Combating Autism Act of 2006
Legislative Activity
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Became Public Law No: 109-416.
December 19, 2006
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Introduced in Senate
April 19, 2005
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
April 19, 2005
Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.
July 19, 2006
Committee on Health, Education, Labor, and Pensions. Reported by Senator Enzi with an amendment in the nature of a substitute. With written report No. 109-318.
August 3, 2006
Placed on Senate Legislative Calendar under General Orders. Calendar No. 578.
August 3, 2006
Measure laid before Senate by unanimous consent. (consideration: CR S8765-8775; text of measure as reported in Senate: CR S8765-8768)
August 3, 2006
The committee substitute as amended agreed to by Unanimous Consent.
August 3, 2006
Passed Senate with an amendment by Unanimous Consent. (text: CR S8772-8775)
August 3, 2006
Message on Senate action sent to the House.
August 4, 2006
Received in the House.
September 6, 2006 • 2:04 PM
Referred to the House Committee on Energy and Commerce.
September 6, 2006
Mr. Deal (GA) moved to suspend the rules and pass the bill, as amended.
December 6, 2006 • 12:28 PM
Considered under suspension of the rules. (consideration: CR 12/7/2006 H8779-8788)
December 6, 2006 • 12:28 PM
DEBATE - The House proceeded with forty minutes of debate on S. 843.
December 6, 2006 • 12:28 PM
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.
December 6, 2006 • 12:51 PM
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.
December 6, 2006 • 12:51 PM
Motion to reconsider laid on the table Agreed to without objection. (text: CR 12/7/2006 H8780-8782)
December 6, 2006 • 12:51 PM
Message on House action received in Senate and at desk: House amendment to Senate bill.
December 6, 2006
Resolving differences -- Senate actions: Senate agreed to the House amendment by Unanimous Consent.(consideration: CR S11442-11445; text: CR S11442-11445)
December 7, 2006
Senate agreed to the House amendment by Unanimous Consent. (consideration: CR S11442-11445; text: CR S11442-11445)
December 7, 2006
Message on Senate action sent to the House.
December 7, 2006
Presented to President.
December 11, 2006
Signed by President.
December 19, 2006
Became Public Law No: 109-416.
December 19, 2006
Floor Debate
20 membersWhat members said about S. 843 on the floor
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Floor Debate
20 membersWhat members said about S. 843 on the floor
Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, in a moment I will request unanimous consent that the Senate pass S. 2823, the Ryan White…
Mr. President, I ask unanimous consent that the order for the quorum call be rescinded.
Mr. President, in a moment I will request unanimous consent that the Senate pass S. 2823, the Ryan White HIV/AIDS Treatment Modernization Act.
Just last week, we made a unanimous consent request to pass this bipartisan, bicameral legislation. That means Members from both sides of the aisle and both ends of the building have agreed to the language in this reauthorization. It passed out of the House Committee on Energy and Commerce last week. However, Senators from three States are blocking the vote that would speed reauthorization programs that provide life-sparing treatment to individuals suffering from HIV and
I am sorry to hear we have an objection. We need to find a way to work through this objection. I have been working desperately across the aisle with Senator Kennedy, who has been joining me in this effort to help get it out of committee. We have been trying to find a way that the formula would work. One of the ways was to include in the bill 3 years of hold harmless for them to finish updating their system to the point where if they truly have the HIV numbers, they will truly get the money. If they don't have the HIV numbers, yes, they will lose the money.
Now, I don't know if the Senator from Minnesota is aware that our Ryan White reauthorization bill increases the funding for Minneapolis by $2 million and $2.5 million for the whole State. It is a net benefactor. There have been increases in HIV and AIDS cases in Minnesota, and this would move money to where the cases are. That is where the numbers show that his city and State would be significant beneficiaries.
I have a lot of statistics I can go through, but I wonder if the Senator is also aware that these increases are due to the inclusion of HIV/AIDS in the funding formula and that Minnesota has more HIV cases.
Mr. President, I appreciate that clarification.
I will ask the Senator for his help. He said he would vote for the bill. Anything we can do to move this forward. We have put a 3-year hold harmless in there for everyone.
On September 30, the world falls apart for a number of people. California, for one, will lose $18.5 million of their funding. There are a number of big losers. There are no big losers if we pass the bill, provided the numbers back up what they have.
I yield the floor.
Mr. President, I thank the Senator for his words. The increase in knowledge that I am sure he has created across the country--and also the
comments of the Senator from Oklahoma--both of them have made an excellent case for why we need to do this. We need to do it immediately. We need to do it for people who have HIV/AIDS. I would note that the person who raised the objection to us adopting the bill is not from one of the three States that have a hold on the bill. I would hope those people would take a look at the situation in their State, and take a look at the fact they are getting more than the average number of funds being expended on patients across the rest of the country, and see that the surpluses their States are running at the end of the year greatly exceed the rather minute loss they would have, and that they would agree for us to move forward on this bill and get it in place before that September 30 deadline that is going to be devastating to 13 States that will lose money for having done the right thing.
Now, having said that, I know there will be people who will say the Republicans cannot get anything done. Well, that particular issue, and many others are not Republican issues. They are issues of the United States. And that is one on which we worked across the aisle and had a great deal of agreement on. And I have to thank Senator Kennedy, the ranking member on my committee, for the extreme work he did to help us find, among the thousands of formulas we looked at, the one that was the most fair so it would follow the patients. I do appreciate the work he has helped us do in the committee during the year.
Accomplishments of the Help Committee
Mr. President, I want to take just a few minutes to talk about what the Health, Education, Labor, and Pensions Committee has done this year. This Ryan White reauthorization is extremely important, but it is not the only bill we have been working on. Because of the way we have done our work, some people may not be aware of what has been done. In fact, I know that to be the case.
This is a committee that has worked across the aisle. When you work across the aisle, a lot of times you can work out many of the difficulties, and when you work out the difficulties, there is not a big floor debate. And when there is not a big floor debate, there is nothing for the media to write up about the blood; consequently, it does not get coverage. So I want to correct that here today, and I would like to discuss the Senate Health, Education, Labor, and Pensions Committee's accomplishments for the 109th Congress.
We have heard some claims that this is a do-nothing Congress. Well, I am here to assure American workers, retirees, students, and parents that the Health, Education, Labor, and Pensions Committee has done a great deal to help you live more secure, productive, and healthy lives. Of course, we have more to do, but I am proud that during a time of intense partisanship on Capitol Hill, the HELP Committee has produced a lengthy list of legislative accomplishments.
Looking back over the past 2 years, most of these victories materialized when Senators were willing to work across party lines and across the Capitol to put finding a solution in front of exploiting an issue.
Mr. President, I ask unanimous consent that a list of bills and reports filed by the HELP Committee in the 109th Congress be printed in the Record
Mr. President, I joined the HELP Committee when I was first elected to the Senate in 1997. It was natural for me because of my small business background as an owner of family shoe stores. I had firsthand experience with burdensome government regulations, inadequate health care coverage for my workers, and adversarial workplace safety laws. I was energized about finding common sense solutions rather than more Washington bureaucracy.
Now, another reason I joined the HELP Committee is because its broad jurisdiction touches nearly every American.
Now, there were a lot of vacancies on the committee when I signed up. I asked why there were so many vacancies, and I was told, well, that is a contentious committee. I thought I knew what contentious committees were because I served on the labor committee in Wyoming. I found out that there is another level of contentious. I wanted to work with my colleagues to find smart solutions that would address some of the most important challenges faced by my constituents in Wyoming and, of course, other people across the country. I came from Wyoming as a firm believer in my 80-20 rule. The way that rule works is that we can usually find agreement on 80 percent of any issue. We agree across the aisle on about 80 percent the issues that comes up. Now, we are probably never going to reach agreement on the remaining 20 percent.
Unfortunately, for America, what they get to watch on any bill is the debate on the 20 percent we don't agree on, and probably will never compromise on. That is what makes this body seem so contentious--the 20 percent that we don't agree on, even though 80 percent can get done. The committee process will enable us to find that 80 percent, and that has been a principle that has guided my chairmanship.
I was honored and humbled when my colleagues selected me to chair the HELP Committee nearly 2 years ago. Since my chairmanship began, the vision for both the full committee and the subcommittees is to craft legislation that provides lifelong opportunities for people to be healthier, more competitive, and to be more secure at school, work, and in retirement.
Because we have such a broad jurisdiction, the HELP Committee has had an aggressive legislative schedule in the 109th Congress. Over the past 2 years, together with the subcommittees, we have held 57 hearings and reported 36 bills out of committee; 21 of these proposals were approved by the Senate and 12 were signed by the President and became public law. We also reviewed and approved 352 nominations that require Senate confirmation. I thank my colleagues, including their staffs, for doing the work needed to maintain this aggressive pace.
In this Congress, the HELP Committee has been privileged to have in its ranks active subcommittee chairmen and engaged members. This is largely the reason the committee has had legislative success. I thank them for their dedication, and I applaud them for the joint success as a committee. Our ranking member, Senator Kennedy, and I may disagree on a number of issues, but we have worked hard to find common ground and we share a commitment to improving the health, education, work, and retirement security of Americans.
The number of bills acted upon by the HELP Committee is certainly impressive. However, the numbers alone don't begin to tell the story of how the committee's activity will improve the lives of Americans now and in the years to come. One of the committee's most significant accomplishments came on August 17 of this year when President Bush signed into law the Pension Protection Act. That act marks the most comprehensive change to pension law since 1974. The Pension Protection Act is a real victory for working Americans who spend a lifetime working hard and saving for retirement. It dramatically strengthens pension funding rules and helps curb record pension failures. In doing so, the act better protects the retirement dreams of 45 million Americans. Not only were single employer fund rules significantly overhauled, but the rules regarding hybrid pension plans were finally clarified, and multi-employer funding rules were changed as well. The proposal strengthens current law and will better help Americans prepare and plan for retirement. It provides workers the security of knowing that moneys earned for retirement will be there when they are ready to retire.
It also secures the Pension Benefit Guaranty Corporation and secures that corporation without picking the pockets of taxpayers to keep the agency solvent. This legislation was no small undertaking. It took a year and a half of hearings, 5 months of deliberations in conference, and countless hours of negotiations on each provision of the bill.
Fortunately, pension issues are almost always handled in tag team fashion, involving both the HELP Committee and the Senate Finance Committee, which has jurisdiction over the Internal Revenue Code. While this tag team approach is a great asset and helped us get the bill through the Senate, it meant a complicated and extraordinarily large conference involving four committees in the House and Senate and 27 conferees.
Together with my ranking member, Senator Kennedy, Finance Committee Chairman Grassley, ranking member Senator Baucus, as well as HELP's Retirement Security and Aging Subcommittee Chairman DeWine, and Ranking Member Mikulski, our committees collaborated with House counterparts to make this sweeping reform happen. Because of this teamwork, the law passed the Senate 93 to 5. The result was a policy and a process that was truly bipartisan. Total floor time for the bill--Senate debate and conference report debate--totaled about one hour and fifteen minutes equally divided.
Some may think the conference took a long time to conclude, but history proves that it was ended in record time. The last big pension conference occurred in 1994. The conference was appointed in March of that year, but did not conclude until December. Prior to that, the most recent conference took place in 1987 and operated in the context of budget reconciliation. Again, that conference commenced in March but didn't end until December.
This year, our conference began in March and ended in July--just 5 months compared to a 10-month conference for earlier bills. Comparatively speaking, the Pension Protection Act conference finished quickly, but the impact will be felt for generations.
Another major accomplishment of the HELP Committee was the enactment of the Mine Improvement and New Emergency Response Act, MINER. From the tragic loss of life in the coal mines of West Virginia and Kentucky came the first reforms of mine safety laws in 28 years. These tragedies brought together leaders from the mining industry, from government, and from the labor unions, and helped to forge a commitment to improve mine safety. I traveled to the Sago mine with Senators Kennedy, Rockefeller, and Isakson. We met with the families of the miners who lost their lives. We met with other miners who worked there, and we met with people in the union. I felt a commitment to those families and miners in this country to try to ensure that this would never happen again.
The committee approved the MINER Act on May 17, and the President signed the bill in June. That has to be one of the fastest, most comprehensive changes to any safety law. I can't emphasize enough the cooperation of unions and company executives, and Republicans and Democrats.
Protecting the health and safety of those who work in the mining industry need not be a partisan issue. Mining, and coal mining in particular, is vital to our national and local economies, and to national energy security. Ensuring the safety of our miners is essential to protecting and preserving the industry and protecting the workers. I especially thank Senators Kennedy, Isakson, Byrd, Rockefeller, and McConnell for the tireless effort they extended. Their efforts contributed in large part to this proposal becoming law.
I should mention that the debate on the Senate floor was 1 hour equally divided with two votes. So nobody saw that. Nobody saw that debate, but it makes a significant difference for all the people in the country--the mining bill. You never saw any debate on the floor. It passed unanimously without debate. It passed in the House under suspension with limited debate--the same bill.
Sometimes the things that get done by unanimous consent that everybody agrees on nobody ever finds out about, except the people it does benefit; they know. That is why it is worth doing it that way. For a bill that has objections around here, there are ways to overcome it if you get 60 votes for it. But that is usually about a 3-week process. A unanimous consent doesn't use up much time, but it gets things done.
The committee has also made tremendous strides related to education and job training. This session the
HELP Committee initiated a comprehensive effort to authorize legislation that enhances knowledge and skills and helps American workers become leaders in the global economy. Some estimates suggest that 60 percent of the jobs created in the next decade will require skills that only 20 percent of the workers today currently possess, and 80 percent of the jobs will require education or training beyond high school. Eighty percent of the jobs will require education or training beyond high school. That is where the world is going. It is changing fast.
One important component of this effort is the reauthorization of the Carl Perkins Career and Technical Education Act. It was signed by the President in August, and it will help close the gap that threatens America's long-term competitiveness. The act addresses the needs of the Nation's changing workforce and prepares Americans for highly technical, higher-paying jobs. The reauthorization also made changes that will increase accountability at the State and local levels and will establish stronger links with businesses to build partnerships with high schools and colleges so they can better meet the needs of the changing workforce.
For many people, participation in these programs can mean the difference between a job with no possibility of advancement and a successful career. Passage of this legislation was a significant accomplishment. Again, limited floor debate, no debate on the conference report; unanimous consent across the aisle.
Another piece of this comprehensive effort is the reauthorization of the Higher Education Act. As my colleagues know, the mandatory portions of the higher education law were reauthorized in February under the Deficit Reduction Act of 2006. Before I elaborate, I want to stress that it is critical to reauthorize the remaining discretionary programs under the act, which I intend to make a top priority for 2007. We have the bill out of committee but haven't had the floor time to do the debate on it. I am making that a top priority for 2007 because postsecondary education is the key to the future success of our students, our communities, and our economy.
As I stated earlier, we reauthorized the mandatory components of the Higher Education Act through the budget reconciliation process. We found over $20 billion in savings by eliminating corporate subsidies for lenders and reworking the interest rate structure for many borrowers, among other revisions. A portion of the savings was used to pay for over $9 billion in enhanced students benefits. The law makes higher education more affordable for students who finance part of their education through loans by reducing borrow origination fees and increasing loan limits.
Another benefit is a $4 billion grant program for postsecondary students who major in science, math, and certain national-security- related foreign languages. These funds are dubbed ``SMART grants'' and are an important part of making higher education more affordable for low- and middle-income families. We invested resources where we need them the most, which will help ensure we have a workforce that can compete globally.
I was in India earlier this year and saw firsthand what Thomas Friedman discusses in his book, ``The World Is Flat.'' It doesn't take long to figure out that by sheer numbers alone, India has only to educate 25 percent of its population to have more literate and educated people than the total population of the United States.
By using the reconciliation process for these higher education reforms, the HELP Committee was able to produce meaningful deficit reduction. In fact, I am proud the HELP Committee led the entire Congress in deficit reduction and produced $15.5 billion in savings over five years. That is 40 percent of the entire Deficit Reduction Act of 2006. It is not right to overspend now and pass the bill on to our children and grandchildren to pay later.
I thank Chairman Gregg for his leadership on the Budget Committee and for his contribution on the authorizing committee that helped make the meaningful deficit reduction a reality.
Enactment of the Perkins reauthorization and the mandatory revisions of the Higher Education Act were critical components of a comprehensive effort to strengthen knowledge and skills. However, this effort also includes the reauthorization of the Workforce Investment Act. The reauthorization is essential because it will help train American workers to fill the good jobs being created so we can continue to be leaders in the global economy.
The reauthorization of the Workforce Investment Act has been a priority of mine since I chaired the Subcommittee on Employment and Workplace Safety in the previous Congress. Last Congress, I worked tirelessly to report the legislation from the committee, only to be held up on the Senate floor when it came time to appoint conferees. Now, that means the bill made it out of committee and cleared the Senate floor. The House passed a different version, so we need a conference committee to resolve the differences. However, we weren't allowed to appoint a conference committee. That was 2 years ago. Mr. President, 900,000 new jobs could be trained under that program. This year, once again, I have been procedurally hamstrung in my efforts to move to conference. The bill must be completed. It made it out of the committee unanimously. It made it through the floor of the Senate, again unanimously. That means everybody agreed with what is in the bill. Now the only problem left is we have to reconcile that with what the House passed.
America is facing an economic challenge that threatens our ability as a nation to compete on the world stage. This bill sends a clear message that we are serious about helping our workers and our employers remain competitive and about closing the skills gap that is putting America's long-term competitiveness in jeopardy.
Our commitment to lifelong learning never ends. It begins with giving our children the proper tools for a start down the pathway that leads to their education. The committee approved improvements to Head Start this last year, and the completion of this process is one of my top priorities.
On the health front, eight committee bills were signed into law by President Bush. One of the most significant new health care laws is the Patient Safety and Quality Improvement Act. The new law is a culmination of 6 years of work in response to the Institute of Medicine's 1999 report that found that nearly 100,000 Americans die needlessly every year due to medical errors.
The Patient Safety and Quality Improvement Act creates a protected legal environment in which patient safety organizations can analyze why medical errors happen and develop strategies to stop those errors from happening again. The law provides critical legal protection for doctors, nurses, and other health care workers who might fear coming forward with information about mistakes because the information could be used in a lawsuit against them.
This new law is the first important step toward creating a new culture of safety and continuous quality improvement in health care.
This new law is one of just several important pieces of legislation the HELP Committee produced in this Congress. I would mention again that this too took zero debate time on the floor. Another one is the Patient Navigator Outreach and Chronic Disease Prevention Act of 2005, which will help patients with chronic diseases team up with health care experts who can help them find their way through the maze to the best treatment offered in this often complex health care system. Again, no floor debate time.
The Stem Cell Therapeutic and Research Act of 2005 supports the creation and maintenance of cord blood stem cells. Stem cells obtained from umbilical cord blood have already shown great promise in treating cancers, leukemia, and other diseases, and this law will accelerate our work in those areas. I have already had people who have reported back to me that their life may have been saved by that particular act already. I think we had 5 minutes of debate time on that bill.
The National All Schedules Prescription Electronic Reporting Act of 2005 enables physicians and other prescribers to find out whether patients are abusing and diverting narcotics and other dangerous drugs. Instead of enabling these patients and their self-destructive habits, physicians will now be able to identify them and treat them.
The State High Risk Pool Funding Extension Act of 2005 renewed a key law that funds State high-risk health insurance pools. These pools create access to health insurance for otherwise medically uninsurable individuals and are an important part of our strategy to make health insurance available to more Americans. The President also signed a bill to amend the Public Health Service Act and strengthen the National Foundation for the Centers for Disease Control and Prevention.
Finally, we passed two key laws to preserve access to medical technology. The Medical Device User Fee Stabilization Act of 2005 prevented the FDA's medical device user fee program from expiring. Without this law, patients' access to the latest medical innovations would have been compromised. Congress also acted to protect children from dangerous, unregulated cosmetic lenses, often used as part of costumes, by providing for the regulation of these lenses as medical devices.
The HELP Committee members worked together with our House counterparts in a bipartisan, bicameral way to complete action on these laws. I personally thank all of the committee members on both ends of the building for their active participation in this process.
We also scored a victory on the Senate floor this summer related to health insurance. Together with Senators Nelson and Burns, I introduced legislation that would allow business and trade associations to band their members together in small business health plans and offer group health coverage on a national or statewide basis. It would give small businesses the capability to group together across State lines to effectively negotiate against big insurance companies. It would bring down insurance rate significantly, particularly in the area of administrative costs.
This legislation, the Health Insurance Marketplace and Modernization and Affordability Act, is a direct response to the runaway costs that are driving Americans and businesses away from the health insurance marketplace. In May, this legislation received 55 votes on the Senate floor--a clear majority. Unfortunately, obstructionists used arcane Senate rules requiring 60 votes for passage to defeat consideration of the bill. I count this as a victory for the HELP Committee because the policy is supported by the majority of the Senate. This will not be a victory for Americans until it is signed by the President.
Enacting the Health Insurance Marketplace Modernization and Affordability Act will be a top priority for the HELP Committee and me personally in the 110th Congress. I intend to act on this legislation early next year and continue to work across party lines to find the solution that produces 60 votes in the Senate. The HELP Committee has a role to play in making employer-sponsored health care more accessible and affordable. Employer-provided health insurance is voluntary, and it is in critical condition. Sixty percent of the country's employers offer insurance today. That is down 9 percent from just 5 years ago. And the cost of health insurance for companies has nearly doubled in that same period, with employers expected to pay an average of $8,167 per employee family versus $4,248 5 years ago. My proposal would provide health care coverage to over 1 million small businesses and their working families.
This fall, I am also hopeful the committee can add two more victories to our list of accomplishments. That would be the Health Information Technology conference agreement and the reauthorization of the Ryan White Care Act.
Right now, my staff is working aggressively with the House to complete action on the Wired For Health Care Quality Act conference agreement. This legislation will enhance the adoption of a nationwide interoperable health information technology system, improve the quality of health care, and contain costs. Primarily, it will allow each individual to own their own health care record and to carry it around with them easily. They will have the permanent record to carry with them and release, to the degree they want to, to any health care provider. This will contain costs: just between Medicare, Medicaid and Veterans, this is expected to save $160 billion a year. The cost to implement: $40 billion, one time. A good investment anywhere.
The committee has also been working in a bipartisan, bicameral fashion to complete the reauthorization of the Ryan White Care Act. The measure was approved by the HELP Committee in May, and I am hopeful that we can swiftly clear compromise legislation through both Chambers by December--I was hoping we could pass it today, but I see it has been stopped. It is absolutely essential that this clear by September 30.
The reauthorization of the Older Americans Act will also have a significant impact on the everyday lives of Americans. The HELP Committee approved this legislation in June, and I am hopeful we can complete action on it this year as well. This reauthorization is important because it ensures that our Nation's older Americans, including 78 million aging baby boomers, are healthy, fed, housed, able to get where they need to go, and safe from abuse and scams. We have been in bicameral, bipartisan deliberations for several months. Again, there is a little hangup on the funding formula. Money has to follow the people in all of these programs.
The committee also conducted various investigations and held several oversight hearings that exposed waste, fraud, and abuse in Federal programs and used the findings to craft legislation to increase accountability. Our first oversight hearing last year focused on how an asset management company, Capital Consultants, defrauded workers out of approximately $500 million in retirement assets. The findings from this oversight effort were addressed in the new pension law.
The committee also held the first oversight hearing in almost 70 years on the Randolph Sheppard Act and the Javits Wagner O'Day Act. Both programs are supposed to find employment opportunities for people with disabilities. The committee's investigation and hearing established that some executives were using the programs for their own enrichment--making millions while exploiting people with disabilities. Following the hearing, Federal law enforcement took action against the worst actors, and we have collaborated across party lines to systematically overhaul both programs. My goal is to address these programs with legislation next year.
I thank my ranking member, Senator Kennedy, and his staff for their hard work these past 2 years. His assistance and cooperation are the main reasons we have been able to accomplish many of these priorities. We didn't always agree, but we were able to identify common ground to advance our mutual priorities.
I also thank each of our committee members. As I stated earlier, we have kept a full schedule. Many of the legislative victories were initiatives brought to my attention by our subcommittee chairs or individual committee members. Senators were also especially diligent about attending the committee hearings and particularly patient when we sometimes waited for a quorum during executive session. For the remainder of the year, I will be reaching out to each of our members to seek feedback on the 2007 agenda, which will serve as the blueprint for the year.
Finally, in closing, I would like to recognize two departing members of the committee: Majority Leader Frist and Senator Jeffords. We are fortunate they chose to serve, and we are grateful for their contributions. Senator Jeffords is a past chairman of the committee, and, of course, Majority Leade Frist has been the doctor on the committee and provided a perspective no one else could. I am proud of the work we have done here on the committee these past 2 years. By working together, we have established a track record of success.
I also wish to compliment the subcommittee chairmen for their extremely hard work. We gave them a lot of independence, and they didn't disappoint me. They took hold of programs. The competitiveness program is one of them that has reached a point where it can now be debated and pursued. The Senator from Tennessee, Mr. Alexander, did a tremendous job of working that bill, along with Senator Ensign, collaborating with three different committees on one piece of farsighted legislation.
Senators DeWine and Mikulski have done a marvelous job with the Elder Fall Act and Older Americans Act and have worked well together for a number of years across the aisle to make sure older Americans are taken care of.
I could go on and mention all of the subcommittees and the work they have done. Senator Burr has done some fantastic work on bioterrorism. He has put together a fantastic bill that contains new concepts which will allow better preparation for any of the possible terrorism acts that could happen on our own soil. Senator Isakson, of course, has been extremely active in handling labor issues. As I mentioned, he was a key player in the miner safety bill.
It has been an interesting year. I look forward to another interesting year. I am looking for suggestions from my colleagues on what needs to be done, and looking for that 80 percent that can be accomplished.
Our record of accomplishment is proof that we are a can-do Congress. Far from being a do-nothing Congress, we have shown our colleagues and our constituents that Congress can and is working hard to improve the lives of Americans.
One of the reasons America doesn't know more about this is because of the cooperation that has taken place. We didn't have to debate the 20 percent we didn't agree on here on the floor of the Senate, and consequently there was not a lot of coverage. But just the pensions bill and the miner safety bill, either of those, would be a major accomplishment for any committee during a 2-year period.
I am proud of the 12 bills the President signed and the 21 bills we got through this body. I think that is a record of accomplishment, and I thank all those who participated.
I yield the floor and suggest the absence of a quorum.
Madam President, we have several pages of amendments that are out there. We repeat our invitation on behalf of myself and Senator Jeffords. We want to invite all Democrats and Republicans who have…
Madam President, we have several pages of amendments that are out there. We repeat our invitation on behalf of myself and Senator Jeffords. We want to invite all Democrats and Republicans who have amendments to the highway bill to bring them down. It is going to get crowded later as we go on. Now we have time for adequate consideration, for deliberation, and we encourage Members to bring their amendments to the floor.
I yield the floor.
Mr. President, first I say to the Senator from Colorado, we miss him on the committee. He was an excellent member of the committee. However, he was replaced by some excellent freshmen who are as enthusiastic as was the Senator from Colorado. While we miss him on the committee, it is still a great committee, and we certainly appreciate very much the comments he made this morning and the contributions he has made to the Environment and Public Works Committee.
Mr. President, it is my understanding the regular order is the amendment offered by the Senator from Indiana. He has agreed to set his amendment aside for the consideration of other amendments as they come to the floor, with the understanding he will regain the floor after those amendments are considered and action taken, if action is taken.
We do have an amendment from the chairman of the Subcommittee on Transportation, Senator Bond, who has worked tirelessly for years on this bill. I am sure he wants to offer it at this time.
I thank the Senator from Virginia. I serve on the Armed Services Committee under his capable leadership. He chairs that committee. He is also the longest serving member of the committee that I chair, Environment and Public Works. It is very rare that I would oppose something he is in favor of. This might be that exception. But let me give him our assurance that nothing is going to happen to dispose of this amendment until he has adequate time to complete his hearing and come down and be heard on this amendment.
Mr. President, we have talked about this issue several times before. The distinguished Senator from Virginia has very strong beliefs. Those beliefs are shared by the ranking minority member and by several members of our committee. This amendment was added in committee. It is one I voted against at the time. I did oppose it. However, I know there are very strong feelings about it and I want to make sure everybody gets to be heard, and I am sure we will end up with a rollcall vote. I would only make a couple of comments.
There are flexible provisions in the underlying bill that will help States address their storm water needs and maintain their ability to determine how to spend these limited dollars. For that reason I had felt a mandatory 2-percent set-aside in this bill was not necessary.
Currently, States are allowed to use their STP funds for environmental enhancements which include a variety of projects, including storm water mitigation. Our bill gives States the option to use STP and NHS money for storm water mitigation. Our bill allows those States that wish to use highway money to address storm water runoff and help communities comply with phase 1 and 2 on clean water runoff to do so.
I think probably one of the reasons for my opposition to this is I spent 4 terms as mayor of a major city, Tulsa, OK. I have always been a strong believer that the closer you get to home, the better the decisions are. In other words, the idea that somehow Washington knows more about my State of Oklahoma than the people in my State of Oklahoma is something I have disagreed with.
If this amendment should be agreed to and the bill should become law, if we in the State of Oklahoma want to spend 2 percent or even more of our money for this purpose, we can do it. But if we have other priorities that are greater, as determined by those of us in Oklahoma, then I think that should take precedence.
For that reason I will respectfully support this amendment. I am sure there will be more discussion on it later on.
I am sure the ranking minority member will agree with me, we do not want to do anything further other than hear debate until Senator Warner, whose provision it was that was put in the bill in committee, has ample time to debate it and to come to the floor and try to work out any compromises he may be successful in working out with the author of the amendment, Senator Bond.
With that, let me renew our appeal to Members to come down with their amendments. I am glad we are finally getting some activity here, some amendments coming down. It is very important we move on with this bill. We have several pages of amendments. I know a lot of these amendments are going to be agreed to in a managers' amendment we will be propounding before too long. There are some that will have to be fought out on the floor. It is my desire, and I am sure the desire of the ranking minority member, that we get on with these amendments. I have been here long enough to know what is going to happen. We are going to have all day today to handle amendments, and tomorrow. People are not going to bring them down. Then when something happens or when cloture is filed, everyone is going to get hysterical and say, Why didn't I have time to offer my amendment?
You may not have time. We are serving warning to you right now, that could happen. Now there is time and we encourage you to come down. This amendment under discussion now, which the Senator from Indiana has graciously set aside--it is his amendment--is one that will be controversial and I suspect there will be many members on the minority side of our committee who want to be heard. I think they were unanimous in supporting Senator Warner in the committee at that time.
We hope those people will come down and get the debate out of the way so we can proceed with this amendment and with any other amendments that come to the floor. Let's keep in mind, as I said yesterday on more than one occasion, what will happen if we are not successful in getting this bill passed. We are on our sixth extension. The extensions do not work. Our money is not well spent. People are dying on the highways. There are things that are happening that will not happen unless we pass this bill. Without an extension there is not going to be any chance to improve the donor status. My State is a donor State. I remember when it was 75 percent as a guarantee to come back to the States for money paid into the highway trust fund, revenues that were collected in my State of Oklahoma. Now it is up to 90.5 percent. If we had been successful with the bill last year, it would have been 95 percent.
Senator Jeffords and I did everything we could to get our bill passed. We are going to try to make that happen this time. But for those States that are concerned about their donor status, they better be lining up and supporting this. We do not know in conference what is going to come out in terms of a number, but we do know this: Donor status of 90.5 percent will at least go up to 91 or 92 percent. So they are going to be better off, but not if we operate on an extension. If we operate on an extension, we are not going to have any new safety core programs.
They call this SAFETEA. I know there is an effort by the chairman of the committee in the other body to rename it TEALU. I do not have a real problem with that. But it is a safety bill. We have many safety provisions, core programs that respond to the thousands of deaths each year on our roadways. If we go on extensions, we are not going to make any of these safety provisions a reality.
If we go on extensions instead of a bill, there is not going to be any new streamlining. In fact, some of the current obstacles in helping us to get roads built and bridges improved can be corrected, but they can only be corrected if we are able to pass this bill. If we operate on extensions, there is no increased ability to use innovative financing, thereby giving the States more tools.
This is something that is so important. Ever since the Eisenhower administration, we haven't changed the way we fund our road program. There are a lot of ideas out there where we could use the public- private partnership to build more roads and bridges. In fact, we have in this bill a provision that establishes a commission to study various ways, innovative ways to change the way we finance our roads, highways, bridges, and infrastructure in America. But if we are on an extension, if we do not pass this bill, we are not going to be able to do that.
We have one provision in here, Safe Routes to School, which is one I felt strongly about, but I was not the leader on it. There are several on our committee as well as over on the House side. As I recall, this is one of the programs Congressman Oberstar felt very strongly about. If we operate on an extension, we are not going to have the Safe Routes to School Program. We could have deaths of young people as a result of our failure to act. That is why this is so important.
Certainty in planning: On an extension, there is no certainty. You think we are going to get the same amount of money that was already authorized previously, but nothing else has changed. We don't know what is going to happen next year. We don't know whether we are going to have a bill that will be passed a month from now or 2 months from now or a year from now. Therefore, there is no long-range planning that can take place.
I served in the State legislature in Oklahoma many years ago. I know when you start planning for the future
you have to plan for your contract season. It is not as severe in Oklahoma as it is in Vermont or some of the Northern States, but certainly these things have to be considered. We have to have our labor supply ready to absorb, to be able to accommodate a heavy schedule of construction, so we need to be able to plan for that.
In this bill we have a border program, Borders and Corridors. It is very important we do these to accommodate the States such as Texas, California, Arizona, and other border States along the northern border, to help them out with that program. Without this bill we are not going to be able to do that.
There are chokepoints. A lot of people think of the highway bill as just highways. This is intermodal transportation. It affects railroad crossings. Our State of Oklahoma is a State that has a channel. It comes all the way to my town of Tulsa, OK. A lot of people don't know that. We know there are chokepoints where barge traffic will come up; it will go to rail traffic; it will go to truck traffic. This bill addresses intermodal transportation and eliminates chokepoints.
Finally, we have the firewalls. What has bothered me more over the years than anything else I can think of is how people will raid trust funds. Politicians in State legislatures--it has happened here in Washington--when no one is looking and there is a large surplus in some trust fund, what do they do with a large surplus, I ask Senator Jeffords? They run in there and they raid it. Consequently there are no real protections under an extension. But we do have protections in the bill that is before you.
I have every confidence--I don't want to sound as though I am doubting whether we are going to have a bill. But we need to pass it in time to get it to conference, back from conference, get it voted on, and in law by May 31. That is getting very close.
In the Senate we will be going into a recess next week. We will not be here for 7 days. It is my expectation as soon as we get back, we will be in a position to finish this bill, get it to conference, and meet this deadline.
I know I speak on behalf of our minority member, the ranking member, the Democratic member on the committee, Senator Jeffords, in urging people to come down and offer their amendments.
The Senator and I know they are up there right now. Come on down.
Mr. President, I agree wholeheartedly with the comments made by the ranking member, Senator Jeffords. It is interesting when he reads off the list of people anxious for a bill.
In the case of Oklahoma, when I was mayor of the city of Tulsa, we were interested in being able to plan ahead. We have our Council of Governments saying they need to have it. We have our State department of transportation that says they are going to miss their construction season. We have to get it done.
While Senator Jeffords and I many times philosophically disagree, the fact we agree so much on getting this bill completed speaks well of what we are trying to do. It demonstrates the broad base of support. I don't have any doubt we will be able to get passage. The problem is if we do not get the amendments for consideration, it will be a logjam when we return from recess and could very well be a problem in meeting our deadline of May 31. That is what we need to focus on.
We are in agreement on most of the provisions. There is some disagreement on the formula. Formulas are always a problem. I have been very happy about the way the Senate has done this. After having spent 8 years in the other body and serving on the Transportation Committee of the House of Representatives, I remember meetings we had. I don't say this in a critical way, but they operate on the basis of projects. We do, too, except the difference is we talk about formulas and try to be as equitable as possible and let the States determine their projects.
It gets back to the argument, who is in a better position to know the needs of my constituents in the State of Oklahoma? Is it Washington or our transportation commissioners responsible to the State legislature and the needs in the State?
Some people say in an expensive bill, there is pork. There is no pork in the bill. There are only two projects in the entire bill. People need to understand that.
This will change to some degree when we get to conference because it has to be agreed to by a majority of the conferees on the House, as well as a majority of the conferees from the Senate. To devise a formula that no one will disagree with is absolutely impossible. The only choice we have if we look for unanimity in approving a formula would be to have Senator Jeffords and me go to 60 Senators and say we will take care of you and we will forget about the other 40. We would have a bill and do it and it would be perfectly legitimate and not unethical.
We take into consideration the Interstate Maintenance Program. It varies from State to State. We take into consideration the National Highway System, the lane miles, the principal arteries, excluding the interstate VMT on principal arteries, excluding the interstate diesel fuel used on highways, and total lane miles on principal arteries divided by population. All these things have gone into the formula.
The Surface Transportation Program, which we have talked about, is part of the consideration in terms of total lane miles.
The Highway Bridge Replacement Rehabilitation Program I am particularly sensitive to because Oklahoma ranks last in terms of the condition of bridges. These things have to be considered.
The Recreation Trails Program varies from State to State. There has to be something in a formula that will take into consideration these programs.
Border planning and operations: Since the passage of NAFTA and now they are considering CAFTA, there are unusual situations taking place from State to State. We have low-income States. My State, Oklahoma, is a low-income State. We have low-population States such as Wyoming, Montana, and
some of the States where they still have to have roads, but they do not have the number of people so that has to be part of the consideration and part of a formula.
They have low-population density States, high-fatality States. Some States have higher fatalities than other States. That has to be taken into consideration.
All these things--donor status, donee status--all are important. But the bottom line is, I can take all 12 or 14 factors and put them into a formula program. I can find areas where Oklahoma is not considered as well as Texas or as Vermont. I can find factors that treat Vermont worse than they treat Montana or some of the other States. If someone is looking to be ahead on all factors, there is not 1 of 50 States that can say they are.
I ask our Members to consider that. Formulas consider a lot of things. We have done a good job with the approach we have. It is a harder approach to take than the approach the other body uses. It is easier for them to get a bill on and off the floor. Timing is important. There is not a Member of this Senate who does not agree we need to get a bill passed.
Members may not like the bill as it is. Come on down with amendments. We are waiting for you. We invite Members.
I yield the floor.
Mr. President, I ask unanimous consent that the order for the quorum call be rescinded.
Mr. President, while we are again encouraging people to bring amendments down to the floor, I would like to make some comments on a statement that was made yesterday that affects our committee, the Environment and Public Works Committee.
Yesterday evening, the junior Senator from Delaware discussed his hold on Stephen Johnson's nomination to be Administrator of the EPA. His main complaint about Steve Johnson is about a lack of technical data from EPA on Clear Skies. We are talking about the Clear Skies legislation we considered in our committee that the administration has come forth with.
But there has been no lack of technical data. The EPA has provided the Environment and Public Works Committee with over 10,000 pages of modeling on costs, job impacts, fuel switching, air quality, and deaths avoided for the various multi-emissions proposals.
This information provides extensive detail about the impacts on the Nation as a whole, regions, and individual States. Claims that EPA did not supply sufficient information to make an informed decision simply do not have any credibility.
In fact, this is in direct contrast to 2002, when then-Chairman Jeffords--I have been making all kinds of complimentary remarks about the ranking member, Senator Jeffords. Back in 2002, Senator Jeffords was the chairman and I was the ranking member. He came forth with something he had very strong feelings about, and that was the Clean Power Act. When he marked it up, we had less than 1 week to review a 53-page bill, without any modeling information whatsoever. Let me repeat that: less than 1 week to mark up a 53-page bill, which was substituted for the original 5-page bill. I do not say that critically because we did it. Nonetheless, we did it without the information I believed was necessary at that time. We did not have information.
In addition, the quality of information in 1990--this is back when we considered the Clean Air Act Amendments--paled in comparison to what the executive branch has been able to produce for us using today's more sophisticated models run on powerful supercomputers. The committee had far more information about the impacts of the Clear Skies legislation than the entire Senate had in 1990 during the debate on the Clean Air Act amendments of 1990.
Now, what has been particularly frustrating is that the EPA data request was used as a red herring to vote against Clear Skies. It is now being used as an excuse to oppose Steve Johnson. I do want to talk about Steve Johnson a minute because it is very unusual we have the opportunity to have a Director with the background of Mr. Johnson.
When we notified the minority last November 15 of our intentions of marking up the Clear Skies bill in February,
they never once raised the issue of needing more data from the EPA until after we delayed the first markup on February 16. Then they mentioned the need to get more data from the EPA almost as an afterthought.
When we offered to delay the markup 2 weeks, in order to negotiate a compromise, we were told they needed data from EPA, which would take 6 months to produce. This, of course, was after our committee already spent 5 years conducting 24 hearings on the topic. We were told, after all this committee work and the 10,000 pages of analysis, that the minority still needed more analysis before they would be willing to even begin negotiating.
Nevertheless, EPA has offered to spend considerable resources to analyze each of the multi-emission proposals using an identical methodology to guarantee that comparisons of the three bills are apples to apples. Yet the charge is being leveled that this offer still is not enough.
Last week, the EPA offered to conduct even more analysis to satisfy Senator Carper, offering detailed data on S. 131, the President's Clear Skies proposal; secondly, the Clear Skies manager's amendment from March 9, 2005--that was ours; S. 843, Senator Carper's Clean Air Planning Act; and, fourth, S. 150, Senator Jeffords' Clean Power Act.
The data would consist of the cost of each bill; the fuel mix for electricity production; Henry-Hub natural gas prices; average mine mouth coal prices; regional electricity prices; emission allowance prices; national and regional coal production; the response of electric generating facilities--for example, the capacity retrofitted with pollution control equipment; national and State-by-State emission levels for sulfur dioxide, nitrogen oxide, and mercury; the national aggregate CO2 emissions; public health and environmental provisions benefits of each bill, such as the total monetized health benefits, premature mortality benefits, and visibility benefits; and the effects of each bill on nonattainment areas--for example, for each current nonattainment area, EPA will list the counties in the area and project whether the area comes into attainment with ozone and particulate matter.
This is for all four pieces of legislation, not just one, everything that has been asked for. This was an unprecedented offer of information by the administration to the junior Senator from Delaware and, frankly, it is more information than I believe he needs in order to move forward on Clear Skies. This is in addition to the 10,000 pages of data the committee has already received. This information would take the staff of EPA 6 to 8 weeks to complete.
Unfortunately, even this offer is not enough. The junior Senator from Delaware is insisting on the same level of analysis that the administration conducted for the President's proposal, which would take a half a year. Strangely, he insists this would allow him to negotiate multiemissions legislation this spring.
This is a level of detail that no administration has ever conducted for a legislative proposal at this stage in the process and, quite frankly, a level of detail that is inappropriate to request. If the EPA were requested to conduct this type of analysis for every bill, we would have to double the size of the EPA, and all of their employees would be working full time on congressional requests. To suggest that a congressional committee needs this type of analysis before it can move on legislation is ridiculous.
In the history of the Clean Air Act, we have more and better quality data today than we have ever had in moving legislation, including the amendments of 1990. Those are the amendments that were so significant and have had such a positive effect on air quality. We have more data than we ever had in moving any environmental legislation.
This demand for data was an excuse for delaying the Clear Skies legislation and, quite frankly, it was an excuse to delay or obstruct Steve Johnson's nomination. This appears to be part of a larger strategy to obstruct this President's EPA nominees. Last Congress, Governor Leavitt's nomination hearing was first boycotted by the minority, then delayed for over 50 days. Today, Steve Johnson is also being obstructed.
For just a moment, I wish to say something about the nomination of Steve Johnson to be the next Administrator of the Environmental Protection Agency. It is unfortunate we find ourselves in a position of having that nomination filibustered by the Democratic side. Mr. Johnson is not a partisan politician. In fact, he is neither a partisan nor a politician. I can't tell you right now whether he is a Democrat or Republican. I don't think it makes any difference.
Steve Johnson is a career EPA employee who has risen through the ranks under both Republican and Democratic administrations. He joined the EPA during the Carter administration and was promoted to senior management posts during the Clinton administration. He has also been confirmed twice by the Senate, both times without opposition. Stephen Johnson is not a partisan. He is also a scientist and, if confirmed, would be both the first scientist and first career EPA employee to serve as the head of the agency. We never had someone who has a scientific background as Administrator of the EPA, nor have we had anyone who has gone through the ranks of the EPA. There has never before been a nominee who has known this agency so well prior to becoming Administrator.
One of the big problems we have had with Administrators who are not familiar with the agency is when we have something that needs to be done, it takes them forever to sort through to find out where the bad guys and good guys are and where the reports are coming from. He already knows. He spent 24 years doing this.
He is trained in biology and pathology. After graduating from college, he worked for the Computer Sciences Corporation at the Goddard Space Flight Center and was signed to serve as a junior member of the launch support team for the first Synchronous Meteorological Satellite, SMS-1. He joined EPA during the Carter administration as a health scientist in the Office of Pesticides and Toxic Substances. He left EPA briefly in 1982 to join a private lab and then returned in 1984 to EPA's Office of Prevention, Pesticides and Toxic Substances. Throughout the years Mr. Johnson climbed through the ranks, eventually being appointed to senior management positions by the Clinton administration, including Deputy Director of the Office of Pesticide Programs and the Principal Deputy Assistant Administrator at that time.
I have to say I was there when this happened during the Clinton administration. I asked him a lot of serious questions, and I did not object to his nomination even though it was propounded by the Clinton administration.
In 2001, he was nominated by President Bush to serve as the Assistant Administrator for that program office. He was confirmed without opposition. Just last year when Mike Leavitt became Administrator he was nominated to the No. 2 spot at the agency. Once again, he was confirmed without any opposition.
Steve Johnson's qualifications are beyond question. The question is, why are we here fighting for cloture on not just a qualified nominee but a nominee who has been consistently promoted by both Democratic and Republican Presidents? I believe Jonathan Adler did a good job describing this nomination process when he wrote the following in the National Review:
President Bush's selection of Steven L. Johnson as
administrator of the Environmental Protection Agency was
universally praised in Washington, D.C. Democrats and
Republicans, environmental activists and industry lobbyists
all hailed the pick as a positive step for the troubled
agency. Stalwart conservative Sen. James Inhofe . . .
--that's me--
applauded the choice while the Environmental Working Group's
Ken Cook called it a ``spectacularly good appointment.'' The
era of good feelings did not last long, however. Once slated
for a quick and easy confirmation, Johnson is now the victim
of an old-fashioned political obstruction as Senate Democrats
again target the administration's environmental policies.
This isn't the first time in recent history that an EPA Administrator has been held up. In fact, that precedent was set the last time someone was nominated by this President. Governor Mike Leavitt was treated with equal courtesy as Steve Johnson. I know some, including the junior Senator from Delaware, are now saying: I supported Mike Leavitt and was there for him. But that is simply not accurate.
In fact, when the committee was scheduled to vote on the Leavitt nomination, the vote was boycotted by the Democrats. Not a single committee Democrat showed up, including the Senator from Delaware. It was part of the boycott.
The three Administrators previous to Mike Leavitt took an average of 8 days to confirm. Mike Leavitt's confirmation took 50 days, 50 days to confirm a Cabinet-level position for an individual who clearly is qualified.
So this is nothing new for a qualified EPA Administrator nominated by President Bush. It has been nearly a month that Steve Johnson has awaited confirmation. The time has come to confirm Mr. Johnson.
During the debate we will likely hear some negative comments about the President's record on the environment. What you hear from the Democrats will likely be a very distorted view. The facts are very plain, very easy to understand. By virtually every measure, under this President's stewardship, our air, our water, and our land are cleaner. We have a cleaner and healthier environment than we did prior to George W. Bush taking over as President. That is simply the simple truth.
Just to highlight a few of the actions by the President, he signed into law historic bipartisan legislation that has accelerated the cleanup of brownfields--all of the States are concerned about that-- better protecting public health, creating jobs, and revitalizing communities. George W. Bush is the first President ever to require the reduction of mercury emissions by powerplants. I can remember when there were full-page ads during the campaign saying that this President is lowering the emissions. There were no restrictions before he came in. He is the one who made the first reduction in our history. This President has imposed a mandatory 70-percent reduction in mercury emissions from these sources.
Just a year ago, the President announced an aggressive new national goal, moving beyond the policy of no net loss wetlands to a new policy of an actual net increase for wetlands each year. His Great Lakes Legacy Program will help to clean up one of the largest systems of freshwater on Earth, roughly 18 percent of the world's supply. His Clear Skies initiative would have reduced SOX, NOX and mercury emissions by 70 percent--the largest mandated reduction of any President in the history of America. It wasn't Bill Clinton. It was George W. Bush.
Despite all the rhetoric to the contrary, the environment and our families are healthier because of George W. Bush. The facts don't lie.
I yield the floor.
Reserving the right to object, let me say to my good friend from Oregon that the leader is coming down to make a statement. Would he withhold his request until the leader gets here and makes his statement?
I object.
I thank the chair. Mental Health Parity Act Mr. President, in just a few weeks while we are in recess, we will mark the fourth anniversary of the untimely death of our former colleague from…
I thank the chair.
Mental Health Parity Act
Mr. President, in just a few weeks while we are in recess, we will mark the fourth anniversary of the untimely death of our former colleague from Minnesota, Paul Wellstone. Paul Wellstone died at the age of 58 in an airplane crash about 4 years ago. Paul and his wife Sheila and daughter Marcia were on their way to a campaign event in Eveleth, MN on October 25, 2002 when their plane crashed in a wooded field 2 miles short of the airport. We mourn for the surviving children Mark and David and for the families of the campaign staffers, Will McLaughlin, Tom Lapic, and Mary McEvoy, and for the families of the pilots flying that fated aircraft.
Paul's tragic and premature death silenced one of the leading voices in America on the issue of mental illness. Paul Wellstone understood the devastation that mental illness can bring: the stigma, the alienation, the broken families and, sadly, even broken lives.
In 1992, together with Senator Pete Domenici of New Mexico, Paul introduced legislation to require insurance companies to offer the same coverage for treating mental illness as for physical illness. The Mental Health Parity Act was passed and signed into law in 1996. The final version of the bill sadly was watered down and fell short of Paul's earliest goals.
A new bill to eliminate these disparities in insurance coverage was introduced in the last Congress. The Paul Wellstone Treatment Act attracted widespread bipartisan support: 69 Members of this Chamber and 245 Members of the House--a clear majority supporting Paul Wellstone's legacy. But unfortunately, during the past 2 years, this bill was not called for passage and did not pass.
Today I am honored to be joined by Senator Norm Coleman of Minnesota, Senator Ted Kennedy, Senator Tom Harkin, and Senator Mark Dayton of Minnesota in submitting a sense-of-the-Senate resolution, first to remember Paul Wellstone and honor his legacy, but also to publicly commit to finishing his work on mental health equity legislation.
Mental health disorders are the leading cause of disability. Without treatment, the consequences of mental illness for the individual and for all of us are staggering: disability, unemployment, substance abuse, homelessness, inappropriate incarceration, suicide, and wasted lives. The economic costs of untreated mental illness is more than $100 billion each year in the United States. In my home State of Illinois, close to 4 million people, or 30 percent of the population, are affected by some form of mental illness each year, including depression. Suicide is the third leading cause of death among young people 15 to 24. Seventy-seven percent of adults with severe mental illness are unemployed.
Now, the good news is this: Mental illness is treatable but only for the people who have access to sound diagnosis and care. We have a good start, thanks to the Mental Health Parity law that Senators Wellstone and Domenici led to enactment in 1996. Our next challenge is to build on the work Paul Wellstone left behind.
Current law requires insurers offer mental health care and offer comparable benefit caps for mental health and physical health, but it does not require group health plans and their health insurance issuers to include mental health coverage in their benefits package. It doesn't prevent insurers from setting higher deductibles, higher copays, and fewer services covered for mental health illness. I commend Senators Kennedy and Domenici for their work in this Congress on working toward a consensus for reaching mental health parity for Americans.
I called Senator Domenici last week to tell him I was submitting this resolution and to cheer him on so that during the next session of Congress we can give the right tribute to Paul Wellstone and, more importantly, as Paul would see it and I see it as well, hope to millions of Americans.
This resolution honors Paul Wellstone. It commits us to continuing his work to ensure equity for people with mental illness. Paul fought against discrimination in any form. His life work was dedicated to creating a world in which everyone, regardless of race, religion, economic status, or health or mental health status, would be treated fairly and equally. I urge my colleagues to support this resolution and renew our commitment to ensuring mental health parity.
Paul Wellstone was often quoted as saying:
I don't think politics has anything to do with left, right,
or center. It has to do with trying to do right by the
people.
That was what Paul Wellstone said. And now we will have our chance in the next session of Congress to honor that commitment.
Mr. President, I yield the floor.
Mr. President, I at the outset thank my colleague from Minnesota who was quick to join with his colleague Senator Dayton as a cosponsor of this resolution.
Many times politics divides us, but when it comes to an issue such as mental illness, we are all in this together. I know my colleague from Minnesota has probably had the same experience I had, of raising this issue at a town meeting or a public meeting, and then I almost guarantee you that before you leave that hall, someone will come up to you and ask if they can speak to you privately to tell you the story of a child or a spouse who has bipolar disorder or schizophrenia or who has committed suicide. It touches so many of us. What Paul Wellstone was trying to remind us of is that mental illness is not a curse, it is an illness, and an illness that can be treated. Why shouldn't we include it in our health insurance for Americans so that every family can be spared the suffering that comes with mental illness today.
I thank my colleague from Minnesota for joining me on this resolution.
Mr. President, if the Senator will yield for a question, I would like to say by way of question through the Chair that I thank my colleague from Minnesota. I can recall when he first came to the Senate serving with our mutual friend, Paul Wellstone. It must have been tough to be that close to a dynamo. The man had boundless energy and committed to so many good causes.
The Senator from Minnesota has carried on the fine tradition for your State. I thank the Senator for joining us in this resolution.
Hope springs eternal, and maybe during the lame duck session Senator Kennedy and Senator Domenici will be able to give us some good news that will make us proud on this important issue.
I thank the Senator for his words today.
Mr. President, this morning one of my Republican colleagues came to the floor to talk about what appears to be the favorite topic of most Republican Senators: the estate tax. No matter what we are talking about on the floor, whether it is immigration reform, making America safe from terrorism, dealing with issues involving the funding for our troops, port security, without fail, you can count on one of my colleagues on the other side of the aisle trying to wedge in to this queue with what many of them consider to be at least equally important: the issue of the estate tax.
So my colleague came to the floor and mentioned my name over and over again as if I were his opponent. I would say to my colleague there are many Senators who disagree with his position, but I will be happy to address it for a moment or two.
The simple fact is this: If an American and a spouse have assets valued at less than $2 million at the time of their death, they will never pay one penny in estate taxes--not one. So if you ask who benefits from this repeal of the estate tax, well, sadly it turns out to be some of the wealthiest people in America. If you took 1 percent-- that is 1 out of 100--estates in America, people who die each year, only one-fourth of those will ever pay any estate tax. It is a very small number of people who have done very well in their lives in America who may end up paying estate tax.
I want my position to be clear. There is an exemption under the estate tax, an exempt amount that you can leave to your heirs, that will not be taxed. I think we need to increase that and regularly increase it to reflect reality. It is true, the real estate we own has gone up in value while we have lived there, businesses have increased in value, farms have increased in value, and I think the exemption should be increased as well.
Where I have a problem is where we have people who are very well off--multimillionaires--who end up owing the Government--in fact, owing their country--something for their success, and they will be left in a position with the proposal from the other side of the aisle where they may have no estate tax liability whatsoever.
The majority leader of the Senate, Senator Frist, has said he is for total repeal of the estate tax--total repeal so that Mr. Bill Gates of Microsoft, who has done so well and made so much money, would pay nothing back to America by way of estate tax when he passes away. Well, Mr. Gates is not asking for that. Many people who are well off are not asking for that. They understand this country has been very good to them, and they are also prepared to pay back so that future generations have a chance to succeed as well.
My colleague came to the floor and talked about farmers and is concerned about farmers. I am from downstate Illinois. A few years ago, after hearing all of the debate about estate taxes, I wrote to the Illinois Farm Bureau, the Illinois Farmers Union, and asked them: Tell me of any farm that you know of where the farmer's survivors had to sell the farm because of paying Federal estate tax. There was not one single instance in my State. They couldn't find one. Now, I understand some of those farmers may have to sell off a portion of their land or some of their acreage to pay their taxes at the time that the spouse finally passes away. But as far as losing farms, that is something that is said over and over again, but neither the Illinois Farm Bureau, the Farmers Union and, in fact, the American Farm Bureau could find a single example of a family being forced to sell its farm because of estate tax liability.
According to the Congressional Budget Office, only 123 family-owned farms and 135 family-owned businesses would pay any estate tax at all with a $2 million family exemption level.
So we often have to stop and wonder why are we dwelling on this or why are some Members of the Senate continuing to dwell on this. If their sympathy is for those who are struggling to survive in America, they should focus their spotlight not on the wealthiest among us but those who are struggling at lower levels.
Let's take a look at some of the realities, the economic realities in America today. This chart shows what has happened over the last 6 years. The minimum wage has been frozen under President Bush and this Republican Congress for 9 years. During that 9-year period of time, the President's pay has been increased substantially, pay for Members of Congress increased $31,600, and the $5.15 an hour minimum wage has not gone up.
It is always interesting to me that my colleagues on the other side of the aisle seem to think that it is fine for those making the lowest wages in America, some of them working very hard each day, to have no increase in their pay for 9 straight years, while they are struggling to make ends meet. They come to the floor and talk to us about those who have made millions of dollars in their lives and whether they will have to pay any taxes. I think it is a misplaced priority.
If we take a look at some of the real household income of Americans across the board, you can see what has happened from 2000 to 2005. Real household income has declined by $1,273. It means the average family, working hard, paying off the costs of living--utilities and mortgages, energy costs, education costs--is working harder and falling behind each and every year.
Our economic policies in this country really are not focused where they should be. We should be focusing on this middle-income American family that is struggling to make ends meet in a very difficult time.
The distribution of wealth in America has changed substantially over the last several years. The distribution of earnings has become even more unequal. When you look at this situation, you see the years between 1995 and 2000 with a violet color, 2000 to 2005 with the red. So in the year 1995 to 2000, the last term of President Clinton, you can see there was an increase in earnings, weekly earnings for full- time workers, across the board. All of these violet bars above show, for example, a 9.6-percent increase, a 7.4-percent increase. So in that 4-year period of time, we had the distribution of earnings increasing.
Now look at the period of time under President Bush. During that time period, in each of these categories of income in America, we have seen that earnings have been declining or rising very slowly, as they are at the highest levels of income in America
Take a look at the wealth as well under the tax breaks given under this administration the last several years. This is the Bush economic record: a $38,000 tax break for people who are making $1 million a year, but for middle-income families making $50,000 to $100,000, their tax break under the Bush administration has been $55, and for those in the lowest income categories a tax break of $6.
You can see where the priorities have been when it comes to taxes. But ask the average family making about $100,000 a year--let's take that as an example. Let's take someone who is a teacher and whose spouse may work part time, bringing in some income to the family, and together they make $100,000 a year. They have raised their kids and spent good money sending them to school. Then the kids apply to college. The families are inundated with a stack of forms--most families have seen them--to apply for student loans and students grants. Those making about $100,000 a year will find it difficult to apply for any financial assistance. So the students, their sons and daughters who finally got into the school of their dreams, may face an unconscionable debt.
Some students put off their education. Some give up on the best schools. Some go on to school and graduate with a mountain of debt, a mountain of debt which was made worse this year when, on July 1, a law signed by President Bush increased the interest rates on student loan debts by 2 percent. It doesn't sound like much, except it means the payback for that student loan has now been increased by 20 percent over the life of the loan. It means these students, borrowing money to go to school, deeper in debt, will now be paying off their student loan debt into their 50s. Imagine that student graduating today--23, 24 years
old, maybe--looking ahead to 20 or 30 years of paying off student loan debt. Finally, in their early 50s, they have paid it all off, and now they have a few years to contemplate their retirement.
What is wrong with that picture? What is wrong is students and families in middle-income circumstances are bearing this burden, and this burden is increasing, as I will show, as the cost of college education increases. So instead of talking about a $38,000 tax break for someone who makes $1 million a year, we believe on this side of the aisle that we should allow the deductibility of college education expenses. If you can deduct the amount of interest you pay on your home to encourage home ownership, why shouldn't a family be able to deduct some of the costs of college education from their tax expenses so we can encourage students to go on, further their education, and make this a better country? It is a question of tax priorities: on one side of the aisle, estate tax relief for those in the highest income categories; on this side of the aisle, we are talking about relief when it comes to tax deduction for the real cost of college education expenses.
Most of the families I represent in Illinois were quick to tell me, during the August break, how bad gasoline prices were. We know in the last 5 years they have increased 104 percent. They started coming down in the Midwest, but I think there is a false sense of security here. A lot of people were sacrificing to put more gasoline in the car, but we still don't have a national energy policy, and there is no guarantee that a few weeks from now those gasoline prices will not go back up again because we have no bargaining power.
We are so dependent on foreign oil today that we can't say to those who gouge us and those who want to really charge us the most that there is anything we will do about it. And this administration has not really called the oil company executives in, Exxon and others, to explain the absolutely unprecedented level of profits they took as the gasoline prices went up. That industry made more money more quickly than any industry in America, and they reached higher profit levels than any industry had recorded previously. Yet this administration sat back and said w can do nothing about it as Americans and families and businesses and farmers paid the price. As the cost of gasoline goes up, as prices have in the last several months, families have faced that sacrifice. Now comes the heating oil season for many, and that may again increase the cost of expenses for these families.
Take a look at what has happened as well when it comes to family health insurance premiums under this administration. Family health insurance premiums have increased 71 percent in the last 5 years. That means the average premium for family health insurance went from $6,348 when President Bush took office to $10,880. Is it any wonder families are feeling the squeeze? These premium increases, of course, translate into another $300 or $400 each month that a family has to come up with just to have the same health insurance as last year and maybe less coverage.
Have we discussed expanding health insurance or making it more affordable on the floor of the Senate? Only once and just for a few days. I salute Senator Enzi, Republican from Wyoming, chairman of the HELP Committee, for bringing a health insurance proposal to the floor. We had another proposal here. We tried, if we could, to work out something ahead of time to have a bipartisan approach. We didn't get it done. I hope that in the next Congress, we can find a way to bring real relief on a bipartisan basis to families that are struggling with these health insurance premiums.
I mentioned earlier the cost of education and student loans. This graph shows what has happened under this administration since the President took office with regard to the increased costs of college. They have gone up
$3,688, the average annual cost of a public 4-year college, tuition, fees, room, and board. So there was a 44-percent increase in just this 5-year period of time under this administration, increase in college cost. Again, wouldn't our Tax Code be more sensible if we helped families pay this difference, if we helped them put their kids through college to get a good degree and a good life and contribute to this country? Wouldn't that be a higher priority in terms of our Tax Code than whether Bill Gates is going to end up being excused from paying an estate tax when he passes away?
There is also a concern as well with retirement plans. Take a look at what has happened in the last 5 years. In the last 5 years, 3.7 million fewer Americans have retirement plans. The number of workers with employer-sponsored retirement plans has gone down from 56.2 million to 52.5 million, which means more vulnerability.
A lot of people who had paid into a retirement plan through the course of their work experience believed that they had paid their dues, taken the money out of their check every week, and that the day would come and they would see it, that they would finally get to retire and relax. Then came mergers and consolidations and corporate sleight of hand and legal work, and the next thing you know a lot of these pensions started disappearing. So many families are concerned, concerned about when or if they can retire.
You read the stories in the paper all the time in Illinois and every other State about those who had their future plans wrecked when they lost their pension benefits. It has happened at the airlines. It has happened in so many industries across our country. We know it makes a real difference in life. A lot of people who thought they would be spending their time worrying about where to go fishing now are acting as greeters at stores around America and trying to find part-time jobs just to keep it together.
We need to do something about retirement in this country, and one thing we do not need to do is privatize Social Security. Privatizing Social Security is, of course, supported by the President but not by the American people. They know the math doesn't work. Taking money out of the Social Security trust fund for people to experiment with their investments is going to weaken that fund unfortunately. They will be unable to make the payments our Social Security retirees need. If there is ever a time when we need Social Security to be strong, it is now, as we see fewer and fewer Americans with retirement plans.
The number of Americans without health insurance has gone up dramatically under this administration, from 39.8 million Americans with no health insurance to 46.6 million Americans. Those who are insured will tell you many times that their health insurance is not very good. They come up to me at town meetings in Illinois and talk about frightening scenarios where someone in their family had a serious illness, a diagnosis, and then when they tried to pay off the medical bills, it turns out the health insurance fought them all the way. These health insurance companies are spending a lot less on care and a lot more on battles with the people who have the health insurance, denying coverage whenever they can. So we have to really get back to this issue as part of the priorities of this Congress. I am sorry that this Republican Congress has not really come up with assistance that many of these Americans need with health insurance
Overall, as we go through this litany, you can understand as you go through this litany why this next chart is where it is today. In the last 5 years, under this administration, household debt has gone up over $26,000. Because Americans are struggling to make ends meet, because the cost of college and health care and gasoline and heating your home has gone up dramatically, Americans have had to borrow more and more just to keep up. They are right on the edge, trying to pay off very expensive credit card debt.
There has been a 35-percent increase in household debt in the last 5 years for the reasons I mentioned earlier, from an average inflation- adjusted debt per household of $75,000 to over $101,000. This debt is hanging over the heads of many Americans, and if there is any rock in the road that Americans families trip over--if someone gets sick, loses a job, a divorce, something unforeseen--they are going to find themselves then facing default on their debt and even higher interest rates.
While this has been going on for the average American, employee compensation has gone down some 4.6 percent. So while all the debts have been
piling up, the compensation that is being given to individuals has been going down. Meanwhile, corporate profits are up 8 percentage points. So we can see that the share of corporate income going to profits and employee compensation has gone in opposite directions, and those directions do not benefit those families that are struggling to get by.
Those who run the corporations are doing quite well, thank you. In the last 5 years, the pay for the chief executive officers of major corporations in America has gone up over $1.6 million individually. This average pay here of $5.2 million when the President took office is now up to $6.8 million. So while the pay for employees is going down and expenses are going up, in the boardrooms the median CEO compensation has gone up substantially.
When you take a look at the tax cuts under this administration, their economic record, tax cuts are over 150 times larger for millionaires than they are for most households in America. So we gave the tax cuts of $103,000 for those in the highest income levels and $684 for those making less than $100,000 a year. So the so-called tax cut program has not really helped those families struggling the hardest.
What has happened to employment, creation of jobs in America, is illustrated by this chart. We have seen the average annual growth rate of nonfarm employment in America under every President. You have to go back to Herbert Hoover and the Great Depression to see a decline of 6 percent in employment in America. You will see the lowest number of any President since Herbert Hoover has been registered by this administration, in the creation of jobs. That is the average annual growth rate of nonfarm employment. It is the slowest job growth in America in over 70 years.
The other sad reality is, while all of these things have taken place, this represents the famous wall of debt which Senator Conrad of North Dakota has brought to our attention over and over again. When President Bush took office, our national debt was $5.8 trillion. Today, it is over $8.5 trillion--a dramatic increase in America's debt in a 6-year period of time. With policies which this administration supports and many on the other side have been arguing for, we can see America's debt reaching $11.6 trillion in 2011. So in a 10-year period of time, we will have virtually doubled--not quite but almost doubled--the debt of America, which means we are leaving a burden for our children, a burden with which they will have to deal--a burden with which they will have to deal as we see more and more baby boomers in Social Security and Medicare. As we see fewer people working, those who remain in the workforce will not only have to face their own personal challenges economically, but they will have to deal with the debt that we are leaving behind.
If this is fiscal conservatism, I don't understand the meaning of the term.
Why is it that we have reached this point? Sadly, the economy is not going as planned. We are facing a war which costs between $1.5 billion and $3 billion every week, and the other side continues to come to the floor and ask for something that no administration has ever asked for in the history of the United States--a tax cut in the midst of a war. That is what the Senator from this morning was suggesting. He wants to cut the estate tax. By cutting the estate tax there will be less revenue for our Government, the war will continue, and our debt will grow. These numbers will have to be adjusted upwards for the debt we are going to leave our children.
Yesterday we had a hearing with the Democratic Policy Conference to discuss the war in Iraq. We had two generals and a Marine Corps colonel who spoke to us. They spoke on a lot of things that we need to do to make America safer and make sure we win this war in Iraq. But one thing that MG John Batiste said I really thought was important. He said--and I think we all believe--that America can rise to a challenge. America can meet a challenge. We have done it so many times in our history. We have won wars when we were not expected to. We put a man on the Moon when a lot of people scoffed at that possibility. We developed medical breakthroughs which no one would have dreamed of. We led the world in computer technology development and in so many areas one by one. Whether it was in agricultural production or in industrial development or innovation we have led the world. We have led the world because leaders have stepped forward--a President has stepped forward and challenged us and said we need to stick together, we need to work together to reach the goal.
General Batiste said yesterday--and I paraphrase his actual testimony, but I believe what he said. He said that what we need to be reminded of is we can meet any challenge as a nation. We need to be reminded, as well, if we are challenged and work together, we can win this war on terrorism. And he said it is going to involve sacrifice. It is not the first time Americans have been asked to sacrifice. They have done that many times. I believe that spirit of sacrifice is what is needed to make sure we keep America safe from terrorism and safe from other threats.
I see that Senator Ensign has come to the floor. I don't know whether he wishes to take the floor at this time. But I mentioned his name earlier. I commended him for bringing the health insurance issue to the floor. I hope in the next session that we can work together to try to find some bipartisan compromise to deal with this health insurance challenge. It is still out there and getting more challenging every day. Senator Enzi of Wyoming, as Republican chair of the committee, may have been the first one to bring the health issue to the floor of the Senate in the 10 years I have been here. I commend him for that.
Although we didn't see eye to eye on all of that, I hope we come back together and sit down and try to find some common bipartisan approach no matter who is in charge of the Senate in the next session.
I yield the floor. I suggest the absence of a quorum.
Mr. President, I ask the Chair lay before the Senate a message form the House of Representatives on the bill (S. 843) to combat autism through research, screening, intervention and education. The…
Mr. President, I ask the Chair lay before the Senate a message form the House of Representatives on the bill (S. 843) to combat autism through research, screening, intervention and education.
The PRESIDING OFFICER laid before the Senate the following message from the House of Representatives.
Mr. President, I ask unanimous consent that the Senate concur in the House amendment, the motion to reconsider be laid upon the table, and any statements relating to the bill be printed in the Record.
Mr. President, we just passed the combating autism bill that we have been working on for 16 months. I thank Senator Dodd for his tremendous work on that. I thank all of the autism groups. I thank Jennifer Vesey for the tremendous work she did and the hours and hours and patience it takes to put together complex and important pieces of legislation.
Later today, or tomorrow, we are going to pass the abandoned mine lands bill. I would love to say that was Rick Santorum, but it was Ashley Horning; it wasn't Rick Santorum. She did all the work. I pretty much knew what was in there, and I would negotiate the parts in disagreement. That is what we all do. But on 90 percent of the bills that most of us know about, we didn't hammer out the details; it was done by folks who have the commitment and vision and effort and work the long hours to make the legislation possible. It is important that in Pennsylvania now we will get a billion dollars to clean up abandoned mines--it is a tremendous contribution to the environment--or miners will have health care coverage paid because, in part, I had a terrific staff person. I can go down through issue after issue and look at these accomplishments that would be great to stand up and say that I did, but I had a tremendous amount of help. I had incredibly talented, gifted people who worked incredible hours.
What most people across America don't realize is how hard our people around here work. They don't do it for the money. They don't do it because they have some agenda to accomplish. They do it because they want to improve America, make America a better place. They want to leave this place better than how they found it. They want to serve because they love this country and they believe in what will make this country better. They work long hours. They don't get paid as much as they could make if they wandered off the Hill. I will put my folks, both in Washington and across the State, up against anybody. They are sitting in the gallery and here along the railing. They have given their all and I thank them. They served the people of Pennsylvania. Looking at Kevin Roy over there, I think of all of the earmarks--that is a dirty word--that we were able to get to help the people in Pennsylvania in so many ways. I look at work we did for the nonprofit community and welfare and families, and Melanie Looney and her team worked on that.
It has been an incredible group. Our Senate conference, the message folks--it was awfully hard. Republicans are not good on the old message issue. We don't follow our talking points very well. We try. We try. We have a lot of independent thinkers on our side. God bless them. They always have a better way of saying things than what we suggest or actually not even saying things, thinking things than what we suggest. That is the beauty of our party. We have a lot of diversity within our party.
We have some very talented people who work very hard, not just a dry message to spin, but to try to move the debate, try to get our causes articulated in a way that is communicated effectively to people across America. They worked hard. They built coalitions. They did their best, and I thank them for their effort and the tremendous service they have given our conference.
I thank the folks in my district offices. Most of those folks have been with me 16 years. We don't have a lot of turnover in our office. A lot of folks in Pittsburgh have been with me 16 and others around the State have been with me 12 years. They are dedicated people who go out and do those security checks and veterans benefits and medals.
I will always remember one story that happened this last year. There was a man, a World War II vet named Patrick. I was at a ribbon-cutting for a VA facility in Oakland in Pittsburgh. While I was there, we arranged a little medal presentation to a veteran who had sought a medal and was never given that medal. That is all I knew about it. I showed up. There was this older gentleman sitting in the front row. His name was Patrick.
Patrick was a World War II veteran who served in Patton's army and was sent on a secret mission to try to liberate a POW camp. In that mission, he was captured. He was imprisoned for several months, I believe, in a German POW camp. When he got out of the Army, he requested a POW medal, but the paperwork didn't show he had been captured. It was a secret mission, and it never appeared on his military record.
For 60 years, Patrick fought to get his designation as a POW. He never married. In fact, later in his life after he retired from work, he became somewhat of a recluse because he was kidded by some of his buddies about being a POW. It affected him dramatically, so much so that one of his friends and relatives contacted us to say: Is there anything you can do? Could it possibly be true?
Ann Blocksidge in my office in Pittsburgh, wizard that she is with these issues that she has been working on now for 16 years, knew the places to call and put the records together. We found out, yes, he was, and that was in one place in one record and not in the same place as the other record, and A didn't talk to B. So we were able to get him his POW medal.
I remember pinning it on him. This older man walked to the microphone. He said: There is one thing I want to say. He said: I finally feel welcomed home.
It is a great story, but the folks in my office and offices all over this Capitol do this every day because they care, because the people call with impossible things, and our folks do impossible things to help them.
I thank all of them for all the service they have done, for doing what I ask them to do when they come into the office: Treat every caller as if it is your grandmother calling. If you treat every caller as if it is your grandmother--hopefully they get along with their grandmother--then things will be fine.
I thank my colleagues. This place gets a lot of ridicule. It is very easy to criticize people in the fishbowl. It is very easy to take shots at people for not living up to expectations, and certainly we all do not live up to expectations. But I think I can say without any reservation that the men and women in this body are good and decent people who are doing what they believe is best for this country.
I know many people find that hard to believe because they look at people and they have beliefs so diametrically opposed to people in this Chamber. I certainly have views--and have demonstrated that on many occasions on the floor of the Senate--that are diametrically opposed to many people in this Chamber. But in my heart, I never questioned the integrity and the sincerity of the people who articulated their opinions, that they were not sincere. I believed them to be sincere and I believed them to believe that it was in the best interest of the country. That is what is supposed to happen here. Ideas are to be debated, points of view are to be discussed, and the prevailing thought of the day will move the country in that direction.
There are very good people here. I tell the people of America: There are very good people here. There are people here on both sides of the aisle who pray every single day for God's guidance. There are people here today who, while we fight and argue, do so out of a passion for doing what is right.
I thank my colleagues for the courtesies they have shown me, and particularly my Republican colleagues for the honor they have given me to serve in the leadership for 6 years. I know that was not an easy decision back in 2001 to elect someone who had a reputation of being somewhat of a bomb thrower in the House and in my early Senate days to a position of leadership in the Senate. They took a risk. I hope they feel it has paid off.
It has certainly been a great blessing to me to have been able to serve my colleagues in the capacity of conference chairman.
It is an incredible group of people. I think of John, who is my tennis partner. We played our first match after I was defeated, and he beat me 6-love, 6-1. He thinks it is because he played better, but I am just preparing for other employment.
We have prayer groups here. One of the most important things in my life over the past 12 years has been the Senate prayer group, the Senate Bible study, and the prayer breakfasts, the small prayer group with which I have been involved. I don't know how people do it. I don't know how people do this business without prayer, without an understanding that there is something bigger than us here, something that will help us, guide us, lift us up at times when there seems to be no other reason to be lifted up.
I thank all of those who prayed with me and prayed for me. Lloyd Ogilvie, a chaplain here for many years, and Barry Black, our Chaplain now--they are prayer warriors for all of us. I know they pray for us every day. I know Lloyd still prays for us every day, and I know millions of Americans pray for us every day. I thank all of them for helping me through and helping us and helping our country through these difficult times.
I thank our leader, Bill Frist, my first leader I served under as a member of the leadership, Trent Lott, and the leader I served under when I came to the Senate, Bob Dole. Each and every one of them in their own way led differently. But in the case of Senator Dole, he was a larger-than-life figure to me, coming over to the Senate as a 36- year-old Senator. He was on his way to run for the Presidency. He took the time to be concerned about the issues that were important to me. He put me on the committees I needed to be on and gave me the opportunity that I will never forget and certainly will always be thankful for--to manage and work on the welfare reform bill back in 1996.
Of all the things I accomplished in the Senate, there is nothing I am more proud of than what we did in 1996 to reform the welfare system and transition it so millions and millions would fall off the rolls, find gainful employment, and change their lives and the lives of their families. I owe that to Bob Dole. He gave me the opportunity to stand at that manager's chair for months in my second year in the Senate and taking on what I would argue was the most important piece of legislation in that session of the Congress, the Republican revolution.
I thank Trent Lott not only for his tutelage and mentoring me in the time I have been here as a leader, but for helping me in gaining leadership and being involved in the leadership in the Senate.
I thank Bill Frist for his friendship. His coming in as a leader when I was already in the leadership was a little different. He didn't come in and point the finger and boss around, but he came in to learn. He came in to engage, to try to take the knowledge that was in the leadership group and use it to build a stronger group. I appreciate that.
There is a humility in Bill Frist. It is a very attractive quality and, I might also add, a rather rare quality if one is in the Senate, but a very attractive one and a very important one in Senators and leaders.
I thank, I guess finally, the people of Pennsylvania. I was talking to Jim Towey. Jim is the new president of Saint Vincent College in Latrobe, PA. Jim is the former director of the faith-based office for the President. I called him the other day. He said: You know, Rick, I have been here--I think he said 6 months. He said: I really like the State, like the area, good people. But the more I study the State and the more I get the feel of Pennsylvania, I have one question: It is not how did you lose the election, but how did you get elected here twice?
I got elected twice because I had a lot of wonderful people who campaigned hard, worked hard, and believed in me and were able to maybe see past some of the differences with me to give me an opportunity to serve here, and I am eternally grateful.
It is an incredible State. It is one I got to know very well and, obviously, got to know thousands of people. I had the opportunity to serve them. I had the opportunity to be scolded by them, reprimanded by them. But I always understood they were my employers. I work for them. And when you work for somebody, sometimes they are going to tell you they don't like the job you are doing. And you better act like someone who is an employee instead of an employer or you are not going to find yourself as an employee very much longer. Well, I tried to act like an employee. But that doesn't mean I always had to agree with my employer, and a lot of times I didn't. And maybe I spoke up too often too loudly and too boldly on some of the things that my employer didn't agree with. I hope they respect the fact that it was a heartfelt disagreement and that I did what I did and I said what I said because I believed it was in their best interests, even though they may not have thought so.
I respect the fact that I didn't win this election and that the people of Pennsylvania made a different decision. I had an opportunity to meet with my successor today in my office and get a chance to talk with him about some of the ins and outs of the Senate. He is a good man, and he will do a good job. I hope the people of Pennsylvania will give him and extend to him the same courtesies and trust and cooperation that so many Pennsylvanians who didn't agree with me on a lot of things but knew that it was important to work together--such as our Governor, Ed Rendell, whom I worked with as mayor and as Governor, as well as I did with any Republican that I know--I hope that Republican officeholders in Pennsylvania treat my opponent with the same kind of respect and the same kind of cooperation that Governor Rendell and I have had over the years.
That brings me to my colleague, Senator Specter. It was very kind of Arlen to come and say a few words. He said that we are not only colleagues in the Senate and, obviously, colleagues from Pennsylvania, but we are friends. I have to tell my colleagues, when I first came to the Senate, I thought it was a very long shot that I would be friends with Arlen Specter. All I had
heard about Arlen Specter was how prickly a character he is, how difficult he is, sort of cold and tough. But he is a pretty soft guy. He really is. He gets those granddaughters around him and he just melts. No, he is a good man. I don't agree with Arlen a lot, and of course everybody knows that, but Arlen has been a good partner. We have worked on a lot of things together. And even when we disagreed, we understood and respected the disagreement and didn't let it affect us, or certainly our relationship, or if it was important enough to us and important enough to the State and important enough to the country, we worked hard to try to bridge those differences. I think that is a good model. I recommend it to my successor. I recommend it to all my colleagues.
This place doesn't have to be as personally confrontational as it is. I say that as someone who was pretty personally combative when I first came here. I know that I have had some pretty strident debates on the floor of the Senate, but I will tell my colleagues that in my heart, it was never personal, it was always about what the issue was about. And it is hard for a lot of people in America who look at it in a culture that takes everything personally--people have asked me why I have been so comfortable and at ease with what has happened, and it is because I don't take it personally. People disagree with where I wanted to take this country, and that is fine. They will have an opportunity to take it someplace else, for now.
But I don't take it personally. I look at the empty desks of my colleagues on the other side of the aisle, and I look at each and every one and I can see them all sitting there, and I can't think of one that I would take a disagreement with personally--and I have had disagreements with virtually every one but all of them have disagreed, hopefully without being personally disagreeable. That is how this place works. It is the only way it can work and be successful for America.
In closing, I want to say that I always come back to the word ``gratitude.'' To God, to my family, to my colleagues, to the wonderful people who have worked for me and with me over the years, to the people of the 18th Congressional District, to the people of Pennsylvania: Thank you. Thank you. I don't know what I will be doing next, but I cannot imagine that anything I do in the future will rival the kind of blessings I have felt from all of the folks whom I have mentioned. The relationships and the wonderful accomplishments and the great spirit I have experienced over these last 16 years is something that I am eternally grateful for to all of those involved. It has been a great blessing.
I thank my colleagues, I thank those who came and listened, those who might be listening in other ways, but I thank them, personally, for the great kindness they have shown me. I leave a very happy and contented former Senator from Pennsylvania who feels very blessed.
Exhibit 1
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R; Palmer, Wayne D.
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Anita.
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Woodbyrne.
I ask unanimous consent to speak as in morning business. Mr. President, I thank the Senator from New Mexico. He is overly generous. I learned as a staff aide in the Senate that if an idea has many…
I ask unanimous consent to speak as in morning business.
Mr. President, I thank the Senator from New Mexico. He is overly generous. I learned as a staff aide in the Senate that if an idea has many fathers and many mothers, it has a much better chance of moving along than if it just has one.
Senator Domenici is being overly modest about his own role. This would not have gotten to first base--by ``this,'' I mean the competitiveness legislation--had not Senator Domenici created the environment in which it could succeed, and if he and Senator Bingaman had not had such a good partnership and been able to work together, set a good example and have been willing to step back and allow other good ideas that were progressing through the Commerce Committee and the HELP Committee.
It has been a remarkable exercise in restraint for many distinguished Senators, some among the most senior Members of the Senate, and at a time when politics is at a pretty high level.
I thank the Senator for what he said. It means a lot to me.
Mr. President, I ask unanimous consent to have printed in the Record a summary of the National Competitiveness Investment Act.
Mr. President, although most cannot hear it right now, I want to say how much all in the Senate appreciate the extra hours and the skill with which the staffs met and worked through August and over the last several weeks to bring the three committees together. Senator Ensign played a major role, and his staff did. There were many staffs. This was not a bill that Republicans wrote and Democrats looked at or vice versa. We did it together.
Future of Higher Education
Mr. President, today the Secretary of Education, Margaret Spellings, made an important speech at the National Press Club. In her remarks, she discussed the report from her Commission on the Future of Higher Education. This commission was chaired by Charles Miller, who was the former chairman of the board of regents of the University of Texas system and a leader in education reform at all levels.
I am very impressed with Secretary Spellings. I know her job. I once had it. I do not think we have had a more effective Secretary of Education. I am very impressed with Mr. Miller. I know about his work in Texas as part of a group of business leaders over the last 20 years who have led the country in terms of helping to set accountability standards in elementary and secondary education.
Mr. President, I encourage my colleagues to read Secretary Spellings' speech from today.
Secretary Spellings is the first U.S. Secretary of Education to assume the role of lead adviser to coordinate all of higher education. I am glad she is doing that because almost every Department of the Federal Government has something to do with higher education. Currently, no one is the lead person for that. It ought to be the Secretary of Education. She stepped up to do it. I applaud her, and I applaud President Bush for asking her to do that.
The Secretary's recommendations in her speech today are sensible and respect the prerogative of Congress to make major changes in higher education policy. In plain English, she laid out some very good recommendations, but she recognized that is one branch of Government, we are the Article I branch of Government, and if there are major changes in policy, we will make them here, and then it is their job to implement it.
But among the strong recommendations in her report are the following: Simplify the financial aid system. We are already doing that, having worked with the Secretary on a commission, and it is included in the higher education bill that has not passed. That is a very good recommendation. Another recommendation is expanding more access to more students. The initial cost estimates of her commission's report suggest its recommendations might cost $9 billion or $10 billion more in terms of Pell grants. That is a lot of money, but it is an important goal.
Another recommendation is increased competitiveness. The Secretary's commission spent quite a bit of time urging the Congress and the country to adopt the recommendations of the Augustine commission, to adopt the recommendations of the Council on Competitiveness, and to adopt the President's recommendations on competitiveness. That was a help in getting us come to the point in this body where tonight Senator Frist and Senator Reid will introduce the National Competitiveness Investment Act.
The Secretary's committee recommended less regulation for higher education, which is something I want to talk a little bit more about in a moment. I thoroughly agree with that. And, of course, another recommendation is to find ways to reduce costs, which every family who has a student headed toward higher education thinks about. In our own family, where we have two new grandchildren who are less than 1 year of age, the parents--our children--are already thinking about it: How in the world are we going to pay for college out of our budgets in 18 years? That is at the top of almost everyone's concern.
I want to wave one bright, yellow flag, a cautionary flag, at one troubling aspect of the report of the Secretary's commission. That is best captured by the following sentence on page 13 of the commission's report, and I quote: ``Our complex, decentralized post-secondary education system has no comprehensive strategy, particularly for undergraduate programs, to provide either adequate internal accountability systems or effective public information.''
``Our complex, decentralized post-secondary education system has no comprehensive strategy. . . .'' The commission apparently believes that is a weakness. I believe that is a strength. I believe that is the greatest strength of our higher education system. The key to the quality of the American higher education system is that it is not one system, but that it is a marketplace of over 6,000 autonomous systems, independent systems.
These autonomous or independent institutions--such as the University of Tennessee, or Fisk University, or the Nashville Auto Diesel College, or Yeshiva University--these institutions are regulated primarily by competition--competition for students, for faculty, and for research dollars--and by consumer choice, which is fueled by generous Federal dollars that follow more than one-half of American college students to the institutions of their choice.
There is, in addition, a system of independent accreditation to help regulate these independent and autonomous institutions. To be sure, there is still plenty of the traditional kind of command-and-control Government regulation. That is very hard to get away from. Every State has a regulatory body, such as the Tennessee Higher Education Commission. And each of the 6,000 institutions I described that accepts students with Federal grants or loans must wade through over 7,000 Federal regulations and notices. Those regulations exist today.
The president of Stanford University has said that 7 cents of every tuition dollar is spent on compliance with Government regulations. The last thing American higher education needs is a barrage of new Federal regulations requiring sending new data to Washington so someone here can try to figure out how to improve the Harvard Classics Department or the Nashville Auto Diesel College, both of whose students are eligible for Federal grants and loans.
I believe the overregulation of higher education is the greatest deterrent to maintaining the quality of American higher education, and that autonomy, competition, and choice are the greatest incentives to excellence.
I would, therefore, wish to lead the bandwagon or be on the bandwagon or
push the bandwagon for more deregulation and to increase the autonomy of institutions of higher education and to preserve competition for research dollars and to give students the broadest array of education choices possible.
Today in America we are doing that much better than any other country in the world. It is instructive that China and several European countries are deregulating their overly bureaucratized colleges and universities to try to catch up with the quality of ours. Of course, better information informs choices. And, of course, easier transfer policies between or among institutions could increase opportunities. Much is to be gained from research that will help institutions measure what value their classes add to students.
But I do not want rules about transfer policies to diminish institutional autonomy. I do not want to see rules from Washington substitute for choice and competition as the principal regulators of the quality of our colleges and universities. I do not want to see even more tuition dollars go to pay for complying with costly Government regulations instead of to improving research and teaching in the classroom.
By design or luck, the United States has created a magnificent marketplace environment that has resulted in, by far, the best higher education system in the world with remarkable access for students of all incomes. Our goal should be to improve that system, not to replace it with some command-and-control structure.
Mr. President, I spoke before the Secretary's Commission on December 9 of 2005, and I hope that those remarks were useful to the Commission.
Mr. President, I want to comment that it is important to keep all of this discussion in some perspective. For example, there is a great concern about the rising cost of tuition. Secretary Spellings, in her remarks, says she wants to know why. Well, I know why it has gone up. It has gone up because State funding for higher education has been flat. It has actually gone down in many cases. As State funding of colleges and universities in Minnesota or Tennessee or South Dakota has gone down, colleges and universities have had to raise their tuition to have enough funds to maintain quality.
Now, of course, there are plenty of ways to reduce costs, and we need to push that and encourage that. And the Secretary has many suggestions for that. She is right about that. But let's not overlook the fact that Federal spending for higher education has gone way up in the last several years, but State spending has been flat. If anyone wants to know why your tuition bills are higher, it is because your Governors and your legislatures have not been paying their fair share of what it takes to have a quality system of higher education in America. I talked about that in my testimony to the Commission, and I hope they listened to that. I hope the Administration and my colleagues understand that as well.
For example, during the 5-year period from 2000 to 2004, State spending for Medicaid, which is where the Governors have to put most of their extra money, was up 36 percent; State spending for higher education was up barely 7 percent. As a result, tuition went up 38 percent.
There is another way I think about it. When I left the Governor's office nearly 20 years ago in Tennessee, Tennessee was spending 51 cents of every State tax dollar on education and 16 cents on health care--mainly Medicaid. Today, instead of 51 cents on education, it is 40 cents on education. And instead of 16 cents on health care, it is 26 cents on health care. So if we do not get control of Medicaid spending here in this Chamber, and in the other Chamber, one of the unintended consequences will be that we will drive down the quality of higher education all across America because it will not have appropriate State funding and we will not create the new jobs that will help us compete with China and India.
On the question of cost, two other things: One is, I ask unanimous consent, Mr. President, to have printed in the Record a short column by the president of the University of Maryland, William E. Kirwan, who discusses State funding that I have just talked about, and talks about what some colleges and universities are doing to reduce costs to help control the rise of tuition.
Sometimes we talk so much about the high cost of higher education where families hear that and think no one can go to college. I was president of the University of Tennessee. Tuition has gone up there for the reasons I just talked about. But today tuition at the University of Tennessee, which is one of the leading research institutions in this country--the manager of the Oak Ridge National Laboratory--is $5,300 a year. It is $5,300 a year for tuition at the University of Tennessee. That is more than a lot of people have, but that is a very good bargain in today's marketplace.
Volunteer State Community College, a public 2-year college--we encourage many people to go to community colleges, and then to our research universities--the tuition there is $2,383 a year.
At Tennessee State University, in Nashville--an excellent institution--it is $4,300. It is the same story in many other States. At the University of North Carolina at Chapel Hill, for North Carolina students--one of the best universities in the world--it is $4,500 a year. At the University of Phoenix--a different kind of university, but I had a distinguished scientist from the University of Texas tell me he looked at colleges of education all over America, and he thought the college of education at the University of Phoenix was as good as any to get your teacher's degrees--the comparable cost there for a year's tuition is about $6,669. They do things a little differently, but they provide an education and a service that many people are asking for, and I think that reflects the strength of our autonomous system of higher education.
Now, if you want to go to Harvard, it is a lot more. If you want to go to Vanderbilt, it is a lot more. But the rest of that story is, if you show up at Harvard, or if you are admitted to Vanderbilt, and you do not have the money, they are going to do their best to help you pay for that.
So I would hope as we talk about the cost of higher education that we recognize that many of the State institutions are reasonably priced, that the failure of State funding over the last several years is the principal culprit in the rising increase for public schools, and that we do not get carried away up here in Washington by thinking if we pass some more regulations here, somehow we are going to solve the problem, and we are going to make our higher education system better.
My main point is this: Our greatest threat to quality higher education is overregulation. And our greatest incentive for it is deregulation, choice, and competition. Those are the incentives I would like to preserve.
Mr. President, I yield the floor.
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Mr. President, I understand the paper is in the process of being delivered to the desk on S. 843, so while that is happening, let me just make some remarks about the legislation. The legislation that…
Mr. President, I understand the paper is in the process of being delivered to the desk on S. 843, so while that is happening, let me just make some remarks about the legislation.
The legislation that I am calling up on behalf of myself and Senator Dodd and the two leaders who have been outstanding in helping us bring this bill to the floor tonight is the Combating Autism Act. I know Senator Enzi was just speaking, but I want to thank Senator Enzi and Senator Kennedy also and the entire HELP Committee. If you want to talk about a team effort, this has been a tremendous team effort, starting initially with Senator Dodd and myself and our staffs who have just done an outstanding job.
I thank particularly on my staff Jen Vessey, who has just put in--I won't say hours of time but days of time, in working together along with Senator Dodd's staff and then subsequently the entire committee staff; in particular, Senators Enzi and Kennedy's staff, as well as, as we brought this to the process, Senator Frist and Senator Reid.
This team was committed to getting this bill done and passed before the August break. We had many bumps along the way, but tonight, with a minor change in the bill, we are going to see this piece of legislation pass and pass by unanimous consent.
I am very excited about all of the work that has been put in by the entire autism community. I think, as Senator Dodd will attest, there are very many arms of the autistic community, a lot of groups who have a very wide variety of people with respect to how to deal with Federal legislation regarding autism. But we were able to sit down and work together over months of time.
I thank some people in particular who have worked outside of the Congress, outside of the Halls of Congress: Bob and Suzanne Wright deserve special recognition as grandparents of an autistic child for their tremendous effort in pulling together these outside groups, along with Deirdre Imus, who, again, devoted an extraordinary amount of time and energy in bringing all of these disparate groups in the autism community across the country together to work toward a common goal, and that is to authorize an autism coordinator, authorize work and research to be done at NIH that looks into all of the issues regarding autism, including the causes of autism, how to best screen for autism, how to best diagnose autism, and how to best treat autism.
It is one of the few disorders that I am aware of that is so prevalent in America, and we have very few good answers on any one of those issues. It creates enormous amounts of frustration for parents and relatives and friends of children with autism that we just seem to have no answers, and we see an ever-increasing population of autistic children with fewer and fewer answers on how to diagnose, screen, test, and treat these young children.
So tonight is a real landmark. It is a step forward for a community that has been seeking someone to listen to them in Washington. It has been a real honor to work with Senator Dodd. He has just been terrific, including tonight, when we ran into a bump and he was able to smooth that bump. We had one on our side. After lots of discussion, and thanks to the leader and his work here, we were able to deal with that, and now we are in a situation where we can move forward and pass this important piece of legislation. I believe the paper work is now ready.
Mr. President, I ask unanimous consent that the Senate proceed to the immediate consideration of Calendar No. 578, S. 843.
Mr. President, before I offer the amendment, if Senator Dodd would like to take a few minutes to speak.
Mr. President, I thank Senator Enzi for just the tremendous commitment that he and Senator Kennedy made to being patient and working through the months of time it took to bring this bill together.
I know his intention was to move a comprehensive reform of the NIH, and he made an exception for this piece of legislation. Senator Dodd and I thank both Senator Enzi and Senator Kennedy for breaking ranks, making sure we could move this as a separate piece of legislation, apart from the overall reauthorization of NIH.
I want to say to the leader, as Senator Enzi said, we wouldn't be here if it were not for your commitment to get this bill done. I know Senator Reid, with whom I spoke just a few minutes ago, said: This is a very important bill to me; this is something I want to see done. We worked through the bumps here right at the end to get that done thanks to you, our two leaders.
Up until the very end this has been a difficult process, but we are here. Having worked on a lot of bills, I have been very blessed in the time that I have been here. I have had my share of legislative successes and bills I have worked on and worked hard on to make a difference. I can't think of any piece of legislation that I will feel better about as I reflect back on what I have accomplished here than what we have done tonight.
People who are dealing with children with autism are a special group of people. Senator Dodd laid that out very eloquently. They are a special group of people who are, in many cases, just more determined to be able to solve this enigma that is in their family, this disorder about which they just can't seem to get the answers they need.
I always say when I meet with a group of autistic kids and their parents, the commonality in every one of those meetings is tears. In most cases, we are talking to parents who are very, very stressed out and really sort of at their wits end as to how to grapple with this problem. Tonight, hopefully, we will begin the process of drying those tears and creating hope for a whole group of Americans and their
families who deserve better answers than what we are getting from the medical community today.
One final note. I want to say that Senator Dodd, I think, referred to Deirdre Imus as the flame that just burned. I say, then her husband is the torch that is burning many places--many parts of our body at times, in getting this legislation through. Don Imus deserves, certainly, his credit for taking this issue on in a very public way and, because of what he does on the radio, increasing public awareness about this disorder and making a contribution to this effort that we are seeing successful tonight. But also the effort improving awareness of this order.
I am happy to yield to Senator Dodd.
Mr. President, I earlier thanked my staff member, Jen Vesey, and I want to reiterate that. I really cannot tell you how much credit she deserves for this legislation and the enormous amount of time she spent in pulling this altogether. As Senator Dodd mentioned staff again, I thought it was important for everyone who is working out there in the autism community to understand what a champion you have in Jen Vesey, who is on my staff.
I ask unanimous consent that Senator Chambliss and Senator Thune be added as cosponsors to the legislation.
Mr. President, I understand there is an amendment at the desk. Let me explain what this amendment does before I ask consent it be adopted and the bill be passed, because I know people are going to hear that this bill passed and passed with an amendment and they are going to wonder what the amendment is and whether this does anything to change the bill.
The amendment is as a result of one of the bumps that we ran into tonight, trying to get this bill passed unanimously. It is not easy to get the Senate to do anything unanimously, particularly anything complex, and this is a very lengthy piece of legislation that has a lot of complexity to it.
We had one issue brought up by a Member with respect to the increase in the amount of authorization for research. That Member thought that number was excessive and was going to object to the consideration of the bill tonight unless we were able to do something about that authorization number. In order to get the legislation adopted--because, again, there would have been objection tonight and that objection would have carried into the fall, and with a very short timeframe the likelihood of that bill being able to pass this fall and be considered by the House and then passed and sent to the President would have been highly unlikely--so I was able to negotiate with this Senator to reduce the level of authorization, the increase, from $100 million in the area of research in the NIH to $200 million--which is what the bill calls for--from $100 million to $150 million. Instead of the research going up $20 million a year for 5 years up to $200 million in the final year, it will go up at $10 million a year to $150 million in the final year. Again, still a sizable increase.
It is a 50 percent increase in funding over 5 years in the authorization. If you look at what we are doing here in the Senate these days, we are not increasing funding for many programs at 50 percent. So it is not all we had hoped, not all we had wanted, but it is better than nothing. Unfortunately, with the late hour of this bill being brought up, nothing was a real alternative and not a pleasant one.
As a result, that is the amendment we will be considering here in a moment. After the amendment is adopted, then the bill will be passed. We will send the bill over to the House and hope that when the House returns in September and is willing to bring up this legislation, pass it as it is, and send it on to the President so we can get moving on finding a cure for the autism spectrum disorder.
Mr. President, first let me express my sincere gratitude to Chairman Enzi and your staff for investing so much time and thoughtful effort in this important legislation, as well as thank Senators Dodd and Kennedy, and their staffs. Few things are more important than the health and happiness of our Nation's children, and the Combating Autism Act will go a long way to helping those diagnosed with autism live up to their full potential. We have a tremendous opportunity to make a real difference in the lives of children with autism and their families. This Federal investment will lead to better understanding of autism, increase awareness, diagnosis and intervention--all things that will make a profound impact on families struggling for answers and hope.
Autism raises complex and emotional issues. All of us who worked so hard on
this legislation sought to keep the primary focus of the bill on autism research and awareness. However, in addressing the key issues within S. 843, some have raised concerns regarding a potential link between vaccines, vaccine components, such as thimerosal, and autism. Can the Chairman clarify his position on this issue?
I agree with the comments of the chairman. I thank him for clarifying, and again for all of his hard work on this legislation.
I ask unanimous consent that the amendment at the desk be agreed to, the committee-reported amendment, as amended, be agreed to, the bill, as amended, be read a third time and passed, and the motion to reconsider be laid upon table and that any statements relating to the bill be printed in the Record.
I thank the Chair.
For the information of those who might be listening, the bill is now passed and we are off to the House with great hope that this fall will bring us successful passage there and final action by the President sometime in September.
I yield the floor.
Madam President, I rise in support of the SAFETEA bill. Effective transportation is vital to our Nation, and I believe this bill will be an important step in helping to meet the country's…
Madam President, I rise in support of the SAFETEA bill. Effective transportation is vital to our Nation, and I believe this bill will be an important step in helping to meet the country's transportation needs.
I would like to thank both Senator Inhofe and Senator Jeffords for working hard on this bill. The people of Oklahoma are blessed with the hard work Senator Inhofe has put forward, both in the Senate and when I had the opportunity to serve with him in the House.
This bill has required a lot of hard work and a lot of dedication. He has put forward an effort that I think we all appreciate. Sometimes we forget to say thank you for the hard work that goes into a bill such as this, including the hard work of the staff, I might add. The staff on both sides has been helpful in putting this legislation together.
In particular, I express my support for the public transportation title of the bill. While many people erroneously refer to this as the highways bill, it is actually a comprehensive reauthorization of the Nation's surface transportation programs, including transit. A healthy, well-functioning transit network can greatly enhance the effectiveness of other transportation modes, and as chairman of the Subcommittee on Housing and Transportation of the Banking Committee, I have had many opportunities to see the difference reliable public transportation can make for both individuals and communities.
I also express my thanks to the Banking Committee chairman, Chairman Shelby. For many years he has been one of the leading champions for public transportation in the Senate. I appreciate his dedication. It has been a pleasure to work with him as subcommittee chairman on reauthorization of the mass transit programs.
I also recognize and thank Senator Sarbanes, the ranking member of the Banking Committee, and Senator Reed, the ranking member of the Housing and Transportation Subcommittee. They have been actively involved in the reauthorization process, and I appreciate the thoughtful perspective they brought to all of our discussions. Together I believe we have been able to accomplish a great deal to improve public transportation in a strong and bipartisan manner.
I thank again Senator Inhofe and all the other Republicans on the Environment and Public Works Committee for their hard work and leadership. I miss not being on the committee. I was on the committee when this bill first moved forward. I very much appreciate working with my colleagues.
Public transportation is a key component of our Nation's transportation infrastructure and provides safe, reliable, efficient, and economic service. Public transportation can create jobs and stimulate economic development, as well as reduce traffic congestion and pollution.
Because I represent the State of Colorado, some people wonder why I care about public transportation. Beyond the national policy concerns, these same people are often surprised when I explain how important public transportation is to my Colorado constituents.
Public transportation encompasses a great deal beyond the stereotype of subways and heavy rail. People in the Denver suburbs can now take light rail to their jobs downtown. Students in Boulder often use the bus system to get around town. Sick people on the eastern plains may rely on demand-responsive transit services to go to chemotherapy or dialysis appointments. Public transportation is important to many different types of people in many different locations. This bill will help ensure that all these people have access to reliable public transportation.
I believe the Senate passed an excellent transportation reauthorization bill this last year, and I was especially pleased with the transit title. I believe it made important progress in a number of areas while building upon the many successes of TEA-21. Fortunately, we come to the floor with substantially the same package, and I am hopeful this approach will speed things along and allow the bill to move forward with a minimal number of amendments.
I am very supportive of the formula changes made in the transit title. These go a long way toward addressing my longstanding concerns with the distribution of transit dollars. As my colleagues may know, one of my top priorities during the consideration of TEA-21 was to bring more equity to the distribution of transit dollars. Senator Rod Grams and I were able to make changes that allowed States such as Colorado to have greater access to this resource.
In drafting the reauthorization bill, greater equity has continued to be my top priority. While the traditional transit cities have many important needs, it is time to update the formulas to include other needs. Today's bill strikes a balance by providing for more traditional transit cities and also providing for new needs by creating several new formulas.
In particular, I strongly support the new growing States formula. Historically, many of the fastest growing areas in Western and Southern States have had a difficult time obtaining transit dollars. Yet their explosive growth makes transit all the more important. Mass transit can help growing areas reduce traffic congestion and air pollution, as well as increase access to jobs. The new growing States formula will help direct additional resources to the high-growth areas with the greatest need.
I also support the new transit-intensive cities formula. This new formula will reward smaller cities that are providing greater than average transit service. In addition to providing an incentive for cities to improve their transit service, I support the formula because it deliberately directs taxpayer dollars to areas that are utilizing them most efficiently.
Finally, I support the new rural low-density formula. This formula will help rural areas provide critically needed service. Rural areas and very small towns generally have older and less affluent citizens, the very people who often rely on public transportation. In
fact, rural America has an estimated 30 million nondrivers. The problem is exacerbated for rural-transit-dependent populations, as compared to urban dwellers, because they most often travel great distances, and alternate transportation, such as a taxicab, is generally not available. Yet more than 40 percent of residents in rural America have no access to public transportation and another 25 percent have negligible access.
Because of low-population density and the distances involved, rural populations can be much more difficult and expensive to serve. However, their need is as real as the need in urban centers. This new formula will begin to help rural States meet those needs.
The transit title also places more appropriate emphasis on bus programs. For too long, the mass transit programs have been viewed as rail programs. While we can all agree that rail is vitally important to a select group of cities, the vast majority of Americans rely on bus service. This bill takes a balanced approach, providing resources to expand and improve both bus and rail service.
Another way we can help expand the reach of Federal transit dollars is through bus rapid transit. As compared to rail, bus rapid transit is able to deliver similar capacity for a fraction of the cost. I believe we should find ways to not only allow but to promote the use of bus rapid transit. I support the bus rapid transit provisions and believe we should continue to ease the fixed guideway restrictions. In some areas, such as Colorado's mountains, geography or other factors make a fixed guideway requirement cost prohibitive. We must ensure bus rapid transit has sufficient flexibility to make it a viable option for many areas.
The Federal Government attempts to strike a balance between accountability and easing administrative burdens within its programs. However, the New Starts Program has gotten out of balance. I believe the Small Starts Program, as proposed in this bill, does strike a better, more appropriate balance. Under this program, all projects will be subject to the review process rather than exempting projects under $25 million. This threshold was causing project distortions and poor estimations in an attempt to deem a project under $25 million.
In addition to the incentive to underestimate a project, this approach lacks accountability for the taxpayer dollars at stake. By contrast, the Small Starts Program in the bill will subject all projects to the review process. However, to ease administrative burden, projects under $75 million will be subject to a streamline process. This will ensure that all projects receive scrutiny and will scale the level of scrutiny to be appropriate to the project size. This will also make it easier for smaller cities to add transit to their communities for the first time.
While public transit agencies are important in providing transit service, the private sector is also a key partner in providing effective, efficient service. By making a few modest changes, the transit title ensures they will be able to remain a part of the process. Public-private partnerships can benefit all parties, and our bill will help allow and encourage such partnerships.
Another important feature of this bill is its use of incentives rather than mandates and penalties. Until now, projects have little incentive to use good planning and forecasting or to stay on time and on budget. By offering incentives, we hope to change that. It is absurd that projects such as TREX in Denver have to return money because they did good planning and stayed on time and under budget. Transit agencies should not be punished for doing a good job. Rather, they should be rewarded. I believe they should be able to keep a portion of that money for other transit uses, and the bill before us today will let them do that.
Again I thank Banking Committee Chairman Shelby and my colleagues on the committee for their work in producing the transit title of the bill that is before us today. I believe that under the SAFETEA bill, America's public transportation system will be able to serve more people more efficiently. I am hopeful the Senate will quickly complete action and enact a transportation reauthorization.
I reemphasize my sincere thanks to the chairman of the Environment and Public Works Committee, Senator Inhofe, for his great work, and the other Republicans and members of the committee working with the ranking member, Senator Jeffords. I am pleased this transportation bill, which is badly needed, is now moving forward.
I yield the floor.
Mr. President, I thank the chairman.
Mr. President, I will be very brief. The majority leader is here, and my friend from Pennsylvania has very adequately--more than adequately--described the history of this legislation. It has been a…
Mr. President, I will be very brief. The majority leader is here, and my friend from Pennsylvania has very adequately--more than adequately--described the history of this legislation. It has been a journey of some time here to bring this legislation to the point we are this evening, to the final adoption unanimously by this body. I am very grateful, as well, to the chairman of our committee, Mike Enzi, who has been tremendously helpful, along with Senator Kennedy and other members of the committee who voted unanimously to report this bill out on a bipartisan basis.
As the Senator from Pennsylvania has pointed out, the majority leader and minority leader have been tremendously helpful, along with the majority and minority leader staffs who have helped us on the Senate floor work through some final little knots on this bill that had to be worked out before we could bring this bill to the consideration of the full body.
There are some very special people who worked very hard. The autism community is a large community. It is a diverse one. There are many points of view that have been represented by various people. It has been critically important that there has been an effort to come together. They have done that in part because of the leadership of Bob and Suzanne Wright, who played a very instrumental role, who are grandparents of an autistic child and who work tirelessly with the organization they helped found, Autism Speaks. Senator Santorum also mentioned Deirdre Imus, a constituent of mine in Connecticut, who is tenacious in her commitment to issues she gets involved in and has certainly been tenacious on this one. If there were one individual outside of the Members and staff of this body who worked so hard on this, she probably deserves it more than anyone for keeping the flame burning on this effort on behalf on the autism community.
Mr. President, 1 out of every 166 children in this country are born with autism spectrum disorder. It is a growing
problem, Mr. President. The problem has increased in my own State of Connecticut by close to 1,100 percent since 1993. We don't know exactly what causes this. But this bill will allow us to examine all questions--and I mean every question--arising of what may be provoking this rapid increase in autism. Clearly, our diagnosis, diagnostic efforts, are better today. But that doesn't explain to most of us why the dramatic increases have occurred.
So we believe there may be other reasons out there that deserve full examination and exploration. Certainly, looking at ways to treat this issue is also critically important, how to support these families who have an autistic child. There is a tremendous amount of pressure on families who are confronted with this issue. They handle it very well, and many of these families will tell you that while one may look at it from afar as a disability, in many cases you will be amazed how many view it as somehow a blessing in a way. I know that sounds strange to many of my colleagues to hear this, but for families with autistic children, it is difficult, but it is impressive to see how well they handle this. It is inspirational to watch how many families deal with this issue.
So tonight is a special night. It is late. We have major bills we have just passed on pension reform, and we are not suggesting this bill is more important than that bill in significance, but I want to tell you something. To an awful lot of families out there tonight who don't know anything about this late hour or what has happened here earlier, we are making a difference in their lives, and we may make a huge difference down the road in the lives of future children and families because we may get to the cause of this and make a difference in trying to stem the reach of autism spectrum disorder.
So I am deeply proud we have been involved. We hope we can get, of course, this bill signed into law fairly quickly. But, again, I thank my colleagues. I thank, particularly, Senator Santorum, who has been terrific on this issue and who has been a chief sponsor with me, along with the other Members whom I have mentioned.
In conclusion, hundreds of thousands of families across America struggle each and every day with autism spectrum disorder, ASD, one of the fastest- growing developmental disabilities in the United States. While we used to think of ASD as relatively rare, today it is diagnosed at a rate that is 10 times that of a decade ago. In my home State of Connecticut, we have witnessed an increase in diagnoses of ASD of close to 1,100 percent since 1993. What these numbers tell us is that ASD diagnoses are rising at truly alarming rates and we simply must provide more answers to all those affected by this devastating condition. As a nation, we need to support the families that are struggling to raise a child with ASD.
There are many theories as to why the prevalence of ASD has increased. Some have suggested that it is a reflection of better diagnostic tools and measures. Other theories focus on genetic or environmental factors. But the fact is that when it comes to autism spectrum disorder we just don't know for certain what causes it, we don't know exactly how to diagnose it, and we don't know how best to intervene so that individuals with ASD can achieve their highest potential. It is absolutely vital that we do more for families struggling with this disorder, which is why the Combating Autism Act is so important.
ASD affects as many as 6 out of every 1,000 children, and the economic cost to this country due to autism spectrum disorder is staggering. Healthcare for individuals with ASD over their lifetimes costs an estimated $35 billion per year. Schooling alone can cost as much as $100,000 each year. By 2015, the annual cost of care will be about $300 billion, but we know that this figure can be cut in half with early diagnosis, services, and intervention. As many as 40 percent of new ASD cases are identified in our schools each year, and a child is likely to be nearing his or her 10th birthday before a diagnosis is made. This means that interventions and services that could help these children achieve their full potential are not made available to them during the critical period of early development when interventions are most successful and cost-effective. As a country, we need to do a better job of diagnosing children before they start school. That means training pediatricians, early childhood educators, and day care providers to recognize the early indicators of ASD so that at-risk children are referred to specialists for diagnosis and services as early as practicable.
The Combating Autism Act will promote early detection, early evidence-based interventions, and services for individuals with ASD. It also significantly increases our investment in the National Institutes of Health for autism-related research. This legislation will also reauthorize the epidemiologic surveillance programs at the Centers for Disease Control and Prevention. Most importantly, this legislation will mean answers for the families that have been so deeply affected by ASD. For that reason, more than any other, I am grateful that the Senate is voting to pass the Combating Autism Act today.
I want to thank my colleagues, Senator Santorum, Senator Enzi, Senator Kennedy, and their staffs for their extraordinary hard work on this bill. I also wish to offer my sincere thanks and appreciation to all of the individuals who are personally affected by autism spectrum disorder--and the many advocacy groups who represent them--for their continued dedication and passionate commitment to this legislation. Without their commitment, we would not be here today on the verge of Senate passage of this critical legislation that will greatly advance our Nation's efforts to address the many issues surrounding autism spectrum disorder and to serve those per * * *
Mr. President, I suspect that Don Imus is so dedicated to raising awareness of this issues because of the work of his wife. That is why he does this, more than anything else. We are delighted to have both of their support and commitment to this important issue.
On my own staff, I wish to thank Jim Fenton, Tamar Magarik, and Elizabeth Hoffman; Jen Vesey with Senator Santorum; Shana Christrup and Steve Northrup of Chairman Enzi's staff, and Caya Lewis with Ranking Member Kennedy's staff.
We have had some wonderful people on all sides work on this, and I am pleased to recognize them and add their names to the Record.
As my colleagues are well aware, the prevalence of ASD in the U.S. is 10 times greater than a decade ago. In my own State of Connecticut, ASD diagnoses have increased by close to 1100 percent since 1993. What these numbers tell us is that ASD diagnoses are rising at truly alarming rates and we simply must provide more answer to all those affected by this devastating condition.
We must also create a larger pool of experts in the field so that families can be directed to nearby specialty clinics for confirmation of diagnosis, care and services. Waiting lists at the Nation's top developmental disability centers are as long as 2 to 3 years, and families are often forced to travel far from home to receive needed care and to participate in clinical research studies. Increasing the number of trained physicians and allied health professionals who can provide a medical home for individuals with ASD will enable all those affected to receive the optimal and timely care that they deserve.
It is my sincere hope and expectation that by expanding the federal response to ASD and other developmental disabilities through the Combating Autism Act, we will see improved research on ASD, including its causes, and families across America will get the services they so urgently need. In our search for the cause of this growing developmental disability, we should close no doors on promising avenues of research. Through the Combating Autism Act, all biomedical research opportunities on ASD can be pursued, and they include environmental research examining potential links between vaccines, vaccine components and ASD.
Mr. President, I rise in opposition to the Bond amendment to strike section 1620 of the underlying bill, the highway stormwater discharge mitigation program. This section provides much-needed…
Mr. President, I rise in opposition to the Bond amendment to strike section 1620 of the underlying bill, the highway stormwater discharge mitigation program.
This section provides much-needed assistance to our States and local communities to deal with the impacts of highway stormwater discharges.
Without these funds, our Nation's highways are at risk of becoming a conduit for pollutants to reach fragile waterways and ecosystems.
In the last Congress, the Senate recognized the need for this program and adopted this provision as part of the transportation bill.
I urge my colleagues to continue their support for this vital program.
Our Nation is facing a water quality challenge.
Since the enactment of the Clean Water Act in 1970, we have taken steps to reduce pollution coming from point sources such as wastewater treatment plants and industry.
However, according to the EPA's most recent National Water Quality Inventory, 40 percent of our Nation's waterways are still impaired.
Non-point source pollution is the next hurdle for this Nation to overcome if we are to truly make progress and improve our water quality.
EPA states that urban run-off and storm sewers are the number four source of pollution in rivers, number three in lakes, and number two in estuaries.
When it rains or when snow melts, roads serve as conduits for pollutants such as oil and grease, heavy metals, and sediment that flow directly into rivers, streams, and lakes.
Because roads prevent rainfall and snowmelt from soaking into the ground, the physical characteristics of surrounding water bodies are also altered.
Groundwater recharge is reduced, affecting water supplies.
Stream channels erode due to rapid, heavy flows, leading to excessive situation in rivers and streams which severely impacts fish habitat. This is a major part of our stormwater problem in Vermont.
Water temperatures are altered, impacting wildlife.
In addition, flooding can occur which not only damages the environment but also puts human lives and property at risk.
The highway stormwater discharge mitigation program will ensure that communities have at least a portion of the resources to solve their water quality problems stemming from Federal-aid highways.
It authorizes 2 percent of surface transportation program funds to be used for highway stormwater discharge mitigation.
This would provide a total of $867 million over 5 years.
The program would reduce the impacts to watersheds from the development of highways and roads while addressing the goals in the Federal Clean Water Act by funding projects that improve water quality.
The new program emphasizes non-structural solutions to managing stormwater runoff, which reduce costs to local communities, protect the natural water cycle, and provide more overall environmental benefits.
In my home State of Vermont, Lake Champlain, which also borders the State of New York, is threatened by pollution from storm water run off.
Although it is one of the cleanest large lakes in the United States, Lake Champlain is polluted with nutrients and sediment.
The fastest growing source of pollution reaching the lake is runoff from developed land, including highways.
Roadway drainage systems carry sediment and nutrients, and the cost of cleaning up existing roadway runoff to Lake Champlain is estimated at more than $500,000 each year for the next 9 years.
Similar problems exist in the Connecticut River basin in Vermont.
Currently, our State is struggling to deal with a backlog of expired storm water permits, extremely limited resources, and statewide storm water discharge water quality issues that threaten the growth of our economy by stalling development.
The two most important road improvement projects in our biggest city have been repeatedly delayed by storm water pollution concerns, slowing the construction schedules by months and even years.
One of our greatest assets in my home State of Vermont is our pristine environment, including Lake Champlain.
We need to ensure that as we improve our roadway network to meet the demands of a growing population we do
not sacrifice the quality of our environment that draws people to visit and move to Vermont in the first place.
I have heard some of my colleagues from more arid States question the need for these funds given climatic differences.
However, each and every State in the Nation has critical storm water mitigation needs.
Under new regulations that took effect in March 2003, over 50,000 small communities, counties, and other areas in every State must now manage stormwater runoff to meet Clean Water Act requirements.
The EPA estimated the cost to comply with these regulations to be about $1 billion per year.
Larger cities already manage stormwater pollution in order to meet discharge permits and other Clean Water Act requirements.
Every State in the country has at least one community covered by these regulations.
The arid and semi-arid western United States has receiving waters that are generally smaller than their eastern counterparts.
Therefore, the impacts of urban stormwater are more strongly felt in western waterways.
For example, in the State of Nevada, the Las Vegas Valley Stormwater Management Committee found in its 2003 annual report that zinc and lead concentrations were 10 to 96 times higher in stormwater runoff than in other parts of the Nation, an effect attributed to the fewer number of storms in the arid Southwest.
EPA estimates that Arizona communities will need about $150 million to meet stormwater regulatory requirements, plus an additional $40 million in estimated costs to address urban runoff. Arizona's portion of stormwater funding under section 1620 of the highway bill is about $17 million.
The California Department of Transportation estimates that the cost of stormwater controls on existing highways would range from between $4 million and $7.5 million per mile of highway.
The Chesapeake Bay Commission estimated in January of 2003 that stormwater retrofit costs across the watershed are more than $9 billion.
In demonstration of the nationwide support for this stormwater provision in the highway bill, I ask unanimous consent that multiple letters opposing the Bond amendment and endorsing the underlying provision be printed in the Record.
The Bond amendment is opposed by the: U.S. Conference of Mayors, State Water Pollution Control Administrators, Environmental Council of States, Trout, Unlimited, Metropolitan Sewerage Agencies, Metropolitan Water Agencies, American River, and a host of other organizations.
I ask unanimous consent that a letter from the League of Conservation Voters indicating its opposition to the Bond amendment and its intent to score this vote be printed in the Record.
One of our Nation's most precious resources is our water. Water quality affects the environment, wildlife, our health, and our economy.
Section 1620 of the transportation bill recognizes the significant contribution that roads make to stormwater pollution, and it provides critical funding to help States and local communities mitigate these damages.
I urge my colleagues to oppose the Bond amendment.
I yield the floor.
If I may interrupt for a moment, I support what you are saying 100 percent. I warn Members they should not give any thought, right now, anyway, of believing they do not need to be here. We have to get this done. The country needs it.
Mr. President, I join the chairman in urging colleagues to bring amendments to the floor. It is time to get this bill out of the traffic jam it is currently stuck in. If we are going to get the highway bill done before the end of May, the Senate needs to accelerate action and shift into higher gear. Our States, cities, and towns need this bill. The American public needs this bill. We have heard from the National Governors Association, the National Conference of State Legislatures, the Council of State Governments, the National Association of Counties, the U.S. Conference of Mayors, and the National League of Cities.
All asking the same thing, get this bill done.
The bill before us will strengthen our nation's transportation system, create hundreds of thousands of jobs, improve the safety of our roads, highways and bridges, and support and improve our transit systems.
We cannot afford to wait any longer to make these much needed investments.
Our transportation system needs help now: 38 percent of our major roads are in poor or fair condition; 28 percent of our bridges are structurally deficient and unsafe for travel; 5.7 billion gallons of fuel are wasted annually while motorists sit in traffic.
Traffic congestion means longer delays, higher costs, increased accidents, more pollution, added frustration and keeps us from spending time with our family and friends.
In 2001, according to the American Public Transportation Association, congestion costs to American motorists were nearly $70 billion.
Each peak-period road user lost approximately $1,200 in wasted fuel and productivity.
It is time to get this bill on the fast track and start making some progress.
Once again I thank Chairman Inhofe, and Senators Bond and Baucus for the collaborative process in which we have proceeded on this bill.
We are ready to take up amendments. I urge my colleagues to come to the floor and offer them.
I yield the floor.
If the Senator will yield, I thank him for his excellent presentation. We assure the Senator we are listening and we will take the Senator's advice.
Mr. Speaker, I thank my good friend for yielding. Mr. Speaker, I rise in very strong support of S. 843, with the amendment, the Combating Autism Act. This bill is great news for the 1.5 million…
Mr. Speaker, I thank my good friend for yielding.
Mr. Speaker, I rise in very strong support of S. 843, with the amendment, the Combating Autism Act. This bill is great news for the 1.5 million individuals suffering from autism spectrum disorders and their families, the many ASD advocacy groups who have been working hard for so long, and also the very many Members of Congress who have championed the cause of autism with the goal of providing meaningful relief to those autistic individuals and their families.
I just point out, Mr. Speaker, that from my very first session of Congress in 1981, I have been a consistent advocate for individuals who have autism, and frankly, it was not until the mid-1990s when some caseworker wrote in my own district about a family who had two children with autism that I realized that we were not doing enough, that the research, the best practices that are so important, the early intervention was not happening.
It was at that time that we formed the Autism Caucus. Mike Doyle, who is my friend and colleague on the other side of the aisle, and I formed this caucus. We have about 200 members and we have been pushing very hard to get money for NIH, as well as for the Centers for Disease Control so we get better prevalence data, and also, most importantly, how do we deal with this issue and how do we help these individuals.
Let me point out to my colleagues, when I first got elected, the incidence or the common prevalence of autism was thought to be one out of every 10,000. Now, because of the work that the CDC has done, we know that it is probably around one out of every 166 individuals. We have an epidemic on our hands.
This legislation which reauthorizes Title I of the Children's Health Act, and has other very, very important additions to that, I think takes us into a new era of helping the individuals who have been afflicted by this disability, trying to find out what is the trigger. There are many, many ideas out there as to what may be triggering this. We need more definitive information about that, and again, I think this legislation is good, bipartisan legislation, and it is an example of what we can do here when we put our minds together and work across the aisle and especially when we work with these many autism advocacy groups that have been tremendous in helping to bring this legislation to the floor.
So I urge strong support for it. I thank Chairman Barton for bringing it up, even if it is late, but not too late. This legislation will make a significant difference in the lives of autistic children, as well as in the lives of their families.
Mr. Speaker, I rise today in support of S. 843, with an amendment, the Combating Autism Act. This bill is great news for the 1.5 million individuals suffering from autism spectrum disorders (ASD) and their families, the many ASD advocacy groups who have been working hard for so long, and also the very many Members of Congress who have championed the cause of autism with the goal of providing meaningful relief to those autistic individuals and their families.
From my first session in Congress in 1981, I have been a consistent advocate for individuals with developmental disorders, including autism. More recently, in 1998, I successfully requested the Centers for Disease Control and Prevention (CDC) to conduct an investigation in Brick Township, New Jersey after learning and listening to the community's concerns about high numbers of autism cases--a study that showed that cases of both classic autism and autism spectrum disorders were significantly higher nationwide than expected.
The Combating Autism Act, that was introduced in the Senate by my good friend Rick Santorum of Pennsylvania and was unanimously passed by the Senate, reauthorizes major components of Title I of the Children's Health Act of 2000 (P.L. 106-310), and also adds significant new provisions to broaden and strengthen activities related to autism.
Specifically, within its provisions, this legislation: requires the Director of the National Institutes of Health (NIH) to expand, intensify, and coordinate ASD-related research and to conduct an NIH- wide study of research centers of excellence, and reauthorizes provisions, which I had authored in the Children's Health Act, to grant HHS the authority to award grants for the collection, analysis, and reporting of state-level epidemiological data on ASDs and other developmental disabilities, as well as the authority to award grants for the establishment of regional centers of excellence in autism spectrum disorders epidemiology.
Importantly, the bill directs that NIH-funded research include investigation of possible environmental causes of ASDs and that CDC- funded epidemiological centers develop expertise in specialty areas, including environmental exposures. I applaud this recognition of the need to pursue research into environmental factors and epigenetics to further advance and clarify the science. While not specifically addressed in this bill and although some are fearful to even mention the issue, I believe that we do not yet have the answers we need regarding the biological effects of thimerosal, and I am hopeful that research on environmental factors will include further study to find those important answers.
The bill does much more, such as, facilitates the creation of state- level agencies to serve as clearinghouses for public information; reauthorizes the proven successful Interagency Autism Coordinating Committee; and also includes a very robust section ``Autism Education, Early Detection, and Intervention,'' to improve the early screening, diagnosis, interventions, and treatments for ASDs.
As many as 1.5 million Americans today have some form of autism and the number is on the rise. Each and every day across America, 66 children are diagnosed with autism and as many as 1 in 166 children born today will eventually be diagnosed with autism. Just 10 years ago, the estimate was 1 in 500.
A complex neurobiological disorder that generally appears in the first 3 years of life,
autism impairs a person's ability to communicate and to relate to others; the condition is often associated with rigid routines or repetitive behaviors. About 40 percent of children with autism do not talk, and others only repeat what is said to them. Children with autism may experience a range of medical problems which can be very debilitating. Because these patients have such extreme communication problems, behavioral symptoms such as agitation, sleep difficulties, and other behavioral problems may be attributed to the disability rather than to the pain and discomfort of a medical condition. Adolescents with autism may develop a strong sense of isolation, socially and emotionally, and show signs of depression or increased challenging behaviors.
Autism generally is a life-long disability; it also is a spectrum disorder that affects each individual differently and at varying degrees. Autism can overwhelm families, as their lives become consumed with the considerable challenges of identifying appropriate biomedical and psychosocial treatments, schooling and other needed support systems for their autistic child and eventually for an autistic adult.
Our Nation is in the midst of an autism crisis that becomes more severe each passing month, a crisis that costs our nation tens of billions of dollars annually in medical care, behavioral therapy, special child care, and a range of child and adult services needed to care for these individuals. While we have significantly increased our government's commitment to surveillance and biomedical research in the last decade in an effort to find a cause or cure, it is incumbent upon us to act now to reauthorize, intensify, and expand those and other efforts to identify individuals with autism and to provide them with more effective care and treatments.
Thanks to the incredible work of Energy & Commerce Committee Chairman Joe Barton and his staff in finalizing this bill and getting it here today to the floor of the House of Representatives, we have a tremendous opportunity to join together in carrying it over the finish line. I strongly encourage everyone of my colleagues to vote for this bill.
Perhaps the greatest thanks should go to the very many individuals and organizations in the ASD community who coalesced and advocated so effectively for this bill. Some, but certainly not all, of those organizations are: Autism One, Autism Society of America, Autism Speaks, Cure Autism Now, Dan Marino Foundation, First Signs, Organization for Autism Research, Southwest Autism Research & Resource Center, TalkAutism, Unlocking Autism, and the US Autism and Asperger Association. I know that there are numerous other organizations and individuals who also deserve thanks and recognition.
I know that all of us here share the commitment to dramatically improve the lives for the well over a million American children and adults who have an autism spectrum disorder and improve the outlook for their families and other loved ones. I humbly encourage you not to let this opportunity pass without casting your vote in support of this much needed and much desired legislation.
Mr. President, I suggest the absence of a quorum. Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, as we wind down this legislative session in…
Mr. President, I suggest the absence of a quorum.
Mr. President, I ask unanimous consent that the order for the quorum call be rescinded.
Mr. President, as we wind down this legislative session in this last week, we have a lot of work to do on the agenda. We have bills dealing with port security, Homeland Security appropriations, Defense appropriations, and border security, which is the subject of discussion right now, the Secure Fence Act of 2006, and those are probably going to be the things on which we can find consensus. We can add to that the issue of how we deal with detainees and continue to acquire high-value intelligence that will enable us to prevent future terrorist attacks. That legislation is coming down the pike, too. So we have a lot of things to vote on in the last few days before the election. And the assumption, of course, is that we will probably come back in after the election to wrap up some of the outstanding issues.
There are other pieces of legislation that could be dealt with in this period--legislation that is without controversy, legislation that has been acted on by the House of Representatives and on which there is broad bipartisan agreement. It seems to me, at least at this point in the legislative session, that in order to get these bills through, it is going to take considerable agreement on both sides of the political aisle, with enough critical mass behind them to get them through.
I have a bill that fits into that category. I have come to the Senate floor on a couple occasions to speak about it. It has been cleared by the House of Representatives by a vote of 355 to 9. Now it is sitting here, and Senator Salazar from Colorado and I have a substitute amendment to that, and as soon as it is picked up and the Senate passes it, it goes back to the House. The House has indicated that if we send it back, they will pass it. Then we can put it on the President's desk.
The bill has to do with an issue that I think is on the minds of a lot of Americans--energy independence. It is a fairly straightforward issue. As I have explained previously on the floor, it has to do with closing the gap in the distribution system between the production of ethanol, the supply of renewable energy in this country, and the demand for it, the ultimate consumer of renewable energy.
Right now, as you know, in the last year we passed an energy bill which required, for the first time ever, certain use of ethanol in this country--7.5 billion gallons by 2012. We are ramping up to that level now. In South Dakota, we already have 11 ethanol plants. We have three under construction, and in a short period we will be at a billion gallons a year--just in South Dakota. If you add to that the production underway in the Chair's home State of Minnesota and other States in the Midwest, there is a tremendous amount of ethanol that is in the pipeline. We have now a requirement that States around the country have to meet that 7.5 billion. I think we also have a ver robust demand for it because people in this country realize that if we are going to get serious about energy independence, we have to begin shifting away from some of the types of energy that we get from other places around the world. This is American energy, homegrown energy, renewable energy. We can raise it every year. We have a corn crop every year that can be converted into gallons of ethanol. We have other types of biomass materials that, raised in places such as the Midwest, are on the cusp in terms of the technology that will soon be available. One is switch grass. There is a research project at South Dakota State University right now looking at the probability in the near future of having the essential ingredients and processes that will enable us to make ethanol out of switch grass, something that is in abundance in the upper Midwest.
This movement toward renewable energy, American-grown energy, is long overdue. People are demanding that we begin to move in that direction. We have a renewable fuel standard, as a result of the Energy bill that passed, which is a great success for moving in that direction. We have, as I said, a lot of production now that is currently on line, with additional plants under construction. What we are missing is the method by which that ethanol or other renewable fuels--bioenergy--is distributed to consumers in this country.
Right now, we have about 180,000 filling stations in America, and only about 800 of those make available E85 or other alternative fuels. If you do the math on that, that is 1 filling station for every 10,000 cars that are currently capable of using E85 or some other form of alternative energy. The Auto Alliance--and probably Members of this Chamber have seen them--has run ads in some of the publications in town saying that today there are 9\1/2\ million cars on the road that can use alternative sources of energy. ``Flex-fuel vehicles'' is how we refer to them in most cases. If you look at the 9\1/2\ million cars already on the road and those currently in production, the car manufacturers are gearing up to come up with more vehicles that can run on alternative sources of energy, primarily 85.
We have an enormous opportunity out there, a great potential for increasing usage of ethanol and renewable fuels, thereby lessening our dependence upon foreign sources of energy, which has implications for our economy, for our national security, and foreign policy.
This is a win-win. This is flatout a no-brainer for America and for the Senate. Yet we have a hold--a secret hold--by someone on the Democratic side that is preventing this bill from moving forward.
Mr. President, I understand the traditions and the rules of the Senate allow for that sort of thing to happen, but whoever it is--and I have my suspicions about who it is--who has a hold on the bill, I wish they would come forward and defend that hold. This is a noncontroversial piece of legislation which has broad bipartisan support, has passed the House with a 355-to-9 vote, and is ready for action in the Senate. But as of right now, it is being held up by someone on the other side. Again, I don't know who that is. I would like to know who that is and have the opportunity to visit with them to find out what their objection is.
The reality is that this is a piece of legislation which makes so much sense for our economy and, as I said, for our need for energy independence, to have American energy so we can get away from our dependence on foreign sources of energy. It is good for the environment. There are so many benefits to moving this legislation forward. Again, it is heading in a direction that gets us away from dependence upon foreign energy and more energy independence in this country.
I come to the floor to urge my colleagues--it has been cleared on the Republican side. It is ready for action in the House. It is teed up to go there; we have talked with our colleagues in the House. It passed once there.
The amendment Senator Salazar and I have offered, the substitute amendment, is a modification of that bill, but it keeps in place the basic concept of the bill. Very simply, in terms of explanation, it provides up to a $30,000 cash incentive for fuel retailers to install pumps that would provide E85 or other types of energy. The average cost to install that pump is somewhere between $40,000 and $200,000, depending on where you are in the country. We believe the convenience stores and the gas stations across this country would take advantage of this if it were in place. It would do something about this ratio I just mentioned where we have 1 filling station for every 10,000 cars in this country that are capable of running on E85 or some other form of alternative energy.
Again, I commend this to my colleagues in the hopes that we can move ahead. We have a few days left this week before everybody heads home for the elections. We don't know what will happen with the elections. This is legislation which, as I said, is broadly supported on a bipartisan, bicameral basis and has the support of the auto manufacturers across the country and the National Association of Convenience Stores. I submitted letters previously for the Record expressing the support of the entire ethanol industry and environmental groups. I think it has been cleared on the Republican side, and I hope that whoever on the Democratic side who has placed a hold on the bill will make that known so we can discuss what the objection is and, hopefully, clear it for action so we can get something meaningful done about the issue of energy security before Congress goes home for the elections.
Mr. President, I raise the issue again, and I urge and ask and request that my colleagues work together to accomplish what I think is a very important objective before we leave for the election; that is, moving America in the direction of lessening our dependence upon foreign energy, becoming energy independent, and helping to address the issue of high gas prices in this country. This bill would do that. I simply ask my colleagues to work with me to get that done.
I yield the floor.
Mr. Speaker, I rise today in support of the bill, S. 843, as amended, also known as the Combating Autism Act. This legislation takes several important steps intended to improve and intensify the…
Mr. Speaker, I rise today in support of the bill, S. 843, as amended, also known as the Combating Autism Act. This legislation takes several important steps intended to improve and intensify the Federal response to the problem of autism in the United States.
As many of my colleagues are aware, autism is a brain disorder that appears in childhood and persists throughout a person's life. Autism affects crucial areas of a person's development, including communication, social interaction, and creativity. Recent studies estimate that autism afflicts more than 3 of every 1,000 children between ages 3 and 10. While autism varies widely in its symptoms and severity, early diagnosis and treatment can help autistic people to live independent and productive lives.
Today, little is understood about the causes and mechanisms of autism. Many studies have been conducted into possible genetic and environmental causes of autism, and scientists are learning more about this disorder and how its effects can be lessened or eliminated. But there is no cure, and much more work needs to be done to pinpoint the true causes of autism before we'll know how to cure it.
This legislation contains provisions designed to intensify and coordinate the Federal response to autism. It instructs the Centers for Disease Control and Prevention to expand and update its efforts to monitor autism incidence and prevalence around the country. The legislation also requires the CDC to educate parents and health care providers about the early warning signs of autism as well as the need for early and regular screenings.
Another section of the bill addresses autism research conducted at the National Institutes
of Health. Building on provisions contained in the Children's Health Act of 2000, the bill requires the Director of NIH to expand and intensify autism-related research, including research into possible environmental causes of autism. The expansion and intensification will include research to be conducted at the National Institute of Mental Health, the National Institute of Environmental Health Sciences, and a number of other institutes at NIH. The National Institute of Environmental Health Sciences already has two centers, one located at the University of California at Davis and one at the Robert Wood Johnson Medical School in New Jersey, funded to study possible environmental causes of autism. In conjunction with the bill's authorizations of appropriations, these provisions will ensure the continuation and intensification of crucial research at NIEHS so that it is able to conduct all necessary research to determine the environmental factors in autism.
With respect to possible environmental or external causes of autism, some have suggested a link exists between autism and childhood vaccines. In the past several years, several major epidemiological studies have been conducted to look into the question of whether vaccines cause autism. Examining the published studies, the non- partisan Institute of Medicine has concluded that the weight of the available evidence favors rejection of a causal relationship between vaccines and autism. However, I recognize that there is much that we do not know about the biological pathways and origins of this disorder, and that further investigation into all possible causes of autism is needed.
This legislation is not designed to predetermine the outcome of scientific research. Rather, the legislation rightfully calls for renewed efforts to study all possible causes of autism--including vaccines and other environmental causes. Simply put, we should leave no stone unturned in our efforts to find a cure, whether it means exploring possible environmental factors, paternal age, genetic factors, or any other factors that may hold answers. Perhaps further inquiry will show that it is not a single factor but a combination of two or more factors that cause what we know as autism. For example, a child might have a genetic predisposition that is triggered by an external, environmental factor that causes autism. The important thing to understand is that there are no preconceived notions contained in this bill; the bill language is clear that we should follow every avenue that science opens to us in searching for a cure.
During the House consideration of the NIH reauthorization bill, we found that the NIH has created centers of excellence to promote collaborative research into a particular field. A center of excellence is a designated entity, such as a university or a hospital, that receives NIH funding to study a particular research area. At their best, centers of excellence can foster collaboration and communication between scientists in a concentrated research area that can benefit from such an environment. However, the proliferation of centers of excellence, especially congressionally mandated centers of excellence, is a concern because it diverts precious resources away from other promising avenues of research that may be worthwhile. If Congress were to mandate new centers of excellence without sound scientific justification, it could greatly fragment NIH's research budget, increase administrative and overhead costs, and slow down important medical and scientific breakthroughs. The right funding and the right minds will cure autism, but even staggering amounts of money won't do the job if our efforts are not focused on the most promising research. I think, it is important to let scientists decide how to conduct the medical research. They must be held accountable, too, but this is a job for science, not politics.
The amended bill before us today does not create new centers, nor does it remove any of the old ones. There were five autism-related centers of excellence mandated in the Children's Health Act of 2000. In the intervening years, NIH created the five statutorily required centers of excellence that study various aspects of autism. NIH then went on to create an estimated 21 to 28 centers of excellence dealing with various aspects of autism research, including research into possible environmental causes. Rather than mandating in statute the creation of a specified number of additional centers on top of those centers already in existence, this bill lays the groundwork for effective congressional oversight of centers of excellence. It requires the Director of NIH to submit a report to Congress detailing the effectiveness of centers of excellence across the NIH and how they can be improved. The bill also gives the Director of NIH the explicit authority to consolidate centers of excellence if it would lead to improved program efficiencies and outcomes.
Next, the amended bill expands and reauthorizes an existing Interagency Autism Coordinating Committee, or IACC. The coordinating committee will be made up of relevant government officials, experts, and parents and families of those suffering from autism. The committee's far-reaching mandate will be to compose and annually report to Congress on a strategic plan for Federal autism activities and to make important recommendations to both Congress and the executive branch on ways to better coordinate and conduct Federal autism-related activities. Further, this legislation increases the amount of public participation on the IACC from two individuals to at least six. In addition, the IACC has been tasked with making recommendations to the Secretary regarding the public participation in decisions relating to autism. For instance, the committee notes that the IACC may recommend providing other formal mechanisms, such as an Autism Advisory Board, to provide public feedback and interaction. Further, the Secretary may opt to provide such a mechanism under existing statutory authority, without the recommendation of the IACC. Public participation, especially among the parents and families of those affected by autism, is necessary to emphasize the human side of autism research and to ensure that Federal resources are used wisely.
This legislation takes several important steps forward in continuing the fight against autism, and I support its passage. Should the Senate also take up and pass the bipartisan NIH reauthorization bill overwhelmingly passed by the House earlier this year, Congress and the public will benefit from increased transparency and accountability at NIH that will benefit research into all diseases, including autism. I urge swift passage of both bills so we can get them to the President's desk before the end of this Congress.
At this time, I'd like to thank the sponsors of both the House and Senate bills who have worked tirelessly on this issue as well as the members of the autism advocacy community who have contributed constructive ideas and insights into this legislation. With that Mr. Speaker, I urge my colleagues to support the bill.
Mr. President, this is, plain and simple, about whether this Senate is going to allow legislation to go forward to reauthorize Ryan White, that allows the funding to follow the patients. What an…
Mr. President, this is, plain and simple, about whether this Senate is going to allow legislation to go forward to reauthorize Ryan White, that allows the funding to follow the patients. What an incredible thought, that we would be here at a stalemate over whether health dollars follow the individual HIV-positive and AIDS patients.
In North Carolina, we have gone on an aggressive program for volunteer
testing. The amazing thing we found out is that of those individuals now tested, 30 percent have full-blown aids, meaning that the options we have, that the health community has, are minimal from a standpoint of how we stop that disease in its tracks and give them any quality of life.
We are making the steps in North Carolina to try to identify the individuals who should be on a regimen of drugs. But by not allowing this bill to come to the floor for debate, we are denying the Senate the ability to bring the bill up and to consider the merits of it, and, yes, to amend it if we want to, to live with the majority of this body as to whether we change the funding formulas from what the committee has decided; which is, the funding should follow the patient.
My colleague from Oklahoma is an OB/GYN by profession. He has the medical degree. He understands the specifics of it. And the one thing that Tom Coburn has drilled in me over and over and over again is that to deny these individuals the ability to have the regimen of drugs that are available is to give them a death sentence. To deny this legislation to come up on this floor is to give a death sentence to somebody in America.
The likelihood is that some of those individuals with that death sentence live in North Carolina. Seventy-two percent of new North Carolina cases reported in 2005 were minority clients. Women of color in the South are 26 times more likely to be HIV positive than White females. In 2004, 66.7 percent of people living with AIDS in North Carolina were African American--the fifth highest rate in the Nation. The national average was 39.9 percent.
What is unique about this challenge of the demographic shift in where HIV and AIDS is affecting the U.S. population is that, for example, in North Carolina, in many cases, it is in rural North Carolina. The challenge is not only how you match the dollars for drugs with the patient, it is how you supply the transportation to the patient to get to the clinic where, in fact, they get their drugs. To deny the ability of the Senate to come to the floor and debate this bill, to bring it up and to address the merits of this formula change, to suggest that there is something wrong with allowing the funding to follow the patient--I am not sure I get it. I thought that is why America sent us here.
In 2004, North Carolina's contribution of $11.2 million a year represented the seventh highest among all States for ADAP programs in absolute dollars, and the second highest contribution as a State in percentage. Nobody can look at North Carolina and say we are not doing our share and more for the people who live in North Carolina.
But what we are denied by our inability to debate this legislation, to amend it, if some want to amend it, is to say that North Carolina will have to continue to make a bigger investment on the part of our State because certain States do not want to give up their Federal dollars, even though they no longer have the pool of HIV and AIDS patients.
In 2004--one comparison I will draw for this body--in Massachusetts, there were 8,254 individuals living with AIDS; in North Carolina, we had 7,245. Total Federal spending in Massachusetts for individuals living with AIDS was $18.6 million. In North Carolina, it was $8.1 million--$10 million shy of Massachusetts, with an affected AIDS population 1,000 less than Massachusetts. That one statistic shows the inequity that exists in the formula that we currently have within Ryan White.
One simple change means that funds will now follow the patients. That the concentration of dollars will go into the communities that affect the individuals who are infected with this disease.
I am not sure that many of us have stopped to focus on the fact that when the Federal Government makes an investment or the State government makes an investment to make sure that AIDS patients have the medications they need, we eliminate two hospital visits a year. A person living with AIDS today untreated will likely visit the hospital twice in any given year, for a week's stay each, once for a retinal infection, the second time for pneumonia. The average of those two stays is about $33,000
For an investment of slightly over $10,000 a year--part by the Federal Government, part by the State government, part by private entities--we can eliminate those two hospital visits.
So the inability to bring up this legislation, the inability to debate a change in Ryan White, an inability to let the money follow the patients means not only will New York keep their pot of money or California keep their pot of money, but it means North Carolina is going to pick up, in unrecoverable hospital expenses, about $22,000 per year per patient for whom we could not provide the medicine. So not only are we not investing the Federal money wisely because it is being invested in communities that do not have the patient population anymore, we are turning around, and the Federal Government is picking up, in the case of North Carolina, 60-plus percent of the Medicaid expense, or of the disproportionate share of the hospital expense in DSH payments, or, in fact, the hospital is sitting there with a $33,000 bill and somebody unable to pay for it, and potentially it gives them a collection problem.
This is an opportunity for us to fix something that is broken, for us to do something that every person, every Member of the Senate understands the equity and the fairness of; and that is, if we are going to make a Federal investment, let's make sure the dollars follow the individuals who are affected with HIV and AIDS.
This is an opportunity for us to understand that AIDS does not recognize State borders, that it does not recognize the difference between sexes or ethnic backgrounds, that it has now infiltrated rural areas the same way it did urban areas years ago when we were reluctant to come to this floor and talk about it.
This is a health problem in America. It deserves our attention today. It demands that we change the formula to make sure as many Americans as possible who are infected with AIDS are, in fact, treated, in part with the money we devote out of the taxpayers' pockets to do it. The inability to bring this legislation up--to stand up and suggest that we would like to bring it up, and there is an objection--is to say, no, we do not want to debate it. Why? Because they do not want to fix it. They would rather allow a death sentence to be applied to somebody, to many people, across this country.
So as Dr. Coburn said, dogs can be watched, midnight dinners can be had, but the fact is, this legislation is focused on how we get lifesaving drugs to individuals who are infected with HIV and AIDS. My hope today is that Members who are scared to have this debate will come to the floor and lift their hold, will agree to the unanimous consent request, and come down and have a debate on this and try to defend--try to defend--these numbers, try to tell me that having $18 million for 1,000 more HIV/AIDS patients is fair. In fact, it is not fair.
We are obligated--we are obligated--as Members of this body to change the formula so it represents where the best investment can be made, and to where the American people look at it and know we have responded in a fair and equitable way.
I thank the chairman for the committee's commitment to do this legislation, for the work of the chairman and his leadership in, quite frankly, coming up with a very difficult bill to address the input of many different regions of the country and many different States. But the same population--a population that was infected with HIV/AIDS, regardless of where they live, regardless of where they grew up, regardless of what their skin color is, regardless of whether they are male or female--they ought to be equitably treated as it relates to the distribution of Federal funds available for them to access lifesaving treatments and drugs for their disease.
My hope is that at the end of this day the Chair, the committee, but more importantly the individuals who are infected across this country, will, in fact, win and we will pass this legislation and change this unfair funding formula
I yield the floor.
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Mr. President, I ask unanimous consent that the order for the quorum call be dispensed with. Mr. President, earlier today, my colleague, Senator Durbin of Illinois, took the floor to describe a…
Mr. President, I ask unanimous consent that the order for the quorum call be dispensed with.
Mr. President, earlier today, my colleague, Senator Durbin of Illinois, took the floor to describe a resolution he and I submitted and a number of others cosponsored with him to both recognize the contributions of our former colleague, Senator Paul Wellstone, and to, in that resolution which has now been submitted in the Senate, commit ourselves to making a mental health parity bill a high priority in the next Congress, the 110th Congress.
I want to join with Senator Durbin, Senator Coleman, and Senator Dayton, who also spoke on this topic today, in recognizing the contribution of our former colleague, Paul Wellstone, and to rededicating ourselves in his memory to trying to get this mental health parity bill passed once and for all.
It almost seems impossible that it was almost 4 years ago this next month when we tragically lost our friend and colleague, Paul Wellstone, and some others--his wife and others--in that tragic plane crash in Minnesota.
He was a very special individual to all of us. He was one of the best friends I ever had. Of course, I think he was to millions of other people around America. They thought he was one their best friends also because of what he stood for and what he fought for. He was always sticking up for the kind of little person--people who didn't have much voice or power around here.
Paul had one burning goal during his all-too-short tenure in the Senate, and that was to get mental health put on the same parity as physical health. He struggled mightily to get that done.
After his tragic death in October of 2002, many here talked about the need to pass in his memory the Paul Wellstone mental health parity bill. We still have not gotten it done. Four years later, we remember that political science professor who came to the Senate. He had a great impact.
Paul once said, politics is about what we create by what we do and what we hope for and what we dare to imagine. He dared to imagine and to fight for the end of neglect and denial surrounding issues of mental health, especially access to mental health services.
Right now, over 41 million persons suffer from moderate or serious mental disorders each year. Less than half receive any needed treatment. However, 80 to 90 percent of mental disorders are treatable by therapies and medications. Paul fought hard with his characteristic passion for the Mental Health Parity Act, to end this absurd practice of dividing mental health from physical health and putting them into different categories under health insurance.
Mental disorders account for 4 of the 10 leading causes of disability for persons age 5 and older. In fact, depression is the leading cause of disability in the United States. Tragically, mental disorders are also major contributors to mortality. Some 30,000 Americans die by suicide each year.
According to the Substance Abuse and Mental Health Services Administration, undertreated and untreated mental disorders cost the Nation in excess of $200 billion annually, hurting the economy, the profitability of businesses, and, of course, our Government budgets.
For example, a report released earlier this month by the Department of Justice found that more than half of all prison and jail inmates, including 56 percent of State prisoners, 45 percent of Federal prisoners, and 64 percent of local jail inmates were found to have a mental health problem.
We do not treat the mental health; we hire more police. People with mental health problems cause problems in society, and they turn, perhaps, to crime or illicit drugs to somehow treat themselves and their mental disorders and they wind up in our jails. And we pay and we pay and we pay for this as a society. More than half of all of the people in jails and prison in America have mental health problems.
A lot of opponents of mental health parity claim it will drive up the cost of health care. However, an interesting study released on March 30, 2006, in the New England Journal of Medicine released results of a study that evaluated the Federal Employees Health Benefits Program, the one we are under, to which we all belong. This has provided insurance parity for mental health since 2001. The researchers found that when the care was managed, the cost of coverage for mental health problems attributable to parity did not increase the cost, and the quality of the care remained constant.
Interesting. In our own health benefits program since 2001 we have had mental health parity. And guess what. The costs have not gone up, and the quality of care has remained constant. The Wellstone Mental Health Parity Act is modeled after the mental health benefits provided through the Federal program.
Many cost studies miss something that is very important: they fail to calculate and quantify the benefits and savings that will result from parity. They fail to weigh the offsetting cost-benefits to employers from increased productivity, reduced sick leave, reduced disability costs. Indeed, a true comprehensive assessment of the costs of parity must take into account the costs of not providing parity, including the economic costs in the workplace, the cost to taxpayers of shifting of burden to public systems--as I mentioned earlier, our prisons and jails--the cost of care of homeless persons, the cost of care of our public mental health systems, the increased cost in emergency room visits. Add up all that and the cost of not treating people with mental illnesses comes to around $79 billion a year.
When workers suffering from depression receive treatment, many of the medical costs decline by $882 per employee per year. Absenteeism drops by 9 days. Again, if we provide that care, we are saving money and increasing productivity.
Also, the good news is that millions of people with mental illness can recover. I don't know why so many people think once you have a mental illness, that person is doomed for life. That is like saying if I have a physical illness, forget it, I have to have it for the rest of my life. Not true. It is the same for mental health. People have problems; they need help; they get it; they get over it. They can reclaim their lives if they are provided treatment and support in a timely fashion.
To that end, it is time to do away with the discriminatory practice of treating mental and physical illnesses as two different categories under insurance. It is time to do away with the barriers to mental health treatment and coverage. It is time to pass mental health parity.
I might remind the Senate, we did pass it once on the 2002 appropriations bill. I happened to be chairman that year on the health appropriations bill. We passed mental health parity in the Senate. It got voiced-voted. No one even objected. Imagine that. We passed it. It went to conference. We kept it in on the Senate side, but we went to conference with the House and we lost it because the House objected to it, by two or three votes. By two or three votes in conference we lost it. We came that close in 2002 to getting mental health parity.
What has happened since? Why have we fallen so far backward? Why hasn't the Senate, since that time, brought it up? As I said, in 2002, we did it. Since 2003, it has not even been brought up. Hopefully, in the next Congress, we will bring it up again, we will pass it again, like we did before.
For those who had the privilege of serving with Paul Wellstone, his spirit is still very much with us. He still inspires us and he still calls us to conscience. Each day that we fail to pass this legislation, as we have for years, we are cheating millions of Americans. Each day that we do not step up to the plate and provide adequate mental health coverage to our citizens, we cheat them from reclaiming their health and well-being, and we starve society of the talent, contributions, and productivity they have to offer. It is a disservice to society to sweep mental illness under the rug and to deny people access and coverage of adequate treatment.
Congress should make the Wellstone Mental Health Equitable Treatment Act a priority for the 110th Congress. With widespread support and widespread need, passage of this legislation is long overdue.
Mr. President, I want to take a moment to add my congratulations to the people who have had a key role in doing this bill. First of all, I want to recognize the leader, who always inspires us on a…
Mr. President, I want to take a moment to add my congratulations to the people who have had a key role in doing this bill. First of all, I want to recognize the leader, who always inspires us on a lot of these issues and then provides the time for us to be able to do it as well--not only on this but on the pensions bill. He has to handle a lot of strategy and a lot of different personalities and does just a marvelous job moving the whole body along.
I primarily want to thank Senator Dodd and Senator Santorum for bringing this to our committee and working it diligently. I also thank them for sending all the different people to see me who had an interest in this bill, who had a number of different likes and wants and needs. They are to be commended for the tremendous effort they put into making sure that some day we have a solution to autism.
It is the most diligent-working bunch of people I think I have ever been associated with. They are also at the very beginning of a process, it seems. We need to expedite that process. This bill will help to get that done.
Senator Santorum has just been a real leader on this issue and probably understands it better than anybody that I have worked with and has worked through all the difficulties of the last-minute kinds of changes.
I thank all of you for getting this for America. One of the things this bill does is help people understand autism better. It is relatively unknown. This elevates it. As we continue to do that, we will get solutions. I thank all of you for doing that.
Mr. President, I rise today in support of S. 843, the Combating Autism Act. I am pleased to note that the Senate will pass this bill today.
This legislation, which was recently reported out of the Senate Health, Education, Labor, and Pensions Committee, focuses on expanding autism spectrum disorder research and coordination at the National Institutes of Health, NIH. It also increases awareness of autism spectrum disorder and its symptoms through the Centers for Disease Control and Prevention, CDC. Additionally, the bill integrates our various health, education, and disability programs that serve individuals and families affected by autism spectrum disorder and ensures that the community of people affected by this disorder have a voice in all of this.
No one knows exactly how many individuals are affected by autism spectrum disorder, but some studies suggest it could be as high as 1 out of every 166 American individuals.
But there are many things we do know about autism spectrum disorder. We know we need to begin intervention as early as possible to help individuals with autism spectrum disorder reach their full potential. And given the importance of early intervention, we need further research into the possible causes of autism spectrum disorder.
We need to understand more about the various forms of autism spectrum disorder to improve our ability to provide the right kinds of intervention and support. And, we need to provide better integration of the health, education, and disability programs already available to meet the increased demand for these interventions, supports and services.
I believe the ``Combating Autism Act'' is an important step toward addressing these needs and finding some solutions that will improve the lives of individuals and families whose daily lives have been turned upside down by autism spectrum disorder.
This bill is the result of a tremendous amount of work across party lines. I want to thank the original bill cosponsors, Senators Santorum and Dodd for introducing this legislation and for working with me to fine-tune it. I would also like to express my deep appreciation and thanks to the ranking member, Senator Kennedy, for his hard work during this process. Of course, in providing thanks to the members, I would be remiss if I did not mention the staff. Specifically, I want to thank Jen Vesey with Senator Santorum; Jim Fenton, Ben Berwick, Tamar Magarik, and Elizabeth Hoffman with Senator Dodd, and Caya Lewis with Senator Kennedy's office, as well as my staff--Steve Northrup, Aaron Bishop, Tec Chapman, Martina Bebin, and Shana Christrup.
I also want to thank the various groups and individuals who work on behalf of individuals and families affected by autism spectrum disorder. I appreciate the way in which this community of advocates has come together to work with me and my colleagues on this. If they had not worked together so well--with each other and with us as our Committee worked on this bill--I doubt we would be here today.
Mr. President, I am happy to do so. In 2004 the Institute of Medicine's Immunization Safety Review Committee concluded that the body of epidemiological evidence ``favors rejection of a causal relationship between the MMR vaccine and autism spectrum disorder'' and also ``favors rejection of a causal relationship between thimerosal- containing vaccines and autism spectrum disorder.'' The IOM committee also found that ``potential biological mechanisms for vaccine-induced autism spectrum disorder that have been generated to date are theoretical only.''
However, the IOM committee also acknowledged that ``[a]bsent biomarkers, well-defined risk factors, or large effect sizes, the committee cannot rule out, based on the epidemiological evidence, the possibility that vaccines contribute to autism spectrum disorder in some small subset or very unusual circumstances.'' The IOM committee also noted that ``experiments showing effects of thimerosal on biochemical pathways in cell culture systems and showing abnormalities in the immune system or metal metabolism in people with autism spectrum disorder are provocative,'' and suggested that ``the autism spectrum disorder research community should consider the appropriate composition of the autism spectrum disorder research portfolio with some of these new findings in mind.''
I agree with the IOM committee's recommendation that ``available funding for autism spectrum disorder research be channeled to the most promising areas.'' The HELP Committee reported this bill without making the determination for the autism spectrum disorder research community of what are the ``most promising areas'' for investigation. Instead, the bill reported by the HELP Committee contemplates key research activities, including environmental research, that focus on a broad range of potential contributing factors, with meaningful public involvement and advice in setting the research agenda.
However, I want to be clear that, for the purposes of biomedical research, no research avenue should be eliminated, including biomedical research examining potential links between vaccines, vaccine components, and autism spectrum disorder. Thus, I hope that the National Institutes of Health will consider broad research avenues into this critical area, within the Autism Centers of Excellence as well as the Centers of Excellence for Environmental Health and Autism. No stone should remain unturned in trying to learn more about this baffling disorder, especially given how little we know.
I also want to note that this broad statement is appropriately limited to biomedical and not epidemiological research. Although S. 843 provides for specific centers of excellence to examine epidemiological issues related to autism spectrum disorder, there is currently no expectation that the Centers for Disease Control and Prevention should further pursue additional epidemiological research regarding the link between autism spectrum disorder and vaccines or vaccine components, unless new biomedical research provides additional information about specific at-risk subpopulations. At this point, given what we know and what has already been done in this area, no new epidemiological research is required.
Mr. Speaker, I rise in support of the Combating Autism Act of 2006--S. 843--as amended. I want to thank Chairman Nathan Deal and Chairman Joe Barton, and the Energy and Commerce Committee staff, for…
Mr. Speaker, I rise in support of the Combating Autism Act of 2006--S. 843--as amended. I want to thank Chairman Nathan Deal and Chairman Joe Barton, and the Energy and Commerce Committee staff, for bringing this bill to the floor today.
Over the last 5 years or more, many of you have heard me speak many times on this floor
about the subject of autism and you will likely continue to hear me speak on this issue because I believe we truly have our work cut out for us. About 20 years ago, autism was considered a rare disease, affecting about 1 in 10,000 children. Now, that rate is about 1 in 166; making autism the third most common developmental disability that children face, even more prevalent than things such as Down's syndrome and other childhood cancers. In my own home State of Indiana we experienced a 923 percent cumulative growth rate for autism from 1992 to 2003. The annual growth rate of autism in Indiana averaged 27 percent compared to an average of 7 percent for the growth rate of all disabilities.
This literal epidemic of autism is a looming and immediate economic crisis to our education system, our health care systems, our long-term housing and care system for the disabled, and most especially, to an ever-increasing number of families across the country. Autism is a condition that has no known cure, which means that this is a crisis that is simply not going to ``go away.''
Today we take a huge step forward in terms of dealing with this problem. Although in my opinion, only a down payment on the resources that we must invest in order to defeat this terrible scourge, the Combating Autism Act, commits nearly $1 billion--in essence almost a doubling of funding for autism--to autism research, including essential research on environmental factors, treatments, early identification and support services. This bill amounts to a long overdue and vitally needed declaration of war by the Congress of the United States on autism.
Even so, while a needed step forward, this is not a perfect bill, because I believe we are missing a crucial opportunity to use this bill to help unravel the mystery of autism. Specifically, while the bill before us does include language on the need to research the environmental factors which may contribute to autism, it does not include a specific mandate that environmental research topics must include vaccines, other biologics, and their preservatives. Now I am not against vaccinations, but I do believe, as do many of my colleagues, that there is a strong link between the mercury contained in a product called thimerosal--commonly used as a vaccine preservative--and children developing neurological disorders such as autism. In fact, my own grandson became autistic after receiving nine shots in 1 day, seven of which contained thimerosal.
Because of what happened to my grandson, I took it upon myself to learn about autism and what I discovered during my research was deeply disturbing. During my tenure as chairman of the Government Reform Committee, 1997-2002, and as chairman of the Subcommittee on Human Rights and Wellness, 2003-2005, a number of very credible national and international scientists testified at a series of hearings that the mercury in vaccines is a contributing factor to developing neurological disorders, including, but not limited to, modest declines in intelligence quotient, IQ, autism, and Alzheimer's disease. And the body of evidence to support that conclusion gets larger every day.
Yet we continue to hear repeatedly in congressional hearings, in media communications, and through government and scientific reports that ``there is no evidence that proves a connection between vaccines and autism.'' This conclusion is not too surprising when you consider that our health agencies seem to routinely dismiss out of hand any scientific study that does conclude thimerosal is a danger.
Experience tells us that, as with any other epidemic, while there may be underlying genetic susceptibilities, there usually is some type of environmental trigger as well, such as a virus, fungus, heavy metals, pollutants, or whatever. There has never, to the best of my knowledge, been a purely genetic epidemic. So, genetics alone cannot explain how we went from 1 in 10,000 children with autism spectrum disorders 20 years ago to 1 in 166 today. Considering that mercury is a base element and the most toxic substance known to science outside of radioactive materials, it is biologically plausible that mercury is an environmental trigger of autism.
Recent studies indicate that more than half of pediatricians said that in the previous year they had encountered at least one family that refused all vaccines, while 85 percent said they'd had a parent turn down at least one shot. Whether it's because of fear that mercury used as a preservative in childhood vaccines causes autism, or that the dangers of immunizations far outweigh their benefits, or that there is a conspiracy by drug companies, doctors and vaccine makers to conceal the harm, the facts are clear, more and more American families are fighting immunization.
It is imperative that we do all we can to restore the public's trust in vaccinations. And the only way we are going to resolve the conflict of opinion over thimerosal is through more research. Unfortunately, if the Department of Health and Human Services never funds or conducts the right studies, and given their current track record on the subject, that is very likely what will happen, this question will forever remain unanswered. That will be a national tragedy because often once an environmental cause is discovered, immediate steps can be taken to prevent new cases and abate the epidemic. In addition, knowledge of the environmental cause or triggers often leads directly to more effective treatments.
For example, this bill promotes the use of evidence-based interventions for those at higher risk for autism. However, so long as we ignore the potential danger of mercury, many biomedical interventions, such as restricted diet, applied kinesiology and/or chelation therapy--which many families have found to be the best treatments for their children with autism--will be excluded from the list of evidence-based treatments.
I stand here today not just as a concerned grandfather of an autistic child but as the voice for the hundreds of parents and families who continue to contact my office looking for help for their children. They are our constituents, we represent them in the People's House, and I hope we are all listening to them. The debate about mercury in vaccines must be addressed, investigated and resolved. Parents have a right to know what happened to their children regardless of where the truth lies. And we have a responsibility to those children and families already suffering. In the meantime, we should err on the side of caution and remove thimerosal, even trace amounts, from all vaccinations.
By failing to provide a clear congressional mandate to research all of the potential environmental causes of autism spectrum disorders, ASD, including vaccines and their preservatives, I believe we are handicapping our efforts to give all ASD patients the best possible quality of life and the ability to make the greatest possible contributions to society. I hope that in the coming weeks, months and years this Congress will push for further research into the question of thimerosal and autism so that one day we will be able to say that we have done everything possible to stop and treat this epidemic. In the meantime, I urge my colleagues to support this very good bill.
Mr. Speaker, I move to suspend the rules and pass the Senate bill (S. 843) to amend the Public Health Service Act to combat autism through research, screening, intervention and education, as amended.…
Mr. Speaker, I move to suspend the rules and pass the Senate bill (S. 843) to amend the Public Health Service Act to combat autism through research, screening, intervention and education, as amended.
Mr. Speaker, I ask unanimous consent that all Members may have 5 legislative days within which to revise and extend their remarks on this legislation and to insert extraneous material.
Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, I rise to join Chairman Barton in support of S. 843, as amended, the Combating Autism Act of 2006. Although many of us would like to have done more sooner, the bill represents a positive step forward in addressing the serious problem of autism in the United States. The legislation focuses on expanding and coordinating autism research at the National Institutes of Health, monitoring the disorder and educating the public through programs at the Centers for Disease Control and Prevention, as well as ensuring that citizens have a voice in the Federal Government's response to autism.
Leo Kanner first described autism in 1943 as a developmental disorder characterized by ``extreme autistic loneliness'' and ``an obsessional desire for the maintenance of sameness.'' Since the 1940s, we have learned much more about autism, including its diagnosis, traits, and possible treatments.
Data from several recent studies show that between two and six out of every 1,000 children fall within the definition of what is called autism spectrum disorder. That means that of the roughly 4 million children born in the United States each year, about 24,000 of these children will eventually be diagnosed with autism spectrum disorder.
Autism affects many aspects of a person's mental development, including social skills; speech, language and communication; repetitive behaviors and routines; and the other ways that children interact with the world. These children also often exhibit emotional problems, challenging behaviors, hyperactivity and other difficulties.
As a child with autism grows into adolescence, some of these behaviors are intensified. The teen suffering from autism may also suffer from depression related to their inability to interact normally with their peers.
All of these problems exert tremendous pressures on parents and siblings, who often must devote round-the-clock attention to a family member with autism.
Although there is no cure for autism, early detection and early intervention have shown promise in lessening the impact of the disorder and increasing a child's ability to have normal social interaction and functioning. Early intervention is a child's best hope for reaching his or her full potential.
Furthermore, research has shown that development disabilities like autism can be diagnosed as early as 18 months; however, an estimated 50 percent of children with these disorders remain unidentified until they are 5 years old, missing critical opportunities to improve their functioning early on. Therefore, it is imperative that both parents and doctors caring for children learn the warning signs of autism and are familiar with the developmental milestones that each child should reach.
The legislation before us takes several steps to improve upon and expand educational and outreach activities that will alert the public on the warning signs for autism and the need for early screening and intervention. It will also strengthen biomedical research activities conducted at the National Institutes of Health looking into the causes, pathways and possible cures for autism spectrum disorder.
Finally, the legislation provides for public participation in decisions relating to the Federal response to the autism problem, allowing for greater transparency and accountability.
I am also pleased that many of the major groups and organizations representing autistic people and their families have chosen to support this important piece of legislation. The Autism Society of America, Cure Autism
Now, Autism Speaks and the Dan Marino Foundation are just a few of the many organizations that support the reforms in this bill.
Finally, I would like to thank the lead House sponsor of the Combating Autism Act, Mrs. Bono of California, for her efforts on behalf of autistic people and their families.
I urge my colleagues to support this legislation.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I insert in the Record at this time two letters, one from the chairman of the Education and Workforce Committee and the response from the chairman of the Energy and Commerce Committee related to jurisdiction on this bill.
House of Representatives, Committee on Education and the
Workforce,
Washington, DC, December 6, 2006.
Hon. Joe Barton,
Chairman, Committee on Energy and Commerce,
House of Representatives, Washington, DC.
Dear Mr. Chairman: I am writing to confirm our mutual
understanding with respect to the consideration of S. 843,
the Combating Autism Act of 2006. As you are aware, `Sec.
399BB. Autism Education, Early Detection, And Intervention'
requires the Secretary of Education to collaborate with the
Secretaries of Agriculture and Health and Human Service in
the provision of autism related services through the Head
Start Act, the Early Start Act, the Child Care Development
Act, the Individuals with Disabilities Education Act, the
Child Nutrition Act, and the Rehabilitation Act. This
provision and these acts fall within the jurisdiction of the
Committee on Education and the Workforce.
Given the importance of moving this bill forward promptly,
I do not intend to object to its consideration in the House.
However, I do so only with the understanding that this
procedure should not be construed to prejudice my Committee's
jurisdictional interest and prerogative in S. 843 or any
other similar legislation and will not be considered as
precedent for consideration of matters of jurisdictional
interest to my Committee in the future.
Finally, I ask that you include a copy of our exchange of
letters in the Congressional Record during the consideration
of this bill. If you have questions regarding this matter,
please do not hesitate to call me. I thank you for your
consideration.
Sincerely,
Howard P. ``Buck'' McKeon,
Chairman.
Mr. Speaker, can I inquire of the remaining time on our side?
Mr. Speaker, I am pleased to yield 3 minutes to the gentleman from New Jersey (Mr. Smith).
(Mr. SMITH of New Jersey asked and was given permission to revise and extend his remarks.)
Mr. Speaker, I am pleased to yield 5 minutes to the gentleman from Mississippi (Mr. Pickering).
Mr. Speaker, as we close, I would simply reiterate what some others have said, thanking all of those within the Congress itself who have brought this bill to this point and hopefully to a finalization and sent to the President.
Autism is an affliction on our children, and there are many answers that people want and this will help us try to find those answers. But this is not the end of the journey. Those who are committed to this cause will continue their efforts here in the halls of Congress, hopefully in the research halls throughout our country. This is a worthwhile step in the very proper direction, and I would urge my colleagues to adopt this resolution.
Mr. Speaker, I yield back the balance of my time.
I rise today to introduce legislation with Senators Mikulski, Talent, Harkin, Roberts and Coleman to establish a division of food and agricultural science within the National Science Foundation to…
I rise today to introduce legislation with Senators Mikulski, Talent, Harkin, Roberts and Coleman to establish a division of food and agricultural science within the National Science Foundation to support fundamental agricultural research of the highest quality. I present this to begin a critical discussion that I believe we must have over the next several months about how we are going to ensure we capitalize on the technology to maximize the benefits and minimize the costs of our agricultural production.
We remain the world leader in food and fiber production. We do it safely and through technology and the hard work of the American farmer. In the past half century, the number of people fed by a single U.S. farm has grown from 19 to 129. We have a tremendously innovative agricultural research program. Our farmers, our farm leaders are on the cutting edge of developing new technology. And we have seen the innovations continue to come down the pike. This has made it possible for one farmer to feed 129 people.
In addition, we export $60 billion worth of agricultural products, and we do so at less cost and at less harm to the environment than any of our competitors around the world, again, because of new practices, diligence on the part of farmers, and new technology.
In a world that has a decreasing amount of soil available for cultivation, we have a growing population and we still have 800 million children who are hungry or malnourished throughout the world. As some have said: A person who is well fed can have many problems. A person who is hungry has but one problem. Unless we maximize technology and new practices, production will continue to overtax the world's natural resources.
Many people legitimately have raised concerns regarding new diseases and pests and related food safety issues. And they are growing. The leading competitiveness of our U.S. producers is only as solid as our willingness to invest in forward-looking investments and build upon our historic successes.
Now, we also know from past experience that with new technology the doors are being opened to novel new uses of renewable agricultural products in the fields of energy, medicine, and industrial products. In the future, we can make our farm fields and farm animals factories for everyday products, fuels, and medicines in a way that is efficient and better preserves our natural resources. Advances in the life sciences have come about, such as genetics, proteomics, and cell and molecular biology. They are providing the base for new and continuing agricultural innovations.
It was only about a dozen years ago that farmers in Missouri came to me to tell me about the potential that genetic engineering and plant biotechnology had for improving the production of food, and doing so with less impact on the environment, providing more nutritious food. Since that time, I have had a wonderful, continuing education, not in how it works but what it can do.
We know now, for example, that in hungry areas of the world as many as half a million children go blind from vitamin A deficiency, and maybe a million die from vitamin A deficiency. Well, through plant biotechnology, the International Rice Research Institute in the Philippines and others have developed Golden Rice, taking a gene from the sunflower, a beta-carotene gene, and they enrich the rice. The Golden Rice now has that vitamin A, and that is going to make a significant difference in dealing with malnutrition.
We also know that in many areas of the world, where agricultural production has overtaxed the land, where drought has cut the production, where virus has plagued production, the way we can make farmers self-sufficient, where we can restore the farm economy in many of these countries, is through plant biotechnology.
But this is just the beginning. This legislation I am introducing today seeks to lay the foundation for tremendous advances in the future.
This legislation stems from findings and recommendations produced by a distinguished group of scientists working on the Agricultural Research, Economics and Education Task Force, which I was honored to be able to include in the 2002 farm bill. The distinguished task force was led by Dr. William H. Danforth, of St. Louis, the brother of our former distinguished colleague, Senator Jack Danforth. Dr. Bill Danforth has a tremendous reputation in science and in education, with a commitment to human welfare and is known worldwide. He was joined by Dr. Nancy Betts, the University of Nebraska; Mr. Michael Bryan, president of BBI International; Dr. Richard Coombe, the Watershed Agricultural Council; Dr. Victor Lechtenbert, Purdue University; Dr. Luis Sequeira, the University of Wisconsin; Dr. Robert Wideman, the University of Arkansas; and Dr. H. Alan Wood, Mississippi State University.
I extend my congratulations and my sincere gratitude to Dr. Danforth and his team for providing the basis and the roadmap to ensure we have the mechanisms in place to solve the problems and capitalize on the opportunities in agricultural research. The full report of the task force can be found at www.ars.usda.gov/research.htm.
In summary, that study concludes that it is absolutely necessary we reinvigorate and forward focus our technology to meet the responsibilities of our time. New investment is critical for the world's consumers, the protection of our natural resources, the standard of living for Americans who labor in rural America, and for the well-being of the hungry people and the needy people throughout the world.
This legislation is supported by the some 22 Member and Associate Member Societies of the Federation of American Societies for Experimental Biology, as well as the Institute of Food Technologists, American Society of Agronomy, Crop Science Society of America, Soil Science Society of America, the Council for Agricultural Research, the National Coalition for Food and Agricultural Research, the American Soybean Association, National Cattlemen's Beef Association, National Chicken Council, National Corn Growers Association, National Farmers Union, National Milk Producers Federation, National Pork Producers Council, National Turkey Federation, Association of American Veterinary Medical Colleges and the United Fresh Fruit and Vegetable Association.
I look forward to pursuing this vision in the 109th Congress. I invite my colleagues who are interested in science and research to review this report, to look at this measure, to join with me and my cosponsors in the next session of Congress to talk about moving forward on what I think will be a tremendous opportunity to improve agriculture and its benefits to all our populations.
Madam President, this, I hope, will be the start of something really big. Today, Congressman Gutknecht is offering companion legislation in the House. I congratulate him on his leadership in promoting science and I am pleased to be working on this with him.
I ask unanimous consent that the text of the bill be printed in the Record.
Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, at 5:45, in just 15 minutes, we will have an opportunity to vote on the nominee to head the Food…
Mr. President, I ask unanimous consent that the order for the quorum call be rescinded.
Mr. President, at 5:45, in just 15 minutes, we will have an opportunity to vote on the nominee to head the Food and Drug Administration. I want to first of all commend my friend, the chairman of our human resource committee, Senator Enzi, for his leadership over this period of time in giving the assurance to the agency, and much more importantly to the American people, that we are going to have someone in charge of this agency able to exercise executive decisions, to make sure the agency itself is going to fulfill its role in protecting the health of the American people. So first of all, I thank my colleague and friend, Senator Enzi, for making sure we are going to get an opportunity to vote.
I thank the majority leader, Senator Frist, for making sure that we were not going to leave this session without having a final vote on the nominee.
In the last 5 years, only in one of those years did we have a head of the FDA. The rest of the time, they were ``acting.'' A good deal of the time, there was virtually no presence. This is the most important health agency that guides and guards American's health, the health of our children, the health of the elderly, and the health of families in our Nation. So this is a very important point, and I welcome the opportunity to urge the Senate to approve Andrew von Eschenbach for this position.
As I mentioned, the Food and Drug Administration oversees the products that account for fully a quarter of the entire U.S. economy. Every day, the agency makes decisions that mean the difference between life and death for countless patients. Millions of Americans rely on drugs the FDA approves to protect them from sickness, and every family in America counts on the FDA to see that the food they eat is free from contamination.
Now we are in the life science century, and the opportunities for breakthroughs with new drugs is unlimited. With the progress we have made in the Human Genome Project and the sequencing of the genes, the research that is being done across this Nation, the possibilities are virtually unlimited. But it is all new science. We have to make sure that this agency which is going to make the judgments and decisions about approval or disapproval is going to have the best in terms of scientists, the best in terms of leadership. That is at issue here if we do not have someone who is going to be the head of the FDA to make sure the agency that has responsibility for the safety of prescription drugs is going to work in ways to protect the American consumer; that the agency that is in charge of the food safety in this country is going to work to ensure that it is going to be effective for the American people.
Now the agency itself, the FDA, urgently needs treatment. For too long, it has been without a confirmed leader. It has become a ship without a captain, lacking the initiative and confidence that only a confirmed commissioner can bring. Year after year, under this administration, the FDA has been allowed to drift, and year after year the challenges that face the agency have grown.
Think of the controversies--about antidepressants, about the withdrawal of Vioxx, about the sale of Plan B over the counter, about adequate review of drugs on the market. The agency has had to struggle unfairly with difficult scientific questions, inadequate resources and authority, and political pressures to ignore the science that must be-- good science has to be at the heart of its mission.
Finally, the day is here when the Senate can act to confirm a commissioner whose job No. 1 will be to restore the leadership to this essential agency and begin the process of addressing the many major concerns that have gone unmet for so long.
Dr. von Eschenbach is a good choice to lead the FDA. At the National Cancer Institute, he led bold initiatives on the human genome and nanotechnology. As a physician for patients with cancer and a survivor of cancer himself, he brought an indispensable patient-centered perspective to the Cancer Institute, and he will bring that to the Food and Drug Administration as well.
Dr. von Eschenbach was able to find a solution to the controversy about allowing the over-the-counter sales of Plan B. We may never know the battles he had to fight and win to achieve that solution, but his integrity and tenacity in achieving a solution speak volumes for his character and his commitment to public health.
FDA has long been regarded as the gold standard in regulatory work. That will continue to be true only if it makes independent, science- based decisions, in both fact and appearance, and under Dr. von Eschenbach's leadership, we expect FDA to make those discussions solely on the basis of science and in the best interests of public health. To do the job we expect----
I ask, if there is no objection, that I be able to proceed for another 4 minutes?
Mr. President, we have to make sure the agency itself is going to have the adequate resources that are going to be necessary to protect the public interest. What we are talking about here is making sure they have the best, in terms of science--in terms of prescription drugs and the new breakthroughs. We have the whole range of new medical devices which are out there. The United States is leading the way. We want to make sure they are safe and effective. The agency has important responsibilities in terms of the safety of our food supply. We have given it additional kinds of responsibilities to deal with the challenges of the war on terror.
This agency has enormous responsibilities in terms of the consumers and the families of this Nation. It needs the strong leadership which I think the nominee can bring, and it needs the kind of support from the Congress that
will permit it to be the true gold standard for safety and for improving the health of the American people.
As other agencies are set up around the world--in Western Europe and now even in Asia--the place they look is at the FDA, and for very good reason. We want this agency to be the best. It can be the best. With a new leader and hopefully with the new Congress giving the agency the kind of support it should have, we can make sure the health of the American people in these important areas is going to be secure for the future.
Again, I thank my friend and colleague from Wyoming for his persistence and tenacity in making sure where we are this evening. We would not be here if it had not been for his good work on this issue, as in so many others. I thank him, and the American people ought to know that this is an enormously important vote to protect their interests. I hope this nominee is approved overwhelmingly.
Mr. President, before we move to pass this bill, I, too, want to add my commendation, my thanks, my appreciation, my gratitude to Senator Santorum and Senator Dodd. I have had the opportunity to work…
Mr. President, before we move to pass this bill, I, too, want to add my commendation, my thanks, my appreciation, my gratitude to Senator Santorum and Senator Dodd. I have had the opportunity to work almost daily with Senator Santorum on this particular issue and because of his focus and his dedication and hard work, indeed, at 11:15 tonight, we do have a reason to celebrate--celebrate not just for the bill itself but because it is a major step forward for the hundreds and thousands of families across this Nation who are exposed to, are touched by, who celebrate autism, and that this bill itself recognizes we have a long way to go.
It was a year ago that I asked the Government Accountability Office to look at and evaluate our country's efforts to combat autism and to look at the challenges that we have before us. It was 6 years ago that Senator Kennedy and I cosponsored a bill, the Children's Health Act of 2000. The report was released today, the General Accounting Office report. It states that while Federal funding coordination and research have increased since the Children's Health Act of 2000, there is a significant need for more coordination, for expanded research, for better strategies for education, and indeed for more health care professionals to serve the autism community.
If you wrap all of that up, there is a need for better research, diagnosis, and treatment. And there is a need for a cure.
On the Senate floor we will talk about that need, but it is parents like Brian and Tracy Noll who feel it every day. Brian and Tracy are parents, actually Pennsylvanian parents--referring to my distinguished colleague, the sponsor of this bill--of a 7-year-old son with autism. As an infant, their son Tyler exhibited--this is the usual course--all the normal signs of a healthy baby, a happy baby. But at 18 months Brian started to notice that Tyler would no longer look him in the eye.
Again, as is the custom, after repeated visits to doctors, repeated visits, there was a lot of mystery initially. He was ultimately diagnosed with autism at the age of 3. Today Tyler struggles with communication and coordination, his language and sensory skills are limited. He knows, yes, that he is different from other children, but he really can't understand why. Brian and Tracy see their fun-loving son whose smile lights up the room and they hope for new treatments that will help him lead a normal and productive life. They hope researchers will help cure autism, and, yes, they hope
someday we will understand why. Because of the tremendous work of Senators Santorum and Dodd, under the chairmanship of Chairman Enzi and Chairman Kennedy--who I mentioned back from our work together in 2006-- we are on the way to that becoming a reality.
It is one of the least understood developmental disorders of our time. The difficulties with communication skills and social skills are well known. But no case is the same. Every case is a little bit different. It covers, as its name suggests, a spectrum of behaviors. Approximately 40 percent of children with autism do not talk. Others will learn to talk but later stop speaking altogether. Some read at an advanced pace. Some have unique athletic abilities. Some will exhibit excellent fine motor skills but will have a great deal of difficulty with the more simple tasks before them.
I think back to 30 years ago when I graduated from medical school: Autism was little talked about as a disorder. But over the next three decades we have watched its incidence steadily grow. That is why, as I mentioned, in the year 2000, Senator Kennedy and I were compelled to introduce that Children's Health Care Act. The intent was for America to better understand and treat and one day prevent a disorder that had for so long eluded the scientific community as well as the medical and clinical community.
As the GAO report released today highlights, coordination of Federal autism activities in NIH research has increased. Indeed, NIH funding has doubled between 2000 and today. Yet, for as many strides as we made in the last 5 years, one fact remains: There is no cure. We shed more light on autism, but we are still at the very dawn of understanding the disorder and its origins.
As a physician I have witnessed firsthand the power of research--if we invest, if we set up a framework for the appropriate research. And with reason, I harbor hope for a day when autism has a cure.
But that day depends on this body making a commitment.
We have laid a foundation. But today we have an opportunity to build on it by passing the Combating Autism Act, which not only reauthorizes The Children's Health Act of 2000--it addresses the specific challenges laid out in the GAO report. The GAO report highlights that we need greater coordination of Federal autism activities, and this bill ensures it. The report states that surveillance of autism can be improved through better coordination--and this bill ensures it. The report identifies the need for more health care professionals who are trained to interact with autism patients--and this bill ensures it. The report makes clear that because there is no cure and no known cause, research must be continued, and it must be expanded. And this bill ensures it.
For the parents of children with autism, there is so little certainty. There is no guarantee when they wake up in the morning that it will be a good day for their child. There is no guarantee that their child will learn to talk or to read or interact with his peers. And there is no certainty what the future holds for that child who will one day be an adult.
Today is an opportunity to provide those parents with what little certainty we can.
Today is the opportunity to assure them that we are continuing to push forward for better treatment, for more research, for a greater understanding, and one day, perhaps a cure.
I thank my colleagues Senators Santorum and Dodd for sponsoring this legislation.
And I am pleased we have passed this important bill.
What we are about to do is a great victory for this body, for the country, and indeed for the parents of children with autism. I am pleased in a few moments we will pass this very important deal.
Both of my colleagues have previously mentioned their relationship with others who have autism. Again, Bob and Susan Wright have been tremendous leaders in their communities, across the country, and indeed globally in fighting autism. A good friend, Phil Geier, who they know very well, a close friend of mine, has been instrumental in shedding that communication, that light on this entity. We can all celebrate today that, because of all their hard work and the leadership of Chairman Enzi, we will be passing that bill shortly.
Mr. President, I ask unanimous consent that the pending amendment be temporarily set aside. Mr. President, I send an amendment to the desk and ask for its immediate consideration. Mr. President, I…
Mr. President, I ask unanimous consent that the pending amendment be temporarily set aside.
Mr. President, I send an amendment to the desk and ask for its immediate consideration.
Mr. President, I ask unanimous consent that the reading of the amendment be dispensed with.
Mr. President, this amendment unties the hands of States which were handcuffed by a provision added in committee last year and is still in the bill, a provision on which debate was cut short last year, but now we can finish the job, and I hope we will. This provision will cost the States nearly $900 million in highway, bridge, and transit construction or rehabilitation funding unless we adopt the amendment.
The provision binding our States, section 1620 of the bill, mandates that every State, regardless of whether it needs it or not, set aside 2 percent, or nearly $900 million, for use for the life of the bill only on storm water mitigation activities. My amendment strikes this mandatory set-aside.
Without the amendment, States will be directed to set aside over $740 million from their Surface Transportation Program funds, funds that otherwise could construct or rehabilitate highways, bridges, or transit systems. Without this amendment, States would be forced to set aside over $125 million from the Equity Bonus Program set up by this bill to help States receive more highway dollars. Without this amendment, the States will be forced to use nearly $900 million only on storm water mitigation, regardless of the need of such activities.
Every State will lose highway dollars under this set-aside. We have tables available. Alabama, the set-aside would cost it $19 million; Alaska, $10 million; Arizona, $17 million; Arkansas, $12 million. I ask Members to look at how much the Federal Government would dictate how their highway funds would have to be spent.
Every office will receive a list, and we will have copies available. I urge every Member to look to see how it affects their State. We are fighting extremely hard on the Senate floor to
provide States with more transportation funds. This is something the chairman and the ranking member, my subcommittee ranking member, Senator Baucus, and I have done.
We are working with the Finance Committee, Chairman Grassley, and the ranking member, Senator Baucus, to get the money. I know we will be inundated by Members wanting transportation projects in this bill. I know in my new role as chairman of the Transportation Appropriations Subcommittee I will be inundated with requests for projects in their State, but a Member voting to take funding from highways, bridges, and transit and set it aside for storm water would seem to indicate that their State has more than enough funding that they can afford to divert highway funds to storm water so the State may not need more highway funds.
Now, do not get me wrong. I support States having the ability to address their storm water needs if they must do so, and if they choose to do so. With my amendment, the States will remain fully authorized to use their highway funds to mitigate storm water problems. Indeed, this bill preserves and actually expands the ability of States to spend highway dollars on storm water mitigation, on a highway project if that is what is needed in their State.
Current law allows States to spend up to 20 percent of a project's cost using STP funds on storm water mitigation. That is unchanged. The bill also expands storm water eligibility by allowing States to spend up to 20 percent of a project's cost under the National Highway System funds on storm water mitigation. That is unchanged by this amendment.
I seek only to strike the mandatory set-aside; the Federal Government big daddy knows better than the States how to spend their funds to assure adequate transportation and protection of the environment.
There is no one in this body who has fought longer and harder than I have, my former colleague, my ranking member, Senator Mikulski, for Federal funding for water quality and drinking water. When we served as head of the Senate appropriations subcommittee that funded EPA, we restored hundreds of millions of dollars in proposed cuts to the clean water and safe drinking water funds. Every year we appropriated millions of dollars to protect, sustain, and restore the health of our Nation's water habitats and ecosystems. We spent millions funding water projects for the Chesapeake Bay, the Gulf of Mexico, Lake Champlain, Long Island Sound, and the Great Lakes. Last year, we sent hundreds of millions of dollars more to Members' States for targeted investments and water infrastructure. We do that every year for our colleagues because we believe so much in providing clean and safe drinking water for our families and local communities.
Forcing another arbitrary mandate on States, taking precious highway and transit construction dollars and diverting them for another purpose does not make sense. Decisions should be made by each State on a case- by-case, project-by-project basis, not as a result of another one-size- fits-all Federal mandate sent down from Washington.
Let me repeat, this amendment strikes only the set-aside mandate and leaves fully intact storm water funding eligibility. I urge my colleagues to let States keep $900 million for highway bridge and transit construction and to turn back this new Federal mandate on States. I urge my colleagues to support this amendment.
I ask unanimous consent that letters in support of this amendment from the American Association of State Highway and Transportation Officials; the Transportation Construction Coalition, a coalition of builders and union representatives; the Associated General Contractors of America; the American Road and Transportation Builders Association; and a list of other organizations and unions supporting this amendment be printed in the Record after my remarks.
I thank the Chair and I yield the floor.
Mr. President, I rise today to introduce, along with Senator Durbin, an important bipartisan bill related to education and our national, homeland, and economic security. My good friend and colleague…
Mr. President, I rise today to introduce, along with Senator Durbin, an important bipartisan bill related to education and our national, homeland, and economic security. My good friend and colleague in the U.S. House of Representatives, Congressman Frank Wolf, is introducing the same legislation today in the House.
Without a doubt, our ability to remain ahead of the curve in scientific and technological advancements is a key component to ensuring America's national, homeland and economic security in the post 9/11 world of global terrorism.
Yet alarmingly, the bottom line is that America faces a huge shortage of home-grown, highly trained scientific minds.
The situation America faces today is not unlike almost 50 years ago. On October 4, 1957, the Soviet Union successfully launched the first man-made satellite into space, Sputnik. The launch shocked America, as many of us had assumed that we were preeminent in the scientific fields. While prior to that unforgettable day America enjoyed an air of post World War II invincibility; afterwards our Nation recognized that there was a cost to its complacency. We had fallen behind.
In the months and years to follow, we would respond with massive investments in science, technology and engineering. In 1958, Congress passed legislation creating the National Defense Education Act, which was designed to stimulate advancement in science and mathematics. In addition, President Eisenhower signed into law legislation that established the National Aeronautics and Space Administration (NASA). And a few years later, in 1961, President Kennedy set the Nation's goal of landing a man on the moon within the decade.
These investments paid off. In the years following the Sputnik launch, America not only closed the scientific and technological gap with the Soviet Union, we surpassed them. Our renewed commitment to science and technology not only enabled us to safely land a man on the moon in 1969, it spurred research and development which helped ensure that our modern military has always had the best equipment and technology in the world. These post-Sputnik investments also laid the foundation for the creation of some of the most significant technologies of modern life, including personal computers and the Internet.
Why is any of this important to us today? Because, as the old saying goes--he or she who fails to remember history is bound to repeat it.
The truth of the matter is that today America's education system is coming up short in training the highly technical American minds that we now need and will continue to need far into the future.
The 2003 Program for International Student Assessment found that the math, problem solving, and science skills of fifteen year old students in the United States were below average when compared to their international counterparts in industrialized countries. While a little bit better news was presented by the recently released 2003 Trends in International Mathematics and Science Study (TIMSS), it is still nothing we should cheer about. TIMSS showed that eighth grade students in the U.S. had lower average math scores than fifteen other participating countries. U.S. science scores weren't much better.
Our colleges and universities are not immune to the waning achievement in math and science education. The National Science Foundation reports the percentage of bachelor degrees in science and engineering have been declining in the U.S. for nearly two decades. In fact, the proportion of college-age students earning degrees in math, science, and engineering was substantially higher in 16 countries in Asia and Europe than it was in the United States.
In the past, this country has been able to compensate for its shortfall in homegrown, highly trained, technical and scientific talent by importing the necessary brain power from foreign countries. However, with increased global competition, this is becoming harder and harder. More and more of our imported brain power is returning home to their native countries. And regrettably, as they return home, many American high tech jobs are being outsourced with them.
Moreover, in the post 9/11 era, it is more important than ever from a security perspective to have American citizens performing certain tasks. We cannot run the risk of having to out-source the security of this country simply because we don't have enough highly trained U.S. citizens to meet our America's needs.
The legislation we are introducing today is a targeted measure that will help America meet its needs by providing strong incentives to students and graduates to pursue studies and careers in these important scientific and technical fields.
Our bill simply allows the Federal Government to pay the interest on undergraduate student loans for certain graduates of math, science, or engineering programs who agree to work in the United States in these fields for 5 consecutive years. Priority will be given to those students with degrees in majors that are key to protecting our national, homeland and economic security as a nation.
Almost 50 years ago our Nation learned a lesson about the cost of complacency in science and technology. While we responded with immediate vigor and ultimately prevailed, today, new dangers are upon us.
Once again, America must rise to meet a new challenge. In my view, this initiative is an important step forward that will encourage Americans to enter important fields of study that are crucial to the national, homeland, and economic security of this country.
Mr. President, I thank and commend my friend and colleague, the assistant Democratic leader from Illinois, Senator Durbin, for submitting the Senate resolution honoring the memory of the late Senator…
Mr. President, I thank and commend my friend and colleague, the assistant Democratic leader from Illinois, Senator Durbin, for submitting the Senate resolution honoring the memory of the late Senator Paul Wellstone from Minnesota, my friend of 22 years, my colleague and mentor for my first 2 years in the Senate.
I also thank Senator Coleman, my present colleague, for his cosponsorship of this resolution and making it a bipartisan statement. I am proud to join as a cosponsor of the resolution.
It is hard to believe that it has been almost 4 years--it will be on October 25, 2006, when we will not be in session--since the terrible plane crash occurred that took the lives of Paul Wellstone, U.S. Senator from Minnesota, his wife and partner of 39 years, Sheila Wellstone, his daughter Marcia; the Democratic Party associate chair from Minnesota, Mary McEvoy; one of Paul's longtime valued Senate staffers here in Washington, Tom Lapic; and a young Minnesota aide, Will McLaughlin, as well as two pilots.
One of Paul's most important causes was that of mental health parity. The illness of a family member made this a very personal cause for him, as well as his compassion for those throughout this country who suffer from some form of mental illness and are unable to get the treatment they deserve and which is medically available because insurance companies will not pay for and treat mental illness with the same parity they do other physical health problems.
Senator Wellstone found a valuable partner in the distinguished Senator from New Mexico, Mr. Domenici. Together they worked on a bipartisan basis for several years against the fervent opposition of the medical insurance industry to pass mental health parity legislation.
In the aftermath of Senator Wellstone's death, then-majority leader of the Senate Tom Daschle succeeded in getting through the Senate the Wellstone-Domenici legislation, which passed the Senate but unfortunately hit opposition by the House of Representatives. And once again the medical insurance industry prevented one of Paul's legislative dreams from becoming law in 2002.
Despite assurances beginning in January of 2003 from the new Senate majority leadership that the Senate would act on successor legislation in honor of Senator Wellstone and pass mental health parity, despite the best efforts of Senator Domenici, who was then joined on our side of the aisle by Senator Kennedy and our own caucus leaders, Senator Reid and Senator Durbin, the Senate has neither considered as a body nor passed mental health parity in either the 108th Congress or the 109th Congress.
In other words, during the last 4 years following Senator Wellstone's terrible tragedy, the Senate has not acted to pass this legislation.
That is why Senator Durbin's resolution today is so timely and so important in these final days of the 109th session. It states that Senator Wellstone should be remembered for his compassion and leadership on social issues, and the Congress should act to end discrimination against citizens of the United States who live with a illness by passing legislation relating to mental health parity as a priority for the 110th Congress.
One of Paul's favorite quotes was that of a rabbi many years ago who concluded by saying: If not now, when? If not now, unfortunately, then at least in the 110th Congress, over the next 2 years, it is my fervent hope, although I will not be here, and even though my colleague, Senator Paul Wellstone, will not be here, his spirit will continue to carry this legislation forward, and with the leadership of Senator Durbin and others who have championed this cause in the Senate and with greater understanding perhaps on the other side of Capitol Hill in the House about the importance of this legislation to millions and millions of Americans, this would be one of Senator Wellstone's proudest moments. It would be one of the Senate's and Congress's great accomplishments, if mental health parity were to be made the law of this country for the millions of those who would benefit from it.
I again thank Senator Durbin.
I yield the floor.
I thank the Senator from Illinois. Senator Wellstone was an eternal optimist. I share the Senator's hope that something might be possible this year. If not, this resolution passing on that responsibility to the 110th Congress is very timely and appropriate. I am glad to cosponsor it.
Estate Tax
Mr. President, I object, not on my account but on behalf of some of my Senate colleagues who, I stress, want to join with the program.
I commend the chairman for his leadership on behalf of this legislation and the support of the reauthorization, but they object to the permanent reduction in funding for their respective States which would occur under the formula the chairman referenced. They share my hope, along with the chairman, that this issue can be satisfactorily resolved for all concerned before the expiration, September 30, so that this--I think we all agree--very important and valuable program benefiting all of our States can continue uninterrupted.
I do object on their behalf.
Mr. President, again, to make the record clear, I am not objecting on my own account but on behalf of my other Senate colleagues. I thank the chairman for that improvement in the funds that are going to Minnesota. I strongly support the program and intend to vote for it.
I thank the chairman again for his leadership and his continuing efforts to get this important legislation reauthorized.
Mr. President, yesterday, Congress confirmed its obligation to the thousands of individuals living with and families affected by autism by passing the Combating Autism Act of 2006, S. 843. I am…
Mr. President, yesterday, Congress confirmed its obligation to the thousands of individuals living with and families affected by autism by passing the Combating Autism Act of 2006, S. 843. I am extremely pleased that the Senate passed this bill and sent it to the White House for the President's signature.
This anticipated law has a long history. Senators Santorum and Dodd worked diligently with me, Senator Kennedy, and our staffs for the past 2 years to develop this crucial piece of legislation to assist individuals living with autism and other developmental disabilities and their families. This legislation focuses on expanding autism research and coordination of that research at the National Institutes of Health, NIH, and increasing awareness of autism and its manifestation through the Centers of Disease Control and Prevention, CDC. In addition, the bill integrates the country's various
health, education, and disability programs serving children and families affected by autism. Finally, the bill provides a greater voice to the community of people affected by this disorder.
No one knows the cause of autism or exactly how many children are affected by autism and autism spectrum disorders; however, some studies suggest the numbers could be as high as 1 out of every 166 American children. But there are many things we do know about autism.
We know that early intervention is critical to helping children with autism reach their full potential. The earlier the intervention, the greater the chance a child has to grow and learn how to live with the disorder. Given the importance of early intervention, this bill will expand the necessary research to study the possible causes of autism especially at the critical early childhood development stages.
Also, we need greater understanding about the various forms of autism so that we can improve our ability to provide the right kinds of intervention and support. Finally, we need to provide better integration of the health, education, and disability programs already available to meet the anticipated and increasing demand for these interventions, supports, and services in the future.
The Combating Autism Act is an important step to address these needs and to find solutions that will improve the lives of children and families whose daily lives have been disrupted by autism.
I would like to close by adding my congratulations to the people who have had a key role in drafting and passing this key piece of health care legislation. First, I would like to thank my colleagues and their staff both in the Senate and in the House for their hard work in passing this critical legislation. I want to thank all the members of the Senate Committee on Health, Education, Labor, and Pensions, especially my friend and ranking member, Senator Kennedy, for his hard work and determination to seeing this bill become law. In addition, I would like thank and our colleagues in the House, Chairman Barton and Representatives Bono and DeGette.
This bill is the result of a tremendous amount of work across party lines. I want to thank the original bill cosponsors, Senators Santorum and Dodd, for introducing this legislation and for working with me to fine-tune it. They are to be commended for taking the lead on this issue and for the tremendous effort they put into making sure that some day we have a solution to autism.
Of course, in providing thanks to the Members, I would be remiss if I did not mention the staff. I would like to specifically acknowledge Randy Pate and Ryan Long, with Chairman Barton's office; Caya Lewis with Senator Kennedy's office; Jen Vesey with Senator Santorum; Jim Fenton, Ben Berwick, Tamar Magarik, and Elizabeth Hoffman with Senator Dodd; and Elizabeth Hall with Majority Leader Frist.
Finally, I would like to give thanks to my staff, both past and present--Shana Christrup, Steve Northrup, Aaron Bishop, Brittany Moore, Tec Chapman, and Martina Bebin, all on my health and disability outreach teams, for their diligence and determination as we worked together to craft this important and essential bill. I also would like to thank Katherine McGuire, who as my staff director has provided the leadership and guidance to ensure that this bill made it into law.
This process involved many dedicated staffers and many late nights. Staff were crucial in helping us reach the final compromise.
I also want to thank the various groups and individuals who work on behalf of children and families affected by autism and other developmental disabilities. There are so many people, primarily parents of children who have autism or an autism spectrum disorder, who have worked for years to see this day come to fruition that I cannot thank each one of them individually, but they should know that I greatly appreciate their tireless efforts, determination, unlimited patience, and commitment to seeing this bill was passed on behalf of their children and all people living with autism, autism spectrum disorder, or other developmental disabilities.
This is a comprehensive piece of legislation that will take the next steps toward providing greater research so that we can provide children with autism early intervention to enable them to grow and reach their full potential. I am proud that we are taking this step to pass the Combating Autism Act.
(At the request of Mr. Reid, the following statement was ordered to be printed in the Record.)
Bill Text
7 versions available
[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[S. 843 Enrolled Bill (ENR)]
S.843
One Hundred Ninth Congress
of the
United States of America
AT THE SECOND SESSION
Begun and held at the City of Washington on Tuesday,
the third day of January, two thousand and six
An Act
To amend the Public Health Service Act to combat autism through
research, screening, intervention and education.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Combating Autism Act of 2006''.
SEC. 2. CENTERS OF EXCELLENCE; IMPROVING AUTISM-RELATED RESEARCH.
(a) Centers of Excellence Regarding Research on Autism.--Section
409C of the Public Health Service Act (42 U.S.C.284g) is amended--
(1) in the section heading, by striking ``autism'' and
inserting ``autism spectrum disorder'';
(2) by striking the term ``autism'' each place such term
appears (other than the section heading) and inserting ``autism
spectrum disorder''; and
(3) in subsection (a)--
(A) by redesignating paragraph (2) as paragraph (3); and
(B) by striking paragraph (1) and inserting the following:
``(1) Expansion of activities.--The Director of NIH (in this
section referred to as the `Director') shall, subject to the
availability of appropriations, expand, intensify, and coordinate
the activities of the National Institutes of Health with respect to
research on autism spectrum disorder, including basic and clinical
research in fields including pathology, developmental neurobiology,
genetics, epigenetics, pharmacology, nutrition, immunology,
neuroimmunology, neurobehavioral development, endocrinology,
gastroenterology, and toxicology. Such research shall investigate
the cause (including possible environmental causes), diagnosis or
rule out, early detection, prevention, services, supports,
intervention, and treatment of autism spectrum disorder.
``(2) Consolidation.--The Director may consolidate program
activities under this section if such consolidation would improve
program efficiencies and outcomes.''.
(b) Centers of Excellence Generally.--Part A of title IV of the
Public Health Service Act (42 U.S.C. 281 et seq.) is amended by adding
at the end the following:
``SEC. 404H. REVIEW OF CENTERS OF EXCELLENCE.
``(a) In General.--Not later than April 1, 2008, and periodically
thereafter, the Secretary, acting through the Director of NIH, shall
conduct a review and submit a report to the appropriate committees of
the Congress on the centers of excellence.
``(b) Report Contents.--Each report under subsection (a) shall
include the following:
``(1) Evaluation of the performance and research outcomes of
each center of excellence.
``(2) Recommendations for promoting coordination of information
among centers of excellence.
``(3) Recommendations for improving the effectiveness,
efficiency, and outcomes of the centers of excellence.
``(c) Definition.--In this section, the term `center of excellence'
means an entity receiving funding under this title in its capacity as a
center of excellence.''.
SEC. 3. DEVELOPMENTAL DISABILITIES SURVEILLANCE AND RESEARCH PROGRAM.
(a) In General.--Title III of the Public Health Service Act (42
U.S.C. 241 et seq.) is amended by adding at the end the following:
``PART R--PROGRAMS RELATING TO AUTISM
``SEC. 399AA. DEVELOPMENTAL DISABILITIES SURVEILLANCE AND RESEARCH
PROGRAM.
``(a) Autism Spectrum Disorder and Other Developmental
Disabilities.--
``(1) In general.--The Secretary, acting through the Director
of the Centers for Disease Control and Prevention, may award grants
or cooperative agreements to eligible entities for the collection,
analysis, and reporting of State epidemiological data on autism
spectrum disorder and other developmental disabilities. An eligible
entity shall assist with the development and coordination of State
autism spectrum disorder and other developmental disability
surveillance efforts within a region. In making such awards, the
Secretary may provide direct technical assistance in lieu of cash.
``(2) Data standards.--In submitting epidemiological data to
the Secretary pursuant to paragraph (1), an eligible entity shall
report data according to guidelines prescribed by the Director of
the Centers for Disease Control and Prevention, after consultation
with relevant State and local public health officials, private
sector developmental disability researchers, and advocates for
individuals with autism spectrum disorder or other developmental
disabilities.
``(3) Eligibility.--To be eligible to receive an award under
paragraph (1), an entity shall be a public or nonprofit private
entity (including a health department of a State or a political
subdivision of a State, a university, or any other educational
institution), and submit to the Secretary an application at such
time, in such manner, and containing such information as the
Secretary may require.
``(b) Centers of Excellence in Autism Spectrum Disorder
Epidemiology.--
``(1) In general.--The Secretary, acting through the Director
of the Centers for Disease Control and Prevention, shall, subject
to the availability of appropriations, award grants or cooperative
agreements for the establishment of regional centers of excellence
in autism spectrum disorder and other developmental disabilities
epidemiology for the purpose of collecting and analyzing
information on the number, incidence, correlates, and causes of
autism spectrum disorder and other developmental disabilities.
``(2) Requirements.--To be eligible to receive a grant or
cooperative agreement under paragraph (1), an entity shall submit
to the Secretary an application containing such agreements and
information as the Secretary may require, including an agreement
that the center to be established under the grant or cooperative
agreement shall operate in accordance with the following:
``(A) The center will collect, analyze, and report autism
spectrum disorder and other developmental disability data
according to guidelines prescribed by the Director of the
Centers for Disease Control and Prevention, after consultation
with relevant State and local public health officials, private
sector developmental disability researchers, and advocates for
individuals with developmental disabilities.
``(B) The center will develop or extend an area of special
research expertise (including genetics, epigenetics, and
epidemiological research related to environmental exposures),
immunology, and other relevant research specialty areas.
``(C) The center will identify eligible cases and controls
through its surveillance system and conduct research into
factors which may cause or increase the risk of autism spectrum
disorder and other developmental disabilities.
``(c) Federal Response.--The Secretary shall coordinate the Federal
response to requests for assistance from State health, mental health,
and education department officials regarding potential or alleged
autism spectrum disorder or developmental disability clusters.
``(d) Definitions.--In this part:
``(1) Other developmental disabilities.--The term `other
developmental disabilities' has the meaning given the term
`developmental disability' in section 102(8) of the Developmental
Disabilities Assistance and Bill of Rights Act of 2000 (42 U.S.C.
15002(8)).
``(2) State.--The term `State' means each of the several
States, the District of Columbia, the Commonwealth of Puerto Rico,
American Samoa, Guam, the Commonwealth of the Northern Mariana
Islands, the Virgin Islands, and the Trust Territory of the Pacific
Islands.
``(e) Sunset.--This section shall not apply after September 30,
2011.
``SEC. 399BB. AUTISM EDUCATION, EARLY DETECTION, AND INTERVENTION.
``(a) Purpose.--It is the purpose of this section--
``(1) to increase awareness, reduce barriers to screening and
diagnosis, promote evidence-based interventions for individuals
with autism spectrum disorder or other developmental disabilities,
and train professionals to utilize valid and reliable screening
tools to diagnose or rule out and provide evidence-based
interventions for children with autism spectrum disorder and other
developmental disabilities; and
``(2) to conduct activities under this section with a focus on
an interdisciplinary approach (as defined in programs developed
under section 501(a)(2) of the Social Security Act) that will also
focus on specific issues for children who are not receiving an
early diagnosis and subsequent interventions.
``(b) In General.--The Secretary shall, subject to the availability
of appropriations, establish and evaluate activities to--
``(1) provide information and education on autism spectrum
disorder and other developmental disabilities to increase public
awareness of developmental milestones;
``(2) promote research into the development and validation of
reliable screening tools for autism spectrum disorder and other
developmental disabilities and disseminate information regarding
those screening tools;
``(3) promote early screening of individuals at higher risk for
autism spectrum disorder and other developmental disabilities as
early as practicable, given evidence-based screening techniques and
interventions;
``(4) increase the number of individuals who are able to
confirm or rule out a diagnosis of autism spectrum disorder and
other developmental disabilities;
``(5) increase the number of individuals able to provide
evidence-based interventions for individuals diagnosed with autism
spectrum disorder or other developmental disabilities; and
``(6) promote the use of evidence-based interventions for
individuals at higher risk for autism spectrum disorder and other
developmental disabilities as early as practicable.
``(c) Information and Education.--
``(1) In general.--In carrying out subsection (b)(1), the
Secretary, in collaboration with the Secretary of Education and the
Secretary of Agriculture, shall, subject to the availability of
appropriations, provide culturally competent information regarding
autism spectrum disorder and other developmental disabilities, risk
factors, characteristics, identification, diagnosis or rule out,
and evidence-based interventions to meet the needs of individuals
with autism spectrum disorder or other developmental disabilities
and their families through--
``(A) Federal programs, including--
``(i) the Head Start program;
``(ii) the Early Start program;
``(iii) the Healthy Start program;
``(iv) programs under the Child Care and Development
Block Grant Act of 1990;
``(v) programs under title XIX of the Social Security
Act (particularly the Medicaid Early and Periodic
Screening, Diagnosis and Treatment Program);
``(vi) the program under title XXI of the Social
Security Act (the State Children's Health Insurance
Program);
``(vii) the program under title V of the Social
Security Act (the Maternal and Child Health Block Grant
Program);
``(viii) the program under parts B and C of the
Individuals with Disabilities Education Act;
``(ix) the special supplemental nutrition program for
women, infants, and children established under section 17
of the Child Nutrition Act of 1966 (42 U.S.C. 1786); and
``(x) the State grant program under the Rehabilitation
Act of 1973.
``(B) State licensed child care facilities; and
``(C) other community-based organizations or points of
entry for individuals with autism spectrum disorder and other
developmental disabilities to receive services.
``(2) Lead agency.--
``(A) Designation.--As a condition on the provision of
assistance or the conduct of activities under this section with
respect to a State, the Secretary may require the Governor of
the State--
``(i) to designate a public agency as a lead agency to
coordinate the activities provided for under paragraph (1)
in the State at the State level; and
``(ii) acting through such lead agency, to make
available to individuals and their family members,
guardians, advocates, or authorized representatives;
providers; and other appropriate individuals in the State,
comprehensive culturally competent information about State
and local resources regarding autism spectrum disorder and
other developmental disabilities, risk factors,
characteristics, identification, diagnosis or rule out,
available services and supports, and evidence-based
interventions.
``(B) Requirements of agency.--In designating the lead
agency under subparagraph (A)(i), the Governor shall--
``(i) select an agency that has demonstrated experience
and expertise in--
``(I) autism spectrum disorder and other
developmental disability issues; and
``(II) developing, implementing, conducting, and
administering programs and delivering education,
information, and referral services (including
technology-based curriculum-development services) to
individuals with developmental disabilities and their
family members, guardians, advocates or authorized
representatives, providers, and other appropriate
individuals locally and across the State; and
``(ii) consider input from individuals with
developmental disabilities and their family members,
guardians, advocates or authorized representatives,
providers, and other appropriate individuals.
``(C) Information.--Information under subparagraph (A)(ii)
shall be provided through--
``(i) toll-free telephone numbers;
``(ii) Internet websites;
``(iii) mailings; or
``(iv) such other means as the Governor may require.
``(d) Tools.--
``(1) In general.--To promote the use of valid and reliable
screening tools for autism spectrum disorder and other
developmental disabilities, the Secretary shall develop a
curriculum for continuing education to assist individuals in
recognizing the need for valid and reliable screening tools and the
use of such tools.
``(2) Collection, storage, coordination, and availability.--The
Secretary, in collaboration with the Secretary of Education, shall
provide for the collection, storage, coordination, and public
availability of tools described in paragraph (1), educational
materials and other products that are used by the Federal programs
referred to in subsection (c)(1)(A), as well as--
``(A) programs authorized under the Developmental
Disabilities Assistance and Bill of Rights Act of 2000;
``(B) early intervention programs or interagency
coordinating councils authorized under part C of the
Individuals with Disabilities Education Act; and
``(C) children with special health care needs programs
authorized under title V of the Social Security Act.
``(3) Required sharing.--In establishing mechanisms and
entities under this subsection, the Secretary, and the Secretary of
Education, shall ensure the sharing of tools, materials, and
products developed under this subsection among entities receiving
funding under this section.
``(e) Diagnosis.--
``(1) Training.--The Secretary, in coordination with activities
conducted under title V of the Social Security Act, shall, subject
to the availability of appropriations, expand existing
interdisciplinary training opportunities or opportunities to
increase the number of sites able to diagnose or rule out
individuals with autism spectrum disorder or other developmental
disabilities and ensure that--
``(A) competitive grants or cooperative agreements are
awarded to public or nonprofit agencies, including institutions
of higher education, to expand existing or develop new maternal
and child health interdisciplinary leadership education in
neurodevelopmental and related disabilities programs (similar
to the programs developed under section 501(a)(2) of the Social
Security Act) in States that do not have such a program;
``(B) trainees under such training programs--
``(i) receive an appropriate balance of academic,
clinical, and community opportunities;
``(ii) are culturally competent;
``(iii) are ethnically diverse;
``(iv) demonstrate a capacity to evaluate, diagnose or
rule out, develop, and provide evidence-based interventions
to individuals with autism spectrum disorder and other
developmental disabilities; and
``(v) demonstrate an ability to use a family-centered
approach; and
``(C) program sites provide culturally competent services.
``(2) Technical assistance.--The Secretary may award one or
more grants under this section to provide technical assistance to
the network of interdisciplinary training programs.
``(3) Best practices.--The Secretary shall promote research
into additional valid and reliable tools for shortening the time
required to confirm or rule out a diagnosis of autism spectrum
disorder or other developmental disabilities and detecting
individuals with autism spectrum disorder or other developmental
disabilities at an earlier age.
``(f) Intervention.--The Secretary shall promote research, through
grants or contracts, to determine the evidence-based practices for
interventions for individuals with autism spectrum disorder or other
developmental disabilities, develop guidelines for those interventions,
and disseminate information related to such research and guidelines.
``(g) Sunset.--This section shall not apply after September 30,
2011.
``SEC. 399CC. INTERAGENCY AUTISM COORDINATING COMMITTEE.
``(a) Establishment.--The Secretary shall establish a committee, to
be known as the `Interagency Autism Coordinating Committee' (in this
section referred to as the `Committee'), to coordinate all efforts
within the Department of Health and Human Services concerning autism
spectrum disorder.
``(b) Responsibilities.--In carrying out its duties under this
section, the Committee shall--
``(1) develop and annually update a summary of advances in
autism spectrum disorder research related to causes, prevention,
treatment, early screening, diagnosis or rule out, intervention,
and access to services and supports for individuals with autism
spectrum disorder;
``(2) monitor Federal activities with respect to autism
spectrum disorder;
``(3) make recommendations to the Secretary regarding any
appropriate changes to such activities, including recommendations
to the Director of NIH with respect to the strategic plan developed
under paragraph (5);
``(4) make recommendations to the Secretary regarding public
participation in decisions relating to autism spectrum disorder;
``(5) develop and annually update a strategic plan for the
conduct of, and support for, autism spectrum disorder research,
including proposed budgetary requirements; and
``(6) submit to the Congress such strategic plan and any
updates to such plan.
``(c) Membership.--
``(1) In general.--The Committee shall be composed of--
``(A) the Director of the Centers for Disease Control and
Prevention;
``(B) the Director of the National Institutes of Health,
and the Directors of such national research institutes of the
National Institutes of Health as the Secretary determines
appropriate;
``(C) the heads of such other agencies as the Secretary
determines appropriate;
``(D) representatives of other Federal Governmental
agencies that serve individuals with autism spectrum disorder
such as the Department of Education; and
``(E) the additional members appointed under paragraph (2).
``(2) Additional members.--Not fewer than 6 members of the
Committee, or 1/3 of the total membership of the Committee,
whichever is greater, shall be composed of non-Federal public
members to be appointed by the Secretary, of which--
``(A) at least one such member shall be an individual with
a diagnosis of autism spectrum disorder;
``(B) at least one such member shall be a parent or legal
guardian of an individual with an autism spectrum disorder; and
``(C) at least one such member shall be a representative of
leading research, advocacy, and service organizations for
individuals with autism spectrum disorder.
``(d) Administrative Support; Terms of Service; Other Provisions.--
The following provisions shall apply with respect to the Committee:
``(1) The Committee shall receive necessary and appropriate
administrative support from the Secretary.
``(2) Members of the Committee appointed under subsection
(c)(2) shall serve for a term of 4 years, and may be reappointed
for one or more additional 4 year term. Any member appointed to
fill a vacancy for an unexpired term shall be appointed for the
remainder of such term. A member may serve after the expiration of
the member's term until a successor has taken office.
``(3) The Committee shall meet at the call of the chairperson
or upon the request of the Secretary. The Committee shall meet not
fewer than 2 times each year.
``(4) All meetings of the Committee shall be public and shall
include appropriate time periods for questions and presentations by
the public.
``(e) Subcommittees; Establishment and Membership.--In carrying out
its functions, the Committee may establish subcommittees and convene
workshops and conferences. Such subcommittees shall be composed of
Committee members and may hold such meetings as are necessary to enable
the subcommittees to carry out their duties.
``(f) Sunset.--This section shall not apply after September 30,
2011, and the Committee shall be terminated on such date.
``SEC. 399DD. REPORT TO CONGRESS.
``(a) In General.--Not later than 4 years after the date of
enactment of the Combating Autism Act of 2006, the Secretary, in
coordination with the Secretary of Education, shall prepare and submit
to the Health, Education, Labor, and Pensions Committee of the Senate
and the Energy and Commerce Committee of the House of Representatives a
progress report on activities related to autism spectrum disorder and
other developmental disabilities.
``(b) Contents.--The report submitted under subsection (a) shall
contain--
``(1) a description of the progress made in implementing the
provisions of the Combating Autism Act of 2006;
``(2) a description of the amounts expended on the
implementation of the particular provisions of Combating Autism Act
of 2006;
``(3) information on the incidence of autism spectrum disorder
and trend data of such incidence since the date of enactment of the
Combating Autism Act of 2006;
``(4) information on the average age of diagnosis for children
with autism spectrum disorder and other disabilities, including how
that age may have changed over the 4-year period beginning on the
date of enactment of this Act;
``(5) information on the average age for intervention for
individuals diagnosed with autism spectrum disorder and other
developmental disabilities, including how that age may have changed
over the 4-year period beginning on the date of enactment of this
Act;
``(6) information on the average time between initial screening
and then diagnosis or rule out for individuals with autism spectrum
disorder or other developmental disabilities, as well as
information on the average time between diagnosis and evidence-
based intervention for individuals with autism spectrum disorder or
other developmental disabilities;
``(7) information on the effectiveness and outcomes of
interventions for individuals diagnosed with autism spectrum
disorder, including by various subtypes, and other developmental
disabilities and how the age of the child may affect such
effectiveness;
``(8) information on the effectiveness and outcomes of
innovative and newly developed intervention strategies for
individuals with autism spectrum disorder or other developmental
disabilities; and
``(9) information on services and supports provided to
individuals with autism spectrum disorder and other developmental
disabilities who have reached the age of majority (as defined for
purposes of section 615(m) of the Individuals with Disabilities
Education Act (20 U.S.C. 1415(m)).''.
(b) Repeals.--The following sections of the Children's Health Act
of 2000 (Public Law 106-310) are repealed:
(1) Section 102 (42 U.S.C. 247b-4b), relating to the
Developmental Disabilities Surveillance and Research Program.
(2) Section 103 (42 U.S.C. 247b-4c), relating to information
and education.
(3) Section 104 (42 U.S.C. 247b-4d), relating to the Inter-
Agency Autism Coordinating Committee.
(4) Section 105 (42 U.S.C. 247b-4e), relating to reports.
SEC. 4. AUTHORIZATION OF APPROPRIATIONS.
(a) In General.--Part R of title III of the Public Health Service
Act, as added by section 3, is amended by adding at the end the
following:
``SEC. 399EE. AUTHORIZATION OF APPROPRIATIONS.
``(a) Developmental Disabilities Surveillance and Research
Program.--To carry out section 399AA, there are authorized to be
appropriated the following:
``(1) For fiscal year 2007, $15,000,000.
``(2) For fiscal year 2008, $16,500,000.
``(3) For fiscal year 2009, $18,000,000.
``(4) For fiscal year 2010, $19,500,000.
``(5) For fiscal year 2011, $21,000,000.
``(b) Autism Education, Early Detection, and Intervention.--To
carry out section 399BB, there are authorized to be appropriated the
following:
``(1) For fiscal year 2007, $32,000,000.
``(2) For fiscal year 2008, $37,000,000.
``(3) For fiscal year 2009, $42,000,000.
``(4) For fiscal year 2010, $47,000,000.
``(5) For fiscal year 2011, $52,000,000.
``(c) Interagency Autism Coordinating Committee; Certain Other
Programs.--To carry out section 399CC, 409C, and section 404H, there
are authorized to be appropriated the following:
``(1) For fiscal year 2007, $100,000,000.
``(2) For fiscal year 2008, $114,500,000.
``(3) For fiscal year 2009, $129,000,000.
``(4) For fiscal year 2010, $143,500,000.
``(5) For fiscal year 2011, $158,000,000.''.
(b) Conforming Amendment.--Section 409C of the Public Health
Service Act (42 U.S.C. 284g) is amended by striking subsection (e)
(relating to funding).
Speaker of the House of Representatives.
Vice President of the United States and
President of the Senate.