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Congressional Record — Senate, S6661 (November 12, 2020)

Summary

Page S6661 of the Senate section of the Congressional Record for November 12, 2020, in interleaved columns, ending a roll call with 22 Senators not voting. A speaker describing the appropriations bill says funding for the National Institutes of Health increased 45 percent during his six years as chairman, that the bill adds almost $200 million for mental health and that the focus includes priorities such as Pell grants, which is that speaker's view. Another speaker says Ohio's Governor reported nearly 6,000 new cases in 24 hours compared with 1,000 per day earlier, and a final passage thanks people of his State for their service.

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“Congressional Record — Senate, S6661 (November 12, 2020).” Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/crec-crec-2020-11-12-crec-2020-11-12-pt1-pgs6661-5810a4feaa/, SHA-256 ea537aaf12bf3c3d9ea532217037d9036c6d8e31b4bae44681130271251305c0.

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                                               November 12, 2020                                 CONGRESSIONAL RECORD — SENATE                                                                 S6661
                                               King              Peters             Udall              cine, premature birth research, the                    ority like Pell grants. To do that, we
                                               Klobuchar         Reed               Van Hollen
                                               Markey            Schumer            Warren
                                                                                                       BRAIN Initiative. In my time as chair-                 had to look carefully at programs that
                                               Merkley           Smith              Wyden              man, we have actually increased NIH                    just, frankly, were not working.
                                                                                                       funding by 45 percent in budgets that                    Fifth, we continue our focus on clos-
                                                               NOT VOTING—22
                                                                                                       often had virtually no increase at all.                ing the care gap between mental health
                                               Alexander         Menendez           Sinema
                                               Blumenthal        Moran
                                                                                                       We truly had to work together to                       and physical health. Approximately
                                                                                    Stabenow
                                               Braun             Murray             Sullivan           prioritize. We have done that.                         one in five adults in America has a
                                               Cantwell          Paul               Tester               My time as chairman is about 6                       diagnosable and almost always treat-
                                               Durbin            Risch              Whitehouse         years, if you are wondering how long it                able mental health problem. This bill
                                               Harris            Sanders            Young
                                               Heinrich          Schatz                                took us to get that 45-percent increase.               provides an increase of almost $200 mil-
                                               Loeffler          Shaheen                               Six years ago, we hadn’t had any in-                   lion in the mental health area.
                                                                                                       crease for 12 years. NIH was about 22                    I would mention again the excellence
                                                 The PRESIDING OFFICER. On this
                                                                                                       percent behind in buying power where                   of the mental health pilot. We have in-
                                               vote, the yeas are 57, the nays are 21.
                                                                                                       they had been a decade earlier. We                     creased that pilot to eight States from
                                                 The motion is agreed to.
                                                                                                       made up that 22 percent. And actually,                 two. We are seeing what happens in a
                                                 The PRESIDING OFFICER. The Sen-
                                                                                                       now, we are putting real money on the                  positive way in people’s other health
                                               ator from Missouri.
                                                                                                       table in an environment that has never                 issues when you deal with their mental
                                                                APPROPRIATIONS
                                                                                                       been better and never been more prom-                  health issues like it was any health
                                                  Mr. BLUNT. Madam President, I am                     ising in the NIH research area.                        issue, and it is making a difference.
                                               pleased to be here today to talk about                    We continue our focus of combating                   This year, it was reinforced again by
                                               the 2021 appropriations bill that we                    opioids. Between 1999 and 2018, nearly                 understanding the need to address dis-
                                               filed this week for Labor, for Health                   450,000 people in the United States died               parities in foster care, a greater diver-
                                               and Human Services, and for Edu-                        from opioid overdose. These drug over-                 sity in healthcare, education, and the
                                               cation.                                                 dose deaths in 2018 were four times                    workforce.
                                                  Obviously, with what we have gone                    higher than in 1999. The bill provides                   Many populations across the coun-
                                               through this year, those three agencies                 money to deal with this. With the ef-                  try, whether defined by race, ethnicity,
                                               have all experienced dramatic chal-                     fort we made in this area over the last                geography, experience higher rates of
                                               lenges—labor challenges, health chal-                   several years, we saw a consistent de-                 certain diseases and often lack the ac-
                                               lenges, education challenges. And                       crease in opioid overdoses until 2020.                 cess to health services. This bill tries
                                               while this bill would not specifically be                 Of course, the increase in 2020, in                  to look at that in a way that analyzes
                                               a COVID relief bill, it is a bill that                  many ways, related to the pandemic                     where those gaps are, and it has pro-
                                               funds these agencies so they can move                   and the isolation. The support struc-                  grams that encourage filling those
                                               forward with their normal work rather                   ture that appeared to be working to                    gaps. Furthermore, the bill continues
                                               than have to, in some piecemeal way,                    move you from dependency was no                        our efforts to ensure that these dispari-
                                               try to deal with their normal work                      longer there, and suddenly you are                     ties are addressed through a number of
                                               while they are trying to work with us                   back where you were.                                   programs, including workforce develop-
                                               on the extraordinary circumstances of                     The bill provides a $20 million in-                  ment programs, diverse medical com-
                                               the COVID bill.                                         crease for apprenticeship programs.                    munity efforts, research initiatives
                                                  This is the largest bill—Labor,                      This week, I joined the Missouri Cham-                 that focus on underserved commu-
                                               Health, and Education is the largest                    ber of Commerce in highlighting the                    nities, programs that target health dis-
                                               nondefense bill on the discretionary                    importance of apprenticeships. Last                    parities, and education-workforce pro-
                                               side of the agenda. It is about 30 per-                 year, Missouri was the second in the                   grams that create opportunity.
                                               cent of all the money left when the De-                 Nation in the number of new appren-                      This bill prioritizes programs that
                                               fense appropriations is taken off the                   ticeships. First in the Nation is Cali-                provide the most benefit and greatest
                                               table.                                                  fornia. We are not a small State, but                  return for all Americans. The bill con-
                                                  There are 11 bills left at that point,               we are not nearly as big as California,                tinues key program integrity activities
                                               but this bill has about 30 percent of all               so I think the leadership in our State—                that are aimed at reducing the waste,
                                               the money. It has a lot of competing                    the business community, the employ-                    fraud, and abuse of taxpayer dollars.
                                               priorities, from apprenticeships to bio-                ers, the Governor, and others—has                      These initiatives have proven to be a
                                               medical research, to public health and                  made a real difference there. We fund                  worthwhile investment in their return-
                                               preparedness programs, to childcare                     both registered apprenticeship pro-                    ing billions of dollars to the Treasury
                                               and special education. National service                 grams, and it allows for industry-rec-                 and allowing us to look in other places
                                               and community service are all in this                   ognized programs as well.                              as to how we could fund that money in
                                               bill.                                                     Fourth, the bill invests in education,               programs that work better and work
                                                  We received 8,352 requests from Sen-                 from early childhood through college                   more transparently.
                                               ators of things they would like to see                  and career. It increases funding for                     This bill eliminates eight programs
                                               in the bill. They are not all in there,                 high-quality early childcare and edu-                  equaling nearly $115 million in spend-
                                               but we did all we could to take the                     cation by more than $150 million. It in-               ing reductions by focusing on programs
                                               money we had and move forward with                      creases funding for elementary and sec-                that are the most efficient and cost-ef-
                                               priorities that make sense.                             ondary education programs that pro-                    fective and with proven outcomes. We
                                                  I am disappointed at this point that                 vide the most flexibility to school dis-               all know that budgets are tight, but
                                               our Democratic colleagues on the Ap-                    tricts to decide how to best use those                 making careful choices about health
                                               propriations Committee were unable to                   limited resources. This also includes                  spending can be one of the most valu-
                                               support the bill right now, but we have                 increased investments in title I; in                   able investments we make in Congress.
                                               worked together in the past. I hope we                  IDEA, the Individuals with Disabilities                  You don’t have to look any further
                                               can continue to work together to find a                 Education Act; the title IV student                    than the recent announcements about
                                               way forward. And, frankly, my view is                   support and academic enrichment                        the record progress we have made in
                                               if appropriations bills appear to have a                grants; charter schools; and Impact                    finding a vaccine for COVID–19.
                                               path to the President’s desk, that is                   Aid. It increases the maximum Pell                     Through the CARES Act and other leg-
                                               the thing that brings us together most                  grant award by another $150, or a 2.4-                 islation, Congress provided $18 billion
                                               quickly.                                                percent increase, at a time when the                   for research into therapeutics and vac-




SSpencer on DSK126QN23PROD with SENATE
                                                  This bill continues in our sixth year                mandatory money is gone. To find that                  cines, and $12.5 billion went to vac-
                                               of commitment to robustly and con-                      2.4-percent increase, we have to find it               cines. It did it in a way that is going to
                                               sistently funding medical research at                   in other programs, and some programs                   allow us to set a record in having a safe
                                               the National Institutes of Health. We                   are just not able to fund it. If they are              vaccine available that meets the high-
                                               provided a $2 billion increase on that                  not working, we shouldn’t fund them,                   est standards. The vaccine that appears
                                               research. We target funding toward                      and we have seen several years of                      to be the first in line for approval is 90
                                               Alzheimer’s, toward precision medi-                     growth in areas in which we have a pri-                percent effective.



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                                               S6662                                             CONGRESSIONAL RECORD — SENATE                                                    November 12, 2020
                                                 Now, I am not an expert in vaccines,                  They have made those sacrifices, and                     These brave men and women rep-
                                               so my first thought would be, well, I                   they have made those choices knowing                   resent the hope of a nation and our
                                               want a vaccine that is 100 percent ef-                  that it wouldn’t be easy and knowing                   promise to the rest of the world that,
                                               fective. As it turns out, no vaccine is                 that they may not come home, but,                      no matter what, the United States
                                               100 percent effective. The measles vac-                 when they do come home, that some-                     stands ready and willing to answer the
                                               cine that schoolkids took for years and                 times it is tough. It is tough to get                  call.
                                               that most still take is 90 percent effec-               back in that groove of where you were,                   I yield the floor.
                                               tive. It was 9 months ago that                          to rekindle those relationships.                         I suggest the absence of a quorum.
                                               healthcare experts said, if we could                      Our younger veterans, in particular,                   The PRESIDING OFFICER (Mr.
                                               have a vaccine that was 50 percent ef-                  were painfully aware of this when they                 SASSE). The clerk will call the roll.
                                               fective, we should approve that vaccine                 put on the uniform. But do you know                      The senior assistant legislative clerk
                                               and every other one that was at least                   what? They still made that choice to                   proceeded to call the roll.
                                               50 percent effective.                                   serve.                                                   Mr. PORTMAN. Mr. President, I ask
                                                 We are looking at vaccines that are                     Here in the Senate, we have backed                   unanimous consent that the order for
                                               going to help us move beyond this as                    legislation that really has made things                the quorum call be rescinded.
                                               we look at tests that help us move be-                  easier for so many of our veterans.                      The PRESIDING OFFICER. Without
                                               yond this, but the fundamental founda-                    When I was in the House, I was hon-                  objection, it is so ordered.
                                               tion of all of that is in the healthcare                ored to help shepherd passage of the                                     CORONAVIRUS
                                               framework that we maintain. You                         VA MISSION Act, and I was grateful to                    Mr. PORTMAN. Mr. President, I have
                                               can’t look at a pandemic and say that                   see that receive bipartisan support                    come to the floor again today to talk
                                               now it is time to think about how we                    here in the Senate. It has, indeed,                    about the need for us, as a Congress, to
                                               do important health research. You                       streamlined many of the processes in                   come      together   to    address   this
                                               can’t look at a pandemic and say that                   the VA healthcare system.                              coronavirus pandemic. We have an un-
                                                                                                         Last month, I introduced a bill to                   precedented healthcare and economic
                                               now it is time to think about having
                                                                                                       provide doula services to improve ma-                  crisis right now, and it is important for
                                               care providers in underserved areas.
                                                                                                       ternal health outcomes for our female                  us to figure out what we can do, what
                                               You can’t look at a pandemic and say
                                                                                                       veterans, a population that every sin-                 we can agree on, and then move for-
                                               that now it is time to begin to think
                                                                                                       gle month continues to increase.                       ward.
                                               about how you connect childcare and                       Back in August, I introduced a bill
                                               work and school altogether. This bill                                                                            Since this pandemic began back in
                                                                                                       that will allow our K2 veterans to ob-
                                               does as much of that as we could figure                                                                        March, I am told I have come to the
                                                                                                       tain the special health screenings they
                                               out how to do in the best way we could                                                                         floor now 17 separate times to urge my
                                                                                                       need to check for cancer and other ill-
                                               figure out how to do it.                                                                                       colleagues to work together on a bipar-
                                                                                                       nesses caused by exposure to toxic sub-
                                                 I hope Congress can pass it. It would                                                                        tisan basis to try to put together legis-
                                                                                                       stances in Uzbekistan.
                                               be a great gift to the next Congress and                  In fact, this has been a great year for              lation that will enable us to respond ef-
                                               administration after January 20 to be                   veteran support. We have passed—or                     fectively and in a focused way to the
                                               able to start next year with next year’s                are very close to passing—legislation                  COVID–19 crisis.
                                               work rather than having to start next                                                                            We had some early successes. Re-
                                                                                                       that will improve and simplify doctor-
                                               year with this year’s work. Let’s get                                                                          member the CARES Act that was
                                                                                                       patient relationships, recordkeeping,
                                               this year’s work done. Let’s get it done                                                                       passed back in March. That was 8
                                                                                                       and mental health services, and will
                                               now. Let’s send the bill to the Presi-                                                                         months ago—8 months ago. Really, for
                                                                                                       make those and other important bene-
                                               dent that the House and Senate have                                                                            the last 6 months, we haven’t passed
                                                                                                       fits more accessible to our veterans
                                               agreed on, and let’s get back to looking                                                                       anything to address this crisis. Yet the
                                                                                                       and their families.
                                               at these bills in the right way at the                    If you are not already supporting                    crisis has ebbed and flowed, and, right
                                               right time.                                             these efforts, I encourage my col-                     now, unfortunately, it is at an all-time
                                                 I yield the floor.                                    leagues to support this legislation.                   high in my State of Ohio.
                                                 The PRESIDING OFFICER. The Sen-                         As the week draws to a close, I would                  I have been frustrated that we can’t
                                               ator from Tennessee.                                    encourage everyone to seek out vet-                    have that same sense of urgency and
                                                                 VETERANS DAY
                                                                                                       erans’ stories and to internalize the                  willingness to work together as we had
                                                 Mrs. BLACKBURN. Madam Presi-                          knowledge that the sacrifices they                     during those first couple of months of
                                               dent, when most Americans think of                      made were for us. There is so much we                  the coronavirus pandemic. It seemed to
                                               the sacrifices that our veterans made                   can learn from those who have served.                  have disappeared as we entered elec-
                                               in the name of defending freedom, they                  There is so much that they have done                   tion season; didn’t it? So, as we got
                                               think of those brave men and women                      to help preserve our way of life and our               closer and closer to the election, there
                                               running toward the danger. We are                       freedoms. It is so much that they have                 was more and more divide and inability
                                               grateful that, in their hearts, they                    done for the values and the institu-                   to come together. Now we need to get
                                               have that desire, but as anyone who                     tions—things that really do transcend                  back to that sense of bipartisanship—I
                                               knows or has worked with veterans                       politics.                                              would even say nonpartisanship in so
                                               knows, they also make sacrifices that                     I reached out to many of our vet-                    much of this—and cooperation for the
                                               really never bubble to the surface or                   erans this week and had great con-                     good of our country.
                                               come to our attention. Not only do                      versations and heard from veterans on-                   It is getting worse, as I said, in my
                                               they sacrifice their own safety, they                   line.                                                  State of Ohio and around the country,
                                               give up their personal independence,                      I heard from William, a Tennessean                   and I believe we can make a difference,
                                               the comforts of home, their relation-                   who proudly served in the Air Force.                   and that is important. There are things
                                               ships with friends and family, their                    He said his service was ‘‘the best deci-               we can do at the Federal level that
                                               spouses, and their children.                            sion of his entire life.’’                             would help.
                                                 Think about what an extraordinary                       I also heard from Greg, who served as                  Right now, we are averaging in this
                                               decision they have made—that the                        a C–130 crew chief in theatre during                   country over 100,000 new cases per day.
                                               safety and security of their fellow                     Desert Storm. He put off his college                   That is double the rate from just 1
                                               countrymen is worth more than losing                    education when he was asked to serve.                  month ago—double the rate from 1
                                               those precious days. They have made                       And I would be remiss if I did not rec-              month ago. It was predicted as it got
                                                                                                                                                              colder and people were inside more.




SSpencer on DSK126QN23PROD with SENATE
                                               that choice. They put that service and                  ognize the veterans who are currently
                                               that sacrifice in front of their desires,               serving in our office: Dana Magneson,                  The third wave has arrived.
                                               in front of the desires of their family.                John Clement, Jay Strobino, Dr. Karen                    In Ohio, the number of daily new
                                               They are, indeed, called to serve.                      Summar, and Paris Cervantes.                           cases has risen every day for the past
                                                 These are the people whom we should                     I thank each and every one of them                   month. Just last night, Ohio Governor
                                               be looking to for comfort and inspira-                  for their service and for the continued                Mike DeWine reported nearly 6,000 new
                                               tion during difficult times. They really                work that they do on behalf of all Ten-                cases in the last 24-hour period, com-
                                               do have experience in that category.                    nesseans.                                              pared to 1,000 cases per day that the



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