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Congressional Record — House, December 8, 2021, Page H7522

Summary

Congressional Record, House, December 8, 2021 (page H7522). The page prints bill text for the Lorna Breen Health Care Provider Protection Act, which directs the Secretary of Health and Human Services to identify and disseminate best practices for preventing suicide and improving mental health among health care professionals and to set up an education and awareness initiative. Section 3 authorizes $10,000,000 for each of fiscal years 2022 through 2024. Members then speak in support of the Cardiovascular Advances in Research and Opportunities Legacy Act (CAROL Act) on valvular heart disease research, named for Carol, the late wife of Andy Barr, and a motion to suspend the rules and pass a bill as amended is recorded as agreed to by two-thirds.

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“Congressional Record — House, December 8, 2021, Page H7522.” Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/crec-crec-2021-12-08-crec-2021-12-08-pt1-pgh7522-d16c179f57/, SHA-256 34333ddff76094f403c75effb19d0e7d8e95fd299db02d52503810ce8bd5082b.

Full text

                                            H7522                                             CONGRESSIONAL RECORD — HOUSE                                                        December 8, 2021
                                            my good friend, my dear friend, Con-                    try—to highlight important research                                        H.R. 1667
                                            gressman ANDY BARR and his legisla-                     that needs to be done so that others                     Be it enacted by the Senate and House of Rep-
                                            tion named, of course, in memory of                     will not have to go through something                  resentatives of the United States of America in
                                            his late wife, Carol.                                   similar because ANDY has led in such a                 Congress assembled,
                                              ANDY knows Monica and I loved                         strong way. We are grateful to know                    SECTION 1. SHORT TITLE.
                                            being with Carol and ANDY whenever                      ANDY, and we want him to know that                      This Act may be cited as the ‘‘Dr. Lorna
                                            we could. Whenever we could get to-                     he is not alone.                                       Breen Health Care Provider Protection Act’’.
                                                                                                                                                           SEC. 2. DISSEMINATION OF BEST PRACTICES.
                                            gether it was great, especially when we                   I will always remember the times
                                            traveled together.                                                                                                Not later than 2 years after the date of the en-
                                                                                                    that I was with Carol. She was one of
                                                                                                                                                           actment of this Act, the Secretary of Health and
                                              Let me talk about the bill for a sec-                 those people who seemed to do it all                   Human Services (referred to in this Act as the
                                            ond. The Cardiovascular Advances in                     and do it all so well. And my memory                   ‘‘Secretary’’) shall identify and disseminate evi-
                                            Research and Opportunities Legacy                       of her is one of just lighting up the                  dence-based or evidence-informed best practices
                                            Act, or CAROL Act, will help to ad-                     room. She shined so brightly. And                      for preventing suicide and improving mental
                                            vance research on valvular heart dis-                   ANDY continues to shine. And their                     health and resiliency among health care profes-
                                            ease.                                                   girls are shining today.                               sionals, and for training health care profes-
                                              Specifically, this bill authorizes                      We join today in strong support of                   sionals in appropriate strategies to promote
                                            grants that allow us to identify and de-                this legislation. It is going to help us               their mental health. Such best practices shall in-
                                                                                                                                                           clude recommendations related to preventing
                                            velop a cohort of individuals with val-                 get answers so that others will not be                 suicide and improving mental health and resil-
                                            vular disease.                                          impacted the same way. And let’s get                   iency among health care professionals.
                                              We will then be able to gather data                   this done, as Carol said.                              SEC. 3. EDUCATION AND AWARENESS INITIATIVE
                                            and help doctors determine which indi-
                                                                                                                      b 1630                                          ENCOURAGING USE OF MENTAL
                                            viduals are at high risk of sudden car-                                                                                   HEALTH AND SUBSTANCE USE DIS-
                                            diac death.                                               Mr. GUTHRIE. Madam Speaker,                                     ORDER SERVICES BY HEALTH CARE
                                                                                                    again, this is a great legacy for a great                         PROFESSIONALS.
                                              And finally, the bill will convene sub-
                                                                                                    woman and her children. Every time I                     (a) IN GENERAL.—The Secretary, in consulta-
                                            ject matter experts to strategize on                                                                           tion with relevant stakeholders, including med-
                                            what research is needed to develop                      see them, we all tear up but we know                   ical professional associations, shall establish a
                                            guidelines for treatment of patients                    that they are carrying on her legacy. I                national evidence-based or evidence-informed
                                            with mitral valve prolapse.                             know that her husband is here today                    education and awareness initiative—
                                              As a doctor, I know this legislation                  moving forward with her legacy.                           (1) to encourage health care professionals to
                                            will undoubtedly help to save many                        Madam Speaker, I urge my col-                        seek support and care for their mental health or
                                            lives.                                                  leagues to support the passage of the                  substance use concerns, to help such profes-
                                              The bill’s 180 cosponsors, who span                   bill, and I thank the gentleman for                    sionals identify risk factors associated with sui-
                                                                                                    yielding to the gentlewoman from                       cide and mental health conditions, and to help
                                            the political spectrum, are a testament
                                                                                                                                                           such professionals learn how best to respond to
                                            to how important this body believes                     Washington.                                            such risks, with the goal of preventing suicide,
                                            this bill to be.                                          Mr. Speaker, I yield back the balance                mental health conditions, and substance use
                                              Today, we take another step towards                   of my time.                                            disorders; and
                                            getting this bill across the finish line.                 Mr. PALLONE. Madam Speaker, let                         (2) to address stigma associated with seeking
                                            It will be a fitting tribute to a beau-                 me just say again what a tribute that                  mental health and substance use disorder serv-
                                            tiful life when we see it signed into                   ANDY BARR has made to his wife.                        ices.
                                            law.                                                      Madam Speaker, this is such an im-                      (b) REPORTING.—Not later than 2 years after
                                              Madam Speaker, I know Carol is                        portant bill in terms of trying to deal                the date of enactment of this Act, the Secretary
                                                                                                                                                           shall provide to the Committee on Health, Edu-
                                            beaming with pride as she looks down                    with this disease. Again, I urge bipar-                cation, Labor, and Pensions of the Senate and
                                            on ANDY today. And ANDY and Carol’s                     tisan support, and I yield back the bal-               the Committee on Energy and Commerce of the
                                            girls, Eleanor and Mary Clay, are even                  ance of my time.                                       House of Representatives an update on the ac-
                                            more proud of both their mom and                          The SPEAKER pro tempore. The                         tivities and outcomes of the initiative under sub-
                                            their dad than they already are on this                 question is on the motion offered by                   section (a), including a description of quan-
                                            particular day.                                         the gentleman from New Jersey (Mr.                     titative and qualitative metrics used to evaluate
                                              So may God bless ANDY and Carol                       PALLONE) that the House suspend the                    such activities and outcomes.
                                            Barr. Carol reached out and touched                     rules and pass the bill, H.R. 1193, as                    (c) AUTHORIZATION OF APPROPRIATIONS.—To
                                                                                                                                                           carry out this section, there are authorized to be
                                            the face of God, but the positive effects               amended.                                               appropriated $10,000,000 for each of fiscal years
                                            of her life and ANDY’s work will never                    The question was taken; and (two-                    2022 through 2024.
                                            perish. Their legacies are that they                    thirds being in the affirmative) the                   SEC.   4.   PROGRAMS TO PROMOTE MENTAL
                                            bring good things to life. So I am glad                 rules were suspended and the bill, as                               HEALTH AMONG THE HEALTH PRO-
                                            to see all of my colleagues here to sup-                amended, was passed.                                                FESSIONAL WORKFORCE.
                                            port this bill, and I urge its passage.                   The title of the bill was amended so                  Subpart I of part E of title VII of the Public
                                              Mr. PALLONE. Madam Speaker, I                         as to read: ‘‘A bill to amend title IV of              Health Service Act (42 U.S.C.. 294n et seq.) is
                                            yield such time as she may consume to                                                                          amended by adding at the end the following:
                                                                                                    the Public Health Service Act to direct
                                                                                                                                                           ‘‘SEC. 764. PROGRAMS TO PROMOTE MENTAL
                                            the gentlewoman from Washington                         the Director of the National Institutes                              HEALTH AMONG THE HEALTH PRO-
                                            (Mrs. RODGERS).                                         of Health, in consultation with the Di-                              FESSIONAL WORKFORCE.
                                              Mrs. RODGERS of Washington.                           rector of the National Heart, Lung, and                   ‘‘(a) PROGRAMS TO PROMOTE MENTAL HEALTH
                                            Madam Speaker, first, to my colleague                   Blood Institute, to establish a program                AMONG HEALTH CARE PROFESSIONALS.—
                                            and friend, ANDY BARR, what a beau-                     under which the Director of the Na-                       ‘‘(1) IN GENERAL.—The Secretary shall award
                                            tiful tribute to Carol. And I join my                   tional Institutes of Health shall sup-                 grants or contracts to health care entities, in-
                                            colleagues, everyone here today, in                     port or conduct research on valvular                   cluding entities that provide health care serv-
                                            strong support of the CAROL Act. We                                                                            ices, such as hospitals, community health cen-
                                                                                                    heart disease, and for other purposes.’’.
                                                                                                                                                           ters, and rural health clinics, or to medical pro-
                                            love you. We love Carol. Our hearts go                    A motion to reconsider was laid on                   fessional associations, to establish or enhance
                                            out to you.                                             the table.                                             evidence-based or evidence-informed programs
                                              I am sitting here, and I am thinking                                    f                                    dedicated to improving mental health and resil-
                                            what a beautiful tribute. And to Elea-                                                                         iency for health care professionals.
                                            nor and Mary Clay, I just saw their                      DR. LORNA BREEN HEALTH CARE                             ‘‘(2) USE OF FUNDS.—An eligible entity receiv-
                                            Christmas card, and I was thinking                          PROVIDER PROTECTION ACT                            ing a grant or contract under this subsection
                                            they are beautiful, and they are loved,                   Mr. PALLONE. Madam Speaker, I                        shall use funds received through the grant or




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                                            and they shine brightly just like their                 move to suspend the rules and pass the                 contract to implement a new program or en-
                                                                                                                                                           hance an existing program to promote mental
                                            mom did. I know that this has been                      bill (H.R. 1667) to address behavioral
                                                                                                                                                           health among health care professionals, which
                                            such a difficult time, and to see ANDY                  health and well-being among health                     may include—
                                            step forward, bring this legislation—                   care professionals, as amended.                          ‘‘(A) improving awareness among health care
                                            the CAROL Act that is going to help                       The Clerk read the title of the bill.                professionals about risk factors for, and signs
                                            thousands of others across the coun-                      The text of the bill is as follows:                  of, suicide and mental health or substance use




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                                            December 8, 2021                                  CONGRESSIONAL RECORD — HOUSE                                                                H7523
                                            disorders, in accordance with evidence-based or           (c) RECOMMENDATIONS.—The review under                1667, the Dr. Lorna Breen Healthcare
                                            evidence-informed practices;                            subsection (a), as appropriate, shall identify         Provider Protection Act.
                                               ‘‘(B) establishing new, or enhancing existing,       best practices related to, and make recommenda-          This legislation is named in honor of
                                            evidence-based or evidence-informed programs            tions to address—                                      Dr. Lorna Breen, a sister, friend,
                                            for preventing suicide and improving mental               (1) improving mental health and resiliency
                                                                                                                                                           daughter, and emergency department
                                            health and resiliency among health care profes-         among health care professionals;
                                            sionals;                                                  (2) removing barriers to mental health care for      physician, who tragically died by sui-
                                               ‘‘(C) establishing new, or enhancing existing,       health care professionals; and                         cide after the physical and mental toll
                                            peer-support programs among health care pro-              (3) strategies to promote resiliency among           of the pandemic became too unbear-
                                            fessionals; or                                          health care professionals in health care settings.     able. Dr. Breen was fearful of seeking
                                               ‘‘(D) providing mental health care, follow-up        SEC. 6. GAO REPORT.                                    assistance for her debilitating mental
                                            services and care, or referral for such services          Not later than 4 years after the date of enact-      burden, which left her despondent and
                                            and care, as appropriate.                               ment of this Act, the Comptroller General of the       physically unable to move from her of-
                                               ‘‘(3) PRIORITY.—In awarding grants and con-          United States shall submit to the Congress a re-       fice chair.
                                            tracts under this subsection, the Secretary shall       port on the extent to which Federal substance            Earlier this year, her family testified
                                            give priority to eligible entities in health profes-    use disorder and mental health grant programs
                                            sional shortage areas or rural areas.
                                                                                                                                                           before the Committee on Energy and
                                                                                                    address the prevalence and severity of mental          Commerce about how the workload and
                                               ‘‘(b) TRAINING GRANTS.—The Secretary may             health conditions and substance use disorders
                                            establish a program to award grants to health                                                                  stress of her position during the begin-
                                                                                                    among health professionals. Such report shall—
                                            professions schools, academic health centers,             (1) include an analysis of available evidence        ning of the pandemic broke an other-
                                            State or local governments, Indian Tribes or            and data related to such conditions and pro-           wise indomitable spirit of a compas-
                                            Tribal organizations, or other appropriate pub-         grams; and                                             sionate woman with a strong love of
                                            lic or private nonprofit entities (or consortia of        (2) assess whether there are duplicative goals       her job and her coworkers and her pa-
                                            entities, including entities promoting multidisci-      and objectives among such grant programs.              tients.
                                            plinary approaches) to support the training of                                                                   The Dr. Lorna Breen Healthcare Pro-
                                            health care students, residents, or health care           The SPEAKER pro tempore. Pursu-
                                                                                                    ant to the rule, the gentleman from                    vider Protection Act will make signifi-
                                            professionals in evidence-based or evidence-in-
                                            formed strategies to address mental and sub-            New Jersey (Mr. PALLONE) and the gen-                  cant strides in improving access to
                                            stance use disorders and improve mental health          tleman from Kentucky (Mr. GUTHRIE)                     mental and behavioral health services.
                                            and resiliency among health care professionals.         each will control 20 minutes.                          First, the bill authorizes grants for
                                               ‘‘(c) GRANT TERMS.—A grant or contract                 The Chair recognizes the gentleman                   training health profession students,
                                            awarded under subsection (a) or (b) shall be for        from New Jersey.                                       residents, or healthcare professionals
                                            a period of 3 years.                                                                                           in evidence-informed strategies to re-
                                                                                                                      GENERAL LEAVE
                                               ‘‘(d) APPLICATION SUBMISSION.—An entity                                                                     duce and prevent suicide, burnout,
                                            seeking a grant or contract under subsection (a)          Mr. PALLONE. Madam Speaker, I                        mental health conditions, and sub-
                                            or (b) shall submit an application to the Sec-          ask unanimous consent that all Mem-                    stance use disorders.
                                            retary at such time, in such manner, and accom-         bers may have 5 legislative days in                      It will also identify and disseminate
                                            panied by such information as the Secretary             which to revise and extend their re-
                                            may require.
                                                                                                                                                           evidence-informed best practices for re-
                                                                                                    marks and include extraneous material                  ducing and preventing suicide and
                                               ‘‘(e) REPORTING.—An entity awarded a grant
                                            or contract under subsection (a) or (b) shall pe-
                                                                                                    on H.R. 1667.                                          burnout among healthcare profes-
                                            riodically submit to the Secretary a report eval-         The SPEAKER pro tempore. Is there                    sionals. The legislation also establishes
                                            uating the activities supported by the grant or         objection to the request of the gen-                   a national evidence-based education
                                            contract.                                               tleman from New Jersey?                                and awareness campaign targeting
                                               ‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—To              There was no objection.                              healthcare professionals to encourage
                                            carry out this section and section 5 of the Dr.           Mr. PALLONE. Madam Speaker, I                        them to seek support and treatment
                                            Lorna Breen Health Care Provider Protection             yield myself such time as I may con-                   for mental and behavioral health con-
                                            Act, there are authorized to be appropriated            sume.                                                  cerns. And finally, it calls for a com-
                                            $35,000,000 for each of fiscal years 2022 through
                                                                                                      Madam Speaker, the COVID–19 pan-                     prehensive study to be conducted on
                                            2024.’’.
                                                                                                    demic has placed an extraordinary                      healthcare professional mental and be-
                                            SEC. 5. REVIEW WITH RESPECT TO HEALTH CARE
                                                        PROFESSIONAL MENTAL HEALTH                  amount of stress on physicians and                     havioral health and burnout.
                                                        AND RESILIENCY.                             other health professionals. According                    This bill received unanimous support
                                              (a) IN GENERAL.—Not later than 3 years after          to a recent survey by the Physician                    in the Committee on Energy and Com-
                                            the date of enactment of this Act, the Secretary,       Foundation, nationwide, half of physi-                 merce and is part of a series of bipar-
                                            in consultation with relevant stakeholders,             cians report feeling anxious due to                    tisan bills the committee has worked
                                            shall—                                                  COVID–19-related concerns, and nearly                  on to bolster and support our
                                               (1) conduct a review on improving health care                                                               healthcare workforce.
                                            professional mental health and the outcomes of
                                                                                                    60 percent report experiencing burnout.
                                                                                                    That is a significant increase from just                 I thank the sponsors of this bill,
                                            programs authorized under this Act; and
                                               (2) submit a report to the Congress on the re-       two years ago.                                         most     importantly,     Representative
                                            sults of such review.                                     Yet, many are not getting the help                   WILD, who was the lead sponsor, and
                                               (b) CONSIDERATIONS.—The review under sub-            they need. Only 13 percent of providers                my colleagues on the committee for
                                            section (a) shall take into account—                    have sought treatment to address pan-                  their steadfast work in honoring Dr.
                                               (1) the prevalence and severity of mental            demic-related mental health concerns.                  Breen, her family, and the countless
                                            health conditions among health professionals,                                                                  healthcare providers who will now have
                                            and factors that contribute to those mental
                                                                                                    Nearly half of emergency physicians
                                                                                                    report not feeling comfortable seeking                 additional support and resources avail-
                                            health conditions;                                                                                             able to them. It is my hope that this
                                               (2) barriers to seeking and accessing mental         mental health treatment for fear of
                                            health care for health care professionals, which        professional or personal repercussions,                bill will lead to more healthcare pro-
                                            may include consideration of stigma and licens-         even though 87 percent say they have                   viders seeking help when they need it
                                            ing concerns, and actions taken by State licens-        been experiencing increased stress.                    without fear of repercussions or stig-
                                            ing boards, schools for health professionals,             Now, earlier this year, Congress took                ma.
                                            health care professional training associations,                                                                  Madam Speaker, I urge my col-
                                                                                                    action in the American Rescue Plan to
                                            hospital associations, or other organizations, as                                                              leagues to support the bill, and I re-
                                            appropriate, to address such barriers;
                                                                                                    address these concerns. We invested in                 serve the balance of my time.
                                               (3) the impact of the COVID–19 public health         training for healthcare professionals on                 The SPEAKER pro tempore. Without
                                            emergency on the mental health of health care           strategies to reduce burnout and stig-                 objection, the gentleman from Michi-
                                            professionals and lessons learned for future            ma associated with seeking mental                      gan (Mr. UPTON) will control the time
                                            public health emergencies;                              healthcare; and we provided support to                 for the minority.
                                               (4) factors that promote mental health and re-       the employers of frontline providers so                  There was no objection.




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                                            siliency among health care professionals, in-           they can better care for the mental                      Mr. UPTON. Mr. Speaker, I yield 3
                                            cluding programs or strategies to strengthen
                                                                                                    health needs of their workforce.                       minutes to the gentlewoman from
                                            mental health and resiliency among health care
                                            professionals; and                                        These were important investments                     Puerto Rico (Miss GONZÁLEZ-COLÓN).
                                               (5) the efficacy of health professional training     for a workforce stretched to the limit,                  Miss GONZÁLEZ-COLÓN. Madam
                                            programs that promote resiliency and improve            but there is still more to be done. And                Speaker, I thank Mr. UPTON for yield-
                                            mental health.                                          that is why Congress must pass H.R.                    ing.



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                                            H7524                                             CONGRESSIONAL RECORD — HOUSE                                                    December 8, 2021
                                              Madam Speaker, I rise today in sup-                   embodied the spirit of service in our                  on our healthcare workers and the need
                                            port of H.R. 1667, the Dr. Lorna Breen                  time of national crisis. She died by sui-              for the resources that they need to help
                                            Healthcare Provider Act. This bill                      cide in April 2020 at the peak of the                  them cope. The demands that our
                                            strikes close to home for me. I know a                  COVID crisis in New York after con-                    healthcare heroes are facing, they have
                                            gentleman who served in our Armed                       tracting COVID herself, quarantining,                  not changed. They haven’t changed
                                            Forces as an enlisted hospital corps-                   and then returning to work.                            yet. For months, for a year-and-a-half,
                                            man and advocated for this bill.                          Her father said, ‘‘She was truly in the              they have been asked to care for com-
                                              He responded after the 2011 earth-                    trenches of the frontline. She tried to                munities in my district in Southwest
                                            quake in Haiti, working in an intensive                 do her job and it killed her. Make sure                Michigan and across the country 24/7 as
                                            care unit and caring for local residents,               she is praised as a hero. She was a cas-               the pandemic continues. This bill helps
                                            even as an estimated 200,000 lives were                 ualty of this pandemic as much as any-                 us have their backs.
                                            lost. He and many of his fellow corps-                  one else who died.’’                                     Madam Speaker, I talk to major hos-
                                            men were teenagers at the time.                           I am honored in her memory to lead                   pitals in my district every week. And
                                              Upon returning home, he thought, as                   this bill to prevent burnout among the                 the common refrain that we have been
                                            this bill calls it, that he was simply                  health professionals answering the call                hearing throughout the State of Michi-
                                            burned out. Many of those he served                     of duty. I thank my seven co-leads,                    gan is that our hospitals are still
                                            with would abruptly leave the service                   RAJA KRISHNAMOORTHI, DAVID MCKIN-                      strained to the breaking point. Staff
                                            or transition to administrative duties.                 LEY, JUDY CHU, FRED UPTON, HALEY                       shortages are severe. I saw a story a
                                              After suffering from flashbacks dur-                  STEVENS, MORGAN GRIFFITH, and JOHN                     few hours ago but I think the State of
                                            ing emergency and medical situations,                   KATKO, and to note that the strong bi-                 Maine is now taking up their National
                                            though, this gentleman would quietly                    partisan support that this bill enjoys is              Guard. We have asked for national help
                                            leave the service as well, recognizing                  confirmation that Congress can still                   from President Biden as well in Michi-
                                            that he could no longer render the care                 come together to tackle big problems.                  gan. There have been too many exam-
                                            that he had been trained to give. It                      I thank Jennifer and Corey Feist, Dr.                ples of healthcare workers that are suf-
                                            would take nearly a decade for him to                   Breen’s sister and brother-in-law, who                 fering from this enormous pressure as
                                            begin accessing mental health re-                       have championed this bill from the be-                 they fight the worst public health cri-
                                            sources that he needed.                                 ginning to ensure that Lorna’s legacy                  sis in a century.
                                              Madam Speaker, I tell this story,                     is codified here in the halls of Con-                    This legislation is going to help pro-
                                            with his permission, of course, to make                 gress. But most of all, I thank every                  mote mental and behavioral health for
                                            two points.                                             last doctor, nurse, EMT, custodial                     those healthcare professionals, improv-
                                              First, that widespread provider burn-                 staffer, food service worker, and espe-                ing their overall well-being and maybe
                                            out can lead to staffing shortages.                     cially our emergency room doctors who                  even saving their own lives. This bill
                                              Second, that many times we use the                    put themselves into harm’s way to                      helps promote mental and behavioral
                                            phrase ‘‘burnout’’ to hide deeper                       keep the rest of us safe. Our work to                  health among those working on the
                                            wounds. Burnout implies a short-term                    secure for you the support you need is                 front lines of the pandemic. It supports
                                            change, one that seemingly heals with                   far from over.                                         training for health professionals to pre-
                                            a break or a vacation. But as our hos-                    Mr. UPTON. Madam Speaker, I yield                    vent suicide and burnout, and it in-
                                            pitals have overflowed in places with                   myself such time as I might consume.                   creases awareness about suicide and
                                            COVID patients, burnout can be some-                      Madam Speaker, first of all, I thank                 mental health concerns among their
                                            thing more serious.                                     the leadership on our committee. I                     peers.
                                              That is why this bill is important. It                thank Mr. PALLONE, Ms. MCMORRIS                          I am glad that we are considering
                                            establishes a communication campaign                    RODGERS, Mr. GUTHRIE, and obviously,                   this important bill and that we will
                                            to educate and encourage providers to                   Chair ANNA ESHOO, and our staffs for                   vote on it yet tonight. I look forward
                                            seek care. It will decrease costs by es-                moving this legislation forward.                       to having it being signed into law.
                                            tablishing grant programs for providers                   Madam Speaker, this is a very impor-                   Again, I thank the bipartisan co-
                                            who use that care, and it will produce                  tant bill. All of our healthcare work-                 operation on both sides of the aisle.
                                            cutting-edge science on the problem of                  ers, particularly in this COVID pan-                   Hopefully, we can get our Senate col-
                                            burnout among physicians.                               demic, are really heroes. They are,                    leagues—and I know that they are with
                                              Madam Speaker, let me close by say-                   without exception. All of us know                      us on this—to work together to get this
                                            ing that all healthcare providers                       many of these workers because they                     bill to the President as soon as we can.
                                            should know that accessing the re-                      are our neighbors and friends. And each                We can’t wait another day.
                                            sources this act will provide is a good                 of us have heard those cries of woe as                   Madam Speaker, I reserve the bal-
                                            thing. It means they are still human                    they have done their job every day,                    ance of my time.
                                            enough to appreciate the tragedies                      every day, day after day for 24/7.
                                            they experience.                                          I can’t imagine how they do it;                                       b 1645
                                              Mr. PALLONE. Madam Speaker, I                         watching so many folks suffer as they                    Mr. PALLONE. Madam Speaker, I
                                            yield 3 minutes to the gentlewoman                      try to help them from their hospital                   yield 2 minutes to the gentlewoman
                                            from Pennsylvania (Ms. WILD), the lead                  beds. Passing on the sad words that                    from California (Ms. CHU).
                                            sponsor of the bill.                                    they passed away to family members,                      Ms. CHU. Madam Speaker, I rise
                                              Ms. WILD. Madam Speaker, I rise                       maybe not even in person because of                    today in strong support of the Dr.
                                            today in support of my bill, the Dr.                    this terrible pandemic. And thinking of                Lorna Breen Act.
                                            Lorna Breen Healthcare Provider Pro-                    the hundreds of thousands of Ameri-                      The past 2 years have stretched our
                                            tection Act, which will finally provide                 cans that have died because of this                    Nation to the brink. No one has shoul-
                                            resources    and     support    to   our                awful disease, let alone so many more                  dered this burden more than our
                                            healthcare heroes who face burnout                      across the globe.                                      healthcare    workers.   The    doctors,
                                            and mental health crisis as a result of                   Well, one of those healthcare workers                nurses, and all healthcare workers who
                                            their experiences with COVID–19.                        who was well-publicized at the time                    have worked day in and day out
                                              America owes an incredible debt of                    was Lorna Breen, a physician from                      through surge after surge have put
                                            gratitude to these professionals who                    Charlottesville, working on the front                  their lives on hold to care for us and
                                            work to keep us safe and healthy. Doc-                  lines of the pandemic in New York,                     our loved ones as the pandemic spread
                                            tors die by suicide at twice the rate of                moving up there to try and help the                    around the country.
                                            the general population. The trauma of                   need. And, yes, as it was mentioned,                     In many instances, they have done




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                                            their experience during COVID—and                       took her own life.                                     this while understaffed, without suffi-
                                            before—while treating patients is                         This was a national story. It gripped                cient PPE, and knowing that they are
                                            something we must address head on.                      the Nation. I can remember watching                    putting their own lives at risk before a
                                              Dr. Lorna Breen was the emergency                     the news show that week as this tragic                 vaccine was available to them. This
                                            room director at New York Pres-                         story was portrayed. It outlined the se-               can have a profound impact on a pro-
                                            byterian Hospital and was a hero who                    vere stress that this pandemic has put                 vider’s mental health. Today, we are



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                                            December 8, 2021                                  CONGRESSIONAL RECORD — HOUSE                                                                     H7525
                                            taking an important step to ensure                      afraid of being penalized for seeking                  forget our healthcare workers. We will
                                            that they get the help they need.                       treatment.                                             continue to stand up for them.
                                              The Dr. Lorna Breen Health Care                         Even before the pandemic, 42 percent                    Mr. UPTON. Madam Speaker, this is
                                            Provider Protection Act establishes                     of the physicians reported experiencing                a great bill. We need to vote for it
                                            grants for training healthcare workers                  burnout, and 40 percent reported a re-                 without delay, and I thank my chair-
                                            and strategies to reduce and prevent                    luctance to seek treatment for a med-                  man. I yield back the balance of my
                                            suicide burnout, mental health condi-                   ical health condition. This is far too                 time.
                                            tions, and substance use disorders. It                  many people suffering in silence.                         Mr. PALLONE. Madam Speaker, I
                                            also establishes a national awareness                     How can we expect our doctors to                     urge support for this bill, which is bi-
                                            campaign to encourage healthcare pro-                   take care of us when they feel they                    partisan, and I yield back the balance
                                            fessionals to seek support and treat-                   can’t take care of themselves?                         of my time.
                                            ment for mental health issues.                            The Dr. Lorna Breen Health Care                         The SPEAKER pro tempore. The
                                              As one of the two psychologists in                    Provider Protection Act, named for a                   question is on the motion offered by
                                            Congress, I know how much mental                        doctor who lost her life to suicide after              the gentleman from New Jersey (Mr.
                                            healthcare matters and how much stig-                   fighting on the front lines of the pan-                PALLONE) that the House suspend the
                                            ma can prevent someone from getting                     demic, will help reduce and prevent                    rules and pass the bill, H.R. 1667, as
                                            the help they need. By passing this bill                suicide, burnout, and mental health                    amended.
                                            today, we can say to healthcare work-                   conditions of healthcare professionals.                   The question was taken.
                                            ers: You are not alone.                                 It does so by supporting training to                      The SPEAKER pro tempore. In the
                                              Madam Speaker, I urge my col-                         prevent suicide and burnout; creating a                opinion of the Chair, two-thirds being
                                            leagues to support this critical legisla-               national awareness campaign encour-                    in the affirmative, the ayes have it.
                                            tion.                                                   aging healthcare professionals to seek                    Mr. WEBER of Texas. Madam Speak-
                                              Mr. UPTON. Madam Speaker, I have                      support for mental health concerns;                    er, on that I demand the yeas and nays.
                                            no further speakers, and I am ready to                  and establishing a comprehensive                          The SPEAKER pro tempore. Pursu-
                                            close. I reserve the balance of my time.                study on healthcare professional men-                  ant to section 3(s) of House Resolution
                                              Mr. PALLONE. Madam Speaker, I                         tal health and burnout, including the                  8, the yeas and nays are ordered.
                                            yield 2 minutes to the gentleman from                   impact of the pandemic.                                   Pursuant to clause 8 of rule XX, fur-
                                                                                                      Our healthcare professionals have
                                            Illinois (Mr. KRISHNAMOORTHI).                                                                                 ther proceedings on this motion are
                                              Mr.     KRISHNAMOORTHI.        Madam                  been serving on the front lines, taking
                                                                                                                                                           postponed.
                                            Speaker, I rise today in strong support                 care of us amid an unprecedented glob-
                                                                                                    al pandemic. It is time we take care of                                    f
                                            of the Dr. Lorna Breen Act.
                                              My wife, Priya, is a physician. Like                  them.                                                     ORAL HEALTH LITERACY AND
                                                                                                      Madam Speaker, I urge my col-                              AWARENESS ACT OF 2021
                                            her colleagues, she has worked tire-
                                                                                                    leagues to support this critical legisla-
                                            lessly during the pandemic. During the                                                                           Mr. PALLONE. Madam Speaker, I
                                                                                                    tion.
                                            pandemic, people have referred to these                   Mr. UPTON. Madam Speaker, I re-                      move to suspend the rules and pass the
                                            healthcare workers as heroes, but as                    serve the balance of my time.                          bill (H.R. 4555) to amend the Public
                                            you know, our heroes are human. They                      Mr. PALLONE. Madam Speaker, I                        Health Service Act to authorize a pub-
                                            struggle with the trauma of losing col-                 yield 2 minutes to the gentlewoman                     lic education campaign across all rel-
                                            leagues and patients, and they expose                   from Michigan (Ms. STEVENS).                           evant programs of the Health Re-
                                            themselves to the daily risks of COVID.                   Ms. STEVENS. Madam Speaker, I                        sources and Services Administration to
                                            They suffer from burnout, depression,                   rise today to voice support for my                     increase oral health literacy and
                                            and suicide.                                            friend Representative SUSAN WILD’s bi-                 awareness.
                                              In fact, before the pandemic, one                     partisan Dr. Lorna Breen Health Care                     The Clerk read the title of the bill.
                                            physician every day committed sui-                      Provider Protection Act, a bill that es-                 The text of the bill is as follows:
                                            cide. That rate has gone up signifi-                    tablishes    training    programs     for                                  H.R. 4555
                                            cantly during the pandemic.                             healthcare workers to prevent suicide                    Be it enacted by the Senate and House of Rep-
                                              I am reminded of the situation of Dr.                 and burnout.                                           resentatives of the United States of America in
                                            Scott Jolley in Utah. He would some-                      As I am here in Congress today, I                    Congress assembled,
                                            times work until 3 a.m. as the only                     think of my constituents back home in                  SECTION 1. SHORT TITLE.
                                            physician on duty at his hospital in                    Michigan who are in the midst of an-                     This Act may be cited as the ‘‘Oral Health
                                            Utah. By November 2020, he was diag-                    other COVID–19 spike, who are in our                   Literacy and Awareness Act of 2021’’.
                                            nosed with PTSD, and by February                        hospitals telling us they are full, who                SEC. 2. ORAL HEALTH LITERACY AND AWARE-
                                            2021, he had committed suicide.                                                                                           NESS CAMPAIGN.
                                                                                                    cannot provide care in the way they
                                              These tragic losses and stories from                  have been trained and taught and in                      The Public Health Service Act is amended
                                            medical professionals are unending.                                                                            by inserting after section 340G–1 of such Act
                                                                                                    the way they would like to. These                      (42 U.S.C. 256g–1) the following:
                                            Today, in honor of one of these heroes,                 spikes leave us exhausted. They leave                  ‘‘SEC. 340G–2. ORAL HEALTH LITERACY AND
                                            Dr. Lorna Breen, the Dr. Lorna Breen                    our healthcare workers all the more                                AWARENESS.
                                            Health Care Provider Protection Act                     stressed.                                                ‘‘(a) CAMPAIGN.—The Secretary, acting
                                            was created and will expand access to                     People are being pushed to the limit.                through the Administrator of the Health Re-
                                            mental and behavioral health resources                  Since the start of this pandemic,                      sources and Services Administration, shall
                                            to help our heroes, to help them cope                   Michigan’s healthcare workforce has                    establish a public education campaign (re-
                                            with the stresses and anxieties that                    become fragile. We have lost workers                   ferred to in this subsection as the ‘cam-
                                            they face every single day.                             due to the stress of this pandemic, yet                paign’) across all relevant programs of the
                                              Unfortunately, some of those stresses                                                                        Health Resources and Services Administra-
                                                                                                    this bipartisan legislation that brings
                                                                                                                                                           tion (including the health center program,
                                            and anxieties will continue after this                  us together here today will provide                    oral health workforce programs, maternal
                                            pandemic. That is why this act is so                    support to the workforce.                              and child health programs, the Ryan White
                                            important. I look forward to passing                      Michigan healthcare workers deserve                  HIV/AIDS Program, and rural health pro-
                                            this necessary piece of legislation                     this. They are working and are con-                    grams) to increase oral health literacy and
                                            today.                                                  tinuing to work on the front lines of                  awareness.
                                              Mr. UPTON. Madam Speaker, I re-                       this pandemic. It is time to change how                  ‘‘(b) STRATEGIES.—In carrying out the cam-
                                            serve the balance of my time.                           our healthcare industry approaches                     paign, the Secretary shall identify oral
                                              Mr. PALLONE. Madam Speaker, I                         mental health. We must step up to pro-                 health literacy and awareness strategies




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                                            yield 2 minutes to the gentleman from                                                                          that are evidence-based and focused on oral
                                                                                                    vide a more reliable culture and sup-
                                                                                                                                                           health care education, including education
                                            Rhode Island (Mr. CICILLINE).                           portive infrastructure for healthcare                  on prevention of oral disease such as early
                                              Mr. CICILLINE. Madam Speaker, for                     professionals to count on for years to                 childhood and other caries, periodontal dis-
                                            too long, healthcare providers strug-                   come.                                                  ease, and oral cancer.
                                            gling with mental illness have suffered                   It took a pandemic for us to get this                  ‘‘(c) FOCUS.—The Secretary shall design
                                            in silence, intimidated by stigma and                   Dr. Lorna Breen bill, and we will not                  the campaign to communicate directly with




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