Providing for consideration of the bill (H.R. 5006) making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2005, and for other purposes.
Legislative Activity
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Motion to reconsider laid on the table Agreed to without objection.
September 8, 2004 • 11:50 AM
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Introduced in House
September 7, 2004
The House Committee on Rules reported an original measure, H. Rept. 108-661, by Ms. Pryce (OH).
September 7, 2004
All points of order against consideration of the bill are waived.
September 7, 2004 • 7:49 PM
Placed on the House Calendar, Calendar No. 220.
September 7, 2004
Considered as privileged matter. (consideration: CR H6763-6772)
September 8, 2004 • 10:36 AM
DEBATE - The House proceeded with one hour of debate on H. Res. 754.
September 8, 2004 • 10:38 AM
On ordering the previous question Agreed to by the Yeas and Nays: 209 - 190 (Roll no. 424). (consideration: CR H6771-6772)
September 8, 2004 • 11:49 AM
Passed/agreed to in House: On agreeing to the resolution Agreed to by voice vote.(text: CR H6763-6764)
September 8, 2004 • 11:49 AM
On agreeing to the resolution Agreed to by voice vote. (text: CR H6763-6764)
September 8, 2004 • 11:49 AM
Motion to reconsider laid on the table Agreed to without objection.
September 8, 2004 • 11:50 AM
Voting History
1 vote recorded • Roll call available
Floor Debate
21 membersWhat members said about H.Res. 754 on the floor
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Floor Debate
21 membersWhat members said about H.Res. 754 on the floor
Mr. Speaker, I thank the gentlewoman from Ohio for yielding me the customary 30 minutes, and I yield myself such time as I may consume. (Ms. SLAUGHTER asked and was given permission to revise and…
Mr. Speaker, I thank the gentlewoman from Ohio for yielding me the customary 30 minutes, and I yield myself such time as I may consume.
(Ms. SLAUGHTER asked and was given permission to revise and extend her remarks.)
Mr. Speaker, appropriation bills are the truest expression of Congress' priorities. All year long we may claim to support after-school programs and child care assistance or provide expanded job-search assistance to the 1.2 million unemployed Americans. All year long we may have expressed opposition to the new Labor Department overtime rules. Today is the day we match the deeds to words.
Mr. Speaker, the bill before us, H.R. 5006, the fiscal year 2005 Appropriations Act for the Department of Labor, Health and Human Services, and Education, shortchanges a wide range of programs important to the people we serve.
Now, why are these programs being shortchanged? To meet our homeland security or our defense needs? To pay down our historic $422 billion deficit? No. Programs are being shortchanged to pay for tax cuts that the Congressional Budget Office found go disproportionately to the wealthiest Americans.
Schools are shortchanged under H.R. 5006. And those who supported the No Child Left Behind Act should have a problem with the fact that this measure shortchanges our schools to the tune of $9.5 billion.
The promises made when No Child Left Behind was signed into law over 2\1/2\ years ago may be a faint memory to those who supported the bill, but let me assure you that school superintendents, principals, teachers, and parents have not forgotten.
While I was pleased to see the bill raises funding levels for special education and title I funding by $1 billion each, this is a far cry from what has been promised.
The elimination of 22 education programs under H.R. 5006 warrants attention. Among them are the Dropout Prevention Program, Teaching American History grants, Foreign Language assistance, and the Arts in Education program, which encourages the integration of arts into classroom instruction.
There is a human toll to cutting these programs. A 60 percent cut to the Perkins loan program will result in 53,000 students losing college assistance. A freeze in the level of Federal support for after-school programs may force communities to close their centers. In my district, this year, the Rochester school board had to make the painful decision to cut their budget by over $7 million. The children in Rochester did not have the option this summer to take summer school, and now their after-school programs are in jeopardy.
Turning to the Health and Human Services section of the bill, I am troubled by cuts to public health and our critical health care safety net programs. The bill terminates the Healthy Communities Access program, which is a vital grant program supporting local efforts that take care of the health of the uninsured. It is wrong to eliminate this important program, especially given the fact that, according to the new census figures, the number of uninsured Americans has swelled to 45 million.
Mr. Speaker, I submit herewith for the Record a report issued by the U.S. Census Bureau which provides further details regarding this issue:
Estimates derived from SIPP data answer such questions as:
What percentage of households move up or down the income
distribution over times? How many people remain in poverty
over time? How long do people without health insurance tend
to remain uninsured?
Income in the United States
highlights
Real median household money income remained unchanged
between 2002 and 2003 at a level of $43,318, following two
consecutive years of decline. Median income remained
unchanged for all types of family and nonfamily households
(such as married-couple household and single individuals)
between 2002 and 2003.
Real median household income remained unchanged for non-
Hispanic White, Black, and Asian households between 2002 and
2003. Households with Hispanic householders (who can be of
any race) experienced a real decline in median income of 2.6
percent between 2002 and 2003.
The most commonly used measure of household income
inequality, the Gini index, did not change between 2002 and
2003. The share of aggregate income received by the lowest
quintile declined from 3.5 percent to 3.4 percent, as did the
real income level delineating the 20th percentile of
household income, from $18,326 to $17,984 (a 1.9 percent
decline in real terms). The 80th percentile of household
income increased 1.1 percent, from $85,941 to $86,867 in real
terms.
The real median earnings of men who worked full-time, year-
round remained unchanged between 2002 and 2003 at $40,668.
The real median earnings of the comparable group of women
declined by 0.6 percent to $30,724. Reflecting the fall in
the earnings of women, the female-to-male earnings ratio
declined from 0.77 to 0.76 between 2002 and 2003. The last
time the female-to-male earnings ratio experienced an annual
decline was between 1998 and 1999.
Compared with 1967, the first year for which household
income statistics are available, real median household income
is up 30 percent. Over this period, median income tended to
rise and fall along with the business cycle. median income
peaked in 1999, was unchanged in 2000, declined over the next
2 years (by a cumulative 3.3 percent), and was unchanged in
2003.
race and hispanic origin
Real median household income remained unchanged for most
race groups between 2002 and 2003. For example, the median
incomes of non-Hispanic White households, Black households,
and Asian households remained unchanged. Hispanic households
experienced a decline in median income of 2.6 percent.
Black households had the lowest median income. Their 2003
median money income was about $30,000, which was 62 percent
of the median for non-Hispanic White households (about
$48,000).
Median money income for Hispanic households was about
$33,000 in 2003, which was 69 percent of the median for non-
Hispanic White households.
Asian households had the highest median income among the
race groups. Their 2003 median money income was about
$55,000. 117 percent of the median for non-Hispanic White
households.
american indian and alaska native population
Because of the relatively small population of this racial
group, the sampling variability of their income data is
larger than for the other racial groups and may cause single-
year estimates to fluctuate more widely. To reduce the
chances of misinterpreting changes in income or comparisons
of income with other groups, the Census Bureau uses 2-year-
average medians for measuring changes in the income of
American Indians and Alaska Natives over time, and 3-year-
average medians when comparing the income of this group with
other racial groups.
The 3-year-average (2001-2003) median income for American
Indian and Alaska Native households was higher than the
median for Black households; not different from the median
for Hispanic households; and lower than the medians for non-
Hispanic White households and Asian households.
Comparison of 2-year moving averages (2001-2002 and 2002-
2003) shows that the median income for American Indian and
Alaska
Native households who chose that race alone or in combination
with another increased by 4.0 percent over that period for
single-race American Indian and Alaska Native households,
median income remained statistically unchanged.
nativity
Native households had a real median income in 2003
($44,347) that was not different from that in 2002. Foreign-
born households experienced a real decline of 3.5 percent to
$37,499. Households maintained by a foreign-born house-holder
who was not a citizen of the United States experienced their
third consecutive annual decline in real median household
income, down 5.6 percent from 2002 to $32,806. The real
median income of house-holds maintained by a foreign-born
householder who was a naturalized citizen remained unchanged
at $46,049.
Median income was $44,347 for native households, 18 percent
higher than the median for all foreign-born households
($37,499), and 35 percent higher than for noncitizen foreign-
born households ($32,806).
region
Real median money income of house-holds did not change
between 2002 and 2003 in three of the four regions, while
income in the South declined 1.5 percent to $39,823. the
South had the lowest income of any region. In 2003, the
median income of households in the Northeast was $46,742; in
the Midwest, it was $44,73; and in the West, it was $46,820.
residence
Real median income remained unchanged between 2002 and 2003
for households inside metropolitan areas overall and outside
metropolitan areas, while the real median income of
households in central cities of metropolitan areas declined
by 1.4 percent of $37,174. This is the third consecutive year
that households in central cities of metropolitan area
experienced a decline.
income inequality
The Gini index indicated no change in household income
inequality between 2002 and 2003. The 2003 Gini index (0.464)
was higher than in 1995 although the individual annual
changes in that period were not statistically significant.
Between 2002 and 2003, the real income of the household at
the 20th income percentile (that is, the income percentile
(that is, the income delineating the lowest 20 percent of
households) declined 1.9 percent from $18,326 to $17,984, and
the income of the household at the 80th income percentile
increased 1.1 percent from $85,941 to $86,867 (the income
levels denoting the 40th and 60th percentiles did not
change). In addition, the share of aggregate income received
by the lowest household income quintile declined from 3.5
percent to 3.4 percent. The shares of all other quintiles
were unchanged--in 2003, the second quintile received 8.7
percent, the third quintile 14.8 percent, the fourth quintile
23.4 percent, and the fifth quintile 49.8 percent.
work experience and earnings
Of the 80.6 million men aged 15 and over who worked in
2003, 73.0 percent worked full-time, year-round, unchanged
from 2002. Of the 71.4 million women in the same age group
who worked in 2003, 58.7 percent worked full-time, year-
round, also unchanged from 2002.
The real median earnings of men who worked full-time, year-
round in 2003 ($40,668) did not change from 2002, while those
of their female counter-parts declined by 0.6 percent, to
$30,724. The decline in women's real earnings between 2002
and 2003 was the first since 1995. Reflecting the decline in
the real earnings of women, the female-to-male earnings ratio
for full-time, year-round workers fell from 0.77 to 0.76
between 2002 and 2003. The last time the female-to-mail
earnings ratio experienced an annual decline was between 1998
and 1999.
Health Insurance Coverage in the United States
highlights
The number of people with health insurance coverage
increased by 1.0 million in 2003, to 243.3 million (84.4
percent of the population).
An estimated 15.6 percent of the population or 45.0 million
people, were without health insurance coverage in 2003, up
from 15.2 percent and 43.6 million people in 2002.
The percentage and number of people covered by employment-
based health insurance fell between 2002 and 2003, from 61.3
percent and 175.3 million to 60.4 percent and 174.0 million.
The percentage and number of people covered by government
health insurance programs increased between 2002 and 2003,
from 25.7 percent and 73.6 million to 26.6 percent and 76.8
million, driven by increases in the percentage and number of
people covered by Medicaid (from 11.6 percent and 33.2
million to 12.4 percent and 35.6 million) and Medicare (from
13.4 percent and 38.4 million to 13.7 percent and 39.5
million).
The proportion of children who were without health
insurance did not change, remaining at 11.4 percent of all
children, or 8.4 million, in 2003. With an uninsured rate at
19.2 percent, children in poverty were more likely to be
uninsured than all children.
The uninsured rate and number of uninsured increased from
2002 to 2003 for non-Hispanic Whites (from 10.7 percent and
20.8 million to 11.1 percent and 21.6 million), but not for
Blacks or Asians. Although the number of uninsured increased
for Hispanics (from 12.8 million to 13.2 million), their
uninsured rate was unchanged at 32.7 percent.
The historical record is marked by a 12-year period from
1987 to 1998 when the uninsured rate (12.9 percent in 1987)
either increased or was unchanged from on year to the next.
After peaking at 16.3 percent in 1998, the rate fell for two
years in a row to 14.2 percent in 2000, before the latest
period of annual increases to 15.6 percent in 2003.
type of coverage
Most people (60.4 percent) were covered by a health
insurance plan related to employment for some or all of 2003,
but the proportion declined from the previous year. This
decline essentially explains the fall in total private health
insurance coverage, from 69.6 percent in 2002 to 68.6 percent
in 2003.
The percentage of people covered by health insurance
provided by the government increased between 2002 and 2003.
Medicaid coverage rose by 0.7 percentage points to 12.4
percent in 2003. Medicare coverage also rose in 2003, by 0.2
percentage points to 13.7 percent. Among the entire
population, 26.6 percent had government insurance, including
Medicare, Medicaid, and military health care (3.5 percent).
race and hispanic origin
In 2003, the uninsured rate for Blacks was unchanged at
about 19.5 percent, and the rate for Asians unchanged at
about 18.7 percent. The uninsured rate rose for non-Hispanic
Whites--from 10.7 percent to 11.1 percent. Among Hispanics,
the uninsured rate was unchanged at 32.7 percent, whereas the
number of Hispanics without coverage increased from 12.8
million to 13.2 million in 2003.
The 3-year averages of the uninsured rates by race and
Hispanic origin (2001-2003) show that people who reported
American Indian and Alaska Native had an uninsured rate that
was lower than the uninsured rate for Hispanics (32.8
percent) but higher than those of the other race groups.
Comparison of 2-year moving averages (2001-2002 and 2002-
2003) shows that the uninsured rate for American Indians and
Alaska Natives did not change.
nativity
The uninsured rate increased in 2003, from 12.8 percent to
13.0 percent for the native population, and from 33.4 percent
to 34.5 percent for the foreign-born population. Among the
foreign born, the uninsured rate for noncitizens also
increased, from 43.3 percent to 45.3 percent, while the
uninsured rate for naturalized citizens was unchanged at 17.1
percent. The proportion of the foreign-born population
without health insurance (34.5 percent) was about two and a
half times that of the native population (13.0 percent) in
2003. Among the foreign born, noncitizens were more likely
than naturalized citizens to lack coverage--45.3 percent
compared with 17.1 percent.
economic status
The likelihood of being covered by health insurance rises
with income. Among people in households with annual incomes
of less than $25,000 in 2003, 75.8 percent had health
insurance; the level increased with income up to 91.8 percent
for those with incomes of $75,000 or more. Compared with
2002, the coverage rate was unchanged for those with
household incomes more than $75,000, whereas rates fell for
those in each lower category of household income.
Of those 18 to 64 years old in 2003, full-time workers were
more likely to be covered by health insurance (82.5 percent)
than part-time workers (76.2 percent) or nonworkers (74.0
percent). The uninsured rate for those working full-time
increased from 16.8 percent in 2002 to 17.5 percent in 2003.
The comparable rates for those working part-time or not
working did not change.
children's health insurance coverage
The percentage and number of children (people under 18
years old) without health insurance did not change between
2002 and 2003, at 11.4 percent and 8.4 million, respectively.
The likelihood of health insurance coverage varied among
children by poverty status, age, race, and Hispanic origin.
Children in poverty were more likely to be uninsured than the
population of all children in 2003--19.2 percent compared
with 11.4 percent.
Children 12 to 17 years old were more likely to be
uninsured than those under 12--12.7 percent compared with
10.6 percent. While 21.0 percent of Hispanic children did not
have any health insurance in 2003, the comparable rates among
children for whom a single race was reported were 7.4 percent
for non-Hispanic White children, 14.5 percent for Black
children, and 12.4 percent for Asian children.
region
The South was the only region to show an increase in the
percentage of people without health insurance in 2003, up
from 17.5 percent in 2002 to 18.0 percent. The uninsured
rates for other regions did not change in 2003--12.9 percent
for the Northeast, 12.0 percent for the Midwest, and 17.6
percent for the West.
residence
The uninsured rates increased between 2002 and 2003 inside
metropolitan areas overall (from 15.3 percent to 15.6
percent) and for people living in the suburbs (from 13.1
percent to 13.5 percent), while the uninsured rates for
people in central cities of metropolitan areas (19.5 percent)
and outside metropolitan areas (15.5 percent) did not change
in 2003.
Mr. Speaker, it is also wrong to freeze funding for Title X Family Planning services or for prenatal care for mothers and medical treatment for uninsured children, which this bill does.
Most importantly, this bill does nothing to address the recently announced, just last week, over the holiday, the 17 percent hike to Medicare premiums, which is the largest premium increase in the 40-year history of Medicare. For seniors living on fixed incomes, there is no room in their budgets to pay another $11.60 for doctors' visits per month.
At a time when seniors in Medicare are preoccupied with questions of the prescription drug law, the news of a premium increase only compounds their concern and frustration with the Medicare program. Medicare is not being reformed; it is being eviscerated.
Another troubling aspect of the bill is the inclusion of a provision offered by the gentleman from Pennsylvania (Mr. Weldon) that could have a devastating effect on women's ability to receive the full range of reproductive health services, including abortion care and even simple information about their medical options. Talk about unconstitutional.
Under the Weldon amendment, health care companies are granted the right to exempt themselves from any Federal, State, or local law that assures women have access to abortion services and information. This is another gag rule. This sweeping ``refusal'' policy, otherwise known as a ``backdoor gag rule on doctors,'' is not restricted to just the actual abortion services, but also would allow companies not to pay for abortions, or even referrals for patients to see another doctor.
Once again, we are asking professionals not to be able to give to their patients the information they deserve and they need. It not only undermines the rights of women but also bestows power on insurance companies to choose whether or not to comply with the law. This is a precedent that should worry all of us and one that we have seen before that has been struck down. I know that this provision will be struck in conference and, if not, certainly in the courts.
It also says that should that information be given, the community can lose all of its Federal money. I do not know exactly how extensive that is. Does that mean all Medicare, Medicaid, nutrition money, highway money, school money, everything else that comes in from the Federal Government to the community will be cut off because a woman has been told her rights? Surely nobody in this House would want that.
Now, let me address some unfinished business from last year's appropriation debate: unemployment and overtime. This is really a tragedy, Mr. Speaker, for the millions of unemployed who are losing their homes, their cars, and are unable to keep their children in college. Millions of unemployed Americans today lost their jobs because of trade policies or outsourcing or the stalled economy, and they have not found replacement jobs. They have had to survive without the unemployment assistance for a year, something this country has never done before.
The news that 144,000 jobs were created in August was no solace, since our economy is still 1.2 million jobs short of where it was in 2000. At this rate, the current administration will be the first in our history to see fewer non-farm jobs created at the end of 4 years.
A 10 percent cut to farm offices is certainly not helpful. And funding Job Corps at a paltry $1.5 billion and providing only $25 million for community college training initiatives are also troubling decisions.
In addition to training, today's unemployed, over a fifth of whom are the long-term unemployed, need Congress to extend the unemployment insurance. I have constituents, as do all of my colleagues, who have exhausted all their regular and extended unemployment and still have not been able to secure a job. Unemployment insurance, which expired last November, must be extended and more needs to be done for America's dislocated workers.
Finally, I want to turn to a subject of keen interest to working Americans, access to overtime compensation. This week, for the 122nd year, Americans came together to commemorate Labor Day, a day when we celebrate the contributions that workers have made to the strength and the prosperity of our country. Alas, this year there is no cause for celebration for America's workers.
Today, they are simply struggling to support their families on wages that have not kept pace with inflation. They strain to cover exploding health care premiums, and they try to avoid joining the ranks of the 1.4 million workers who lost coverage last year alone. And they worry that their jobs are the next to be shipped off to Mexico or China. Now, with the enactment of the Labor Department's new overtime rules, they have a whole new source of stress. Today, they worry they are among the 6 million workers who stand to lose access to overtime pay under the new rules.
My colleague, the gentleman from Wisconsin (Mr. Obey), will offer an amendment to block enforcement of the final overtime rule with one exception. It would allow an increase to the salary threshold for low- wage workers from $8,060 to $23,600. Last year, this body approved, by a vote of 221 to 203, a similar measure that would have stopped the Department of Labor from rolling back the 40-hour workweek. As we all know, at the insistence of this administration, that provision was stripped out from the final fiscal year 2004 omnibus appropriations bill, even though it had passed both Houses.
Mr. Speaker, I submit for the Congressional Record a list of people who are losing their overtime work, which include firefighters, police sergeants, nurses, licensed practical nurses, nursery school teachers, oil and gas pipeline workers, steel workers, teachers, and on and on.
The Republican-Led Senate Voted 99:0 To Protect Overtime Rights for
Workers in 55 Job Categories Because They Had No Confidence in the
Administration's Claims
Any work paid on an hourly basis
Blue collar workers
Any work provided overtime under a collective bargaining
agreement
Team Leaders
Computer programmers
Registered Nurses
Licensed practical nurses
Nurse midwives
Nursery school teachers
Oil and gas pipeline workers
Oil and gas platform workers
Refinery workers
Steel workers
Shipyard and ship scrapping workers
Teachers
Technicians
Journalists
Chefs
Cooks
Police Officers
Firefighters
Fire sergeants
Police sergeants
Emergency medical technicians
Paramedics
Waste disposal workers
Day care workers
Maintenance employees
Production line employees
Construction employees
Carpenters
Mechanics
Plumbers
Iron Workers
Craftsmen
Operating engineers
Laborers
Painters
Cements masons
Stone and brick masons
Sheet metal workers
Utility workers
Longshoremen
Stationary engineers
Welders
Boilermakers
Funeral directors
Athletic trainers
Outside sales employees
Inside sales employees
Grocery store managers
Financial services industry workers
Route drivers
Assistant retails managers
Mr. Speaker, we do not do enough in this bill, and we really must.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I yield 5 minutes to the gentleman from Wisconsin (Mr. Obey).
Mr. Speaker, I yield 4 minutes to the gentlewoman from Texas (Ms. Jackson-Lee).
(Ms. JACKSON-LEE of Texas asked and was given permission to revise and extend her remarks.)
Mr. Speaker, I yield myself the balance of my time. I want to call a vote for the previous question and urge a ``no'' vote.
If the previous question is defeated, I will offer an amendment to the rule that will make in order an amendment that was submitted to the Rules Committee yesterday by the gentleman from Wisconsin (Ranking Member Obey) but, sadly, was rejected. The amendment would increase funding for a number of vital programs and services that are insufficiently funded in the bill.
The programs and services provided in H.R. 5006 touch the lives of almost every American. The bill funds activities ranging from education for preschoolers from low-income families, to college tuition assistance, and to home-delivered meals for the elderly. It also provides for job training, worker protection, and funding for medical research. But as critical as these programs are to our citizens, the leadership has drastically underfunded them. The Obey substitute will help restore funding to a number of the most important of these programs.
I want to point out that this amendment is fully paid for. It offsets the increased costs of the programs by slightly scaling back the 2001 and 2003 tax cuts for those with incomes above $1 million. Under this amendment, their average tax cut would go from $127,000 to $89,000, still a very substantial tax cut. I think most people making that kind of money are willing to accept this modest cut, especially since it will help improve the quality of life for so many less-privileged Americans and help America.
Mr. Speaker, all Members of this House need to be very concerned about the lack of adequate funding for the critical programs and services in this bill, whether it is health care, education, medical research, services for the elderly, low-income energy assistance. The list is long. The Obey amendment would help correct the funding deficiencies in the bill and would do so, as I said, with no additional cost to the deficit.
I urge Members on both sides of the aisle to vote ``no'' on the previous question so that we can vote on the Obey amendment. A ``no'' vote will not stop the House from taking up the Labor-HHS bill. It will not affect the open-amending process provided for in the rule. But a ``yes'' vote will prevent the House from considering this important amendment.
I urge a ``no'' vote on the previous question.
Mr. Speaker, I ask unanimous consent to insert the text of the amendment immediately prior to the vote on the previous question.
Mr. Speaker, I yield back the balance of my time.
Mr. Speaker, I object to the vote on the ground that a quorum is not present and make the point of order that a quorum is not present.
Mr. Chairman, I yield myself such time as I may consume. Mr. Chairman, I am pleased to offer today the fiscal year 2005 appropriations bill for the Departments of Labor, Health and Human Services,…
Mr. Chairman, I yield myself such time as I may consume.
Mr. Chairman, I am pleased to offer today the fiscal year 2005 appropriations bill for the Departments of Labor, Health and Human Services, Education and related agencies. By taking into consideration the priorities of the President and the Members, all the Members of this House, we have produced a bill that meets the needs of all Americans. This bill affects the lives, in one way or another, of every American.
We are appreciative of the efforts of the leaders of the House and the chairman of the Committee on Appropriations, the gentleman from Florida (Mr. Young), to provide a workable allocation for this bill. I am pleased to say that this bill was unanimously approved on a bipartisan basis in both the subcommittee and the full committee. I would also like to acknowledge the hard work, dedication, and expertise of my subcommittee staff, as well as the minority staff, in putting together this bill.
Mr. Chairman, this bill is about hope. It gives hope to every child seeking a good education, it gives hope to everyone searching for a good or better job than they have, and it gives hope to the ill seeking a cure.
This bill provides $142.5 billion--that is $500 for every person in the United States of America--a 2.2 percent increase over fiscal year 2004, for over 500 different discretionary programs. It is responsible, it is fair, and it is balanced.
Let me first talk about education. I would like to discuss what this bill provides for education. Education is essential to the preservation of democracy, and an investment in education is an investment in human capital and an investment in the future of this great Nation.
Mr. Chairman, Federal education spending has more than doubled since fiscal year 1996, from $23 billion to nearly $60 billion today. We have focused spending in this bill in the key areas that most directly improve our children's education.
First and foremost, I believe that no child will be left behind if he or she has a quality and dedicated teacher. Almost every teacher in our Nation's classrooms today is there for one reason: They love children and want to help them reach their full potential, and that should be their goal.
We applaud their hard work and dedication, and we support them in this bill by providing funding to encourage people to enter the field of teaching and to strengthen and maximize the skills of those already in the classroom.
I would urge young people that are thinking about a career to give consideration to being in a classroom, where they can touch the lives of children. Often when I speak to large groups out in the district, I say, how many of you had a teacher that has made a difference in your life? Almost every hand in the room goes up.
This bill also supports teachers and students by increasing funding for Title I by $1 billion. Title I provides the additional resources to low-income schools to help principals, teachers and students close education achievement gaps. At the school level, Title I helps provide additional staff, ongoing training and the latest research, computer equipment, books or new curricula offerings that, coupled with strong accountability efforts, helps disadvantaged children meet the same high standards as their more advantaged peers.
In addition to the funding increases in Title I, this bill also increases funding for scientifically based reading programs so that all children can read well by the end of the third grade. In 3 short years, funding for reading programs has tripled to over $1.3 billion, tripled, and importantly so. Reading is the key. This investment will assist parents, teachers and school districts in meeting the reading challenges of our children.
Mr. Chairman, many of my colleagues speak with me about the financial demands of special education on
their local school districts. We also hear from parents about the need to support adequate special education funding to ensure their special- needs children receive a quality and equal education opportunity.
In this bill, funding for special education totals over $11 billion, a nearly 380 percent increase since fiscal year 1996, and $1 billion more than last year.
Title III programs are designed to strengthen institutions of higher education that serve a high percentage of minority students and students from low-income backgrounds. I want to point out that in fiscal year 2005, funding to Title III programs is at $519 million, and this, combined with the funding for Howard University and other historically black colleges and universities financing programs, our commitment to minority serving institutions exceeds $975 million.
The sharp rise in college costs continues to be a barrier to many students. Pell grants help ensure access to postsecondary education for low and middle-income undergraduate students by providing grants that help meet college education needs. The bill continues to support a maximum Pell grant level of $4,050, while also including $12.9 billion for Pell grants, an increase of $823 million over last year.
Health and Human Services.
If you have good health, you have hope; and if you have hope, you have everything. Health care is a critical part of our Nation's economic development. To assist in protecting the health of all Americans, and to provide essential human services, the bill provides the Department of Health and Human Services over $62 billion for fiscal year 2005.
Mr. Chairman, similar to the Department of Education, we have more than doubled the funding for HHS since fiscal year 1996: $28.9 billion in fiscal year 1996 to $62.2 billion for fiscal year 2005. I think that is a tremendous increase under the circumstances, but will meet real needs.
At the forefront of new progress in medicine, the National Institutes of Health supports and conducts medical research to understand how the human body works and to gain insight into countless diseases and disorders. As a result of our commitment to NIH, our citizens are living longer and better lives. Life expectancy at birth was only 47 years in 1900. By 2000, it was almost 77 years, and my colleagues heard me say earlier that Dr. Zerhouni testified that every 5 years, life expectancy goes up a year.
In every state across the country, the NIH supports research at hospitals, universities, and medical schools. The 5-year doubling of the NIH budget completed in fiscal year 2003 has picked up the pace of discovery and heightened public expectations. We now expect NIH to carefully examine its portfolio and continue to be a good steward of the public's investment. Funding for NIH has increased by over $700 million, bringing its total budget to $28.5 billion. In that regard I might say that we looked at all the programs and said, is this producing results so that we could use the money as good stewards and as wisely as possible for the 280 million Americans.
All of the information and advances we have gained from NIH, however, will be useless if they do not make their way to health care providers and individuals, those most responsible for their own health. Thus, the work of the Centers for Disease Control and prevention is critical to protecting the health and safety of people at home and abroad.
Recognizing the tremendous challenges faced by CDC, we have provided over $915 million for the prevention and control of chronic diseases such as diabetes, cancer, heart disease, arthritis and tobacco use, and $640 million for immunizations. CDC's total allocation for fiscal year 2005 includes nearly $4.5 billion.
Mr. Chairman, health centers operating at the community level provide regular access to high-quality, family-oriented, comprehensive primary and preventive health care, regardless of ability to pay, and improves the health status of underserved populations living in inner city and rural areas. These funds provided in our bill, $1.8 billion, an increase of $218 million over last year, are expected to serve 14.8 million patients in fiscal year 2005--83 percent more than in fiscal year 1996. These are important to a lot of people. They are important to emergency rooms, because it gives people a place to go as an alternative.
Children's hospitals across the Nation are the training grounds for our pediatricians and pediatric specialists. Many of these hospitals are regional and national referral centers for very sick children, often serving as the only source of care for many critical pediatric services. The bill provides over $303 million to train these important caregivers who care for America's youngest population, its children.
The Ryan White AIDS Drug Assistance Program funding is increased by over $35 million, bringing its total to over $800 million. The increase in funding assists those infected with the virus and receiving vital medication through the drug assistance program. Overall, the Ryan White AIDS programs are funded at more than $2 billion.
The Centers for Medicare and Medicaid Services is the Federal agency responsible for overseeing Medicare, Medicaid, and the State Children's Health Insurance Program. CMS is the largest purchaser of health care in the world and second only to Social Security in the level of Federal spending. And while the mandatory funding for CMS programs comes through the Committee on Ways and Means, this bill provides the costs for their administrative functions. Funding for CMS is at $2.7 billion, an increase of more than $100 million. That is important, because it will speed up processing of claims for people in Medicare, Medicaid, and so on.
Infant mortality rates in certain segments of our population are at least 1\1/2\ times the national average. We have provided over $97 million for the Healthy Start Program, which uses community-designed and evidence-supported strategies aimed at reducing infant mortality.
Our commitment to a child's well-being does not rest with Healthy Start. We have provided nearly $6.9 billion for Head Start, a program designed primarily for preschoolers from low-income families.
The Adoption Incentive Program has been successful in contributing to substantial increases in adoptions in recent years. Between fiscal year 1998 and fiscal year 2002, a total of 236,000 children were adopted. Think what that means. They got a home. They got a family, Mr. Chairman. 236,000! While the overall number of children being adopted has grown dramatically, some children needing permanent homes remain less likely to be adopted. This bill provides $32 million for the Adoption Incentives Program so that States may continue their efforts to increase the number of children adopted by caring families.
Additional support for the President's initiatives in this bill include: $55 million for the Compassion Capital Fund, which helps faith-based and community organizations increase their effectiveness and enhance their ability to provide social services to those most in need. Mr. Chairman, $129 million for violent crime reduction programs; $110 million for abstinence education, an increase of nearly $35 million over the fiscal year 2004 level.
The Low Income Home Energy Assistance Program ensures that low-income households are not without heating or cooling and provides protection to our most vulnerable populations: the elderly, households with small children, and persons with disabilities. The funds are distributed to the States through a formula grant program, and we have provided $2 billion for fiscal year 2005, an increase of $110 million over the fiscal year 2004 level. In addition, $227 million is included for the weatherization program.
Mr. Chairman, our society is judged not only by the care we provide to our young, but also by how we treat the elderly. This bill provides over $1.4 billion to the Administration on Aging to enhance health care, nutrition, and social supports to seniors and their family caregivers.
In the labor area.
We ought to support the aspirations of people: good health, security, meaningful work, creative and intellectual pursuits. The Department of Labor plays a key role in many important worker-training and protection programs. Therefore, we have restored
funding to core job training and employment assistance programs.
A number of communities continue to experience plant closings and other layoffs, and we understand the need to support dislocated worker- training programs that can assist workers to return to gainful employment. In this bill, we restore funding for dislocated worker- assistance programs to nearly $1.5 billion, $25 million over fiscal year 2004, and an increase of over $96 million above the budget request.
This bill includes $19 million for a Homeless Veterans Reintegration program to operate employment programs that reach out to homeless veterans and help them become employed.
Worker-protection programs, including OSHA and MSHA, are funded at $462 million and $276 million, respectively.
The Social Security Administration receives its mandatory allocation through the Committee on Ways and Means; this bill provides the funding for their administrative costs. Effective administration of this agency ensures efficient services to recipients. We have included $485 million, an increase in the funding for the Social Security Administration to improve delivery of benefits and expedite the processing of disability claims. I am sure all of my colleagues have experienced this, where people very much need the funding and to get their disability claims taken care of, and we recognize that; and we have added money so that we can speed up the process.
Mr. Chairman, much more could be said about this bill which touches every American at some point in life. We are mindful of the fiscal limitations of our bill and have tried to use the allocation to fund our highest priorities.
The French philosopher de Touqueville came to America in the 1800s and wanted to see what makes this country different, and he observed, ``America is great because she is good. If America ceases to be good, America will cease to be great.''
This bill is about the goodness of America. This bill is a perfect example of how the taxpayers of this country are providing funds to help others. It is a perfect example of caring for each other, and I think that is very much a part of the goodness of America. As I stated earlier, this bill is about hope. Someone once said, ``Hope deferred makes the heart sick, but a desire fulfilled is a tree of life.'' We give hope to people who want better education. We give hope to people who want better health, and we give hope to those who are seeking retraining in order to get a job. This is very important in what this bill does for the people of this Nation. I think the people desire a good education, they desire meaningful jobs, and they desire good health.
Mr. Chairman, this bill does its best, within the constraints of what we had available, to meet the American people's needs. It is responsible, it is fair, and it is balanced. I ask my colleagues to support it.
Mr. Chairman, at this time I will submit a detailed table of the bill into the Record.
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Mr. Chairman, I reserve the balance of my time.
Mr. Chairman, I yield 3 minutes to the gentleman from Mississippi (Mr. Wicker), a very valued member of our subcommittee.
Mr. Chairman, for the moment, I reserve the balance of my time.
Mr. Chairman, I continue to reserve the balance of my time.
Mr. Chairman, I yield myself such time as I may consume to remind my colleagues that in what is a relatively short period of 9 years, the total of this bill has gone from $65 billion to $143 billion. That is a dramatic increase, and I think it recognizes the commitment on the part of Members on both sides that these are important issues that we are addressing in this bill. But I think it also reflects the fact that we have a caring approach.
Mr. Chairman, I yield 1 minute to the gentleman from Florida (Mr. Weldon), a very valued member of the subcommittee.
Mr. Chairman, how much time do we have remaining?
Mr. Chairman, I yield 1 minute to the gentlewoman from Texas (Ms. Granger), a great member of our subcommittee.
Mr. Chairman, I yield 4 minutes to the gentleman from Ohio (Mr. Boehner), the chairman of the Committee on Education and the Workforce and a great colleague from Ohio.
Mr. Chairman, I yield myself the balance of my time. One comment I would like to make, we are talking about a lot of programs here and an effort to improve education, but the bottom line is that the real work is done in the classroom. I just want to pay tribute to the teachers of America. I think we are so fortunate to have the dedicated people that are in the classroom. I have met many of them, as have you. As I said earlier, when I ask at a meeting, how many of you had a teacher that impacted your life, every hand in the room goes up.
So what our job is, with programs, provide support for those people that are out there and are dedicating their efforts and their lives to young people of this Nation, and we should say a big thank you to all of them.
Mr. Chairman, I move to strike the last word. I commend the gentlewoman for what she is trying to do here. My concern is that if we diminish OSHA's impact, we will have more people going into the hospital. Part of the objective of OSHA is to have safety in the workplace and get fewer people in. I think her desire to improve the quality programs that are embodied in the amendment here, we will be sensitive to this in conference. We have no idea what the other body's bill is going to look like and where the emphasis is going to be. I appreciate the fact that the gentlewoman will withdraw her amendment, but we will keep this very much in mind.
I yield to the gentlewoman from Connecticut.
I thank the gentlewoman for her contribution.
Mr. Chairman, will the gentlewoman yield?
Mr. Chairman, I think the gentlewoman has a good amendment here. We are prepared to accept this, and I think in light of all the circumstances, the need for veterans' employment and training is growing, and, therefore, I think this is a very positive amendment, and we would be willing to accept it at this point.
Mr. Chairman, I reserve a point of order.
Mr. Chairman, I move to strike the last word.
I appreciate the fact that the gentleman is withdrawing the amendment because there is not an offset, but I want to commend him for his thoughts on this issue because it is important. These centers are very important, and it is a classic example of what confronted us in the subcommittee, and that is, there is so much in the way of good things that need to be done, and we had to make priority judgments. We will keep this in mind as we go to conference, but I certainly think the need is out there.
I yield to the gentleman from Texas.
Mr. Chairman, I rise in opposition to the amendment.
Mr. Chairman, there are a couple of things that I would point out in opposition to this. Number one, we are already recognizing the need for health statistics. In this bill, we have increased the amount for this purpose by $21,960,000. This is an increase of almost 20 percent over last year.
Secondly, at NIH we have increased the amount for monthly health and health disparities reports by $5.3 million.
So it is not the case that we have ignored the subject. I think we have tried to deal within the constraints of what we have available, and to take the money out of the other program, I think, would be just a mistake at this point. Therefore, I would be in opposition to the amendment.
Mr. Chairman, I reserve a point of order against the amendment.
Mr. Chairman, I withdraw my point of order, and I move to strike the last word.
Mr. Chairman, this amendment, if I understand it correctly, takes $1 million out of abstinence and puts it into CDC without any clarity as to how it would be used in CDC. We have over $4 billion in CDC already. I do not think that adding another $1 million would be significant in their total budget; and in abstinence, it is important that we kept that as tight as possible. Again, it is a rearranging of priorities, and for that reason I object to the amendment.
Mr. Chairman, I just want to point out, we do have $22.5 million in the bill now for hepatitis C funding, and we recognize the importance of that, and we have done all that we could within the budget constraints, and there is a sizable amount there.
Mr. Chairman, I ask unanimous consent that the remainder of the bill through page 42, line 7 be considered as read, printed in the Record and open to amendment at any point.
Mr. Chairman, I move to strike the requisite number of words.
Mr. Chairman, I want to point out that we recognized in our bill the importance of LIHEAP. We did increase it by $111 million over last year. The total provided in the bill is now $1.9 billion, a lot of money, and that is the formula grants that go right out to the States. In addition, there is $100 million for the contingent emergency fund, and lastly, in the weatherization assistance grant, which came to us from the Subcommittee on the Interior and Related Agencies, we are funded at $227 million.
None of us know exactly what the needs will be in the coming winter. It could be severe, it could be mild; and if it is a mild winter, I think this is more than adequate. If it is a severe winter, we may want to do a supplemental appropriation.
I yield to the gentleman from Vermont.
Mr. Chairman, reclaiming my time, it seems easy to take this out of the administrative
budget of the Secretary of Health and Human Services, but let me point out that he has a great challenge in oversight to manage that Department effectively, and that is part of his administrative budget.
Within that budget, he has to administer the Centers for Disease Control, the National Institutes of Health, the FDA, HRSA, SAMHSA, the Indian Health Services, CMS, the children and families programs, the older americans programs and the health care quality. Now, that is quite a range of services that he has to manage effectively if they are going to serve the public well, and we are faced with some priority choices here.
Mr. Chairman, well, if the gentleman would be willing to withdraw, we certainly would keep it in mind in conference, because I understand. I come from a State where it gets reasonably cold in the winter, too.
I understand what the gentleman is saying about fuel costs. We do not know, I see gasoline is like a yo-yo. One day it is $1.89 out my way, and the next day it is $1.69. But the problem for the Secretary of HHS to manage all these agencies, what we have tried to do is put in a reasonable amount for his needs.
Now, in conference, maybe we can address this, and we would certainly keep it in mind if the gentleman would consider withdrawing it.
Mr. Chairman, will the gentleman yield?
Mr. Chairman, I have been very pleased to see that NIH has responded so quickly and thoughtfully to the House report language. I think it is a very simple proposition: NIH, or the taxpayer, pays for the research, even pays for the journals, and should be able to share the results with the taxpaying public. Our investment in research is not well served by a process that limits taxpayer access instead of expanding it, and I should add public access.
I encourage NIH to move expeditiously to finalize its proposal after considering the comments it receives on its policy. The public deserves nothing less.
Mr. Chairman, I reserve a point of order on this, and we do not have a copy of the amendment.
Mr. Chairman, reluctantly we concede the point of order, but I would point out this is part of the President's request. It is a management tool to let the user pay for a service being provided by the government. But the gentleman is correct, it does violate the right of the authorizers to deal with this subject, and it is not a proper part of the bill.
Mr. Chairman, with the understanding that this has been cleared with the Committee on Ways and Means, we are prepared to accept this amendment.
Mr. Chairman, I reserve a point of order on this amendment.
Mr. Chairman, I move to strike the last word.
I appreciate the fact that the gentleman is withdrawing the amendment. I think it has been a good discussion about what is a continuing problem. We have recognized it to some extent by putting 12 million plus or minus in AHRQ to do this very thing, and it is something we should keep in mind in the future. But the problem here is there is no offset for the $50 million. I think the intention is good, but this has been a tough bill to make all the dollars fit.
I yield to the gentleman from Maine.
Mr. Chairman, I make a point of order against the amendment because it provides an appropriation for an unauthorized program and therefore violates clause 2 of rule XXI. The pertinent part of clause 2 of rule XXI is as follows: An appropriation may not be in order as an amendment for an expenditure not previously authorized by law.
Mr. Chairman, the authorization for this program has not been signed into law, and therefore it violates clause 2 of rule XXI.
I ask for a ruling from the Chair.
Mr. Chairman, I withdraw my point of order.
Mr. Chairman, I ask unanimous consent that the remainder of the bill through page 95, line 21, be considered as read, printed in the Record, and open to amendment at any point.
Mr. Chairman, I reserve a point of order on the proposed amendment.
Mr. Chairman, we will have to insist on our point of order because obviously this is legislating on an appropriations, to add the language that the gentleman from Wisconsin is proposing. It violates clause 2 of rule XXI. The rule states in pertinent part that an amendment to a general appropriation bill shall not be in order if it changes existing law. Obviously, this amendment proposes a change in existing law by prescribing changes in tax liabilities; and, therefore, we insist on our point of order.
Mr. Chairman, a number of my colleagues have stood up today to speak out against various parts of the Labor, Health and Human Services and Education appropriations bill. I recognize that through our…
Mr. Chairman, a number of my colleagues have stood up today to speak out against various parts of the Labor, Health and Human Services and Education appropriations bill. I recognize that through our positions as legislators, we have the ability to create programs and new initiatives that can benefit our constituents and our country. It is within the scope of our job to debate which programs deserve particular funding. Appropriations bills are Congress' vehicle of funding the public, not for creating limitations and barriers for their basic rights afforded by the constitution.
Within this appropriation bill is a provision that effectively prohibits a federal agency or program, or State or local government, from enforcing any abortion-related laws or regulations as they apply to health care entities. ``Healthcare entity'' is defined to include individual physicians or other health care professionals, hospitals, provider-sponsored organizations, HMOs, insurance plans, or ``any kind of health care facility, organization, or plan.'' This ``refusal clause'' permits a broad range of individuals and institutions-- including hospitals, hospital employees, health care providers, employers, and insurers--to refuse to provide, pay, counsel or even issue referrals for medical treatment based on their moral or religious views.
Refusal clauses affect a broad range of reproductive services, including: information and referrals for family planning, genetic counseling, infertility treatment, rape treatment, sterilization, STD and HIV testing and treatment and abortion.
Doctors and health care providers have a duty to ensure that women receive accurate
information and appropriate care. Failure to provide this care--even for religious, political or ideological reasons--jeopardizes women's health and violates bedrock principles of medical ethics.
obey overtime amendment
I would like to join many of my Democratic colleagues in supporting Mr. Obey's amendment to restore overtime protection to the millions of workers who will otherwise lose it if the Bush administration regulation that went into effect on August 23 is allowed to remain in effect.
Workers who are likely to see their pay cut include 2.3 million ``team'' leaders; almost 2 million low-level supervisors; hundreds of thousands of loan officers and other financial service employees; more than 1 million employees who lack college or graduate degrees or who may not be considered ``artistic'' professionals; 90,000 computer employees, funeral directors and embalmers; and more than 30,000 nursery school and Head Start teachers across the country.
Those families that lose overtime protection will find they will have to work longer hours for significantly less money. Overtime accounted for approximately a quarter of the income, more than $8,000 a year, for families who earned overtime in 2000. As the pool of workers who are exempt from overtime is expanded, those workers who are not directly affected by the regulation will lose income as their opportunity to be able to work overtime is diminished.
The Bush administration has justified the regulation on the basis of a proposed clarification of the rules and limitation on litigation; however, virtually every observer of the regulation has acknowledged that the regulations will incorporate vague new terms, that provisions of the regulation are confusing and conflicting, and that the regulation will engender substantial litigation for years to come.
I will offer two amendments to this legislation that would address the horrific effects of hepatitis C and lupus--the silent killer.
The purpose of the Jackson-Lee amendment relating to hepatitis C is to increase the research activities at the Centers for Disease Control for patients who are particularly at risk for the disease or resistant to conventional treatments--African-Americans, children and adolescents, renal dialysis patients, HIV/HCV positive patients, and patients with hemophilia. Because hepatitis C is a communicable disease, I believe this is an important step in getting this public health issue under control.
Back in June of this year, I joined the ``Hepatitis C Movement for Awareness'' to call for a more aggressive, and better informed, national approach to the hepatitis C epidemic in the United States. Hepatitis C infects 300 million people worldwide, including over 5.8 million Americans. Only 20 percent of those infected know they are infected, and scientists are still unsure how the virus is spread, or who is most likely to be infected. This deadly epidemic cannot be ignored any longer. We need action. I commend the Hepatitis C Movement for Awareness for its tenacity and energy in galvanizing in Washington to make its case for change.
The second of my amendments relates to addressing the silent killer, lupus. The purpose of this amendment is twofold. First the amendment transfers $1,500,000 to the account of NIH's National Center on Minority Health to increase educational programs on Lupus for health care providers and for the general public. I believe that this will help to facilitate the diagnosis of lupus today--particularly among susceptible populations. Second, I am proposing to transfer $2,500,000 to the Centers for Disease Control to expand the operation of the National Lupus Patient Registry. There are presently four pilot registry programs operating in Michigan and in Georgia. These pilot programs have been a good start, but additional data is needed to distinguish between environmental and other factors that cause Lupus.
Mr. Chairman, I urge my colleagues to support the two Jackson-Lee amendments. I hope that the deficiencies that relate to the treatment of hepatitis C and lupus can be addressed in conference.
Mr. Chairman, I offer an amendment.
Mr. Chairman, let me, because this is a very important debate, again add my appreciation to the members of the Committee on Appropriations, the chairman and ranking of the full committee, and, of course, the ranking and subcommittee chairman of this Labor-HHS.
I hope that the gentlewoman from New York (Mrs. McCarthy) will rise to support this amendment and share her thoughts as well on another deadly health issue, and that is the use of guns and the resulting injuries and deaths that come about through that. I do add
my voice in this very short time for having the reauthorization of the assault weapons ban. I remember studying this issue in Houston, and I found that for an injured child, costs were at that time, some maybe 5 to 10 years ago, $60,000 per their care. I imagine it has quadrupled at this point. So I hope that we will move in that direction.
I, too, raise an issue that I hope my colleagues will join me enthusiastically, and I also will acknowledge the hard work of a former colleague, Congresswoman Carrie Meek of Florida, who at most times when we came to the floor dealing with the appropriations, Labor-HHS, the Members can be assured she was speaking about the deadly disease of lupus.
Today I am proposing two amendments to the Labor-HHS-Education appropriations bill to further research and outreach on lupus, and I urge the Members to support these amendments. Lupus is a chronic, disabling, and potentially fatal condition in which the immune system attacks the body's own organs and tissues. Lupus strikes primarily women, and it is twice as common among people of color. Currently it is estimated that 1.5 million to 2 million Americans have lupus. There is no cure for lupus. No new drugs have been approved to treat the disease in nearly 40 years, and no medically validated measure to diagnose and track the disease's progression and how it exists.
I, too, am concerned about the National Institutes of Health and the more opportunities for research, and I hope in conference we can alter the configuration so that many researchers in labs around the country and professors will not be denied their opportunity to find the cure for lupus. That is why I am adding this small of amount of dollars that is budget-neutral as evidenced and indicated by CBO.
Early diagnosis and treatment of lupus are essential to minimizing life-threatening complications. Lack of understanding of lupus combined with the disease's complexity leads to significant underdiagnosis. And I might say that it strikes young women in a potentially hardship manner. I remember a young woman that I knew in my church, had two beautiful young children and a beautiful husband, was taken in the prime of her life not knowing that she had lupus, and it was too late in order to provide her with the treatment that she needed, and certainly there was no cure at the time.
Symptoms of the disease may resemble the flu or other less severe instances. In some instances, the patient's apparent symptoms may seem to subside, leading up to a false sense of security. Some surveys indicate that some lupus patients may suffer for 4 years or more and visit 3 or more different physicians before obtaining a diagnosis. I know this personally, because I had a member of my family who I had to take to doctors trying to find out whether it was or whether it was not. And you can be assured in our frustration, but also our great concern and our fear, that we were overcome by the fact that it was really a diagnosis that was hard to pinpoint. The delay in obtaining treatment can be devastating, because time is lost while irreversible organ damage may appear.
The purpose of these amendments is twofold. First, the amendment transfers $1.5 million to the account of the NIH's National Center for Minority Health to increase educational programs on lupus for health care providers and for the general public.
Let me assure you that we have yet addressed in this House the disparities in health care as it relates to minorities. We have yet to pass the equity to health care bill that has been promulgated or written by the Hispanic Caucus, the African American Caucus and the Asian Pacific Caucus and others. I believe that this will help to facilitate the diagnosis of lupus today, particularly among susceptible populations.
Second, I am proposing to transfer $2.5 million to the Centers for Disease Control to expand the operation of the National Lupus Patient Registry. There are presently four pilot registry programs in Michigan and in Georgia. These pilot programs have been a good start, but additional data is needed to distinguish between environmental and other factors that cause lupus.
Let me say to my colleagues, no one knows when their neighbor, their friend, their constituent may be diagnosed. There is one strong point about this disease: It is not easily diagnosed, and many people live with it for a very long period of time. Mr. Chairman, that is why we do not know how many people really have lupus. I would ask my colleagues to join me in this effort and support this amendment, very, very well balanced, and, might I say, not violating CBO. I ask for support of this amendment.
Mr. Chairman, will the gentlewoman yield?
Mr. Chairman, I thank the distinguished gentlewoman.
Mr. Chairman, let me carefully say this adds more money to the NIH. We respectfully add the fact that it is not necessarily a specific designation for a specific disease. But might I say that because of the discrepancies in access to health care for minorities and access to health care in respect to those who are being treated for lupus and the definitive impact on minorities as it relates to minority women as it relates
to lupus, I would offer to say that this is an amendment that has vibrancy and is necessary without in any way undermining or penalizing
Mr. Chairman, I demand a recorded vote.
Mr. Chairman, let me again join the gentlewoman from New York (Mrs. McCarthy) on the desire to attack another health issue and that is of course to see the ban on assault weapons reauthorized.
I rise to offer an amendment on another and very fast-growing epidemic in our country called hepatitis C. Mr. Chairman, I have an amendment that relates to this very grave matter as it is being distributed to my colleagues.
Our Nation is facing an epidemic of hepatitis C virus, or HCV infection. HCV is the most common blood-borne infection in the United States. Although many of them do not know it, nearly 4 million Americans are currently infected, and 35,000 new infections occur each year.
I have been told about this because of the sizable population of hepatitis C-infected veterans that I have come across. And I want to thank Ed Wendt, a constituent of mine who has raised the question of what we are doing and how we are doing it and how we can do better by those who are infected and the many, many veterans who are infected by this disease.
This insidious virus takes thousands of lives annually, primarily through cirrhosis and liver cancer. HCV costs millions of dollars in health care and lost wages each year, but it receives inadequate attention from the public, the medical field, and the Federal Government.
Hepatitis is an inflammation of the liver. Inflammation of the liver with swelling, tenderness, and sometimes permanent damage can be caused by infection with various viruses or by substances such as chemicals, drugs, and alcohol. Current concern over viral hepatitis stems from the serious long-term health consequences for long-term sufferers.
Hepatitis C virus is one of six known types of the hepatitis viruses. The C virus has emerged as a cause of chronic liver disease, both in the United States and worldwide. It is of concern because of its potential for serious long-term health consequences. It resorts, or causes, if you will, the need for liver transplants as evidenced by my constituent who has suffered long and had a difficult health history. Its pattern of infection among young, hard-to-reach risk groups and the current lack of vaccine or curative therapy impacts or increases the number of deaths.
Some studies indicate that minority populations in the U.S. are disproportionately affected by hepatitis C virus, and some reports have shown that African Americans do not respond to the current treatment of chronic HCV infection with the same efficacy as whites. This is why I started out this debate by saying it is time now for us to pass the equity in health care and disparities in health care in America. But this amendment, as did the lupus amendment, attempts in some small way to address this divide.
HCV is a particular problem for patients coinfected with HIV. According to Dr. Raymond Chung, M.D., director of the Center for Liver Disorders at Massachusetts General Hospital, ``About 25 percent of those with HIV are coinfected with HCV, largely because these viruses share modes of transmission.'' Treatment of patients coinfected with HCV and HIV is particularly challenging, because many of the retroviral treatments traditionally used in HIV therapies are toxic to the liver. Better information about HCV will help develop treatments that are effective for HIV and compatible with HCV. That is all I am asking for in this very simple and minimal amendment of asking for $1 million.
The purpose of this amendment is to increase the research opportunities and to be able to provide patients who are at risk for some control studies: African Americans, children, and adolescents, renal dialysis patients, HIV- and HCV-positive patients, and patients with hemophilia. Because hepatitis C is a communicable disease, I believe this is an important step in getting this public issue under control.
Back in June, I joined the Hepatitis C Movement for Awareness to call for more aggressive and better informed national approach to the hepatitis C epidemic in the United States. Hepatitis C infects 300 million people worldwide, including over 5.8 million Americans. We must do something more. And only 20 percent of those infected know they are infected, and scientists are still unsure how the virus is spread or who is most likely to be infected. This deadly epidemic cannot be ignored any longer. We need action, and I ask my colleagues to support this amendment.
The grass-roots movement of this organization is made up of veterans, victims of hepatitis C, and other health care advocates; and they came to Washington to simply ask the question, can we get help. They are seeking our help, working with the Veterans Administration, which I must say I applaud for looking at this issue more closely. This is not an issue for one person or two persons, it is for millions of people, and those who go infected who do not know they are infected.
I want to congratulate those who worked on this effort, including Ed Wendt and the whole hepatitis C movement, because they do it not for themselves. They do it for those who come after them. They ask that we have a wake-up call so that we can stop the tragedy of the hepatitis C epidemic.
Now it is time that we wake up together and move forward on an amendment that will simply help us move in that direction. I urge my colleagues to join me in supporting this important amendment.
Mr. Chairman, I have an amendment at the desk that relates to a very grave matter with respect to the status of minority health. Our nation is facing an epidemic of Hepatitis C Virus (HCV) infection. HCV is the most common blood-borne infection in the United States. Although many of them do not know it, nearly four million Americans are currently infected, and 35,000 new infections occur each year. This insidious virus takes thousands of lives annually--primarily through cirrhosis and liver cancer. HCV costs millions of dollars in healthcare and lost wages each year, but it receives inadequate attention from the public, the medical field, and the federal government.
Hepatitis is an inflammation of the liver. Inflammation of the liver, with swelling, tenderness, and sometimes permanent damage, can be caused by infection with various viruses or
by substances such as chemicals, drugs, and alcohol. Current concern over viral hepatitis stems from the serious long-term health consequences for long term sufferers.
Hepatitis C virus is one of six known types of the hepatitis virus. Hepatitis C has emerged as a major cause of chronic liver disease both in the United States and worldwide. It is of concern because of its potential for serious long-term health consequences, its pattern of infection among young, hard-to-reach risk groups, and the current lack of a vaccine or curative therapy.
Some studies indicate that minority populations in the U.S. are disproportionately affected by the hepatitis C virus (HCV), and some reports have shown that African-Americans do not respond to treatment of chronic HCV infection with the same efficacy as whites.
HCV is a particular problem for patients co-infected with HIV. According to Dr. Raymond Chung, MD, director of the Center for Liver Disorders at Massachusetts General Hospital, ``About 25 percent of those with HIV are co-infected with HCV, largely because these viruses share modes of transmission.'' Treatment of patients co-infected with HCV and HIV is particularly challenging because many of the retroviral treatments traditionally used in HIV therapies are toxic to the liver. Better information about HCV will help to develop treatments that are effective for HIV and compatible with HCV.
The purpose of this amendment is to increase the Hepatitis C research activities at the Center for Disease Control for patients who are particularly at risk for the disease or resistant to conventional treatments--African-Americans, children and adolescents, renal dialysis patients, HIV/HCV positive patients, and patients with hemophilia. Because Hepatitis C is a communicable disease, I believe this is an important step in getting this public health issue under control.
Back in June of this year, I joined the ``Hepatitis C Movement for Awareness'' to call for a more aggressive, and better informed, national approach to the Hepatitis C epidemic in the United States. Hepatitis C infects 300 million people worldwide, including over 5.8 million Americans. Only 20% of those infected know they are infected, and scientists are still unsure how the virus is spread, or who is most likely to be infected. This deadly epidemic cannot be ignored any longer. We need action. I commend the Hepatitis C Movement for Awareness for its tenacity and energy in galvanizing in Washington to make its case for change.
The grassroots movement made up of Veterans, victims of Hepatitis C, and other healthcare advocates, came to Washington to tell policymakers about the pressing need for a viable national Hepatitis C policy. They feared that the present policies are based on worn out assumptions, and untested hypotheses. I agreed that more information was needed to help lawmakers craft appropriate strategies for mitigation of the rampant disease. I have been pressing the GAO for a comprehensive study of the past and present Hepatitis epidemic in the United States. We have to know where we stand, where mistakes have been made, and how we can do better. This epidemic is devastating our Veterans and our minority communities.
The Hepatitis C Movement for Awareness graciously presented me with an award for progress made toward the GAO report. I appreciated receiving this award. But, what I appreciated more was at the friendship and cooperation of my constituents Ed Wendt, Tricia Lupole, and the whole Hepatitis C Movement for Awareness. Years ago, the gave me a wake-up call on the tragedy of the Hep C epidemic. Now it is time to wake up Washington, and the nation by pursuing this amendment.
I hope that my colleagues will join me in supporting this important amendment.
Mr. Chairman, I thank the distinguished gentlewoman for yielding.
I ask my colleagues to simply help us. It is simply asking $1 million for the hepatitis C, and I thank the gentlewoman from New York (Mrs. McCarthy) for her information.
This bill, with all the hard work of the appropriators, and I really appreciate them, was sprung on Members on Labor Day weekend. My apologies for the amendment being at the leg counsel, and it is supposed to be at the desk. It is now there, but I really ask my colleagues to look at the need. I also know my staff gave the amendment to both managers of the bill.
We are talking about 300 million worldwide, close to 10 million around the country, veterans, children and others infected with hepatitis C. The more we can do, the better off we are.
I believe this is a well-grounded amendment that should warrant the support of our colleagues on both sides of the aisle, and I would ask my colleagues to support this.
As I indicated, CBO has indicated this is revenue-neutral, has no impact with respect to the issues at hand, and I would simply ask that this amendment be supported.
Mr. Chairman, let me just quickly say, I respect what the gentleman has done. One of the problems we have is we are suffering because we have such a great percentage of our dollars going to the
tax cut. I think we can do more. Certainly what we have is what the gentleman has been able to do, but I believe this disease is so deadly that adding additional funds is a priority and should be a priority when we talk about health care and also inequity in health care, and I thank the distinguished gentleman.
Mr. Chairman, I appreciate the gentleman from Wisconsin yielding me this time, and I rise in support of the Labor-HHS bill today. While I feel the bill falls short in many areas, particularly in…
Mr. Chairman, I appreciate the gentleman from Wisconsin yielding me this time, and I rise in support of the Labor-HHS bill today. While I feel the bill falls short in many areas, particularly in education, I will support the final bill. However, I would also like to rise today and speak to an issue that has great personal meaning to me and has been ignored by our House leadership.
While my amendments reauthorizing the assault weapons ban have been found nongermane, I will still be speaking to it, because so few opportunities remain to do anything about it before it expires on Monday.
One week from today, I will be able to purchase an assault weapon from any number of Web sites and from our local gun stores, which means our gangs and our police officers, and I just came back from a press conference with the police chiefs and the rank-and-file officers, and, unfortunately, many victims, all calling on our President to make some calls over here to the House so that we can bring the bill up for a vote.
A poll released this weekend by the National Annenberg Election Survey says two-thirds of Americans support keeping the assault weapons bill in place. And, in fact, 57 percent of gun owners support the ban, putting to rest the notion the ban is somewhat a threat to our second amendment.
Not one sportsman has missed a day in any hunting season due to the ban on assault weapons. President Bush says he supports the ban, but so far he has been doing the talk, but he has given us no action on it. The ball is in the President's court. He needs to pick up the phone and put renewing the ban on to the House floor. Only President Bush can stay the assault weapons ban execution.
Almost every law enforcement agency in the country supports renewing the ban. That is all the evidence I need to be convinced the ban is working. The most immediate challenge relating to the ban expiring is our police departments, who are saying they are not ready for this to expire. It is basically our police officers who are out there protecting us against terrorists and gangs, who protect our lives every day on the front lines that will be facing these assault weapons when they come back on the streets.
Since assault-style weapons do not need to be aimed, are designed to be moved back and forth in a sweeping
fashion in order to rain bullets on an area instead of a specific target, gang violence will become more reckless, with many more innocent bystanders caught in crossfires.
Police departments will have to re-outfit their squad cars, purchase new bulletproof vests, and make other expensive preparations for the ban's expiration.
Many currently banned weapons have multiple-capacity clips, holding up to 30 rounds of ammunition. Many State laws, including my State of New York, limit our hunters to six rounds in a clip. Deer are given a better chance of surviving than our police officers.
With the Bush budget intent on slashing grants to local police departments and its reluctance to push for extending the ban, the administration is depriving our police officers of the support that we need.
Mr. Chairman, I move to strike the last word.
I am sorry that my colleague has withdrawn the amendment, and I hope they are going to be able to work this out further down the road.
But with that I also want to bring up what health care costs are because of assault weapons. Unfortunately, I have not been allowed to bring up the bill for a vote on assault weapons, but I just want to give the Members some health care costs.
Death and injuries caused by firearms cost the U.S. about $100 billion a year. If we keep assault weapons off the streets, we can bring that down and use the money for our community centers in those areas that need it. This includes hospitalization, other medical care costs, rehabilitation, and lost productivity.
I hope that we can, before this week is over, bring up the assault weapons bill so that we can have the bill and reduce health care costs in this country.
Mr. Chairman, I move to strike the requisite number of words.
Mr. Chairman, I rise in support of the Jackson-Lee amendment. This amendment would increase funds for the National Center for Health Statistics surveys and for the National Center For Minority Health and Health Disparities.
The cost of health care for minorities is completely disproportionate. Nowhere is this truer than when it comes to the cost of gun violence. Although African Americans and Hispanics make up only 12.1 and 12.5 percent of the U.S. population respectively, these groups suffered 37 percent of all firearm deaths in 2000.
In 2000, homicide with firearms took the lives of 5,699 African Americans. In 2000, homicide with firearms took the lives of 1,958 Hispanics.
In 2000, the death rate for firearm injuries was two times higher for the African American population than the Caucasian population. In 2000, firearms homicide was the leading cause of death for African Americans age 15 to 34.
The assault weapons ban expires September 13, and we are not allowed to bring it up on the floor. This is something that could go into our communities, save lives and keep down health costs.
I yield to the gentlewoman from Texas.
I yield to the gentleman from Wisconsin.
Mr. Chairman, I move to strike the requisite number of words.
Mr. Chairman, I support the Jackson-Lee amendment on hepatitis C. I spent over 30 years as a nurse before I came to Congress; and, unfortunately, hepatitis C a number of times, when it is diagnosed, it is far too late for so many of the patients. Unfortunately, the signs do not show up until the disease is very advanced, and because we are in a global world now and it is becoming a communicable disease, it is spreading more rapidly. Much more research needs to be done to see how we can stop this.
But I know one of the ways that we can have more money so we have the money for research is to try and stop the amount of money that is being spent every single year because of gun violence. And with the assault weapons ban expiring on September 13, we are going to see more violence on our streets; we are going to see more of these patients in our trauma hospitals, which is going to drive up the cost of health care all the way around. That is a shame. That is preventable. We need, certainly, the administration to back the police around this country and to back the health care providers around this country who all want to see the ban put in place.
If we do that, we can keep down health care costs because of the gun violence and have money go into research for hepatitis C and for so many other issues that all of us here care about.
I yield to the gentleman from Ohio.
Mr. Chairman, I move to strike the last word.
I rise in support of the Sanders-Simmons-McCarthy amendment and am honored to be a cosponsor.
This vital amendment would increase funding for the Low Income Energy Assistance Program and Weatherization Assistance Program by $26 million.
Recent predictions indicate that this winter may be one of the harshest in many years in the Northeast, and the Energy Information Administration is predicting the price of heating oil, natural gas and propane will skyrocket. By the way, those prices have already skyrocketed.
LIHEAP provides the needed warmth for our most vulnerable communities, the poor, the elderly and the disabled. These disadvantaged communities are also, unfortunately, the most affected by gun violence.
When we have seen over the last several months that unemployment has gone up in certain areas of our country, our seniors are facing higher medical costs, higher prescription drug costs, now a 17 percent increase on their Medicare. Adding any little bit, amount, as far as increases on heating is going to be a problem for them.
As my colleague from Vermont has said, there is no one in this country that should be cold, but also another thing that happens, unfortunately, in this poorest of the poor communities is the gun violence we see on a daily basis. I could speak about that in my own district of Long Island. I know they say the suburban areas do not have gun violence. Well, unfortunately, after September 13 we are probably going to start seeing an increase of that because we are not allowed to bring up the assault weapons bill here on the House floor.
It is a shame that our seniors and our most vulnerable, who are our children and the poor that live in the communities, will be facing these guns again. It is a shame that our police officers who patrol these areas will also be facing these problems again.
I am sorry that we are not allowed to bring up the assault weapons bill that will expire on September 13. I hope that the leadership will change its mind.
Mr. Chairman, I move to strike the last word.
Mr. Chairman, when I hear my colleagues from both sides of the aisle offering all of these amendments obviously to help our constituents from all over the country, and I thank my chairman and the ranking member for working so hard to bring us everything we need. I think more of us as Members should sit here instead of trying to watch this on television. I know that we are working very hard to keep the people of the United States comfortable, to make sure they have heat and do research to keep them healthy, and yet we have a program in place that is going to expire on September 13, which is the assault weapons bill. Yet we are not allowed to bring it up on the floor to talk about it. That is a shame. This is something that is working, does not cost any money, and yet as Members of Congress we are not allowed to bring the bill up for a vote, and the American people want it.
I thank the committee and subcommittee chairmen for doing the hard work they are doing, but I wish we could debate the assault weapons ban. The police officers on the street want to keep this ban in place. The health care professionals want to keep this ban in place. Every help organization wants to keep this ban in place. All of the different organizations which represent children want to keep the ban in place. I do not understand why we do not bring that issue to the floor for a vote. I hope by Monday, September 13, the White House will heed our call. I hope that the Speaker of the House will heed our call and answer to the American people.
Mr. Chairman, I move to strike the requisite number of words.
Mr. Chairman, I want to thank the chairman for accepting this amendment. It is extremely important for someone that has spent so much time in a rehab unit taking care of patients, even to the point of taking care of my son going back a number of years ago.
Medical technology and the science of taking care of those that never had a chance to learn how to walk again or possibly feed themselves again is now possible. It is mainly because of rehab. I know a lot of people think that they used to lay around the hospital after a hip operation. Today you have a hip operation, and you go to a rehab unit. It actually saves money, mainly because the patient is getting the rehab that they need so they can get up and walk and have a quality-of- life issue. On the other end of it, unfortunately going back not that many years ago, even for a simple hip operation, especially with the elderly, they ended up getting pneumonia and unfortunately needed more long-term care.
With that being said, the majority of our rehab hospitals and rehab units in an awful lot of our larger cities are filled, unfortunately, with patients because of gun violence in this country. On September 13, we are going to see the assault weapons bill expire unless this Congress, the Speaker of the House, the President of the United States get involved and allow us to debate this. We can save billions of dollars just on health care costs if we can bring down gun violence. We have seen a 60 percent drop since the assault weapons bill was passed on the use of those guns on our officers in our communities.
Large capacity clips, we are going to have them back out on the streets again. These are the large capacity clips that we see our men and women using that are serving this country so well over in the war in Iraq. We saw yesterday in the paper where someone with a gun had a large capacity clip that had 50 rounds. This is what we are going to go back to unless we stop by September 13, on Monday, to be able to renew the ban on assault weapons, to protect our communities, protect our police officers and to a very, very large extent, make more room in the emergency rooms, make more room in the trauma centers, make more room in the rehab units, because today because
of medical technology, thank goodness, people like my son are surviving these horrific wounds. A lot of our police officers are surviving their horrific wounds. But unfortunately the rehab, the expense to get those victims back on their feet certainly is extremely expensive.
Mr. Chairman, I move to strike the requisite number of words.
Listening to my two colleagues, I appreciate this amendment they have put forward. Obviously, with the medical technology that we have today and with the medicines that are out there, I sometimes sit when I am watching the TV shows and I am watching them advertise all of these particular drugs, I hope everybody also listens to see what the side effects are going to be. They better listen carefully, because some of these side effects are very serious.
There are many drugs on the market that are over 10 to 15 years old that work just as well. People have to realize that. Unfortunately, even our doctors now, they are given information, thinking, wow, if this can help my patient. Let us hope that is what they are thinking. But we have to reevaluate this whole thing. It used to be you went to your doctor, the doctor knew which particular drug would work for you for whatever ailment you had, and you took it. Now we see TV, the doctors tell me, they want this drug, they want this drug, they want this drug.
Aspirin still works very, very well. Ibuprofen when I was working, gosh, a long time ago, that was a prescription drug. It is now over the counter. But there are still many prescription drugs that work just as well. Obviously, sometimes they are not going to work for the patient. That is when we should try a new drug. The research and development and the research that is needed to see what these actual new drugs do, I think, is extremely important.
With that being said, also, September 13, the assault weapons bill is going to expire. The reason I bring it up towards the health care section is mainly because how much health care money is expended on, unfortunately, these horrific wounds that we see. We also know with a lot of these types of assault weapons, there are head injuries. People do not realize when you have a head injury, a lot of times these patients have to be on an awful lot of different drugs that might even put the patient to the point of where they think they might be schizophrenic. It does fit and tie in with these bills.
The important thing is the assault weapons bill costs absolutely no money. We can renew it. It does not cost anybody anything except saving lives, saving health care costs; and I hope that the President of the United States will ask the Speaker of the House to allow this bill to come up on the floor for a vote.
Mr. Chairman, I move to strike the last word.
I thank my colleague for bringing up this very important issue, preventative medicine and the research that needs to go into it. Any of us that have ever been in the health care field know preventative care and having the best techniques is the best thing that we can all offer anyone. There are so many things that we can do today to prevent, unfortunately, diseases that certainly could cost us as people and human beings in quality of life and, of course, the health care system millions and billions of dollars every single year.
With that being said, preventative care is what we should be looking at--how are we going to stop gun violence in this country. The first step that we can take is making sure the assault weapons ban is renewed by September 13. That alone will save so much money every single year. Our police officers, our children, and even those that live in the poorest communities where some of these health care communities are being closed down because of a lack of funds, people do not realize on the mental end the stress of living in these communities, what it costs.
I am hoping that we in time will have enough money to run the programs that we need; but to be honest, we can save money by cutting down on gun violence. We can save emotional stress
by cutting down on gun violence. We certainly can protect our police officers in this country by making sure the assault weapons ban comes up for a vote, passes here in the House. It has already been passed in the Senate, and the President said he would sign the bill if it gets on his desk.
Amendment Offered by Ms. Bordallo
Mr. Chairman, I move to strike the last word.
I rise in support of the Maloney-Woolsey-Sanchez amendment. This amendment would provide funds for the Patsy Mink Women's Educational Equity Act program. This is an important program promoted and named after our dearly missed colleague Patsy Mink, who I served with on the Committee on Education and the Workforce.
It is designed to promote gender equality in providing counseling and guidance, physical education and the development of the classroom materials.
A lot of people in Title IX kind of made fun of us women, and yet when you look at the women in the Olympics, these programs work. So we have to make sure that we keep them going.
I understand that I am lucky. I work in Congress. With that being said, I get equal pay. But an awful lot of my colleagues that are my friends that are working on the outside world doing the hard work right next to their male colleagues, they do not get the same pay. So women are disadvantaged in many parts of our society, and equal education offers them the opportunity to grow.
Our women also are living, unfortunately, sometimes in a violent society, especially those in the low-income areas. Think about all the women that right now possibly will be losing their husbands either from the war in Iraq or even from September 11, where we need to and we still continue the trend of educating them so they can educate themselves and have a job. But the majority of firearm homicides are the result of intimate partner violence.
With that being said, on September 13 the assault weapons bill will expire in this country. We know it has saved lives. We know that basically it has certainly put women at less risk, especially those that are in low-income areas and their children.
I do not understand why we cannot bring up the bill for a vote. I do not understand why. The President of the United States has said that he would sign the bill if it got onto his desk.
Well, we are the ones here who are holding it up. He is going to sign the bill. That is a good sign. So I think that we should move forward between today and Monday afternoon and be able to get this vote done so we can continue something that works. A program like this works. We have seen equal education getting better and better. Why are we even looking at a program to either cut it back or to see it expire when a program works?
Police chiefs from all over the country were here today. The rank- and-file were here today. Unfortunately, victims were here today too. I mentioned them many times today. We can cut down on health care costs; we can cut down on those who are in rehab hospitals, some who never leave. We can cut down on the amount of people who are unfortunately injured because of large-capacity clips and assault weapons. The bottom line is, why did we have an assault weapons ban in the beginning? Because too many of our police officers were being mowed down. We are putting that risk right back on the streets again. We are putting that risk to our police officers today, when things are actually even worse than they were 10 years ago.
This is when we should be renewing this ban. This is when we should be making sure our police officers who are protecting us because terrorists are in this country. This is what we should be doing. The American people care about this issue. They count on us, we in Congress, our leaders, our President, to take a lead on this. And we are letting them down, unless somebody has a change of heart. Do not think this is going to go away, because it is not. It will not, unfortunately, because one day we will be standing here and people will be saying, why did we not do something about it, and that is going to be, unfortunately, when we have a tragedy in our school or our police officers are mowed down, and people say, why did you not do something.
Mr. Chairman, I yield myself 30 seconds. I will include at this point in the debate the supplemental views that I and my Democratic colleagues wrote on this bill which lay out our concerns about this…
Mr. Chairman, I yield myself 30 seconds.
I will include at this point in the debate the supplemental views that I and my Democratic colleagues wrote on this bill which lay out our concerns about this bill's shortcomings. I think they will be sufficient to explain why so many of us have such grave misgivings about this bill.
Mr. Chairman, I yield 3 minutes to the distinguished gentlewoman from Connecticut (Ms. DeLauro).
Mr. Chairman, I yield 2 minutes to the distinguished gentleman from Texas (Mr. Green).
Mr. Chairman, I yield myself 10 seconds.
Mr. Chairman, I simply want to say that I agree with the remarks of the gentleman from Texas, and I hope the committee will listen to what he said.
Mr. Chairman, I yield 2 minutes to the distinguished gentlewoman from the District of Columbia (Ms. Norton).
Mr. Chairman, I yield myself 4 minutes.
Mr. Chairman, this Labor, Health and Education bill is supposed to be that portion of the budget which invests in our children, which opens the door of opportunity for young people, which opens the door to the doctor's office or to the hospital for people who live life on its underside and do not have access to regular health care. It is supposed to protect the interests of workers. This bill falls far short on all fronts.
This bill does nothing to help workers, to protect workers against the efforts of employers to chisel on overtime pay. It falls billions of dollars behind the No Child Left Behind legislation in terms of meeting our obligations to support the education of our
children. It brings to a screeching halt the healthy expansion of after-school programs. It does, in so many ways, fall short of where we ought to be; and it does that because the majority, as I said earlier, has made a decision that its top legislative priority is ever more and always to provide very large tax cuts to people who are already very well off.
I really believe that there is no way to fix this bill, because this bill is the result of two past decisions. It is the result, as the gentleman from Ohio has said, it is the result of the Republican majority's passing a budget resolution which provides inadequate room for education, health, and worker-protection programs. It is also the result of the second vote which occurred on this House floor just a few weeks ago on a resolution that I offered to try to amend that budget resolution so that it would be a somewhat more progressive product that we could be proud of.
At this point, the only way that you could help this bill is to move it on to the Senate in the hopes that the Senate will provide better numbers so that in conference we can provide more resources for education, health care, and worker-protection bills that are so crucial to the welfare of this country's population.
I would say, Mr. Chairman, that there is only one way in the long term that we can fix this problem, and that is to put a different person in the White House and a different majority in the House of Representatives and the Senate. Because what is really at stake in this election, in my view, as someone said on the other side of the aisle, what is really at stake is whether or not this country is going to continue to build a social safety net for the middle class, for the broad working class of this country, or whether we are going to say, in effect, ``Sorry, but everybody is going to be on their own. You are going to rely on the luck of the draw. If life treats you happily, you will come out as one of life's winners; and if life does not treat you so happily, sorry, but you are on your own. We have no obligation to help in any significant way.''
This bill does a number of things for people, but it does not do nearly enough to meet the rising challenges that we have. And I regret very much that we are in that position, but there is not much we in the minority can do to change it except to make clear what is happening. So I urge Members to remember that as we go through the bill this afternoon.
Mr. Chairman, I reserve the balance of my time.
Mr. Chairman, I yield myself 1 minute, and I would simply say to the gentleman the issue is not whether we should have cut taxes. Obviously, any time the economy is underperforming, it is perfectly legitimate to cut taxes over the short term. FDR invented that, and I am fully subscribed to that Keynesian approach to economics.
What I do not subscribe to is the idea that in the context of cutting taxes we have to give people who make $1 million a year a $127,000 tax cut. I think we could very well limit the size of that tax cut. That is the only tax cut that we have objected to and tried to change in order to finance this bill.
I yield to the gentleman from Florida.
Mr. Chairman, I yield myself 1 additional minute, and I would simply say in response that a very small portion of the people who would be affected by our amendment are small businessmen. Very small portion. The fact is that this House has to make a choice. Do we think it is essential to provide a $120,000 tax cut to people making over $1 million a year; or do we think that we ought to use some of that money to provide better opportunity for education, better health care for 45 million people that do not have it, and some additional protection for our workers in what is becoming every day a more and more brutal world market?
Mr. Chairman, I yield 3 minutes to the gentlewoman from New York (Mrs. McCarthy).
Mr. Chairman, I yield myself 3 minutes.
Mr. Chairman, I would simply like to say that I react to the gentleman's numbers with a touch of humor because the argument he makes is similar to the child who kills his parents and then throws himself on the mercy of the court because he is an orphan. The fact is if you look at the historical record over the last 10 years, if the House Republican majority had had its way, we would have appropriated about $20 billion less for education over the last 10 years than the Congress wound up appropriating. The House Republicans had to be led kicking and screaming into supporting the increases which he now tries to claim credit for.
I would point out this is the same Republican majority which tried 10 years ago to abolish the Department of Education and tried to make savage cuts in education 3 years in a row before they finally got religion.
I would also point out that in President Bush's first year, it was the Democrats who led the effort to add $4 billion to the President's education budget, and I am happy to say we finally persuaded the Republican majority to agree with our request.
If the House Republicans had had their way, $3.4 billion less would have been spent on education of the poorest children in America than was actually appropriated, and 1 million low-income children would have been eliminated from the Title I program; $3.1 billion less would have been spent on the education of children with disabilities than was actually appropriated if the House Republican majority had its way; $524 million less would have been spent on safe and nurturing places for children in the after-school hours than was actually appropriated if the House Republican majority had its way; and the maximum Pell grant would have been smaller in 5 of the last 10 years than the level actually approved, again if the House Republican majority had its way.
So I guess I am willing to accept the fact that the Republicans now want to borrow the money that we succeeded in
putting into the education budget and borrow it so they can make on their own competing claims the education budget. I do not much care as long as we've got the money.
With that, Mr. Chairman, I urge Members to find every opportunity possible to support more resources in this bill for education, health care, and worker protection.
Mr. Chairman, I yield the balance of my time to the gentleman from Maryland (Mr. Hoyer), the distinguished minority whip.
(Mr. HOYER asked and was given permission to revise and extend his remarks.)
Mr. Chairman, will the gentlewoman yield?
Mr. Chairman, we also would be happy to accept it on this side of the aisle. It is a good amendment.
Mr. Chairman, will the gentleman yield?
Mr. Chairman, let me simply say the gentleman is absolutely right. This is a program that was begun by Secretary Shalala, who recognized that it is not enough to provide money to health centers if we do not also provide a thoughtful way to coordinate programs and services. This is what makes some of these efforts workable, and I think it is a disgrace that at a time when we have seen the number of uninsured increase from 40 to 45 million people, that we are eliminating a program that is crucial to providing service in more than 20 communities around the country.
Mr. Chairman, I move to strike the last word.
Mr. Chairman, I must also reluctantly oppose the amendment, because I think it has an unintended effect. The amendment, as I read it, would actually result in a small across-the-board reduction in funding for virtually all public health agency programs, including the National Institutes of Health. I do not think that is what we want to do.
Secondly, I would point out the gentlewoman has made quite clear in her remarks that she is attempting to add funding for a specific disease. In all of the years this subcommittee has funded the National Institutes of Health, it has never dictated to the National Institutes exactly how much money they should spend on any specific disease, and I do not think we ought to start now.
So I reluctantly would have to oppose the amendment and say that what we really need is an overall increase in funding for NIH so that we can attack lupus and dozens of other diseases that are causing great pain and suffering to people around the world.
Mr. Chairman, I want to say I am sure it is not the intention of the gentlewoman from Texas to fund this amendment by providing for an actual reduction in NIH, but the way she has drawn the amendment, it has that effect. I understand that is not her intention, but that is the effect of the amendment as written.
Mr. Chairman, I move to strike the requisite number of words.
Mr. Chairman, I want to say that I absolutely agree with the gentleman who just spoke, and I congratulate him for the comments that he made. Everyone who has looked with any care whatsoever at this issue understands that there are massive ethical considerations surrounding this question. We need to try to work our way through those ethical considerations in a way that will bring people together on some very fundamental questions, rather
than pulling them apart. I think the gentleman has pointed to one way that can be done.
I would caution those in this society who think that we can somehow stop science from engaging in the kind of research just discussed by the gentleman from California, I would caution those who feel that we can stop that kind of research. We cannot. That kind of research will go forward. The only question is whether it will go forward in the United States or whether it will be somewhere else, and whether or not it will go forward under the auspices of the National Institutes of Health with all of the ethical considerations that they try to bring to bear on this issue, or whether it will be conducted by scientific teams that are not quite so careful about the ethical considerations involved.
I think that the gentleman from California has pointed out how we could move people forward on this issue in a way which is not destructive of anyone's ethical values. We need to start recognizing that we are dealing with real situations, real human beings; and humanity is not going to allow politicians to get in the way of attacking some of the medical problems that have been discussed by the gentleman from Rhode Island or by the gentleman from California; and I congratulate both of them for raising the issue this afternoon.
Amendment Offered by Ms. Jackson-Lee of Texas
Mr. Chairman, I reserve a point of order against the amendment. We do not have a copy.
Mr. Chairman, I withdraw my reservation, and I move to strike the requisite number of words.
Mr. Chairman, I would simply say that I would appreciate it if Members have amendments to offer that they at least provide each side of the committee with a copy of the amendment. I think it is a disservice to the House when amendments are sprung on the committee and we have no opportunity to review them. If we are shown them ahead of time, we can help Members draft them correctly so that they are in order.
So it seems to me it is in the interests of both people who offer these amendments and it is in the interests of the House for Members who are planning to offer amendments to provide us copies. It would seem to me a simple matter of common courtesy.
Mr. Chairman, I offer an amendment to the amendment.
Mr. Chairman, I certainly have no objection to the gentleman's efforts to provide funding for the block grant program. I think we ought to do that, but I offer this amendment to illustrate that the budget resolution adopted by the majority has put this committee in a position where each time a Member of either the majority or minority party tries to save a deserving program, they are forced to gouge another deserving program in order to pay for it.
Yet at the same time, that same budget resolution made it possible for the government to provide every person in this country who makes $1 million or more a year with a $127,000 tax cut this year. What this amendment points out is that if we simply reduce that $127,000 tax cut for millionaires by $125, so they would be stuck with a whole $125 less than $127,000, if we did that, we would not have to cut into the Even Start program.
I am not the sponsor of the Even Start program. The sponsor of the Even Start program was a former Republican Member of this House who was a Republican chairman of the Education and Labor Committee, Bill Goodling. I do not think we ought to be going after that program in order to do what the gentleman wants to do. So I am offering this amendment simply to illustrate that there are other ways to deal with this problem that are much more socially just and economically sensible.
I do not see why we ought to be cutting into funding which helps families of disadvantaged children learn to read and write. I do not see why we should be cutting into that program in order to fund the other block grant program. But this is the kind of robbing-Peter-to- pay-Paul situation that we have been backed into by the majority and by the White House.
Mr. Chairman, I offer this amendment in the hopes that the majority will not strike it on a point of order, because I think this is a much more civilized way to deal with what the gentleman is trying to do.
Point of Order
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Mr. Speaker, by direction of the Committee on Rules, I call up House Resolution 754 and ask for its immediate consideration. Mr. Speaker, for the purpose of debate only, I yield the customary 30…
Mr. Speaker, by direction of the Committee on Rules, I call up House Resolution 754 and ask for its immediate consideration.
Mr. Speaker, for the purpose of debate only, I yield the customary 30 minutes to the gentlewoman from New York (Ms. Slaughter), pending which I yield myself such time as I may consume. During consideration of this resolution, all time yielded is for the purpose of debate only.
Mr. Speaker, House Resolution 754 is an open rule which provides for 1 hour of general debate equally divided between the gentleman from Ohio and the gentleman from Wisconsin on H.R. 5006, the fiscal year 2005 Labor, Health and Human Services, and Education and Related Agencies appropriations bill.
The rule waives all points of order against consideration of the bill and against provisions in the bill except as specified in this resolution.
After general debate, any Member wishing to offer an amendment may do so as long as it complies with the regular rules of the House.
The bill shall be read for amendment by paragraph, and the rule authorizes the Chair to accord priority in recognition to Members who have preprinted their amendments in the Congressional Record.
Finally, the rule permits the minority to offer a motion to recommit with or without instructions.
Mr. Speaker, we have before us today a funding package that fulfills our promises to hard-working Americans and their families. Before I summarize the main components of this package, it is worth taking a big-picture view of the context in which we consider this incredibly important legislation today.
Mr. Speaker, my colleagues in this Chamber and all Americans listening to this debate today need no reminder that the world has changed dramatically since the terrorist attacks on our Nation. While we hang our flags a little higher and wear our stars and stripes a little more often these days, we do so in part as a response to the tragedy that took place on our soil on September 11.
The war against terror has brought us many new challenges; namely, how best to protect our homeland and keep it safe from future acts of terrorism. That is not an easy job. Yet each day that goes by without an act of terror in America's neighborhoods offers us reassurance that we are doing what is necessary to protect our Nation from harm, and each day monumental steps are being taken an ocean away in Iraq, Afghanistan and elsewhere to nab terrorist cells and offer citizens of these nations new opportunities to live their lives free of fear and full of promise.
Mr. Speaker, as I see it, we cannot have a discussion about domestic priorities without taking a look at the bigger picture, without recognizing up front that we do, in fact, live in a different world today, and that we have sizable commitments to fulfill that we did not have a few years ago.
Like so many of my colleagues, I hear quite a bit from my constituents back home about the need to balance spending priorities. In fact, many of the candidate surveys I filled out this year for reelection specifically asked, ``If elected, how do you intend to balance domestic priorities with fighting the war on terror and protecting the homeland?'' In 100 words or less, I might add. Now, that is a tall order.
But really, that is a very fair question and one that we in Congress, especially Members who sit on our Committee on Appropriations, must take very seriously.
So my purpose here today is to assure the American people that while we have incredible demands, expectations and commitments to fulfill as we continue to fight the war on terror and protect our homeland, we remain equally determined to fund critical initiatives here in the United States in a fiscally responsible manner.
Today I am privileged to be the first to give my colleagues the lay of the land as to how this Congress intends to fulfill its promises to Americans across the country in the areas of education, health and labor.
I am proud to report that the gentleman from Florida, the gentleman from Ohio and their colleagues on the Committee on Appropriations have produced a funding plan that reflects our priorities, meets our goals, and, most importantly, places the greatest amount of funding in the areas where we need it most.
Since the beginning of the 108th Congress, we have made tremendous progress in strengthening our Nation's education system. This House has moved forward measures to ensure our schools have the tools they need to meet President Bush's call for high standards and accountability, and while making remarkable progress, our work is not yet done.
The legislation before us today recognizes the important role education programs play in the lives of children with special needs by funding special education grants at the highest level in history, at over $11 billion. My friends watching in my home State of Ohio will be pleased to know that since fiscal year 2003, money directed to our State for special education programs has increased by 25 percent.
This legislation also recognizes the critical role that teachers play in the education of our Nation's students. We all remember those teachers who inspired us to learn and to succeed. We want to give every teacher tools to inspire their students. That is why this bill provides nearly $3 billion for grants to States to administer professional development programs for their teachers.
Of course, educating our Nation's children is a shared responsibility, at a Federal, State and a local level.
And I think my colleagues would agree with me that the Federal Government is fulfilling its role in dedicating funds to strengthen our Nation's education system.
When we talk about education, often our first thoughts are about the millions of American children who deserve to have good teachers, small classrooms, up-to-date textbooks, and a safe environment in which to learn. And while we can give our children the best of each of those things, if the child does not have his health, these things mean nothing. Same goes for adults who go to work every day to provide for their families. Without their health, productivity decreases, paychecks stop coming, and families struggle.
Good health is really the backbone to living a quality life. The Federal Government, through partnerships with State, local, and private entities, have made significant investments in medical research and health programs for years now. A few years ago, Congress fulfilled its commitment to doubling the budget of the National Institutes of Health, the medical research arm of the Federal Government. This truly was a remarkable goal and an even more remarkable achievement to meet such a goal. Since then, Congress has not rested on its laurels. We continue to provide significant increases in funding for NIH, as indicated by the $700 million increase in funds over last year's level. This brings NIH funding to a record high of $28.5 billion.
We all know that investments in research yield new treatments, but those treatments are only meaningful if they are accessible to those who need them. The legislation before us today recognizes the unique role that community health centers play in neighborhoods across America. These centers help ensure that the neediest in our communities have access to health care services.
President Bush and this Congress are committed to increasing Federal support for community health centers.
This bill expands the President's Community Health Center initiative to increase the role of community health centers in our neighborhoods by funding the program at $1.8 billion, an increase of $200 million over last year.
Mr. Speaker, I also want to take a moment to highlight one other critical health-related program included in this package. That is the Children's Hospital Graduate Medical Education program. This program, funded at $303 million, helps our Nation's children's hospitals train future pediatricians. It is a wonderful program that has been increased significantly in funding based on annual evaluations since its very inception. I want to give a special thanks to both the chairman and the ranking member for supporting this critical program again this year.
Last but not least, this legislation makes clear Congress' support for job training programs and assistance for dislocated workers. The worker-training portion of the bill restores funding for core job training to over $1.5 billion and provides another $1.5 billion to assist displaced workers. Mr. Speaker, the best part of this package is that it recognizes that we have limited resources to spend, yet still meets America's needs with those resources. It demonstrates that funding America's priorities can be both generous and responsible.
Before closing, I would like to once again express my appreciation to the gentleman from Ohio (Mr. Regula) and the gentleman from Florida (Mr. Young) for their tremendous leadership as they have worked tirelessly this year to assure that Congress spends generously but wisely. I urge my colleagues to support this rule and approve the underlying bill.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I am very pleased to yield 2 minutes to the gentlewoman from Tennessee (Mrs. Blackburn).
Mr. Speaker, I yield such time as he may consume to the gentleman from Ohio (Mr. Regula), the dean of the delegation from the great State of Ohio and the chairman of the Subcommittee on Labor, Health and Human Services, Education and Related Agencies.
Mr. Speaker, I am pleased to yield 3 minutes to the gentleman from Delaware (Mr. Castle), a champion and leader in the area of education.
Mr. Speaker, I yield myself the balance of my time.
Today we have a unique opportunity to tell the American people what their government is doing with their money. While this Congress remains fully committed to fighting the war on terror and protecting our homeland, we remain just as focused on meeting the needs of Americans here at home. That is what we are doing today.
This carefully crafted package reflects the Federal Government's commitment to ensuring that children with special needs and the teachers who inspire them to learn have the tools they need in school to succeed. This package also reflects the government's commitment to ensuring that critical agencies like the National Institutes of Health can conduct medical research to better treat illnesses and making certain that those treatments get into the hands of the Americans who need them. This package also reflects the government's commitment to seeing that men and women looking for new jobs receive the helping hand and training that they need to bring home a paycheck.
Mr. Speaker, the authors of this appropriations package, my good friend from Ohio (Mr. Regula) and his committee, were asked to do a very tough job this year, to balance spending priorities. Once again, they have met this challenge by producing a carefully crafted product that provides considerable increases for vital programs and services while preserving our commitment to spending taxpayers' dollars wisely.
I urge my colleagues to support this rule and the underlying legislation.
Mr. Speaker, I yield back the balance of my time, and I move the previous question on the resolution.
Mr. Chairman, I join my colleagues today in opposition to H.R. 5006, the LHHS appropriation bill. We know that Congress has many priorities to consider during this fiscal year. And we implore…
Mr. Chairman, I join my colleagues today in opposition to H.R. 5006, the LHHS appropriation bill. We know that Congress has many priorities to consider during this fiscal year. And we implore Congress to make eliminating health and healthcare disparities top priorities. This HHS bill, unfortunately, does not contain such investment in the health and welfare of Americans nor does it demonstrate unwavering commitment to well-being of our citizens, including those most in need. With this bill, it is clear that the Republicans do not see America's greatest asset is its people, and refuse to invest in making its people as strong and healthy as possible.
Let me say at the outset, Mr. Chairman, that this great country of ours ranks at the bottom of all of the industrialized countries of the world with regard to the quality of our health care system, we are not where we should be given our resources in infant mortality, HIV/AIDS, immunization, substance abuse and many of the major diseases. In most cases the reason is because more than one third of our population remains outside of the healthcare mainstream.
Today almost 45 million Americans are uninsured, of which 50 percent are minorities: 18 percent of the total elderly population has no coverage at all; 1 out of 6 Americans does not have health insurance; more than 100,000 people lose their health insurance every day; and an astounding 23 percent of African Americans have no insurance at all.
Our health care system in this country is currently in peril. It is falling short on promise and contributing to the disabling illness and premature death of the people it is supposed to serve. The picture is the worst for African Americans who for almost every illness are impacted most severely and disproportionately--in some cases more than all other minorities combined. Every day in this country
there are at least 200 African American deaths, which could have been prevented. Today we know that must of it happens because even when we have access to care, the medical evaluations and treatments that are made available to everyone else are denied to us--not only in the private sector but in the public system as well.
What I am here to try to do today is to leave you with one indelible message: that there are gross inequities in healthcare which cause hundreds of preventable deaths in the African American community every day and which tear at families, drain the lifeblood of our communities, and breed an escalating and reverberating cycle of despair which this subcommittee has the power to end this today if it has the will to do so.
The choice if it can be considered that, is either to write off human beings--our brothers and sisters--who make up this segment of our population, or to make the requisite investment in fixing an inadequate, discriminating, dysfunctional health care system.
The current strongly held-to ``cost-containment'' paradigm, while it sounds good on the surface, has obviously not worked. We now have double digit increases in premiums in an industry that was to rein in its costs. What it did instead was create a multi-tiered system of care, both within managed care and without. Those at the lowest rungs of the system got sicker, the sicker, i.e. more costly, were and still are being dropped, and those who were the sickest were and remain locked out entirely. So not only are health care costs continuing to escalate, the overall health picture in this country is worse than ever.
What we now have is a system, which continues the failed paradigm in which African Americans and other people of color who because they have long been denied access to quality health care, now experience the very worst health status. Not doing what is needed to change this is to threaten the health of not just African Americans and other people of color but every other person in this country, especially at a time when we live under the cloud of possible bioterrorism.
Controlling the cost of health care, which can only be done in the long term, will never be achieved without a major investment in prevention, and leveling the health care playing field for all Americans through fully funding a health care system that provides equal access to quality, comprehensive health care to everyone legally in this country, regardless of color, ethnicity or language.
The funding requests I am outlining today are the bare minimum to ensure that our children have the opportunity for good health, that there are health care professionals who can bridge the race, ethnicity and language gaps to bring wellness within reach of our now sick and dying communities, that states and communities will receive the help to fill the gaps and repair the deficiencies of access and services, and which will enable the affected communities themselves to take ownership of the problems as well as the solutions to their increasing healthcare crisis--a crisis that threatens the health and security of all Americans. Yet this bill fails to even meet this baseline obligation.
If we have learned nothing in the last 10 years, we should have learned that cost containment strategies in our unequal system of care can never bring down healthcare costs. We can only ensure that quality health care will be within the reach of future generations if we make a major investment in prevention and increasing access to care now.
On March 20, 2002, the Institute of Medicine (IOM) released a landmark report entitled: Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care which was requested by Congressman Jackson. Among other key findings, the report documented that minorities in the United States receive fewer life-prolonging cardiac medications and surgeries, are less likely to receive dialysis and kidney transplants, and are less likely to receive adequate treatment for pain. Its first and most telling finding states that ``racial and ethnic disparities in healthcare exist and, because they are associated with worse outcomes in many cases, are unacceptable.''
And so I urge the committee to give serious and favorable consideration to our funding requests. Because of time limitations, let me focus on just a few areas contained in the request:
Sixty-six million dollars for the Office of Minority Health, OS,
Mr. Chairman, I rise to urge my colleague to oppose the previous question on H.R. 5006, the FY 2005 Labor-HHS-Education Appropriations bill in order that we could get an opportunity to debate an amendment by Ranking Member Obey which the majority on the Rules Committee refused to make in order. The Obey amendment would add $7.4 billion to the GOP bill, paid for by reducing the average tax cut for millionaires in FY 2005 from $127,000 to $89,000.
As a physician and the chair of the Congressional Black Caucus' Health Braintrust, I am particularly supportive of the amendment's proposed to add additional funds for health care. The amendment would increase health care and funding by $1.1 billion, including providing $500 million for critical investments in medical research at NIH; providing $333 million for maintaining access to health care, including restoring the Community Acess Program for the Uninsured, eliminated by the Republican bill, increasing funding for rural health, and increasing funding for the Maternal and Child Health Block Grant and Healthy Start; and providing $100 million for childhood immunization and infectious disease programs.
Conversely, the majority bill shortchanges health care programs in some critical ways. It cuts rural health care activities by 21 percent from FY 2004. It cuts helath care professions trading by 8 percent. It cuts public and preventative health activities by 18 percent. And it only provides a piddling 4.6 percent increase in HIV/AIDS programs for the second year in a row.
My colleagues the majority bill clearly demonstrates that their rhetoric about supporting the middle class and families are not reflected in the legislation they propose. Democrats on the other hand have consistently fought on behalf of programs that would strengthen the middle class and families.
I urge my colleagues to defeat the previous question and support the Obey substitute.
Mr. Chairman, I rise to join my colleagues Madeleine Bordallo and Eni Faleomavaega in strong support of our amendment to provide some additional relief to our constituents in the form of additional health care dollars. It remains a national shame in my view, that because of where they live, my low-income and indigent constituents, as well as those of my colleagues, are not able to receive the same level of Medicaid assistance because of a punitive cap.
My colleagues, while the national per capita expenditure for Medicaid is $3862, the expenditure for the Virgin Islands is only $436. The total cost of Medicaid in the Virgin Islands is about $15 million per year but the Federal government only covers about $6 million of that amount. According to the Virgin Islands Medicaid Director, the 18,000 Medicaid recipients she serves receive an absolute ``bare bones'' service.
Mr. Chairman, a report 3 years ago entitled the Access Improvement Project of the Virgin Islands, revealed that great disparities exist for eligible children in the Virgin Islands compared to the continental United States. The report shows that while the Nation as a whole spends an average of $76 for EPSDT screening per Medicaid eligible child, the U.S. Virgin Islands only spent $1.20. Additionally, the total Medicaid expenditures per child also shows an astonishing disparity.
In the age group 15 to 20, national Medicaid expenditures were approximately 599 percent more than what is being spent in the Virgin Islands. We also received a 50 percent match, despite a State like Mississippi where the average income is $1,500 higher than ours. They receive 80 percent match. And the Virgin Islands Medicaid program cannot provide wheelchairs, hearing aids or prosthetic devices, and only provides physical and occupational therapy to a limited degree because of the limited funding.
Mr. Chairman, this modest amendment which we are offering today, would provide a one time 25 percent increase in Medicaid payments to the Virgin Islands, Guam, and American Samoa so that our most vulnerable constituents could receive better health care services which they otherwise would have to do without because of our already overburdened local governments.
I urge my colleagues to support this amendment.
Point of Order
Mr. Chairman, I would like to thank my ranking member, also the chairman of the committee, for bringing this bill up today. I rise to highlight an important program that this bill fails to fund. The…
Mr. Chairman, I would like to thank my ranking member, also the chairman of the committee, for bringing this bill up today.
I rise to highlight an important program that this bill fails to fund. The Congress has supported and funded the Community Access Program since its inception in 2000. The CAP program, the Community Access Program, has provided communities with much-needed grant funding to provide both preventive and primary care to their uninsured populations.
In communities like mine in Houston, and literally hundreds across the country, we utilize this funding to put together the necessary consortium or groups to help solve our health care access problems. For-profit, nonprofit and public health agencies coordinate services using CAP funds.
Unfortunately, this bill completely eliminates the CAP program at a time when the level of uninsured individuals in this country has reached 44 million and is growing. Now is not the time to cut off access to this important primary and preventive health care service in our communities.
Without this health care access, our uninsured constituents tend to seek health care from our hospital emergency rooms, where costs are skyrocketing and beds are scarce.
This is truly a case where an ounce of prevention is worth a pound of cure.
I thank the committee for its work to increase funding for community health centers, which received $218 million over the President's request, and that is great.
While the Community Health Center and Community Access Programs share similar missions, the Community Access Program really helps coordinate the services, whereas community healthcare centers are really important to a growing number in our community and even need more.
I urge our colleagues on the Committee on Appropriations to restore funding for the CAP program.
Mr. Chairman, I offer an amendment.
Mr. Chairman, I have an amendment that would restore the much-needed funding for the Community Access Program, and, believe me, I appreciate what the chairman and the ranking member on the subcommittee and the full committee did with the resources that we have. I know there are more demand resources, but to actually zero out the Community Access Program I think is something that this House and this Congress should not do.
With more than 44 million Americans currently living without health insurance, there is no doubt that too many Americans are going without necessary preventative health care. This lack of access to care comes at an extremely high cost both in human and budgetary terms. Nearly 40 percent of uninsured adults skip a recommended medical test or treatment. And 20 percent indicate that they have needed but have not received care for a serious health problem in the past year.
Without access to primary health care, the uninsured end up in our emergency rooms where treatment is extremely expensive and taxpayers are footing the bill; either that or the shareholders in our for-profit corporations.
This is where the Community Access Program, or the CAP program, comes in. This successful program was created 4 years ago to help local agencies coordinate preventative and primary health care for uninsured individuals in their communities. CAP allows coordinating efforts between the for-profit hospitals, the nonprofit, and the public health providers and literally everyone in the community to serve the people more efficiently. The program facilitates a community-based approach to preventative health care and allows the community to tailor its program specifically to the needs of its uninsured population.
The CAP program has been instrumental in providing health care to the uninsured in my hometown in Houston. Gateway to Care, the community access collaborative in Harris County, Texas, has used CAP funding to expand primary health care services by steering uninsured individuals to the county's existing services, which the uninsured rarely take advantage of. From CAP funds, Gateway has developed a nurse triage service that individuals can utilize 24 hours a day, 7 days a week. So instead of someone showing up in the emergency room, they actually have a phone number to call, and maybe it is just a sinus infection and they can direct them to the closest clinic in their area instead of showing up at whether it is our for-profit or our public hospitals or our nonprofits. Instead of calling 911 and having an ambulance come to get them, these individuals can speak with a qualified nurse who can help them determine the type of care they require.
Gateway has utilized this funding to increase the enrollment in the State's CHIP program and to develop a streamlined eligibility system among the four major safety net providers in our county. Gateway's achievements have helped thousands of Houstonians access necessary health care services.
And yet Gateway is not alone in its successful use of this CAP funding. The program has funded more than 150 health care collaboratives in 42 States; so it is clear that CAP has touched most of us in this Chamber. CAP collaboratives are serving the uninsured across America from Jacksonville, Florida, to Portland, Maine, from Anchorage, Alaska, to Los Angeles, California. They serve small areas like Concord, North Carolina, and urban areas like Houston.
Mr. Chairman, I will include for the Record a list of the American cities that have benefited from this successful program.
Birmingham, AL, Montgomery, AL, Sylacauga, AL, Anchorage,
AK, Sitka, AK, Augusta, AR, Helena, AR, Ratcliff, AR, Bisbee,
AZ, Navajo, AZ, Prescott, AZ, Tuscon, AZ, Bakersfield, CA, El
Centro, CA, Eureka, CA, Lompoc, CA, Los Angeles, CA,
Martinez, CA, Orange, CA, Salinas, CA, San Francisco, CA, San
Leandro, CA, San Mateo, CA, Stockton, CA, Vallejo, CA,
Colorado Springs, CO, Denver, CO, Greeley, CO, Derby, CO, New
Haven, CT, Middletown, CT, Dover, DE, Ft. Lauderdale, FL,
Jacksonville, FL, Kissimmee, FL, Miami, FL, Orlando, FL, St.
Augustine, FL, Tallahassee, FL, Tampa, FL, Atlanta, GA,
Augusta, GA, Macon, GA, Des Moines, IA, Couer D'Alene, ID,
Carlinville, IL, Chicago, IL, Rockford, IL, Springfield, IL.
Indianapolis, IN, South Bend, IN, Tribune, KS, Wichita, KS,
Ashland, KY, Louisville, KY, Lexington, KY, Franklin, LA, New
Orleans, LA, Boston, MA, Cambridge, MA, Springfield, MA,
Yarmouthport, MA, Lavale, MD, Rockville, MD, Portland, ME,
Detroit, MI, Grand Blanc, MI, Kalamazoo, MI, Lansing, MI,
Marquette, MI, Muskegon, MI, Saginaw, MI, Ypsilanti, MI,
Alexandria, MN, Mankato, MN, Minneapolis, MN, St. Cloud, MN,
Kansas City, MO, Kirksville, MO, Jackson, MS, Clarksdale, MS,
Billings, MT, Asheville, NC, Concord, NC, Durham, NC,
Greensboro, NC, Pinehurst, NC, Raleigh, NC, Washington, NC,
Bismarck, ND, Chadron, NE, Columbus, NE, Omaha, NE, Concord,
NH, Albuquerque, NM, El Rito, NM, Santa Fe, NM, Amherst, NY.
Binghamton, NY, Brooklyn, NY, New York, NY, Queens, NY,
Tarrytown, NY, Warrensburg, NY, Cincinnati, OH, Columbus, OH,
Dayton, OH, Tulsa, OK, Cave Junction, OR, Portland, OR,
Blossburg, PA, Norristown, PA, Philadelphia, PA, Pittsburgh,
PA, Scranton, PA, Cranston, RI, Columbia, SC, Greenville, SC,
Orangeburg, SC, Chattanooga, TN, Memphis, TN, Talbott, TN,
Nashville, TN, Austin, TX, Corpus Cristi, TX, Dallas, TX, El
Paso, TX, Galveston, TX, Houston, TX, Uvalde, TX, Salt Lake
City, UT, Arrington, VA, Danville, VA, Falls Church, VA,
Richmond, VA, Winchester, VA, Olympia, WA, Seattle, WA,
Spokane, WA, Wenatchee, WA, Milwaukee, WI, Huntington, WV,
Martinsburg, WV, Charleston, WV, Hinton, WV.
As much success as these communities have achieved with CAP funding, the bill unfortunately eliminates that program. Last year the program received $104 million appropriation; yet the administration transferred $20 million of that, or roughly 20 percent of the total funding, to a pediatric AIDS initiative. No one wants to deny the pediatric AIDS patients the care they need, but this situation demonstrates the problem we have with this bill. We are forced to rob one very worthy program to pay for another necessary program, and in the end the health of our community suffers.
My amendment would restore the $104 million for CAP, restoring funding for the program to the fiscal year 2004 enacted levels.
Because of the host of worthy health care programs in this bill, we do not have an offset, and I would like to withdraw the amendment.
I appreciate the chairman's courtesy in allowing me to talk about the amendment, but I want my colleagues to understand the tremendous strides this program has made in providing primary health care to those 44 million Americans currently living without insurance. The program is worthy of our support, and it is my hope that funding will be restored in conference.
Again, to the gentleman from Ohio (Chairman Regula) and the gentleman from Wisconsin (Mr. Obey), I appreciate their allowing me the time, and I thank them for the funds for the community health centers, but we still need the dollars to coordinate these community health centers.
I yield to the gentleman from Wisconsin.
Mr. Chairman, I ask unanimous consent to withdraw the amendment.
Mr. Chairman, will the gentleman yield?
Mr. Chairman, I thank the chairman for his comments.
Mr. Chairman, I offer an amendment. Mr. Chairman, we are calling this the Patsy Mink amendment, as the first legislation was written and passed by our distinguished colleague and friend that founded…
Mr. Chairman, I offer an amendment.
Mr. Chairman, we are calling this the Patsy Mink amendment, as the first legislation was written and passed by our distinguished colleague and friend that founded the Women's Educational Equity Act. This would restore the $3 million for this program that was taken out in the mark before us, and this has no offset because the money would come out of the school improvement program that has well over $50 million in it.
This is certainly needed. Some people on the other side of the aisle have said that we no longer need the Women's Educational Equity Act, but the figures that came out last week from the Census Bureau showed that the pay gap widened between men and women in 2003, and that women's pay slumped for the first time since 1999, falling to 75.5 cents to the male dollar.
I will include for the Record the census report that shows the gap between men and women growing, and specifically the fact that women's pay has slumped for the first time since 1999.
I would like to take this opportunity to thank very much Patsy Mink for her hard work and leadership in authoring WEEA. It has made a difference in the lives of millions of girls and women for 30 years by training teachers to treat boys and girls fairly in the classroom, teaching about reducing sexual harassment, and encouraging girls to study math and science among many other things. WEEA ensures that girls and women will succeed in school, plain and simple.
Unfortunately, in this tight budget year, WEEA was zeroed out in this bill. Mr. Chairman, I can assure you that cutting the $3 million to girls' education is totally unfair and will not help in any way to balance the budget.
Women have made great strides over the past 30 years, but these strides have not happened by themselves. It is programs like WEEA that provide the training, the materials and the support for our young girls in the educational system, but we still have a tremendous long way to go before we reach a point when WEEA will no longer be needed.
In 2003, male students scored higher on average than female students in mathematics. Girls represent only 17 percent of the computer science AP test takers. Women are roughly 20 percent of IT professionals. Women receive less than 28 percent of the computer science bachelor's degrees, down from a high of 37 percent in 1984. Women make up just 9 percent of engineering-related bachelor degrees. These statistics are unacceptable, but would be worse without WEEA.
As the educational needs of our society change and grow, as math and technology continue to become prominent skills of our everyday lives, gender equity in our education system is more important than ever. Girls must catch up with boys when it comes to math and technology, and WEEA can help.
This amendment, the Patsy Mink Women's Educational Equity Act, will support our daughters, our sisters, our friends. Vote yes on the Maloney-Woolsey-Sanchez amendment.
I also would like to cite a report that came out recently, the Dingell-Maloney report, that showed that there was a consistent gap between the earnings between men and women for the past 20 years, a consistent 40 percent gap. After making up for time for pregnancy or taking care of sick parents, there is still a 20 percent unexplained gap between men and women's pay. This translates into pensions.
I would consider a vote against this amendment a vote against women, a vote against equity and opportunity for women in the workforce. It begins in the classroom. This program is as needed today as when Patsy Mink first wrote it. So I call upon my colleagues on both sides of the aisle to vote for their daughters, their sisters and their friends, and to support this amendment.
Mr. Chairman, I will place in the Record the Dingell-Maloney report that shows the persistent 20 percent gap, which can only be explained as discrimination.
I want to thank very much my colleague, the gentlewoman from California (Ms. Woolsey) for her excellent leadership and help on this issue through many Congresses, and the gentleman from Wisconsin (Mr. Obey) for his fine help.
GAO Pay Gap Report Highlights
(Briefing by Reps. Maloney & Dingell)
The General Accounting Office (GAO) examined 18 years of
data on over 9,300 Americans for an earnings study
commissioned by Representatives Carolyn Maloney (D-NY) and
John Dingell (D-MI). The new study is a follow-up to the more
narrowly-focused 2002 GAO report on the earnings gap between
female and male managers.
Results of the GAO study show: The pay gap is real. Women
working full-time today are paid an average of 80 cents for
every dollar that men are paid, even when accounting for
demographic and work-related factors such as occupation,
industry, race, marital status and job tenure. This 20
percent earnings gap cannot be explained due to differences
in work patterns or histories.
Differing work patterns lead to an even larger earnings gap
between men and women--suggesting that working women are
penalized for their dual role as wage earners and those who
disproportionately care for home and family obligations. The
GAO study confirms that women in the workforce are less
likely to work a full-time schedule and are more likely to
leave the labor force for longer periods of time than men,
suppressing women's earnings even further. And, men with
children are paid about 2 percent more than men without
children, whereas women with children are paid about 2.5
percent less than women without children.
The pay gap has persisted for past two decades. The GAO
study confirms that the earnings gap between women and men
has been consistent from 1983-2000, despite a sense of
continued progress toward gender equality in the workplace.
The GAO also reviewed other studies and interviewed
employers and earnings experts to round out their analysis,
leading to troubling questions about the persistent pay gap:
Why do workplaces still maintain the same policies, practices
and structures that existed when most of their workers did
not have obligations to care for children and family life?
Why do industries and professions dominated by women pay
disproportionately less than male-dominated industries? How
much does the pay gap between men and women cost families?
In response to the GAO findings, Representatives Maloney
and Dingell seek to establish a new Center for the Study of
Women and Workplace Policy at a public university that would
serve as a nationwide resource for employers, women and
families. The Center would follow up on the GAO study,
collaborate with businesses and women's organizations on
solutions to the earnings gap, and publish yearly guides on
best practices for employers and family friendly workplaces
for women.
[From the Feminist Daily News Wire, Sept. 2, 2004]
Wage Gap Increases Between Women and Men, US Census Reports
Figures released by the US Census Bureau last week show
that the pay gap between women and men widened in 2003.
Women's pay slumped for the first time since 1999, with women
earning only 75.5 cents to every dollar men earn. The Census
Bureau stated that this marks the first ``statistically
significant'' decline in women's pay since 1995,
AccountingWEB.com reports, with real median earnings of women
over the age of 15 fell 0.6 percent to $30,724. The Institute
for Women's Policy Research has stated that the 1.4 percent
decrease in the gender wage ratio is the largest backslide
since 1991.
Though over forty years have passed since the Equal Pay Act
was signed in 1963, at which point women earned 59 cents to
the dollar men earned, progress to attain its goals has been
slow. With more families becoming dependent on women as
breadwinners, and with approximately half of women entering
retirement alone, the wage gap is a crucial issue that
affects the health and well-being of women and their
families. The poverty rate for women and girls increased to
13.7 percent from 13.3 percent in 2002, increasing for the
third straight year, reports Women's eNews. In addition, the
uninsured rate rose more sharply for women at four percent,
with the rate for men only rising one percent.
The Asheville Citizen-Times reports that the typical prime-
age working woman earned $273,592 over the 15 year period
between 1983 and 1998, compared with $722,693 for the typical
prime-age working man. In addition to the wage gap, this
discrepancy occurs because women work more part-time jobs and
take more time out of the workforce to raise children.
However, the Asheville Citizen-Times reports that in October
2003 the General Accounting Office released a report titled
``Women's Earnings'' that examined 18 years of data. The
report found a 20 percent earnings gap between men and women
that could not be explained, even after accounting for
factors such as occupation, industry, marital status, and job
tenure.
Mr. Chairman, I rise in support of the fiscal year 2005 Labor-HHS bill, and I first want to express my appreciation to the gentleman from Ohio (Chairman Regula) and the gentleman from Wisconsin…
Mr. Chairman, I rise in support of the fiscal year 2005 Labor-HHS bill, and I first want to express my appreciation to the gentleman from Ohio (Chairman Regula) and the gentleman from Wisconsin (Ranking Member Obey). They are men of principle, great fairness and determination. It is a pleasure serving with them.
I also want to take a moment to convey my admiration for the gentleman from Florida (Chairman Young). After years of leading the Committee on Appropriations in a fair, bipartisan manner, my good friend is leaving the chairmanship at the end of the year, and while I look forward to continuing to work with the gentleman from Florida (Mr. Young) in the future, I want him to know how much his leadership will be missed.
I also want to thank the staff on both sides of the aisle who continue to be so very helpful.
My colleagues, the programs funded in the Labor-HHS bill are critical, as we heard discussed by the gentleman from Ohio (Mr. Regula). We provide the children of working parents with safe places to go after school. We lead the world in biomedical research. We recruit young professionals into nursing, a profession with a looming shortage that will affect all Americans who seek health services.
We allocate resources to State and local health departments, as well as hospitals, so they are equipped to respond to a mass incident, for which most are only modestly better prepared than they were on September 11.
We prevent our most vulnerable from having to choose between food and heat. We help put kids through college, a pinnacle of the American dream.
These activities benefit every member of our society. However, because of the limited allocation provided by the Committee on the Budget, many important needs will remain underfunded.
For example, last year Congress did not fulfill its obligation to fully fund the Title I program which serves the poorest children in America, and because of that, more than half our Nation's school districts from Kansas to Minnesota, North Dakota to Pennsylvania, Missouri to Yonkers, New York, in my district, received less Title I from one year to the next. We can expect similar funding cuts for schools across the country in fiscal year 2005 because the bill falls $7.2 billion short on the amount authorized under the No Child Left Behind Act.
Despite a 26 percent tuition increase in the last 2 years, the bill freezes the maximum Pell grant for low-income college students for the second year in a row and cuts Perkins loans by $99 million below last year's level.
Even though every school administrator and teacher I talked to pleads for additional special education funding to meet the growing demands, the bill falls $2.5 billion below the Republican promise made last year in the IDEA reauthorization bill.
At a time when our Nation is desperate for additional nurses and schools of nursing cannot accommodate the increased number of applicants, an additional $5 million for nurse education and training will help only a fraction of the 18,000 candidates denied admission last year because there are not enough instructors to teach them.
Earlier this year this administration circulated a memorandum indicating that the 2006 spending cuts outlined in this year's budget will be implemented. That means huge reductions in spending on health, education, and labor are just around the corner.
Mr. Chairman, in closing, I also want to express my continued concern with the Weldon refusal clause provision. For over 30 years, there have been Federal laws that allow doctors, nurses and hospitals to refuse to provide abortion services because of their religious beliefs, as it should be. However, just as the law protects religious or moral objections, it protects the rights of patients, ensuring that women have access to accurate and complete medical information when making decisions about their own health. The Weldon provision would unravel these protections, gutting the patient protections included in the Title X family planning program, which require that all legal options are presented to a woman. It is my hope that this provision will be stripped from the final Labor-HHS spending bill.
Mr. Speaker, although I did discuss some significant flaws, I will support final passage, and I have said many times that I am truly honored to be a member of the Subcommittee on Labor, Health and Human Services, Education and Related Agencies. I believe that we have tried to work as a team and make the most of the inadequate allocation provided to us by the leadership.
I also continue to hope that through floor consideration today, Senate consideration and during conference we will continue to work together as a team to make additional improvements to the bill.
Mr. Chairman, I rise in support of the amendment.
First of all, I would like to thank our distinguished chairman because he has worked with us and understands the importance of this very critical issue in so many Members' districts across the country. I rise in strong support of the amendment, and I am appreciative for all of us who have been working together. Just a few words on it, and again I thank our chairman.
Last year CMS decided to change and reinstate the patient rehabilitation facilities 75 percent rule, a rule which was enforced inconsistently and intermittently until it was fully suspended in 2002 because rehabilitation care had evolved so far beyond the original rule's scope.
In an effort to ensure that the rule would be updated appropriately, Congress asked CMS to commission an independent study on the status of rehabilitative care and use the findings to rewrite the rule. As my colleagues know, we had more than 300 Members of Congress supporting this request and the inclusion of similar directives in the fiscal year 2004 omnibus spending bill and the Prescription Drug Act.
CMS issued the final 75 percent rule without the benefit of a study, leaving the list of qualifying conditions practically the same as those imposed two decades ago. Considering the impact of these rehabilitation policies on the health and well-being of our constituents, we could not stand by and let our call for a study go unfulfilled. So again with the support of the Committee on Ways and Means chairman, the gentleman from California (Mr. Thomas), and the ranking member, the gentleman from New York (Mr. Rangel), the LoBiondo-Lowey-Wamp amendment will ensure that an independent study of the issue is conducted and the findings used to rewrite the 75 percent rule.
I am very appreciative, Mr. Chairman, of both committees, and particularly the gentleman from Ohio (Chairman Regula). We have worked together in a bipartisan way to bring this amendment to the floor, and I want to thank the staff of the gentleman from California (Mr. Thomas), Joel White and Deb Williams, for carefully working out the details of this amendment late last night and early this morning. I am delighted we have been able to work this out.
Mr. Speaker, I thank the gentlewoman for yielding me this time. I want to highlight some of the positive things about this bill. This bill distributes over $142.5 billion, and it does things for…
Mr. Speaker, I thank the gentlewoman for yielding me this time. I want to highlight some of the positive things about this bill.
This bill distributes over $142.5 billion, and it does things for people. It is aimed at helping people, and I think we can be proud as a Congress for what we are doing here. It funds over 500 discretionary programs, and every one of those programs is important to people in this Nation. But, importantly, also, it stays within the subcommittee's 302(b) allocation and the constraints that were established in the budget resolution. It would be easy to go over because these programs are something that are very sensitive, but I think we have tried very hard, and we had a bipartisan effort in the subcommittee, to meet the needs and aspirations without exceeding the budget.
We did this with a lot of hearings, 23 days of hearings. We heard from 33 different agencies, and we had over 100 public witnesses. One of the things that we have done in our subcommittee is give the public an opportunity to be heard on how these programs affect them and what is important to them.
The bill only goes up a little over 2 percent above last year's level, and obviously we had to make some very tough priority choices in order to stay within the constraints of the budget resolution which gave us a little bit over 2 percent.
A policy decision we made was to focus on education, and we put $342 million more into education programs than was requested in the President's budget. The bill reflects the priorities of Members of the House. For example, the original budget proposed to cut vocational education State grants by $200 million. We not only restored the $200 million, but added $20 million above last year because we recognized that vocational education is extremely important as people need to have training and retraining. We think of vocational education as only at the high school level, but we have a lot of adult education programs that give individuals an opportunity to get skills for new job opportunities that come their way.
We increase the funding for student aid in higher education in certain areas not requested by the administration, and we restored other programs that were proposed for termination. I think overall the bill reflects the priorities of the Members of this House on both sides of the aisle in the field of education. Obviously, it would be nice to have a lot more, but we have to work within the constraints of the budget.
An area of great interest to our Members is special education, IDEA, and we added a billion dollars to this program above last year that brings the total to over $11 billion. In Title I, we added a billion dollars over last year for a total of $13.3 billion. In addition to aid to education, this bill expands funding for training and adjustment services for workers that are dislocated due to plant closures and mass layoffs. It reflects the fact that we have somewhat of a changing mix of the employment opportunities in our society.
This bill also provides $50 million for the President's new Community College/Community-Based Job Training Initiative. These types of institutions, because they are sort of a hands-on opportunity, have provided a lot of great help to people. I know in my own district we have a vocational or trade school that is post-high school 2 years. It offers skills in about 45 different curricula offerings, and enrollments just leaped to a very high level, and the important thing is that they have an excellent record in placing their graduates, their 2-year graduates, in jobs. So we want to support that type of thing in this bill.
Another area that is of interest to people are the community health centers, because it keeps people out of
emergency rooms that really need that access. It provides medical help to the people that are without means. I think expansion of the community health center service is very important. We support the proposal of the President in his budget.
Through NIH, we support medical research. This is an agency that gives hope to people, hope that there will be a cure. I think the measure of the success is testimony by Dr. Zerhouni that every 5 years life expectancy goes up a year in the United States. That is a tremendous record. We try to continue the support. We have more than doubled NIH in the last 5 years, and we added $700 million to this year's bill.
Also we recognize that preparedness is very important in today's world of terrorism and uncertainty, so we have given the Federal, State and local public health officials the ability to respond to terrorism, to meet whatever emergencies arise in the public health system. One of the things that has been our goal is to make the whole public health system seamless, starting with the Centers for Disease Control and with the State public health and the local public health, so the ability to communicate when there is an emergency is done almost instantly. Secretary Thompson has given great leadership, I think, in focusing an information center in HHS that allows a quick response whenever there is a critical problem. Because of the importance of all this, we added $188 million above the 2004 level.
We added $398 million to the Centers for Disease Control. Because we have a freer flow of people around the world: SARS, the West Nile virus, hepatitis, influenza, and other emerging global disease threats. And the watchdog, the protection for all of us, is done effectively by the Centers for Disease Control. They are on the cutting edge. Recognizing that, we put an increase in $29 million over 2004 to deal with some of these threats to all of us.
I could say a lot more about the bill and will in the general debate, but I think overall the bill, given the constraints that we had in terms of the allocation, we have done a fair job. I think fair in the sense that it reflects not a partisan outlook, but reflects the feeling of the members of the subcommittee and the full committee and the Members of this House, many of whom testified on various things. We tried to make a balanced bill that would give the best possible service to the American people in terms of their education, in terms of their health, job retraining, and basically I suppose one could describe this bill as the epitome of hope. It gives hope that there will be cures found by NIH, hope that people will get new skills so they can be reemployed, and hope that their children will have better education opportunities than they have, and we have tried to respond to that desire on the part of the American people.
I urge Members to support this rule and to support the bill when we get to it. I think it is a fair and balanced approach to the challenges that confronted our subcommittee.
Mr. Chairman, I offer an amendment. Mr. Chairman, let me begin by thanking the gentleman from Ohio (Chairman Regula) and the gentleman from Wisconsin (Ranking Member Obey) for their very, very hard…
Mr. Chairman, I offer an amendment.
Mr. Chairman, let me begin by thanking the gentleman from Ohio (Chairman Regula) and the gentleman from Wisconsin (Ranking Member Obey) for their very, very hard work on this important bill.
Mr. Chairman, as I think every American from Vermont to California knows, in a couple of weeks as winter approaches, people are going to have a very, very rude surprise when they take a look at their home heating bills. I do not have to tell anybody here or anybody in America that the cost of home heating fuels are skyrocketing
out of control, and I do not have to tell anybody here that millions and millions and millions of Americans are going to find it increasingly difficult to pay these outrageously high costs in order to keep warm this winter.
Mr. Chairman, according to the Energy Information Administration, the price of heating oil, natural gas and propane are expected to skyrocket. They are going to go off the wall.
The amendment that I am offering today would provide relief to hundreds of thousands of families by increasing funding for the highly successful and widely supported Low Income Home Energy Assistance Program, the LIHEAP program, as well as the Weatherization Assistance Program, by $22 million. This increase, I should point out to my friends, would still be $42 million below the President's request. The amendment would be offset by a $26 million reduction in departmental management at the Department of Health and Human Services, which would still provide, with that reduction, level funding for this program.
This amendment has tripartisan support and is being cosponsored by my colleagues, the gentleman from Connecticut (Mr. Simmons), the gentlewoman from New York (Mrs. McCarthy), the gentleman from New Hampshire (Mr. Bradley), the gentleman from Massachusetts (Mr. Markey), and the gentleman from Massachusetts (Mr. Meehan). It also enjoys the very strong support of the National Community Action Foundation.
Mr. Chairman, from California to Vermont, every American knows that energy costs are only going to go up this winter. Here is what the Energy Information Administration is predicting: Compared to the winters of 1998 to 2000, the price of natural gas will be 55 percent higher; the price of heating oil will be 45 percent higher; and the price of propane will be 41 percent higher.
LIHEAP is the primary program that provides assistance to help lower- income families pay their energy bills, and there has been no time when more people are going to need LIHEAP assistance than now. We are facing a crisis, and if we do not act, large numbers of Americans could well go cold this winter.
Mr. Chairman, in this country no American family should go without heat this winter. Not one senior citizen should choose between heating their homes and paying for the prescription drugs that they need.
Mr. Chairman, LIHEAP and weatherization enjoy broad bipartisan support in Congress. Last March, more than 70 Members of both the House and Senate, including 20 Republicans, cosigned letters calling for $3 billion in funding for LIHEAP. Even if this amendment were signed into law, LIHEAP would still be more than $500 million short of that mark.
Similar amendments that I have offered in the past to increase funding for weatherization have been very successful because I think they have strong tripartisan support, understanding that it is absurd that people lose their heat through faulty windows or roofs, and that it makes sense economically and environmentally to substantially increase weatherization.
Mr. Chairman, for those of us concerned about protecting the financial well-being of lower-income Americans and for those of us concerned about the environment, this is a very important amendment. It will make more homes throughout this country energy-efficient through proper insulation. This is good for low-income people, it is good for the government, it is good for our environment.
The weatherization program also creates good-paying jobs, increases property values, and decreases U.S. energy use by the equivalent of some 15 million barrels of oil every year.
Under this program, 105,000 homes will be weatherized this year, but much more can and must be done, and while 4.8 million families received LIHEAP assistance this year, over 25 million eligible families did not receive any help due to lack of funding from the Federal Government.
Mr. Chairman, we can do better than that, we must do better than that, and I urge my colleagues to vote ``yes'' on this important amendment.
Mr. Chairman, will the gentleman yield?
Mr. Chairman, I thank my friend for his support for these programs over the years, and I am not going to argue with him about the value of these programs because I know he appreciates the value of the programs.
But what my friend cannot deny is that the cost of heating fuels are skyrocketing. There is no debate about that, and the problem is that if we simply increase weatherization and LIHEAP by a little bit, it is not going to keep up with 30, 40, 50 percent increases in home heating fuel.
I think my friend would recognize, and none of us can predict the weather, but even with an average winter, the fact that heating fuels are soaring will mean that fewer dollars will be available to people, or we are going to have to cut back on the number of people that utilize the programs.
All I am doing, this is not a multibillion-dollar increase, and I know my friend's heart is in the right place on this issue. It is a relatively modest increase of $22 million. I would appreciate support for it.
Mr. Chairman, if my friend would further yield, I understand that, and it is like I would not be unhappy if the gentleman took care of that in conference. I know it is a tough judgment.
I simply would like the Members to stand up for folks who might go cold this winter. That is the point that I want to make. I am not going to get in a great argument with my colleague here. And perhaps he can adjust that in conference.
If the gentleman will continue to yield, Mr. Chairman, I think it is best to give the Members an opportunity to express their will on this, but I thank the gentleman very, very much.
Mr. Chairman, I demand a recorded vote.
Mr. Chairman, I thank the distinguished ranking member for yielding me this time. I start by reiterating the observation that the ranking member, the gentleman from Wisconsin (Mr. Obey), has made. It…
Mr. Chairman, I thank the distinguished ranking member for yielding me this time.
I start by reiterating the observation that the ranking member, the gentleman from Wisconsin (Mr. Obey), has made. It is very nice to get up and say with a chart, this is what we have spent. Those figures are undoubtedly accurate. What is not accurate, as the gentleman from Wisconsin (Mr. Obey) so correctly pointed out, was that those were not the figures that the Republican House budget proposed in years past. In point of fact, when they talk about the 10-year period of time, the fight almost every year between the Clinton administration and the Republican House and sometimes Senate was that we had not put in sufficient funds to meet our obligations as it relates to education, Title I and other educational objectives. Invariably, the President got his way. So, yes, the figures are higher, but they are not higher because the Republican Committee on the Budget proposed them as such.
Mr. Chairman, this bill, in my opinion, fails to meet the crucial priorities that the citizens of this great Nation expect and deserve in education, in health care, in medical research, and in many other areas, including the promotion of the quality and safety of work in America.
But as I have said before, this is not the fault, and I reiterate, not the fault of the subcommittee chairman, the gentleman from Ohio (Mr. Regula). The gentleman from Ohio (Mr. Regula) neither sits on the Budget Committee, nor, in my opinion, was he very enthusiastic about the Committee on the Budget's product. And it is certainly not the fault of the gentleman from Florida (Mr. Young). As a matter of fact, earlier this year the gentleman from Florida (Mr. Young) made the correct observation that the budget was not real, and the numbers projected in the budget were insufficient to meet the obligations of the Committee on Appropriations to provide for the needs of the American people. That was the chairman of our committee speaking.
Instead, this bill's deficiencies have been caused by the Republican majority's irresponsible and unrealistic budget resolution for fiscal year 2005. This is not an unusual budget resolution. It is a political document, not a fiscal document. It was made for the purposes of making political points, not for investing in our people. It abandons fiscal discipline and makes crucial investments in the American people virtually impossible.
One would think that, because the Republicans have been in charge and they have proposed not spending appropriate funds even though they say they are going to, that we would have saved a lot of dollars. But in point of fact, as the whole country knows, we have been going deeply into debt over the last 40 months. In fact, the President's acceptance speech in New York says he wants fiscal restraint, but he has led this country, along with the Republican majority in this House and this Senate, from a $5.6 trillion surplus to a $3 trillion to $4 trillion deficit in 40 months. That is almost a $10 trillion turnaround from fiscal responsibility to fiscal irresponsibility in less than 4 years.
Despite the rhetoric coming from the other side of the aisle, the inescapable fact is that this bill underfunds the bipartisan No Child Left Behind Act by at least $9.5 billion this year. That is in the authorization bill, they imposed a mandate on the States. I supported that bill. We want accountability, we want performance, we want quality education for every one of our children. We said we are going to require you to do certain things, States, but we are going to give you resources to help you accomplish those objectives. We are $9.5 billion short in that promise, and $25 billion short over the last 3 years, short from what the President, in signing the authorization bill, said we were going to do.
Unfortunately, we are falling behind in other areas as well. At a time when this Congress and this administration proudly tout the doubling of National Institutes of Health just a few years ago, NIH today only gets the President's request level. This represents the smallest increase in NIH funding in 19 years. As all of our citizens know, NIH is charged with the responsibility of finding a cure for cancer, making heart disease less fatal, finding a cure for diabetes, seeing if we can find how to prevent Alzheimer's disease, and responding to the AIDS crisis in this country and around the world.
We are short-funding those critical efforts that afflict and threaten our people. Moreover, it is simply not enough to keep up with the medical inflation and will force NIH to lose momentum on the scientific progress they gained from the doubling that Republicans and Democrats all so proudly talked about.
In addition, Head Start, a program that Ronald Reagan said was a success, George Bush I said it was a success, and Bill Clinton clearly said it was a success, is cut by $45 million below the President's request. Thousands of children will have no seat in Head Start, notwithstanding the fact that we think it works. Ryan White HIV/AIDS programs are largely frozen. The maximum Pell grant is frozen. And the Department of Labor is slated for an overall cut of $98 million.
My friends, this bill is insufficient. It may well be better than a continuing resolution, but it is insufficient to meet our obligations and responsibilities. How sad it is that we pass the people's bill with insufficient resources to meet the people's needs.
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Mr. Chairman, I offer an amendment. Mr. Chairman, I rise in strong support of my amendment to accelerate the adoption of health information technology and to improve health care quality for all…
Mr. Chairman, I offer an amendment.
Mr. Chairman, I rise in strong support of my amendment to accelerate the adoption of health information technology and to improve health care quality for all Americans, significantly reduce preventable medical errors, and rein in rising health care costs. My amendment would add $25 million to the Department of Health and Human Services to advance health information technology. This meets the Secretary's budget request to fund State, regional or local grants to develop health systems that coordinate with each other. This funding will also help unleash our creativity through grants to foster innovative information technologies that improve health care.
Mr. Chairman, this President and this Secretary of Health and Human Services, Tommy Thompson, have provided remarkable, aggressive, and visionary leadership to bring America's health care system into the 21st century, to improve the quality of care available to all Americans, and to dramatically reduce administrative costs, medical errors, duplicate testing, duplicate record keeping, and address all those aspects of our health care system that have already been identified by the Institute of Medicine as being the source of poor- quality care and an enormous health care cost.
At this moment, with health care costs rising at an extraordinary rate, pressing premiums up for everyone, including our seniors under part B, we must push forward to develop interoperable electronic health records, e-prescribing and all those other applications of modern information technology to our health sector. It is indeed bizarre that other sectors of the economy, manufacturing, banking, many other sectors, are far ahead of the health care sector in integrating, absorbing, using and exploiting information technology to both improve the quality of operations in those sectors and the quality of the product as an outcome. Information technology will dramatically improve the quality of health care available to all Americans and holds out the promise of reducing costs tremendously.
For example, health information technology will reduce medical errors which account for 44,000 to 98,000 deaths annually, more than motor vehicle accidents, breast cancer, or AIDS. It will reduce known medical errors that cost $30 billion to $35 billion annually. Health IT will save $5.4 billion a year annually that is spent on unnecessary services because tests or second opinions cannot be located. It will also eliminate costly defensive medical practices which account for as much as $108 billion in unnecessary health care costs each year. Health IT will allow physicians to detect negative drug interactions which result in 7,000 deaths each year.
My friends in this body, we must do everything we possibly can to back Secretary Thompson and this President in moving health information technology into our health care sector as rapidly as possible. These innovative grants, the work that they are doing to establish standards, the pressure they are putting on the private sector to develop interoperable technologies is all exactly what needs to happen; and it is my hope that we will be able to accomplish the goal of this amendment, to provide the full $50 million that the new office, of which Dr. Brailer is now the head as the national coordinator of information technology, that their full budget allocation request can be fulfilled.
I have talked with the gentleman from Ohio (Mr. Regula) about this. Rather than pursuing this amendment further, I am going to withdraw it. But I did want to stress how important it is that we back this office with its full dollar amount. I hope that in the course of the development of this bill, that that goal will be fulfilled.
Mr. Chairman, will the gentleman yield?
I thank the chairman very much for his comments.
Mr. Chairman, I also want to say both to the gentleman from Ohio (Mr. Regula) and also to the gentleman from Wisconsin (Mr. Obey) that you have brought forward for this body a very fine, balanced bill in a difficult era. The money that you have put into critical health care activities that the Federal Government funds, like the children's hospitals and also into public education as well as job training and a number of other areas is really a tribute to the kind of thoughtful leadership that this body is capable of.
I do withdraw my amendment, recognizing the importance and value of OSHA, and I appreciate your willingness to look at this critical function as you move this bill toward its final conclusion.
Mr. Speaker, I thank the distinguished gentlewoman for yielding me this time, and I thank the chairman and ranking member of this committee for the work that they have done, as well as the full…
Mr. Speaker, I thank the distinguished gentlewoman for yielding me this time, and I thank the chairman and ranking member of this committee for the work that they have done, as well as the full committee, because I know that they have worked, as we would say, against all odds. But I think when we come to the floor of the House, it is appropriate to tell the truth and to really acknowledge why this bill does not deserve in its present form the support of those of us who believe in comprehensive health care and recognizing the valiant work of Americans who work every day to make the engine of this country run.
First of all, this bill suffers because this administration and this Congress have made a decision that those who make a million dollars, those who make millions of dollars a year, are far more important with giving them, the 1 percent richest of America, the biggest tax cut that they will ever have. In fact, part of the reason why we are suffering in this legislation is because there is this idea that we should make these tax cuts permanent, permanent in the light of soaring costs in the Iraq and Afghanistan wars, young men and women losing their lives and not having the resources that they need in health care and jobs when they come home, those who do come home, and then those families whose young ones have lost their lives not having the resources in order to survive.
This is a bill that suffers a lot. First of all, it immediately squeezes the middle class. How does it do that? By eliminating for the first time in history the rights to overtime. Overtime has been somewhat of a sacred understanding that when you go the extra mile, you are paid in many instances. This bill does not affirm that because, of course, it affirms the Labor Department's regulations. I hope that we all will support the Obey-Miller amendment in order to restore the rights of overtime.
This bill does not affirm what we call access to health care by minorities. Hispanic males and African American females were in the highest obesity at-risk groups when data was evaluated by race and gender. African American men are at least 50 percent more likely to develop lung cancer than white men. African American men are twice as likely to be diagnosed for prostate cancer as white men. We have a problem in the lack of access to health care and disparity in health care. None of the resources in this bill focus particularly on that concern. In fact, the Centers for Disease Control loses money.
Job-training programs lose money. But more importantly, the whole idea of promoting good health care for the uninsured loses its momentum in this legislation. For example, the NIH gets its smallest increase over the years. The NIH is involved in research that helps improve health conditions. And, of course, we have a problem with respect to community health centers in promoting more of those in our community. Access to health care is a key to good health care, particularly for those who are uninsured.
I will offer two amendments that deal with the inequities in health care in particular, adding dollars to lupus research and also adding dollars for research in hepatitis C, which impacts minorities and veterans to a high degree.
I would say that this legislation is lacking in a lot of ways. It is lacking in its caring attitude. It is lacking in the recognition that there are great needs among populations that have been underserved. It is lacking in the fullest amount of funding to allow the utilization, to close the gap between health care. And, of course, it is lacking in the understanding of the 44 million that are uninsured. I would hope that we would come to grips with the fact that health care is very much a part of the American dream. It is a part of equality and justice. Until we have justice in health care, until we have justice in labor rights, our country is not meeting its promise.
I hope that my colleagues will vote enthusiastically for the Obey- Miller amendment to restore overtime rights, and I hope they will support my amendments on adding additional funds for lupus research and as well as adding additional funds to find the cure and do research in hepatitis C.
Mr. Chairman, I offer an amendment. Mr. Chairman, I rise today to offer an amendment to increase funding in the fiscal year 2005 Labor-HHS appropriations bill before us for the CDC's Preventative…
Mr. Chairman, I offer an amendment.
Mr. Chairman, I rise today to offer an amendment to increase funding in the fiscal year 2005 Labor-HHS appropriations bill before us for the CDC's Preventative Health Care Block Grant. This important grant is one of the few grants that allows States the flexibility to address their own unique health care challenges in exciting and innovative ways.
Unfortunately, H.R. 5006 cuts the amount of funding for the Preventative Block Grant by $23 million from the fiscal 2004 amount of $133 million to $110 million for fiscal year 2005. The funding provided in the legislation is also $23 million below the administration's request for fiscal year 2005.
My amendment would restore the funding to last year's level. It would offset the increase in the Preventative Health Care Block Grant by reducing the level of the Department of Health and Human Services departmental management by the same amount.
Mr. Chairman, this block grant has allowed State health departments to address a wide variety of public health issues, including cardiovascular disease, diabetes, physical activity, suicide prevention, just to name a few. States have documented that investment of block grant dollars has resulted in improved health care outcomes and in some significant cost savings.
I strongly believe that the Preventative Health Care Block Grant is exactly the type of program we should be supporting. The national investment in prevention is currently estimated to be less than 5 percent of the annual health care costs despite strong evidence that prevention can be cost effective and helps people enhance the quality of their lives.
In addition, this block grant is excellent public policy because it provides States with great flexibility in addressing the public health care needs their populations face.
Mr. Chairman, I am a strong supporter of health care promotion programs that have the potential to improve health, improve the quality of life, reduce health care costs, and boost productivity. I believe it is time for America to increase its investment in health care prevention strategies. It is a fact that adaptable lifestyle factors, such as smoking, sedentary lifestyle, poor nutrition, unmanaged stress, and obesity, account for approximately half the premature deaths in the United States. Moreover, spending on chronic diseases related to lifestyle and other preventable diseases accounts for an estimated 70 percent of total health care spending. With the pending retirement of the baby boom generation, the financial burden of these preventable diseases will further threaten the solvency of the Medicare program.
It is my hope that with a greater focus on prevention, we will be able to greatly reduce the number of individuals who suffer from all types of ailments, including diabetes, cancer, heart disease, and strokes just to name a few areas where preventative health care can make the difference. The CDC's Preventative Health Care Block Grant goes a long way towards achieving this goal.
One of the other key components of the block grant is that it is the primary source of flexible funding that provides States the latitude to fund any of 265 national health care objectives available in the Nation's Healthy People 2010 Health Improvement Plan.
Mr. Chairman, I know the chairman and ranking member of the Labor, Health and Human Services, Education and Related Agencies Subcommittee did the best they possibly could in stretching the dollar as far as they could in this bill, and for that I applaud them. However, a cut of this magnitude, nearly 18 percent, will force State and local health departments to eliminate or severely reduce some very important public health activities.
I look forward to working with the chairman and ranking member to restore funding to this account in some way.
Mr. Chairman, I ask unanimous consent to withdraw the amendment.
Mr. Speaker, a few minutes ago we heard one of the speakers on the majority side of the aisle talk about this bill in terms of being a bill which meets our promises. I am not quite sure what bill she…
Mr. Speaker, a few minutes ago we heard one of the speakers on the majority side of the aisle talk about this bill in terms of being a bill which meets our promises. I am not quite sure what bill she was referring to, but it certainly could not have been this one because this bill is a monument to broken promises and is an embarrassment to the institution, in my view, if this institution pretends that it cares about making the long-term investments in our economy and in our kids that are necessary.
If you take a look at what this bill does not produce, this bill falls $9.5 billion below the promises in the No Child Left Behind Act of just 3 years ago for Title I alone, which is the major program by which we attack poor education systems for disadvantaged children. For Title I alone, this bill is $7 billion short of the promises laid out in the No Child Left Behind Act.
Special education: Both political parties posed for political holy pictures in terms of how much we are going to try to do for handicapped children, and yet this bill provides $2.5 billion less than the Republicans promised in their own budget of just 1 year ago.
Then if we look at Pell grants, I was so flabbergasted, I practically fell onto the floor when I saw the President of the United States speak to the Republican convention and talk about his determination to increase Pell grants, when, in fact, the majority has frozen Pell grants for 2 years in a row, and this bill is part of that freezing process. So Pell grants have been frozen while tuition has gone up at the average 4-year university by almost 17 percent in that same time period.
In the Department of Labor, we have almost a million and a half fewer private sector jobs than we had 4 years ago, and yet this legislation cuts help for people making a job search through State agencies by 10 percent.
The Community Access Program, which attempts to provide access to decent health care for poor people, is eliminated. The After School Center Program, which is an effort to see to it that kids do not go home to an empty nest after they finish the school day and can still receive some meaningful instruction, that program is frozen. NIH, National Institutes of Health, which do the basic research on all disease: smallest increase in 19 years. Now these cuts are not necessitated, as was indicated on the majority side, because we are at war; these cuts are necessitated because the majority has decided that their top priority is to provide people who make a million dollars a year with a $127,000 tax cut next year. That is why these squeezes are made necessary.
So, Mr. Speaker, I am going to ask the House to vote against the previous question on the rule so that we can offer an amendment that would shave those tax cuts for millionaires from $127,000 to a mere $89,000. I do not know how they will be able to get along with a mere $89,000 tax cut, the poor devils, but they are just going to have to do it. We are going to try to shave that tax cut for the most well-off people in this society so we can continue to meet our obligation to the least well-off people in our society.
What is at stake, in my view, is whether or not this Congress is willing to slowly shred the safety net for the middle class, or whether we are going to continue to build that safety net. I want to be able to offer an amendment which will restore $5.5 billion more to education, which will invest $200 million more in workforce training, invest an additional $1.6 billion to provide more assistance to the 45 million people without health care, and make a series of other adjustments that will make this a far more progressive and humane bill. The only way we can do that is if we defeat the motion on the previous question on the rule. I would urge the House to do just that when the opportunity comes in just a few moments.
Mr. Chairman, I offer an amendment. Mr. Chairman, when Americans turn on their televisions today, they are inundated by television advertisements promoting particular prescription drugs. Doctors are…
Mr. Chairman, I offer an amendment.
Mr. Chairman, when Americans turn on their televisions today, they are inundated by television advertisements promoting particular prescription drugs. Doctors are overwhelmed by detailers from the pharmaceutical industry coming to praise the virtues of the particular drugs that are manufactured by the people who employ them. But what patients and physicians in this country really need is quality information, evidence-based information about the comparative effectiveness of different drugs that are advertised to treat the same illness or condition.
The Medicare Prescription Drug Improvement and Modernization Act provides for research on outcomes of health care items and services, including the comparative clinical effectiveness of prescription drugs. Today I am pleased to join my colleague from Missouri (Mrs. Emerson) in offering an amendment to fund that provision in the new Medicare law.
Section 1013 of the new Medicare law authorizes $50 million in fiscal year 2004 for the Agency For Health Care Research and Quality to conduct outcomes research on prescription drugs and other treatments. Unfortunately, the President's fiscal year 2005 budget contained no funding for this initiative. Currently, there really is a dearth of evidence-based information available to assist practitioners in choosing the most appropriate medication for their patients.
The $50 million we seek would fund new research and literature surveys to improve scientific evidence about the comparative effectiveness and safety of prescription drugs and other treatments. Additionally, funds would be used to communicate the results of this research to health care practitioners, health care purchasers and consumers. All we are asking is for better information to be available to doctors and patients. And if we can make that better information, independent research not funded by the pharmaceutical industry, if we make that information available, we will have better health care quality in this country; and we will have lower prices as well. It is very important that we ensure that our prescription drug spending is not based on the latest television or glossy magazine advertisement, but on science-based and tested information.
Physicians and their patients need access to credible, unbiased, evidence-based data on the comparative effectiveness of prescription drugs so they can make informed decisions about their purchases. As the cost of health care continues to rise, obtaining the greatest health care value is essential. More objective research will improve the quality of care and help to reduce costs.
This spring, Members from both sides of the aisle joined me in sending a letter to the chairman and ranking member urging $75 million for this provision. In addition, the Senate approved an amendment in support of $75 million for prescription drug comparative effectiveness studies, indicating the high level of bipartisan support for this initiative.
I do hope that the chairman agrees that this provision, which has been authorized, is a worthy initiative. I look forward to working with him and the committee to provide some funding in conference and to encourage the administration to add money for this purpose in next year's budget.
Though I would urge support for this amendment, I do intend to withdraw the amendment, but first I would like to give an opportunity to my friend from Missouri (Mrs. Emerson) to speak on it.
Mr. Chairman, I ask unanimous consent to withdraw the amendment.
Mr. Chairman, will the gentleman yield?
Mr. Chairman, I thank the chairman for his comments.
Amendment Offered by Mr. Udall of New Mexico
Mr. Chairman, I rise in support of the amendment. Mr. Chairman, I rise in strong support of this amendment, because we need to continue to give women the boost they must have yet to succeed in this…
Mr. Chairman, I rise in support of the amendment.
Mr. Chairman, I rise in strong support of this amendment, because we need to continue to give women the boost they must have yet to succeed in this global economy that we are living in.
Our late colleague, Patsy Mink, authored the Women's Educational Equity Act, which we call WEEA. WEEA and other equity provisions have been doing a very, very good job. But, do you know what? That good job has made this program vulnerable, because it appears that their success could be an excuse to eliminate this good program.
It is hard to believe that the Members of this Congress think that gender equity provisions can be eliminated today because more women are enrolled in college, are graduating from college, or because boys, of all things, have reading scores that are not as good as girls. That is a very shortsighted view.
Women are still underrepresented in math and science and in engineering-related fields, fields that actually pay higher salaries and oftentimes require overseas hiring to fill the positions.
Many girls and women shy away from any sort of science or technology activity, despite the importance of these areas in modern society. We need to fix that, because research has shown that interest in math and science begins to wane in early adolescence.
We want to make sure that girls keep all their options open. They do not have to be scientists, they do not have to be mathematicians, they do not have to be engineers, but when they are ready to go to college, they have to have the option, just like the guys do.
The National Bureau of Economic Research reports that students who do well in math outearn their nonmathematical counterparts even if they do not go on to college. Within 6 years of graduating high school in 1980, young men with strong basic math skills were earning 53 cents more per hour than those with average math skills. The difference between women with stronger math skills and men with average math skills was even more significant, with women earning 74 cents more per hour.
It is clear that increased comprehension in math and science benefits women. The Women's Educational Equity Act program is critical to helping promote equal education opportunities for girls and women by providing funds and assistance to educational agencies. That is why our amendment would protect this successful program by leveling out funding for WEEA at $3 million. We would be taking funds from the Fund for the Improvement of Education, or FIE. These funds fund individual Member projects. I can tell you that every single Member in this body will better serve their constituents if they are serving the women in their school districts.
If our schools do not continue to receive this support, females and minorities will continue to dominate the low-wage jobs, while America's high-wage, high-tech jobs go to foreign undergraduates and foreign graduates. Women will continue to have fewer economic opportunities than men and less access to the careers that will support them and their families. Without these opportunities, this country will be deprived of the highly-educated, highly-skilled workforce we need in the United States to compete in the global economy.
Gender equity in education is not a women's thing. All Americans, men and women alike, have a stake in making sure that all students gain the skill and self-confidence they need in elementary and secondary school to become productive, self-supporting adults.
Mr. Chairman, I urge my colleagues to support our amendment, to protect this important program from becoming yet another unnecessary casualty of a very shortsighted budget.
Mr. Chairman, let me congratulate the gentleman from Ohio (Mr. Regula), the gentleman from Wisconsin (Mr. Obey), and the other members of the Committee on Appropriations for a job well done on what…
Mr. Chairman, let me congratulate the gentleman from Ohio (Mr. Regula), the gentleman from Wisconsin (Mr. Obey), and the other members of the Committee on Appropriations for a job well done on what is a very large bill and a very difficult bill.
There has been much said today about education, and the good news is No Child Left Behind is working and working very well. As we see the preliminary results coming in from around the country, we are seeing increased test scores in both reading and math, especially for our most disadvantaged children. If we look at where the Federal education dollars go, by and large, they are aimed at those very children, those disadvantaged children who need that extra help to have a chance at a good education.
But while the news is good from No Child Left Behind and test scores are going up, there has been this chorus of criticism from some of my colleagues about the fact that it is underfunded and we are not spending enough. It is easy to stand here in the well of the House and talk about how the glass is half empty, but I am here to suggest it is almost full.
If we look at this bill, there is a $2 billion increase in overall education funding in this bill, bringing the total amount for education spending to the Department to $57.7 billion. Now that means in President Bush's first term in office, in just 4 years, the Department of Education's overall funding will have increased by $15.5 billion. If we look back over the 9.5 years Republicans have been in control of Congress, we see education funding has skyrocketed by some $23 billion. That is an increase of more than 150 percent under the Republican Congress. Much of this increase in spending can be attributed to those programs in No Child Left Behind.
The most significant program the Federal Government operates to help disadvantaged children under No Child Left Behind is title I. Again this year we see another $1 billion increase in Title I, about 8 percent over last year's level. If we look at what has happened over the 4 years that the President has been in office, we will see these massive increases. But we can go back all of the way to the 10 years Republicans have been in Congress, and see that we have increased spending for Title I for disadvantaged children by some 96 percent. And the funding increases in just the first 2 years of President Bush's term in office far outstrip the 8 years of the previous administration. Title I increases are continuing. That is our commitment to helping the disadvantaged students in our society get the kind of education they all deserve.
Then we have special education. When Republicans took control of Congress in 1994, we were spending $2.3 billion a year to help special ed students around the country. This is 20 years after a Supreme Court case and Congress passing the Individuals with Disabilities in Education Act but never really funding it. Over the last 10 years, we have increased funding from $2.3 billion to this year $11.1 billion. That is a 378 percent increase in help for those students with special needs.
I believe that the money we are spending to help our special-needs students and our disadvantaged students is money well spent because if we really truly believe no child should be left behind, the Federal Government has to do its share.
I am here to say that I believe the Federal Government is doing its share. We have had our increases over the last 4 years, we have kept our commitments to our Nation's students. I would ask all of my colleagues today to stand up and support these numbers and support our bill.
Mr. Chairman, I offer an amendment. Mr. Chairman, I rise today in strong support of the LoBiondo-Lowey-Wamp amendment. The gentlewoman from New York (Mrs. Lowey) and the gentleman from Tennessee (Mr.…
Mr. Chairman, I offer an amendment.
Mr. Chairman, I rise today in strong support of the LoBiondo-Lowey-Wamp amendment. The gentlewoman from New York (Mrs. Lowey) and the gentleman from Tennessee (Mr. Wamp) have joined together in trying to bring this to the attention of our colleagues.
Before I discuss the amendment, however, I would like to thank the gentleman from Florida (Mr. Young) and the gentleman from Ohio (Mr. Regula) for their support on this critical issue. I would also like to thank the gentleman from California (Mr. Thomas) and his staff for their willingness to work with me and my colleagues on this issue, and to help in crafting an amendment which will help rehab patients across the country.
The LoBiondo-Lowey-Wamp amendment would halt the Centers for Medicare and Medicaid Services, CMS, on the implementation of the so-called 75 percent rule until a study is completed on the issue. As many know, rehabilitation hospitals provide essential care to patients recovering from conditions such as a stroke, hip replacement or cardiopulmonary disease. This policy, commonly known as the 75 percent rule, sets limits on which patients would be eligible for care at these facilities.
Under the current rule which went into effect on July 1, fewer Americans will have access to rehab care. This is wrong. Fewer patients needing treatment for conditions such as arthritis and joint replacement will qualify for this care, an important element in the overall recovery process. It is simply wrong not to do something about this. In addition, access to rehab care for patients recovering from cancer, cardiac conditions, transplant and pulmonary conditions is also threatened.
This amendment is by no means the first attempt to deal with the issue. Over the past year, the majority of Members of Congress not once, but twice has called on CMS to withhold implementation of the 75 percent rule until a thorough independent assessment by medical experts is completed. A similar directive was included in both the Medicare Modernization Act passed last November and the fiscal year 2004 omnibus appropriations bill. Yet despite the will of Congress, CMS finalized the 75 percent rule in April and implemented it on July 1 without either commissioning a study in advance or making significant, much- needed updates.
Our amendment seeks to ensure that Congress' intent is carried out and that patients across America continue to have access to the rehab care they need. It will ensure that experts in the field of rehabilitative care study the issue and make recommendations that will produce a rule for rehab hospitals that reflects the advances medicine has made in the area of rehabilitative care.
I would like all of my colleagues to think what it would be like for them if they had to go to one of their constituents who needed rehab care, and they were denied access to the rehab hospital in their district; or worse yet, that rehab hospital had to close. What would my colleagues think if they had a family member, someone in their family, that was denied rehabilitative care, very good care, because of a stupid rule that we were not able to fix? People across America who need these services will not accept that Congress stood back and did nothing when there is something we can do.
I thank all Members in this Chamber who have supported our efforts to change the 75 percent rule, and I urge Members to cast a yes vote for the LoBiondo-Lowey-Wamp amendment.
I yield to the gentleman from Ohio.
Mr. Chairman, I thank the gentleman from Ohio.
Mr. Chairman, I thank the gentleman for yielding me this time, and I rise to congratulate the chairman. We have a difficult budget year this year; and he has managed to cobble together, I would have…
Mr. Chairman, I thank the gentleman for yielding me this time, and I rise to congratulate the chairman. We have a difficult budget year this year; and he has managed to cobble together, I would have to say almost like a skilled surgeon, I may be the doctor on the committee, but he handled this with the dexterity of a skilled surgeon, balancing the critical issues of education, health, and research against the budget realities.
Mr. Chairman, we are coming out of a recession. And to the gentleman of Wisconsin, I would simply say it is really unclear to me if we had not cut taxes that we would have more money in this bill. I think if we had not cut taxes, the economy would be in a worse slump and that we indeed would have less revenue, not more revenue.
Conflicting priorities are always a challenge for the Congress. The gentleman from Ohio has achieved the right balance. I know it is not a perfect bill, but I think this is our best shot at getting this bill moving.
Mr. Chairman, will the gentleman yield?
Mr. Chairman, I know the gentleman from Wisconsin and I have discussed this issue in the past. The reason I think that was the right economic priority is because most of those people, at least in my congressional district, are small businessmen and women; and they take most of those funds and pump them back into their businesses, creating jobs. Most of the job growth has been in the small business sector, and I think it was the right thing to do.
Mr. Chairman, I rise to support this legislation.
Mr. Speaker an important and necessary provision is included in the bill that is intended to protect health care entities from discrimination because they choose not to provide abortion services.
The amendment, adopted during full committee consideration, is intended to protect the decisions of physicians, nurses, clinics, hospitals, medical centers, and even health insurance providers from being forced by the government to provide, refer or pay for abortions.
This is reasonable federal policy and one that was overwhelmingly approved by this very body by a vote of 229-189.
The policy simply states that health care entities should not be forced to provide elective abortion--a practice to which a majority of health care providers object and which they will not perform as a matter of conscience.
But while 45 States and the Federal Government protect the right of health care provider to decline involvement in abortion, abortion advocates are working to abolish these legal protections.
Abortion advocates have launched a campaign to force hospitals and other health care entities to provide, refer, and pay for abortions.
They argue that the term ``health care entity'' only covers individuals and not institutions. They have also argued that because an entity receives Federal funds they are required to provide abortions. By twisting the law they have successfully used the courts and State and local governments to violate the objections to abortions of health care entities and providers.
This is why we need to strengthen Federal protections against discrimination based on objections to abortion.
The right of conscience is fundamental to our American freedoms. We should guarantee this freedom by protecting all health care providers from being required to perform, refer, or pay for elective abortions.
I urge my colleagues to support the language in the bill and support its passage.
Mr. Speaker, I thank the gentlewoman for yielding me this time, and I rise in support of the underlying legislation and the rule which is before us because it includes many things which I support,…
Mr. Speaker, I thank the gentlewoman for yielding me this time, and I rise in support of the underlying legislation and the rule which is before us because it includes many things which I support, community health centers, the Ryan White AIDS program, and programs and activities at the CDC and the NIH, but mostly because the bill reflects our priority for the schools and students across the country. In the past 9 years, this Congress has provided record increases to our Nation's education programs, more than doubling discretionary spending to the U.S. Department of Education. As we all know, in recent years these increases have been coupled with widespread reforms that will ensure that every child in the classroom is learning.
In January of 2001, the No Child Left Behind Act was signed into law, and we are now beginning to see the benefits of these bold policies. In the past couple of months, many States have reported
the number of schools in need of improvement is actually decreasing. In fact, in my home State of Delaware, 128 of our 173 schools have met adequate yearly progress, up from 75 in the last school year. This is remarkable news, and educators across the country are to be commended for their dedication to meeting the rigors of No Child Left Behind.
No Child Left Behind provides the road map for reform, and our past appropriations acts have given the funding to help make it possible. Title I alone has increased over $3 billion in the past 3 years and programs encompassed by the No Child Left Behind Act have nearly doubled over the same time period. Today's bill builds upon our impressive record by providing increases to IDEA, State assessments, teacher quality, Impact Aid and the Institution of Education Sciences, to name only a few.
As time progresses, the facts grow clearer that No Child Left Behind is the right thing for our students and that the Federal Government is providing the resources needed. There is no evidence to show that the law is an unfunded mandate, and we should all stand proud on our record of supporting all education programs.
I would be remiss if I did not take time here today to discuss embryonic stem cell research as well. As many of my colleagues know, I have been leading the House effort with my colleague from Colorado (Ms. DeGette) to expand the current Federal policy in order to realize the true hope that science holds for millions of patients who suffer nationwide. We have organized letters, met with the Nation's premier scientists, visited the Harvard Stem Cell Institute and Children's Hospital in Boston where leading research is taking place, and have introduced bipartisan legislation that would expand the policy while remaining consistent with the President's ethical concerns.
Times have changed and science has moved forward from the President's thoughtful decision, and there are now over 150 new stem cell lines nationwide that have been derived with improved technology and are genetically diverse. We must reevaluate this policy. Unfortunately, now is not the time to do so. This issue must be decided on science, not politics. We must have a thorough debate in the House and in the U.S. Senate on the state of the research and how to move the policy forward while ensuring that research is conducted ethically.
Mr. Speaker, I plan to press forward with this issue in the coming months. It is too important to ignore.
Mr. Chairman, I offer an amendment. Mr. Chairman, I rise to offer an amendment to increase funding for seniors' meals programs by $10 million. The Meals on Wheels program is a critical lifeline to…
Mr. Chairman, I offer an amendment.
Mr. Chairman, I rise to offer an amendment to increase funding for seniors' meals programs by $10 million. The Meals on Wheels program is a critical lifeline to our Nation's seniors who are most in need of our assistance.
The bill includes $730 million for senior nutrition programs, $16 million more than last year, or a 2.2 percent increase. I wish to thank the chairman, the gentleman from Ohio (Mr. Regula), and the ranking member, the gentleman from Wisconsin (Mr. Obey), for including these additional funds and recognizing the importance of these programs to our seniors. I am offering this amendment because, despite the increase in the bill, the funding falls far too short.
I am sure that all of us have met and spoken with seniors in our districts. I am sure that the seniors have told my colleagues how much they depend on senior meals assistance and the Meals on Wheels program, or the meals they receive at the senior centers. I am sure that if Members, like I have done in the past, would go out and actually deliver senior meals to the homes of homebound seniors, they would realize how important not just these prepared meals are but also the social interaction these homebound seniors have with members of the public.
I have heard from the area agencies on aging in my district that they are cutting meals they are offering. In Michigan, we have had to cut back significantly weekend meals, evening meals, and even the senior lunch meals. The challenges faced by our Meals on Wheels program is compounded by the fiscal problems of the States that have not been able to increase their contributions, despite their acknowledgment that the need for these programs continues to grow.
This amendment would simply increase funding for the Nutrition Services Incentives Program by $10 million to $160 million. The House approved a similar amendment of mine back in 2001. Unfortunately, that amendment back in the 2001 appropriation bill to increase funding for the program to $160 million was dropped in conference. That was 4 years ago, and funding for senior meals programs has stayed basically flat until this year.
Mr. Chairman, we need to make this investment now. Nationally, 4.6 million Meals on Wheels meals were cut last year, and a number of congregate meals were cut by 2.9 million, for a total of 7.5 million meals that had to
be cut last year because of lack of funding. These decreases in funding ignore the 25 percent increase in the number of Americans who are expected to be eligible for the Older Americans Act programs in the next 5 years.
It is critical that we include the highest level of funding possible for senior nutrition programs. I understand and I appreciate the work of the committee and what they have done to increase funding. I appreciate the fact that both the ranking member and the chairman have indicated that, if possible, they will try to increase funding in the conference report.
Mr. Chairman, I will ask unanimous consent to withdraw my amendment with the understanding that we will continue to work to increase funding in the future. This program is critically important to our seniors. While I appreciate the appropriators' work, I think we need to continue to highlight the concerns that we have for the lack of funds for the Senior Meal Program.
Mr. Chairman, I ask unanimous consent to withdraw my amendment.
Bill Text
2 versions available
[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[H. Res. 754 Engrossed in House (EH)]
In the House of Representatives, U.S.,
September 8, 2004.
Resolved, That at any time after the adoption of this resolution the Speaker
may, pursuant to clause 2(b) of rule XVIII, declare the House resolved into the
Committee of the Whole House on the state of the Union for consideration of the
bill (H.R. 5006) making appropriations for the Departments of Labor, Health and
Human Services, and Education, and related agencies for the fiscal year ending
September 30, 2005, and for other purposes. The first reading of the bill shall
be dispensed with. All points of order against consideration of the bill are
waived. General debate shall be confined to the bill and shall not exceed one
hour equally divided and controlled by the chairman and ranking minority member
of the Committee on Appropriations. After general debate the bill shall be
considered for amendment under the five-minute rule. Points of order against
provisions in the bill for failure to comply with clause 2 of rule XXI are
waived except: sections 219(b), 221, and 506. Where points of order are waived
against part of a section, points of order against a provision in another part
of such section may be made only against such provision and not against the
entire section. During consideration of the bill for amendment, the Chairman of
the Committee of the Whole may accord priority in recognition on the basis of
whether the Member offering an amendment has caused it to be printed in the
portion of the Congressional Record designated for that purpose in clause 8 of
rule XVIII. Amendments so printed shall be considered as read. At the conclusion
of consideration of the bill for amendment the Committee shall rise and report
the bill to the House with such amendments as may have been adopted. The
previous question shall be considered as ordered on the bill and amendments
thereto to final passage without intervening motion except one motion to
recommit with or without instructions.
Attest:
Clerk.