I want to thank the gentleman from Utah (Mr. Bishop) for yielding me the customary 30 minutes, and yield myself such time as I may consume. (Mr. McGOVERN asked and was given permission to revise and…
I want to thank the gentleman from Utah (Mr. Bishop) for yielding me the customary 30 minutes, and yield myself such time as I may consume.
(Mr. McGOVERN asked and was given permission to revise and extend his remarks.)
Mr. Speaker, I want to begin by thanking the majority for bringing up a bipartisan bill. It's not often that this majority works in a bipartisan way on legislation. In fact, it's a rarity. But, in this case, Chairman Hastings worked with Ranking Member Markey to produce a bill that should pass the House with very, very little opposition.
In fact, we have a streamlined process here in the House for noncontroversial bills like this. It's called the suspension calendar. This is a perfect bill for the suspension calendar. We could be done with this bill in 40 minutes. We could debate, vote, and send it to the Senate so they could send it to the President.
But, instead, the majority is stretching this bill out over 2 days--2 days, Mr. Speaker, to consider a bill that isn't controversial and will pass overwhelmingly, 2 days to consider this bill when there are so many other urgent challenges that this majority continues to ignore, 2 days on the Responsible Helium Administration and Stewardship Act. That's a lot of hot air even for this House. So while we're spending a ridiculous amount of time on this bill, the Republican majority continues to ignore the economy.
The gentleman from Utah is right when he says that this could potentially be a problem if we don't address this issue of helium, but that's not until the end of the fiscal year. We have some major problems right now this very second that the majority of this House continues to ignore, challenges that impact our constituencies all over this country.
This sequester that my friends on the other side embraced is still going into effect. We've already seen cuts to programs like Meals on Wheels and on food pantries and WIC recipients and Head Start facilities, just to name a few.
I would like to enter into the Record, Mr. Speaker, a news item that appeared on a Fox affiliate out in Utah entitled, ``Sequestration forces food pantry closure.''
We started hearing reports about airport delays because of the sequester's impact on the FAA. And I really got a kick out of my Republican colleagues coming down here kind of expressing their astonishment that there were airport delays as a result of sequestration. They actually had the temerity to complain about those delays.
I asked my friends on the other side of the aisle: What did you think would happen when you voted for unnecessary, arbitrary, senseless across-the-board cuts? My Republican friends remind me of Claude Rains in ``Casablanca.'' They are shocked--shocked--that voting to slash funding for air traffic controllers would result in their flights being delayed.
Well, I want my friends to understand one thing. There are consequences to their actions. There are consequences to the sequestration.
The truth, Mr. Speaker, is that deficit reduction is an important goal, but deficit reduction alone is not an economic policy. We know that mindless austerity budget cuts like this stupid sequester are not going to help our economy grow and help people get jobs and help get our economy back on the kind of footing we all want it to be on.
When Bill Clinton was President, when he rescued the economy in the 1990s, he did so through job creation, investing in our economy. We expanded the tax base by increasing the workforce, bringing more revenue into the Federal Government and thereby reducing the deficit.
And here's the funny thing. Despite the apocalyptic gloom and doom of some on the other side of the aisle, believe it or not, the deficit is actually shrinking faster than expected. And the best thing we can do is to help speed up that process by investing in our people and creating jobs. We should be promoting growth through infrastructure projects and job-training programs. We should be creating long-term demand through research and development, not cutting the National Institutes of Health's research budget, not cutting the National Science Foundation. We should be supporting these areas that create innovation and opportunity. We should be investing in our young people, preparing our students for the 21st century economy, but we're not doing any of that today--any of that today.
And, yes, the bill before us that we're dealing with right now is fine, no problems. Yes, Republicans and Democrats worked together on this in a way that
is sadly uncommon for this current Congress, but we aren't doing enough to solve our biggest problems.
Tomorrow, when we adjourn after this overlong debate on this helium bill, we're going to take another week off--the sixth week of recess that this House of Representatives has taken since January--the sixth weeklong recess with all that's going on. With all of the difficulty that people all across this country are dealing with because of the sequestration, we're taking another week off.
Mr. Speaker, I think we should do more, we can do more, we must do more, and we certainly can do better. So while I have no problem with this bill, and while, if we don't deal with this helium issue come the end of the fiscal year there may be a problem, we'll deal with it fast enough. Right now there are urgent issues that we need to face, not just airline delays. There are people in this country who have fallen through the cracks. There are people in this country struggling who are seeing their benefits slashed because of the sequestration. There are research facilities all across this country that are terminating important medical research programs because of the sequestration. We ought to deal with that.
And one other thing, Mr. Speaker. My friends on the other side of the aisle a few weeks ago made a big hoo-ha and sent all kinds of press releases about how they were going to force the House and the Senate to pass budgets, otherwise we would lose our salaries.
Well, the House passed a budget, a lousy budget, but the House passed a budget. The Senate passed a budget, as well. So you have two budgets. Why doesn't the House move to go to conference? Why aren't we trying to reconcile the differences between the House and the Senate to try to get our budgetary situation under control? We're not doing that. We're not doing anything, quite frankly, that we need to do at this moment.
So I would urge my colleagues, this is a fine bill, vote for it, bipartisan support. Mr. Hastings, Mr. Markey, it's all good, but we're spending 2 days on this? Give me a break.
I reserve the balance of my time.
[From fox13now.com, Mar. 29, 2013]
Sequestration Forces Food Pantry Closure
(By Zach Whitney)
Murray, UT.--For months, the threat of sequestration has
had organizations tightening their budgets. But as those
federal cuts take effect, it appears those in need are taking
the biggest hit.
Salt Lake Community Action Program closed its Murray food
pantry last week. The food pantry was one of five locations
that serve over 1,000 people every month. Now those people
will have to go somewhere else, with even less to go around.
``The potential is for a perfect storm where there's less
help available and it's harder for people to get by,'' says
Crossroads Urban Center Executive Director Glenn Bailey.
Crossroads Urban Center relies on private donations for
funding, but says they're prepared for a potential increase
in traffic as sequestration cuts begin to impact other parts
of the valley.
``There's a lot of uncertainty as far as groups that have
something to do with providing a social safety net,'' says
Bailey. ``That certainly includes food pantries. Particularly
if they have significant government funding.''
The closure of the SLCAP food pantry in Murray is a big
hole in that safety net. Neighborhood Pantry Manager Mary
Anderson says the federal cuts left them little choice.
``The pantries have had to take a 10 percent budget cut,''
Anderson says. ``We operate on Community Development Federal
Block Grants, which are government programs.''
Customers from the Murray pantry are being diverted to
SLCAP's pantry on Redwood Road. But Anderson says it's a big
inconvenience for a group of people who are already
struggling.
``The need has been increasing a lot,'' says Anderson.
``Over 200% [in the past five years]. But also our other
programs.''
Anderson says the organization's Head Start program has
also taken a significant cut due to sequestration. Affordable
housing programs are another on the chopping block. Bailey
says that perpetuates the problem, since those are typically
the people who also rely on the food pantry.
I yield myself such time as I may consume.
I would just like to remind my colleagues that, again, as we are debating this bill--which I'm not saying we shouldn't pass--even with all of the amendments, we could probably spend, maybe, a total of an hour on this bill and get all of those things taken care of. I have no problem with passing the bill.
What I do have a problem with is the fact that this Republican majority continues to ignore the economy. This Republican majority continues to ignore the very, very harsh consequences of the sequestration that they thrust upon this country, that they voted for, that they will not allow us to bring up an alternative to fix.
I want to read for my colleagues and insert into the Record an article that appeared in The Washington Post on April 3. It's entitled, ``Cancer Clinics are Turning Away Thousands of Medicare Patients. Blame the Sequester.''
It reads:
Cancer clinics across the country have begun turning away
thousands of Medicare patients, blaming the sequester budget
cuts.
Oncologists say the reduced funding, which took effect for
Medicare care on April 1, makes it impossible to administer
expensive chemotherapy drugs while staying afloat
financially. Patients at these clinics would need to seek
treatment elsewhere, such as at hospitals that might not have
the capacity to accommodate them.
When the gentleman says that he's sorry that this helium bill isn't good enough for some, he's right. It isn't good enough for me. It isn't good enough for the majority of people on my side of the aisle who believe that we ought to be fixing this problem that many cancer patients are facing right now, that we ought to be fixing the problem of the delays in our airlines, that we ought to be fixing the problems of these budget cuts to programs like WIC--that's the Women, Infants, and Children program--and food banks. I could go right down the list.
So there are urgent things for us to do, not to spend 2 days on helium--that is totally unnecessary--and then take another week off, to adjourn for another week, while all of these cuts continue to go into effect, these cuts which have a really nasty and negative effect on our economy. We ought to be doing our job here, not kicking the can down the road.
[From the Washington Post, Apr. 3, 2013]
Cancer Clinics are Turning Away Thousands of Medicare Patients. Blame
the Sequester.
(By Sarah Kliff)
Cancer clinics across the country have begun turning away
thousands of Medicare patients, blaming the sequester budget
cuts.
Oncologists say the reduced funding, which took effect for
Medicare on April 1, makes it impossible to administer
expensive chemotherapy drugs while staying afloat
financially.
Patients at these clinics would need to seek treatment
elsewhere, such as at hospitals that might not have the
capacity to accommodate them.
``If we treated the patients receiving the most expensive
drugs, we'd be out of business in six months to a year,''
said Jeff Vacirca, chief executive of North Shore Hematology
Oncology Associates in New York. ``The drugs we're going to
lose money on we're not going to administer right now.''
After an emergency meeting Tuesday, Vacirca's clinics
decided that they would no longer see one-third of their
16,000 Medicare patients.
``A lot of us are in disbelief that this is happening,'' he
said. ``It's a choice between seeing these patients and
staying in business.''
Some who have been pushing the federal government to spend
less on health care say this is not the right approach.
``I don't think there was an intention to disrupt care or
move it into a more expensive setting,'' said Cathy Schoen,
senior vice president of the Commonwealth Fund, which
recently released a plan for cutting $2 trillion in health
spending. ``If that's the case, we're being penny-wise and a
pound-foolish with these cuts.''
Legislators meant to partially shield Medicare from the
automatic budget cuts triggered by the sequester, limiting
the program to a 2 percent reduction--a fraction of the cuts
seen by other federal programs.
But oncologists say the cut is unexpectedly damaging for
cancer patients because of the way those treatments are
covered.
Medications for seniors are usually covered under the
optional Medicare Part D, which includes private insurance.
But because cancer drugs must be administered by a physician,
they are among a handful of pharmaceuticals paid for by Part
B, which covers doctor visits and is subject to the sequester
cut.
The federal government typically pays community oncologists
for the average sales price of a chemotherapy drug, plus 6
percent to cover the cost of storing and administering the
medication.
Since oncologists cannot change the drug prices, they argue
that the entire 2 percent cut will have to come out of that 6
percent overhead. That would make it more akin to a double-
digit pay cut.
``If you get cut on the service side, you can either absorb
it or make do with fewer nurses,'' said Ted Okon, director of
the Community Oncology Alliance, which advocates for hundreds
of cancer clinics nationwide. ``This is a drug that we're
purchasing. The costs don't change and you can't do without
it. There isn't really wiggle room.''
Okon's group has sent letters to legislators urging them to
exempt cancer drugs from the sequester or, as a back-up, only
shave 2 percent off the money they receive to administer the
medications.
Doctors at the Charleston Cancer Center in South Carolina
began informing patients weeks ago that, due to the sequester
cuts, they would soon need to seek treatment elsewhere.
``We don't sugar-coat things, we're cancer doctors,''
Charles Holladay, a doctor at the clinic, said. ``We tell
them that if we don't go this course, it's just a matter of
time before we go out of business.''
Cancer patients turned away from local oncology clinics may
seek care at hospitals, which also deliver chemotherapy
treatments.
The care will likely be more expensive: One study from
actuarial firm Milliman found that chemotherapy delivered in
a hospital setting costs the federal government an average of
$6,500 more annually than care delivered in a community
clinic.
Those costs can trickle down to patients, who are
responsible for picking up a certain amount of the medical
bills. Milliman found that Medicare patients ended up with an
average of $650 more in out-of-pocket costs when they were
seen only in a hospital setting.
It is still unclear whether hospitals have the capacity to
absorb these patients. The same Milliman report found that
the majority of Medicare patients--66 percent--receive
treatment in a community oncology clinic, instead of a
hospital.
Non-profit hospitals will likely have an easier time
bearing the brunt of the sequester cuts. A federal program
known as 340B requires pharmaceutical companies to give
double-digit discounts to hospitals that treat low-income and
uninsured patients.
Eastern Connecticut Health Network began preparing for
additional volume after a local oncology practice sent out
notice that it would stop seeing certain cancer patients.
``What we're trying to do in the hospital is prepare for
this,'' ECHN spokesman Eric Berthel said. ``We're making sure
we have access to the pharmaceutical companies and that we
have appropriate staff on hand. We're hoping the oncology
practice will be successful in renegotiating this. It's so
fresh, so we're pretty unsure.''
Some cancer clinics are counting on the federal government
to provide relief, and continuing to see patients they expect
to lose money on.
``We're hoping that something will change, as legislators
see the impact of this,'' Ralph Boccia, director of the
Center for Cancer and Blood Disorders in Bethesda, Md., said.
``I don't think we could keep going, without a change, for
more than a couple of months.''
An analysis prepared by his clinic estimates that, if the
full 2 percent cut takes effect, between 50 and 70 percent of
the drugs it administers would become money losers.
Boccia estimates that 55 percent of his patients are
covered by Medicare, making any changes to reimbursement
rates difficult to weather.
``When I look at the numbers, they don't add up,'' he said.
``Business 101 says we can't stay open if we don't cover our
costs.''
At this point, I yield 3 minutes to the ranking member of the Committee on Natural Resources' Subcommittee on Energy and Mineral Resources, the gentleman from New Jersey (Mr. Holt).
Mr. Speaker, I yield myself such time as I may consume.
Let me respond to my friend from Utah by simply saying that I think going on a week-long recess while people are being furloughed, while cuts in medical research go forward, while we see cuts in programs like WIC and cuts in programs like food banks and scientific research, I think going on recess with all of this happening, quite frankly, is unconscionable. That's running away from our responsibility here in this Congress and running away from our responsibility to our constituents.
The Democrats have had an alternative to sequestration. Mr. Van Hollen has tried on countless occasions to have the Rules Committee allow him the opportunity to bring his alternative to the floor. He's been turned down every single time.
Again, I really appreciated my Republican friends who came down here and were upset about the flight delays. They're upset about the flight delays because, quite frankly, that impacts them directly. What was missing from their outrage were the cuts in WIC, the cuts in food banks, the cuts in medical research and the furloughs. Why aren't they complaining about that as well? Maybe because it doesn't affect them directly.
But I think the idea of leaving here for a week with this sequestration in play is an absolute disgrace, and I reserve the balance of my time.
Mr. Speaker, I yield myself such time as I may consume.
I want to thank the gentlelady from Florida for her comments. I appreciate the fact that she has a beautiful district in southern Florida, and I appreciate the fact that she's going to spend her recess going to a student awards ceremony to honor kids who have a good attendance record.
But with all due respect, Mr. Speaker, I think my colleague's time, and in effect all of our time, would be better spent trying to solve the sequestration problem, trying to avoid deep cuts in medical research that will cost jobs, that will delay advancements in medical science, that perhaps could find cures for diseases like Alzheimer's or Parkinson's or diabetes. By the way, if we found a cure for one of those diseases, it would help make Medicare and Medicaid solvent forever and ever and ever. So investment actually does pay off.
I appreciate the fact that she brought a guest on the floor here today, a young student. But I would simply say that the sequestration cuts education. Sequestration actually cuts education. It will be more difficult to fund our schools. It will be more difficult to be able to provide students with the financial aid that they need to go to college because of the sequestration.
So with all due respect about all of the wonderful things that my colleagues will be doing during their recess, it is still a recess. It is a week that we are not dealing with the budget. It is a week we are not dealing with sequestration.
And by the way, I understand that it has become fashionable to blame the Senate for everything, but when it comes to the budget, the House has passed a budget. The Senate has passed a budget. We're waiting for the House to go to conference. So we're going to vote in a little while, and then that's it for the day. We're done. We're done for the day. Why aren't we going to conference with the Senate on a budget? Why are we not doing something meaningful?
So with that, Mr. Speaker, I again respect the itinerary of my colleague from Florida, but I'll tell you, there are lot of workers who are being furloughed who are expecting us to come to some sort of solution so they don't lose a week or a month's pay, which will make it more difficult for them to pay their mortgage and their utility bills, and for their kids. This is urgent, and we're not dealing with it.
I reserve the balance of my time.
Mr. Speaker, I yield 2 minutes to the gentlewoman from New York (Ms. Slaughter), the distinguished ranking member of the Committee on Rules.
I yield an additional 1 minute to the gentlewoman.
Mr. Speaker, I'll close, but I would be interested to know whether anybody on the other side can tell me when we might go to conference on the budget? The House has passed a budget. The Senate has passed a budget. I thought the whole point of getting the Senate to pass a budget was to go to conference and try to work out the differences. I don't know whether anybody on the other side of the aisle has any information on when we might go to conference. It's the House's responsibility to ask for a conference. I'm just trying to get a sense. If not today, will it be tomorrow? Surely it won't be next week because we're on break next week. Anybody?
Okay, thank you for that informative answer.
Mr. Speaker, let me close by saying I have no problem with this helium bill. There is value to passing this bill. It doesn't have to be passed today. It could be passed anywhere up until the end of this fiscal year, but I'm fine with passing it today. It's not controversial. This could pass really quickly, but we are stretching it over 2 days for reasons that none of us can quite fathom.
But the problem is not with the helium bill. The problem is with what we're not doing. And as we speak, there are people who are losing their jobs. There are people who are being furloughed. There are cancer patients who are not getting access to their treatments. There are poor women who benefit from the WIC program who are not getting that benefit. There are food banks that are being closed all around this country.
There is medical research that is being curtailed. There is scientific research that is being curtailed, all while we speak. And all this is vitally important to our economy. All this is vitally important to our economy. And yet we're doing nothing. We're doing nothing. We're just going to kind of wait it out.
And what we're saying on this side of the aisle is we ought to do something. We ought to be debating what is urgent right now before the American people, and that is the cuts that are impacting them as a result of sequestration. That's what we should be talking about right now. That's what we should be debating. I don't know why that's such a controversial idea.
But we're not. We're going to do this bill, which is not urgent, and we're going to go home for a week, the sixth week of recess since January, the sixth week of recess.
And, again, I appreciate the fact that we all have busy schedules when we go home--I do as well--but the idea of leaving here while people are being furloughed, while families are being hurt, I just find unconscionable.
And so our complaint is with the fact that we're not addressing the central issue before the American people today, and that is these devastating cuts. And I would like to think that we could get some clue from somebody that, at some point in the near future, we would be able to deal with it.
Just one final point. My friends on the other side of the aisle embrace this idea of sequestration, so my friends own it. I think it's your responsibility to at least provide us the forum to find a way out of it.
I will close by saying, Mr. Speaker, that, again, we have no problem with the helium bill. We could do this in an hour, with all the amendments. That's how noncontroversial it is.
But the idea that we're stretching it over 2 days, and we're not dealing with these devastating cuts and sequestration, I think, is just wrong.
With that, I yield back the balance of my time.