[Congressional Record Volume 157, Number 73 (Wednesday, May 25, 2011)]
[House]
[Pages H3432-H3434]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
{time} 1400
REPEALING MANDATORY FUNDING FOR GRADUATE MEDICAL EDUCATION
The SPEAKER pro tempore (Mrs. Miller of Michigan). Pursuant to clause
1(c) of rule XIX, further proceedings will resume with the third
reading of the bill (H.R. 1216) to amend the Public Health Service Act
to convert funding for graduate medical education in qualified teaching
health centers from direct appropriations to an authorization of
appropriations.
The bill was read the third time.
Motion to Recommit
Mr. CLYBURN. Madam Speaker, I have a motion to recommit at the desk.
The SPEAKER pro tempore. Is the gentleman opposed to the bill?
Mr. CLYBURN. In its current form, I am, Madam Speaker.
The SPEAKER pro tempore. The Clerk will report the motion to
recommit.
The Clerk read as follows:
Mr. Clyburn moves to recommit the bill H.R. 1216 to the
Committee on Energy and Commerce with instructions to report
the same to the House forthwith with the following amendment:
Page 3, after line 14, insert the following new paragraph
(and redesignate subsequent paragraphs accordingly):
(2) in subsection (b)(2), by adding at the end the
following new subparagraph:
``(C) Ensuring authorized amounts first provided to
underserved areas.--
``(i) In general.--Subject to subparagraphs (A) and (B), in
determining the amounts payable under this section to
qualified teaching health centers for a fiscal year, the
Secretary shall--
``(I) first make payments under this section to qualified
teaching health centers in underserved areas, based on the
full amount determined for such centers pursuant to clause
(ii); and
``(II) after application of subclause (I), from any
remaining amounts appropriated for such fiscal year pursuant
to subsection (g), make payments under this section to
qualified teaching health centers not described in subclause
(I).
``(ii) Determination.--For purposes of making payments
under clause (i)(I), the Secretary shall determine such
amounts that would be payable under this section to qualified
teaching health centers described in such clause as if the
full amount authorized to be appropriated under subsection
(g) for such fiscal year is the amount appropriated to carry
out this section for such fiscal year.'';
The SPEAKER pro tempore. Pursuant to the rule, the gentleman from
South Carolina is recognized for 5 minutes in support of his motion.
Mr. CLYBURN. Madam Speaker, last month, Republicans voted to end
Medicare. According to the nonpartisan Congressional Budget Office,
their plan would raise seniors' health care costs by more than $6,000
per year, doubling their out-of-pocket costs.
Now, this week, Republicans want to cut training for new primary care
doctors. This is another part of their attempt to repeal health care
reform piece by piece. Madam Speaker, there is bipartisan agreement
that we need more primary care physicians. Yet Republicans are bringing
up a bill that will make sure that even fewer primary care doctors are
trained to meet the growing demand. This is a terrible idea but not
surprising.
I oppose this bill because we need to be training more primary care
doctors, not fewer; but at a minimum, we must ensure that the Nation's
neediest areas have access to the doctors they need.
This final amendment will ensure that training programs in the areas
most in need of primary care doctors are to be prioritized for funding.
This is common sense.
My district, like so many others represented in this body, has some
very rural communities. In many areas, families have to drive for
dozens of miles to reach the nearest doctor. People who live in remote
communities, like Brittons Neck and Salters, travel great distances in
search of primary care, and many don't have public or private
transportation. This is not just an abstract debate about compassion.
For many people, it is literally a matter of life and death.
Madam Speaker, we all know that, for decades, many communities across
[[Page H3433]]
the country have been left out of the American Dream year after year
after year. We call these places persistent poverty counties--counties
where more than 20 percent of their populations have existed below the
poverty level for at least 30 years. Approximately 15 percent of all
counties in America qualify as persistent poverty counties under this
definition. Because a majority of these counties is rural, it only
comprises about 7 percent of the Nation's population. These are the
places that this amendment targets for funding.
These communities are diverse and are spread across the country,
including Appalachian communities in Kentucky and West Virginia, Native
American communities in South Dakota and Alaska, Latino communities in
Arizona and New Mexico, African American communities in Mississippi and
South Carolina, and urban communities in Philadelphia, New York,
Baltimore, and St. Louis.
So I say to my colleagues on the other side: If you're going to cut
funding for training new doctors, let us at least ensure that the
communities with the greatest needs are placed at the front of the
line. I urge my colleagues to vote ``yes'' on this final amendment.
Madam Speaker, I yield back the balance of my time.
Mr. GUTHRIE. Madam Speaker, I rise in opposition to the motion to
recommit.
The SPEAKER pro tempore. The gentleman from Kentucky is recognized
for 5 minutes.
Mr. GUTHRIE. Madam Speaker, as we began the debate about Medicare
just a minute ago, we knew last week when we left to go home to work in
our districts that Medicare's actuary said it is going to go bankrupt
in 2024.
This side of the aisle has offered a plan to make it stable, secure
and sustainable. There is no member--no member as we heard all day
yesterday--of the Greatest Generation on whom this will have any
effect. As a matter of fact, over half the baby boomer generation will
have no changes. We are changing Medicare to make it work so it is
sustainable.
If we follow the plan introduced by the President, which does raise
taxes on the rich but still does not address the sustainability of
Medicare in the future, my daughter, when she is my age 30 years from
now, will wake up and go to work, and 100 percent of the Federal income
tax she pays will pay for my generation to be retired. The Greatest
Generation provided my generation opportunities, and we're working to
make sure our children have opportunities as well.
On the underlying bill, what's interesting is that this bill only
takes this program back to the way it was passed out of the House in
the health care bill. We are doing exactly what the majority passed out
of the House. It changed to a mandatory program in the Senate, and was
adopted when it came back from the Senate.
So, if this program is so important that it has to be mandatory
funding as they say it has to be, why didn't they do it when they
debated the health care bill before and include the provision that is
in this motion to recommit?
{time} 1410
As a matter of fact, this bill authorizes changes in medical
education in hospitals, teaching hospitals, children's hospitals,
nurses' programs, geriatric programs, pediatric programs. There are all
sorts of them, and none of them have the provision that this motion to
recommit wants to put on this program.
So I say we need to get a handle on the budget so we can have a
future for this country. We need to quit putting programs on autopilot,
and put them in the process, that they go through the appropriations
process so they can be reviewed and they can be determined which
programs are successful and moving forward.
It is important that we have primary care physicians trained at
teaching health centers, but it's also important we have them at
children's hospitals that were zeroed out in the President's budget. So
as we put these programs on mandatory spending, we are losing
opportunities to fund other programs. Community health centers, they
compete for discretionary funding. This is money that would be taken
from that area and on to mandatory funding.
So, Madam Speaker, this side of the House is ready to say to the
Greatest Generation, we're preserving what you have. We also want to
tell our children they have a future as great as the Greatest
Generation gave us.
Madam Speaker, I ask my colleagues to vote against this motion to
recommit.
Mr. GUTHRIE. I yield back the balance of my time.
The SPEAKER pro tempore. Without objection, the previous question is
ordered on the motion to recommit.
There was no objection.
The SPEAKER pro tempore. The question is on the motion to recommit.
The question was taken; and the Speaker pro tempore announced that
the noes appeared to have it.
Recorded Vote
Mr. CLYBURN. Madam Speaker, I demand a recorded vote.
A recorded vote was ordered.
The SPEAKER pro tempore. Pursuant to clause 8 and clause 9 of rule
XX, this 15-minute vote on the motion to recommit will be followed by
5-minute votes on passage of H.R. 1216, if ordered; ordering the
previous question on House Resolution 276 and the amendment thereto;
adoption of the amendment to House Resolution 276, if ordered; and
adoption of House Resolution 276, if ordered.
The vote was taken by electronic device, and there were--ayes 184,
noes 236, not voting 11, as follows:
[Roll No. 339]
AYES--184
Ackerman
Andrews
Baca
Baldwin
Barrow
Bass (CA)
Becerra
Berkley
Berman
Bishop (GA)
Bishop (NY)
Blumenauer
Boren
Boswell
Brady (PA)
Brown (FL)
Butterfield
Capps
Capuano
Cardoza
Carnahan
Carney
Carson (IN)
Castor (FL)
Chandler
Chu
Cicilline
Clarke (MI)
Clarke (NY)
Clay
Cleaver
Clyburn
Cohen
Connolly (VA)
Cooper
Costa
Costello
Courtney
Critz
Crowley
Cuellar
Cummings
Davis (CA)
Davis (IL)
DeFazio
DeGette
DeLauro
Deutch
Dicks
Dingell
Doggett
Donnelly (IN)
Doyle
Edwards
Ellison
Engel
Eshoo
Farr
Fattah
Frank (MA)
Fudge
Garamendi
Gonzalez
Green, Al
Green, Gene
Grijalva
Gutierrez
Hanabusa
Heinrich
Higgins
Himes
Hinchey
Hinojosa
Hirono
Holden
Holt
Honda
Hoyer
Inslee
Israel
Jackson Lee (TX)
Johnson (GA)
Johnson, E. B.
Jones
Kaptur
Keating
Kildee
Kind
Kissell
Kucinich
Langevin
Larsen (WA)
Larson (CT)
Lee (CA)
Levin
Lewis (GA)
Lipinski
Loebsack
Lofgren, Zoe
Lowey
Lujan
Lynch
Maloney
Markey
Matheson
Matsui
McCollum
McDermott
McGovern
McIntyre
McNerney
Meeks
Michaud
Miller (NC)
Miller, George
Moore
Moran
Murphy (CT)
Nadler
Napolitano
Neal
Olver
Owens
Pallone
Pascrell
Pastor (AZ)
Payne
Pelosi
Perlmutter
Peters
Peterson
Pingree (ME)
Polis
Price (NC)
Quigley
Rahall
Rangel
Reyes
Richardson
Richmond
Ross (AR)
Rothman (NJ)
Roybal-Allard
Rush
Ryan (OH)
Sanchez, Linda T.
Sanchez, Loretta
Sarbanes
Schakowsky
Schiff
Schrader
Schwartz
Scott (VA)
Scott, David
Serrano
Sewell
Sherman
Shuler
Sires
Slaughter
Smith (WA)
Speier
Stark
Sutton
Thompson (CA)
Thompson (MS)
Tierney
Tonko
Towns
Tsongas
Van Hollen
Velazquez
Visclosky
Walz (MN)
Wasserman Schultz
Waters
Watt
Waxman
Weiner
Welch
Wilson (FL)
Woolsey
Wu
Yarmuth
NOES--236
Adams
Aderholt
Akin
Alexander
Altmire
Amash
Austria
Bachmann
Bachus
Barletta
Bartlett
Barton (TX)
Bass (NH)
Benishek
Berg
Biggert
Bilbray
Bilirakis
Bishop (UT)
Black
Blackburn
Bonner
Bono Mack
Boustany
Brady (TX)
Brooks
Broun (GA)
Buchanan
Bucshon
Buerkle
Burgess
Burton (IN)
Calvert
Camp
Campbell
Canseco
Capito
Carter
Cassidy
Chabot
Chaffetz
Coble
Coffman (CO)
Cole
Conaway
Conyers
Cravaack
Crawford
Crenshaw
Culberson
Davis (KY)
Denham
Dent
DesJarlais
Diaz-Balart
Dold
Dreier
Duffy
Duncan (SC)
Duncan (TN)
Ellmers
Emerson
Farenthold
Fincher
Fitzpatrick
Flake
Fleischmann
Fleming
Flores
Forbes
Fortenberry
Foxx
Franks (AZ)
Gallegly
Gardner
Garrett
Gerlach
Gibbs
Gibson
Gingrey (GA)
Gohmert
Goodlatte
Gosar
Gowdy
Granger
Graves (GA)
Graves (MO)
Griffin (AR)
Griffith (VA)
Grimm
Guinta
Guthrie
Hall
[[Page H3434]]
Hanna
Harper
Harris
Hartzler
Hayworth
Heck
Hensarling
Herger
Herrera Beutler
Huelskamp
Huizenga (MI)
Hultgren
Hunter
Hurt
Issa
Jenkins
Johnson (IL)
Johnson (OH)
Johnson, Sam
Jordan
Kelly
King (IA)
King (NY)
Kingston
Kinzinger (IL)
Kline
Labrador
Lamborn
Lance
Landry
Lankford
Latham
LaTourette
Latta
Lewis (CA)
LoBiondo
Lucas
Luetkemeyer
Lummis
Lungren, Daniel E.
Mack
Manzullo
Marchant
Marino
McCarthy (CA)
McCaul
McClintock
McCotter
McHenry
McKeon
McKinley
McMorris Rodgers
Meehan
Mica
Miller (FL)
Miller (MI)
Miller, Gary
Mulvaney
Murphy (PA)
Myrick
Neugebauer
Noem
Nugent
Nunes
Nunnelee
Olson
Palazzo
Paul
Paulsen
Pearce
Pence
Petri
Pitts
Platts
Poe (TX)
Pompeo
Posey
Price (GA)
Quayle
Reed
Rehberg
Reichert
Renacci
Ribble
Rigell
Rivera
Roby
Roe (TN)
Rogers (AL)
Rogers (KY)
Rogers (MI)
Rohrabacher
Rokita
Rooney
Ros-Lehtinen
Roskam
Ross (FL)
Royce
Runyan
Ryan (WI)
Scalise
Schilling
Schmidt
Schock
Schweikert
Scott (SC)
Scott, Austin
Sensenbrenner
Sessions
Shimkus
Shuster
Simpson
Smith (NE)
Smith (NJ)
Smith (TX)
Southerland
Stearns
Stivers
Stutzman
Sullivan
Terry
Thompson (PA)
Thornberry
Tiberi
Tipton
Turner
Upton
Walberg
Walden
Walsh (IL)
Webster
West
Westmoreland
Whitfield
Wilson (SC)
Wittman
Wolf
Womack
Woodall
Yoder
Young (AK)
Young (FL)
Young (IN)
NOT VOTING--11
Braley (IA)
Cantor
Filner
Frelinghuysen
Giffords
Hastings (FL)
Hastings (WA)
Jackson (IL)
Long
McCarthy (NY)
Ruppersberger
{time} 1432
Messrs. GUTIERREZ and PAYNE changed their vote from ``no'' to
``aye.''
So the motion to recommit was rejected.
The result of the vote was announced as above recorded.
Stated for:
Mr. FILNER. Madam Speaker, on rollcall 339, I was away from the
Capitol region attending the Civil Rights Freedom Riders' 50th
Anniversary Celebration. Had I been present, I would have voted
``aye.''
The SPEAKER pro tempore. The question is on the passage of the bill.
The question was taken; and the Speaker pro tempore announced that
the ayes appeared to have it.
Recorded Vote
Ms. CASTOR of Florida. Madam Speaker, I demand a recorded vote.
A recorded vote was ordered.
The SPEAKER pro tempore. This will be a 5-minute vote.
The vote was taken by electronic device, and there were--ayes 234,
noes 185, not voting 12, as follows:
[Roll No. 340]
AYES--234
Adams
Aderholt
Akin
Alexander
Amash
Austria
Bachmann
Bachus
Bartlett
Barton (TX)
Bass (NH)
Benishek
Berg
Biggert
Bilbray
Bilirakis
Bishop (UT)
Black
Blackburn
Bonner
Bono Mack
Boren
Boustany
Brady (TX)
Brooks
Broun (GA)
Buchanan
Bucshon
Buerkle
Burgess
Burton (IN)
Calvert
Camp
Campbell
Canseco
Cantor
Capito
Carter
Cassidy
Chabot
Chaffetz
Coble
Coffman (CO)
Cole
Conaway
Cravaack
Crawford
Crenshaw
Culberson
Davis (KY)
Denham
Dent
DesJarlais
Diaz-Balart
Dold
Dreier
Duffy
Duncan (SC)
Duncan (TN)
Ellmers
Emerson
Farenthold
Fincher
Fitzpatrick
Flake
Fleischmann
Fleming
Flores
Forbes
Fortenberry
Foxx
Gallegly
Gardner
Garrett
Gerlach
Gibbs
Gibson
Gingrey (GA)
Gohmert
Goodlatte
Gosar
Gowdy
Granger
Graves (GA)
Graves (MO)
Griffin (AR)
Griffith (VA)
Grimm
Guinta
Guthrie
Hall
Harper
Harris
Hartzler
Hayworth
Heck
Hensarling
Herger
Herrera Beutler
Huelskamp
Huizenga (MI)
Hultgren
Hunter
Hurt
Issa
Jenkins
Johnson (IL)
Johnson (OH)
Johnson, Sam
Jones
Jordan
Kelly
King (NY)
Kingston
Kinzinger (IL)
Kline
Labrador
Lamborn
Lance
Landry
Lankford
Latham
LaTourette
Latta
Lewis (CA)
LoBiondo
Lucas
Luetkemeyer
Lummis
Lungren, Daniel E.
Mack
Manzullo
Marchant
Marino
McCarthy (CA)
McCaul
McClintock
McCotter
McHenry
McIntyre
McKeon
McKinley
McMorris Rodgers
Mica
Miller (FL)
Miller (MI)
Miller, Gary
Mulvaney
Murphy (PA)
Myrick
Neugebauer
Noem
Nugent
Nunes
Nunnelee
Olson
Palazzo
Paul
Paulsen
Pearce
Pence
Petri
Pitts
Platts
Poe (TX)
Pompeo
Posey
Price (GA)
Quayle
Rangel
Reed
Rehberg
Reichert
Renacci
Ribble
Rigell
Rivera
Roby
Roe (TN)
Rogers (AL)
Rogers (KY)
Rogers (MI)
Rohrabacher
Rokita
Rooney
Ros-Lehtinen
Roskam
Ross (FL)
Royce
Runyan
Ryan (WI)
Scalise
Schilling
Schmidt
Schock
Schweikert
Scott (SC)
Scott, Austin
Sensenbrenner
Sessions
Shimkus
Shuster
Simpson
Smith (NE)
Smith (NJ)
Smith (TX)
Southerland
Stearns
Stivers
Stutzman
Sullivan
Terry
Thompson (PA)
Thornberry
Tiberi
Tipton
Turner
Upton
Walberg
Walden
Walsh (IL)
Webster
West
Westmoreland
Whitfield
Wilson (SC)
Wittman
Wolf
Womack
Woodall
Yoder
Young (AK)
Young (FL)
Young (IN)
NOES--185
Ackerman
Altmire
Andrews
Baca
Baldwin
Barletta
Barrow
Bass (CA)
Becerra
Berkley
Berman
Bishop (GA)
Bishop (NY)
Blumenauer
Boswell
Brady (PA)
Brown (FL)
Butterfield
Capps
Capuano
Cardoza
Carnahan
Carney
Carson (IN)
Castor (FL)
Chandler
Chu
Cicilline
Clarke (MI)
Clarke (NY)
Clay
Cleaver
Cohen
Connolly (VA)
Cooper
Costa
Costello
Courtney
Critz
Crowley
Cuellar
Cummings
Davis (CA)
Davis (IL)
DeFazio
DeGette
DeLauro
Deutch
Dicks
Dingell
Doggett
Donnelly (IN)
Doyle
Edwards
Ellison
Engel
Eshoo
Farr
Fattah
Frank (MA)
Fudge
Garamendi
Gonzalez
Green, Al
Green, Gene
Grijalva
Gutierrez
Hanabusa
Hanna
Heinrich
Higgins
Himes
Hinchey
Hinojosa
Hirono
Holden
Holt
Honda
Hoyer
Inslee
Israel
Jackson Lee (TX)
Johnson (GA)
Johnson, E. B.
Kaptur
Keating
Kildee
Kind
King (IA)
Kissell
Kucinich
Langevin
Larsen (WA)
Larson (CT)
Lee (CA)
Levin
Lewis (GA)
Lipinski
Loebsack
Lofgren, Zoe
Lowey
Lujan
Lynch
Maloney
Markey
Matheson
Matsui
McCollum
McDermott
McGovern
McNerney
Meehan
Meeks
Michaud
Miller (NC)
Miller, George
Moore
Moran
Murphy (CT)
Nadler
Napolitano
Neal
Olver
Owens
Pallone
Pascrell
Pastor (AZ)
Payne
Pelosi
Perlmutter
Peters
Peterson
Pingree (ME)
Polis
Price (NC)
Quigley
Rahall
Reyes
Richardson
Richmond
Ross (AR)
Rothman (NJ)
Roybal-Allard
Ruppersberger
Rush
Ryan (OH)
Sanchez, Linda T.
Sanchez, Loretta
Sarbanes
Schakowsky
Schiff
Schrader
Schwartz
Scott (VA)
Scott, David
Serrano
Sewell
Sherman
Shuler
Sires
Slaughter
Smith (WA)
Speier
Stark
Sutton
Thompson (CA)
Thompson (MS)
Tierney
Tonko
Towns
Tsongas
Van Hollen
Velazquez
Visclosky
Walz (MN)
Wasserman Schultz
Waters
Watt
Waxman
Weiner
Welch
Wilson (FL)
Woolsey
Wu
Yarmuth
NOT VOTING--12
Braley (IA)
Clyburn
Conyers
Filner
Franks (AZ)
Frelinghuysen
Giffords
Hastings (FL)
Hastings (WA)
Jackson (IL)
Long
McCarthy (NY)
Announcement by the Speaker Pro Tempore
The SPEAKER pro tempore (during the vote). There are 2 minutes
remaining on this vote.
{time} 1439
So the bill was passed.
The result of the vote was announced as above recorded.
A motion to reconsider was laid on the table.
Stated against:
Mr. FILNER. Madam Speaker, on rollcall 340, I was away from the
Capitol region attending the Civil Rights Freedom Riders' 50th
Anniversary Celebration. Had I been present, I would have voted,
``no.''
____________________