Transcripts For CSPAN U.S. House Of Representatives U.S. House Of Representatives 20180226

Well have oral argument on that case late they are week on the cspan networks. The house is gaveling in. Live votes will be at 6 30 here on cspan. Le 20. The house will resume proceedings on postponed questions at a later time. For what purpose does the gentleman from arizona seek recognition . Mr. Speaker, i move to suspend the rules and pass s. 772, the ashlynne apple bert act. In Indian Country to lerk s. 772, an act amend the protect act to make Indian Tribes eligible for amber alert grants. The speaker pro tempore pursuant to the rule, the gentleman from arizona, mr. Biggs, and the gentleman from maryland, mr. Raskin, each will control 20 minutes. The chair recognizes the gentleman from arizona. Mr. Biggs mr. Speaker, i ask unanimous consent that all members may have five legislative days to revise and tend their remarks and include extraneous materials on s. 772, currently under consideration. The speaker pro tempore without objection. Mr. Biggs mr. Speaker, im honored to be the sponsor of the amber alert in Indian Country act in memory of the life of ashlynne mike. I want to thank the house leadership and chairman goodlatte for bringing this bill before the house for consideration. 11yearold ashlynn lived in Navajo Nation, the largest indian reservation in the United States, located in arizona, utah, colorado and new mexico. Her favorite color was yellow and she enjoyed playing music for her friends and family. She was a kind hearted young girl who had enormous potential. After school on monday, may while ashlynn and her brother played near a bus stop, a man lured them into his car. He took them to a remote part of the reservation, used as 46rbings sk ashlynn, slallingtered her, and left her brother to fend or hims. Her father filed a missing persons report within three hours, but an amber alert issued until 2 30 a. M. David begay, her attacker, said she was alive when he left. When a child is abducted, action in those first hours is crucial to their protection. The Amber Alert Program has proven effective at instantly providing information to the public to assist in the effort. According to the National Center for missing and exploited children, of the amber alerts issued in 2016, 94 of the recovered children were found within the first 72 hours, including 47 were found within the first three hours. Between 1997 and february, 2017, the Amber Alert Program has been credited with a safe recovery of 868 children. Amber alert saves lives. Today we have the opportunity to ensure all children may benefit from the Amber Alert Program if necessary, no matter where they reside. This bill will reauthorize the department of Justice Grant Program that assists state and local governments in developing and implementing amber alert communication plans. It will explicitly require the department of justice to perform a Needs Assessment of capabilities on indian reservations and for the first time require funds to be used to integrate tribal amber Alert Systems with those of neighboring jurisdictions to ensure amber alerts reach as many people, as swiftly as possible. Again, i thank house leadership and chairman goodlatte for bringing this bill forward and acknowledging the importance of filling a gap in our amber alert system that might have prevented the death of ashlynn. I urge my colleagues to support this bill and if enacted, this bill will help to build a national and Cohesive Network of amber alert. With that, i yield i reserve. The speaker pro tempore the gentleman reserves his time. For what purpose does the gentleman from maryland seek recognition . Mr. Speaker, i rise in strong support of senate s. 77 , the amber alert in indian Indian Country act of 2017. The speaker pro tempore the gentleman is recognized. Mr. Raskin i strongly support this bill. Through the Grant Program reauthorized by s. 772, tribal haw law Law Enforcement agencies will have the capacity to issue their own amber alerts and allow tribal Alert Systems to be integrated with the more advanced amber Alert Communications of state and regional law enforce. Today. The Amber Alert Program is a owerful tool that is geographically targets law providers sign to issue urgent alerts. They can instantly galvanize a community to search for an endangered child. The Amber Alert Program has directly led to the rescue of more than 900 children. Presently the Amber Alert Program is jewsed in used in all 50 states, here in the district of columbia, puerto rico, and the u. S. Virgin islands and amber Alert Systems have evolved to utilize all Available Technology in notifying the public of a child abduction. Native American Tribal communities are unable to fake full advantage of this lifesaving program. Currently tribal Law Enforcement must rely on state or regional Law Enforcement agecies offreservation to issue the complete amber alert on their behalf. This is unfortunate and indeed its notable because the rate of child abductions is reportedly down across the country, with the sole exception of Indian Country. As we all know, time is of the essence when a child is abducted or goes missing. Amber am bert amber alert plans provides a Rapid Response system which is critical in such cases. Statistics show 74 of abducted children who are murdered are killed within the first three hours of their abduction. The time spent to coordinate with state or regional Law Enforcement before issuing an amber alert can be lengthy and have dire consequence. In 2003, the protect act established a Grant Program to be administered by the attorney general for the states with the goals of strengthening amber Alert Communications planned nationwide and developing a Seamless Network through the nation which dramatically increases the likelihood that abducted children will safely swiftly and this would make indian communities eligible to receive grant funds for the first time. With this funding, tribes leb able to implement amber alert plans of their own and integrate their amber Alert Systems into and with state and regional communication plans. The grants may be used for education, training lawence enforcement and tools and equipment related to amber plans. This will help build a truly national and Cohesive Network of the amber Alert Systems. Tribal Law Enforcement will have the ability to directly issue amber alerts without having to rely on outside Law Enforcement while outside agency will be able to fill in gaps if necessary through the improved coordination. Accordingly, i encourage my colleagues to join us in supporting this crucial piece of Bipartisan Legislation and ill reserve the balance of my time. The speaker pro tempore the gentleman reserves. The gentleman from arizona is recognized. Mr. Biggs thank you, mr. Speaker. Im prepared to close. The speaker pro tempore is the gentleman from maryland prepared to close . The gentleman from maryland is recognized. Mr. Raskin thank you, mr. Speaker. The legislation was introduced in response to a fatal abduction that occurred on the Navajo Nation in new mexico. 11yearold ashlynn mike was kidnapped, her brother escaped but she did not. That case focused attention on gaps in communication coordination between tribal and offres. Er vation Law Enforcement. In the past, the Navajo Nation has relied on izona, new mexico, and utah to issue amber alerts. Based on several accounts of this case, the amber alert was issued 10 or more hours after she was abducted. Her abductor confessed to brutalizing her and leaving her alive to fend for herself in the desert. It was too late for her when she was found dead a day later. Children are precious to us and they deserve our protection wherever they may live. Either on reservations or off reservations. Because we should do everything we can to ensure that appropriate resources are allocated efforts to recover missing or abducted children. I urge my colleagues to support this legislation and i yield back the balance of my time, mr. Speaker. The speaker pro tempore the gentleman yields back. The gentleman from arizona is recognized. Mr. Biggs thank thank you, mr. Chairman mr. Biggs thank you, mr. Chairman, mr. Speaker. This bill is truly a bipartisan effort worked on by both members of both parties. It is because of its importance. The particular case that both of us have it rated today does focus the attention on the massive hole where theres more than 500 indian nations, Indian Tribes that do not have access to the amber alert system. It is the only part of this nation and its territories not covered by the amber alert system this will solve that problem. And with that, i urge all of my colleagues to support this bill and i yield. The speaker pro tempore the gentleman yields back. Both sides having yielded back their time, the question is will the house plules and will the house suspend the rules and pass senate 772 as amended . Those in favor say aye. Those opposed, no. 2 3 being in the affirmative, the rules are suspended, the bill is passed, without objection, the motion to reconsider is aid on the table. For what purpose does the gentleman from the gentleman from texas, mr. Burgess, seek recognition . Mr. Burgess i move the house suspend the rules and pass the bill h. R. 676, as amended. The speaker pro tempore the clerk will report the title of the bill. The clerk h. R. 767, a bill to establish the stop, observe, ask, and respond to health and wellness Training Pilot Program to address Human Trafficking in he health care system. The speaker pro tempore pursuant to the rule, the gentleman from texas, mr. Burgess, and the gentleman from texas, mr. Gene green, will each control 20 minutes. The chair recognizes the gentleman from texas, mr. Burgess. Mr. Burgess mr. Speaker, i ask unanimous consent that all members may have five legislative days to revise and extend their remarks and insert extraneous materials into the record on the bill. The speaker pro tempore without objection, so ordered. Mr. Burgess mr. Speaker, ill yield myself the time i might consume. The speaker pro tempore without objection, the gentleman is recognized for as much time as he weeshes to use. Mr. Burgess wishes to use. Mr. Burgess thank you, mr. Speaker. The e in support of 767, stop, observe, ask, and respond to health and wellness act of 2017, introduced by our colleague, representative steve cohen of tennessee. This bill will help in the fight against Human Trafficking. Worldwide nearly 21 Million People are victims of Human Trafficking, forced labor or exploitation. This Bipartisan Initiative expands and further codifies the department of health and Human Services stop, observe, ask, and respond program, which enhances the Health Care Systems response to Human Trafficking. By requiring the program to provide grants to health care sites to work with stakeholders to develop flexible training modules and to provide Technical Assistance to Health Education programs, this legislation will teach Health Professionals to identify and to respond to victims of Human Trafficking. Mr. Speaker, i thank you for the recognition. Ill reserve the balance of my time. The speaker pro tempore the gentleman from texas, mr. Burgess, reserves the balance of his time. The gentleman from texas, mr. Gene green, is recognized. Mr. Green thank you, mr. Speaker. Ill yield myself such time as i may consume. The speaker pro tempore the gentleman is recognized. Mr. Green thank you. Mr. Speaker, i rise in support of h. R. 767, the soar to health 2017. Lness act of this provides Health Care Professionals with training on how to identify and appropriately treat victims of Human Trafficking. Nearly 21 Million People worldwide are victims of Human Trafficking, forced labor, or sexual exploitation. At some point many of these unidentified victims will come into contact with Health Care Professionals during their captivity. A doctors visit or emergency room trip may provide a brief chance when a victim may be able to detach from traffickers. This bill will provide the necessary resources for the Health Care Professionals to spot victims and provide trauma informed, culturally appropriate care once identified. Helping Health Care Professionals help eye departmentify signs of trafficking that identifying signs of trafficking can mean the difference between life and death. I want to thank mr. Cohen for sponsoring this legislation and now i yield as much time as he may consume to my colleague from tennessee, mr. Cohen. The speaker pro tempore the gentleman from tennessee is recognized. Mr. Cohen thank you, mr. Green. Thank you, mr. Speaker. Support of e in stop, observe, ask, and respond, or soar. I hosted a forum at the university of tennessee and gathered state and local Law Enforcement, first responders, faithbased groups and educators to discuss the importance of and strategies to combat Human Trafficking. This event solidified my stance and activated me to go forward with legislation to address the Human Trafficking thats occurring in the United States. Shortly after i was proud to prosbruse this bipartisan bill along with my colleagues, ngressman kinzinger of illinois, congressman cardenas and congresswoman wagner. Human trafficking is the second Fastest Growing crime in tennessee and its amazingly that every two minutes someone in the United States is entered into Human Trafficking. Every two minutes. In 2016, 8,042 cases were reported to the national Human Trafficking hotline, with 110 of those occurring in tennessee. And those are just the cases that were reported. Human trafficking remains a hidden crime and victims rarely seek help because of cultural barriers or due to fear of their traffickers or Law Enforcement or being deported, because many are imported into our country, to engage in sex crimes. In april, 2016, i joined with the department of Homeland Security and hosting our conference in hosting our conference in memphis. From there came our legislation. The soor act directs the health and Human Services to establish a program to provide training at all levels on Human Trafficking. Trafficking victims often end up in Health Care Settings because traffickers want to maximize profits. Victims will not followup on treatment. And pimps and johns will beat up the women and theyll end up in a health care facility, Public Health care facility because they dont have insurance. 57 of trafficking victims report physical injuries and nearly all face sexual abuse or violence. These injuries cause a reported 63 of trafficking victims to go to the emergency room when they are being exploited. Many victims also end up with sexually transmitted infections, including h. I. V. And are at a high risk of pregnancy. As a result, nearly 88 of trafficked victims are seen by Health Care Provider at some point and more likely than not its an emergency room and so these are the people we seek out most to train and see the signs of trafficking to be able to report it to Law Enforcement, help these ladies out of the situation theyre in. Despite this, out of more than 5,600 hospitals in the country, only a handful of have a plan for treating patients that are a victim of trafficking and most are not trained to identify trafficking victims. As a result, 1 of Human Trafficking victims are identified when they seek Emergency Care. We must encourage Health Care Professionals to be alert to possible instances of Human Trafficking, when victims appear in clinics or Doctors Office its for needed care, and we must provide them the additional training and resources to accomplish this goal. Im proud to work on the stop, observe, ask, and respond to health and wellness act to help pass this today. I thank the Republican Leadership for scheduling this bill. I yield back the balance of my time. The speaker pro tempore the gentleman yields back. The gentleman from texas reserves. Mr. Green i reserve, mr. Speaker. You and i know how important how important trafficking is for you and your history. I think the spirke of the house has an interest in this bill, too, and i yield back my time. The speaker pro tempore the gentleman from texas, mr. Gene green, yields back his time. And the gentleman, mr. Burgess from texas, is recognized. Mr. Burgess thank you. Id like to recognize the gentleman from illinois, mr. Kinzinger, a valuable member of the energy and Commerce Committee and in fact the vice chairman of the subcommittee of oversight and investigations and hes recognized for five minutes. The speaker pro tempore the gentleman is recognized for five minutes. Mr. Kinzinger i thank you and thank the gentleman for yielding. Mr. Speaker, i rise in strong support of h. R. 767, the stop, observe, ask, and respond to health and wellness act and i am a proud colead of this bill with mr. Cohen from tennessee and thank him for his work. When we hear Human Trafficking we think its far away from our shores that affect people that are not us. Its hard to imagine this modern day slavery is happening over here, hurting the people within our Community Every day. In my home state of illinois, we have the fifth highest number of trafficking cases in this country. In the city of rockford in my district is ranked second behind chicago in Human Trafficking cases. The most important thing we can do is combat this heinous crime is to raise awareness and thats what the soor act, soar to the health and wellness act is designed to do it. It would expand on a Pilot Program by supporting the training of Health Care Workers to identify victims and best care for them through established protocol and procedures. Many times when trafficking victims come to Emergency Rooms Health Care Professionals may not always spot the signs their patient was a victim of trafficking. This is critical to combating trafficking. I strongly encourage my colleagues to support h. R. 767, and i believe it can have an impact of identifying cases of Human Trafficking and helping the most vulnerable and atrisk individuals of this evil crime. Thank you, mr. Speaker. I yield back. The speaker pro tempore the gentleman from illinois yields back his time. The gentleman from texas, mr. Burgess, controls the rest of the time. Mr. Burgess thank you, mr. Speaker. Its a worthwhile bill. I ask my colleagues to support it, and ill yield back the balance of my time. The speaker pro tempore the gentleman yields back his time. Both sides having yielded back their time, the question is will the house suspend the rules and pass the bill h. R. 767, as amended. Those in favor say aye. Those opposed, no. In the opinion of the chair, 2 3 having responded in the affirmative, the rules are suspended, the bill is passed, and without objection the motion to reconsider is laid on the table. For what purpose does the gentleman from texas seek recognition . Mr. Burgess mr. Speaker, i move the house suspend the rules and pass the bill h. R. 880, as amended. The speaker pro tempore the clerk will report the title of the bill. The clerk h. R. 880, a bill to amend the Public Health service act to facilitate assignment of military trauma care providers to civilian Trauma Centers in order to maintain military trauma readiness and to support such centers, and for other urposes. The speaker pro tempore pursuant to the rule, the gentleman from texas, mr. Burgess, and the gentleman from texas, mr. Gene green, will each control 20 minutes. The chair recognizes the gentleman from texas, mr. Burgess. Mr. Burgess mr. Speaker, i ask unanimous consent that all members may have five legislative days to revise and extend their remarks and insert extraneous materials into the record on the bill. The speaker pro tempore without objection, so ordered. Mr. Burgess mr. Speaker, i yield myself such time as i may consume. The speaker pro tempore the gentleman is recognized for as much time as he wishes to use. Mr. Burgess thank you, mr. Speaker. Mr. Speaker, 40 years ago i was an intern and resident at Parkland Hospital in dallas. Any intern or resident will tell you the month of july is significant in the life of an intern or resident. Your last weeks medical student and this weeks intern managing the emergency room or youre this weeks last years intern, youre this weeks house officer managing perhaps a businessy practice, perhaps a busy practices, perhaps a busy emergency room. Every intern and resident remembers the end of that first week of their internship or residency. Its just something you do. You got through the first week of what was a very trying time, so i remember well july 7 of my internship, july 7 of my residency. Well, mr. Speaker, in 2016, july 7 also took on additional significance in dallas, texas. Five Police Officers were killed and nine more were injured during a shooting in downtown dallas. In the immediate aftermath of the attack, area hospitals sprang into action and activated their disaster plans. Im proud to say the staff at Parkland Hospital, the staff at Baylor University hospital and other medical professionals provided excellent Emergency Care to the victims of the attack. Mr. Speaker, it is critical that we have people who are able to respond when called. Now, additionally, ive long believed that the American Military is the arsenal of democracy and it is critical for upholding freedom in the world. Each member of the United States armed forces has an Important Role in collective team effort. This was especially true in a combat zone were trauma surgeons are one of the most crucial members of the armed sources. These medical professionals are trained to save the lives of soldiers who sustain tragedies on the battlefield and are some of the best in the business. However, as wars wind down and our soldiers come home, the experience that military trauma surgeons have gained overseas may be diminished or lost unless these surgeons continue to train and to prepare for their next possible deployment. To let this expertise and skill drift away would be a significant loss to trauma patients, both at home and abroad. Trauma, mr. Speaker, is not limited to the battlefields and active conflicts. Unfortunately, no community is immune from the threat of traumatic injury and Community Doctors must be prepared to give lifesaving care to trauma victims. However, there is a way we can ensure trained combat surgeons skills are utilized to help american patients here in the homeland who need it. The Mission Zero Act seeks to connect american patients with battletested trauma care through the craft of military trauma care providers. The bill provides grants to allow military trauma care providers and teams to offer care in our nations leading Trauma Centers and systems. Heres the bottom line. The Mission Zero Act is a win for both civilian patients and military trauma doctors. Mr. Speaker, i am grateful that this Bipartisan Legislation has finally come to the floor. Along with my fellow texan, mr. Green green, i introduce mr. Gene green, i introduced this bill in 2016 following that particularly traumatic incident that struck so close to home. Texas is not unique in its need for this expertise. Over the last few months alone, our nation has witnessed the need for trauma Care Hospitals across the country. One such incident was the trak derailment near dupont, washington, on december 18, 2017. That incident resulted in three passenger fatalities and 70 injuries over a businessy freeway. As busy freeway. As weve seen having experience to trauma care can be the difference between life and death for a critically injured patient. There is no doubt integrating military physician noose the trauma and disaster physician into the trauma and disaster system will help civilian patients. This will help our servicemen and trauma system and i thank the cosponsors from both sides of the dieas for their support of this dias for their support of this legislation. Quite simply, the Mission Zero Act is common sense and i urge members to join me in supporting this lifesaving legislation. Ill reserve the balance of my time. The speaker pro tempore the gentleman from texas, mr. Burgess, reserves his time. The gentleman from texas, mr. Gene green, is recognized. Mr. Green thank you, mr. Speaker. I yield myself such time as i may consume. The speaker pro tempore the gentleman is recognized. Mr. Green i rise in strong support of h. R. 8080, the military injury the mission act, to achieve zero prevention act, or Mission Zero Act. Im proud to have worked closely with energy and commerce subcommittee chair, chairman burgess, and my colleagues from florida and North Carolina, representative cass tor and hudson, on castor and hudson, on this legislation. This would help us move toward a trauma system that achieves the goal of zero preventive traumatic deaths. Whether in response to a gruesome sports injury, a car accident on the highway, or unfortunately a tragic event like the recent School Shootings in parkland, florida. Americans of all ages and backgrounds depend on their trauma care system to provide the Services Necessary to save lives and prevent disability. The Mission Zero Act will help us ensure access to quality trauma care based on the best available evidence, by establishing a Grant Program to assist civilian Trauma Centers partner with military trauma professionals. This partnership will benefit our civilian Trauma Centers by increasing the availability of trauma professionals to serve in Trauma Centers across the United States. This partnership will benefit our military trauma system by allowing trauma professionals to maintain their trauma care capabilities during times of peace and help ensure their prepare theyre prepared to meet the needs of our heroes on the battlefield. I urge my colleagues to support this legislation and help ensure americans in need of trauma services, whether civilian or armed forces, receive the highest quality of care possible. And i reserve the balance of my time. The speaker pro tempore the gentleman reserves the balance of his time. The gentleman from texas, mr. Burgess, is recognized. Mr. Burgess ill reserve at this time. The speaker pro tempore reserves. The gentleman from texas. Mr. Green mr. Speaker, id like to yield the time that she may consume to the cosponsor of the bill, congresswoman castor, and thank our cosponsors of this bill of this bill for serving on this committee and the energy and Commerce Committee. The speaker pro tempore how much time . The gentlewoman is recognized for as much time as she wishes to use. Mr. Castro thank you, mr. Speaker. I rise in ms. Castor thank you, mr. Speaker. I rise in support of this bill and i would like to thank mr. Burgess and green and hudson of North Carolina for sponsoring this legislation with me. The Mission Zero Act will assist the department of defense in assigning trauma surgeons to our civilian Trauma Centers. It will help fill the gap that we currently have in care that was recently examined by the National Academies of sciences, engineering and medicine. The Mission Zero Act will establish grant initiatives for eligible trauma systems, to incorporate full military trauma teams, or an individual military trauma provider into our hospitals. The ones that have busy Emergency Rooms. This mutually Beneficial Partnership will allow civilians our civilian doctors and nurses and care providers the chance to learn more about military best practices and will give our military trauma care providers the opportunity to utilize their cuttingedge expertise without leaving the military. And i have seen this initiative in action already. Back home in tampa, at the tampa at tampa general hospital, located just a few miles down the road from Mcdill Air Force base, that is home to u. S. Central command, special Operations Command and the sixth air Mobility Wing, their Mobility Wing also has is home to the sixth medical group. And they since about 2011 they have had an Ongoing Partnership to do just what this bill provides. Create a lot of energy and shared expertise in the civilian Trauma Center at tampa general hospital. And bring in the military specialists so they can continue to hone their caregiving and craft. They use nurses, they use surgeons, and all sorts of specialists. The initiative allows military and civilian medical teams to work in the most intense trauma environments. That is our level one Trauma Center and they take care they take very good care of folks all across central florida. These partnerships are vital for continued training for our community and our military. And i thank dr. Burgess and mr. Green. Youre doing a Great Service by replicating this in other Trauma Centers across the United States. The Mission Zero Act is endorsed by the American Congress of neurological surgeons, the American College of emergency physicians, the American College of surgeons, and the Trauma Care Association of america. Again, i thank dr. Burgess, Ranking Member green, mr. Hudson and all of my energy and commerce colleagues and i urge everyone here in the house to support this important bill. And i yield back the balance of my time. The speaker pro tempore the gentlelady from florida yields back her time. The gentleman from texas, mr. Green. Reserves . Mr. Green i reserve my time. Mr. Burgess i have no further speakers. The speaker pro tempore the gentleman from texas is recognized. Mr. Green i yield back my time. The speaker pro tempore the gentleman yields back the balance of his time. The gentleman from texas. Mr. Burgess thank you, mr. Speaker. This is an important bill. I urge my colleagues to support it and i will yield back the balance of my time. The speaker pro tempore both sides having yielded back their time, the question is, will the house suspend the rules, pass the bill, h. R. 880 as amended. Those in favor say aye. Those opposed, no. In the opinion of the chair, the ayes have it. 2 3 of those voting having responded in the affirmative, the rules are suspended, the bill is passed and, without objection, the motion to reconsider is laid on the table. For what purpose does the gentleman from texas seek recognition . Mr. Burgess mr. Speaker, i move the house suspend the rules and pass the bill, h. R. 1222, as amended. The speaker pro tempore the clerk will report the title of the bill. The clerk Union Calendar number 239. H. R. 1222. A bill to amend the Public Health service act to coordinate federal con genital Heart Disease Research Efforts and to improve Public Education and awareness of con general genital Heart Disease and congenital Heart Disease and for other purposes. The speaker pro tempore the gentleman from texas, mr. Burgess, and the gentleman from texas, mr. Green, will each control 20 minutes. The chair recognizes the gentleman from texas, mr. Bureau jells. Mr. Burgess thank you, the speaker pro tempore the chair recognizes the gentleman from texas, mr. Burgess. Mr. Burgess thank you, mr. Speaker. I ask that all members have five legislative days to revise and extend their remarks. The speaker pro tempore without objection, so ordered. Mr. Burgess i yield myself such time as i may consume. The speaker pro tempore the gentleman is recognized. Mr. Burgess thank you, mr. Speaker. I rise today in support of h. R. My energy duced by and commerce colleague, representative bilirakis of florida. This Important Initiative will enhance current federal efforts addressing congenital Heart Disease, which is the most common birth defect and leading cause of mortality in infants. This beto legislation enhances this Bipartisan Legislation enhances research and awards grants to further study congenital Heart Disease and directs the National Institutes of health to report on their current Research Efforts in this space. Mr. Speaker, ill reserve the balance of my time. The speaker pro tempore the gentleman reserves the balance of his time. The gentleman from texas, mr. Green, is recognized. Mr. Green thank you, mr. Speaker. I yield myself such time as i may consume. The speaker pro tempore the gentleman is recognized. Mr. Green i rise in support of h. R. 1222, the congenital heart futures reauthorization act, led by congresswoman bilirakis and congressman bilirakis and congressman schiff of california. This reauthorizes the con general genital heart congenital heart futures act. This act builds on the successes of current efforts by centers for Disease Control and prevention to improve and expand research, monitoring, Public Outreach and Educational Programs relating to congenital Heart Disease. This bill requires the National Institute of health to issue a report outlining current and future Research Plans with respect to con genital Heart Disease congenital Heart Disease. Each year more than 40,000 babies are born in the United States with a congenital heart defect. 1. 4 million adults are currently living with disorders. Individuals living with congenital Heart Disease often. Quire specialized care more esearch and Research Needs to be done. This legislation will help expand our understanding of congenital Heart Disease across the life span and has the potential to improve the lives of millions of children and adults living with congenital Heart Disease in america. I urge my colleagues to support this measure and i reserve the balance of my time. The speaker pro tempore the gentleman reserves the balance of his time. The gentleman from texas, mr. Burgess. Mr. Burgess mr. Speaker, at this time id like to yield five minutes to the gentleman from florida, the principal author of this bill. The speaker pro tempore the gentleman from florida is recognized for five minutes. Mr. Bilirakis thank you, mr. Speaker. Thank you, mr. Chairman. I appreciate it so much. I rise today in support of h. R. 1222, the congenital heart futures reauthorization act, which will reauthorize, it len sure continued it will ensure continued investment in Surveillance Research to assess the lifelong needs of individuals with congenital Heart Defects or c. H. D. These surveillance efforts will help improve our understanding of c. H. D. Across the life span, from birth to adulthood. This research will help us learn more about demographic factors such as age, race, gender or ethnicity. In addition, the legislation emphasizes a need for continued Biomedical Research at the National Institutes of health on the diagnosis, treatment and prevention of c. H. D. N. I. H. Will further research into the causes of congenital Heart Defects, including genetic causes and study longterm outcomes in individuals with c. H. D. Of all ageless. N. I. H. May study data to identify effective treatments and outcomes and identify barriers to lifelong care for individuals with congenital Heart Defects. C. H. D. Is the most common birth defect and the leading cause of birth defectrelated infant mortality. For the down syndrome community, about half of the children born with down syndrome have c. H. D. It is a true Public Health issue as late night show Host Jimmy Kimmel noted. It does not discriminate by race, gender or socioeconomic status. The road ahead may be scary and uncertain for any parent with a newborn who has c. H. D. , but this bill helps give hope to those coping with this. Nearly one in 100 babies are born with c. H. D. And more than 5 will not live to see their first birthday, unfortunately. We have to change that. Even for those who receive successful intervention, it is not a cure. We have to change that. Children and adults born with c. H. D. Require ongoing costly specialized cardiac care and face a lifelong risk of permanent permanent disability and premature death. We must change that. As a result, Health Care Utilization among the c. H. D. Population is significantly higher than the general population. It is estimated that compared to their peers, the medical costs for individuals with congenital Heart Defects are 10 to 20 times greater. Hospitalization costs for pediatric patients alone total more than 5. 6 billion each year, which is 15 of all hospitalization costs for patients 20 years of age and younger. Despite its prevalence and significance, there are still gaps in research and standards of care for c. H. D. Patients. But for the sake of the estimated 40,000 babies, mr. Speaker, who will be born in the next year with c. H. D. , theres more work to be done. Mr. Speaker, i began this journey almost 10 years ago with thencongressman space and i. We first introduced the congenital heart futures act. Last congress, congressman schiff and i reintroduced the reauthorization of the original bill. During that time i met a lot of patients with congenital Heart Defects, along the way, and ive been touched by their story. People like trey and nicole flynn. A Young Floridian couple who lost their son, holden, while waiting for a heart transplant. He was only 2 years old. This bill supports the essential research necessary to make sure another family doesnt have to leave the hospital without their child in their arms. Lucas, a young man born with a complex congenital Heart Disease that essentially left him with a half a heart. Despite having three open heart surgeries, mr. Speaker, and countless doctor visits and medical procedures, lucas has hopes and dreams, like every other child. This bill ensures that the medical research will keep the pace will keep pace with this generation as they grow to be adults. Jackson mr. Burgess i yield an additional minute. The speaker pro tempore the gentleman is recognized for one minute. Mr. Bilirakis jackson, born with half a heart. He has hypoplasnic left heart syndrome which means the left side of his heart was underdeveloped. He depended on lifesaving research to help his failing heart survive until his heart transplant at age 11. His hes a teenager now and will live his life with a High Sensitivity for his new heart. Nicholas baskin, born with complex Heart Disease and wasnt getting blood to the lower half of his body, requiring heart surgery when he was just 2 days old. Hes now at the top of his class, and this bill will ensure that his future remains bright as he 1 2 gates this chronic illness navigates this chronic illness throughout his adulthood. Abigail adams, a young advocate that i will again meet tomorrow, with down syndrome. Half of the babies with down syndrome, mr. Speaker, have a congenital heart defect. Bigail continues to advocate the speaker pro tempore the gentleman is recognized for 30 seconds. Mr. Bilirakis my friend, dave, david paluso, born with pulmonary stenosis, a condition where the valve will not open normally, he had emergency heart surgery at 2 days old. Another corrective surgery at age 10, and many hospital visits and procedures in the meantime. Today, again, were giving these children hope. Today he is a husband and a father to two kids, trying to atreal rmal life with flutter that requires additional surgeries. This bill will continue the Surveillance Program so we can collect data on children and adults with congenital heart problems. I can go on and on, mr. Speaker. Thank you so very much. And lets pass this great bill for our children and give them hope. I yield back. The speaker pro tempore the gentlemans time has expired. The gentleman from texas reserves. The gentleman from texas, mr. Gene green. Mr. Green mr. Speaker, we have no other speakers. But i want to thank, also, the cosponsors of the bill, both congressman schiff and a member of our committee, congressman bilirakis, for introducing this reauthorization bill, and i yield back the balance of my time. The speaker pro tempore the gentleman from texas, mr. Gene green, yields back the balance of his time. The gentleman from texas, mr. Burgess. Mr. Burgess mr. Speaker, at this time i recognize the gentleman from georgia, mr. Carter, for one minute. The speaker pro tempore the gentleman is recognized for one minute. Mr. Carter i thank the gentleman for yielding. Mr. Speaker, i rise today in support of the congenital heart futures reauthorization act. This legislation was introduced by my colleague and good friend, mr. Bilirakis of florida, to address the very serious issue. Congenital Heart Disease is the leading cause of infant mortality and is the most common birth defect found in Young Children. These children grow up facing a wealth of Health Issues that will have a tremendous impact on them for the rest of their lives. They often require specialized care including cardiac care and are subjected to a lifetime of risks for disability or premature death. This legislation enhances research and surveillance at the c. D. C. To ensure our medical community and the research to support their efforts to the best available for treatment. It also establishes grant to further study congenital Heart Disease so we can better combat this disease and the harm it causes in so many peoples lives. Mr. Speaker, this is a terrible disease that leaves people never knowing when it could strike. Like other diseases, we need to better understand how it develops and impacts people so we have a better chance of fighting it and saving lives. I want to thank my colleagues on both sides of the aisle for getting this legislation passed through the committee and i support its passage. Thank you, mr. Speaker. I yield back. The speaker pro tempore the gentleman yields back. The gentleman from texas, mr. Burgess. Mr. Burgess mr. Speaker, at this time, having no further speakers, the gentleman has yielded back, ill yield back the balance of my time. The speaker pro tempore both sides having yielded back their time, the question is will the house suspend the rules and pass the bill h. R. 1222, as amended. Those in favor say aye. Those opposed, no. In the opinion of the chair, 2 3 having responded in the affirmative mr. Green mr. Speaker, could we have a roll call vote . The speaker pro tempore the gentleman from texas, mr. Burgess. Mr. Burgess id like to request the yeas and nays. The speaker pro tempore the yeas and nays are requested. Those in favor of taking this vote by the yeas and nays will rise and remain standing until counted. A sufficient number having arisen, the yeas and nays are ordered. Pursuant to clause 8 of rule 20, further proceedings on this uestion are postponed. For what purpose does the gentleman from texas seek, mr. Burgess, seek recognition . Mr. Burgess mr. Speaker, i move the house suspend the rules and pass h. R. 2410. The speaker pro tempore the clerk will report the title of the bill. The clerk Union Calendar number 258, h. R. 2410, a bill to amend the Public Health service act to reauthorize a Sickle Cell Disease prevention and Treatment Demonstration Program and to provide for Sickle Cell Disease research, surveillance, prevention, and treatment. The speaker pro tempore pursuant to the rule, the gentleman from texas, mr. Burgess, and the gentleman from texas, mr. Gene green, will each control 20 minutes. The chair recognizes the gentleman from texas, mr. Burgess. Mr. Burgess mr. Speaker, i ask unanimous consent that all members may have five legislative days to revise and extend their remarks and insert extraneous materials into the record on the bill. The speaker pro tempore without objection, so ordered. Mr. Burgess and, mr. Speaker, i yield myself such time as i may consume. The speaker pro tempore the gentleman is recognized for as much time as he wishes to use. Mr. Burgess mr. Speaker, i rise in strong support of h. R. 2410, the Sickle Cell Disease research, surveillance, prevention, and treatment act of 2017, introduced by our colleague, representative danny davis of illinois, and this reauthorizes the Sickle Cell Disease prevention and Treatment Demonstration Program. Sickle cell disease causes blockages of small vessels leading to various health complications. By improving research, surveillance, prevention, and treatment, along with enhances collaboration with communitybased entities focusing on Sickle Cell Disease, this important legislation will help improve outcomes in patients suffering from this inherited blood disorder which currently affects one in 500 africanamerican births. Mr. Speaker, ill reserve the balance of my time. The speaker pro tempore the gentleman reserves his time. The gentleman from texas, mr. Gene green. Mr. Green thank you, mr. Speaker. Ill yield myself such time as i may consume. The speaker pro tempore the gentleman is recognized for as much time as he wishes to use. Mr. Green mr. Speaker, i rise in support of h. R. 2410, the Sickle Cell Disease research, surveillance, prevention and treatment act, introduced by congressman danny davis of illinois, and energy and Commerce Committee chairman brurge burjess. Sickle cell is where red blood cells and have a c shape. When they travel through the blood vessels they can get stuck and clog the blood flow. It often occurs extreme pain and other Health Problems including infections, lungrelated complications, and stroke. 100,000 americans are living with Sickle Cell Disease today. These individuals need comprehensive treatment throughout their lives in order to manage their symptoms and prevent their disease from worsening which requires a Robust Network of providers available to treat sickle cell patients at every stage of life. H. R. 2410 would reauthorize the Sickle Cell Disease Treatment Demonstration Program, allowing department of health and Human Services to invest Critical Resources in research, surveillance, and Public Health initiatives for sickle crl disease. These will help cell disease. This will help improve treatment of sickle cell patients of all ages. I ask my colleagues support this important legislation, and i reserve the balance of my time. The speaker pro tempore the gentleman reserves his time. The gentleman from texas, mr. Burgess, reserves his time. So the gentleman from texas, mr. Gene green, is recognized. Mr. Green i yield four minutes to the sponsor of this bill, congressman danny davis of illinois. The speaker pro tempore the gentleman from illinois is recognized for four minutes. Mr. Davis thank you, mr. Chairman. Let me just first of all commend representative burgess, chairman of the subcommittee, and mr. Green, as well as representative butterfield, and all of the members of energy and commerce for their leadership in bringing this bill to this point at this moment. As we just heard, Sickle Cell Disease is an inherited blood disorder characterized by affected blood cells that mutate into the shape of a crescent of sickle and as such these cells are unable to pass through small blood vessels. Its a recessive genetic condition that occurs when a child inherits two sickle celgenes or traits from each cell genes or traits from each parent. The complications from this disease are extreme. According to the Sickle Cell Disease association of america, with whom we have worked for many years, have studied and reported that common complications with this disease include Early Childhood death from infection, stroke in Young Children and adults, lung problems similar to pneumonia, chronic dang to organs, including the kid chronic damage to organs, including the kidney, and pulmonary hypertension and severe episodes. In fact, pain episodes are a hallmark of Sickle Cell Disease. They are unpredictable in many ways. Both the time and when they occur, how severe they will be and how long they will last. For those with the disease, these devastating pain episodes can start as early as 6 months of age and can span a lifetime, impacting School Attendance and participation in the work force. In fact, these pain crisis contributes significantly to the 200,000 emergency room visits collectively made by sufferers of Sickle Cell Disease each year in our country. A typical crisis will result in a hospital stay of six to 10 days. Mr. Chairman, weve made a tremendous amount of progress in the treatment, research, and effective ways of dealing with this disease. I note that more than 20 years ago i worked with the project at the university of illinois running a sickle cell education project. And ive seen much of that progress that we talked about, but we still have a long ways to go. There are still tremendous need for research. Theres need for additional treatment. Again, i thank all those who demonstrated support for this important legislation. I urge its passage and yield back the balance of my time. The speaker pro tempore the gentleman from illinois yields back his time. The gentleman from texas, mr. Gene green, reserves, and the gentleman from texas, mr. Burgess, continues to reserve. Mr. Green mr. Speaker, id like to yield four minutes to our colleague on the committee, congressman butterfield, which i call judge just like i do you because you are both former district judges. The speaker pro tempore the gentleman is recognized for four minutes. Harrison butker thank you very much, mr. Speaker. I very tterfield thank you much, mr. Speaker. , rise in support of h. R. 2410 the Sickle Cell Disease research, surveillance, prevention, and treatment act. Want to thank representative davis and mr. Burgess. Mr. Davis in the state of illinois, city of chicago. And my friend, dr. Burgess from texas, thank both of you for your incredible work. I have been a lifetime advocate, mr. Speaker, for addressing Sickle Cell Disease, and i am proud i am proud to cosponsor this bill. I have done so in previous congresses. Sickle cell disease is the most common genetic blood disorder. It affects approximately 100,000 individuals, primarily africanamericans throughout the country. Sickle cell disease awareness is significant to me for many reasons. One, because this disorder affects many of my constituents in North Carolina. Its significant, mr. Speaker, because i had a dear cousin whose name was ruby butterfield, who in 1972 passed away from this disease in florida. People with Sickle Cell Disease have red blood cells with abnormal types of hemoglobin, often causing anemia and jaundice and the formation of gal stones. What is truly frightening is Sickle Cell Disease does not have a occur. The most widely used treatment for Sickle Cell Disease was modern medicine from 20 years ago that can reduce the amount of episodes but does not limit them or their severity. The Health Challenges facing people with Sickle Cell Disease are enormous. The disease is widespread. The consequences can be dire. And thats why the Congressional Black Caucus and the health brain trust of the Congressional Black Caucus have de these a priority in our agenda over the years under the leadership of robin kelly, also of chicago, illinois. People with Sickle Cell Disease have a much shorter life expectancies with median age of males of 33 years and females 36 years. These patients are also more likely to have Additional Health complications, including stroke and blood clots, loss of vision, and lung and kidney failure. There are approximately 4,400 people with Sickle Cell Disease in North Carolina, and i am sure that, mr. Speaker, in the state of texas, it may be even more. My hope is that someday there will be none. That is why we must reauthorize the Sickle Cell Disease Treatment Demonstration Program to enable the secretary of h. H. S. To support research to increase our understanding of the disease and create a Grant Program to study the prevalence of sickle cell and identify ways to prevent and treat Sickle Cell Disease effectively. 65 of individuals with this disease in North Carolina have at least one emergency room visit per year. That is no way to live, and im sure dr. Burgess, when he practiced medicine in his home state, saw many, many patients who were similarly situated. We should do all we can to help improve patients lives, advance treatment, and find a cure. Im grateful for the opportunity to move this bill through the house and i hope that my colleagues will join me in supporting it. I thank you, dr. Burgess, i thank you, mr. Davis, and i thank you, mr. Green, all of you gentlemen have done great work in this space. I yield back. The speaker pro tempore the gentleman yields back the balance of his time. The gentleman from texas. Mr. Green i reserve, mr. Speaker. The speaker pro tempore the gentleman from texas, mr. Burgess. Mr. Burgess i have no additional speakers. Ill reserve my time to close. The speaker pro tempore it bes to reserve. The gentleman from texas, mr. The speaker pro tempore continues to reserve. The gentleman from texas, mr. Green. Mr. Green i yield back the balance of my time. The speaker pro tempore the gentleman from texas. Mr. Burgess i yield myself the balance of our time, mr. Speaker. The legislative hearing that we had on this bill, its been now several months ago, but i was surprised to learn at that legislative hearing that there had not been a new f. D. A. Approved treatment for sickle cell in 40 years. My understanding is that may have changed recently. But that is way too long. We do need to improve research, surveillance, prevention and treatment. And really take care of those patients that are suffering with this disease. Its a good bill. I thank mr. Davis for bringing it to our attention and i yield back the balance of my time and urge passage of the bill. The speaker pro tempore the gentleman yields back the balance of his time. Both sides having yielded back their time, the question is, will the house suspend the rules and pass the bill, h. R. 410, as amended. Those in favor say aye. Those opposed, no. In the opinion of the chair, 2 3 of those voting having responded in the affirmative, the rules are suspended, the bill is passed and without objection the motion to reconsider is laid on the table. For what purpose does the gentleman from texas seek recognition . Mr. Burgess mr. Speaker, i move the house suspend the rules and pass the bill, h. R. 2422, as amended. The speaker pro tempore the clerk will report the title of the bill. The clerk Union Calendar number 238. H. R. 2422. A bill to amend the Public Health service act, to improve the central Oral Health Care for low income and other underserved individuals by breaking down barriers to care and for other purposes. The speaker pro tempore pursuant to the rule, the gentleman from texas, mr. Burgess, and the gentleman from texas, mr. Gene green, will each control 20 minutes. The chair recognizes the gentleman from texas, mr. Bureau jells. Mr. Burgess mr. Speaker, i the speaker pro tempore the chair recognizes the gentleman from texas, mr. Burgess. Mr. Burgess mr. Speaker, i ask all members have five legislative days to revise and extend their remarks. Mr. Speaker, i yield myself such time as i may consume. The speaker pro tempore the gentleman is recognized. Mr. Burgess thank you, mr. Speaker. Today i rise in support of h. R. 2422, the action for dental health act of 2017. Introduced by representative robin kelly. The bill reauthorizes the Oral Health Promotion and disease prevention programs at the centers for Disease Control and prevention, and permits the c. D. C. To award grants or enter into contracts with stakeholders, to develop projects, to improve oral Health Education and dental disease prevention. The bill also reauthorizes grants to states, to support oral Health Work Force activities and permit states to establish dental homes, mobile or portable dental clinics, and initiatives to reduce the use of Emergency Departments by patients seeking dental services, and initiatives to provide dental care to nursing home residents. Good oral health is an important component of good overall health. And this bill takes important steps to help improve the dental care in underserved communities. Thank you, mr. Speaker. Ill reserve the balance of my time. The speaker pro tempore the gentleman reserves the balance of his time. For what purpose does the gentleman from texas seek recognition . Mr. Green thank you, mr. Speaker. I yield myself such time as i may consume. The speaker pro tempore the gentleman is recognized. Mr. Green mr. Speaker, i rise in support of h. R. 2422 the action for dental health act sponsored by my colleague, congresswoman robin kelly of illinois. For millions of americans, affordable dental care is hard to find and desperately needed. According to the centers for Disease Control and prevention, nearly half of all individuals in our country over the age of 30 suffer from some form of gum disease. One in four children under the age of 5 already have cavities. The lack of basic Oral Health Services in some communities today leads Many Americans to delay treatment to the point that the pain is so severe they rush to the emergency room, where they receive expensive treatment for common dental issues. Dental care is necessary for more than cosmetic reasons. Good oral health is vital to a persons overall health. Bad oral health can be a sign of larger health illnesses. Increasing access to affordable dental care would lower the number of Emergency Department visits for preventable oral care conditions and reduce the risk of chronic disease. The action for dental health act will make grants available through the centers for Disease Control and prevention and the health and resources and Services Administration program to improve oral health for underserved populations. This legislation will make it possible for groups such as state health departments, nonprofit dental societies, to receive funding for critical services. These services may include providing dental services to nursing home resident, operating a mobile dental clinic, or implementing be a Emergency Room Program so patients can receive dental care in the dentists chair instead of the e. R. I thank the bills sponsor for their bills sponsors for their bipartisan work on this legislation and i urge my colleagues to join me in supporting this and i reserve the balance of my time. The speaker pro tempore the gentleman reserves the balance of his time. The gentleman from texas, mr. Burgess, reserves his time. Mr. Green mr. Speaker, id like to yield as much time as she may consume to our colleague and sponsor of this bill, congresswoman kelly. The speaker pro tempore the gentlelady from illinois is recognized for as much time as she wishes to use. Ms. Kelly thank you, chairman burgess and Ranking Member green. As februarys National Childrens dental health month draws to a close, i thank chairman walden and Ranking Member pallone for their leadership in making sure that this bill came to the floor today. It has been a tremendous honor to work with my colleague, mr. Simpson of idaho, in moving this legislation that i am intensely passionate about, the action for dental health act. I want to acknowledge that while members of this chamber may not always see eyetoeye on matters of health policy, im proud that my colleagues were able to Work Together in a constructive, compassionate, considerate way to address a critical Public Health matter of improving oral health in america. Mr. Chairman, all americans deserve a healthy smile, but sadly each year tens of millions of americans forego needed orel health care due to Oral Health Care due forest, fear, language or cultural to ers, or the due fear, language or cultural barriers. Going to the dentist can tell a lot about your overall health, including whether or not you may be developing a disease like diabetes or youre at risk for a stroke. 50 million americans live in places with limited access to dental care and economically vulnerable adults are almost twices a likely to have had no dental care twice as likely to have had no dental care in previous years than upper and middle income brackets. Dental problems are a leading cause of School Absences for kids and parents. Oral health has a direct relationship with school performance. Kids who reported having recent tooth pain were four times more likely to have a low grade point average. Below the median g. P. A. Of 2. 8. When compared to children without oral pain, according to a study by the school of den terroristry at the university of Southern California dentistry at the university of Southern California. My bill improves oral health for americans by breaking down barriers to care. It allows organizations to equal few qualify for oral health grants to support activities that improve oral Health Education and dental disease prevention. This includes developing and expanding outreach programs that will facilitate establishing dental homes for children and adults, including the elderly, blind and disabled. The action for dental health act has receives the endorsement of the American Dental Association the National Dental association, the american dental education association, and a Bipartisan Coalition of our congressional colleagues. On the final note, id like to thank the staff of energy and Commerce Committee, mia keys on my staff, jamie mcneal with congressman simpson, and also dr. Cheryl watson lowery, who came to testify on behalf of the bill. In working together to help sherpped the bill before us today shepherd the bill before us today. I am a true believer in the power of bipartisanship in helping the lives of families we represent. Working with all of you has truly strengthened my belief in that power. With that, i yield. Thank you. The speaker pro tempore the gentlelady yields back the balance of her time. The gentleman from texas reserves. The gentleman from texas continues to reserve. The gentleman from texas, mr. Green, is recognized. Mr. Green we have no other speakers, mr. Speaker. I yield back the balance of my time. The speaker pro tempore the gentleman yields back the balance of his time. The gentleman from texas, mr. Bureau jells. Mr. Burgess mr. Speaker, this is the speaker pro tempore the gentleman from texas, mr. Burgess. Mr. Burgess mr. Speaker, this is a good bill. I urge passage of the bill. The speaker pro tempore the question is, will the house suspend the rules and pass the bill, h. R. 2422 as amended. Those in favor say aye. Those opposed, no. In the opinion of the chair, 2 3 of those voting having responded in the affirmative, mr. Burgess mr. Speaker. The speaker pro tempore the gentleman from texas. Mr. Burgess mr. Speaker, i request the yeas and nays. The speaker pro tempore the yeas and nays are requested. All those in favor of taking this vote by the yeas and nays will rise and remain standing until counted. A sufficient number having arisen, the yeas and nays are ordered. Pursuant to clause 8 of rule 20, further proceedings on this uestion will be postponed. For what purpose does the gentleman from texas seek recognition . Mr. Burgess i move the house suspend the rules and pass the bill, h. R. 443, as amended. The clerk House Resolution 443. Resolution recognizing the importance and effectiveness of traumainformed care. The speaker pro tempore pursuant to the rule, the gentleman from texas, mr. Burgess, and the gentleman from texas, mr. Gene green, will each control 20 minutes. The chair recognizes the gentleman from texas, mr. Burgess. Mr. Burgess mr. Speaker, i ask unanimous consent that all members may have five deathive days in which to legislative days in which to revise and extend their remarks and insert extraneous materials into the record on the resolution. The speaker pro tempore without objection, so ordered. Mr. Burgess mr. Speaker, i yield myself such time as i may consume. The speaker pro tempore the gentleman is recognized. Mr. Burgess thank you, mr. Speaker. Today i rise in support of representative Mike Gallaghers h. Res. 443, which recognizes the importance and effectiveness of traumainformed care. According to the Substance Abuse and mental Health Services administration, trauma results from an event or series of events that causes intense physical and psychological stress reactions. The individuals functioning and emotional, physical, social and Spiritual Health can be severely affected. It is important that Health Providers understand the nature an impact of trauma, when caring for their patients. H. Res. 443 highlights the work of states in traumainformed care and encourages the federal government to build on the states momentum by identifying opportunities to imbed this approach to care within Current Federal Health operations. Thank you, mr. Speaker, for the recognition. Ill reserve the balance of my time. The speaker pro tempore the gentleman reserves the balance of his time. The gentleman from texas, mr. Gene green. Mr. Green thank you, mr. Speaker. I yield myself as much time as i may consume. The speaker pro tempore the gentleman is recognized for as much time as he wishes to use. Mr. Green mr. Speaker, i rise in support of h. Res. 443, recognizing the importance and effectiveness of traumainformed care sponsored by congresswoman gallagher of wisconsin and congressman davis of illinois. This resolution recognizes the Important Role that trauma plays in health and life situations with the importance of deploying traumainformed protocols to respond to traumatic experiences. Research shows that traumatic experiences are associated with behavioral health. And Chronic Physical Health Conditions such as Substance Abuse disorders, Mental Health conditions, and Heart Disease. Trauma experiences such as physical or sexual abuse, neglect, bullying, communitybased violence, Natural Disaster give rise to these negative health consequences. Because of the harmful consequences of trauma, important that our Health System in our Health System to deploy traumainformed protocols. This requires the importance of federal agencies deploying traumainformed questionnaire to care to ensure that local care providers are appropriately engaging with individuals with histories of trauma and implementing strategies to intervene on the negative consequences of traumatic experiences. I urge my colleagues to join me in supporting this resolution and i reserve the balance of my time. The speaker pro tempore the gentleman reserves the balance of his time. The gentleman from texas, mr. Burgess. Mr. Burgess mr. Speaker, at this time id like to recognize the gentleman from wisconsin, mr. Gallagher, principal author of this bill, for five minutes. The speaker pro tempore the gentleman from wisconsin is recognized for five minutes. Gag gag thank you, mr. Gallegly thank you, mr. Speaker. This is a great mr. Gallagher thank you, mr. Speaker. This is a great day for care givers in my home state of wisconsin and across this country. House resolution 443 recognizes the importance of Trauma Informed Care to individual wellness, to the efficacy of care, and improved quality of life for those who have experienced trauma. Passage of this resolution demonstrates that this body believes in the power that traumainformed care can have in helping children, families and adults overcome trauma and lead healthy lives. From veterans reintegrating into society to survivors of childhood abuse many can benefit from the principles of traumainformed care. By recognizing and sense tiffly addressing the impacts of traumatic experiences we can build stronger and more resilient communities. We all want to address major pobs like addiction, obesity, and this moves the ball forward by raising awareness in recognizing evidencebased practice and solutions. Rigorous study have shown benefits for communities an governments that implement traumainformed care. Im proud to announce that my home state of wisconsin is on track to becoming the first fully trauma informed state in the nation and in illinois, home to our colleagues and the colead of this resolution, congressman davis, experts have come together to make this material more accessible to policymakers the public. Exciting innovation in mental shk happening across the country and this is recognizing that hard work. I would like to express my sincere thanks to my colleague, congressman davis, for his commitment to this resolution and id like to thank the first lady of wisconsin for her dedication, service and leadership in this cause. Additionally id like to thank the chairman and Ranking Member of the commr for their hard work as well. H. R. 443 is an important step in breaking down the stigma of care and build manager resilient communities, more Strong Communities that take care of each other and i encourage you all to support its passage. With that, i yield back. The speaker pro tempore the gentleman yields back. The gentleman from texas reserves. The gentleman from texas, mr. Green, is recognized. Mr. Green i yield for whatever time he may consume to the cospon or of this ebill, congressman danny davis of illinois. The speaker pro tempore the gentleman is recognized for such time as he wishes to use. Mr. Davis thank you very much, mr. Chairman. Again, i want to commend dr. Burgess for his leadership and representative gene green. They have both demonstrated, i think, the kind of leadership that were often seeking, searching for and looking for. It has been my pleasure to work with representative gallagher of wisconsin in development of this legislation. I also want to commend the first lady of wisconsin for the leadership that she has prvided. Of course the first lady is the wife of the governor and i must admit i was a bit amazed when we were contacted by the first lady of wisconsin to talk about this kind of legislation and to talk about the importance of it. So i rise today in support of h. Res. 443, which recognizes the importance and effectiveness of traumainformed care and proposes to implement this care at the federal level. Traumatic experiences affect millions of people across the country. Including the city of chicago. It is integral to the development of any person who has experienced trauma to get physical and emotional support after experiencing an extremely stressful life event. This is especially important o our nations children as Adverse Childhood Experiences can affect the health of a child for the rest of his or her life. If a child does not receive care for trauma, it could even shorten his or her life spann and this stress facilitates negative brain development. Dramainformed care addresses survivors specifics needs in relation to his or her personal trauma and recovery. It promotes a collaborative environment between the survivor and Close Friends and family, and it addresses the symptoms of trauma that require treatment. This helps the survivor work through his or her recovery in a positive way with the support of close allies. Though many states have adopted traumainformed care programs, it is essential to implement traumainformed care at the federal level and make sure people anywhere in the country get the treatment and support they need. Not just those in certain states. It has also been my pleasure to work closely with senator durbin, the senior senator from the state of illinois, and hundreds of groups who have formed a coalition to help promote and develop an understanding of just how much trauma care is needed. Very seldom do i talk about it or mention it, but i had a grandson who was murdered a year or so ago, and there were other children in the home. It was a home invasion. And so i can tell people firsthand that the kind of attention and care that individuals get after theyve had a traumatic experience makes a tremendous amount of difference in their recovery. I also note that i was trained as a psychologist and so ive interacted in many instances with individuals who had experienced stress. So this is an excellent piece of legislation. Representative gallagher, i commend you again for your leadership. It has been my pressure to work with you. I look forward to its passage. And yield back the balance of my time. The speaker pro tempore the gentleman yields back his time. The gentleman from texas, mr. Green. Mr. Green i continue to reserve. The gentleman from texas is recognized. Mr. Green i have no further speakers and yield back the balance of my time. The speaker pro tempore the gentleman from texas, mr. Burgess. Mr. Burgess i yield myself the balance of my time, this is an important resolution and i yield back. The speaker pro tempore both times having yielded back the question is will the house suspend the rules and agree to House Resolution 443 as amended. Those in favor say aye. Those opposed, no. In the opinion of the chair, 2 3 being in the affirmative, the rules are suspended, the resolution is agreed to. Without objection, the motion to reconsider is laid n the table. Pursuant to clause 12a of rule 1, the chair declares the house in recess until and we have got to address it. From the Conference Held in washington, d. C. , and discuss the impact of democracy and voting. Watch it tonight at 8 00 eastern on cspan2. Tonight on cspans landmark cases, well look at the a Supreme Court case, a case that the federal government to take actions not explicitly mentioned in the constitution and explore this case and the high courts ruling with university of virginia professor sarah peteron nd a arkansas professor. Watch landmark cases live tonight at 9 00 eastern on cspan or listen to the free cspan radio app. Order the companion book. T is available at cspan. Org landmarkcases. There is a link on our website on the interactive constitution. Tomorrow, the chair of the Federal Reserve will deliver the semiannual Monetary Policy report to the House Financial Services committee. Live at 10 00 a. M. Eastern on cspan3. And janet yellen and ben bernanke will discuss the u. S. Economy. Live from the Brookings Institution live at 2 00 p. M. Eastern on cspan 3. Todays White House Briefing ith sarah sanders. And announced that the president will host his first state dinner ith frever precedent macron. Mr. Sarbanes the president being out and keep this fairly quick. Also, got back in this morning, so bear with me a little bit, and great to be back with everybody. After traveling to tin