of labor statistics, occupational outlook approximately 55,000 new civilian e.m.t. and paramedic jobs have already or will be create between 2012 and 2022. highly skilled and properly trained veterans are well positioned to fill these essential positions. this bill will authorize a demonstration grant for states to streamline certification an licensing requirements for veterans with military e.m.t. training so they can work as civilian e.m.t.'s as quickly as possible. streamlining the line licensing process will make it easy to hire experienced combat medics. this is not only beneficial to veterans but also our communities and will enhance the level of care for our citizens.
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i want to thank the bill's sponsors, representative lois capps a member of the energy an commerce committee and our health subcommittee and congressman adam kinsinger for introducing and championing this legislation. i urge my colleagues to vote for this and reserve the balance of my time. the speaker pro tempore: the gentleman reserves. the gentleman from kentucky is recognized. mr. guthrie: i'd like to yield three minutes to my colleague on the energy and commerce committee, a veteran himself, air force pilot, my good friend adam kinsinger of illinois. mr. kinzinger: thank you. i appreciate the gentleman yielding. the veteran emergency medical technician support act will help thunt communities by reducing burdens on medics who want to become e.m.t.'s. emergency medical technicians are an important part of the medical work force and as first responders are critical to our goal of combating thousands of opioid overdoses each year. e.m.t.'s respond to hundreds of thousands of overdoses.
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in 2014 alone, they responded to 240,000 calls when in a -- where in a lox sewn was administered. - naloxone was administered. a shortage is expected. my legislation, veteran e.m.t. support act, h.r. 1818, works to address this by streamlining requirements and procedures to assist veterans who completed e.m.t. training in the armed forces meet the licensing and other requirements to become civilian e.m.t.'s. though some branches train medics to e.m.t. smarble standards states usually require additional training this creates a bearier forer is vess members who have received some of the best e.m.t. training an practiced their profession on the battlefield veteran e.m.t. support act is a way to help
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them transition into the civil wan work force, improve public health an ensure communities have highly qualified professional men and women to answer challenging emergency calls like opioid overdoses. i'd like to thank congresswoman capps for her strong support and advocacy of this legislation. i'd like to thank my colleagues on both sides of the aisle. i urge my colleagues on both sides of the aisle to vote in favor of this legislation. thank you and i yield back. the speaker pro tempore: the gentleman yields. mr. guthrie: i reserve. the speaker pro tempore: the gentleman from texas is recognized. mr. green: i yield three minutes to my colleague, congresswoman lois capps of california. the speaker pro tempore: the entlelady is recognized. mrs. capps: i thank my colleague for yielding. mr. speaker, i rise in support of h.r. 1818, the veterans emergency medical technician support act. as the ranking member of our committee just said, our military medics receive some of the best technical training in
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emergency medicine on the battlefield. proven in extreme circumstances. however when they return home and attempt to ply their skill -- apply their skills to work in the civilian e.m.t. sector, they're often forced to start back at square one resm peting course work isn't just a waste of time it's also incredibly expensive. similarly, civilian e.m.t.'s who are also in the military or reserves also must let their civilian certification lapse when they are deployed. in either circumstance, this is an unfair burden on our military men and women who have bravely defended our country. but it is also so shortsighted for our communities who could benefit from their expertise. we need these valuable medical personnel working in our communities, especially as we now deal with this opioid crisis. that's why i'm so pleased to have again joined with my republican colleague, representative kinzinger, introduce the best e.m.t. bill.
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e.m.t. act. the bill is a small but straightforward effort to help states streamline their e.m.t. certification processes to take military medic training into licensure. civilian it's the least we can to to help ensure their transition home is a little easier and it's the least we can do to ensure our communities have the best civilian first responder personnel working for them. i want to thank the chairman, upton and pitt, and ranking members pallone and green, and their staff for their support in getting this bill to the floor. i urge my colleagues to support it. i yield back the balance of my time. the speaker pro tempore: the gentlelady yields. the gentleman from texas reserves. the gentleman from kentucky is recognized. mr. guthrie: i yield three minutes to my good friend from pennsylvania. the speaker pro tempore: the gentleman is recognized.
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>> i rise in support of h.r. 1818. i want to thank congressman kinzinger for his work on this bill and i want to recognize the chief operations officer for the western berkes e.m.s. in my district, ed moreland who came to my office and shared with me what this bill was all about. it's an easy bill to support. mr. costello: not only is it an easy bill to support it's a valuable bill to support because in my state of pennsylvania where i used to be a county commissioner and before that a township supervisor, we see firsthand the very valuable role that e.m.t.'s and paramedic prossvide to local communities and we also know that there is a demand for more e.m.t.'s and paramedics. in fact over the next eight years, it's estimated that there will be another 40,000 e.m.t.'s and paramedics that we will need
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in this country. i have the honor to serve on the house committee on veterans' affairs. one of the things we focus on on that committee is working to find innovative solutions to help our veten -- veterans find successful careers when they return home. and to utilize the skills that many service men and servicewomen on stain and -- servicemen and servicewomen obtain and possess in their service. many of the best training and experience that military men and women get overseas is in the area of oemergency medicine. and when we look at what it takes to be an e.m.t., the education, training an skill level and what's required in the commonwealth of pennsylvania and many other states, you realize that there is an equivalency that many veterans already have. that they've obtained while serving in the military this bill seeks to streamline the process so that if a veteran
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already has the training, the education, the skill level, the experience, that we can basically not require that veteran to spend more time, more money, going through the process of obtaining a certification and instead get them into the practice of serving their community and working in a professional environment. what this does is gets qualified veterans to work quicker, it also fills the community safety needs quicker. it is commonsense, bipartisan legislation to address the demand for qualified professionals in our communities and provides veterans with good job opportunities. it's why i encourage my colleagues to support it. it's why i commend congressman kinzinger and why i thank ed moreland of the western berks e.m.s. department for bringing this to my attention. i yield back the remainder of my time. the speaker pro tempore: the gentleman yields. mr. guthrie: i reserve.
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the speaker pro tempore: the gentleman from kentucky reserves. the gentleman from texas. mr. green: we have no further speakers and i'm glad to yield back our time. the speaker pro tempore: the gentleman yields. mr. guthrie: thank you, mr. speaker. i urge my colleagues to vote for h.r. 1818 and i yield back the balance of my time. the speaker pro tempore: the gentleman yields. the question is, will the house suspend the rules and pass the bill h.r. 1818. as amended. those in favor say aye. those opposed, no. in the opinion of the chair, 2/3 being in the affirmative -- mr. guthrie: on that vote i'd like to request the yeas and nays. the speaker pro tempore: the yeas and nays are requested. all those in fare of taking this vote by the yeas and nays will rise and remain standing until counted. a sufficient number having risen, the yeas and nays are ordered. pursuant to clause 8 of rule 20, further proceedings on this uestion will be postponed. for what purpose does the gentleman from kentucky seek
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recognition? mr. guthrie: mr. speaker, i move that the house suspend the rules and pass the bill h.r. 4969, as amended. the speaker pro tempore: the clerk will report the title of the bill. the clerk: union calendar umber 432, h.r. 4969, a bill to amend the public health service act to direct the centers for disease control and prevention to provide informational materials to educate and prevent addiction in teenagers and adolescents who are injured playing youth sports and subsequently prescribed an opioid. the speaker pro tempore: pursuant to the rule, the gentleman from kentucky, mr. guthrie, and the gentleman from texas, mr. green, each will control 20 minutes. the chair recognizes the gentleman from kentucky. mr. guthrie: mr. speaker, i ask unanimous consent that all members may have five legislative days to revise and xtend their remarks and insert extraneous materials in the record on the bill. the speaker pro tempore: without objection. mr. guthrie: mr. speaker, i rise today in support of h.r. 4969, the john thomas decker act of 2016. introduced by my colleagues,
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mr. meehan of pennsylvania, mr. kind of wisconsin, mr. rooney of florida, mr. veasey of texas. young athletes have been disproportionately impacted by the opioid epidemic. as lessent males who played sports are twice as -- adolescent males who played sports are twice as likely to abuse opioids than nonathletes. writing a prescription for opioids in a population that may not fully grasp the risk associated with the drugs can be dangerous and lead to unintended negative outcomes. h.r. 4969 amends the public service -- health service act to direct the secretary of health and human services to study what resources are available to youth athletes and their families regarding the dangers of opioid use and abuse. nonopioid treatment options and how to seek additional addiction treatment. the secretary would then be required to report the findings and work with stakeholders to disseminate resources to
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students parents and those involved in treating a sports-related injury. mr. speaker, i urge my colleagues to support this legislation and i reserve the balance of my time. the speaker pro tempore: the gentleman reserves. the gentleman from texas is recognized. mr. green: thank you, mr. speaker. i rise in support -- i yield myself whatever time i may consume. i rise in support of h.r. 4969 . the speaker pro tempore: the gentleman is recognized. mr. green: thank you, mr. speaker. h.r. 4969, the john thomas decker act, a crisis of this magnitude requires multiprong, robust response across the physical continuum of those exposed to and affected by addiction. people suffering from addiction are originally prescribed or shown opioids in a wide variety of circumstances. one is through youth sports injuries. h.r. 4969, the john thomas decker act, would bring needed education on the danger of opioids and the benefits of alternative approaches to pain treatment to youth sports. the john thomas decker act will
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direct centers for disease control and prevention and the national center for injury prevention to examine and report what information or materials, resources are currently available to teenagers and adolescents participating in sports on the dangers of opioid use and misuse, alternatives to treatment options and how to seek treatment for addiction. based on the findings in the report, the legislation directs the c.d.c. and the national center for injury prevention to develop and disseminate such information as necessary. young people playing sports or incur an injury which painkillers are freakly prescribed can -- frequently prescribed can uniquely vulnerable to addiction if they, their parents, guardians and coaches are not well-informed or the potential for misuse and abuse and addiction. h.r. 4969 will play a role in helping curb the epidemic opioid abuse and heroin abuse by ensuring adequate and tailored resources for our
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nation's youth. i want to thank the bill's sponsor, representative meehan, for authoring this legislation. i support the john thomas decker act. i reserve the balance of my time. the speaker pro tempore: the gentleman reserves. the gentleman from kentucky is recognized. mr. guthrie: thank you, mr. speaker. i'd like to yield to my good friend from pennsylvania, mr. meehan, five minutes. the speaker pro tempore: the gentleman is recognized. mr. meehan: i want to thank the gentleman and i want to thank my colleagues from both sides of the aisle for their strong support for this very, very important bill which will use the resources of the center for disease control and very important outreach to young people, particularly student athletes. we heard stories all day long, heartwrenching stories about the tremendous growth of use of opioids. in fact, 207 million
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prescriptions written in 2013 for opioids. unfortunately, that's led to about 2.1 million americans who are hooked on opioids. and when the opioid is not available, we've begun to see them switch into a cheaper alternative, which is heroin. 450 million americans currently hooked on heroin. i know in my own state of pennsylvania, we lose seven people a day to heroin addiction. and we're seeing it and the important nature of the comprehensive bills that have been put forward today, we're seeing it in veterans. many coming back from traumatic injury who are finding release in the opioids. we're seeing it in pregnant mothers and the impact it has on children. one of the single biggest increases are in women, mothers o are at home over 30, remarkable. one of the niches that's
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underappreciated but remarkably dangerous is young student athletes, and the reason being is that young student athletes are more inclined than just about anybody else to suffer sports-related injuries. and some of those injuries can be serious, and what we're seeing is a high rate of prescription of opioids for some of these athletes. now, in the ncaa, you have a little bit more oversight, and even in there we see abuse. almost 26% of college-level athletes will use opioids at some point in time. many without prescriptions, but where the real danger comes down is at the high school level. i have the good privilege of chairing one of the youth sports caucuses with my good friend, mr. kind from wisconsin. we deal with a broad variety of issues, promoting healthy activity in youth sports, but we're seeing a piece of this challenge right now in which e're watching the opioid
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addiction and problems with young athletes. 11% of high school athletes will use painkillers without a prescription. that is something that i talked to one of the trainers in my high school, a student trainer about how kids who want to play in the game will hide their injuries and self-medicate. what a danger that is, and it brings me to the young man who inspired this bill, the john thomas decker act. this is john thomas decker. i had the privilege of knowing john personally and his wonderful family. john was an incredible athlete. i watched him play football. he set a receiving record that was held for nearly a decade in our region of pennsylvania, and at nt on to play lacrosse cornell university and part of a program that won a national championship. so john was a consummate blue chip athlete and a wonderful kid to boot.
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great student, great leader. but john, like so many other kids, fought through the pain because he wanted to play and so what he did was he self-medicated. and he began to deal with the issue of opioid addiction. john worked his way through it as an athlete but later in life returned again to using opioids and ultimately heroin and ultimately it led to his death. and it inspired me to say, we got to do something about it because many high school kids, just like john, who play through the pain, they believe that because they're using the opioids, because they are prescription medicines, somehow there's no danger of any kind of addiction or otherwise. somehow it's nowhere near as dangerous as heroin, and yet it is unfortunately too easy. in fact, one of the other misconceptions is that i don't have to worry about a dependency but even the medical authorities have confirmed that
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even daily use for even a short period of time, just a few weeks, or even days can create the kind of psychological dependency in which there is the beginning of the use of the opioids. and one of the things we begin to see as well is as the opioid begins to lose its protective effect, they will take more and higher doses in order to have the same pain killing capacity. so they start to move further on down the chain. oftentimes they're able to kick it for a period of time, but when they come back, they'll go back to using the opioid at the higher level that they once did before. imagine the implication of that. so the c.d.c. now is in a position -- mr. guthrie: i yield two additional minutes. the speaker pro tempore: the gentleman is recognized. mr. meehan: i thank the speaker. now .d.c. is in a position
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to be able to utilize the resources it has to do a better study of making sure that we are aware of the information and resources that are being made available to those who are in the relationship with these students. these can be coaches. these can be school nurses. these can be the students themselves and then come up with a plan for us to be able to distribute this in an effective manner, all the way down through the network. there can be appropriate use under medical care with the kind of attention to concerns about addiction so that where there is legitimate pain that, you know, we don't want to suggest that there's never a use but this will now create the kinds of guidelines in which there is genuine oversight if opioids are introduced. i -- this will also give the kinds of guidelines to local trainers and others and even
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local physicians about taking more time to assess the backgrounds of individuals that they are given the opioids to. appreciating the young man that may be dealing with depression or other kinds of things. a binge drinker in association with the opioid that could lead to death. do much better education so we can prevent the next young star athlete like john from coming into opioid addiction and ultimately leading to his demise. let us let john's voice be heard. let us use this as the opportunity to assure that future student athletes are not addicted to opioids. mr. speaker, i'm grateful and i yield back. the speaker pro tempore: the gentleman yields. mr. guthrie: i reserve the balance of my time. the speaker pro tempore: the gentleman from kentucky reserves. the gentleman from texas is recognized. mr. green: mr. speaker, we have no further speakers, and i'll reserve the balance of my time. the speaker pro tempore: the gentleman reserves.
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the gentleman from kentucky is recognized. githguth mr. speaker, i'd like -- mr. guthrie: mr. speaker, i'd like to yield two minutes to the gentleman from georgia, mr. carter. the speaker pro tempore: the gentleman is recognized. mr. carter: i thank the gentleman for his work on this bill and for yielding. mr. speaker, i rise in today of h.r. 4969 because -- in support of h.r. 4969 because opioids does not discriminate on age. it requires the c.d.c. regarding prescription opioid use after youth sports injuries. according to a study by the national council on alcoholism and drug dependence, 12% of male athletes and 8% of female athletes have used prescription opioids in the last 12 months. according to the u.s. substance abuse and mental health services administration, 80% of these teenagers and adolescents ade the switch to heroin after opioid use.
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this is completely unacceptable and 100% preventable. every effort should be made to ensure that our youth are protected from the trap of drug abuse. that's why i'm supporting h.r. 4969. we need all the information available so we can take the right steps to ensure our youth are protected. i encourage my colleagues to support this bill. thank you, mr. speaker, and i yield back. the speaker pro tempore: the gentleman yields. the gentleman from kentucky reserves. the gentleman from texas is recognized. mr. green: mr. speaker, we have no further speakers and would be glad to yield back. the speaker pro tempore: the gentleman yields. the gentleman from kentucky is recognized. mr. guthrie: thank you, mr. speaker. i urge my colleagues to vote for h.r. 4969. i yield back the balance of my time. the speaker pro tempore: the gentleman yields. the question is will the house suspend the rules and pass the bill h.r. 4969, as amended. those in favor say aye. those opposed, no. in the opinion of the chair, 2/3 having responded in the affirmative, the rules are suspended, the bill is passed, and without objection the motion to reconsider is laid on the table.
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for what purpose does the gentleman from kentucky seek recognition? mr. guthrie: mr. speaker, i move that the house suspend the ules and pass the bill, h.r. 4586 as amended. the speaker pro tempore: the clerk will report the title of the bill. the clerk: union calendar number 429, h.r. 4586, a bill to amend the public health service act, to authorize grants to states for developing standing orders and educating health care professionals regarding the dispensing of opioid overdose reversal medication without persons' specific prescriptions and for other purposes. the speaker pro tempore: pursuant to the rule, the gentleman from kentucky, mr. guthrie, and the gentleman from texas, mr. green, will each ontrol 20 minutes. the chair recognizes the gentleman from kentucky. mr. guthrie: i ask unanimous consent that all members have five legislative days to i reserve the balance of my time their remarks and -- revise and

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