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tv   U.S. House of Representatives Legislative Business  CSPAN  November 30, 2016 12:00pm-2:01pm EST

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declared unanimous. and some interesting reaction too from the democratic caucus. one of the 63 who voted for tim ryan, apparently, sinema, from arizona, congresswoman from arizona, releasing a statement saying, i am deeply disappointed today as the house democratic caucus has decided to double down on its failed strategy of recent years. some of the reaction. let's take you live now to the house floor and paul ryan, speaker of the house, gaveling the body in. the speaker: the house will be in order of the the prayer will be overed by our guest chaplain. rabbi hecht, brooklyn, new ork. the chaplain: heavenly father, help us be honest enough to admit our shortcomings. brilliant enough to accept flattery without arrogance. full enough to tower above the seat. strong enough to treasure love. brave enough to welcome
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criticism. compassion enough to understand human frailties. wise enough to recognize our mistakes. humble enough to appreciate greatness. and righteous enough to be devoted to the love of god. almighty god, inspire the leaders in congress to inspire all the people, bestow your infinite blessings upon the citizens of this great country. we pray for the safety of our armed forces and that every soldier return home safely after fulfilling your mission. we pray that the world be a better place for all mankind. that we rid ourselves from reg disand hatred, poverty and addiction, greed, jealousy, and selfishness, and all these ills are replaced with love and harmony, peace and tranquility, respect and dignity, sanctity of marriage, family, and community. may this country the greatest country of the world go from strength to strength, amen.
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the speaker: the chair has examined the journal of the last day's proceedings and announces to the house his approval thereof. pursuant to clause 1 of rule 1, the journal stands approved. the pledge of allegiance will be led by the gentleman from new york, mr. higgins. mr. higgins: i pledge allegiance to the flag of the united states of america and to the republic for which it stands, one nation under god, indivisible, with liberty and justice for all. the speaker: without objection, the gentleman from new york, mr. gibson, is recognized for one minute. mr. gibson: thank you, mr. speaker. rise today to thank rabbi shea hecht for the opening prayer. he's he he chairman of the board of the national community of furtherance of jewish education. he has brought together people of different faiths, races, and backgrounds in new york to promote peace through understanding. these principles hold true in new york as they do throughout the country and right here in this body.
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one thing that my time in congress has reinforced in me is that prayer matters. the daily opening prayers here in the chamber set the tone for my day, and often help me reflect on how to be a better husband, father, and congressman. i join rabbi hecht in pursuit of peace at home and abroad and thank him for his meaningful prayer, certainly thank his and rabbis if the hudson valley. i yield back. the speaker: the chair will entertain up to 15 requests for one-minute speeches on each side of the aisle. for what purpose does the gentleman from south carolina seek recognition? mr. wilson: to revise and extend. the speaker: without objection, the gentleman is recognized. mr. wilson: tuesday morning president-elect donald trump made an extraordinary cabinet selection. by appointing chairman dr. tom price to serve as america's secretary of health and human services. president-elect trump announced, quote, chairman price, a renowned physician, has earned a reputation for
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being a tireless problem solver and the go-to expert on health care policy. making him the ideal choice to serve in this capacity. he is exceptionally qualified to shepherd our commitment to repeal and replace obamacare and bring affordable and accessible health care to every american, end of quote. i'm grateful to have served alongside chairman price in the house of representatives and was honored to be an original co-sponsor of his legislation, the empowering patients first act. this is a comprehensive health care plan that puts americans in control of their health care plans and choices, not the government. congratulations to dr. tom price, his wife, state representative betty, and their son, robert, my former intern, on this deserved honor. i look forward to watching his success in this new role for the american people. in conclusion, god bless our troops and may the president by his actions never forget september 11 and the global war on terrorism. the speaker pro tempore: the time of the gentleman has expired. for what purpose does the
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gentleman from new york seek recognition? the gentleman is recognized. mr. higgins: rise o toyed today to the 21 stth century cures act. in my western new york community, open point of order overdoses doubled from 2014 to 2015, and tragically that number expected to double again this year. this bill delivers funds to help states and families fight the epidemic. this legislation also makes substantial investments and promising research for those fighting cancer, alzheimer's, and other debilitating diseases, bringing us closer to the promise of better treatment and cures for the afflicted and those who love and fair for the afflicted. 21st century cares act also provides tens of billions of dollars more in research funds to accelerate promising cancer research at our nation's leading cancer centers, including buffalo's roswell park cancer institute.
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i yield back the balance of my time. the speaker pro tempore: the gentleman yields back. for what purpose does the gentleman from pennsylvania seek recognition? >> request talk to address the house for one minute. revise and extend my remarks. the speaker pro tempore: without objection, the gentleman is recognized. mr. thompson: thank you, mr. speaker. mr. speaker, i rise today in recognition of national adoption month which is observed each november. the goal of the national adoption month is to encrease national awareness of adoption and bring attention to the needs for permanent families for children and youth in the foster care system. as of september 30 of last year, there are more than 110,000 children across our nation waiting to be adopted. this year, the initiative focuses on older youth adoptions which has a special significance to me. when i was 11, my feal welcomed a foster care child, bob, into our home. bob, throughout the years, has been a part of my life since i was 11 and will be my brother for life. in fact, it's because of bob i developed a lifelong passion
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for scouting and eventually motivated to a call to public service. i commend the men and women across our nation who have selflessly decided to open their homes to these boys and girls, providing good homes at a very challenging time for these young people. to the parents who have either adopted or child or participated in foster care, thank you. i yield back the balance of my time. the speaker pro tempore: the gentleman yields back the balance of his time. for what purpose does the gentlelady from florida seek recognition? without objection, so ordered. >> mr. speaker, today i rise to speak out against hate. across our country incidents of hate grimes and harassment are on the rise. ms. graham: just this last week the trend reared its ugly head in my hometown of tallahassee. a community office was vandalized with the letters k.k.k. painted across the door. and with the rise of hate we have also seen an increase in
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indifference. too many are turning a blind eye, but there can be no tolerance for racism, bigotry, or anti-semitism. in the united states of america. the opposite of love is not hate. it's indifference. i won't be indifferent. i won't be silent. and i'm asking each of you to speak out against acts of hate wherever you see them. we cannot be bullied or intimidated. we must fight back together we are stronger than hatred. mr. speaker, i yield back the balance of my time. the speaker pro tempore: the gentlelady yields back. for what purpose does the gentlelady from indiana seek recognition? mrs. walorski: i ask unanimous consent to address the house for one minute. the speaker pro tempore: without objection, the gentlewoman is recognized. mrs. walorski: thank you, mr. speaker. i rise today to applaud the unanimous passage last night of
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the vest rant mobility safety act. with this commonsense bill on the way to the president's desk, we are making sure the mobility equipment veterans depend on is safe. the v.a. helps disabled veterans update their vehicles with things like wheelchair lifts and easier steering and braking to improve their quality of life. outdated policies and lack of standards in the program have led to safety issues for veterans and the driving public. with my bill, the v.a. will develop new policies and standards to ensure veterans have access to safe, high quality mobility equipment. i want it thank chairman miller for his tireless work on veterans issues, as well as my colleagues, representatives browning and rue i, paralyzed veterans of america, and the national equipment association of america. we owe a debt of gratitude to our disabled veterans and that includes making sure the mobility equipment they need is safe and reliable. with this bill we are doing just that. i yield back my time. the speaker pro tempore: the gentlewoman yields back. for what purpose does the gentlewoman from florida seek
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recognition? without objection, the gentlelady is recognized. ms. ros-lehtinen: mr. speaker, in the wake of the announcement of fidel castro's death, somewhere world leaders and some in the media were quick to express their sorrow and sympathy for castro. they fonned over a dictator as canadian prime minister just continue trudeau claimed, who was quote, a legendary revolutionaire and orator, end quote. it is precisely this ignorance of castro's true nature that is so alarming. fidel castro was a ruthless tyrant who ruled with an ire fist. castro was responsible for the deaths of countless cubans, and he beat, jailed, and even tortured his opposition. castro was a despot who confiscated private property and businesses. he sub jew kated cobbian citizens. he took away all their freedoms and their rights.
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fidel castro was an enemy of the united states. this is a thug who should be condemned and not eulogized. i yield back, mr. speaker. the speaker pro tempore: the gentlewoman yields back. for what purpose does the gentleman from pennsylvania seek recognition? >> unanimous consent to address the house for one minute. revise and extend my remarks. the speaker pro tempore: the gentleman is recognized for one minute. >> mr. speaker, today i rise to remember an outstanding member sewickley ickly -- community. this great american was a man of many first. he was the first african-american news reporter for the "pittsburgh post-gazette," and the first african-american television news reporter in pittsburgh. following his career in communications, he served as the public relations director for mercy hospital for 25 years. mr. rothfus: prior to these achievements, he served as the petty officer third class during world war ii and he was a committed husband, father,
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and grandfather. in his late wife, he remained married for 53 years before her passing. through his work for the daniel historical society in sewickley, he discovered there were more tuskegee airmen in pennsylvania than any other state in the nation. it spearheaded the campaign that resulted in the largest outdoor memorial to the airmen in the cemetery, pictured here to my left. his sterling example and lasting contributions to our community will not be forgotten. may his family be consoled and may he rest in peace. i thank the speaker. i yield back. the speaker pro tempore: the gentleman yields back the balance of his time. for what purpose does the gentleman from arkansas seek recognition? >> mr. speaker, i ask unanimous consent to address the house for one minute. the speaker pro tempore: without objection, the gentleman is recognized. >> mr. speaker, i believe the number one way to move people from poverty to self-reliance is not a government program.
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if we want to make a difference in the lives of the impotomac riverished, we must help them find a pathway to employment. in my hometown of hot springs, arkansas, a nonprofit has taken this mission to heart. cooperative christian ministries and clinic works with disadvantaged residents to give them skills that will give them a step up in the work force. the ministry's program, bridges to hope, has worked with local employers in hot springs to put its graduates to work and it is seeing great success. mr. westerman: according to a report by the local newspaper, the racetrack has employed four graduates, all of whom have had a 100% success rate, according to the general manager. the bridges to hope class graduated only 90 days ago, but its success is already resounding as residents in the fourth congressional district of arkansas are finding satisfaction and self-reliance through employment. i think bridges of hope for its work in my hometown and hope to
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see its efforts not only grow but also be replicated because there is a better way to fight poverty and it is still the best anti-poverty program of all time -- a job. mr. speaker, i yield back. the speaker pro tempore: the gentleman yields back. for what purpose does the gentleman from georgia seek recognition? >> mr. speaker, i ask unanimous consent to address the house for one minute. revise and extend my remarks. the speaker pro tempore: without objection, the gentleman is recognized. >> mr. speaker, last week a texas judge granted an emergency injunction against the department of labor's overtime rule. this disastrous overtime rule is yet another attempt by this administration to legislate outside of reason and job description to impose its we know what's best for you agenda. this rule is set to go in effect december 1 would double the overtime salary threshold almost overnight. for americans, this overtime rule would mean fewer job prospects, less flexibility,
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and less opportunity. mr. allen: i stood before this body many times telling the stories of small businesses that have come to me and warned he me of struggles their employees and families would face because of this overtime rule. schools and universities back home in my district were negatively impacted by this rule anti-possibility of having to inform employees of a partial paycheck right before the holidays. despite outcry and outrage from folks back home, the administration pushed forward with its unpopular overtime rule. thankfully the courts got it right. i thank the courts for standing up for the rule of law and for the american people. i yield back. the speaker pro tempore: the gentleman yields back. for what purpose does the gentleman from ohio seek recognition? without objection, the gentleman is recognized. >> mr. speaker, i rise today to recognize the ohio state university, the emergency management team, our police officers and first responders who took swift action on monday to keep our students safe and
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stop an attacker yielding a -- wielding a knife. my thoughts and prayers are with the victims who were injured and i wish them a quick and full recovery. as a fellow buckeye, the difficult to even fathom what took place. this senseless violence that can happen even on one of our own campuses. i walked those sidewalk as a student and -- sidewalks as a student and just a few days ago was with my wife on campus with the unpredictable threats and to potential emergencies we face today, we must be prepared, we must always be vigilant. so i'm sincerely grateful to the ohio state university, that they were ready. mr. tiberi: o.s.u. police officer, also a graduate of the university, is a hero for stopping a potential terror attack that isis has claimed responsible for. the university effectively utilized emergency response protocols to keep thousands of students on campus out of harm's way. mr. speaker, america's university and colleges are place -- universities and colleges are places are students should safely engage with their classmates, where they are challenged and find
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opportunities to succeed in our great nation. that is certainly the case at the ohio state university. as we continue to pray for our students' safety and security, we must stand with the buckeye community. we are buckeye strong. i yield back. the speaker pro tempore: the gentleman yields back the balance of his time. for what purpose does the gentleman from michigan seek recognition? the gentleman is recognized for one minute. >> mr. speaker, i rise today with a heavy heart to pay tribute to a fallen wayne state university police officer, k-9 officer, collin rose, who died in the line of duty. officer rose is a man of the community who visited schools and trained police dogs. he was a university criminal justice and law enforcement academy graduate and tragically officer rose became the fifth officer to be shot in the united states in a matter of days. it's completely unacceptable. this trend of violence and murder against the very people
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who serve and protect us, there are no words. it must stop. these brave men and women in uniform are more than their occupation. they are husbands, they are wives, they are brothers, sisters, they are our children. and in officer rose's case, he was somebody's fiance, preparing to get married less than a year from now. as much as we think that their job is to protect us, it is our job to ensure their safety as well. our communities must work with the police to open dialogue and voice concerns peacefully. mr. bishop: and every single american must respect our police and men and women in uniform. police join me today in praying for officer rose's family, friends and the entire wayne state police force during this time of tragedy. his life and legacy will never be forgotten. i yield back. the speaker pro tempore: the gentleman yields back the balance of his time. for what purpose does the gentleman from kansas seek recognition?
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without objection, so ordered. mr. yoder: mr. speaker, i rise today for life saving cures for diseases that affect every family. we're set to begin a new era in washington in january, but we still have the opportunity to accomplish meaningful change before the end of this year. we have the opportunity to save lives by passing the 21st century curious act and getting it signed into laufment -- cures act and getting it signed into laufment for example, right now, each year, 700,000 people die with alzheimer's disease annually. by 2050, estimates are that our country will spend over $1 trillion alone just to treat patients with alzheimer's. yet we spend just a few hundred million dollars a year on alzheimer's research. this weekend "60 minutes" highlighted an n.i.h.-backed alzheimer's study and the amazing work our researchers are doing to find a cure for this dreadful disease. 21st century cures increases our commit commithment to studies
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like these by adding almost 5ds billion in new investment for research over the next 10 years. mr. speaker, if we support 21st century cures, we not only save lives, but our investment will pay for itself a thousand times over. i yield back the bam of my time. -- balance of my time. the speaker pro tempore: the gentleman yields back the balance of his time. the chair lays before the house n enrolled bill. the clerk: h.r. 646 -- 4665, to conduct an assessment and analysis of the outdoor recreation economy of the united states and for other purposes. the speaker pro tempore: the chair lays before the house a communication. the clerk: the honorable the speaker, house of representatives, sir. pursuant to the permission granted in clause 2-h of rule 2 of the rules of the u.s. house of representatives, the clerk received the following message from the secretary of the senate on november 30, 2016, at 9:18
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a.m. that the senate requests return of official papers to make a technical correction to the engrossment, h.con.res. 122, that the senate pass senate 2944, senate 3438, senate 461, that the senate pass, without amendment, h.r. 4419, h.r. 5785, signed, sincerely, karen l. haas. the speaker pro tempore: the chair lays before the house the following privileged message from the senate. the clerk: ordered that the secretary be directed to request the house of representatives to return to senate the concurrent resolution, house concurrent resolution 122, entitled, concurrent resolution supporting efforts to stop the theft, illegal possession or sale, transfer and export of tribal cultural items of american indians, alaska natives, and native hawaiians, in the united states and internationally, together with all accompanying papers, and that upon the
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compliance of the request, the enrahmment clerk of the senate may make -- enrollment clerk of the senate may make a technical correction in the bill. the speaker pro tempore: without objection, the request of the senate is agreed to and the house concurrent resolution 122 and the senate amendment thereto ill be returned to the senate.
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>> i present a privileged report. the speaker pro tempore: the clerk will report the title. the clerk: conference report to
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accompany senate 2943, entitled an act to authorize appropriations for fiscal year 2017, for military activities of the department of defense, for military construction and for defense activities of the department of energy. to prescribe military personnel strength for such fiscal year and for other purposes. the speaker pro tempore: ordered to be printed. for what purpose does the gentleman from texas seek recognition? mr. burgess: mr. speaker, by the direction of the committee on rules, i call up house resolution 934 and ask for its immediate consideration. the speaker pro tempore: the clerk will report the resolution. the clerk: house calendar number 159, house resolution 934. resolved that upon adoption of this resolution, it shall be in order to take from the speaker's table the bill h.r. 34, to authorize and strengthen the tsunami detection, forecast, warning, research, and mitigation program of the national oceanic and atmospheric administration, and for other purposes, with the senate amendment thereto, and to
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consider in the house, without intervention of any point of order, a motion offered by the chair of the committee on energy and commerce or his designee that the house concur in the senate amendment with an amendment consisting of the text of rules committee print 114-67 modified by the amendment printed in part a of the report of the committee on rules ccompanying this resolution. the senate amendment and the motion shall be considered as read. he motion shall be debatable for 80 minutes, with 60 minutes equally divided and controlled by the chair and ranking minority member of the committee on energy and commerce and 20 minutes equally divided and controlled by the chair and ranking minority member of the committee on ways and means. the previous question shall be considered as ordered on the motion to its adoption without ntervening motion. section 2, upon adoption of this resolution it shall be in order to consider in the house the bill h.r. 6392, to amend the
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dodd-frank wall street reform and consumer protection act to specify when bank holding companies may be subject to certain enhanced supervision, and for other purposes. all points of order against consideration of the bill are waived. the bill shall be considered as read. all points of order against provisions in the bill are waived. the previous question shall be considered as ordered on the bill and on any amendment thereto to final passage without intervening motion except, one, one hour of debate equally divided and controlled by the chair and ranking minority member of the committee on financial services, two, the amendment printed in part b of the report of the committee on rules accompanying this resolution, if offered by the member designated in the report, which shall be in order without intervention of any point of order, shall be considered as read, shall be separately debatable for the time specified in the report equally divided and controlled by the proponent and an opponent, and shall not be subject to a demand for a
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division of the question, and three, one motion to recommit with or without nstructions. the speaker pro tempore: the gentleman from texas, dr. burgess, is recognized for one hour. mr. burgess: thank you, mr. speaker. for the purposes of debate only, i yield the customary 30 minutes to the gentleman from colorado, mr. polis, pendsing which i yield myself -- pending which i yield myself such time as i may consume. the speaker pro tempore: the gentleman is recognized. mr. burgess: during consideration of this resolution, all time yielded is for the purposes of debate only. mr. speaker, i do ask unanimous consent that all members have five legislative days to revise and extend their remarks. the speaker pro tempore: without objection, so ordered. mr. burgess: thank you, mr. speaker. house resolution 934 provides for a rule to consider a critical bill that will help millions of americans and their families who are suffering from diseases. the rule provides 80 minutes of debate about one hour being provided to the energy and commerce committee and 20
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minutes given to the committee on ways and means. the rule provides for a motion to concur with the senate amendment to h.r. 34, placing the base text of the 21st century cures into the bill. the rule further incorporates the manager's amendment into the base text of the cures bill, reflecting the bipartisan and bicameral negotiations which took place to get us to where we are today. second, the resolution before us today provides for a rule to consider h.r. 6392, the systemic risk designation improvement act of 2016. an important bill to remove federal regulations imposed on small community banks by the dodd-frank act, by placing current and arbitrary systemic risk designation standards with a more effective activity-based standard. the rule provides for one hour of debate equally divided
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between the majority and the minority of the committee on financial services. further, the rule makes one amendment in order and provides the minority with the standard motion to recommit. i'm pleased that the house is considering both of these pieces of legislation today. the energy and commerce committee has spent four years working to bring our health care innovation infrastructure into the 21st century. today there are 10,000 known diseases or conditions. the bad news is, we have curious or treatment for only 500 -- cures or treatment for only 500. there's a gap between innovation and therapy. there are problems with how we regulate our therapies. it is not unheard of to have a company take over 14 years and $2 billion to bring a new drug to market. members held 20 round table discussions, hearings, field hearings and events around the country to ensure that we involved our patients, their
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advocates, researchers, innovators, financiers, all that have firsthand experience and understand the gaps in our current system. the house amendment to h.r. 34 includes two bipartisan bills developed over the course of several years by the committee on energy and commerce and its members to meet some of our country's most pressing health care needs. the mental health reforms that are based on the helping families in mental crisis act authored by representative tim murphy passed the house in july by a vote of 422-2. this legislative effort represents the most significant reforms in the mental health system in over a decade. . the 21st crepetry cures act title in the bill is a result of a unified energy and commerce committee effort, championed by chairman fred upton, representative dianne degette of colorado over the course of multiple congresses
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to bring our laws into a modend era of medicine. the house passed 21st century cures act in july of 2015 by a vote of 344-77. our commitment to this transformational bill has not and must not waiver until it is across the finish line and signed into law. we owe it to the patients, their families, medical providers, advocates, scientists, and researchers to see this through. our country is a global leader in medical innovation. but even recognizing that, there is progress that we can make. 10,000 known diseases, 10,000 known conditions. cures and treatments for only 500. we must do more to alleviate that gap which is causing so much human suffering. advances in science and technology over the past decade have the potential to
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revolutionize medical innovation, yet the way drugs and devices are approved is back in the horse and buggy days. it's largely unchanged. recognizing the growing divide innovation and regulation, the house committee on energy and commerce launched the 21st drentry -- century cures initiative in 113 this congress, that was a congress ago, to exec the state of discovery, development and delivery of medical therapies in america. the ensuing process by which the cures legislation was developed should serve as a model for policy development long into the future. members of the committee convened hearings, forums, round tables, washington, d.c., and in centers and locations around the nation. these forums brought together the leading scientists, medical experts, patient, and dezeeze group advocates, researchers,
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innovators across multiple sectors. objectives of these events is uncover opportunities and strengthen and streamline the process by which cures are discovered and made available to patients. based on what we have learned, representatives worked across the aisle, across the dais, on comprehensive he legislation that would make the government an ally rather than an object steckel in a cycle of medical innovation. -- obstacle in a cycle medical innovation. the discovery, the development, the delivery to accelerate discovery the house amendment to h.r. 34 includes provisions that facilitate collaboration and increase access to health data, invests billions of dollars in research through the national institute of health, and incentivizes the exploration of the most rare nd challenging conditions.
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to modernize the development among other things the act establishes a review pathway at the food and drug administration for biomarkers and other drug development tools that can be used to help shorten drug development time while at the same time maintaining the safety standard that the public demands and we have all come to expect from the agency. the very confused regulation of combination products by the very different centers of the food and drug administration will be improved to cut down on inefficiencies and reduce the cost of development. the f.d.a. will be required to work with stakeholders and national institutes of standards to establish a regulatory framework for the development, evaluation, and review ever drugs classified as regenerative medicine and advanced therapy. a number of provisions seek to empower patients to engage in their health care and engage in their treatment decision was their doctors to contribute
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health information to scientific research and participate in the drug and device approval process. the food and drug administration is required to engage in a range of activities that will establish a framework for the consideration of patient experience data when weighing the benefits of a new treatment. individuals will have the opportunity to share health data with the global research community through platforms such as the precision medicine initiative and a new national neuro logical condition surveillance system. multiple measures ensure patients will have better access to secure up-to-date information through their electronic health records and that this health information technology will continue to be developed with patient needs and patient safety and privacy as a priority. i'm grateful to have the opportunity to work directly on several provisions in the bill. this includes the creation of a national surveillance system
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for neurologic diseases and conditions, which may then be used to help us further understand these devastating diseases. thousands of americans are affected. multiple sclerosis, alzheimer's, other neurologic diseases with very little accurate information that exists today to assist those who research, treat, and provide care for individuals suffering with these diseases. i have also worked on a provision that will improve patient access to pharmaceutical companies, compassionate use policies for drugs treating serious or life threatening condition. 20 increase -- to increase the efficiency and foster robust data collection analysis, the food and drug administration will be required to evaluate the use of real world evidence and summary level review where an application is submitted for a new indication for an already approved drug. to help ensure -- insurer and formulary companies make informed decisions, a provision in the 21st century cures act,
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clarifies how medical product manufacturers can communicate economic information about therapies and technologies. i'm particularly happy that the house amendment to h.r. 34 includes multiple provision that is will make meaningful progress toward achieving an interoperable health system. in an increasingly electronic health system, interoperability is critical to achieving the promises of the 21st century cures and scaling up the benefits of health reform more broadly. while we have seen widespread adoption of electronic health records, our nation continues to maintain fragmented system making it difficult to ensure continuity of evidence-based care for patients. the 21st century cures act would finally set us on a path towards achieving a nationwide interoperable health system that puts the needs of patients, that puts the needs of providers first. federal regulatory -- federal
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advisory committees are streamlined and directed to prioritize interoperability. preference is directed to utilizing the existing standards of implementation rather than recreating them. in addition to increasing the transparency and accountability for providers and patients, nforcement mechanisms will inform the office of inspector general with the authority necessary to punish bad actors for impeding the flow information. the provisions in this bill will expedite the interoperability of electronic health records to make good on the $30 billion taxpayer investment to help benefit patients, doctors, and researchers. as i referenced developing the 21st century cures act was a process that brought everyone
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to the table. no one is getting everything that they wanted. i would note my disappointment that this bill does not include an important clarification to the physician payment sunshine act that was part of the house passed version of this bill and was supported by over 200 supporting organizations. certified continuing medical education, peer reviewed medical textbooks, and journal reprints play a vital role in improving patient outcomes. they play a role in facilitating medical innovation, keeping our nation's medical professionals up to date with the rapid pace of scientific discoveries. these materials and activities should not be confused with improper payments from pharmaceutical manufacturers to physicians. these materials were always intended to be excluded from the reporting requirements in the physician sunshine law, but unfortunately the center for medicare and medicaid services' interpretation of the exemption has been inconsistent and unreliable.
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the narrowly constructed language in the 21st century cures act was carefully drafted to maintain the transparency originally intended in the sunshine law while ensuring probust act sess to medical education. -- access to medical education. mr. speaker, i think it goes without saying we all want our doctors to be smart. we want them to be informed. and we want them to be up to date. certainly that is a priority that i will continue to pursue going forward. groundbreaking discoveries rely on a robust and reliable investment in basic research. the house amendment to h.r. 34 provides the national institute of health with almost $5 billion in funding, including almost $2 billion for the cancer moonshot, and $1.5 billion for the brain initiative. it also includes $500 million for the food and drug administration. $1 billion in grants to -- for states to address the growing and burgeoning opioid crisis that continues to claim so many
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lives across our country. this approach provides dedicated funding through 2026 while ensuring spending is subject to review and oversight in the annual appropriations process. in addition to fully offsetting all of the authorized funds, h.r. 34 will actually reduce the deficit by almost $ billion over the next -- $6 billion over the next 10 years. federal regulation, federal polcy, federal investment have been outpaced by science, medicine, and technology. the bipartisan 21st century cures act will make needed changes to bring our laws into a modern era of medicine and keep the nation at the forefront of health care innovation. the 21st century cures act not only delivers hope to millions of patients living with untreatable diseases, but it also helps modernize, helps streamline the regulation in america's health care system.
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i encourage all of my colleagues to vote yes on the rule and yes on the two underlying bills. 21st century cures will not only deliver hope to millions of patients living with untreatable disease, but also help modernize and streamline america's health care system. with that, mr. speaker, i reserve the balance of my time. the speaker pro tempore: the gentleman from texas reserves the balance of his time. the gentleman from colorado is recognized. mr. polis: thank you, mr. speaker. i thank the gentleman for yielding. i have to note that i have to say that i think this somewhat breaks with the custom of this body not to delay floor proceedings during the reorganization of the democratic caucus. i know that when the democrats were in the majority we routinely gave deference to the republican conference's plans for retreats, for caucus reorganizations. we have before us several contested races and of course
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the nation's business comes first, which is why we are here making the case on these bills. i would like to add i hope this is not the tone we are going to be setting for the next congress. i think it's very important that despite our differences in policies, both conferences are respectful of the responsibilities that members have. not only within the institution of congress but within their respective conferences and caucuses. on our side we will be brief because we do have additional responsibilities, as i mentioned. i would like to yield 2 1/2 minutes to the gentlelady from oregon, ms. bonamici. the speaker pro tempore: the gentlewoman from oregon is recognized for 2 1/2 minutes. ms. bonamici: i thank you, mr. polis, for yielding. i rise in opposition to the rule on h.r. 34, which is now the vehicle for the 21st century cures act. although i understand the detailed rules of our chamber, i'm deeply disappointed that the underlying bill, the
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tsunami warning, education, and research act was completely stripped out and replaced with unrelated language. the tsunami warning education and research act is bipartisan. it was passed by a voice vote on january 7, 2015. a similar version has passed the senate. we have worked out our differences. this legislation is ready to be signed into law and it is vital for our west coast communities. my constituents on the oregon coast know that it's a matter of when not if our community will face a cascading earthquake and tsunami. most of the city of seaside, including all of its public schools, are located in the tsunami inundation zone. some of my youngest constituents, the students in seaside, who have been most vocal about keeping their community safe. recently i met with the students at the high school. they have spoken all over the state about the dangers they face from tsunami. their presentation was very strong.
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they made a case for moving their schools out of the tsunami zone. it helped the community pass a bond measure earlier this month to move the schools. that's a positive step for seaside, but there is so much more to be done. two dice ago there were two earthquakes off the coast of oregon. when there is a near shore tsunami, the warning time is about 15 minutes. that's all. the tsunami education and this would help communitieses up and down the entire coast by strengthening the warning system, providing more assistance to local communities like seaside to prepare for that disaster, coordinating government agencies to make sure they're sharing information, and working together and supporting community outreach and education programs. and this is not just about oregonians. millions of people in alaska, hawaii, washington state,
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california also face significant risk. we are overdue for the really big one. now i understand that the cures act may save lives but i'm very disappointed that the provisions of the tsunami bill, which is also life-saving policy, was not retained in the underlying bill. mr. speaker, again, i urge my colleagues to oppose this rule so we can immediately consider swift passage of the tsunami warning education research act, our west coast communities are counting on us to keep them safe. i yield back the balance of my time. the speaker pro tempore: the gentlelady's time has expired. the gentleman from texas is recognized. mr. burgess: thank you, mr. speaker. at this time i'm pleased to recognize the author of the mental health portion of this bill, mr. murphy of pennsylvania, for three minutes. the speaker pro tempore: the gentleman from pennsylvania is recognized for three minutes. mr. murphy: i thank the gentleman and the speaker. this bill includes in it elements of h.r. 2646, the helping families of mental health crisis act, which is the most revolutionary changes to mental health since the community mental health act of 1963.
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it includes funnel mend changes on how we think about -- fundamental changes on how we think about and treat mental illness. it ensures grants meet objective outcome measures, conduct ongoing oversight of grantees and collaborates with other federal departments on mental health. it creates an -- a committee to evaluate programs related to mental ill and provides recommendations to better coordinate those programs. it authorizes a national mental health and substance-abuse policy laboratory to promote evidence-based models of care and further develop, expand, replicate or scale those programs. it provides funding for treatment and recovery for homeless individuals with mental health and substance abuse disorder services. it authorizes for first time in law the national suicide prevention life line program and the minority fellowship program. it awards grants to develop, maintain and enhance online psychiatric bed registries. it funds programs for telehealth so people in rural communities and primary care physicians can
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have ready access to mental health services so sorely needed for their patients. it re-authorizes the sue site prevention program -- suicide prevention program and provides federal grants for assertive community treatment. and increases access to medical residencies and fellowships in psychiatry and addiction medicine and underserved community-based settings for nurse practitioners, physician assistants, health service psychologists and social workers. it removes barriers for providing volunteering at community health centers. it updates the national child traumatic stress initiative, which supports a national network of child trauma centers, including university hospital and community-based centers. it requires the secretary of h.h.s. to clarify how health care providers can communicate with the care giver and adult with a mental health or substance abuse disorder. it clarifies the coverage of eating disorder benefits, including residential treatment under existing mental health parity requirements. it allows federal grants to local law enforcement to roll
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back the tragedies of violence that occur when a mentally ill person encounters a policeman. it provides funding to develop school-based mental health crisis prevention teams. it all goes on. i'm pleased this has been merged into one bill here so we can move forward on this. this truly will provide many life-saving measures and bring mental health treatment out of the shadows. i encourage a my colleagues to support this bill as we move forward and provide help because where there's help there is hope. yield back. the speaker pro tempore: the gentleman yields back the balance of his time. the gentleman from colorado is recognized. mr. polis: before further yielding, i just want to note that this rule contains two completely different bills. first is the 21st century cures act, which would help address many of the health crisises that we face. the other bill is h.r. 6392, the systemic risk debt -- designation act that would weaken many of the protections that were put in place in the dodd-frank wall street reform
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bill. so two very different bills here under one rule. a very closed process, which the democrats will be opposing. i'd like to yield three minutes to the gentleman from oregon, mr. blumenauer. the speaker pro tempore: the gentleman from oregon is recognized for three minutes. mr. blumenauer: thank you. i appreciate the gentleman's courtesy in permitting me to speak on this. it's a pleasure to follow my friend from pennsylvania, acknowledging his hard work in the mental health sphere. i do think that this is setting the platform for the most significant initiative in the next half century. there's some good things in this bill. but i hope it is the beginning. i know the gentleman has a initiatives that he's working on in a bipartisan way and i'm hopeful that this serves as a springboard. on a personal note, garrett smith suicide prevention, formet he's working on colleague, senator gordon smith from oregon, took a personal tragedy in his family and moved forward with important legislation that other families
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may be spared that effort. there are a number of things here that matter in another context. in terms of what happens dealing with the opioid crisis that we have now. we've been slow to respond. i am hopeful that these resources will help us move in the right direction. again, i must -- i suppose note with a certain amount of irony that there are other alternatives available to deal with the epidemic of opioid overdose deaths. i would note that it's interesting that states that actually utilize medical marijuana prescribe fewer pills and that there's an opportunity here for us to do something that's less expensive, less addictive and not deadly. but the provisions in this bill i think are a step in the right direction. it also is important to note the investments in neuro science.
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we've created a neuro science caucus in congress because this is an area that has stubbornly resisted being able to have the progress that we've seen in other areas, like cancer and cardiac health, building on an initiative that the administration has, the brain initiative, which is modest but potentially very significant to accelerate the understanding of the human brain, leading to new ways to treat and cure neurological disorders. everybody in this chamber knows a variety of people who suffer, everything from alzheimer's, multiple sclerosis, addiction problems, being able to doubledown those investments in a more systemic way is going to are vidends that incalculable. already mental and behavioral disorders are among the leading
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causes of disability around the world. the impact is greater than heart disease and cancer combined. and as i mentioned, there we've actually made some progress. last but not least, there is a technical fix that matters in my community and others around the country. bringing fairness to hospitals when congress changed the hospital payment rules last november, there were hospitals, like oregon state health university, who were caught unfairly in the middle of payment changes. they did not provide any exceptions for hospital outpatient department that were under development at that time. the speaker pro tempore: the gentleman's time has expired. pell pell -- mr. polis: i yield the gentleman an additional minute. mr. blumenauer: thank you. that means hospitals who made significant investments in building offsite departments on one -- under one set of medicare
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rules suddenly faced a new set of rules that were changed by congress midstream. i'm pleased that this will prevent fulling the rug out from underneath them. so in sum, mr. speaker, this technical fix, which is important, support for the brain initiative, important work in mental health, and dealing with the opioid crisis are reasons that i think this bill is worthy of the support. although i share the -- my concerns of my colleague from oregon, suzanne bonamici, whose underlying, bipartisan, very important bill somehow is a casualty of this legislation. that's unfortunate. i hope the rule is defeated so we can fix that and get on with business. the speaker pro tempore: the gentleman's time has expired. the gentleman from texas is recognized. mr. burgess: mr. speaker, at this time i'm pleased to recognize the gentleman -- or to yield to the gentleman from oklahoma two minutes. the speaker pro tempore: the gentleman from oklahoma is recognized for two minutes. coal coal thank you, mr.
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speaker. i -- mr. cole: thank you, mr. speaker. i rise for the purpose of supporting the rule and the underlying legislation. i want to begin by congratulating chairman upton, the members of the energy and commerce committee, on both sides of the aisle, for crafting what is genuinely a bipartisan piece of legislation in a very divisive era and working it for years and bringing it to a successful conclusion. they've given all of us an opportunity to vote for something really, really important to every single american. a lot of focus will be put on the money aspect of this bill. certainly six-plus billion dollars is a nice chunk of change and will be very, very gratefulfully received. but in the same -- gratefully received. but in the same period in five years, if we didn't increase appropriations by a dime, we would spend $160 billion at n.i.h. and over a 10-year period, if we didn't increase annual appropriations by a dime, we'd spend $320 billion. so the real genius of the bill is not the money, it's actually the three things that have been mentioned by multiple speakers before me.
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first, the regulatory reform. that at the f.d.a., the nishikori, will literally save -- n.i.h., will literally save billions of clars and thousands of lives -- dollars and thousands of lives. second, the opened initiative. we all know the crisis. it touches all of our districts. the direct money there. and then to build on that through the appropriations process, extraordinarily important. i congratulate energy and commerce for take the lead here. finally, the mental health legislation that's wound up in this, our good mutual friend tim murphy provided, is absolutely spectacular in terms of its long-term importance. so we can all disagree with this or that or some technicality in the rule. the reality is, this is important legislation, it f-35 it doesn't pass now, it won't pass and we'll be missing an opportunity. i want to urge my friends on both sides of the aisle, don't expect my friends to vote for the rule, they shouldn't, they never do, i wouldn't if i were in the minority. but i hope they'll vote for the underlying legislation. because that legislation is worthy of passage, it's a
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bipartisan compromise, and it will improve the life of every single american. that, mr. speaker, i -- with that, mr. speaker, i yield back the balance of my time. the speaker pro tempore: the gentleman yields back the balance of his time. the gentleman from colorado is recognized. mr. polis: there is a lot of bipartisan support for the 21st century cures act and i want to commend chairman upton, ranking member pallone, ranking member degette, ranking member gene green and so many others who worked hard on this legislation, that will save lives by improving the access that americans have to potentially life-saving drugs and devices. helping to keep people healthy. and independent and out of the hospital. i plan to support this legislation. i think we also all know that it's a starting point. we have additional work to do to make prescription drugs more affordable, to make the approval process more streamlined for both prescription drugs and medical devices, regenerative medicine and of course funding levels for research. i'd like to inquire if there's
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any speakers left on other side. mr. burgess: mr. speaker, i have two additional speakers. and myself to close. mr. polis: i reserve the balance of my time. the speaker pro tempore: the gentleman reserves the balance of his time. the gentleman from texas is recognized. mr. burgess: mr. speaker, at this time i'm pleased to recognize or to yield for two minutes to the chairman of the subcommittee on health that played a vital role in getting the 21st century cures bill across the finish line, mr. pitts of pennsylvania. the speaker pro tempore: the gentleman from pennsylvania is recognized for two minutes. mr. pitts: thank you, mr. speaker. thank you, dr. burgess, for your leadership on this issue. i rise in strong support of the rule for the 21st century cures act. momentous innovation package which will help advance the discovery, development, delivery of new treatments and cures for patients, will foster private sector innovation here in the united states. additionally, the package includes provisions of h.r. 2646, the helping family in mental health crisis, as well as provisions to increase choice,
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access, quality and healedhealt care for americans. arriving here today has been a long journey, full of lots of steps and twists and turns along the way. i especially want to thank legislative council for their tireless efforts in helping -- counsel for their tireless efforts in helping translate our legislative ames to language. they worked nights and wednesdays, were consummate professionals throughout the process. additionally, i want to thank the health care staff of the congressional budget office for all their help in recent months. in addition, their role in estimating the budgetary effects of numerous policies in the bill. they were instrumental in helping us shape a number of proposals the committee considered. i would be remiss if i did not thank again the outstanding team on energy and commerce, most especially the health team led by chief health counsel paul, support by josh, john, carle, , sofia, jayna, adam
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and heidi and monica of my staff. without whose expertise, wisdom and counsel this legislative work would not be possible. this landmark medical innovation package includes provisions designed to help almost every american family, whether it's leading to discovery, development and delivery of new treatments and cures or advancing the initiative or the vice president's cancer moon shot, or the brain initiative to advance alzheimer's research, this package is an innovation game changer, will truly bring our health innovation into the 21st century. i urge support for this bipartisan effort and yield back the balance of my time. . the speaker pro tempore: the gentleman from colorado. mr. polis: i continue to reserve the balance of my time. the speaker pro tempore: the gentleman reserves. the gentleman from texas is recognized. mr. burgess: i yield to the gentleman from michigan two minutes.
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the speaker pro tempore: the gentleman from michigan, mr. walberg, is recognized for two minutes. mr. walberg: thank you, mr. chairman. and mr. speaker, i stand in support of the rule and the underlying bill. why? well, the 21st century cures act is a transformational piece of legislation that will allow us to discover and develop new lifesaving cures and treatments for some of the worst diseases. this act will offer hope to millions of patients and families, including gael, a constituent of mine -- gale, a constituent of mine from new port who has been afflicted with pancreatic cancer. or brandon, a boy who's been on a clinical trial for eight years as he battled deshane muse could you lahr -- duchenne muscular dist row fee. with boosting n.i.h. funding, we can update our mental health
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system and help states fight opioid addiction. i want fred upton for tackling this challenge and for his tireless efforts to get this bill to the floor. the cures act is innovative. it's bipartisan. it's fully paid for. and life changing for my constituents in michigan and many others around this great country. i ask my colleagues to vote in support of the rule and the underlying bill, and i yield back. the speaker pro tempore: the gentleman yields back the balance of his time. e gentleman from colorado is recognized. mr. polis: is the gentleman prepared to close? mr. burgess: i'm prepared to close. mr. polis: ok. you know, again, i do want to point out recognized. mr. polis: and breaking with custom there were many other democrats who wanted to discuss this bill but as we speak the democratic caucus is having elections for the vice chair position. while we were on the floor we
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had elections for the whip position and the assistant to the leader position, both of which i was unable to participate in because, of course, i had to conduct the business of the nation. but, again, i would hope both parties are respectful of the scheduling requirements that are incumbent upon being a member of one of the two major parties of this body. in the past, we have always been able to work in, when republican conference has a retreat or reorganization meeting and i think that's important to this body because while, of course, as americans and representatives we have responsibilities to the institution of congress, as elected officials of the democratic or republican party, we do have a responsibility to select our leaders and establish our rules. i don't think that the amount of time that either party spends doing that is unreasonable, but i think that
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it's very important that both parties and leadership of this body, the speaker and the majority leader, are respectful of that while of course understanding we have important people's business to conduct and there were, of course, many other options. this house could have come into order and gotten this work done at 8:00 in the morning or they could do it later in the afternoon. there's a number of different ways we could have worked around the previously scheduled reorganization of the democratic caucus. and frankly, i am disappointed, not just for myself having been unable to participate in those party functions but also on behalf of other members of the democratic caucus that were unable to come speak on these very important issues because of playing active roles in running for or supporting or speaking on behalf of various candidates for party positions that is occurring as i speak. this bill has two completely unrelated bills that are,
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again, the 21st century cures act has strong bipartisan support. i add my voice to those who have praised this legislation and hopefully it will challenge the next congress to continue to move forward with facilitating the approval process. i've often heard the approval process, for instance, for a new drug for inception into market could be in excess of $1 billion to $2 billion. we hear a number of different figures tossed around. sometimes it's in the high millions or as high as a billion or $2 billion. regardless, that's the reason here is upward in prices for propie tear drugs. and that's why lifesaving drugs are unavailable here while they are on the market in europe and other areas. d without compromising issues, we agree on that, we
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need to facilitate, bringing new lifesaving products to market at an affordable way. an excellent model for that that has saved hundreds of thousands of lives was put into the first administration of the first george bush that provided an expedited route for h.i.v. drugs. thanks to that route that was used for many of the h.i.v. drugs that are -- some of which are still in use today, hundreds of thousands of people affected by h.i.v., including many lgbt americans, are still alive today because of that effort. i'm also confident because of today's effort with the 21st century cures act that we'll save the lives of many more americans. again, it's a starting point. we have room to go. the other bill would for some reason -- it's not something i hear from constituents but something republicans want to do -- exempt some of the iggest banks for some of the
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requirements under dodd-frank preventing them from failing. it's my understanding it only affects a few dozen banks, the very largest banks, banks that are worth tens or hundreds of billions of dollars. i'm sure they like it. probably reduces their ability to have to comply, but there's a reason those requirements were put in place for those very big banks. we're worried that the failure of any one or certainly multiple banks could create a systemic risk and future bailout. i strongly before this bill before us today on the banking regulations, if it were to become the law, it would increase the likelihood of future bailouts which surprises me because many of us have been traditionally opposed to those very kinds of bailout. it is my understanding there's one remaining speaker on the other side so i will reserve my time to allow that speaker to speak. the speaker pro tempore: the gentleman from colorado
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continues to reserves. the gentleman from texas is recognized. mr. burgess: thank you, mr. speaker. at this time i am pleased to -- and i thank the gentleman for the accommodation -- i am pleased to yield two minutes to the gentleman from oregon, mr. walden. the speaker pro tempore: the gentleman from oregon is recognized for two minutes. mr. walden: thank you very much. i want to thank my colleagues on both sides of the aisle and especially the courtesy to spend a minute or two talking about not only this rule but also the legislation that will be coming to the floor soon. i want to thank especially chairman fred upton who has put his whole heart and soul into the 21st century cures act, joined by diana degette, certainly dr. burgess, congressman murphy and others who have really played a key role in trying to find cures to diseases that don't exist today, find treatments for those to bring better health to all americans, both physical health and certainly in the case of dr. murphy, mental health as well. this really means a lot. this will make a difference in real people's lives back home in our communities, and i've heard from those people like
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carol fulkerson in bend who has m.s. she's ecstatic about this. she says it makes it possible to find a cure to m.s. can you imagine what that means in a person's life? there are critical reforms on mental health and substance abuse programs, as we heard. these changes will help people all across america and certainly in oregon, medford resident, justin, overcame his own battle with addiction through a treatment program that dealt with the underlying problems fueling the addiction other than a band-aid approach. these are the kinds of ideas coming from our folks back home that are now incorporated in the legislation. i heard from a clinical lab owner, judy kennedy, who supported diagnostic testing services to rural and other underserved communities across the country. we are going to do so much to improve the health both mental and physical in the lives of people we represent when this
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legislation becomes law. and mr. speaker, i'm just delighted to support it. i think it's an enormous step forward in so many, so many ways and i commend chairman upton and those involved in this in its writing. i urge passage of the rule so we can get onto this legislation. i yield back the balance of my time. the speaker pro tempore: the gentleman from oregon yields back. the gentleman from colorado is recognized. mr. polis: is the gentleman prepared to close? mr. burgess: once again. mr. polis: so, you know, again, i think there's some good and some bad in this. the 21st century cures act is very important, and i hope that this body sees it's a starting point, not an ending point. there's important reforms in there that will save lives and also help remove some of the upward pressure on prescription drug prices, both something we hear about very often from constituents. there's another bill in there which most democrats will be voting against with regard to making it potentially more
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likely that larger banks can have bailouts and that's not something most of us have an appetite to. and of course the closed nature of the bill is not consistent with the expressed desire of the speaker to have an open process. the rules committee yesterday shut down a number of excellent ideas and amendmentes that were offered, and they're not allowed to be debated here on the floor. and of course, the timing of this bill, particularly for a bipartisan bill to bring it up in a way, in a manner and a time that conflicts with the previously noticed meeting that happens to include all of the members of one of the two political parties. it's not the best way to foster the type of bipartisan cooperation that's important to get things done around here. so democrats will not be supporting the rule. the of us will thanks to
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work of chairman upton and ranking member degette and gene green and others will be proud to hopefully send to the president's desk the 21st century cures act as an excellent starting point in hoping to save lives. so i urge a no vote on the rule and i yield back the balance of my time. the speaker pro tempore: the gentleman from colorado yields back. the gentleman from texas, dr. burgess, is recognized for such time as he may consume to close debate. mr. burgess: thank you, mr. speaker. i just yield oufs the balance of the time. today's rule provides for the consideration of two important bills, a bill that will transform and advance the discovery, the development, the delivery of treatments and cures, and a bill that will help our small and community banks, institutions that in turn can further assist small and local businesses and help our communities grow. i want to thank all of the members who did put in a lot of effort into the final package on the cures bill as well as the staff on both sides of the
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aisle. all members of the energy and commerce and the house as a whole were asked to bring their ideas to the table and we worked to include as many of those as we could. i would also like to express my thanks to the great attorneys of the legislative counsel who sometimes worked around the clock to get this bill ready for both the committee and floor activity. i want to thank chairman upton, representative degette as well as chairman pitts and ranking member pallone and ranking member green for their leadership throughout. it's already been mentioned but i also want to thank the staff, both in our personal offices and at the committee staff, who worked so hard on this over the past four years. this was truly all hands on deck. there's not one energy and commerce health staffer that does not have their fingerprints all over this bill. with that, mr. speaker, i yield back the balance of my time and i move the previous question on the resolution.
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the speaker pro tempore: without objection, the previous question is ordered. the question is on adoption of the resolution. all those in favor say aye. all those opposed, no. the ayes have it. the resolution -- mr. polis: mr. chair, on that i request the yeas and nays. the speaker pro tempore: the yeas and nays are requested. those favoring a vote by the yeas and nays will rise. a sufficient number having arisen, the yeas and nays are ordered. members will record their votes y electronic device. pursuant to clause 8 of rule on the 15-minute vote adopting the resolution will be followed by five-minute votes and spending the rules passing h.r. 5047. this is a 15-minute vote. [captioning made possible by the national captioning institute, inc., in cooperation with the united states house of representatives. any use of the closed-captioned coverage of the house proceedings for political or commercial purposes is expressly prohibited by the u.s. house of representatives.]
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the speaker pro tempore: on this vote the yeas are 230. the nays are 180. the resolution is adopted. without objection, the motion to reconsider is laid on the table. the unfinished business is the vote on the motion of the gentleman from florida, miller, to pass h.r. 5047 on which the yeas and nays are ordered. the clerk will report the title of the bill. the clerk: union calendar number 637, h.r. 5047, a bill to direct the secretary of veterans affairs to the secretary of labor to provide
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information to veterans and members of the armed forces about articulation agreements between institutions of higher learning and for other purposes. the speaker pro tempore: the question is will the house suspend the rules and pass the bill. 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 411. the nays are three. 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 michigan seek recognition? mr. upton: mr. speaker, i would ask for regular order. he house will be in order. he house will be in order. members will please take your conversation off the floor. members will please clear the
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ell. he house will be in order. the house will be in order. members will please clear the ell. for what purpose does the gentleman from michigan seek recognition? mr. upton: mr. speaker, i would ask unanimous consent that the [no audio] -- the speaker pro tempore: without objection. mr. upton: pursuant to house resolution 934, i ask ave motion of the desk. the speaker pro tempore: the clerk will report the title of the bill, designate the senate amendment and senate motion.
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the clerk: h.r. 34, to authorize and strengthen the tsunami detection, forecast, warning, research and mitigation program of the national oceanic and atmospheric administration, and for other purposes. senate amendment. mr. upton moves that house concur with an amendment inserting the text of rules committee print 114-67 modified by the amendment printed in part a of house report 114-839 in lieu of the matter proposed to be added by the senate. the speaker pro tempore: pursuant to house resolution 934, the senate amendment and the motion shall be considered as read. the motion shall be debatable for 80 minutes with 60 minutes equally divide and controlled by the chair and ranking minority member of the committee on energy and commerce and 20 minutes equally divided and controlled by the chair and the ranking minority member of the committee on ways and means. the gentleman from michigan, mr. upton, and the gentleman from new jersey, mr. pallone, each will control 30 minutes. the gentleman from texas, mr. brady, and the gentleman from michigan, mr. levin, each will control 10 minutes.
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the house will be in order. he house will be in order. the chair recognizes the gentleman from michigan, mr. upton. mr. upton: mr. speaker, i would ask unanimous consent that all members may have five legislative days in which to revise and extend their remarks and insert extraneous material on h.r. 34. the speaker pro tempore: without objection. mr. upton: mr. speaker, i would yield myself three minutes. the speaker pro tempore: the gentleman from michigan is recognized for three minutes. mr. upton: you know, there's not a single person in this chamber, watching at home today, who has not been touched by some disease in some way. we've all said too many early goodbyes to folks that we hold dear. families robbed of a parent that will never get to see their child's milestones, a child without the gift of a future, every day countless folks living vibrant lives are delivered
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unexpected diagnoses and it's a cycle that repeats itself over and over in every community. life changes in an instant. hope just seems out of reach, whether it be alzheimer's, lupus, m.s., cancer, you name it. no matter where you're from, one thing that binds us all together is that we all want more time with our loved ones. that's why we're here today. because the clock is ticking for patients and their families. mr. speaker, i would ask for order in the house. the speaker pro tempore: the gentleman -- the gentleman will suspend. the gentleman's correct. the house is not in order. the house will be in order. members will please take their seats. members will please remove conversations from the house floor. the house will be in order. the gentleman from michigan is recognized. mr. upton: mr. speaker, which brings us to 21st century cures in this bill. this bipartisan bill will ensure that our health system can keep
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pace with incredible advances in science and technology. in cures we've got a medical innovation game changer that will deliver hope to patients across the country. and we've been here before. in july of 2015, after a series of round table hearings, white papers, public feedback, the house overwhelmingly voted in support of 21st century cures. sure, we've encountered a number of detours and obstacles along the path to cures, but we've taken great inspiration to those patients who have partnered in this effort to persevere. stay positive and continue forward to get the job done. just like my two little michigan girls, brook and brielle, who are battling s.m.a., every day they muster incredible strength and courage, conquering challenges that most folks will never encounter in a lifetime. so now three years ago we had an idea. that, yes, we could do better. we needed to do something and transform our health and
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research system to effectively fight disease in this century. finding curious and boosting research and innovation was absent from any policy to-do list. people didn't seem to care about the gap between biomedical innovation in our regulatory process -- and our regulatory process was winding, or that of the 10,000 known diseases, 7,000 of which are rare, there are treatments for only about 500. we needed to change the conversation and restore urgency. and working together, we have. but first we listened. to more than just brook and brielle, but to barb and becky and lisa, geno, betsy, little max, little steve latourette sat in the corner. virtually everyone here had a story to tell and for folks here to listen to. science and biomedical
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innovation made incredible strootstrides over the last two decades -- strides over the last two decades. mapping the human genome, new biomarkers, personal health care apps, each of have offered new opportunities to find new -- each have offered new opportunities to find new treatments and curious. but the -- cures. but the way these were applied to our regulatory process in fact has lagged behind. can i have two additional minutes? these agencies and the rules and regs they produce, effecting the discovery, development and delivery of life-saving drugs and devices, also desperately need modernization and innovations. they need a game changer. and now we have it. this legislation breaks down the regulatory barriers and expedites the approval for drugs and devices, coupled with billions more for research. the former head of the n.c.i. and the f.d.a., who called in the most transformational biomedical legislation in the
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past 40 years, he's right, but this package is not just about cures. no. it also achieves several additional top line priorities for our energy and commerce committee, including valuable resources to fight the opioid epidemic, delivering landmark mental health reforms spear headed by dr. tim murphy to help families in crisis, and treat mental illnesses rather than incarceration. this is without a doubt the most important and impactful bill that we'll enact in this congress. patients around interested in debating the time -- aren't interested in debating the timeline, the failure rates and size and cost of conducting clinical trials are at an all-time high. they just know that despite the promise of scientific breakthroughs, they can't get the therapy that might save their life. that's why we need this bill. i want to give a special thanks for my many partners, including, especially, diana degette, not to mention joe pitts, frank
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pallone, tim murphy, lamar alexander, leadership on both sides of the aisle, both chambers, truly brilliant committee and personal staff led by gary and joan, health counsel paul, and of course my wife, amy. we are on the cusp of something special. a once in a generation we rtunity to transform how treat disease. with this vote we are taking a giant leap on the path to cures, working together we will deliver a cures now -- deliver cure you ares now. i -- cures now. i reserve the balance of my time. the speaker pro tempore: the gentleman reserves the balance of his time. the gentleman from new jersey is recognized. mr. pallone: thank you, mr. speaker. i yield now three minutes to the democratic sponsor of the bill, who has worked so hard to make this day a reality, the gentlewoman from colorado, ms. degette. the speaker pro tempore: the gentlewoman from colorado is recognized for three minutes. ms. degette: thank you, mr. speaker. i rise today in strong support of the 21st century cures act,
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knowing that i'm far from alone in supporting this bill. more than 700 groups representing patients, health care providers, researchers and others, have voiced support for the bill, as has the white house, which provided its enthusiastic endorsement last night. this is a watershed moment in this country for biomedical research. with this bill we bring hope to millions of patients who suffer from cancer, alzheimer's, diabetes and a host of other alex:ments. as my co-sponsor and -- ailmeants. as my co-sponsor and partner in crime just said we started working on these measures three years ago. we traveled the country together, to gather information about much-needed reforms and we had tremendous participation in the process, from patient groups, medical professionals, academia, federal and state health care authorities, not to mention the entire democratic and republican membership of the energy and commerce committee, who worked so closely together
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to make this happen. all of this led to a bill that 344-77.n july, 2015, by we can barely pass the journal every day by that amount, mr. speaker. now, this was in the summer of 2015. and we have worked tirelessly in a bipartisan way since then to improve and expand the bill and to make sure it can pass through the senate and be signed by the white house. the result will help to overcome obstacles to medical progress. from discovery to development to delivery, through investing in innovation, incorporating the patient perspective, and modernizing clinical trials. among the key provisions this consensus version of the bill will provide $4.8 billion to the national institutes of health, including money for vice president biden's moon shot initiative, including money for precision medicine and the brain initiative, it will provide almost $1 billion in grants to
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the states to address the urgent opioid crisis in this country. it removes the silos at the food and drug administration by transitioning it to a disease-center approach and it gives 5ds00 million to the -- so -- $500 million so the f.d.a. can implement these reforms. it includes an all-important mental health legislation that we've also worked on so hard for so long. and will will catalyze cutting edge research by supporting potentially transformative efforts. mr. speaker, at a time of heightened acrimony in washington, and in the wake of one of the most rank rouse elections we've always had, isn't it wonderful that we can come together to find curious that effect millions of americans? disease doesn't discriminate according to political party. it knows nothing of claims and counterclaims. it respondses only to carefully developed treatments and cures. what we're doing today is we're
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voting to put vital innovations and -- in biomedical research within reach, potentially saving countless lives. i urge all of our colleagues to think about the millions of americans who will be heartened by this bill's progress and i urge to you vote yes on the 21st century cures act. the speaker pro tempore: the gentlewoman's time has expired. the gentleman from new jersey reserves. the gentleman from michigan is recognized. mr. upton: mr. speaker, i would yield one minute to the former chairman and now chairman emeritus of the energy and commerce committee, my friend from texas, the honorable joe barton, who really helped us push this bill every step of the way. the speaker pro tempore: the gentleman from texas is recognized for one minute. mr. barton: thank you, mr. chairman. i ask unanimous consent to revise and extend. the speaker pro tempore: without objection. mr. barton: mr. speaker, the affordable care act failed because it was one-sided partisan closed-loop system. this bill, the 21st century cures bill, will succeed because it's been done just the opposite. chairman upton and diane degette
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and frank pallone and many other people have worked together as they said for the last three years to find the best pathway forward, to get new drugs and new therapies to our citizenship more quickly and efficiently. i want to congratulate both of them, plus chairman brady, dr. murphy and the others that have worked on this. his bill makes it possible for cures to actually be put into practice without all the red tape and regulatory overkill. let me give you an example. this bill makes possible the use of what's called regenerative medicine, which we call stem cell therapy. my 11-year-old son, jack, last week played football with coach sam harold of ennis, texas, who three years ago could not get out of bed because of his disease. he had to go out of the country
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twice to get stem cell therapy. he can now act normally. this bill makes possible those kind of cures. i rise in strong support. thank chairman upton for his strongon work on this. the speaker pro tempore: the gentleman's time has expired. the gentleman from michigan reserves. the gentleman from new jersey is recognized. mr. pallone: i yield myself such time as i may consume. over the past two years my colleagues and i on the energy and commerce committee have worked to craft the 21st century cures act with the goal of getting new treatments and cures to the people who need them the most. it's been a long journey and i want to thank my colleagues, chairman upton and representatives degette and green, for their commitment to this important legislation. this is not a perfect bill, but after much consideration, i believe the benefits outweigh my concerns and i fully support its passage. this final bill includes many provisions that my democratic colleagues and i, as well as the administration, fought hard to have included. the bill provides new funding for the national institutes of health, the president's
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precision medicine initiative, and the vice president's cancer moon shot initiative. it also provides new resources for the food and drug administration and grants for states currently battling the opioid abuse crisis. this final legislation also includes important policy changes that break down the research silos that have existed for years. the bill ensures data sharing among nishikori--- n.i.h.-supported scientists and increases the number of racial and ethnic minorities in clinical trials. these important changes will allow the entire scientific community to learn lessons from this critical n.i.h.-funded research and will strengthen research for diverse populations. i'm also pleased, mr. speaker, that the bill includes a new f.d.a. grant program to study the process of continuous drug manufacturing. this innovate prove sess will allow for more -- process will allow for more productive -- production. it also includes important hiring provisions to help the f.d.a. recruit and retain the best and brightest and policies
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to move us closer to ensuring we have interoperable electronic health records which are critical to reducing costs and improving care. as i said, this is not a perfect bill. i have some concerns with the final product. i'm disappointed that the bill does not contain guaranteed funding, instead we must ensure each year that the appropriations committee and the republican majority lives up to the promise it's st being made today -- promises being made today and we will hold them to these promises. the lack of immediate funding for the f.d.a. is of particular concern, given the fact that this bill asks f.d.a. to take on significantly more responsibilities that we know are extremely resource-intensive. i'm also concerned that the bill removes certain categories of medical software from f.d.a. oversight. this makes it difficult for f.d.a. in the future to bring software that is used to support or sustain human life back under f.d.a.'s jurisdiction. i'm also troubled by the new priority review voucher program which will likely require f.d.a. to issue significantly more
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p.r.v.'s. this could pose a burden on f.d.a. drug reviewers when redeemed and could prevent f.d.a. from being able to prioritize its review of drugs based on public health priorities. the bill includes new language added without full consideration by the house or senate regarding f.d.a. oversight of regenerative medicine products, though most of the harmful language was taken out, do i remain troubled that the bill creates a new designation process under f.d.a.'s accelerated approval pathway. i'm pleased, mr. speaker, that this packing an includes the helping family -- package includes helping families in mental health crisis act. i'm specifically proud that the bill expands an important set of medicaid benefits that to kids receiving in-patient psychiatric treatment, however, let's be clear, the benefits of the mental health bill will be far outweighed by the catastrophic harm caused by individuals with mental illness if the republicans move forward with their radical plans to repeal

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