Congressional Record — House, July 27, 2022
Summary
This is H7185 of the Congressional Record, House, July 27, 2022, with interleaved columns. Mr. Carter of Georgia speaks in support of his bill, H.R. 4990, the ITS Codification Act, and the House suspends the rules and passes H.R. 4990, as amended, with a two-thirds vote in the affirmative. Mr. Pallone, pursuant to House Resolution 1254, calls up H.R. 3771, the South Asian Heart Health Awareness and Research Act of 2022, to provide for research and improvement of cardiovascular health among the South Asian population of the United States. The bill text includes an annual report to Congress and an authorization of appropriations of $1,000,000 for each of fiscal years 2023 through 2027.
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“Congressional Record — House, July 27, 2022.”
Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/crec-crec-2022-07-27-crec-2022-07-27-pt1-pgh7185-9402aebbd7/
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July 27, 2022 CONGRESSIONAL RECORD — HOUSE H7185
trapped in areas where mobile The SPEAKER pro tempore. The ‘‘(c) ANNUAL REPORT TO CONGRESS.—Not later
connectivity may not be available due question is on the motion offered by than 180 days after the date of the enactment of
to natural disasters or other dev- the gentleman from New Jersey (Mr. the South Asian Heart Health Awareness and
Research Act of 2022, and annually thereafter,
astating events. PALLONE) that the House suspend the
the Secretary shall submit to Congress a report
I commend Representatives rules and pass the bill, H.R. 4990, as on outreach efforts and data relating to heart
O’HALLERAN and CARTER for their bi- amended. disease in communities disproportionately af-
partisan work on this bill. This is a The question was taken; and (two- fected by heart disease, such as South Asian
good bill as it ensures that one of our thirds being in the affirmative) the communities in the United States.
Nation’s key telecommunications fa- rules were suspended and the bill, as ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—
cilities has the necessary tools and re- amended, was passed. For purposes of carrying out this section, there
sources to not only continue to do its A motion to reconsider was laid on is authorized to be appropriated $1,000,000 for
work but also expand its activities, in- each of fiscal years 2023 through 2027.’’.
the table.
cluding by enhancing rescue efforts for SEC. 3. HEART HEALTH RESEARCH.
f Part B of title IV of the Public Health Service
Americans trapped in disaster areas.
Madam Speaker, I urge my col- SOUTH ASIAN HEART HEALTH Act (42 U.S.C. 284 et seq.) is amended by adding
leagues to support this bill, and I look at the end the following new section:
AWARENESS AND RESEARCH
‘‘SEC. 409K. HEART HEALTH RESEARCH.
forward to its consideration in the Sen- ACT OF 2022
ate. ‘‘(a) IN GENERAL.—The Secretary may—
Mr. PALLONE. Madam Speaker, pur- ‘‘(1) conduct or support research and related
Madam Speaker, I reserve the bal-
suant to House Resolution 1254, I call activities regarding cardiovascular disease, type
ance of my time. 2 diabetes, and other heart health-related ail-
Mr. CARTER of Georgia. Madam up the bill (H.R. 3771) to amend the
Public Health Service Act to provide ments among at-risk populations, including
Speaker, I yield myself such time as I South Asian communities in the United States;
may consume. for research and improvement of car-
and
Madam Speaker, I rise today in sup- diovascular health among the South ‘‘(2) establish an internet clearinghouse to
port of my bill, H.R. 4990, the ITS Codi- Asian population of the United States, catalog existing evidence-based heart health re-
fication Act. and for other purposes, and ask for its search and treatment options for communities
As demand for wireless technology immediate consideration in the House. disproportionately affected by heart disease,
continues to grow, we must continue to The Clerk read the title of the bill. such as South Asian communities in the United
focus on identifying potential opportu- The SPEAKER pro tempore (Ms. States, to prevent, treat, or reverse heart disease
nities to make more spectrum avail- CHU). Pursuant to House Resolution and diabetes.
1254, in lieu of the amendment in the ‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—
able for commercial use, including re-
For purposes of carrying out this section, there
allocating and sharing spectrum from nature of a substitute recommended by
is authorized to be appropriated $1,000,000 for
Federal users. the Committee on Energy and Com- each of fiscal years 2023 through 2027.’’.
In order to protect Federal missions, merce printed in the bill, an amend-
these reallocation decisions rely on The SPEAKER pro tempore. The bill,
ment in the nature of a substitute con-
complex technical testing and analysis as amended, shall be debatable for 1
sisting of the text of Rules Committee
that experts at the Federal Commu- hour equally divided and controlled by
Print 117–58 is adopted, and the bill, as
nications Commission and National the chair and ranking minority mem-
amended, is considered read.
Telecommunications and Information ber of the Committee on Energy and
The text of the bill, as amended, is as
Administration evaluate. As policy- Commerce or their respective des-
follows:
makers consider reallocating Federal ignees.
H.R. 3771
spectrum for commercial use, it is crit- After 1 hour of debate on the bill, as
Be it enacted by the Senate and House of Rep- amended, it shall be in order to con-
ical that the FCC and NTIA have the resentatives of the United States of America in
information they need to make these sider the further amendment printed in
Congress assembled,
decisions. part A of House Report 117–432, if of-
SECTION 1. SHORT TITLE.
The Institute for Telecommunication fered by the Member designated in the
This Act may be cited as the ‘‘South Asian
Sciences, or ITS, within NTIA plays an Heart Health Awareness and Research Act of report, which shall be considered read,
essential role in conducting the radio- 2022’’. shall be separately debatable for the
frequency tests that provide this tech- SEC. 2. HEART HEALTH PROMOTION GRANTS. time specified in the report equally di-
nical information. The work ITS per- Title III of the Public Health Service Act (42 vided and controlled by the proponent
forms has led to innovative advance- U.S.C. 241 et seq.) is amended by inserting after and an opponent, and shall not be sub-
ments in the way we manage our air- section 317U (42 U.S.C. 247b–23) the following ject to a demand for a division of the
new section: question.
waves.
These airwaves power faster mobile ‘‘SEC. 317V. HEART HEALTH PROMOTION GRANTS. The gentleman from New Jersey (Mr.
connectivity for Americans, and mak- ‘‘(a) IN GENERAL.—The Secretary may make PALLONE) and the gentleman from
grants to States for the purpose of promoting Georgia (Mr. CARTER) each will control
ing more spectrum available in the fu- awareness of the increasing prevalence of heart
ture is critical to beating China and 30 minutes.
disease, including, where appropriate, its rela-
others in wireless and technological in- The Chair recognizes the gentleman
tionship to type 2 diabetes, in communities dis-
novation. proportionately affected by heart disease such from New Jersey.
The ITS Codification Act will as South Asian communities in the United b 1215
strengthen statutory authority for ITS States.
‘‘(b) USE OF FUNDS.—A State that receives a GENERAL LEAVE
and ensure that the work they do to
advance United States wireless leader- grant under subsection (a) shall use such grant Mr. PALLONE. Madam Speaker, I
ship remains a critical ingredient to funds— ask unanimous consent that all Mem-
‘‘(1) to develop culturally appropriate mate- bers may have 5 legislative days in
our success. rials on evidence-based heart health promotion
Furthermore, I am proud that H.R. which to revise and extend their re-
topics, such as nutrition education, optimal diet
4990 went through regular order and en- marks and add extraneous material on
plans, and programs for regular exercise;
joyed unanimous support in both the ‘‘(2) to support heart health promotion activi- H.R. 3771.
subcommittee and full committee ties of community organizations that work with The SPEAKER pro tempore. Is there
markups of the Committee on Energy or serve communities disproportionately affected objection to the request of the gen-
and Commerce. by heart disease, such as South Asian commu- tleman from New Jersey?
Madam Speaker, I urge my col- nities in the United States; or There was no objection.
leagues to support the legislation, and ‘‘(3) to support, with respect to research con- Mr. PALLONE. Madam Speaker, I
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ducted relating to heart disease, conferences yield myself such time as I may con-
I yield back the balance of my time.
and workshops on how practices, methodologies,
Mr. PALLONE. Madam Speaker, I sume.
and designs of such research should be changed
would do the same. This is a significant to include in such research more members of Madam Speaker, I rise today in sup-
bill. I urge everyone to support it on a communities disproportionately affected by port of H.R. 3771, the South Asian
bipartisan basis, and I yield back the heart disease, such as South Asian communities Heart Health Awareness and Research
balance of my time. in the United States. Act of 2022. I thank Representative
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H7186 CONGRESSIONAL RECORD — HOUSE July 27, 2022
JAYAPAL and the bill’s bipartisan spon- steadfast in our support for heart API community in his district, so we
sors for their work on this important health promotion and cardiovascular appreciate his attention to these
piece of legislation. research through consistent and robust issues.
Heart disease, Madam Speaker, funding of the National Institutes of I am very proud to rise in support of
claims a life in the United States every Health and most recently through pas- my bipartisan bill, the South Asian
34 seconds. In 2020 alone, heart disease sage of Congressman BARR’s H.R. 1193, Heart Health Awareness and Research
resulted in the deaths of 697,000 Ameri- the Cardiovascular Advances in Re- Act, and I thank my colleague from the
cans. These statistics, which are trou- search and Opportunities Legacy Act. other side of the aisle, Representative
bling by themselves, are further shaped Unfortunately, H.R. 3771, the South JOE WILSON, as well as several other
by systemic health disparities. Black Asian Heart Health Awareness and Re- Republicans who have cosponsored this
men have a 70 percent higher risk of search Act of 2022, that we are dis- bill and for leading on this issue with
heart failure compared to White men, cussing today will do nothing to mean- me.
and Black women have a 50 percent ingfully improve cardiovascular health Every 38 seconds, a person in the
higher risk compared to White women. of Americans. United States dies from cardiovascular
Heart disease is the leading cause of Energy and Commerce Committee disease. It is the leading cause of
death among Hispanic men, and for Republicans have repeatedly expressed death, regardless of gender, for most
Hispanic women, heart disease is sec- concerns throughout the entire legisla- racial and ethnic groups in America.
ond only to cancer. tive process. There are already numer- But within those groups, South Asian
The South Asian community is also ous Federal initiatives at the CDC, the Americans have the highest death rate
disproportionately impacted by this NIH, and the Patient-Centered Out- from heart disease nationwide.
deadly disease. While South Asians comes Research Institute which are al- Now, one of the things I love about
comprise 23 percent of the world’s pop- ready dedicated to cardiovascular Congress is that when we have rep-
ulation as of 2020, they carry approxi- health. What the CDC really needs to resentation of various diverse commu-
mately 60 percent of the world’s global do is refocus on its original mission of nities, we are able to bring up issues
burden of heart disease. The increased controlling and responding to infec- that our constituents raise to us or
risk and disproportionate impact that tious diseases. that we feel very viscerally. I first in-
heart disease has on the South Asian- After extending itself in so many di- troduced this bill in 2017 after the
American community in this country rections in their interest of prevention mother of Ven Neralla, my then-legis-
is often obscured by the lack of data and public health, the CDC has become lative director and who is still a staff
specificity, as South Asian Americans nearly incapable of adequately address- member here in Congress, tragically
are often grouped with other Asian ing serious threats posed by infectious died suddenly of heart disease. As we
Americans. diseases, especially novel ones for started researching the issue what we
So H.R. 3771 takes a multipronged ap- which there is little information about learned is that South Asian Americans
proach to address these trends. The risks, spread, and treatment. Now is are four times more likely to develop
legislation allows States to direct cul- not the time to create duplicative pro- heart disease than the general popu-
turally appropriate resources to com- grams when the CDC’s management of lation.
munities that are disproportionately an ongoing pandemic and the current As the first South Asian-American
impacted by heart disease through monkeypox outbreak has arguably woman in the House of Representa-
grants, with the goal of increasing been abysmal. tives, I am aware of the barriers that
awareness and promoting prevention. Former FDA Commissioner Scott our communities experience to address
The legislation also supports research Gotttlieb was recently quoted as say- this epidemic. Much of our knowledge
efforts on cardiovascular disease, type ing that it may be too late to control about the risks within this community
2 diabetes, and other heart-related ail- and contain the monkeypox and com- is actually thanks to relatively new re-
ments among at-risk populations. pared CDC’s response to the start of search and personal experience. We just
H.R. 3771 is a bipartisan, common- the COVID–19 pandemic saying that don’t exhibit the typical risk factors
sense approach to an undeniable heart the U.S. is making a lot of the same for heart disease, which hinders early
health and research gap for the South mistakes, such as a lack of testing and diagnosis and prevention measures, not
Asian-American community. These im- not enough vaccines. only within our own community but
portant investments will ensure a I couldn’t agree more. within the broader group of people who
greater understanding with respect to The window to getting this under have heart disease.
individuals disproportionately at risk control is closing fast. There are other So while my bill does focus on the
for heart-related disease and will help concerning infectious diseases that South Asian community, it benefits all
in our efforts to address disparities in need to be addressed. Ghana just re- Americans, and it is careful in the
heart health currently experienced by cently declared an outbreak of bill—in working through language with
many Americans. Marburg virus, an incredibly infectious Republicans last year and in this Con-
Madam Speaker, I urge my col- and deadly virus that needs to be ad- gress—to make sure that we have that
leagues to support this important leg- dressed by the global health commu- multipronged approach. It is even more
islation. nity immediately before it gets out of important as we continue to grapple
I just want to thank Representative hand. with the lasting impacts of COVID–19.
JAYAPAL, again, because, as you know, Addressing and preventing heart dis- The American Heart Association says
Madam Speaker, I have a very large ease is important. Make no mistake that heart disease will likely continue
Asian-American community, and many about that. But the ever-expanding to kill more Americans than any other
of them, particularly the healthcare portfolio of public health issues is sim- cause as ‘‘ . . . the influence of COVID–
providers, have pointed to the problems ply not sustainable. We don’t need an- 19 will directly and indirectly impact
disproportionately with heart disease. other duplicative public health preven- rates of cardiovascular disease preva-
Madam Speaker, I reserve the bal- tion initiative that further erodes the lence and deaths for years to come.
ance of my time. CDC’s focus. . . .’’
Mr. CARTER of Georgia. Madam Madam Speaker, I urge a ‘‘no’’ vote Ven’s mom would have turned 80 this
Speaker, I yield myself such time as I on this bill, and I reserve the balance year. His family is just one of millions
may consume. of my time. who have lost a loved one because of
Madam Speaker, I rise today to ex- Mr. PALLONE. Madam Speaker, I heart disease. But her death will not be
press my concerns with H.R. 3771, the yield such time as she may consume to in vain. This bill will help prevent
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South Asian Heart Health Awareness the gentlewoman from Washington other families from undergoing this
and Research Act of 2022. (Ms. JAYAPAL), who is the bill’s spon- same tragedy. By passing this bill, not
Investing in the health of all Ameri- sor. only will we prevent deaths within the
cans through innovative and targeted Ms. JAYAPAL. Madam Speaker, I South Asian community, but we will
programming has been a priority for thank Chairman PALLONE for all the also increase awareness and under-
House Republicans. We have been work he has done. I know he has a big standing of cardiovascular disease that
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July 27, 2022 CONGRESSIONAL RECORD — HOUSE H7187
will benefit the health and well-being I believe that it is imperative for stu- Mr. PALLONE. Madam Speaker, I
of every American. dents to go to school and have in-per- yield myself the balance of my time.
Again, I am grateful to my col- son instruction. Our future leaders de- Let me just thank, again, Ms.
leagues on the other side of the aisle pend on the best education possible, JAYAPAL and others on a bipartisan
who understand the importance of this which starts in the classroom. Let me basis. This is a very important bill for
bill and have really stepped up to help repeat that: in the classroom. my district in many areas where we
me pass this legislation on the floor Madam Speaker, I urge my col- have a large South Asian community.
today. leagues to vote in support of the Re- And one of the things that Ms. CHU
Madam Speaker, I urge my col- publican motion to recommit. As we mentioned was the data. Oftentimes,
leagues to vote ‘‘yes’’ on passing this are entering a new school year after 2 we don’t have the data, and just get-
bill and saving lives. years of a pandemic, our students de- ting the information, in itself, is going
Mr. CARTER of Georgia. Madam serve to be back in the classroom to be significant as a result of this bill.
Speaker, I yield 3 minutes to the gen- among their peers. I ask for support on both sides, and I
tlewoman from Iowa (Mrs. MILLER- Madam Speaker, I ask unanimous yield back the balance of my time.
MEEKS). Dr. MARIANNETTE MILLER- consent to insert the text of the Ms. JACKSON LEE. Madam Speaker, I rise
MEEKS is someone who is no less than amendment in the RECORD imme- in support of H.R. 3771, known as the South
an expert in public health. diately prior to the vote on the motion Asian Heart Health Awareness and Research
Mrs. MILLER-MEEKS. Madam to recommit. Act of 2021.
Speaker, I thank Representative CAR- The SPEAKER pro tempore (Mrs. This bill establishes programs that support
TER for yielding me time. BUSTOS). Is there objection to the re- heart-disease research and awareness among
Madam Speaker, I rise today in sup- quest of the gentlewoman from Iowa? communities disproportionately affected by
port of the Republican motion to re- There was no objection. heart disease, like the South Asian community
commit H.R. 3771. Mr. PALLONE. Madam Speaker, I within the United States.
We can all agree that preventing yield such time as she may to consume The South Asian American community
myocardial events in Asian Americans to the gentlewoman from California across the United States grew by nearly 40
and all populations is important, but (Ms. CHU). percent between 2010 and 2017. Today, there
the health of our children coming Ms. CHU. Madam Speaker, I rise are over 5 million South Asian Americans in
through the pandemic is critical. today in strong support of H.R. 3771, the United States.
The Republican motion to recommit the bipartisan South Asian Heart South Asian Americans are four times more
would require the Department of Health Awareness and Research Act, likely to suffer from heart disease than other
Health and Human Services to submit which will not only raise awareness ethnic groups, and experience heart problems
a report to Congress on the education about the prevalence of heart disease nearly a decade earlier on average.
crisis in K–12 public schools as a result in the South Asian community but Globally, South Asians have emerged as
of the COVID–19 pandemic. This report save lives across our country. the ethnic group with the highest prevalence
would include the total number of days I thank Congresswoman JAYAPAL for
of Type 2 diabetes, which is a leading cause
schools were closed, the impact that introducing this very important bill.
Language barriers, stigma, a lack of of heart disease.
school closures had on our most vul- Type 2 diabetes often occurs due to a com-
nerable population—which includes data surrounding AANHPI health, and
bination of a patient’s genetics, and environ-
both academic achievement and men- the rise in anti-Asian rhetoric and vio-
ment. Those with South Asian heritage contain
tal health—and the amount of class- lence are just some of the challenges
communities of color face in accessing a genetic predisposition that places them at an
room instruction time that was lost. even greater risk for Type 2 diabetes, and by
As a mother of two children, I under- healthcare. South Asian Americans, in
particular, have four times the risk of extension, heart disease.
stand how important it is for all kids Studies have shown that South Asians in
to be in school and learning among heart disease compared to the general
population. the United States—people who immigrated
their peers. Unfortunately, throughout from or whose families immigrated from coun-
the COVID–19 pandemic, many schools The factors behind this epidemic of
heart disease among this community tries including India, Pakistan, Bangladesh, Sri
had vaccine mandates, masking re- Lanka and Nepal—are experiencing dramatic
are not understood, and, more impor-
quirements, and virtual-only learning rises in rates of heart disease when compared
tantly, preventative measures are rare-
which has resulted in students paying to other immigrant groups within the United
ly shared. This bill before us today will
the price through learning loss. The re- States.
tackle these issues and help to reverse
port to Congress this motion to recom- As a co-chair of the Congressional Pakistan
these frightening trends and better
mit authorizes will provide us with the Caucus and a member of the Congressional
protect South Asian-American commu-
data that will help us move forward India Caucus, I’ve had the pleasure of engag-
nities nationwide, as well as patients of
from this pandemic. ing with members of the South Asian commu-
Early in the pandemic there was a lot all races and ethnicities.
Specifically, this bill will create nity, especially within my hometown of Hous-
of focus on limiting people’s inter- ton. Texas has one of the highest populations
heart health promotion grants at the
actions with others. However, by sum- of South Asian Americans, along with Cali-
Centers for Disease Control to develop
mer of 2020, I would argue that the risk fornia and New Jersey.
culturally appropriate materials to
of keeping schools closed and how to This bill would direct the Department of
promote heart health, so that no one
reopen them as safely as possible was Health and Human Services (HHS) Secretary
loses out on lifesaving information just
known. In fact, this was widely the because of the language they speak. It to create grants to provide funding for commu-
practice in Europe. would also establish a clearinghouse of nity groups involved in South Asian heart
As a physician and former Iowa di- health advocacy, while also developing cul-
information on heart health through
rector of public health, I recognize that turally appropriate materials to promote heart
the NIH and conduct research on car-
children are at infinitesimally low risk health in the South Asian community.
diovascular disease and other heart ail-
of severe illness with COVID. In fact, in These culturally appropriate materials to
ments among communities dispropor-
February of 2021, The New York Times promote heart health would be tailored by
tionately affected by heart disease,
reported that 86 percent of pediatric health care providers who best understand the
such as South Asian Americans.
disease experts recommended in-person I am proud to be a cosponsor of this specific needs of the South Asian community
schooling regardless of vaccination sta- legislation and have been proud to sup- within the United States.
tus. In addition, a recent study found port its endorsement by the Congres- It would also direct the HHS Secretary to
that grade-schoolers are at a lower risk sional Asian Pacific American Caucus fund grants through the National Institutes of
than vaccinated adults. which I chair. This bill is going to save Health (NIH) to conduct research on cardio-
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By using transparent data from the lives, and we must pass it today. vascular disease and other heart ailments.
CDC, we can make the best decisions Organizations like the South Asian Heart
for students when it comes to in-person b 1230 Center and the South Asian Health Initiative
instruction, vaccine and masking man- Mr. CARTER of Georgia. Madam would be eligible for these opportunities.
dates, and their mental health, given Speaker, I yield back the balance of These organizations work to educate mem-
the startling rise in youth suicide. my time. bers of the South Asian American community
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H7188 CONGRESSIONAL RECORD — HOUSE July 27, 2022
about their increased risk for heart disease, Page 2, strike lines 15 through 22 and insert a study on the relationship between
lead prevention efforts through programs that the following: COVID–19 and rates of morbidity and
‘‘(c) REPORTS TO CONGRESS.—
promote healthy lifestyles, and work on re- mortality as a result of heart disease
‘‘(1) STUDY ON RELATIONSHIP BETWEEN CER-
search towards understanding why South TAIN RATES OF MORBIDITY AND MORTALITY AS A
in at-risk communities.
Asian Americans are at an increased risk for RESULT OF HEART DISEASE IN AT-RISK POPU- We must take steps now to under-
heart disease. LATIONS.— stand the scope of the relationship be-
This legislation would be instrumental in im- ‘‘(A) IN GENERAL.—Not later than 60 days tween COVID–19 and heart disease in
proving the health and wellbeing of millions of after the date of enactment of this section, our most vulnerable populations.
Americans. It is endorsed by a number of the Secretary shall seek to enter into an Madam Speaker, I reserve the bal-
health organizations such as: agreement with the National Academies of ance of my time.
the American College of Cardiology, Sciences, Engineering, and Medicine (or, if Mr. CARTER of Georgia. Madam
American Heart Association, the National Academies decline to enter into
Speaker, I rise in opposition to the
American Medical Association, the agreement, another appropriate entity)
under which the National Academies (or amendment.
American Stroke Association, The SPEAKER pro tempore. The gen-
other appropriate entity) will conduct a
WomenHeart: The National Coalition for study of the relationship between COVID–19 tleman is recognized for 5 minutes.
Women with Heart Disease, and rates of morbidity and mortality as a re- Mr. CARTER of Georgia. Madam
American Association of Physicians of In- sult of heart disease in at-risk populations, Speaker, I rise to express my concerns
dian Origin, such as South Asian communities in the with the amendment offered by Rep-
South Asian Public Health Association, United States. resentative SHERRILL to H.R. 3771, the
Hindu American Foundation, ‘‘(B) REPORT.—Not later than 5 years after South Asian Heart Health Awareness
Hindu American Physicians in Seva, the date of enactment of this section, the
South Asian Health Lifestyle Intervention, Secretary shall submit to the Congress a re-
and Research Act of 2022.
Bangladsh Medical Association of North port on the results of the study under sub- The amendment requires the Sec-
America, and section (a). retary to enter into an agreement with
South Asian Heart Center. ‘‘(2) REPORT ON OUTREACH.—Not later than the National Academies of Science, En-
I urge my colleagues to support H.R. 3771. 180 days after the date of the enactment of gineering, and Medicine, to study the
Ms. ESHOO. Madam Speaker, I rise in sup- this section, and annually thereafter, the relationship between COVID–19 and
Secretary shall submit to Congress a report rates of morbidity and mortality as a
port of H.R. 3771, the ‘‘South Asian Heart
on outreach efforts and data relating to result of heart disease in at-risk popu-
Health Awareness and Research Act of 2022.’’ heart disease in communities disproportion-
As Chairwoman of the House Health Sub- lations.
ately affected by heart disease, such as
committee, I’m proud to have advanced this South Asian communities in the United This amendment is highly duplica-
bipartisan bill and I’m pleased to support it on States.’’. tive of ongoing work at the National
the Floor today. The SPEAKER pro tempore. Pursu- Institutes of Health. A basic web
‘‘The South Asian Heart Health Awareness ant to House Resolution 1254, the gen- search for research on this issue on the
and Research Act of 2022’’ sponsored by tleman from New Jersey (Mr. PALLONE) National Library of Medicine’s PubMed
Representatives JAYAPAL and FITZPATRICK pro- and a Member opposed each will con- yields over 13,000 publications, reviews,
motes research and awareness of heart health trol 5 minutes. and clinical trial data.
for communities that are disproportionately af- The Chair recognizes the gentleman Furthermore, the NIH has an entire
fected by heart disease. from New Jersey. resource page titled ‘‘How Does
Cardiovascular disease is the leading cause Mr. PALLONE. Madam Speaker, I COVID–19 Affect the Heart.’’ That page
of death in the U.S., but it is a dispropor- rise today in support of the underlying links to several studies funded by the
tionate killer. According to the American Col- bill, H.R. 3771, and to offer an amend- National Heart, Lung, and Blood Insti-
lege of Cardiology, South Asian Americans ment that focuses on the impact of tute.
are four times more likely to die from cardio- COVID–19 on rates of heart disease in This duplicative amendment will add
vascular disease than any other ethnic group at-risk communities. additional costs to the bill, as author-
in the U.S. Despite these alarming statistics, The COVID–19 pandemic has taken an izing the National Academies generally
researchers still do not fully understand why it immeasurable toll on the American requires about $1 to $2 million to con-
is such a targeted threat. people. Over one million people have duct studies. What a waste of precious
This legislation provides $1 million annually lost their lives, and countless more will taxpayer dollars.
for the next five years to advance research suffer long-term health impacts as a Madam Speaker, I urge a ‘‘no’’ vote
and awareness of heart health for the most result of the disease. on this amendment, and I reserve the
vulnerable American communities. There is an undeniable link between balance of my time.
‘‘The South Asian Heart Health Awareness COVID–19 infections and ongoing heart Mr. PALLONE. Madam Speaker, I
and Research Act’’ was introduced in the complications. A study published in yield to the gentlewoman from Wash-
115th Congress, passed the House in 116th Nature Medicine in February of this ington (Ms. JAYAPAL), the sponsor of
Congress, and is past-due to become law in year concluded the risk of heart prob- the bill.
the 117th Congress. I urge my colleagues to lems 1 year after COVID–19 infection is Ms. JAYAPAL. Madam Speaker, I
help close this health disparity gap in our substantial. rise in support of Representatives
country and support this important bill. COVID–19 can indirectly attack the SHERRILL’s amendment to study the re-
The SPEAKER pro tempore. All time heart through lack of oxygen, causing lationship between COVID–19 and rates
for debate on the bill has expired. the heart to overwork and contributing of morbidity and mortality due to
AMENDMENT NO. 1 OFFERED BY MR. PALLONE to cell death and tissue damage in the heart disease.
The SPEAKER pro tempore. It is now heart and other organs. It can also in- And while it is true the gentleman is
in order to consider amendment No. 1 fect the heart’s muscle tissue, leading correct, that there is research out
printed in part A of House Report 117– to tissue damage and inflammation, there, the reality is also that there
432. stress cardiomyopathy, and blood needs to be more, and that the studies
Mr. PALLONE. Madam Speaker, I clots. that are out there right now prove
have an amendment at the desk that And as a result, COVID–19 has only some elements, but not the entire caus-
was made in order by the rule. widened heart health disparities al relationship.
The SPEAKER pro tempore. Does the around the country. During the pan- In a large study of COVID–19 sur-
gentleman from New Jersey rise as the demic, Black, Hispanic, and Asian pop- vivors conducted by the VA, research-
designee for the gentlewoman from ulations in the U.S. experienced a dis- ers found increased frequency of abnor-
New Jersey? proportionate rise in deaths caused by mal heart rhythms, heart muscle in-
ctelli on DSK11ZRN23PROD with HOUSE
Mr. PALLONE. Yes, I will be the des- heart disease. flammation, blood clots, strokes, heart
ignee in lieu of Ms. SHERRILL. This amendment directs the Sec- attacks, and heart failure in patients
The SPEAKER pro tempore. The retary of HHS to enter into an agree- who had COVID–19. The cardiac effects
Clerk will designate the amendment. ment with the National Academies of of COVID–19, however, are extremely
The text of the amendment is as fol- Science, Engineering, and Medicine, or widespread, and not broadly under-
lows: another appropriate entity, to conduct stood.
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July 27, 2022 CONGRESSIONAL RECORD — HOUSE H7189
I am just going to say, I also have ation of the ‘‘Operational Guidance for K–12 furnished during the period beginning on the
personal experience with this. After my Schools and Early Care and Education Pro- first day after the end of such emergency period
husband contracted COVID–19 from me, grams to Support Safe In-Person Learning’’; and ending on December 31, 2024’’.
and SEC. 3. EXPANDING PRACTITIONERS ELIGIBLE TO
after I got it when some colleagues on
(6) a detailed accounting of unspent Fed- FURNISH TELEHEALTH SERVICES.
the other side of the aisle did not want eral dollars directed to school districts that Section 1834(m)(4)(E) of the Social Security
to wear masks on January 6 in the safe were authorized by the American Rescue Act (42 U.S.C. 1395m(m)(4)(E)) is amended by
room, he, unfortunately had a series of Plan Act. striking ‘‘and, for the 151-day period beginning
heart attacks and had to have a series The SPEAKER pro tempore. Pursu- on the first day after the end of the emergency
of heart operations last year. ant to clause 2(b) of rule XIX, the pre- period described in section 1135(g)(1)(B)’’ and
Every single doctor said to us, we inserting ‘‘and, in the case that the emergency
vious question is ordered on the motion period described in section 1135(g)(1)(B) ends be-
need more research on exactly what to recommit.
the causal relationship is. And this is fore December 31, 2024, for the period beginning
The question is on the motion to re- on the first day after the end of such emergency
the reality of where we are today; and commit. period and ending on December 31, 2024’’.
I think that this amendment by Rep- The question was taken; and the SEC. 4. EXTENDING TELEHEALTH SERVICES FOR
resentative SHERRILL is a very good ad- Speaker pro tempore announced that FEDERALLY QUALIFIED HEALTH
dition to the bill. the noes appeared to have it. CENTERS AND RURAL HEALTH CLIN-
Mr. CARTER of Georgia. Madam ICS.
Mrs. MILLER-MEEKS. Madam Section 1834(m)(8)(A) of the Social Security
Speaker, I oppose this amendment. I Speaker, on that I demand the yeas Act (42 U.S.C. 1395m(m)(8)(A)) is amended by
think it is duplicative, and I think it is and nays. striking ‘‘during the 151-day period beginning
a waste of taxpayers’ money. The yeas and nays were ordered. on the first day after the end of such emergency
Madam Speaker, I yield back the bal- The SPEAKER pro tempore. Pursu- period’’ and inserting ‘‘in the case that such
ance of my time. ant to section 8 of rule XX, further pro- emergency period ends before December 31, 2024,
Mr. PALLONE. Madam Speaker, I during the period beginning on the first day
ceedings on this question will be post-
would urge support for the amendment, after the end of such emergency period and end-
poned. ing on December 31, 2024’’.
as well as the underlying bill, and I
yield back the balance of my time. f SEC. 5. DELAYING THE IN-PERSON REQUIRE-
MENTS UNDER MEDICARE FOR MEN-
The SPEAKER pro tempore. Pursu- ADVANCING TELEHEALTH BEYOND TAL HEALTH SERVICES FURNISHED
ant to the rule, the previous question COVID–19 ACT OF 2021 THROUGH TELEHEALTH AND TELE-
is ordered on the amendment offered by COMMUNICATIONS TECHNOLOGY.
Mr. PALLONE. Madam Speaker, pur-
the gentleman from New Jersey (Mr. (a) DELAY IN REQUIREMENTS FOR MENTAL
suant to House Resolution 1256, I call HEALTH SERVICES FURNISHED THROUGH TELE-
PALLONE).
up the bill (H.R. 4040) to amend title HEALTH.—Section 1834(m)(7)(B)(i) of the Social
The question is on the amendment.
XVIII of the Social Security Act to ex- Security Act (42 U.S.C. 1395m(m)(7)(B)(i)) is
The amendment was agreed to.
tend telehealth flexibilities under the amended, in the matter preceding subclause (I),
The SPEAKER pro tempore. The
Medicare program, and for other pur- by striking ‘‘on or after the day that is the
question is on the engrossment and 152nd day after the end of the period at the end
poses, and ask for its immediate con-
third reading of the bill. of the emergency sentence described in section
The bill was ordered to be engrossed sideration in the House.
1135(g)(1)(B))’’ and inserting ‘‘on or after Janu-
and read a third time, and was read the The Clerk read the title of the bill.
ary 1, 2025 (or, if later, the first day after the
third time. The SPEAKER pro tempore. Pursu- end of the emergency period described in section
ant to House Resolution 1256, an 1135(g)(1)(B))’’.
MOTION TO RECOMMIT
amendment in the nature of a sub- (b) MENTAL HEALTH VISITS FURNISHED BY
Mrs. MILLER-MEEKS. Madam stitute consisting of the text of Rules RURAL HEALTH CLINICS.—Section 1834(y) of the
Speaker, I have a motion to recommit Committee Print 117–59, modified by Social Security Act (42 U.S.C. 1395m(y)) is
at the desk. the amendment printed in part B of amended—
The SPEAKER pro tempore. The House Report 117–444, is adopted. The (1) in the heading, by striking ‘‘TO HOSPICE
Clerk will report the motion to recom- bill, as amended, is considered read.
PATIENTS’’; and
mit. (2) in paragraph (2), by striking ‘‘prior to the
The text of the bill, as amended, is as day that is the 152nd day after the end of the
The Clerk read as follows: follows:
Mrs. MILLER-MEEKS of Iowa moves to re- emergency period described in section
commit the bill H.R. 3771 to the Committee H.R. 4040 1135(g)(1)(B))’’ and inserting ‘‘prior to January
on Energy and Commerce. 1, 2025 (or, if later, the first day after the end of
Be it enacted by the Senate and House of Rep- the emergency period described in section
The material previously referred to resentatives of the United states of America in 1135(g)(1)(B))’’.
by Mrs. MILLER-MEEKS is as follows: Congress assembled, (c) MENTAL HEALTH VISITS FURNISHED BY
At the end of the bill, add the following SECTION 1. SHORT TITLE. FEDERALLY QUALIFIED HEALTH CENTERS.—Sec-
new section: This Act may be cited as the ‘‘Advancing Tele- tion 1834(o)(4) of the Social Security Act (42
SEC. 4. REPORT ON THE COVID–19 EDUCATION health Beyond COVID–19 Act of 2022’’. U.S.C. 1395m(o)(4) is amended—
CRISIS IN PUBLIC SCHOOLS. SEC. 2. REMOVING GEOGRAPHIC REQUIREMENTS (1) in the heading, by striking ‘‘TO HOSPICE
Not later than 6 months after the date of AND EXPANDING ORIGINATING PATIENTS’’; and
enactment of this Act, the Secretary of SITES FOR TELEHEALTH SERVICES. (2) in subparagraph (B), by striking ‘‘prior to
Health and Human Services shall provide to Section 1834(m) of the Social Security Act (42 the day that is the 152nd day after the end of
Congress a report on the COVID–19 education U.S.C. 1395m(m)) is amended— the emergency period described in section
crisis in public schools during the period be- (1) in paragraph (2)(B)(iii)— 1135(g)(1)(B))’’ and inserting ‘‘prior to January
tween March 1, 2020, and March 1, 2022. Such (A) by striking ‘‘With’’ and inserting ‘‘In the 1, 2025 (or, if later, the first day after the end of
report shall include— case that the emergency period described in sec- the emergency period described in section
(1) the average number of days elementary tion 1135(g)(1)(B) ends before December 31, 2024, 1135(g)(1)(B))’’.
and secondary education schools were closed with’’; and SEC. 6. ALLOWING FOR THE FURNISHING OF
to in-person classroom instruction; (B) by striking ‘‘that are furnished during the AUDIO-ONLY TELEHEALTH SERV-
(2) the average amount of time intended 151-day period beginning on the first day after ICES.
for in-person classroom instruction that was the end of the emergency period described in Section 1834(m)(9) of the Social Security Act
lost; section 1135(g)(1)(B)’’ and inserting ‘‘that are (42 U.S.C. 1395m(m)(9)) is amended by striking
(3) the participation rates in remote-learn- furnished during the period beginning on the ‘‘The Secretary shall continue to provide cov-
ing programs; first day after the end of such emergency period erage and payment under this part for tele-
(4) the impact of school closures on chil- and ending December 31, 2024’’; and health services identified in paragraph (4)(F)(i)
dren, including the disproportionate impact (2) in paragraph (4)(C)(iii)— as of the date of the enactment of this para-
on children in low-income, disadvantaged, or (A) by striking ‘‘With’’ and inserting ‘‘In the graph that are furnished via an audio-only tele-
ctelli on DSK11ZRN23PROD with HOUSE
vulnerable communities, with regard to— case that the emergency period described in sec- communications system during the 151-day pe-
(A) academic achievement; tion 1135(g)(1)(B) ends before December 31, 2024, riod beginning on the first day after the end of
(B) mental health and well-being; and with’’; and the emergency period described in section
(C) social development; (B) by striking ‘‘that are furnished during the 1135(g)(1)(B)’’ and inserting ‘‘In the case that
(5) a detailed accounting of the Centers for 151-day period beginning on the first day after the emergency period described in section
Disease Control and Prevention’s decision- the end of the emergency period described in 1135(g)(1)(B) ends before December 31, 2024, the
making process and data used for the cre- section 1135(g)(1)(B)’’ and inserting ‘‘that are Secretary shall continue to provide coverage
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