Madam Chairman, I offer an amendment. Madam Chairman, the Labor-HHS Subcommittee has funded the Center for Disease Control's Division of Tuberculosis Elimination at $150 million in this bill. Over the past 15 years, funding for this…
Madam Chairman, I offer an amendment.
Madam Chairman, the Labor-HHS Subcommittee has funded the Center for Disease Control's Division of Tuberculosis Elimination at $150 million in this bill. Over the past 15 years, funding for this program has been level. There has been no increase in funding for this program since 1993.
Madam Chairman, every State and most major cities have TB control programs. Approximately 75 percent of the funds appropriated for this program are used in the States.
Funding for this program is critically important because just last year, in 2006, more than 20 of the 50 States had increases in TB cases. My home State of Louisiana, as well as most other States, have a large number of workers who travel the globe to share their expertise. Unlike tourists who stay in hotels in environments where TB exposure does not normally occur, Louisiana's oil and gas workers spend months working and living in environments among the local population where exposure can and does occur. TB exposure in these communities can result in many fatalities.
Another key issue for States and cities is the huge number of foreign-born students attending universities in the United States. More than half of the TB cases in the United States stem from foreign-born students who come here on student visas and often return home for summers and holidays, risking exposure in their home country. While risk of exposure is high for these students, their return to universities in the United States with the possibility of a latent TB infection creates the same problem seen in oil and gas workers.
If the disease is activated, the number of people exposed is tremendous. The last such case at a Louisiana university exposed 120 contacts in classes as well as in the dorms.
At present, there is no mandatory screening of this group, and no vaccine to prevent disease. The Georgia man whose case recently made headlines was exposed while volunteering overseas. As in his case, volunteers or overseas workers can return to the United States with a latent TB infection and activate the spread of this disease in the United States, later exposing family, friends and coworkers. No routine screening is performed, and no effective vaccine is available to prevent the spread of this disease.
My amendment is supported by the American Lung Association, American Thoracic Society, National Coalition for the Elimination of Tuberculosis, and the National TB Controllers Association.
Madam Chairman, I yield back the balance of my time.
Will the gentleman yield?
I won't take a lot of time. I just want to make one point.
I do thank the gentleman and the chairman for recognizing the good intent behind the amendment. I do want to point out that the offset still leaves in that account more money than what the President requested in his budget. The rationale for offsetting from that account is that, according to the administration there is a duplication of effort between the Bureau of International Labor Affairs, the State Department, USAID, and other agencies. So, even with the offset, we still leave more money in those accounts than the administration itself requested.
I thank the gentleman for yielding.
Madam Chairman, I demand a recorded vote.
Madam Chairman, I offer an amendment.
Madam Chairman, the current bill provides $37.2 million for nurse education and retention at level funding from the last fiscal year.
Nursing is the Nation's largest health care profession, with an estimated 2.9 million active, licensed registered nurses. However, only 212,927 of these RNs received their licenses after 2000.
The Bureau of Labor Statistics projects there will be approximately 1 million new job openings for registered nurses by 2010.
In 1980, 26 percent of RNs were under the age of 30. Today, less than 9 percent of RNs are under the age of 30, with the average nurse being 46.8 years of age.
In 2004, the highest level of educational preparation for nurses was 17.5 with a diploma, 33.7 percent had an associate degree, 34 percent had a baccalaureate degree, and 13 percent with a master's or doctoral degree.
The number of full-time nursing faculty required to fill this nursing gap is approximately 40,000. Currently, however, there are less than 17,000 full-time nursing faculty in the system.
The average age of a nursing professor is 52, and the average age of an associate professor is 49. Retirement accounts for about 25 percent of the decline in nurse faculty.
In 2005, 81 percent of accredited nursing schools stated they needed additional faculty. Only 350 to 400 nursing students receive doctoral degrees each year. Given that 52 percent of nursing schools require doctorate degrees as a criterion for professorship, it is imperative to increase the number of student nurses receiving doctoral degrees.
Because of the faculty shortage of those both willing and skilled to teach, nursing schools turned away over 30,000 qualified applicants in 2005 and 16,000 in 2004 to entry-level BA nursing programs.
Madam Chairman, my amendment directs an additional $37.2 million for nurse education retention, which would double funding from fiscal year 2007 levels. This account targets the education, practice and retention in response to the growing nursing shortage.
And in anticipating a potential objection that the amendment doesn't specify this, it will be possible to fund this amount from other accounts while still providing increased funding for other accounts, for example, like Job Corps' construction and renovation or Job Corps administration. In other words, within the underlying bill, it is possible to fund this amount while still providing increases to other accounts. Other accounts have been increased. I simply would like to make sure that we provide additional funding to address the critical nursing shortage that we are facing in our country, to both improve access, improve quality and decrease the cost of our health care.
Madam Chairman, I yield back the balance of my time.
Madam Chairman, will the gentleman yield?
The amendment actually increases and reduces funding, so it's more to indicate an intent. But as an example, what I offered as an example was it would be possible to fund this amendment from accounts, for example, from the increase in the Job Corps construction and renovation account, from the Job Corps administration account, from other accounts that have been increased, while still leaving increases in those accounts.
So, even though this amendment does not take money from those accounts, it could be funded in that way.
If the gentleman would yield, again the amendment increases and then reduces by $37.2 million. But, for example, the money could come from the Job Corps construction and renovation fund, which is currently funded at $12.9 million above the President's request, from the Job Corps administration fund, which is funded at $28 million above last year's.
Absolutely. The amendment doesn't do this. But, for example, $7.9 million could be taken from the Job Corps construction and renovation fund. From the Job Corps administration fund, $14 million could be taken. From the community service employment fund, the remaining funds could be taken. In all three cases, it would actually leave more funding than was there in fiscal year 2007.
So, again, the amendment doesn't actually reduce those accounts by those three amounts, but the funding could be provided in that way, still leaving increased funding in those three accounts.
Mr. Chairman, I demand a recorded vote.