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tv   U.S. House of Representatives Legislative Business  CSPAN  December 1, 2016 6:00pm-7:01pm EST

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the speaker pro tempore: the yeas are 178 and the nays are 236. the motion is not adopted. the question is on the passage of the bill. those in favor say aye. those opposed, no. he ayes have it.
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the speaker pro tempore: for what purpose does the gentlelady from california seek recognition? ms. waters: i ask for the yeas and nays. the speaker pro tempore: the yeas and nays are requested. those favoring a vote, a a sufficient number having arisen, yeas and nays are ordered. members will record their votes by electronic device. 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 254, the nays are 161, the bill is passed and without objection the motion to reconsider is laid on the table.
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the speaker pro tempore: for what purpose does the gentleman from virginia stand? >> mr. speaker, i ask unanimous consent to take from the speaker's table the concurrent resolution h.con.res. 122, with the senate amendments thereto, and concur in the senate amendments. the speaker pro tempore: the clerk will report the title of the concurrent resolution and the senate amendment. caller: house concurrent resolution 122, supporting efforts to stop the illegal possession or sale of tribal cultural items of american indians, alaskan natives and native hawaiians in the united states and internationally. senate amendment, one, strike all after the resolving clause and insert the following, section one, short title, this concurrent resolution may be cited as the protection of the right of tribes to stop the export of cultural and traditional or the protect patrimony resolution. section two, definitions, in this resolution, one, nate i
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americans, term. native american means, a, with respect to an individual, an individual who is a member of an indian tribe -- mr. goodlatte: i ask unanimous consent to dispense with the reading. the speaker pro tempore: without objection, the reading is dispensed with. is there objection to the original request of the gentleman from virginia? without objection, the amendments are agreed to and the motion to reconsider is laid on the table. the chair will now entertain requests for one-minute speeches. for what purpose does the gentleman from pennsylvania stand? >> i ask unanimous consent to address the house for one minute and revise and extend my remarks. the speaker pro tempore: the request is granded.
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mr. thompson: mr. speaker, the house is not in order. the speaker pro tempore: we have an interesting one-minute speech oming up here. mr. thompson: thank you, mr. speaker. mr. speaker, i rise in recognition of small business saturday this past weekend, a day to support small businesses and celebrate the role that they play in our communities. this year, small business saturday saw a record 112 million shoppers. a number which highlights the effectiveness of this movement across the united states. small businesses have proven time and time again that they are the back bone of a strong economy. in pennsylvania's fifth congressional district, which i'm proud to represent, small business prossvide valuable services ranging from construction and manufacturing to health care and social assistance. bettering the lives of residents and consumers. academic institutions also play
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an important role in growing small business, for example, penn state university introduced a business preaccelerator this year, known as the happy valley launch box. t's a signature program of the invent penn state initiative and i'm confident it will serve as a platform for entrepreneurship and innovation. i remain grateful for their contribution to our nation's economy and i yield back the balance of my time. the speaker pro tempore: thank you. do we have any other requests for one-minute speech? the chair lays before the house the following personal requests. caller: leave of absence requested for mr. defazio of oregon for today after 5:00 p.m. and tomorrow. the speaker pro tempore: without objection the request is granted.
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under the speaker's announced policy of january 6, 2015, the gentleman from oklahoma, mr. mullin is recognized for 60 minutes as the designee of the majority leader. mr. mullin: thank you, mr. speakerism ask for five legislative days so all member mace revise and extend their remarks and include materials in the record. the speaker pro tempore: without objection. mr. mullin: mr. speaker, i ask that the house get in order. the speaker pro tempore: the ouse should be in order. the gentleman is recognized. mr. mullin: thank you, mr. speaker. i yield myself as much time as i may consume. today, mr. speaker, i rise in support of the 21st century cures act that passed yesterday. it is not too often that we get
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to be proactive in such important legislative business in this house. however, yesterday, we saw a great victory for the families that so many of us have heard from. we've heard from mothers and fathers, brothers and sisters, aunts and uncles. about loved ones that are dealing with mental illness. or dealing with drug addiction. or dealing with a disease that we haven't been able to accurately address because we've had roadblocks because of legislation and rules that have been put in place by the f.d.a. but yesterday, we got to pass a piece of legislation by overwhelming bipartisan support to say yes, we're listening. yes, we hear you, and yes, we're going to make changes. with that, i'm going to let my other colleague speak, at this time i'm going to yield to my chairman from pennsylvania, mr. murphy, for as much time as he may consume.
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mr. murphy: i thank the gentleman for yielding and heading up this very important special order on a topic that affects every single family in america, and that is their health. as the gentleman said, yesterday we passed a very important bill, the 21st century cures act with the charge led by the chairman of energy and commerce, fred upton. i was pleased they included in that practice our mental health reform bill which we moved out of energy and commerce committee unanimously over july. we have spoken about this issue at great length the last few years because it is worthy of that time. we spoke of it because of the 60 million americans who suffer from some level of mental illness and the 10 million that suffer from severe mental illness and the fact that 40% of them cannot get care. that half the counties in america have no psychologist, psychiatrist, or social workers that we do not have enough hospital beds for people in crisis. there there are only 9,000
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psychiatrists when we need 30,000, particularly important because severe mental illness in half the cases emerges by age 14 and 75% by age 24. we've seen too many lives lost, the body count in this nation last year, related primarily and secondary -- secondaryly to mental illness exceeds the body counts of u.s. soldiers in world war i, vietnam, korea, boss neea, and afghanistan combined. and because millions of families continue to suffer, because our prisons are filled with the mental ill, and because our morgues are also filled. yesterday, the house took definitive, bipartisan approach in changing that trajectory. the issues we've covered on mental health along with advances in the 21st severage recures bill sets a new direction where we need to be going in this nation adretching
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-- approaching health care overall. when we look at the research changes we made advancing cure, not only in small population orphan diseases and also with regard to the total 10,000 diseases out there, we will be able to sufficiently and more effectively identify medical disorders and psychiatric disorders early on and get them treatment sooner. when the aspects that have taken care of in the helping families with mental health crisis act is a program called rage, response after initial -- called raise, response after initial schizophrenic episode. research tells us when you provide medication and effective targeted counseling every i listen -- early on, you can improve the prognosis greatly. when that is not provided, every crisis moment means neurological damage g -- damage, worsens the prognosis and increases the chances that a person will have time in prison, 10 times more
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likely to be in prison. new research will get us in that direction. let me lay out where this takes us as congress is looking to change the affordable care act. people have spoken add nauseam about the problems with that act. it's cost families a great deal, how it's supposed to be affordable but it's not. premiums have gone up dramatically , in double digits and triple digits over the last few years. how the deductibles and co-pays put it out of family's reach and how it's not a comprehensive approach because it does not stem the tide of increasing health care costs. there are specific reasons for that. as long as we have a system that's based on a fee for service model and as long as we have a system that does not put the patient at the center of this focus, we're going to continue to have problems with cost overruns and quite frankly, care problems. we have seen changes in the -- in the trajectory of improvements in the reduction of mortality and morbidity.
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for example, over the last couple of decades we seen a reduction in mortality rates for cancer, for accidental deaths if h.i.v.-aids. but we've seen increases for mortality rates for suicide and also for drug overdose deaths. so this really means we need to be looking at a different kind of model. that model is the integrated care model, the model with behavioral medicine and physical medicine work together. why is that important? we know that a person with a severe mental illness has 75% of them will have some other chronic illness like heart disease, lung disease, infectious disease. and 50% of them have at least two chronic diseases. a third will have at least three. we know a person with severe mental illness has trip they will chance of moving into poverty and we know that people in poverty have three times the rate of mental illness. but beyond that, if we look at people who enter into using the medical field from the area of chronic illness, perhaps the
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first diagnosis might be anything from cancer, inflammatory bowl disease, diabetes, etc., the chances of them developing a psychological problem such as depression, panic disorder, anxiety is massive. twice the rate of the rest of the population. this is where the costs begin to soar. when a person recognizes they have this long-term problem with pain, with doctors appointments work the obstruction of their lifestyle, with immobility, disability, etc., it is expected and it is common for them to develop other psychiatric disorders. but we have had a system that has ignored that. and what happens when we ignore that, a person has a chronic illness and depression, for example, untreated depression, it doubles. it doubles their health care costs. when there are models out there, however that say let's integrate behavioral medicine an physical medicine to a physician being a coordinated care model, when
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they have a patient with one of those illnesses, chronic illness, they begin to treat the whole patient. the patient-centered model. the team approach between the doctor and patient there. what can it do? well, i want to cite a study done by a young doctor by the name of jeffrey brenner who was out in new jersey. he recognized that people with complex health and social issues have high rates of going to emergency rooms. they're called superutilizers. medicaid points out that 5% of the people on medicaid account for 50% of medicaid spending and i might add, virtually all of those are those with a concurrent psychiatric disorder such as depression. . if you recognize there were a number of people who had huge number of visits to emergency rooms. he said nearly half of the city of camden, 77,000 residents were
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going to emergency rooms for head colds, soar throats and 20% of the patients accounted for 90% of the costs. what he looked at was models was called hot spotting, areas of the city where they have a great deal of crime. the police would go in and prevent crime. in brener's model, he looked at managing these patients' care. if you ignore them, they go to emergency rooms. when you ignore folks they continue to go to emergency rooms, overutilizers. they made a lot of money. but what was it that was driving people repeatedly to get this care instead of doing something else? what brener did and other studies found people could not
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access their primary care special lift. they paniced. weren't managing their medication and makes them more prone towards other infections. what brener did, he identified folks with a very complicated model but developed a care management team with the ability to manage health care on their own. they helped them to see doctors more frequently. the university of pittsburgh did the same thing. they developed a care team including consulting to help the person deal with their pain and change their behavior patterns and make sure it had easy access and doctor's cell phone number and email address and respond in 72 hours. what brener found, the first 36 patients had 62 hospital room visits before they began
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intervention and dropped to 37 visits afterwards. they found the hospital bill fell from $1.2 million to just under $500,000. similar results have been found in others when this is targeted. we know the affordable care act had some models but the results have been changed. but the point is this, recognizing if we are going to get hold of the cost overruns with health care, it needs to be an integrated care model and working together, a coordinated care model with a primary care physician or the specialists are working with the patients and a care model where it is worth for the physician and patient to work together not just to say go to the hospital or emergency room when you want but get the
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care and the quality you need. the affordable care act started down this road but wasn't fully followed. and we hope the senate passes it next week by making sure physicians get timely, quality information for what they should do, by making sure it is diss america natured to physician is whether in downtown manhattan or rural south dakota. by making sure that the health care that we helped no matter where physicians are they have access to sigh ky terrorists to integrate that care together. a hospital in pittsburgh did a study of when that behavioral consultation is done during a pediatric visit. they meet the health care professional and 90% follow-up.
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when they are given a card and say call another day, it goes down toless than half. look at opioids abuse, death toll of 47,000 and reaching a point that people who die is reaching that at the level of our combat deaths during the entire vietnam war. that doesn't include the many folks who still remain addicted. here's what happens with care tore the addicted. out of every 1,000 persons, 900 will not seek care. out of the 100 who do seek care, 37 can't find it, it's not available in their community. of the 63 who do seek care and find it, only six of them will find evidence-based care. what if we change that trajectory and say it is part of our revision of the affordable
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care act. we make sure we integrated ehavioral medicine together. i know chairman upton would not forgive me, university of michigan, someone came to the emergency room, they didn't hand someone say you have a drug problem, you need to go get help. in those cases, the vast majority of the people don't follow up. they provided qualified drug counseling in the emergency room. if a person had a broken arm, the hospital would set it before they went home. they wouldn't say here's the card and get the arm set. if a person came in with chest pains and say make an appointment. the same thing goes for psychiatric disorders.
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there was an increase, 50% increase and people following on drug treatment. so look at the things that are done because the bill we passed invests hundreds of millions of dollars into more effective treatment for people with a substance abuse problem. it isn't enough. those will not be affected. you have to get them into effective counseling programs. the bipartisan efforts that have worked through here, made some big differences and where we are going with research and care will set us on a strong trajectory to make a big difference to change the affordable care act to really being affordable and being care focused. that being said, we'll still have tragically too many stories while we are waiting to get that care out there. too many episodes where a homicide or a suicide or drug overdose death or someone who has lost their job or a marriage
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has broken up or families that have been been aband by someone else continues on as long as we are not properly addressing the issues of mental illness in america. i tell i, even though we have those long somber moments of sadness, there is some joy in what this house did yesterday. and in a strong bipartisan coordinated effort saying we are changing the direction of how we recognize mental health care and what we are going to do about that and it has to be a component as we move forward to change health care overall. we can do this. we can reduce costs dramatically by providing more effective care. for all those families who have been contacting members of congress and millions of americans who are suffering from these diseases of mental illness and tens of millions of families
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who recognize the suffering, help is on its way. the actions that took congress yesterday and hopefully the senate next week and the president will sign, and we'll create a new dawn, a brighter horizon for people up to this point who had very little hope of where things are. we know we have a long way to go. and this next congress as we move into next year are going to have their hands full. we can do this. and there are dedicated people waiting and eager to make a big difference for america's families. where there is help, there is hope. i would like to yield back to the gentleman from oak and thank him for the -- oklahoma and thank him for the time. mr. mullin: the gentleman from pennsylvania is extremely passionate about this. he has been the leader and voice for mental illness, for my entire time, which i have been
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up here, which is four years. i appreciate his passion and dedication to this. unfortunately mental illness isn't going away and becoming more of a problem and we as members of congress are going to have to address this. i look forward to continuing working with the chairman on this. yesterday was a step in the right direction. but we have a long ways to go. and we're in this fight and in this fight together and i couldn't imagine being with anyone better than yourself. at this time, i would like to yield to my colleague from susan brooks. mrs. brooks: before the chairman teps away, i thank him for the leadership and issue that so
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many members of congress haven't talked about enough until he began talking about it. i thank you for leading this special order, to my colleague from oklahoma because we have heard from our constituents and we know families where one in four adults, a total of 61.5 million americans will struggle with mental illness in any given year and while the numbers are staggering and certainly the colleague from pennsylvania knows the numbers from the statistics better than maybe this chamber combined, they don't actually tell the deeply personal and typically painful stories that this diseases that it touches, friends, neighbors and families. whether it was column bine, sandy hook, tragedies have left our communities wondering if our citizens could have been spared the violence and bloodshed if we
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had seen the signs of mental illness. many lessons followed in the wake of all of these tragedies, but chief among them always came out the fact that our mental health system is broken. we are unable to fully recognize the signs and symptoms of an individual suffering from mental illness. we often don't have the resources to help these individuals and their families. and we have very limited mental health work force which is overwhelmed and oven under prepared for the vast challenges they face day in and day out. mental illness is referred to as an invisible illness. just because you can't see it, doesn't mean it isn't there. it is a serious disease and to identify and treat mental illness, we must recognize it as such. before the end of this year, we have a chance to make the first
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major mental health reforms this country has seen in over 50 years. and i'm proud to stand with the gentleman from pennsylvania in support of his years of work to bring to the fofere front this health crisis we are facing in america, a crisis often purned side because it may be too difficult or uncomfortable to talk about it. i applaud his efforts particularly the staff who made it possible to work to include these important reforms to our mental health system in the 21st century cures bill that passed the house overwhelmingly. our medical system does not allow families of those suffering from mental illness to become true partners in their care. the language in our bill takes significant steps towards easing these barriers and people struggling with mental illness will have more access to the care and treatment they need. our prisons and emergency rooms
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have become defacto treatment centers and overcrowded with individuals suffering from mental illness. we have learned over the years we cannot arrest away this problem. i'm pleased there are reforms to the way our criminal justice system handles individuals with mental illness. and as someone who worked in the criminal justice system, such support is long overdue and so very necessary. one of the greatest issues with our mental health system there is a critical surgery in our mental health work force. this measure trains and expands this critically important work force. these are simply some of the important reforms included in 21st century cures which sets a higher standard for mental health in america. i applaud congressman murphy's
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incredible work and i have supported this effort throughout the legislative process and look to the senate to take up the 21st century cures and bring relief to individuals and families across america who need it the most. and i yield it back. . >> i'd like to thank my colleague from indiana for laying it out in the form you always to. mr. mullin: also, congratulations on the me assignment, i don't know if i wish you good luck or not, thank you so much. at this time i'd like to yield to the gentleman from illinois as much time as he may consume. >> i thank my friend from oklahoma for yielding time on what is an incredibly important topic. i also want to weigh in and thank my friend, dr. timur fi,
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for his incredible work on a really comprehensive piece of -- legislation tim murphy for his incredible work on a really comprehensive piece of lennell health legislation. it is now up to the senate to move this forward. i'm pleased to be here as not only an original co-sponsor but mental ntroduce the health crisis act, another bill i'm proud to support. mr. dold: we see so much tension across our country today, we just got done with a national election and frankly it seems people are at each other's throats and one thing we can agree on, i hope, regardless of who you voted for, we should all be on the same page that we want 1st century cures to move forward because we -- because as
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we look at the number of people suffering from diabetes, parkinson's and the like, they don't care what political persuasion you are, they are impacting families across the country. another huge piece of that is mental health. as we look at mental health, there's no question, family after family, an enormous number of people, 10 million americans, suffer from a serious mental health issue, including schizophrenia, major depression, amongst others. yet millions of these people are going without treatment and their families are struggling to care for them each and every day. we need to talk about treatment. treatment before tragedy is something that i know has been talked about time and again. the federal government currently dedicates about $130 billion toward 112 programs intended to address mental health but there's still a nationwide hortage of nearly 100,000 beds
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needed for psychiatric care. and only one child and adolescent psychiatrist is available for every 2,000 children with a mental health disorder. frankly, that's just unacceptable. my constituents have come to me time and again demanding that we do better. the filler foundation comes to mind as something we have to do because again as we look at mental health, one of the things we know is tied to that is this incredible epidemic of prescription drugs and opiates that are really just impacting every single community across our country. ultimately we know that this mental health disorder is a huge part of that as people are trying to self-medicate. people are overdosing and dying on a regular basis. ultimately this bill that we're talking about today helps, will not allow those families to be a better care, be better informed, so that parents can actually, or
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care givers can play a more vital role. in july, we passed the helping families in mental crisis act 422-2. and just recently this other bill that we just passed, the 21st century cures that included this mental health legislation passed on an enormous bipartisan support right here in this body. it is time that the senate take up this legislation and pass it. i'm confident that the incredible providers that are in my district, the families who are in need, that have been asking for help, will benefit from the many grants we re-authorized, the updates we've made to improve communication between the patients, the families and the providers and the steps we took to ensure that insurance providers are complying with existing mental health parity laws. over the past two year, dr. murphy's efforts have engaged
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democrats, republicans from every region of the country, just a few short months ago, and i'm sure i don't know if he was in oklahoma with my good friend but i know he came out to my district, we had a round table talking about mental health issues, we went and visited some of the facilities together to talk about the real needs that are out there. and ultimately we know that mental health, it impacts so many families across our country. i would venture to say, mr. speaker, that not a single member in this body has not been impacted in some way, shape, or form by a loved one, a friend a family member that is suffering from some sort of mental illness. so i believe that we have an incredible opportunity here and ultimately when i go out and talk to people and i know my good friend i'm sure has done the same, they say is congress working, and the answer often
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times is no. but i do think that we have to step back and take a look at what we can accomplish when we actually do come together. something that we all should be proud of is the fact that we were able to move forward in this body to talk about not only 21st century cure, talk about funding for the national institutes of health, talking about trying to deal with some of the prescription drug and opiate epidemics but really trying to tackle head on the issue of mental health and the impacts that it has for our nation. i want to thank my good friend from oklahoma for organizing this special order. i want to thank obviously my good friend, dr. murphy, for the great work he's been doing for years on this, and i do want to make sure that the american people know that today we took a big step forward and honestly, we're not going to rest until this is signed into law by the president and really enabling so many families to get a tremendous amount of relief. with that, i yield back to to my friend from oklahoma and wish
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ou all the best. mr. mullin: thank you, sir. my good friend is going to be missed, his service is something we can all hold in great respect. i'm going to miss seeing you in the morning at our workout. but you have influenced us in a better way and if we can always leave where we've been better than we found it, that's a legacy we can all walk with. so i thank you for your service and hope our friendship will continue. thank you, sir. you know, as my friend from illinois was saying about the opioid addiction, i want to point out a sad statistic. oklahoma is ranked 28th in population throughout the country, and yet we have the 10th highest, 10th highest
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accidental opioid overdose deaths. we have more accidental drug overdose deaths caused by painkiller addictions than vehicle accidents in the state of oklahoma. nd these aren't from the young that may be going through a time of ex-personalitying, this isn't from the elder that may in the understand the prescription to which they are taking, this is coming from our mothers. our number one -- number one individual that is losing their a to opioid overdose is middle age -- is middle-aged mothers. there's a problem. 21st century cures does address this. but just the same as mental health, it's a first step in the
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right direction. at this time i would like to yield to another good friend of mine a true patriot to this country, one who has years and years of service, i have a tremendous amount of respect for him, my dear friend and mr.eague from pennsylvania, scott perry. mr. perry: thank you to my good friend from oklahoma. you talk about that statistic, i'm here to talk specifically about mental illness but this opioid epidemic has touched every single community you don't have to live in the city. you don't have to live in underprivileged areas. i know very good friends that it has racked their families and our communities and certainly one of the great things about the 21st century cures act is
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the help that's on the way. it's probably not going to be enough but we need to do everything we can at least to make these first steps at wrapping our minds and our hands around this problem and getting to a solution. so i'm thankful that you've taken the time to hold a special order to bring that as well as other issues up and i appreciate that. i want to talk a little bit about the mental health situation in our country. and i think you've alluded to much of it in your conversation. mr. speaker. but more than 11 million americans, 11 million americans suffer from severe schizophrenia, bipolar disorder and major depression, yet million, literally millions, are going without any treatment whatsoever. families are struggling to care for these people. you have a broken arm or some physical malady you can see that and get to a cure in many, many cases. but these mental illnesses vex us where your loved one is fine one moment and the next moment is not and you don't know when that's going to happen or the
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gravity of the situation, how bad it might be at any given moment. these are our loved ones our family members and neighbors. the frft's approach to mental health has been a chaotic patchwork of antiquated programs and ineffective policies spread across numerous bureaucratic agencies that simply don't get to the issue at hand and i think we can all see that. sadly, many patients end up in the criminal justice system or are on the street because services are unavailable. i know in the state i reside in, the great state of pennsylvania, years back, we closed our state hospitals where much of the care was given to these people. they just ended up out on the street or back with their family, which often cases their families just don't know what to do. they don't know how to handle, can't handle it. these folks enup in the penal system which is no place for people that justifiably are sick have an issue, that are stick. -- that are sick. they're not criminal, they are
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sick. in the worst case scenario some individuals commit acts of violence. every one of us has heard stories and seen film footage of the news, these acts of violence can be attributable to mental illness. we should be able to feel safe in our homes. all of us. in our -- and our communities. our hearts just break every single time a senseless act of viges occurs and we see that. certainly the parents, for parents, these tragedies, they hit especially close to home. we need to remember that the beneficiaries of mental health treatment aren't only those directly treated for mental illness but also our broader community. we see those things, those images on tv because mental health treatment is a preventive measure to reducing acts of viges, to prevent -- it's a preventive measure. it stops those things from ever occurring if we get to it. now i was an enthusiastic supporter and co-sponsor of my
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the clerk will designate the amendment timur fi's helping families in mental health crisis act, he worked on it for years and i watched him struggle through that. that bill was included in the 21st century cures act which passed this house last night. this legislation coordinates programs across different agencies. those disparate agencies that don't seem to work with one another. it coordinates those programs. and promotes effective everyday-based programs. evidence-based. so we can get to solutions. just like most other things with the federal government, by removing federal barriers to care, advancing early intervention programs, adding alternatives to institutionalization and improving the transition from one level of care to another, we directly address our nation's broken mental health care system. finally. finally. a step in the right direction. so once again, i applaud and thank the gentleman from oklahoma for allowing me this
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time and bringing this issue to the floor. i urge my colleagues in the senate to send this bill directly to the president's desk, absolutely as soon as possible. can't wait for another tragedy to occur, we're all watching on television the footage of something that could have been prevented and avoided. with that, mr. chairman, i yield back. mr. mullin: thank you, i'd like to thank my colleague from pennsylvania for also being extremely passionate about moving in the right direction with mental health. it is something that we continue to look over and as i stated en we first started tonight, we had an overwhelming amount of bipartisan support on passing the 21st century cures act. we could see that the hard work that the staff over in energy and commerce on both sides, republican staff and democrat staff, worked together to come
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up with a bipartisan bill to make sure that we are putting our families first. that we are putting our constituents first. we're setting the partisanship that often finds its way inside our conversations, we set it aside and actually was very proactive on a very important piece of legislation. chairman murphy with his passion on menlt health, i'd like to thank him. -- on mental health, i'd like to thank him. and our outgoing chairman, mr. fred upton, who has dedicated years of service to the betterment of our constituents and his passion for fighting this and seeing this through, i'd like to thank him for his dedication. you will be missed as our chairman and with that, mr. speaker, i see no other speakers at this time. so i'd like to yield back the balance of my time.


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