tv U.S. House of Representatives U.S. House of Representatives CSPAN March 25, 2019 4:45pm-5:56pm EDT
know now to the actual election campaign itself. it may have more connection to the policies at this point. you think about michael: testifying before congress that during the campaign, he and felix were working on trump tower in mosco pursua nt >> we're going to break away from this and go live to the floor of the u.s. house. on which a vord vote or the yeas and nays -- a recorded vote or the yeas and nays are ordered, or votes are objected to under clause 6 of rule 206789 the house will resume proceedings on postponed questions at a later time. for what purpose does the gentleman from new jersey seek recognition?
mr. sires: mr. speaker, i propose that the house suspend the rules and pass h.r. 9 20rks the venezuelan arms restriction -- venezuela arms restriction act, as amended. the speaker pro tempore: the clerk will report the title of the bill. the clerk: h.r. 920. a bill to restrict the transfer of defense articles, defense services, and crime control articles to any element of the security forces of venezuela that is under the authority of a government of venezuela that is not recognized by the legitimate government of venezuela, by the government of the united states, and for other purposes. the speaker pro tempore: pursuant to the rule, the gentleman from new jersey, mr. sires, and the gentleman from florida, mr. rooney, each will control 20 minutes. the chair recognizes the gentleman from new jersey. mr. sires: i ask unanimous consent that all members have five legislative days in which to revise and extend their remarks and include extraneous materials on h.r. 920, the
venezuela arms restriction act, as amended. under -- amended, under consideration. the speaker pro tempore: without objection. mr. sires: i yield myself such time as i may consume. mr. speaker, i rise in support of h.r. 920, and yield myself such time as i may consume. i'd like to begin by thanking ms. shalala for her leadership in authoring this important piece of legislation. she has been a leading voice in supporting the venezuelan people. sadly, human rights violations in venezuela are -- are nothing new. in recent months, nicolas maduro and his cronies have intensified their brutal crackdown on those who have bravely and peacefully pushed for change. with an increasing wave of demonstrations protesting the maduro regime, congress must do all it can to support efforts by the venezuelan people to restore the democracy. this means making sure that
weapons from the united states aren't being used to commit these horrific -- horrific acts of violence against civilians. u.s. companies and individuals should not be able to profit from the repression of the eventsan -- venezuelan people. h.r. 920 codifies existing restrictions on arms exports to venezuelan security forces, and adds any reinstructions on items like tear -- restrictions on items like tear gas and riot gear that have been used to suppress peaceful protesters. as the protests continue, you can be sure that the maduro regime will do everything it can to silence the venezuelan people. so congress must do everything in our power to keep these dangerous items out of the hands of the venezuelan security forces. i urge my colleagues to support this bill and reserve the balance of my time. the speaker pro tempore: the gentleman reserves the balance of his time. the chair now recognizes the
gentleman from florida. mr. rooney: thank you, mr. rooney: i rise today in support of the venezuela arms restrix act. introduced by our colleagues from florida, congresswoman shalala and congressman diaz-balart, to whom we are grateful. i'd like to thank congressman sires for his support of this bill. the criminal dictatorship of nicholas ma duro is systematically -- maduro is systematically violating the rights of venezuelan citizens. according to a local n.g.o., there are more than 850 political prisoners in venezuela today. just last week, maduro's intelligence services arrested robert morero, the chief of staff for the interim president and constitutional lead over venezuela, juan guaido. the regime made ludicrous claims
that morero was leading a terrorist cell and reportedly planted weapons and cash to try frame him. this bill supports these efforts by identifying and holing accountable any u.s. entities providing defense articles to mad rumbings o's security forces and restricts all u.s. sales of defense articles to a socialist criminal dictatorship. i urge my colleagues to join me in demonstrating our commitment to defending the security and commitment of human rights to the venezuelan people by supporting this bill. i reserve the balance of my time. the speaker pro tempore: the gentleman reserves. the chair recognizes the gentleman from new jersey. mr. sires: i yield five minutes to the author of this bill, the gentlelady from florida, ms. shalala. ms. shalala: i want to thank the
chairman and my colleague from florida, this evening congress will vote on a bill i introduced h.r. 9 20 the venezuelan arms restrix act. this bipartisan bill prohibits the export of defense articles and crime control materials from the united states to security forces of venezuela. the united states should have no business selling these tools for oppression to the maduro regime as it punishes and kills those who are peacefully protesting and demanding a return to democracy. since maduro usurped pow for the january, we have seen headline after headline. maduro's forces kill, injury protesters as standoffs over aid escalate in vens way lafment four dead, hundred december tained after veans way la blackout.
venezuela forces kill, punish anti-maduro po testers. a few weeks ago, i traveled to the venezuela-colombia border, where i heard heartbreaking stories of friends and family members dying of starvation and treatable diseases, all while a brutal dictator does everything possible to prevent aid from being delivered. i met with refugees at hospitals in colombia and heard their harrowing stories of being on the verge of death due to a lack of medical care. there were a number of high-risk pregnancies as a result. this is a humanitarian crisis that has bled through venezuela's borders and continues to grow. this is personal for us in south florida, where thousands of venezuelans who have fled the crisis now call home. we will continue to push for t.p.s. because our response to this crisis must include
supporting our friends and neighbors in south florida and around the country. today, in addition to the venezuelan arms restriction act we will vote on bills introduced by my south florida colleagues to support the people of venezuela as they demand free and fair elections. we will vote on bills to provide humanitarian aid directly to the venezuelan people and a bill targeting russian influence in venezuela and its impact on the united states. today, cons today, congress will not stand idly by as this humanitarian crisis rages on. with the passage of the venezuela arms restrick act we will move one step closer to fulfilling our obligations to ensure that no weapons originating in the united states are used to silence dissent through intimidation, repression, and execution. congress today will affirm its
commitment to the women and men of venezuela who are fighting for democracy and a brighter future. i yield back. mr. sires: i reserve. the speaker pro tempore: the gentleman from new jersey reserves. the chair now recognizes the gentleman from florida. mr. rooney: we have no additional speakers. i'd like to thank the authors of the bill, congresswoman shalala just spoke about the depth an breadth of the horrible humanitarian crisis we see on our doorstep in venezuela. i would like to comment that the average venezuelan has lost over 20 kilos of weight in the last two years. they haven't had protein. the whole clint is starving to death worse than any warsaw pact dictatorship ever did. once again i want to thank you you, congressman diaz-balart, and certainly chairman sires for your leadership in this bill and i certainly call on all my
colleagues to enthusiastically support the bill. i yield back the balance of my time the speaker pro tempore: thank you. the gentleman yields back. the chair recognizes the gentleman from new jersey. mr. sires: mr. speaker, i yield myself such time as i may consume for the purpose of closing. i again thank ms. shalala for her strong and timely leadership on this legislation. she shows a strong commitment to the venezuelan people and to her constituents who care so deeply about this issue. the human rights situation in venezuela is deplorable. it's important that we take the commonsense steps in this legislation to help end the ongoing repression. passing this measure will send an important message that congress stands with the venezuelan people. i urge my colleagues to support this resolution, i yield the balance of my time. the speaker pro tempore: thank
you. the gentleman yields back. the question is, will the house suspend the rules and pass h.r. 920 as amended. those in favor say aye. those opposed, no. in the opinion of the chair, 2/3 being in the affirmative, the rules are suspended, the bill is passed, and without objection the motion to reconsider is laid n the table. for what purpose does the gentleman from new jersey seek recognition? mr. sires: i move that the house suspend the rules and pass h.r. 854, the humanitarian assistance to the venezuelan peoples act of 2019 as amended. the speaker pro tempore: the clerk will report the title of the bill. caller: h.r. 854, a bill to provide humanitarian assistance
to the venezuelan people including venezuelan migrants and refugees in the americas, and for other purposes. the speaker pro tempore: pursuant to the rule, the gentleman from new jersey, mr. sires, and the gentleman from florida, mr. rooney, each will control 20 minutes. the chair recognizes the gentleman from new jersey, mr. sires. mr. sires: i ask unanimous consent that all members have five legislative days in which to revise and extend their remarks and include extraneous materials on h.r. 854. the humanitarian assistance to the venezuelan people act of 2019 as amended. i yield myself such time as i may consume. the speaker pro tempore: without objection. mr. sires: mr. speaker, i rise in strong support of this legislation. ms. powell for
work on this from her first day in congress, she showed that supporting the venezuelan people would be at the top of her agenda. i am proud to partner with her on this bill. over the last few year, we have watched in horror as the venezuelan economy collapsed and rule of law in that country evaporated. today the manmade crisis created by the chavez-maduro regime in hat country has reached urgent levels. 90% of the country lives in poverty. earlier this month, the country suffered another massive blow when its electric grid collapsed. this made it impossible to refrigerate food and some venezuelans could no longer receive necessary medical treatments. these tremendous hardships have
generated a mass exodus from venezuela. almost 10% of the population has fled the country over the last three years. the united nations projects that by the end of this year, venezuelans will make up the largest refugee population in the world. suffering is only expected to worsen. congress must do everything it can to help the people of venezuela. this legislation addresses the humanitarian crisis in venezuela. -- in venezuela head on by authorizing new funding and requiring that usaid and the state department develop a humanitarian assistance strategy for the venezuelan people in venezuela and throughout the region. other countries in the region, particularly our close ally colombia, have done so much to open up their hearts and borders to the venezuelan refugees. it is important that the united
states help ease the burden on our regional partners and this bill is an important step forward. i urge my leagues to -- my colleagues to support this legislation and i reserve the balance of my time. the speaker pro tempore: the gentleman reserves. the chair recognizes the gentleman from florida. mr. rooney: i yield myself such time as i may consume. i rise in support of the humanitarian assistance to the venezuelan people act introduced by my colleague from florida and supported by our chairman. the humanitarian crisis in venezuela is unprecedented in our hemisphere and affecting the entire region. so far, more than 3 million have led the dictatorship of maduro whose mismanagement and oppression is cre ating
challenges for neighboring communities. there are millions of refugees in colombia, united states and around the world who fled venezuela. this bill will ensure we have a long-term strategy for u.s.-led humanitarian assistance to address the crisis so it is coordinated effecttively with local partners to meet the needs of its beneficiaries. it condemns violent actions by the maduro regime to olympic humanitarian aid from entering the country and authorizes funding for future humanitarian assistance. the administration has led the humanitarian effort for the people of venezuela and received invaluable support from the governments of colombia and brazil and the government of netherlands has allowed their island to be used as a hub to support future humanitarian aid. the united states and this
congress must remain united in the support for people of venezuela as they struggle to survive without adequate food and basic medicines. i urge my colleagues to support this legislation and i reserve the balance of my time. the speaker pro tempore: the gentleman reserves of the the chair recognizes the gentleman from new jersey. mr. sires: i yield five minutes to the author of this bill, the gentleman from florida. the speaker pro tempore: the gentlelady from florida is now recognized. ms. mucarsel-powell: thank you, representative sir ress and representative rooney. aduro is an illegitimate president. the venezuelan people are suffering the worst humanitarian crisis. without basic food and medicine, people are starving and diing.
3.4 million venezuelans have left the country. my bill would help alleviate the opinion of the venezuelan people by providing humanitarian assistance in accordance with established humanitarian principles to those within the country and in the region. it gives congress the authority to provide as much funding as is necessary to address the crisis in both 2020 and 2021. with no less than 150 million for each year. it also requires the state department and usaid to show the american people the most effective way to coordinate with nongovernmental and international organizations operating throughout the region. the bill also requires the administration to submit a report to congress assessing the impacts of u.s. humanitarian assistance. maduro has proven that he is
willing to let his own people suffer and die rather than accept international aid. it is not enough to provide usaid with the funds for this aid. the administration must show that they are trying everything they can to get the aid to the venezuelan people inside the country, not just leaving it at the border. that is what this bill will achieve. finally, the bill expresses congress' strong condemnation of all violent actions by the maduro regime and security forces to olympic humanitarian assistance. i urge all my colleagues to support this important legislation. i yield back. mr. sires: mr. speaker, i reserve. the speaker pro tempore: the gentleman from new jersey -- the -- yields back gentleman reserves. the gentleman from florida is recognized. mr. rooney: mr. speaker, we have
no additional speakers. i would like to thank the author once again, my colleague, and my neighbor in the cannon building and thank chairman sir ress for i -- sires in this area and tourge -- encourage everyone support this bill and i yield back. the speaker pro tempore: the gentleman yields back the balance of his time. the chair recognizes the gentleman from new jersey. mr. sires: mr. speaker, i yield myself such time as i may consume for the purpose of closing. i would like to once again thank the gentlelady for her remarkable leadership on this issue which demonstrates her strong commitment to the venezuelan people and her constituents who care so deeply about this issue. it is crucial that we stand with our partners and allies to
provide desperately needed assistance to the venezuelan people ap help relieve the people that other neighbors have taken on over the last few years. i urge my colleagues to support this legislation and i yield the balance of my time. the speaker pro tempore: the gentleman yields back. the question is, will the house suspend the rules and pass the bill h.r. 854 as amended. those in favor say aye. those opposed, no. in the opinion of the chair, 2/3 being in the affirmative, the rules are suspended, the bill is passed. and without objection, the motion to reconsider is laid on the table. for what purpose does the gentleman from new jersey secretary recognition?
mr. sires: mr. speaker, i move that the house suspend the rules and pass h.r. 1616, the european images security and diversification act of 2019 as amended. the speaker pro tempore: the clerk will report the title of the bill. the clerk: h.r. 1616, a bill to prioritize the efforts of and enhanced coordination among united states agencies to encourage countries in central and eastern europe to diversify their energy supplies and security and help the united states reach its energy security goals and for other purposes. the speaker pro tempore: pursuant to the rule, the gentleman from new jersey, mr. sires, and the gentleman from florida, mr. rooney, each will control 20 minutes. the chair recognizes the gentleman from new jersey. mr. sires: mr. speaker, i ask unanimous consent that all members have five legislative days in which to revise and extend their remarks and include
extraneous material on h.r. 1616, the european energy security and diversification act of 2019 as amended. i yield myself such time as i may consume. mr. speaker, i rise in support of the europeanian energy security and diversification act of 2019. i would like to thank my colleague on the foreign affairs committee, mr. kinzinger and mr. keating for introducing this bipartisan legislation. when we look at the full scope of vladimir putin's nepharious behavior throughout the world, we see it take many shapes and insidious attempts to influence democratic elections, incursions into the southern territory of other nations and military exercises designed to intimidate its neighbors. but this legislation addresses yet another tool in putin's
arsenal, the manipulation of natural resources. more and more we see russia using energy as a weapon to black mail countries depending on energy resources. the european union and many of our allies recognize this threat and have begun to take steps to reduce their vulnerability due to russian pressure. this mr. williams: ramp up america's support for energy security including financial support for projects that better connect energy improvements and efficiency. i urge my colleagues to join me in supporting this legislation. and i reserve the balance of my time. the speaker pro tempore: the gentleman reserves the balance of his time. the chair recognizes the gentleman from florida. mr. rooney: i yield myself such time as i may consume. i rise in strong support of the european energy security and
diversification act, which the foreign affairs committee adopted unanimously earlier this month. this bill sponsored by mr. eating and mr. kinzinger, will help countries reduce their reliance on russian energy by providing dip plow platic, technical and financial support to projects that diversify energy sources and supply routes competition. europe imports 40% of its natural gas from russia. some e.u. countries sources 100% of their gas from moscow which intimidate theto countries that depend on it for their energy. in 2006, 2009 and 2014, putin
cut off gas to the ukraine, a country he has tried to dismember through his illegal and ex aches of crimea. putin is trying to build a new pipeline. this pipeline will increase over berlin and also will reduce russia's reliance on the ukraine as a vital transit route to terrorists. this is roughly equal to what it speppeds on its military. it's not hard to see this is a strategic play by putin to increase pressure on ukraine where he continues to wage a war and also get closer to germany and dominate their energy. this bill isn't just about helping you -- europe.
this promotes u.s. energy as an appropriate alternative to the boppedage of russia. the revolution and repeal of the 1970's era ban on crude oil sales in 2015 have unlocked america's abundant oil and natural gas reserves and we have become the biggest producer. given our partners and allies an alternative to unstable resources of energy. we lead the world in clean energy technologies which carbon sequester is important for the environment as well. nuclear and renewables which this bill promotes. i reserve the balance of my ime. the speaker pro tempore: the gentleman reserves and the chair recognizes the gentleman from
new jersey. mr. sires: i yield five minutes to the gentleman from massachusetts, mr. keating. the speaker pro tempore: the chair now recognizes the entleman from massachusetts. mr. keating: i thank the gentleman from new jersey dealing with an important issue that we are dealing with now in western hemisphere and venezuela and associate myself with his remarks. i thank the gentleman from florida, mr. rooney, who has been a strong advocate of energy diversification and renewable energy, for his support. i rise in support of h.r. 1616, which is a bill i introduced with ranking member, representative kinzinger, as well as a bill i sponsored towards the last days of the last congress with senator chris murphy of connecticut showing both bipartisan and bicameral support for this effort.
mr. speaker, we saw again last weekend with the summary of the mueller report coming forward, just underscoring once again, the attack that was made on our country by russia. there is no mistaking it now and no mistake given our intelligence sources and at the time and this is not the only way that russia is seeking, number one, to attack the democracies of our country, but also strategicically create a wedge with the greatest asset we have. that asset is the coalition we have with our european allies. it's one of our greatest strengths and it's unique to this historic coalition. one of the ways russia is continuing to break up this western coalition and cause
great damage is not just attacks hey had in the you, but also wielding energy as a weapon to break up this great coalition we have, hurt democracies in europe, particularly eastern europe and here, undercutting our economic and our interests in sharing the values that we have with our greatest allies. . this is something we can't take for granted and we know this is a time when the u.s. is a great exporter of energy in this world and it's something that will benefit our economy going forward but will also benefit the diversification of energy in europe as well. something that will advance their economy but something, also, that will give them great protection against this russian
threat. we also know that it's just not the exporting of this energy that's going to be of value, but this bill also targets renewable energy development as well, and that's something that brings both the european countries together with the u.s. and also together sets us at a stage to compete worldwide. we can work together exchanging technological advances. we can work together as we share investments in each other's countries, and this is something that will both help the u.s. economy as a major exporter but help our growth going forward. so we need to work more closely and specifically this bill authorizes financing for private sector investments in energy, security projects, both in the united states and because of the trade that will ensue in renewables likewise.
i want to thank the committee for taking such early action in this congress. i think it states the priority nature of this, knowing this is going to be something that enhances european security, our security, enhances our economy and theirs and seeks to protect us. because as they talk about projects like nordstrom 2 in germany, they are using right now that leverage to create a threat and also to isolate countries like ukraine from their basic energy economic development. so this is important in so many respects. i urge our colleagues to -- on both sides of the aisle, showing the leadership of this bipartisan bill, to move it forward quickly, and i also want to recognize, again, senator murphy, who has been such a leader on this in the senate side. it's rare we have such a strong bipartisan support for a bill as well as bicameral support as well.
let's go ahead and move this forward today, and i yield back my time. mr. sires: mr. speaker, i reserve. the speaker pro tempore: the gentleman reserves. the gentleman from florida. mr. rooney: mr. speaker, we have no additional speakers at this time. i would once again like to thank the authors of this important resolution, mr. kinzinger and mr. keating, as well as chairman sires for his support. i'm glad to know senator murphy is on the case as well. this, one more time, i'd like to say, what i might, what a terrible idea the pipeline is and i appreciate the strong comments that congressman keating just made. we should be opposing that and e should be supporting the transcaucus pipeline. so i'd like to thank the authors one more time and encourage everyone, all of our colleagues to support this important bill, and i yield
back the balance of my time. the speaker pro tempore: the gentleman yields back. the gentleman from new jersey is recognized. mr. sires: mr. speaker, i want to, again, thank mr. kinzinger and mr. keating for their work on this bill to bolster our allies in the face of russian pressure. this is a good measure that addresses russia's use of energy to exploit and blackmail countries around the world. and i urge my colleagues to support it. with that i yield back the balance of my time. the speaker pro tempore: the question is will the house suspend the rules and pass the ill h.r. 1616, as amended. yes. mr. sires: on that i request the yeas and nays. the speaker pro tempore: those n favor say aye.
those opposed, no. in the opinion of the chair, 2/3 having responded in the affirmative -- r. sires: mr. speaker. the speaker pro tempore: the gentleman from new jersey is recognized. mr. sires: mr. speaker, on that i request the yeas and nays. the speaker pro tempore: the yeas and nays are requested. all those in favor of taking this vote by the yeas and nays will rise will rise and remain . anding until counted a sufficient number having arisen, the yeas and nays are ordered. pursuant to clause 8 of rule 20, further proceedings on this question will be postponed.
mr. ruiz: mr. speaker, i move to suspend the rules and pass h.r. 1839. the speaker pro tempore: the clerk will report the title of the bill. does the gentleman wish to call up the bill as amended? mr. ruiz: yes. the speaker pro tempore: the clerk will report the title of the bill. the clerk: h.r. 1839, a bill to amend title 19 to extend protection for medicaid recipients of home and community-based services against spousal imporverishment, establish a state medicaid option to provide coordinated care to children with complex medical conditions through health -- s, prevent the impoverishment, establish a state medicaid option to provide coordinated care to children with complex medical conditions through health homes, prevent the misclassification of drugs for purposes of the medicaid drug rebate program, and for other purposes.
the speaker pro tempore: pursuant to the rule, the gentleman from california, mr. ruiz, and the gentleman from texas, mr. burgess, each will control 20 minutes. the chair recognizes the gentleman from california. rise ruiz mr. speaker, -- mr. ruiz: mr. speaker, i ask unanimous consent that all members may have five legislative days to revise and extend their remarks and include extraneous material on h.r. 1839. the speaker pro tempore: without objection. mr. ruiz: mr. speaker, i yield myself such time as i may consume. the speaker pro tempore: the gentleman is recognized. mr. ruiz: mr. speaker, i'm humbled to rise in support of h.r. 1839, the medicaid services investment and accountability act, a bill that will strengthen our health care system by putting patients first. i'm an emergency physician and as a doctor i treated patients who, because they couldn't afford the care they needed, slipped through the cracks, worsened their quality of life, sometimes ending up in the emergency department for life saving care. this bill makes five essential reforms to medicaid that puts patients first. helping children and individuals with mental health
issues access the care they need. the bill's first reform reflects the hard work and tireless efforts of my friend, representative dingell, who has led the fight to extend medicaid spousal impoverishment protections. thanks to representative dingell's advocacy, they will not bankrupt their spouses. without this important protection, families will face a terrible choice between unnecessary institutionalization or impoverishing themselves to ensure their loved one received the care they need. i'd also like to thank congressman upton for championing this important policy. second, my you bill would provide additional funds to the money follows the person demonstration. this funding will help more individuals transition from institutions to the community they call home. i want to thank representatives dingell and guthrie for their advocacy on behalf of the patients and for the families who continue to benefit from this successful bill.
this bill includes the advancing care for exceptional kids act, bipartisan legislation that gives states the flexibility to coordinate the most effective care for children with medically complex needs. the ace kids act would not be possible without the sustained advocacy and hard work of congresswoman castor. representative castor is an incredible advocate for some of our most vulnerable children and families and have spent years championing this bill. i also want to thank my friend, representative bilirakis, for continuing to fight to ensure that our sickest kids have access to health homes. fourth, this bill contains important program integrity improvements to medicaid, fixes that will save money and make medicaid run more efficiently and effectively without sacrificing quality of care for patients. that includes legislation championed by representatives schrader and welch to crack down on companies cheating the medicaid program by not paying
proper rebates on their drugs. it gives the department of health and human services the tools it needs to hold ill-intentioned pharmaceutical companies accountable while ensuring patients that depend on these drug companies have access to them. fifth and finally, this bill extends find funding for the excellence in mental health act, so people struggling with mental health and substance use disorders can continue to receive the treatment they need. the extension will help congress find a longer term solution so that this program can continue providing care to the people who need it. i'd like to thank representative matsui for her continued hard work to support this demonstration. in brief, this bipartisan bill strengthens medicaid by putting patients first. it was the approach i took as a doctor in the emergency department and one i'm continuing to take in congress. i know this bill will make our health care system stronger and more equitable and i'm proud to lead this critical effort. i urge my colleagues to support this passage of h.r. 1839, the
medicaid services investment d accountability act of 2019 and reserve the balance of my time. the speaker pro tempore: the gentleman reserves and the chair recognizes the gentleman from texas. mr. burgess: thank you, mr. speaker. i'll yield myself such time as i may consume. i want to speak today in support of 1839, the medicaid services investment and accountability act of 2019. this is a bipartisan medicaid extenders package that moves forward house priorities with responsible offsets. in fact, this package actually saves the federal government $1 million. h.r. 1839 includes a new program to improve access to health care from medically complex children and re-authorizes effective and important programs that benefit americans each and every day. money follows the person is an important program for the state of texas. this medicaid demonstration, which was established in 2005,
has enabled eligible individuals in states across our nation to receive long-term care services in their homes or other community settings rather than an institution such as a nursing home. while i am disappointed h.r. 1839 only includes $20 million to extend this critical program through september instead of through the end of calendar year 2019, i am pleased that the funding for money follows the person was ultimately included in this package. this bill also includes an extension through september of the protection for medicaid recipients of home and community-based services against spousal impoverishment program. this program specifically protects married individuals requiring medicaid-covered long-term services and support to ensure they don't have to deplete their financial resources or to bankrupt
themselves in order to become or remain medicaid eligible to receive such services. our seniors are among our most vulnerable citizens, and it's programs such as this that will help protect them from financial ruin. according to the national institutes of mental health, nearly one in five united states adults lives with a mental illness. programs established to help individuals who are struggling with mental health issues, including the excellence in mental health program, enables state to complement community behavioral health centers to address the needs of their populations. . this extends the excellence of mental health program funding for oregon and oklahoma so they will be on the same financial cycle as other states participating in the program. this will improve care for children with complex medical needs is included.
the goal of this legislation is to improve comprehensive care for medley complex children through a state option to create a medicaid health home specific for children. health homes have been proven effective in improving effective in the adult medicaid population. however, i want to clarify that this legislation is not intended to limit families nor their physicians from selecting the provider of choice for medical services. there is nothing in this legislation that restricts the child's family or their physician from deciding who is best qualified as a medicare provider. the center for medicaid and medicare services has provided assurances that current freedom of choice rules will apply to new coordination activity. as a physician, i know many children with chronic illnesses
have a strong relationship with their physician and other providers. i want to make certain that this new law will help families coordinate their care without affecting the relationship that they have with their current doctor or providers in their communities whom they wish to receive care. this contains provisions that i will improve access for mid cade beneficiaries which is a laudable goal. and this, in fact, this package saves money. i would like to thank the energy and commerce committee staff and j.p. and caleb, who have spent a significant amount of their lives negotiating this package to get it to the floor. i support this legislation and i urge other members to continue to support this and get the other body to take it up as
well. i reserve. the speaker pro tempore: the gentleman reserves the balance of his time. the chair recognizes the gentleman from california. mr. ruiz: i yield three minutes to the the gentlewoman from california, ms. matsui. the speaker pro tempore: the chair recognizes the gentlewoman from california. ms. matsui: i rise in support of this bill. and the important provisions within this legislation to address mental health and addiction. every one of us knows someone who is struggling with mental health issues, whether it's a friend, a neighbor or family member. several years ago, we took a huge step forward to expand access to mental health services in communities across the nation. the excellence in mental health act of 2014 was a culmination of years of hard work, at the same time, it was the largest federal investment in improving
community-based mental health care. it allowed states to establish community behavioral health centers. these clinics have expanded mental health and substance abuse treatments, increasing access to 24-hour care and they have been extremely successful and showing us how we can achieve real results. parets can receive medications at almost every clinic. for many patients and providers, this is the first time that services have been available in their communities, which are medley underserved areas and half of these clinics offer same-day access to care which is critical to those suffering. i recently heard from a clinic in oregon who will lose funding at the end of this week if congress doesn't act now. it doubles the amount of time that doctors will hire more
staff and goes to patients in the community to serve the unique needs of this population. we cannot afford to let this progress expire. for far too long, those with mental illness are left in the shadows and been left out of our health systems. the mental health crisis is cre personal to me. i believe there is a lock we can do better to stop or slow down the hurt or pain patients and families feel when mental health is left unaed. this will extend to oregon and oklahoma until june and first step towards funding and expanding the program later this year. there is a lot more we must do. and i look forward to work with my colleague to preserve this vital program. i yield back.
the speaker pro tempore: the gentleman reserves the balance of his time. the chair recognizes the gentleman from texas. mr. burgess: at this time, i would like to recognize the gentleman from oregon, the republican leader of the energy and commerce committee for as much time as he may consume. the speaker pro tempore: the gentleman is recognized. mr. walden: thank you very much, mr. speaker and to my colleagues, is this really important legislation we are working today. the medicaid services investment accountability act includes short-term extensions of several key medicaid programs as we have heard that have previously passed the house on a bipartisan basis and our staffs put a lot of time on this. and i draw attention to caleb who brought his own audience with him. he has worked very hard on this. i would like to thank chairman frank pallone for the partnership on this steppeders'
package. personally, i know a lot of us would have liked to have these extended programs to go out further to give providers more serpt and more stability and we will continue to put offers to work across the aisle and fund these critical parts of america's safety net. however, we are here today up against a deadline and i'm pleased we get through june and september respectively with these programs and particularly pleased to see this program have the excellence in mental health demonstration from my home state of oregon. oregon and oklahoma were set to run out of funding at the end of this month. so this money will line them up with the other participating states whose funding expires at the end of june. these eight-state demonstration programs have shown promise to expand progress for behavioral and mental health, including
addiction. as we continue our work on the opioid crisis which hurts 70,000 american lives in 2017 alone, our behavioral health centers have the potential to provide real help. i have been encouraged to hear from providers about their success implementing this program. i look northward to working on a longer-term extension in the coming months. the other policies included in this bill are also important. it follows a demonstration program that transition dividuals with chronic disabilities back into their local communities. so-called spousal impofferment protects seniors. finally, we are passing the ace kids act here in the house which was championed by our former
colleague, representative joe barton of texas and improve the delivery of children with complex medical conditions. i urge my colleagues to support this bipartisan pack acknowledge of health care bills and i yield back. the speaker pro tempore: members re reminded to reference embers in the gallery. the gentleman from texas reserves. the gentleman from california. mr. ruiz: i yield two minutes to the the gentlewoman from florida, ms. castor. the speaker pro tempore: the chair recognizes the gentlewoman from florida. ms. castor: i thank my colleagues and friends for yielding the time. on behalf of families of a child with complex medical needs and there are many nam list, i rise a bill e h.r. 1839,
that i have been working on. called the ace kids act. advancing care for kids act putting children and their families first. the bill authorizes the creation of cost saving and time saving health homes where specialized care is coordinated in a high quality setting. like caroline west, she has a rare genetic condition and can't walk and very difficult for her to speak, but attends school part-time and injoyce the life of a typical teenager. lucy is the only lifbling person in the united states with my op pa think with respiratory
distress. very little is known about this disease but difficult for her to t and has a feeding tube and nursing care. jane velazquez, congenital heart deeffect and carter has a nervous system disorder that he can't breathe while he sleeps. i met these children at st. joseph's hospital. they have a world renowned complex clinic that was started 1 years by a pediatrician. this act is modeled about their act and the other good work that is being done at other hops. it provides an incentive for states to accomplish health homes. it also directs h.h.s. to provide guidance to states on best practices. i urge my colleagues to adopt
this bill with the ace kids act included and i ask unanimous the recordsubmit for a letter from a whole host of organizations thanking us for our leadership in introducing this bipartisan legislation to improve care for children with complex medical conditions. the speaker pro tempore: without objection. ms. castor: i yield back my time. the speaker pro tempore: the gentleman reserves. the chair recognizes the gentleman from texas. mr. burgess: at this time, i'm pleased to recognize the gentleman from michigan, former chairman of the emergency and commerce committee, three minutes to speak on this subject. the speaker pro tempore: the gentleman from michigan is recognized. mr. upton: i rise in strong support of this bipartisan legislation. i just want to remark briefly to
my colleague from florida, the ace kids bill was an important bill that we worked on through three concxds con gresses. you and joe barton did a marvelous job. we passeded it in this house in the last congress and in the end, the senate didn't take it up. it's very important that it is included as part of this bipartisan package that we can get the senate to act and pass it because it impacts families that are in much need. i'm happy that we are moving this comprehensive bill today, because it does contain a variety of important extensions. all of them had hearings and bipartisan support from the very first, but this includes protections against spousal impoverishment for those spouse that are receiving long-term care under medicaid.
back in 2010, we temporarily mandated that these protections for home care, but that mandate was set to expire at the end of this very week. so it has to be extended. last year, my good friend and colleague, mrs. dingell, we introduced a bill to make these protections permanent and we worked hard to get that done and passed here in the house. but in the end, even though we worked tirelessly on this, we only got a temporary extension and that's why it expires at the end of this week. this bill doesn't permanently stepped it, but it extends the protection until the end of this year. so, in essence, a nine-month extension. it's my hope we can use to pass a permanent extension and particularly commend the work of
my colleague, mrs. dingell from the great state of michigan, for her passion on this. i applaud the speaker for getting it scheduled on the house floor early and get it done and hopefully the senate can concur but use the time to ake it permanent to help these families wrrm familieser depend on medicaid to a large agree. and i yield back. . the speaker pro tempore: the chair recognizes the gentleman from california. mr. ruiz: i yield to the wonderful gentlewoman from michigan, mrs. dingell. the speaker pro tempore: the chair recognizes the gentlewoman from michigan. mrs. dingell: i thank my colleague from california for his leadership on this issue and for yielding me time. i rise to speak in support of h.r. 1839, the medicaid
services investment and accountability act. this bill includes two provisions which are very important to seniors and the disabled. it makes improvements but, as you heard my other colleagues talk about, not enough and not for long enough. but first of all, this has the provision which i worked on with my colleague, mr. upton, that extends the spousal impoverishment protections for seniors in medicaid through the end of the fiscal year. these critical protections ensure that individuals are not forced to spend down almost all of their resources and potentially go bankrupt to get the care that they need. no american should be forced into poverty just to receive adequate health care. in addition, this bill contains a provision which i worked on with my colleague, mr. guthrie, to extend the highly successful money follows the person program, again, just through
the end of the fiscal year. this program provides grants to states to help individuals voluntarily transition from an institutional setting to a community care setting, their own home. all americans, regardless of income, deserve to receive long-term care in a setting that they prefer. while i'm pleased that these programs will be extended through the end of september and not allowed to lapse, and that is critical. this is only a partial victory. both the money follows the person program and spousal impoverishment protections need to be extended for the long term, not a few months at a time. we keep doing it. this was three months ago we extended it for three months. seniors and individuals with disabilities need to have security. they need to know they have a peace of mind these important provisions are going to be there so they have issues can
have stability and certainty in order to fully implement these efforts. thank you, mr. speaker. i yield back that two seconds. thank you. mr. ruiz: i reserve the balance of my time. the speaker pro tempore: the gentleman from california reserves. the gentleman from texas. mr. burgess: thank you, mr. speaker. at this time i'd like to yield two minutes to the gentleman from kentucky, a valuable member of the energy and commerce committee and the republican leader of the oversight and investigations subcommittee. the speaker pro tempore: the gentleman from kentucky, the chair recognizes the gentleman from kentucky. mr. guthrie: thank you, mr. speaker. i rise today in support of h.r. 1839, which extends the important medicaid money follows the person program until september. the medicaid money follows the person program allows certain medicaid beneficiaries, such as the elderly or individuals with disabilities, to transition from a health care facility to receiving care in their own homes. it does not force patients to
leave a facility if they don't want to. since the money follows the person program was created over a decade ago, it has successfully helped over 88,000 individuals receive care in their own homes. i have worked with congresswoman debbie dingell on the bipartisan empower care act, which extends the medicaid money follows the person program for five years. i urge my colleagues to support this bill to extend the program until september, and i will continue to work with congresswoman dingell to get the empower act across the finish line. and i yield back my time. mr. burgess: i reserve. the speaker pro tempore: the gentleman reserves. the chair recognizes the gentleman from california. r. ruiz: i think we're ready to close, correct? mr. speaker, i urge my colleagues to support this bipartisan bill, h.r. 1839. i want to really thank all the
members that put their heart and soul into all their pieces of legislation. i want to thank the committee staff, energy and commerce, both democratic and republicans, who have come together to work to plug a hole, to fill in the cracks, and to make sure that services continue and value is given and that the health care puts our patients first, our kids first so that we can give them the appropriate care that they deserve no matter where they're from or whether or not they can afford it. so this is why i'm so humbled to carry the water on this bill and on behalf of myself, my staff, my office, want to thank everybody involved in this bill and i urge support for this bipartisan bill, h.r. 1839. i yield back the balance of my time. the speaker pro tempore: the gentleman from california yields. the gentleman from texas. mr. burgess: thank you, mr. speaker. this is an important bill, and
i urge all members to support it. once again, i want to single out and thank j.p. and caleb for really moving heaven and earth to get this to the floor so these valuable programs did not lapse and i'll yield back the balance of my time. the speaker pro tempore: the gentleman yields. the question is will the house suspend the rules and pass the bill h.r. 1839, as amended. hose in favor say aye. those opposed, no. in the opinion of the chair, 2/3 having responded in the the gentleman from texas. mr. burgess: i object to the vote on the grounds that a quorum is not present and i make a point of order that a quorum is not present. the speaker pro tempore: pursuant to clause 8 of rule 20 , further proceedings on this otion will be postponed.
and tomorrow, testimony from general dunford, the chair of the joint chiefs of staff on president trump's 2020 budget request and will be jointed by patrick shanahan held by the house armed services committee on c-span 3. on thursday, president trump will hold a campaign rally in grand rapids, michigan. ive at 7:00 eastern on c-span. >> once tv was three giant networks and government-supported service called p bmp s. in 1979, a small network rolled out a big idea. let viewers decide what was important to them. c-span opped the doors, bringing you unfiltered content from congress and beyond. this was true people power.
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