[Congressional Record Volume 161, Number 17 (Monday, February 2, 2015)]
[House]
[Pages H675-H677]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
MEDICAL PREPAREDNESS ALLOWABLE USE ACT
Mr. CARTER of Georgia. Mr. Speaker, I move to suspend the rules and
pass the bill (H.R. 361) to amend the Homeland Security Act of 2002 to
codify authority under existing grant guidance authorizing use of Urban
Area Security Initiative and State Homeland Security Grant Program
funding for enhancing medical preparedness, medical surge capacity, and
mass prophylaxis capabilities.
The Clerk read the title of the bill.
The text of the bill is as follows:
H.R. 361
Be it enacted by the Senate and House of Representatives of
the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Medical Preparedness
Allowable Use Act''.
SEC. 2. USE OF CERTAIN HOMELAND SECURITY GRANT FUNDS FOR
ENHANCING MEDICAL PREPAREDNESS, MEDICAL SURGE
CAPACITY, AND MASS PROPHYLAXIS CAPABILITIES.
Section 2008 of the Homeland Security Act of 2002 (6 U.S.C.
609) is amended--
(1) in subsection (a), by redesignating paragraphs (10)
through (13) as paragraphs (11) through (14), respectively,
and by inserting after paragraph (9) the following:
``(10) enhancing medical preparedness, medical surge
capacity, and mass prophylaxis capabilities, including the
development and maintenance of an initial pharmaceutical
stockpile, including medical kits, and diagnostics sufficient
to protect first responders, their families, immediate
victims, and vulnerable populations from a chemical or
biological event;''; and
(2) in subsection (b)(3)(B), by striking ``(a)(10)'' and
inserting ``(a)(11)''.
The SPEAKER pro tempore. Pursuant to the rule, the gentleman from
Georgia (Mr. Carter) and the gentleman from New Jersey (Mr. Payne) each
will control 20 minutes.
The Chair recognizes the gentleman from Georgia.
General Leave
Mr. CARTER of Georgia. Mr. Speaker, I ask unanimous consent that all
Members have 5 legislative days within which to revise and extend their
remarks and include any extraneous material on the bill under
consideration.
The SPEAKER pro tempore. Is there objection to the request of the
gentleman from Georgia?
There was no objection.
Mr. CARTER of Georgia. Mr. Speaker, I yield myself such time as I may
consume.
Mr. Speaker, I rise today in support of H.R. 361, the Medical
Preparedness Allowable Use Act, introduced by my colleague and the
former chairman of the Committee on Homeland Security's Subcommittee on
Emergency Preparedness, Response, and Communications, Congressman
Bilirakis.
This bill amends the Homeland Security Act of 2002 to make it clear
that grant funds under the State Homeland Security Grant Program and
the Urban Area Security Initiative may be used to enhance medical
preparedness and purchase medical countermeasures.
The grant guidance for these programs currently allows funds to be
used for medical preparedness equipment and activities. This bill
codifies those activities to ensure that they will continue to be
allowable, and it will not cost any additional money to do so.
We have seen the benefits that grant funds, including those used for
medical preparedness activities, have provided when it comes to
response capabilities. This was clearly demonstrated in the response to
the Boston Marathon bombings.
We know that the threat of a chemical or biological attack is real.
We must ensure that our first responders have the tools and
capabilities they need if such an event should occur.
As a result of this bill, grant funds could be used for items such as
predeployed medical kits for first responders and their families,
caches of equipment, training and exercises, and planning activities.
Identical language to H.R. 361 was approved by the Committee on
Homeland Security last year by a bipartisan voice vote and passed the
House by a vote of 391-2.
Mr. Speaker, as a pharmacist and someone whose coastal district lives
under constant threat of hurricanes, floods, and other natural
disasters, I know firsthand the benefits that these types of equipment
and activities can provide for our first responders and the citizens
that they protect.
I urge Members to support this bill, and I reserve the balance of my
time.
Mr. PAYNE. Mr. Speaker, I rise in strong support of H.R. 361, the
Medical Preparedness Allowable Use Act, and I yield myself such time as
I may consume.
Mr. Speaker, H.R. 361 would authorize grant recipients under the
Homeland Security Grant or Urban Area Security Initiative Program to
use funding to enhance medical preparedness and medical surge capacity.
Currently, the Federal Emergency Management Agency already permits
grantees to use these funds for such purposes. However, enactment of
this measure into law will give some predictability to the grant
recipients as they struggle to build and maintain medical response
capabilities at the State and local levels.
Over the course of the past year, our doctors, nurses, and emergency
service personnel have responded to outbreaks of Ebola, measles, D68,
and other contagious diseases.
Although none of these outbreaks were the result of bioterrorism,
they nevertheless served as a reminder that medical preparedness is a
critical component of our national preparedness.
I commend the gentleman from Florida for working with the Homeland
Security Committee to make sure that medical preparedness continues to
remain a priority at the Federal, State, and local level.
I would be remiss if I did not take this time and opportunity to
express my support for the reauthorization of the Metropolitan Medical
Response System, which would provide dedicated funds to medical
preparedness activities.
I would also note that Members may be here today to discuss the use
of grant funding, but overshadowing this debate is a more immediate
obstacle to the effectiveness of DHS' grant programs: the fact that
Congress has not passed a full-year funding for the Department of
Homeland Security that the President can sign into law.
Mr. Speaker, I will place into the Record a Washington Post editorial
piece entitled, ``GOP holds security hostage to immigration.'' It
underscores the urgent need for gamesmanship over immigration to be put
aside for the betterment of national security.
With respect to the measure before us today, I would note that,
without funding, neither the Urban Area Security Initiative nor the
State Homeland Security Grant Program will be working to build medical
preparedness capabilities, or any other capability, at the State and
local level.
Ask any first responder, and they will tell you: These grant programs
are essential to building, maintaining, and exercising important
preparedness capabilities.
[[Page H676]]
Representing the 10th Congressional District, I have seen firsthand
how these programs have bolstered capabilities, both in Newark and
Jersey City. Delays or cuts to these programs only punish first
responders and medical services personnel, and the citizens whom they
are charged with protecting.
GOP Holds Security Hostage to Immigration
[By Editorial Board, February 1, 2015]
How far will Republicans in Congress take their reckless
flirtation with undermining government this time?
Will they, as seems increasingly likely, fail to pass a
bill that the president can sign ensuring adequate funding
for the Department of Homeland Security and its 280,000
employees before the agency's support expires Feb. 27? Are
they ready to let funding lapse, secure in the knowledge that
Border Patrol officers, Secret Service agents, airport
security personnel and other so-called essential employees
would still have to report to work--even though they would
not be drawing paychecks?
A number of prominent Republican lawmakers clearly believe
that denying funding to the nation's premier organ of
domestic security is no big deal, as long as the move
expresses the GOP's anger about President Obama's executive
actions on immigration.
As Rep. Mario Diaz-Balart (R-Fla.) put it to Politico:
Letting the department's funding lapse would not be ``the end
of the world.''
Mr. Diaz-Balart's complacency may come as news to Americans
concerned about the risk of terrorism in the wake of attacks
in Paris, Ottawa, Sydney and elsewhere. It certainly came as
news to Homeland Security Secretary Jeh C. Johnson, as well
as his three predecessors--Democrat Janet Napolitano and
Republicans Michael Chertoff and Tom Ridge--all of whom have
warned GOP lawmakers not to conflate essential funding for
the department with the political fight over immigration.
House Republicans were deaf to such appeals. Last month,
they passed a bill furnishing the department with $40 billion
in funding through September, the end of the current budget
year. But they attached provisions to that bill, certain to
draw a presidential veto, that would kill the
administration's plan to temporarily protect several million
undocumented immigrants from deportation and repeal a
program, in force since 2012, that offers a similar shield to
people brought here illegally as children.
There is room for legitimate debate over the president's
most recent unilateral moves on immigration, which we happen
to agree represent executive overreach. If congressional
Republicans want to attack those actions responsibly, with
discrete legislation, they are free to try--though they are
unlikely to muster the votes to override a presidential veto.
However, it is another thing to wield their frustration
over immigration as a cudgel, holding hostage an entire
department of government that is critical to the nation's
security. That is as irresponsible as it is politically ill
advised.
On Friday, Senate Majority Leader Mitch McConnell (R-Ky.)
announced the body would consider the House bill this week, a
sign that the GOP is persisting with its game of chicken. The
bill is unlikely to attract the necessary 60 votes for
passage, which would require a half-dozen Democratic
defections. But there is no shortage of Republican lawmakers
who would rather try to antagonize the president than carry
out the workaday task of funding the government.
In the absence of a bill, the department's funding lapses
in less than a month. What happens in the intervening weeks
will indicate whether Republicans are more interested in
gamesmanship or governance.
Mr. PAYNE. Mr. Speaker, I reserve the balance of my time.
Mr. CARTER of Georgia. Mr. Speaker, I yield as much time as he may
consume to the distinguished gentleman from Florida (Mr. Bilirakis),
the sponsor of this legislation.
Mr. BILIRAKIS. Mr. Speaker, I want to thank the gentleman from
Georgia (Mr. Carter) as well. I also want to thank the ranking member
for doing such a great job and working on this piece of legislation.
I rise in support of my bill, H.R. 361, the Medical Preparedness
Allowable Use Act. This legislation would amend the Homeland Security
Act of 2002 to clarify that grant funds under the State Homeland
Security Grant Program and the Urban Area Security Initiative may be
used to enhance medical preparedness and purchase medical
countermeasures.
I originally introduced the Medical Preparedness Allowable Use Act in
2012 after a series of hearings on medical countermeasures when I
proudly served as chairman of the Subcommittee on Emergency
Preparedness, Response, and Communications.
At these hearings, the need for this legislation was highlighted when
we received numerous testimonies from the emergency response community
on the importance of stockpiling medical countermeasures in the event
of a WMD attack.
This includes predeployed medical kits for first responders, as Mr.
Carter said, their families, and immediate victims of widespread
terrorist attacks on our homeland and natural disasters, resources
similar to those provided to postal workers participating in the
national U.S. Postal Medical Countermeasures Dispensing Pilot Program.
The grant guidance for the State Homeland Security Grant Program and
the Urban Area Security Initiative currently permits this funding to be
used to procure medical countermeasures. It also allows for other
medical preparedness and medical surge capacity equipment and
activities.
However, this guidance is developed on an annual basis. There is no
guarantee that these uses will be authorized in the future.
To be clear, as Mr. Carter said, no new funding is authorized in this
bill. However, the expenditures authorized and codified by the bill we
are considering today can make a big difference in protecting the
public.
If we are not safe, Mr. Speaker, nothing else matters.
{time} 1715
Codifying this authority will assist emergency responders in the
event of an attack, providing certainty that grant funding may be used
to support them now and in the future. We must have certainty.
I consistently find myself in awe of our first responders and the
sacrifices that they make on the public's behalf. In the wake of recent
terrorist attacks, such as the Boston Marathon bombing, I am committed
to ensuring Congress fulfills its obligation to support those brave men
and women responding to these various threats.
I thank my colleagues, Representative Susan Brooks and Representative
Peter King, for being original cosponsors and for their continued
support with this legislation. I would also like to commend the
chairman of the full Homeland Security Committee, Chairman McCaul, for
his leadership in making this initiative a priority and also for being
a cosponsor of this good bill.
Finally, I would like to note that the Emergency Services Coalition
for Medical Preparedness continues to endorse this bill and its intent.
The Medical Preparedness Allowable Use Act passed the House with
overwhelming bipartisan support in the last two Congresses; however,
the Senate never acted on this measure. With new leadership in the
Senate, Mr. Speaker, I am hopeful that they can take this measure up
quickly so that we can get this before the President to be signed into
law.
We have a responsibility to ensure our communities are prepared,
equipped, and capable of executing countermeasures for future terrorist
threats and natural disasters. Passage of H.R. 361 would truly aid our
first responders in this endeavor.
Mr. Speaker, I urge all my colleagues to vote in favor of this great
bill.
Mr. PAYNE. Mr. Speaker, I have no further requests for time on my
side. If my colleague on the other side is ready to close, I am as
well.
Mr. CARTER of Georgia. Mr. Speaker, I have no further requests for
time and am prepared to close.
Mr. PAYNE. Mr. Speaker, the Medical Preparedness Allowable Use Act is
a good bill, and it has my support.
The gentleman from Florida has given us a piece of commonsense
legislation, and this is the type of legislation, when it comes to
keeping our Nation safe during times of attack or natural disaster,
that we need.
I also urge my colleagues on both sides of the aisle to support the
passage of a clean DHS funding bill so that the States and urban areas
across the country can continue building and maintaining critical
preparedness capabilities.
Again, I would like to thank the gentleman from Florida (Mr.
Bilirakis) for working with us on this issue, and I congratulate him on
a wonderful bill that ensures that our Nation continues to be prepared
in times of disaster. I urge my colleagues to support H.R. 361, the
Medical Preparedness Allowable Use Act.
Mr. Speaker, I yield back the balance of my time.
Mr. CARTER of Georgia. Mr. Speaker, as I noted earlier, this bill
enjoyed
[[Page H677]]
broad bipartisan support last Congress. I hope Members will once again
express their support for the men and women who protect us every day by
voting for this bill.
I yield back the balance of my time.
Mr. McCAUL. Mr. Speaker, I rise today in support of H.R. 361, the
Medical Preparedness Allowable Use Act that was introduced by
Congressman Bilirakis. Over the years, the Committee on Homeland
Security has heard about the importance of medical countermeasures.
This bill amends the Homeland Security Act of 2002 to make it clear
that grant funds under the State Homeland Security Grant Program and
Urban Area Security Initiative may be used to enhance medical
preparedness and purchase medical countermeasures. We owe it to our
emergency response community, our first responders, to ensure that they
have every tool necessary to be prepared for and combat the threats
they face every day and may face in the future.
Over the years, we have seen that the investments in medical
preparedness activities have provided positive benefits when it comes
to response capabilities. This was clearly demonstrated in the response
to the Boston Marathon bombings when the medical community was largely
praised by all involved in the response. The Committee on Homeland
Security heard testimony last year from the head of Boston Emergency
Medical Services, Chief Hooley, who spoke about the importance of
Homeland Security grant funding in their preparation for events such as
the Boston Marathon Bombing.
Sadly, we realize that the threat of a biological or chemical or
other attack is real. We therefore must do everything that we can to
ensure that our first responders are prepared to combat the threat.
This measure has passed the House both in the 112th and the 113th
Congress with overwhelming bipartisan support. I ask my colleagues to
support this measure and my colleagues in the Senate to do the same
Ms. JACKSON LEE. Mr. Speaker, I rise in strong support of H.R. 361,
the Medical Preparedness Allowable Use Act for two reasons.
First, the bill will save lives. Second, the legislation is necessary
to support the vital work of first responders in the event of a
biological and chemical terrorists attack or incident.
The legislation provides for the development and maintenance of an
initial pharmaceutical stockpile, including medical kits, and
diagnostics sufficient to protect first responders, their families, and
immediate victims from a chemical or biological event.
The Medical Preparedness Allowable Use Act will amend the Homeland
Security Act of 2002 to authorize the use of Urban Area Security
Initiative and State Homeland Security Grant Program funding for:
enhancing medical preparedness, medical surge capacity, and mass
prophylaxis capabilities.
This legislation ensures that first responders have necessary
medicines and treatments to protect themselves, their families and
those within their vicinity immediately should a biological and
chemical terrorist attack occur.
In short, first responders will not be able to do the work of saving
lives if they fall victim to an attack or are distracted by worry
regarding how their family may be fairing during a biological or
chemical attack should one occur.
First responders often include law enforcement officers, fire
fighters, and emergency medical personnel.
The city of Houston covers over a 1000 square mile region in
Southeast Texas. It has an evening population of nearly two million
people and over three million during the day when commuters are in the
city.
There are 103 Fire Stations that serve the city of Houston with most
offering ambulance or medic support, but there is only one station
Number 22 that Specializes in Hazardous Material.
In the city of Houston one out of every ten citizens use Emergency
Management Services (EMS) and within a year there are over 200,000 EMS
incidents involving over 225,000 patients or potential patients.
EMS response services have 88 City of Houston EMS vehicles, with just
under fifty percent staffed by two paramedics and can provide Advanced
Life Support (ALS) to patients.
These consist of 15 ALS Squads, and 22 ALS transport units with eight
functioning in a ``Dual'' capacity as both Advanced Life Support and
Basic Life Support (BLS).
The remaining fifty-one transport units are Basic Life Support (BLS),
and staffed by two Emergency Medical Technicians.
Law enforcement agencies that serve the city of Houston include the
Houston Police Department, Harris County Sheriff's Department, Harris
County Constables, Port of Houston Authority Police and Corrections
Officers.
Because of the nature of chemical or biological terrorist attacks
mass casualties are the objective and the impressive resources of our
nation's 4th largest city would likely be overwhelmed immediately
should an attack occur it is important to provide them with the
resources provided by this legislation.
The prepositioning of resources in the form of medicines that can
support pulmonary respiratory function or arrest neurological damage as
a result of poisoning lives can be saved that could otherwise be lost.
This bill can reduce deaths and give victims the greatest chance for
survival and recovery.
Emergency responders because of this bill would have treatments in
the communities where they serve and live to help neighbors, co-
workers, and people who are immediate need to live saving help.
As a senior member of the House Homeland Security Committee, I am
mindful of the need for our first responders to be prepared and well
trained to manage a wide range of potential threats both conventional
and unconventional.
This bill offers one more resource that will be available to first
responders to do the work they have dedicated their lives to doing--
saving lives.
I urge my colleagues to join me in supporting H.R. 361 the Medical
Preparedness Allowable Use Act for two reasons.
The SPEAKER pro tempore. The question is on the motion offered by the
gentleman from Georgia (Mr. Carter) that the House suspend the rules
and pass the bill, H.R. 361.
The question was taken.
The SPEAKER pro tempore. In the opinion of the Chair, two-thirds
being in the affirmative, the ayes have it.
Mr. CARTER of Georgia. Mr. Speaker, on that I demand the yeas and
nays.
The yeas and nays were ordered.
The SPEAKER pro tempore. Pursuant to clause 8 of rule XX, further
proceedings on this motion will be postponed.
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