Mr. Speaker, I yield myself such time as I may consume, and I thank my colleague from the Rules Committee for yielding me the customary 30 minutes. Before I start, I include in the Record a letter…
Mr. Speaker, I yield myself such time as I may consume, and I thank my colleague from the Rules Committee for yielding me the customary 30 minutes.
Before I start, I include in the Record a letter from over 20 healthcare provider organizations regarding the danger of cutting certain providers off from title X funding because they also provide abortion with private funds.
February 3, 2017.
Hon. Mitch McConnell,
Senate Majority Leader,
Washington, DC.
Hon. Charles Schumer,
Senate Minority Leader,
Washington, DC.
Hon. Paul Ryan,
Speaker of the House of Representatives,
Washington, DC.
Hon. Nancy Pelosi,
Minority Leader, House of Representatives,
Washington, DC.
Dear Leader McConnell, Speaker Ryan, Leader Schumer and
Leader Pelosi: As organizations representing health care and
public health professionals and the people they serve across
the country, we strongly oppose any effort to prevent Planned
Parenthood health centers from participating in federal
health programs, including Medicaid and the Title X family
planning program. Any proposal to exclude Planned Parenthood
from public health programs will severely curtail women's
access to essential health care services, including family
planning, well-woman exams, breast and cervical cancers
screenings, and HIV testing and counseling. At a time when
there is much uncertainty about the future of affordable
health care in our country, it is dangerous to cut off access
to the life-saving preventive care that Planned Parenthood
provides to some of our nation's most vulnerable patients.
Planned Parenthood health centers play a crucial role in
improving the health and lives of people across the country.
In fact, 2.5 million women, men and young people rely on
Planned Parenthood for health care every year. For many
women, Planned Parenthood is their only source of care--
offering basic preventive services that are fundamental to
women's health and well-being. More than 50% of Planned
Parenthood health centers are in areas with health
professional shortages, rural or medically underserved areas.
In 2014 alone, Planned Parenthood health centers provided
nearly 400,000 cervical cancer screenings and more than
360,000 breast exams. Additionally, Planned Parenthood
provides contraceptive services for over 2 million patients
and more than 4 million tests and treatments for sexually
transmitted infections, including HIV. These services improve
women's health, prevent an estimated 579,000 unintended
pregnancies, and decrease infant mortality.
Policies that would exclude Planned Parenthood from public
health funding would hurt millions of patients and undermine
health care access in communities across the country.
Limiting access to Planned Parenthood's approximately 650
health care centers across the country would prevent patients
from having timely access to basic preventive health care
services. Approximately 60 percent of Planned Parenthood
patients access care through Medicaid and Title X, in
addition to those who rely on other essential programs,
including maternal and child health programs and Centers for
Disease and Prevention (CDC) breast and cervical cancer
screening programs. In some states, Planned Parenthood is the
only provider participating in Title X, and more than 50
percent of Planned Parenthood health centers are located in a
medically underserved or health professional shortage area.
Because federal law already requires health care providers to
demonstrate that no federal funds are used for abortion,
prohibitions on funding for preventive care at Planned
Parenthood health centers will only devastate access to these
life-saving services.
In addition to limiting patients access to health care,
defunding Planned Parenthood is not cost effective. The
Congressional Budget Office (CBO) estimates that
approximately 390,000 women would lose access and up to
650,000 patients could face reduced access to preventive
health care within a year should Congress act to block all
Medicaid patients from receiving care at Planned Parenthood
health centers. The CBO also projects that excluding Planned
Parenthood health centers from receiving reimbursement
through the Medicaid program would result in a net cost to
taxpayers of $130 million over 10 years because of the
increase in unintended pregnancies without the contraceptive
care provided by Planned Parenthood. Other publicly funded
health centers would not be able to compensate for the loss
of affordable family planning and reproductive health care
services provided by Planned Parenthood.
Every day, we see the harmful impact that unequal access to
health care has on women and communities across the country,
and we therefore strongly support policies that improve
access to affordable, quality health care. Policies that
would deny Planned Parenthood public health funds only serve
to cut millions off from critical preventive care, and we
strongly oppose any effort to do so. We also recognize this
as part of a broader effort to undermine access to safe,
legal abortion and curtail access to other reproductive
health care by limiting the ability of abortion providers to
participate in public health programs.
Sincerely,
American Academy of Nursing, American Academy of
Pediatrics, American College of Nurse-Midwives, American
Congress of Obstetricians and Gynecologists, American Medical
Student Association, American Medical Women's Association
(AMWA), American Nurses Association, American Psychological
Association, American Public Health Association, American
Society for Reproductive Medicine, Association of
Reproductive Health Professionals, Doctors for America, GLMA:
Health Professionals Advancing LGBT Equality.
Midwest Access Project, The National Alliance to Advance
Adolescent Health, National Family Planning & Reproductive
Health Association, National Medical Association, National
Physicians Alliance, North American Society for Pediatric and
Adolescent Gynecology (NASPAG), Nurse Practitioners in
Women's Health, Nursing Students for Sexual & Reproductive
Health, Physicians for Reproductive Health, Society for
Adolescent Health and Medicine, Society for Maternal-Fetal
Medicine, Society of Family Planning.
Mr. Speaker, I include in the Record a letter from myself and 161 other Members to Speaker Ryan opposing the Republican majority's efforts to undermine title X family planning programs and women's access to health care.
Congress of the United States,
Washington, DC, February 14, 2017.
Hon. Paul Ryan,
Speaker of the House of Representatives, House of
Representatives, Washington, DC.
Dear Speaker Ryan: We write to express our grave concern
for efforts to undermine Title X family planning. Despite
promises to focus on jobs and the economy, Republicans have
started the 115th Congress with a total assault on women's
choices, access to care, and economic security by:
Charging ahead to sabotage and dismantle the Affordable
Care Act (ACA) while making no promises to preserve vital
protections for women;
Providing little to no details on their plans to replace
ACA, while making a point to announce that their ACA repeal
package will block access to Planned Parenthood, a high-
quality, long-trusted provider of reproductive health
services;
Rushing to impose and dramatically expand the global gag
rule, harming women around the world; and
Advancing the No Taxpayer Funding for Abortion and Abortion
Insurance Full Disclosure Act (H.R. 7) through the House,
effectively banning private insurance companies from covering
comprehensive reproductive health services.
Now, with their most recent effort to weaken the Title X
national family planning program through the Congressional
Review Act, Republicans have demonstrated that they will stop
at nothing to limit women's access to vital health care.
Sadly, this includes contraception and family planning
services that all women need.
For more than 40 years, Title X has served as a cornerstone
of safety-net care. As the only dedicated source of federal
funding for family planning, Title X allows a diverse network
of providers to deliver high-quality care to low-income,
uninsured, or underinsured individuals and to those seeking
confidential care. In 2014 alone, Title X-funded clinics
helped prevent approximately 904,000 unintended pregnancies,
326,000 abortions, and 439,000 unplanned births. In addition
to direct clinical care, Title X also supports critical
infrastructure needs for health centers, including new
medical equipment and staff training that are not
reimbursable under Medicaid and commercial insurance. This
infrastructure is vital to ensuring safe, quality care at
health centers which serve and provide basic health services
to high-need populations.
Throughout both Democratic and Republican administrations,
Title X has been interpreted to prohibit state actions that
block providers or classes of providers from participating in
a Title X project based on factors unrelated to a provider's
qualifications to perform the required services. The networks
include providers ranging from state, county, and local
health departments as well as hospitals, family planning
councils, Planned Parenthood affiliates, federally qualified
health centers and other private non-profit organizations. In
fact, in instances when states have passed laws to
limit provider participation in Title X, federal courts have
consistently held that those state laws are contrary to, and
preempted by, federal law.
In response to a growing number of states targeting family
planning providers for exclusion from key federal health
programs, including Title X, the previous Administration
proposed the regulation ``Compliance with Title X
Requirements by Project Recipients in Selecting
Subrecipients.'' The regulation, which was finalized in
December 2016, helps ensure patient access to family planning
services and supplies through qualified providers by
reiterating that ``no recipient making subawards for the
provision of services as part of its Title X project may
prohibit an entity from participating for reasons other than
its ability to provide Title X services. During the
rulemaking process, the Department of Health and Human
Services received more than 145,000 comments, the vast
majority of which supported the rule.
Women across the United States, and the men who support
them, have had enough. It is unconscionable that this common
sense clarification has become a political football for
members of Congress who want to limit women's access to
comprehensive reproductive health care. We urge you to stand
in support of women and oppose this assault on contraceptive
access and care.
Sincerely,
Judy Chu, Louise Slaughter, Diana DeGette, Frank Pallone,
Jr., Earl Blumenauer, Suzan DelBene, Lois Frankel, Alcee L.
Hastings, Brenda L. Lawrence, Sean Patrick Maloney, Jerry
McNerney, Danny K. Davis, Eliot L. Engel, Raul M. Grijalva,
William R. Keating, Barbara Lee, Doris Matsui, Gwen Moore,
Eleanor Holmes Norton, Jan Schakowsky.
Jackie Speier, Peter A. DeFazio, Katherine Clark, Dina
Titus, Linda T. Sanchez, Mike Quigley, Mark Pocan, Grace F.
Napolitano, Alma S. Adams, Mark Takano, Grace Meng, Yvette D.
Clarke, Kathleen M. Rice, Brian Higgins, Debbie Wasserman
Schultz, Pete Aguilar, Betty McCollum, Lucille Roybal-Allard,
Suzanne Bonamici, Luis V. Gutierrez, Raja Krishnamoorthi.
Scott H. Peters, Anna G. Eshoo, James P. McGovern, John
Yarmuth, Wm. Lacy Clay, Gene Green, Jimmy Panetta, Jose E.
Serrano, Joseph P. Kennedy, III, Carol Shea-Porter, Jared
Huffman, Nita M. Lowey, Carolyn B. Maloney, Niki Tsongas,
Andre Carson, Jerrold Nadler, Chellie Pingree, Zoe Lofgren,
Seth Moulton, Kurt Schrader, C.A. Dutch Ruppersberger.
Sander M. Levin, Rick Larsen, Bill Foster, Frederica S.
Wilson, Adam Smith, David Scott, Pramila Jayapal, Paul Tonko,
Kathy Castor, Marc A. Veasey, Ted W. Lieu, Peter Welch, Ami
Bera, Eddie Bernice Johnson, G.K. Butterfield, Steven
Cohen, Henry C. ``Hank'' Johnson, Jr., Daniel T. Kildee,
Beto O'Rourke, Julia Brownley.
Marcia L. Fudge, Tony Cardenas, Joseph H. Crowley, Marcy
Kaptur, Alan Lowenthal, Bill Pascrell, Jr., Albio Sires, Eric
Swalwell, Joyce Beatty, Ron Kind, Pete Visclosky, Cedric L.
Richmond, Al Green, Darren Soto, Juan Vargas, Mike Doyle,
Bradley S. Schneider, Donald S. Beyer, Jr., Raul Ruiz,
Elizabeth H. Esty.
Salud Carbajal, Robert A. Brady, Derek Kilmer, Gregory W.
Meeks, Emanuel Cleaver, Theodore E. Deutch, Mike Thompson,
Hakeem Jeffries, Adriano Espaillat, David N. Cicilline, Tim
Ryan, Val Butler Demings, Adam B. Schiff, Brad Sherman, Rosa
DeLauro, Bonnie Watson Coleman, Jim Himes, Donald Norcross,
Michelle Lujan Grisham, Matt Cartwright.
John Conyers, Jr., Gerald E. Connolly, Debbie Dingell,
David Loebsack, Stephen F. Lynch, Keith Ellison, Mark
DeSaulnier, John Garamendi, Denny Heck, Jamie Raskin, Nydia
M. Velazquez, Sheila Jackson Lee, David E. Price, James R.
Langevin, Colleen Hanabusa, Robin L. Kelly, Terri Sewell, Ben
Ray Lujan, Josh Gottheimer, Susan Davis.
Cheri Bustos, Michael Capuano, Jacky Rosen, Norma J.
Torres, Donald M. Payne, Jr., A. Donald McEachin, John Lewis,
Joe Courtney, Ruben J. Kihuen, Brendan F. Boyle, Jared Polis,
Ann McLane Kuster, Jim Cooper, Charlie Crist, Anthony Brown,
Filemon Vela, Ed Perlmutter, Lisa Blunt Rochester, John
Sarbanes, John B. Larson.
Members of Congress.
Mr. Speaker, the majority is in the midst of an unprecedented and relentless assault on women's health--and many other regulations while we are at it--that are being overturned every day here.
Although it pledged to govern by prioritizing jobs and the economy, the majority is, instead, escalating its war on women with H.J. Res. 43, a dangerous continuation of its never-ending crusade against access to health care for women.
The majority started the 115th Congress by moving quickly to eviscerate the Affordable Care Act, a law that finally barred insurance companies from treating women as being a preexisting condition. Without this law, women once again would pay a higher rate for coverage than men.
Think about that for a moment. If everybody doesn't know it, before this law, single women paid from 10 to 57 percent more than men for their health insurance in States that allowed gender rating. A lot of people don't understand this, but it costs American women nearly a billion dollars every year. But Republicans are rushing to repeal the Affordable Care Act without anything to take its place.
The majority has also advanced H.R. 7, a sweeping bill that would go beyond even the Hyde amendment, a 40-year provision that has been around for four decades too long.
This legislation wouldn't just make this amendment permanent; it would also place unprecedented limits on women's access to reproductive health services even if they wanted to pay out of their own pockets to access constitutionally protected abortion services.
These moves by the majority, along with the President signing a dramatic expansion of the global gag rule immediately after taking office, have brought millions of people pouring into the streets in protest.
During the National Women's March, millions of people marched all across the country and even around the globe to defend women's rights. These marches were likely the largest day of protests in American history. More than half a million people took to the streets right here in the Nation's Capital. They were peaceful, without a single arrest reported anywhere in the country.
Far from respecting those rights, the majority is today considering a measure that marks an entirely new front in their war against women's rights. This is the most serious threat facing women so far in this Congress, and it is only February.
Programs supported by title X help provide lifesaving preventative healthcare services like contraception, cancer screening, and STD testing to the men and women who need them most.
It is outrageous that the majority today is trying to allow conservative State legislatures to pick and choose who can provide this essential care with Federal money. That is one of the worst things in the world. The luck of the draw of where you live will determine whether or not you have access that is entitled to all people from the Federal money. This would threaten health centers from coast to coast.
Mr. Speaker, we are facing the same problem today we faced for a very long time: men in blue suits and red ties determining what women can and should do when it comes to their own health. They believe the majority of persons--women--in the United States are incapable of making their own decisions.
Do you think that about your own mother or your wife?
Because Washington, D.C., is controlled by this Republican majority, the stakes for women are higher today than they have been in generations, as we turn over laws passed by the elected government of the District of Columbia.
Mr. Speaker, Republican leaders in Congress turn a deaf ear to the majority of Americans who oppose this dramatic government intervention into women's health care. They, unfortunately, have the votes to pass it, but they will have to reckon with the overwhelming majority of the public who understands it is time for the government to get out of the business of taking away women's healthcare rights.
Mr. Speaker, let me take a personal moment to speak about the departure of a long-time member of my staff on the Rules Committee. I have always believed that this committee is like family and that we have one of the most respected staffs on Capitol Hill. Adam Berg, the deputy staff director and counsel on the Democratic staff personifies this.
After a decade of working for the Rules Committee, Adam is beginning a new chapter on a different committee in the House of Representatives. His knowledge and guidance these last years have been immeasurable.
During his time here, he has married his wife, Erika, who is beautiful and talented, and became a father to his daughter, Ariel, who was singing songs with her mother at the age of 3 months. That is a precocious child.
Adam has played a key role as this committee brought landmark legislation to the floor of the House, including Dodd-Frank, the Affordable Care Act, and legislation to raise the Federal minimum wage.
The committee wouldn't have been as effective without Adam's counsel, and he will be greatly missed. I wish him nothing but the best in his new endeavor.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I yield 2 minutes to the gentlewoman from Connecticut (Ms. DeLauro).
Mr. Speaker, I yield myself 1\1/2\ minutes.
Mr. Speaker, I think I need to make this point one more time. I really believe that everybody in this House understands that not a dime of Federal money is used for abortions. It never has been, never will. There is meticulous care taken by Planned Parenthood to separate those funds. They have never been questioned in any way by the IRS as to how those funds are being used.
I am sick and tired of everybody saying you can't give anything to Planned Parenthood. The money that goes to Planned Parenthood from this Federal Government goes to reimburse for services rendered for the things I had talked about before: cervical cancer tests, cancer tests of all sorts, and health care that they cannot get anywhere else, such as screening for STDs. That is totally separate.
Yet, that fable that Federal money is used for abortions if you fund Planned Parenthood is totally false. I think it is time that grownups that can read in the House of Representatives do away with that notion.
Mr. Speaker, I yield 2 minutes to the gentleman from California (Mr. Cardenas).
Mr. Speaker, I yield 2 minutes to the gentleman from California (Mr. Panetta).
I yield myself the balance of my time to close.
Mr. Speaker, we are deeply concerned by reports from our intelligence community regarding the foreign interference in our most recent election. The fears have only been compounded by the troubling revelations published in The New York Times last night that members of the Trump campaign had been in frequent contact with Russian intelligence officials during that campaign.
Mr. Speaker, the future of our democracy is at stake. We are seeing the
same kinds of things that have happened all over Europe, as governments have been changing away from democracies. It is at stake here, and it is time this Republican-controlled Congress does its job and gets to the bottom of this.
Mr. Speaker, if we defeat the previous question, I will offer an amendment to the rule to bring up Representative Swalwell's and Representative Cummings' bill which would create a bipartisan commission to investigate foreign interference in our 2016 election.
Mr. Speaker, I ask unanimous consent to insert the text of my amendment in the Record, along with extraneous material, immediately prior to the vote on the previous question.
Mr. Speaker, I recently had the privilege of meeting hundreds of constituents who traveled from Rochester, New York, to Washington, D.C., for the Women's March on Washington. Some of them came with three generations, and it was most impressive, but it is troubling to me that we are fighting many of the same battles that were fought and won generations ago.
The unprecedented marches and rallies that have been happening are necessary because of efforts like this to continually chip away at women's healthcare rights. The sad reality is that politicians have always worked to put up new roadblocks between women and their health care. It has always been my personal belief that when faced with a decision that needs to be made about a pregnancy, a woman should consult whomever she chooses--certainly her husband, her spiritual adviser, her medical adviser, but no one wants to wait in the room until a Congressperson gets there to make the final decision. We are going way beyond our depth to try to make that decision for persons. The government should not be in the business of doing that. The majority has made attacking women's constitutional rights the first order of business this year, working alongside our new President, and it is shameful.
Lastly, Mr. Speaker, the other measure before us today would repeal the Alaska predator rule which protects the interests of all Americans in national wildlife refuges while banning some of the most inhumane tactics for killing, like killing black bears from an airplane and killing coyote pups in their dens. We should be listening to scientists who study and understand these species, not an ideological minority that sees every animal with teeth as a threat to civilization and a potential addition to their trophy hunting collection.
Mr. Speaker, I yield back the balance of my time.
Mr. Speaker, on that I demand the yeas and nays.