Mr. Speaker, it is good to be on the floor with my good friend and colleague, the ranking member, Congressman Pallone. I know his heart is solid and I know he believes that we are challenging some privacy concerns, and I take that in the…
Mr. Speaker, it is good to be on the floor with my good friend and colleague, the ranking member, Congressman Pallone. I know his heart is solid and I know he believes that we are challenging some privacy concerns, and I take that in the spirit intended.
As a Republican, I was an early supporter of one of our former colleague's--Sue Myrick's--Mental Health Parity Act. And the whole intent of that, for many of us, was to say mental health illness is an illness and should be accepted as an illness. But what we have done under the Federal code is to separate it. So I think the intent of what we are trying to do is not separate it and make it part of the health records.
We have heard the debate on both sides, but that is the basic premise from which I come. And we have heard the testimony of people for whom the information was not shared with the regular doctor versus the mental health, and then prescriptions occurring and then catastrophic events.
The intent of this legislation is to help patients and to help providers better take care of their patients. This is not about taking away privacy but taking care of people. It is about making sure people have the appropriate level of privacy for the services they are seeking.
We don't create extra privacy barriers so that people with heart disease, HIV, or diabetes can keep their doctors in the dark and withhold critical information relevant to the insurer benefits that they are using. This goes back to, as we have heard today, a 1970-era mandate.
Gary Mendell, the founder of Shatterproof, lost his son Brian, who was recovering from substance use disorder, after he tragically took his own life. Gary said the following about aligning part 2 with HIPAA:
The solution is not to keep this information out of
electronic health records and not available. The solution is
to end the stigma and to bring this disease and mental
illness into the healthcare system, just like diabetes,
cancer, or any other disease.
And I couldn't agree more with Gary.
He also said:
If there's an issue related to unintended consequences,
let's fix that.
I think in this piece of legislation, Congressman Mullin and Congressman Blumenauer intended to do that.
Gary also said:
Let's not keep this out of the healthcare system, unlike
diabetes, heart disease, and cancer, because then we just
perpetuate the situation that is causing it in the first
place.
I will continue. Individuals with opioid use disorder die, on average, a decade sooner than other Americans. This is largely because of the strikingly high incidence of poorly managed, co-occurring chronic diseases, including HIV/AIDS, cardiac conditions, lung disease, and cirrhosis.
Whatever we as a nation are doing to coordinate care for this highly vulnerable population is failing by any reasonable measure.
Mr. Speaker, an extraordinary array of organizations, hospitals, physicians, patient advocates, and substance use treatment providers have approached this committee to clearly state that existing Federal addiction privacy law is actively interfering with case management and care coordination efforts. Arguing against this legislation preserved a fatal and deadly status quo.
I support this piece of legislation, and I thank my colleague for the time.