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Congressional Record, Coronavirus Testing and Treatments — Senate, July 2, 2020

Summary

A page of the Congressional Record, Senate, dated July 2, 2020, beginning at page S4201, under the heading Coronavirus. After Mr. Sullivan thanks Mr. Alexander for kind comments about Alaska, Mr. Alexander discusses diagnostic tests and treatments for COVID-19 as 75 million students prepare to return to school and college. He cites Admiral Giroir's testimony that the country has done 30 million tests at about 500,000 tests a day, says the shark tank at the National Institutes of Health is aiming for a million new tests a day, and describes an antibody cocktail treatment not yet approved. He also lists preparedness questions on stockpiles, data, hospitals and public health. The page ends with remarks on defense bill provisions for Wright-Patterson Air Force Base in Ohio.

Summary drafted by a model from the document's text below and checked by script against that text before publication. It is a navigation aid, not a reading of what the document proves. Where AI is used

Cite this document

“Congressional Record, Coronavirus Testing and Treatments — Senate, July 2, 2020.” Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/crec-crec-2020-07-02-crec-2020-07-02-pt1-pgs4201-c13bdba97a/, SHA-256 0224771ea5351819eb220319fcb4107d2a5e31408cdec4a10818871fd3725242.

Full text

                                             July 2, 2020                                      CONGRESSIONAL RECORD — SENATE                                                                 S4201
                                               I was trying to think of where in the                  or a year off of the amount of time be-                  Admiral Giroir testified this month
                                             world to go on my 50th birthday, and I                   fore the vaccine comes and take that                   before our committee that our country
                                             went to Anchorage, AK, to go fishing                     financial risk. I think all of us would                has done 30 million tests—more than
                                             at Halibut Cove. I had a wonderful time                  agree with that.                                       any other country. We are doing that
                                             and have a great memory. So the Sen-                        Instead of talking about vaccines                   at about the rate of 500,000 tests a day,
                                             ator represents a really terrific State.                 today, which are next year’s solution,                 and he says that we will have four to
                                               Mr. SULLIVAN. I thank my good                          let me talk about two aspects of                       five times that many in September.
                                             friend from Tennessee for those kind                     COVID–19 that are this year’s solu-                      Now, I hear about problems in this
                                             comments.                                                tion—in fact, that are this fall’s solu-               place or in that place about people not
                                                                CORONAVIRUS                           tion. One is diagnostic tests to find out              getting tests or that it takes too long
                                               Mr. ALEXANDER. Mr. President,                          whether you have the disease or not,                   for the results to come back from the
                                             just 31⁄2 months ago, a sneaky, dan-                     and one is treatments, which is medi-                  labs. The fact is, that what is going on
                                             gerous virus turned our country and                      cine that can be given to you to reduce                now is every State in the country is de-
                                             the world upside down. It is hard to be-                 the chance that you might be seriously                 veloping a plan for July through De-
                                             lieve that it was just 31⁄2 months ago—                  ill or will even die.                                  cember on how many tests States like
                                             mid-March—that we were headed to-                           That is appropriate in the first place              Indiana, Tennessee, and Alaska might
                                             ward March Madness in basketball;                        because, in not very many weeks,                       need in working with the Federal Gov-
                                             that our economy was roaring; that un-                   America will be headed back to school                  ernment, and the Federal Government
                                             employment rates for about every cat-                    and to college. In Metro Nashville, TN,                has been supplying Tennessee with
                                             egory were as low as they had been in                    public school begins on August 4. All                  what Tennessee needs.
                                             a long, long time. America felt really                   across the country, most colleges and                    In our State, for example, which is 1
                                             good about itself. By the time we                        schools will be back in business by                    of the States that is in the top 10 of
                                             would have gotten to the Fourth of                       Labor Day. There were 75 million stu-                  having frequent testing, the Governor
                                             July, it would have been a terrific cele-                dents who were casualties of COVID–19.                 has said: If you want a test, you can
                                             bration except that here came this dan-                  They were sent home from school or                     have a test. Go down to your public
                                             gerous, sneaky virus that turned our                     college in mid-March—100,000 public                    health department, and you will get
                                             lives and those in countries all over the                schools, 35,000 private schools, and 6,000             one for free. Now, whether they will be
                                             world upside down.                                       colleges. Graduations were canceled.                   able to continue that, we will see, but
                                               I want to comment this afternoon on                    Sports championships and once-in-a-                    that is what we are doing today.
                                             some aspects of where we are in terms                                                                             Despite that, when 75 million stu-
                                                                                                      lifetime events were canceled.
                                             of COVID–19 based upon five congres-                        In our country today, two-thirds of                 dents try to go back to school and col-
                                             sional hearings this month that I have                   married parents with children work                     lege, I imagine principals and adminis-
                                             either chaired or attended in our HELP                   outside the home, and most single par-                 trators will want to test teachers fre-
                                                                                                      ents work outside the home. Suddenly,                  quently, older people frequently, and
                                             Committee or the one I participated in
                                                                                                      their children were home. Teachers                     everybody in some classes if one stu-
                                             today in Senator BLUNT’s Appropria-
                                                                                                                                                             dent gets sick, maybe everybody in an
                                             tions Committee on Health. Of course,                    were not really prepared for such
                                                                                                                                                             elementary school if several students
                                             Senator MURRAY, of Washington State,                     wholescale remote teaching, and par-
                                                                                                                                                             get sick, and maybe the parents and
                                             is the ranking Democrat on both of                       ents      were     not     prepared    for
                                                                                                                                                             grandparents of the children if the chil-
                                             those committees.                                        homeschooling. So ever since mid-
                                               Of course, much of the talk is about                                                                          dren bring home the disease. So we are
                                                                                                      March, students have been in limbo.
                                             vaccines. Even though we have appro-                        We are looking forward to doing                     going to need a lot more tests.
                                                                                                                                                               This is why Senator BLUNT and I and
                                             priated $3 trillion and another aston-                   whatever we can to help make sure
                                                                                                                                                             others worked together in the last leg-
                                             ishing $3 trillion in credit, that is not                that those 75 million students in                      islation to support what we called the
                                             going to really solve the problem. The                   schools and colleges can go back to                    shark tank at the National Institutes
                                             only cure for this disease, this virus,                  school and college this fall and go back               of Health. This was an unprecedented
                                             will ultimately be through testing,                      safely. That is the importance of tests                effort at the National Institutes of
                                             treatments, and vaccines. It is appro-                   and treatments. That is the first.                     Health, led by Dr. Francis Collins, who
                                             priate that we talk about vaccines be-                      Now, there is another one, and it is
                                                                                                                                                             led the Human Genome Project and is
                                             cause our country is moving more rap-                    not trivial. This is a sports-hungry                   one of the most distinguished sci-
                                             idly than it ever has in producing a                     country. We love our sports, and every-                entists in our country.
                                             safe and effective vaccine for a new                     body has a different sport one likes.                    This is a project to see if we can find
                                             virus.                                                   The question I asked Dr. Collins this                  a new way to create tens of millions of
                                               As Dr. Francis Collins—the head of                     morning was: Are we going to have                      diagnostic tests that are what they call
                                             the National Institutes of Health—told                   enough COVID–19 tests so we might be                   point-of-care tests. That means you
                                             our subcommittee this morning, it usu-                   able to watch some football this fall or               can take them instantly; that you can
                                             ally takes, historically, 5 to 10 years to               some basketball this winter? I had read                get a result within an hour or so; and
                                             create a vaccine. Here, the goal of the                  that the National Hockey League was                    that they are inexpensive and reliable.
                                             administration’s warped speed effort to                  going to test every player every day in                You don’t have to ship them off. You
                                             create a vaccine is to have 300 million                  the National Hockey League.                            would probably do this with saliva. So
                                             doses ready by the first of this coming                     It is not recommended by the Centers                you might put a lollypop in your
                                             year—in other words, 6 months from                       for Disease Control and Prevention. It                 mouth and let that saliva on the lol-
                                             now. That is its aspirational goal. The                  is not standard for there to be wide-                  lypop indicate, one way or another,
                                             administration is not sure it will get                   spread testing at schools and colleges,                whether you have a positive or a nega-
                                             there, but you don’t get anywhere if                     even though the president of Brown                     tive result.
                                             you don’t set high goals. We know that                   University told our committee she                        Dr. Collins’ goal—and he said this is
                                             as a country. So it has set an enor-                     would like to test all students on their               a very aspirational goal—is to be able
                                             mously ambitious goal.                                   way back to Brown.                                     to produce a million of those tests a
                                               We are taking steps that are like                         The fact is, if we are going to be able             day by Labor Day. This would change
                                             none we have ever taken before, such                     to go back to school, back to college,                 our lives in many numbers of ways.
                                             as Congress has appropriated money,                      back to work, out to eat, maybe even                   This would mean that Brown’s presi-
                                             has approved, and is starting to build a                 watch a sports game, maybe even, in                    dent could surely test all students, not
                                             manufacturing plant for a vaccine be-                    some cases, attend a sports game, we                   just once when they go back but more




dlhill on DSK120RN23PROD with SENATE
                                             fore we know that it works. Now, we                      are going to need a lot more quick, re-                often. It would mean many sports
                                             don’t do that before we know that it is                  liable tests. Let me talk about those,                 teams could test every player every
                                             safe, but we will do it before we know                   just for a moment, in terms of going                   day if that is what it required.
                                             that it works. We can be sure that, in                   back to school and going out to eat                      It would mean that we would prob-
                                             some cases, we are going to lose that                    and, perhaps, being able to watch a lit-               ably have more tests than we would
                                             money, but it is better to cut 6 months                  tle football this fall.                                need.



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                                             S4202                                             CONGRESSIONAL RECORD — SENATE                                                          July 2, 2020
                                               What would that do?                                    showing any symptoms of having it.                     cines in the United States? Well, we
                                               It would, one, help to contain the dis-                But if you get it, there are already two               didn’t. Now we are building it. Are we
                                             ease so we could identify who has this                   or three treatments that your doctors,                 going sustain it?
                                             disease so we could quarantine them                      your hospital can prescribe to shorten                    No. 2, what about our stockpiles? We
                                             and the people they have exposed in-                     the time that you recover and to re-                   filled them up, and then they were de-
                                             stead of quarantining all of us and                      duce the chance that you might die.                    pleted—the stockpile here, the stock-
                                             keeping us from going back to school,                      Dr. Collins said that by the time we                 pile in the States. Hospitals needed
                                             out to eat, and going to work.                           get to the fall, he expects there will be              money. They sold off their stocks, and
                                               It would contain the disease, and it                   more of these treatments approved by                   so they were depleted. We have now
                                             would build confidence. If you are                       the FDA. There are different kinds of                  built them up, but are we going to sus-
                                             working in a plant with 500 people and                   treatments, and he didn’t go into all                  tain that for the next pandemic or just
                                             you know that 6 people have had to be                    the specifics, but one kind he men-                    say: OK, we beat COVID; let’s go and
                                             tested because they had been tested                      tioned was the so-called antibody cock-                worry about something else.
                                             and were found to have been positive,                    tail. This was developed during the                       What about data? We are not getting
                                             you are going to worry about that. Yet,                  time of Ebola, and it was approved by                  all the data we want in the way we
                                             if you know that you could get a free                    the FDA. It helped us get rid of the                   should be getting it from the Centers
                                             test today and any time you wanted                       Ebola disease before it came to the                    for Disease Control. Are we just going
                                             and could get the result in an hour, I                   United States and caused a lot of trou-                to forget that, or are we going to do
                                             believe you would have more con-                         ble here.                                              something about that now?
                                             fidence in going to work or in going to                    This antibody cocktail—‘‘monoclonal                     Hospital   preparedness.    Hospitals
                                             school or in going out to eat or even in                 antibody’’ is the longer name of it—is                 weren’t really ready. They did a mag-
                                             playing on a football team whether you                   not approved yet. It is not proved to be               nificent job of getting ready, but we
                                             are in college or in high school.                        safe or effective yet, but because it was              lagged on hospital preparedness. We
                                               So we are pulling for Dr. Collins’                     once before, there is a cautious opti-                 have built that up again. Are we going
                                             shark tank and his effort to produce                     mism that it will be approved for                      to sustain it, or are we going to let it
                                             these new ways of testing. They have                     COVID–19—a version of it—and that                      drop off once more?
                                             had an unprecedented outpouring of ap-                   those will be ready by the fall.                          Our State and local public health. Al-
                                             plications. He said most of them come                      If it does work out that this treat-                 most all of our public health efforts in
                                                                                                      ment is safe and effective and approved                this country are State and local. We
                                             from smaller companies. They are
                                                                                                      by the Food and Drug Administration,                   are not a small European country
                                             down to 26, I believe is the number, and
                                                                                                      there are several companies that have                  where everything is centralized. We are
                                             they are putting them through this rig-
                                                                                                      these antibody cocktails, and they                     a great big, complicated, diverse coun-
                                             orous test. His goal is a million new
                                                                                                      should be able to manufacture large                    try where parts of Indiana are very dif-
                                             tests a day.
                                                                                                      numbers of them.                                       ferent from parts of Tennessee and
                                               That is important for principals to
                                                                                                        I guess my point is, we talk a lot                   Alaska and New York or wherever we
                                             know and teachers to know and those
                                                                                                      about vaccines. We spend every day                     are from, and as Governor Leavitt, who
                                             who are hoping to play a little football
                                                                                                      hearing about the deaths, the hos-                     testified before us, said, for 30 or 40
                                             and watch a little basketball this fall—
                                                                                                      pitalizations, and what is going on, and               years, we have gradually disinvested in
                                             that there might be plenty of quick, re-
                                                                                                      this spike or that spike, but as we                    our public health system. We are not
                                             liable tests to help contain the disease
                                                                                                      think about 75 million students going                  building that up, but are we going to
                                             in your community and to be confident
                                                                                                      back to school and college, going back                 sustain it?
                                             that you are in a safe place.                                                                                      So that is my hope, that when it
                                                                                                      to work, whether we will see some foot-
                                               And then what is the second thing we                                                                          comes to building up this manufac-
                                                                                                      ball or maybe basketball later, the two
                                             could expect?                                                                                                   turing capacity here in the United
                                                                                                      aspects that are needed to determine
                                               We heard about treatments. As Sen-
                                                                                                      that are tests and whether the shark                   States, increasing our stockpiles to the
                                             ator KENNEDY says in his inimitable
                                                                                                      tank will produce enough of them and                   levels they should be, beginning to col-
                                             way, people aren’t scared of the virus                                                                          lect the data in the way it needs to be,
                                                                                                      treatments, and both seem to have a
                                             because they are afraid they might get                                                                          preparing our hospitals to receive pa-
                                                                                                      good possibility of being there for us in
                                             sick; they are afraid they might die.                                                                           tients, building up our State and local
                                                                                                      the fall.
                                             And they might, particularly if they                       We had a hearing last week that fo-                  public health—are we going to sustain
                                             are in a vulnerable population or older                  cused on this question: How do we sus-                 that while we have our eye on the ball,
                                             age.                                                     tain what we have built in this pan-                   or are we going to do what we have
                                               There is no medicine for this virus,                   demic? In fact, one Senator lectured                   done for the last 20 years and slide off
                                             or at least there wasn’t until recently.                 me a little bit and said: Why are we                   into a short memory?
                                             Now there is one, Remdesivir, which                      worrying about the next pandemic? We                      Senator Bill Frist, who was majority
                                             the United States has bought a huge                      are in the middle of this one.                         leader of this body, said that he made
                                             amount of, which has been shown to re-                     And my answer was, because for the                   20 speeches in 2005 and 2006 about what
                                             duce by 32 percent—according to Dr.                      last 20 years, we forgot about the last                we needed to do to be prepared for the
                                             Fauci, who testified at our hearing yes-                 pandemic as soon as it was over, and                   next pandemic, which he said is surely
                                             terday—reduce by 32 percent the                          then we got to the next pandemic, and                  coming. They did some things, but
                                             amount of time it takes you to recover                   we weren’t as ready as we should be.                   most of the things that he said needed
                                             from COVID–19. According to the ex-                        We have had four Presidents and sev-                 to be done weren’t done. We could do
                                             perts who testified, there are other                     eral Congresses that passed nine laws                  them today if we would just have the
                                             plasma medicines and steroids that                       to try to get us ready, and then here                  resolve to do them.
                                             have shown to be helpful. That exists                    comes this sneaky, dangerous virus,                       Governor Leavitt said that before a
                                             today.                                                   and we find some gaps in our prepara-                  pandemic, those who do what he and
                                               So if you are a parent or a grand-                     tion. It is not President Trump’s gap.                 Senator Frist did, which was to say we
                                             parent or a teacher or administrator                     It is not President Obama’s gap. It is                 need to do all these things, are called
                                             worried about children going back to                     our gap because we didn’t do some of                   alarmists, and then after a pandemic or
                                             school, you are probably not very wor-                   the things we should do.                               in the middle of it, they are called in-
                                             ried about the children catching                           One of the things I believe each of us               adequate to the task.
                                             COVID–19 because, generally speaking,                    should do in this Senate is be willing                    Then there is the last point I would
                                             they haven’t seemed to get sick from                     this year, this summer, to take the les-               like to make, and it is about politics.




dlhill on DSK120RN23PROD with SENATE
                                             COVID–19—all around the world. It has                    sons we have learned and sustain what                  The COVID–19 virus—this sneaky, dan-
                                             been older people who do. But the chil-                  we built, not just to complete our work                gerous enemy—is a science matter, not
                                             dren might come home and bring it to                     on this pandemic but to be ready for                   a political matter, but it has become
                                             the parent or the grandparent. As I                      the next one.                                          too much of a political matter.
                                             said, this is a sneaky, dangerous virus.                   For example, do we have enough                          Take the issue of masks. We have
                                             You can give it to somebody without                      manufacturing capacity for the vac-                    gotten into a situation where whether



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                                             July 2, 2020                                      CONGRESSIONAL RECORD — SENATE                                                                     S4203
                                             you wear a mask depends on your atti-                                    OPENING STATEMENT                        While states and communities continue to
                                             tude toward President Trump. For                         COVID–19: UPDATE ON PROGRESS TOWARD SAFE-              take action to help keep people safe, nothing
                                             many Americans, it seems that if you                       LY GETTING BACK TO WORK AND BACK TO                  was more disruptive to American life—and
                                                                                                        SCHOOL—JUNE 30, 2020                                 nothing would head it back toward nor-
                                             are pro-Trump, you don’t wear a mask,
                                                                                                        All of our witnesses today are partici-              malcy—than for those 135,000 public and pri-
                                             and if you don’t like Trump, you do                                                                             vate schools and 6,000 colleges to reopen safe-
                                             wear a mask.                                             pating in person, and some senators are par-
                                                                                                      ticipating by videoconference.                         ly this Fall.
                                               I suggested that the President might                     I’d like to say something about masks:                 Earlier this month this committee heard
                                             occasionally wear a mask just to signal                    The Office of the Attending Physician has            from college presidents and school leaders
                                             to his followers that it is a good idea;                 advised that senators and witnesses may re-            about their plans for safely reopening this
                                                                                                      move their masks to talk into the micro-               fall. This hearing is an opportunity for an
                                             recommended by every single health                                                                              update and to hear from the nation’s top
                                                                                                      phone since our chairs are all six feet apart.
                                             expert to wear a mask—certainly for                        So that’s why my mask is off—because I’m             health experts on how headmasters, prin-
                                             the protection of everybody else.                        six feet away from everyone else. But like             cipals, superintendents, chancellors and col-
                                               Another way to say it is that our                      many other senators on this committee,                 lege presidents can open their schools safely
                                             athletic director at the University of                   when I’m walking the hallways or on the                just a few weeks from now.
                                                                                                      Senate floor, I’m wearing a mask.                        This committee last heard from today’s
                                             Tennessee, Phillip Fulmer, said: If you
                                                                                                        People wear masks because the Centers for            four witnesses on May 12, when three of the
                                             really, really want to watch some foot-                                                                         four were quarantined and most of the sen-
                                                                                                      Disease Control and Prevention advises the
                                             ball, wear a mask. What he means by                      use of ‘‘simple cloth face coverings to slow           ators participated virtually. That was one of
                                             that is that it would help contain the                   the spread of the virus and help people who            the first virtual senate hearings in history
                                             disease in our area so the football play-                may have the virus and do not know it from             and surely the best watched virtual hearing.
                                             ers can play safely.                                     transmitting it to others.’’                           Every network carried the two and half
                                                                                                        Unfortunately this simple lifesaving prac-           hours of statements and questions and an-
                                               Well, yesterday the President made
                                                                                                      tice has become part of a political debate             swers from senators.
                                             it clear. He said masks are good, and he                 that says: If you’re for Trump, you don’t                The question before the country today is
                                             is happy to wear them when he needs                      wear a mask. If you’re against Trump, you              not about whether to go back to school or
                                             to. Of course, the fact is, he doesn’t                   do. That is why I have suggested the presi-            college or child care or work, but how to do
                                             need to most of the time. He is tested                   dent should occasionally wear a mask even              it safely. Even though COVID–19 has not, in
                                             every day. People around him are test-                   though there are not many occasions when it            general, hurt young children and college-age
                                             ed. And—as I am not wearing one right                    is necessary for him to do so. The president           students nearly as much as older or more
                                             now—he is speaking most of the time.                     has millions of admirers.                              vulnerable Americans, there is some health
                                                                                                        They would follow his lead. It would help            risk. But in my view the greater risk is not
                                             But there are times when I wear my                                                                              going back to school.
                                                                                                      end this political debate. The stakes are too
                                             mask. When I leave the floor, I wear                     high for it to continue.                                 Guidance for reopening schools from the
                                             the mask. When I go back down the                          Around here, senators and staff wear                 American Academy of Pediatrics tells school
                                             hall, I wear the mask. When I am in a                    masks—because we don’t want to make each               administrators: ‘‘the AAP strongly advo-
                                             smaller room, less than 6 feet away                      other sick. I was exposed to COVID–19 by a             cates that all policy considerations for the
                                             from somebody, I wear a mask, and I                      pre-symptomatic staff member on my way to              coming school year should start with a goal
                                             expect others to do that as well.                        Dulles Airport and, as a result, self-quar-            of having students physically present in
                                                                                                      antined for two weeks. The senate physician            school.’’
                                               Every expert who testified in the six                  told me one reason that I did not become in-             The American Academy of Pediatrics adds:
                                             hearings I attended this month said                      fected was because the staff member was                ‘‘The importance of in-person learning is
                                             there are three things to do: Wear a                     wearing a mask and that greatly reduced the            well documented, and there is already evi-
                                             mask, wash your hands, and stay 6 feet                   chances of exposure.                                   dence of the negative impacts on children be-
                                             apart when you can. If all of us do                        It’s also a pretty good way to make a                cause of school closures in the spring of 2020.
                                                                                                      statement. I like to wear my plaid mask. Dr.           Lengthy time away from school and associ-
                                             those things, we are much more likely
                                                                                                      Fauci uses his mask to demonstrate his loy-            ated interruption of supportive services
                                             to be able to go back to school, back to                 alty to the Washington Nationals. Senator              often results in social isolation, making it
                                             college, back to work, out to eat, and                   Kaine is either a cowboy or a bandit.                  difficult for schools to identify and address
                                             maybe even watch a little football.                        If you want college football to return this          important learning deficits as well as child
                                               Vanderbilt University did a survey in                  fall, like I do, listen to the words of Coach          and adolescent physical or sexual abuse, sub-
                                             the middle of May, and what they                         Fulmer at the University of Tennessee who              stance use, depression, and suicidal ideation.
                                             found was surprising. Most of the atti-                  told fans how they can help make that hap-             This, in turn, places children and adolescents
                                                                                                      pen: ‘‘If you really really want sports, foot-         at considerable risk of morbidity and, in
                                             tudes of people in Tennessee weren’t                     ball, and all those things, then wear a mask           some cases, mortality. Beyond the edu-
                                             about male versus female or east                         and keep social distancing,’’ he said last             cational impact and social impact of school
                                             versus west or any other difference; it                  week.                                                  closures, there has been substantial impact
                                             was about Republican or Democrat. Re-                      The United States is in the middle of a              on food security and physical activity for
                                             publicans didn’t want to wear a mask                     very concerning rise in COVID–19 cases and             children and families.’’
                                             very much; the Democrats mostly did.                     hospitalizations in many states, and the ex-             Dr. Lloyd Fisher, the incoming president
                                             Republicans were eager to go out to                      perts in front of us today have told us that           of the Massachusetts chapter of the Amer-
                                                                                                      washing our hands, staying apart and wear-             ican Academy of Pediatrics told reporters
                                             eat; Democrats were a little slower.                     ing a mask are three of the most important             last week: ‘‘While for most children COVID–
                                             Republicans weren’t as worried about                     ways to slow the spread of the virus.                  19 has not had the devastating and life-
                                             catching the disease; Democrats were                       I am grateful to the Rules Committee, Ser-           threatening physical health effects that have
                                             pretty worried. The debate got too po-                   geant at Arms, the press gallery, the Archi-           occurred in adults, the negative impact on
                                             liticized.                                               tect of the Capitol, the Capitol Police, and           their education, mental health and social de-
                                               I thank President Trump for what he                    our committee staff, Chung Shek and Evan               velopment has been substantial,’’ he said.
                                                                                                      Griffis, for all of their hard work to help            ‘‘Nothing can take the place of the daily
                                             said yesterday. He has 70 or 80 million                  keep all of us safe.                                   face-to-face interaction our children experi-
                                             people as his social media followers. If                   Among the casualties of COVID–19 are the             ence when attending school in person.’’
                                             they get the idea that wearing a ‘‘Make                  75 million students who were sent home from              Many American colleges—overall consid-
                                             America Great Again’’ mask is good for                   schools and colleges in March.                         ered the best in the world—will be perma-
                                             the country, I bet millions will wear it.                  Add to the casualties the teachers who               nently damaged or even closed if they re-
                                             If they do, the country will be safer,                   weren’t prepared to teach remotely and the             main, in Brown University president Chris-
                                                                                                      working parents who suddenly had school                tina Paxsons words, ‘‘ghost towns.’’
                                             the economy will be better, and we will
                                                                                                      children at home and who weren’t prepared                Mitch Daniels, the president of Purdue,
                                             be able to go back to school and do the                  to home school. Add the lost sports seasons            wrote in a Washington Post op-ed that for
                                             other things we want to do.                              and once in a lifetime graduation cere-                Purdue, ‘‘failure to take on the job of re-
                                               Mr. President, I ask unanimous con-                    monies. Then there were unprecedented di-              opening would be not only anti-scientific but




dlhill on DSK120RN23PROD with SENATE
                                             sent to have printed in the RECORD my                    lemmas for administrators and inadequate               also an unacceptable breach of duty.’’
                                             opening statement from our hearing                       school budgets. Being sent home from school              So today, in addition to hearing more
                                             yesterday.                                               does not rank with the sickness and death              about the concerning rise in cases and hos-
                                                                                                      the virus has caused. The United States has            pitalizations in some states in the U.S., I
                                               There being no objection, the mate-                    over 2.5 million cases of the virus and over           would like to ask our witnesses in their
                                             rial was ordered to be printed in the                    126,000 deaths according to Johns Hopkins              statements and answers to questions to put
                                             RECORD, as follows:                                      University.                                            themselves in the place of a superintendent




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                                             S4204                                             CONGRESSIONAL RECORD — SENATE                                                               July 2, 2020
                                             of one of America’s approximately 14,000                   For example, Tennessee Governor Bill Lee             trace, and isolate those exposed or sick. And
                                             school districts, or the principal or head-              has told me that he is reserving as much as            hopefully by the fall there will be treatments
                                             master of one of the 135,000 schools, or the             $1 billion of what Tennessee received so he            to make the consequences of the disease less
                                             president or chancellor of one of the 6,000              can determine what flexibility he has in               severe.
                                             colleges, and help them answer the question              spending the money. Washington state has                 I look forward to hearing from our distin-
                                             of how to reopen schools safely.                         not spent as much as $1.2 billion. According           guished witnesses how school leaders and
                                                So Dr. Fauci, I hope that in your opening             the Missouri State Treasurer, Governor Par-            college presidents can safely reopen 135,000
                                             statement or in answers to questions you                 sons has not spent about $1 billion.                   schools and 6,000 colleges, and also learning
                                             will suggest the steps a superintendent                    According to the report by state health of-          the latest developments on testing and treat-
                                             might take to open school safely, and how                ficials and Johns Hopkins, an average salary           ments that we can expect during the year
                                             not only to keep children safe but to keep               for a contact tracer would be a little more            2020 before vaccines arrive.
                                             safe the adults—teachers, parents and grand-             than $35,000. That adds up to about $3.5 bil-            Mr. ALEXANDER. Mr. President, I
                                             parents—with whom they come in contact.                  lion for 100,000 contact tracers. So Congress          thank Senator BLUNT and Senator
                                                Dr. Hahn—Will there be treatments or                  has already sent to states enough money to             MURRAY for their cooperation this
                                             medicines this fall that will help speed re-             hire all the contact tracers that are needed.          month in this series of six hearings
                                             covery from COVID–19 or reduce the possi-                  Second, who pays for testing. In the                 that we have had on COVID–19.
                                             bility of death? I believe the fear of going             CARES Act, Congress voted to make all                    I think it is very important for the
                                             back to school—or going anywhere these                   COVID–19 tests available to patients at no             American people to know that while
                                             days—is in large part because of the fear of             cost. That meant insurers would cover diag-
                                                                                                                                                             there is a vaccine down the road, the
                                             severe illness. If that risk can be lessened by          nostic tests, which detect whether a person
                                             new treatments, it should increase con-                  is currently infected with the virus, and also         tests are coming, the fast tests, and
                                             fidence in going back to school.                         antibody tests, which indicate whether a per-          the treatments are coming. They
                                                I’d also like to commend Dr. Hahn and the             son has had COVID–19 in the past and now               should be here by the fall. That is what
                                             work FDA did to get tests on the market as               may have immunity to future infection.                 the experts say. It is not what I say;
                                             quickly as possible to help understand the               Guidance from the Labor Department, the                that is what the experts who testified
                                             spread of the virus. Since then, FDA has                 Treasury Department, and the Centers for               before us say.
                                             worked out which tests have not worked as                Medicare and Medicaid Services last week                 The experts all said the following: If
                                             well as they should, and taken steps to re-              said insurers are only required to pay for             you want to contain the disease, if you
                                             move them from the market. That’s what is                tests without patient cost sharing if a doctor         want to go back to school and back to
                                             supposed to happen during a pandemic.                    orders it. I agree with that.
                                                Admiral Giroir—at our last hearing you
                                                                                                                                                             college and back to work and out to
                                                                                                        But given that the CDC specifically rec-
                                             said you expected there to be 40–50 million              ommends doctors order tests in 2 situa-                eat and maybe even see a little foot-
                                             diagnostic tests available each month by                 tions—when a person has signs or symptoms              ball, stay 6 feet apart, wash your
                                             September. Is that still true? And exactly               of COVID–19, or recently had contact with              hands, and wear a mask.
                                             how does a school district go about making               someone known or suspected to have COVID–                I yield the floor.
                                             sure it has those tests? And who pays for                19—who pays for testing at other times?                  I suggest the absence of a quorum.
                                             them? What are the prospects from the                      I believe Congress will need to take further           The PRESIDING OFFICER (Mr.
                                             ‘‘shark tank’’ at NIH that there will be new             action. For example, if a school wants to test         BRAUN). The clerk will call the roll.
                                             fast, reliable and inexpensive tests available           its students randomly, perhaps that school               The senior assistant legislative clerk
                                             for more widespread testing?                             should coordinate with their state to become           proceeded to call the roll.
                                                Dr. Redfield—you are continuing to work               a part of the state testing plan, making all             Mr. PORTMAN. Mr. President, I ask
                                             on additional guidelines about going back to             tests free to students and teachers. Congress          unanimous consent that the order for
                                             school and college safely. Are CDC employ-               may need to provide more money to states to            the quorum call be rescinded.
                                             ees available to help states work with school            cover that.                                              The PRESIDING OFFICER. Without
                                             districts or college administrators to develop             If an automaker wants to test all its em-
                                             their plans? And what advice do you have                 ployees at a plant every two weeks, perhaps            objection, it is so ordered.
                                             about the arrival of the flu season this fall at         the automaker should pay for that testing or                               S. 4049
                                             the same time as COVID–19?                               become part of a state testing program using             Mr. PORTMAN. Mr. President, I am
                                                This is a lot to discuss but there will be            funds already provided by the federal govern-          on the floor today to talk about the an-
                                             time during the next two and half hours to               ment.                                                  nual National Defense Authorization
                                             answer most of those questions.                            Third, flu shots. CDC has said more people           Act to support our servicemembers and
                                                Let me highlight three areas that have                need to get flu shots this fall so health care         their families. This is one of the few
                                             come up in our four earlier hearings this                workers can better distinguish between                 things that the Senate actually passes
                                             month that I think need clarification.                   COVID–19 and the flu. CDC says a priority is
                                                First, contact tracing. There is no doubt             for all children over the age of 6 months be
                                                                                                                                                             and does so on a bipartisan basis, and I
                                             contact tracing is crucially important to                vaccinated for the flu so they don’t become            am hopeful we will do that again. It is
                                             identify anyone who might have been ex-                  sick and pass it to more vulnerable popu-              because Republicans and Democrats
                                             posed so that person doesn’t, in turn, expose            lations who could have more severe con-                alike recognize it is imperative to give
                                             someone else. According to an NPR report on              sequences.                                             the men and women serving in our
                                             June 18, states already have hired at least                On January 24, Sen. Murray and I hosted              Armed Forces the resources and sup-
                                             37,000 contract tracers. State health officials          our first bipartisan briefing on coronavirus           port they need to carry out their crit-
                                             and Johns Hopkins Center for Health Secu-                at a time there were only 4 cases in the U.S.          ical missions for all of us.
                                             rity issued a report estimating a need for at            Since then this committee has held 4 more                This year, I am pleased to recognize
                                             least 100,000 contact tracers.                           briefings. This is our 8th hearing on
                                                Several reports have suggested that the                                                                      the importance of ensuring that our
                                                                                                      coronavirus and U.S. preparedness.
                                             federal government should appropriate funds                Last week’s hearing was about steps to               troops get compensated properly for
                                             to pay for these contact tracers. The reality            take this year, while our eye is on the ball,          the hard work and sacrifices they
                                             is: Congress already has.                                to better prepare for the next pandemic. I             make. It has an across-the-board 3-per-
                                                On April 24, Congress appropriated $11 bil-           have issued a white paper outlining five rec-          cent pay increase in it. They deserve it.
                                             lion, which has been sent to states and tribes           ommendations for Congress to prepare Amer-             On July 4, as we celebrate 244 years of
                                             for the expenses of testing. The legislation             icans for the next pandemic, and that paper            freedom, I think it is appropriate that
                                             explicitly said that money could be used for             has received more than 350 substantive com-            we demonstrate our support for the
                                             contact tracing. This is in addition to the              ments that are available to every member of
                                             nearly $755 million from the first emergency
                                                                                                                                                             brave men and women in uniform
                                                                                                      the committee.
                                             appropriations legislation signed into law                 At the end of this hearing, I’m going to ask         whose sacrifices have ensured the lib-
                                             March 6 that went out to states for                      each witness what are the 2–3 actions that             erty we are celebrating.
                                             coronavirus response and can be used by                  Congress could take this year to prepare for             I am also pleased that there is a lot
                                             states for contact tracing.                              the next pandemic, some of which undoubt-              in here that is really important to the
                                                This is also in addition to the March 27 leg-         edly could help with this pandemic.                    people I represent in Ohio. At Wright-
                                             islation in which Congress provided at least               But this hearing is about what happens               Patterson Air Force Base in Ohio,
                                             $1.5 billion in the CARES Act for states, ter-           now as administrators prepare to reopen                which is our State’s largest single-site




dlhill on DSK120RN23PROD with SENATE
                                             ritories, and tribes to use for COVID pre-               schools and colleges.                                  employer, the bill authorizes $23.5 mil-
                                             paredness and response, some of which can                  Experts underestimated this virus and
                                             be used for contact tracing. The CARES Act               there is still much we don’t know about it.
                                                                                                                                                             lion for important work on a new hy-
                                             also included $150 billion to states, but a sig-         But we do know the basic steps to take to re-          drant fuel system for the Defense Lo-
                                             nificant amount of that $150 billion has not             open schools and colleges in 2020 before there         gistics Agency. It will make a big dif-
                                             been spent because it is restricted to ex-               is a vaccine and those are: social distance,           ference to our airmen and Air Force ci-
                                             penses related to COVID–19.                              wear a mask, wash your hands, test, contact            vilians and to the troops around the



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