. >> we'll leave this program now to return to the house of representatives for more live coverage as members are returning from a break. ronic vol be conducted as a 15-minute v vote. pursuant to clause 9 of rule 20, remaining electronic votes will be conducted as five-minute votes. pursuant to clause 8 of rule 20, the unfinished business is the vote on ordering the priest question of house resolution 1191. on which the yeas and nays are ordered. the clerk will report the title of the resolution. the clerk: house calendar number 83, house resolution 1191, resolution providing for consideration of the bill h.r. 4176 to improve federal population surveys by requiring the collection of voluntary self-disclosed information on sexual orientation and gender identity in certain surveys and

for other purposes. providing for consideration of the bill h.r. 5585, to establish the advanced research projects agency health and for other purposes. providing for consideration of the bill h.r. 7666, to amend the public health service act to re-authorize certain programs relating to mental health and substance use disorders and for other purposes. and for other purposes. the speaker pro tempore: the question is on ordering the previous question on the resolution. members will record their votes by electronic device. [captioning made possible by the national captioning institute, inc., in cooperation with the united states house of representatives. [captioning made possible by the national captioning institute, inc., in cooperation with the united states house of representatives. -- this is a 15-minute vote. [captioning made possible by the national captioning institute, inc., in cooperation with the united states house of representatives. any use of the closed-captioned coverage of the house proceedings for political or commercial purposes is expressly prohibited by the u.s. house of representatives.]

the speaker pro tempore: for what purpose does the gentleman from new jersey seek recog recognition? mr. pallone: madam speaker, as

the member designated by mr. sires, mrs. watson coleman, mr. payne, mrs. kirkpatrick, and mr. nadler i inform the house that these members will vote yes on the previous question.

the speaker pro tempore: for what purpose does the gentleman from california seek recognition? >> madam speaker, as the member designated by congress members bourdeaux, and costa, i inform the house that these members will vote yes on the previous question. the speaker pro tempore: for what purpose does the gentlewoman from north carolina seek recognition? >> as the member designated by representatives price, hank johnson, and bonamici, i inform the house that these representatives will vote yea on the previous question. the speaker pro tempore: for what purpose does the gentlewoman from illinois seek recognition? >> as the member designated by mr. jeffries of new york, i

inform the house that mr. jeffries will vote yes on the previous question. the speaker pro tempore: for what purpose does the gentleman from california seek recognition? >> madam speaker, as the member designated by representatives colin allred, program la jayapal and cori bush, i inform the house that these members will vote yes on the previous question.

the speaker pro tempore: for what purpose does the gentleman from indiana seek recognition? >> madam speaker, as the member designated by mrs. walorski of indiana, pursuant to house resolution 8, i inform the house that mrs. walorski will vote no on the previous question.

the speaker pro tempore: for what purpose does the gentleman

from pennsylvania seek recognition? >> thank you, madam speaker. as the member designated by mr. hal rogers of kentucky, i inform the house that mr. rogers will vote nay on the previous question. the speaker pro tempore: for what purpose does the gentleman from florida seek recognition? >> thank you, madam speaker. as the member designated by ms. salazar of florida, i inform the house that ms. salazar will vote nay on the p.q. the speaker pro tempore: for what purpose does the gentleman from tennessee seek recognition? >> madam speaker, as the member designated by mr. guest of mississippi and mr. palazzo of mississippi, i inform the house that both mr. guest and mr. palazzo will vote nay on the previous question.

thank you. the speaker pro tempore: for what purpose does the gentleman from michigan seek recognition? >> madam speaker, as the member designated by mr. rice of south carolina, i inform the house that mr. rice will vote nay on the previous question. as the member designated by mr. katko of new york, i inform the house that mr. katko will vote nay on the previous question. the speaker pro tempore: for what purpose does the gentleman from colorado seek recognition? >> madam speaker, as the member designated by ms. porter, ms. strickland, mrs. hayes, mr. keto, mr. rush, mr. suozzi and mr. scott, i inform the house that these eight members will vote yes on the previous question.

the speaker pro tempore: for what purpose does the gentlewoman from georgia seek recognition? >> madam speaker, as the member designated by mr. carter of louisiana, i inform the house that mr. carter will vote yes on the previous question. the speaker pro tempore: for

what purpose does the gentlewoman from florida seek recognition? ms. wasserman schultz: as the member designated by mr. crist and lawson of florida, i inform the house that these members will vote yea on the previous question.

the speaker pro tempore: for what purpose does the gentleman from california seek recognition? >> as the member designated by mr. danny davis, tlaib, huffman, i inform the house that these members will vote aye on the notion move the previous question on h.r. 1191.

the speaker pro tempore: for what purpose does the gentleman from texas seek recognition? >> madam speaker, as the member designated by mr. carter of texas, i inform the house that he will vote no on the previous question.

the speaker pro tempore: for what purpose does the gentleman from virginia seek recognition? mr. beyer: madam speaker, as the

member designated by ms. moore of wisconsin, i inform the house that ms. moore will vote yes on ordering the previous question.

the speaker pro tempore: for what purpose does the gentlewoman from colorado seek recognition? >> thank you, madam speaker, as the member designated by mr. gosar of arizona, i inform the house that mr. gosar will vote nay on the previous question.

the speaker pro tempore: the yeas are 215. the nays are 200. the previous question is ordered. the question is -- the question is on adoption of the resolution. so many as are in favor say aye. those opposed, no. in the opinion of the chair, the ayes have it. for what purpose does the gentleman from texas seek recognition? >> i request the yeas and nays.

the speaker pro tempore: pursuant to section 3-s of house resolution 8, the yeas and nays are ordered. members will record their votes by electronic device. this will be a five-minute vote. [captioning made possible by the national captioning institute, inc., in cooperation with the united states house of representatives. any use of the closed-captioned coverage of the house proceedings for political or commercial purposes is expressly prohibited by the u.s. house of representatives.] the speaker pro tempore: for what purpose does the gentlewoman from illinois seek recognition? the speaker pro tempore: for what purpose does the gentlelady seek recognition? >> as the member designated by mr. jeffries, i inform the house that mr. jeffries will vote yes on h.res. 1191. the speaker pro tempore: for what purpose does the gentleman from tennessee seek recognition? >> madam speaker, as the member designated by mr. guest of mississippi, mr. palazzo of mississippi, i inform the house that both mr. guest and mr. palazzo will vote nay on the rule. thank you. the speaker pro tempore: for what purpose does the gentlewoman from north carolina seek recognition? >> madam speaker, as the member designated by representatives

price, hank johnson and bonamici, i inform the house that these representatives will vote yea on h.res. 1191. the speaker pro tempore: for what purpose does the gentleman from texas seek recognition? >> madam speaker, as the member designated by mr. mccaul of texas, i inform the house that mr. mccaul will vote nay on the rule. the speaker pro tempore: for what purpose does the gentlewoman from michigan seek recognition? >> madam speaker, as the member designated by ms. bernice johnson of texas and ms. stansbury of new mexico, i inform the house that these members will vote yes on h.res. 1191. the speaker pro tempore: for what purpose does the gentleman from pennsylvania seek recognition? >> thank you, madam speaker. as the member designated by mr. hal rogers of kentucky, i inform the house that mr. rogers will vote nay on the rule. the speaker pro tempore: for what purpose does the gentlewoman from georgia seek recognition? >> madam speaker, as the member designated by mr. carter of louisiana, i inform the house that mr. carter will vote yes on h.res. 1191.

the speaker pro tempore: for what purpose does the gentleman from indiana seek recognition? >> madam speaker, as the member designated by mrs. walorski from indiana, pursuant to house resolution 8, i inform the house that mrs. walorski will vote no on house resolution 1191. the speaker pro tempore: for what purpose does the gentlewoman from florida seek recognition? ms. wasserman schultz: as the member designated by mr. crist and lawson of florida, i inform the house that these members will vote yea on h.res. 1191. the speaker pro tempore: for what purpose does the gentleman from florida seek recognition? >> madam speaker, as the member designated by ms. salazar of florida, i inform the house that ms. salazar will vote no on the rule. the speaker pro tempore: for what purpose does the gentleman from california seek recognition? >> as the member designated by mr. danny davis, tlaib, and huffman, i inform the house that these members will vote aye on h.res. 1191. the speaker pro tempore: for

what purpose does the gentleman from california seek recognition? >> madam speaker, as the member designated by congress member bar doe and congress member costa, i inform the house that these members will vote yes on h.res. 1191. the speaker pro tempore: for what purpose does the gentleman from texas seek recognition? >> madam speaker, as the member designated by mr. john carter of the great state of texas, i inform the house that mr. john carter will vote no on the rule. the speaker pro tempore: for what purpose does the gentleman from california seek recognition? >> madam speaker, as the member designated by representatives jayapal, allred and bush, i inform the house that these members will vote yes on h.r.

1191. the speaker pro tempore: for what purpose does the gentlewoman from colorado seek recognition? >> madam speaker, as the member designated ■bymr. gosar from arizona, i inform the house that mr. gosar will vote nay on the rule. the speaker pro tempore: for what purpose does the gentleman from virginia seek recognition? >> madam speaker, as the member designated by mr. desaulnier, mr. connolly, mr. cohen, ms. newman, ms. moore and dr. lowenthal, i inform the house that these six members will vote yes on h.r. 1191.

the speaker pro tempore: for what purpose does the gentleman from colorado seek recognition? >> madam speaker, as the member designated by ms. porter, ms. strickland, mrs. hayes, mr. keating, mr. rush, mr. suozzi, and mr. scott, i inform the house that these members will vote yes on h.r. 1191.

the speaker pro tempore: for what purpose does the gentleman from michigan seek recognition? >> madam speaker, as the member designated by mr. rice of south carolina, i inform the house that mr. rice will vote nay on the rule. as the member designated by mr. katko of new york, i inform the house that mr. katko will vote nay on the rule.

the speaker pro tempore: for what purpose does the gentleman from new jersey seek recognition? >> as the member designated by mr. sires, mrs. watson coleman, mr. payne, mrs. kirkpatrick, and mr. nadler, i inform the house that these members will vote yes on h.res. 1191.

the speaker pro tempore: on this vote, the yeas are 214, the nays are 202. the resolution is adopted. without objection, the motion to reconsider is laid upon the table.

the speaker pro tempore: for what purpose does the gentleman from new jersey seek recog recognition? mr. pallone: mr. speaker, pursuant to house resolution i call up 7666 and ask for idz immediate consideration in the house. the speaker pro tempore: the clerk will report the title of the bill. the clerk: union calendar number 276, h.r. 7666, a bill to amend the public health service act to re-authorize certain programs relating to mental health and substance use disorders, and for other purposes. the speaker pro tempore:

pursuant to house resolution 1191, in lieu of the amendment in the nature of subs foot recommended by the committee on energy and commerce printed in the bill and amendment in the nature of the substitute consisting of rules committee print 117-51 modified by the amendment printed in part d of house r house report number 117-381 is adopted andle bill as amended is considered as read. the bill as amended shall be debated for one hour equally divided and controlled by the chair and ranking member of the committee on energy and commerce or their respective designees. the gentleman from new jersey, mr. pallone, and the gentlewoman from washington, mrs. rodgers, each will control 30 minutes. the chair now recognizes the gentleman from new jersey. mr. pallone: mr. speaker, i ask unanimous consent that all members may have five legislative days to revise and extend their remarks and add extraneous material on h.r.

7666. the speaker pro tempore: without objection. million pallone: mr. speaker, i -- mr. pallone: mr. speaker, i yield myself such time as i may consume. the speaker pro tempore: the gentleman is recognized. mr. pallone: thank you, mr. speaker. i rise today in support of h.r. 7666, the restoring hope for mental health and well-being act of 2022. i thank our ranking member rogers for working with me these past few months to develop this comprehensive legislation that will help address the mental health and substance abuse disorder crisis facing millions of americans. this bill is needed today more than ever. americans report rising anxiety and depression and increased use of alcohol, open yachts, and other sub-- opiates and other substances. one in five adults is suffering from mental illness. suicide is now the leading cause of death for children age 10 to 14. earlier this year the centers

for disease control and prevention released a report finding that four in 10 high school students said they felt persistently sad or hopeless during the covid-19 pandemic. the opioid crisis also continues to devastate families and communities all around the nation. 108,000 people lost their lives due to drug overdoses just last year alone. the restoring hope for mental health and well-being act will help restore hope for millions of americans. the bill strengthens and expands more than 30 critical programs that collectively support mental health care and substance use disorder prevention, care, treatment, and recovery support services in communities across the nation. as the nation prepares for the launch of the 9-8-8 national suicide prevention lifeline dialing code next month, h.r. 7666 provides key crisis response efforts establishing the substance abuse of mental health services behavioral health crisis coordination

office and requiring the development of crisis response best practices. the legislation also continues investments in critical mental health and substance use ser services block grant funding to states, territories, and tribes. the restoring hope act includes crucial provisions to meet the challenges of the nation's opioid epidemic. expanding and ensuring timely patient access to lifesaving treatment for opioid use disorders through the elimination of barriers to treatment. it includes representative tonko's mad act which eliminates the x waiver, a burdensome registration requirement that establishes arbitrary caps on the number of patients a provider can treat for opioid use disorder using buprefnorfren. it requires an eight-hour training requirement on treating and identifying substance use disorders that provieders must complete before their first registration or renewal of a

license to dispense controlled substances. and h.r. 7666 also helps bolster the behavioral health work force capacity and training. it also increases access to mental health and substance use disorder care and coverage by applying the mental health parity law to state and local government workers such as teachers and frontline workers. the legislation also supports the mental health of children and young people. it continues investments in the integration of behavioral health and pediatric primary care through pediatric mental health care access grants. it enhances research at the national institutes of health on the cognitive physical and socio-emotional impacts of modern technology and multimedia on infants, children, and adolescents. i can't stress enough this is a epidemic that focuses a lot on children and adolescence. older youth need help with

suicide prevention and other mental health support and substance use disorder services. students in higher education need that help and they get it through the programs called the garrett lee smith memorial act. and the bill also ensures that state medicaid programs have resources to implement and strengthen school-based mental health services while preserving the continuity of justice for involved youth. these provision also increase children's access to care. mr. speaker, the scope and reach of this bipartisan legislation, and i stress that, this was reported out of the energy and commerce committee unanimously, mr. speaker. it is truly bipartisan. it's going to help to support the mental health and women being of millions of americans, their families, and communities for years to come. again i want to thank members on both sides of the aisle, not only ranking member rodgers, but the subcommittee leadership as well, both democrat and republican. the reason that we try to do this on a bipartisan level and

get everybody's support is because we have a good chance of passing this in the senate, which is also acting on this legislation. we are hopeful that as a result of a large vote today, that will spur the senate into action and we can actually get this bill signed into law. with that i urge my colleagues to support the bill and thank you. i reserve the balance of my time. the speaker pro tempore: the gentleman reserves. the chair recognizes the gentlewoman from washington. mrs. rodgers: thank you, mr. speaker. i yield myself such time as i may consume. the speaker pro tempore: you are recognized. mr. rogers: mr. speaker, i rise today in support of h.r. 7666. the restoring hope for mental health and well-being act. we are taking urgent action to help states and communities providing lifesaving mental health care to people in need. especially for our children and those suffering from severe mental illness. i think about austin, a 9-year-old boy, who struggled to cope when his school was shut down and his parents were going

through a divorce. he was socially isolated and didn't know where to turn. when he confessed suicidal thoughts to his mom, they faced long waiting lists and no beds for care that he needed. cases like austin can't be ignored. parents, teachers, and medal professionals are talking about this everywhere i go. in expo cane, washington, we are seeing more violence in our schools and rising crime. drug overdose deaths and fentanyl poisoning were up 300% last year. there is an overwhelming sense of despair, anxiety, fear, and isolation. and it has been heightened by the horrific shootings in uvalde and buffalo. especially for our children we need to deliver hope and healing in every community in our country. this bill will help children in crisis and improve school safety. for example, congresswoman hinson is leading with richard hudson on a provision that will expand access to behavioral and mental health services to kids

in school. it includes a solution i led on with congresswoman kim to re-authorize the garrett lee smith memorial act which supports community-based youth and young adult suicide prevention programs. like representative french hill's solution in this, we are removing red tape. boosting treatment access, and making sure communities have resources to combat the substance abuse disorder epidemic in america. more than 100,000 people are dying a year. our communities are in desperate immediate of help to prevent, treat, and rescue people from overdoses and despair. the priorities in this bill are targeted to responsibly address our most urgent need so we can build stronger families, communities, and a brighter future. we are accomplishing this by stopping duplicative programs and cutting the deficit by 200 million. the bulk of the programs in this bill are block grants that have been successful in providing our states and communities with resources and flexibilities to

meet the specific and unique needs in combating mental illness and addiction. while keeping the federal government out of the decisionmaking process for treatments and care. by protecting charitable choice we are making sure faith-based and religious organizations are competing on an equal footing. this is a victory for conscience protections. the provisions in this bill also support care for maternal mental health and substance use disordersry which are among the leading causes of death for pregnant and postpartum women. we are saving lives and caring for women at every stage of pregnancy and beyond. mr. speaker, i, ag again, urge support for this legislation. thank you, chairman pallone, for your leadership and working with us for solutions from our colleagues on both sides of the aisle. while families and communities will lead the way to address the root causes of despair, isolation, violence, and overdose deaths that are tearing nearly every community apart and destroying people's lives, this bill takes an important step

forward to help them in these efforts. we are taking action to turn this despair into hope. children like austin and communities like mine in eastern washington are counting on it. let's deliver today and keep building on this work. thank you. i reserve. the speaker pro tempore: the gentlewoman reserves. the gentleman from new jersey is recognized. mr. pallone: mr. speaker, i yield two minutes to ms. schakowsky who chairs our consumer protection subcommittee. the speaker pro tempore: the gentlewoman is recognized. ms. schakowsky: i thank the gentleman for yielding. i am so happy about this bipartisan legislation and really excited about the changes that are going to be made because for all 24 years that i have been in congress i have not had a town hall meeting or a meeting with my constituents where the issue of access and affordability of mental health services has not come up. but right now our country is facing a mental health crisis

like we have not seen before. we are seeing the families are losing loved ones to covid, to suicide, and to overdoses. this bill will provide vital, vital services and substance abuse and mental health. four things mainly. we will see a strengthening of parity. we voted for parity a long time ago and now we are going to make sure that mental health and physical health is on the same page. we are going to have 30 bills that are going to strengthen and re-authorize mental health services. we are going to have more education for doctors. we are going to have doctors be able to have more patients for certain mental assistance treatment. this is a great bill. we should all be proud to vote for it.

i yield back. the speaker pro tempore: the gentleman from new jersey reserves. the gentlewoman from washington is recognized. mrs. rodgers: thank you, mr. speaker. i yield two minutes to the gentleman from minnesota who's led on important provisions for children in this bill. the speaker pro tempore: the gentleman is recognized. >> i thank the ranking member. soon-to-be chair. i rise in support of h.r. 7666, the restoring hope for mental health and well-being act. after years of lockdowns and social isolation, the mental health of our nation's citizens and especially our youth is at an all-time low. mr. emmer: but h.r. 7666 begins to return us to a better path. so i would like to thank the chairman and ranking member for all their hard work to make this a reality. i'm especially pleased that portions of two bills that i had the pleasure of working on with

my colleague from maryland, were included in this legislation. one such provision would amend the medicaid inmate exclusion policy to allow incarcerated juveniles who have been detained pending trial to continue to receive medicaid coverage. pretrial detainees are by definition presumed innocent as a matter of due process we should not be denying critical health benefits to anyone who has not been convicted of a crime. from practical standpoint reforms to the medicaid inmate exclusion policy will help our local law enforcement better manage the shockingly high percentage of inmates who suffer from mental illness. h.r. 7666 also includes language to create a behavioral health coordinating office, another issue that i had the pleasure of working on. many federal programs to address the mental health crises currently lack clear, unified direction and coordination which is a recipe for redundancy and waste.

the reforms in today's bill will bring all the major agencies into the room, including the secretary of education, the secretary of health and human services, and the director of national drug control policy to develop a unified approach to addressing topics ranging from substance abuse care to delivery of there is more work to be done to improve the mental health of our nation but h.r. 7666 is an important step and now we need more than ever. i urge my colleagues to support this critical legislation and i yield back. the speaker pro tempore: the gentleman from new jersey. mr. pallone: i yield two minutes to the gentleman from maryland, mr. sarbanes who has been involved with these issues for a long time. the speaker pro tempore: the gentleman is recognized. mr. sarbanes: first let me thank the gentleman for yielding. i rise today in support of h.r.

7666. our nation is facing a continuing mental health and substance use crisis that has been exacerbated by the covid-19 pandemic. this touches the lives of individuals and has a particularly acute impact on children and teens. recognizing this last october, the american academy of pete at tricks and children's hospital association declared a national emergency in child and adolescent mental health. to wrap our arms as a society around children facing mental and behavioral health challenges, i recently joined in h.r. 7248 the continuing systems of care for children act with my colleagues representatives joyce and gimenez, a bipartisan bill

that is included in h.r. 7666. this would re-authorize two important grant programs, one that provides community mental health services for children with serious disturbancees and youth and family tree program. these programs connect children and teenagers to services that meet their individual needs and has a sustained positive impact. as we confront the challenges and our national gun violence crisis, congress must provide every resource they need to lead safe and healthy lives. we need to pass the restoring hope for mental health and well-being act and better support our resources. i urge my colleagues to vote yes on this legislation and i yield

back. the speaker pro tempore: the gentlewoman from washington is recognized. mrs. rodgers: i yield three minutes to the gentleman from kentucky, our lead on the health subcommittee, three minutes. the speaker pro tempore: the gentleman is recognized. >> h.r. 7666 restoring hope for mental health and well-being act is a significant bill that will increase access to pediatric mental health treatment. this bill will treatment and recovery resources. energy and commerce has worked on this for many months and reported out by a voice vote in may. children's health has been negatively by school closures and increased violence. this bill provides resoarses.

this legislation supports mental health is services for children with serious mental health crises. and the need to strengthen resources for children's mental health has been further heightened after the violence we have seen in uvalde. this will provide funding for suicide prevention and update a major block grant that provides support to those with serious mental illness. the legislation helps those with substance use disorders. kentucky has seen a rise of overdosees. and c.d.c. estimate that drug overdosees 107,000 between november 2020 and november 2021. they have been caused by illicit fentanyl poisoning which were

involved in 70% of kentucky overdoses. this requires a two-prong approach equipping our law enforcement and recovery and treatment resources. through the passallying of this bill, we are advancing the second part by increasing to critical treatment and recovery resources for people from all walks of life and every stage of life. this includes resources for moms and pregnant women. in addition, this legislation also has a provision led by representative butchon to restore unnecessary regulatory barriers to remove barriers to

those who seek care. the timely treatment for opioid disorder act, for more than a year. and i am proud that my bill, the substance use treatment and support olympic grant of 2022 which i worked together with my colleague, mr. tonko, mckinley and wild is included. this will re-authorize funding for recovery support services which include work force training. i encourage my colleagues to support this and i yield back. the speaker pro tempore: the gentleman from new jersey is recognized. mr. pallone: i yield two minutes to the gentleman from new york, mr. tonko. the speaker pro tempore: the gentleman is recognized. mr.tonko: thank you, mr. speaker. i rise in strong of restoring

hope for mental health and well-being act and i thank chairman pallone and ranking member rodgers. when we work together in a collaborative and bipartisan fashion. this legislation will take several steps to improve mental health and substance use care. h.r. 7666 includes my mainstreaming treatment act and will prevent people from having access a lifesaving drug. i have worked on this legislation and was pleased to see it advance out of committee with a strong bipartisan majority. we will vastly access to addiction medicine and move toward a treatment. it is not to say this is one of the most meaningful steps that congress has taken to date.

it will save countless lives and i'm grateful to get it over the finish line. h.r. 7766 includes a bill to include the block grant which serves as the foundation for state substance use prevention programs. we made improvements to the olympic grant and clarifying that recovery support services are eligible for funding. we are going to keep working to increase funding levels and implement a set-aside ensuring that all states invest. the restoring hope for mental health and well-being act will make a difference to communities and families. i urge all my colleagues to support this critically important legislation that delivers hope to our communities, delivers hope to the doorstep of our families. and i yield back. the speaker pro tempore: the gentleman from new jersey is

recognized. the gentleman reserves. mr. pallone: the gentleman reserves. the speaker pro tempore: the gentlewoman from washington is recognized. mrs. rodgers: i yield two minutes to the gentleman from arkansas who sponsored underlying bill which was incorporated in this package, french hill. the speaker pro tempore: the gentleman is recognized. mr. hill: i thank mr. pa -- pallone and mrs. mrs. mcmorrisrodgers. i didn't anyone who died of a drug overdose when i was in high school or college, but my two sweet kids can count five or six of their pers who have been who have died because of drug overdose. everyone knows how horrifying the 107,000 drug overdosees.

and my co-prescribing legislation that was included. my bill seeks to prevent opioid through co-prescription. this effort was inspired by my home state of arkansas which is one of 14 states. co-prescribing when he prescribes overdose reversal drug along with the opioid prescription. my legislation encourages co-prescribing and supports to increase lay person's access to opioid overdose drugs. statistical modeling reported to the international agency of drug policy that emergency personnel could reverse 21% of opioid

overdose deaths. the majority of death reduction would be the result of that increase of distribution to patients. in arkansas, mr. speaker, in% 2021, 551 of our citizens are alive today because of a co-prescription legislation. mr. speaker, co-prescribing saves lives and that's why i urge my colleagues to support h.r. 7666. i thank the leadership and i yield back. the speaker pro tempore: the gentlewoman reserves. the chair recognizes the gentleman from new jersey. mr. pallone: i now recognize mr. mr. o'halleran: i rise in

support of h.r. 76666 to increase the accessibility of our mental health care system and break down the barriers to care for rural communities. hundreds of thousands of the residents of arizona do not receive the mental health care they need. our families and our communities suffer. in recent years, we lost too many loved ones to opioid abuse, suicide and senseless violence. it has gone on far too long. homicide investigator in chicago, i can tell you of the hundreds and hundreds of these types of cases i saw day in and day out. affordable, accessible mental health care plays a role in addressing each one of these issues. i worked with my colleagues on the energy and commerce committee to bring this urgently needed legislation to the house floor for a vote.

by investing in work force education, training and supporting critical mental health programs the restoring hope for mental health and well-being act which help millions of americans and expands access to the care for vulnerable and underserved communities. i am pleased to see the initiatives to re-authorize and improve critical programs included in this bill. in arizona more than five people die every day for overdosees. this crisis is tearing families and communities apart. our legislation would assist in developing coordinating local response plans and expand access to medications that receive for overdose and improve substance use disorder for homeless individuals. our bill invests in mental health care for our children

through programs that serve a wide range of ages and mental health needs including suicide prevention. we need to fill those gaps and i urge my colleagues to vote for this bill. the speaker pro tempore: the gentleman reserves the balance of his time the chair recognizes the gentlewoman from washington. mrs. rodgers: i yield two minutes to the gentleman from texas, whose community understands the hope and healing. >> i rise in support of h.r. 7666. one month ago a gunman fired on an elementary school 38 miles where i grew up and that led to the death of 19 children and two teachers. as a father of six, i'm heart broken. i'm focused on delivering change and changing the lack of

resources. in 2022 by mental health america, texas was the ranked as the worst state. that gap is felt even more intensely. it is in places like uvalde that clinicians and parents have to drive four hours round trip. communities like uvalde are in need of mental health resources now and well into the future. i am proud to support this bipartisan package that will commit significant resources to mental health awareness, training and treatment. time for congress to training in america. it starts with supporting h.r. 7666. i yield back. the speaker pro tempore: the gentleman yield. the chair recognizes the gentleman from new jersey. mr. pallone: mr. speaker, i yield now two minutes to the the gentlewoman from new hampshire, member of the energy and commerce committee, ms. kuster. the speaker pro tempore: the

representative from new hampshire is recognized. ms. kuster: mr. speaker, i rise today in support of h.r. 7666, the restoring hope for mental health and well-being act of 2022. it has never been more urgent to pass this competitive -- comprehensive legislation that will help deliver essential mental health and substance use disorder treatment and support to communities across this country. americans continue to lose loved ones to addiction and mental health struggles every day. 2021 marked the deadliest year yet with nearly 108,000 overdose deaths here in the united states. until nashua, in my district, the rate of fatal overdoses doubled from march to april just this year. and it's on track to reach the highest number of opioid deaths since the epidemic began. we cannot wait another day to

pass this critical legislation. as founder and co-chair of the bipartisan addiction and mental health task force, i'm pleased to see the restoring hope for mental health and well-being act include many of the bills from our task force agenda. bills like the mainstreaming addiction treatment act to remove outdated barriers that prevent health care providers from prescribing essential treatment for substance use disorder. i'm also pleased to see the restoring hope for mental health and well-being act include the kids care act. legislation i introduced with congressman hudson to improve medicaid in schools and provide mental health screenings for justice involved youth. importantly, h.r. 7666 addresses many of the unmet needs of communities that have suffered because of inadequate mental health resources from bolstering grants for depression screening and suicide prevention, to

strengthening the behavioral health work force. i support this legislation because it responds to the urgency of today's crisis and will improve mental health and addiction care all across this country. i thank chairman pallone and his staff for his leadership on this bill and the speaker for giving us the opportunity to discuss this legislation. i urge a yes vote and i yield back. the speaker pro tempore: the gentleman reserves. the gentlewoman from washington is recognized. mrs. rodgers: thank you, mr. speaker. i'm pleased to yield to the gentleman from north dakota, leader on the committee, two minutes on this important legislation. the speaker pro tempore: the gentleman is recognized. mr. armstrong: thank you, mr. speaker. i rise today in strong support of the restoring hope for mental health and well-being act. this bipartisan mental health package includes my legislation, the summer barrel prevention treatment and recovery act this bill authorizes -- re-authorizes several substance use disorder programs administered by samhsa that help local communities

provide substance use disorder and mental health services to those most in need. this is particularly important for rural states like north dakota where individuals struggle accessing all treatment option that is may work for them. the package also includes the mainstreaming addiction treatment act. it would remove the burdensome requirements that a health care practitioner apply for a separate waiver known as the x waiver through the drug enforcement agency to prescribe certain drugs for substance use disorder treatment. the waiver requirement limits access to lifesaving treatment which is particularly painful considering recent news that drug overdose deaths hilt a record high of more than 107,000 in 2021. lastly, i just would like to offer my support for an amendment offered with my friend, congressman trone of maryland, that will come to the floor soon. our amendment would add the state opioid response grants act to this program. this amendment will provide $8.75 billion over five years in flexible funding for state

opioid response grants and tribal opioid response grants. providing states and tribes certainty and stability to implement prevention and treatment and recovery. thank you, mr. speaker. i yield back. the speaker pro tempore: the gentlewoman reserves. the gentleman from new jersey is recognized. mr. pallone: thank you, mr. speaker. i yield one minute to our house majority leader, the gentleman from maryland, mr. hoyer. the speaker pro tempore: the gentleman from maryland is recognized mr. hoyer: thank you, mr. speaker. thank you, mr. chairman. thank you, madam ranking member. for the work that you have done and chairman have done together and your committee to bring this bipartisan very important bill to the floor. i want to thank them both for their hard work in the committer its hard work in compiling this bipartisan package to combat two of the most important issues, mr. speaker, facing communities today. mental health and drug addiction. the covid-19 pandemic exacerbated mental health and addiction challenges that were already present in our communities. for those already experiencing

severe depression, anxiety, or even substance abuse, and addiction disorders, the pandemic made it harder to access mental health care and essential health and resources. this bill would re-authorize key mental health and addiction programs while helping to strengthen communities crisis response. there are many important programs included, but i will highlight just a few, mr. speaker. among them is legislation from my friend, david trone, to help states expand the availability of high quality recovery housing as they receive treatment from substance abuse. representative trone has been a leader on this issue. as co-chair of the bipartisan addiction and mental health task force. also included, mr. speaker, in this legislation is legislation from my friends, cindy axne and chris pappas, to revise opioid

treatment criteria to help those in treatment access and access it more quickly. our in-house pediatrician, representative kim shier -- schrier, teens to access the health care and mental services they need. i also mention a critical section added by representative susi lee to provide important resources for virtual pier support programs -- peer support programs. representative lee knows how much her constituents have been fitted from these type of programs -- benefited from these types of programs. and representative tonko from new york included legislation to expand access to prescription medication that is help patients overcome addiction disorders. mr. speaker, these are just a few of the very beneficial policies included in this legislation that will improve lives and indeed save lives.

i'm so proud of the energy and commerce committee and all the members whose legislation is included in this bipartisan package which demonstrates how we can join together. democrats and republicans, to pass important legislation and show those we serve they are not alone in facing these challenges. mr. speaker, i hope this strong vote today will help move this critical policy through the senate and see them quickly enacted into law. i urge a yes vote. i yield back the balance of my time. the speaker pro tempore: the gentleman from new jersey reserves. the gentlewoman from washington is recognized. mrs. rodgers: thank you, mr. speaker. i reserve. the speaker pro tempore: the gentlewoman reserves. the gentleman from new jersey is recognized. mr. pallone: thank you, mr. speaker. i yield now two minutes -- i'm sorry. i yield two minutes to dr. schrier from washington state who is a member of the

energy and commerce committee, two minutes. the speaker pro tempore: the gentlewoman is recognized. miss schrier: thank you, mr. chairman. thank you, mr. speaker. i want to express my support for h.r. 7666, the restoring hope for mental health and well-being act of 2022. over 20 years as a pediatrician i saw steadily escalating levels of mental illness in my patients. there was a big uptick after 2007 that many associate with the social media use. and of course the pandemic further accelerated rates of depression, anxiety, eating disorders, and self-harm. we are seeing 9-year-olds with eating disorders. 10-year-olds with suicidal ideation. this is alarming. we all agree that our children need help, but resources are limited. there just aren't enough behavioral health specialists out there to meet the need, particularly in rural areas like some of those i represent.

but there are ways to extend the reach of people who have dedicated their lives to supporting our mental health, to leverage those resources so they stretch a little further. one example is the partnership access line, or p.a.l., i was able to access as a pediatrician. if i was seeing a patient with a more complicated behavioral health concern, something beyond the scope of a general pediatrician, coy get a psychiatrist on the line and -- i could get a psychiatrist on the line and in the moment advice on how to treat that patient. another example is integrated care where a mental health worker works alongside physicians and other providers providing support as needed through the day for patients struggling with mental illness. these programs and more are supported in the package of bills we'll be voting on this week. including mine, the supporting children's mental health care access act.

i encourage my colleagues to vote yes on this excellent bill. i yield back. the speaker pro tempore: the gentlewoman yield back. the gentleman from new jersey reserves. the gentlewoman from washington is recognized. mrs. rodgers: thank you, mr. speaker. i reserve. the speaker pro tempore: the gentlewoman reserves. the gentleman from new jersey is recognized. mr. pallone: mr. speaker, i yield now two minutes to the gentlewoman from michigan, mrs. dingell, a member of the committee. the speaker pro tempore: the gentlewoman is recognized. mrs. dingell: thank you, mr. speaker. thank you to my chairman and to the ranking member of our committee. mr. speaker, i rise in support of restoring hope for mental health and well-being act of 2022. i want to thank all of my committee members for months of work on this important bipartisan legislation. on both sides. which re-authorizes and strengthens critical mental and behavioral mental health programs that will help address public health issues like the opioid epidemic, which claimed over 107,000 lives in the united

states last year alone. the mental hell package before us contains strong mental health parity provisions my colleague, congresswoman katie porter and i led. this will close a critical gap in health care korchg for mental health and -- coverage and mental hell for substance abuse treatment for thousands of frontline workers across the country. it includes a provision i worked on with congressman french hill that provides incentives for co-provibing when a doctor pairs and opioid prescription with a prescription of an opioid overdose reversal drug. this is a proven method to reduce overdose deaths. finally, it's good to see consideration of an amendment i co-authored with congressman mckinley cracking down on suspicious orders of opioids which will help further curb abuses and save lives. mr. speaker, all of us have had

family members or know someone who has had a mental health crisis or issue or suffered from depression. for too long people have been afraid to even acknowledge it, to seek help, or to get help. there's been a stigma associated with it. today all of us on both sides of this aisle need to help remove that stigma. my sister died from a drug overdose. my father was a drug addict. and perhaps we wouldn't have suffered some of the traumas had people not been afraid to speak of it. this is a strong package that will improve our national response. i urge my colleagues to support this bill. the speaker pro tempore: the gentleman from new jersey reserves. the gentlewoman from washington is recognized. mrs. rodgers: thank you, mr. speaker. i'm pleased to yield two minutes to the gentleman from florida, leader on the committee and on this legislation, gus bilirakis. the speaker pro tempore: the gentleman is recognized.

mr. bilirakis: i want to thank the ranking member anti-chairman for -- and the chairman for this very, very important bill. i rise in strong support of h.r. 7666, the restoring hope for mental health and well-being act, which re-authorizes and improves key sams a block grant programs -- samhsa block grant programs. these are all targeted towards helping our constituents who have struggled with anxiety, stress, and isolation. sadly our nation's experienced an unprecedented mental health crisis, particularly among our children and teens. it's only gotten worse during the covid pandemic, mr. speaker. we have seen a disturbing spike in rates of depression, self-harm, suicide attempts, and death among teens. teen depression in particular has risen by 60%.

we cannot afford to wait any longer to address this mental health and addiction crisis and this package presents much needed solutions that will enact meaningful changes to help combat the trends we have seen. . and conduct the we need to protect children and mental health from social media and this is an excellent start. we are also going to consider an amendment i'm proud to support with rodney davis that will contain h.r. 2355 opioid prescription verification act. and in closing, this is a strong

bipartisan package and i urge my colleagues to fully support it. the speaker pro tempore: the gentlewoman reserves. the gentleman from new jersey. mr. pallone: i yield two minutes to the the gentlewoman from texas, mrs. fletcher. mrs.fletcher: thank you for your leadership and support and making it possible to pass the restoring hope for mental health and well-being act. i'm glad that the buy bill to collaborate in an orderly act is included in it. many people first display symptoms of substance use disorder but can't access, it is

either too difficult for them to find the mental health professional or overcome obstacles. enabling access at their first point of care is critical and that's what this bill does. it addresses obstacles including stigma, a shortage of health professionals and costs by integrating behavioral health care within the primary care setting with trusted doctors which allows partes to access in the setting. the collaborative model is a primary care physician, a psychiatric consultant and care manager working together to provide mental health care for patients. there are more than the 90 trials demonstrating the success in different settings for both adults and children and extends the reach of our psychiatrists

and work to address the shortage in the work force and covered by medicare. most private insurers alleviating the financial burden that can be associated. despite its proven effectiveness, upfront costs and the lack of technical assistance for providers. this bill addresses this road olympic to have states work physicians and practices to adopt this model. thank the chair womanes choo and chairman pallone. thank you, i yield back. the speaker pro tempore: the gentleman reserves the balance of his time the gentleman from washington is recognized. mrs. rodgers: how much time is reremaining? the speaker pro tempore: the gentleman from washington has 14 1/2 minutes. yasm new jersey has 8 1/2

minutes. mrs. rodgers: i yield a minute and a half to the gentlelady from california. the speaker pro tempore: the gentlelady is recognized. >> i thank our ranking member rodgers for yielding. and i rise today in support of the restoring hope for mental health and well-being act of 2022. the pandemic and shutdown left many americans especially women and children feeling isolated, anxious and alone. depression, self-harm, substance abuse and suicide have reached crisis levels. and i'm glad we can help provide meaningful targeted hope and healing to communities who need it. and i am proud that two bills that i worked on into the life for many ternl mental health and garrett lee smith memorial are

helping support to women who are facing substance abuse disorders during pregnancy. we must keep working to turn despair into hope. as a mom of four and new grandma, i will fight for the well-being across our neighing. i urge my colleagues to pass this commonsense bipartisan h.r. 7666 and i yield back. the speaker pro tempore: the gentleman from new jersey is recognized. mr. pallone: i yield one minute to the gentleman from oregon, mr. blumenauer. the speaker pro tempore: the gentleman from oregon is recognize dollars. mr. blumenauer: i am pleased we are taking up this bipartisan legislation to re-authorize critical programs to address mental health. we cannot address mental health without acknowledging and addressing the climate impact

our children are experiencing mental health and climate change. the oregon health authority released a report raising the alarm of the effect of climate change on our youth. from disasters to climate anxiety, they are facing stress and trauma that we need to address with them. if we want to invest, we must acknowledge the impact and give them hope, that we understand and are working to reduce that threat. we simply leave climate out of the conversation. i appreciate the work that chairman pallone has done for youth mental health and climate. thank you, and i yield back. the speaker pro tempore: the gentleman reserves the balance of his time the gentleman from washington is recognized. mrs. rodgers: i yield a minute to the gentleman from georgia, a leader on the issue. thank you.

the speaker pro tempore: the gentleman is recognized. >> i thank the gentleman. we are witnessing the decline in america's mental health brought about by the covid-19 pandemic. between family members and friends we are affected ourselves or we know someone with a mental health condition. i'm a father and grand father and nothing more important than the safety and well-being. the urgency has become more dire as we are seeing fear, anxiety and isolation have compounded these issues. we owe it to turn despair into hope to keep our children safe. the restoring hope for mental health and well-being act will provide much needed care. america's children are our nation's future and time to protect our loved ones and restoring hope for mental health and well-being act. i support this bill and

encourage my colleagues to do the same. i yield back. the speaker pro tempore: the gentlewoman reserves. the chair recognizes the gentleman from new jersey. mr. pallone: i yield one minute to the gentleman from virginia. mr. beyer. mr. beyer: the pandemic magnified suicide risks two out of five adults reporting. there was a report that found suicide rate rose by 12%. the rates rising fastest among people of color. help can't come. and thanks the rules committee to be included in the first en bloc and ensures funding and oversight to the suicide lifeline. and i want to flag my bill, the campaign to prevent suicide

which was passed in the house to help educate on the 988 suicide lifeline number but change the crisis of one of avoidance. the campaign is crucial. it can be the most important bipartisan successes. and i thank the chairman and ranking member and the committee staff for tackling mental health. we know far more than ever before in human history and put our healing knowledge to work. the speaker pro tempore: the gentleman's time has expired. the gentleman from new jersey reserves. the gentleman from washington is reek -- gentlewoman is recognized. mrs. rodgers: i yield a minute and a half to the gentlewoman from iowa. >> i rise in support of h.r. 76666 restoring hope for mental

health and well-being act. this addresses mental health and substance abuse disorder. i am pleased that the house was able to come together to create a bipartisan solution to deliver real results to the american people. i would like to thank dr. frier as we introduced supporting children's mental health access act which is included. this bill re-authorizes two grant programs that support pediatric scheses. re-authorizing this grant program is an important step in ensuring that our students have equal access. i would like to thank representatives axne pappas tore joining me which is included in h.r. 76666. this bill increases treatment for individuals who are suffering from opioid use

disorder. patients should begin treatment as soon as possible. i encourage all of my colleagues to join me in supporting h.r. 76666 restoring hope for mental health and well-being act. and i yield back. the speaker pro tempore: the chair recognizes the gentleman from new jersey. mr. pallone: i yield two minutes to the the gentlewoman from texas. the speaker pro tempore: the gentlewoman is recognized. ms. jackson lee: i thank the chairman for his yielding and as i begin to ask the chairman to enter into a colloquy, let me express my strong support for h.r. 7666 and the work that has been done by the chairman and the ranking member and the importance of the issue of dealing with the opioid addictions and other addictions

that require this additional work. i'm gratified to rise to support that. i thank chairman pallone and i ask that he engage in a colloquy with the need to support the mental health needs of trauma victims impacted by trauma and mass shootings. i think i have been here in the united states congress during columbine, virginia tech, sandy hook, mother emmanuel, santa fe, parkland and uvalde with 19 children and two adults and one individual who died from heartbreak. and i was there to see the impact to see nine-year-olds crying and saying because i spoke to them, they said, you are making me happy because you spoke to me and said you kay. out of the mouth of an nine

yield. there is a trauma, certainly survivors and those who are in the community. we know that too many families and children in this country are hurting from the preventable epidemic of gun shootings and mass casualty events. they have lasting scars on the family, friends and communities. i have seen this pain with my own eyes. in my amendment that i withdrew indicated this that there is a prioritization of those children impacted by trauma and i would like to work with chairman pallone. with that, i yield to the gentleman. mr. pallone: i thank the gentlewoman. i wanted to stress that h.r. 76666 includes programs focused on supporting children's mental health. mr. pallone: i yield another

minute. i just want to thank her for her leadership on this issue. in fact, h.r. 7666 includes programs on supporting youth mental health including in events. the samhsa early intervention program and pediatric health care access program which integrates behavioral health, the bill extends resources to support project aware building student and family health resiliency and samhsa's launch of the new 988 dialing code next month that will expand support through text or chat functions for millions of americans. ms. jackson lee: i thank you in the restoring hope hope act and

i look forward to working with the chairman on these vital resources. with your partnership, i would like to work with you and the administration to ensure that when this legislation is enacted, the needs of victims of those closest to them are in the front of our minds. the speaker pro tempore: the gentlewoman's time has expired. mr. pallone: i yield to the gentlewoman another 30 seconds. . mr. pallone: i'm pleased to work with the gentlewoman on this matter. thank you again, ms. jackson lee. ms. jackson lee: i thank you very much and i will support this legislation and i yield back. thank you very much, mr. chairman. the speaker pro tempore: the gentleman reserves the balance of his time. the gentlewoman from washington is recognized. >> thank you, madam speaker. i'm pleased to yield a minute and a half to the gentleman from kentucky, james comer. the speaker pro tempore: the

gentleman is recognized. mr. comer: thank you, madam speaker. i've become increasingly concerned that the consolidation and monopolistic nature of pharmacy benefit managers or p.b.m.'s has negatively impacted competition in the pharmaceutical marketplace, leaving americans to spend more on production drugs than any other country. these p.b.m.'s not only raise patient costs but are potentially engaged in anti-competitive behavior. the legislation before us today includes language requiring p.b.m.'s to issue reports to employer sponsors of health plans outlining information that they have been unwilling to provide to their customers, including co-pays applied by insurers to drug manufacturer costs, rebates and the p.b.m.'s rationale for choosing certain brand name drugs over more affordable biosimilar, generics or therapeutics for their formularies. simply providing this information to the participants in group health plans is expected to save over $2 billion

over 10 years. these biannual employer or sponsor-specific reports will allow participants in group health plans to make informed decisions about the services their p.b.m. is providing and reduce patient costs for prescription drugs. we cannot have a serious conversation about lowering drug prices in america without examining p.b.m.'s' ever-growing influence. thank you, i yield back the balance of my time. the speaker pro tempore: the gentlewoman reserves the balance of her time. the gentleman from new jersey is recognized. mr. pallone: thank you. i yield now one minute to the gentleman from california. the speaker pro tempore: the gentleman is recognized. >> thank you for yielding, mr. chairman. the substance use disorder crisis has touched almost every american in one way or another. too many families have felt the extraordinary pain of burying a son or daughter, father or mother, who struggled with the disease of addiction. tragically, many families have experienced the heartbreak and deep frustration that comes after a loved one enters a

residential recovery home that ultimately doesn't provide them with adequate care to get and stay on the path toward recovery. mr. levin: we must ensure that residential recovery homes meet a high standard of care and provide those who are struggling with the support they need to recover. we can and must do better. that's why i introduced the sober homes act, parts of which are included in h.r. 7666, the legislation we're voting on today. it includes $1.5 million for a federal study of the effectiveness of recovery housing, and to identify recommendations promoting the availability of high-quality recovery housing. this legislation will help us better understand where these facilities are falling short and how we can improve them to ensure everyone in recovery housing receives the help they need and deserve. finally, i want to thank all the advocates who have been fighting so hard on this issue. the information from this effort will save lives, which is why i implore my colleagues to support this bill and vote aye. thank you. i yield back. the speaker pro tempore: the gentleman reserves the balance of his time.

the gentlewoman from washington is recognized. mrs. rodgers: thank you, madam speaker. i'm pleased to yield three minutes to the gentleman from pennsylvania, a member of the committee, dr. john joyce. the speaker pro tempore: the gentleman is recognized. mr. joyce: i thank the gentlewoman for yielding. right now, today, as we all are here in the halls of congress, our nation is facing a mental health crisis. and this crisis followed two years of lockdowns, remote learning, that have left so many americans feeling isolated, lost, and in some cases hopeless. particularly our young americans feel all of these emotions. i rise today in support of this legislation that would help to address this crisis head-on, by helping to ensure that those who are struggling can receive the help that they so desperately need, that they need and they need our attention to it right now. the restoring hope for mental

health and well-being act of 2022 expands access to care for millions of americans, including children and teenagers who are desperately in need of this assistance. as a doctor, i've treated patients who have later lost their lives to mental illness. just last week we had physicians here on the hill, pediatricians, family doctors, telling us that they have seen the shift of the pendulum that they see on a daily basis more and more cases in their patients, specifically involving mental health. and there's not a single american who has not in some way been impacted by the effects that mental illness is having today. in the past year, over 107,000 americans have lost their lives to drug overdoses. far too many grandparents, far too many fathers, mothers, sons

and daughters are dying. we cannot wait to act any longer. we need to act and vote on this legislation. to help address the tragedy of addiction, this bill increases support for opioid recovery programs that will help people who are struggling to receive the care that they need. this bill would go on to make mental health screenings a part of each person's annual physical exam and evaluation. and help to ensure that everyone who sees a doctor is able to have a conversation frankly, concisely, clearly about the mental health and the mental health issues that they are facing. most important, this bill would provide a whole of care approach that would fund prevention, treatment and recovery services for the people who are suffering with addiction.

we have worked as a committee, as a conference, addressing these important issues. i urge all of my colleagues to vote to pass this important piece of legislation and i yield back the balance of my time. the speaker pro tempore: the gentlewoman reserves the balance of her time. the gentleman from new jersey is recognized. mr. pallone: madam speaker, i yield one minute to the gentleman from rhode island, mr. the speaker pro tempore: the gentleman is recognized. mr. cicilline: madam speaker, for too long americans, including children, struggling with mental illness and substance abuse have suffered in silence. the 2019 rhode island youth risk behavior society found that 15% of high school students attempted suicide. that's four students in a class of 25. there's a mental health crisis in rhode island and throughout our country and we have to address it now. the restoring hope for mental health and wellness being -- well-being act will save lives by expanding access,

establishing the behavioral health crisis coordination office, re-authorizing critical health programs to prevent suicide and expand access to mental health and substance use disorder treatment and eliminating unnecessary limits on providers' ability to prescribe treatments for opioid use disorder. i urge my colleagues to join with me in support of this critical legislation to save lives and help us address addiction all across our country. and with that i yield back. the speaker pro tempore: the gentleman reserves the balance of his time. the gentlewoman from washington is recognized. mrs. rodgers: thank you, madam speaker. i'm pleased to yield a minute to the gentleman from ohio, troi balderson. mr. balderson: thank you. i rise today in support of h.r. 7666, the restoring hope for mental health and well-being act. lockdowns, isolation, economic instability, disruptions to learning and daily routines. for well over a year, school closures, mask mandates and online learning became the new

normal for far too many young americans. as a result, a new crisis is afoot in our country. one with potentially dire consequences for our future. a mental health crisis among younger americans. today nearly seven in 10 parents of young children in ohio are worried about their kid's mental or emotional health. drug overdose is now the leading cause of death for americans eanls 18 to 45 -- ages 18 to 45. our kids are counting on us and we're counting on them. i urge a yes vote on h.r. 7666. thank you, madam speaker. i yield back. the speaker pro tempore: the gentlewoman reserves the balance of her time. the gentleman from new jersey is recognized. mr. pallone: i have no additional speakers. i'm prepared to close. don't know -- but i'll reserve if -- you have additional speakers -- the speaker pro tempore: the gentlewoman reserves the balance thegentleman reserves the balane of his time. the gentlewoman from washington is recognized. mrs. rodgers: thank you. i'm pleased to yield two minutes to the gentleman from indiana, dr. larry bucshon. the speaker pro tempore: the gentleman is recognized. mr. buchanan: madam speaker --

bmr. bucshon: i'm proud to be a member of a committee that works in a bipartisan way to help solve the problems facing our constituents every day. right now that means addressing the nation's mental health crisis. though many challenges existed before the start of the covid-19 pandemic, 2 1/2 years of widespread fear, social isolation and financial uncertainty has further increased americans' need for mental health support systems. this bill re-authorizes many of the critical mental health programs americans currently rely on. but also provides for new measures. especially important to me is the inclusion of the triumph for new moms act, a bipartisan bill i co-authored with representative barragan it. ames to establish -- it aim -- barragan. it aims to establish a task force to address the u.s. maternal mental health crisis by coordinating federal resources

towards maternal mental health. this task force would also work closely with state governors to alleviate the maternal mental health challenges in their states. current federal efforts to support women suffering from maternal mental health conditions lack coordinated action and organization towards this issue and as a result 50% of these new moms never receive treatment. this bill will increase mental health support for pregnant and new mothers by offering targeted solutions that have proven success. a fact that is particularly important to me given that indiana's maternal mortality rate, which is one of the highest in the nation. passing this bill will help provide better support for future generations of mothers and children. again, i want to thank the chair and ranking member of the energy and commerce committee for their dedication to these issues and i look forward to passage of h.r. 7666. thank you, and i yield back the balance of my time.

the speaker pro tempore: the gentlewoman reserves the balance of her time. the gentleman from new jersey is recognized. mr. pallone: i'm prepared to close. the speaker pro tempore: the gentleman reserves the balance of his time. the gentlelady from washington is recognized. mrs. rodgers: thank you. we're prepared to close. the speaker pro tempore: the gentlelady is recognized. mrs. rodgers: ok. well, thank you, madam speaker. i want to, again, just express appreciation to the chairman of the committee. all the members that have participated in helping bring this package of very important mental health proposals to the house today. i urge a strong yes vote. as many have said, we have a mental health crisis. at a time when there's so much fear and anxiety and stress, we see increased suicide, we see drug overdoses, and it's time that we act and act in a way that's really going to make a difference for america's families and our youth in particular. i urge support and yield back.

the speaker pro tempore: the gentlewoman yields back the balance of her time. the gentleman is recognized. mr. pallone: thank you, madam speaker. let me just reiterate what the ranking member said. this was really a bipartisan bill. i want to thank ms. rogers, mr. guthrie, ms. eshoo and all the staff that worked so hard on this legislation. it is important that we have as big of a pop as possible because this bill has a real chance of passing the senate and getting to the president's desk and will really address the mental health and substance abuse concerns that we have and the crisis we have. so i urge everyone to vote yes and i yield back. the speaker pro tempore: the gentleman yields back the balance of his time. all time for debate has expired. each further amendment printed in part e of house report 117-381 not earlier considered, pursuant to section 6 of the house resolution 1191, shall be

considered only in the order printed in the report, may be offered only by a member designated in the report, shall be considered as read, shall be debatable for the time specified in the report equally divided and controlled by the proponent and an opponent, may be withdrawn by the proponent at any time before the question is thereon. shall not be subject to amendment and shall not be subject to a demand for division of the question. it shall be in order at any time for the chair of the committee on energy and commerce or his designee to offer amendments en bloc consisting of further amendments printed in part e of house report 117-381 not earlier disposed of. amendments en bloc shall be considered as read, shall be debated for 20 minutes equally divided and controlled by the chair and ranking minority member of the committee on

energy and commerce or their respective designees. shall not be subject to amendment and shall not be subject to a demand for division of the question. the speaker pro tempore: for what purpose does the gentleman from new jersey seek recognition? mr. pallone: pursuant to house resolution number 1191, i rise to offer amendments en bloc number 1. the speaker pro tempore: the clerk will designate the amendments en bloc. the clerk: en bloc number 1 consisting of 1, 5, 9, 10, 13, 14, 15 and 16 printed in part b of 117-391 presented by mr. pallone of new jersey. the speaker pro tempore: the gentleman from new jersey mr. pallone and the gentlewoman

from washington, ms. mrs. mcmorrisrodgers each will control 10 minutes. mr. pallone: i rise in support of the eight mental health amendments. they reflect the bipartisan nature the restoring hope for mental health and well-being act and i thank my colleagues for their chiropractics to furthering the health of the american people and wish to speak in strong support of their adoption. many of these amendments include provisions from bills that previously passed the house on suspension that the senate has yet to act upon and i am pleased to once again emphasize their importance by including them in this package. the amendment offered by congressman bera and congressman fitzpatrick. like the bill, it reflects the

hero act. it will improve data collection and services to ensure our first responders and public safety officers receive the mental health care services they need. congresswoman napolitano and congressman katko extends samhsa's program aware program including strening training and outreach programs that passed the last year. and representatives katko and napolitano were joined by congressman beyer, raskin and fitzpatrick that includes provisions from h.r. 2981, suicide prevention lifeline act which passed the house last year. the amendment extends for samhsa's lifeline crucial in supporting crisis care and support as we prepare for the launch of the 988 dialing code

next month and the particular needs of certain communities in our country that several amendments add to the underlying bill. i thank representatives reschenthaler, wild and dean declaring a study and serious mental illness on families, public housing and law enforcement in america. in addition, we cannot do enough to support the men and women who have seived our nation in the armed forces and i thank congressman joyce that requires the department of defense to carry a pilot program to pri vent suicides of members of the armed forces. and the new behavior health crisis coordinating office established within samhsa to provide technical assistance and support to the veterans' crisis

line. support and mental health and well-being for those who are pregnant makes improvements to the hotline authorization to ensure those implementing the hotline can communicate with public officials and those working with low-income people. h.r. 76666 would establish new authorization for maternal hotline and will improve the underlying legislation. while we know children are facing a mental health crisis, we know all too many experience chronic health challenges and i'm grateful to representative pressley that health and human services conduct a study on rates and provide congress to provide best practices and

strategies to address these disparties. i encourage my colleagues to support these. i reserve. the speaker pro tempore: the gentlewoman from washington is recognized. mrs. rodgers: i rise in support of the amendments offered en bloc. the speaker pro tempore: the gentlewoman is recognized. mrs. rodgers: i rise today to express my strong support for this group of amendments. included in this are important bills that have passed the house including representative katko's suicide prevention lifeline improvement which re-authorizes the national suicide lifeline and ensures resources are available especially with 988 going live next month. representative katko has included the mental health services for students act and

substance abuse administration's project aware act. project aware is a successful program which supports partnerships between the state and local systems in increasing awareness in youth and connecting students with needed services. the en bloc also includes the reschenthaler amendment which would authorize a study on the costs of untreated mental illness on families, justice system. serious mental illness remains a neglected health issue and the data will convince policy makers to address more, including address the i.m.d. exclusion. this group of amendments demonstrates the good work that congress can do when both

parties address meaningful solutions. i urge adoption and reserve. the speaker pro tempore: the gentlewoman reserves. the gentleman from new jersey is recognized. mr. pallone: i yield four minutes to the gentleman from massachusetts, ms. pressley, who has one of the important amendments included. the speaker pro tempore: the gentlewoman is recognized. ms. pressley: thank you, madam chair. i rise in support of my amendment to require the secretary to study the suicide chris sighs with illnesses and ought immune. our children are carrying amounts of trauma and grief. and for an environs chair generation living with chronic conditions, the solitude, grief and uncertainty of the past two years have exacerbated the mental health challenges that

weighed so heavily. like millions of americans, i am living with the auto immune disease. i'm living with one form. navigating the world as a bald woman is disruptive to me. i am 48 years old and adult and i have built up some pretty thick skin but there are days that bring me to my knees because of the social stigmaization and taunting and experience. this does not threaten my life, it does not mean it does not impact. i was a caregiver to my mother and she was fighting for her life was am i go go to lose my hair. this is something much more than cosmetic for all who are living with this.

and this challenge defies societal norms, what is acceptable and appropriate. and for millions of -- i'm a 48-year-old adjusted woman, but for the millions of children living with this disease, this may be too much to bear. there are public misconceptions that it is purely cosmetic, this has been linked to higher rates of depression, sadness and anxiety and other mental health challenges. why not just wear a wig. i'm working on that, too, because many of our children can't afford a immediately endured wig. growing comfortable in their skin, these challenges. earlier this year, our committee lost one of our oin, which is

not the first but one of the most. ms. allred. 12 years old, took her life by suicide because of the emotional turmoil and relentless bullying she faced every day in school. i have spoken to her mother and heard her express the pain. i asked her toll tell me. she was a great big sister, a writer and reader and funny and light to the world and all around her. she has established a foundation in her honor. the mission of that is that kids should feel safe being who they are. one life lost to the emotional and any chronic condition is one too many. i make no appeal today for

sympathy, but for empathy for support to be sane. i'm not here just to take up space but here to create it. i choose not to wear a wig because i know what that representation means to the millions of americans. it is long past time we look at children who are living with illnesses and invest in the early interventions and best practices necessary to save who lives. i urge my colleagues to support this amendment which would do just that. i yield back. the speaker pro tempore: the gentleman reserves the balance of his time the gentlewoman from washington. mrs. rodgers: i yield three minutes to the gentleman from ohio, mr. joyce. the speaker pro tempore: the gentleman is recognized. mr. joyce: may i say you look lovely today. i rise in support of my

amendment which would add a tax. the men and women of america's armed forces dedicate their lives in service to this nation. unfortunately, servicemembers are left with scars. rates of serious mental illness by those in the armed forces and so, too, are the number of soldiers who take their lives. the most recent report suicide in the military community is thy highest rate since 1938. 7,000 members have died in combat or training exercises since 9/11. during that same time, 30,000 active duty personnel and veterans died by suicide. those numbers should bring pause to every member in this chamber. it should spur us into action. i introduced the military suicide prevention in the 21st

century act. this bill would direct the d.o.d. to modernize technology to prevent suicides. in addition to requiring the national suicide hotline and veteran crisis hotline to be preprogrammed such as tones, tablets and they will need to download this. this app can be and soundbites and videos of special moments, relaxation, games and reminders of reasons for living. nothing we do here in washington will repay the sacrifices, but bypassing this legislation we can. we we owe a debt to our women and lives. it is time to fight for them here at home. i urge my colleagues to provide

support for american servicemembers struggling with mental health. i yield back. the speaker pro tempore: the gentlewoman reserves. the gentleman from new jersey is recognized. mr. pallone: i have no additional speakers. the speaker pro tempore: the gentleman reserves the balance of his time the gentlelady from washington is recognized. mrs. rodgers: i will yield back. the speaker pro tempore: the gentlelady yields back. the gentleman from new jersey is recognized. mr. pallone: i also yield back. pursuant to house resolution 1191, the previous question is ordered on the amendment en bloc offered by the gentleman from new jersey, mr. pallone. the question is on the amendments en bloc. those in favor, say aye. those opposed, no in the opinion of the chair, the ayes have it.

the en bloc amendments are agreed to. without for what purpose does the gentleman rise? >> madam speaker, i ask for the yeas and nays on this. the speaker pro tempore: pursuant to section 3-s of house resolution 8, the yeas and nays are ordered. pursuant to clause 8 of rule 20, further proceedings on this question are postponed. for what purpose does the gentleman from new jersey seek recognition? mr. pallone: madam speaker, pursuant to house resolution 1191, i rise to offer amendments en bloc number 2. the speaker pro tempore: the clerk will designate the amendments en bloc. the clerk: en bloc number 2 consisting of amendments numbered 2, 3, 7, 11, 12 and 17 printed in part e of house report 117-381 offered by mr. pallone of new jersey.

the speaker pro tempore: pursuant to house resolution 1191, the gentleman from new jersey, mr. pallone, and the gentlewoman from washington, mrs. rogers, will each control 10 minutes. the chair recognizes the gentleman from new jersey. mr. pallone: madam speaker, i yield myself such time as i may consume. the speaker pro tempore: the gentleman is recognized. mr. pallone: thank you, madam speaker. i rise in support of this en bloc amendment. this package includes bipartisan bills and policies that will increase access to substance use disorder prevention, treatment and recovery support services. the amendment introduced by representative davis, bilirakis, o'halleran, wagner and kuster reflects h.r. 235 5rbg the opioid pre-- 2355, the opioid prescription verification act of twown. the amendment, like the bill it's drawn from incentivizes states to maintain and utilize prescription drug monitoring

programs. likewise, the amendment offered by representatives kim and davids also reflects a previously house-passed bill, h.r. 2364, the synthetic opioid danger awareness act. their amendment requires the department of health and human services to conduct a public education campaign about synthetic opioids, including fentanyl and its analogues and disseminate information about synthetic opioids to health care providers. now continuing the theme of bipartisanship, congressman or representatives mckinley and congresswoman dingell introduced an amendment which amends the controlled substances act to clarify the process for regstranlts to exercise due diligence upon discovering a suspicious order. like the prior amendments this too was drawn from a prior house passed bill, the block, report and suspend suspicious shipments act of 2021. further, the amendment offered by representatives trone,

armstrong and sherrill also draws from a prior house-passed bill extending a critical authorization for the state opioid response grants and tribal opioid response grants for five years. another amendment introduced by representatives dean, spartz, scanlon and fitzpatrick reflects h.r. 5950, the improving patient access to care and treatment act. this amendment increases the time from 14 to 60 days that health care providers can hold long acting injectable buick before administering it to a patient, giving pairkts and practical -- patients and practitioners greater flexibility when accessing opioid use disorder treatment. and finally, this amendment package includes an amendment offered by representative gottheimer that would ensure that veterans are included within the crisis response continuum of best practices included in h.r. 7666. so i want to thank the sponsor

of these -- sponsors of these provisions. these amendments, again, bipartisan, provide strong tools to address the ongoing overdose crisis and will save lives and i urge my colleagues to support this package of amendments and include them in the overall bill. with that, i reserve the balance of my time. the speaker pro tempore: the gentleman reserves the balance of his time. the gentlewoman from washington is recognized. mrs. rodgers: thank you, madam speaker. i rise in support of the amendments offered en bloc. and yield myself such time as i may consume. the speaker pro tempore: the gentlewoman is recognized. mrs. rodgers: i rise today to express my strong support for this group of amendments addressing substance use disorder. included in this en bloc are important bills that have already passed with overwhelming support, including representative davids' prescription act which incentivizes states to use prescription drug monitoring programs, requires certain controlled substances to be prescribed electronically, and directs federal agencies to

develop, disseminate and periodly update training materials to help pharmacists identify and report potential cases of bad actors who attempt to illegally buy and sell controlled substances. also included is representative david mckinley's block, report and suspend shipments act. which places additional obligations on drug manufacturers and distributors to identify and stop suspicious orders of controlled substances. we've seen a devastating increase in overdose deaths that i think should be called poisonings. teens buying one pill via snapchat and immediately overdosing because of a small amount of fentanyl in those pills. just because it looks like a pill and someone says it was from a pharmacy does not make it so. and we need to do more to stop both diversion of legitimate medication and counterfeits that are devastating our communities. these amendments are a good step in that direction. i urge adoption and reserve the

balance of my time. the speaker pro tempore: the gentlewoman reserves the balance of her time. the gentleman from new jersey is recognized. mr. pallone: i have no additional speakers. i don't know if the ranking member -- the speaker pro tempore: the gentleman reserves the balance of his time. the gentlewoman is recognized. mrs. rodgers: thank you, madam speaker. i'm pleased to yield three minutes to the gentleman from west virginia, mr. mckinley, who has been a long-time leader on this -- the issues of substance abuse. the speaker pro tempore: the gentleman is recognized. mr. mckinley: thank you very much. and thank you, madam speaker. i rise in support of en bloc 2. which includes an amendment to report, track and take action on suspicious orders. while the covid-19 pandemic raged through our population and dominated the headlines, the opioid epidemic exploded exponentially. silently claiming the lives of tens of thousands of americans every year.

recent c.d.c. study data shows that the overdose for last year was over 103,000 citizens. in 2017 the energy and commerce committee conducted a comprehensive bipartisan investigation into the opioid dumping into west virginia. outrageous details came to light. exposing how drug shipments in rural west virginia went unconstrained. for example, over two million opioids were sent to a little town of 3,000 people. another example, even after the distributor found numerous red flag remarks during a cite visit, nearly 1 1/2 million doses of opioids were still shipped to a single pharmacy in can he mitt, -- kermit, west virginia, with a population of

406. the report that was filed by the e.n.c. details failures on the part of both diarra and the -- d.e.a. and the distributors to identify and halt suspicious orders. distributors felt they didn't have the authority to halt suspicious orders and could have been subject to lawsuits. as recommended in the report, this amendment not only requires the distributors to report suspicious order buzz also to investigate -- orders but also to investigate the situation and decline to fill the order if it was warranted. the american communities deserve to be treated better. this influx of illegal drugs must be stopped and this amendment is a step in the right direction. i urge our members to adopt this amendment and i yield back the balance of my time. the speaker pro tempore: the gentlewoman reserves the balance of her time. the gentleman from new jersey is recognized. mr. pallone: again, i have no

additional speakers. the speaker pro tempore: the gentleman reserves the balance of his time. the gentlewoman from washington is recognized. mrs. rodgers: thank you, madam speaker. i yield back the remainder of our time. the speaker pro tempore: the gentlewoman reserves. the gentleman -- the gentleman is recognized. mr. pallone: i also yield back, madam speaker. the speaker pro tempore: the gentleman yields back the balance of his time. pursuant to house resolution 1191, the previous question is ordered on the amendments en bloc offered by the gentleman from new jersey, mr. pallone. the question is on the amendments en bloc. those in favor say aye. those opposed, no. for what purpose does the gentleman rise? >> i ask the yeas and nays. the speaker pro tempore: pursuant to the chair, the ayes have it. the gentleman from wisconsin is

recognized. >> thank you, madam speaker. i ask for the yeas and nays. the speaker pro tempore: pursuant to section 3-s of house resolution 8, the yeas and nays are ordered. pursuant to clause 8 of rule 20, further proceedings on this question are postponed. it is now in order to consider amendment number 4 printed in part e of house report 117-381 for what purpose does -- for what purpose does the gentlewoman from florida seek recognition? mrs. demings: madam speaker, i have an amendment at the desk. the speaker pro tempore: the clerk will designate the amendment. the clerk: amendment number 4 printed in part e of house report 117-381 offered by mrs. demings of florida. the speaker pro tempore: pursuant to house resolution 1191, the gentlewoman from florida, mrs. demings, and a member opposed will each control

five minutes. the chair recognizes the gentlewoman from florida. mrs. demings: thank you so much, madam speaker. the underlying bill is a significant step forward in supporting community mental health efforts which i applaud. as a former social worker and former law enforcement officer, i have seen the devastating impact when communities fall short of meeting the needs of persons struggling with mental health and substance addiction. florida is 49th in the nation on access to mental health care. it is not a position we are proud of. but many states across the nation have failed to adequately address these issues. law enforcement officers, as we all know, have a tough and dangerous job. and i was proud to co-lead the law enforcement mental health and wellness act signed into law by president trump which recognizes that addressing mental and psychological health

is just as important as good physical health. my amendment is a simple one. and it will insert reporting requirements on available mental health and stress-related programs for law enforcement officers and recommend additional tools that may be helpful or necessary to identify, access, monitor and improve the overall well-being of our law enforcement officers. i am proud to support this bill and it is critical that we support our community by boldly addressing mental health issues. and i am proud to offer this amendment that will support the men and women in blue who support, protect and serve us. i urge the adoption of the amendment and i yield back the balance of my time.

the speaker pro tempore: does the gentlelady reserve or yield back? mrs. demings: the gentlewoman yields back the balance of my time. the speaker pro tempore: the gentlelady yields back the balance of her time. for what purpose does the gentlewoman from washington seek recognition? mrs. rodgers: i rise to urge adoption of the amendment. the speaker pro tempore: without objection, the gentlewoman is recognized for five minutes. mrs. rodgers: thank you, madam speaker. i rise to urge adoption of the demings amendment, which requires a report on the mental health issues experienced by law enforcement. the available resources or programs that are available to law enforcement officers to address mental health and stress. according to the national alliance on mental health, law enforcement officers report high rates of depression, anxiety, posttraumatic stress disorders, with nearly one in four having considered suicide. in fact, more officers die from

suicide than they do in the line of duty. the report will include recommendations to federal, state and local law enforcement officers on how to improve the mental health and well-being of our officers. it's a necessary first step in helping us understand what resources are available to improve the mental health and wellness of law enforcement officials. those risking their lives to keep america safe deserve passage of this amendment. i yield back. the speaker pro tempore: pursuant to house resolution 1191, the previous question is ordered on the amendments offered -- amendment offered by the gentlewoman from florida, mrs. demings. the question is on the amendment. those in favor say aye. those opposed, no. in the opinion of the chair, the ayes have it. the gentleman from new jersey. mr. pallone: i would ask for the yeas and nays. the speaker pro tempore: pursuant to section 3-s of house resolution 8, the yeas and nays are ordered.

pursuant to clause 8 of rule 20, further proceedings on this question are postponed. the speaker pro tempore: it is now in order to consider amendment number 6. for what purpose does the gentlewoman from washington seek recognition? mrs. rodgers: i rise to express my strong support for the ferguson amendment, which would incorporate the language --ism the gentlewoman will suspend. designee of the the gentleman from georgia to offer the

amendment. the speaker pro tempore: the clerk will designate the amendment. the clerk: amendment number 6 printed in part b of house report 117-381 offered by mrs. rodgers of washington. the speaker pro tempore: the gentlewoman from washington, ms, each will control five minutes, the chair recognizes the gentlewoman from washington. mrs. rodgers: i rise to express my strong support for the ferguson amendment which would incorporate the bipartisan house-passed behavioral and authorizes the administration to develop best practices for establishing and appropriately using behavioral intervention teams in schools. they are multi disciplinary teams that support students' mental health and wellness by

identify students experiencing stress or anxiety and conducting outreach to help manage risk. these teens are active such as texas tech and university ofcalifornia, los angeles. by acting in a pro-active manner and assist students, behavioral intervention teams create a safe environment and improve mental health outcomes. schools and communities have guidance how to provide resources and interventions for students who facilitate the early invention. this amendment will help children get help before conditions worsen or reach a crisis level. i urge a yes vote on this amendment and i reserve.

the speaker pro tempore: the gentlelady reserves. for what purpose does the gentleman from new jersey seek recognition? mr. pallone: i claim time in opposition to the amendment but do not oppose the amendment. the speaker pro tempore: without objection mr. pallone: i yield myself such time as i may consume. the speaker pro tempore: the gentleman is recognized mr. pallone: i rise in support of this amendment. like the bill that passed the house last year, h.r. 2877, another house-passed bill provisions we hope to include as amendment into the restoring hope act, this bipartisan amendment is part of the bipartisan approach that ranking member mrs. mcmorrisrodgers has taken with this bill. they need to consult to develop best practices for schools and universities to establish behavioral intervention teams to identify concerning behaviors

and manage risks among students. the guidance must determine how these teams can operate effectively while relying on the constitutional and civil rights of students and staff. i understand that some disbuilt and civil rights organizations have concerns about the provisions of this amendment and oppose the original bill. we must be and not perpetrate a false association of psychiatric disability and gun violence nor promote the use of law enforcement to address problematic student behaviors particularly among students with disabilities and students of color who are disproportionately displipped compared to their piers. there is merit of specialists working in concert with educators to identify youth and college students who may be at

risk of harming themselves or others. this bill has passed the full house twice both this congress and last congress. the bill's sponsors have made changes to address some of the stakeholders' concerns by including protections and appropriate referral protections. i understand the stakeholders would like to see additional changes and as i have indicated in the past i'm committed to examine ways to address these concerns as the bill progresses through negotiations including this amendment for consideration for adoption into h.r. 7666. but we need to pass the amendment to allow those kinds of negotiations with the senate. i look forward to working with congressman ferguson and the

others to strike the right balance that protects the privacy and rights of all students and i reserve. the speaker pro tempore: the gentleman reserves the balance of his time the gentlewoman from washington is recognized. mrs. rodgers: i yield back the remainder of our time. the speaker pro tempore: the gentlelady yields back. the gentleman from new jersey is recognized. mr. pallone: i would also yield back pursuant to house resolution 1191, the previous question is ordered on the amendment offered by the gentlewoman from washington, ms. rodgers. the question is on the amendment. those in favor, say aye. those opposed, no , the ayes have it. pursuant to section 3-s of house resolution 8, yeas and nays are ordered pursuant to clause 8 of rule 20, further proceedings on this question are postponed.

it is now in order to consider amendment number 8 printed in part e of house report 117-381. for what purposes the gentleman from virginia seek recognition? >> i rise to claim the time in support of my amendment. the speaker pro tempore: gentlem an offering his amendment? the clerk: amendment number printed in house report of 117-381 offered by mr. griffith of virginia. the speaker pro tempore: the gentleman from virginia, mr. griffith and a member opposed each will control five minutes. the chair recognizes the gentleman from virginia.

imrift grist this amendment would delay the implementation of section 262 until january of 2024. currently, the act would eliminate the patient cap on the number of patients a single health care provider can provide the drug to. the dug addiction which set the cap at 30 patients since 2000, the cap has been increased and the current law is 275 patients per health care provider. this patient cap has never been lifted before or even studied as to what the effects would be if it was lifted. this is a complex treatment area. and less adicktive form. they need behavioral health care treatment.

they need hands-on detailed guyedance. they need to do a long step-down process slowly producing and eliminating all the opioids they have used. it is better than heroin or fept nil and can be used as a treatment very effectively but still can be adicktive and there are reports of its sale on the street. with no cap on the number of patients, i fear we could see abuse. if we feel there should be a matter for the states to define their medical boards or legislature, we need to take that action. most state legislatures are not in legislation -- session. the overall bill is good.

but i don't want us to be inadvertently creating more problems down the road. delaying the implementation of the new language until 2024 will allow states to analyze what they think is a good cap for their population if they choose to do so at all. but they need the time in order to make that decision. accordingly, madam speaker, i would ask that we vote yes on this important amendment, and i reserve. the speaker pro tempore: the gentleman reserves the balance of his time for what purpose does the gentleman from new jersey seek recognition? mr. pallone: i claim the time in opposition to the amendment. the speaker pro tempore: the gentleman is recognized mr. pallone: i yield myself two minutes. the speaker pro tempore: the gentleman is recognized mr. pallone: i thank the gentleman from virginia expressing his concerns but i disagree with his proposal.

i take his. it is not available to all americans. one in 10 individuals with opioid use disorder receive medications. over half of rural counties in the united states do not have a single waiver and 40% of all counties do not have a single waiver provider. this is a huge treatment gap. a treatment gap for opioid use disorders means lives that are lost every day when there is streement available. second, the gentleman has made the argument that it is not neglective. it is proven to reduce it and the national academy of sciences consensus report and u.s. commission on combatting synthetic opioid trafficking. delaying the elimination of 2024

means extending the time that barrier to treatment is in place leading to increased risk of overdose and death and we are experiencing record number of overdose deaths and this is a public health emergency and needs to be. this is an evidence-based treatment. it prevents painful withdrawal symptoms and cuts the risk of overdose in half and this is due to the ceiling effect which make it nearly impossible to overdose and it is considered safe with prescribed medications like insulin and blood thinners. this is the cornerstone. the amendment to this package was adopted at markup and received support from majority of republicans and democrats. further, nothing in this bill limits the ability of states to prepare an act on the overdose crisis.

to the contrary -- i yield myself another 30 seconds -- so to the contrary, this legislation empowers states to determine the appropriate training and licensing requirements and tools for providers that dispense controlled substance and treat patients with substance use disorders. it removes a federal barrier to states. if we don't act now we risk tens of thousands of additional overdoses. i urge my colleagues to reject this amendment. and i reserve the balance of my time. the speaker pro tempore: the gentleman reserves the balance of his time mr. grijalva: i yield to gentleman, mr. ferguson. mr. ferguson: i support your amendment, i would also like to

speak for just a moment on the previous amendment the big act. we have seen over the past couple of years a significant rise in mental health issues with our students, whether it's in high school or middle school or in college. we have seen and that created this mental health crisis for our children. and what our children need are resources and resources at an early stage. what the big act does, it accumulates best practices from different schools around the country and makes sure we intervene with students early. we want to get these young people the resources that they need. there are a couple of things we think that are very important. early intervention has been proven to show we can prevent a

catastropheic event. we want students to be happy, healthy and functioning and what we would like to do is limit the interaction with law enforcement and we want to make sure that the students are getting these resources across the board so this body passed the big act last year and did it with wide bipartisan however the senate did not take this bill up. let's pass it as part of this important package and thank you for making an effort to get this important legislation across the finish line. with that, i yield back. mr. griffith can the equally inform me how much time i have remaining? the speaker pro tempore: gentleman has one minute remaining. mr. griffith: thank you. the speaker pro tempore: the gentleman reserves. the gentleman from new jersey is recognized. mr. pallone: i thank you, madam speaker. i would yield the remainder of

my time to the gentleman from new york, mr. to tongue tonko. the speaker pro tempore: the gentleman is recognized. mr. tonko: i rise in strong opposition to the griffith amendment. not only does this amendment needlessly delay the mad act by another year, it does so with the intent of ken urging states to enact more restrictions on buprenorphine, contrary to the intent of the underlying bill. remember the facts. we are in the middle of an unprecedented crisis. last year alone 170,000 were taken from us too early by drug overdoses. one all too common theme in these deaths is a lack of access to treatment. despite being recognized as the goal standard of care that can cut -- gold standard of care that can cut the risk in half, only one in 10 individuals receive medications like buprenorphine to treat their condition. h.r. 7666 takes a strong step to address that failure by

expanding access to safe and effective addiction treatment through eliminating the outdated and redundant requirement that health care providers obtain a special waiver from the d.e.a. to prescribe buprenorphine for the treatment of addiction. despite the lifesaving potential this legislation can bring, this amendment raises concerns about the impact it will have on safety, abuse, and diversion. i want to take a moment to direct these concerns. start with the basic facts on safety. unlike heroin and fentanyl causing overdose deaths, by buprenorphine is a safe medication preventing people from expwroafer dose. do to the ceiling effect it does not cause people to feel high and unlikely to result in a substance abuse disorder or cause of overdose deaths. with regard to aversion and abuse, the d.e.a. responsible for policing illicit diversion has specifically looked at this issue and found that the primary reason for the diversion is the failure to access legitimate

treatment that increasing not limiting buprenorphine treatment may be an effective response to aversion. as access has increased over the last five years through legislation passed by this congress, misuse of the medication has decreased. i would say that it is important for us to be responsible here. we are in the midst of a pandemic. an epidemic that is causing great pain, great suffering, great death. every day, every week, every moment we pass we circumvent or responsibilities, someone is paying the price for that. with that i strongly oppose this amendment and yield back my time to the gentleman from new jersey. the speaker pro tempore: the gentleman's time has expired. yacht reserves. the gentleman has no time remaining. sorry. the gentleman from virginia is recognized. mr. griffith: i yield one minute to the gentlelady from washington, mrs. mcmorris

rodgers. the speaker pro tempore: the gentlewoman is recognized. mrs. rodgers: i appreciate the gentleman for yielding. i rise in support of the griffith amendment which provides additional time for implementation of the provisions of the mainstreaming addiction treatment act included in this bill. i supported the inclusion of this language at committee as i believe it will help increase access to substance use disorder treatment, the underlying language. however enacting this amendment or this language will be a huge policy change from the status quo. furthermore, states to regulate the practice of medicine and each state has unique individual regulations and procedures regarding the dispensing and prescribing of scheduled narcotics. states could use the additional time to update their laws with any changes that they may want now that federal restrictions will be removed. this is exactly what mr. griffith's amendment does. it sets the implementation date for removing the x waiver requirement to take effect on january 1, 2024.

i support this commonsense amendment that will ensure mainstreaming addiction act. the speaker pro tempore: the gentlelady's time has expired. pursuant to house resolution 1191, the previous question is ordered on the amendment offered the gentleman from virginia, mr. the question is on the amendment. so many as are in favor say aye. those opposed, no. in the opinion of the chair, the noes have it. the gentleman from virginia. mr. griffith: i request the yeas and nays on this amendment. the speaker pro tempore: pursuant to section 3-s of house resolution 8, the yeas and nays are ordered. prayed, further -- pursuant to clause 8 of rule 20, further proceedings on this question are postponed. pursuant to clause 1-c of rule 19, further consideration of h.r. 7666 is postponed.

the speaker pro tempore: for what purpose does the gentleman from new jersey, mr. pallone, seek recognition? mr. pallone: mr. speaker, pursuant to house resolution i call up h.r. 5585 and ask for

its immediate consideration in the house. the speaker pro tempore: the clerk will report the title of the bill. the clerk: union calendar number 277, h.r. 5585, a bill to establish the advanced research projects agency health and for other purposes. the speaker pro tempore: pursuant to house resolution 1191, the amendment in the nature of a substitute recommended by the committee on energy and commerce, printed in the bill, is adopted and the bill as amended is considered as read. the bill as amended shall be debatable for one hour equally divided and controlled by the chair and ranking minority member of the committee on energy and commerce or their respective designees. after one hour of debate, it shall be ordered to consider the further amendment printed in part c of house report 117-381, if offered by the member designated in the report which shall be considered as read, shall be separately debatable for the time specified in the

report equally divided and controlled by the proponent and an opponent, and shall not be subject to a dwand dmand for division of the -- for demand of the division of the question. the gentleman from new jersey, mr. pallone, and the gentleman from kentucky, mr. gutry, each will control 30 minutes. the chair recognizes the gentleman from new jersey, mr. pallone. mr. pallone: thank you, mr. speaker. i ask unanimous consent that all members may have five legislative days to revise and extend their remarks an include extraneous material on h.r. 5585. the speaker pro tempore: without objection. mr. pallone: mr. speaker, i yield myself such time as i may consume. the speaker pro tempore: the gentleman is recognized. mr. pallone: i rise to speak in support of h.r. 5585, the advance research projects agency for health or arpa-h act. in february, the energy and commerce committee's health subcommittee held a hearing to discuss the biden administration's proposal to establish the advance research projects agency for health, bet attorney as arpa-h. the agency is modeled after the

defense advanced research projects agency or darpa. the commission of aarpa is to translate fundamental biomedical research and break through platform technology that is would change health care as we know it. arpa-h will focus on the highest risk, highest reward issues in disease research. it will attempt to solve the problems that the private and public sectors have not been able to conquer. the expectations we have for this agency are justify blie high. our hope is within five years of operation arpa-h will have led to the development of cutting-edge treatments and cures for cancer, diabetes, auto immune disorders, mental health conditions. in order to be truly successful, we must ensure that all americans have access to these innovations. equity and promoting the health of all americans must also be part of arpa-h's mission. the fiscal year 2022 omnibus appropriations law provided the department of health and human services with $1 billion to get

arpa-h off the ground. we must now provide the necessary and appropriate authorities to make arpa-h successful, to clarify its mission and organizational structure, and ensure that the work at arpa-h is not duplicative or redundant. h.r. 5585 does just that. arpa-h will be led by a director and cadre of program managers with the autonomy and authority to develop high-risk, high reward portfolios. this will be coupled with the appropriate contract in hiring and procurement authorities that will pull from the best minds and resources in the biomedical research ecosystem. this legislation authorizes $500 million annual-l for five fiscal years. arpa-h projects will be timed and milestone limited, ensuring each project delivers real and measurable results. the arpa-h act also includes reporting requirements to ensure proper compliance and avoid redundancy. the director will be required to submit reports on the actions,

results, and forthcoming strategic plans of arpa-h to congress so that we can confirm the agency is meeting our intent. last month the energy and commerce committee advanced h.r. 5585 by an overwhelming bipartisan vote of 55-3. this was a tremendous achievement and demonstrates congress' ability to come together and find solutions that will improve the health of all americans. so i want to thank our health subcommittee chairwoman eshoo, who is the author of this legislation, along with the health subcommittee ranking member guthrie, our full committee ranking member rodgers, also representatives degette and upton for their work on this important bill. mr. speaker, i strongly urge my colleagues to support h.r. 5585. i reserve the balance of my time. the speaker pro tempore: the gentleman reserves. the gentleman from kentucky investigate. mr. guthrie: thank you, mr. speaker. i yield myself such time as i may consume. the speaker pro tempore: the gentleman is recognized. mr. guthrie: thank you, mr. speaker. i would like to speak in support of the advance research projects

agency for health act, arpa-h act. i know this has been an important priority for researchers, industry, and most importantly patients who are waiting for life changing medical technology to improve our save their lives. this legislation would authorize the establishment of arpa-h within the u.s. department of health and human services. the agency was specifically be charged with helping to foster high risk, high reward treatments and cures for diseases with clinically unmet needs. some of my colleagues may be concerned about a new agency, that's where a number republicans in energy and commerce committee were there early in october when this legislation was introduced, arpa-h was funded at $1 billion in the previous appropriations bill in 2021 to ensure that funding was used for the best possible result, the energy and commerce committee for the past several months has worked hard to ensure arpa-h has a clear mission as a result it passed out of committee with a strong 53-3 vote. we most notably ensure this

newly created agency remains except pra from nih, we limit administrative costs associated with setting up arpa-h to maximum research investments which require a strategic plan, transparent reporting on projects, and requires the majority of the offices within the organization be exclusively devoted to biomedical research and development. in order and t, the agency should pursue are defined in the legislation today. so the legislation puts guardrails in place to ensure that priority access is granted to u.s. researchers over researchers abroad. they need to work in collaboration with u.s. counterpart and importantly the bill makes clear that funding is

prohibited from going to nondomestic recipients of a maligned country like china or russia. this is a significant step to sen sure that intellectual property isn't being stolen and we remain the leader. i'm leading efforts to strengthen oversight of n.i.h.-funded research. they have been supporting foreign researchers like china. we must prevent this from moving forward. let me emphasize the need to pass this bill. the funding has been appropriated in the previous year. if we don't pass this bill and don't authorize this agency to move forward, this will erode our oversight role in congress. this must require diligence to ensure resources are being spent. the biden administration arpa-h

without this bill has 14 offices less than half are dedicated to research. and without congressional guidance. just appropriate that the legislative branch sets up the way this money is being spent and that's what the bill before us does. it puts it on the right track and set high standards and promotes greater biomedical research. i thank the majority for working together. i thank our staffs for the excellent work they have done and i encourage the passing of this, because if we don't pass it, the money will be spent without congressional guardrails. i support this bill. i thank you and i reserve. the speaker pro tempore: the gentleman reserves the balance of his time the gentleman from new jersey is recognized. mr. pallone: i yield three minutes tots -- to the author of

this legislation, ms. eshoo. the speaker pro tempore: the gentlelady is recognized. ms. escobar: thank you to -- shoo shoo thank you to the -- mr. speaker, this has been somewhat of a long journey and began in march of last year of 2021 when a group of members bipartisan, bicameral were invited to the white house to meet with president biden. and when we gathered there, he spoke about his vision for creating arpa-h, advanced research project for health. it is modeled after darpa, the highly innovative and successful

small agency that was created many years ago. i think one of its chief assets is its autonomy and its successes are extraordinary because of the way it is shaped. they have interviewed the internet, g.p.s. and-a-half vacation -- navigation and moderna's vaccines. this bill is shaped to maximize. all of us have a relative, someone in our family, extended family, our communities that when we see the diagnose -- diagnosis, it's a death sentence. that's what the mission of arpa-h is to address. i have full confidence the way this legislation is shaped that it can meet that challenge.

it will be a place where highly innovative ideas are tested and if the approach is failed because these are high-risk undertakings, it will move on to new ones and redirect the money. it will be flat and small like darpa. but it has a mighty mission. i want to thank all of the members of the energy and commerce committee on the majority and minority side. we have really worked hard together on this to shape something that is worthy of the american people and has the ability to produce, from the chairman of the full committee to the ranking member, mms. mrs. mcmorrisrodgers to the ranking member of the subcommittee,

mr. guthrie. ideas kept coming forward and we polished them off and added them to the legislation and in instances, dropped other parts of the draft. i thank ashleen mcdonough and to the scientists because well over 100 of them leaned in and gave us their ideas and their advice on how best to create a small agency that would be nimble but highly effective and to the patients' advocates and so many have cheered us on and given us their best input as well. today is the day the house is poised. i urge all of my colleagues to support this because when this mission is executed, we will really, i think even if one

deadly disease is addressed and incurred we will have succeeded. i think we are going to do better than that. with that, i yield back the balance of my time. the speaker pro tempore: the gentleman is recognized mr.guthrie: i yield five minutes of the republican leader of the full question. the speaker pro tempore: the gentlewoman is recognized. mrs. rodgers: i appreciate the gentleman yielding. america is the envy of the world for our leadership in biomedical innovation. people from all over the world have hope and the promise of our life saving for break through research and treatments. i have a supporter of n. rimplet h. and the brain initiative inextended to speed research necessary to accelerate cures for neurologic diseases. when the concept arpa-h i had

skepticism. i was concerned about a clear and targeted strategic mission and unfocused agenda would not be a recipe for success and the issue of duplication. the federal government has several agencies. within the institutes of health alone. the cures acceleration network, the common fund and foundation for n.i.h. partnership program, to name a few. i was concerned that the creation would lack sufficient transparency and oversight. my question to supporters of arpa-h is how will projects be sleghted and the public be informed of projects and funding. who will be getting programs and how will it be managed, what measure will be used? what are the guardrails to

support american innovators. these concerns were validated earlier this year when the administration began implementing the $1 billion that was appropriated to set it up with little to no congressional direction. the biden administration proposed 14 offices within arpa-h. darp darpa has six to eight and has own issues in lacking transparency located to federal research and origins of covid-19. we needed to provide guardrails through congressional direction. so we plowed the hard ground necessary to legislate through the energy and commerce committee. chairman pallone and anna eshoo listened to my concerns and we placed strong safeguards. this bill defines arpa-h's

mission so it is focused on high risk, breakthrough technologies that are not being addressed by the private sector or current federal programs. this prohibits funding to china, russia and other recipients that might malign foreign influence. it moves the agency back outside of n.i.h. and arpa-h must provide a a plan of one year of enactment and three years of how it will carry out projects. projects will be evaluated every 18 months. we place guardrails to prioritize projects and provide the greatest return on investment. to improve human health and lower health care costs. this bill keeps the focus on

lifesaving research. the director will have the power to hire. not based on provisions that reward government bureaucrats. we require those who receive funding to receive a report on indirect facilities and administrative costs and to further break down on duplication omission creep, we limited the amount of offices to six, not the 14 proposed by the administration. of those offices, at least four must be be focused on r&d. and not more than 15% of the funding is allowed to go towards administrative costs. i thank my colleagues for working together on this. i want to recognize the leadership of chairman pallone, health subcommittee chair eshoo, republican lead tear guthrie and 21st century cures leaders, fred

upton and did he get. we put arpa-h on the right path increased accountability and transparency and promoting american innovators and this is the record of success in moving legislation that will continue america's global leadership in biomedical research. before i close, i want to applaud and thank the members of my team, grace, kristen, seth, kristen, kristen, you know they say energy and commerce has the best staff on the hill and that is evidenced through their service to deliver hope and healing both through this bill. every step of the way i'm grateful for their hard work and passion. i urge a yes vote, the advanced research projects agency health act. and i reserve.

mr.guthrie: i reserve. the speaker pro tempore: the gentleman from new jersey is recognized. mr. pallone: i yield three minutes to the chair of our energy and commerce oversight and investigations subcommittee the chair woman from colorado who has worked on arpa-h, ms. degette. ms. degette: thank you so much for yielding. i am honored to stand here today in support of this legislation which will revolutionize how our researchers will have treatments. there is not a person in this room or this capitol who hasn't been impacted in some way by a devastating disease, cancer, alzheimer's or something else. they don't care if you are a democrat or republican. they affect all of us and needs

to be our collective mission to cure all of them immediately. the ripple effect they have on our communities is immeasurable. the pain and suffering that they cause not just to those who become ill, but to their family, friends and loved ones is irreparable and place strain on our health systems and our economy. for years, scientists and researchers both here in the u.s. and around the world have been searching for ways to prevent and treat these devastating illnesses and i see my colleague fred upton. we worked on the 21st century cures bill in 2016 which has revolutionized the way we do this discovery and development. but what we need now is all-hands-on-deck approach to end these illnesses.

as ms. eshoo and mr. pallone, it will create arpa-h which will bring together the greatest minds and give them access to the federal government's resources to make the impossible possible. modeled after the darpa program, models after the darpa program, as you heard, the new agency will be lean and mean. it will be targeted at specifically researching and finding cures for some of the most intractable diseases that we have. it's going to be run by a small number of programming mores and it will be able to take on the high risk, high reward projects that others simply cannot. it will not substitute for the basic research at the n.i.h. or the research at our universities, our great universities. or in private business.

it will supplement it by targeting these tough issues. and it will reshape the future of biomedical research in the country for many, many years to come. as i said, this legislation is an opportunity, it's an opportunity to put our country on track to ending cancer as we know it. it's an opportunity to saving millions of lives. if you cure cancer, if we save lives and improve health and well being of our constituents, isn't that what we came here for? i urge everyone to vote yes and i yield back the balance of my time. the speaker pro tempore: the gentleman is recognized. mr. guthrie: i'd like to yield three minutes to the former chair of the committee and as chair of the committee, made his signature issue 21st century cure, not just passing that that's changed people's lies already but being able to work with ms. degette and all the others who have put people together to says this something we all need to work on together

in a bipartisan way and make a big difference. and now as chair rim thus, this is -- chair emeritus, this is his signature issue, one i worked with him on in the oval office with the president to work together to say can we do something big that will change the lives of people in this country. he's done it, he's done it his entire career. he's a mentor of mine and unfortunately at the end of this year he'll do something different than being here in congress. he will be missed nirs voice and his championship of this issue. i'd like to yield him three minutes to -- to speak on this bill for himself. he certainly has -- has left a legacy here with the previous legislation and this piece of legislation. let's work together to move it forward. i yield to my good friend from michigan, mr. upton. mr. upton: i thank my very good friend and appreciate certainly his kind words and the good news

is, i'm not done yet. we have a lot of work to do. this is yet one more piece we'll be driving forward. certainly, mr. speaker, i rise in support of this legislation. the air pa h authorization bill. while i've been a longtime supporters of many different versions of this bill, i want to thank many particular chairman pallone and my republican leader rogers and certainly anna eshoo, my good friend and brett guthrie for your leadership, for working together on language with a goal of making this issue bipartisan and one that's going to work. i'm glad we came together to add even more important guardrails to ensure that this bill, arpa-h, works as it was intended as well as hopefully a very strong bipartisan vote a little bit late they are afternoon. this bill is going toughs tab lish an entity not unlike the defense advanced research entity. that was our goal.

darpa. it's going to be game-changing. health research. like darpa, this entity will be focused on research on things that frankly may be too risky for the private sector. it's going to move at a faster pace than the current structure. there may be a high failure rate. its successes will have the potential to be ground breaking. answering the prayers of millions. and it really is a followup to what we did in this body with 21st century cures with upton and degette effort that passed our committee, 53-0 then. passed here on the house floor, 392-26. there's been a lot of debate on where arpa-h will be housed. should it be n.i.h., h.h.s. or someplace else? but wherever it is finally locate wed need to make sure it's lean, trs independent, nimble, and that there are appropriate guardrails to keep

other issues from mission creep and siphoning that funding. the legislation is introduced -- as introduced does a good job of that. i'm pleased to see they are strengthened in the final product we'll be voting on this afternoon. partnering with 21st century cures, diana degette and everybody on the committee, we're happy to include language for air pa h -- arpa-h in our bill we introduced more than a year ago. we thought it was a great followup on the first cures bill which added $45 billion, paid for, in additional health research. funding for the n.i.h. and f.d.a. and included many important things such as the cancer moonshot and brain initiative. we're still in a pandemic. we have awful diseases that need cures. whether it be cancer or alzheimer's, lupus, diabetes. mr. guthrie: i yield two additional minutes.

mr. upton: that strike literally every single family. this bill, a arpa-h can yield te breakthrough to find the cure for those diseases. the president has already signed $1 billion nor program into law. so what we need now is the bipartisan authorization to complete the work. this bill certainly accomplishes that goal. and i would urge all of my colleagues, like we did before, to vote for this bill a little bit late they are afternoon. and again, i just want to commend the great staff as our leader, mrs. mcmorris rodgers said, we have the best staff there is. is there any objection to that? hearing none. sorry, ways and means. sorry appropriators. we do. we are. the energy and commerce committee. and we are going to find a cure nears diseases. this bill is a step in that

direction. with that, i yield back my time. mr. guthrie: i reserve. the speaker pro tempore: the gentleman reserves. the gentleman is recognized. mr. pallone: thank you, mr. speaker. i now yield three minutes to the congresswoman -- to congresswoman brown from ohio. i must say for many years we had a congressman brown on the committee who contributed a lot, particularly on the health care issue, chaired the health subcommittee, so it's an honor to hear from you, we have another congresswoman brown now from ohio. three minutes. ms. brown: thank you very much. thank you, chairman pallone, for yielding. i would also like to thank congresswoman eshoo for her leadership on this bill. i applaud president biden for having the foresight to propose the creation of an advanced research projects agency for health, also known as arpa-h. an agency tasked with driving break throughs in cancer,

diabetes, alzheimer's and other difficult diseases. the new science moonshot agency is modeled on the successes of the defense advanced research project agency, darpa. for decades, darpa has driven advances in technology that have changed our lives for the better. yet there are so many things we take for granted. things like the internet and flat screen displays. i am confident the same will be true for arpa-h as it seeks to make advancements in health and medicine. thanks to president biden's leadership, my colleagues in congress funded arpa-h in march for the current fiscal year. yet in order to successfully carry out its mission, arpa-h needs long-term resources and authorities and that is exactly what this bill does. the arpa-h act would authorize the agency for five years and create the structure it needs to successfully drive breakthroughs that would otherwise die in the

commercial market. yet, arpa-h not only needs long-term fund bug also a long-term home. arpa-h's mission is centered around high risk, high reward research, a charge that cleveland has historically proven it's prepared to lead. with world class health care systems, top-tier institutions of higher education, advanced biomedical companies and the highly skilled manufacturing work force, cleveland has a long track record of bringing cutting edge innovations from discovery all the way to production. this includes ground breaking medical advancements like the first face transplant in america, as well as the region's cutting edge cancer research. now, wherever the agency lands, it will have a meaningful impact on the lives americans nationwide for generations to come. creating air pa h with one year funding was a good first step

but it is time to put this breakthrough agency on firm footing and in a firm location so we can truly start to revolutionize how we prevent, treat and cure a range of diseases. i thank chairman pallone again and urge my colleagues to support the bill. thank you, mr. chairman, and with that, i yield back the balance of my time. the speaker pro tempore: the gentlelady yields back. the gentleman reserves. the gentleman from new jersey is recognized. mr. pallone: i would like to yield three minutes to the gentleman from massachusetts, mr. auchincloss who is also very much involved in health care issues with regard to the pharmaceutical industry and so many other issues. the speaker pro tempore: the gentleman is recognized. mr. auchincloss: thank you, mr. chairman. i strongly support chairman eshoo's bills to create an advanced research projects agency for health. this will address the

limitations of markets and tackle high risk, high reward in cancer, diabetes, therapy and so much more. as the global epicenter of breakthrough science, massachusetts is a top candidate to host the moshings -- headquarters of air pa h. not only are -- of arpa-h. not only are we home to the best in the world, we have the best and brightest in academia and health care. we have invested in infrastructure to support the needs of arpa-h. we have delivered over 1.6 million square feet of lab space, in addition to over 100 incubators, accelerators and co-working spaces. this bill specifically directs arpa-h to advance early disease detection and health technologies. it realizes president biden's goal of driving breakthroughs in cancer, alzheimer's and infectious disease. from research at massachusetts general hospital to using stem

cell therapies to treat diabetes, we are aligned with and deeply committed to this arpa-h's goals in the commonwealth. i urge my colleagues to support this legislation. i yield back. the speaker pro tempore: the gentleman yields back. the gentleman is recognized. mr. guthrie: i continue to reserve. the speaker pro tempore: the gentleman reserves. the gentleman from new jersey is recognized. mr. pallone: i'm prepared to close -- mr. guthrie: i'm prepared to close. mr. pallone: i'm prepared to close as well. mr. guthrie: i yield myself such time as i may consume. i want to thank the chair of the other subcommittee i have the privilege to work alongside. she's been a champion of arpa-h since it came out of the first meeting at the white house and has been really -- we discussed quite a bit about where it should be, what the guardrails should be. i know funding got out in front of it. so we really all wanted congress to say how this agency operated,

not the executive branch, the way the unfortunately getting funding for authorization does. so i appreciate the hard work, appreciate the work of the colleagues who have spoken, and everybody who has worked on this together on our staff. i think it's important we pass this bill. i urge my colleagues to vote for the bill tonight and i will yield back the balance of my time. the speaker pro tempore: the gentleman yields back. the gentleman is recognized. mr. pallone: thank you, mr. speaker. i just want to say in closing, i think you can feel the real enthusiasm and the hope that is involved in both the son cores of the bill and the -- those who spoke on both sides of the aisle. we consider ourselves, the energy and commerce committee, the innovation committee. i thinks that prime example of the type of innovation that we see for the future and the hope in arpa-h. i would ask for everyone on a bipartisan basis to vote for this so we have a strong vote. with that, i yield back. the speaker pro tempore: the gentleman yields back.

all the time for debate on the bill has expired. for what purpose does the gentlelady from california seek recognition? >> mr. speaker, i have in order -- it is now in order to consider amendment number 1 printed in part c, i have an amendment at the desk made in order by the rule. the speaker pro tempore: the clerk will designate the amendment. the clerk: amendment number one printed in part c of house report 117-381, offered by ms. eshoo of california. the speaker pro tempore: sur sunt to house resolution 1191, the gentleman from california, ms. eshoo, and a member opposed each will control five minutes. the chair recognizes the gentlelady from california. ms. eshoo: thank you, mr. speaker. i yield myself such time as i may consume. i offer this bipartisan manager's amendment to prove --

to improve and strengthen the bill. i thank my republican colleagues on the health subcommittee including ranking member mcmorris rodgers, ranking member guthrie, and dr. burgess for working closely with me on this bill over the last several weeks. this this manager's amendment makes sure that the structure will help the agency achieve success and specifically, the amendment requires first, a 2/3 of the arpa-h offices be dedicated to research and development. number two, not more than 15% of the arpa-h budget to be used on administrative expenses. and thirdly, removes the requirement of senate confirmation of the arpa-h director. i think these are commonsense

provisions that improve the bill and ultimately strengthen arpa-h and its mission and i urge my colleagues to support this amendment. and i yield back. the speaker pro tempore: the gentlelady yields back. the gentleman is recognized. mr.guthrie: i claim time in opposition although i'm not opposed to the bill. the speaker pro tempore: without objection mr.guthrie: i just want -- another thing that we need to make sure is that the amendment would ensure that agency and precious u.s. taxpayer dollars can never go to nondomestic recipients organized under the laws of a current foreign entity. this includes, china, russia, iran or north korea. and the debate on the bill and the chair were talking about, i

understood the mission, but i was concerned about the application of it and how it would be put into place and we had a lot of discussions based on that and this amendment does define it as best we can define in legislation without vague terms and 85% of the money goes to research and not to administration and growing an agency and this narrows and puts guardrails. this establishes that with the bill and i encourage its adoption and i yield back. the speaker pro tempore: the gentleman yields back the balance of his time pursuant to the rule, the previous question is ordered on the bill and the amendment offered by the gentlewoman from california, ms. the question is on the amendment offered by ms. eshoo. those in favor, say aye. those opposed, no. the ayes have it --

the amendment is agreed to. the gentlelady from colorado is agreed to. >> i request the yeas and nays on the bill -- on the amendment pursuant to section 3-s of house resolution 8, the yeas and nays are ordered pursuant to clause 8 of rule 20, further proceedings on this question are postponed. pursuant to clause 1-c of rule 19, further consideration of h.r. 5585 is postponed.

the speaker pro tempore: proceed ings will resume on questions previously postponed. votes will be taken in the following order smed the following questions on h.r. 76666 en bloc amendments number 1 and en bloc amendment 2 and huh-uh 4, amendment number 6 are and amendment number 9 and motion to recommit, if offered. , amendment number 8 by

mr. griffith of virginia, passage of the bill, if ordered. the following questions on h.r. 5585, amendment number 1, motion to recommit, if offered, passage of the bill, if ordered and motion to suspend the rules and pass h.r. 6538. the first electronic vote will be conducted as a 15-minute vote, pursuant to clause 9, rule 20, remaining electronic votes will be conducted as five-minute votes. further consideration of h.r. 7666 will now resume. the clerk: union calendar number 276, h.r. 7666 a bill to amend the public healthservice act to amend certain programs and for other purposes pursuant to clause 8 of rule 20, the unfinished business is the

question on amendments en bloc amendment printed in part e of house report 11 hiver 381 offered by the gentleman from new jersey, mr. pallone and on which further proceedings were postponed and yapped. the clerk will redesignate the amendments en bloc. the question is on the amendments. the clerk: en bloc amendments number 1, 5, 9, 10, 13, 14, 15 and 16 printed in part e of house report 117-381 offered by mr. pallone of new jersey. the speaker pro tempore: the question is on the amendments en bloc offered by the gentleman from new jersey. members will record their vote by electronic device. this is a 15-minute vote. [captioning made possible by the national captioning institute, inc., in cooperation with the united states house of representatives. any use of the closed-captioned coverage of the house proceedings for political or

commercial purposes is expressly prohibited by the u.s. house of representatives.] >> as the member designated by mr. gosar from arizona, i inform the house that mr. gosar will vote nay on en bloc number one.

the speaker pro tempore: for what purpose does the gentleman from new jersey seek recognition? mr. pallone: as the member designated by mr. sires, ms. watson coleman, mrs. kirkpatrick and mr. nadler, these members will vote yes on the amendments en bloc number 1.