I thank the gentleman for yielding. Mr. Speaker, we would not be having the debate here today without the compassionate leadership of the late Senator Paul Wellstone. I want to thank the Speaker and majority leader, as well as Chairmen…
I thank the gentleman for yielding.
Mr. Speaker, we would not be having the debate here today without the compassionate leadership of the late Senator Paul Wellstone.
I want to thank the Speaker and majority leader, as well as Chairmen Rangel, Stark, George Miller, Dingell, Pallone and Andrews, for their key support.
The issue before us today is not just another public policy issue. The issue today before us is a matter of life and death for 54 million Americans suffering the ravages of mental illness and 26 million Americans suffering from chemical addiction.
Last year alone, more than 30,000 Americans committed suicide from untreated depression and 150,000 Americans died as the direct result of chemical addiction. On top of the tragic loss of lives, untreated addiction and mental illness cost our economy $550 billion last year, according to the Wall Street Journal. In fact, the Journal cited $70 billion was lost from our economy because of untreated depression alone.
I am alive and sober today only because of the access that I had to treatment following my last alcoholic blackout on July 31, 1981. I woke up that day in a jail cell in Sioux Falls, South Dakota, and I am living proof that treatment works and recovery is possible. But far too many people in our country don't have the same access to treatment that I and other Members of Congress, other Federal employees have.
A major barrier for thousands of Americans is insurance discrimination, plain and simple, against people in health plans who need treatment for mental illness or chemical addiction. The legislation my friend from Rhode Island (Mr. Kennedy) and I have authored, H.R. 6983 before us today, would end this discrimination by prohibiting health insurers from placing discriminatory restrictions on treatment for people with mental illness or addiction.
No more inflated deductibles or copayments that don't exist for physical diseases. No more limited treatment stays that don't apply to physical ailments, no more discrimination against people with mental illness or chemical addiction.
I just want to say a word about the chief sponsor of this legislation, Mr. Kennedy, who has worked tirelessly on this bill. We have worked together for many years now on this legislation since he first came to the House. I want to publicly acknowledge and thank Mr. Kennedy, who has not only worked hard on this legislation, but has been an inspiration to literally hundreds of thousands of Americans as we traveled this country to 14 States, holding field hearings on this important legislation.
Simply stated, the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act, which has, by the way, 274 cosponsors from both sides of the aisle, simply stated, provides equal treatment for diseases of the brain with the body. Diseases of the brain should be treated the same as diseases of the body.
There is no government mandate. Nobody is mandated to insure anybody for treatment for mental illness or chemical addiction. There is no mandate in this bill. All it says is if your policy includes coverage for mental illness or addiction, then you cannot be discriminated against, that is, those ailments must be treated the same as physical ailments.
Providing treatment equity is not only the right thing to do, it's the cost-effective thing to do. Believe me, we have over the last 12 years assembled all the empirical data in the world, all the actuarial studies in the world, and they all showed the same thing, that equity for mental health and addiction treatment will save, not cost, but save, literally, billions of dollars nationally.
At the same time, treatment parity will not raise premiums more than two-tenths of 1 percent. That's according to the Congressional Budget Office. Let me repeat that. Premiums will not raise more than two- tenths of 1 percent.
So, in other words, for the price of a cheap cup of coffee per month, I am not talking about a fancy restaurant, I am talking about Pete's Diner, where many of us go, millions of people could receive treatment for chemical addiction and mental illness. In fact, 16 million people of the 26 million people in health plans could receive treatment under this bill.
When my friend from Rhode Island and I traveled this country holding field hearings on this legislation, we heard, literally, hundreds and hundreds of stories of human suffering that ripped your heart out, broken families, tragic deaths, ruined careers, shattered dreams, all because insurance companies would not provide access to treatment for mental illness and addiction for people who were in health plans. We could change that here today.
It's time to end the discrimination against people who need treatment for mental illness and addiction. It's time to prohibit health insurers from placing discriminatory barriers on treatment. It's time to join the coalition of insurance companies, yes, I said insurance companies. More than 10 of them now support this, as well as the major business groups who support parity. They know it's cost effective, they know parity saves health care dollars. It's time to make this bipartisan legislation the law of the land.
The people of America cannot wait any longer for Congress to act.
Mr. David Wellstone
Son of the late Senator Paul Wellstone
Co-Founder, Wellstone Action
Statement for the Record in Support of the Passage of The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity
Act of 2008, September, 2008
I am pleased to speak in support of the Paul Wellstone and
Pete Domenici Mental Health Parity and Addiction Equity Act
of 2008. This legislation is critically important to the
future of health care, and it is also very close to my heart.
During my father's time in the Senate, he never stopped
fighting for fairness in coverage and treatment for mental
illness and substance use disorders. My family and I are
grateful for the tribute that the Senate and the House have
paid to my father's legacy by naming the bill after him, as
well as his close colleague, Sen. Pete Domenici.
My brother and I founded Wellstone Action to carry on my
father's work, and through this organization, thousands of
people are trained each year to run for office and to develop
grassroots skills in organizing and leadership. But nothing
represents my father's passion and commitment more than his
work to pass legislation that would end the discrimination
against those with mental illness and substance use
disorders. This
legislation is a major achievement and will do so much to end
that discrimination.
For some time, I have been coming to Washington to speak on
behalf of this legislation, but the fight for parity has a
long history with many milestones: the 1996 federal law; the
1999 Executive Order that gave federal employees mental
health and addiction parity benefits; the many successes at
the state level to strengthen their parity laws; the times
that Congress came very close to passing the expansion of the
federal law; and the endorsement by President Bush in 2002.
For my father, these milestones were very personal. His
dedication stemmed from his personal observations of the
terrible conditions in psychiatric institutions when his
brother was hospitalized in the 1950s. These conditions, and
the eventual catastrophic financial toll that my grandparents
had to bear, inspired my father to do everything he could to
make things right for those in similar circumstances.
The legislation that my father and Sen. Domenici passed in
1996 was groundbreaking and important, for it established in
law an important first principle of parity: that those with
mental illness should not be discriminated against in
insurance coverage. But my father knew that it was not
enough, and that is why this legislation is so necessary. It
is the critically important next step toward ending the
persistent discrimination against people who suffer from
mental illness and addiction.
In the House, the tireless leadership of Congressman
Patrick Kennedy and Congressman Jim Ramstad has been
extraordinary, especially with the groundbreaking inclusion
of substance use disorders in the parity bill and their
protection of the rights of patients. They and the House
Leadership, especially Speaker Nancy Pelosi and Majority
Leader Steny Hoyer, should be proud of their efforts to make
this legislation one that will strongly protect the needs of
millions of Americans who have mental illness and substance
use disorders. In the House, the efforts by the Chairmen
of the Energy and Commerce, Ways and Means, and Education
and Labor Committees should be proud of their successful
efforts to fight for the rights of those with these
illnesses. And, as I know well, nothing is accomplished
without the unflagging commitment of hundreds of dedicated
staff and advocates who have worked so hard to right the
wrong of discrimination that has existed for so long in
our country.
I also want to extend my deep gratitude to former First
Lady Rosalynn Carter for her many years of leadership on this
issue and many other problems related to mental illness. She
and my father worked closely together on parity for many
years, and he was always grateful for her support and
leadership.
We know that mental illness is a real, painful, and
sometimes fatal disease. It is also a treatable disease. My
father used to say that the gap between what we know and what
we do is lethal. Available medications and psychological
treatments, alone or in combination, can help most people who
suffer from mental illness and addiction. But without
adequate treatment, these illnesses can continue or worsen in
severity. Suicide is the third leading cause of death of
young people in the U.S. Each year, 32,000 Americans take
their lives, hundreds of thousands attempt to do so, and in
90% of these situations, the cause is untreated mental
illness. This legislation will save lives. It will also go a
long way toward ending the stigma that is behind the
discrimination.
People have asked me why I am so involved in this issue. My
first response is, ``Because of my father, of course''. I
loved him and I miss him, and I have learned that many others
here in Washington and throughout the country miss him too,
especially his courage and his compassion. He fought hard for
those who had no voice, and he had a strong personal
commitment to helping those with mental illness and
addiction. After he died, Congressional members honored him
and my family by promising to name the parity bill after him,
and this meant a great deal to my family. But I also knew the
kind of man my father was, and the kind of parity bill he
would have wanted finally passed into law, and I wanted to
help ensure that the final bill was one worthy of his name.
The safeguards for patients that have been included in this
final bill, such as protections of stronger state laws, out
of network benefits, oversight of diagnosis coverage, and
transparency of medical necessity, are essential to a strong
law. This Congress can be remembered as the one that had the
courage and leadership to pass a strong parity bill, one
where everyone's voices had a chance to be heard.
I, along with millions of Americans, look forward to the
day when people with mental illness and substance use
disorder receive decent, humane, and timely care. The passage
of the Paul Wellstone and Pete Domenici Mental Health Parity
and Addiction Equity Act of 2008 brings us so much closer to
this day.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I am pleased to yield 2 minutes to the gentleman from Connecticut, who has been a long supporter of parity, Mr. Shays.
I yield the gentleman 2 additional minutes.
Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, I just want to take this opportunity, like the previous speaker, to thank Senators Domenici and Kennedy. It has been a real privilege to work with such committed public servants on this legislation, and also the chief cosponsor in the House, the gentleman from Rhode Island, who just spoke so eloquently about this legislation.
I want to say, as I have said many times before as I have traveled this country, were the gentleman from Rhode Island's uncle, President Kennedy, still alive today, and were President Kennedy to write a sequel to his book ``Profiles in Courage,'' there would be a complete chapter about his nephew, the gentleman from Rhode Island, Patrick Kennedy, because not only has he been right on the policy and has done a tremendous job over the past several years fighting for parity, but also his personal story, which he
shared with people all across this Nation, has literally inspired hundreds of thousands of people to get help. He has been a real profile in courage and a pleasure to work with.
At this time, Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I reserve the balance of my time.
I reserve the balance of my time.
Mr. Speaker, who has the right to close?
Are there speakers remaining?
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I reserve the balance of my time.
I yield the gentlelady an additional minute.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I reserve the balance of my time.
I reserve the balance of my time.
I yield an additional minute to the gentleman, Mr. Speaker.
Mr. Speaker, in closing, I just want to thank all of those who have brought us to this point here today. As one who's worked on this legislation for 12 long years, it's truly been a team effort. I want to thank all of the organizations, all of the individuals, too many to mention here today, but I want to thank particularly David Wellstone and Allan Garrity from Senator Wellstone's staff who have kept the legacy of Paul Wellstone alive in terms of moving this mental health and addiction treatment parity legislation.
I also want to thank the 274 bipartisan cosponsors of the current bill. I want to thank the leadership of Speaker Pelosi, Majority Leader Hoyer, because without their leadership we wouldn't be here today about to pass mental health parity.
I want to thank the distinguished chairmen of the full committees and the subcommittees and the other side of the aisle whose cooperation has been incredibly positive and helpful; and without their support, every one of you, without your support we wouldn't be here today as well.
I want to thank the leadership and the tireless efforts of my friend from Rhode Island, the chief cosponsor, Patrick Kennedy, who has worked so hard on this legislation from the minute he was sworn in as a Member of the House.
I want to thank all the staff from the full committees, the three full committees of jurisdiction, as well as the three subcommittees of jurisdiction.
And I particularly want to thank Karin Hope, my legislative director, who has worked on this legislation day and night for all 12 years that we've worked together.
Let me just wrap it up, Mr. Speaker, by saying that it's time for Congress to deal with America's number 1 public health problem. It's time for Congress to outlaw discrimination in treatment against people with mental illness and chemical addiction. It's time for Congress to pass mental health and chemical addiction treatment parity.
I yield back.