Congressional Record, Senate, October 25, 2021, Page S7338
Summary
A page of the Congressional Record, Senate, dated October 25, 2021, at page S7338. It opens with the end of a tribute to the town of Suffield on its anniversary, saying that for three and a half centuries it has been a foundational part of the Connecticut River Valley. It records a House message that the House passed H.R. 3110, to expand access to breastfeeding accommodations in the workplace. Additional cosponsor entries include S. 79, to eliminate the disparity in sentencing for cocaine offenses, and S. 488, on congressional review of Iran sanctions, and S. 3057, by Ms. Klobuchar and others, is introduced. A Presidential message on the continuation of a national emergency is also listed.
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“Congressional Record, Senate, October 25, 2021, Page S7338.”
Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/crec-crec-2021-10-25-crec-2021-10-25-pt1-pgs7338-5-3b8748c93d/
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S7338 CONGRESSIONAL RECORD — SENATE October 25, 2021
community, a top-rate school system, nounced that the House has passed the ADDITIONAL COSPONSORS
and active civic groups are showing the following bill, in which it requests the S. 79
way to the future. concurrence of the Senate:
At the request of Mr. BOOKER, the
For three and a half centuries, H.R. 3110. An act to amend the Fair names of the Senator from South Caro-
Suffield has been a foundational part of Labor Standards Act of 1938 to expand lina (Mr. GRAHAM) and the Senator
the rich history of the Connecticut access to breastfeeding accommoda- from Georgia (Mr. OSSOFF) were added
River Valley. The town has come a tions in the workplace, and for other as cosponsors of S. 79, a bill to elimi-
long way since its inception and con- purposes. nate the disparity in sentencing for co-
tinues to evolve with the times, while
caine offenses, and for other purposes.
maintaining its idyllic, small-town f
S. 488
charm. Congratulations again to the
entire town of Suffield on this impres- INTRODUCTION OF BILLS AND At the request of Mr. HAGERTY, the
sive anniversary: I am grateful to rep- JOINT RESOLUTIONS name of the Senator from South Caro-
resent a town with such a storied past lina (Mr. SCOTT) was added as a cospon-
The following bills and joint resolu- sor of S. 488, a bill to provide for con-
and an equally bright future.∑ tions were introduced, read the first gressional review of actions to termi-
f and second times by unanimous con- nate or waive sanctions imposed with
PRESIDENTIAL MESSAGE sent, and referred as indicated: respect to Iran.
By Ms. KLOBUCHAR (for herself, Ms.
S. 535
--- HIRONO, Mrs. FEINSTEIN, Mrs. SHA-
HEEN, Ms. SMITH, and Mr. At the request of Ms. ERNST, the
REPORT ON THE CONTINUATION names of the Senator from Montana
BLUMENTHAL):
OF THE NATIONAL EMERGENCY S. 3057. A bill to amend title 18, United (Mr. TESTER) and the Senator from
THAT WAS ORIGINALLY DE- States Code, to enhance criminal penalties Tennessee (Mr. HAGERTY) were added as
CLARED IN EXECUTIVE ORDER for health related stalking, and for other cosponsors of S. 535, a bill to authorize
13413 OF OCTOBER 27, 2006, WITH purposes; to the Committee on the Judici- the location of a memorial on the Na-
RESPECT TO THE SITUATION IN ary.
By Mr. MURPHY:
tional Mall to commemorate and honor
OR IN RELATION TO THE DEMO- the members of the Armed Forces that
CRATIC REPUBLIC OF THE S. 3058. A bill making appropriations for
the Department of Homeland Security for served on active duty in support of the
CONGO—PM 14 Global War on Terrorism, and for other
the fiscal year ending September 30, 2022, and
The PRESIDING OFFICER laid be- for other purposes; to the Committee on Ap- purposes.
fore the Senate the following message propriations. S. 644
from the President of the United By Mr. CORNYN (for himself, Mr.
COONS, Mr. KENNEDY, Mr. WHITE- At the request of Mr. DURBIN, the
States, together with an accompanying name of the Senator from Oklahoma
HOUSE, Mr. DURBIN, Mr. CRUZ, Mr.
report; which was referred to the Com- (Mr. INHOFE) was added as a cosponsor
GRASSLEY, and Mr. OSSOFF):
mittee on Banking, Housing, and S. 3059. A bill to amend the Ethics in Gov- of S. 644, a bill to amend title XVIII of
Urban Affairs: ernment Act of 1978 to provide for a periodic the Social Security Act to restore
To the Congress of the United States: transaction reporting requirement for Fed- State authority to waive for certain fa-
eral judicial officers and the online publica- cilities the 35-mile rule for designating
Section 202(d) of the National Emer-
tion of financial disclosure reports of Fed-
gencies Act (50 U.S.C. 1622(d)) provides critical access hospitals under the
eral judicial officers, and for other purposes;
for the automatic termination of a na- to the Committee on Homeland Security and Medicare program, and for other pur-
tional emergency unless, within 90 Governmental Affairs. poses.
days prior to the anniversary date of By Mr. SCHATZ (for himself, Mr. S. 697
its declaration, the President publishes BLUMENTHAL, Mr. PADILLA, Mr. At the request of Ms. ROSEN, the
in the Federal Register and transmits to CARDIN, Mr. SANDERS, Mr. WYDEN,
names of the Senator from Massachu-
the Congress a notice stating that the Mr. BOOKER, Mr. WHITEHOUSE, Ms.
KLOBUCHAR, Mr. DURBIN, Ms. setts (Mr. MARKEY), the Senator from
emergency is to continue in effect be- Ohio (Mr. BROWN) and the Senator from
DUCKWORTH, Mr. VAN HOLLEN, Ms.
yond the anniversary date. In accord- SMITH, and Mr. MURPHY): Tennessee (Mrs. BLACKBURN) were
ance with this provision, I have sent to S. 3060. A bill to amend title 18, United added as cosponsors of S. 697, a bill to
the Federal Register for publication the States Code, to establish an Office of Prison require the Secretary of the Treasury
enclosed notice stating that the na- Education, and for other purposes; to the to mint commemorative coins in rec-
tional emergency with respect to the Committee on the Judiciary. ognition of the Bicentennial of Harriet
situation in or in relation to the Demo- By Ms. COLLINS (for herself and Ms.
Tubman’s birth.
cratic Republic of the Congo declared SMITH):
S. 3061. A bill to amend title XVIII of the S. 749
in Executive Order 13413 of October 27,
Social Security Act to eliminate the 190-day At the request of Ms. HASSAN, the
2006, is to continue in effect beyond Oc- lifetime limit on inpatient psychiatric hos- names of the Senator from California
tober 27, 2021. pital services under the Medicare Program; (Mrs. FEINSTEIN) and the Senator from
The situation in or in relation to the to the Committee on Finance. Kansas (Mr. MARSHALL) were added as
Democratic Republic of the Congo, By Mrs. MURRAY:
S. 3062. A bill making appropriations for
cosponsors of S. 749, a bill to amend the
which has been marked by widespread
the Departments of Labor, Health and Internal Revenue Code of 1986 to en-
violence and atrocities that continue
Human Services, and Education, and related hance tax benefits for research activi-
to threaten regional stability, con-
agencies for the fiscal year ending Sep- ties.
tinues to pose an unusual and extraor-
tember 30, 2022, and for other purposes; to S. 766
dinary threat to the foreign policy of the Committee on Appropriations.
the United States. Therefore, I have de- At the request of Ms. CORTEZ MASTO,
termined that it is necessary to con- f the name of the Senator from Virginia
tinue the national emergency declared (Mr. KAINE) was added as a cosponsor of
in Executive Order 13413 with respect SUBMISSION OF CONCURRENT AND S. 766, a bill to amend the Internal
to the situation in or in relation to the SENATE RESOLUTIONS Revenue Code of 1986 to allow an above-
Democratic Republic of the Congo. the-line deduction for attorney fees
The following concurrent resolutions and costs in connection with consumer
JOSEPH R. BIDEN, Jr.
THE WHITE HOUSE, October 25, 2021. and Senate resolutions were read, and claim awards.
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referred (or acted upon), as indicated: S. 854
f
By Mr. VAN HOLLEN (for himself and
At the request of Ms. ERNST, her
MESSAGE FROM THE HOUSE Mr. RUBIO):
S. Con. Res. 16. A concurrent resolution name was added as a cosponsor of S.
At 3:02 p.m., a message from the commemorating the 30th anniversary of Op- 854, a bill to designate methamphet-
House of Representatives, delivered by eration Provide Comfort; to the Committee amine as an emerging threat, and for
Mrs. Cole, one of its reading clerks, an- on Foreign Relations. other purposes.
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October 25, 2021 CONGRESSIONAL RECORD — SENATE S7339
S. 912 contributions of all those whose efforts needed for the manufacturing of essen-
At the request of Ms. HIRONO, the led to the successful development of tial generic medicines, and to build a
names of the Senator from Pennsyl- life saving vaccines to combat the pipeline for domestic active pharma-
vania (Mr. CASEY) and the Senator novel coronavirus. ceutical ingredient production.
from North Carolina (Mr. TILLIS) were S. 2086 S. 2881
added as cosponsors of S. 912, a bill to At the request of Mr. DURBIN, the At the request of Mr. CASEY, the
amend title XVIII of the Social Secu- names of the Senator from Michigan name of the Senator from New Hamp-
rity Act to provide information regard- (Ms. STABENOW), the Senator from shire (Ms. HASSAN) was added as a co-
ing vaccines for seniors as part of the Delaware (Mr. COONS) and the Senator sponsor of S. 2881, a bill to assist States
Medicare & You handbook and to en- from California (Mr. PADILLA) were in improving guardianship oversight
sure that the treatment of cost sharing added as cosponsors of S. 2086, a bill to and data collection.
for vaccines under Medicare part D is improve the identification and support S. 2918
consistent with the treatment of vac- of children and families who experience At the request of Mr. MARKEY, the
cines under Medicare part B, and for trauma. name of the Senator from New Jersey
other purposes. S. 2151 (Mr. BOOKER) was added as a cosponsor
S. 1106 of S. 2918, a bill to keep children safe
At the request of Mr. PETERS, the
At the request of Mr. BOOKER, the names of the Senator from North Caro- and protect their interests on the
names of the Senator from California lina (Mr. TILLIS) and the Senator from internet, and for other purposes.
(Mrs. FEINSTEIN), the Senator from Minnesota (Ms. KLOBUCHAR) were added S. 2937
New Jersey (Mr. MENENDEZ) and the as cosponsors of S. 2151, a bill to amend At the request of Mr. CARDIN, the
Senator from Minnesota (Ms. SMITH) the Omnibus Crime Control and Safe name of the Senator from Michigan
were added as cosponsors of S. 1106, a Streets Act of 1968 to provide that (Ms. STABENOW) was added as a cospon-
bill to prohibit the sale of shark fins, COPS grant funds may be used for local sor of S. 2937, a bill to authorize hu-
and for other purposes. law enforcement recruits to attend manitarian assistance and civil society
S. 1125 schools or academies if the recruits support, promote democracy and
At the request of Ms. STABENOW, the agree to serve in precincts of law en- human rights, and impose targeted
name of the Senator from Kansas (Mr. forcement agencies in their commu- sanctions with respect to human rights
MORAN) was added as a cosponsor of S. nities. abuses in Burma, and for other pur-
1125, a bill to recommend that the Cen- S. 2283 poses.
ter for Medicare and Medicaid Innova- At the request of Mr. TESTER, the S. 3011
tion test the effect of a dementia care name of the Senator from Delaware At the request of Mr. CORNYN, the
management model, and for other pur- (Mr. COONS) was added as a cosponsor name of the Senator from New Hamp-
poses. of S. 2283, a bill to improve the Vet- shire (Ms. HASSAN) was added as a co-
S. 1378 erans Crisis Line of the Department of sponsor of S. 3011, a bill to amend title
At the request of Ms. COLLINS, the Veterans Affairs, and for other pur- VI of the Social Security Act to allow
name of the Senator from New Jersey poses. States and local governments to use
(Mr. BOOKER) was added as a cosponsor S. 2395 coronavirus relief funds provided under
of S. 1378, a bill to amend the Animal At the request of Mr. CORNYN, the the American Rescue Plan Act for in-
Welfare Act to allow for the retirement name of the Senator from South Caro- frastructure projects, improve the
of certain animals used in Federal re- lina (Mr. SCOTT) was added as a cospon- Local Assistance and Tribal Consist-
search, and for other purposes. sor of S. 2395, a bill to require an an- ency Fund, provide Tribal governments
S. 1568 nual feasibility report on cooperation with more time to use Coronavirus Re-
At the request of Mr. BROWN, the between the National Guard and Tai- lief Fund payments, and for other pur-
names of the Senator from Illinois (Mr. wan, and for other purposes. poses.
DURBIN) and the Senator from North S. 2427 S. 3056
Carolina (Mr. TILLIS) were added as co- At the request of Mr. WICKER, the At the request of Mr. SCOTT of South
sponsors of S. 1568, a bill to amend title name of the Senator from Idaho (Mr. Carolina, the name of the Senator from
XVIII of the Social Security Act to CRAPO) was added as a cosponsor of S. Louisiana (Mr. CASSIDY) was added as a
provide a waiver of the cap on annual 2427, a bill to require the Federal Com- cosponsor of S. 3056, a bill to prohibit
payments for nursing and allied health munications Commission to conduct a the implementation of new require-
education payments. study and submit to Congress a report ments to report bank account deposits
S. 1613 examining the feasibility of funding and withdrawals.
At the request of Ms. DUCKWORTH, the Universal Service Fund through S.J. RES. 10
the name of the Senator from Con- contributions supplied by edge pro- At the request of Mr. KAINE, the
necticut (Mr. BLUMENTHAL) was added viders, and for other purposes. name of the Senator from Rhode Island
as a cosponsor of S. 1613, a bill to re- S. 2456 (Mr. WHITEHOUSE) was added as a co-
quire the Administrator of the Small At the request of Mr. PETERS, the sponsor of S.J. Res. 10, a joint resolu-
Business Administration to establish a names of the Senator from Michigan tion to repeal the authorizations for
grant program for certain fitness fa- (Ms. STABENOW) and the Senator from use of military force against Iraq, and
cilities, and for other purposes. Hawaii (Mr. SCHATZ) were added as co- for other purposes.
S. 1813 sponsors of S. 2456, a bill to direct the S. RES. 377
At the request of Mr. COONS, the Federal Communications Commission At the request of Ms. ROSEN, the
name of the Senator from Hawaii (Ms. to take certain actions to increase di- name of the Senator from Delaware
HIRONO) was added as a cosponsor of S. versity of ownership in the broad- (Mr. COONS) was added as a cosponsor
1813, a bill to direct the Secretary of casting industry, and for other pur- of S. Res. 377, a resolution urging the
Health and Human Services to support poses. European Union to designate Hizballah
research on, and expanded access to, S. 2740 in its entirety as a terrorist organiza-
investigational drugs for amyotrophic At the request of Mr. BROWN, the tion.
lateral sclerosis, and for other pur- names of the Senator from Virginia S. RES. 390
poses. (Mr. KAINE) and the Senator from West At the request of Mr. GRAHAM, the
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S. 2011 Virginia (Mrs. CAPITO) were added as name of the Senator from South Caro-
At the request of Mr. COONS, the cosponsors of S. 2740, a bill to establish lina (Mr. SCOTT) was added as a cospon-
name of the Senator from Colorado a strategic active pharmaceutical in- sor of S. Res. 390, a resolution express-
(Mr. HICKENLOOPER) was added as a co- gredient reserve to maintain a domes- ing appreciation for the State of
sponsor of S. 2011, a bill to award a tic supply of active pharmaceutical in- Qatar’s efforts to assist the United
Congressional Gold Medal to honor the gredients and key starting materials States during Operation Allies Refuge.
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S7340 CONGRESSIONAL RECORD — SENATE October 25, 2021
STATEMENTS ON INTRODUCED During their life, people with serious Medicare beneficiaries can receive nec-
BILLS AND JOINT RESOLUTIONS mental illnesses may need repeated essary inpatient psychiatric care.’’
By Ms. COLLINS (for herself and psychiatric inpatient hospital stays to The pandemic may have had a disas-
Ms. SMITH): manage their condition and regain trous effect on the mental health of the
S. 3061. A bill to amend title XVIII of quality of life in their community of Nation, but it has also led to more visi-
the Social Security Act to eliminate choice. The 190-day lifetime limit can bility and the understanding that indi-
the 190-day lifetime limit on inpatient hurt people by arbitrarily ending cov- viduals with serious mental illness,
psychiatric hospital services under the erage and can disrupt care from a pro- their families, and the communities in
Medicare Program; to the Committee vider who is most familiar with the pa- which they live do not have access to
on Finance. tient. Moreover, when individuals with the care and resources they need. I
Ms. COLLINS. Mr. President, I rise mental illness cannot receive care in hope we can use what we have learned
today with my colleague, Senator TINA the right setting, they often end up in throughout the pandemic as an oppor-
SMITH, to introduce the Medicare Men- hospital emergency rooms, in jails, or tunity to reduce stigma and make
tal Health Inpatient Equity Act, legis- on the streets—leading to worse long- overdue reforms like removing the 190–
lation that eliminates Medicare’s arbi- term outcomes for the individual, more day lifetime cap on inpatient services
trary 190-day lifetime cap on inpatient pain and suffering for family members, in psychiatric hospitals.
services in psychiatric hospitals. Given and a greater cost to the taxpayer. Our legislation, the Medicare Mental
the steps that Congress has already Outside a psychiatric inpatient hos- Health Inpatient Equity Act, is sup-
taken to establish parity and improve pital, it is difficult for many ported by a wide range of organiza-
coverage of mental health services, healthcare facilities to meet the treat- tions, including the American Hospital
this change is long overdue, particu- ment needs of those suffering with se- Association and the Mental Health Li-
larly as the COVID–19 pandemic has vere mental illness. Many general hos- aison Group, a coalition of 57 national
worsened the already alarming trends pitals lack psychiatric care capacity, organizations representing consumers,
in the mental health of some Ameri- and there are countless examples of family members, and mental health
cans. psychiatric boarding in emergency de- and addiction providers. This includes
Notably, an estimated 13.1 million partments. Skilled nursing facilities support from the National Association
adults aged 18 or older in the United may also not be best suited to provide of Behavioral Healthcare, the Amer-
States are living with serious mental the complex and specialized psy- ican Psychiatric Association, the
illness, representing 5.2 percent of all chiatric care these beneficiaries need. American Psychological Association,
adults nationwide. These illnesses, Finally, too many patients find them- the National Alliance on Mental Ill-
such as schizophrenia and bipolar dis- selves receiving care in prisons, or not ness, and Mental Health America.
order, are chronic conditions that re- at all, if they are on the streets or are I urge my colleagues to support this
quire ongoing treatment and care over on long waitlists for care. As one local important critical legislation to bring
a lifetime. When left untreated, they sheriff in Aroostook County recently greater mental health parity to the
can be some of the most debilitating told me, ‘‘Law enforcement is not Medicare Program and give those suf-
and destructive illnesses afflicting equipped to handle individuals with fering with serious mental illness ac-
Americans. mental health challenges and yet we cess to the care they so desperately
Unfortunately, our current mental are faced with that reality every day.’’ need.
health system is fragmented, and these Similarly, a behavioral health provider Mr. President, I ask unanimous con-
individuals all too often lack access to
in Presque Isle, ME, said, ‘‘Imposing a sent that the material be printed in the
the care that they need. That is why I
limit may appear to reduce cost; how- RECORD.
have worked to improve mental health
ever, the true cost-and toll-on commu- There being no objection, the mate-
services across the lifespan and break
nity resources is far greater than any rial was ordered to be printed in the
down barriers to treatment. The legis-
savings incurred by Medicare.’’ RECORD, as follows:
lation I am introducing today elimi-
On top of all of these existing chal- AMERICAN HOSPITAL ASSOCIATION,
nates another barrier in Medicare, the
lenges, it is clear the COVID–19 pan- Washington, DC, October 20, 2021.
190-day lifetime cap on inpatient serv-
demic has increased stress and isola- Hon. SUSAN M. COLLINS,
ices in psychiatric hospitals. Senate,
Most Medicare beneficiaries treated tion, disrupted care services, and dra-
matically changed everyday life and Washington, DC.
in inpatient psychiatric facilities qual- Hon. TINA SMITH,
ify because of a disability. As such, even living environments for many
Senate,
this current restriction disproportion- Americans. With research pointing to Washington, DC.
ately impacts non-elderly Medicare greater psychological distress during DEAR SENATOR COLLINS AND SENATOR
beneficiaries—mainly those living with the pandemic for people with mental SMITH: On behalf of our nearly 5,000 member
schizophrenia and bipolar disorder who illnesses, already a particularly vulner- hospitals, health systems and other health
may be diagnosed at a younger age and able population, I fear we will be trying care organizations, our clinician partners—
to make up for lost strides in behav- including more than 270,000 affiliated physi-
stay on Medicare longer as a result. cians, 2 million nurses and other caregivers—
Sadly, it is young adults aged 18 to 25 ioral health care for years to come.
and the 43,000 health care leaders who belong
years who currently have the highest Now more than ever, we must work on to our professional membership groups, the
prevalence of serious mental illness of commonsense reforms that provide par- American Hospital Association (AHA) is
any age group. ity between behavioral and physical pleased to support your legislation, the
Furthermore, no other Medicare in- health care, as well as strive to in- Medicare Mental Health Inpatient Equity
patient service has these types of arbi- crease access to support and improve Act.
trary caps, which is why elimination of care coordination. On the front lines of the COVID–19 pan-
Medicare’s lifetime cap was a rec- As the American Hospital Associa- demic, America’s hospitals and health sys-
tion, which endorses this bill, said, ‘‘As tems witness firsthand its far-reaching ef-
ommendation of the 2016 White House fects on behavioral health. The stress from
Mental Health and Substance Use Dis- we work to further integrate physical
unemployment or underemployment, isola-
order Parity Task Force. While I recog- and behavioral health to better address tion due to quarantine or COVID–19 restric-
nize that this cap was originally in- the nation’s behavioral health needs, tions, and grief over loved ones lost to the
tended to limit the Federal Govern- one major obstacle to parity remains pandemic are possible to manifest in in-
ment’s role in paying for long-term in the Medicare program—the 190-day creases in already high rates of deaths from
custodial support of the mentally ill, lifetime limit on coverage for certain suicides and substance use disorder. Beyond
keeping a cap on inpatient days at psy- inpatient psychiatric treatment. With COVID–19, we know that as a country to
dlhill on DSK120RN23PROD with SENATE
chiatric hospitals—particularly for pa- the nation’s population aging and an prioritize resources that support the behav-
ioral health needs of the country. These in-
tients who have been living with seri- increasing number of seniors and peo-
vestments will not only help to stymie the
ous mental illness from a young age— ple with disabilities seeking inpatient wave of unmet demand for behavioral health
undermines patient treatment options care to address their behavioral health services that has been exacerbated by the
and can lead to disruptive transitions needs, now is the time to repeal this COVID–19 pandemic, but also improve Amer-
of care. discriminatory policy and ensure that ica’s overall health.
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