A bill to provide for a 2-week extension of the Medicaid community mental health services demonstration program, and for other purposes.

Mr. President, I rise today to introduce the American Broadband Buildout Act of 2019, or ABBA. This legislation would help ensure that rural Americans have access to broadband services at speeds they need to fully participate in the benefits of our modern society and economy regardless of whether they live in the largest cities or the smallest towns. I am delighted to be joined by my friend and colleague Senator Doug Jones in introducing this bill.

Twenty-five years ago, when the internet was known as the World Wide Web, Americans typically accessed the web using their home phone lines via modems capable of downloading data at just 56 kilobits per second-- too slow even to support MP3-quality streaming music. Today, the threshold for broadband service as defined by the FCC allows downloads at speeds nearly 500 times faster--25 megabits per second. At these speeds, Americans not only can watch their favorite movies on demand in the comfort of their very own living rooms but can also participate in the global economy while working from home, upgrade their skills through online education, stay connected to their families as they age in place, and access healthcare through advances in telemedicine.

While the increase in broadband speeds has been dramatic and is encouraging, these numbers mask a disparity between urban and rural Americans. Nearly all Americans living in urban areas have access to the internet at speeds that meet the FCC's broadband threshold, while one in four rural Americans does not.

Similar disparities occur in terms of broadband adoption--the rate at which Americans subscribe to broadband service if they have access to it. According to the Pew Research Center survey last year, 22 percent of rural Americans don't use the internet at home, compared to just 8 percent of urban Americans.

The bipartisan bill that we are introducing would help close the digital divide between urban and rural America by directing the FCC to provide up to $5 billion in matching grants to assist States and State- approved entities in building ``last-mile'' infrastructure to bring high-speed broadband directly to homes and businesses in areas that lack it. Let me briefly discuss a few key points about the bill that I would like to highlight.

First, projects that receive funding must be located in unserved areas where broadband is unavailable at speeds that meet the FCC standards. Narrowing the focus to those areas will ensure that the money goes where it is needed most and will also protect against overbuilding where broadband infrastructure is already in place.

Second--and this is important--the bill requires that this Federal funding be matched through public-private partnerships between the broadband service provider and the State in which the last-mile infrastructure project will be built. This means that States and their private sector partners will have ``skin in the game'' to balance the Federal commitment, ensuring that projects will be well thought out and designed to be sustainable.

Third, the bill requires that projects be designed to be ``future proof,'' meaning that the infrastructure installed must be capable of delivering higher speeds as broadband accelerates in the future. This will ensure that Federal tax dollars are used to help build a network that serves rural Americans now and in the future without our having to rebuild it every time technology advances.

Furthermore, the bill directs the FCC to prioritize the funding of projects in States that have traditionally lagged behind the national average in terms of broadband subscribers and are at risk of falling further behind as broadband speeds increase.

Finally, the bill provides grants for states and state-designated entities for digital literacy and public awareness campaigns, highlighting the benefits and possibilities of broadband service and helping to attract employers to rural parts of our country in which broadband services are lacking and yet are essential for a business's success. The key reason to do this is to address the disparity in the adoption rates I have already mentioned, which will help drive down the costs of the service and make it more affordable for everyone.

One broadband application that holds special promise for rural America is telemedicine. As a native of Aroostook County--the largest county by land area east of the Mississippi, with fewer than 70,000 residents--I know how important healthcare is to the vitality and even to the survival of rural communities. Often, these communities struggle to attract and retain the physicians they need to ensure their having access to quality care for their citizens. Broadband can help to bridge this gap by enabling innovative healthcare delivery in these rural communities.

In an example described to me in a recent letter, hospice workers at Northern Light Home Care and Hospice were able to use the internet and video technology to help support a patient who was living on an island off the coast of Maine--not as far as the seagull flies but hours away in travel time. Although the connection was very poor, the video enabled the hospice nurses to monitor the patient's symptoms and provide emotional support to her family. As the author of that letter, Lisa Harvey-McPherson, put it, ``Our hospice team could be doing so much more with video and telemonitoring technologies if Maine had better connectivity.''

I ask unanimous consent that immediately following my remarks, this letter from Lisa Harvey-McPherson be printed in the Record.

Mr. President, in closing, rural Americans deserve to enjoy the benefits of high-speed internet in the same way that urban Americans do, but a digital divide has arisen due to the simple fact that rural areas are more sparsely populated than urban ones and are therefore more expensive to serve. The bill that Senator Jones and I are introducing today would help to bridge this digital divide by funding future-proof broadband where it is needed most and giving a real boost to job creation in rural America.

I urge my colleagues to support our bill.

Mr. President, half a century ago, members of the LGBTQIA+ community, who were tired of being accosted and abused and assaulted just because of who they were or whom they loved, took a stand to say ``enough is enough'' and pushed back against the forces of history that said they were anything less than.

Thanks to the sacrifice of freedom fighters like Marsha P. Johnson, Sylvia Rivera, and so many others both named and unnamed who dared that day to live their entire truth, countless others today have been set free. Now, 50 years later, through dogged persistence and sacrifice, we have been able to pass laws and create policies that respect and protect members of the LGBTQIA+ community--from challenging hateful bans against lesbian and gay relationships, to securing landmark civil rights protections against hate crimes, to, finally, making marriage equality the law of our land.

This year, as we commemorate the 50th anniversary of the Stonewall protests that sparked the modern movement for LGBTQ equality, I am very proud to stand here on the floor of the Senate as an unapologetic ally for this vibrant community.

As we close out this month's annual celebration of Pride, I come to the floor today to reintroduce legislation to further protect gay, lesbian, bisexual, transgender, queer, intersex, asexual, and gender nonconforming individuals from the dogma of our Nation's homophobic and transphobic past because, even as we reflect on the progress we have made, we have a lot more to do to achieve equality.

In the Senate, I have been very proud to stand shoulder to shoulder with the community in Washington State and around the country in order to continue our progress and work to expand protections to help members of the community thrive, from our efforts to reduce bullying and harassment at colleges and universities through legislation named after Tyler Clementi--a student who tragically died by suicide in college--to reducing the epidemic of harassment and discrimination in workplaces through the Be HEARD Act, which is a bill I recently introduced that would hold businesses accountable for harassment and discrimination, give workers the resources and support they need to seek justice, and clarify that discriminating on the basis of sexual orientation and gender identity are unlawful under the Civil Rights Act.

I am very grateful to my colleague Senator Booker and our friend Representative Lieu for joining me today in reintroducing the Therapeutic Fraud Prevention Act--the first Federal ban on so-called conversion therapy--because, in 2019, we know that being a member of the LGBTQIA+ community isn't an affliction, a disease, or some chronic condition that requires medical treatment; rather, the politicians who say it is are on the wrong side of history.

In fact, we know that conversion therapy is a painful and discriminatory practice. The American Psychological Association has said it ``is unlikely to be successful in changing someone's sexual orientation'' and would ``involve some risk of harm'' contrary to the claims of practitioners and advocates. It is also a practice that is especially harmful to LGBTQIA+ children, who we already know are vulnerable to increased harassment and discrimination because of who they are.

I am proud that my home State of Washington has already banned conversion therapy, but that is not enough so long as any child or any person in our country can be harmed by this sham practice. That is why I am very proud to be here to reintroduce the Therapeutic Fraud Prevention Act and to remind all of our friends that we stand with them throughout history and throughout the future to make sure they are protected with their rights.

The Therapeutic Fraud Prevention Act is legislation that would classify conversion therapy as the fraudulent practice our communities and science know it is. It would clarify in our Nation's laws that providing or facilitating commercial conversion therapy or facilitating or advertising such services is an unfair and deceptive practice, and it would ensure that Federal regulators and State attorneys general have the ability and authority to enforce this ban.

We have come far in our long battle for LGBTQIA+ equality, and I am ready to get to work to get this important legislation over the finish line because, after 50 years of struggle, as a nation, we have come to know that love is love and that love wins. However, after 50 years, we also know it gets better but only if we work to make it so.

From the horrors of the Pulse massacre, to the ever-climbing number of murdered African-American and Latinx transgender women, to President Trump's transgender military ban and his administration's continuous assault on LGBTQIA+ rights, so many of the challenges that face the community today mirror the critical struggles they faced all those years ago at the Stonewall Inn. Like then, too many in the community are still threatened by even greater danger because they are also women, transgender, people of color, poor, and the list goes on.

That is why this legislation and recognitions like Pride Month are so important. All month, I have been thrilled to see the photos from Pride celebrations back in Washington State--from Spokane, to Yakima, to Olympia--filled with so much cheer, resilience, and strength, only to come back here to Washington and argue in this Chamber about why we shouldn't confirm people to judicial or executive posts who don't believe in the full humanity and equality of so many of our family members, friends, neighbors, and coworkers.

It is obvious that this work is still very important, and we have it cut out for us, but I remain hopeful because I have seen how far we have come in just 50 years. By continuing to honor the righteous tradition of Marsha, Sylvia, and so many others by raising our voices against injustice and taking key steps like this legislation to make life easier for the next generation of LGBTQIA+ Americans, I know we will see even more progress in the next 50 years.

Mr. President, I would like to call the Senate's attention to the Youth Summer Jobs and Public Service Act of 2019 that I am introducing today with my colleague from Maryland, Senator Van Hollen. This legislation authorizes the Department of Labor to award Summer Employment for Youth grants to connect youth with jobs that serve their local communities and private businesses over the summer months.

Since the mid-1990s, my home city of Baltimore has organized the Youth Works program out of the Mayor's Office of Employment Development. The Youth Works program provides individuals between the ages of 14 to 21 with a summer job with employers ranging from private businesses, local community nonprofit organizations, to city and State government agencies throughout the City. At these summer jobs, participants are provided with meaningful work experiences, are able to learn to develop the attitudes and grit necessary to compete in the workforce, gain exposure to a variety of career fields, and have a safe, stable environment over the summer months during the day. For the 2019 Youth Works session that begins next week, Baltimore youth participating in the program will have a job for five days a week, five hours per day from July 1st through August 2nd and be paid a minimum of $10.10 per hour for their service.

This program has grown to be one of the largest youth summer employment programs in the Nation. After the unrest in my home city in April 2015, the Federal Department of Labor provided the Maryland Department of Labor, Licensing and Regulation and the Baltimore City's Mayor's Office of Employment with a $5 million grant to develop innovative job training strategies and work opportunities for youth and young adults across Baltimore. This Federal grant increased the number of individuals able to be served by the Youth Works program from an historic average of 5,000 participants to the more than 8,000 served today. Last year, Youth Works provided 8,600 Baltimoreans with jobs at more than 900 different worksites across my home city. I'm proud to say that some of those individuals who participated in the Youth Works program over the course of multiple summers while in high school have recently graduated and were hired by State agencies such as the Maryland Department of Natural Resources. Baltimore youth and their families clearly see the value of this program, with more than 14,000 individuals applying for Youth Works slots this upcoming summer.

Unfortunately, due to the lack of funding between the partnership between the City, State, private business, and philanthropic ventures, more than 5,000 Baltimore City youth who sought summer employment will be denied the opportunity to gain experience in the workplace, foster confidence that they are capable of being successful in a new environment, and lose the security of a safe environment over the summer. We can and must do more to help individuals willing and eager to start their careers.

The Youth Summer Jobs and Public Service Act would seek to eliminate the waiting list for Baltimore students seeking to participate in Youth Works or other summer employment programs around the Nation. If enacted, my legislation would allow States to compete for Summer Employment for Youth grants to serve communities like Baltimore that have high concentrations of eligible, low-income youth. The grants would be utilized by local communities to carry out programs like the Youth Works program that provide summer employment opportunities that are directly linked to academic and occupations learning by providing meaningful work experiences. States competing for grants would be required to partner with private businesses to the extent feasible and to prioritize jobs and work opportunities that directly serve their communities, such as through summer employment with local community nonprofit organizations and city and State government agencies. This additional Federal funding can boost existing programs such as Youth Works and allow other communities across Maryland to establish their own programs and develop Maryland's next generation of workforce.

I am proud to lead this Senate effort with my colleague from Maryland and appreciate the work of Representative Cedric Richmond of Louisiana who initially led this effort in the U.S. House of Representatives and will shortly introduce companion legislation this Congress. I urge my Senate colleagues to join with me in this effort to connect youth with summer employment opportunities and start their journey towards fulfilling, successful careers.

Mr. President, I ask unanimous consent that the text of the bill be printed in the Congressional Record following my remarks.

There being no objections, so ordered.

Mr. President, I rise today to introduce the Cannabidiol and Marijuana Research Expansion Act with my colleagues.

Anecdotal evidence suggests that marijuana and its derivatives, like cannabidiol, commonly known as CBD, may be helpful in treating serious medical conditions. However, anecdotal evidence alone cannot be the basis for developing new medications. Rather, medication development must be based on science.

Unfortunately, marijuana research is subject to burdensome regulations which may unintentionally inhibit research and medication development.

The Cannabidiol and Marijuana Research Expansion Act will reduce these barriers without sacrificing security or enabling diversion. It will ensure that marijuana-derived medications are developed using strong scientific evidence, and provide a pathway for the manufacture and distribution of FDA-approved drugs that are based on this research.

First, the bill streamlines the regulatory process for marijuana research. Specifically, it requires the Drug Enforcement Administration (DEA) to quickly approve or deny applications to research CBD or marijuana and establishes a process by which applicants may submit supplemental information, if necessary.

It also improves regulations dealing with changes to approved quantities of marijuana needed for research and approved research protocols. These improvements will eliminate lengthy delays that researchers encounter under current regulations.

Second, this legislation seeks to increase medical research on CBD.

It does so by explicitly authorizing medical and osteopathic schools, research universities, practitioners and pharmaceutical companies to produce the marijuana they need for approved medical research. This will ensure that researchers have access to the material they need to develop proven, effective medicines. Once the FDA approves these medications, pharmaceutical companies are permitted to manufacture and distribute them.

Third, the bill fosters increased communication between doctors and patients.

Because it is a Schedule I drug, some doctors are hesitant to talk to their patients about the potential harms and benefits of using marijuana, CBD, or other marijuana derivatives as a treatment, for fear that they will lose their DEA registrations. Yet, if patients are using marijuana or its derivatives without their doctors' knowledge, it could impact the effectiveness of the care they receive. That is why our bill authorizes these discussions to occur.

Finally, because existing Federal research is lacking, the bill directs the Secretary of Health and Human Services to expand and coordinate research to determine the potential medical benefits of CBD or other marijuana-derived medications on serious medical conditions.

I have heard from many parents who have turned to CBD as a last resort to treat their children who have intractable epilepsy. Anecdotally, CBD has produced positive results. I have heard similar stories from people who use marijuana to treat various other medical conditions.

But a common concern echoed in many of these conversations is that there is a lack of understanding about the proper delivery mechanism, dosing, or potential interactions that CBD or marijuana may have with other medications. Some also worry because these products aren't well regulated or factory sealed, and often are labeled incorrectly.

Without additional research, our ability to adequately address these concerns is limited and uninformed.

The need for additional research, along with the need to increase the supply of CBD and marijuana for research purposes, was highlighted in the National Academy of Sciences report, titled ``The Health Effects of Cannabis and Cannabinoids: The Current State of Evidence and Recommendations for Research.''

I firmly believe that we should reduce the regulatory barriers associated with researching marijuana and CBD. If and when science shows that these substances are effective in treating serious medical illnesses, we should enable products to be brought to the market with FDA approval. I hope my colleagues will join me in supporting this important piece of legislation.

Thank you, Mr. President. I yield the floor.

Mr. President, I ask unanimous consent that the Senate proceed to the immediate consideration of S. 2047, submitted today.

I further ask that the bill be read a third time and passed and the motion to reconsider be considered made and laid upon the table with no intervening action or debate.