[Congressional Record Volume 140, Number 108 (Monday, August 8, 1994)]
[House]
[Page H]
From the Congressional Record Online through the Government Printing Office [www.gpo.gov]


[Congressional Record: August 8, 1994]
From the Congressional Record Online via GPO Access [wais.access.gpo.gov]

 
 AUTHORIZING PROGRAMS FOR PREVENTION AND TREATMENT OF TRAUMATIC BRAIN 
                                 INJURY

  Mr. WAXMAN. Mr. Speaker, I move to suspend the rules and pass the 
Senate bill (S. 725) to amend the Public Health Service Act to provide 
for the conduct of expanded studies and the establishment of innovative 
programs with respect to traumatic brain injury, and for other 
purposes, as amended.
  The Clerk read as follows:

                                 S. 725

       Be it enacted by the Senate and House of Representatives of 
     the United States of America in Congress assembled,

     SECTION 1. PROGRAMS OF CENTERS FOR DISEASE CONTROL AND 
                   PREVENTION.

       Part B of title III of the Public Health Service Act (42 
     U.S.C. 241 et seq.), as amended by section 703 of Public Law 
     103-183 (107 Stat. 2240), is amended by inserting after 
     section 317F the following section:


                 ``prevention of traumatic brain injury

       ``Sec. 317G. The Secretary, acting through the Director of 
     the Centers for Disease Control and Prevention, may carry out 
     projects to reduce the incidence of traumatic brain injury. 
     Such projects may be carried out by the Secretary directly or 
     through awards of grants or contracts to public or nonprofit 
     private entities. The Secretary may directly or through such 
     awards provide technical assistance with respect to the 
     planning, development, and operation of such projects.
       ``(b) Certain Activities.--Activities under subsection (a) 
     may include--
       ``(1) the conduct of research into identifying effective 
     strategies for the prevention of traumatic brain injury; and
       ``(2) the implementation of public information and 
     education programs for the prevention of such injury and for 
     broadening the awareness of the public concerning the public 
     health consequences of such injury.
       ``(c) Coordination of Activities.--The Secretary shall 
     ensure that activities under this section are coordinated as 
     appropriate with other agencies of the Public Health Service 
     that carry out activities regarding traumatic brain injury.
       ``(d) Definition.--For purposes of this section, the term 
     `traumatic brain injury' means an acquired injury to the 
     brain. Such term does not include brain dysfunction caused by 
     congenital or degenerative disorders, nor birth trauma, but 
     may include brain injuries caused by anoxia due to near 
     drowning. The Secretary may revise the definition of such 
     term as the Secretary determines necessary.''.

     SEC. 2. PROGRAMS OF NATIONAL INSTITUTES OF HEALTH.

       Section 1261 of the Public Health Service Act (42 U.S.C. 
     300d-61) is amended--
       (1) in subsection (d)--
       (A) in paragraph (2), by striking ``and'' after the 
     semicolon at the end;
       (B) in paragraph (3), by striking the period and inserting 
     ``; and''; and
       (C) by adding at the end the following paragraph:
       ``(4) the authority to make awards of grants or contracts 
     to public or nonprofit private entities for the conduct of 
     basic and applied research regarding traumatic brain injury, 
     which research may include--
       ``(A) the development of new methods and modalities for the 
     more effective diagnosis, measurement of degree of injury, 
     post-injury monitoring and prognostic assessment of head 
     injury for acute, subacute and later phases of care;
       ``(B) the development, modification and evaluation of 
     therapies that retard, prevent or reverse brain damage after 
     acute head injury, that arrest further deterioration 
     following injury and that provide the restitution of function 
     for individuals with long-term injuries;
       ``(C) the development of research on a continuum of care 
     from acute care through rehabilitation, designed, to the 
     extent practicable, to integrate rehabilitation and long-term 
     outcome evaluation with acute care research; and
       ``(D) the development of programs that increase the 
     participation of academic centers of excellence in head 
     injury treatment and rehabilitation research and training.''; 
     and
       (2) in subsection (h), by adding at the end the following 
     paragraph:
       ``(4) The term `traumatic brain injury' means an acquired 
     injury to the brain. Such term does not include brain 
     dysfunction caused by congenital or degenerative disorders, 
     nor birth trauma, but may include brain injuries caused by 
     anoxia due to near drowning. The Secretary may revise the 
     definition of such term as the Secretary determines 
     necessary.''.

     SEC. 3. PROGRAMS OF HEALTH RESOURCES AND SERVICES 
                   ADMINISTRATION.

       Part E of title XII of the Public Health Service Act (42 
     U.S.C. 300d-51 et seq.) is amended by adding at the end the 
     following section:

     ``SEC. 1252. STATE GRANTS FOR DEMONSTRATION PROJECTS 
                   REGARDING TRAUMATIC BRAIN INJURY.

       ``(a) In General.--The Secretary, acting through the 
     Administrator of the Health Resources and Services 
     Administration, may make grants to States for the purpose of 
     carrying out demonstration projects to improve access to 
     health and other services regarding traumatic brain injury.
       ``(b) State Advisory Board.--
       ``(1) In general.--The Secretary may make a grant under 
     subsection (a) only if the State involved agrees to establish 
     an advisory board within the appropriate health department of 
     the State or within another department as designated by the 
     chief executive officer of the State.
       ``(2) Functions.--An advisory board established under 
     paragraph (1) shall advise and make recommendations to the 
     State on ways to improve services coordination regarding 
     traumatic brain injury. Such advisory boards shall encourage 
     citizen participation through the establishment of public 
     hearings and other types of community outreach programs.
       ``(3) Composition.--An advisory board established under 
     paragraph (1) shall be composed of--
       ``(A) representatives of--
       ``(i) the corresponding State agencies involved;
       ``(ii) public and nonprofit private health related 
     organizations;
       ``(iii) other disability advisory or planning groups within 
     the State;
       ``(iv) members of an organization or foundation 
     representing traumatic brain injury survivors in that State; 
     and
       ``(v) injury control programs at the State or local level 
     if such programs exist; and
       ``(B) a substantial number of individuals who are survivors 
     of traumatic brain injury, or the family members of such 
     individuals.
       ``(c) Matching Funds.--
       ``(1) In general.--With respect to the costs to be incurred 
     by a State in carrying out the purpose described in 
     subsection (a), the Secretary may make a grant under such 
     subsection only if the State agrees to make available, in 
     cash, non-Federal contributions toward such costs in an 
     amount that is not less than $1 for each $2 of Federal funds 
     provided under the grant.
       ``(2) Determination of amount contributed.--In determining 
     the amount of non-Federal contributions in cash that a State 
     has provided pursuant to paragraph (1), the Secretary may not 
     include any amounts provided to the State by the Federal 
     Government.
       ``(d) Application for Grant.--The Secretary may make a 
     grant under subsection (a) only if an application for the 
     grant is submitted to the Secretary and the application is in 
     such form, is made in such manner, and contains such 
     agreements, assurances, and information as the Secretary 
     determines to be necessary to carry out this section.
       ``(e) Coordination of Activities.--The Secretary shall 
     ensure that activities under this section are coordinated as 
     appropriate with other agencies of the Public Health Service 
     that carry out activities regarding traumatic brain injury.
       ``(f) Report.--Not later than 2 years after the date of the 
     enactment of this section, the Secretary shall submit to the 
     Committee on Energy and Commerce of the House of 
     Representatives, and to the Committee on Labor and Human 
     Resources of the Senate, a report describing the findings and 
     results of the programs established under this section, 
     including measures of outcomes and consumer and surrogate 
     satisfaction.
       ``(g) Definition.--For purposes of this section, the term 
     `traumatic brain injury' means an acquired injury to the 
     brain. Such term does not include brain dysfunction caused by 
     congenital or degenerative disorders, nor birth trauma, but 
     may include brain injuries caused by anoxia due to near 
     drowning. The Secretary may revise the definition of such 
     term as the Secretary determines necessary.
       ``(h) Authorization of Appropriations.--There are 
     authorized to be appropriated to carry out this section such 
     sums as may be necessary for each of the fiscal years 1995 
     through 1997.''.

     SEC. 4. STUDY; CONSENSUS CONFERENCE.

       (a) Study.--
       (1) In general.--The Secretary of Health and Human Services 
     (in this section referred to as the ``Secretary''), acting 
     through the appropriate agencies of the Public Health 
     Service, shall conduct a study for the purpose of carrying 
     out the following with respect to traumatic brain injury:
       (1) In collaboration with appropriate State and local 
     health-related agencies--
       (A) determine the incidence and prevalence of traumatic 
     brain injury; and
       (B) develop a uniform reporting system under which States 
     report incidences of traumatic brain injury, if the Secretary 
     determines that such a system is appropriate.
       (2) Identify common therapeutic interventions which are 
     used for the rehabilitation of individuals with such 
     injuries, and shall, subject to the availability of 
     information, include an analysis of--
       (A) the effectiveness of each such intervention in 
     improving the functioning of individuals with brain injuries;
       (B) the comparative effectiveness of interventions employed 
     in the course of rehabilitation of individuals with brain 
     injuries to achieve the same or similar clinical outcome; 
     and
       (C) the adequacy of existing measures of outcomes and 
     knowledge of factors influencing differential outcomes.
       (3) Develop practice guidelines for the rehabilitation of 
     traumatic brain injury at such time as appropriate scientific 
     research becomes available.
       (2) Dates certain for reports.--
       (A) Not later than 18 months after the date of the 
     enactment of this Act, the Secretary shall submit to the 
     Committee on Energy and Commerce of the House of 
     Representatives, and to the Committee on Labor and Human 
     Resources of the Senate, a report describing the findings 
     made as a result of carrying out paragraph (1)(A).
       (B) Not later than 3 years after the date of the enactment 
     of this Act, the Secretary shall submit to the Committees 
     specified in subparagraph (A) a report describing the 
     findings made as a result of carrying out subparagraphs (B) 
     and (C) of paragraph (1).
       (b) Consensus Conference.--The Secretary, acting through 
     the Director of the National Center for Medical 
     Rehabilitation Research within the National Institute for 
     Child Health and Human Development, shall conduct a national 
     consensus conference on managing traumatic brain injury and 
     related rehabilitation concerns.
       (c) Definition.--For purposes of this section, the term 
     ``traumatic brain injury'' means an acquired injury to the 
     brain. Such term does not include brain dysfunction caused by 
     congenital or degenerative disorders, nor birth trauma, but 
     may include brain injuries caused by anoxia due to near 
     drowning. The Secretary may revise the definition of such 
     term as the Secretary determines necessary.
       (d) Authorization of Appropriations.--There are authorized 
     to be appropriated to carry out this section such sums as may 
     be necessary for each of the fiscal years 1995 through 1997.

     SEC. 5. STATE STANDARDS.

       Section 403A(a) of the Federal Food, Drug, and Cosmetic Act 
     (21 U.S.C. 343-1(a)) is amended--
       (1) in paragraph (1), by inserting at the end the 
     following: ``except that this paragraph does not apply to a 
     standard of identity of--
       ``(A) a State or political subdivision of a State for maple 
     syrup which is of the type required by sections 401 and 
     403(g), or
       ``(B) of a State for fluid milk which is of the type 
     required by sections 401 and 403(g) and which specifies a 
     higher minimum level of milk components than is provided for 
     in the corresponding standard of identity promulgated under 
     section 401,'', and
       (2) by adding at the end the following: ``For purposes of 
     paragraph (1)(B), the term `fluid milk' means liquid milk in 
     final packaged form for beverage use and does not include dry 
     milk, manufactured milk products, or tanker bulk milk.''.

     SEC. 6. SELENIUM.

       The stay (published at 58 Fed. Reg. 47962) of the 1987 food 
     additive regulation relating to selenium (21 Code of Federal 
     Regulations 573.920) is suspended until December 31, 1995.

  The SPEAKER pro tempore (Mrs. Collins of Illinois). Pursuant to the 
rule, the gentleman from California [Mr. Waxman] will be recognized for 
20 minutes, and the gentleman from Virginia [Mr. Bliley] will be 
recognized for 20 minutes.
  The Chair recognizes the gentleman from California [Mr. Waxman].


                             general leave

  Mr. WAXMAN. Madam Speaker, I ask unanimous consent that all Members 
may have 5 legislative days in which to revise and extend their remarks 
on S. 725, the bill presently under consideration.
  The SPEAKER pro tempore. Is there objection to the request of the 
gentleman from California?
  There was no objection.
  Mr. WAXMAN. Madam Speaker, I yield myself such time as I may consume.


                          description of bill

  The purpose of S. 725 is to establish programs within the Public 
Health Service for the prevention and treatment of traumatic brain 
injury. Traumatic brain injury [TBI] has become a leading cause of 
death and disability of young people. It is estimated that 90,000 
Americans suffer severe brain injury each year which result in a 
debilitating loss of function. TBI is most often the result of motor 
vehicle accidents, sporting accidents and falls. TBI is a distinct 
disorder and does not include brain dysfunction caused by congenital or 
degenerative disorders.
  The provisions of S. 725 are virtually identical to sections 701-704 
of H.R. 3869 which passed the House May 23. Like H.R. 3869, S. 725 
establishes Traumatic Brain Injury programs within the Centers for 
Disease Control and Prevention, the Health Resources and Services 
Administration and the National Institutes of Health.
  I want to note the leadership and tireless efforts of the gentleman 
from Pennsylvania [Mr. Greenwood] who not only persuaded the committee 
to include these provisions in H.R. 3869 but worked closely with our 
Senate colleagues to secure passage of a freestanding bill. House 
passage of S. 725 will clear the legislation for the President's 
signature.
  Madam Speaker, I also want to note that this Senate bill also 
contains an amendment which would exempt maple syrup subject to State 
standards of identity, from Federal standards of identity prescribed by 
the Food and Drug Administration. This is a minor, noncontroversial 
amendment which makes permanent the temporary exemption Congress has 
previously afforded this product. We support the amendment and know of 
no objection.
  The House amendment also allows the States to maintain their own 
standards of identity for fluid milk even if those standards are 
different from the Federal standard of identity. It also allows the 
Food and Drug Administration's 1987 food additive regulation relating 
to selenium to remain in place until December 31, 1995, while a legal 
issue concerning the regulation is resolved. The 1987 regulation is 
important to the health of certain animals.
  Madam Speaker, passage of S. 725 will allow the new Traumatic Brain 
Injury initiatives to be considered by the appropriations committee for 
funding in fiscal year 1995.
  I urge support for the legislation.
  Madam Speaker, I reserve the balance of my time.
  Mr. BLILEY. Madam Speaker, I yield myself such time as I may consume.
  (Mr. BLILEY asked and was given permission to revise and extend his 
remarks.)
  Mr. BLILEY. Madam Speaker, I rise in support of S. 725.
  The provisions of S. 725 that deal with traumatic brain injury are 
identical to those included in H.R. 3869, the Minority Health 
Improvement Act which passed the House on the suspension calendar by 
voice vote.
  These provisions were negotiated by the gentleman from Pennsylvania 
during the energy and commerce consideration of H.R. 3869. This 
language was then adopted by the other body on the Senate floor. I wish 
to commend the gentleman for his efforts on this legislation.
  The traumatic brain injury provisions: First, authorize the Centers 
for Disease Control and Prevention [CDC] to carry out projects to 
prevent traumatic brain injury; second, authorize the National 
Institutes of Health [NIH] to conduct research into the prevention and 
treatment of traumatic brain injury; and third, authorize grants to 
States and public and nonprofit private entities for the establishment 
of projects to improve the availability of health services regarding 
traumatic brain injury. The grant program is authorized at $5 million 
for fiscal year 1995 and at such sums in fiscal year 1996 and fiscal 
year 1997.
  S. 725 also includes 2 provisions providing for an exception to the 
Federal standards of identity for maple syrup sold in the State of 
Vermont and for milk sold in the State of California. These State 
standards are higher than the Federal standards.
  Under the Nutrition Labeling Act of 1990 State laws regarding a host 
of requirements on food manufacturers, were preempted. A petition 
process was established for States for seek exemptions from the Federal 
standards from the Food and Drug Administration. While both States have 
filed petitions with FDA, the agency has yet to act. As of now, FDA for 
a variety of reasons has not stopped the two States from enforcing 
their laws and their laws have not yet been affected by the preemption 
requirements. These provisions would allow these two States to continue 
to require that milk and maple syrup meet their respective State 
standards.
  In addition, the bill includes a provision which waives, for 1 year, 
the required environmental impact statement for an additive to animal 
feed known as selenium. Selenium is considered to be an essential 
nutrient for some animals, particularly pork and dairy cattle.
  Madam Speaker, I support S. 725 and urge my colleagues to join me.

                              {time}  1440

  Madam Speaker, I yield such time as he may consume to the gentleman 
from Pennsylvania [Mr. Greenwood].
  Mr. GREENWOOD. Madam Speaker, I thank the gentleman for yielding me 
this time.
  Madam Speaker, this week the Congress will begin a momentous and 
controversial debate about health care. What will not be of controversy 
is the excellent progress that has been made by our emergency medical 
service system.
  We now have enhanced abilities to rapidly respond to the scene of 
vehicle accidents and other mishaps with highly trained personnel to 
airlift victims to state-of-the-art trauma centers and provide them 
with miraculous life-saving procedures during the postinjury golden 
hour.
  Ironically, we now have thousands of our sons and daughters, and 
fathers and mothers who have survived serious brain injury and who must 
be cared for humanely.
  We must continue to develop in-home residential and long-term care 
facilities where those recovering from head injury can receive physical 
therapy, occupational therapy and cognitive rehabilitation so that, 
whenever possible, they may resume their places at home with their 
loved ones.
  I rise in strong support of S. 725, the Traumatic Brain Injury Act. I 
am pleased to report that this legislation is the result of a strong 
bipartisan effort in both Chambers. I want to especially thank Chairmen 
Kennedy and Waxman, as well as Senator Hatch and Representatives 
Slattery and Pallone for their willingness to work with me to secure 
enactment of this important bill. The beneficiaries of this cooperation 
are the millions of individuals who sustain a severe brain injury each 
year.
  Traumatic brain injury has become the No. 1 killer and cause of 
disability of young people in this country. Millions of individuals, in 
every age bracket, suffer serious head injuries resulting from 
automobile and bicycle accidents, assaults, abuse, falls or other 
tragic circumstances. According to the National Head Injury Foundation 
[NHIF], a survivor of a severe brain injury typically faces 5-10 years 
of intensive medical and related services at an annual cost of 
approximately $86,000. Estimated lifetime costs to care for a traumatic 
brain injury survivor can exceed $4,000,000.
  Through enactment of this legislation, the Congress has recognized 
the need to coordinate traumatic brain injury services at the Federal 
and State level. This bipartisan compromise will: First, expand efforts 
to identify methods to prevent traumatic brain injury; second, expand 
biomedical research efforts to prevent or minimize the extent, severity 
and progression of dysfunction as a result of traumatic brain injury; 
and third, develop initiatives to improve the quality of care of 
individuals who have suffered traumatic brain injuries. The Secretary 
of Health and Human Services, in collaboration with appropriate State 
and local health-related agencies, is directed to conduct a study to 
determine the incidence and prevalence of traumatic brain injury and 
establish a unified reporting system under which hospitals, State and 
local health-related agencies would report the occurrence of traumatic 
brain injury.
  That study will: First, assess the effectiveness of therapeutic 
interventions; second, identify preventive efforts at the State and 
local level; third, identify treatment and long-term rehabilitation 
service needs of individuals with traumatic brain injuries; and forth, 
recommend practice guidelines for the treatment of traumatic brain 
injury.
  Enactment of this legislation is an important step toward preventing, 
understanding, and effectively beating these devastating brain 
injuries. I urge my colleagues to support this important legislation.
  Mr. WAXMAN. Madam Speaker, I yield myself such time as I may consume.
  Before yielding back our time, I want to commend the gentleman from 
Pennsylvania [Mr. Greenwood] for this important legislation.
  The House has already passed this provision as part of another bill. 
The gentleman from Pennsylvania [Mr. Greenwood] worked with the Senate 
to get a freestanding bill on this very subject. It is an important 
one. I think he is due a great deal of credit for his leadership on 
this.
  I am pleased to join with him in supporting it.
  I want to thank the gentleman from Virginia [Mr. Bliley], the other 
members of the subcommittee, and the leadership of our full committee 
for moving this bill to the time now where it can be passed by the 
House.
  Mr. GILMAN. Mr. Speaker, I rise today to support S. 725, Traumatic 
Brain Injury Act. I would like to commend the gentleman from 
Pennsylvania [Mr. Greenwood] and the Chairman of the House Subcommittee 
on Health and the Environment, the gentleman from California [Mr. 
Waxman] for all of their efforts on behalf of those who have suffered 
with a traumatic brain injury.
  S. 725 authorizes grants to States, public agencies, and private 
nonprofit organizations to study the occurrence, prevention and 
treatment of traumatic grain injuries. This important measure also 
defines traumatic brain injury as an acquired injury to the brain not 
including brain dysfunction caused by congenital or degenerative 
disorders.
  Mr. Speaker, each year, over 90,000 people become disabled as a 
result of brain injury. Many sufferers and their families want these 
kinds of injuries to be distinguished from other disabilities because 
of the serious consequences of, and the lack of education programs and 
treatment for, the injury.
  Accordingly, I urge all of my colleagues to vote in favor of this 
important measure.
  Mr. PALLONE. Mr. Speaker, it is with great pleasure that I stand up 
here today in support of the Traumatic Brain Injury Act. As a sponsor 
of this legislation in the House of Representatives, I have been 
working to bring more awareness and understanding to the courageous 
individuals who live every day with head injuries. Each year, 2 million 
persons suffer serious head injuries and nearly 10,000 die. These are 
individuals who want to be productive members of society--and with a 
little help, they can do just that.
  Passage of the TBI Act will not only promote research into new 
therapies and modalities of care for TBI patients, but it will also 
provide needed dollars to actually rehabilitate and treat head injured 
patients. The cost of medical treatment, rehabilitative efforts, and 
disability payments for head injuries totals as high as $25 billion a 
year. This cost imposes an enormous financial burden on society. But, 
more draining than the financial cost, is the emotional burden that 
serious head injuries cause survivors, friends, and family. With this 
legislation we will begin to make the inroads necessary to more 
compassionately and effectively threat TBI patients.
  The bill also provides Federal dollars for innovative education 
programs to help prevent TBI. Serious head injuries are the leading 
cause of death and disability in young Americans age 15 to 24. The real 
tragedy of these injuries is that many are preventable. With better 
public education campaigns we can give people the knowledge to make 
more informed and better safety decisions. We owe it to our children to 
arm them with the knowledge that can help them lead safer lives.
  But perhaps most important of all, this legislation lets all 
survivors of traumatic brain injury know that they are not alone in 
their struggle to lead normal lives and there are efforts to help them 
achieve their goals.
  In this period of partisan wrangling over health care reform, this 
bill is an example of how both parties can work together to pass 
legislation that helps real people.
  I want to thank Chairman Dingell for his help in moving this piece of 
legislation, as well as all the head injury survivors who made the trip 
down to Washington earlier this year and have kept up the pressure to 
pass the TBI Act. This legislation is a great step forward and I hope 
we can have it on the President's desk before the end of the year.
  Mr. MOORHEAD. Mr. Speaker, I rise in support of S. 725.
  The provisions of S. 725 that deal with traumatic brain injury are 
identical to those included in H.R. 3869, the Minority Health 
Improvement Act which passed the House on the suspension calendar by 
voice vote.
  These provisions were neogitiated by the gentleman from Pennsylvania 
during the energy and commerce consideration of H.R. 3869. This 
language was then adopted by the other body on the Senate floor. I wish 
to commend the gentleman for his efforts on this legislation.
  S. 725 also includes two provisions providing for an exception to the 
Federal standards of identify for maple syrup sold in the State of 
Vermont and for milk sold in the State of California. These State 
standards are higher than the Federal standards.
  Under the Nutrition Labeling Act of 1990, State laws concerning a 
variety of requirements on food manufacturers, were preempted. A 
petition process was established for States to seek exemptions from the 
Federal standards from the Food and Drug Administration. While both 
States have filed petitions with FDA, the Agency has yet to act. As of 
now, FDA for a variety of reasons has not stopped the 2 States from 
enforcing their laws and their laws have not yet been affected by the 
preemption requirements.
  The practical effect of these provisions is that California can 
continue to require that all milk sold in the State must meet the 
California standard of identify for milk in order to be marketed as 
whole milk; and in Vermont all maple syrup sold in the State must 
continue to meet the Vermont maple syrup standard of identify in order 
to be marketed as maple syrup.
  I am especially pleased that the legislation includes the exemption 
for California milk. The California milk standards which have been in 
place since 1961 require more solids-not-fat than the Federal standard. 
This standard results in milk that tastes better and adds a significant 
percentage of calcium, protein, and other nutrients. Medical research 
has demonstrated the important role of calcium in the diet, especially 
of children, teenagers, and women.
  I would also like to point out that this exemption will have no 
adverse impact on interstate commerce. Fluid milk is a local product, 
not a product that is packaged in one place and marketed across the 
country. Only 2 percent of the milk packaged in California moves 
outside the State. And less than 1 percent of the milk sold in 
California comes from out of State, and it meets the State's standard.
  Mr. Speaker, for all these reasons I support S. 725 and urge my 
colleagues to join me.
  Mr. WAXMAN. Madam Speaker, I have no further requests for time, and I 
yield back the balance of my time.
  Mr. BLILEY. Madam Speaker, I have no further requests for time, and I 
yield back the balance of my time.
  The SPEAKER pro tempore (Mrs. Collins of Illinois). The question is 
on the motion offered by the gentleman from California [Mr. Waxman] 
that the House suspend the rules and pass the Senate bill, S. 725, as 
amended.
  The question was taken; and (two-thirds having voted in favor 
thereof) the rules were suspended and the Senate bill, as amended, was 
passed.
  A motion to reconsider was laid on the table.

                          ____________________