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  • COME TO ORDER.

  • THE HOUSE WILL COME TO ORDER.

  • FOR WHAT PURPOSE DOES THE

  • GENTLEMAN FROM PENNSYLVANIA

  • RISE?

  • MR. SPEAKER, I ASK UNANIMOUS

  • CONSENT THAT ALL MEMBERS MAY

  • HAVE FIVE LEGISLATIVE DAYS TO

  • REVISE AND EXTEND THEIR REMARKS

  • ON THE LEGISLATION AND TO

  • INSERT EXTRANEOUS MATERIAL IN

  • THE BILL.

  • WITHOUT OBJECTION.

  • PURSUANT TO HOUSE RESOLUTION

  • 219 AND RULE 18, THE CHAIR

  • DECLARES THE HOUSE IN THE

  • COMMITTEE OF THE WHOLE HOUSE ON

  • THE STATE OF THE UNION FOR

  • CONSIDERATION OF H.R. 1217.

  • THE CHAIR APPOINTS THE

  • GENTLEMAN FROM TEXAS, MR.

  • CONAWAY, TO PRESIDE OVER THE

  • COMMITTEE OF THE WHOLE.

  • CHAPLAIN COUGHLIN: THE

  • --

  • COMMITTEE WILL COME TO ORDER.

  • THE COMMITTEE WILL

  • COME TO ORDER.

  • MEMBERS WILL TAKE THEIR SEATS.

  • THE HOUSE WILL COME TO ORDER.

  • MEMBERS WILL TAKE THEIR

  • CONVERSATIONS OFF THE FLOOR.

  • THE HOUSE WILL COME TO ORDER.

  • THE COMMITTEE WILL COME TO

  • ORDER.

  • THE HOUSE IS IN THE COMMITTEE

  • OF THE WHOLE HOUSE ON THE STATE

  • OF THE UNION FOR THE

  • CONSIDERATION OF H.R. 1217

  • TITLE.

  • WHICH THE CLERK WILL REPORT BY

  • A BILL TO REPEAL THE

  • PREVENTION AND PUBLIC HEALTH

  • FUND.

  • PURSUANT TO THE

  • RULE, THE BILL IS CONSIDERED

  • READ THE FIRST TIME.

  • THE GENTLEMAN FROM

  • PENNSYLVANIA, MR. PITTS, AND

  • THE GENTLEMAN FROM NEW JERSEY,

  • 30 MINUTES.

  • MR. PALLONE, WILL EACH CONTROL

  • THE CHAIR RECOGNIZES THE

  • GENTLEMAN FROM PENNSYLVANIA.

  • THANK YOU, MR.

  • CHAIRMAN.

  • I YIELD MYSELF SUCH TIME AS I

  • MAY CONSUME.

  • THE GENTLEMAN IS

  • RECOGNIZED.

  • SECTION 4002 OF THE

  • PACA, WHICH MY BILL WOULD

  • REPEAL.

  • THE SECTION AUTHORIZES THE

  • OPERATIONS -- APPROPRIATIONS OF

  • AND APPROPRIATES THE FUND TO

  • THE TREASURY THE FOLLOWING

  • AMOUNTS, $500 MILLION FOR F.Y.

  • 2010, $750 MILLION FOR F.Y.

  • 2011, $1 BILLION FOR F.Y. 2012,

  • $1.25 BILLION FOR F.Y. 2013,

  • $1.25 BILLION FOR F.Y. 2014.

  • AND FOR F.Y. 2015 AND EVERY

  • FISCAL YEAR THEREAFTER, $2

  • BILLION.

  • HUMAN SERVICES HAS THE FULL

  • THE SECRETARY OF HEALTH AND

  • AUTHORITY TO USE THIS ACCOUNT

  • TO FUND ANY PROGRAMS OR

  • ACTIVITIES UNDER THE PUBLIC

  • HEALTH SERVICE ACT THAT SHE

  • CHOOSES WITHOUT CONGRESSIONAL

  • INPUT, APPROVAL OR OVERSIGHT.

  • H.H.S. HAS ALREADY MADE

  • DISBURSEMENTS FROM THE FUND

  • SPENDING $500 MILLION LAST YEAR

  • AND SHE HAS $750 MILLION

  • AVAILABLE FOR HER TO SPEND THIS

  • YEAR TO FUND PREVENTION

  • ACTIVITIES.

  • THE NATION'S PUBLIC HEALTH

  • INFRASTRUCTURE, WORK FORCE

  • EXPANSION, INCREASING

  • IMMUNIZATIONS AND PREVENTING A

  • VARIETY OF DISEASES.

  • THE GOALS OF SOME OF THESE

  • DISBURSEMENTS ARE LAUDABLE.

  • BUT WE MUST REMEMBER THAT THIS

  • AMOUNT THAT CONGRESS HAS

  • FUNDING IS OVER AND ABOVE THE

  • ALREADY AUTHORIZED AND

  • APPROPRIATED FOR THESE

  • ACTIVITIES.

  • THERE HAVE ALSO BEEN

  • QUESTIONABLE PROJECTS THAT HAVE

  • BEEN FINANCED FROM THESE FUNDS

  • INCLUDING PLACING SIGNS

  • DIRECTING PEOPLE TO BIKE PATHS.

  • WHEN SECRETARY SEBELIUS

  • TESTIFIED BEFORE MY

  • SUBCOMMITTEE I ASKED HER IF SHE

  • NEEDED FURTHER CONGRESSIONAL

  • APPROVAL TO SPEND THE MONEY

  • FROM THE SECTION 4002 FUND AND

  • SHE ANSWERED NO.

  • I THEN ASKED HER IF SHE COULD

  • FUND ACTIVITIES ABOVE THE LEVEL

  • CONGRESS APPROPRIATED AND SHE

  • STATED YES.

  • THIS SHOULD CONCERN EVERY

  • MEMBER THAT WE HAVE CREATED A

  • SLUSH FUND THAT THE SECRETARY

  • CAN SPEND FROM WITHOUT ANY

  • CONGRESSIONAL OVERSIGHT FOR

  • APPROVAL.

  • NO ONE HERE CAN TELL US HOW

  • THIS FUNDING WILL BE USED.

  • NEXT YEAR OR FIVE OR 10 OR 20

  • YEARS OR 50 YEARS FROM NOW.

  • WE CAN'T PREDICT HOW THE MONEY

  • WILL BE SPENT AND WORSE WE

  • CAN'T EVEN INFLUENCE IT.

  • I WOULD SUGGEST TO MY

  • COLLEAGUES THAT IF YOU WANTED

  • MORE FUNDING TO GO TOWARDS

  • SMOKING CESSATION OR ANY OTHER

  • PROGRAM, THE HEALTH CARE LAW

  • SHOULD HAVE CONTAINED AN

  • EXPLICIT AUTHORIZATION BECAUSE

  • YOU'RE NOT GUARANTEED THAT A

  • DIME OF THE MONEY IN THIS FUND

  • WILL GO TO YOUR PARTICULAR

  • ACTIVITY.

  • BY ELIMINATING THIS FUND WE'RE

  • NOT CUTTING ANY SPECIFIC

  • PROGRAM OR ACTIVITY.

  • I'M NOT AGAINST PREVENTION AND

  • WELLNESS.

  • THIS IS NOT WHAT THIS IS ABOUT.

  • THIS IS ABOUT RECLAIMING OUR

  • OVERSIGHT ROLE OF HOW FEDERAL

  • TAX DOLLARS SHOULD BE USED.

  • I URGE SUPPORT FOR MY BILL,

  • H.R. 1217, AND I RESERVE THE

  • BALANCE OF MY TIME.

  • THE GENTLEMAN

  • RESERVES THE BALANCE OF HIS

  • TIME.

  • THE GENTLEMAN FROM NEW JERSEY

  • IS RECOGNIZED.

  • I THANK YOU, MR.

  • CHAIRMAN.

  • I YIELD NOW THREE MINUTES TO

  • THE ENERGY AND COMMERCE

  • THE RANKING MINORITY MEMBER OF

  • COMMITTEE --

  • YIELD ME TWO.

  • MR. WAXMAN, TWO

  • MINUTES.

  • THE GENTLEMAN IS

  • RECOGNIZED FOR TWO MINUTES.

  • THIS IS A NEW

  • ATTACK TO DISRUPT, DISMANTLE

  • AND DESTROY THE AFFORDABLE CARE

  • ACT.

  • TODAY THEY ARE DOING SO BY

  • SACRIFICING A LONG-STANDING

  • BIPARTISAN POLICY TO PUSH A NOW

  • PARTISAN IDEOLOGY.

  • FOR YEARS REPUBLICANS HAVE

  • JOINED WITH DEMOCRATS IN

  • SUPPORTING PROGRAMS TO PREVENT

  • DISEASE AND PROMOTE HEALTH AND

  • IN TURN TO CUT HEALTH CARE

  • COSTS.

  • BUT TODAY THE HOUSE WILL VOTE

  • TO END FUNDING FOR THE FIRST

  • AND ONLY FEDERAL PROGRAM WITH

  • DEDICATED ONGOING RESOURCES

  • DESIGNED TO MAKE US A HEALTHIER

  • NATION.

  • EVERY STATE IN THE NATION IS

  • ALREADY BENEFITING FROM THE

  • RESOURCES MADE AVAILABLE FROM

  • THE FUND TO FIGHT CHRONIC AND

  • COSTLY CONDITIONS.

  • SUCH AS OBESITY, HEART DISEASE

  • AND DIABETES.

  • REPEALING THE PREVENTION FUND

  • IS A BLOW AGAINST SENIORS.

  • IN STATES LIKE CALIFORNIA,

  • MICHIGAN, IOWA, MAINE, NORTH

  • CAROLINA AND MASSACHUSETTS,

  • THEY'RE USING THESE FUNDS TO

  • TRAIN PERSONAL HOME CARE AIDS

  • WHO ASSIST -- AIDES WHO ASSIST

  • THE ELDERLY WITH ALZHEIMER'S

  • DISEASE.

  • THIS IS NOT EXTREMELY SHORT

  • SIDED, IT WILL PROVE TO BE

  • FISCALLY IRRESPONSIBLE.

  • THE RETURN ON THIS KIND OF

  • UPFRONT INVESTMENT TARGETS

  • RESOURCES TO HELP KEEP PEOPLE

  • HEALTHY FOR AS LONG AS POSSIBLE

  • WILL OVER TIME SAVE PRECIOUS

  • HEALTH CARE DOLLARS.

  • WE NEED TO PRESERVE THE

  • PREVENTION FUND BECAUSE IT CAN

  • SERVE AS A CORNERSTONE FOR A

  • HEALTH CARE SYSTEM THAT FINALLY

  • RECOGNIZES THAT PREVENTING

  • ILLNESS IS AS IMPORTANT AS

  • TREATING THEM.

  • UNTIL NOW PREVENTION HAS TOO

  • OFTEN BEEN JUST A MERE

  • AFTERTHOUGHT.

  • AMERICAN FAMILIES SUPPORT

  • PREVENTION.

  • THEY WANT EDUCATION TO HELP

  • SENIORS.

  • AND THEN HAVE PROGRAMS SUCH AS

  • MAMMOGRAMS AND COLONOSCOPIES.

  • AND HELP CHILDREN TO GROW UP

  • HEALTHY AND STRONG TO PREVENT

  • OBESITY.

  • WE WANT TO START WORKING

  • TOGETHER TO SOLVE THE REAL

  • PROBLEMS FACING OUR NATION.

  • I ASK MY COLLEAGUES TO OPPOSE

  • THIS PARTISAN AND DIVISIVE

  • LEGISLATION.

  • AND I YIELD BACK THE BALANCE OF

  • MY TIME.

  • THE GENTLEMAN'S TIME

  • HAS EXPIRED.

  • THE GENTLEMAN FROM PENNSYLVANIA

  • IS RECOGNIZED.

  • MR. CHAIRMAN, I AT

  • THIS TIME YIELD THREE MINUTES

  • TO THE DISTINGUISHED VICE

  • CHAIRMAN OF THE SUBCOMMITTEE,

  • THE GENTLEMAN FROM TEXAS, DR.

  • BURGESS.

  • THE GENTLEMAN FROM

  • TEXAS IS RECOGNIZED FOR THREE

  • MINUTES.

  • I THANK THE

  • CHAIRMAN FOR YIELDING.

  • MR. SPEAKER, I DO RISE TODAY IN

  • SUPPORT OF H.R. 1217, THE BILL

  • THAT AS WE ALREADY HEARD

  • REPEALS THE PUBLIC SLUSH FUND

  • THAT WAS INCLUDED IN THE

  • PATIENT AFFORDABLE HEALTH CARE

  • ACT PASSED A LITTLE OVER A YEAR

  • AGO.

  • THIS FUND CALLED THE PUBLIC

  • HEALTH FUND IS ALMOST $18

  • BILLION THAT ACCOUNTS FOR THE

  • NEXT EIGHT FISCAL YEARS, AND

  • THE SECRETARY OF HEALTH AND

  • HUMAN SERVICES GETS TO SPEND

  • THIS MONEY ON ANY PROGRAM THAT

  • HE OR SHE DEEMS WORTHY.

  • THE MONEY -- WHAT THE MONEY

  • WILL BE USED FOR AND HOW IT

  • WILL BE USED ESSENTIALLY IS AN

  • UNKNOWN.

  • NEITHER THIS CONGRESS NOR

  • SUBSEQUENT CONGRESSES HAVE ANY

  • EARTHY IDEA, AND YET IT IS ONCE

  • AGAIN AN ADVOCATION OF OUR

  • AUTHORITY HERE IN THE UNITED

  • STATES CONGRESS OF POWER

  • INDEFERENCE TO THE EXECUTIVE

  • BRANCH.

  • IF PEOPLE THINK THAT'S WHAT WE

  • WERE SENT HERE TO TO CARVE OFF

  • GREATER AND GREATER PIECES OF

  • OUR AUTHORITY AND HAND IT OVER

  • TO THE WHITE HOUSE I HOPE THAT

  • I'M WRONG IN THAT, BUT IT SEEMS

  • LIKE OVER AND OVER AGAIN WITH

  • THE HEALTH CARE BIG, WITH THE

  • FINANCIAL REG BILL, IT SEEMS

  • LIKE THAT'S THE MANTRA HERE.

  • IT DOES WAY PUT TOO MUCH

  • DISCRETION IN THE HANDS OF THE

  • SECRETARY OF THE DEPARTMENT OF

  • HEALTH AND HUMAN SERVICES.

  • YOU KNOW, WE HAVE TO PREDICT A

  • SHORTFALL IN THE NATION'S

  • HEALTH CARE PROVIDER WORK

  • FORCE.

  • SOME OF THIS MONEY WILL GO FOR

  • SCHOLARSHIPS BUT IT SETS UP A

  • BIG PROBLEM.

  • UNDER THE PUBLIC HEALTH FUND

  • SOME OF THOSE SAME STUDENTS

  • COULD RECEIVE A SCHOLARSHIP FOR

  • ONE YEAR ONLY TO FINE THAT THE

  • SECRETARY HAS BIGGER AND BETTER

  • THINGS TO SPEND IT ON NEXT

  • YEAR.

  • MAYBE THERE'S A NEW BIKE PATH

  • THAT NEEDS A SIGN AND THAT

  • STUDENT WOULD FIND THEIR

  • EDUCATION UNFUNDED BECAUSE ALL

  • OF THE DISCRETION RESTS WITH

  • THE SECRETARY.

  • NOW, JUST A MOMENT AGO THE

  • RANKING MEMBER OF THE FULL

  • COMMITTEE STOOD UP AND SAID

  • THAT IT SEEMS LIKE ALL THE

  • REPUBLICANS WANT TO DO IS

  • DEFUND AND REMOVE THE

  • AFFORDABLE CARE ACT.

  • WELL, I APPRECIATE HIM NOTICING

  • BECAUSE, MR. SPEAKER, THAT IS

  • WHAT THE ELECTION OF NOVEMBER

  • 2, 2010, WAS ALL ABOUT.

  • WE WERE ELECTED TO COME HERE

  • AND DO THAT WORK FOR THE

  • AMERICAN PEOPLE, AND THE

  • DUPLICATION CONTAINED WITHIN

  • THE SLUSH FUND, THE RANKING

  • MEMBER SPOKE ABOUT SMOKING

  • CESSATION.

  • I LOVE THAT.

  • I LOST TWO PARENTS TO

  • TOBACCO-RELATED ILLNESS.

  • WHAT ABOUT THE DUPLICATION?

  • WHEN THE RANKING MEMBER WAS

  • CHAIRMAN LAST YEAR, LAST

  • CONGRESS, HE CREATED THE CENTER

  • FOR TOBACCO PRODUCTS AT THE

  • FOOD AND DRUG ADMINISTRATION.

  • WE FUNDED THAT LAVISHLY WITH A

  • BRAND NEW TAX AND NOW WE'RE

  • GOING TO COME BACK AND FUND IT

  • YET AGAIN WITH THIS PUBLIC

  • HEALTH SLUSH FUND?

  • THE RANKING MEMBER ASKED ABOUT

  • WHAT PROGRAMS WE WANTED TO CUT.

  • THE QUESTION IS, DO WE WANT TO

  • BE ACCOUNTABLE TO THE AMERICAN

  • PEOPLE WHO ELECTED US HERE TO

  • DO THIS JOB?

  • THEY SENT US HERE TO ENSURE

  • THAT THEIR MONEY WAS BEING

  • SPENT RESPONSIBLY AND EVERY

  • PENNY WOULD BE ACCOUNTED FOR

  • AND JUSTIFIED BEFORE BEING

  • SPENT.

  • WITH THE CURRENT STATE OF THE

  • ECONOMY, MR. SPEAKER, I'M NOT

  • SURE HOW THE AMERICAN PEOPLE

  • FEEL ABOUT THE SECRETARY

  • CHOOSING TO SPEND MONEY ON

  • SIGNS DIRECTING PEOPLE TO BIKE

  • PATHS.

  • I KNOW HOW THEY'D FEEL ABOUT IT

  • IN MY DISTRICT.

  • THE GENTLEMAN'S TIME

  • HAS EXPIRED.

  • I -- IF I COULD

  • HAVE AN ADDITIONAL O30 SECONDS?

  • I YIELD THE

  • GENTLEMAN 30 SECONDS.

  • IN THIS LAW,

  • SIGNED IN THE EAST ROOM OF THE

  • WHITE HOUSE JUST OTHER A YEAR

  • AGO, SECTION 4002 TAKES FROM

  • CONGRESS THE OVERSIGHT OF

  • SPENDING AND IT BECOMES A BLANK

  • CHECK FOR THE SECRETARY TO DO

  • AS SHE WISHES WITHOUT ANY OTHER

  • INPUT FROM CONGRESS.

  • BY DOING THAT, IT TAKES THE

  • AUTHORITY AWAY FROM THE

  • AMERICAN PEOPLE BECAUSE WE ARE

  • THE CLOSEST CONTACT THE

  • AMERICAN PEOPLE HAVE WITH THEIR

  • FEDERAL GOVERNMENT.

  • BY TAKING US OUT OF THE

  • EQUATION, GUESS WHAT, MADAM

  • SPEAKER, YOU NOT A BLANK CHECK,

  • IT'S ALL YOURS.

  • I YIELD BACK.

  • THE

  • GENTLEMAN FROM NEW JERSEY IS

  • RECOGNIZED.

  • I YIELD TWO MINUTES TO THE

  • GENTLELADY FROM CALIFORNIA,

  • MISS CAPPS.

  • THE

  • GENTLELADY IS RECOGNIZED FOR

  • TWO MINUTES.

  • I THANK THE RANKING

  • MEMBER.

  • I RISE IN STRONG OPPOSITION TO

  • THIS BILL WHICH WOULD -- SIMPLY

  • PUT, THIS FUND IS A CRITICAL

  • EFFORT TO MAKE OUR NATION

  • HEALTHIER AND IN TURN TO BRING

  • DOWN HEALTH CARE COSTS.

  • THIS MISGUIDED BILL WOULD

  • RETURN OUR NATION TO A SYSTEM

  • OF SICK CARE, A SYSTEM THAT

  • HASN'T WORKED, RATHER THAN ONE

  • FOCUSED ON HEALTH AND WELLNESS.

  • THAT'S SOMETHING WE CAN'T

  • AFFORD TO DO.

  • WE ALL KNOW THAT HEALTH CARE

  • COSTS ARE RISING AT AN

  • UNSUSTAINABLE RATE.

  • IN FACT, THE REPUBLICAN

  • MAJORITY CITED THESE COSTS AS A

  • REASON TO PROPOSE ENDING

  • MEDICARE AS WE KNOW IT BY

  • TURNING IT INTO A VOUCHER

  • PROGRAM AND WHACKING AWAY AT

  • POOR PEOPLE'S HEALTH CARE BY

  • BLOCK GRANTING MEDICAID.

  • BUT ONE OF THE KEY DRIVERS IN

  • ENTITLEMENT SPENDING IS CHRONIC

  • DISEASE.

  • THE EXACT PROBLEM ADDRESSED BY

  • THIS PREVENT FUND.

  • YET THIS BILL SHORT SIGHTEDLY

  • CUTS BACK OUR EFFORTS TO REDUCE

  • CHRONIC ILLNESS AND PROMOTE

  • WELLNESS PROGRAMS.

  • IN CALIFORNIA, WE ARE PUTTING

  • THESE FUNDS TO WORK TO SLOW THE

  • ALARMING RISE IN OBESITY RATES

  • TO TRAIN OUR NEXT GENERATION OF

  • PUBLIC HEALTH PROFESSIONALS TO

  • CURB TOBACCO USE AND IMPROVE

  • OUR CAPACITY TO RESPOND TO

  • DISEASE OUTBREAK.

  • AT A TIME WHEN COUNTIES LAID

  • OFF THOUSANDS AND STRUGGLED TO

  • MAINTAIN ESSENTIAL HEALTH

  • SERVICE THE NEED FOR THIS FUND

  • BECOMES EVEN MORE CRITICAL.

  • THAT'S WHY NUMEROUS LOCAL

  • GOVERNMENTS AND NATIONAL

  • NATIONAL ASSOCIATION OF

  • ORGANIZATIONS INCLUDING THE

  • COUNTIES AND THE AMERICAN

  • PUBLIC HEALTH ASSOCIATION

  • OPPOSE THIS SHORT-SIGHTED BILL.

  • FURTHERMORE, THE FUND IS A

  • SOUND INVESTMENT.

  • TRUST FOR AMERICA'S HEALTH

  • RESEARCH HAS SHOWN THAT

  • INVESTMENTS IN PROVEN

  • COMMUNITY-BASED PROGRAMS TO

  • INCREASE PHYSICAL ACTIVITY TO

  • IMPROVE NUTRITION AND PREVENT

  • TOBACCO USE COULD SAVE THE

  • COUNTRY MORE THAN $16 BILLION

  • ANNUALLY WITHIN FIVE YEARS.

  • THIS IS A RETURN OF OVER $5 FOR

  • EVERY $1 INVESTED.

  • NOT ONLY DO THESE PROGRAMS ADD

  • TO OUR CONSTITUENTS' QUALITY OF

  • LIFE, BUT IT CAN ALSO INCREASE

  • THEIR ECONOMIC OUTPUT BY

  • KEEPING THEM HEALTHY AND IN THE

  • WORK FORCE.

  • THESE ARE SOME OF THE REASONS

  • THAT I STAND WITH THESE FOLKS

  • AND URGE A NO VOTE AND I YIELD

  • BACK.

  • THE

  • GENTLEMAN FROM PENNSYLVANIA IS

  • RECOGNIZED.

  • AT THIS TIME, I

  • YIELD THREE MINUTES TO THE

  • GENTLELADY FROM TENNESSEE, MRS.

  • BLACKBURN, ON THE HEALTH

  • SUBCOMMITTEE.

  • THE

  • GENTLELADY IS RECOGNIZED FOR

  • THREE MINUTES.

  • I DO RISE IN

  • SUPPORT OF H.R. 1217.

  • I THINK THIS IS AN IMPORTANT

  • BILL FOR US TO BRING FORWARD.

  • I WANT TO THANK THE CHAIRMAN

  • FOR BRINGING IT FORWARD AND FOR

  • HELPING TO LEAD THIS CONGRESS

  • IN THE REPEAL OF OBAMACARE.

  • IT IS A MESSAGE THAT THE

  • AMERICAN PEOPLE SENT LOUD AND

  • CLEAR LAST NOVEMBER.

  • THEY DO NOT WANT TO SEE

  • GOVERNMENT COMING IN AND

  • CONTROLLING THEIR HEALTH CARE

  • CHOICES.

  • THAT IS SOMETHING THAT SHOULD

  • BE MADE BY INDIVIDUALS, THEIR

  • FAMILY MEMBERS, AND THEIR

  • PHYSICIANS AND NOT BY THE

  • FEDERAL GOVERNMENT.

  • I HAVE FOUND IT SO INTERESTING

  • AS WE'VE BEEN THROUGH THE

  • HEARINGS ON THIS AND THROUGH

  • THE MARKUPS THAT WE CONTINUE TO

  • HEAR, WELL, THIS $17.75 BILLION

  • IS NOT THAT MUCH MONEY.

  • ISN'T THAT AMAZING?

  • THAT IN THE MIDDLE OF A C.R.

  • CRISIS A DEBT CRISIS, THAT

  • WE'RE HEARING SUCH RHETORIC?

  • I THINK IT IS AMAZING THAT WE

  • ARE BEING TOLD AND THROUGH WHAT

  • WE KNOW, YES AND SOME OF US DID

  • READ THE BILL AND WE DO KNOW

  • WHAT WAS IN THAT BILL, THAT THE

  • SECRETARY CAN SPEND IT HOWEVER

  • SHE WANTS TO, SHE DOES NOT HAVE

  • TO COME BACK TO CONGRESS

  • ANOTHER TIME TO GET PERMISSION

  • FOR SPENDING THIS SLUSH FUND.

  • ISN'T IT AMAZING THAT SOME OF

  • THE OUR -- SOME OF OUR

  • COLLEAGUES THINK A FUND WILL

  • MAKE PEOPLE HEALTHIER.

  • MONEY DOESN'T MAKE PEOPLE

  • HEALTHIER.

  • WE ALL KNOW THAT.

  • AND ISN'T IT AMAZING THAT IN

  • THE MIDDLE OF ALL OF THIS, WE

  • ARE OUT OF MONEY AT THE FEDERAL

  • LEVEL, WE ALL KNOW THE COST OF

  • HEALTH CARE IS RISING, AND WE

  • KNOW THAT ONE OF THE REASONS

  • THAT THE COST OF HEALTH CARE

  • HAS RISEN SO MUCH IN THE LAST

  • FEW YEARS IS GOVERNMENT

  • INTERVENTION.

  • THOSE ARE SOME OF THE KNOWN

  • COMPONENTS WE HAVE.

  • I THINK IT'S IMPORTANT TO

  • REALIZE TOO, MR. SPEAKER,

  • ELIMINATING THE SLUSH FUND DOES

  • NOT CUT ANY SPECIFIC PROGRAMS.

  • AND PROPONENTS OF THIS FUND

  • WANT TO CLAIM THAT WE'RE

  • CUTTING, WE'RE CUTTING, WE'RE

  • CUTTING.

  • WHAT WE'RE DOING IS SAYING, NO,

  • YOU CAN'T ALLOW THE SECRETARY

  • TO HAVE CONTROL AND JUST GIVE

  • IT OUT.

  • THIS NEEDS TO GO THROUGH THE

  • NORMAL, REGULAR FUNDING

  • PROCESSES.

  • THAT IS VERY IMPORTANT.

  • AND IT'S TIME THAT WE REALIZE

  • WE HAVE TO DO THAT.

  • YES, LET'S MOVE FORWARD.

  • YES, LET'S REPEAL OBAMACARE.

  • YES, LET'S GET IT OFF THE

  • BOOKS.

  • LET'S DO EVERYTHING WE CAN TO

  • GET THE FEDERAL GOVERNMENT OUT

  • OF YOUR POCKET, OUT OF THE

  • MIDDLE OF YOUR HEALTH CARE

  • DECISIONS, LET'S MAKE CERTAIN

  • THAT THOSE CHOICES GO TO

  • INDIVIDUALS AND TO THEIR

  • PHYSICIANS AND THAT THEY ARE

  • NOT GOING TO BE DICTATED BY THE

  • SECRETARY OF HEALTH AND HUMAN

  • SERVICES WHO HAS A SLUSH FUND

  • OF $17.75 BILLION TO SPEND AS

  • THEY SEE FIT OVER THE NEXT 10

  • YEARS.

  • WE NEED TO BE CHANGING THE WAY

  • HEALTH CARE IS GOING TO WORK

  • AND WE NEED TO DO IT WITH

  • PUTTING INDIVIDUALS IN CHARGE.

  • I YIELD BACK.

  • THE

  • GENTLELADY YIELDS BACK.

  • I YIELD TWO MINUTES TO THE

  • GENTLEWOMAN FROM ILLINOIS, MS.

  • SCHAKOWSKY.

  • THE

  • GENTLEWOMAN IS RECOGNIZED.

  • HERE THEY GO

  • AGAIN.

  • THE REPUBLICANS FAILED IN THEIR

  • EFFORTS TO REPEAL THE

  • AFFORDABLE CARE ACT AND NOW

  • THEY'RE REVERSING COURSE AND

  • TRYING TO KILL IMPLEMENTATION

  • BY ATTACKING INDIVIDUAL

  • PROVISIONS OF THE LAW.

  • THE UNITED STATES HAS A HEALTH

  • CARE SYSTEM DESIGN T.D. TREAT

  • THE SICK, NOT TO PREVENT

  • DISEASE FROM OCCURRING IN THE

  • FIRST PLACE.

  • THE PREVENTION AND PUBLIC

  • HEALTH FUND IS A CRUCIAL

  • COMPONENT OF THE EFFORT TO

  • REMEDY THAT WEAKNESS AND

  • TRANSFORM TODAY'S SICK CARE

  • SYSTEM INTO A PREVENTION

  • FOCUSED SYSTEM.

  • THIS FUND WILL AVERT FUTURE

  • ILLNESS, SAVE LIVES AND

  • RESTRAIN THE RATE OF DEPOTHE OF

  • HEALTH CARE COSTS.

  • IT'S A DEDICATED INVESTMENT IN

  • COMMUNITY PREVENTION AND IS A

  • MUCH-NEEDED DOWN PAYMENT ON THE

  • HEALTH AND ECONOMIC WELL BEING

  • OF ALL AMERICANS.

  • FEDERAL INVESTMENTS FROM THE

  • PREVENTION AND PUBLIC HEALTH

  • FUND HAVE ALREADY BEGUN TO

  • ADDRESS IMPROVEMENTS IN THE

  • NATION'S HEALTH STATUS.

  • BY SUPPORTING A CENTRAL AND

  • PROVEN ACTIVITIES SUCH AS

  • IMMUNIZATION.

  • IMMUNIZATION.

  • AND TOBACCO CESSATION.

  • IT HOLDS GREAT PROMISE TO

  • IMPROVE THE CAPACITIES OF STATE

  • AND LOCAL DEPARTMENTS TO REDUCE

  • THE RISK OF HEALTH THREATS

  • THROUGH THE USE OF TECHNOLOGY

  • AND WILL INCREASE THE NUMBERS

  • OF HIGHLY SKILLED SCIENTISTS

  • AND OTHER PUBLIC HEALTH

  • PROFESSIONALS.

  • I WANT TO BE VERY CLEAR AND

  • YOU'VE HEARD IT YOURSELVES,

  • THIS IS ANOTHER ATTEMPT BY

  • REPUBLICANS TO DEFUND THE

  • AFFORDABLE CARE ACT AND STOP

  • ITS IMPLEMENTATION.

  • I URGE MY COLLEAGUES TO VOTE

  • AGAINST THIS BILL TO REPEAL THE

  • PREVENTION AND PUBLIC HEALTH

  • FUND AND I YIELD BACK.

  • THE

  • THE GENTLELADY

  • GENTLELADY YIELDS BACK --

  • THE GENTLEMAN FROM

  • YIELDS BACK.

  • PENNSYLVANIA.

  • THE GENTLELADY KEPT

  • SAYING IT WILL, IT WILL, IT

  • WILL, BUT THE SIMPLE FACT IS WE

  • DON'T KNOW WHERE THE MONEY IS

  • GOING TO GO.

  • I YIELD THREE MINUTES TO THE

  • DISTINGUISHED GENTLEMAN FROM

  • GEORGIA, DR. GINGREY A MEMBER

  • THEY HAVE SUBCOMMITTEE.

  • THE GENTLEMAN IS

  • RECOGNIZED FOR THREE MINUTES.

  • I THANK THE

  • GENTLEMAN FOR YIELDING.

  • AT LEAST SOME MEMBERS OF THE

  • BODY CAN REMEMBER ADS BACK

  • YEARS AGO TOUTING THE BENEFITS

  • OF CARTER'S LITTLE LIVER PILLS,

  • PROBABLY ALL THE MEMBERS CAN

  • REMEMBER BECAUSE IT WAS JUST A

  • YEAR AGO ANDY GRIFFITH TOUTING

  • THE NEW HEALTH CARE REFORM BILL

  • AND THOSE OF US WHO ARE ON

  • MEDICARE REMEMBER GETTING THOSE

  • GLOSSY MAIL OUTS, VERY

  • EXPENSIVE, SLICK-LOOKING ADS,

  • REALLY TOUTING THE BENEFITS

  • THAT OBAMACARE HAS BROUGHT TO

  • MEDICARE.

  • EVEN THOUGH THE NEW BILL, THE

  • NEW ENTITLEMENT CREATION, TOOK

  • SOMETHING LIKE $550 BILLION OUT

  • OF MEDICARE, YET THE -- THEY

  • HAD THE AUDACITY TO SEND THESE

  • ADS OUT, THESE FLYERS SAYING

  • THEY'D IMPROVED MEDICARE OSM

  • BECAUSE MACARE IMPROVES

  • MEDICARE.

  • GO FIGURE.

  • THAT'S A CONCERN HERE.

  • THAT'S WHY I'M STANDING IN

  • STRONG SUPPORT OF CHAIRMAN

  • PITTS' BILL H.R. 1217.

  • THE PREVENTION AND PUBLIC

  • HEALTH FUND IS ESTABLISHED

  • UNDER PATIENT PROTECTION

  • AFFORDABLE CARE ACT, OPAW

  • MACARE, FOR PREVENTION,

  • WELLNESS AND PUBLIC HEALTH

  • ACTIVITIES AUTHORIZED IN THE

  • PUBLIC HEALTH SERVICE ACT AND

  • ADMINISTERED BY SECRETARY

  • SEBELIUS, SECRETARY OF HEALTH

  • AND HUMAN SERVICES.

  • BUT SHE CAN USE THOSE FUNDS IN

  • ANY WAY SHE DEEMS APPROPRIATE.

  • AS LONG AS SHE SAYS IT'S FOR

  • PUBLIC HEALTH.

  • CAN IT PAY FOR POLITICAL TV

  • ADVERTISING, FOR PRESIDENT

  • OBAMA AHEAD OF THE 2012

  • ELECTIONS?

  • ABSOLUTELY SHE COULD.

  • NOTHING COULD STOP HER.

  • THE CONGRESS COULDN'T.

  • AS LONG AS SHE DEEMS IT

  • NECESSARY FOR PUBLIC HEALTH.

  • PAY FOR THOUSANDS OF SIGNS IN

  • COMMUNITIES ACROSS THE COUNTRY

  • DECLARING THAT IT'S A SUCCESS?

  • NOTHING WOULD STOP THIS

  • SECRETARY OR ANY SECRETARY FROM

  • DOING SO, AS LONG AS THEY CALL

  • IT FOR PUBLIC HEALTH.

  • NOT EVEN -- NO, NOT EVEN

  • CONGRESS.

  • AS THE CHAIRMAN SAID, MR.

  • SPEAKER, THE AMOUNT OF $17

  • BILLION, ALMOST $18 BILLION IS

  • JUST THE FIRST DOWN PAYMENT,

  • YOU WILL, BECAUSE IN

  • PERPETUITY, $2 BILLION A YEAR

  • CONTINUES TO BE APPROPRIATED.

  • AND YOU TO THAT WITH A BILL

  • THAT QUITE HONESTLY THIS MEMBER

  • THINKS WILL BE DECLARED WITHIN

  • A YEAR AND A HALF, HOPEFULLY

  • SOONER, UNCONSTITUTIONAL SYSTEM

  • OF WEIR SPENDING MONEY THAT'S

  • ABSOLUTELY UNNECESSARY AT A

  • TIME WHEN WE ARE SITTING HERE

  • WITH $14 TRILLION WORTH OF DEBT

  • AND LISTENING TO THE SECRETARY

  • OF THE TREASURY SAY WITHIN SIX

  • WEEKS WE'RE GOING TO HAVE TO

  • RAISE THE DEBT CEILING SO WE

  • CAN BOAR REMORE MONEY.

  • HERE WE'RE SPENDING $17

  • BILLION, WITH A B, AND THAT'S

  • NOT JUST CHUMP CHANGE BY ANY

  • STRETCH OF THE IMAGINATION.

  • LAST YEAR IN 2010, THE C.D.C.

  • ACTUALLY SPENT $500 KNOLL

  • PROMOTE INCREASING THE EXCISE

  • TAX ON TOBACCO TO THE STATES,

  • BASICALLY SAYING TO STATES, YOU

  • NEED TO MAKE SURE YOU RAISE

  • TAXES ON TOBACCO BECAUSE IT'S

  • FOR HEALTH PURPOSES.

  • IT'S GOING -- CAN I HAVE 15

  • MORE SECONDS?

  • I YIELD 30 SECONDS

  • TO THE GENTLEMAN.

  • THE

  • GENTLEMAN IS RECOGNIZED.

  • I THANK THE

  • CHAIRMAN FOR YIELDING, LET ME

  • JUST CONCLUDE THAT CLEARLY THIS

  • IS A NECESSARY BILL TO LET

  • CONGRESS ONCE AGAIN HAVE THE

  • OPPORTUNITY TO CONTROL

  • SPENDING.

  • THAT IS OUR RESPONSIBILITY.

  • THAT IS OUR CONSTITUTIONAL

  • RIGHT.

  • THAT'S WHAT THE AMERICAN PEOPLE

  • WANT AND I THINK THE CHAIRMAN

  • IS ABSOLUTELY RIGHT WITH THIS

  • BILL AND I FULLY SUPPORT IT AND

  • URGE MY COLLEAGUES TO DO AS

  • WELL.

  • I YIELD BACK.

  • THE

  • GENTLEMAN YIELDS BACK.

  • THE GENTLEMAN FROM NEW JERSEY.

  • I YIELD NOW A

  • MINUTE AND A HALF TO THE

  • RANKING DEMOCRAT ON THE LABOR

  • HEALTH APPROPRIATIONS

  • SUBCOMMITTEE, MS. DELAURO.

  • THE GENTLELADY IS

  • RECOGNIZED FOR A MINUTE AND A

  • HALF.

  • I URGE MY

  • COLLEAGUES TO VOTE AGAINST THIS

  • MEASURE.

  • IT WILL ENDANGER THE HEALTH OF

  • THE AMERICAN PEOPLE WE INCLUDED

  • THE FUND IN THE AFFORDABLE CARE

  • ACT BECAUSE WE KNOW IT --

  • PREVENTIVE HEALTH CARE REDUCES

  • HEALTH CARE COSTS.

  • PREVENTABLE CAUSES OF DEATH

  • SUCH AS TOBACCO SMOKING, POOR

  • DIET AND PHYSICAL INACT

  • TIFFITY, THE MISUSE OF ALCOHOL

  • HAVE BEEN ESTIMATED TO BE

  • RESPONSIBLE FOR 900,000 DEATHS

  • ANNUALLY.

  • NEARLY 40% OF TOTAL YEARLY

  • MORTALITY IN THE UNITED STATES.

  • FURTHER, SEVEN IN 10 DEATHS IN

  • AMERICA ARE FROM CHRONIC

  • DISEASES AND BY 2020, THE U.S.

  • MAY SPEND $685 BILLION A YEAR

  • ON THESE CHRONIC DISEASES.

  • THIS FUND WORKS TO BRING DOWN

  • THESE NUMBERS AND TO HELP

  • AMERICANS LIVE LONGER,

  • HEALTHIER LIVES.

  • PREVENTIVE CARE IS RESPONSIBLE.

  • ONE EXAMPLE WOULD BE IMPACTED

  • BY THIS MISGUIDED LEGISLATION

  • IS VACCINES.

  • ESTIMATES INDICATE WE SAVE UP

  • TO $400 FOR EVERY ILLNESS

  • AVERTED BY VACCINATION AND THAT

  • DOESN'T TAKE INTO ACCOUNT THE

  • COST OF FURTHER TRANSMISSION IN

  • THE CASE OF SERIOUS PUBLIC

  • HEALTH EPIDEMICS.

  • BY SUPPORTING OUR PUBLIC HEALTH

  • WORK FORCE, BUILDING HEALTH

  • INFRASTRUCTURE, BY PROMOTING

  • EXERCISE, PREVENTING TOBACCO

  • USE, THIS FUND WILL GO A LONG

  • WAY TOWARD REDUCING THE SURGING

  • COST OF HEALTH CARE FOR

  • AMERICAN FAMILIES AND FOR OUR

  • NATION.

  • IT IS SHORTSIGHTED FOLLY TO

  • REPEAL THIS FUND NOW,

  • ESPECIALLY WHEN YOU CONSIDER

  • ALL THE OIL SUBSIDIES AND

  • BREAKS FOR CORPORATE LOBBYISTS

  • THAT THE MAJORITY HAS INCLUDED

  • IN THEIR BUDGET.

  • WE SHOULD NOT BE PUTTING

  • POLITICAL IDEOLOGY BEFORE

  • PUBLIC HEALTH LIKE THIS, I URGE

  • MY COLLEAGUES TO OPPOSE THIS

  • RESOLUTION.

  • AND I YIELD BACK.

  • THE GENTLEMAN FROM

  • PENNSYLVANIA.

  • I YIELD TWO MINUTES

  • TO MR. LANCE.

  • THE GENTLEMAN IS

  • RECOGNIZED.

  • I RISE IN SUPPORT OF

  • H.R. 1217.

  • AS A MEMBER OF THE ENERGY AND

  • COMMERCE HEALTH SUBCOMMITTEE,

  • MY COLLEAGUES AND I HELD A

  • NUMBER OF HEARINGS THAT EXPLORE

  • THE IMPACT OF THE NEW HEALTH

  • CARE LAW.

  • THESE HEARINGS HAVE REVEALED

  • THE EXISTENCE OF SEVERAL

  • PROGRAMS AND MANDATORY SPENDING

  • PROVISIONS CONTAINED IN THE

  • LAW, HEALTH AND HUMAN SERVICES

  • SECRETARY SEBELIUS SAID DURING

  • TESTIMONY THAT SHE HAD SOLE

  • DISCRETION OVER BILLIONS OF

  • DOLLARS IN DIRECT, UNLIMITED

  • MANDATORY SPENDING UNDER THE

  • LAW.

  • THIS MEANS THAT WITHOUT ANY

  • CONGRESSIONAL HEARING, WITHOUT

  • ANY LANGUAGE IN APPROPRIATION

  • BILLS AND WITHOUT ANY OVERSIGHT

  • THE EXECUTIVE BRANCH HAS BEEN

  • GRANTED UNPRECEDENTED SPENDING

  • AUTHORITY.

  • TODAY'S LEGISLATION, H.R. 1217,

  • WILL REPEAL ONE OF THOSE LITTLE

  • KNOWN PROGRAMS CALLED THE

  • PREVENTION AND PUBLIC HEALTH

  • FUND.

  • IT'S SUBJECTED TO THE ANNUAL

  • APPROPRIATIONS PROCESS.

  • THE AIM MAY BE WORTHY, MR.

  • SPEAKER, BUT THIS SHOULD BE

  • SUBJECTED TO THE ANNUAL

  • APPROPRIATIONS PROCESS.

  • THIS ACTION, ACCORDING TO THE

  • CONGRESSIONAL BUDGET OFFICE,

  • WILL SAVE AMERICAN TAXPAYERS

  • $16 BILLION OVER THE NEXT 10

  • YEARS.

  • MR. SPEAKER, AS WE ALL KNOW,

  • THE FEDERAL GOVERNMENT IS $14

  • TRILLION IN DEBT, OUR DEFICIT

  • FOR THIS YEAR WILL BE AT LEAST

  • $1.5 TRILLION.

  • WE MUST GET FEDERAL SPENDING

  • UNDER CONTROL.

  • WE CAN START BY REPEALING

  • PROGRAMS THAT RUN AFOUL OF

  • CONGRESSIONAL OVERSIGHT.

  • I URGE MEMBERS TO SUPPORT H.R.

  • 1217, AND I YIELD BACK THE

  • BALANCE OF MY TIME.

  • THE GENTLEMAN YIELDS

  • BACK THE BALANCE OF HIS TIME.

  • WHO SEEKS RECOGNITION?

  • THE GENTLEMAN FROM NEW JERSEY.

  • MR. CHAIRMAN, I

  • YIELD TWO MINUTES TO THE

  • GENTLEWOMAN FROM COLORADO, MS.

  • DEGETTE.

  • THE GENTLELADY FROM

  • COLORADO IS RECOGNIZED FOR TWO

  • MINUTES.

  • THANK YOU, MR.

  • CHAIRMAN.

  • I AM FRANKLY STUNNED TO HAVE TO

  • COME TO THE HOUSE FLOOR TODAY

  • TO TALK ABOUT A FLOOR THAT

  • REDUNDS THE LARGEST INVESTMENT

  • WE EVER MADE IN OUR

  • POPULATION'S HEALTH, THE

  • PREVENTION AND PUBLIC HEALTH

  • TRUST FUND.

  • THE TRUST FUND SPECIFICALLY

  • SAYS WHAT IT'S GOING TO BE USED

  • FOR, REDUCING TOBACCO USE,

  • EXPANDING OPPORTUNITIES FOR

  • RECREATION AND EXERCISE,

  • BRINGING HEALTHIER FOODS LIKE

  • FRUIT AND VEGETABLES TO

  • COMMUNITIES IN NEED AND HELPING

  • KIDS TO EAT HEALTHIER MEALS IN

  • SCHOOLS.

  • ALL OF US WHO HAD BEEN INVOLVED

  • IN HEALTH ISSUES FOR MANY YEARS

  • KNOW THAT THE BIGGEST PUBLIC

  • HEALTH EPIDEMIC THAT WE HAVE

  • RIGHT NOW IS OBESITY, AND IF WE

  • DON'T DO ANYTHING TO REVERSE

  • THESE TRENDS, THEN FOR OUR

  • CHILDREN AND OUR CHILDREN'S

  • CHILDREN WE ARE NOT GOING TO

  • HAVE GOOD OUTCOMES.

  • 75% OF ALL HEALTH CARE COSTS

  • ARE SPENT ON THE TREATMENT OF

  • CHRONIC DISEASES, MANY OF THEM

  • PREVENTABLE.

  • OUR NATION'S YOUTH ARE

  • CONFRONTING UNPRECEDENTED

  • LEVELS OF OBESITY, PLACING THEM

  • AT EVER-INCREASING RISK FOR

  • THOSE SAME CHRONIC CONDITIONS.

  • I THINK IT'S PATHETIC THAT WE

  • HAVE CHILDREN IN THIS COUNTRY

  • WHO ONLY HAVE ACCESS TO

  • PLAYGROUNDS AT MCDONALD'S WHEN

  • WE ONLY HAVE 8,000 PLAYGROUNDS

  • IN THIS COUNTRY.

  • AND SO WHAT THIS -- WHAT THIS

  • TRUST FUND DOES IS IT SUPPORTS

  • RESEARCH THAT EXAMINES

  • EVIDENCE-BASED PRACTICES

  • RELATING TO PREVENTION,

  • INCLUDING THE TRANSLATION AND

  • INTERVENTIONS FROM ACADEMIC

  • SETTINGS TO REAL-WORLD

  • SETTINGS.

  • THIS IS NOT, AS THE OPPONENTS

  • OF THIS TRUST FUND SAY, A SLUSH

  • FUND, OR SOMETHING THAT'S

  • WILLY-NILLY SPENDING.

  • INSTEAD IT'S EVIDENCE-BASED AND

  • IT'S LOOKING AT WAYS WE CAN

  • PREVENT CHILDHOOD OBESITY AND

  • NUTRITION, REDUCE TOE BAKO USE

  • -- TOBACCO USE AND EXPAND

  • RECREATIONAL EXERCISE.

  • THIS IS SOMETHING WE SHOULD ALL

  • SUPPORT.

  • I'M SORRY IT'S BEEN CAUGHT UP

  • IN THIS PARTISAN WEB BECAUSE,

  • FRANKLY, WE SHOULD ALL SUPPORT

  • THIS FOR OUR KIDS.

  • WITH THAT I YIELD BACK.

  • THE GENTLELADY'S

  • TIME HAS EXPIRED.

  • THE GENTLEMAN FROM PENNSYLVANIA

  • IS RECOGNIZED.

  • MR. SPEAKER, I HAVE

  • THE COPY OF THE LAW THE

  • GENTLELADY REFERRED TO.

  • SHE SAYS THE TRUST FUND REFERS

  • TO SPENDING FOR FRESH FOOD AND

  • VEGETABLES AND OTHER THINGS,

  • THERE'S NONE OF THAT IN THE

  • LANGUAGE.

  • I WOULD WELCOME HER TO POINT IT

  • OUT.

  • I RESERVE THE BALANCE OF MY

  • TIME.

  • THE GENTLEMAN

  • RESERVES.

  • THE GENTLEMAN FROM NEW JERSEY

  • SEEK TIME?

  • I YIELD 1 1/2

  • MINUTES TO THE GENTLEWOMAN FROM

  • CALIFORNIA, MS. LUCILLE ROIBLED

  • -- ROYBAL-ALLARD.

  • THE GENTLELADY IS

  • RECOGNIZED FOR 1 1/2 MINUTES.

  • THE

  • PREVENTION FUND IS OUR

  • PRO-ACTIVE COMMITMENT TO

  • CHANGING THE FOCUS OF OUR

  • HEALTH CARE SYSTEM TO ONE OF

  • TREATMENT TO ONE OF KEEPING

  • AMERICANS HEALTHY.

  • THIS CHANGE IN FOCUS IS

  • ESSENTIAL BECAUSE KEEPING

  • PEOPLE HEALTHY IMPROVES THE

  • QUALITY OF LIVES AND THAT OF

  • THEIR FAMILY AND IT'S THE BEST

  • MEANS OF CONTROLLING

  • PREVENTABLE CHRONIC DISEASES

  • WHICH ACCOUNTS FOR SEVEN OUT OF

  • 10 DEATHS AND 75% OF OUR ANNUAL

  • HEALTH CARE COSTS TOTALING $1.7

  • TRILLION.

  • IF H.R. 1217 PASSES, WE LOSE A

  • CRITICAL OPPORTUNITY TO CONTROL

  • HEALTH CARE COSTS AND WE LOSE

  • THE OPPORTUNITY TO REDUCE

  • UNNECESSARY SUFFERING AND DEATH

  • FROM PREVENTABLE CHRONIC

  • DISEASES.

  • ADDING TO THE ASSAULT OF H.R.

  • 1217 ON PUBLIC HEALTH AND

  • PREVENTION IS THE F.Y. 2011

  • CONTINUING RESOLUTION WHICH

  • CUTS C.D.C.'S BUDGET BY OVER

  • $700 MILLION.

  • THE RESULT OF THESE PROPOSALS

  • IS THAT MILLIONS OF AMERICANS

  • WILL NEEDLESSLY CONTINUE TO

  • SUFFER FROM PREVENTABLE

  • DISEASES, COSTLY

  • HOSPITALIZATION.

  • PREVENTION SAVES LIVES AND

  • PREVENTION SAVINGS MONEY.

  • DEFEAT H.R. 1217 AND CONTINUE

  • TO BUILD A HEALTHIER AMERICA.

  • I YIELD BACK THE BALANCE OF MY

  • TIME.

  • THE

  • --

  • BALANCE OF HER TIME.

  • GENTLEWOMAN YIELDS BACK THE

  • THE GENTLELADY

  • YIELDS BACK.

  • THE GENTLEMAN FROM

  • PENNSYLVANIA.

  • I RESERVE THE

  • BALANCE OF MY TIME.

  • THE GENTLEMAN FROM

  • NEW JERSEY.

  • I YIELD TWO

  • MINUTES TO THE GENTLEWOMAN FROM

  • THE VIRGIN ISLANDS, MRS.

  • CHRISTENSEN.

  • THE GENTLELADY IS

  • RECOGNIZED FOR TWO MINUTES.

  • THANK YOU.

  • MR. SPEAKER AND COLLEAGUES, I

  • CANNOT BELIEVE WE ARE HERE THAT

  • WOULD REPEAL THE PREVENTION AND

  • PUBLIC HEALTH FUND.

  • AT A TIME WHEN WE SHOULD

  • STRENGTHEN THE WELL-BEING OF

  • THIS NATION, MY COLLEAGUES ON

  • THE OTHER SIDE OF THE AISLE ARE

  • DOING THE EXACT OPPOSITE WITH

  • H.R. 1217.

  • CURRENTLY WE HAVE TENS OF

  • MILLIONS OF HARDWORKING

  • MILLIONS WHO ARE SUFFERING,

  • SOME DIE WERE PREVENTABLE

  • DEDISEASE.

  • AND WITHOUT PREVENTION AND

  • PUBLIC HEALTH EFFORTS THE VERY

  • SERVICES THIS FUND WAS CREATED

  • TO SUPPORT, 10'S OF MILLIONS

  • MORE WILL BE EFFECT -- TENS OF

  • MILLIONS MORE WILL BE AFFECTED

  • IN THE FUTURE.

  • WE SHOULD NOT BE HERE FIGHTING

  • ABOUT THE MERIT AND VALUE OF

  • KEEPING THE PREVENTION AND

  • PUBLIC HEALTH FUND IN PLACE.

  • WE WILL DO BETTER OF OUR

  • COUNTRY IF WE WERE INSTEAD

  • DISCUSSING INCREASING IT.

  • AS MY COLLEAGUES ON THE OTHER

  • SIDE OF THE AISLE ARE NOT MOVED

  • BY THE DISASTROUS HUMAN IMPACT,

  • THEN THEY MAY BE MOVED BY THE

  • ECONOMIC IMPACT BECAUSE NOT

  • HAVING PREVENTION AND EFFECTIVE

  • HEALTH MEASURES IN PLACE WILL

  • COST MONEY AND A LOT OF IT.

  • ON THE OTHER HAND, THE JOURNAL

  • OF HEALTH AFFAIRS REPORTED THAT

  • INCREASING THE USE OF PROVEN

  • PREVENTIVE SERVICES FROM THE

  • CURRENT LEVELS TO 90% WILL

  • RESULT IN $3.7 BILLION IN

  • SAVINGS IN JUST ONE YEAR AND WE

  • KNOW FROM A JOINT SENATE STUDY

  • THAT REDUCING HEALTH

  • DISPARITIES, WHICH THIS FUND

  • WOULD DO, COULD SAVE AS MUCH AS

  • $1.27 TRILLION IN DIRECT AND

  • INDIRECT MEDICAL COSTS IN JUST

  • A THREE-YEAR PERIOD.

  • THE PREVENTION AND PUBLIC

  • HEALTH FUND IS UNHARMFUL AND

  • UNJUST.

  • IT'S CONTRARY TO OUR VALUES AND

  • A DISRESPECT OF THE VALUE OF

  • HUMAN LIFE.

  • IT WILL NOT SAVE MONEY.

  • IN FACT, IT WILL COST THIS

  • NATION MORE, BOTH IN HUMAN

  • HEALTH AND WELLNESS AS WELL AS

  • IN ACTUAL HEALTH CARE SPENDING.

  • I STRONGLY URGE MY COLLEAGUES

  • TO VOTE TO PROTECT ALL

  • AMERICANS AND THE MORAL

  • STANDING OF THIS COUNTRY BY

  • VOTING NO ON H.R. 1217.

  • I YIELD BACK THE BALANCE OF MY

  • TIME.

  • THE GENTLELADY

  • YIELDS BACK.

  • THE GENTLEMAN FROM

  • PENNSYLVANIA.

  • MR. SPEAKER, CAN I

  • ASK HOW MUCH TIME IS REMAINING?

  • THE GENTLEMAN FROM

  • PENNSYLVANIA STILL CONTROLS 15

  • 1/4 MINUTES.

  • THE GENTLEMAN FROM NEW JERSEY

  • CONTROLS 17 1/2 MINUTES.

  • HOW MUCH?

  • 17 1/2.

  • I CONTINUE TO

  • RESERVE.

  • THE GENTLEMAN

  • RESERVES.

  • THE GENTLEMAN FROM NEW JERSEY.

  • MR. SPEAKER, I

  • YIELD MYSELF SUCH TIME AS I MAY

  • CONSUME.

  • MR. CHAIRMAN, IT'S BEEN 100

  • DAYS OF THE REPUBLICANS' NO

  • JOBS AGENDA AND THEY'VE CHOSEN

  • TO VOTE TIME AND ENERGY TO

  • BILLS AND RESOLUTIONS THAT

  • WOULD DEFUND THE AFFORDABLE

  • CARE ACT, ELIMINATE MANDATORY

  • SUPPORT FOR PREVENTIVE CARE AND

  • ABOLISH ANY AND ALL FEDERAL

  • SUPPORT FOR PLANNED PARENTHOOD.

  • THE HOUSE REPUBLICANS KNOW

  • THESE MEASURES WON'T BE

  • APPROVED BY THE SENATE AND

  • WOULD NEVER BE SIGNED BY THE

  • PRESIDENT.

  • IT'S JUST POLITICAL GESTURE AT

  • A TIME WHEN WE NEED TO PROMOTE

  • ECONOMIC RECOVERY.

  • NOW THE BILL ON THE FLOOR THIS

  • WEEK, H.R. 1217, WOULD ABOLISH

  • THE AFFORDABLE CARE LAWS

  • PREVENTION AND PUBLIC HEALTH.

  • THIS IS A FUND THAT PREVENTS

  • DISEASE, THAT HELPS MANAGE

  • CONDITIONS BEFORE THEY BECOME

  • SEVERE.

  • ALL IMPEERCAL DATA, ALL

  • EXPERIENCE AND PLAIN OLD COMMON

  • SENSE INFORMS US THAT

  • PREVENTION AND EARLY TREATMENT

  • NOT ONLY SAVE LIVES, THEY ALSO

  • SAVE MONEY.

  • IN FACT, THE PREVENTION AND

  • PUBLIC HEALTH FUND PREVENTS

  • ILLNESS BEFORE PEOPLE GET SICK.

  • THE REPUBLICAN ASSERTION THAT

  • MANDATORY FUNDING, WHICH I'VE

  • HEARD OVER AND OVER AGAIN TODAY

  • AND ALSO IN THE HEALTH

  • SUBCOMMITTEE THAT THIS IS

  • SOMEHOW MANDATORY FUNDING AND

  • THAT IT'S UNPRECEDENTED, THAT'S

  • COMPLOTELY NOT TRUE.

  • MEDICAID -- COMPLETELY NOT

  • TRUE.

  • MEDICAID AND MEDICARE HAVE

  • A LOT OF PROGRAMS ONE OUR

  • MANDATORY SUPPORT AND THERE ARE

  • COMMITTEE'S JURISDICTION AND IN

  • CONGRESS IN GENERAL THAT ARE

  • FUNDED THROUGH MANDATORY

  • FUNDING.

  • SO YOU KNOW, I DON'T KNOW HOW

  • MANY TIMES I AM GOING TO COME

  • TO THE FLOOR AND HEAR ABOUT

  • REPEALING THE HEALTH CARE

  • REFORM.

  • I UNDERSTAND TOMORROW THERE'S

  • GOING TO BE AN ENROLLED BILL

  • THAT GOES ALONG WITH THE C.R.

  • THAT'S GOING TO DEFUND THE

  • WHOLE AFFORDABLE CARE ACT.

  • SO I DON'T KNOW.

  • HERE TODAY WE ARE GOING TO

  • DEFUND ONE PIECE, THE

  • PREVENTION FUND.

  • TOMORROW WE GOT ANOTHER

  • DEFUNDS THE WHOLE BILL.

  • ENROLLMENT RESOLUTION THAT

  • PLANNED PARENTHOOD, AGAIN,

  • ANOTHER RESOLUTION TOMORROW TO

  • DEFUND PLANNED PARENTHOOD.

  • HOW MANY TIMES ARE WE GOING TO

  • KEEP VOTING ON THE SAME THING

  • OVER AND OVER AND OWN AGAIN?

  • MEANWHILE, I DON'T SEE A SINGLE

  • PIECE OF LEGISLATION COMING TO

  • THIS FLOOR THAT ADDRESSES JOBS

  • OR THE ECONOMY.

  • WHEN I GO HOME PEOPLE WANT TO

  • KNOW WHAT WE'RE DOING ABOUT THE

  • ECONOMY.

  • THEY KNOW THE HEALTH CARE

  • REFORM PASSED.

  • THEY'RE BENEFITING FROM IT.

  • IT'S GRADUALLY UNFOLDING BEFORE

  • THEM.

  • THEY DON'T WANT US TO CONTINUE

  • TO DEBATE THE SAME THING OVER

  • AND OVER AGAIN.

  • REPEAL, DEFUND AND NO

  • SUGGESTION ABOUT WHAT YOU WOULD

  • DO TO REPLACE IT EITHER, BY THE

  • BUT I YIELD -- I RESERVE THE

  • WAY.

  • BALANCE OF MY TIME.

  • THE GENTLEMAN

  • RESERVES THE BALANCE OF HIS

  • TIME.

  • THE GENTLEMAN FROM

  • PENNSYLVANIA.

  • MADAM SPEAKER, I'M

  • COULD I ASK THE OTHER GENTLEMAN

  • PREPARED TO CLOSE.

  • HOW MANY SPEAKERS HE HAS LEFT?

  • ACTUALLY, I DO

  • HAVE A FEW MORE SPEAKERS, AND I

  • SEE THAT THE GENTLEWOMAN FROM

  • TEXAS IS HERE.

  • I'D YIELD HER ONE MINUTE TO MS.

  • SHEILA JACKSON LEE --

  • I RESERVE.

  • THE GENTLEMAN FROM

  • PENNSYLVANIA RESERVES THE

  • BALANCE OF HIS TIME.

  • RECOGNIZED FOR HOW MANY

  • THE GENTLEWOMAN FROM TEXAS IS

  • MINUTES?

  • ONE MINUTE.

  • THE GENTLEWOMAN IS RECOGNIZED

  • FOR TWO MINUTES.

  • LET ME THANK

  • THE DISTINGUISHED GENTLEMAN

  • FROM NEW JERSEY AND LET ME

  • THANK THE CHAIRMAN OF THE

  • COMMITTEE AS WELL.

  • MADAM CHAIR WOMAN, WE JUST HAVE

  • A DISAGREEMENT, AND I WOULD

  • VENTURE TO SAY THAT THE BULK OF

  • SICK PEOPLE IN AMERICA AND

  • OTHERS WHO EVERY DAY STRUGGLE

  • TO MAINTAIN THEIR HEALTH SO

  • THEY CAN PROVIDE FOR THEIR

  • FAMILIES WOULD VIGOROUSLY

  • DISAGREE AS WELL.

  • THERE IS TWO POINTS I'D LIKE TO

  • MAKE.

  • WHEN WE REPEAL THIS AFFORDABLE

  • CARE ACT AND THE FUNDING OF IT

  • IS MORE THAN THE GLORY THAT WE

  • GET FROM GOING HOME AND

  • BRAGGING THAT WE HAVE

  • UNDERMINEDED AMERICA'S HEALTH

  • CARE SYSTEM OR SOME WOULD SAY

  • WE HAVE TAKEN AWAY OBAMACARE.

  • PREVENTATIVE CARE IS AN

  • UNBELIEVABLE PLUS THAT THIS

  • BILL HAS GENERATED.

  • I WENT TO ONE OF MY

  • MOTHER-IN-LAW CENTERS, A NEW

  • ONE THAT IS CRAFTED UNDER THE

  • PUBLIC HEALTH SYSTEM.

  • IT IS TO TAKE OFF THE LOAD OF

  • THE EMERGENCY CENTERS OR THE

  • EMERGENCY CENTERS THAT

  • AMBULANCES GO TO.

  • WHAT AN AMAZING SIGHT OF PEOPLE

  • GOING THERE WITH BROKEN TOES

  • AND MAYBE THE BEGINNING OF

  • HEART DISEASE AND OTHER

  • PROBLEMS, BUT IT WAS A LOWER

  • LEVEL EMERGENCY ROOM.

  • NOT PARTICULARLY PREVENTATIVE

  • CARE.

  • BUT THE KIND OF INTERVENTION

  • THAT SAVES MILLIONS OF DOLLARS.

  • I WANT TO GO EVEN LOWER THAN

  • THAT.

  • AND I DON'T USE THAT

  • TERMINOLOGY.

  • BUT I WANT PEOPLE TO BE ABLE TO

  • GO AND CHECK ON THEIR

  • CHOLESTEROL, CHECK ON THEIR

  • HIGH BLOOD PRESSURE, UNDERSTAND

  • WHETHER THEY HAVE SICKLE CELL,

  • UNDERSTAND WHAT STAGE OF

  • DIABETES THEY'RE IN OR

  • UNDERSTAND WHAT STAGES OF HEART

  • DISEASE THAT THEY'RE IN IN A

  • PREVENTATIVE CARE CYCLE.

  • AND EVERYONE KNOWS THAT

  • ECONOMISTS DOCUMENT HOW MANY

  • BILLIONS OF DOLLARS THAT WILL

  • SAVE.

  • HOW CAN WE VOTE AGAINST THAT?

  • SECONDARILY, THERE'S TWO PARTS

  • TO THIS ACT THAT'S BEING

  • REPEALED, RESEARCH AND TRAINING

  • FOR HEALTH PROFESSIONALS THAT

  • WE ABSOLUTELY NEED, WHETHER

  • YOU'RE IN THE PRIVATE HEALTH

  • CARE SYSTEM OR NOT, AND THEN OF

  • COURSE PROTECTING OUR MOST

  • PRECIOUS RESOURCE, OUR

  • CHILDREN.

  • IF YOU CAN RAISE A CHILD IN A

  • HEALTHY MAN FOR THE TERMS OF

  • NUTRITION, IN TERMS OF

  • IMMUNIZATION, IN TERMS OF

  • REGULAR DOCTOR VISITS, YOU ARE

  • ABLE TO SAVE BILLIONS OF DELAS.

  • THIS IS WRONGHEADED AND A WRONG

  • DIRECTION.

  • MANY OF US ARE FASTING.

  • I SAID ON THIS FLOOR, WE MUST

  • PRAY BECAUSE THIS IS THE WRONG

  • DIRECTION TO GO.

  • WITH THAT, MADAM CHAIRWOMAN, I

  • YIELD BACK.

  • THE GENTLEWOMAN'S

  • TIME HAS EXPIRED.

  • THE GENTLEMAN FROM NEW JERSEY.

  • I YIELD MYSELF

  • SUCH TIME AS I MAY CONSUME.

  • THE GENTLEMAN IS

  • RECOGNIZED.

  • MADAM CHAIRWOMAN,

  • WE'RE NEVER GOING TO BEND THE

  • COST CURVE ON HEALTH CARE UNTIL

  • WE FOCUS MUCH MORE ON DISEASE

  • PREVENTION.

  • THAT'S WHAT THIS PREVENTION

  • FUND IS FOR.

  • I THOUGHT THAT BOTH REPUBLICANS

  • AND DEMOCRATS WANTED TO KEEP

  • PEOPLE OUT OF THE HOSPITAL, OFF

  • OFTIES ABILITY, LEADING

  • PRODUCTIVE LIVES AND TRYING TO

  • PREVENT DISEASES BEFORE THEY

  • I NEVER THOUGHT THIS WAS A

  • OCCUR.

  • PARTISAN ISSUE.

  • BECAUSE WE NEED TO HAVE A

  • SYSTEM OF WELL CARE, NOT SICK

  • CARE IF WE'RE REALLY GOING TO

  • HAVE SUCCESS IN SAVING MONEY

  • AND BENDING THE COST CURVE.

  • I DON'T UNDERSTAND WHAT MY

  • REPUBLICAN COLLEAGUES, SO MANY

  • TIMES IN THE COMMITTEE, WOULD

  • TALK ABOUT PREVENTION BUT ALL

  • OF A SUDDEN NOW THEY WANT TO

  • ABOLISH THE PREVENTION FUND.

  • IT DOESN'T MAKE SENSE.

  • BEFORE THE AFFORDABLE CARE ACT,

  • PREVENTION ACTIVITIES WERE

  • CHRONICALLY UNDERFUNDED,

  • ACCOUNTING FOR ONLY 2% TO 4% OF

  • THE HEALTH SPENDING BY SOME

  • ESTIMATES.

  • TO SPEND AN ADDITIONAL $2

  • BILLION FOR WELLNESS AND

  • INVESTMENT.

  • PREVENTION IS A WISE

  • SINCE THE AFFORDABLE CARE ACT

  • WAS ENACTED, EVERY STATE HAS

  • BENEFITED FROM THE PREVENTION

  • AND WELLNESS FUND.

  • THIS YEAR OVER $750 MILLION IN

  • GRANTS WERE DISBURSED, BUILD

  • OGEN A $500 MILLION INVESTMENT

  • LAST YEAR AND PUTTING THE

  • BRAKES ON THIS PROGRAM WOULD

  • MEAN PUTTING THE BRAKES ON

  • PROGRAMS ALREADY BEGINNING TO

  • MAKE A DIFFERENCE.

  • IN MY HOME STATE OF NEW

  • JERSEYMARK OF MY CONSTITUENTS

  • BENEFITED FROM OVER $15 MILLION

  • IN PUBLIC HEALTH GRANTS,

  • FUNDING FOR H.I.V. PREVENTION,

  • MENTAL HEALTH CARE, CRITICAL

  • PUBLIC INFRASTRUCTURE

  • IMPROVEMENTS, SWERT SUPPORT FOR

  • PRIMARY TRAINING.

  • I HAVE A SHEET HERE, I HAVE A

  • SIMILAR SHEET FOR MR. PITTS AND

  • DR. BURGESS AND OTHERS WHO

  • SPECIFIED THESE ARE THE TYPES

  • OF GRANTS THAT ARE BEING MADE

  • AVAILABLE IN THEIR STATES.

  • I SIMPLY DON'T UNDERSTAND,

  • THERE'S 600 NATIONAL STATE AND

  • LOCAL ORGANIZATIONS SUPPORTING

  • THE FUND AS A PRIMARY VEHICLE

  • FOR MAKING PUBLIC HEALTH

  • INVESTMENTS THAT WOULD CREATE

  • JOBS AND HELP LOWER LONG-TERM

  • HEALTH COSTS.

  • THE COMMITTEE HAS -- THE ENERGY

  • AND COMMERCE COMMITTEE HAVE

  • HEARD MANY, MANY TIME -- HAVE

  • HEARD ME MANY TIMES SAY WE HAVE

  • TO FOCUS ON PREVENTION.

  • WE HAD THE C.B.O. AND THEY SAID

  • -- AND I SAID WHY DON'T YOU

  • CALCULATE PREVPK?

  • WE WOULD SAVE TRILLIONS OF

  • DOLLARS.

  • THEY DON'T DO IT.

  • BUT WE ALL KNOW THAT PREVENTION

  • SAVES MONEY.

  • IF YOU CONCENTRATE ON CHRONIC

  • DISEASES, THIS MOVES THE NATION

  • FROM A FOCUS ON SICKNESS AND TS

  • TO ONE BASED ON WELLNESS AND

  • PREVENTION.

  • IF YOU TAKE AWAY THE CRITICAL

  • NEW INVESTMENT IN PREVENTION

  • IT'S GOING TO BE HARMFUL TO THE

  • HEALTH OF AMERICANS NOW AND IN

  • THE FUTURE.

  • I RESERVE MY TIME.

  • THE GENTLEMAN

  • RESERVES THE BALANCE OF HIS

  • TIME THE GENTLEMAN FROM

  • PENNSYLVANIA.

  • I'M PREPARED TO

  • CLOSE.

  • I RESERVE THE BALANCE OF MY

  • TIME.

  • THE GENTLEMAN FROM

  • NEW JERSEY.

  • I'M PREPARED TO

  • CLOSE, I'LL RESERVE BUT I'M

  • PREPARED TO CLOSE.

  • YOU GO FIRST.

  • THE GENTLEMAN FROM

  • NEW JERSEY.

  • IT WAS MY

  • UNDERSTANDING THAT I GET TO

  • THE GENTLEMAN FROM

  • CLOSE.

  • CLOSE.

  • PENNSYLVANIA HAS THE RIGHT TO

  • HE HAS THE RIGHT

  • TO CLOSE?

  • OK, LET ME YIELD MIST SUCH TIME

  • AS I MAY CONSUME.

  • MADAM CHAIRWOMAN, I'LL ADDRESS

  • THIS DIRECTLY TO MY REPUBLICAN

  • COLLEAGUES, IN THE LAST FEW

  • WEEKS WHEN WE HAD HEARINGS IN

  • THE HEALTH SUBCOMMITTEE ON THE

  • VARIOUS MEASURES THAT THE

  • REPUBLICANS WANTED TO THE FUND

  • -- DEFUND AND I KNOW WAY TANT

  • TO DEFUPPED THEY WILL THE WHOLE

  • BILL AND THAT'S WHAT THEY'RE

  • GOING TO TRY TO DO AGAIN

  • TOMORROW.

  • I UNDERSTAND THAT.

  • I TOTALLY DISAGREE WITH IT BUT

  • I UNDERSTAND THEY'RE AGAINST

  • THE AFFORDABLE CARE ACT, THEY

  • WANT TO DEFUND IT BUT IT SEEMS

  • TO ME THAT TO MICK THE -- PICK

  • THE ONE BILL THAT DEALS WITH

  • PREVENTION IS REALLY THE WORST

  • THING YOU COULD HAVE DONE TODAY

  • BECAUSE WHAT WE'RE TRYING TO DO

  • WITH THE AFFORDABLE CARE ACT

  • AND WHAT I'VE SOUGHT TO DO WITH

  • EVERYTHING WE'VE DONE IN THE

  • SUBCOMMITTEE SINCE I'VE BEEN ON

  • IT IS TO STRESS PREVKS.

  • WE CAN AVOID PEOPLE FROM GOING

  • TO HOSPITALS, WE CAN AVOID

  • PEOPLE FROM GOING TO NURSING

  • HOMES, THEY CAN LEAD A BETTER

  • QUALITY OF LIFE AND SAVE MONEY.

  • I THINK IT'S UNFORTUNATE TODAY

  • THAT AFTER SO MANY YEARS OF A

  • BURN EFFORT TO DEAL WITH

  • PREVENTION TO FUND PREVENTION

  • ISSUES THAT THIS IS THE ONE

  • BILL, THE ONE FUND THAT'S

  • ACTUALLY PICKED ON TODAY TO

  • COME TO THE FLOOR.

  • I THINK IT'S REALLY A HORRIBLE

  • THING THAT THAT'S THE CASE.

  • I URGE MY COLLEAGUES TO VOTE

  • AGAINST THIS RESOLUTION BECAUSE

  • IF YOU REALLY BELIEVE IN

  • PREVENTION, IF YOU REALLY

  • BELIEVE WE CAN MAKE A

  • DIFFERENCE IN MAKING PEOPLE

  • WELL AN PREVENTING THEM FROM

  • GETTING SICK, YOU SHOULD VOTE

  • AGAINST THIS BILL.

  • I YIELD BACK.

  • THE GENTLEMAN YIELDS

  • BACK.

  • THE GENTLEMAN FROM

  • PENNSYLVANIA.

  • MADAM CHAIR, IT'S

  • TIME FOR A FISCAL REALITY

  • CHECK.

  • THE FEDERAL GOVERNMENT IS NOW

  • BORROWING 42 CENTS OF EVERY

  • DOLLAR IT SPENDS.

  • WASHINGTON IS SPENDING MORE

  • THAN ONE OF EVERY $4 THIS

  • COUNTRY PRODUCES AND WE ARE

  • FACING A THIRD STRAIGHT YEAR

  • WITH A -- A THIRD STRAIGHT YEAR

  • WITH A TRILLION-DOLLAR DEFICIT.

  • YET WHEN THE SUBCOMMITTEE ROTED

  • ON THIS STRAIGHTFORWARD BILL TO

  • STRIP BILLIONS FROM THE HEALTH

  • CARE LAW BASED ON THE SIMPLE

  • PREMISE THAT CONGRESS SHOULD

  • FUND PREVENTION AND WELLNESS

  • ACTIVITIES BY PRIORITIZING THEM

  • IN THE REGULAR ANNUAL SPENDING

  • PROCESS, THE RESPONSE FROM THE

  • OTHER SIDE OF THE AISLE WAS TO

  • SAY, WE'RE NOT BROKE.

  • MADAM CHAIR, I BEG TO DIFFER.

  • OUR DEBATE TODAY IS NOT ABOUT

  • THE VIRTUE OF PREVENTIVE HEALTH

  • CARE AND WELLNESS PROGRAMS.

  • I SUPPORT PREVENTION.

  • THE REAL QUESTION IS WHETHER

  • OUR NATION CAN AFFORD TO

  • AUTHORIZE THE SECRETARY OF

  • HEALTH AND HUMAN SERVICES TO

  • SPEND NEARLY $18 BILLION OVER

  • AND ABOVE WHAT CONGRESS

  • APPROPRIATES OVER THE NEXT

  • DECADE ON PROGRAMS OF THE

  • ADMINISTRATION'S CHOOSING.

  • H.R. 1217 DOES NOT CUT A SINGLE

  • PROGRAM BECAUSE THIS FUND DOES

  • NOT GUARANTEE FUNDING FOR ANY

  • PARTICULAR PROGRAM.

  • EVERY MEMBER WHO SUPPORTS THIS

  • FUND ON THE ASSUMPTION THAT IT

  • PROVIDES ADDITIONAL MONEY FAR

  • PROJECT THEY DEEM WORTHY SHOULD

  • UNDERSTAND THAT NO ONE KNOWS

  • WHERE THIS MONEY WILL BE SPENT.

  • PERHAPS IT COULD BE USED TO

  • COMBAT OBESITY OR FOR CANCER

  • SCREENINGS OR PERHAPS IT'LL BE

  • USED TO POST SIGNS ABOUT THE

  • LOCATION OF BIKE PATHS.

  • THE POINT IS, CONGRESS

  • ABDICATES OUR AUTHORITY AND

  • RESPONSIBILITY FOR INVESTING IN

  • PREVENTION BY HANDING A

  • PERPETUAL BLANK CHECK TO THE

  • SECRETARY.

  • GOVERNING AND SOLVING OUR

  • FISCAL PROBLEMS IS DIFFICULT.

  • IT REQUIRES HARD CHOICES.

  • IT IS EASY TO SPEND.

  • THE EASY CHOICE WAS TO ASSIGN

  • MANDATORY ADVANCED

  • APPROPRIATIONS TO THESE

  • INITIATIVES RATHER THAN MAKING

  • THEM A BUDGET PRIORITY.

  • BUT IT'S ONLY EASY UNTIL THE

  • BILL IS DUE AND THE CREDIT CARD

  • IS MAXED OUT.

  • WELL, THE BILL IS DUE, AND THE

  • CREDIT CARD LIMIT IS

  • APPROACHING FAST.

  • CONGRESS NEEDS TO REASSERT ITS

  • ROLE AND SET SPENDING

  • PRIORITIES RATHER THAN GIVE THE

  • EXECUTIVE BRANCH UNFETTERED

  • POWER TO SPEND AS IT WISHES.

  • I URGE MY COLLEAGUES TO SUPPORT

  • THE BILL AND MADAM CHAIR, I

  • YIELD BACK.

  • THE

  • GENTLEMAN --

  • THE GENTLEMAN YIELDS

  • BACK.

  • ALL TIME FOR GENERAL DEBATE HAS

  • EXPIRED.

  • PURSUANT TO THE RULE, THE BILL

  • AMENDMENT UNDER THE FIVE-MINUTE

  • SHALL BE CONSIDERED READ FOR

  • RULE.

  • NO AMENDMENT TO THE BILL IS IN

  • ORDER EXCEPT THOSE PRINTED IN

  • HOUSE REPORT 112-61.

  • EACH SUCH AMENDMENT MAY BE

  • OFFERED ONLY IN THE ORDER

  • PRINTED IN THE REPORT BY A

  • MEMBER DESIGNATED IN THE

  • REPORT, SHALL BE CONSIDERED

  • READ, SHALL BE DEBATABLE FOR

  • THE TIME SPECIFIED IN THE

  • REPORT, EQUALLY DIVIDED AND

  • CONTROLLED BY THE PROPONENT AND

  • AN OPPONENT OF THE AMENDMENT,

  • SHALL NOT BE SUBJECT TO

  • AMENDMENT AND SHALL NOT BE

  • SUBJECT TO TCHAND FOR DIVISION

  • OF THE QUESTION.

  • IT IS NOW IN ORDER TO CONSIDER

  • AMENDMENT NUMBER 1 PRINTED IN

  • HOUSE REPORT 112-61.

  • FOR WHAT PURPOSE DOES THE

  • GENTLEWOMAN FROM TEXAS RISE?

  • I HAVE AN

  • AMENDMENT AT THE TESK.

  • THE CLERK WILL

  • DESIGNATE THE AMENDMENT.

  • AMENDMENT NUMBER 1,

  • PRINTED IN HOUSE REPORT 112-61,

  • OFFERED BY MS. JACKSON LEE OF

  • TEXAS.

  • PURSUANT TO THE

  • RULE, THE GENTLEWOMAN FROM

  • TEXAS, MS. JACKSON LEE, AND A

  • MEMBER OPPOSED, EACH WILL

  • CONTROL FIVE MINUTES.

  • THE CHAIR RECOGNIZES THE

  • GENTLEWOMAN FROM TEXAS.

  • THANK YOU,

  • MADAM SPEAKER.

  • I KNOW SOMETIMES IN THE RUSH OF

  • LEGISLATING, MANY MEMBERS ARE

  • FACED WITH ANY NUMBER OF

  • CHALLENGES IN UNDERSTANDING

  • LEGISLATION, BUT I DO KNOW THAT

  • THE MAJORITY HAS COME WITH

  • THEIR OWN ROAD MAP AND I DO

  • WANT TO RESPECT THE DIFFERENT

  • VIEWPOINTS AND I DON'T SAY THIS

  • IN MY WAY TO MALIGN.

  • FIRST OF ALL, I'M GRATEFUL THAT

  • THIS AMENDMENT WAS MADE IN

  • ORDER, BUT I WISH IT WASN'T

  • BECAUSE I UNDERSTAND THAT ALL

  • LEGISLATION THAT PASSES NEEDS

  • TO HAVE, IN FACT, OR OFTEN HAS

  • THOSE WHO AGREE WITH IT AND

  • THESE WHO DO NOT.

  • THAT'S FAIR ENOUGH.

  • AND THE PROCESS THAT WE USUALLY

  • USE TO HANDLE THAT IS TO AMEND,

  • NOT REPEAL.

  • THERE ARE SOME SECTIONS HERE

  • THAT I'VE LOOKED AT AND HAVE

  • CONCERN WITH.

  • AND MANY HAVE HEARD ME ON THE

  • FLOOR OF THE HOUSE DISCUSSING A

  • NUMBER OF ISSUES REGARDING MY

  • LOCAL HOSPITALS.

  • BUT I WILL SAY TO YOU THAT THE

  • REPEAL OF THIS BILL IS PUTTING

  • US ON THE ROAD TO RUIN.

  • MY AMENDMENT IS SIMPLE.

  • IT ASKS THE H.H.S. TO PLACE ON

  • ITS WEBSITE THE MONEYS

  • RESCINDED SO THAT THE AMERICAN

  • PEOPLE CAN SEE.

  • FOR SOME IT MAY BE TO SEE THE

  • GREAT SUCCESS OF TAKING AWAY

  • MONEY, FOR OTHERS IT MAY BE TO

  • SEE WHAT HAS HAPPENED TO THE

  • RESOURCES THAT THEY NEED TO

  • TAKE CARE OF THEMSELVES.

  • VERY QUICKLY, THIS AMENDMENT

  • REQUIRES FOR FISCAL YEAR 2010,

  • 2011, 2012, 2013, 2014, TO LIST

  • THE AMOUNT OF MONEY BEING TAKEN

  • AWAY FROM GOOD HEALTH CARE BUT

  • ALSO, MADAM SPEAKER, IT WILL

  • ALSO HOPEFULLY POINT PEOPLE TO

  • WHAT THEY'RE LOSING.

  • FOR EXAMPLE, LOOK AT THIS

  • BEAUTIFUL BABY HERE.

  • WE WILL NOT HAVE, UNDER THE

  • REPEAL OF THIS AFFORDABLE CARE

  • ACT, THE BOUNTY OF PREVENTIVE

  • CARE FOR THOSE WITH CHRONIC

  • DISEASES, AMERICANS WHO ARE

  • SUBJECT TO CHRONIC DISEASE SUCH

  • AS HEART DISEASE, CANCER,

  • STROKE AND DIABETES.

  • THEIR ONLY CARE WILL BE THE

  • EMERGENCY ROOM.

  • HIGH-PRICED EMERGENCY ROOMS.

  • WHEN THEY'RE IN A DIABETIC COMA

  • OR THEY'RE IN A STROKE OR THEY

  • HAVE A HEART ATTACK, RATHER

  • THAN BE ABLE TO GO TO THEIR

  • DOCTORS, BUT WE START EARLY ON

  • WITH THIS LITTLE BABY, BEING

  • ABLE TO GO TO WELLNESS CLINICS

  • OR TO THEIR COMMUNITY HEALTH

  • CLINICS.

  • THAT'S WHAT THE MONEY THAT'S

  • BEING RESCINDED IS GOING TO DO

  • TO YOU.

  • IN ADDITION, YOU WILL FIND THAT

  • CHRONIC DISEASES RESULTED IN

  • $75.3 BILLION IN DOLLARS LOST

  • IN PRODUCTIVITY IN THE STATE OF

  • TEXAS ALONE.

  • THE RESCISSIONS WILL ALSO

  • IMPACT ALL THE STATES.

  • I HAVE A LIST OF ALMOST 50

  • STATES THAT HAVE BEEN TO --

  • THAT HAVE BEGUN TO RECEIVE

  • DOLLARS FROM THE AFFORDABLE

  • CARE ACT FROM BEALL TO ALASKA

  • TO PENNSYLVANIA TO

  • MASSACHUSETTS TO MICHIGAN TO

  • RHODE ISLAND AND SOUTH CAROLINA

  • AND TENNESSEE AND TEXAS, ALL OF

  • THE STATES THAT MY GOOD FRIENDS

  • COME FROM.

  • THEY ARE RECEIVING MONEY RIGHT

  • NOW.

  • IN ADDITION TO THIS ISSUE OF

  • TAKING AWAY MONEY, PREVENTION

  • TO FOR HEALTHY AMERICA

  • CONCLUDED THAT INVESTING $10

  • PER PERSON, PER YEAR TO IMPROVE

  • PROGRAMS THAT INCREASE PHYSICAL

  • ACTIVITY AND PREVENT SMOKING

  • AND OTHER TOBACCO CAN SAVE THE

  • COUNTRY MORE THAN $16 BILLION

  • ANNUALLY WITHIN FIVE YEARS.

  • WHEN YOU SEE HOW MUCH MONEY WAS

  • TAKEN AWAY, JUST REALIZE THAT

  • YOU MULTIPLY THAT, IF IT'S A

  • TOTAL OF $16 BILLION, YOU'RE

  • GOING TO LOSE $16 BILLION A

  • YEAR BECAUSE THERE WILL NOT BE

  • ANY WELLNESS PROGRAMS.

  • COMMUNITY AND CLINICAL

  • PREVENTION, WHICH IS ABOUT $2

  • MILLION, AND SO YOU'LL TAKE

  • AWAY MONEY FROM H.I.V.

  • PREVENTION AND THAT IS A VERY

  • COSTLY PROPOSE.

  • A YOU'LL TAKE AWAY FROM PUBLIC

  • HEALTH INFRASTRUCTURE.

  • YOU'LL TAKE AWAY FROM PRIMARY

  • CARE RESIDENCY EXPANSION

  • PROGRAMS TRAINING RESIDENT --

  • RESIDENTS AND DOCTORS.

  • YOU'LL TAKE AWAY ADVANCEMENT OF

  • PHYSICIAN ASSISTANT TRAINING.

  • YOU'LL TAKE AWAY FROM PUBLIC

  • HEALTH DEPARTMENTS WHERE THEY

  • LINK PEOPLE TO NEEDED HEALTH

  • CARE.

  • YOU'LL TAKE AWAY CHILDHOOD AND

  • ADULT IMMUNIZATIONS AND

  • PROTECTING THE WATER WE DRINK

  • AND THE FOOD WE EAT.

  • LET ME SAY THAT MY AMENDMENT IS

  • TO SHINE THE LIGHT ON WHAT WILL

  • BE HAPPENING TO THE HEALTH CARE

  • OF AMERICANS, I WANT MY

  • COLLEAGUES TO TELL THEIR

  • CONSTITUENTS, NOT THOSE THAT

  • ARE ALREADY FOCUSED ON NEGATIVE

  • ASPECTS OF WHAT WE'RE TRYING TO

  • DO HERE, BUT THOSE WHO ARE

  • SIMPLY HARD WORKING MOTHERS AND

  • FATHERS TRYING TO MAKE A LIVING

  • AND NEED THIS HEALTH CARE.

  • THE GENTLEWOMAN'S

  • TIME HAS EXPIRED.

  • DOES THE GENTLEMAN RISE IN

  • OPPOSITION TO THE AMENDMENT?

  • PITTS PITTS I MIGHT --

  • MR. PITTS:, I MIGHT MENTION ALL

  • OF THE PROGRAMS SHE MENTIONED

  • ARE NOT MENTIONED IN THIS

  • SECTION OF THE LAW.

  • THERE IS NO GUARANTEE THIS MONEY

  • WILL BE SPENT FOR ANY OF THAT.

  • H.R. 1217 REPEALS THE PREVENTION

  • AND PUBLIC HEALTH FUND AND

  • RESINDS UNOBLIGATED BALANCES.

  • THE JACKSON LEE AMENDMENT WOULD

  • REQUIRE THE SECRETARY OF HEALTH

  • AND HUMAN SERVICES TO POST ON

  • THE H.H.S. PUBLIC WEB SITE, A

  • NOTICE OF THE RECISION OF

  • UNOBLIGATED BALANCES OF THE

  • PUBLIC HEALTH FUND AND THE

  • AMOUNT OF THE RECISION.

  • I SUPPORT TRANSPARENCY IN

  • GOVERNMENT.

  • I ACTUALLY WISH THERE WAS MORE

  • TRANSPARENCY AND HOW H.H.S. HAS

  • ALREADY SPENT THE MONEY IN THIS

  • FUND.

  • THE LACK OF TRANSPARENCY AND

  • ACCOUNTABILITY REGARDING THIS

  • FUND IS THE PRIMARY REASON I

  • SUPPORT H.R. 1217 AND IF THE

  • AUTHOR FEELS THIS WOULD INCREASE

  • AMENDMENT.

  • TRANSPARENCY, THEN I SUPPORT THE

  • I YIELD BACK.

  • THE GENTLEMAN YIELDS

  • BACK THE BALANCE OF HIS TIME.

  • ALL TIME HAS EXPIRED.

  • THE QUESTION IS ON THE AMENDMENT

  • OFFERED BY THE GENTLEWOMAN FROM

  • TEXAS.

  • THOSE IN FAVOR SAY AYE.

  • THOSE OPPOSED SAY NO.

  • IN THE OPINION OF THE CHAIR THE

  • AYES HAVE IT AND THE AMENDMENT

  • IS AGREED TO.

  • IT'S NOW IN ORDER TO CONSIDER

  • AMENDMENT NUMBER 2 AND 3 PRINTED

  • IN HOUSE REPORT 112-61.

  • FOR WHAT PURPOSE DOES THE

  • GENTLEWOMAN FROM FLORIDA RISE?

  • I HAVE AN AMENDMENT

  • AT THE DESK.

  • THE CLERK WILL

  • DESIGNATE THE AMENDMENT.

  • AMENDMENT NUMBER 2

  • PRINTED IN HOUSE REPORT 112-61

  • OFFERED BY MS. CASTOR OF

  • FLORIDA.

  • PURSUANT TO HOUSE

  • RESOLUTION 219, THE GENTLEWOMAN

  • FROM FLORIDA, MS. CASTOR, AND A

  • MEMBER OPPOSED EACH WILL CONTROL

  • FIVE MINUTES.

  • THE CHAIR RECOGNIZES THE

  • GENTLEWOMAN FROM FLORIDA.

  • MY AMENDMENT

  • REQUIRES A GOVERNMENT

  • ACCOUNTABILITY STUDY WITHIN 90

  • DAYS OF ENACTMENT OF THE LAW TO

  • STUDY THE IMPACT OF PREVENTION

  • THE PUBLIC HEALTH INITIATIVE HAS

  • ON PREVENTING CHRONIC DISEASES

  • AND PROMOTING PUBLIC HEALTH.

  • PREVENTION WORKS.

  • IT'S SMART.

  • IT IS -- IT SAVES THE TAXPAYERS

  • MONEY.

  • IT SAVES FAMILIES MONEY AND IT

  • SAVES LIVES.

  • THE PREVENTION IN PUBLIC HEALTH

  • INITIATIVE EMPOWERS COMMUNITIES

  • ALL ACROSS THIS GREAT NATION TO

  • FOCUS ON PREVENTION AND WELLNESS

  • AND WHAT WORKS FOR THEM WHEN IT

  • COMES TO REDUCING CANCER CASES,

  • REDUCING HEART DISEASE, REDUCING

  • STROKE BACK IN OUR OWN

  • HOMETOWNS.

  • IN FLORIDA ALONE, THERE ARE OVER

  • 10 MILLION CASES OF THE SEVEN

  • MOST CHRONIC -- MOST COMMON

  • CHRONIC DISEASES, CANCER,

  • DIABETES, HEART DISEASE, HYPER

  • CONDITIONS.

  • TENSION, STROKE AND PULMONARY

  • WE KNOW OUR FAMILY, FRIENDS,

  • FOLKS WE GO TO CHURCH WITH AND

  • SEE IN THE GROCERY STORE THAT

  • SUFFER FROM THESE DISEASES AND A

  • LOT OF THESE CASES IF THEY HAD

  • GOTTEN EARLY DETECTION OR WE HAD

  • WORKED HARDER ON PREVENTION,

  • THEY WOULDN'T HAVE FALLEN INTO

  • THAT TRAP OF THE DISEASE AND ALL

  • THAT IT BRINGS FOR FAMILIES AND

  • COMMUNITIES.

  • NOW.

  • SEE, WE HAVE A BETTER APPROACH

  • WE'RE SMARTER IN AMERICA.

  • NO LONGER SHOULD OUR HEALTH CARE

  • SYSTEM BE FOCUSED ON ONLY TAKING

  • CARE OF FOLKS IN THE HOSPITAL

  • WHEN THEY'RE SICK OR AT THE END

  • STAGES, WE'RE SMARTER.

  • WE CAN PREVENT A LOT OF THIS

  • THROUGH EDUCATION AND BEING PRO

  • ACTIVE AND ENCOURAGING A HEALTH

  • YEAR LIFESTYLE AND THAT'S WHAT

  • THE PREVENTION IN HUB HEALTH

  • DOES.

  • STATES AND LOCAL COMMUNITIES ARE

  • ABLE TO DECIDE WHAT WORKS BEST

  • FOR THEM.

  • THIS ISN'T WASHINGTON DICTATING

  • WHAT YOU SHOULD DO.

  • THIS IS SAYING TO OUR LOCAL

  • HOMETOWNS AND COMMUNITIES, WHAT

  • DO YOU THINK WORKS BEST FOR YOU?

  • I WOULD ENCOURAGE ALL OF MY

  • COLLEAGUES TO TAKE A LOOK AT THE

  • GRANTS THAT ARE BEING MADE.

  • HOW ARE YOUR LOCAL COMMUNITIES

  • MAKING THESE INVESTMENTS WORK IN

  • YOUR OWN DISTRICT TO INVEST IN

  • THE LONG-TERM HEALTH OF OUR

  • NEIGHBORS AND THE ECONOMIC

  • PROSPERITY OF OUR COMMUNITIES.

  • FOR EXAMPLE, IN MY HOMETOWN, IN

  • MY DISTRICT, THE PINELLAS HEALTH

  • DEPARTMENT WAS BROUGHT TOGETHER

  • NEIGHBORHOODS AND NONPROFITS TO

  • DETERMINE WHAT'S GOING TO WORK

  • BEST AND ENCOURAGING LIFESTYLES.

  • WE HAVE AN OBESITY EPIDEMIC AND

  • THEY ARE BUILDING BIKE LANES AND

  • MAKE IMPROVEMENTS TO PARKS SO

  • CHILDREN HAVE THE OPPORTUNITY TO

  • GET OUT AND PLAY AFTER SCHOOL

  • INSTEAD OF SITTING IN FRONT OF

  • THE TELEVISION.

  • I ALSO HAVE A GREAT PUBLIC

  • UNIVERSITY, THE UNIVERSITY OF

  • SOUTH FLORIDA IN MY DISTRICT.

  • THEY ARE TRAINING THE MODERN

  • HEALTH CARE WORK FORCE IN

  • FLORIDA.

  • THESE ARE PROFESSIONALS FIGHTING

  • ON THE FRONT LINES OF OUR

  • COMMUNITIES AND YES, CREATING

  • JOBS, THIS IS CREATING JOBS TO

  • ENCOURAGE THE HEALTH YEAR

  • LIFESTYLES THAT WORK.

  • U.S.F. IS ABLE TO IDENTIFY WHERE

  • THE GAPS IN TRAINING MIGHT BE,

  • UPDATE CURRICULUM TO MAKE SURE

  • THEY RECEIVE THE UP-TO-DATE

  • RESEARCH AND THEY CAN SPEND THE

  • WORD THROUGHOUT THE CHURCHES,

  • GROCERY STORES AND OUR

  • NEIGHBORHOODS.

  • THE FLORIDA DEPARTMENT OF HEALTH

  • IS ALSO USING THESE GRANTS IN

  • CHECKING ON ALL OF OUR

  • STRATEGIES STATEWIDE TO

  • DETERMINE WHAT WORKS.

  • THIS IS ONE OF THE IMPORTANT

  • FOLES OF THE AFFORDABLE CARE ACT

  • TO PROMOTE HEALTH YEAR OUTCOMES

  • AND THE EXAMPLES I JUST SHARED

  • WITH YOU ARE A FEW OF WHAT IS

  • COUNTRY.

  • HAPPENING ALL ACROSS THE

  • WE ARE SMARTER.

  • PREVENTION WORKS AND SAVES

  • TAXPAYERS MONEY.

  • IT SAVES FAMILIES MONEY AND IT

  • SAVES LIVES.

  • AND I RESERVE.

  • THE GENTLELADY

  • RESERVES.

  • DOES THE GENTLEMAN FROM

  • PENNSYLVANIA RISE IN OPPOSITION

  • TO THE AMENDMENT?

  • YES, MADAM CHAIR.

COME TO ORDER.

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B1 中級

House Session 2011-04-13 (15:19:23-16:21:48)

  • 138 2
    Why Why に公開 2013 年 03 月 27 日
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