No, I am not. I am going to support the amendment. Mr. Chairman, I just want to rise in support of the amendment. The decision on sovereignty will not be made today, it was made a couple hundred years ago when our forefathers decided they…
No, I am not. I am going to support the amendment.
Mr. Chairman, I just want to rise in support of the amendment. The decision on sovereignty will not be made today, it was made a couple hundred years ago when our forefathers decided they wanted to take these lands, and in the process they granted the Indian tribes sovereignty.
Sovereignty is the issue, and the gentleman's amendment does respect the sovereignty of the tribes that they received in the early years of this Nation.
I yield to the gentleman from Virginia.
(Mr. WOLF asked and was given permission to revise and extend his remarks.)
Mr. Chairman, I yield myself such time as I may consume.
Mr. Chairman, this amendment would forbid the use of CMS funds to administer the undocumented alien program funded in last year's Medicare Modernization bill. I am reluctant to get into this debate because it is the jurisdiction of the Committee on Energy and Commerce, and last year's Medicare bill included funding for this new program intended to provide relief to hospitals in jurisdictions with large numbers of undocumented aliens.
I think the goal here might be to prevent these undocumented aliens from having health care, but the truth of the matter is the hospitals are going to pay the price. They are not going to turn anybody away that comes to the door that needs medical treatment. And if they cannot get reimbursed from CMS, they are going to have to eat it. The hospitals have to do a lot of this as it is with charity patients and so on, and I do not think it is fair to use an amendment like this to put an additional burden on hospitals. While it may seem to preclude undocumented aliens from getting health care, the truth is they are going to get it, and instead of being reimbursed, the hospitals are going to have to eat it and, in effect, pass it on to the rest of their clients.
This was defeated as a proposal to overturn the program by 331-88 last May on H.R. 3722. I understand the feelings of the gentleman from Colorado, but the truth of the matter is I do not think it is a burden we want to shove off on hospitals, and they already have enough outlays for charity patients, for charity work, and let us not add one more set of problems to them.
Mr. Chairman, I reserve the balance of my time.
Mr. Chairman, I yield 2 minutes to the gentleman from Arizona (Mr. Kolbe).
Mr. Chairman, I have no further requests for time, and I yield back the balance of my time.
Mr. Chairman, I reserve a point of order on the amendment.
Mr. Chairman, I continue to reserve a point of order, and I yield myself such time as I may consume.
Mr. Chairman, I am not sure I understand the objective of this amendment, reducing the Office of the Secretary by $84,500 in general departmental management. Here we are talking about a Department with a $60 billion, $60 billion, budget, and to manage that Department efficiently and effectively, we gave a reasonable amount in the bill. And I think it would be a great mistake because the programs that are part of Health and Human Services are very important to people, and if we start debilitating the ability of the Office of the Secretary to manage these agencies well and these programs well, we are not hurting the head of the agency, we are hurting the people who would be benefiting from the programs.
And for this reason I think it is a big mistake, because already, in constructing a bill and because of the constraints, we had a limited amount of additional funding under the Budget Act, and it would be a serious mistake to constrain them even more. And to penalize the Department for a mistake by Tom Scully, and he is no longer there, is not right. It is penalizing the people, tens of thousands of people, that benefit tremendously from the Health and Human Services programs, and to in any way erode the ability to manage these programs on behalf of people I think is a big mistake. And I would, therefore, be strongly in opposition to this proposal.
Mr. Chairman, I reserve the balance of my time.
Mr. Chairman, I reserve the balance of my time.
Mr. Chairman, I yield back the balance of my time.
Mr. Chairman, I rise in opposition to the amendment.
Mr. Chairman, I yield myself such time as I may consume.
Mr. Chairman, I am a little baffled by this, because there is nothing in this bill to establish the universal mental health screening. I do not know what the need for the amendment is. I understand what the concern of the gentleman is if this were the case, but we do not have it. There is no requirement, there is no money, there is no action.
I yield to the gentleman from Texas.
Mr. Chairman, reclaiming my time, I guess you might call this preventive medicine.
Mr. Chairman, I yield myself such time as I may consume.
Mr. Chairman, I think it is a little inflammatory. You do have a lot of people who for, one reason or another, maybe family members, maybe in their own case, they do have problems. I think, in a way, to pass an amendment of this type is sort of putting our thumb in their eye or sort of saying, hey, we do not want any part of this.
What the commission did in their report is say this is a problem we need to be thinking about, that we need to address. But I think it is premature, and it is unfair in a way to identify a segment of the population and say under no circumstances are you going to get any help.
For this reason, I would have to oppose the amendment.
Mr. Chairman, I yield myself such time as I may consume.
Mr. Chairman, I just want to point out that this is the President's new Freedom Commission on Mental Health, and it is titled, ``Achieving the Promise. Transforming Mental Health Care in America.'' But nowhere in this report does it propose universal mental health screening.
So this amendment is totally unnecessary, and I think it is almost a slap in the face to people that have some difficult problems. Therefore, I would be strongly in opposition to it.
I yield to the gentleman from Wisconsin.
Mr. Chairman, I yield 1 minute to the gentleman from Rhode Island (Mr. Kennedy), a member of our subcommittee.
Mr. Chairman, I yield back the balance of my time.
Mr. Chairman, I reserve a point of order against this amendment.
Mr. Chairman, I yield myself such time as I may consume.
Mr. Chairman, I would point out that the gentleman that just spoke is a member of the authorizing committee with jurisdiction, and, therefore, this ought to be handled there.
Mr. Chairman, I make a point of order against the amendment because it is a violation of section 302(f) of the Congressional Budget Act of 1974. The Committee on Appropriations filed a suballocation of budget totals for fiscal year 2005 on July 22, 2004, House Report 108-633. This amendment would provide new budget authority in excess of the suballocation made under section 302(b) and is not permitted under section 302(f) of the act.
I ask for a ruling from the Chair.
Mr. Chairman, I reserve a point of order on this amendment.
Mr. Chairman, I make a point of order.
Mr. Chairman, I commend the gentleman for his concern. We have the same concern in the subcommittee. We have put lots of money in the State grants. We have put $100 million in this program. I think it is important that we prove the efficacy of it, give the agency a chance to demonstrate that it will work.
But in the meantime, we are constrained by parliamentary rules, and under the parliamentary requirements, this does require some additional expenditure.
Therefore, Mr. Chairman, I make a point of order against the amendment, because it provides an appropriation for an unauthorized program and, therefore, violates clause 2 of Rule XXI. Clause 2 of Rule XXI states in pertinent part: ``An appropriation may not be in order as an amendment for an expenditure not previously authorized by law.''
Mr. Chairman, the authorization for this program has not been signed into law. The amendment, therefore, violates clause 2 of Rule XXI, and I ask for a ruling from the Chair.
Mr. Chairman, I claim the time in opposition, and I yield myself such time as I may consume.
I understand my colleague's concern about international travel. I think that Secretary Thompson has done a good job of trying to get guidelines established in the agency. William Steiger, who is the son of one of our former highly respected House colleagues, is a point person in the agency. They are reviewing their travel requirements.
I am not going to object to the amendment, but I think that Secretary Thompson is very much aware of this problem, and I think he will address it certainly in the way in which he administers the Department. He has done a superb job in handling a very difficult agency in HHS. There may be special occasions when it requires more than 50, particularly when many of these meetings are in Canada.
But in any event, we will address this as we go along, and we are not going to object to it today.
Mr. Chairman, I yield back the balance of my time.
Mr. Chairman, I claim the time in opposition.
Mr. Chairman, I yield 3 minutes to the gentleman from Missouri (Mr. Hulshof).
Mr. Chairman, I yield 2 minutes to the gentleman from Texas (Mr. Smith).
Mr. Chairman, I yield myself the remaining time.
I am not going to oppose this in a vote because the grants are over. They have been completed. The amendment does not have any impact, in essence; but I think the gentleman is trying to make a point that they ought to be cautious about what type of grants they fund.
I would point out that NIH funds almost 40,000 grants annually; and, obviously, when you look at 40,000, you can find a couple that you might have some question about the efficacy of those particular grants, but on the other hand, I would not want to get our committee or this body in the position of trying to monitor or to be in the decision- making process on what grants are funded.
We have very capable people at NIH. It is peer-reviewed by physicians, by people who are very knowledgeable on
the subject; and the objective of many of these grants is ultimately in good faith to, in some way, improve the health conditions. But given the fact that they are over with, I am not going to object to the amendment.
Mr. Chairman, I just want to reserve a point of order. I understand that the plan is to withdraw the amendment.
Mr. Chairman, I rise to claim the time in opposition, although I will not oppose the amendment.
It is my understanding this is a State issue, but that we are prepared to accept it because the Department of Education is in compliance. They are not doing anything to violate the section 505.
I do not think it is necessary we have this. It really is something the States deal with in the funding of their higher education programs. So under those circumstances, we are prepared to accept the amendment.
Mr. Chairman, I yield back the balance of my time.
Mr. Chairman, I yield myself such time as I may consume, and I rise in opposition to the amendment.
Mr. Chairman, I understand the gentleman's concern. We have the same concern, and we will do as much as we can in conference. This is a serious problem, and we have put $42 million in CDC to combat West Nile virus, which is an increase over last year, but more needs to be done.
I commend the gentleman for bringing this issue to our attention. And as I understand, the gentleman is going to withdraw his amendment, but we will be sensitive to it.
Mr. Chairman, I might say for the benefit of Members that are watching, I believe this is the last amendment, so we should be able to wrap up here pretty fast, for those who have planes or whatever.
I yield to the gentleman from Wisconsin.
Mr. Chairman, I move to strike the last word.
Mr. Chairman, I just want to thank the gentleman for his cooperation. It really has been a team effort in many ways, and I think this bill does reflect, maybe not in total numbers of dollars, but certainly in terms of what we had available, I think we have reflected the Members' priorities pretty well across the board, both sides of the aisle, and we have tried to reflect the needs of the American people.
I think the bill is very fair. It is very well balanced. We have had the support of the minority in the subcommittee and the full committee that reflects that. Obviously, many would like to have more money, but we have to work with what we have. And given what was available, I think we worked together to produce a very responsible bill, so I would urge all of our Members to support this bill on final passage.
I think the membership can point to it with satisfaction; maybe not with complete agreement, but satisfaction that it reflects as well as possible the aspirations and priorities of Members given the amount of money that was available to us through the budget process.
Amendment Offered by Mr. Hayworth