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House · Hearing transcript

H.R. 10357, H.R. 10334, H.R. 6130, H.R. 5439, H.R. 4093, H.R. 10346, and H.R. 10356

Wednesday, September 16, 2026

Summary

  • The committee advanced H.R. 10357, the Digital Asset Tax Certainty Act, as amended after tabling appeals and rejecting three amendments from Lloyd Doggett.
  • Thomas Barthold (Chief of Staff, Joint Committee on Taxation) estimated the bill raises $500 million and clarified it addresses character but not timing of mining income.
  • Judy Chu pressed Barthold on the $2.3 billion cost of the network fee exemption, which he confirmed lacks parity with traditional assets like ATM fees.
  • Republicans praised the bill for tax parity and U.S. innovation leadership while Democrats condemned crypto corruption, tariff costs, and ignored health care and housing needs.
  • The amended bill now heads to the full House, with supporters citing clarity for 67 million holders and critics warning unresolved mining timing and ethics issues remain.

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Hearing Details

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Transcript

Rep. Thompson (CA-4)16:13 – 19:02

Gains and send consumer sentiment. Gains and send consumer sentiment downward. And yet as we sit here for the last meeting of the committee in business for the next seven weeks at least, Republicans still have chosen not to put forward an initiative that would confront the economic fallout. The cost of an action continues to grow. Stunningly, our colleagues have looked at this reality and yet again decided time and again to surrender the prerogative of committees and move forward with legislation to supercharge whatever it is this president says. Raising tariffs up to a hundred percent, more than eight thousand dollars in higher cost to the average household according an analysis from the Yale Budget Lab. Families cannot afford what is happening. It's not that opportunities to bring relief haven't been there. We have seen time and again where there was a chance to work with Democrats Our colleagues on the other side have chosen not to say a word about tariffs, at least publicly. We can lower health care costs if we work together, but we have been turned away by our proposals. Now people are living with the consequences. Gasoline prices headed toward four-fifty a gallon, costs in the doctor's office, at the grocery store, and everywhere else that they're witnessing these increases. Meanwhile, Russian oligarchs get to pay for a family member's wedding. Americans aren't asking for much. They're asking to get by. And they know how bad this is. All they want is their wages to keep up with prices once again. Manufacturers, farmers and ranchers want markets where they can compete. Were any Republicans consulted on the president's latest overtures? Instead of doing the hard work of governing, We get more and more gimmicks. A fake check, five thousand dollars after the election. How does that square with the two thousand dollar tariff dividends we were all supposed to get? And the one thousand dollars meant to paper over rising health care costs. How many times can they make these promises without delivering? Our colleagues have the power to make life easier and more affordable, and I know there's enough goodwill on the Republican side if they would just stand up to this president. Instead, American families are paying more, opportunities are shrinking, and wages certainly are not keeping up. Families want something different, and we are fighting for them on the democratic side to put their needs first. One where making their lives better matters more than helipads, wars, and ballrooms, and some of the opportunities for the president's own family. With that, Mr. Chairman, I yield back my time.

Rep. Smith (MO-8)19:05 – 22:02

Thank you. Our first order of business is HR All right. Our first order of business is HR ten thousand three hundred and fifty seven, the Digital Asset Tax Certainty Act. Over a y- over a year ago, this committee set out to bring our tax code into the twenty-first century by giving digital assets clear and fair rules. Today, after months of thoughtful work by members on both sides of the dais, I'm proud to bring this historic bipartisan legislation forward. What was once seen as a passing trend has now established itself as part of everyday life. At the start of this decade, only three percent of Americans owned digital assets. Today, one in four Americans hold cryptocurrency. more than sixty seven million people in all, and the market is worth over two trillion dollars. Construction workers, waitresses, and factory workers are as likely to hold digital assets as someone in finance or tech, and close to one in four crypto owners make less than seventy-five thousand dollars a year. Digital assets have moved into nearly every community in this country. Our tax code has failed to keep pace with this rapidly growing part of our economy. Attempting to use digital assets for routine purchases, like buying a cup of coffee, triggers an absurd maze of compliance. And digital assets are excluded from long-standing tax rules that apply to traditional financial assets. The digital asset the Digital Asset Tax Certainty Act addresses this by providing common sense rules of the road for for how the tax code applies to digital assets. It provides much needed certainty to Americans who own digital assets, and it places digital assets on a level playing field with traditional financial assets. I want to thank representatives Miller, Kerry, Yakim, Kustof, Kelly, Bean, Arrington, and Horsford. for their work building the case for this bill over many, many months. America must remain the crypto capital of the world, and this bill will help to make sure that happens. I also want to thank my colleagues on both sides of the aisle, who raised very thoughtful questions and issues as we developed this legislation. And I'm proud of the bipartisan solution that we have reached today. I urge my colleagues to support this bill, and I now recognize Mister Horsford, um, for his opening statement.

Rep. Horsford (NV-4)22:03 – 27:37

Thank you, Mister Chairman, for yielding, and to the ranking member. Uh, Mister Chairman, I agree, this mark-up has been a long time coming. After months of work, I am glad that we're able to come together on a bipartisan agreement addressing digital asset taxation. and the inclusion of the wagering loss deduction. I appreciate uh the members and staff who have worked through these complicated issues and the different perspectives that have helped shape the legislation that's before us today. I also want to explain why I will be voting yes. Over the past few months, uh my staff and I have worked diligently with colleagues across the aisle to improve this bill. Through those negotiations we developed legislation focused on tax administration, consistent treatment, and safeguards against abuse. Now, this bill is not as comprehensive as I would have liked, but I continue to believe that Congress needs to address when mining and staking rewards are recognized as income. This package establishes ordinary income treatment, but leaves that timing question unresolved. So there's more work to do. But we also have an opportunity to address gaps in the tax code now. We are establishing basic tax rules for digital assets. We're applying principles already used for comparable financial assets. And we're including requirements intended to prevent abuse while making tax obligations clearer. To me, the details matter. For everyday transactions, the package provides specific treatment for qualifying dollar stable coins and small network and transaction fees for charitable contributions it strengthens the requirements for establishing the value of certain digital assets, including requiring a cash sale followed by a donation of the proceeds in specified circumstances. It also extends existing provisions addressing wash sales and constructive and s- constructive sales. to certain digital asset transactions. These provisions reflect the work that went into this agreement. They address practical questions about how taxpayers report transactions and how established tax principles apply as technology eva evolves. Now, members have raised fair questions about the scope of this legislation and the issues that it leaves unrespo unresolved. I respect those concerns, many of them from my side of the aisle. Our responsibility, though, is to examine the legislation before us and to work together to improve it. And that is what we have sought to do here. The package establishes rules in several areas while leaving other questions for further consideration. Today's vote does not end that work, and I'm committed to working with my colleagues on both sides of the aisle, to continue to make those improvements. I also wanna highlight a provision that I've championed for the past year, my bipartisan Full House Act with my colleague, Representative Max Miller. This provision corrects the wagering loss deduction that can create a phantom tax liability for people who have no net wagering winnings. Under the current ninety percent limitation, someone with uh ten thousand dollars in winnings and ten thousand dollars in losses could deduct only nine percent, nine thousand dollars of those losses. That leaves a thousand dollars in taxable wagering income even though the person broke even. The Full House Act restores the long-standing rule, allowing taxpayers to deduct a hundred percent of their wagering losses, up to the amount of their winnings, subject to the applicable uh deduction requirements. It does not allow taxpayers to deduct losses beyond their own salary. it restores the rule that existed before last year's change. For Nevada and other states, this issue has significance beyond an individual tax return. Gaming is central to our economy, and for workers and families throughout my district, they depend on it, including union workers. That is why I have worked with my colleagues across the aisle on this correction. My concern is the practical effect of this tax provision on taxpayers and the gaming economy that supports so many Nevada livelihoods. We should have a tax code that does not tax people on money they did not actually earn. That is a basic principle of fairness. So in closing, this agreement addresses tax administration, the treatment of comparable financial activities, safeguards against abuse, and the restoration of the wagering loss deduction. It is not the final word on digital asset taxation. Congress will continue to address unresolved questions, including the timing of mining and staking income and the new technologies that will continue to change our economy. But this bill represents progress on many issues that we have spent months working through. I am proud of that work, and I appreciate everyone who contributed to its agreement. I will be voting yes. And I urge my colleagues to do the same, and I yield the balance of my time.

Rep. Smith (MO-8)27:38 – 28:20

Thank you, Mr. Horsford. Uh, the committee will now proceed to consideration of H R ten thousand three hundred and fifty-seven the Digital Asset Tax Certainty Act without objection, the measure will be considered as read and open for amendment at any point. At this time, I offer an amendment in the nature of a substitute, which was distributed in advance along with a green sheet explaining it. Without objection, the amendment in the nature of a substitute shall be considered as read, open for amendment at any point. and considered base text for purpose of amendment. I will now turn to Tom Bartel, Chief of Staff for the Joint Committee on Taxation, to provide a technical description of the amendment in the nature of a substitute, with an emphasis on the changes made since introduction. I ask that members hold their questions until after his presentation.

Thomas Barthold (Witness)28:21 – 31:20

Uh, thank you, Mister Chairman. Uh, the members of the committee have before them four joint committee documents describing the Digital Asset Tax Certainty Act, JCX, forty-seven and forty-eight describe the underlying legislation, and on the green sheets JCX fifty and fifty-two describe the Chairman's amendment, the nature of a substitute. The amendment, the nature of substitute, clarifies that the effective date for several of the provisions in the underlying bill, uh, that were stated with respect to the date of introduction is made clear that that effective date is Monday, September fourteenth, twenty twenty uh twenty twenty six. This is relevant for the extension of the wash sale rules that are generally applicable to stock and other securities to digital asset transactions, the extension of the present law constructive sale uh rules that are applicable to appreciated financial positions to uh trading in digital assets, and uh similarly to the application of the present law, straddle rules also would apply to digital assets. It's also perhaps important to note, uh, in this legislation, since there are numerous provisions, that the many provisions have different effective dates. Uh, in some cases, this is to allow both taxpayers and the Internal Revenue Service time to establish, uh, systems to comp- uh, to comply with the legislation. For example, the establi- es- establishment of the de minimis exception of no gain or loss recognized with to the payment of network fees and certain transaction fees paid with respect to digital assets is effective for dispositions after December thirty-first of twenty-twenty-seven and so not effective in generally until into twenty-twenty-eight. While on the other hand, permitting dealers and traders in digital assets, uh, to, uh, uh, apply mark-to-market, uh, uh, accounting for income is effective for taxable years beginning after the date of enactment. So if enacted this year would uh uh be effective for taxable years essentially beginning in twenty twenty uh seven. Uh also note that the restoration of the prior law provision allowing gambling losses to offset winnings dollar for dollar uh is retroactive to tax years beginning after December thirty-first of twenty twenty five, so effective for uh income uh for loss gambling losses recognized during the current calendar year. Uh the staff of the joint committee has estimated that the overall budgetary effect uh for the period fiscal year twenty twenty-seven through fiscal year twenty thirty-six uh would be to raise approximately five hundred million dollars. Um that concludes a brief description of the uh chairman's amendment the nature of substitute and the underlying legislation. I'd be happy to answer any questions that the members might have.

Rep. Smith (MO-8)31:21 – 31:26

Thank you. Are there any technical questions about the amendment and the nature of a substitute? Mister Kerry.

Rep. Carey (OH-15)31:27 – 32:30

Thank you, Mr. Chairman. Um, Mister Brodle, it has been uh suggested to me that section four O one of this bill, which provides for uh income from digital asset validation, supporting activities, shall be treated as ordinary income. necessarily requires the conclusion that a receipt of the digital assets from mining or staking is income. Our intention is that nothing in this bill addresses the timing of income related to staking or mining rewards explicitly and implicitly, or implicitly, rather. My understanding that is, under this rule in section four O one B is drafted so that to only address the character of such income without any proper or im- any impact on the timing of such income. So, I just wanna make sure I'm clear with this, Mister Bartoli. In your view, is my understanding of this bill on this point correct?

Thomas Barthold (Witness)32:32 – 32:57

Uh, yes, Mister Kerry, j- just to briefly restate section four O one B as uh, as you noted, provides an income from digital asset validation supporting activities such as mining, staking, uh, is treated as ordinary income. Uh, but section four O one B does not address, uh, what the timing, uh, of mining or staking income should be.

Rep. Carey (OH-15)32:58 – 33:42

OK, so, alright, so it, so it's been suggested to me, uh, by some that the, the defined term tokenized digital assets literally includes every digital asset because all digital assets have value, that is related to or correlated to something other than the blockchain that it is on, such as the economy at large. So, um, our intention is that term tokenized digital asset and addresses fact patterns where a digital asset represents ownership, interest in something other than the digital asset, such as a tokenized soybeans or tokenized real estate or tokenized stocks of bronze. So, is my

Thomas Barthold (Witness)33:51 – 34:27

Uh, Mister Kerry, uh, uh, yes, maybe just to - to walk through the definition again. The term " tokenized digital asset" means any digital asset other than qualified stable coins. If more than an insignificant portion of the value of the digital asset is derived from anything other than the operation of the crypticographically uh secured uh distributed ledger, on which the digital asset is recorded. Um, digital assets then are defined more broadly as any digital representation of value,

Rep. Carey (OH-15)34:27 – 34:28

Right.

Thomas Barthold (Witness)34:28 – 35:02

uh, which is recorded on the cryptographically secured distributed led- ledger or similar tech- uh technology. And so, there are digital assets that are not tokenized digital assets. and the staff's underst- uh, understanding of the members' intent is that native digital assets, such as a bit- uh, bitcoin derive their value from the operation of the distributed ledger on which they're recorded. And so in that case, it would not appear that they would meet the definition of tokenized digital assets.

Rep. Carey (OH-15)35:01 – 35:04

Right. So, Mr. Balto- so, so you, you are saying

Thomas Barthold (Witness)35:03 – 35:05

The short answer is yes.

Rep. Carey (OH-15)35:05 – 35:09

OK, OK. Well, I think you've answered all my questions, Mr. Balto. We'll start with that. Uh, you.

Thomas Barthold (Witness)35:10 – 35:10

Mail back.

Rep. Smith (MO-8)35:12 – 35:13

Mister Doggett.

Rep. Doggett (TX-37)35:14 – 35:42

Uh, thank you, Mister Chairman and Mister Barthel. Good morning. Uh, I'm greatly concerned about uh crypto being used by foreign governments, by large corporations, by billionaires to pay what are essentially bribes to uh public officials, even at the highest level of our government. On the tax side, since that's what we're concerned with this morning, is there anything in this bill that would limit the ability of foreign governments and others to make these kind of payments.

Thomas Barthold (Witness)35:43 – 36:11

Uh, Mister Doggett, the l- the legislation uh is generally addressing issues uh such as uh extension of wash sale rules, straddle rules, uh where uh the legislation is essentially saying that digital assets and digital asset transactions are treated like securities or in some cases, like a commodity. uh, transactions. So there's nothing on point, uh, to the issue that you raised.

Rep. Doggett (TX-37)36:12 – 36:29

Thank you. And it has been described by its supporters as a very broad bill. Uh, I know that in April the Treasury Department issued a warning about the laundering of Iranian oil proceeds through crypto-networks. Is there anything in the bill that will prevent or limit that from continuing to happen?

Thomas Barthold (Witness)36:30 – 36:33

Uh, there's, uh, nothing direct in the legislation.

Rep. Doggett (TX-37)36:33 – 36:52

OK. And by one estimate, a hundred and fifty-four billion dollars in dirty money flowed through crypto wallets last year, which was an amazing tripling of the fifty-nine billion dollars that flowed through them the prior year. Is there anything here to prevent or limit the continued use of crypto by criminals?

Thomas Barthold (Witness)36:53 – 36:56

Uh, I, again, Mr. Doggett, nothing uh directly on that point.

Rep. Doggett (TX-37)36:56 – 37:07

I assume then there's also nothing in this bill to prevent President Trump, who's pocketed about two point three billion dollars from crypto from uh continuing to make billions more.

Thomas Barthold (Witness)37:08 – 37:27

Uh, I I again this uh the legislation's about uh how we recognize uh how we recognize income, uh how wash sales are treated, uh other transactions, but nothing in term uh that that changes the ability of individuals to uh uh invest and perhaps earn profits from digital assets.

Rep. Doggett (TX-37)37:27 – 37:27

Thank you very much.

Rep. Smith (MO-8)37:31 – 37:31

Miss Chu.

Rep. Chu (CA-28)37:34 – 38:40

Mister Barthold, I have um concerns about the de minimis exemption for network or gas fees being very very costly in fact two point three billion dollars and in fact I'm in possession of a letter from a large group of um groups uh Americans for Tax Fairness, AFL CIO, ASME, Association who state that uh " we have strong concerns that a de minimis exemption for network or gas fees does not represent parity with other similar assets. For example, a construction worker or child care provider cannot use untaxed capital or labor income to pay an ATM fee. According to JCT, the provision is also extremely costly with no measurable benefit to anyone who is not a wealthy crypto owner." Can you walk us through how this network transaction fee works in the first place, and why it would end up being so costly, two point three billion dollars to our uh federal income?

Thomas Barthold (Witness)38:41 – 40:17

Uh, Ms. Ms. Chu, there are two uh uh two components that you n- uh noted. There's network fees, and these are uh fees that are incurred uh in the validation of digital asset transactions on on the uh network. Uh, and then the legislation also provides certain transaction fees, such as brokerage fees uh or other fees incurred enabling the uh the sale or transfer of assets. Uh, de minimis in this context is described as uh less than less than ten dollars. Uh, how the uh uh staff uh derived uh the estimate is uh we're looking at uh projected um trading uh in digital assets uh and as was noted earlier, there's been substantial growth in uh trading of assets. Uh as as you noted uh this the legislation permits someone to use a digital asset to pay these fees without recognizing any gain that there may be on those assets. There has been substantial growth in the value of uh digital assets. So uh many taxpayers uh holding digital assets who may be trading over the next uh, uh ten years of the budget budget window uh will have gain. And to the extent that the fees incurred uh to do uh the network validation or the brokerage fees are less than ten dollars, no gain uh also no loss in the case of uh taxpayers who have got a loss.

Rep. Chu (CA-28)40:16 – 40:18

And in fact, this ne-

Thomas Barthold (Witness)40:17 – 40:19

And that's and that's the basis of the S P P.

Rep. Chu (CA-28)40:19 – 40:28

Right. And this network transaction fee diminishes. therefore is not in parity with other similar assets, as I pointed out with the ATM fee.

Thomas Barthold (Witness)40:29 – 40:31

Uh, that that would be correct, Miss Chu.

Rep. Chu (CA-28)40:32 – 41:10

OK, I also want to ask about the fact that your estimate for the bill that we, uh, had a legislative hearing on, uh, was one point six six billion in June. But this time, with this bill, it it cost two our American taxpayers is two point five billion. What increased the uh cost of this bill to the American taxpayers? And uh the Tax Law Center uh said that this is a subsidy for validation services. Is that correct?

Thomas Barthold (Witness)41:10 – 41:46

Uh, well, Ms. Chu, to the uh to the first uh the first point, the legislation that the committee reviewed in its hearing uh, uh, in June, uh, only, uh, provided a de minimis rule for, uh, the network, uh, the network fees. So the current legislation before the committee, uh, has expanded de minimis to include the, uh, certain transaction fees such as, uh, de minimis transaction fees such as the brokerage fees. So the primary reason for the, uh, different estimate is we're looking at a broader application of de minimis uh de minimis fees.

Rep. Chu (CA-28)41:48 – 41:51

And again, it's a two point five billion dollar loss to our budget.

Thomas Barthold (Witness)41:51 – 42:00

Um, that's uh, yeah, as uh, as reported on JCX uh fifty-two, that's uh uh two point uh three six five.

Rep. Chu (CA-28)42:06 – 42:06

'Kay, I yield back.

Rep. Smith (MO-8)42:08 – 42:20

Are there additional technical questions about the amendment and the nature of a substitute? Seeing none, we will move to strike the last word. Does any member wish to strike the last word? Mister Smith.

Rep. Smith (NE-3)42:21 – 43:34

Thank you, Mister Chairman, I move to strike the last word. I certainly wanna thank my colleagues, Mister Miller and Mister Horsford, for their leadership on the bipartisan work which has gotten us uh to this point. I know a lot has gone into that and I appreciate uh the diligent efforts of my colleagues. I'm proud that uh the work of this committee uh has been done to propose clear common sense rules of the road for digital assets. Americans are increasingly investing in, trading, and using digital assets, and our tax code needs to keep pace. This legislative package provides greater certainty, increases parity between digital assets and traditional financial assets, and removes unnecessary compliance burdens which make it difficult for everyday Americans to participate in this fast- fast-growing part of our economy. If we want America to remain the crypto- crypto-capital of the world, we need a tax code which encourages innovation and investment. here at home. If we do fail to act, innovators, investors, certainly consumers will continue to face an unclear and unpredictable tax landscape. This legislation is an important step toward delivering clarity and strengthening American leadership in digital currency. Glad to support this bipartisan effort. Certainly urge my colleagues to support it as well. I yield back.

Rep. Smith (MO-8)43:37 – 43:38

Mister Doggett.

Rep. Doggett (TX-37)43:39 – 48:30

Thank you, Mr. Chairman. I come from deep in the heart of Texas. And of all the problems that my neighbors down there talk about, uh, soaring prices at the gas pump and the grocery store from Trumpflation, his tariff tax and his reckless war in Iran, concerns about his authoritarian moves that threaten our democracy, concern about his blatant corruption, I've not had anyone come up to me and say, uh, you know what this committee really ought to prioritize is new tax breaks and loopholes for the crypto industry. Once again, this committee makes very clear that while it ignores the real needs of ordinary Americans that are suffering from failed Trump policies, it eagerly responds to moneyed interest with the strongest lobbyist and the biggest political action committees. There's nothing new or innovative about crypto. Over seventeen years it's been around, and despite extensive promotion at the Super Bowl and otherwise, Gallup poll last year indicated that only fourteen percent of US uh adults own crypto. There's no reason that Congress needs to craft this legislation gifting the crypto industry new tax breaks. And while some of the worst tax giveaways that were in the original bill have been omitted, this bill, and only for now, since we hear this is just the first step, this bill still bestows billions in tax breaks for the crypto industry, benefiting billionaire crypto whales and some of the richest Americans like the Trump family. I agree with my former Austin neighbor, Ben McKenzie, Crypto-critic when he says that cryptocurrency functions as either Ponzi scheme speculation or as a tool for fraud, blackmail, speculation, money laundering, tax evasion, or sanctions evasion. It's a contention that he made very effectively in his book, Easy Money, and his documentary film, Everyone is Lying to You for Money. Mr. Chairman, you talk about bringing clarity to this debate. Well, yesterday the Senate considered the clarity bill and rejected Uh, this committee remains the only place in Congress that's rushing to provide favors to this industry. Crypto poses the same danger to our banking system as Kryptonite did to Superman. By stacking the deck in favor of crypto with special rules and loopholes, resources are being directed away from our community banks toward a minimally regulated crypto industry devoted to get-rich schemes. It is a serious mistake to gamble with the future of our financial system. Nor does this bill do anything about Trump c- crypto-corruption. Instead, it would give the crypto industry preferential treatment, not workers or small businesses nor manufacturers, just crypto. Under this bill, someone speculating with crypto can pay the fees on their own trades with appreciated property and never pay tax on the income. No one else in the economy can do that. If you're a construction worker, you pay the ATM fee with dollars on which you've already been taxed. This bill calls for parity. Well, parity for whom? The crypto industry insists that crypto is a great investment. But actually, you know, the crypto industry itself has found a much better place to invest its dollars and get greater returns. The quarter of a billion dollars that crypto-related PACs spent during the twenty-twenty-four election cycle, accounted for about half of all corporate money uh expenditures on campaigns in this country. Crypto is questionable, but the industry's money talks, talks loudly and effectively. They funded super PACs, they backed candidates, and they got results. So many who did not benefit directly are intimidated by the possibility that crypto will be out there spending a fortune in their next primary election. As to the claim that crypto should be made usable for everyday currency, help function uh as an alternative to money. Those who hold crypto are not running down to the coffee shop to pay with crypto for a uh latte uh they don't uh use it uh with bitcoin that way, they hoard it or they trade it as a speculative investment, which it is. Mister Chairman, the committee should be focused on the real problems that we face as Americans, lowering health care costs, making housing affordable, helping families afford child care, not gambling with crypto. I urge my colleagues to oppose this legislation and ask unanimous consent to include in the record a letter from a large number of organizations, including the National Education Association, SEIU, uh and many uh groups like Citizens for Tax Fairness opposing this particular bill.

Rep. Smith (MO-8)48:30 – 48:36

Without objection. Thank you, Mister Mister Kelly.

Rep. Kelly (PA-16)48:37 – 54:01

Thank you, Mister Chairman, for your leadership on this issue and for including my bill, charitable deductions for digital asset donations act in today's mark-up. But before I go on, uh, Mister Barthold, uh, I've had a chance to - to sit in this committee for a while, and uh, I wanna thank you and - and your team for what you do. I - I've often told you the talents that you have. I'm sure if you had gone into the private sector, the - the, uh, revenue that you would have gained would have been much greater than what you're doing here. Plus the fact, uh, trying to explain difficult things to to people who are are are more focused on on the politics instead of the policy. So tens of millions of Americans now use digital assets every day. These markets are no longer hypothetical. Our economy depends on a modernized, agile and principled tax code, a code that does not stand in the way of new ways of doing business. It is the constitutional responsibility of this committee to ensure the tax code keeps up with the times. The Digital Assets Tax Certainty Act Advances the the goals of stability, neutrality, and simplicity, not special treatment. Today, many tax rules that apply to traditional financial assets do not apply to digital assets simply because this asset class did not exist when many of these provisions of the code were written that uncertainty and compliance burdens for taxpayers businesses and the IRS when digital assets function similarly to traditional assets, taxpayers should be able to rely on familiar tax framework that produce predictable results. One area where this principle is particularly clear is in charitable giving. For more than a century, the charitable deduction has encouraged Americans to support the missions of churches, charities, schools, universities, and foundations across this incredible nation. By lowering the after-tax cost of giving, the deduction helps leverage greater private support for the organizations that strengthen our communities. America is really well served when we promote habits of giving across all taxpayers and all asset classes. When Americans contribute to local churches, to food banks, or youth programs, they help those who are in need and strengthen the very fabric of our society. The tax code should not stand in the way of that generosity. The charitable deduction ensures that private citizens, not the federal government, decide which organiz- organizations and causes deserve their support. That is why I introduced the charitable deductions for Digital Asset Donations Act. The legislation would treat widely traded digital assets similar to public traded stock by removing burdensome appraisal requirements where reliable market values are readily available. It also maintains guardrails to prevent abuse from bad actors and speculative assets. This proposal does not create a new tax preference. It applies long-standing tax principles consistently across economically similar assets. It simply removes an unnecessary barrier to charitable giving, modernizes the tax code, and provides taxpayers with greater certainty. Most importantly, it makes it easier for more Americans to support their churches, their charities, and the community institutions that serve those that need it the most. Uh, Chairman, I want to thank you again f- for this leadership and - and also including the - the provision in the broader uh broader uh digital assets uh, tax certainty. I, I, I know when, when we do this work on, on ways and means and, I, I don't wanna belabor this too much. I, I don't think there's anything that, uh, that most of us are, are concerned with and, and I would, I would just tell you this, I've been in business all my whole life, I would never do my own taxes, I just, I simply can't, uh, handle that. Uh, I don't mind paying taxes when we're profitable. I also don't mind paying wage taxes and property taxes and everything else, even when we're not able to make a profit, but we still participate in funding this incredible this incredible experiment we have in this in this nation. So, everything that we do, and sometimes we get we get caught up in the politics of this and not the policy. Uh, Mister Barthold, again, you, your team, and what you do to try to explain how this works. I I will tell you what, I hope I'm the only one in this room that I am I am absolutely appalled by the fact that we use acronyms and codes, and that people, we have this bobble-head society, yeah, I know exactly what you're talking about. and I always turn to my colleagues, I say that that's that's interesting, would you explain it to me, cuz I don't have a frickin' idea what the hell we're talking about. Uh, the one thing I do know, we are taxed and taxed and taxed again, and the question is always, since we can't spend money the way a private citizen would do, but we continue to go deeper, deeper in debt, I think we're at forty trillion dollars, but who's counting? Um, the work that you've done, the work that this committee does. I hope we would step outside the the red team, blue team, and take a look at who is providing all the money and who co-signing and every single loan that we have out there and debt that we have, a hard-working American taxpayer. So I want to thank the chairman for doing this today, uh, people who, uh, who use this asset to help fund charitable things. What's more American than that? So thank you all for what you do. And I want to thank you both, both side to the aisle, by the way. I think we're all, we all think the same way, is the only problem is when we get in public, we've gotta separate because the country's so polarized over red and blue. We forget that we represent the greatest nation the world's ever seen. And we're actually red, white, and blue. Thank you, Chairman.

Rep. Smith (MO-8)54:02 – 54:03

Thank you, Mister Thompson.

Rep. Thompson (CA-4)54:05 – 58:27

Thank you, Mister Chairman. I move to strike the last word. The American people are likely asking why we aren't marking up legislation that would address the cost of living crisis that they're facing. And that's a fair question and one that the majority will need to answer for. In the meantime, we have a responsibility to ensure that these technologies are properly regulated. Digital assets are here. Cryptocurrency is not a passing fad, and this technology is not going to disappear. For too long, digital assets have operated under tax rules that were written well before this technology existed. That's created uncertainty for taxpayers and opportunities for abuse. I concur with my colleague, Mister Doggett, in his comments regarding some of those abuses and those potential uh for abuses. This bill is not perfect. There're provisions which we would have written differently, and this legislation is only one part of the broader framework that Congress must establish. But the negotiated bill before us, I believe, is substantially better than where this process began. And I wanna thank specifically Mister Horsford, uh for the great work that he's done on this and working uh to represent uh his constituency in the great way that he has. Um the bill does not create a sweeping new exemption allowing people to spend uh appreciated cryptocurrency tax-free. It preserves ordinary income treatment for staking and for mining. It applies long-standing wash sale rules to digital assets so investors cannot use cryptocurrency to exploit loopholes. It also protects the charitable tax base, closes opportunities to shift pre-existing gains into territorial tax shelters, and requires taxpayers participating in the voluntary disclosure program to report their violations and pay the taxes, interest and a- applicable penalties that they owe. These are meaningful improvements. Again, they don't go far enough, but they're They reflect a straightforward principle. New technology should not receive a free pass from the basic rules that apply to everyone else. This debate should serve as a lesson for how Congress needs to address technological change such as artificial intelligence. Artificial intelligence is advancing even faster than digital assets. It's already transformed the workplace, our schools, health care, national security, financial markets, and the information Americans see every day. AI can create extraordinary opportunities, but it can also displace workers, invade privacy, facilitate fraud, and cause significant dangers to society. Yet Congress has failed to enact meaningful guardrails, and Speaker Johnson has shown no interest in keeping Congress in session, to address these issues, notwithstanding some of the major IAEA leaders in the country calling on us to do just that. We can't govern by waiting for powerful technologies to cause harm, and then asking why no one acted sooner. We cannot allow the companies developing these systems to write the rules for themselves. And we cannot pretend that supporting innovation requires Congress to abandon its responsibility to protect the American people. We have a job, we have a duty. This bill should not be the end of our work on digital assets. It should be the beginning of Congress taking these responsibilities seriously. And we should bring that same urgency to artificial intelligence. I intend to support this bill today because as I said, I think it's a puts us in a better spot than where we are today. But we've got a lot more work to do. And, Mister Chairman, I hope we get to doing that work. I yield back.

Rep. Smith (MO-8)58:27 – 58:28

Thank you, Mister Estes.

Rep. Estes (KS-4)58:30 – 1:00:41

Thank you, Mister Chairman. I move to strike the last word. Can I rise in strong support of H R ten thousand three fifty seven, the Digital Asset Tax Certainty Act. When this committee hailed its hearing in June, I said the tax code never envisioned these technologies and their applications. Digital assets were forced into rules that were never intended for them. The result is a lack of clarity and purity and parity and legal uncertainty that prevents further investment and adoption by the wider public. The lack of a clear framework only helps foreign adversaries like China who want to replace US financial leadership. Congress was must set the standards so capital, innovation and jobs stay in America. The sys- the system now is the equivalent of a highway with no guardrails to keep cars from running in the ditch. If we don't establish the clear rules of the road to provide certainty, accidents will continue to happen. I'm proud to say that thousand that that that I'm proud to say that thanks to the hard work of this committee the bill gives us clear rules of the road it provides certainty consistency and simplicity that this industry needs take the common sense fixes to the reporting requirements for everyday crypto use for the twenty twenty five tax year the IRS required hundreds of millions of ten ninety-nine DA forms for crypto transactions. According to brokers, half of those forms were for transactions less than ten dollars. That's a mountain of red tape that doesn't protect against tax avoidance or abuse. It just stifles everyday commerce and innovation. With this bill, if you pay a digital asset fee of ten dollars or less, it won't trigger a reporting gain or loss. Additionally, brokers won't have to report those fees one transaction at a time. This makes the system work better and faster, for everyone involved and eases the burden on taxpayers, brokers and the IRS and alike. The bill also provides parity for crypto with traditional finance. Right now, the long-standing wash-sale and constructive-sale rules prevent protect traditional securities from abuse and tax avoidance. These rules currently don't apply to digital assets because they were written before crypto existed. This bill extends those rules so digital assets aren't treated better or worse,

Rep. Smith (MO-8)1:01:09 – 1:01:10

Mister Davis. Mister Davis.

Rep. Davis (IL-7)1:01:15 – 1:04:29

Word. In the last year, over a hundred and ninety-eight thousand Illinoisians lost their health care due to the Republican health care disaster. In the last week or so, seven hundred thousand Illinoisians learned that they will lose or could lose their health insurance in the very near future due to the Republican health care disaster. Health insurance premiums have doubled for almost four hundred thousand Illinoisans due to the Republican health care disaster. And the average household in Illinois had to pay an additional four thousand seven hundred dollars more for goods and services due to the rising cost under President Trump. Yet today the Republican leadership decided that we needed to spend billions of dollars to help Cryptobros. Families deserve action to help meet their basic needs. The billions of dollars in spending in this field could have helped families with the high cost of child care by increasing the child care entitlement to states. It could have helped farmers, small businesses and families afford health insurance by restoring the a c a tax credits. It could have helped all parents with the high cost of Trump's economy by restoring the twenty twenty-one enhanced child tax credits. A tiny fraction of the billions in this bill could have delivered an historic investment to older foster youth for college or housing or services for teen parents. But the Republican leadership refused to do anything to help the regular worker, farmer, parent, or small business owner, instead prioritized in the crypto industry. Also, I am deeply concerned about a Republican rush to limit taxes on crypto when President Trump, his children, and his cronies are profiting daily from crypto. A rush to action now when most Americans are struggling seems like an effort to grow the president's wealth since it is not meeting the urgent needs of regular people. I thank my friend Steve Horsford for his outstanding work to improve this bill and to lead thoughtful and fair digital asset tax policy. However, I strongly believe that moving this bill ignores the struggles of Americans and fail to meet the real needs of our constituents. I do not believe that this bill helps lower the cost of food or fuel or strengthens our economy. And I yield back.

Rep. Smith (MO-8)1:04:32 – 1:04:32

Mister LaHood.

Rep. LaHood (IL-16)1:04:33 – 1:07:36

Thank you, Mr. Chairman. Uh, the Digital Asset Tax Certainty Act, HR one zero three five seven is built around the idea of tax parity. When digital assets serve the same economic purpose as traditional financial assets, they should generally be treated the same way for tax purposes. The bill brings digital assets into a established tax frameworks where appropriate. It extends securities lending rules to qualifying digital asset loans, provides mark-to-market treatment for eligible dealers and traders, creates a trading safe harbor similar to those for stocks and commodities, and allows simplified accounting for certain widely traded digital assets. These provisions reduce unnecessary compliance burdens while giving businesses and taxpayers greater clarity. Just as importantly, this bill applies existing anti-abuse rules to digital assets where appropriate. The goal is straightforward, a fair, predictable, and technology neutral tax code that treats comparable assets consistently. Unfortunately, we're starting to see very, a very different approach at the state level, including my home state of Illinois. Illinois recently enacted the digital asset tax that takes effect next year. This law in Illinois imposes a point two percent tax on digital asset transactions, including exchanges, transfers, and storage, including when a trade loses money or when assets are transferred between two accounts owned by the same individual. This would be like the government imposing a tax every time you transferred money from your savings account to your checking account, even though you haven't made money on that purchase. This is fundamentally different from the approach we're taking with this legislation here today, the Digital Asset Tax Certainty Act. At the federal level, we're working towards parity between digital assets and comparable traditional financial assets. Illinois is moving in the opposite direction by imposing a separate transaction-based tax on digital asset activity. We should be asking whether it makes sense to tax a digital asset transaction simply because it uses different technology than a comparable traditional financial transaction, particularly when that transaction may not involve any economic gain at all. I believe our tax code should encourage innovation, provide certainty, and treat pa- taxpayers fairly. This legislation here today is an important step towards that goal. But as states pursue policies that depart from tax parity, like the Illinois law, we may need to consider whether additional federal action is necessary to ensure that we have a consistent national framework for digital assets. Our goal should be straightforward, a tax code that is fair, clear, and supports American innovation and competitiveness. I urge my colleagues to support this bill and I yield back.

Rep. Smith (MO-8)1:07:41 – 1:07:42

Miss Sanchez.

Rep. Sánchez (CA-38)1:07:44 – 1:09:47

Thank you, Mr. Chairman. I wanna begin by commending my colleague, Congressman Horsford, for leading the charge on this bipartisan compromise. Throughout the year, my colleagues and I have advocated for legislation that puts digital assets at parity with other financial markets, and I believe that the Digital Asset Tax Certainty Act does exactly that. I especially want to thank Congressman Horsford and Chairman Smith for including the charitable giving provisions that I brought forward. This provision will ensure that bad actors can't take advantage of charities by using volatile tokens or claiming deductions that are larger than the value of the actual donation. Requiring these assets to be converted to cash before taking a charitable deduction prevents bad actors from using charity for their own gain. Some previous iterations of this bill included preferential treatment for digital assets, like the ability to defer taxation and a lack of anti-abuse rules. I was glad to see that this bill curbs potential abuse and ensures that digital asset users pay their fair share. Over the past few years, we've seen unprecedented corruption from friends of the Trump administration in the digital asset space. I believe that this legislation, while not a perfect solution by any means, does go a long way to safeguard these bad actors from continuing to defraud the American people. Current tax treatment of digital assets is messy, and places a huge administrati- administrative burden on the IRS. This bill creates clear guidelines for the treatment of mining and staking income and provides much needed clarification to the entire digital asset industry. For these reasons I'm voting yes, and I hope that my colleagues will consider supporting this compromise legislation as well. As I said before, it is not a perfect bill, um but it does leave room for further improvement in the future. Thank you and I yield back.

Rep. Smith (MO-8)1:09:48 – 1:09:49

Thank you, Mister Hearn.

Rep. Hern (OK-1)1:09:50 – 1:10:41

Thank you, Mister Chairman. Um, whether you believe uh that the digital asset industry and the blockchain are the next technological breakthrough for financial services industry or you have the belief that it's just digital tulip mania, one thing is for certain, the digital asset industry is a multi-trillion dollar market hovering around the same market capitalization as Amazon, with no clear set of tax rules. The Digital Asset Certainty Tax Certainty Act is a step in the right direction, providing a clear set of tax rules and the guidelines for how we administer digital assets. The bill before us today closes loopholes in our tax code by applying existing tax anti-abuse rules to digital assets, creating parity with other financial products. The Digital Assets Currency Act also provides certainty that owners and users of digital assets face appropriate

Rep. Smith (MO-8)1:11:00 – 1:11:00

Ms. Sewell.

Rep. Sewell (AL-7)1:11:02 – 1:12:40

I move to strike the last word. Mister Chairman, every day crypto is becoming a larger part of our economy, and this committee has a responsibility to create rules of the road so that consumers and businesses are provided with clear and fair tax rules. Moreover, we need to ensure that the United States remains a leader in technological innovation while also making sure that these new technologies don't side-step the IRS. First, I want to thank our colleague, uh, Mister Horsford, uh, Congressman Horsford, who has been laser-focused on finding a bipartisan compromise on this bill. While no bill is perfect, I believe the legislation before us is a big step in the right direction. In this bill we successfully remove the deferral regime for staking and mining, and we limit the de minimis ex exemption. We s- uh shut down the Puerto Rico tax shelters and we create a charitable val- uh, valuation fix by linking tax benefits to real economic value. To be clear, more work needs to be done. The American people are outraged that President Trump and his friends have been making millions, billions off of their crypto schemes, while prices continue to rise for hardworking Americans all across this nation. While my c- constituents are paying record prices for gas and groceries, President Trump made over one point four billion dollars from crypto scheme just last year. The level of corruption coming from this administration is unprecedented, and I wish my Republican colleagues would join us in supporting legislation that forces President Trump and elected officials from using

Rep. Smith (MO-8)1:13:08 – 1:13:09

Mister Kustof.

Rep. Kustoff (TN-8)1:13:11 – 1:15:11

Thank you, Mr. Chairman. I move to strike the last word. I do appreciate you holding this mark up today in considering the Digital Asset Tax Certainty Act. And I'm also appreciative that it includes the bill that I've worked on, the Providing Analogous Rules for Digital Assets Act, or what's known as the PAR Act. I don't think there's any doubt that the tax code has not kept pace with the way digital assets are used today. I think we can all agree on that. Americans should not need a team of lawyers or accountants to understand the tax consequences of everyday digital asset activity. There's a lot of confusion. And that's where this bill comes in because it does make common sense and brings more common sense to the system. It makes small transaction fees easier to handle. It creates more practical reporting and accounting rules. And it provides clearer treatment for lending, staking, mining, and other routine activity. The PAR Act provisions apply familiar tax concepts to digital assets where they make sense. A qualifying loan should be treated as a loan, not as a taxable sale, just because it involves a digital asset. Likewise, Mister Chairman, professional market participants should have access to appropriate accounting rules and foreign investors should have clear standards when using independent U. S. intermediaries. It's not a carve-out, it's not a special favor, it's an effort to make the rules more understandable, more consistent, just easier. So this bill gives taxpayers clear guidance. It supports responsible innovation, and it helps ensure that American businesses can build and invest right here at home. I urge my colleagues to support this bill and, Mister Chairman, I appreciate you holding today's mark up and I'll yield back.

Rep. Smith (MO-8)1:15:12 – 1:15:12

Thank you, Mister Boyle.

Rep. Boyle (PA-2)1:15:14 – 1:16:38

Yeah, thank you, uh, Mister Chairman. I wanna thank you, uh, for your efforts on on this piece of legislation. Also wanna thank, uh, my friend Mister Horsford who for many, many months has diligently worked, uh, on this issue and I can testify to that. I also wanna thank Mr. Horford's staff and my staff, who for many months uh were were going uh back and forth uh on this, uh really uh an excellent job, and I know just how much work uh was put into this. Um now in terms of the substance of the bill, much of what I was planning to say was already said by the brilliant Miss Sewell, so um I will not um I will not prove the wisdom of the line that um everything has been said but not everyone has said it. And I will not fall into that trap and simply just say this. Um, this is really maybe the first or second inning of the work that this committee and Congress needs to do when it comes to crypto and the blockchain, uh, writ large. I think this is very good, solid work. No one thinks that it is a panacea. But we also can't bury our heads in the sand. We want to make sure the United States is a leader in in this realm. So with that, uh, having only used a minute twenty, proud to support this legislation, and I yield back.

Rep. Smith (MO-8)1:16:39 – 1:16:42

That is efficiency, Mr. Boyle. Thank you. Uh, Mr. Arrington.

Rep. Arrington (TX-19)1:16:42 – 1:20:01

And now for inefficiency, Mr. Chairman. Um, these are a little longer than I would like to give, but I do think this is a very important, um, subject matter and, and I'm grateful that, for the chairman's leadership and, and our ranking member and, uh, colleagues, all of us working to provide much needed tax certainty and clarity for America's growing digital a- asset economy. There's no question digital assets are transforming the financial services industry and creating new opportunities for American consumers, businesses and investors. Since the launch of Bitcoin in two thousand nine, the digital asset market has exploded, reaching a market value of approximately three trillion dollars. In my district alone, over forty-six hundred small businesses in West Texas have Bitcoin payments enabled and are ready to accept it. And today the United States accounts for roughly thirty-eight percent of global Bitcoin mining activity and expected eighteen percent of worldwide digital asset revenue in twenty twenty six. This is remarkable growth and America should lead the world in digital asset innovation. But in order to do this, we need certainty and parity in the tax code. Fact is that our tax laws have not kept pace with this rapidly evolving industry, and in some cases, outdated and unclear rules create unnecessary burdens for taxpayers and businesses, and others, gaps in the tax code create opportunities for abuse and undermine parity with traditional financial assets. That's why the Digital Asset Tax Certainty Act is so important. It provides greater certainty for taxpayers, reduces unnecessary compliance burdens, and establishes a more consistent tax framework for digital assets. I'm especially pleased that this legislation includes my uh applying existing tax Anti-Abuse Rules to Digital Assets Act, which is a mouthful. Today, digital assets are exempt from certain anti-abuse rules that are already applying to other investment assets creating loopholes that undermine parity and equal treatment under the law. This legislation closes those loopholes by applying the same common sense safeguards that already apply to similar, traditional financial assets. And I won't bore you with, uh, wash sales and constructive sales for dummies, Mister Chairman, uh but uh because I have perfected for dummies that uh um uh that uh uh uh articulation and illustration, but uh I'll just say that these are not new taxes and I think that's important. They're not new taxes. Uh and this is not about regulating digital assets more heavily. These are long-standing common sense anti-abuse rules that already apply to comparable investments. The principle here in play is very simple and straightforward. Similar assets and like transactions ought to have comparable treatment under the tax code, plain and simple. If we get these rules right, we provide parity between digital and traditional assets, certainty for taxpayers and the industry, and we ensure that America will lead the digital economy, will continue to lead the digital economy. That means more innovation, more investment, more economic growth here at home, and again helping ensure America, not China, remains the crypto capital of the world. I appreciate the time, Mister Chairman, and um urge my colleagues to support it.

Rep. Smith (MO-8)1:20:03 – 1:20:04

Mister Buyer.

Rep. Beyer (VA-8)1:20:05 – 1:23:13

Mister Chairman, thank you very much. Mister Chairman, I truly appreciate you and your staff for working across the aisle on the bill before us today, and I'm really thankful for Mister Horsford's hard work and leadership through this process. This legislation is a substantial improvement from the measure we considered in our committee earlier this year. Some of the more egregious giveaways to the digital asset industry have been sanded down or removed altogether and are particularly happy to see the inclusion of improved language that will limit the ability of taxpayers from using Puerto Rico or other US territories as venues for tax evasion. However, despite these improvements, I cannot support this legislation at this time. Simply put, this bill does not exist in a vacuum. Most Americans for good reason associate digital assets in cryptocurrencies with fraud, instability, illicit finance, and most of all, corruption. Every day we're confronted with story after story of malfeasance of all types, either enabled or worsened by the increasing you know ubiquity of digital assets in the global economy. The promises that crypto-boosters have made over the years that greater digital asset adoption would somehow lead to lower costs, higher financial inclusion, more transparency, and so on, have all been unmet. Instead of this utopian vision, the reality of crypto is that most Americans' experience is darker, much darker. Unfortunately, the fact that the digital asset marketplace is dominated by bad actors, and none more so than the current occupants of the White House and his family. Through the various cryptocurrency ventures like World Liberty Financial and the Trump-banded Maine coin, the Trump family has amassed billions of dollars in ill-gotten gains coming in part from foreign governments criminals, and wealthy donors all through crypto. And hundreds of millions of these dollars are flowing through the president's political apparatus, and flow in the airwaves to attack his political opponents. The crypto industry has been weaponized to corrupt our presidency. In exchange, this administration has worked hard to water down or eliminate regulations aimed at protecting consumers while also halting prosecutions of numerous crypto fraudsters. And most of all, The president's been focused on ensuring that he can continue to personally rake in massive cryptocurrency profits without any accountability. Just look at what happened yesterday in the Senate, where the Clarity Act, a digital asset market structure bill, failed due to the president's desire to avoid any restrictions on his ability to benefit from his own crypto holdings. Even the most basic ethics requirements, limiting the president and other senior government officials from profiting from the policies they oversee, were onerous to him. The close relationship between the president and cryptocurrency, and his relentless profit seeking while in office, is doing the industry no favors in the long term. The staggering level of corruption is unprecedented in our history, and leaves our nation extremely vulnerable to say nothing of the more mundane criminal activity enabled by crypto which inflicts on the heavy cost in American people, every single day. I do not believe we should proceed with legislation that would further embed this industry into our economic life and the future.

Rep. Smith (MO-8)1:23:21 – 1:23:22

Mister Moore.

Rep. Moore (UT-1)1:23:25 – 1:25:34

I move to strike the last word. Thank you, Mister Chairman, uh I'd like to just briefly talk about the inclusion of the Full House Act as part of this package. While I appreciate the efforts to make this digital asset bill the digital asset bill that I think is very very important, Uh, I appreciate the aspect to making this bipartisan. I am impo- uh opposed to including this provision. Since the Supreme Court overturned PAPSPA in twenty eighteen, the floodgates have opened for states to legalize new forms of gambling and sports betting. Americans are wagering thirty times the amount of money this year than they were just eight years ago and that's a jump from five billion dollars a year, which is already a staggering number, to a hundred and fifty billion dollars a year. Sincerely, what are we doing as a society? The courts have allowed Kalshi to essentially turn their business into a gambling enterprise and have greenlit the growth of prediction markets for blatant gambling. These rulings have disproportionately affected um boys and men of a- of all ages. It i- i- i- it's accessible to all, but this has disproportionately affected um uh uh the male population. Boys have fallen behind in school. by most measurements and uh men are facing declining opportunities in the workforce, and gambling is turning a daily routine for millions to millions of Americans. We're seeing decreasing credit scores and credit card limits and families are coming apart. Rather than empowering men or providing paths to success, we're enabling devices and platforms that explicitly seek to addict them and keep them down. In Utah, we're taking this head-on. Challenging prediction markets in the courts and winning. And I've drafted legislation to create new guardwa- new guardrails for online gambling. Mister Chairman, any movement on the Full House Act should be paired with a serious conversation about the rise of gambling and actions on prediction markets, on-line gambling, advertising penalties, and so much more. We ca- thi- this cannot be the last action the committee takes on this topic, and we have to do better by Americans for um this this this growing vice. Mister Chairman, I appreciate the work done on digital assets, and I would love to partner with you on opportunities to ensure our tax code is supporting a healthy and productive society and with that I yield back.

Rep. Smith (MO-8)1:25:36 – 1:25:39

Additional members wish to strike the last word. Mister Yacoum.

Rep. Yakym (IN-2)1:25:40 – 1:28:45

Thank you, Mr. Chairman. I move to strike the last word. In twenty twenty five, digital asset capitali- market capitalization totaled three trillion dollars. And estimates show that up to thirty percent of American adults own digital assets. The digital asset industry is continuing to grow and evolve, and it's important that our tax code do the same. Under the current tax code, digital asset owners face incredible uncertainty. higher administrative burdens, and unclear guidelines. Furthermore, traditional financial assets must adhere to strict anti-abuse rules that are currently not applied to digital assets. That creates an opportunity for exploitation. For the past year, this committee has worked with industry stakeholders and digital asset users to fully understand the problems that they face with our current tax regime and the best ways to address these concerns. I'm proud to be a cosponsor on Chairman Smith's Digital Asset Tax Certainty Act, which makes important updates to the tax code's treatment of digital assets to ensure gra- greater clarity of digital asset users and it also creates parity with other financial assets. This bill has important components from my bill, the less taxed paperwork for Digital Asset Owners Act, such as a simplified accounting method for one or more widely traded digital assets. Combined with new rules for network fees and US dollar stable coins, this bill ends the requirement for filing a form ten ninety-nine DA for every single digital asset transaction, no matter how small or inconsequential. Substantially decreasing the administrative burden on taxpayers and the IRS is certainly a goal of this bill. Now, some of the minority have suggested this bill is about cutting taxes on That's simply not true. The JCT has estimated that this bill actually raises revenue by five hundred million dollars. This net increase in revenue is from tax increases that result in clarifications around how digital assets are taxed. The industry re- remains supportive of this bill despite it being a net tax increase, because they understand that their technology can compete fairly if they're just simply given a level playing field. If my colleagues will look at the JCT table, they will see that eleven lines increase tax revenue, only five lose revenue, and nine have a negligible effect. The bulk of this bill has produced administrative savings, and a fair application of rules certainly cuts in both directions. They have asked for certainty and administrability, not handouts, and that's exactly what this bill does. Clear rules of the road allow digital asset industry will allow the digital asset industry to grow. Thank you, Chairman Smith, for your hard work and leadership on this bill. I look forward to voting for it and I certainly encourage my colleagues to do the same. With that, I yield back.

Rep. Smith (MO-8)1:28:47 – 1:28:48

Thank you, Mister Miller.

Rep. Miller (OH-7)1:28:49 – 1:29:29

Thank you, Mister Chairman. I'd like to strike the last word. Since the beginning of this Congress, I have worked alongside my colleague, Mister Horsford, to help build a comprehensive tax framework for digital assets. As I grappled with digital assets and learned about gaps in our tax code, a few things became abundantly clear. Digital asset tax policy should be coherent, administrable, and technologically neutral. This means we need policy that brings clarity and certainty, and otherwise unpredictable financial service. This legislation also treats digital assets with parity by ensuring that they are taxed and treated the same as other financial products. We say we wanna make the United States of America the crypto capital of the world, and this bill

Rep. Smith (MO-8)1:29:52 – 1:29:54

Thank you, Mr. Bean.

Rep. Bean (FL-4)1:29:54 – 1:32:23

Thank you very much, Mr. Chairman. Good morning to you. Good morning, ways and means. I've moved to strike the last word. Mr. Chairman, thank you for letting me speak on your very meaningful and insightful bill, the Digital Asset Tax Certainty Act. Uh, it also acknowledges your bill, Mr. Chairman, acknowledges our current tax system was not built for the digital asset economy. We didn't even know about crypto when we wrote the tax, uh, laws many, many years ago. The result today has been confusion, inconsistency and non-compliance. There's a growing backlog of, uh, of cases at the IRS dealing with crypto. Millions of Americans entered the space with unclear rules, limited guidance and uh a lack of uh understanding of how the how the system works for crypto. Many made honest mistakes, others simply did not know where to begin. Today those taxpayers face a system where coming forward can feel more dangerous than staying silent. of severe penalties, open-ended audits and years of uncertainty has pushed people into the shadows, even when they wanna do the right thing. That's not how a credible tax system works. So here's the question of the day, ways and means, what if, what if we could create a safe harbor where people that were behind on their taxes or were uh caught up in the confusion could come forward and call timeout on the penalties, uh on their crypto backlog tax uh cases. Well, that's exactly why I introduced the Digital Assets Voluntary Disclosure program. It does not forgive taxes. It does not reward tax evasion. It just creates a structured uh policy, a structured time-limited pathway where taxpayers can come forward, correct past errors, pay what they owe, and re-enter the system with certainty. It strengthens enforcement, improves approves compliance and ensures digital assets do not become a refuge for tax avoidance. Mr. Chairman, let me tell you what you did. You included this bill in your bill. How about that? And that just shows you that, uh, we can all come together and do great things for our economy, for this growing sector of, uh, raising money for, uh, our country. And so with that, I urge our, I want to say thank you, Mr. Chairman, and, uh, urge everybody to vote yes for the bill. And with that, I yield back, Mr. Chairman.

Rep. Smith (MO-8)1:32:27 – 1:32:35

Are there additional members that wish to strike the last word? Seeing none, we will move to amendments. Does any member have an amendment?

Rep. Doggett (TX-37)1:32:35 – 1:32:37

Have an amendment, I'd say that's Mister Chairman.

Rep. Bean (FL-4)1:32:37 – 1:32:37

With.

Rep. Smith (MO-8)1:32:37 – 1:32:38

Mister Doggett.

Rep. Buchanan (FL-16)1:32:40 – 1:32:42

Mister Chairman, I reserve a point of order.

Rep. Smith (MO-8)1:32:43 – 1:32:50

Uh, a point of order has been reserved, the clerk will distribute the amendment and I ask the gentleman to suspend while the clerk distributes.

Rep. Doggett (TX-37)1:32:50 – 1:32:51

Surely.

Rep. Buchanan (FL-16)1:32:55 – 1:32:56

That's not gonna address the trade.

Rep. Smith (MO-8)1:33:01 – 1:33:01

Proceed, Mister Doggett.

Rep. Doggett (TX-37)1:33:02 – 1:37:57

Five years ago, President Trump declared, quote, "Bitcoin, it just seems like a scam." Yet after finding so many ways to enrich himself through crypto, he recently posted, quote, "Trump will never let crypto down." Through crypto, Trump has scammed thousands. and laundered payments from wealthy foreigners and foreign states in exchange for presidential favors. My amendment puts an end to such crypto-enabled scams. It simply says that any of our top administration officials, the president, vice president, cabinet, senior officials, plus every member of Congress, along with their immediate families, cannot own or profit from cryptocurrency while in office. It would require the president to sell the crypto he owns now and to enjoy a rare experience actually paying tax on his income, so that he can no longer take millions of dollars in income from foreigners using World Liberty financial or Trump coins. Earlier this year, Reuters published the most thorough accounting of the Trump family's crypto business. Across four ventures, the family has pocketed at least two point three billion dollars since the president returned to office. On the other side of that ledger, more than a million investors lost about the same amount, two point three billion dollars. The president profited dollar for dollar about as much as his own supporters lost. And every one of these ventures ran the same play. The family risked next to nothing. Up front, the president and his sons hyped a crypto token. The money poured in and ordinary buyers were left holding the bag when the price collapsed. His meme coin is down ninety-seven percent from its peak. One mo- woman put in two thousand dollars of her savings. Today it's worth a hundred and twenty dollars. Steven Levitsky, the Harvard scholar who wrote " How Democracies Die", said he had never seen such open corruption anywhere in the modern world. But the losses to investors are only half the danger. The other half is what these coins do to our government. Because no one, not this committee, not the public, knows who's actually buying these cryptocurrencies. Take the Trump meme coin, for example. When its price sagged, the president offered a prize. The top holders of the coin would get a private dinner with the president of the United States. And the biggest of the buyers would even get a White House tour, what's left of it. The seats average hundreds of thousands of dollars apiece. And who turned up? More than half of these top buyers were likely foreign. So much concern expressed today in this committee about China and all the dangers, but not a bit of concern about the fact that one of those people was on a Communist Party advisory uh body for China. A foreign logistics company announced out loud that it was buying millions of Trump coin for the purpose of swaying American trade policy. No concern from this committee. So think about what this means. Any foreign government, anyone seeking a pardon, anyone chasing a federal contract can now wire money straight into the president's pocket anonymously to secure whatever they're seeking. This isn't a business, it's a tip jar and it gets even more dangerous. Last year a state-backed investment ran run by a top Emirati official who's called the Spy Sheik, routed a two billion dollar deal through the family stable coin, generating millions in fees per year for the Trump family. It just coincidentally, at the very moment the United Arab Emirates was negotiating for access to hundreds of thousands of the most advanced AI chips. Many of those chips were sent to a company with deep Chinese ties, no concern from this committee of course, while the National Security Council officials who had resisted this action by Trump They were purged from their jobs at the White House. One headline summed up the UAE got the chips and the Trump family got the riches. Trump was paid for trading away control of our most sensitive technology. Colleagues, this committee is here today to write the rules of the road for crypto. We should not be writing those rules while the single largest beneficiary of this industry sits right there on Pennsylvania Avenue in the Oval Office, profiting in secret from foreigners. My amendment is direct. If you hold the public trust as president, Congress members, and immediate families, you cannot own and profit from crypto. Public officials should not be in the business of a profit center. I urge its adoption.

Rep. Smith (MO-8)1:38:00 – 1:38:01

Mister Buchanan.

Rep. Buchanan (FL-16)1:38:02 – 1:38:35

Mister Chairman, I insist on my point of order. Uh. Mister Chairman, I insist on my point of order, the amendment is not germane to the underlying measure, under clause seven of house rule sixteen, amendments are not germane if they are in a subject different than what's being considered. The matter, the cert- the subject matter of the underlying uh measure is tax treatment of certain income, and the subject and the subject matter of the amendment is criminal penalties under underlying the uh total effort.

Rep. Doggett (TX-37)1:38:35 – 1:38:42

uh on the amendment and is not germane as is it is not in order. Mr. Ch- Mr. Chairman, may I be heard briefly?

Rep. Smith (MO-8)1:38:42 – 1:38:45

As a sponsor of the amendment, wish to be heard on the point of order, here.

Rep. Doggett (TX-37)1:38:45 – 1:38:46

Very briefly.

Rep. Buchanan (FL-16)1:38:46 – 1:38:46

Yes.

Rep. Doggett (TX-37)1:38:46 – 1:39:45

Mr. Chairman, uh I am surprised to see this um um effort to restrict the committee's jurisdiction. You have described this as a broad bill. Uh it is a broad bill that I don't believe can ignore the elephant in the room, the big elephant in the room. And that is those who are profiting the most from crypto by using their public office. If this is not relevant to the work of the rules, the guidelines we are setting setting for the crypto industry, uh then it is a narrowness that defies the concern that the public has about the corruption that's going on. There's no reason we can't do what you want about taxes and at the same time protect our country and our national security from the very real threat of our public rights being sold to the highest bidder. I yield back.

Rep. Smith (MO-8)1:39:45 – 1:39:51

I'm prepared to rule. The amendment is not germane and the point of order is sustained. The amendment is not in order.

Rep. Doggett (TX-37)1:39:52 – 1:39:55

Mister Chairman, on that I would respectfully appeal the ruling of the chair.

Rep. Buchanan (FL-16)1:39:56 – 1:39:57

Mister Chairman, I move to table.

Rep. Smith (MO-8)1:39:58 – 1:40:08

The question is on tabling the appeal of the the ruling of the chair, the clerk will call the roll. Mister Chairman? Mister Chairman? May I make a point of order? No, I've already called the roll.

Clerk1:40:09 – 1:40:09

Okay.

Rep. Smith (MO-8)1:40:11 – 1:40:12

Thank you, Mister Chairman.

Clerk1:40:11 – 1:40:14

Mister Buchanan. Mister Buchanan.

Rep. Doggett (TX-37)1:40:14 – 1:40:15

Yes.

Clerk1:40:15 – 1:40:25

Mister Buchanan, yes. Mister Smith of Nebraska. Mister Kelly.

Rep. Doggett (TX-37)1:40:25 – 1:40:25

Yes.

Clerk1:40:26 – 1:40:35

Mister Kelly, yes. Mister Schweikart. Mister Schweikart, yes. Mister LaHood.

Rep. Smith (MO-8)1:40:35 – 1:40:35

Yes.

Clerk1:40:36 – 1:40:39

Mister LaHood, yes. Mister Arrington.

Rep. Smith (MO-8)1:40:38 – 1:40:39

Yes.

Clerk1:40:39 – 1:40:42

Mister Arrington, yes. Mister Estes.

Rep. Smith (MO-8)1:40:42 – 1:40:43

Yes.

Clerk1:40:43 – 1:40:49

Mister Estes, yes. Mister Smucker. Mister Smucker, yes. Mister Hearn.

Rep. Smith (MO-8)1:40:49 – 1:40:49

Yes.

Clerk1:40:49 – 1:40:52

Mister Hearn, yes. Mrs. Miller.

Rep. Smith (MO-8)1:40:52 – 1:40:52

Yes.

Clerk1:40:53 – 1:40:55

Mrs. Miller, yes. Doctor Murphy.

Rep. Smith (MO-8)1:40:56 – 1:40:56

Yes.

Clerk1:40:56 – 1:40:59

Dr. Murphy, yes. Mister Custoff.

Unknown1:40:59 – 1:41:02

Should we say Mr. Custoff or Mr. Fitzpatrick?

Clerk1:41:03 – 1:41:04

Mister Fitzpatrick.

Unknown1:41:03 – 1:41:08

Or Mr. Fitzpatrick actually too, like it's not really sure what the sex.

Clerk1:41:08 – 1:41:09

Mister Stubbe.

Unknown1:41:09 – 1:41:10

Yes.

Clerk1:41:10 – 1:41:16

Mister Stubbe, yes. Miss Tenney. Miss Tenney, yes. Mrs. Fischbach.

Rep. Smith (MO-8)1:41:16 – 1:41:17

Yes.

Clerk1:41:17 – 1:41:20

Mrs. Fischbach, yes. Mister Moore.

Unknown1:41:22 – 1:41:22

Yes.

Clerk1:41:23 – 1:41:28

Mister Moore. Yes, Miss Van Duyn. Miss Van Duyn, yes. Mister Feenstra.

Unknown1:41:28 – 1:41:28

Yes.

Clerk1:41:29 – 1:41:37

Mister Feenstra, yes. Miss Maliatakis. Miss Maliatakis, yes. Mister Kerry. Mister Kerry, yes. Mister Joachim.

Unknown1:41:37 – 1:41:38

Yes.

Clerk1:41:38 – 1:41:40

Mister Joachim, yes. Mister Miller.

Unknown1:41:41 – 1:41:41

Yes.

Clerk1:41:41 – 1:41:43

Mister Miller, yes. Mister Bean.

Unknown1:41:43 – 1:41:44

Yes.

Clerk1:41:44 – 1:41:59

Mister Bean, yes. Mister Moran. Mister Neal. Mister Doggett.

Rep. Doggett (TX-37)1:42:00 – 1:42:00

No.

Clerk1:42:00 – 1:42:09

Mister Doggett, no. Mister Thompson. Mister Thompson, no. Mister Larson. Mister Larson, no. Mister Davis.

Unknown1:42:09 – 1:42:10

No.

Clerk1:42:10 – 1:42:12

Mister Davis, no. Miss Sanchez.

Unknown1:42:12 – 1:42:13

No.

Clerk1:42:13 – 1:42:15

Miss Sanchez, no. Miss Sewell.

Unknown1:42:15 – 1:42:16

No.

Clerk1:42:16 – 1:42:21

Miss Sewell, no. Miss Del Bene. Miss Delvenay, no. Miss Chu,

Unknown1:42:22 – 1:42:22

No.

Clerk1:42:22 – 1:42:26

Miss Chu, no. Miss Moore.

Unknown1:42:26 – 1:42:26

Miss No. Chu.

Clerk1:42:28 – 1:42:32

Miss Moore, no. Mister Boyle.

Unknown1:42:32 – 1:42:32

No.

Clerk1:42:33 – 1:42:47

Mister Boyle, no. Mister Beier. Mister Evans.

Rep. Smith (MO-8)1:42:48 – 1:42:48

No.

Clerk1:42:50 – 1:42:54

Mister Evans, no. Mister Schneider.

Rep. Smith (MO-8)1:42:54 – 1:42:54

No.

Clerk1:42:55 – 1:42:59

Mister Schneider, no. Mister Panetta.

Rep. Smith (MO-8)1:42:59 – 1:43:00

No.

Clerk1:43:00 – 1:43:23

Mister Panetta, no. Mister Gomez. Mister Horsford. Mister Horsford, no. Miss Plaskett. Mister Swasey.

Rep. Smith (MO-8)1:43:23 – 1:43:24

No.

Clerk1:43:24 – 1:43:36

Mister Swasey, no. Mister Smith of Nebraska.

Rep. Smith (MO-8)1:43:36 – 1:43:37

Yes.

Clerk1:43:37 – 1:43:41

Mister Smith of Nebraska, yes. Mister Kustof.

Rep. Smith (MO-8)1:43:41 – 1:43:42

Yes.

Clerk1:43:42 – 1:43:43

Mister Kustof,

Rep. Smith (MO-8)1:43:43 – 1:43:43

No.

Clerk1:43:44 – 1:43:46

yes. Mister Fitzpatrick.

Rep. Smith (MO-8)1:43:46 – 1:43:46

Yes.

Clerk1:43:46 – 1:44:02

Mister Fitzpatrick, yes. Mister Moran. Mister Neal. Mister Beier.

Rep. Smith (MO-8)1:44:03 – 1:44:03

No.

Clerk1:44:03 – 1:44:21

Mister Beier, no. Mister Gomez. Miss Plaskett. Chairman Smith.

Rep. Smith (MO-8)1:44:21 – 1:44:22

Yes.

Clerk1:44:22 – 1:44:24

Chairman Smith. Yes.

Rep. Smith (MO-8)1:44:25 – 1:44:27

Clerk will report the vote.

Clerk1:44:43 – 1:44:47

Mister Chairman, the yeses are twenty-five and the noes are sixteen.

Rep. Smith (MO-8)1:44:47 – 1:44:53

There being twenty-five yeses and sixteen noes, the appeal is tabled. Are there additional amendments?

Rep. Buchanan (FL-16)1:44:53 – 1:44:55

Mister Chairman, uh, I have another one.

Rep. Smith (MO-8)1:44:56 – 1:44:57

That surprises me, Mister Doggett.

Rep. Buchanan (FL-16)1:44:58 – 1:45:00

Mister Chairman, I reserve a point of order.

Rep. Doggett (TX-37)1:45:00 – 1:45:01

Easy, easy, easy.

Rep. Smith (MO-8)1:45:01 – 1:45:07

A point of order has been reserved. Will the will the gentleman suspend while the clerk distributes the amendment?

Rep. Doggett (TX-37)1:45:07 – 1:45:07

Sure will.

Rep. Smith (MO-8)1:45:17 – 1:45:17

Proceed, Mister Doggett.

Rep. Doggett (TX-37)1:45:18 – 1:50:15

Our law requires that one compensated for quote regularly providing Excuse me. Our law requires that one compensated for quote regularly providing any service effectuating transfers of digital assets is responsible like any other broker of stocks or other financial instruments For giving its customers and the IRS the basic information needed to pay the correct tax, usually at ten ninety nine. At President Trump's insistence, a giant loophole lets non-custodial platforms, the ones that have branded themselves as decentralized finance, but that for customers that are little different than Coinbase or Binance, they'll get to escape that duty entirely. And that loophole is an engine for tax evasion. My amendment takes the DeFi broker reporting rule that the treasury fina- finalized back in December of twenty twenty four, which unfortunately this Congress uh repealed under the Review Act in April and puts it directly into the tax code. When crypto is not being used for financial speculation, it is being used to facilitate illicit transactions. And there is nothing in this bill before us designed to stop or even mitigate the billions of dollars that are flowing in lawlessness that crypto makes possible. My amendment will not end all of this abuse, but it can stop tax evasion and discourage other illicit activity. By simply requiring that these platforms file a ten ninety-nine report, the way every other broker does, this prevents crypto from being used for tax evasion. The Joint Committee on Taxation reported to us earlier this year that failing to report cost us four billion dollars, not from cutting anyone's taxes. This provision raises no one's taxes. It loses four billion dollars because without reporting, people cheat. This is four billion handed to tax evaders. And tax evasion is only beginning, the beginning of what hides in this market. Consider Crypto Sanctions Evasion. The founder of Binance, the world's largest crypto exchange, pleaded guilty to breaking our anti-money laundering laws and sanction laws, including processing transactions for users in Iran. Binance paid four billion dollars in penalties. And what happened next? Well, of course, President Trump pardoned him. Consider crypto-terrorism financing. Earlier this year, more than three hundred families of the victims of October seventh attack, including the finan- the families of murdered American hostages, sued Binance in federal court. They alleged the company knowingly moved more than one billion dollars for Hamas, Hezbollah, Palestinian Islamic Jihad, and Iran's Revolutionary Guard, including over fifty million after the October seventh massacre. Consider the crypto scams and the blackmail. The FBI's latest crime report found Americans lost twenty-one billion dollars to on-line crime last year. And more than half of that, over eleven billion dollars, involved cryptocurrency. The hardest hit, of course, were our seniors. These are the extortion emails and the ransomware demands that run on crypto, precisely because it's anonymous and irreversible. Step back and look at the whole picture. The firm Chain Analyst traced one hundred and fifty-four billion in dirty money through crypto last year, nearly triple the prior year. As one watchdog put it, money laundering is not a defect in crypto, it's the major feature. So whom exactly is protected by this tax reporting loophole? Look no further than the venture Trump and his son's launch called World Liberty Financial, which billed itself as the future of decentralized finance. The very part of this market which my amendment would simply require to report its taxes, uh, the taxes, and consider the man behind it, from the budgets that he used to gut high-end IRS enforcement to the sweetheart IRS audit immunity deal he negotiated with himself, to his own boost that it's he's smart because he doesn't pay taxes. He is the patron s- Pat- Trump is the patron saint of wealthy tax sheets, the kind who would have honest, hard-working Americans shoulder an ever greater burden of our national defense, our transportation infrastructure, and other vital services. My amendment is a very modest step to restore s- one rule that brings DeFi platforms into the daylight, and prevents them from being a haven for tax sheets. A vote for this amendment is a vote for transparency over the tax sheets, the sanctions evaders, and those who finance terrorism, all of whom who have thrived in the dark, our urge its adoption and yield back.

Rep. Smith (MO-8)1:50:16 – 1:50:17

Discussion on the amendment, Mister Kerry.

Rep. Carey (OH-15)1:50:18 – 1:51:26

Um, uh, Mister Chairman, I I I oppose this amendment and I wanna remind the members of this committee that uh we had this legislation some time ago as it was brought up and I would like the members of this committee just to remember that uh, when it made it to the floor, in both the House and the Senate, many members on this committee overwhelmingly on the floor voted in favor of its passage. And I can go into the details of it, but - but essentially we came together to repeal the overly broad and ambiguous rule uh and replace it with a common sense solution which this which is is what this did, and to to reflect the previous administration's rule was finalized after the election, with after the proper, without the proper vetting, and feedback from Congress and industry stakeholders, which we did have. So, I urge urge uh my colleagues to remember their vote on the floor, again, overwhelmingly bipartisan. So, I urge a no vote. I yield.

Rep. Smith (MO-8)1:51:27 – 1:51:31

Yes. Any further discussion? Seeing none, the question is, am I

Rep. Doggett (TX-37)1:51:31 – 1:51:32

Yeah, yeah, Mr. Larson.

Rep. Smith (MO-8)1:51:32 – 1:51:32

Oh.

Rep. Carey (OH-15)1:51:33 – 1:51:35

Yes, I'd like to yield my time to Mister Doggett.

Rep. Smith (MO-8)1:51:35 – 1:51:38

Mister Larson, is the only assignment to Mister Doggett?

Rep. Doggett (TX-37)1:51:39 – 1:52:42

I'm d- only asking today for a four billion dollar reconsideration, because four billion dollars is what it cost to authorize tax cheats, to not have ten ninety-nines like every American who's a stockholder gets on their dividends, uh, uh, like every holder of uh a bond or instrument uh that is earning interest at a bank or a uh institution that uh pays interest they get a ten ninety-nine this isn't an unreasonable burden, it is a direct action to have parity which uh the authors of this uh bill say they want parity with all financial instruments. That if you earn from crypto uh you can't evade your taxes by going through a what is called decentralized finance. Uh, I urge adoption of the amendment uh to uh get that four billion dollars and to achieve some parity and equity uh for all and respond to tax evaders and all that use the crypto system for illegal purposes. I yield back.

Rep. Smith (MO-8)1:52:44 – 1:52:46

Are there further further discussion on the amendment?

Rep. Suozzi (NY-3)1:52:47 – 1:52:47

Yes, Mr. Chairman.

Rep. Smith (MO-8)1:52:48 – 1:52:48

Mister Swasey.

Rep. Suozzi (NY-3)1:52:49 – 1:53:29

I just wanna say I have to actually leave and I'm not gonna be here for this vote. Uh, but I just wanted to comment on Mister Doggett for a second. I think that uh, Mister, I disagree with Mister Doggett on a whole bunch of different things in our, in our philosophies, but I would just wanna say, say thank him for his service to his country, because he really brings up so many important issues on a regular basis, uh, to get people thinking about things that they don't normally think about. And he's really been a important voice in this committee for a long time. And he's not running for re-election, cuz he was redistricted out of his seat. during that Tex- Texas redistricting, but I just wanted to publicly thank him for his service and for the great things that he brings to everyone's attention on a regular basis. So, thank you, Mister Doggett.

Rep. Smith (MO-8)1:53:36 – 1:53:41

Further discussion on the amendment? The question is on agreeing to the amendment offered by Mister Doggett. The clerk will call the roll.

Clerk1:53:42 – 1:53:42

Mister Buchanan.

Rep. Suozzi (NY-3)1:53:43 – 1:53:43

No.

Clerk1:53:44 – 1:53:58

Mister Buchanan? No. Mister Smith of Nebraska. Mister Kelly. Mister Kelly, no. Mister Schweikert.

Rep. Smith (MO-8)1:53:56 – 1:53:56

Yeah.

Clerk1:53:58 – 1:54:10

Mister Schweikert, no. Mister LaHood. Mister LaHood, no. Mister Arrington. Mister Estes.

Rep. Smith (MO-8)1:54:10 – 1:54:10

No.

Clerk1:54:10 – 1:54:22

Mister Estes, no. Mister Smucker. Mister Smucker, no. Mister Hearn. Mrs. Miller.

Rep. Smith (MO-8)1:54:22 – 1:54:23

No.

Clerk1:54:23 – 1:54:31

Mrs. Miller? No. Doctor Murphy. Mister Kustof.

Rep. Smith (MO-8)1:54:32 – 1:54:32

No.

Clerk1:54:32 – 1:54:55

Mister Kustof? No. Mister Fitzpatrick. Mister Stubbe. Mister Stubbe? No. Miss Tenney. Mrs. Fischbach. Mister Moore.

Rep. Smith (MO-8)1:54:56 – 1:54:56

No.

Clerk1:54:56 – 1:54:59

Mister Moore, no. Miss Van Duyn.

Rep. Smith (MO-8)1:54:59 – 1:55:00

No.

Clerk1:55:00 – 1:55:13

Miss Van Duyn, no. Mister Feenstra. Mister Feenstra, no. Miss Malia Tauchis. Miss Malia Tauchis, no. Mister Kerry. Mister Kerry, no. Mister Joachim.

Rep. Smith (MO-8)1:55:13 – 1:55:13

No.

Clerk1:55:14 – 1:55:16

Mister Joachim, no. Mister Miller.

Rep. Smith (MO-8)1:55:16 – 1:55:16

No.

Clerk1:55:17 – 1:55:19

Mister Miller, no. Mister Bean.

Rep. Smith (MO-8)1:55:19 – 1:55:20

Bean, no.

Clerk1:55:20 – 1:55:23

Mister Bean, no. Mister Moran.

Rep. Smith (MO-8)1:55:22 – 1:55:23

What? No.

Clerk1:55:24 – 1:55:34

Mister Moran, no. Mister Neal. Mister Doggett.

Rep. Smith (MO-8)1:55:36 – 1:55:36

I.

Clerk1:55:36 – 1:55:42

Mister Doggett, yes. Mister Thompson. Mister Thompson, yes. Mister Larson.

Rep. Smith (MO-8)1:55:42 – 1:55:42

Yes.

Clerk1:55:43 – 1:55:46

Mister Larson, yes. Mister Davis.

Rep. Smith (MO-8)1:55:46 – 1:55:47

Yeah.

Clerk1:55:47 – 1:55:51

Mister Davis. Yes. Miss Sanchez.

Rep. Smith (MO-8)1:55:53 – 1:55:53

Yes.

Clerk1:55:54 – 1:55:56

Miss Sanchez, yes. Miss Sewell.

Rep. Smith (MO-8)1:55:56 – 1:55:57

Sanchez. Aye.

Clerk1:55:57 – 1:56:00

Miss Sewell, yes. Miss Del Bene.

Rep. Smith (MO-8)1:56:00 – 1:56:00

Aye.

Clerk1:56:01 – 1:56:03

Miss Del Bene, yes. Miss Chu.

Rep. Smith (MO-8)1:56:04 – 1:56:04

Aye.

Clerk1:56:04 – 1:56:07

Miss Chu, yes. Miss Moore.

Rep. Smith (MO-8)1:56:07 – 1:56:07

Aye.

Clerk1:56:07 – 1:56:10

Miss Moore, yes. Mister Boyle.

Rep. Smith (MO-8)1:56:10 – 1:56:11

Aye.

Clerk1:56:11 – 1:56:18

Mister Boyle, yes. Mister Beyer. Mister Evans.

Rep. Smith (MO-8)1:56:18 – 1:56:19

Yes.

Clerk1:56:19 – 1:56:22

Mister Evans, yes. Mister Schneider.

Rep. Smith (MO-8)1:56:22 – 1:56:22

No.

Clerk1:56:24 – 1:56:29

Mister Schneider. No. Mister Panetta.

Rep. Smith (MO-8)1:56:29 – 1:56:30

No.

Clerk1:56:30 – 1:56:54

Mister Panetta, no. Mister Gomez. Mister Horsford. Mister Horsford, no. Miss Plaskett. Miss Plaskett, no. Mister Swasey. Mister Smith of Nebraska.

Rep. Smith (MO-8)1:56:55 – 1:56:55

No.

Clerk1:56:56 – 1:57:00

Mister Smith of Nebraska, no. Mister Errington.

Rep. Smith (MO-8)1:57:00 – 1:57:01

No.

Clerk1:57:02 – 1:57:10

Mister Errington, no. Mister Hearn. Doctor Murphy.

Rep. Smith (MO-8)1:57:10 – 1:57:10

No.

Clerk1:57:11 – 1:57:19

Doctor Murphy? No. Mister Fitzpatrick? Miss Tenney?

Rep. Smith (MO-8)1:57:19 – 1:57:19

No.

Clerk1:57:20 – 1:57:23

Miss Tenney? No. Mrs. Fischbach?

Rep. Smith (MO-8)1:57:23 – 1:57:23

No.

Clerk1:57:23 – 1:57:27

Mrs. Fischbach? No. Mister Neal?

Rep. Smith (MO-8)1:57:28 – 1:57:28

Yes.

Clerk1:57:29 – 1:57:49

Mister Neal? Yes. Mister Beier? Mister Gomez? Mister Swasey. Chairman Smith.

Rep. Smith (MO-8)1:57:49 – 1:57:49

No.

Clerk1:57:50 – 1:57:51

Chairman Smith, no.

Rep. Smith (MO-8)1:58:02 – 1:58:03

The clerk will report the vote.

Clerk1:58:16 – 1:58:19

Mister Chairman, the yeses are twelve and the noes are twenty-eight.

Rep. Smith (MO-8)1:58:20 – 1:58:26

There being twelve yeses and twenty-eight noes, the amendment is not agreed to. Are there additional amendments?

Rep. Buchanan (FL-16)1:58:26 – 1:58:27

One final one.

Rep. Smith (MO-8)1:58:28 – 1:58:29

Mister Doggett.

Rep. Buchanan (FL-16)1:58:30 – 1:58:32

Mister Mister Chairman, I reserve a point of order.

Rep. Smith (MO-8)1:58:33 – 1:58:38

A point of order has been reserved um with the gentleman to spin while the amendment is distributed.

Rep. Buchanan (FL-16)1:58:38 – 1:58:38

Surely.

Rep. Smith (MO-8)1:58:47 – 1:58:48

Proceed, uh, Mr. Dargan.

Rep. Doggett (TX-37)1:58:50 – 2:03:34

Our nation's most prominent artificial intelligence figures, leaders like OpenAI's Altman, Anth- Anthropics, uh, Modedei, and even Elon Musk have conceded after a whistleblower recently came forward and rang the alarm bell that AI poses a growing danger, requiring slower development and sufficient guardrails before something goes wrong. Our self-proclaimed stable genius Donald Trump immediately dismissed these fears, including a greater than ten percent chance that AI systems could destroy all human life within the next four years. This very week, amazingly, Trump tweeted, quote, " The only control or guardrails that AI needs is a strong and smart I doubt that many Americans are convinced that Trump's intelligence is a sufficient safeguard to prevent extension of the human race. But long before the first AI data center broke ground, crypto mining was already buying up electricity for data centers. And not by accident we've been governing on faith instead of on facts regarding what crypto actually costs people who live nearby. Two years ago, the Energy Information Administration set out with a very It just asked crypto miners how much electricity they were using. The industry sued. The agency withdrew the survey and agreed to destroy the data it had collected. So this isn't a case of incomplete information, it is a case of information deliberately denied and obstructed. My amendment doesn't tax, it doesn't regulate. Uh, it says that treasury in consultation with the Department of Energy should study crypto mining's impact on our environment and energy markets. Simply ask what crypto costs, the power, the water, the emissions, the effect on the bills of the overwhelming number of families who've never bought a a bitcoin. If this industry is a good neighbor, it has nothing to fear from a study. Uh, with today's rush to give crypto friends tax breaks without taking the time to ask how crypto mining data centers impact their neighbors in the air, they breathe. This modest amendment would bring us necessary information on the resulting impact. In Texas, Governor Abbott urged crypto to come take advantage of cheap power, proudly proclaiming Texas will be the crypto leader without consulting the impact on electric rates. In twenty twenty-one, during winter storm Uri, or storm Abbott as some call it, a crypto mining data center near Austin consumed the amount of electricity needed to power sixty-five hundred homes. People were freezing in their homes as crypto data centers kept on churning. The state of Texas eventually agreed to pay crypto facilities an average of a hundred and seventy-five thousand dollars an hour just to go off-line so others could stay warm, shifting the cost of energy resilience to everyday Texans. In twenty twenty-three, to reduce energy consumption during a heat wave, which we have more and more of in Texas than elsewhere, another Bitcoin mining company was paid thirty-two million dollars to go off-line. If crypto mining facilities can essentially hold our communities hostage like this, we should at least know the extent of their energy use and environmental damage before we have to pay for it. Thanks to industry and and transigents, we're working with a black box, preventing us from fully understanding crypto's impact. Home electricity rates are rising faster than the rate of inflation. As the sweltering summer heat now extends right on into September across much of the country, millions of Americans will struggle to pay their bills and cool their homes. Instead of focusing on these issues, Republicans are devoted to incentivizing crypto mining, data center development, without any care regarding how this impacts electric bills, drinking water, and air quality. This amendment will simply inform us of the true size of crypto's footprint. Trump and his enablers act like we don't know what we don't know can't hurt us, but it can and it can cost us. Uh, last month, the hottest record recorded in over a hundred and thirty years of tracking the data. Blocking data, blocking scientific study only leaves us less and less prepared to address the ongoing emergency. Americans across the country are struggling to pay their bills. Let's get the facts on what unfed- unfettered data center development will have on American families and I yield back, moving adoption of the amendment.

Rep. Smith (MO-8)2:03:34 – 2:03:44

Any d- uh, discussion on the amendment? Seeing none, the question, the question is on agreeing to the amendment offered by Mister Doggett. The clerk will call the roll.

Clerk2:03:45 – 2:03:46

Mister Buchanan.

Rep. Buchanan (FL-16)2:03:46 – 2:03:46

No.

Clerk2:03:46 – 2:04:05

Mister Buchanan. No. Mister Smith of Nebraska. Mister Smith of Nebraska, no. Mister Kelly.

Rep. Smith (MO-8)2:04:06 – 2:04:06

No.

Clerk2:04:06 – 2:04:20

Mister Kelly, no. Mister Schweikert. Mister Schweikert, no. Mister Lohud. Mister Lohud, no. Mister Arrington. Mister Estes.

Rep. Smith (MO-8)2:04:20 – 2:04:20

No.

Clerk2:04:20 – 2:04:30

Mister Estes, no. Mister Smucker. Mister Smucker, no. Mister Hearn. Mrs. Miller.

Rep. Smith (MO-8)2:04:30 – 2:04:31

No.

Clerk2:04:31 – 2:04:33

Mrs. Miller? No. Dr. Murphy.

Rep. Smith (MO-8)2:04:34 – 2:04:34

No.

Clerk2:04:34 – 2:04:49

Dr. Murphy? No. Mr. Kustof. Mr. Fitzpatrick. Mr. Stubbe. Mr. Stubbe?

Rep. Smith (MO-8)2:04:48 – 2:04:48

No.

Clerk2:04:49 – 2:04:56

No. Miss Tenney. Mrs. Fischbach.

Rep. Smith (MO-8)2:04:56 – 2:04:56

No.

Clerk2:04:56 – 2:05:07

Mrs. Fischbach, no. Mr. Moore. Mr. Moore, no. Miss Van Duyn. Miss Van Duyn, no. Mr. Feenstra.

Rep. Smith (MO-8)2:05:07 – 2:05:07

No.

Clerk2:05:08 – 2:05:14

Mr. Feenstra, no. Miss Maliatakis. Miss Maliatakis, no. Mr. Carey.

Rep. Smith (MO-8)2:05:14 – 2:05:14

No.

Clerk2:05:14 – 2:05:17

Mr. Carey, no. Mr. Yawkem.

Rep. Smith (MO-8)2:05:17 – 2:05:17

No.

Clerk2:05:18 – 2:05:23

Mr. Yawkem, no. Mr. Miller. Mr. Miller, no. Mr. Bean.

Rep. Smith (MO-8)2:05:23 – 2:05:23

No.

Clerk2:05:23 – 2:05:26

Mr. Bean, No. Mister Moran.

Rep. Smith (MO-8)2:05:26 – 2:05:26

No.

Clerk2:05:27 – 2:05:29

Mister Moran, no. Mister Neal.

Rep. Smith (MO-8)2:05:31 – 2:05:31

Yes.

Clerk2:05:32 – 2:05:34

Mister Neal, yes. Mister Doggett.

Rep. Smith (MO-8)2:05:34 – 2:05:35

Yes.

Clerk2:05:35 – 2:05:37

Mister Doggett, yes. Mister Thompson.

Rep. Smith (MO-8)2:05:37 – 2:05:38

Aye.

Clerk2:05:38 – 2:05:40

Mister Thompson, yes. Mister Larson.

Rep. Smith (MO-8)2:05:40 – 2:05:41

Yes.

Clerk2:05:41 – 2:05:43

Mister Larson, yes. Mister Davis.

Rep. Smith (MO-8)2:05:43 – 2:05:44

Yes.

Clerk2:05:44 – 2:05:46

Mister Davis, yes. Miss Sanchez.

Rep. Smith (MO-8)2:05:47 – 2:05:47

Aye.

Clerk2:05:47 – 2:05:50

Miss Sanchez, yes. Miss Sewell.

Rep. Smith (MO-8)2:05:50 – 2:05:50

Aye.

Clerk2:05:51 – 2:05:53

Miss Sewell, yes. Miss Del Bene.

Rep. Smith (MO-8)2:05:53 – 2:05:53

Aye.

Clerk2:05:53 – 2:05:55

Mr. Albany, yes, Miss Chu.

Rep. Smith (MO-8)2:05:56 – 2:05:56

Aye.

Clerk2:05:56 – 2:05:58

Miss Chu, yes, Miss Moore.

Rep. Smith (MO-8)2:05:59 – 2:05:59

Aye.

Clerk2:06:00 – 2:06:23

Miss Moore, yes, Mister Boyle. Mister Beier. Mister Evans.

Rep. Smith (MO-8)2:06:23 – 2:06:23

Yes.

Clerk2:06:24 – 2:06:26

Mister Evans, yes. Mister Schneider.

Rep. Smith (MO-8)2:06:26 – 2:06:27

Yes.

Clerk2:06:27 – 2:06:29

Mister Schneider, yes. Mister Panetta.

Rep. Smith (MO-8)2:06:29 – 2:06:30

Yes.

Clerk2:06:30 – 2:06:39

Mister Panetta, yes. Mister Gomez. Mister Horsford.

Rep. Smith (MO-8)2:06:39 – 2:06:39

Yes.

Clerk2:06:40 – 2:06:42

Mister Horsford, yes. Miss Plaskett.

Rep. Smith (MO-8)2:06:42 – 2:06:42

Yes.

Clerk2:06:43 – 2:06:50

Miss Plaskett, yes. Mister Swazi. Mister Errington.

Rep. Smith (MO-8)2:06:51 – 2:06:51

No.

Clerk2:06:52 – 2:06:58

Mister Errington, no. Mister Hearn. Mister Kustof.

Rep. Smith (MO-8)2:06:59 – 2:06:59

No.

Clerk2:06:59 – 2:07:06

Mister Kustof, no. Mister Fitzpatrick. Miss Tenney.

Rep. Smith (MO-8)2:07:07 – 2:07:07

No.

Clerk2:07:08 – 2:07:11

Miss Tenney, no. Mister Boyle.

Rep. Smith (MO-8)2:07:12 – 2:07:12

Uh, yes.

Clerk2:07:13 – 2:07:27

Mister Boyle, yes. Mister Beier. Mister Gomez. Mister Swasey. Chairman Smith.

Rep. Buchanan (FL-16)2:07:27 – 2:07:27

No.

Clerk2:07:28 – 2:07:29

Chairman Smith, no.

Rep. Smith (MO-8)2:07:37 – 2:07:38

How is Mister Hearn recorded?

Clerk2:07:40 – 2:07:41

Mister Hearn is not recorded.

Rep. Buchanan (FL-16)2:07:42 – 2:07:42

No.

Clerk2:07:43 – 2:07:44

Mister Hearn, no.

Rep. Smith (MO-8)2:07:53 – 2:07:55

Clerk will report the vote.

Clerk2:07:59 – 2:08:02

Mister Chairman, the yeses are sixteen and the noes are twenty-five.

Rep. Smith (MO-8)2:08:02 – 2:08:17

There being sixteen yeses and twenty-five noes, the amendment is not agreed to. Are there additional amendments? Seeing none, the question is on the adoption of the amendment in the nature of a substitute. All those in favor signify by saying aye.

Clerk2:08:17 – 2:08:17

Aye. Aye.

Rep. Smith (MO-8)2:08:18 – 2:08:19

Those opposed say no.

Clerk2:08:19 – 2:08:19

No.

Rep. Smith (MO-8)2:08:20 – 2:08:28

In the opinion of the chair, the ayes have it, and the amendment in the nature of a substitute is agreed to. I will now recognize Mister Buchanan for the purpose of offering a motion.

Rep. Buchanan (FL-16)2:08:28 – 2:08:35

Mister Chairman, I move the committee favorably report H R ten three fifty seven as amended to the House of Representatives.

Rep. Smith (MO-8)2:08:36 – 2:08:44

The question is on the motion to favorably report HR ten three five seven as amended to the House of Representatives. The clerk will call the roll.

Clerk2:08:46 – 2:08:46

Mister Buchanan.

Rep. Smith (MO-8)2:08:47 – 2:08:47

Yes.

Clerk2:08:47 – 2:08:50

Mister Buchanan, yes. Mister Smith of Nebraska.

Rep. Smith (MO-8)2:08:50 – 2:08:51

Yes.

Clerk2:08:51 – 2:08:54

Mister Smith of Nebraska, yes. Mister Kelly.

Rep. Smith (MO-8)2:08:54 – 2:08:54

Yes.

Clerk2:08:54 – 2:09:06

Mister Kelly, yes. Mister Schweikert. Mister Schweikert, yes. Mister Lohood. Mister Lohood, yes. Mister Errington. Mister Errington, yes. Mister Estes.

Rep. Smith (MO-8)2:09:06 – 2:09:06

Yes.

Clerk2:09:06 – 2:09:11

Mister Estes, yes. Mister Smucker. Mister Smucker, yes. Mister Hearn.

Rep. Smith (MO-8)2:09:12 – 2:09:12

Yes.

Clerk2:09:12 – 2:09:15

Mister Hearn. Yes, Mrs. Miller.

Rep. Smith (MO-8)2:09:14 – 2:09:15

Tenney, yes.

Clerk2:09:15 – 2:09:18

Mrs. Miller, yes, Doctor Murphy.

Rep. Smith (MO-8)2:09:18 – 2:09:18

Yes.

Clerk2:09:19 – 2:09:21

Doctor Murphy, yes, Mister Kustof.

Rep. Smith (MO-8)2:09:21 – 2:09:21

Yes.

Clerk2:09:22 – 2:09:24

Mister Kustof, yes, Mister Fitzpatrick.

Rep. Smith (MO-8)2:09:25 – 2:09:25

Yes.

Clerk2:09:28 – 2:09:28

Mister Stubbe.

Rep. Smith (MO-8)2:09:29 – 2:09:29

Yes.

Clerk2:09:29 – 2:09:36

Mister Stubbe, yes, Miss Tenney. Mrs. Fischbach.

Rep. Smith (MO-8)2:09:37 – 2:09:37

Yes.

Clerk2:09:37 – 2:09:40

Mrs. Fischbach, yes, Mister Moore.

Rep. Smith (MO-8)2:09:40 – 2:09:40

Yes.

Clerk2:09:41 – 2:09:46

Mister Moore, yes. Miss Van Duyn, Miss Van Duyn, yes. Mister Feenstra.

Rep. Smith (MO-8)2:09:46 – 2:09:46

Yes.

Clerk2:09:47 – 2:09:52

Mister Feenstra, yes. Miss Maliatakis. Miss Maliatakis, yes. Mister Kerry.

Rep. Smith (MO-8)2:09:52 – 2:09:53

Yes.

Clerk2:09:53 – 2:09:55

Mister Kerry, yes. Mister Joachim.

Rep. Smith (MO-8)2:09:55 – 2:09:56

Yes.

Clerk2:09:56 – 2:09:58

Mister Joachim, yes. Mister Miller.

Rep. Smith (MO-8)2:09:58 – 2:09:59

Yes.

Clerk2:09:59 – 2:10:01

Mister Miller, yes. Mister Feenstra. Mister Bean.

Rep. Smith (MO-8)2:10:01 – 2:10:02

Yes.

Clerk2:10:02 – 2:10:04

Mister Bean, yes. Mister Moran.

Rep. Smith (MO-8)2:10:04 – 2:10:05

Yes.

Clerk2:10:05 – 2:10:08

Mister Moran, yes. Mister Neal.

Rep. Smith (MO-8)2:10:09 – 2:10:09

Yes.

Clerk2:10:10 – 2:10:12

Mister Neal, yes. Mister Doggett.

Rep. Smith (MO-8)2:10:12 – 2:10:12

No.

Clerk2:10:13 – 2:10:16

Mister Doggett, no. Mister Thompson.

Rep. Smith (MO-8)2:10:16 – 2:10:16

Aye.

Clerk2:10:17 – 2:10:19

Mister Thompson, yes. Mister Larson.

Rep. Smith (MO-8)2:10:19 – 2:10:20

Yes.

Clerk2:10:20 – 2:10:22

Mister Larson, yes. Mister Davis.

Rep. Smith (MO-8)2:10:22 – 2:10:23

Yes.

Clerk2:10:23 – 2:10:26

Mister Davis, yes. Miss Sanchez.

Rep. Smith (MO-8)2:10:26 – 2:10:26

Aye.

Clerk2:10:26 – 2:10:28

Miss Sanchez, yes. Miss Sewell.

Rep. Smith (MO-8)2:10:28 – 2:10:29

Aye.

Clerk2:10:29 – 2:10:31

Miss Sewell, yes. Miss Delbene.

Rep. Smith (MO-8)2:10:31 – 2:10:31

Aye.

Clerk2:10:32 – 2:10:34

Miss Delbene, yes. Miss Chu.

Rep. Smith (MO-8)2:10:34 – 2:10:35

No.

Clerk2:10:35 – 2:10:38

Miss Chu, no. Miss Moore.

Rep. Smith (MO-8)2:10:38 – 2:10:39

No.

Clerk2:10:39 – 2:10:42

Miss Moore, no. Mr. Boyle.

Rep. Smith (MO-8)2:10:42 – 2:10:43

Yes.

Clerk2:10:43 – 2:10:46

Mr. Boyle, yes. Mr. Beier.

Rep. Smith (MO-8)2:10:46 – 2:10:47

No.

Clerk2:10:47 – 2:10:51

Mr. Beier, no. Mr. Evans.

Rep. Smith (MO-8)2:10:51 – 2:10:51

No.

Clerk2:10:52 – 2:10:55

Mr. Evans, no. Mr. Schneider.

Rep. Smith (MO-8)2:10:55 – 2:10:55

Yes.

Clerk2:10:56 – 2:10:59

Mr. Schneider, yes. Mr. Panetta.

Rep. Smith (MO-8)2:10:59 – 2:10:59

Yes.

Clerk2:11:00 – 2:11:06

Mr. Panetta, yes. Mr. Gomez. Mister Horsford.

Rep. Smith (MO-8)2:11:06 – 2:11:07

Yes.

Clerk2:11:07 – 2:11:10

Mister Horsford, yes. Miss Plaskett.

Rep. Smith (MO-8)2:11:10 – 2:11:11

Yes.

Clerk2:11:11 – 2:11:13

Miss Plaskett, yes.

Rep. Smith (MO-8)2:11:11 – 2:11:12

Uh-huh.

Clerk2:11:14 – 2:11:21

Mister Swasey. Mister Fitzpatrick.

Rep. Smith (MO-8)2:11:21 – 2:11:21

Yes.

Clerk2:11:22 – 2:11:48

Mister Fitzpatrick, yes. Miss Tenney. Mister Gomez. Mister Swasey. Chairman Smith.

Rep. Smith (MO-8)2:11:49 – 2:11:49

Yes.

Clerk2:11:50 – 2:11:51

Chairman Smith, yes.

Rep. Smith (MO-8)2:12:07 – 2:12:08

How is Miss Tinney recorded?

Clerk2:12:09 – 2:12:14

Miss Tinney is not recorded. Miss Tinney, yes.

Rep. Smith (MO-8)2:12:25 – 2:12:26

Clerk will report the vote.

Clerk2:12:35 – 2:12:38

Mister Chairman, the yeses are thirty-eight and the noes are five.

Rep. Smith (MO-8)2:12:40 – 2:13:39

There being thirty-eight yeses and five noes, the motion is agreed to in H R ten three five seven, as amended as ordered favorably reported to the house. Without objection, I ask that staff be authorized to make technical and conforming changes to H R ten three five seven, and that members have two additional days to file with the committee clerk supplemental additional or minority views. Our next order of business is H R ten three three four, the EFIN verification act introduced by Representative Estes, a bill that strengthens taxpayer protections against identity theft and fraud. Representative Estes brings a problem solvers' background to this issue from his years as an engineer and as Kansas' state treasurer. As chairman of our social security subcommittee, He has been a steady voice for policies that go after fraudsters and combat identity theft. I urge my colleagues to support this bill, and I'm pleased to recognize the gentleman from Kansas, Mister Estes, for an opening statement.

Rep. Estes (KS-4)2:13:41 – 2:16:17

Thank you, Mister Chairman. I want to thank my colleague, Mister Panetta, for partnering with me on this important bipartisan legislation. Mister Chairman, fraud is an issue that directly affects all Americans. The last thing anybody wants to find out is somebody's stolen their identity and has filed a return under their name. But every year that happens. While I want to commend the IRS for having high standards in place, some critical gaps still remain. That's why Mister Panetta and I have introduced the EFIN Verification Act of twenty twenty six, which requires the IRS to create a real-time verification system for EFINs before a tax return is submitted. This is needed legislation because every year, millions of taxpayers rely on a tax professional to file their return. Behind each of these returns is electronic filing identification number, or EFIM. These are what the IRS relies on to keep a clear record of who submitted a tax return on a taxpayer's behalf. The problem is that we're now seeing compromised EFIMs being used to submit hundreds of fraudulent returns and steal millions of dollars, victimizing taxpayers in the process. Kansans who do everything right can end up waiting months for their refund while they clean up a mess they didn't make. Worse, the IRS didn't didn't doesn't have the tools to catch this kind of fraud before it happens. Right now the IRS uh doesn't provide real-time verification of EFI ends when a return is filed. That means there's a lag between the when when the number is compromised and when it's actually discovered and fixed. The IRS has taken steps to cut down on that delay, but more needs to be done. We should stop fraud before it happens. With our bill, the tax software will identify uh the EFI end number first, If that number has been suspended, revoked, or compromised, the return won't go through. It's a common sense change that ensures only authorized and active EFINs are eligible to file returns. The goal is to prevent fraud before it occurs so the IRS isn't left running down rabbit holes trying to find stolen re- refunds. The legislation builds off existing efforts and leverages new technology in partnership with tax professionals, software providers, state tax agencies and financial institutions. It uses the same safeguard the tax code already has in place to protect taxpayer information. It also gives the IRS and industry two years to give the system up and running the right way. Mr. Chairman, I ask unanimous consent to enter into the record a l- a letter of support for HR ten three thirty-four from the American Coalition of Taxpayer Rights, which highlights the importance of this legislation in securing our tax system.

Rep. Smith (NE-3)2:16:18 – 2:16:19

Without objection, so ordered.

Rep. Estes (KS-4)2:16:19 – 2:16:29

Again, I I wanna thank my bipartisan partner, Mr. Panetta, as well as committee and IRS staff who provided technical assistance. I urge my colleagues to support this legislation and I yield back.

Rep. Smith (NE-3)2:16:30 – 2:16:32

The gentleman yields back. Mr. Panetta is recognized.

Rep. Smith (MO-8)2:16:32 – 2:18:45

Thank you, Mister Chairman, I of course wanna first acknowledge the uh very uh difficult work of Representative Estes to introduce this important bipartisan legislation that would prevent fraud and protect the American taxpayers. The EFIN verification act of twenty twenty six addresses a concerning vulnerability in our tax system. Currently, the IRS has no verification system for electronic filing identification numbers, otherwise known as EFINs. That's the six-digit set of numbers issued by the IRS to tax professionals and firms that are authorized to file tax returns. Now, those numbers are important because they identify the firm or entity submitting a tax return. But the issue we're trying to solve with this legislation is that when an EFIN is stolen or compromised, criminals can use it to steal client data and to make fraudulent returns appear as though they were filed by a legitimate tax professional. That is particularly concerning because tax preparers can have access to some of taxpayers' most sensitive information including social security numbers, wage and income records, bank account information, and prior tax uh, year returns. To prevent this, our bill would establish a simple safeguard, that the IRS must validate the EFIN as active and authorized before, tax preparation software allows a return or other document to be electronically filed using an EFIN. That would help prevent fraudulent fraudulent filings before they enter the IRS system, rather than forcing taxpayers and the IRS to clean up the damage afterward. Now, this requirement does not affect taxpayers who electronically file their own tax returns, and it only applies to filings made through tax professionals and firms. This is a targeted bipartisan step that would strengthen the security of our tax system and help protect taxpayers from identity theft and fraud. Again, I want to thank Mister Estes for his diligent work on this legislation, and I urge all of my colleagues on the Ways and Means Committee and in Congress to support it. Thank you, Mr. Chairman. I yield back.

Rep. Smith (NE-3)2:18:47 – 2:19:33

The gentleman yields back. Uh, the committee will now proceed to consideration of HR ten three three four, the EFI and Verification Act of twenty twenty six. Without objection, the measure will be considered as read and open for amendment at any point. At this time, I offer an amendment in the nature of a substitute, which was distributed in advance along with a green sheet explaining it. Without objection, the amendment in the nature of a substitute shall be considered as read, open for amendment at any point, and considered base text for the purpose of amendment. We'll now turn to uh Tom Barthold, Chief of Staff for the Joint Committee on Taxation, to provide a technical description of the amendment in the nature of a substitute with an emphasis on the changes made since introduction. I ask that members hold their questions until after his presentation.

Thomas Barthold (Witness)2:19:34 – 2:21:26

Thank you, Mr. Chairman. The committee members have before them JCX forty-nine, which describes the underlying legislation, EFIN Verification Act of twenty twenty six, and JCX uh fifty one on the green sheet, which describes the chairman's amendment, the nature of a substitute. The EFIN, the Electronic Filing Identification Number, again is a number that's used by uh preparers and software providers, authorized to uh electronically file returns and other documentations on behalf of the taxpayer. This is an off-code uh directive to the Secretary of the Treasury to establish a validation program uh for EFINS and to require the IRS uh to develop software requiring uh EFIN valid validation before accepting a return or other uh documents so submitted. The amendment in nature of the substitute narrows the defined validat- validators to software providers, state tax agencies, and financial institutions. The amendment in the nature of a substitute also strikes an amendment to the code that was in the underlying legislation, which would have amended code section sixty-one O three, uh relating to privacy of uh return information. This legislation is effective for taxable years beginning two years after the date of enactment, so if enacted uh uh in this session that would generally apply to taxable years beginning in twenty twenty nine. Uh the staff of the joint committee on taxation has estimated that this would have a negligible effect on uh federal receipts over the budget period of fiscal years twenty twenty seven through fiscal year twenty thirty six. Uh that concludes my brief description, be happy to answer any questions that the members might have.

Rep. Smith (NE-3)2:21:26 – 2:21:58

Thank you. Are there any technical questions about the amendment and the nature of a substitute? Any members with questions? Seeing none, does anyone, do any members wish to strike the last word? Seeing none, are there any amendments to the amendment in the nature of a substitute? There are no further amendments. Uh, the question is on the adoption of the amendment in the nature of a substitute. All those in favor signify by saying aye.

Thomas Barthold (Witness)2:21:58 – 2:21:58

Aye. Aye.

Rep. Smith (NE-3)2:21:59 – 2:22:09

Those opposed nay. The opinion of the chair, the ayes have it, and the amendment in the nature of a substitute is agreed to. I will now recognize Mister Buchanan for the purpose of a motion.

Rep. Buchanan (FL-16)2:22:11 – 2:22:18

Mis- Mister Chairman, I move the committee favorably report HR ten one three three four as amended to the House of Representatives.

Rep. Smith (NE-3)2:22:19 – 2:22:26

The question is on the motion to favorably report HR ten three three four, as amended to the House of Representatives, clerk call the roll.

Clerk2:22:30 – 2:22:30

Mr. Buchanan.

Rep. Smith (NE-3)2:22:30 – 2:22:31

Yes.

Clerk2:22:32 – 2:22:36

Mr. Buchanan, yes. Mr. Smith of Nebraska.

Rep. Smith (NE-3)2:22:36 – 2:22:36

Yes.

Clerk2:22:37 – 2:23:00

Mr. Smith of Nebraska, yes. Mr. Kelly. Mr. Kelly, yes. Mr. Schweikert. Mr. Schweikert, yes. Mr. LaHood. Mr. Arrington. Mister Estes.

Rep. Smith (NE-3)2:23:00 – 2:23:00

Yes.

Clerk2:23:01 – 2:23:08

Mister Estes, yes. Mister Smucker. Mister Smucker, yes. Mister Hearn.

Rep. Smith (NE-3)2:23:08 – 2:23:08

Yes.

Clerk2:23:08 – 2:23:27

Mister Hearn, yes. Mrs. Miller. Doctor Murphy. Mister Kustof.

Rep. Smith (MO-8)2:23:32 – 2:23:33

Yes.

Clerk2:23:34 – 2:23:36

Mister Kustof, yes.

Rep. Smith (MO-8)2:23:35 – 2:23:35

Yeah.

Clerk2:23:38 – 2:23:38

Mister Fitzpatrick.

Rep. Smith (MO-8)2:23:39 – 2:23:39

Yes.

Clerk2:23:39 – 2:23:43

Mister Fitzpatrick, yes. Mister Stubbe.

Rep. Smith (MO-8)2:23:43 – 2:23:44

Yes.

Clerk2:23:45 – 2:24:04

Mister Stubbe, yes. Miss Tenney. Miss Tenney, yes. Miss Fischbach. Miss Fischbach, yes. Mister Moore.

Rep. Smith (MO-8)2:24:05 – 2:24:06

Yes, please.

Clerk2:24:06 – 2:24:12

Mister Moore, yes. Miss Van Duyn, Miss Van Duyn, yes. Mister Feenstra.

Rep. Smith (MO-8)2:24:13 – 2:24:13

Yes.

Clerk2:24:14 – 2:24:17

Mister Feenstra, yes. Miss Mayotakis,

Rep. Smith (NE-3)2:24:17 – 2:24:17

Yes.

Clerk2:24:17 – 2:24:20

Miss Mayotakis, yes. Mister Kerry,

Rep. Smith (MO-8)2:24:20 – 2:24:21

Yes.

Clerk2:24:21 – 2:24:30

Mister Kerry, yes. Mister Yackem. Mister Miller.

Rep. Smith (MO-8)2:24:30 – 2:24:30

Yes.

Clerk2:24:31 – 2:24:33

Mister Miller, yes. Mister Bean.

Rep. Smith (MO-8)2:24:33 – 2:24:34

Yes.

Clerk2:24:34 – 2:24:37

Mister Bean, yes. Mister Moran.

Rep. Smith (MO-8)2:24:37 – 2:24:37

Yes. Yes.

Clerk2:24:37 – 2:24:53

Mister Moran, yes. Mister Neal. Mister Doggett.

Rep. Smith (MO-8)2:24:53 – 2:24:54

Yes.

Clerk2:24:54 – 2:24:56

Mister Doggett, yes. Mister Thompson.

Rep. Smith (MO-8)2:24:56 – 2:24:56

Aye.

Clerk2:24:57 – 2:24:59

Mister Thompson, yes. Mister Larson.

Rep. Smith (MO-8)2:24:59 – 2:24:59

Yes.

Clerk2:24:59 – 2:25:02

Mister Larson, yes. Mister Davis.

Rep. Smith (MO-8)2:25:02 – 2:25:02

Yes.

Clerk2:25:02 – 2:25:05

Mister Davis, yes. Miss Sanchez.

Rep. Smith (MO-8)2:25:05 – 2:25:05

Aye.

Clerk2:25:05 – 2:25:08

Miss Sanchez, yes. Miss Sewell.

Rep. Smith (MO-8)2:25:08 – 2:25:08

Aye.

Clerk2:25:09 – 2:25:17

Miss Sewell, yes. Miss Delbene. Miss Chu.

Rep. Smith (MO-8)2:25:17 – 2:25:17

Aye.

Clerk2:25:17 – 2:25:24

Miss Chu, yes. Miss Moore. Mister Boyle.

Rep. Smith (MO-8)2:25:25 – 2:25:25

Yes.

Clerk2:25:25 – 2:25:33

Mister Boyle, yes. Mister Beier. Mister Evans.

Rep. Smith (MO-8)2:25:34 – 2:25:34

Yes.

Clerk2:25:35 – 2:25:37

Mister Evans, yes. Mister Schneider.

Rep. Smith (MO-8)2:25:38 – 2:25:38

Yes.

Clerk2:25:38 – 2:25:40

Mister Schneider, yes. Mister Panetta.

Rep. Smith (MO-8)2:25:40 – 2:25:41

Yes.

Clerk2:25:41 – 2:25:48

Mister Panetta, yes. Mister Gomez. Mister Horsford.

Rep. Smith (NE-3)2:25:48 – 2:25:49

Yes.

Clerk2:25:49 – 2:25:52

Mister Horsford, yes. Miss Plaskett.

Rep. Smith (NE-3)2:25:52 – 2:25:53

Miss.

Clerk2:25:57 – 2:26:05

Mister Swasey. Mister LaHood.

Rep. Smith (NE-3)2:26:06 – 2:26:06

Oh, yes.

Clerk2:26:09 – 2:26:09

Mister Arrington.

Rep. Smith (NE-3)2:26:10 – 2:26:10

Yes.

Clerk2:26:11 – 2:26:20

Mister Arrington, yes. Mrs. Miller. Miss Miller. Mrs. Miller, yes. Doctor Murphy.

Rep. Smith (NE-3)2:26:20 – 2:26:21

Yes.

Clerk2:26:21 – 2:26:25

Doctor Murphy, yes. Mister Yackem.

Rep. Smith (NE-3)2:26:25 – 2:26:25

Yes.

Clerk2:26:26 – 2:26:27

Mister Yackem, yes.

Rep. Smith (NE-3)2:26:26 – 2:26:27

Last time, right?

Clerk2:26:31 – 2:26:55

Mister Neal. Miss DelBene. Aye. Miss DelBene, yes. Miss Moore. Aye. Miss Moore, yes. Mister Buyer. Mister Gomez. Miss Plaskett. Mister Swazi.

Rep. Buchanan (FL-16)2:26:57 – 2:26:59

Sure, we'll be back. We'll be back.

Rep. Smith (NE-3)2:27:02 – 2:27:03

How is Mister Lhood recorded?

Clerk2:27:04 – 2:27:05

Mister Lhood is not recorded.

Rep. Buchanan (FL-16)2:27:05 – 2:27:06

No, I didn't.

Clerk2:27:10 – 2:27:25

Mister Lhood, yes. Chairman Smith.

Rep. Smith (NE-3)2:27:25 – 2:27:25

Yes.

Clerk2:27:26 – 2:27:28

Chairman Smith, yes.

Rep. Smith (NE-3)2:27:47 – 2:27:48

Clerk report.

Clerk2:27:49 – 2:27:52

Mister Chairman, the yeses are forty and the noes are zero.

Rep. Smith (NE-3)2:27:53 – 2:29:23

The yeses being forty, noes being zero, the motion is agreed to and H R ten three three four, as amended, is favorably reported to the house. Without objection, I ask that staff be authorized to make technical and conforming changes to H R ten three three four, and that members have two additional days to file with the committee clerk supplemental, additional, dissenting, or minority views. H R sixty-one thirty, the Alzheimer's Screening and Prevention ASAP Act of twenty twenty five. Our next order of business is H R sixty-one thirty, introduced by Representative Buchanan. This bill ensures Medicare covers innovative blood-based tests that can detect Alzheimer's disease in its earliest stages. As both Chair of the Health Subcommittee and Vice Chairman of the Committee, Representative Buchanan, has been a champion for policies that improve health outcomes for seniors, and help families get the care they need. And this issue is particularly personal for him. His experience caring for a parent with Alzheimer's has given him a firsthand understanding of how important early detection can be for families facing this disease. With nearly two hundred thousand seniors in his district, this is a cause that is personal for him and for the folks he represents. The legislation before us also includes an important policy from two other great members of our committee, Miss Sanchez and Mister LaHood, that will improve doctors' ability to detect Alzheimer's and related dementias sooner. I urge my colleagues to support the bill. I'm pleased to recognize the gentleman from Florida, Mister Buchanan, for an opening statement.

Clerk2:29:23 – 2:29:24

Yep.

Rep. Buchanan (FL-16)2:29:24 – 2:31:21

I would like to thank Chairman Smith for moving forward on my legislation that allows Medicare to cover blood-based biomark biomarker screening tests for the early detection of Alzheimer's. disease and dementia. Today, more than seven million Americans live with Alzheimer's. And as you mentioned, uh my father, uh we at fifty-eight found out he had Alzheimer's. And we took, took and the family brought him in, and uh and it was a long period of ten years. But we worked through that and uh we felt the love and it's just really important, what we're doing here and the idea of prevention is key. In Florida alone, Alzheimer's costs Medicaid more than three point nine billion dollars a year. Blood-based biomarkers tests are transforming w- transforming what is possible uh with Alzheimer's. Our goal is simple. Catch the disease early, prevention. Uh, treat it, treat it sooner and give families more time with their loved ones, and that's critical. To do that, Medicare must keep pace with what's going on with technology today, Uh that technology's available out there. In fact, the testing they're saying is uh is ninety percent or close to ninety percent's a big deal. That is why the legislation matters for too long. Alzheimer's has taken too much of from our families. Now we have an opportunity to change that based on the new technologies. With over two hundred bipartisan cosponsors, it's bipartisan, and support from five hundred and twenty-five organizations, my legislation shows strong bipartisan backing and significant momentum towards addressing a shared national priority. I wanna thank also Mister Taka for his bipartisan leadership on a vital, uh these vital issues, and I look forward to advancing the Alzheimer's Screening and Prevention Act through the committee and ultimately to in the in to the President of the United States. Now you're back.

Rep. Smith (NE-3)2:31:22 – 2:31:26

Thank you. I now recognize uh acting ranking member, Miss Moore, for an opening statement.

Rep. Moore (WI-4)2:31:27 – 2:31:31

Thank you, Mr. Chairman, and I'll yield now to Miss Sanchez.

Rep. Smith (NE-3)2:31:33 – 2:31:34

Miss Sanchez.

Rep. Sánchez (CA-38)2:31:35 – 2:35:51

Thank you. Um and I uh I'm proud to speak on this legislation. I thank you for the time. Um I wanna begin by thanking Congressman Buchanan for his work on this really important issue. I know that we share a family history of this devastating disease, as may other colleagues on the dais as well, since we are seeing the numbers of folks living with Alzheimer's rising. Um, I also wanna thank Chairman Smith for offering the amendment that includes mine and Mister Lohut's legislation, the Change Act. By twenty fifty, the number of Alzheimer's diagnoses is projected to rise to nearly thirteen million. Two thirds of Americans currently living with Alzheimer's disease are women. And according to the CDC, Latinos and black Americans will see the largest increase in Alzheimer's disease by twenty sixty. And it's very clear that our health care system is not equipped to care for the sandwiched generation. Many folks here know that I lost both of my parents to Alzheimer's, I cared for both of them. My father passed several years ago and my mother most recently passed from this disease. And, you know, when my father was diagnosed with Alzheimer's, we were lucky because we did some research and we were able to get him enrolled in a clinical trial at the University of California, Irvine. But not every family knows how to access their resources or has they, um, the time to investigate what resources are available. So the earlier that we can detect any sort of dementia, um, or - or decline in, uh, in cognitive reasoning, the earlier that families and their providers can determine an appropriate care plan and start to put that into place. That is why both the Alzheimer's Screening and Prevention Act and the Change Act are a win for seniors, caregivers and working families. Today people with family histories of Alzheimer's, like my family, can breathe a small sigh of relief. Um, for the past ten years I've worked with patient advocates like us against Alzheimer's, and I've al- and and my Republican colleagues, uh, I've worked with them as well, to try to advance legislation improving early detection of cognitive dementia for our seniors. The bill before us represents a seminal step towards what I'm gonna call our mammogram moment. Um, the FDA has already cleared several biomarker blood tests to help doctors look for signs of Alzheimer's disease. And most recently in August, the FDA cleared a biomarker test for adults fifty-five and older, with signs or symptoms of cognitive decline. Now, the legislation before us brings family and high-risk patients closer to these innovative tests through Medicare. And thanks to Mister LaHood, this bill will also improve routine screenings and early detect detection amongst Medicare beneficiaries, so that they receive a diagnostic screening during their annual medical- Medicare wellness visit. Together, these policies will provide individuals and their families more time to begin treatment, to plan ahead, to enroll in clinical trials, and to seek support where it matters most. One provision that I particularly wanna highlight is the AINS, uh, in the AINS is reinforcing the US Preventive Services Task Force's role in determining appropriate care for individuals at risk for Alzheimer's. I'm deeply concerned about this administration working to effectively dismantle the US PSTF. And this important provision will ensure adequate and necessary coverage of these diagnostic tests for patients and it demonstrates a commitment to policy that is backed in science. Lastly, I really wanna thank the advocates from Us Against Alzheimer's and the Alzheimer's Association who worked with my staff to progress this legislation. This would not have been possible without their stories, their passion, and most of all their commitment to patients. I urge my colleagues to support this bill, and I yield back the balance of my time.

Rep. Smith (NE-3)2:35:51 – 2:36:37

Thank you. The committee will now proceed to consideration of H R sixty-one thirty, the Alzheimer's Screening and Prevention ASAP Act of twenty twenty five. Without objection, the measure will be considered as read and open for amendment at any point. At this time, I offer an amendment in the nature of a substitute, which was distributed in advance along with a green sheet explaining it. Without objection, the amendment in the nature of a substitute shall be considered as read, open for amendment at any point. and considered base text for purpose of amendment. Now to, I will now turn to Patrick Dumas, the Health S- Subcommittee Staff Director, to provide a technical description of the amendment in the nature of a substitute, with an emphasis on the changes made since introduction. I ask that members hold their questions until after his presentation. Mister Dumas.

Rep. Kelly (PA-16)2:36:38 – 2:37:32

Thank you, Chairman Smith, Vice Ranking Member Moore. HR sixty-one thirty, the Alzheimer's Screening and Prevention Act contains three sections. Section one provides for the short title of the bill. Section two amends section eighteen sixty-one of the Social Security Act to provide transitional Medicare coverage of Alzheimer's dis- disease and related dementia's early screening tests for certain high-risk beneficiaries beginning January first, twenty twenty eight. Section three amends section eighteen sixty-one of the Social Security Act to clarify that cognitive impairment detection tools used during a cognitive impairment test performed as part of the Medicare annual wellness visit must meet requirements set by the National Institute on Aging. The amendment in the nature of a substitute sets the coverage and payment criteria for the early detection screening tests and adds section three to the bill this concludes the technical walkthrough.

Rep. Smith (NE-3)2:37:34 – 2:37:48

Thank you. Are there any technical questions about the amendment in the nature of a substitute? Seeing none, does anyone wish to strike the last word? Mister Schneider is recognized.

Rep. Schneider (IL-10)2:37:51 – 2:38:24

Uh, thank you. I just wanna thank my colleagues um for introducing this bill. I lost my father to uh uh well a number of things including Alzheimer's a little more than three years ago. I know it affects all of our families. It was actually uh right about this time in two thousand and seventeen that uh uh we had some uh initial suspicions. uh, with the ability to do a blood test that would have, uh, given us a, a better confirmation. This is something that I think affects so many families across our country and we all should support. I just want to say thank you.

Rep. Smith (NE-3)2:38:25 – 2:38:27

Thank you. I now recognize Mister Kustof.

Rep. Kustoff (TN-8)2:38:30 – 2:41:02

Thank you, Mister Chairman, and I appreciate the committee holding a mark-up on this bill. I represent Tennessee's eighth congressional district and over the years, like a lot of you, I've gotten to know strong advocates from from my district who advocate on behalf of Alzheimer's patients. The constituents that I meet with, and again, I know this is true for all of us, they are passionate, they are well-informed, and they do a good job keeping me up to date on all the new tests and treatments. Uh, today, obviously we know that the FDA has recently cleared new blood tests, which can detect signs of Alzheimer's sooner and faster. and scans and and painful spinal taps. For the older methods of testing, they're also less accessible to rural patients, like many in West Tennessee. They often in those areas don't have neurologists or memory care specialists who live in that area. So catching the disease in its earlier stages allows intervention when treatment could be the most effective. I can think of one advocate that has talked to me about these tests along with other treatments, and she told me that for her aunt, uh, who sadly passed away after a fight with Alzheimer's, that, uh, if this had been available, uh, back in those years, maybe that could have saved her. We also know the medic- Medicare beneficiaries still face a significant barrier to access the new screening test. Medicare can only cover these tests for patients who already show these symptoms. So it's imperative that Congress act to allow expanded coverage for Alzheimer's test. I think, and I think we all believe, that we owe that to America's seniors. I'm proud to cosponsor Mr. Buchanan's bill, the Alzheimer's Screening and Prevention Act. The legislation does give CMS the authority. to cover Alzheimer's tests based on CMS's existing evidence-based framework. As our nation continues to age, we have people who continue to age, this legislation is only becoming more necessary. And for all these reasons, I urge my colleagues to vote yes on this important bill. Thank you, Mr. Chairman, and I'll yield back.

Rep. Smith (NE-3)2:41:02 – 2:41:04

Thank you. I now recognize Mr. Buchanan.

Rep. Buchanan (FL-16)2:41:06 – 2:41:51

Yeah, let, let me be clear where I was coming from with this, cuz I'm very big on prevention. My, lost my mother to cancer. You can get, you gotta figure out in my mind how to get in front of it, not react to it. When you react to something in healthcare, whether it's heart disease, many of us know this, cancer, those types of things, like they say cancer, if you get it early, ninety percent uh you can get the cure, if it's in its early stages. If you go to stage four like my mother was, it's too late. So the what we're trying to do here is give uh this challenge, horrible challenge, is fi- try to find a way to get them in sooner and and more active to it. With that I yield back. Thank you.

Rep. Smith (NE-3)2:41:53 – 2:41:54

Miss Moore's recognized.

Rep. Moore (WI-4)2:41:54 – 2:42:01

Um we'll distract the last word. Um Mister Buchanan, I'm just wondering if you would engage in a colloquy with me.

Rep. Smith (NE-3)2:42:01 – 2:42:02

Sure.

Rep. Moore (WI-4)2:42:02 – 2:42:42

Um, there's one portion of the bill that says that payment will not be made unless there's an elevated risk for Alzheimer's d- disease. And you just said that if you had known sooner or if you had a way of knowing. So what is the threshold, I think, for this uh for Medicare to be able to make a payment? What what is an elevated risk? I guess I should ask Mister Dumas that, but you're the author, so I'll just ask you. What's an elevated risk? When you start feeling suspicious, like Mister Schneider suggested, what is the threshold for getting a payment?

Rep. Buchanan (FL-16)2:42:42 – 2:42:44

I think that something

Rep. Smith (NE-3)2:42:45 – 2:42:48

I think it seems the ability to evolve that with medical science.

Rep. Buchanan (FL-16)2:42:49 – 2:42:53

Yeah, I think it's something to evolve with medical science. That's what they're saying. So,

Rep. Moore (WI-4)2:42:53 – 2:42:53

Oh.

Rep. Buchanan (FL-16)2:42:53 – 2:43:01

might be something we can take an additional look at, but we're very bullish about where we're at. A lot of progress, we wanna finish strong. So I appreciate that.

Rep. Moore (WI-4)2:43:01 – 2:43:18

Yeah, I think it's a fantastic bill. I just don't want anybody to uh miss the y- the chance to have it paid for by Medicare um because they haven't met a certain, I mean, threshold. But yeah, we'll continue to work on it. It's a great bill.

Rep. Buchanan (FL-16)2:43:18 – 2:43:18

Yeah.

Rep. Moore (WI-4)2:43:19 – 2:43:19

I yield back.

Rep. Smith (NE-3)2:43:21 – 2:43:24

Remember yields back, can now recognize Mister Joachim.

Rep. Yakym (IN-2)2:43:26 – 2:43:59

Thank you, Mr. Chairman. I move to strike the last word. Far too many Hoosiers know the heartbreaking reality of having a loved one with Alzheimer's. They live with the pain of gradually watching their loved one slip away, with limited options to slow progression. Far too often, once a patient is diagnosed with Alzheimer's, it's already too advanced for existing treatments to slow the progression. Incredible innovation by American biotech companies has led to the development of new medical tests and treatment options. giving much needed hope to both individuals with Alzheimer's and their loved ones.

Rep. Smith (NE-3)2:43:59 – 2:44:01

Good idea. Bob, memory loss.

Rep. Yakym (IN-2)2:44:00 – 2:44:04

I'm proud to have some of this groundbreaking innovation happening in the Hoosier state.

Rep. Smith (NE-3)2:44:03 – 2:44:05

Yeah. When they're like seventy.

Rep. Yakym (IN-2)2:44:06 – 2:45:24

The development of new diagnostic t- uh technology allows for earlier detection of Alzheimer's and seniors on Medicare should have access to it. I'm proud to cosponsor the Alzheimer's Screening and Prevention, or ASAP Act, led by Mister Buchanan, which provides traditional Medicare coverage for early Alzheimer's screening, and the blood tests. These tests give individuals earlier detection, allowing for greater opportunity for early intervention that delay disease progression. Additionally, it allows patients and their families more time to create a long-term plan. Outside of the very real human toll Alzheimer's takes on the individual and their loved ones, it's also a very costly disease to care for. Estimates show that Alzheimer's disease is projected to cost two hundred and sixty-three billion dollars this year with most of the costs attributed to late stage institutionalized care. Early detection is estimated to save over fourteen thousand dollars per person annually. Access to these innovative tests is critical to delaying disease progression and giving people more quality time with their loved ones. I look forward to voting in favor of this bill. I urge my colleagues to certainly do the same. With that, Mr. Chairman, I yield back.

Rep. Smith (NE-3)2:45:25 – 2:45:28

Remember yields back. Now recognize Mr. LaHood.

Rep. LaHood (IL-16)2:45:30 – 2:47:28

Thank you, Mr. Chairman, and I applaud the committee for bringing this critical piece of legislation before us today, which will provide crucial momentum to the early detection of Alzheimer's disease. And I'm proud to be the co-lead of HR thirty-five O one, the change act, alongside with Representative Sanchez, a a long-time advocate of this legislation. I want to thank my colleague, Representative Buchanan, for spearheading the ASAP Act, and I'm glad to see the legislation includes our change act as a provision. Unfortunately, as we all know, too many of us have a loved one suffering from Alzheimer's disease. Today, Alzheimer's and other dementias are under-detected in the primary care setting about fifty percent of the time. Yet we now, yet we know that every sixty-five seconds someone develops Alzheimer's. which is why we must equip our providers with robust resources to detect this disease faster. The Change Act uses existing tools within Medicare to require cognitive impairment screenings at a patient's annual wellness visit. By conducting this screening every year, physicians can track a patient's cognitive abilities over time, and promptly determine when intervention is necessary, if there are signs of cognitive decline. We know that early detection can help patients and their families prepare for the challenges ahead, delay the onset of more severe symptoms, and reduce the significant financial burden this disease places on families and our health care system. The innovation we are seeing in the dementia space today is inspiring, but innovation is only meaningful if patients can benefit from it. We must give our providers the tools they need to detect this disease and connect patients with treatment and support sooner. I urge my colleagues to support this important legislation before us today. I thank you and I yield back.

Rep. Smith (NE-3)2:47:29 – 2:47:43

Mister Lhood yields back. Does does anyone else wish to strike the last word? Are there any uh amendments to the amendment in the nature of a substitute? Mister Beier.

Rep. Beyer (VA-8)2:47:46 – 2:47:47

I reserve it for the work.

Rep. Smith (NE-3)2:47:56 – 2:48:34

Point of order has been reserved. Clerk will distribute the amendment and I ask uh, Mister Buyer to suspend while the clerk distributes. Mister Breyer is recognized for five minutes to speak on the amendment.

Rep. Beyer (VA-8)2:48:34 – 2:50:47

Mister Mister Chairman, thank you very much. Um, I share my colleagues' enthusiasm for expanding access to reliable effective diagnostic tests. In many cases, diagnostic delays or errors cause serious and preventable They drive up health costs and contribute to thousands of preventable deaths by delaying access to lifesaving treatments. I lead a bill to reduce those delays and develop the next generation of diagnostic tests. And this has the potential to change the lives of millions of Americans. I also share my colleagues' hope that an affective Alzheimer's blood test will be part of that next generation, and that it will be accompanied by new treatments on the path to a cure. As those tests and treatments develop further and become more readily accessible to patients, I'm hopeful we can close some of the remaining gaps to give patients further peace of mind. As of now, the most promising blood-based Alzheimer's tests are biomarker tests that test sp- specific proteins often at very early, preclinical stages. And while early detection is promising, biomarker tests do not fit neatly into existing laws that protect sensitive patient data from misuse. This is the heart of the amendment. Because unfortunately, HIPAA and other privacy laws don't protect patient data gathered at these early preclinical stages. An early diagnosis could give peace of mind to a patient, but could also be used by a life insurance company to set its prices or deny coverage, or used in a discriminatory manner by potential employers. It can actually be weaponized against the patient. And our laws give little or no recourse in those cases. So my amendment just takes an important step towards protecting those patients. It's not hostile to the bill at all. We l- we l- we l- very much support the bill. But this amendment would prohibit any payment under the bill for tests, until developers, providers and processors develop robust procedures to protect collected blood test data. This doesn't create any new requirements. It only ensures that this novel health data is treated the same way, the exact same way as any other health data under HIPAA. We've got a responsibility. We're about to spend two and a half billion dollars worth of s- money on screening tests for patients. We have responsibility to make sure that that data collected will not be misused. And I urge my colleagues to support the amendment.

Rep. Smith (NE-3)2:50:49 – 2:50:51

Thank you, Mister Beier. I now recognize Doctor Murphy.

Rep. Murphy (NC-3)2:50:53 – 2:51:09

May I, uh, may I ask Mister Beier a question? Yes, sir. Ca- can you define preclinical? Uh, reason I say this is because any information, if I go get a blood test done, it goes into my health information record and it is by definition protected under HIPAA. So I'm not sure what preclinical means.

Rep. Beyer (VA-8)2:51:10 – 2:51:25

And and doctor, you're probably way better at this than I am. The way it was explained to me by my friends in the Alzheimer's movement was, in the facts, the phrase they used was pre-symptomatic, that it was symptomatic, it was protected by HIPAA, but if it was not symptomatic, that it was not.

Rep. Murphy (NC-3)2:51:25 – 2:51:52

That's not, that's not correct. Because if you're not, you're you're going for a screening colonoscopy, you're not symptomatic and you find a tumor and you weren't symptomatic, it's still protected by HIPAA. So I'm not sure what they're talking about. Anyth- a- if you get anything done medically, if you if you sign to get blood drawn, if you have a surgery, if you take a medication, you prescribe medication, you're un- if you're under the care of a healthcare profe- uh professional, that is by definition protected by HIPAA.

Rep. Beyer (VA-8)2:51:53 – 2:51:58

Well, d- let - doctor, let me suggest, and congressman, let me withdraw the amendment and work closely with you and

Rep. Smith (NE-3)2:51:58 – 2:51:58

No.

Rep. Murphy (NC-3)2:51:58 – 2:51:59

Yeah.

Rep. Beyer (VA-8)2:51:58 – 2:52:02

perhaps connect you with the folks who have given me this information.

Rep. Murphy (NC-3)2:52:01 – 2:52:32

No, but I - but I - but you - uh, I think you bring out a very salient point. Because, uh, I'll give you example of Huntington's Chorea, which is, there is no treatment for now, and now we are finding evolving treatments for Alzheimer's, and we pray that someday it becomes a treatable and livable disease. Um, if, if it is discovered, then you, you fear, fortunately I don't think we're at that point, you fear that insurance benefits would be, uh, removed or higher premiums, et cetera, et cetera. So I think it's altogether a, a good reason, but I, I'm just not sure

Rep. Beyer (VA-8)2:52:33 – 2:52:42

where it fits, that's all and I appreciate um withdrawing the amendment. Okay. A- and and we will love to work with you to make sure that, if there is an issue, we address it. Yeah, absolutely, thank you, yield back. Thank you.

Rep. Smith (NE-3)2:52:42 – 2:52:42

Uh,

Rep. Beyer (VA-8)2:52:42 – 2:52:43

Mr. Chairman, yield back.

Rep. Smith (NE-3)2:52:44 – 2:52:46

uh, Mr. Breyer yields back,

Rep. Beyer (VA-8)2:52:45 – 2:52:45

I-

Rep. Smith (NE-3)2:52:46 – 2:52:49

does Mr. Breyer, did did I hear you say you wish to withdraw?

Rep. Beyer (VA-8)2:52:48 – 2:52:50

Mr. Chairman, I I do withdraw it, that's okay.

Rep. Smith (NE-3)2:52:50 – 2:53:07

Mr. Breyer withdraws the amendment, are there other amendments to be considered? Seeing none, There are no amendments. Uh, the question is on the adoption of the amendment in the nature of a substitute. All those in favor signify by saying aye.

Rep. Beyer (VA-8)2:53:07 – 2:53:08

Aye.

Rep. Smith (NE-3)2:53:08 – 2:53:17

Those opposed nay. Depending on the chair, the ayes have it, and the amendment in the nature of a substitute is agreed to. We'll now recognize Mister Buchanan for the purpose of offering a motion.

Rep. Buchanan (FL-16)2:53:18 – 2:53:25

Mister Chairman, I move the committee favorably report H R sixty one thirty as amended to the House of Representatives.

Rep. Smith (NE-3)2:53:25 – 2:53:33

The question is on the motion to favorably report H R sixty one thirty, as amended to the House of Representatives. Call the call the roll.

Clerk2:53:34 – 2:53:35

Mr. Buchanan.

Rep. Buchanan (FL-16)2:53:36 – 2:53:36

Yes.

Clerk2:53:37 – 2:53:38

Mr. Buchanan, yes.

Rep. Beyer (VA-8)2:53:38 – 2:53:38

Yes.

Clerk2:53:40 – 2:53:41

Mr. Smith of Nebraska.

Rep. Smith (NE-3)2:53:41 – 2:53:42

Yes.

Clerk2:53:42 – 2:54:04

Mr. Smith of Nebraska, yes. Mr. Kelly. Mr. Kelly, yes. Mr. Schweikert. Mr. Schweikert, yes. Mr. LaHood. Mister Errington. Mis- Mister Errington, yes. Mister Estes.

Rep. Smith (NE-3)2:54:04 – 2:54:04

Yes.

Clerk2:54:05 – 2:54:08

Mister Estes, yes. Mister Smucker.

Rep. Smith (NE-3)2:54:10 – 2:54:10

Yes.

Clerk2:54:11 – 2:54:19

Mister Smucker, yes. Mister Hearn. Mrs. Miller.

Rep. Smith (NE-3)2:54:19 – 2:54:19

Yes.

Clerk2:54:19 – 2:54:26

Mrs. Miller, yes. Doctor Murphy. Doctor Murphy. Yes, Mr. Kustof.

Rep. Smith (NE-3)2:54:26 – 2:54:26

Yes.

Clerk2:54:27 – 2:54:30

Mr. Kustof, yes. Mr. Fitzpatrick.

Rep. Smith (NE-3)2:54:30 – 2:54:30

Yes.

Clerk2:54:31 – 2:54:38

Mr. Fitzpatrick, yes. Mr. Stubbe. Miss Tenney.

Rep. Smith (NE-3)2:54:38 – 2:54:38

Yes.

Clerk2:54:39 – 2:54:41

Miss Tenney, yes. Mrs. Fischbach.

Rep. Smith (NE-3)2:54:41 – 2:54:42

Yes.

Clerk2:54:42 – 2:54:50

Mrs. Fischbach, yes. Mr. Moore. Miss Van Duyn.

Rep. Smith (NE-3)2:54:50 – 2:54:50

Oh.

Clerk2:54:55 – 2:55:06

Mister Feenstra. Mister Feenstra, yes. Miss Mayotakis. Miss Mayotakis, yes. Mister Kerry. Mister Joachim.

Unknown2:55:06 – 2:55:06

Yes.

Clerk2:55:06 – 2:55:14

What is it? Mister Joachim, yes. What do you mean? Mister Miller. Mister Bean.

Unknown2:55:14 – 2:55:14

Yes.

Clerk2:55:15 – 2:55:17

Mister Bean, yes. Mister Moran.

Unknown2:55:17 – 2:55:18

Yes. Yes.

Clerk2:55:18 – 2:55:21

Mister Moran, yes. Mister Neal.

Unknown2:55:23 – 2:55:23

Yes.

Clerk2:55:24 – 2:55:25

Mister Neal, yes.

Unknown2:55:24 – 2:55:24

Okay.

Clerk2:55:26 – 2:55:26

Mister Doggett.

Unknown2:55:27 – 2:55:27

Yes.

Clerk2:55:27 – 2:55:30

Mister Doggett, yes. Mister Thompson.

Unknown2:55:29 – 2:55:30

Five.

Clerk2:55:29 – 2:55:46

Five. Mister Thompson, yes. Mister Larson. Okay. You can go, you can go, yeah. Mister Davis. Mister Davis, yes. Miss Sanchez. Aye. Miss Sanchez, yes. Miss Sewell.

Unknown2:55:51 – 2:55:51

Mr. Albany.

Clerk2:55:51 – 2:55:51

Miss

Unknown2:55:52 – 2:55:54

Mr. Albany, yes.

Clerk2:55:52 – 2:55:54

Albany. Miss Albany, yes. Miss Chu.

Unknown2:55:54 – 2:55:57

Miss Chu. Miss Chu, yes.

Clerk2:55:55 – 2:55:57

Miss Chu, yes.

Unknown2:55:57 – 2:55:58

Miss Moore.

Clerk2:55:57 – 2:55:58

Miss Moore.

Unknown2:55:59 – 2:56:01

Miss Moore, yes.

Clerk2:55:59 – 2:56:01

Miss More, yes.

Unknown2:56:01 – 2:56:01

Mister Boyle.

Clerk2:56:01 – 2:56:02

Mister Boyle. Yes.

Unknown2:56:02 – 2:56:04

Mister Boyle, yes.

Clerk2:56:02 – 2:56:04

Mister Boyle, yes.

Unknown2:56:04 – 2:56:04

Mister Beier.

Clerk2:56:04 – 2:56:05

Mister Beier. Yes.

Unknown2:56:05 – 2:56:06

Mister Beier, yes.

Clerk2:56:05 – 2:56:06

Mister Beier, yes.

Unknown2:56:07 – 2:56:07

Mister Evans.

Clerk2:56:07 – 2:56:08

Mister Evans. Yes.

Unknown2:56:08 – 2:56:10

Mister Evans, yes.

Clerk2:56:08 – 2:56:10

Mister Evans, yes.

Unknown2:56:10 – 2:56:11

Mister Schneider.

Clerk2:56:10 – 2:56:11

Mister Schneider. Yes.

Unknown2:56:12 – 2:56:13

Mister Schneider, yes.

Clerk2:56:12 – 2:56:13

Mister Schneider, yes.

Unknown2:56:13 – 2:56:14

Mister Panetta.

Clerk2:56:13 – 2:56:14

Mister Panetta. Yes.

Unknown2:56:15 – 2:56:16

Mister Panetta, yes.

Clerk2:56:15 – 2:56:16

Mister Panetta, yes.

Unknown2:56:17 – 2:56:17

Mister Gomez.

Clerk2:56:17 – 2:56:20

Mister Gomez. Mister Horsford.

Unknown2:56:21 – 2:56:21

Yes.

Clerk2:56:21 – 2:56:28

Mister Horsford, yes. Miss Plaskett. Mister Swasey.

Unknown2:56:27 – 2:56:27

uh,

Clerk2:56:33 – 2:56:34

Mister LaHood.

Unknown2:56:34 – 2:56:35

Yes.

Clerk2:56:35 – 2:56:37

Mister LaHood, yes.

Unknown2:56:36 – 2:56:36

Yes.

Clerk2:56:37 – 2:56:38

Mister Hearn.

Unknown2:56:38 – 2:56:38

Yes. Yes.

Clerk2:56:39 – 2:56:46

Mister Hearn, yes. Mister Stuebe. Mister Moore.

Unknown2:56:47 – 2:56:47

Yes.

Clerk2:56:47 – 2:56:56

Mister Moore, yes. Miss Van Duyn, Miss Van Duyn, yes. Mister Kerry, Mister Kerry, yes.

Unknown2:56:54 – 2:56:54

Yes.

Clerk2:56:56 – 2:56:57

Mister Miller,

Unknown2:56:57 – 2:56:57

Yes.

Clerk2:56:58 – 2:57:02

Mister Miller, yes. Mister Larson.

Unknown2:57:12 – 2:57:12

Yes.

Clerk2:57:13 – 2:57:32

Mister Larson, yes. Miss Sewell. Mister Gomez. Miss Plaskett. Mister Swasey. Chairman Smith.

Rep. Smith (MO-8)2:57:33 – 2:57:33

Yes.

Clerk2:57:33 – 2:57:35

Chairman Smith, yes.

Rep. Smith (MO-8)2:57:46 – 2:57:47

Clerk will report to vote.

Clerk2:57:47 – 2:57:50

Mister Chairman, the yeses are forty and the noes are zero.

Rep. Smith (MO-8)2:57:51 – 2:59:07

There being forty yeses and zero noes, the motion is agreed to, and H R sixty-one thirty is amended, is ordered favorably reported to the House. Here, this. Uh, without objection I ask that staff be authorized to make technical and conforming changes to H R sixty-one thirty. And that members have two additional days to file with the committee clerk, supplemental additional dissenting or minority votes. Keep going. Our next order of business is H R fifty-four thirty-nine, the medically tailored home delivered meals program pilot act introduced by Representative McGovern and Malia Takis. A bill that would give Americans access to healthy real food and evaluate how this approach can be part of the solution to achieving better health health outcomes and reduced hospital readmissions. Representative Malia Takacs has been a longtime champion of this idea and has helped build bipartisan support for it as a member of our tax and oversight subcommittees she's been a steady voice for policies that help seniors stay healthy, and out of the hospital. I urge my colleagues to support this bill. I'm pleased to recognize the gentlelady from New York, Miss Malia Takacs, for an opening statement.

Rep. Malliotakis (NY-11)2:59:09 – 3:01:50

Uh, thank you, Mister Chairman, for including the medically tailored home-delivered meals program pilot act in today's mark-up. I'm very proud to co-lead this bipartisan legislation with Congressman McGovern. At its core, this bill recognizes something very simple, but something that's also very important. Good nutrition is an essential part of helping seniors treat, manage, and reduce their chronic conditions. For many seniors living with chronic illnesses, access to nutritious food tailored to their medical needs plays a critical role in managing their health yet many seniors face real challenges shopping for and preparing meals that meet those needs. We do not have to look far to see the potential of this approach. In my very own district, New York's eleventh congressional district, similar programs provided more than two hundred and thirty thousand medically tailored meals to residents. in fiscal year twenty twenty six alone. And fifty-seven percent of those meals supported residents age sixty and older. These are our neighbors, many of whom live with serious conditions, including cancer, cardiovascular disease, diabetes, kidney disease, and other chronic illnesses that limit their daily lives and make them high utilizers of our healthcare services. For older adults and medically vulnerable individuals who may have difficulty shopping or cooking, on their own, having meals designed around their specific medical needs can help them stay nourished, better manage their conditions, and remain safely in their homes. We've also seen promising results in New York and in programs across the country that have incorporated medically tailored meals into the care of patients with serious co- uh chronic health conditions. These meals are designed by registered dietitians to meet each patient's specific medical needs. In New York, the state has reported reductions. in emergency department visits and hospitalizations among patients receiving these services. And these programs are continuing to expand, with a particular focus on hospitals serving rural and underserved communities. In a medical study published by the National Center of Biotechnology Information, research found that medically tailored meals can reduce hospital admissions by fifty-two percent and generate sixteen percent in net health care savings, demonstrating the potential for this approach to improve patient outcomes while reducing costs. Mister Chairman, I ask unanimous consent to submit a twenty twenty-five peer-reviewed uh journal article on the research on medically tailored meals for the record.

Rep. Smith (MO-8)3:01:50 – 3:01:51

Uh, without objection.

Rep. Malliotakis (NY-11)3:01:52 – 3:04:32

This approach also aligns with the Trump administration's growing focus on the role of nutrition in preventing and managing chronic disease. Secretary Kennedy and CMS Administrator Oz have emphasized that healthy, nutritious food can support recovery, improving long-term health and help patients better manage chronic conditions. Their Make Hospital Food Healthier initiative reflects this broader priority of putting nutrition and prevention at the center of health care. Uh, Doctor Oz actually recently visited my district, one of my local hospitals, Richmond University Medical Center, where they are participating in this initiative and, you know, patients are happy, the administrators are happy, uh and certainly uh it is a, it is a win-win, is the right thing to do. HR five four three nine would build on that experience and support the administration's goals of reducing chronic diseases by creating a six year Medicare pilot program and the program would select at least forty hospitals from across the country with priority given to hospitals serving our rural and underserved communities. Eligible Medicare patients would receive two medically tailored meals each day for twelve weeks. These meals would be designed by registered dietitians around each individual's needs rather than simply providing a one size fits all meal. The program would also provide patients with nutrition counseling and with appropriate medical nutrition therapy and this this is important, because we do want to do more than simply deliver a meal to somebody's doorstep. We wanna give the patients the nutrition, education, and support that they need to better manage their condition over the long term with lasting results. And that is precisely why this, why we we wanna do this pilot program. We would rigorously evaluate the outcomes, include hospital readmissions, including the uh hospital readmissions, health care utilization, Medicare spending, and patients' health outcomes. And that data will allow us to determine whether this model works and whether it should be expanded. So this is a common sense approach if we uh can help a senior manage their diabetes, their heart disease, their kidney disease, or other chronic disease. They stay hel- and they can stay healthier at home and avoid an unnecessary trip back to the hospital. We can improve that patient's quality of life while potentially saving taxpayers' money. And we know there is a real need, the fact that more than two hundred and thirty thousand medically tailored meals were delivered to residents in my district in just one year shows that we should move forward with this legislation and I thank my colleagues for their support.

Rep. Smith (MO-8)3:04:35 – 3:04:38

Thank you. I now recognize the gentleman from California, Mister Thompson.

Rep. Thompson (CA-4)3:04:38 – 3:08:51

Thank you, Mister Chairman. Uh, I'm proud to represent an agricultural district. The farmers, ranchers, growers, and farm workers I represent produce fe- food that feeds our country. They understand something that our health care system too often overlooks. They understand that healthy food is in fact medicine. In my district, amazing organizations are already delivering healthy meals to those who are sick. Since two thousand and seven, Siri's community project has prepared and delivered meals to those who are too sick to shop or too sick to cook. More recently, UC Davis Health expanded access to healthy food with the Foodways to Health program. This legislation today recognizes the value of what our agricultural communities produce every day. Our farmers do more than grow crops. They grow fruits, vegetables, and other foods that nourish our families, strengthen our communities, and keep people healthy. Of course, food is not a substitute. for seeing a doctor, receiving necessary medical care, or taking the medication that you need. But for someone living with diabetes, kidney disease, heart failure, or other serious health conditions, the food they eat can be an essential part of their treatment and their recovery. A prescription cannot do its job if a patient goes home to an empty refrigerator. Discharge instructions are not enough. if a senior can't afford the food that their doctor has told them to eat. Yet that is exactly what happens to too many seniors. We spend thousands of dollars treating someone in the hospital. Doctors, nurses, and other health care professionals provide excellent care, stabilize that patient, and explain what the patient needs to do to recover and to remain healthy. Then we send that patient home, without making sure they can obtain the food their doctor rec- recommended. Too often that patient's condition worsens. They end up right back in the hospital. That's not good health care, it's not compassionate, and it's not physically responsible. This bill establishes a pilot program through which participating hospitals can identify eligible patients who would benefit from medically tailored meals and nutrition counseling. That means helping patients receive food designed around their specific medical needs, and providing them with the information necessary to make healthier choices once they get home. This is a practical and targeted approach. It will help us better understand how nutrition assistance can improve health outcomes, support recovery, and reduce avoidable hospital re-admissions. It can also help patients and families who are already carrying enormous burdens. When a loved one is recovering from a hospitalization, families should be able to focus on that recovery, not worry about whether they can afford the food that the recovery requires. We talk a great deal on this committee about improving health outcomes and making health care more affordable. This bill gives us an opportunity to advance both goals. It also reminds us that supporting American agriculture and improving public health are not competing priorities they are in fact connected. Our agricultural communities grow the food that sustains our country. Our health care policies should recognize the important role that nutritious food can play in preventing illness managing chronic conditions, and helping patients heal. Healthy food is medicine. It's time our health care system started treating it that way. I urge my colleagues to support this bill, and I yield back.

Rep. Smith (MO-8)3:08:53 – 3:09:42

Thank you. The committee will now proceed to consideration of H R fifty-four thirty-nine, the medically tailored home delivered meals program pilot act. Without objection, the measure will be considered as read and open for amendment at any point. At this time, I offer an amendment in the nature of a substitute which was distributed in advance along with a green sheet explaining it. Uh, without objection, the amendment in the nature of a substitute shall be considered as read, open for amendment at any point, and considered base text for purpose of amendment. I will now turn to Patrick Dumas, Health, uh, subcommittee staff director, to provide a technical description of the amendment in the nature of a substitute, with an emphasis on the changes made since introduction. I ask that members hold their questions until after his presentation.

Rep. Kelly (PA-16)3:09:43 – 3:10:30

Thank you, Mr. Chairman. HR fifty-four thirty-nine, the medically tailored home-delivered meals program pilot act contains two sections. Section one provides for the short title of the bill. Section two amends part E of title eighteen of the Social Security Act, to establish a six-year pilot program under Medicare to reimburse selected hospitals to provide medically tailored meals and medical nutrition, therag- to certain beneficiaries in their homes to improve health outcomes and reduce risk of readmission to the hospital. The section requires the program to be implemented in a budget neutral manner and further requires reporting on and evaluation of the outcomes of the program the amendment in the nature of a substitute makes technical and clerical changes to the bill this concludes the technical walkthrough.

Rep. Smith (MO-8)3:10:32 – 3:10:37

Thank you. Are there any technical questions about the amendment in the nature, nature of a substitute? Miss Moore.

Rep. Moore (WI-4)3:10:43 – 3:11:29

Thank you, thank you so much, Mister Chairman, and thank you, Mister Dumas. I am looking at, uh, page, uh, two of the bill, um, parent one, selected hospitals, that the secretary shall no later than June thirtieth select, um, to participate in the program at least subject to subsection F, forty eligible hospitals. Um, do we know what the criteria are for being able to be an eligible hospital? Um, i- are are there, and I heard the, I heard uh the author of the bill talk about rural hospitals, but would that preclude urban settings, this bill?

Rep. Kelly (PA-16)3:11:31 – 3:12:05

Uh, thank you for the question. Uh, to be an eligible hospital, to be selected for the program, It is any subsection D hospital, which you can picture as a as a normal uh hospital without a special designation, or a critical access hospital, which are typically in rural areas. Um, and as part of an application, they need to attest that they have the ability uh to provide or have an arrangement with providers of services, uh to do the home-delivered meals, as well as the medical nutrition therapy. And they need to have at least three stars in uh overall hospital quality rating.

Rep. Moore (WI-4)3:12:06 – 3:12:09

So there's a preference for rural hospitals written in the bill?

Rep. Kelly (PA-16)3:12:09 – 3:12:12

Not a preference, just a, not an exclusion.

Rep. Moore (WI-4)3:12:13 – 3:12:22

OK. Thank you so much. I yield back. Are there additional technical questions? Mister Horsford.

Rep. Horsford (NV-4)3:12:23 – 3:12:29

Thank you. Just to clarify, so only the hospitals can provide the service?

Rep. Kelly (PA-16)3:12:31 – 3:12:35

The hospitals can provide the service or contract it out through a, a contracted organization.

Rep. Horsford (NV-4)3:12:40 – 3:12:44

So in most cases it's a home care agency.

Rep. Kelly (PA-16)3:12:45 – 3:12:48

Doing it on behalf of the hospital? That that that would be correct.

Rep. Horsford (NV-4)3:12:48 – 3:12:56

OK. And so it's the patient has to be coming out of a hospital in order for them to qualify for this uh pilot?

Rep. Kelly (PA-16)3:12:57 – 3:13:11

F- to be an uh a qualified beneficiary receiving the services, it would be for an individual who was admitted to a hospital and then back to their home, um, and specifically for having a diet-related, uh, spell of illness.

Rep. Horsford (NV-4)3:13:12 – 3:13:27

And what about acute rehab facilities that are deemed So you, typically there's step-down, hospital to acute rehab to home. Is our acute rehab facilities included?

Rep. Kelly (PA-16)3:13:28 – 3:13:33

The, the individual to receive this service would need to be at their home so they wouldn't be

Rep. Horsford (NV-4)3:13:33 – 3:13:33

Right.

Rep. Kelly (PA-16)3:13:33 – 3:13:36

residing in one of those acute rehab facilities.

Rep. Horsford (NV-4)3:13:36 – 3:14:07

Right. No, my quest- that's not, uh, my question is so, someone has a health issue, they're in the hospital, they're not automatically distra- discharged home, they could be discharged to a rehab facility, skilled nursing, or another another step-down before they get home. So, I'm just trying to confirm the eligibility starts with them being in the hospital and ultimately needing the service once they get home?

Rep. Kelly (PA-16)3:14:08 – 3:14:09

Yes, that is correct.

Rep. Horsford (NV-4)3:14:09 – 3:14:17

So it doesn't disqualify you if you went from a hospital to acute to skilled nursing to home.

Rep. Kelly (PA-16)3:14:17 – 3:14:30

Correct. Just at the time of discharge, the individual must live at home, uh must must be living at home and not in a nursing home or long-term facility, but it wouldn't preclude if they go to another post-acute care setting.

Rep. Horsford (NV-4)3:14:30 – 3:14:32

Thank you. Thank you, Mr. Chairman.

Rep. Smith (MO-8)3:14:33 – 3:14:33

Mr. Murphy.

Rep. Murphy (NC-3)3:14:34 – 3:14:57

Thank you, Mr. Chairman. Um, I I support the bill completely, cuz I I agree a thousand percent that food is medicine, and especially either with post-stroke patients or or post-surgical patients, uh a diet is very, very important, especially protein. Um, just a couple questions. What do you, what do you do about dual eligibles with Medicaid and Medicare? Is there any change in that? Is it just as long as they're dual eligible, they're fine on Medicare?

Rep. Kelly (PA-16)3:14:58 – 3:15:01

The pilot program is under Medicare, so as long as they are

Rep. Murphy (NC-3)3:15:05 – 3:15:12

Right, so somebody who's fifty-five and on private insurance or some other is not eligible for this, correct?

Rep. Kelly (PA-16)3:15:12 – 3:15:14

Not for this private property, no.

Rep. Murphy (NC-3)3:15:13 – 3:15:26

OK. Alright, question, ha- ha- what about if somebody's on SNAP benefits and they receive supplemental nutrition, how does that mix with this just so we prevent people from double dipping if you, as it were?

Rep. Kelly (PA-16)3:15:27 – 3:15:41

Correct. Uh, the the language does ensure that the secretary's sets up the program to insure uh appropriate safeguards against waste, fraud, and abuse as well as, as you say, not double dipping with other uh food-based federal programs.

Rep. Murphy (NC-3)3:15:41 – 3:15:46

Right. So is this gonna be a a hospital code that they bill Medicare and that they,

Rep. Moore (WI-4)3:15:45 – 3:15:45

Mm-hmm.

Rep. Murphy (NC-3)3:15:46 – 3:15:53

the hospital gets paid and then the hospital is then responsible for contracting with the agency in paying them? How does that work?

Rep. Kelly (PA-16)3:15:54 – 3:16:11

The actual implementation of the program would be up to the secretary of Health and Human Services, but Um, presumably they would establish a appropriate payment mechanism, which might be a specific code or just the participation in the program itself can be a, a flat base payment.

Rep. Murphy (NC-3)3:16:11 – 3:16:16

Alright. Is there any uh idea on how much this is costing? I didn't see how much the estimated cost was.

Rep. Kelly (PA-16)3:16:16 – 3:16:23

The legislation is um, is drafted to be budget neutral, so there would not be an increase in the deficit to run the program.

Rep. Murphy (NC-3)3:16:24 – 3:16:25

Okay. What does that mean?

Rep. Moore (WI-4)3:16:26 – 3:16:26

How does that mean?

Rep. Kelly (PA-16)3:16:26 – 3:16:30

The, any costs attributable to this program would be, um,

Rep. Murphy (NC-3)3:16:30 – 3:16:31

Offset somehow?

Rep. Kelly (PA-16)3:16:31 – 3:16:36

offset within otherwise, uh, the the payments to all hospitals participating in Medicare.

Rep. Murphy (NC-3)3:16:36 – 3:16:39

Alright, make sure it's against the hospitals and not against the doctors.

Rep. Kelly (PA-16)3:16:40 – 3:16:41

It is all just within hospital payments.

Rep. Murphy (NC-3)3:16:41 – 3:16:42

Thank you. You're back.

Rep. Smith (MO-8)3:16:43 – 3:16:51

Uh, are there additional technical questions? Seeing none, we will move to strike the last word. Mister Davis is recognized to strike the last word now.

Rep. Davis (IL-7)3:16:52 – 3:21:18

Mister Chairman, I move to strike the last word. I support HR fifty four thirty nine, the medically tailored home delivered meals program introduced by my colleagues, representatives McGovern, Evans, Malatakis, Pingree and Fitzpatrick. This bipartisan legislation would establish a nationwide Medicare p pilot program to provide medically tailored meals to seniors living with diet-sensitive diseases in the comfort of their own homes. pilot would test payment and delivery models to help build a more resilient, cost-effective and patient-centered health care system. What distinguishes medically tailored meals from traditional meal delivery programs, such as Meals on Wheels, is their integration with clinical care. Medically tailored meals are recommended by a health care professional designed by registered dietitian, nutritionist, and individually tailored to address each recipient's medical and nutritional needs. Participants may also receive nutrition counseling, education, and medical nutrition therapy throughout the program. The Food is Medicine coalition has highlighted research demonstrating the potential benefits of medically tailored meals, including improvements in dietary quality, diabetes management, medication adherence, and overall well-being. Studies have also reported increased fruit and vegetable consumption and reduced saturated fat intake among participants. These findings are particularly important for older Americans managing chronic conditions. For example, research involving individuals with type two diabetes has reported improvements in health outcomes, among those receiving medically tailored meals. Other studies have documented reductions in body mass index and improved medication adherence among individuals living with HIV. While these results are promising, continued research and rigorous evaluation are essential to determine how medically tailored meals can be effectively integrated into Medicare and scaled nationwide. The potential economic benefits also deserve our attention. Additional cost modeling has estimated that medically tailored meals for individuals with diets conditions and mobility, limitations would avert approximately two point six million hospitalizations annually and generate twenty-three point seven billion dollars in net health care savings. These estimates illustrate why nutrition should be considered an important component of comprehensive health care. However, the Medicare pilot proposed in H R fifty-four thirty-nine would provide an opportunity to evaluate these potential savings on the real-world conditions and identify effective payment and delivery models. H R fifty-four thirty-nine recognizes the close connection between nutrition and health care by testing innovative approaches to delivering medically tailored meals through Medicare. This legislation offers opportunity to improve patient outcomes, reduce avoidance health care expenditures, and strengthen the connection between clinical care and social determinants of health. I urge my colleagues to support H R fifty-four thirty-nine and yield back the balance of my time.

Rep. Smith (MO-8)3:21:19 – 3:21:23

Are there additional members that wish to strike the last word? Miss Moore.

Rep. Moore (WI-4)3:21:27 – 3:25:47

Thank you so much, Mister Chairman, and just let me say any bill that's uh offered by Mister Montgomery is an automatic yes for me. Um, but Miss Melia-Taucas, I really, really appreciate you as a Republican leading this initiative, uh, and appreciate you, Doctor Murphy, for really reiterating that food is in fact medicine. Um, I have been very quiet today cuz I've been trying to get out of here, but I I can tell you that I couldn't resist speaking on this bill that I plan to support without reminding people that food is important for everybody and it's and and not just this pilot group of um seniors that we are going that are gonna benefit from this program under the Social Security Act. Under the Social Services Block Grant Fund, which my city uses um um and people use the, yeah, under HUD, we use this for Meals on Wheels. This is a program that I've had the opportunity to deliver meals to elderly people who swear by it and say that it enables them to stay in their homes. It enables them to be, um, independent. There are two hundred forty-four million meals that were provided through the Social Services Block Grant fund last year. That's two and a half million seniors. Uh, these are community-based programs, and I am sad to report that so many people, uh, among Republicans have voted. continuously to destroy the Social Services Black Grant Fund. And so I wanna remind you that the Social Services Black Grant Fund provides meals to you have to be at least sixty years old uh in order to uh qualify for the program um and you know it also enables this is also a program that provides eyes on the most vulnerable people. Uh, I recall, it's a personal story. My brother, God rest his soul, uh, was non- um, non-ambulatory and fell on the floor and was on the floor for three days before someone who was part of the Wheels on Meals program knocked on his door. And when he didn't answer, they called, uh, up the, uh, janitorial services to open the door for him and found him on the floor for three days, uh, because he didn't respond to the knock on the door for meals on wheels. Um, and so I know that, uh, the social services block grant fund is in the cross hairs of the Republicans. I know our good friend, the chair of the budget committee, Mister Errington, uh, proposed that we cut the social services block grant fund and thank God we did not do that. Uh, and I just wanted to take the time to remind people um, that, that people need food. Of course we cut, uh, uh, one, I think it's one point two billion dollars, trillion dollars out of SNAP, um, and which is only provides two dollars per meal per day. And so with regard to the, uh, concern that people are gonna double dip, uh, the Medicare program that we're voting on here today only provides two meals a day. People need three meals a day, and when you're a diabetic, you need four, you need a snack too. You need at least four meals a day. Uh, and so I would uh caution supporters of of this bill who wanna h- feel good about helping seniors to make sure that uh we we do uh our due diligence and make sure that all seniors have access to good nutrition and the ability to stay in their home by not slashing the social services block rate fund. And with that, Mister Chairman, I got forty-five whole seconds to yield back to you.

Rep. Smith (MO-8)3:25:47 – 3:26:11

Thank you so much for those forty, forty-five seconds, Miss Moore. Um, are there additional members who wish to strike the last word? Seeing none, we will move to amendments. Are there any amendments to the amendment in the nature of a substitute? There are no amendments. The question is on the adoption of the amendment in the nature of a substitute. All those in favor signify by saying aye.

Rep. Moore (WI-4)3:26:11 – 3:26:11

Aye. Aye.

Rep. Smith (MO-8)3:26:12 – 3:26:21

Those opposed say no. In the opinion of the chair, the ayes have it, and the amendment in the nature of a substitute is agreed to. I will now recognize Mister Buchanan for the purpose of offering a motion.

Rep. Buchanan (FL-16)3:26:22 – 3:26:29

Mister Chairman, I move the committee favorably report H R fifty-four thirty-nine as amended to the House of Representatives.

Rep. Smith (MO-8)3:26:29 – 3:26:36

The question is on the motion to favorably report H R fifty four thirty nine as amended to the House of Representatives. The clerk will call the roll.

Clerk3:26:39 – 3:26:39

Mister Buchanan.

Rep. Buchanan (FL-16)3:26:40 – 3:26:40

Yes.

Clerk3:26:41 – 3:27:04

Mister Buchanan, yes. Mister Smith of Nebraska. Mister Kelly. Mister Kelly, yes. Mister Schweikart. Mister LaHood.

Rep. Smith (MO-8)3:27:05 – 3:27:05

Yes.

Clerk3:27:05 – 3:27:17

Mister LaHood, yes. Mister Arrington. Mister Estes.

Rep. Smith (MO-8)3:27:17 – 3:27:17

Yes.

Clerk3:27:17 – 3:27:24

Mister Estes, yes. Mister Smucker. Mister Smucker, yes. Mister Hearn.

Rep. Smith (MO-8)3:27:24 – 3:27:24

Yes.

Clerk3:27:25 – 3:27:28

Mister Hearn, yes. Mrs. Miller.

Rep. Smith (MO-8)3:27:28 – 3:27:28

Yes.

Clerk3:27:29 – 3:27:31

Mrs. Miller? Yes. Doctor Murphy.

Rep. Smith (MO-8)3:27:32 – 3:27:32

Yeah.

Clerk3:27:32 – 3:27:55

Doctor Murphy? Yes. Mister Kustof. Mister Fitzpatrick. Mister Fitzpatrick? Yes. Mister Stubbe. Miss Tenney. Miss Tenney? Yes. Mrs. Fischbach.

Rep. Smith (MO-8)3:27:55 – 3:27:55

Yes.

Clerk3:27:56 – 3:27:59

Mrs. Fischbach, yes. Mr. Moore.

Rep. Smith (MO-8)3:27:59 – 3:28:00

Yes.

Clerk3:28:00 – 3:28:09

Mr. Moore, yes. Miss Van Duyn. Mr. Feenstra.

Rep. Smith (MO-8)3:28:12 – 3:28:12

Yes.

Clerk3:28:13 – 3:28:15

Mr. Feenstra, yes. Miss Maliatakis.

Rep. Smith (MO-8)3:28:15 – 3:28:15

Yes.

Clerk3:28:16 – 3:28:21

Miss Maliatakis, yes. Mr. Carey. Mr. Carey, yes. Mr. Joachim.

Rep. Smith (MO-8)3:28:21 – 3:28:21

Yes.

Clerk3:28:22 – 3:28:27

Mr. Joachim, yes. Mister Miller. Mister Miller, yes. Mister Bean.

Rep. Smith (MO-8)3:28:27 – 3:28:28

Yes.

Clerk3:28:28 – 3:28:30

Mister Bean, yes. Mister Moran.

Rep. Smith (MO-8)3:28:31 – 3:28:31

Yes.

Clerk3:28:31 – 3:28:35

Mister Moran, yes. Mister Neal.

Rep. Smith (MO-8)3:28:40 – 3:28:40

Mister.

Clerk3:28:40 – 3:28:40

Mister Doggett.

Rep. Smith (MO-8)3:28:41 – 3:28:42

Aye.

Clerk3:28:42 – 3:28:44

Mister Doggett, yes. Mister Thompson.

Rep. Smith (MO-8)3:28:44 – 3:28:45

Aye.

Clerk3:28:45 – 3:28:47

Mister Thompson, yes. Mister Larson.

Rep. Smith (MO-8)3:28:47 – 3:28:48

Yes.

Clerk3:28:48 – 3:28:50

Mister Larson, yes. Mister Davis.

Unknown3:28:51 – 3:28:51

Aye.

Clerk3:28:51 – 3:28:54

Mister Davis, yes. Miss Sanchez.

Unknown3:28:54 – 3:28:54

Aye.

Clerk3:28:54 – 3:29:01

Miss Sanchez, yes. Miss Sewell. Miss DelBene.

Unknown3:29:01 – 3:29:02

Aye.

Clerk3:29:02 – 3:29:04

Miss DelBene, yes. Miss Chu.

Unknown3:29:05 – 3:29:05

Aye.

Clerk3:29:05 – 3:29:07

Miss Chu, yes. Miss Moore.

Unknown3:29:08 – 3:29:08

Aye.

Clerk3:29:09 – 3:29:11

Miss Moore, yes. Mister Boyle.

Unknown3:29:11 – 3:29:12

Yes.

Clerk3:29:12 – 3:29:14

Mister Boyle, yes. Mister Beier.

Rep. Smith (MO-8)3:29:14 – 3:29:14

Yes.

Clerk3:29:14 – 3:29:17

Mister Beier, yes. Mister Evans.

Rep. Smith (MO-8)3:29:17 – 3:29:17

Yes.

Clerk3:29:18 – 3:29:20

Mister Evans. Yes, Mister Schneider.

Rep. Smith (MO-8)3:29:20 – 3:29:21

Yes.

Clerk3:29:21 – 3:29:23

Mister Schneider, yes. Mister Panetta.

Rep. Smith (MO-8)3:29:23 – 3:29:24

Yes.

Clerk3:29:24 – 3:29:26

Mister Panetta, yes.

Rep. Smith (MO-8)3:29:25 – 3:29:25

Panetta.

Clerk3:29:25 – 3:29:27

Panetta. Mister Panetta. Mister Gomez. Mister Panetta.

Rep. Smith (MO-8)3:29:27 – 3:29:27

Aye.

Clerk3:29:28 – 3:29:30

Mister Gomez, yes. Mister Panetta. Mister Hor- Mister Hor- Mister Hor- Mister Hor- Mister Mister Hor- Mister Horsford.

Rep. Smith (MO-8)3:29:30 – 3:29:30

Yes.

Clerk3:29:30 – 3:29:37

Mister Horsford, yes. Miss Plaskett. Mister Swazi.

Rep. Smith (MO-8)3:29:38 – 3:29:38

Aye.

Clerk3:29:38 – 3:29:50

Mister Swazi, yes. Mister Smith of Nebraska. Mister Schweikert.

Rep. Smith (MO-8)3:29:50 – 3:29:50

Yes.

Clerk3:29:51 – 3:29:56

Mister Schweikert, yes. Mister Arrington.

Rep. Smith (MO-8)3:29:56 – 3:29:56

Yes.

Clerk3:29:57 – 3:30:00

Mister Arrington, yes. Mister Kustof.

Rep. Smith (MO-8)3:30:01 – 3:30:01

Yes.

Clerk3:30:01 – 3:30:35

Mister Kustof, yes. Mister Stubbe. Miss Van Duyn. Mister Neal. Miss Sewell. Miss Plaskett. Chairman Smith.

Rep. Smith (MO-8)3:30:35 – 3:30:36

Yes.

Clerk3:30:36 – 3:30:38

Chairman Smith? Yes.

Rep. Smith (MO-8)3:31:00 – 3:31:02

The clerk will report the vote.

Clerk3:31:04 – 3:31:07

Mister Chairman, the yeses are thirty-nine and the noes are zero.

Rep. Bean (FL-4)3:31:04 – 3:31:04

Okay. Okay.

Rep. Smith (MO-8)3:31:07 – 3:32:22

There being thirty-nine yeses and zero noes, the motion is agreed to in H R fifty-four thirty-nine, as amended as ordered favorably reported to the house. Without objection, I ask that staff be authorized to make technical and conforming changes to H R fifty four thirty nine and that members have two additional days to file with the committee clerk supplemental additional dissenting or minority views. Our next order of business is H R forty ninety-three, the apples to apples comparison act, introduced by Representative Bean, which will provide more data and greater transparency around Medicare spending so that lawmakers and seniors can make better informed decisions. Representative Bean brings a practical perspective to this issue and is committed to finding solutions that improve government services while helping our seniors and those most in need of care for most need of care and assistance. His bill applies that same focus to Medicare by ensuring that seniors, policymakers, and taxpayers have accurate understand and comparable information to make the best choices for their health and budgets. I urge my colleagues to support this bill and I'm pleased to recognize a gentleman from Florida Mr. Bean for an opening statement.

Rep. Bean (FL-4)3:32:22 – 3:32:47

Thank you very much, Mister Chairman, uh, for the opportunity to speak on the Apples to Apples bill. I am pleased to, uh, uh, recognize and thank, uh, Representative Hearn for his support in co-leading this legislation. Uh, I understand this may be one of the last bills that Representative Hearn sponsors in the House of Representatives.

Rep. Smith (MO-8)3:32:47 – 3:32:47

Mm-hmm.

Rep. Bean (FL-4)3:32:48 – 3:35:21

Mister Chairman, uh, fall is back in America. Football's here and we're just weeks away from open enrollment, which means we're gonna see Joe Namath on TV asking millions of Americans to reevaluate their Medicare. Uh, and millions will, cuz right now, Mister Chairman, you probably already know this, over fifty percent of seniors have chosen a different Medicare plan, uh, Medicare Advantage, MA, as it's called. Over fifty percent, it's very popular. If sometimes if you agree to a limited network, you can exchange it for greater benefits. Not right for everybody, right for some. Uh, and uh, Millie, it's great where we get to choose the plan that's best for us. If you're asking, and you should ask if you're on this panel, do we save money? Are we saving money when a senior chooses Medicare Advantage? We don't know. We don't know because the Centers for Medicare and Medicaid Services, CMS, doesn't give us the full data. They don't give us. They're, uh, opaque. Uh, they, uh, they're just not giving us the full information that we need. Mister Chairman, it's like comparing, so when we compare fee for service, which is traditional Medicare, fee for service against Medicare Advantage, it's like comparing apples to grapefruit. How about that? That's a hard comparison. What if we had the full, uh, data? In carpentry, a bad measurement leads to a bad cut, and once the c- wood is ruined, there's no easy fix. Lawmaking is no different. When Congress gets the measurement wrong, we get the solution wrong. Consequences are far, uh, more than, uh, lasting than a mis-cut board. Sound policy requires precision, discipline, and the muti- and the humility to check our work before we act. This bill, Apples to Apples, offers a straightforward fix, greater transparency, so that we all can have an open debate. Health care's kicking our financial fanny, uh, members, and we have to get it right going forward. So let's all agree, more information, open information is better. As Congress looks to the future of the Medicare program, Apples to Apples is the way to go. It gives us the ability to measure twice. and reform wants. I invite all of our colleagues, my colleagues, your colleagues, vote yes, get on board the uh the bill and let's have more information so we can go forward and plan for senior health care for our country. I yield back. Mister Chairman.

Rep. Smith (MO-8)3:35:22 – 3:35:25

Thank you. I now recognize Mister Doggett for an opening statement.

Rep. Doggett (TX-37)3:35:25 – 3:39:52

Well, I believe this bill is a little bit of a misnomer. It really should be called apples to lemons because that uh kind of legislation that we have. You know, long ago in a very different setting, with true bipartisan support, this Congress created an independent, objective source of advice. That nonpartisan entity is called the Medical Payment Advisory Commission or MedPak, not to be confused with the PACs that play such a role in the life of this committee, uh, that are campaign contributors. The big insurance companies who've been profiting so excessively from Medicare Advantage don't like the objective advice. And it's because it shows that taxpayers are paying them far more than they deserve. And so today the insurance supporters are urging us to ignore the independent advice, and essentially to cook the books. Now, taxpayers are expected to expend up to seven hundred billion dollars next year on Medicare Advantage. So they got a good reason to come here and and ask us to cook the books. Ensuring that this program is working well is one of the most important fiscal issues that this committee should be addressing. Because we know that without changes, the deficit that Medicare uh is expected to have in just seven years could trigger payment cuts and threatened benefits. This legislation undermines MedPak's independent work and offers yet another unfair advantage to Medicare Advantage. Now, Medicare Advantage has a interesting beginning. It was first promoted by Newt Gingrich who claimed that with it he would let Medicare wither on the vine. Said he was gonna save taxpayer dollars and improve the quality of care. But Medicare Advantage has never saved a dime. Not only MedPak, which they're trying to correct today uh in a slanted way, but also the Congressional Budget Office, the Committee for a Responsible Federal Budget, and several other nonpartisan researchers and entities have repeatedly said year after year, m- Medicare Advantage private insurance costing us billions more than traditional Medicare. These dollars are lost to giant insurers that could instead be used to extend the sovereignty of Medicare. That could be used to provide benefits uh such as dental vision and hearing, claimed by some of these advantage plans. Even if we go to a study of one of the Medicare advantage plans, Humana, the second largest insurer, they found evidence of significant favorable selection. where healthier, less costly consumers are disproportionately enrolled in Medicare Advantage while the sicker, more costly consumers are steered over to traditional Medicare. Humana's findings account for billions in overpayments. Medicare Advantage is the most profitable uh area, the plan, that private insurers sell. So they wanna, they wanna keep it, uh and they wanna keep getting more taxpayer dollars than they deserve. Insurers get all the advantage while consumers are disadvantaged by strict prior authorization and very narrow networks that are often denying someone to see the doctor of their choice. These flashy supplemental benefits, like payments for rent and groceries, are often merely a marketing tool as consumers discover fine print uh provisions that are not qual- that they are not qualified for every benefit or that their benefits are strictly limited. As insurers collect higher overpayments for minimal value, every Medicare enrollee pays more in Part B premiums. It's costing us to do this. Yet this bill directs MedPak to provide a lopsided study on the supposed value of MA with no analysis of its limitations or the value of traditional Medicare's coverage of the doctor of your choosing limited prior authorization, and other benefits. Instead, MedPak is instructed to promote Medicare Advantage and offer recommendations for even more dollars going to private insurers. If we yield to big insurance now, we're gonna have every industry stakeholder from every medical specialty, uh, every group that MedPak reports on coming in and telling us, uh, we don't like the results, so please rewrite the way they calculate them, uh, and interfere with the work of this committee and of our independent agency. You might as well set taxpayer dollars on fire at the same time as you

Rep. Smith (MO-8)3:40:15 – 3:40:54

Thank you. The committee will now proceed to consideration of H R forty ninety-three, the Apples to Apples Comparison Act of twenty-eight. Without objection, the measure will be considered as read and open for amendment at any point. At this time, I offer an amendment in the nature of a substitute, which was distributed in advance along with a green sheet explaining it. Without objection, the amendment in the nature of a substitute shall be considered as read, open for amendment at any point, and considered base text for purpose of amendment. I will now turn to Patrick Dumas, Health Subcommittee Staff Director, to provide a technical description of the amendment in the nature of a substitute with an emphasis on the changes made since introduction. I ask that members hold their questions until after his presentation.

Rep. Kelly (PA-16)3:40:55 – 3:41:35

Thank you, Chairman Smith. H R forty ninety-three, the Apples to Apples Comparison Act contains four sections. Section one provides for the short title of the bill. Sections two, three and four amend sections eighteen seventy-four and eighteen O five B of the Social Security Act to require detailed reporting and publication of information on Medicare expenditures broken out by geography and beneficiary categories. Such reporting will be conducted by the Secretary of Health and Human Services, the Medicare Payment Advisory Commission, and the Medicare Trustees. The amendment in the nature of a substitute makes technical and clerical changes to the bill. This concludes the technical walkthrough.

Rep. Smith (MO-8)3:41:36 – 3:41:40

Thank you. Are there any technical questions about the amendment in the nature of a substitute?

Rep. Doggett (TX-37)3:41:39 – 3:41:40

Miss Chairman?

Rep. Smith (MO-8)3:41:40 – 3:41:41

Mister Doggett.

Rep. Doggett (TX-37)3:41:42 – 3:41:48

Uh, I assume that in developing this bill, you got technical assistance from CMS.

Rep. Kelly (PA-16)3:41:48 – 3:41:49

Yes, sir.

Rep. Doggett (TX-37)3:41:49 – 3:41:56

Because you wanted to understand how they would use this bill and whether it would fulfill the purposes of the author.

Rep. Kelly (PA-16)3:41:56 – 3:41:57

Correct.

Rep. Doggett (TX-37)3:41:57 – 3:42:27

Uh, I would direct your attention to uh page nine, excuse me, uh page, yes it is page nine, line six to ten uh of the bill, the chairman's mark, and ask you uh with reference to that section if it's correct that CMS has told you that Um, you've excluded payments that they receive, the total payments they receive. You're only focused on what they pay out for certain things.

Rep. Kelly (PA-16)3:42:30 – 3:42:32

I'm sorry, sir, I'm not sure I understand the question.

Rep. Doggett (TX-37)3:42:31 – 3:42:55

Yep. Uh, this is a attempt to define what you're gonna have done with the revision of what is reported by the uh, MedPak. And I'm just pointing out that there are some things that are included And there's some things that are excluded. For example, according to CMS, uh, you're not gonna have reports on capitated payments and bonuses.

Rep. Kelly (PA-16)3:42:57 – 3:43:05

D- uh, plainly in this entire legislation, this is all additive reporting information. Nothing precludes currently reported information from Conten-

Rep. Doggett (TX-37)3:43:03 – 3:43:43

Mm-hmm. Well, you're - you're gonna have them report data. Uh, it may be that CMS wants to rep- I mean that, uh, MedPak wants to add something else, but what this bill is report- is requiring is a new report that focuses on what the insurers pay out, but not what they're paid, that excludes capitated payments and bonuses, that excludes data necessary for a full picture of the overpayment of the MA program, uh, now to give a kind of a stamp of approval from an independent MedPak, uh, that they're doing just fine, uh, because you require some things to be reported, but not other things to be reported.

Rep. Kelly (PA-16)3:43:44 – 3:43:48

Again, nothing in this legislation precludes additional reporting from happening.

Rep. Doggett (TX-37)3:43:48 – 3:44:18

But the specific report, the reason you want apples to apples, uh, is that, uh, you provided the definition here that does not include the portion of Medicare payments to MA that the plans retain for profit or use for bonuses. Uh, you don't include payment adjustments like quality bonus payments, uh, nor the actual capitated payments that CMS makes to MA plans. That's the way CMS interprets this provision, as I'm sure you know, from uh your technical assistants.

Rep. Kelly (PA-16)3:44:19 – 3:44:24

It, yes, and CMS and MedPak and others still have the ability to report on that information.

Rep. Doggett (TX-37)3:44:24 – 3:44:25

Thank you very much.

Rep. Kelly (PA-16)3:44:24 – 3:44:26

This legislation does not change that.

Rep. Estes (KS-4)3:44:32 – 3:44:35

So, now call on uh Miss Chu for a strike of the last word.

Rep. Chu (CA-28)3:44:38 – 3:48:34

Mister Chair, I rise in strong opposition to this bill. This is our last mark-up before Congress leaves Washington for weeks, and Americans are facing a health care affordability crisis. They are opening their insurance bills and seeing premiums they cannot afford. They are putting off doctors' appointments. They are leaving prescriptions at the pharmacy because they cannot afford to fill them. They are choosing between health care and groceries, health care and rent, health care and keeping the lights on. And this administration, this Republican majority in Congress, and this committee are not doing anything about it. Instead, we are marking up the so-called apples to apples bill, a bill that that will not lower a single family's premium by one dollar. It would not lower a single senior's copay. It will not make a single prescription cheaper. And it will not help one person afford a doctor's appointment. And my constituents are supposed to look at this and believe Congress is responding to what they are going through? People are begging Congress to deal with the cost of living. A new national survey found that seventy percent of Americans are worried about affording health care for themselves and their families. One in five Americans has skipped or canceled a doctor's appointment in just the last three months because they could not afford it. And nearly one in eight people went at least a month without health insurance because they could not afford it. The American people could not be clearer about what they expect from us. Instead, they're being forced to pay more for health care, thanks to Trump and Republicans' big ugly bill. This law cut more than one trillion dollars for Medicaid and the Affordable Care Act. On top of that, Republicans failed to extend the ACA premium tax credits, a move that will result in four point two million Americans losing their health insurance. In fact, more than fifteen million Americans will lose coverage as a result of this reckless law. Families cannot afford for this committee and this Congress to waste another opportunity to help them. Yet here we are. Instead of lowering health care costs, we are considering legislation that will mask the higher costs of Medicare Advantage over traditional Medicare. MedPak es estimates that Medicare Advantage will cost taxpayers seventy-six billion dollars more this year than traditional Medicare, would have costs for the same beneficiaries. That higher spending also raises part B premiums for seniors. But instead of confronting those costs, this bill tells MedPak to change how it presents the comparison. And in fact, an expert, Doctor Paul Ginsberg, Professor in the Practice of Health Policy at USC says, "HR forty ninety-three is the most extreme example that I'm aware of in which a stakeholder has worked to undermine MedPak's independence on the basis of analysis it has done, that is not in the stakeholders' financial interests. This bill would attempt to obtain analytic results more favorable to that stakeholder, in this case the health insurance industry, by dictating to MedPak how it should conduct its analysis. Should it be enacted, MedPak would no longer be able to function independently. And this is what we are spending our time on? The American people are not asking for a new Medicare Advantage comparison. They are asking us to make health care affordable with lower premiums, lower deductibles, lower prescription drug costs, and to protect Medicare and Medicaid. Instead, we are leaving town without doing a single thing in this mark-up to address the health care affordabl- affordability crisis. Nothing. I yield back.

Rep. Estes (KS-4)3:48:36 – 3:48:39

Thank you. I now recognize Mister Bean for five minutes to strike the last word.

Rep. Bean (FL-4)3:48:39 – 3:51:24

Mister Chairman, thank you so much, and I am delighted that uh so many colleagues have read this bill, but I don't know if we're on the same page, I don't know if we're apples to apples on the same page, because it truly is a transparency bill. And I'm trying to grasp why we as members of Congress and members of the Ways and Means Committee wouldn't want more information, as we're gonna be, have to make over the coming years, big decisions of how we're gonna afford health care for uh, for seniors. It's gonna be a challenge. So why wouldn't we want more information? Uh, my colleagues on the other side of the aisle have given us lots of statistics and information. Uh, I'm not sure where they got that information. I think they got it from the industry. I know they didn't get it. from CMS because CMS doesn't share that information with us fully. So there was a accusation that we're directing MedPak. MedPak is uh they work for Congress and they make uh they present the information to us right now. This bill, let's be clear, does not direct MedPak at all to call balls or strikes a certain way. It says, " Here's the full information, MedPak. What say you in giving us the honest open uh information that we can make decisions. Members, we're in debt. We just hit forty trillion dollars in debt. If we're gonna solve debt, we have to solve health care. Health care in America is is not going where it needs to be. We should be leading the planet on giving superior health care in a way that uh is very affordable. And right now it's not. So we've got big decisions to make. We need all of the information so we can choose to vote no on this bill and put our heads in the sand. That's what you're doing. You're saying, " I don't want it." "Put your fingers in the air. I don't wanna know the information." Or let's make the information. There's no ulterior motive, but I just, as I'm b- working on a plan to - to bring before this committee how we can improve, uh, health care, it has to have the full information that I can have, uh, a reliance. uh on CMS and on MedPak's reports and right now we can't say that because we don't know. So it truly is just a transparency full information bill. I don't know why they don't give us the information now. You would think this bill isn't even necessary. Uh CMS does a lot of great things. It seems like they would just voluntarily give us information, but for whatever reason uh it's our job to give them a loving nudge. And we're gonna do it in uh in the way that we pass this bill to give them nudge to give us the information that we can go forward.

Rep. Estes (KS-4)3:51:34 – 3:51:38

Thank you. I I now recognize Mister Beier from Virginia for five minutes to strike last word.

Rep. Beyer (VA-8)3:51:38 – 3:53:07

Thank you, Mister Chairman. Good policy requires good data. So here are some real data points on Medicare Advantage. This year, American taxpayers will spend an a average of nearly fifteen percent more on every Medicare Advantage enrollee than would be spent on When you consider that that's more than half of all eligible beneficiaries are now enrolled in Medicare Advantage, that's an astonishing expense. In fact, Medicare Advantage today is the highest profit margin of any insurance plan offering, nearly double the margins in the individual market, and more than double the group plans. We need that data, and American taxpayers need that data. Thanks to MedPak and other impartial watch dogs like the Government Accountability Office, We have the numbers to know that this is a program in desperate need of real guardrails and oversight. So forcing MedPak to publish deliberately misleading information about Medicare Advantage will not get rid of those costs. It will only hide them from taxpayers and make it more difficult for us to rein in overspending. Two months ago, this committee unanimously advanced a bill that required more transparency from medical adv- at Medicare Advantage organizations on how they spend taxpayer dollars. But now we're considering a bill to artificially make MA look less costly than it is. Hiding the data isn't gonna get rid of the problem. Instead, we need to advance bipartisan solutions to improve transparency and add guardrails to the Medicare Advantage program. I urge my colleagues to vote against this bill.

Rep. Estes (KS-4)3:53:10 – 3:53:13

Thank you. And I recognize Doctor Murphy for five minutes to strike last.

Rep. Murphy (NC-3)3:53:14 – 3:55:29

Thank you, Mr. Chairman. I would submit that there is nobody in this room that wants uh, the Medicare Advantage system reformed more than I do. I, um, I had quite a tizzy several months ago when the C, uh, CEOs of our health insurance industry came before us and, uh, I have had the CMO of the largest uh, Medicare Advantage, um, program in my office and basically pointed out what I believe is out and out fraud. So there is nobody that wants this system reformed better than I do. It is started with a good idea, make people healthier, keep them at home, keep them out of the hospital. Um, but it has been absolutely abused by our insurance industry. And I hate that somebody has said that this has turned into a Republican protection idea cuz last I checked last week the Democratic whip got a hundred thousand dollars uh from the United Healthcare CEOs in all their executive suites that's one way to to keep their system going, to keep money flowing from the federal government to a bad program. So if we look, when we talk about affordability, we're in a horrible crisis because Obamacare has absolutely failed. Absolutely failed, and that's why we are where we are today. So asking for more information so that we can make real choices and reform a Medicare Advantage system, I am absolutely for. Because look, as I said in that meeting, I'd turn all these United uh, uh, United for sure, they're the worst offender. But I'd turn all these uh huge insurance giants to dust and let us start over again. Because it's become profits above patients and we're not delivering the health care dollars to actually people who take care of patients. So giving information so that we can compare a system, again, started out with a good idea, see where it's gone wrong, where it is in tradition in comparison traditional Medicare, I think is all the greatest idea. It doesn't make health care affordable today. It's become unaffordable with Obamacare. Nothing's gonna make it affordable today unless we get the information to see where the pressure points are and where we can on a bipartisan basis, re-evaluate a system that makes it affordable for patients and for those uh, who actually care for patients. So I would urge my colleagues to support this legislation. I don't understand the kickback from it because it's literally trying to get more information to reform a system that I hope members of this committee want reformed.

Rep. Smith (MO-8)3:55:29 – 3:55:29

Mm.

Rep. Murphy (NC-3)3:55:30 – 3:56:11

That's all it's asking. And so to point out that it's not doing this, not doing that, there are things, plenty of things that CMS can do already. So, look, there's no reason to not get more information. We all know that the system is not working well. So I don't know why, you know, you look at Medicare Advantage paying for things that they shouldn't do, golf club memberships, absolute nonsense. We should be paying things like for healthy food. Those are the things we should be doing. But we'll find out this data, this information that we need to compare the Advantage program to the traditional program. So I would urge my uh, my colleagues to uh, to vote for this. I think it's a good measure. You can never have more information. As I say many, many times, sunlight is the best disinfectant. That I'll yield back.

Rep. Smith (MO-8)3:56:11 – 3:56:21

Are there further members who wish to strike the last word? Seeing none, we will move to amendments. Um, are there any amendments to the amendment in the nature of a substitute?

Rep. Doggett (TX-37)3:56:21 – 3:56:23

I have an amendment, Mister Chairman, at the desk.

Rep. Smith (MO-8)3:56:23 – 3:56:24

Mister Doggett.

Rep. Smith (NE-3)3:56:23 – 3:56:25

Mister Mister Chairman, I reserve a point of order.

Rep. Smith (MO-8)3:56:26 – 3:56:30

A r- a point of order has been reserved. Will the gentleman suspend while the amendment is distributed?

Rep. Smith (NE-3)3:56:29 – 3:56:30

That's really

Rep. Smith (MO-8)3:56:37 – 3:56:38

Proceed, Mister Doggett.

Rep. Doggett (TX-37)3:56:39 – 4:01:50

We're not suffering from a lack of information. We're suffering from a lack of will of this committee to stand up to insurance giants that are taking tens of hundreds of billions of dollars of taxpayer money in true waste, fraud and abuse. And this committee hasn't shown the will to stand up to them. And what they're proposing today is to give them a new, giant, good housekeeping type seal of approval with an official government report that cherry picks out certain data to make them look better than the reality that exists. And we don't uh, in our search for new information, uh, lack for sources because it's not just the MedPak, the independent objective resource that we have, but it's one group after another that has gotten the facts and looked at these Medicare Advantage plans and found out they're a giant disadvantage to the taxpayer, and often to those who sign up for them. Now, Medicare is a federal guarantee that American workers can age with dignity and access to affordable health care. That guarantee is under threat by these giant insurance companies. Medicare Advantage, uh, insurers have never saved us a penny. They're annoyed that their profiteering is being exposed, and that's why we have this, uh, rotten apple bill before us to cook the books and change the facts. Insurers will claim that money is spent on consumers with additional benefits from grocery, the pest control, maybe even a Joe Namath autographed football. Hidden in the fine print provisions, however, are restrictions that they don't disclose. Consumers get sucked in by the marketing and often find they're not eligible for the benefits. Ultimately, taxpayers are disadvantaged by paying more while consumers get less. The only advantage and Medicare advantage are the profits to the private insurers. Instead of excluding and manipulating spending data to favor insurers, we should be focused on collecting information and providing greater transparency on a program that is costing taxpayers so much. So you say you want more information? This amendment is about giving you even more information. My amendment requires public data on the utilization of these supplemental benefits. How many people got the Joe Namath autographed football? How many got any of the free benefits that were advertised on television? Let's get that data and find out. whether uh this is the loser that I believe it is. It also requires data on associated and roley cost sharing for these supplemental benefits because so often the supplemental benefits have a high cost to the individual consumer who can who seeks to take advantage of it uh and we need more information about prior authorization because that's at the heart of it whether you can get when you are ill can you get to the doctor of your choice, to get the relief that you need. with prior authorization continuing to plague providers and consumers, or someone asked to see a particular physician and they're denied, or that physician recommends a particular medical intervention and it is denied, my amendment requires information on the number of claims that are denied and the number of claims that are subjected to prior authorization. Finally, as providers continue to report lower reimbursement rates than what that even they get under traditional Medicare. We have all these Medicare's not paying enough. Well, some of these Medicare Advantage plans are not even paying as much as Medicare. And my amendment requires that data on those insurer payments be provided if you want more information. We need the to lift up the hood and seek this kind of transparency, meaningful transparency, but the focus should be on improving Medicare Advantage data collection, not cherry picking some information to try to look pla- make plans look good when they are actually costing us an immense amount. And while transparency is good, enough is known already about what we need to do to fight waste and abuse and Medicare advantage. I have filed the Saving Medicare Act to address the many ways that MA insurers are overpaid, are upcoding, and insure that it does not cost more than traditional Medicare. The bipartisan committee for a responsible federal budget has said, quote, " The Saving Medicare Act puts forward a comprehensive plan to address the underlying causes of excessive MA cost and would substantially reduce deficits lower health care costs for seniors extend solvency for the Medicare Part A trust fund and address a serious source of waste and abuse in government. That's not a democratic group. It's got one republican after another in its leadership. The gentleman from uh this who is supporting this measure authored this measure says he's concerned about the debt. Well, they are the committee most concerned about the debt and the way it's run away under Republican leadership. And they say that saving Medicare by addressing these cost overruns from the Medicare Advantage plans and the unjust enrichment that they've received will do much to address our debt, and to provide a lower cost for seniors. I urge adoption of the amendment.

Rep. Smith (MO-8)4:01:51 – 4:01:53

Any discussion on the amendment? Mister Hearn.

Rep. Hern (OK-1)4:01:54 – 4:02:22

I want to thank the gentleman from Texas uh for his uh comments, cuz he's actually sharing the same concerns all of us are having about the inordinate cost of Medicare. And, you know, it's rich. I just asked the uh the staff that, you know, we had a hearing when we voted this out of committee, much of what's already in this bill as far as transparency. And he's known for over a month now about we're having this mark-up, and yet the staff says they've received no input uh from his team. So,

Rep. Smith (MO-8)4:02:22 – 4:02:23

What?

Rep. Hern (OK-1)4:02:23 – 4:02:50

you know, I think that it's important to note that we're all concerned about where the costs are. That's why we want Uh, as we've said many times, uh, I'll have, I'll give the gentleman credit, he has been consistent with this since I've been on this committee. Uh, I remember one of the committees we had that, uh, we have to acknowledge that over sixty percent of the people that are Medicare eligible, age eligible in his district are on Medicare Advantage. And of those folks, uh, this is ninety percent favorability of the program.

Rep. Thompson (CA-4)4:02:50 – 4:02:51

Oh.

Rep. Hern (OK-1)4:02:51 – 4:03:12

So there's a disconnect between the cost of the program and what's really going on in the c- uh in the uh, in the in amongst the people. And so we only get to the bottom of this. The committee should have that data. We should be able to make very robust decisions about how we move forward and make sure the people who have paid into Medicare their entire lives are are getting what they thought they were going to get. So with that, I yield back.

Rep. Smith (MO-8)4:03:13 – 4:03:14

Thank you. Further discussion on the amendment.

Rep. Thompson (CA-4)4:03:14 – 4:03:15

Yes.

Rep. Smith (MO-8)4:03:15 – 4:03:16

Mister Thompson.

Rep. Thompson (CA-4)4:03:18 – 4:03:23

Thank you, Mister Chairman. I'd like to yield my time to Mister Doggett. Well, let me say first of all

Rep. Doggett (TX-37)4:03:24 – 4:05:30

uh, that the gentleman failed to indicate a single reason, since they're so interested in getting more information, why they don't want to get the information that this two-page amendment asks for. "Enrollee enrollee level data on supplemental benefit utilization." "Of all these gimmicks that are advertised on TV that we will hear over and over again in the next month or so, how much of it's being used, by whom, why don't you want to know that?" The next thing that's up is for each item of service for which a claim was submitted, The number of claims that were denied. How many times are the people that get sucked into these plans denied access to the doctor they want? Denied access to the treatment that the doctor recommends? Let's find that out. You don't offer any reason why we shouldn't get that information. The number of such claims that were subject to prior authorization, where the doctor, as Doctor Murphy mentioned, uh is subject to long waits, call after call to try to get approval. for the treatment that that doctor knows is in the best interest of the patient because of his or her medical judgment. The number of out-of-pocket expenditures incurred by enrollees for items and services for which benefits were available under the plan. Why are they afraid to get that information? The amount of payments made by such plan to providers for each such service. No, they're not interested in more transparency and more facts. They're interested in a phony report. that is only designed to make Medicare Advantage look like something that it is not. Uh, we don't lack the information. We lack the will to stand up, uh, to these insurance carriers, and the opposition to this amendment, which would provide more valuable information, makes that very clear. I would also ask, Mister Chairman, to unanimous consent to enter the following letters into the record, expressing strong concerns with this bill from Doctor Paul Ginsburg, a Health Economics Professor, and former MedPak Commissioner, Mutual of Omaha, a Medicare Supplemental Insurance Company, and the Center for Medicare Advocacy, a consumer group, three groups that questioned this bill.

Rep. Smith (MO-8)4:05:30 – 4:05:31

Without objection.

Rep. Doggett (TX-37)4:05:31 – 4:07:22

And I would say with reference to the other comments, uh, yeah, we got a lot of notice of this measure. Uh, I heard about it day before yesterday when we got notice, the typical uh last minute notice that we receive about measures in this committee. There's been no effort uh to provide uh uh cooperation or collegiality in the consideration of this bill. Uh I raised the concerns about Medicare Advantage at our last hearing in July and talked about the Medicare Advantage legislation that I have to protect taxpayers and get better care to our seniors and individuals with disabilities. This bill of course addresses none of that. The upcoding that has resulted in billions of dollars going to these insurance giants, uh, revealed by one source after another. Again, not a lack of information. Not a lack of public understanding from, at least from the experts, of the damage being done to Medicare, the threat to its solvency, the inability to provide more Medic- more Americans better Medicare, all of those things because of the way we have sat here, uh, and not policed Medicare Advantage as it should. Yes, perhaps Newt Gingrich is achieving some of his original objective for traditional Medicare to wither on the vine as people are sucked in by these various Medicare, uh, promises from Medicare Advantage. But what we need, uh, is to reform the system, uh, we have the information to do it. We can limit these abusive practices, save taxpayers' money, and ensure seniors' better, more affordable care. I move adoption of the amendment and would think that anyone who wants more information would vote to get it by supporting this amendment. I yield back.

Rep. Smith (MO-8)4:07:23 – 4:07:38

Mister Doggett, I want to point out that the notice for this legislation, along with every other piece of legislation, is timely according to the rules of this committee, and it happens to mirror exactly the same notice that your pr-

Rep. Doggett (TX-37)4:07:37 – 4:07:37

W- w-

Rep. Smith (MO-8)4:07:38 – 4:07:39

Uh, you're not recognized.

Rep. Smith (NE-3)4:07:39 – 4:07:40

OK, fine, you go ahead.

Rep. Smith (MO-8)4:07:39 – 4:08:03

It is my time. So, Mr. Doggett, you cannot speak right now. You've spoken enough in this thing. So I wanna, I wanna make it clear. I wanna absolutely make it clear. We have followed the rules and, in fact, the current rules are exactly the same rules it was when the Democrats were in the majority. And so if you don't like the rules, change it whenever we have the process. I wanna recognize Mister Smith.

Rep. Smith (NE-3)4:08:05 – 4:08:07

Thank you, Mister Chairman, I yield my time to Mister Hearn.

Rep. Hern (OK-1)4:08:08 – 4:09:26

Uh, thank the gentlemen for yielding. Uh, and and my colleague from Texas, you know, everything that you've been referencing we voted out a committee, as I mentioned. But I I think it's also disingenuous, uh, to say we haven't done anything. The chairman brought in the five, I believe it was the five largest insurance companies, back in January for a hearing. And, uh, I think if you recall, maybe go back and watch some of the videos, my colleague, uh, Doctor Murphy, uh, did a yeoman's amount of work in pointing out you have addressed uh directly with the CEOs of those companies. Uh I would tell you I heard from a lot of folks who watched that, they're in industry, uh they certainly didn't think it was a cakewalk forum. I think there was a lot of things pointed out and Mr. Duggan yourself you pointed things out in front of these very same individuals, we all did. And so you start with bringing the people in that are in charge of the areas that you've discussed, and we're doing that. We need the information that we can address it as a committee. not some outside uh group, and we're gonna continue to work on this as we go forward. But uh again, uh it's disingenuous to say that we think that wasting taxpayer dollars is something that we're all uh going to acquiesce to. I think we've moved forward this, the chairman's done this, and the s- every member on this committee has worked on this, and will continue to do so. I'll know you'll back.

Rep. Moore (WI-4)4:09:27 – 4:09:37

Miss Moore. Uh, Mr. Chairman, I I um moved to strike the last word. And I yield my time to Mister Doggett.

Rep. Doggett (TX-37)4:09:38 – 4:12:53

Well, let me say, Mister Chairman, first I understand your defensiveness about the rules. You complied with the rules by providing us minimum notice. Mister Hernd previously criticized me for uh not acting sooner because we had so much notice that you were gonna do this. We did not have any more notice than this week. And uh I responded promptly with an amendment and a response. With reference to Mister Hernd's most recent comments that something disingenuous about trying to save taxpayers hundreds of billions of dollars. Yes, it's correct, as one would expect that in analyzing the question of the waste and abuse of the Medicare Advantage program that this committee, listen to five of the largest insurance companies in the world that are earning so much uh money that they are not entitled to out of Medicare Advantage. Who was called in here from MedPak? to tell us about this, or the Committee for a Responsible Federal Budget, or any of the other scholars who have analyzed over the years the amount of waste that is occurring in this program. It wasn't there. I referred in our last meeting to the legislation that I filed on a bipartisan basis concerning those individuals who are receiving c- uh care from the Veterans Administration and yet some insurance companies have gone out and actually recruited them to sign up under Medicare Advantage so that they can take the premiums and the profits while the taxpayer gets hit again by paying for the care that the Veterans Administration provides. That's the kind of thing, Mister Hearn, that this committee could have acted on but has not acted on, has not brought that bill up despite my request for consideration. The uh saving Medicare uh act that I've offered has not been uh uh given any consideration today or any of the other provisions for that matter on unrelated uh or indirect Medicare issues that I've raised, the concern fraud and fighting fraud. It's great to talk about fraud and abuse. Here we have an example of something that could extend the solvency of the Medicare trust fund, by treating Medicare Advantage with respect, but not giving it the excessive profits that it's complained. Here we have something that would be a resource to provide better Medicare for more Americans, and yet it's not being used. But here specifically, while I talk about the general, is an amendment that I have offered to give us more facts from these folks who claim that's what they're only, they're only concerned about getting more facts, more information. And I've suggested that uh we get a little more information about prior authorization. We get a little more information about the gimmicks that they advertise on television, one right after another, and find out whether any of these things that they're once the fine print is applied, is actually being made available to the people that they are soliciting. Why not get that information? One thing that we can be sure of is that the Republican response to rejecting the amendment and getting that information is this. Complete and total silence.

Rep. Smith (MO-8)4:12:53 – 4:12:53

Yeah.

Rep. Doggett (TX-37)4:12:53 – 4:13:04

No reason offered or given as to why they're fearful of getting that information to show how unjustified the Medicare Advantage claims are. I yield back.

Rep. Smith (MO-8)4:13:06 – 4:13:15

Seeing no discussion, um, uh, the question the question is on agreeing to the amendment offered by Mister Doggett. The clerk will call the roll.

Clerk4:13:18 – 4:13:18

Mister Buchanan.

Rep. Moore (WI-4)4:13:19 – 4:13:19

No.

Clerk4:13:20 – 4:13:28

Mister Buchanan? No. Mister Smith, I'm Nebraska. Mister Kelly.

Rep. Smith (MO-8)4:13:28 – 4:13:28

Here.

Clerk4:13:29 – 4:13:41

Mister Kelly, no. Mister Schweikart. Mister Lohut.

Rep. Smith (MO-8)4:13:45 – 4:13:45

No.

Clerk4:13:46 – 4:13:58

Mister Lohut, no. Mister Arrington. Mister Estes.

Rep. Smith (MO-8)4:13:58 – 4:13:58

No.

Clerk4:13:59 – 4:14:07

Mister Estes, no. Mister Smucker. Mister Hearn.

Rep. Smith (MO-8)4:14:07 – 4:14:08

No.

Clerk4:14:08 – 4:14:11

Mister Hearn, no. Mrs. Miller.

Rep. Smith (MO-8)4:14:11 – 4:14:11

No.

Clerk4:14:11 – 4:14:14

Mrs. Miller, no. Doctor Murphy.

Rep. Smith (MO-8)4:14:14 – 4:14:14

No.

Clerk4:14:15 – 4:14:17

Doctor Murphy, no. Mister Kustolf.

Rep. Smith (MO-8)4:14:17 – 4:14:18

No.

Clerk4:14:18 – 4:14:21

Mister Kustolf, no. Mister Fitzpatrick.

Rep. Smith (MO-8)4:14:21 – 4:14:21

No.

Clerk4:14:22 – 4:14:32

Mister Fitzpatrick, no. Mister Stubbe. Miss Tenney. Mrs. Fischbach.

Rep. Smith (MO-8)4:14:33 – 4:14:33

No.

Clerk4:14:33 – 4:14:46

Mrs. Fischbach, no. Mister Moore. Miss Van Duyn. Miss Van Duyn, no. Mister Feenstra.

Rep. Smith (MO-8)4:14:46 – 4:14:46

No.

Clerk4:14:47 – 4:14:56

Mister Feenstra, no. Miss Maliatakis. Miss Maliatakis, no. Mister Carey. Mister Kerry, no. Mister Yockem.

Rep. Smith (MO-8)4:14:57 – 4:14:57

Hey.

Clerk4:14:58 – 4:15:04

Mister Yockem, no. Mister Miller. Mister Miller, no. Mister Bean.

Rep. Smith (MO-8)4:15:04 – 4:15:04

No.

Clerk4:15:04 – 4:15:18

Mister Bean, no. Mister Moran. Mister Neal. Mister Doggett.

Rep. Smith (MO-8)4:15:21 – 4:15:21

Aye.

Clerk4:15:23 – 4:15:25

Mister Doggett, yes. Mister Thompson.

Rep. Smith (MO-8)4:15:25 – 4:15:26

Aye. Aye.

Clerk4:15:26 – 4:15:29

Mister Thompson, yes. Mister Larson.

Rep. Smith (MO-8)4:15:29 – 4:15:29

Yes.

Clerk4:15:30 – 4:15:33

Mister Larson, yes. Mister Davis.

Rep. Smith (MO-8)4:15:33 – 4:15:34

Yes.

Clerk4:15:34 – 4:15:47

Mister Davis, yes. Miss Sanchez. Miss Sanchez, yes. Miss Sewell. Miss Delbene.

Rep. Smith (MO-8)4:15:47 – 4:15:47

Aye.

Clerk4:15:47 – 4:15:50

Miss Delbene, yes. Miss Chu.

Rep. Smith (MO-8)4:15:50 – 4:15:50

Aye.

Clerk4:15:51 – 4:15:53

Miss Chu, yes. Miss Moore.

Rep. Smith (MO-8)4:15:53 – 4:15:54

Aye.

Clerk4:15:54 – 4:15:57

Miss Moore, yes. Mister Boyle.

Rep. Smith (MO-8)4:15:57 – 4:15:57

Yes.

Clerk4:15:57 – 4:15:59

Mister Boyle, yes. Mister Beier.

Rep. Smith (MO-8)4:15:59 – 4:16:00

Yes.

Clerk4:16:00 – 4:16:02

Mister Beier, yes. Mister Evans.

Rep. Smith (MO-8)4:16:03 – 4:16:03

Yes.

Clerk4:16:03 – 4:16:06

Mister Evans, yes. Mister Schneider.

Rep. Smith (MO-8)4:16:06 – 4:16:06

Yes.

Clerk4:16:07 – 4:16:09

Mister Schneider, yes. Mister Panetta.

Rep. Smith (MO-8)4:16:09 – 4:16:10

Yes.

Clerk4:16:10 – 4:16:13

Mister Panetta, yes. Mister Gomez.

Rep. Smith (MO-8)4:16:13 – 4:16:13

Aye.

Clerk4:16:14 – 4:16:33

Mister Gomez, yes. Mister Horsford. Mister Horsford. Yes. Miss Plaskett. Mister Swazi.

Rep. Smith (MO-8)4:16:41 – 4:16:42

Aye.

Clerk4:16:43 – 4:17:21

Mister Swazi. Yes. Mister Smith of Nebraska. Mister Smith of Nebraska, no. Mister Schweikert. Mister Schweikert, no. Mister Arrington. Mister Smucker. Mister Stuebe.

Rep. Smith (MO-8)4:17:22 – 4:17:22

No.

Clerk4:17:23 – 4:18:10

Mister Stuebe, no. Miss Tenney. Mister Moore. Mister Moran. Mister Neal. Miss Sewell. Miss Plaskett. Chairman Smith.

Rep. Smith (MO-8)4:18:11 – 4:18:11

No.

Clerk4:18:11 – 4:18:13

Chairman Smith, no.

Rep. Smith (MO-8)4:18:37 – 4:18:39

The clerk will report to vote.

Clerk4:18:41 – 4:18:44

Mister Chairman, the yeses are sixteen and the nos are twenty-one.

Rep. Smith (MO-8)4:18:44 – 4:18:50

There're being sixteen yeses and twenty one no's the amendment is not agreed to. Are there additional amendments in the amendment in the nature of a substitute?

Rep. DelBene (WA-1)4:18:50 – 4:18:52

Mister Chairman, I have an amendment at the desk.

Rep. Smith (MO-8)4:18:53 – 4:18:54

Mr. Albany.

Rep. Buchanan (FL-16)4:18:54 – 4:18:57

Mister The chairman, I reserve a point of order.

Rep. Smith (MO-8)4:18:58 – 4:19:15

A point of order has been reserved with the gentle lady suspend while the amendment is distributed. Proceed, Miss DelBene.

Rep. DelBene (WA-1)4:19:16 – 4:21:37

Thank you, Mr. Chairman. Um, the Medicare Payment Advisory Commission is a nonpartisan, independent agency that provides Congress with policy analysis and advice on the Medicare program. Similar to other independent analyses that have been conducted, MedPak has consistently found that private Medicare Advantage plans are being overpaid with American taxpayer dollars. These plans then force seniors and their providers navigate complex red tape to access necessary care while Medicare Advantage companies profit. These public findings are bad for Medicare Advantage plans and their friends in the Trump administration who want to privatize Medicare. So what do Republicans do? They introduce the so-called Apples to Apples Act, which would bury these reports and prevent MedPak from publishing anymore. This is part of a broader pattern. When faced with data or information they don't like, we see Trump or Republicans try to hide that information. The Trump administration did the same thing when faced with questions about RFK Junior's WISER program that pays for-profit companies to use AI to delay and deny Medicare claims. When the WISER program was first introduced in twenty twenty five, I demanded answers on how the administration planned to protect patients from such a short implementation timeline. Secretary Kennedy and Doctor Oz took almost a year to respond. And when they did, their answers were vague and ambiguous, only leading to more questions. From the moment that the WISER program began at the beginning of this year, patients and providers began reporting care delays and denials. I demanded transparency from the administration, and they have yet to respond. It took the Electronic Frontier Foundation suing the government to get a glimpse into what's going on with the WISER program. Last week, the Electronic Frontier Foundation released a thousand pages of internal agency documents that detail implementation chaos, explain how these private companies are being paid to deny care, and strategize how to expand this program to every state. Mister Chairman, I ask unanimous consent to enter these documents into the record.

Rep. Smith (MO-8)4:21:37 – 4:21:38

Without objection.

Rep. DelBene (WA-1)4:21:39 – 4:23:23

It is clear why the administration is doing everything they can to conceal these documents. The more that Americans learn about WISER, the more outrage they get at the Trump administration for jeopardizing their care and trying to privatize Medicare. And while I'm glad that these documents have been brought to light, despite the administration's attempt to conceal them, they raise more questions than answers. In June, the administration told me that the private company operating the WISER model in Washington was put on a corrective action plan following an audit that found significant care delays. This audit, which might give seniors, providers and policymakers insight into the problems with the program's implementation and potential solutions, was not included in the documents released last week. My amendment would require MedPak to analyze the impacts of Medicare Advantage plans utilization management practices on patients and providers every three years. It would also require the administration to release all previous and future audits and corrective action plans of the private companies implementing the WISER program. Simply put, the goal of my amendment is to cut back on the endless red tape on patients and providers that this administration has implemented, and it would ensure accountability and transparency for private companies that take Medicare dollars. Whether it's doctorating the doctorating the data in favor of MA plans or concealing the chaos, that is the Republicans have made clear that they're only interested in transparency when it suits their narrative, and lines the pockets of private companies. My amendment is an important step towards accountability, and I urge my colleagues to vote yes. I yield back, Mr. Chairman.

Rep. Smith (MO-8)4:23:23 – 4:23:27

Further discussion on the amendment? Mr. Kelly?

Rep. Kelly (PA-16)4:23:31 – 4:23:42

Mr. Maney, thanks for bringing this forward. Uh, it took us seven years to get the prior authorization done before. So I am gonna be a yes on this and thank you very much for bringing it forward. I wish you'd have done it years ago though. Thank you.

Rep. DelBene (WA-1)4:23:43 – 4:23:44

Thank you, Mister Kelly.

Rep. Smith (MO-8)4:23:49 – 4:23:59

Further discussion on the amendment? Seeing none, um the question is on agreeing to the amendment offered by Miss Del Bene. The clerk will call the roll.

Clerk4:24:01 – 4:24:16

Mister Buchanan. Mister B- Mister Buchanan, no. Mister Smith of Nebraska. Mister Smith of Nebraska, no. Mister Kelly.

Rep. Smith (MO-8)4:24:16 – 4:24:17

Yes.

Clerk4:24:17 – 4:24:36

Mister Kelly, yes. Mister Schweikert. Mister Schweikert, yes. Mister LaHood. Mister LaHood, no. Mister Arrington. Mister Estes.

Rep. Smith (MO-8)4:24:36 – 4:24:37

Yes.

Clerk4:24:38 – 4:24:52

Mister Estes, yes. Mister Smucker. Mister Hearn.

Rep. Smith (MO-8)4:24:52 – 4:24:53

Yes. Yes.

Clerk4:24:53 – 4:25:03

That seems to be it. I think it was just Hearn. Mister Hearn, yes. Mrs. Miller.

Rep. Smith (MO-8)4:25:04 – 4:25:04

Yes.

Clerk4:25:08 – 4:25:12

Mrs. Miller, yes. Doctor Murphy.

Rep. Smith (MO-8)4:25:12 – 4:25:12

Yes.

Clerk4:25:14 – 4:25:14

Doctor Murphy,

Rep. Smith (MO-8)4:25:14 – 4:25:14

Yes.

Clerk4:25:16 – 4:26:03

yes. Mister Kustof. No, no, no, no. Mister Kustof, no. No, no, no. Mister Fitzpatrick. Yeah, and you're a good player. Okay, so you're a good player, you're a good player. Mister Stubbe. Miss Tenney. Mrs. Fischbach.

Rep. Smith (MO-8)4:26:03 – 4:26:03

No.

Clerk4:26:04 – 4:26:07

Mrs. Fischbach? No. Mister Moore.

Rep. Smith (MO-8)4:26:19 – 4:26:19

What?

Clerk4:26:19 – 4:26:24

Miss Van Duyn. Miss Van Duyn? No. Mister Feenstra.

Rep. Smith (MO-8)4:26:25 – 4:26:25

Okay, where are those?

Clerk4:26:26 – 4:26:32

Mister Feenstra, yes. Miss Malia Takis.

Rep. Smith (MO-8)4:26:33 – 4:26:34

No. No.

Clerk4:26:35 – 4:26:40

Miss Malia Takis, no. Mister Kerry.

Rep. Smith (MO-8)4:26:40 – 4:26:40

No.

Clerk4:26:41 – 4:26:46

Mister Kerry, no. Mister Joachim.

Rep. Smith (MO-8)4:26:47 – 4:26:47

No.

Clerk4:26:48 – 4:26:51

Mister Joachim, no. Mister Miller.

Rep. Smith (MO-8)4:26:52 – 4:26:53

No, I don't think it's, no.

Clerk4:26:54 – 4:26:57

Mister Miller, no. Mister Bean.

Rep. Smith (MO-8)4:26:57 – 4:26:57

No. No.

Clerk4:26:57 – 4:27:11

Mister Bean, no. Mister Moran. Mister Neal. Mister Doggett.

Rep. Smith (MO-8)4:27:12 – 4:27:12

Yes.

Clerk4:27:12 – 4:27:19

Mister Doggett, yes. Mister Thompson. Mister Thompson, yes. Mister Larson.

Rep. Smith (MO-8)4:27:19 – 4:27:20

Yes.

Clerk4:27:20 – 4:27:23

Mister Larson, yes. Mister Davis.

Rep. Smith (MO-8)4:27:23 – 4:27:23

You guys.

Clerk4:27:24 – 4:27:27

Mister Davis, yes. Miss Sanchez.

Rep. Smith (MO-8)4:27:27 – 4:27:28

Yes.

Clerk4:27:29 – 4:27:38

Miss Sanchez, yes. Miss Sewell. Miss Del Bene.

Rep. Smith (MO-8)4:27:38 – 4:27:39

Aye.

Clerk4:27:39 – 4:27:41

Miss Del Bene, yes. Miss Chu.

Rep. Smith (MO-8)4:27:41 – 4:27:42

Aye.

Clerk4:27:42 – 4:27:44

Miss Chu, yes. Miss Moore.

Rep. Smith (MO-8)4:27:45 – 4:27:45

Aye.

Clerk4:27:46 – 4:27:49

Miss Moore, yes. Mister Boyle.

Rep. Smith (MO-8)4:27:49 – 4:27:50

Yes.

Clerk4:27:51 – 4:27:53

Mister Boyle. Mister Boyle, Yes. yes. Mister Beyer. Mister Beyer.

Rep. Smith (MO-8)4:27:53 – 4:27:54

Yes.

Clerk4:27:54 – 4:27:56

Mister Beyer, yes. Mister Beyer, yes. Mister Evans. Mister Evans.

Rep. Smith (MO-8)4:27:57 – 4:27:57

Yes.

Clerk4:27:57 – 4:28:01

Mister Evans, yes. Mister Evans, yes. Mister Schneider. Mister Schneider.

Rep. Smith (MO-8)4:28:01 – 4:28:01

Yes.

Clerk4:28:02 – 4:28:05

Mister Schneider, Mister Schneider, yes. yes. Mister Panetta. Mister Panetta.

Rep. Smith (MO-8)4:28:05 – 4:28:06

Yes.

Clerk4:28:06 – 4:28:16

Mister Panetta, Mister Panetta, yes. yes. Mister Gomez. Mister Gomez. Mister Gomez, yes. Mister Gomez, yes. Mister Horsford. Mister Horsford.

Rep. Smith (MO-8)4:28:16 – 4:28:17

Yes.

Clerk4:28:17 – 4:28:24

Mister Horsford, yes. Miss Plaskett. Mister Swasey.

Rep. Smith (MO-8)4:28:28 – 4:28:29

Yeah, I can.

Clerk4:28:30 – 4:29:03

Mister Swasey, yes. Mister Arrington. Mister Smucker. Mister Fitzpatrick. Mister Stubbe.

Rep. Smith (MO-8)4:29:04 – 4:29:04

No.

Clerk4:29:05 – 4:29:09

Mister Stubbe, no. Miss Tenney.

Rep. Smith (MO-8)4:29:10 – 4:29:10

No.

Clerk4:29:11 – 4:29:39

Miss Tenney, no. Mister Moore. Mister Moran. Mister Neal. Miss Sewell. Miss Plaskett.

Rep. Smith (MO-8)4:29:54 – 4:29:56

How is Mister Estes recorded?

Clerk4:29:57 – 4:29:58

Mister Estes, yes.

Unknown4:29:59 – 4:30:00

No.

Clerk4:30:00 – 4:30:02

Mister Estes, no.

Unknown4:30:01 – 4:30:03

Oh. Sure, why not?

Rep. Smith (MO-8)4:30:03 – 4:30:05

How is Mister Feenstra recorded?

Clerk4:30:08 – 4:30:12

Mister Feenstra, yes. Mister Feenstra, no.

Unknown4:30:13 – 4:30:15

And I'm not recorded.

Clerk4:30:18 – 4:30:20

Mrs. Miller, yes.

Unknown4:30:21 – 4:30:22

I have a wedding to go to.

Clerk4:30:22 – 4:30:23

Miss Miller, no.

Rep. Smith (MO-8)4:30:25 – 4:30:26

How is Mister Murphy recorded?

Unknown4:30:27 – 4:30:27

No.

Clerk4:30:27 – 4:30:29

Doctor Murphy is a yes.

Unknown4:30:29 – 4:30:29

No.

Clerk4:30:30 – 4:30:32

Doctor Murphy, no.

Unknown4:30:35 – 4:30:36

How am I recorded?

Rep. Smith (MO-8)4:30:42 – 4:30:43

How is Mister Arrington recorded?

Clerk4:30:44 – 4:30:45

Mister Arrington is not recorded.

Unknown4:30:45 – 4:30:46

Not allowed.

Clerk4:30:46 – 4:30:48

Mister Arrington, no.

Unknown4:31:10 – 4:31:11

it's good

Rep. Smith (MO-8)4:31:49 – 4:31:50

How is Mister Hearn recorded?

Clerk4:31:51 – 4:31:52

Mister Hearn is a yes.

Unknown4:31:53 – 4:31:53

No.

Clerk4:31:54 – 4:32:13

Mister Hearn, no. Chairman Smith.

Rep. Smith (MO-8)4:32:14 – 4:32:15

No.

Clerk4:32:15 – 4:32:17

Chairman Smith, no.

Rep. Smith (MO-8)4:32:46 – 4:32:47

Clerk report the vote.

Clerk4:33:22 – 4:33:25

Mister Chairman, the yeses are eighteen and the noes are nineteen.

Rep. Smith (MO-8)4:33:26 – 4:33:30

There being eighteen yeses and nineteen noes, the amendment is not agreed to.

Rep. Sánchez (CA-38)4:33:30 – 4:33:30

Ooh.

Rep. Smith (MO-8)4:33:30 – 4:33:31

Are there additional amendments?

Rep. Sánchez (CA-38)4:33:32 – 4:33:32

Chairman.

Rep. Smith (MO-8)4:33:36 – 4:33:37

Miss Sanchez.

Rep. Sánchez (CA-38)4:33:37 – 4:33:39

Mister Chairman, I have an amendment at the desk.

Rep. Buchanan (FL-16)4:33:40 – 4:33:41

Chairman, I have a point of order.

Rep. Smith (MO-8)4:33:41 – 4:34:05

A point of order has been reserved with the the gentle lady suspend while the amendment is distributed. You may proceed.

Rep. Sánchez (CA-38)4:34:07 – 4:36:26

Thank you, Mister Chairman, my amendment would require Medicare Advantage plans to publicly report payment amounts but more importantly denial rates for care delivered in post-acute settings. While I'm sure that Congressman Bean is well-intentioned in providing additional transparency for seniors deciding between Medicare and Medicare Advantage, this bill unfortunately casts a darker shroud We need transparency in how Medicare Advantage plans are excluding or denying coverage of post-acute care for seniors. This committee has done good work on reforming prior authorization practices, and it is a bipartisan issue. In fact, Miss Van Duyn and I co-led a letter to CMS on network adequacy standards for MA enrollees who need a higher level of care, when recovering from a serious illness or injury. We additionally requested that CMS evaluate claims data and prior authorization requests and denials to determine if a patient who needs care in these facilities are not receiving it. And Ms. DelBene and Mr. Kelly of course unanimously passed seniors timely access to care act out of the committee just a few months ago. But unfortunately, MA plans are still denying post-acute care on a daily or weekly basis for members in many nursing homes. In June, the OIG published two reports finding that MA insurers deny more than half of all prior authorization requests for the most expensive types of post-acute care. Sixty-five percent of requests for stays in long-term care hospitals were denied and fifty-four percent of requests for stays in inpatient rehabilitation facilities were denied. Many of the seniors who need care in LTACs or IRFs are recovering from strokes, falls, hip surgeries, and knee surgeries. I simply ask that we create a little more transparency and accountability for all plans. It shouldn't matter if they're enrolled in MA or in traditional Medicare, they should get the appropriate care that they need. I urge my colleagues to adopt my amendment and I yield back.

Rep. Smith (MO-8)4:36:27 – 4:36:34

Further discussion on the amendment. Seeing none, the question is on agreeing to the amendment offered by Miss Sanchez. The clerk will call the roll.

Clerk4:36:39 – 4:36:40

Mister Buchanan.

Rep. Sánchez (CA-38)4:36:40 – 4:36:40

No.

Clerk4:36:41 – 4:36:46

Mister Buchanan, no. Mister Smith of Nebraska.

Rep. Sánchez (CA-38)4:36:47 – 4:36:47

No.

Clerk4:36:47 – 4:36:54

Mister Smith of Nebraska, no. Mister Kelly. Mister Kelly, no. Mister Schweikert.

Rep. Sánchez (CA-38)4:36:54 – 4:36:55

No.

Clerk4:36:55 – 4:36:59

Mr. Schweikart, no. Mr. LaHood.

Rep. Smith (MO-8)4:37:00 – 4:37:00

No.

Clerk4:37:00 – 4:37:17

Mr. LaHood, no. Mr. Arrington. Mr. Estes. Mr. Estes, no. Mr. Smucker. Mr. Hearn.

Rep. Smith (MO-8)4:37:18 – 4:37:18

No.

Clerk4:37:19 – 4:37:21

Mr. Hearn, no. Mrs. Miller.

Rep. Smith (MO-8)4:37:21 – 4:37:22

No.

Clerk4:37:22 – 4:37:28

Mrs. Miller, no. Dr. Murphy. Dr. Murphy, no. Mr. Kustof.

Rep. Smith (MO-8)4:37:28 – 4:37:28

No.

Clerk4:37:28 – 4:37:31

Mr. Kustof, no. Mr. Fitzpatrick.

Rep. Smith (MO-8)4:37:31 – 4:37:31

No.

Clerk4:37:32 – 4:37:39

Mr. Fitzpatrick, no. Mr. Stuebe. Miss Tenney.

Rep. Smith (MO-8)4:37:39 – 4:37:39

No.

Clerk4:37:40 – 4:37:42

Miss Tenney, no. Mrs. Fischbach.

Rep. Smith (MO-8)4:37:43 – 4:37:43

No.

Clerk4:37:44 – 4:37:47

Mrs. Fischbach, no. Mr. Moore.

Rep. Smith (MO-8)4:37:47 – 4:37:48

No. No.

Clerk4:37:48 – 4:38:03

Mr. Moore, no. Miss Van Duyn. Miss Van Duyn, no. Mr. Feenstra. Miss Mayotakis. Miss Mayotakis, no. Mister Kerry.

Rep. Smith (MO-8)4:38:03 – 4:38:03

No.

Clerk4:38:04 – 4:38:06

Mister Kerry, no. Mister Joachim.

Rep. Smith (MO-8)4:38:06 – 4:38:07

No.

Clerk4:38:07 – 4:38:09

Mister Joachim, no. Mister Miller.

Rep. Smith (MO-8)4:38:10 – 4:38:10

No.

Clerk4:38:11 – 4:38:13

Mister Miller, no. Mister Bean.

Rep. Smith (MO-8)4:38:13 – 4:38:13

No.

Clerk4:38:14 – 4:38:27

Mister Bean, no. Mister Moran. Mister Neal. Mister Doggett.

Unknown4:38:27 – 4:38:28

Yes.

Clerk4:38:28 – 4:38:30

Mister Doggett, yes. Mister Thompson.

Unknown4:38:30 – 4:38:36

Um, and tell her to call the guy that went for the briefing and ask if they had a problem with

Clerk4:38:35 – 4:38:36

Mister Larson.

Unknown4:38:36 – 4:38:39

the phone wearing in their periodic briefs. Yes.

Clerk4:38:40 – 4:38:43

Mister Larson, yes. Mister Davis.

Unknown4:38:43 – 4:38:44

Yeah. Mister Goldman.

Clerk4:38:44 – 4:38:45

Mister Davis, yes.

Unknown4:38:45 – 4:38:47

We just didn't have access in there.

Clerk4:38:45 – 4:39:03

Miss Sanchez. Miss Sanchez, yes. Miss Sewell. Miss Del Bene. Oh gee, Miss Del Bene, yes, Miss Chu. what a weird question. Miss Moore.

Unknown4:39:04 – 4:39:05

Aye.

Clerk4:39:05 – 4:39:08

Miss Moore, yes, Mister Boyle.

Unknown4:39:08 – 4:39:08

Yes.

Clerk4:39:08 – 4:39:13

Mister Boyle, yes, Mister Buyer. Mister Buyer, yes, Mister Evans.

Unknown4:39:14 – 4:39:14

Yes.

Clerk4:39:15 – 4:39:20

Mister Evans, yes, Mister Schneider. Mister Schneider, yes, Mister Panetta.

Rep. Smith (MO-8)4:39:20 – 4:39:21

Yes.

Clerk4:39:21 – 4:39:46

Mister Panetta, yes. Mister Gomez. Mister Gomez, yes. Mister Horsford. Mister Horsford, yes. Miss Plaskett. Mister Swazi. Mister Swazi, yes. Mister Arrington.

Unknown4:39:46 – 4:39:47

Oh yes, yes.

Clerk4:39:50 – 4:39:59

Mister Errington, no. Mister Smucker. Mister Stubbe.

Unknown4:39:59 – 4:40:00

No.

Clerk4:40:01 – 4:40:17

Mister Stubbe, no. Mister Feenstra. Mister Moran. Mister Neal. Mister Thompson.

Unknown4:40:18 – 4:40:18

Aye.

Clerk4:40:20 – 4:40:28

Mister Thompson, yes. Miss Sewell. Miss Chu.

Rep. Smith (MO-8)4:40:29 – 4:40:29

Aye.

Clerk4:40:31 – 4:40:40

Miss Chu, yes. Miss Plaskett. Chairman Smith.

Rep. Smith (MO-8)4:40:41 – 4:40:41

No.

Clerk4:40:41 – 4:40:43

Chairman Smith, no.

Rep. Smith (MO-8)4:40:44 – 4:41:02

Yeah. Clerk will report the vote.

Clerk4:41:03 – 4:41:06

Mister Chairman, the yeses are sixteen and the noes are twenty-three.

Rep. Smith (MO-8)4:41:06 – 4:41:11

There're being sixteen yeses and twenty-three noes. The amendment is not agreed to. Are there additional amendments?

Rep. Chu (CA-28)4:41:11 – 4:41:13

Mister Chair, I have an amendment at the desk.

Rep. Buchanan (FL-16)4:41:16 – 4:41:17

Mr. Chairman, I reserve a point of order.

Rep. Smith (MO-8)4:41:17 – 4:41:32

A point of order has been reserved with the gentle lady um to spend while the amendment is distributed. You may proceed.

Rep. Chu (CA-28)4:41:33 – 4:44:36

Mr. Chair, seniors desperately need relief from rising health care costs, yet the bill before us does nothing to lower those costs. That's why I am offering this amendment. While the underlying bill requires a flawed MedPak comparison between Medicare Advantage and traditional Medicare, rigging the calculation, my amendment would provide an honest comparison, clearly showing what Medicare Advantage overspending is costing seniors in their Part B premiums. Specifically, it would require MedPak to quantify the impact on premiums overall, and what that means for an individual beneficiary every month, and every year. Because seniors themselves are helping pay for the higher cost of Medicare Advantage. MedPak estimates that Medicare will spend seventy-six billion dollars more on Medicare Advantage this year than it would if those same beneficiaries were enrolled in traditional Medicare. And those higher payments don't just affect our federal budget. They ra- raise Part B premiums for every Medicare beneficiary. MedPak estimates that higher Medicare Advantage spending will add approximately eleven billion dollars to Part B premiums this year. That's roughly a hundred and seventy-five dollars for every Medicare beneficiary. And that includes seniors who aren't even enrolled in Medicare Advantage. A senior can choose traditional Medicare, never enroll in a Medicare Advantage plan, and still pay a higher premium. Because Medicare is spending more on Medicare Advantage. They don't receive the supplemental benefits, those additional payments help finance, but they still help pay for them. That's precisely why my amendment requires mid-pack to examine the cost paid by beneficiaries who remain in traditional Medicare and do not receive those benefits. That's money coming directly out of seniors' pockets at a time when healthcare is already too expensive. the standard Medicare Part B premium jumped nearly eighteen dollars a month this year to more than two hundred dollars. And instead of lowering costs, this Trump administration is ending the Part D premium stabilization demonstration after this year, a program that helped limit premium increases for stand-alone Medicare prescription drug plans. My amendment is straightforward. If Congress is going to compare what Medicare Advantage and traditional Medicare costs, then we should know what that difference is actually costing seniors. At a time when seniors are struggling with the cost of groceries, housing, prescription drugs, and health care, this committee should be focused on bringing their costs down. And we certainly shouldn't ignore costs that are being passed directly onto them. I urge my colleagues to support this amendment and I yield back.

Rep. Smith (MO-8)4:44:36 – 4:44:38

Discussion on the amendment, Mister Schweikart.

Rep. Schweikert (AZ-1)4:44:39 – 4:46:06

Thank you, Mr. Chairman. Um, if Congress wants to understand it in depth, um, grab one of the, I think, two, three papers or one big paper that the Joint Economic Committee Republicans did on this, or maybe even look at a couple of the floor speeches I did at night, where I walked people through the math of how it actually works. Um, but we always have to be very, very careful here. We gotta also tell ourselves the truth. Um, we expect Medicare spending over the next six and a half years to g- move from, what is it, one to one point one trillion to two trillion. So it doubles in spend. And the discussions we keep having here are financial engineering. You know, let's, oh, the cost's going, let's shift it to the general fund, let's shift it over here. One day maybe we'll have a conversation of what health care actually costs. instead of moving around who actually pays. Remember, we're still borrowing eighty thousand dollars every second, and it's estimated in about twenty-two months, over half of federal spending will go to those of us sixty-five and up. Um, it's a much more complex conversation, and the reality, the data's already available. Just, and if you want, um, I'll be happy to find the links and send it to anyone that's willing to read it. With that, I yield back, Mister Chairman.

Rep. Smith (MO-8)4:46:06 – 4:46:09

Further discussion on the amendment. Mister Doggett.

Rep. Doggett (TX-37)4:46:10 – 4:47:19

I just wanna thank the uh coll- my colleague for offering this amendment. I think it's important. You know, as we've been debating this and these failed Republican policies, we've learned that the Federal Reserve Board today unanimously raised interest rates instead of lowering them as President Trump insisted, with medical debt not only for seniors uh who find themselves in plight but for all Americans given the reduction in health care coverage, medical debt being so significant, now those individuals who have to borrow to pay for their medical care will pay even higher interest rates uh than before. Uh, this is really unfortunate, and I guess we can now be prepared as well uh for the ninety-nine countries. President Trump has said he will raise tariffs on, so we'll be paying more as well for any goods that come from those ninety-nine countries. since the president was wrongly insisting that the rates be lowered instead of raised as a unanimous Federal Reserve Board said must be done because of Trumpflation and the failures of the Trump economy enabled by the Republicans on this committee. I yield back.

Rep. Smith (MO-8)4:47:19 – 4:47:26

Further discussion on the amendment. Seeing none, the question is on agreeing to the amendment offered by Ms. Chu. The clerk will call the roll.

Clerk4:47:29 – 4:47:29

Mr. Buchanan.

Rep. Schweikert (AZ-1)4:47:29 – 4:47:30

No.

Clerk4:47:32 – 4:48:07

Mister Buchanan, no. Mister Smith of Nebraska. Mister Smith of Nebraska, no. Mister Kelly. Mister Kelly, no. Mister Schweikert. Mister Schweikert, no. Mister LaHood. Mister LaHood, no. Mister Arrington. Mister Estes. Mister Estes, no. Mister Smucker. Mister Smucker, no. Mister Hearn.

Rep. Smith (MO-8)4:48:07 – 4:48:07

No.

Clerk4:48:08 – 4:48:33

Mister Hearn, no. Misses Miller. Misses Miller, no. Doctor Murphy. Doctor Murphy, no. Mister Kustof. Mister Kustof, no. Mister Fitzpatrick. Mister Fitzpatrick, no. Mister Stubbe. Miss Tenney. Mrs. Fischbach.

Rep. Smith (MO-8)4:48:35 – 4:48:35

No.

Clerk4:48:35 – 4:48:39

Mrs. Fischbach, no. Mister Moore.

Rep. Smith (MO-8)4:48:39 – 4:48:39

No.

Clerk4:48:40 – 4:49:04

Mister Moore, no. Miss Van Duyn. Miss Van Duyn, no. Mister Feenstra. Miss Malia Takis. Miss Malia Takis, no. Mister Kerry. Mister Kerry, no. Mister Joachim. Mister Joachim, no. Mister Miller. Mister Miller, no. Mister Bean.

Unknown4:49:04 – 4:49:04

No.

Clerk4:49:04 – 4:49:16

Mister Bean, no. Mister Moran. Mister Neal. Mister Doggett.

Unknown4:49:17 – 4:49:18

Aye.

Clerk4:49:18 – 4:49:20

Mister Doggett, yes. Mister Thompson.

Unknown4:49:20 – 4:49:21

Aye.

Clerk4:49:21 – 4:49:23

Mister Thompson, yes. Mister Larson.

Unknown4:49:23 – 4:49:23

Yes.

Clerk4:49:24 – 4:49:26

Mister Larson, yes. Mister Davis.

Unknown4:49:26 – 4:49:26

Here.

Clerk4:49:26 – 4:49:47

Mister Davis, yes. Miss Sanchez. Aye. Miss Sanchez, yes. Miss Sewell. Miss Del Bene. Miss Del Beye. Miss Del Bene, yes. Miss Chu. Beye? Miss Chu, yes. Miss Moore. Miss Moore, yes. Mister Boyle.

Unknown4:49:47 – 4:49:48

Yes.

Clerk4:49:48 – 4:49:50

Mister Boyle, yes. Mister Beyer.

Unknown4:49:50 – 4:49:51

Yes.

Clerk4:49:51 – 4:49:53

Mister Buyer? Yes. Mister Evans?

Unknown4:49:54 – 4:49:54

Yes.

Clerk4:49:54 – 4:50:01

Mister Evans? Yes. Mister Schneider? Mister Panetta?

Unknown4:50:02 – 4:50:02

Yes.

Clerk4:50:02 – 4:50:12

Mister Panetta? Yes. Mister Gomez? Mister Horsford?

Unknown4:50:12 – 4:50:12

Yes.

Clerk4:50:13 – 4:50:23

Mister Horsford? Yes. Miss Plaskett. Mister Swasey.

Unknown4:50:25 – 4:50:25

Yes.

Clerk4:50:26 – 4:50:33

Mister Swasey, yes. Mister Arrington. Mister Stubbe.

Unknown4:50:33 – 4:50:34

No.

Clerk4:50:34 – 4:50:55

Mister Stubbe, no. Miss Tenney. Miss Tenney, no. Mister Feenstra. Mister Neal. Miss Sewell. Mister Schneider. Miss Plaskett.

Unknown4:50:58 – 4:50:59

Nice.

Rep. Buchanan (FL-16)4:51:00 – 4:51:00

Yes.

Unknown4:51:05 – 4:51:05

How's this going?

Rep. Smith (MO-8)4:51:05 – 4:51:07

How's Mister Schneider recorded?

Clerk4:51:07 – 4:51:09

Mister Schneider n- is not recorded.

Unknown4:51:09 – 4:51:10

Yes, sorry.

Clerk4:51:10 – 4:51:19

Mister Schneider, yes. Chairman Smith.

Rep. Smith (MO-8)4:51:21 – 4:51:21

No.

Clerk4:51:22 – 4:51:23

Chairman Smith, no.

Rep. Smith (MO-8)4:51:42 – 4:51:44

Clerk will report the vote.

Clerk4:51:44 – 4:51:47

Mister Chairman, the yeses are fifteen and the nos are twenty-three.

Rep. Smith (MO-8)4:51:48 – 4:52:02

There being fifteen yeses and twenty-three noes, the amendment is not adopted. Are there additional amendments? Seeing none, the question is on the adoption of the amendment in the nature of a substitute. All those in favor signify signify by saying aye.

Clerk4:52:02 – 4:52:02

Aye.

Unknown4:52:02 – 4:52:03

Aye.

Rep. Smith (MO-8)4:52:03 – 4:52:04

Those opposed say no.

Unknown4:52:04 – 4:52:05

No.

Rep. Smith (MO-8)4:52:05 – 4:52:12

In the opinion of the chair, the ayes have it, and the amendment in the nature of a substitute is agreed to. I will now recognize Mister Buchanan for the purpose of offering a motion.

Rep. Buchanan (FL-16)4:52:13 – 4:52:21

Mister Chairman, I move the committee favorably report H. R. four zero nine three as amended to the House of Representatives.

Rep. Smith (MO-8)4:52:21 – 4:52:28

The question is on the motion to favorably report H R four zero nine three as amended to the House of Representatives. The clerk will call the roll.

Clerk4:52:32 – 4:52:33

Mister Buchanan.

Rep. Buchanan (FL-16)4:52:33 – 4:52:33

Yes.

Clerk4:52:35 – 4:52:40

Mister Buchanan. Yes. Mister Smith of Nebraska.

Unknown4:52:40 – 4:52:40

Yes.

Clerk4:52:41 – 4:52:46

Mister Smith of Nebraska. Yes. Mister Kelly.

Unknown4:52:46 – 4:52:46

Yes.

Clerk4:52:47 – 4:52:57

Mister Kelly? Yes. Mister Schweikart? Mister Schweikart? Yes. Mister LaHood?

Rep. Smith (MO-8)4:52:57 – 4:52:58

Yes.

Clerk4:52:58 – 4:53:18

Mister LaHood? Yes. Mister Arrington? Mister Estes? Mister Estes? Yes. Mister Smucker? Mister Smucker? Yes. Mister Hearn.

Rep. Smith (MO-8)4:53:18 – 4:53:19

Yes.

Clerk4:53:19 – 4:53:23

Mister Hearn. Yes. Mrs. Miller.

Rep. Smith (MO-8)4:53:23 – 4:53:24

Yes.

Clerk4:53:25 – 4:53:28

Mrs. Miller. Yes. Doctor Murphy.

Rep. Smith (MO-8)4:53:28 – 4:53:29

Yes.

Clerk4:53:29 – 4:53:33

Doctor Murphy. Yes. Mister Kustof.

Rep. Smith (MO-8)4:53:33 – 4:53:33

Yes.

Clerk4:53:34 – 4:53:39

Mister Kustof. Yes. Mister Fitzpatrick.

Rep. Smith (MO-8)4:53:39 – 4:53:40

Yes.

Clerk4:53:40 – 4:53:53

Mister Fitzpatrick. Yes. Mister Stubbe. Miss Tenney. Miss Tenney? Yes. Mrs. Fischbach.

Rep. Smith (MO-8)4:53:53 – 4:53:54

Yes.

Clerk4:53:54 – 4:53:57

Mrs. Fischbach? Yes. Mister Moore.

Rep. Smith (MO-8)4:53:58 – 4:53:58

Yes.

Clerk4:53:59 – 4:54:14

Mister Moore? Yes. Miss Van Duyn. Miss Van Duyn? Yes. Mister Feenstra. Miss Malia Takis. Miss Malia Takis? Yes. Mister Kerry.

Rep. Smith (MO-8)4:54:14 – 4:54:14

Yes.

Clerk4:54:15 – 4:54:18

Mister Kerry, yes. Mister Yackem.

Rep. Smith (MO-8)4:54:18 – 4:54:19

Yes.

Clerk4:54:19 – 4:54:22

Mister Yackem, yes. Mister Miller.

Rep. Smith (MO-8)4:54:23 – 4:54:23

Yes.

Clerk4:54:24 – 4:54:27

Mister Miller, yes. Mister Bean.

Rep. Smith (MO-8)4:54:28 – 4:54:28

Yes.

Clerk4:54:29 – 4:54:50

Mister Bean, yes. Mister Moran. Mister Neal. Mister Doggett. Mister Doggett, no. Mister Thompson.

Rep. Smith (MO-8)4:54:50 – 4:54:51

No. No.

Clerk4:54:51 – 4:54:54

Mister Thompson, no. Mister Larson.

Rep. Smith (MO-8)4:54:54 – 4:54:54

No.

Clerk4:54:55 – 4:54:58

Mister Larson, no. Mister Davis.

Rep. Smith (MO-8)4:54:58 – 4:54:58

No.

Clerk4:54:59 – 4:55:02

Mister Davis, no. Miss Sanchez.

Rep. Smith (MO-8)4:55:05 – 4:55:07

No. Sorry, I didn't get to that.

Clerk4:55:07 – 4:55:28

Miss Sanchez, no. Miss Sewell. Miss Del Bene. Miss Del No. Miss Del Bene? No. Miss Chiu. No. Miss Del Bene. Miss Chiu? No. Miss Moore. No. Miss Moore? No. Mister Boyle.

Rep. Smith (MO-8)4:55:28 – 4:55:28

No.

Clerk4:55:29 – 4:55:31

Mister Boyle? No. Mister Baier.

Rep. Smith (MO-8)4:55:32 – 4:55:32

No.

Clerk4:55:32 – 4:55:34

Mister Baier? No. Mister Evans.

Rep. Smith (MO-8)4:55:35 – 4:55:35

No.

Clerk4:55:36 – 4:55:38

Mister Evans? No. Mister Schneider.

Rep. Smith (MO-8)4:55:39 – 4:55:39

No.

Clerk4:55:39 – 4:55:42

Mister Schneider? No. Mister Panetta.

Rep. Smith (MO-8)4:55:42 – 4:55:43

No.

Clerk4:55:43 – 4:55:58

Mister Panetta, no. Mister Gomez. Mister Horsford. Mister Horsford, no. Miss Plaskett. Mister Swazi.

Rep. Smith (MO-8)4:55:59 – 4:55:59

No.

Clerk4:55:59 – 4:56:00

Mister Swazi, no.

Rep. Smith (MO-8)4:56:03 – 4:56:03

Good one.

Clerk4:56:03 – 4:56:04

Mister Arrington.

Rep. Smith (MO-8)4:56:04 – 4:56:04

Yes.

Clerk4:56:05 – 4:56:08

Mister Arrington, yes. Mister Stubbe.

Rep. Smith (MO-8)4:56:09 – 4:56:09

Yes.

Clerk4:56:09 – 4:56:17

Mister Stuebe, yes. Mister Feenstra. Mister Moran.

Rep. Smith (MO-8)4:56:17 – 4:56:18

Yes.

Clerk4:56:18 – 4:56:38

Mister Moran, yes. Mister Neal. Miss Sewell. Mister Gomez. Miss Plaskett. Chairman Smith.

Rep. Smith (MO-8)4:56:40 – 4:56:41

Yes.

Clerk4:56:41 – 4:56:43

Chairman Smith, yes.

Rep. Smith (MO-8)4:56:58 – 4:57:00

The clerk will report the vote.

Clerk4:57:00 – 4:57:03

Mister Chairman, the yeses are twenty-five and the nos are fifteen.

Rep. Smith (MO-8)4:57:04 – 4:59:43

There being twenty f- twenty-five yeses and fifteen noes, the motion is agreed to and H R forty ninety-three as amended is ordered favorably reported to the house. Without objection, I ask that staff be authorized to make technical and conforming changes to H R forty ninety-three, and that members have two additional days to file with the Committee Clerk supplemental additional dissenting or minority views. Our next order of business is H R one zero three four six, the stop China's exploitation of Congolese, Children and Adult Forced Labor through Cobalt Mining Act. Introduced by Representative Chris Smith, which will strengthen our critical mineral supply chains by shining a light on Communist China companies profiting from child and forced labor, and the Democrat Republic of the Congo's cobalt mines. Cobalt is vital to American life and national security. It is used in lifesaving, heart-scent, and in defense technologies such as missile guidance systems, as well as key technologies that Americans use every day, such as smartphones and computers. Just this month, this committee held a hearing on the importance of strengthening our critical mineral supply chains. Yet more than half of the world's cobalt reserves are in the Democrat Democratic Republic of the Congo where companies owned or financially backed by Communist China dominate dominate operations. Fifteen of the DRC's nineteen major cobalt mines. that exploit tens of thousands of children and adult forced laborers. Current law bans the import of goods made with forced labor, but tracing its origin once it is processed and included in a downstream product is incredibly difficult. This bill directs the Inter-agency Forced Labor Enforcement Task Force to investigate entities involved in illicit mining activities in the DRC and downstream products that include cobalt mine, in the DRC. These investigations will help Customs and Border Protection to better enforce our laws and protect the integrity of America's critical mineral supply chains. Representative Chris Smith does not sit on this committee, and with two of us already here, three Smiths might be might be more than one committee can handle. But he has spent decades as Congress's leading voice against human trafficking and forced labor. He worked closely with our committee to craft a bill that will address this terrible behavior. I urge my colleagues to support this bill. I now recognize Miss Sanchez for her opening statement.

Rep. Sánchez (CA-38)4:59:45 – 5:03:11

Thank you, Mister Chairman, I I wanna be crystal clear that I share the supposed goal of this bill to keep goods that are made with child or forced labor from the Democratic Republic of Congo out of the US market. Unfortunately, in its current form, the bill does not achieve this. The bill doesn't require any specific action. All the bill does is commission a report. Yet the very agencies tasked with undertaking this investigation and conducting trade enforcement such as the International Labor Affairs Bureau at the Department of Labor have been dozed by the Trump administration. So the Republican strategy here appears to be to require agencies to do an investigation, all while dismantling said agency. Um, that just doesn't add up. Even if we ever get a report, one more report on forced labor in the DRC cobalt mines won't help solve the problem. Forced labor, child labor, and concerns with China's investment in DRC are already well documented, including by the United States government. We already have the tools in place. Section three O seven of the Tariff Act of nineteen thirty prohibits the import of goods into the US made by forced and child labor and subject to customs and border protection seizure so if we all acknowledge that forced labor in the DRC is a serious problem why not use this opportunity to require action to curb the imports of goods made with forced labor from the DRC I mean that would be logical. That would be rational, because that would be something that would actually address the problem. We can't also ignore the context of this bill. The Trump administration negotiated backroom critical minerals deal with the DRC in the midst of an ongoing violent conflict. House Republicans refused to call out the Trump administration for the impact on child labor then, and they're refusing to do anything about it now. At minimum, at minimum, this bill should mandate transparency on the critical minerals agreement, and establish safeguards so that we can secure critical minerals in the DRC, but not at the expense of child labor or forced labor from the local communities. But this bill doesn't do any of that. It does not strengthen enforcement, it does not restrict imports, it does not establish standards for workers and it doesn't protect a child in the DRC who is forced to work in a cobalt mine. We need legislation with teeth, something that mandates trade enforcement action, not just another report. Otherwise, all that we're doing is paying lip service to a very serious humanitarian problem. And I, for one, did not join Congress to ignore serious problems. I am ready to work with my Republican colleagues to take meaningful action to fight forced labor in the DRC. But we need a bill that actually does something to fix the problem, not commission another unnecessary report, which is just busy work. And with that, I yield back.

Rep. Smith (MO-8)5:03:13 – 5:03:53

Thank you. The committee will now proceed to consideration of H R one zero three four six, the stop China's exploitation of Congolese children and adult forced labor through cobalt mining act. Without objection, the measure will be considered as read and open for amendment at any point. At this time I offer an amendment in the nature of a substitute, which was distributed in advance along with the green sheet explaining it. Without objection, the amendment in the nature of a substitute shall be considered as read, open for amendment at any point, and considered base text for purpose of amendment. I will now turn to Josh Snead, Trade Subcommittee Staff Director, to provide a technical description of the amendment in the nature of a substitute with an emphasis on the changes made since introduction. I ask that members hold their questions until after his presentation.

Joshua Snead (Witness)5:03:56 – 5:05:24

Thank you, Chairman Smith, ranking member Moore. Uh, H HR ten three four six includes four sections. Section one sets out the short title, which is the stop China's exploitation of Congolese children and adult forced labor through Cobalt Mining Act. Section two sets forth findings, including the importance of cobalt for the production of smartphones, laptops, electric vehicles, and other electronic products, the world's dependence on the Democratic Republic of Congo for its cobalt supply, the control by Chinese firms of many cobalt mines in the DRC, and the numerous reports from credible sources of significant concerns regarding the use of forced labor in the DRC mining sector. Section three requires the Interagency Forced Labor Enforcement Task Force to complete and submit to this committee as well as the Senate Committee on Finance, the results of an investigation into alleged use of forced labor in the cobalt mining industry of the DRC. Among other things, this report must identify a list of entities in the DRC that potentially mine or process cobalt using forced labor, as well as categories of downstream products that include cobalt mined in the DRC. This section also requires updates to Congress on any actions U. S. Customs and Border Protection has taken to enforce the U. S. ban on importation of products made with forced labor with respect to cobalt mined in the DRC and recommendations for future efforts initiatives and tools to be adopted to aid in that enforcement. Finally, section four defines key terms used in the act. That concludes my technical technical walkthrough. I'm happy to answer any questions members have.

Rep. Smith (MO-8)5:05:29 – 5:05:40

Thank you. Are there any technical questions about the amendment and the nature of a substitute? Seeing none, we will move to strike the last word. Does any member wish to strike the last word? Mister Doggett.

Rep. Doggett (TX-37)5:05:41 – 5:10:31

Thank you, Mister Chairman. Well, of course, all of us should be opposing forced labor wherever it occurs. While the bill author Our colleague Chris Smith is a valued human rights advocate. Donald Trump uh has made very clear his uh attitude toward African countries. Uh, I won't repeat his full expletive, but he referred to them as blank-hole countries. And I would imagine that any complete and honest report that would come out of this would show what is obvious. This president, who cares so little about children in Texas who are denied access to a family physician, could care less about what's happening to Congolese children. And we've seen ample evidence of that, not only in his expletives, but in his conduct uh with regard to the Congo. In fact, the children for whom this bill is named are in a real hole, a giant pit in the ground in Katanga where they dig cobalt with their hands, cobalt that ends up in our batteries and in our phones. What these children need is action. not a study to measure how big the hole is. The racism that permeates this administration uh prevents them from acting on behalf of these little black children digging holes some as young as seven years old in the Co- in the Congo. We already know uh how uh big that hole is and how little the regime uh cares about these desperate Congolese children. In December, The Trump uh regime signed a strategic partnership with the Congo, a right of first offer on its critical minerals, majority ownership for American companies, a demand not that the Congo or that it would do anything about these children who are exposed to such desperate provisions, but that the Congo must amend its constitution this year uh to provide these special provisions and that it must afford a ten year ten year decade tax holiday. Nothing mentioned in this agreement about children, about forced labor, about environment, or anything else other than how American companies can exploit to the maximum the resources of the Congo. Last August, under the leadership of Trade uh Ranking Member Satchis, fifty-two of us joined in warning in advance about the human cost of this critical minerals agreement before it was ever signed. and l- alerted the administration, not that they truly needed an alert, about the conditions that these Congolese children and workers were facing. Within weeks of the signing of this deal, the Congo suspended every artisanal cobalt processor in the country, closing the traceable channel, not the pits. Not one child came out of the ground. Industrial operators welcomed it. Two million artisanal miners did not. So we secured the cobalt so that we can compete with China, but we also compete with them in our total disregard and disinterest in the conditions of these children. At the same time, the Trump regime had the opportunity to address those issues, but it left the children out of the deal. It didn't consult any of those groups that were concerned about these conditions in the Congo or in this country. We aren't short of information on mining in the Congo. Our own labor department placed Congolese cobalt on its list of goods produced by child labor not now, but seventeen years ago. We have known for almost two decades the terrible conditions there. The same group of colleagues that joined with Ms. Sanchez wrote the president before he signed the deal with the facts of an estimated three hundred and fifty thousand cobalt miners in the Congo Eighty thousand work under conditions of forced labor and roughly forty thousand are children. The Congo is supplying three quarters of the world's cobalt and it's the cobalt and not the children that have uh uh obtained any assistance. What this bill does is direct the forced labor enforcement task force to k- report back in six months what we already know. And it leaves a gap you could drive a truck through in that it does not include any information about finished goods autos, phones, and other manufactured goods that contain Cobalt. We've been here before. Ms. Moore offered an amendment that I hope she offers again today on this problem, when it uh we considered it in twenty twenty four. The Republicans rejected her amendment and then never even brought the bill to the floor after it passed. Congolese civil society groups, Friends of the Congo and Action for the Congo recognize this bill will accomplish nothing, and they have urged

Rep. Smith (MO-8)5:10:44 – 5:10:46

Additional members wish to strike the last word. Miss Morin.

Rep. Moore (WI-4)5:10:49 – 5:13:59

Thank you so much, Mister Chairman, and boy, oh boy, oh boy, you know, I really wished we had had another Smith on this panel. I wish Chris Smith had come to members of the Ways and Means Committee in the majority so that we could really made this bill a robust bill. Uh, I I just wanna thank the chairman for recognizing that forced labor continues to be in issue, uh, with mining critical min- minerals in the in the DRC, the Democratic, uh, Republic of the Congo. Um, and our Bureau of International Labor Affairs uh while we're considering um a study, they've already told us that children as young as five years old mine for uh a mine and they're forced to work at mines with their families in situations of bonded labor. While other children are sent away to the mines by their parents to pay off the family's debt. Child miners are paid little uh if anything, and if they're at all. These mines controlled and patrolled by military officers or armed groups which force children to work. Some children are abducted to work in the mines. Uh, I served on the House Financial Services Committee in twenty ten, uh, and I had a gavel at that point, people. Uh, and I was the, uh, ranking member on the monetary policy and trade subcommittee. Uh, I was there when we passed Dodd-Frank, section fifteen O two of Dodd-Frank and the SCC's related conflict minerals rule, which helped to improve the global mineral supply chain transparency and break the links between the minerals trade and the violent conflict in the DRC. Um, this provision was passed in light of significant concerns that the exploitation and trade of these minerals by armed groups helped to finance conflict in the DRC and contributed to an emergency humanitarian crisis. Transparency reforms are an important part of a much broader peace-building and good governance effort in the DRC, and that must be further expanded. Again, I I I personally think we've investigated the problem enough And I agree with Mister Doggett that we need to do something. Uh, the information that we have is extensive. Uh, I agree that we sh- these minerals should not uh enter the US market unless the the Communist uh Party of China determines by clear and convincing evidence that the minerals uh I'm sorry, that the Congo that the um Congo determines by clear and convincing evidence that minerals weren't produced uh with child labor. Uh I will have further to say on this uh, Mister Chairman, uh in uh cuz I do have an amendment that I'd like to bring forward. And with that I would just yield back.

Rep. Smith (MO-8)5:14:00 – 5:14:08

Additional members wish to strike the last word. Seeing none, we will move to amendments.

Rep. Moore (WI-4)5:14:09 – 5:14:11

Mister Chairman, I have an amendment at the desk.

Rep. Buchanan (FL-16)5:14:11 – 5:14:13

Mister Chairman, I reserve a point of order.

Rep. Smith (MO-8)5:14:13 – 5:14:38

A point of order has been reserved. Will the gentle lady um suspend while the amendment is distributed? You can proceed.

Rep. Moore (WI-4)5:14:41 – 5:16:28

Thank you so much, Mister Chairman, this amendment is meant to improve this bill. Uh, as I indicated earlier, I was the ranking member of the subcommittee on monetary policy and trade, and um and helped write section fifteen O two of the Dodd-Frank Act. And I just must say that cobalt is not the only critical mineral that is mined in the DRC. It's not the only critical uh uh mineral where forced labor has historically been prevalent. It's not the only critical uh, a mineral that finds its way into our cell phones and and other finished products, um, uh, a- at all. Um, it, children as young as five years old h- mine for copper, gold, tin ore, and tungsten, which are located in the DRC. Um, you know, In the, at a minimum, Mister Chairman, we need to broaden the scope of the examination to all conflict minerals in the DRC. Um, uh, we need to prevent not only cobalt, but copper, gold, lithium, tantalum, tin, and Tuscan mined with forced labor in the DRC from entering um the United States and other uh country markets. Uh, I urge my colleagues to consider my amendment, uh, if we're really concerned about protecting the supply chain from products and and minerals uh produced uh by forced labor. And I yield back.

Rep. Smith (MO-8)5:16:29 – 5:16:33

Any discussion on the amendment? Mister Davis.

Rep. Davis (IL-7)5:16:34 – 5:16:48

Chairman, I'd like to associate myself with the comments made by Mister Dalgert as well as uh Representative Moore, I strongly support our amendment and I yield back.

Rep. Smith (MO-8)5:16:49 – 5:16:55

Further discussion on the amendment? See none? Oh. Mister Smith?

Rep. Smith (NE-3)5:16:56 – 5:17:37

Yes, uh thank you uh Mister Chairman, I certainly thank you, I thank my colleagues for uh working on this very important bill. Uh we we know that the supply chain challenges um well that there are challenges with our supply chain for a number of reasons. And uh I think a a concerted effort such as this for Kobalt uh makes so much sense. Uh we we know that uh the forced labor issue is already addressed uh in in other parts of uh federal statutes and requirements and quite frankly, expectations. So I uh I urge uh adoption of of the bill overall and really appreciate everyone's work on on this effort. Thank you, I yield back.

Rep. Smith (MO-8)5:17:38 – 5:17:38

Question?

Rep. Moore (WI-4)5:17:39 – 5:17:47

I didn't hear what you said. Did you say that the other minerals are pert- are mentioned in other parts of the statutes?

Rep. Smith (NE-3)5:17:47 – 5:17:52

No, the the forced labor concerns are already addressed in other parts of of statute.

Rep. Moore (WI-4)5:17:53 – 5:17:55

Okay, thank you. And thank you for your indulgence, Mr. Chairman.

Rep. Smith (MO-8)5:17:57 – 5:18:05

Further discussion on the amendment. Seeing none, the question is on agreeing to the amendment offered by Miss Moore. The clerk will call the roll.

Clerk5:18:07 – 5:18:13

Mister Buchanan. Mister Buchanan, no. Mister Smith of Nebraska.

Rep. Smith (MO-8)5:18:14 – 5:18:15

It's a no, right? No, we have a no. No.

Clerk5:18:16 – 5:18:18

Mister Smith of Nebraska, no.

Rep. Smith (MO-8)5:18:19 – 5:18:20

Least I think so.

Clerk5:18:20 – 5:18:38

Mister Kelly. Mister Kelly, no. Mister Schweikert. Mister Lohood. Mister Lohood, no. Mister Errington.

Rep. Smith (MO-8)5:18:38 – 5:18:38

No.

Clerk5:18:39 – 5:18:42

Mister Errington, no. Mister Estes.

Rep. Smith (MO-8)5:18:42 – 5:18:42

No.

Clerk5:18:42 – 5:18:45

Mister Estes, no. Mister Smucker.

Rep. Smith (MO-8)5:18:45 – 5:18:45

Yes.

Clerk5:18:45 – 5:18:46

Mister Smucker.

Rep. Smith (MO-8)5:18:50 – 5:18:51

No. No.

Clerk5:18:51 – 5:19:02

Mister Smucker, no. Mister Hearn. Mrs. Miller.

Rep. Smith (MO-8)5:19:03 – 5:19:03

No.

Clerk5:19:03 – 5:19:09

Mrs. Miller? No. Dr. Murphy? Dr. Murphy? No. Mr. Kustof?

Rep. Smith (MO-8)5:19:09 – 5:19:09

No.

Clerk5:19:10 – 5:19:12

Mr. Kustof? No. Mr. Fitzpatrick?

Rep. Smith (MO-8)5:19:13 – 5:19:13

No.

Clerk5:19:13 – 5:19:25

Mr. Fitzpatrick? No. Mr. Stubbe? Miss Tenney? Miss Tenney? No. Mrs. Fischbach?

Rep. Smith (MO-8)5:19:25 – 5:19:25

No. No.

Clerk5:19:25 – 5:19:47

Mrs. Fischbach? No. Mr. Moore? Mr. M- Mister Moore, no. Mister Van Duyn. Mister Van Duyn, no. Mister Feenstra. Mister Maliatakis. Mister Maliatakis, no. Mister Carey.

Rep. Smith (MO-8)5:19:47 – 5:19:48

No.

Clerk5:19:48 – 5:19:51

Mister Carey, no. Mister Joachim.

Rep. Smith (MO-8)5:19:51 – 5:19:51

No.

Clerk5:19:52 – 5:19:57

Mister Joachim, no. Mister Miller. Mister Miller, no. Mister Bean.

Rep. Smith (MO-8)5:19:58 – 5:19:58

No.

Clerk5:19:58 – 5:20:15

Mister Bean, no. Mister Moran. Mister Neal. Mister Doggett. Mister Doggett, yes. Mister Thompson.

Rep. Smith (MO-8)5:20:15 – 5:20:15

Aye.

Clerk5:20:16 – 5:20:18

Mister Thompson, yes. Mister Larson.

Rep. Smith (MO-8)5:20:18 – 5:20:18

Yes.

Clerk5:20:19 – 5:20:21

Mister Larson, yes. Mister Davis.

Rep. Smith (MO-8)5:20:21 – 5:20:22

Yes.

Clerk5:20:22 – 5:20:24

Mister Davis, yes. Miss Sanchez.

Rep. Smith (MO-8)5:20:24 – 5:20:25

Aye.

Clerk5:20:25 – 5:20:29

Miss Sanchez, yes. Miss Sewell. Mr. Del Bene.

Rep. Smith (MO-8)5:20:29 – 5:20:29

Aye.

Clerk5:20:29 – 5:20:32

Mr. Del Bene, yes. Miss Chu.

Rep. Smith (MO-8)5:20:32 – 5:20:32

Aye.

Clerk5:20:32 – 5:20:34

Miss Chu, yes. Miss Moore.

Rep. Smith (MO-8)5:20:35 – 5:20:35

Aye.

Clerk5:20:35 – 5:20:37

Miss Moore, yes. Mister Boyle.

Rep. Smith (MO-8)5:20:37 – 5:20:38

Yes.

Clerk5:20:38 – 5:20:40

Mister Boyle, yes.

Rep. Smith (MO-8)5:20:39 – 5:20:39

Mister Boyle.

Clerk5:20:40 – 5:20:40

Mister Beier.

Rep. Smith (MO-8)5:20:40 – 5:20:41

Yes.

Clerk5:20:41 – 5:20:43

Mister Beier, yes. Mister Evans.

Rep. Smith (MO-8)5:20:44 – 5:20:44

Yes.

Clerk5:20:44 – 5:20:47

Mister Evans, yes. Mister Schneider.

Rep. Smith (MO-8)5:20:47 – 5:20:47

Yeah.

Clerk5:20:47 – 5:20:50

Mister Schneider, yes. Mister Panetta.

Rep. Smith (MO-8)5:20:50 – 5:20:50

Yeah.

Clerk5:20:51 – 5:21:08

Mister Panetta, yes. Mister Gomez. Mister Horsford. Mister Ho- Mister Horsford, yes. Miss Plaskett. Mister Swasey.

Rep. Smith (MO-8)5:21:08 – 5:21:09

Aye.

Clerk5:21:09 – 5:21:18

Mister Swasey, yes. Mister Schweikert. Mister Schweikert, no. Mister Hearn.

Rep. Smith (MO-8)5:21:19 – 5:21:19

No.

Clerk5:21:19 – 5:21:49

Mister Hearn, no. Mister Stubbe. Mister Stubbe, no. Mister Feenstra. Mister Moran. Mister Neal. Miss Sewell. Mister Gomez. Miss Plaskett. Chairman Smith.

Rep. Smith (MO-8)5:21:51 – 5:21:51

No.

Clerk5:21:51 – 5:21:53

Chairman Smith, no.

Rep. Smith (MO-8)5:22:08 – 5:22:10

Clerk will report the vote.

Clerk5:22:10 – 5:22:13

Mister Chairman, the yeses are fifteen and the noes are twenty-five.

Rep. Smith (MO-8)5:22:13 – 5:22:31

There being fifteen noes, fifteen yeses and twenty-five noes, the amendment is not adopted. Are there additional amendments? Seeing none, the question is on the adoption of the amendment in the nature of a substitute. All those in favor, signify by saying aye.

Clerk5:22:31 – 5:22:32

Aye. Aye.

Rep. Smith (MO-8)5:22:32 – 5:22:33

Those opposed say no.

Clerk5:22:33 – 5:22:34

No.

Rep. Smith (MO-8)5:22:34 – 5:22:41

And the opinion of the chair, the ayes have it, and the amendment in the nature of a substitute is agreed to. I now recognize Mister Buchanan for the purpose of offering a motion.

Rep. Buchanan (FL-16)5:22:42 – 5:22:49

Mister Chairman, I move the committee favorably report H R ten three forty six as amended to the House of Representatives.

Rep. Smith (MO-8)5:22:50 – 5:22:57

The question is on the motion to favorably report H R one zero three four six as amended to the House of Representatives. The clerk will call the roll.

Clerk5:22:58 – 5:22:58

Mr. Buchanan.

Rep. Buchanan (FL-16)5:22:59 – 5:22:59

Yes.

Clerk5:22:59 – 5:23:03

Mr. Buchanan, yes. Mr. Smith of Nebraska.

Rep. Buchanan (FL-16)5:23:03 – 5:23:03

Yes.

Clerk5:23:04 – 5:23:18

Mr. Smith of Nebraska, yes. Mr. Kelly. Mr. Kelly, yes. Mr. Schweikert. Mr. LaHood.

Rep. Buchanan (FL-16)5:23:18 – 5:23:18

Yes.

Clerk5:23:20 – 5:23:23

Mister LaHood, yes. Mister Errington.

Rep. Smith (MO-8)5:23:23 – 5:23:24

Yes.

Clerk5:23:24 – 5:23:26

Mister Errington, yes.

Unknown5:23:24 – 5:23:26

What is it? What is it? What is it? What is it?

Clerk5:23:26 – 5:23:27

Mister Estes.

Unknown5:23:26 – 5:23:27

What is it? What is it? What is it? What is it?

Clerk5:23:27 – 5:23:29

Mister Estes, yes.

Unknown5:23:27 – 5:23:29

What is it? What is it? What is that? What is that? What is that?

Clerk5:23:29 – 5:23:29

Mister Smucker.

Unknown5:23:29 – 5:23:31

What is that? Yeah. What is that?

Clerk5:23:30 – 5:23:32

Mister Smucker, yes.

Unknown5:23:31 – 5:23:32

What is that? What is that? What is that? What is that? What is that? What is that? What is that? What is that? What is that?

Clerk5:23:32 – 5:23:33

Mister Hearn.

Unknown5:23:32 – 5:23:33

What is that? What is that? What is that? What is that? What is that? What is that? What is that? What is it? What is that?

Clerk5:23:33 – 5:23:35

Mister Hearn, yes.

Unknown5:23:33 – 5:23:35

What is that? What is that? What is that? What is that? What is that? What is that?

Clerk5:23:35 – 5:23:36

Mrs. Miller.

Unknown5:23:35 – 5:23:36

What is that? What is that? What is that? What is that?

Clerk5:23:36 – 5:23:38

Mrs. Miller, yes.

Unknown5:23:36 – 5:23:38

What is that? What is that? What is that? What is that? What is that? What is that? What is that?

Clerk5:23:38 – 5:23:39

Doctor Murphy.

Unknown5:23:38 – 5:23:40

What is that? What is that? What is that? What is that? What is that?

Clerk5:23:40 – 5:23:48

Doctor Murphy, yes. Mister Kustof. Mister Fitzpatrick.

Unknown5:23:49 – 5:23:49

Yes.

Clerk5:23:49 – 5:23:52

Mister Fitzpatrick, yes. Mister Stuebe.

Unknown5:23:52 – 5:23:52

Yes.

Clerk5:23:53 – 5:23:55

Mister Stuebe, yes. Miss Tenney.

Unknown5:23:55 – 5:23:56

Yes.

Clerk5:23:57 – 5:23:58

Miss Tenney, yes.

Unknown5:23:59 – 5:23:59

Mm-hmm.

Clerk5:23:59 – 5:24:00

Mrs. Fischbach.

Unknown5:24:00 – 5:24:01

Yes.

Clerk5:24:01 – 5:24:04

Miss Stuebe. Mrs. Fischbach, yes. Mister Moore.

Unknown5:24:05 – 5:24:05

Yes.

Clerk5:24:06 – 5:24:18

Mister Moore, yes. Miss Van Duyn. Yes. Miss Van Duyn, yes. Mister Feenstra. Miss Malia Takis.

Unknown5:24:19 – 5:24:19

Yes.

Clerk5:24:19 – 5:24:22

Miss Malia Takis? Yes. Mister Kerry.

Unknown5:24:22 – 5:24:30

Miss. Yes. Yes. Yes.

Clerk5:24:30 – 5:24:33

Mister Kerry? Yes. Mister Joachim.

Unknown5:24:33 – 5:24:34

Yes.

Clerk5:24:34 – 5:24:36

Mister Joachim? Yes. Mister Miller.

Unknown5:24:38 – 5:24:39

Yes.

Clerk5:24:40 – 5:24:42

Mister Miller? Yes. Mister Bean.

Unknown5:24:43 – 5:24:43

Yes.

Clerk5:24:44 – 5:24:58

Mister Bean, yes. Mister Moran. Mister Neal. Mister Doggett. Mister Doggett, no. Mister Thompson.

Unknown5:24:58 – 5:24:58

No.

Clerk5:24:58 – 5:25:01

Mister Thompson, no. Mister Larson.

Unknown5:25:01 – 5:25:01

No.

Clerk5:25:02 – 5:25:10

Mister Larson, no. Mister Davis. Mister Davis, yes.

Unknown5:25:09 – 5:25:11

Yeah. Yeah.

Clerk5:25:15 – 5:25:16

Miss Sanchez.

Unknown5:25:17 – 5:25:17

No.

Clerk5:25:18 – 5:25:23

Miss Sanchez, no. Miss Sewell. Miss DelBene.

Unknown5:25:23 – 5:25:24

Aye.

Clerk5:25:24 – 5:25:26

Miss DelBene, yes. Miss Chu.

Unknown5:25:27 – 5:25:27

No.

Clerk5:25:28 – 5:25:30

Miss Chu, no. Miss Moore.

Unknown5:25:30 – 5:25:31

Aye.

Clerk5:25:31 – 5:25:38

Miss Moore, yes. Mister Boyle. Mister Beier.

Unknown5:25:39 – 5:25:39

Yes.

Clerk5:25:39 – 5:25:42

Mister Beier, yes. Mister Evans.

Rep. Smith (MO-8)5:25:43 – 5:25:44

Yes.

Clerk5:25:44 – 5:25:47

Mister Evans, yes. Mister Schneider.

Rep. Smith (MO-8)5:25:47 – 5:25:47

Yes.

Clerk5:25:48 – 5:25:50

Mister Schneider, yes. Mister Panetta.

Rep. Smith (MO-8)5:25:50 – 5:25:50

Yes.

Clerk5:25:51 – 5:26:04

Mister Panetta, yes. Mister Gomez. Mister Horsford. Mister Horsford, no. Miss Plaskett. Mister Swazi.

Rep. Smith (MO-8)5:26:05 – 5:26:05

Aye.

Clerk5:26:06 – 5:26:14

Mister Swazi, yes. Mr. Schweikart. Mr. Schweikart, yes. Mr. Kustof.

Rep. Smith (MO-8)5:26:14 – 5:26:15

Yes. Yes.

Clerk5:26:15 – 5:26:26

Mr. Kustof, yes. Mr. Feenstra. Mr. Moran. Mr. Neal.

Rep. Smith (MO-8)5:26:26 – 5:26:27

No.

Clerk5:26:28 – 5:26:35

Mr. Neal, no. Miss Sewell. Mr. Boyle.

Rep. Smith (MO-8)5:26:37 – 5:26:37

No.

Clerk5:26:38 – 5:26:51

Mr. Boyle, no. Mister Gomez. Miss Plaskett. Chairman Smith.

Rep. Smith (MO-8)5:26:53 – 5:26:54

Yes.

Clerk5:26:54 – 5:26:55

Chairman Smith, yes.

Rep. Smith (MO-8)5:27:26 – 5:27:28

Clerk will report the vote.

Clerk5:27:28 – 5:27:31

Mister Chairman, the yeses are thirty-two and the noes are eight.

Rep. Smith (MO-8)5:27:32 – 5:27:53

There being thirty-two yeses and eight noes, the motion is agreed to in H R one zero three four six as amended as ordered favorably, reported Without objection, I ask that staff be authorized to make technical and conforming changes to H R one zero three four six, and that members have two additional days to file with the committee clerk supplemental additional dissenting or minority views.

Clerk5:27:57 – 5:27:57

Can you fix that?

Rep. Smith (MO-8)5:28:03 – 5:29:32

Before um before we move on to the um last piece of legislation i just want to acknowledge that this will probably be the last hearing we will have with us um mister kevin hern um before i trust he becomes one of those people around the dark side on the senate side um but kevin joined this committee in in twenty twenty one um the first oklahoman I believe to sit on this committee and in more than more than twenty years, and Kevin is a is a self-made, self-made guy. He grew up um in a household with no indoor plumbing and no running water. Um and he built a business of of dozens of McDonald's in the Tulsa area. Um he understands, he understands what it's like and the cost it takes to make a payroll and to sign the front of a paycheck, not just the the back. And, um, he knows our tax code because he's paid a lot of taxes. Um, um, because he's been a small business owner and he's had to had to pay attention to that. But he brought that experience to the health subcommittee. He brought it, um, on the tax subcommittee. Kevin, you, um, brought it to the table when we were writing the the one big beautiful bill. Um, and we're grateful.

Rep. Thompson (CA-4)5:29:32 – 5:29:33

Mind if I talk about it?

Rep. Smith (MO-8)5:29:33 – 5:30:04

We're grateful for that. I still remember when, um, Kevin welcomed the Ways and Means Committee to the second field hearing in UConn, Oklahoma, where we heard from farmers and ranchers and and oil and gas producers, um, and showed us incredible hospitality. Um, this committee is going to miss, miss your voice. It's been a solid voice to this committee and we will miss it. We'll know you'll be on the other side of the building and you'll be one of the normal ones. And so we appreciate that. And I just wanna say that we're gonna miss you.

Rep. Hern (OK-1)5:30:05 – 5:30:14

Good. Yay. What's your name?

Rep. Smith (MO-8)5:30:15 – 5:30:16

Oh, there you are.

Rep. Thompson (CA-4)5:30:16 – 5:30:16

Thank you.

Rep. Smith (MO-8)5:30:16 – 5:30:20

Okay. I recognize the ranking member who's on the bottom dais.

Rep. Thompson (CA-4)5:30:21 – 5:30:45

Temporarily. Uh, thanks, Mister Chairman, I I wanna recognize Kevin as well, and I I call him Kevin, not Congressman. Uh, a real friend. and decent, even when we had conversations many, many times. He always, uh, was a great student of the institution, kept his sense of humor, and fundamentally lacked malice. Thanks, Kevin.

Rep. Hern (OK-1)5:30:52 – 5:30:52

If I may, Mr. Chairman?

Rep. Smith (MO-8)5:30:53 – 5:30:54

Yes, Mr. Hein.

Rep. Hern (OK-1)5:30:53 – 5:31:22

I appreciate your leadership, your guys' candor, and the work you're doing. And, uh, this is the greatest committee that's ever existed. And This will be what I miss about the House representatives. And uh, if you're not on this committee, I don't know what you do in this place, but uh, this is a great place to be. It touches so many people and uh, I fought to get on here in the minority, limited seats, and uh, this has really been a special place. It'll be a place that I forever remember. So thank you all so much for being great colleagues. Thank you.

Rep. Smith (MO-8)5:31:27 – 5:32:27

Thank you, Kevin. Our last order of business is H R one Z. zero three five six the empowering moms act introduced by representative Fischbach. Representative Fischbach co-chairs the house pro-life caucus and has established herself as a leading voice for moms and families. She recognizes that supporting mothers means more than helping them through pregnancy. It means connecting them with the resources that they need to raise healthy children. This bill builds on that commitment by making it easier for pregnant women and new mothers to find health, financial, and other supportive services in their community through Moms dot Gov. The bill codifies efforts by the Trump administration to build a comprehensive resource hub to offer guidance and information to support the health and well-being of mothers and families. I urge my colleagues to support this bill and I'm pleased to recognize the gentlelady from Minnesota Miss Fischbach for an opening statement.

Rep. Fischbach (MN-7)5:32:28 – 5:35:20

Thank you, Mister Chair, and Mister Chair, thank you so much for bringing the Empowering Moms Act before the committee today. You know, for me, the pro-life movement has never been just a set of talking points. Being pro-life means standing with expectant and new mothers, newborns and toddlers and the entire family. And our message is simple. We tell mothers they are not alone. The abortion industry pressures women into believing that abortion is their only path forward, isolating them from life affirming support they deserve. Under the previous administration, federal agency weaponized their authority to stifle organizations that provide real help to women. They even attempted to strip funding from pregnancy resource centers, which actually support and protect both mothers and childr and children. The Empowering Moms Act is built from a pr- provision in my original Moms Act, which aims to ensure every mother has the medical, financial, and emotional tools she needs to raise a healthy child. This legislation codifies and expands Moms dot Gov into a centralized directory, connecting mothers to local community support, starting with pregnancy resource centers and federally qualified health centers. Pregnancy resource centers serve as the front-line of compassion, community, care. Nationwide, thousands of these centers serve millions of families every year by providing free medical care, ultrasounds, parenting classes, formulas, diapers, so much more, and the support that mothers need. The Empowering Moms Act ensures that when a mother needs it most, she is immediately connected to local health providers and pregnancy centers. Moms dot gov provides information on prenatal primary care, baby supplies, housing and child care support, mental health resources, parenting classes, adoption, and alternatives to abortion. Taxpayer dollars must promote life, not end it. It also directs the Department of Health and Human Services to publicize federal funding opportunities for local pregnancy resource centers and health providers ensuring that resources are easy to access and dedicated to supporting their life-affirming mission of helping mothers and families. Every child deserves to be welcomed and protected by law, and every mother must be supported in her decision to choose life. The Empowering Moms Act puts local support directly into the hands of American families. I urge my colleagues to support the Empowering Moms Act, and, Mister Chair, I yield back.

Rep. Smith (MO-8)5:35:21 – 5:35:25

Thank you. I now recognize um, Mister Davis for hi- the opening statement.

Rep. Davis (IL-7)5:35:26 – 5:40:21

Thank you, Mister Chairman. Mister Chairman, mothers and families are suffering under increasing strains caused by the Trump economy. The president's tariffs and the Iran war have given up prices for everyday necessities, including sharp increases in food prices. and record high gas prices. Wages are not keeping up with inflation and parents can't find affordable child care that allows them to work. A few weeks ago, the subcommittee on worker and family support had the honor of hearing from Kristen Roe Finkbeiner, the founder of Moms Rising, that represents millions of moms across the country. I asked her, what do moms need from Congress? Her list was clear. She stated that moms need affordable child care that meets their children's needs. Moms need paid family leave when they have a new child or a serious medical issue so they can care for themselves or their families without fear of losing their jobs. Moms need the child tax credit to help them pay for the skyrocketing cost of basic necessities. And moms need health care so they can work and care for their families. Families need real assistance now, not an expansion of a problematic web site. This bill is not what moms asked for and is not what they need. Instead of truly helping moms, this bill and the Trump administration want to help anti-abortion centers find funding and hide information about health clinics and hospitals from pregnant women. Sadly, we know from experience that so-called crisis pregnancy centers put women's lives at risk. But my Republican colleagues have refused to even require crisis pregnancy centers to provide medically accurate information. And now they want to direct money to them, but not to families that are struggling. Contrary to the chairman's assertion that this biased and inaccurate web site will help moms navigate a confusing landscape of local resources, this bill will make it much harder and more confusing. This resource directory will intentionally exclude any resource that has even an affiliation with the hospital providing health care to women that a political appointee at Health and Human Services labels an abortion. As a result, the web site might exclude the only provider of women's health care in some communities and especially in tribal nations. or even exclude a home visiting program or prenatal care program simply because they partner with the hospital that honors the woman's right to choose or even provides appropriate miscarriage care. I'm also alarmed that this bill lacks any confidentiality of the sensitive information it collects. Health and Human Services Good sale or gift us private information to crisis pregnancy centers, other extremist organizations, or even for-profit businesses to harass Americans. This bill provides no money for child care, or paid leave, or health insurance, or food or job training. None. This bill is just another gift for Trump's supporters to access and profit off our private data. And even if the web site envisioned by this bill wasn't clearly intended to promote an ideological agenda, overseen only by Secretary Kennedy and his record number of political staff, Congress shouldn't be giving women lists of private organizations to beg for help as the solution to their current struggles. Congress should invest in an economy with good paying jobs, lower prices, and paid leave and child care. That would give all parents a fair shot at moving up the economic ladder. And I yield back.

Rep. Smith (MO-8)5:40:22 – 5:41:01

The committee will now proceed to consideration of HR one O three fifty-six, the empowering moms act. Without objection, the measure will be considered as read and open for amendment at any point. And at this time I offer an amendment in the nature of a substitute, which was distributed in advance along with a green sheet explaining it. Without objection, the amendment in the nature of a substitute shall be considered as read, open for amendment at any point, and considered base text for purpose of amendment. I will now turn to Sheryl Freeman, Work and Welfare Subcommittee Staff Director, to provide a technical description of the amendment in the nature of a substitute, with an emphasis on the changes made since introduction. I ask that members hold their questions until after her presentation.

Sheryl Freeman (Witness)5:41:04 – 5:42:56

Thank you, Chairman Smith. HR one zero three five six, the Empowering Moms Act adds a new subsection M titled " Resource Directory for Moms" to section five eleven of the Social Security Act, which authori- which authorizes the maternal-infant early childhood home visiting program. The bill requires HHS to update the Moms dot gov web site within one year of enactment to include a clearing house of relevant resources available to pregnant women, postpartum women, and women with young children. Relevant resources are defined to include federal, state, local, and private resources that serve pregnant and postpartum women and women with young children. The bill also prohibits the website from listing listing prohibited entities defined generally as an entity that performs or counsels in favor of abortions other than an abortion that is a result of rape, incest, or places the woman in danger of death. The bill authorizes a grant program to states to establish or support a state-level system that aggregates relevant resources and requires within within one hundred and eighty days of updating Moms. Dot. Gov., the secretary must submit a report to Congress that includes information about website traffic and user feedback on the website's accessibility. Finally, the bill requires HHS to compile and maintain a list of federal funding opportunities for non-profit and health care entities for pregnancy support services. As reflected on the green sheet, the chairman's amendment in the nature of a substitute modifies H R one zero three three five six on page ten by inserting a new twelve with links to information regarding maternal infant early childhood home visiting services provided through the use of a grant made under subsection C. These changes are consistent with the intent of the provisions to correct references and make conforming changes. Mister Chairman, that completes my walkthrough. I'm happy to answer technical questions.

Rep. Smith (MO-8)5:42:56 – 5:43:02

Thank you. Are there any technical questions about the amendment in the nature of a substitute? Mister Thompson.

Rep. Thompson (CA-4)5:43:02 – 5:43:27

Thank you, uh, Mister Chairman. Uh, thank you, Miss Freeman, for your explanation. Um, I was just concerned about I, I, I went to this web site and, uh, it says it lists, uh, different products that are available and you referenced that in, in your statement. Uh, where do those products come from and who determines who, which products are on the web site?

Sheryl Freeman (Witness)5:43:28 – 5:43:53

So the bill would require updating of the existing resources on the web site to include what the bill defines as relevant resources and those are to be, um, developed via criteria that the secretary establishes and essentially aggregated through collection from states. And the secretary goes through a process of aggregating those resources, um, and ensuring that they meet the criteria that are in the bill.

Rep. Thompson (CA-4)5:43:53 – 5:44:25

So, um, If I had a product, uh, and I wanted to put it on that web site, I'm assuming, uh, it's a product that somebody sells and the web site, I guess, gives a stamp of approval of that, uh, that product. It, who determines that it's something that's fit for the web site, something that's fit for, uh, consumers and their children, um, and, and it meets all the requirements of fair pricing and and and safety, et cetera.

Sheryl Freeman (Witness)5:44:27 – 5:44:44

The the website primarily has uh links to resources uh in versus products, but either way, the secretary is the one that ultimately would develop those criteria and determine um what resources are listed on the website that are received from states.

Rep. Thompson (CA-4)5:44:43 – 5:45:00

OK. And are there guidelines or is the secretary able to just decide on his own what the what those resources are and what the criteria for uh approval of a specific resource is.

Sheryl Freeman (Witness)5:45:00 – 5:45:08

The bill does define what relevant resources are and defines a list of categories of relevant resources that are to be used by the secretary.

Rep. Thompson (CA-4)5:45:09 – 5:45:11

So it's my understanding there's no restrictions,

Rep. Smith (MO-8)5:45:09 – 5:45:09

Wait.

Rep. Thompson (CA-4)5:45:11 – 5:45:20

however, on what those resources are. So the bill doesn't say it has to be safe, it has to be certified by whomever.

Sheryl Freeman (Witness)5:45:21 – 5:45:25

The only restriction is the prohibited entities restriction that is in the bill.

Rep. Thompson (CA-4)5:45:25 – 5:45:26

It's it's those. Would you say that again, please?

Sheryl Freeman (Witness)5:45:27 – 5:45:34

The definition of prohibited entities definition in the bill is the restriction on what is included as a relevant resource in the website.

Rep. Thompson (CA-4)5:45:37 – 5:45:38

And what is that?

Sheryl Freeman (Witness)5:45:39 – 5:45:59

Uh, the definition of prohibited entities includes um, is generally defined as um, an entity that performs or counsels in favor of abortions. It does include uh the Hyde Amendment general exception, other than abortion, that is a result of rape or incest or places the woman in danger of death. These are the prohibited entities included in the bill.

Rep. Thompson (CA-4)5:45:59 – 5:46:17

But nothing else, nothing that says, you know, the product has to be made by, uh, can't be made by child slave labor from some other country. The product has to be cleared by, uh, the medical professionals, that it won't do harm to the child, anything like that.

Sheryl Freeman (Witness)5:46:17 – 5:46:18

The bill does not speak to that.

Rep. Thompson (CA-4)5:46:18 – 5:46:20

So it's all left up to the secretary.

Rep. Smith (MO-8)5:46:21 – 5:46:22

That would be correct.

Rep. Estes (KS-4)5:46:22 – 5:46:30

OK, thank you. Now recognize Miss Moore for five minutes for uh technical questions.

Rep. Moore (WI-4)5:46:31 – 5:47:07

Thank you so much uh, Mr. Chairman. Um, I uh, too, would like to know about the prohibited entities, since you made that a plural. Um, what organization, I'm I'm looking at page uh seven of the uh, Mark, And it's an essential community provider described in section one fifty six point two three five of a title forty five code of federal regulations. Is that, is that, um, how many entities does that incl- uh, is, uh, is under that statute?

Sheryl Freeman (Witness)5:47:09 – 5:47:28

Yes, Miss Moore. Um, an essential community provider is, this is, this section is referring to a Medicaid related, um, definition. Generally these are federally qualified health centers and um serving predominant predominantly low income medically underserved individuals.

Rep. Moore (WI-4)5:47:27 – 5:47:27

So

Sheryl Freeman (Witness)5:47:28 – 5:47:29

So these

Rep. Moore (WI-4)5:47:28 – 5:47:37

so they're not prohibited. I'm I'm looking under prohibited entity and then I cited um the numeral uh two.

Sheryl Freeman (Witness)5:47:37 – 5:47:37

Mm-hmm.

Rep. Moore (WI-4)5:47:37 – 5:47:47

And and so an essential community provider uh one fifty six point two thirty five of title forty five, that's a qualified health care center that's prohibited?

Sheryl Freeman (Witness)5:47:48 – 5:47:51

That's an example of it, an essential community provider.

Rep. Moore (WI-4)5:47:51 – 5:47:55

So a qualified community health center is prohibited under this act.

Sheryl Freeman (Witness)5:47:55 – 5:47:59

That provides abortions, except in cases described in um

Rep. Moore (WI-4)5:47:59 – 5:48:01

O- OK, so

Sheryl Freeman (Witness)5:48:00 – 5:48:01

three of that section.

Rep. Moore (WI-4)5:48:01 – 5:48:11

Alright. So, um So it's broader than just Planned Parenthood. Is that, is that correct? Like a

Sheryl Freeman (Witness)5:48:12 – 5:48:12

Yes.

Rep. Moore (WI-4)5:48:13 – 5:49:50

OK. Um So, looking at, I'm still looking at page seven. Um, and I'm looking under um, I'm sorry, I'm looking, I'm on page eight now. And I'm looking under um, sub-part uh, Roman numeral three. Financial Assistance, Work Opportunities, Nutrition Assistance, Child Care, and Educational Opportunities for Parents. But when we go to the web site, Why does it not lead us as it does um um you know, we we have very specifically named institutions like the the um um uh this website, Moms dot gov, the Na- the National Safe Haven Alliance, the Pregnancy Centers. Why why does this not direct people who might be looking for resources to the TANF program or to SNAP or to WIC. Um, um, why is it just enumerated and and generalized? If this is a resource that we're putting the framework for that together, we figured out that we need to put the National Safe Haven Alliance in and pregnancy centers, but we're very vague as to things that would really help women. I mean Like WIC, um, like SNAP. So, was that an oversight? Do you, in drafting it?

Sheryl Freeman (Witness)5:49:51 – 5:50:05

Um, thank you. I, Ms. Moore, I think that the generally, the categories that are listed under the definition of relevant resources are generally described and could be inclusive of what you're describing, but they are general categories and topic areas, um,

Rep. Moore (WI-4)5:50:05 – 5:50:08

But they're not cited at all in moms dot org.

Sheryl Freeman (Witness)5:50:05 – 5:50:06

in the definition.

Rep. Moore (WI-4)5:50:08 – 5:50:14

If you have no idea that there's food assistance available, um, to do it.

Sheryl Freeman (Witness)5:50:14 – 5:50:15

It's just that that's not -

Rep. Moore (WI-4)5:50:15 – 5:50:18

They're - they're not - they're not defined as a resource.

Sheryl Freeman (Witness)5:50:18 – 5:50:19

That's right.

Rep. Moore (WI-4)5:50:18 – 5:50:19

Um,

Sheryl Freeman (Witness)5:50:19 – 5:50:19

That's not right.

Rep. Moore (WI-4)5:50:19 – 5:50:39

and they could be excluded, uh, even as a tangential connection to abortion, like a hospital partnering with the food bank or tribal health clinic affiliated with a hospital. Um, and so I'm concerned. Um, and thank you so much, uh, Miss - Miss, uh, Freiman or Freeman.

Rep. Smith (NE-3)5:50:40 – 5:50:40

Freeman.

Rep. Moore (WI-4)5:50:40 – 5:51:07

Freeman, thank you so much for your walkthrough. But I I I just I just noting, Mister Chairman, that uh with my last forty-four seconds that the terms are not connected. This is not connected with um resources that could find their way uh c- could get a grant under the grant portion. Thank you so much, and I yield back.

Rep. Estes (KS-4)5:51:07 – 5:51:19

Alright, thank you. Are there any other technical questions to the amendment nature of substitute? Seeing none, I'll go to strike the last word. Does anyone wish to strike the last word? And I'll call on uh Mister Smith from Nebraska.

Rep. Smith (NE-3)5:51:20 – 5:52:29

Thank you, Mister Chairman. Uh, we know that starting a family comes with significant responsibilities, challenges, and important decisions about the future. Whether raising children, planning for a family's long-term future, or navigating the adoption process, families often face complicated systems at very consequential moments in their lives. That's why Moms. Gov was created to be a one-stop shop for pregnancy resource centers, adoption agencies, and other services for women who are hoping to become mothers. Whether they are facing an unexpected or difficult pregnancy, considering adoption, seeking assistance with inf- infant care, or looking for mental health services, Moms. Gov is a resource focused on supporting women in promoting the life of born and unborn children. Every life has value, and I'm glad we are taking time today to advance a measure which This is a common sense approach to ensuring the services and programs which already exist uh are accessible to families. I certainly commend to Congresswoman Fischbach for your very persistent and diligent work on these issues. Our country is better for it. Uh, this is a great piece of legislation that will help build a nationwide culture of support for parents. I yield back.

Rep. Estes (KS-4)5:52:31 – 5:52:34

Thank you, and I recognize Mister Doggett for five minutes for strike the last word.

Rep. Doggett (TX-37)5:52:34 – 5:54:37

Thank you, Mister Chairman. Uh, what a day it has been, a long day, in a committee that has the power to do so much good and yet today has done so little of it. Devoting most of its time to helping two powerful special interests, one with big lobbies and big pockets at campaign time, another, an insurance lobby that uh is taking billions of dollars in waste and abuse that could be used to better purpose, And now we come to this bill, uh a bill that really isn't about helping families, it's about promoting more anti-choice propaganda. A mom that is struggling to put food on the table, particularly after the cutbacks in the food assistance program, uh can't feed your children with uh this propaganda. Uh the many mothers who are out there looking for child care so that they can participate in the workforce, uh, are not going to be able to find it from this kind of propaganda. What we need to deal with is a crisis that extremist Republicans have created, not waste funds on phony health clinics that, uh, use medical jargon and have staff in scrubs to deceive women. Yet most of the more than twenty-six hundred of these centers do not include a single licensed medical professional. Instead, they rely on fear-mongering and misinformation to discourage vulnerable women from making the best medical choice for them. I'm all for empowering mothers. Uh, in fact, I think of one woman who wanted to be empowered as a mother, my friend Amanda Zyrowski from Austin. When she found out that the crushing news that she had a non-viable pregnancy, instead of the child she so desperately wanted, that this threatened her life, She was forced to wait until she was on the brink of death with a sepsis infection before she could receive necessary care.

Rep. Smith (NE-3)5:54:37 – 5:54:37

Mm-hmm.

Rep. Doggett (TX-37)5:54:37 – 5:57:11

This is a product of the Reactionary Texas anti-abortion law that denies prospective mothers who find themselves in a tragic condition, the health care that they need. And the next logical step, of course, has been now recognized in the Texas Republican platform that they wanna prosecute women who have an abortion. This is a crisis that needs attention. Uh, I think also of uh, Caitlin Cash, an Austin mother who was eager to have a third child. Uh, b- because her physicians were too scared to deliver basic health care to her in a reproductive emergency, like severe hem hemorrhaging, she also uh, came close to death. This doesn't need to happen, but extremism gets ahead of good medical advice and the opportunity of physicians and other health care providers to provide the assistance needed uh for these women. Uh we need strong women's health care. Uh we need the the Health Protection Act that we've advocated for so long. Uh I'm concerned that these cases we know about, but there are many others where young women have tragically died because of delayed miscarriage care that ph- physicians were too intimidated to provide. The death certificates for so many of them should list as the cause of death, the Republican abortion ban. Medical professionals are leaving Texas and other states, sometimes their professions entirely, because of these vigilante laws and interference with their best judgment in medical training. At a time of worsening shortages, recruitment of new physicians is just as bleak with about sixty percent of third and fourth year medical students across specialties saying they're unlikely to apply for a residency in a state like Texas with these draconian abortion restrictions. Meanwhile, Republicans continue their march to eliminate reproductive freedom everywhere. Uh, Republicans don't even believe in giving information about birth control through this website. Nothing in this bill for those trying to responsibly plan when they have or expand a family. This entire bill is really just a Republican mandate for motherhood. For every Texan being offered fewer rights than their grandmothers, for every expectant parent whose life is threatened by Republican political interference, I strongly oppose this bill and yield back.

Rep. Estes (KS-4)5:57:12 – 5:57:16

Thank you. And I recognize Mister Luhut for five minutes for strike the last word.

Rep. LaHood (IL-16)5:57:17 – 5:59:14

Thank you, Mr. Chairman. I move to strike the last word. In just over two years, President Trump and his administration have taken historic steps to deliver for American families and provide support for mothers and new parents across the country. Earlier this Congress, we passed H. R. sixty-nine forty-five, the Supporting Pregnant and Parenting Women and Families Act, to prohibit discrimination against pregnancy resource centers by clarifying that TANF funds can be used to support these centers providing critical support for expecting moms. Similarly, today, this bill builds on those efforts and supports the Trump administration's work to strengthen American families by considering the Empowering Moms Act, introduced by my friend from Minnesota, Miss Fischbach, a leader for advancing pro-life policies. This bill codifies and builds on Moms. Gov, launched by the administration on Mother's Day as a central clearinghouse of resources for expectant and parent and parenting mothers. According to an NIH study, nearly eight out of ten pregnant or postpartum women reported having at least one unmet social need, such as infant and family supplies, food, and support for paying utilities. This legislation will provide a central hub of comprehensive resources that provides mothers with health information, mental health services, and ways to access other material support they may need to care for themselves and their child so that they can be successful parents. On the Work and Welfare subcommittee, we often hear from witnesses about how difficult it is to access federal programs because they have to navigate a complex web of resources and programs. The Empowering Moms Act will address this problem by making it easier for expectant and parenting mothers to connect with federal, state, local, and private resources in their communities. I urge my colleagues to support this bill and I yield back.

Rep. Estes (KS-4)5:59:16 – 5:59:19

Thank you. I recognize Mister Thompson for five minutes, strike the last word.

Rep. Thompson (CA-4)5:59:19 – 6:02:21

Thank you, Mister Chairman. I move to strike the last word. Uh, I'm wondering who profits from this website. The bill allows Moms. Gov. to direct women toward private resources, including resources involving clothing, household goods and baby supplies. And remarkably, the bill says administration of this website cannot be delegated below the office of secretary. That's secretary Robert Kennedy, junior. So what safeguards prevent secretary Robert Kennedy, junior and his office from steering mothers towards particular private companies? And and that's not a hypothetical uh concern. Uh Donald Trump, junior is a director and shareholder of PSQ Holdings. PSQ owned EveryLife, a company that sells diapers, wipes, training pants, and other baby products. PSQ has agreed to sell EveryLife, but its latest SEC disclosure says that the transaction is still expected to close by September thirtieth. So could Moms.gov direct mothers towards EveryLife? Could it direct them towards another company owned by an administration official's relative, a donor, a friend, a politically connected ally? Where's the bill, where in this bill is the prohibition to do such? Where is the disclosure requirement telling us who it is who's getting these contracts, getting put on this website, and profiting? Where's the safeguard preventing politically connected people from making money, because the federal government sent customers their way? If Congress is gonna create a government website directing mothers towards private resources, I think those questions should be answered before we move on this bill. I'm concerned that this bill, if only in appearance, looks like an issuance of a free pass to corruption for unethical people. Now I believe Miss uh Fischbach is uh pure in her intent uh to provide a web site that addresses the issues that she cares passionately about. But I think there's a hole in this bill, big enough to drive a two-trailer truck through, filled with products for, that are owned and sold by kinetic, politically connected people, and I think this is an issue, something that we should l- take a real close look at uh in this committee. So thank you and I yield back.

Rep. Estes (KS-4)6:02:22 – 6:02:25

Thank you. And I recognize Miss Moore for five minutes to strike the last word.

Rep. Moore (WI-4)6:02:26 – 6:02:28

Move to strike the last word, Mr. Chairman.

Rep. LaHood (IL-16)6:02:28 – 6:02:28

Go.

Rep. Moore (WI-4)6:02:30 – 6:07:38

I, I too am very, very concerned about this bill. I, I, this bill was dropped last night. So, um, when I, when I first saw the title, I got very excited by it as a mother, as a grandmother, as a great grandmother. Why would I not wanna be associated with a bill whose title is to amend section five eleven of the Social Security Act to provide a resource directory, and more opportunities for mothers to succeed. So, I mean, if mothers are gonna succeed, I'd think about educational opportunities, I'd think about uh providing child care for them. I think about uh uh them uh being able directed toward health care assistance. I I had a child whose first asthma attack occurred four days after she was born. So I needed to know uh where to take her to the to a doctor. Um this web site, I went to moms dot gov. It doesn't say one word about feral resources that are available to women. And I agree with Mister Thompson. It waxes on about resources to private entities like these pre- pregnancy centers, like the National Safe Haven Alliance, where you can relinquish your baby, um, to this agency, uh, and I guess with the prospect that they can put it up for adoption. It by no means, this bill, qualifies as a clearinghouse. It doesn't tell women how to access WIC, the program women, infants and children, it provides nursing mothers with uh with food and with toddlers, with healthy foods, and I guess not, because we did cut two hundred million dollars out of WIC. So I guess that's a pretty good reason not to include that public benefit uh i- in the clearinghouse. Oh, it doesn't tell you anything about Healthy Start, which is a really program, a great program for women who wanna succeed. I guess it doesn't do that because the president wanted to zero out Healthy Start. And so far we've been able to stop that. Toddlers, we talked a lot today about uh uh food as a medicine. Where do we have toddlers? Where they cut a hundred and forty-one million dollars. out of the few fruit and vegetables provisions for babies. Um, and so none of these, uh, snap. We cut a hundred and eighty-six billion dollars out of snap. What if one of these poor mothers needs something to eat? Um, beyond whatever snap they're gonna get at the pregnancy, uh, uh, uh, center while they're being, uh, told that, that they should, uh, not seek any other sort of solution. Sometimes in order for a mom to succeed, she needs some birth control. So she doesn't have her third child in a three year period. Sometimes in order to su- succeed, she needs um uh uh uh educational opportunities. Um but this bill does not provide any of that. Um all it provides is uh, when you go to this web site, the conscience overview, the federal conscience protection to guilt trip women who might think about anything uh other than giving birth, all it does is points us to Trump accounts, Trump Rx, and and private pregnancy uh centers. Um, dietary guidelines, we talked a lot about that. You go to this web site, Moms dot org. Wow. They give dietary guidelines for pregnant women. That's great. They just don't give you any food. You know, they they cut snap. I guess it's really interesting to know when you go to this website, which I went to today, that if you're pregnant and you have West Nile disease, that you will not pass that on to your fetus. That, what a relief to know that. Course, You can't get the ACA. It doesn't direct you to public um um uh s- resources like Medicaid or the ACA. Um it just it just reassures you uh that you can't pass West Nile uh virus on to your fetus. Uh this is a sham bill. Uh it is n- it is it's not worthy of being called the clearinghouse. There's nothing clear about it. It doesn't steer you toward all of the resources that a mom might need. It just steers you to private non-abortion services. And with that, Mister Chairman, thank you for in- your indulgence. Uh, my time, uh, has expired.

Rep. Smith (MO-8)6:07:39 – 6:07:40

Miss Chu is recognized.

Rep. Chu (CA-28)6:07:41 – 6:11:25

I move to strike the last word. Mister Chair, I rise in strong opposition to this bill. My Republican's colleagues call this the empowering Moms Act, but there's nothing empowering about withholding legitimate health care information from women. In some cases, it is downright dangerous because of the misleading information. This bill would permanently establish Moms dot Gov as a federal resource directory for pregnant women and new mothers but Republicans have rigged that directory from the start. from the start. This bill would establish in law that certain health providers that also provide abortions cannot appear on the web site. And that prohibition would extend to any of the provider's affiliates, subsidiaries, successors and clinics. Meanwhile, this bill specifically makes room for resources promoting so-called abortion pill reversal, alternatives to abortion, information about abortion risks, and information about child development from the moment of conception. Let's, let's call this what it is. It's not a neutral resource directory. It's an attempt to use the federal government, your taxpayer dollars, to decide what reproductive health information women can and can't see and which organizations they can turn to for help. And I want my colleagues to understand what that could actually mean for a pregnant woman. Imagine you just found out that you are pregnant. Maybe you are scared. Maybe you have a medical question. Maybe you simply need someone you can trust. So you do exactly what this bill tells you to do. You go to Moms.gov, you type in your zip code, and the US government gives you a list of places where you supposedly can get help. You pick one, You walk through the door and it looks like a doctor's office. There are people in scrubs and white coats, none of them with a medical degree or health degree. There is an ultrasound machine. They offer you a pregnancy test. You actually think you're in a medical clinic, but you are not. You may have walked into a crisis pregnancy center whose mission is not to provide comprehensive reproductive health care, but to stop women from having abortions. These centers have been accused of giving women false or misleading information about abortion and contraception. They have been falsely told that abortion causes infertility or other serious health consequences. In some cases, people without appropriate medical credentials have performed ultrasounds and failed to identify serious medical conditions. And many of these centers are not subject to the same medical privacy requirements patients associate with a doctor's office. Now that's bad enough, but this bill would add something enormously powerful to that deception, the credibility of the US government. Because that woman did not find this place from a random flyer. She did not click on some anonymous advertisement. the federal government actually center there. And at that very same time, Republicans want the government to keep certain reproductive health providers that provide comprehensive medical care off the website entirely because they also provide abortion care, or even affiliate it with a hospital that provides abortion care.

Rep. Smith (MO-8)6:11:25 – 6:11:25

Mm.

Rep. Chu (CA-28)6:11:26 – 6:12:44

And that tells you everything you need to know about this bill. It's not about helping women find health care. It's about controlling what health care women are allowed to find. Republicans are taking a government web site that women should be able to trust and turn it in a tool into a tool for their anti-abortion agenda and they are doing it at one of the most vulnerable moments in a woman's life a woman who's pregnant and looking for help should not have to investigate whether the so-called clinic the federal government sent her to is actually a men's. clinic. She should not have to wonder whether the person in a white coat is actually a medical professional. She should not have to wonder whether the information she is receiving is medically accurate. And she certainly should not have to discover that legitimate reproductive health providers were deliberately hidden from her because politicians in Washington approve of the care disapprove of the care that they provide. This is not empowering women, it is total manipulation. Women deserve accurate information. I urge my colleagues to reject this bill, I yield back.

Rep. Smith (MO-8)6:12:47 – 6:12:53

Additional members wish to strike. Additional members wish to strike the last word. Seeing none, we

Rep. Kelly (PA-16)6:12:53 – 6:12:54

It's just a wait a minute, whoa, whoa, wait a minute.

Rep. Smith (MO-8)6:12:54 – 6:12:54

Oh.

Rep. Kelly (PA-16)6:12:56 – 6:12:58

So, if nobody, nobody wants to

Rep. Smith (MO-8)6:12:57 – 6:12:58

Do you wanna get recognized, Mr. Kelly?

Rep. Kelly (PA-16)6:12:58 – 6:13:00

Yeah, if if, thank you. Um.

Rep. Smith (MO-8)6:12:59 – 6:13:01

To strike the last word, you were recognized.

Rep. Kelly (PA-16)6:13:01 – 6:13:04

Yeah, you know, I I re- I appreciate that. Um.

Rep. Chu (CA-28)6:13:05 – 6:13:05

Yeah.

Rep. Kelly (PA-16)6:13:05 – 6:18:58

The previous administration was really good at providing information to expectant mothers on how to uh eliminate the positive by actually giving a live birth. Uh, so we get in these these things. Uh, I, Michelle, thank you for doing this. Uh, I never realized what a horrible piece of legislation this was of yours, so. Uh, the abortion finder. The abortion finder, this is, this is really quality information that expectant mothers needed to know, uh, put out under the Biden administration. Uh, and I think it, these are things that are really needed. And in a nation that was facing a population crisis because we producing children, we decided to open our borders and let anybody in the world come in because we really needed people. Because we weren't producing enough of our own people. Uh, and I, uh, again, I'm I'm shocked at some of this stuff. I, uh, you know, you you sit here and you listen, you say, OK, fine, you know, this is part of the game where you're trying to get somebody to cast a vote on some, uh, s- some uh legislative idea that uh the unborn shouldn't don't deserve a chance at life because it's not convenient at that time for somebody. Uh this is an absurd uh position that we've we've taken but so the previous administration puts out, this is great, I I'm this is something that I wish my wife had known this uh w- while we were expecting uh any one of our five children Uh, or that my, my children, uh, who have, uh, for some reason gone off the end of, uh, of the, uh, plank here there, they've actually thought that having kids was great. So we have ten grandchildren which we celebrate their birthdays all the time, their first communion, their graduations. I got pictures hanging over, um, over my house that some people say, " Is that Kitty art?" I said, " Yes, that's, uh, that's our kids." Um, and I feel sorry for people who've never seen any of that art. or forget um, or forget what they're doing here on earth. I I've of- I've often wondered when we have these discussions, this this horrible idea that a pregnancy should not be allowed to result in the birth of a child. Uh, I've often wondered if if my colleagues on the other side that have that, that, that faith or that belief that at at the end of these things today, please call your mother and thank you for having you. so that you could come here and categor and ta- and castigate everybody else who actually believes that your, your being here was actually a result of your mother deciding to, to give birth. Uh, that's, that's a shocking, realistic, uh, thing that's happening in the country today. So I, well, I'll tell you what, first of all, Michelle Fishbaum, I, I, uh, I c- p- I appreciate what you're trying to do. Uh, I do notice that it, for, for those of us that watch athletic events, especially after the the Super Bowl they always show the the benches and the guys that are winning are are always saying yelling hi mom hi mom uh because their mother actually gave birth and they got a chance to play in the Super Bowl. Um but that's OK, that's OK. Uh so we're finishing up a long day uh and I I was hoping we'd a- actually stay on stuff that actually made sense to the to our nation. Um there's nothing that we celebrate more than the birth of a child. As a grandparent, uh, you you really relish those times when when your children continue this tradition um of having children. I I don't know how we got to the point we're at today, but uh, Miss Fishba, thank you for doing this, I I I I don't really see the the danger of uh of going through with all these things and actually expecting people to to give birth and to actually enjoy the idea that we have children and we have uh, we have a future because we have children. Or you could just say, we're not producing enough children, so what we need to do is tear down the walls, let everybody come into the nation, uh because we, we're not producing enough of our own people. This has been an absurd kind of conversation and I hope you, I hope you all when you go off on your own say, I can't believe this, Kelly will say, uh, uh, what, what does he know about this? Uh, he should never say anything. But I'll tell you what, my wife's one in nine, I'm one of five, my uncle Jerry Jerry and Aunt Joanne had thirteen, and I often wondered after w- w- we had our first child, how in the world did they do it? But I will tell you one thing. Every one of those children, every one of those children had a chance at life. And it wasn't because of anything else than the fact that the belief, the strong belief that the reproduction of human beings is absolutely important. I have never in my life ever expected to sit in the greatest nation in the world, in this government, and sit here talking about our biggest problem we have is we should not allow, we should help these people hold down the population because there's other people around the world that could come here. We'll let them in. Um, listen, uh, first of all, Chairman, thank you for a very, a, a, a very good, uh, a day, a, a day of listening and day of learning. Um, the one thing is I wish we had finished up on a high note as opposed to a low note. But for all of you, when you go home tonight, please call mom. Say, " You know what? Thanks for following through on this, because I wouldn't have had an opportunity today to discuss this in a negative way." So God bless you all. Safe home. I hope to see you back here soon. Uh, please enjoy what life we have left, and let's just make sure that we make the most of it every day. Chairman, thanks so much. Appreciate it.

Rep. Smith (MO-8)6:18:58 – 6:19:00

Additional members wish to strike the last word.

Rep. Moore (WI-4)6:19:01 – 6:19:01

Larson. Yeah.

Rep. Smith (MO-8)6:19:01 – 6:19:02

Mister Larson.

Rep. Moore (WI-4)6:19:01 – 6:19:09

Yes. Yes. The gentleman from uh, the general woman has more.

Rep. Smith (MO-8)6:19:11 – 6:19:11

You're all great.

Rep. Moore (WI-4)6:19:11 – 6:21:05

Thank thank you so much, Mister Larson, and let me just say to Mister Kelly, you know, I have often wanted in my service to my communities when I was in the state legislature and even now to be able to sit down when we're not in front of lots of people and talk to those folks like you, Mister Kelly, like Mister Smith of New Jersey, uh like Miss Fishbaugh, very passionate about their pro-life position. I want you to know I'm I'm the mother of three, the grandmother of three, I'm a great grandmother of three. So I I am not a person who doesn't wanna see people born in this world. But I tell you, when I when I heard that one of my children, one of my grandchildren or when I heard my daughter was pregnant in one of her pregnancies, I was out at dinner and I fell out and I fainted. And the reason I fainted is cuz I knew the cost that it was gonna be and the sacrifices it was gonna be, and I knew the challenges that my daughter was gonna get. Getting the public to support her and that baby after she emerged from the womb. It is so ironic that we hear these passionate speeches about how we need more children and how children are are are are precious. You know, and forty percent of the kids are born on Medicaid and they're immediately labeled as takers as parasites when they come in the world. Healthy start, president tried to zero that out. You cut fruits and vegetables from toddlers, not from grown folks. Peop- kids with brain development needs. They can't have food.

Rep. Smith (MO-8)6:21:05 – 6:21:06

That's why I think the truth is

Rep. Moore (WI-4)6:21:07 – 6:21:09

Because from the public trough,

Rep. Smith (MO-8)6:21:07 – 6:21:07

that

Rep. Moore (WI-4)6:21:09 – 6:21:12

they can't have health care from the public trough.

Rep. Smith (MO-8)6:21:13 – 6:21:13

I mean, uh,

Rep. Moore (WI-4)6:21:13 – 6:21:15

And sometimes

Rep. Smith (MO-8)6:21:15 – 6:21:15

I was in

Rep. Moore (WI-4)6:21:15 – 6:24:23

a woman who's seeking an abortion is doing it because she's realistic about the level of concern and care she's gonna get. We talk an awful lot about TANF. You know, and how these women who need support are just leeching. on the system. And so how dare you deny a woman her own ability to determine her reproductive health care needs. What if she, what if she needs birth control? Because she has diabetes and her doctors say, you, you shouldn't do this again. I've watched, I've looked at beautiful women laying in their casket. who were pro-life and and and didn't wanna not have that thirteenth child. Because they didn't believe in abortion, and the doctor said you need to, your heart will not, you will not be able to go through this pregnancy. And so the thing of it is, is that all of this, you know, you know, all of this, this high and mighty talk about the value of life, it doesn't show up Republicans, when it's time to actually, I'm gonna call you guys out. You're gonna be here next term, Mister Kelly, I'm gonna call you out every single time you vote against SNAP or WIC or Healthy Start or Head Start or any of these things that help, or child care or pre-K education for kids all of the stuff that kids need or money. You know, what kills me are Republicans who vote against school lunch and school breakfast. And they wax on about how it's a parent's responsibility to feed their kids. But they and they but they you know, I'm but it's duplicative of services. If we give them school lunch and snack. So this hypocrisy, Mr. Kelly, that I can't stand. We could eliminate the desire for women to have an abortion, if we would just give them some slack. You know, and I think marriage is very good. And, you know, a man like you, Mr., uh, Kelly, supporting your wife and your five kids. But the happily ever after isn't always there. Sometime men run off with their secretaries and leave their wives. And and have to take care of the kids themselves. These are realities. This is not a pie in the sky hoping about what motherhood would should be like. I just wanna thank you all for hearing me out. Cuz I just could not contain myself.

Rep. Smith (MO-8)6:24:25 – 6:24:46

I yield back. Additional members wish to strike the last word. Seeing none, we will move to amendments. Are there any amendments to the amendment in the nature of a substitute? I I I have an amendment. I I definitely huh? Wait a minute, Mister Chairman. I haven't called on anyone, and I will call on Mister Davis. Yeah.

Rep. Davis (IL-7)6:24:46 – 6:24:49

Thank you, Mister Chairman, I am in the

Rep. Buchanan (FL-16)6:24:49 – 6:24:51

Mister Chairman, I reserve a point of order.

Rep. Smith (MO-8)6:24:51 – 6:25:08

A point of order has been reserved with the gentlemen to spend while the amendment is distributed. Mister Davis, you can proceed.

Rep. Davis (IL-7)6:25:09 – 6:25:40

Thank you, Mister Chairman. Thank you. You know, we've had a very interesting discussion. But the good book teaches us to care for all. Everybody. And especially the least of these. Not just the ones who are Christian. Not just the ones who are married. Not just the ones who are straight. And so, Mister Chairman, I get deeply concerned when I hear that the federal government,

Rep. Smith (MO-8)6:25:38 – 6:25:38

Yeah.

Rep. Davis (IL-7)6:25:40 – 6:26:32

specifically the Trump administration, is imposing restrictions on federal programmes based on whether one is married, or speaks English, or is LGBTQ. These exclusions go against the law and against Judeo-Christian teaching. Americans look to the federal government for help. And they should know that help will be on the way. That they will be directed to programs that will not turn them away. Because of the color of their skin, their marital status, who they love, or another fundamental element of who they are.

Rep. Smith (MO-8)6:26:32 – 6:26:32

Yeah.

Rep. Davis (IL-7)6:26:33 – 6:27:58

Further, Americans look to the federal government with the presumption of truthfulness and complete information. If a pregnant person goes to a federal web site to find local reproductive care resources. She likely believes that the web site is sharing comprehensive information and not intentionally excluding quality health care providers because Trump officials don't agree with them. My amendment would help moms seeking resources on Moms. Gov in two key ways. First, it would ensure that the entities listed are linked on the web site, do not exclude service to an individual based on race, ethnicity, national origin, language, disability, sexual orientation, gender, religion, or marital status. This is what we should expect of a federal resource. Congress should not encourage a federal web site to direct constituents to programs that will sham them as unworthy of help.

Rep. Smith (MO-8)6:27:59 – 6:28:00

I would think so.

Rep. Davis (IL-7)6:28:00 – 6:29:29

Secondly, my amendment would help moms by making sure the web site accurately reflects local health options by including providers primarily engaged in family planning services reproductive health, and related medical care. As drafted, the bill might exclude the only provider of women's health care in some communities and especially in tribal nations. Our committee must not mislead women seeking reproductive health care resources into thinking that their local comprehensive community providers do not exist. are or are not legitimate because those providers were intentionally excluded from federal resource web sites. We should let women choose their health care providers. Americans should be able to trust that the federal government will connect them with resources that will not discriminate against them and that will acc accurately exclude and include the local health care providers. My amendment provides these protections for those using Moms.gov and I urge my colleagues to support it and I yield back.

Rep. Smith (MO-8)6:29:29 – 6:29:32

Is there any discussion on the amendment? Miss Fischbach.

Rep. Fischbach (MN-7)6:29:33 – 6:30:42

Thank you, Mister Chair, and and i- I don't I don't think this is a a serious amendment. Um, we're we're talking about a web site. Um, the Empowering Moms Act is aimed at helping, expecting and new mothers. This is what it is about. We are trying to help them succeed. We are trying to help them uh to understand that there is, they, they have support, particularly if they, they are, are looking for searching the web. But let's remember, this is a web site. This is not um, you know, s- a, a place where they are being directed to do something specific. They are seeking information and this is their opportunity with the with um moms dot gov. Um but this bill creates a central clearing house of resources um including material support such as formula and diapers and mental health services and health services it also prioritizes the life of the unborn child and insures mother mothers can conf confidently uh raise their child and so I I would urge a no vote on this amendment I don't think it's a serious amendment and it is not

Rep. Smith (MO-8)6:30:49 – 6:30:55

Further discussion on the amendment? Seen What what was the structure last meeting? Proceed.

Rep. Moore (WI-4)6:30:57 – 6:31:09

Well, I just wanna thank Miss Fischbach for her comments and and uh her explanation. Um, I support this amendment because I think that um

Rep. Fischbach (MN-7)6:31:10 – 6:31:10

Been a long day.

Rep. Moore (WI-4)6:31:11 – 6:32:02

that while her while the bill uh is designed to uh while the title of the bill says that they wanna help moms succeed there's so much data missing uh from it and i think that by excluding uh Planned Parenthood you are also excluding um uh some other services that women get at Planned Parenthood uh which you know number one they're licensed health professionals at Planned Parenthood. Um, they also, uh, refer women, uh, to other resources. So the fact that they're excluded, um, is, um, uh, it does not fit in. And I will conclude my, it does not fit in with the stated goal of helping moms succeed. I'll yield back.

Rep. Smith (MO-8)6:32:07 – 6:32:22

Further discussion on the amendment. All right, seeing none, we will um The question is on a green amendment offered by Mister Davis. Clerk will call the roll.

Clerk6:32:23 – 6:32:23

Mister Buchanan.

Rep. Moore (WI-4)6:32:23 – 6:32:24

No.

Clerk6:32:24 – 6:32:42

Mister Buchanan, no. Mister Smith of Nebraska. Mister Smith of Nebraska, no. Mister Kelly. Mister Kelly, no. Mr. Schweikart. Mr. LaHood.

Rep. Smith (MO-8)6:32:44 – 6:32:44

No.

Clerk6:32:44 – 6:32:46

Mr. LaHood, no.

Rep. Smith (MO-8)6:32:46 – 6:32:46

No.

Clerk6:32:47 – 6:33:06

Mr. Arrington. Oh, I'm so confused. Mr. Estes. Oh, I can't remember. Mr. Estes, no. Mr. Smucker. Mr. Smucker, no. Mr. Hearn. Mrs. Miller.

Rep. Smith (MO-8)6:33:06 – 6:33:07

No.

Clerk6:33:07 – 6:33:09

Mrs. Miller, no. Dr. Murphy.

Rep. Smith (MO-8)6:33:10 – 6:33:11

No. No.

Clerk6:33:11 – 6:33:13

Dr. Murphy, no. Mr. Kustof.

Rep. Smith (MO-8)6:33:14 – 6:33:14

No.

Clerk6:33:14 – 6:33:22

Mr. Kustof, no. Mr. Fitzpatrick. Mr. Stubbe.

Rep. Smith (MO-8)6:33:22 – 6:33:22

No.

Clerk6:33:23 – 6:33:28

Mr. Stubbe, no. Miss Tenney. Miss Tenney, no. Mrs. Fischbach.

Rep. Smith (MO-8)6:33:28 – 6:33:29

No.

Clerk6:33:29 – 6:33:31

Mrs. Fischbach, no. Mr. Moore.

Unknown6:33:40 – 6:33:40

No. No.

Clerk6:33:40 – 6:33:48

Mister Moore? No. Miss Van Duyn. Mister Feenstra.

Unknown6:33:48 – 6:33:49

No. No.

Clerk6:33:49 – 6:33:56

Mister Feenstra? No. Miss Malia Takis. Mister Kerry.

Unknown6:33:57 – 6:33:57

No, it's not.

Clerk6:33:57 – 6:34:00

Mister Kerry? No. Mister Joachim.

Rep. Smith (MO-8)6:34:01 – 6:34:02

No.

Clerk6:34:03 – 6:34:10

Mister Yockem, no. Mister Miller. Mister Miller, no. Mister Bean.

Rep. Smith (MO-8)6:34:10 – 6:34:10

No.

Clerk6:34:10 – 6:34:13

Mister Bean, no. Mister Moran.

Rep. Smith (MO-8)6:34:13 – 6:34:13

No.

Clerk6:34:13 – 6:34:20

Mister Moran, no. Mister Neal. Mister Doggett.

Unknown6:34:20 – 6:34:21

Aye.

Clerk6:34:21 – 6:34:24

Mister Doggett, yes. Mister Thompson.

Unknown6:34:24 – 6:34:24

Aye.

Clerk6:34:24 – 6:34:26

Mister Thompson, yes. Mister Larson.

Unknown6:34:26 – 6:34:27

Yes.

Clerk6:34:27 – 6:34:29

Mister Larson. Yes, Mister Davis.

Unknown6:34:29 – 6:34:30

Yeah.

Clerk6:34:30 – 6:34:32

Mister Davis, yes, Miss Sanchez.

Unknown6:34:32 – 6:34:33

Aye.

Clerk6:34:33 – 6:34:43

Miss Sanchez, yes, Miss Sewell. Miss DelBene. Miss Chu.

Unknown6:34:43 – 6:34:43

Aye.

Clerk6:34:44 – 6:34:46

Miss Chu, yes, Miss Moore.

Unknown6:34:46 – 6:34:47

Aye. Aye.

Clerk6:34:47 – 6:34:59

Miss Moore, yes, Mister Boyle. Mister Beier. Mister Evans.

Unknown6:34:59 – 6:35:00

Yes.

Clerk6:35:00 – 6:35:02

Mister Evans, yes. Mister Schneider.

Unknown6:35:03 – 6:35:03

Yes.

Clerk6:35:03 – 6:35:06

Mister Schneider, yes. Mister Panetta.

Unknown6:35:07 – 6:35:07

Yes.

Clerk6:35:08 – 6:35:23

Mister Panetta, yes. Mister Gomez. Mister Horsford. Miss Plaskett. Mister Swazi.

Unknown6:35:23 – 6:35:24

Aye.

Clerk6:35:24 – 6:35:28

Mister Swazi, yes. Mister Schweikert.

Rep. Smith (MO-8)6:35:30 – 6:35:30

Yeah, I think it is.

Clerk6:35:30 – 6:35:31

Mister Schweikert.

Unknown6:35:31 – 6:35:33

No, it's actually really low. We can do

Rep. Smith (MO-8)6:35:32 – 6:35:34

Oh, no, sorry, sorry, I was wrong.

Clerk6:35:34 – 6:36:08

No. Mister Arrington. Mister Hearn. Mister Fitzpatrick. Miss Van Duyn. Miss Maliatakis. Mister Neal. Miss Sewell. Miss DelBene.

Unknown6:36:08 – 6:36:08

Aye.

Clerk6:36:11 – 6:36:55

Miss DelBene, yes. Mister Boyle. Mister Beier. Mister Gomez. Mister Horsford. Miss Plaskett. Chairman Smith.

Rep. Smith (MO-8)6:36:56 – 6:36:56

No.

Clerk6:36:57 – 6:36:59

Chairman Smith? No.

Rep. Smith (MO-8)6:37:05 – 6:37:07

How is Miss Beth Beth Van Duyn recorded?

Clerk6:37:07 – 6:37:12

Miss Van Miss Van Duyn is not recorded. Miss Van Duyn, no.

Rep. Smith (MO-8)6:37:27 – 6:37:28

Clerk will report the vote.

Clerk6:37:44 – 6:37:47

Mr. Chairman, the yeses are twelve and the noes are twenty-two.

Rep. Smith (MO-8)6:37:48 – 6:37:55

There being twelve yeses and twenty-two no's, the amendment is not adopted. Are there additional amendments?

Rep. Chu (CA-28)6:37:55 – 6:37:57

Mister Chair, I have an amendment at the desk.

Rep. Buchanan (FL-16)6:37:58 – 6:37:59

Mister Chair, may I reserve a point of order?

Rep. Smith (MO-8)6:37:59 – 6:38:26

A point of order reserved? Um would the gentle lady suspend while the amendment is distributed? Proceed.

Rep. Chu (CA-28)6:38:27 – 6:43:15

My amendment, which is cosponsored by my colleague, Representative DelBene, would prohibit Moms. dot Gov from promoting organizations that have been found by a state medical board to have provided misleading or deceptive medical information or to have unnecessarily put the health of a woman at risk. Mom dot gov, Moms dot gov purports to be a resource to support the health and well-being of women and families. In reality, this web site is yet another Republican attempt to push their extreme anti-abortion agenda at the expense of women's health and safety. What this web site does, and what the bill before us today seeks to codify, is to direct women to anti-abortion centers, or so-called crisis pregnancy centers, many of which are not real medical providers. Democrats have long raised concerns about this kind of deceptive practice that many of these centers engage in to mislead patients seeking care. The scale of the deception is staggering. A major study of more than six hundred anti-abortion centers across nine states found that nearly two-thirds promoted patently false or biased medical claims And fewer than half reported having a licensed medical professional on staff. In Iowa, an OGB at YN has seen patients who visited these centers and were told that using contraceptives was the same as having an abortion. She's seen patients who've had miscarriages or had to endure dangerous ectopic pregnancies because they were misdiagnosed by these anti-abortion centers. In Dallas, a woman had to have emergency surgery just three days after an unqualified staff member at one of these centers conducted an ultrasound and failed to detect an ectopic pregnancy. She was sent home from the center believing her pregnancy was healthy when in reality it was life-threatening. In Chicago, a woman seeking an abortion was deliberately misled by a fake clinic, subjected to graphic videos, and was told falsely that having an abortion would make her infertile. After giving birth, she lost her job and health coverage, and the so-called clinic never offered real medical care or follow-up support. In Georgia, a woman got an ultrasound from a pregnancy center and was told that her baby's kidneys were filled with water and that she needed to see a primary care doctor. That diagnosis was incorrect. But the stress of that misdiagnosis severely impacted the mother. She h- said that the irony in all this is that that that could have caused me to lose a perfectly healthy pregnancy. And in my home state of California, the Attorney General previously filed suit against an anti-abortion organization operating multiple of these centers for falsely advertising, that they offer so-called abortion reversal. That claim is medically false and has been widely condemned by the medical community, including the American College of Obstetricians and Gynecologists. Not only that, the rigorous study designed to test this so-called procedure was halted early because multiple women experienced severe hemorrhaging, and had to be rushed to the hospital. And yet, Republicans' underlying bill before us actually lists abortion pill reversal as a relevant resource that should be included on Moms.gov. It's outrageous. If my Republican colleagues w- truly want to support parents and families, Democrats would welcome their support for establishing paid family and medical leave, making child care affordable for working families, or reversing the one trillion dollar cut to Medicaid, our nation's largest insurer of child ch- of children and births in this country. But since my Republican colleagues are insistent on ignoring these crisis and moving forward, anyway, on a bill directing women to non-medical anti-abortion facilities, then the absolute minimum we owe America's women is a guarantee that these facilities won't lie to them or endanger their very lives. My amendment is simple and common sense. If an organization has been caught deceiving patients and putting their health at risk, It should not be promoted by a government website or pushed onto women at one of the most vulnerable times in their lives. I urge support for my amendment and I yield back.

Rep. Smith (MO-8)6:43:19 – 6:43:22

Is there any discussion? Miss Fischbach.

Rep. Fischbach (MN-7)6:43:23 – 6:44:30

Thank you, Mister Chair. And and here it is again. This this amendment is not about helping mothers. It is not about helping babies. It is about going after crisis pregnancy centers, pregnancy care centers, which i- it makes me sad when I hear the depiction of - of those pregnancy care centers because I've been into, physically been to many, many, many of the crisis, uh, the pregnancy care centers. And that is not, that is not an accurate depiction of what happens when, uh, a, a woman walks into one of those one of those centers and is surrounded by love. And so it just this is, like I said, this this is not a serious amendment that's about helping or making the uh making improvements. This is about attacking anyone who is pro-life and attacking any center that might actually encourage a woman to carry a childhood term and so I I oppose this amendment and um and I would urge everyone to vote no.

Rep. Sánchez (CA-38)6:44:31 – 6:44:32

Mr. Chairman.

Rep. Fischbach (MN-7)6:44:33 – 6:44:34

Further dis-

Rep. Smith (MO-8)6:44:35 – 6:44:39

Further discussion on the amendment? Miss uh Sanchez.

Rep. Sánchez (CA-38)6:44:39 – 6:47:24

Thank you, Mr. Chairman, I just want to respond to the last comments that were made. How is making sure that pregnancy centers provide accurate medical information not helping women and children? That that's nonsensical, that makes absolutely zero sense. And I applaud you for having visited and physically been inside a pregnancy center But unless you've been in every single one, in every single state in this country, and can verify that all of the information that they are providing is accurate, you can't just blankly state that they don't, that they're infallible. People make mistakes. They make medical mistakes. And when people do that and it puts the health of a child or a mother at risk, you should want them to be accountable for that. I - I - I - I struggle to see how wanting transparency and accountability is, quote, " going after pro-life people". That makes zero sense. It's non-sequitur. We are simply trying to say, " OK, if these centers are gonna operate, let's make sure that they're operating honestly, and that they're giving women accurate information, and that they're not putting women or children's lives at - at risk." Yes, they may do really great work, but they also can be doing things that are either intentionally wrong or recklessly wrong, or unintentionally wrong, but wrong nonetheless. I - I just don't understand this blind faith that these pregnancy centers do know wrong. We have data, we have documented incidences, and you can turn your head and look the other way and pretend like mistakes don't happen, but they do because we have the data to prove it. We have the stories uh by women themselves who have been there and were told wrong information that it happens. So why not allow the amendment that would create the transparency and the mechanism by which we could hold people accountable if they're doing things that harm women and children. That that's not anti-pro-life, that's the most pro-life thing we could be doing. I just don't understand this blind insistence that there's nothing to see here and there's nothing wrong there. That's wrong. That's false. Open your eyes. Open your mind. Support an amendment that would give transparency, that would force accountability. for harm that can be done to women and children, and with that I will yield back.

Rep. Smith (MO-8)6:47:25 – 6:47:36

Is there further discussion on the amendment? Seeing none, the question is on agreeing to the amendment offered by Miss Chiu. The clerk will call the roll.

Clerk6:47:38 – 6:47:38

Mister Buchanan.

Unknown6:47:39 – 6:47:39

Oh.

Clerk6:47:39 – 6:47:43

Mister Buchanan, no. Mister Smith of Nebraska.

Unknown6:47:43 – 6:47:44

No.

Clerk6:47:44 – 6:47:54

Mister Smith of Nebraska, no. Mister Kelly. Mister Kelly. No. Mister Schweikert.

Rep. Smith (MO-8)6:48:01 – 6:48:02

No. No.

Clerk6:48:02 – 6:48:03

Mister Schweikert, no.

Rep. Smith (MO-8)6:48:03 – 6:48:04

Exactly.

Clerk6:48:07 – 6:48:07

Mister Lohood.

Rep. Smith (MO-8)6:48:07 – 6:48:08

No. No.

Clerk6:48:08 – 6:48:11

Mister Lohood, no. Mister Arrington.

Rep. Smith (MO-8)6:48:11 – 6:48:11

No.

Clerk6:48:12 – 6:48:14

Mister Arrington, no. Mister Estes.

Rep. Smith (MO-8)6:48:14 – 6:48:14

No.

Clerk6:48:15 – 6:48:25

Mister Estes, no. Mister Smucker. Mister Smucker, no. Mister Hearn. Mrs. Miller.

Rep. Smith (MO-8)6:48:25 – 6:48:25

No.

Clerk6:48:26 – 6:48:30

Mrs. Miller? No. Doctor Murphy. Doctor Murphy?

Rep. Smith (MO-8)6:48:30 – 6:48:30

No.

Clerk6:48:30 – 6:48:32

No. Mister Kustof.

Rep. Smith (MO-8)6:48:32 – 6:48:32

No.

Clerk6:48:32 – 6:48:40

Mister Kustof? No. Mister Fitzpatrick. Mister Stuebe.

Rep. Smith (MO-8)6:48:40 – 6:48:41

No.

Clerk6:48:41 – 6:48:46

Mister Stuebe? No. Miss Tenney. Miss Tenney? No. Mrs. Fischbach.

Rep. Smith (MO-8)6:48:46 – 6:48:47

No.

Clerk6:48:47 – 6:48:49

Mrs. Fischbach? No. Mr. Moore.

Unknown6:48:49 – 6:48:50

No.

Clerk6:48:50 – 6:48:53

Mr. Moore, no. Miss Van Duyn.

Unknown6:48:53 – 6:48:53

No.

Clerk6:48:53 – 6:48:56

Miss Van Duyn, no. Mr. Feenstra.

Unknown6:48:56 – 6:48:56

No.

Clerk6:48:56 – 6:48:59

Mr. Feenstra, no. Miss Mayotakis.

Unknown6:49:01 – 6:49:02

No.

Clerk6:49:02 – 6:49:05

Miss Mayotakis, no. Mr. Carey.

Unknown6:49:05 – 6:49:06

No.

Clerk6:49:07 – 6:49:09

Mr. Carey, no. Mr. Yockem.

Unknown6:49:10 – 6:49:10

No.

Clerk6:49:11 – 6:49:16

Mr. Yockem, no. Mr. Miller. Mr. Miller, no. Mr. Bean.

Unknown6:49:17 – 6:49:17

No.

Clerk6:49:17 – 6:49:20

Mister Bean, no. Mister Moran.

Unknown6:49:20 – 6:49:21

No.

Clerk6:49:21 – 6:49:28

Mister Moran, no. Mister Neal. Mister Doggett.

Unknown6:49:29 – 6:49:30

Aye.

Clerk6:49:30 – 6:49:32

Mister Doggett, yes. Mister Thompson.

Unknown6:49:32 – 6:49:33

Aye.

Clerk6:49:33 – 6:49:35

Mister Thompson, yes. Mister Larson.

Unknown6:49:35 – 6:49:35

Yep.

Clerk6:49:36 – 6:49:38

Mister Larson, yes. Mister Davis.

Unknown6:49:38 – 6:49:38

Yes.

Clerk6:49:38 – 6:49:41

Mister Davis, yes. Miss Sanchez.

Unknown6:49:41 – 6:49:41

Aye.

Clerk6:49:41 – 6:49:46

Miss Sanchez, yes. Miss Sewell. Miss Del Bene.

Unknown6:49:47 – 6:49:47

Aye.

Clerk6:49:47 – 6:49:49

Miss Del Bene, yes. Miss Chu.

Unknown6:49:49 – 6:49:50

Aye.

Clerk6:49:50 – 6:49:52

Miss Chu, yes. Miss Moore.

Unknown6:49:53 – 6:49:53

Aye.

Clerk6:49:53 – 6:50:04

Miss Moore, yes. Mister Boyle. Mister Baier. Mister Evans.

Unknown6:50:04 – 6:50:05

Yes.

Clerk6:50:05 – 6:50:07

Mister Evans, yes. Mister Schneider.

Unknown6:50:08 – 6:50:08

Yes.

Clerk6:50:08 – 6:50:11

Mister Schneider, yes. Mister Panetta.

Unknown6:50:11 – 6:50:11

Yes.

Clerk6:50:11 – 6:50:24

Mister Panetta, yes. Mister Gomez. Mister Horsford. Miss Plaskett. Mister Swazi.

Unknown6:50:24 – 6:50:25

Aye.

Clerk6:50:25 – 6:51:02

Mister Swazi, yes. Mister Hearn. Mister Fitzpatrick. Mister Neal. Miss Sewell. Mister Boyle. Mister Beier. Mister Gomez. Mister Horsford. Miss Plaskett. Chairman Smith.

Rep. Smith (MO-8)6:51:02 – 6:51:02

No.

Clerk6:51:02 – 6:51:04

Chairman Smith, no.

Rep. Smith (MO-8)6:51:10 – 6:51:11

Clerk will report the vote.

Clerk6:51:19 – 6:51:23

Mister Chairman, the yeses are twelve and the noes are twenty-four.

Rep. Smith (MO-8)6:51:23 – 6:51:28

There being twelve yeses and twenty-four noes, the amendment is not agreed to. Are there additional amendments?

Rep. Moore (WI-4)6:51:30 – 6:51:31

I have an amendment.

Rep. Smith (MO-8)6:51:31 – 6:51:33

Miss Miss Moore has an amendment.

Rep. Moore (WI-4)6:51:31 – 6:51:31

Yes.

Rep. Buchanan (FL-16)6:51:33 – 6:51:35

Mister Mister Chairman, a reserve point of order?

Rep. Smith (MO-8)6:51:35 – 6:51:48

There has been a point of order raised with the General Lady suspended while the amendment is You can proceed, Miss Moore.

Rep. Moore (WI-4)6:51:52 – 6:56:15

Thank you, thank you so much, Mister Chairman, uh, for recognizing me. I just wanna state for the record that I am opposed to having a government web site that directs people to private resources And that may include directing them to Planned Parenthood, uh, who, which I I support. But these private pregnancy centers and, uh, the the the what is this organization where you can give your baby up, the National Safe Haven Alliance can relinquish your baby. I think that government websites ought to have government information. You know, I I know that all of us are subject to these provisions with our official websites, we aren't allowed to direct people to private entities. I can't uh direct people to Planned Parenthood from my government website. Um, and so we ought to limit this. I I think we ought to add to this website, mom dot gov, relevant public information about the well-being of pregnant women and women parenting young children, including maternal and infant mortality and morbidity data from the National Vital Statistics System at the Centers for Disease Control, health status for women. This might inform people a lot more about whether or not they want to stay pregnant. Um, a- as a black woman who has had a crisis pregnancy or two, um, I, I can tell you that I'm part of, uh, that eighty percent of m- uh maternal mortality mor- deaths in the United States are preventable. And here we are, one of the wealthiest countries in the OECD, and we have the highest uh m- maternal mortality rate. And it's very prevalent among black American women and Native American women, whose uh maternal mortality um is is significantly higher. Uh, black women in my state are five times more likely to die from maternal uh mortality. Um, in twenty twenty four, the most recent year for which the Wisconsin Department of Health Services has publicized data, we've had an infant mortality rate of twelve and a half deaths for every thousand live births among black babies. And for white babies, this was only four point eight percent. Maybe women need to know more. about um uh uh about health status and the outcomes uh before they make a decision about becoming pregnant or continuing a pregnancy. Women need to know information on licensed health care and regulated child care slots. You know, when I was pregnant, what did I need, I needed child care, I needed food, I needed housing, I needed an education and training. I needed to know where to take my doctor, uh, my daughter to, to the doctor when she had her first severe asthma attack at age four days old. I did not need to go somewhere where they gave me diapers and formula for a few months and knitted me some, some booties for my baby. This is not what I needed. I needed someone to care about my kids. And so this amendment, this amendment here would Populate moms dot org with information that women really need regarding the vitality uh of their decision making around uh producing more life. Um and um and and it is very they need objective counseling. They don't need someone to steer them toward um an organization that only wants to pr- to prevent them from having an abortion. They need a balanced information. And so with that, Mister Chairman, uh, I would, I would yield back and ask this body to, uh, strongly consider my amendment.

Rep. Smith (MO-8)6:56:16 – 6:56:19

Further discussion on the amendment, Miss, uh, Van Duyn.

Rep. Van Duyne (TX-24)6:56:20 – 6:58:49

I, I appreciate all this great conversation and these amazing amendments that are being added to a web site that is talking about uh providing resources for women. This is all this is. We're we're we're not providing, you know, an emergency room visit. We don't have clinics that we have to visit. This is literally just providing a web site. It's worth a Google. This is just additional resources. And for the argument that w- that government sites don't ever, we should never, pu- um, publish, uh, uh, private organizations. So, health information lists dozens of groups, such as the Alzheimer's Association, American Heart Association, American Cancer Association, Academy of Nutrition and Dietetics, um, We have disaster preparedness. I, for one, during the first Trump administration worked for HUD. And during my time there, we actually had Hurricane Harvey that happened in Texas. And we were very, very happy to work with FEMA and HUD to direct people to places like American Red Cross. Um, we had military family services they could go to, we had the Better Business Bureau, we had blood donation places, first aid training, um, family emergency plans. We do this all the time. And HUD also has other agencies like like the United Way that they send people to. Um, grants and nonprofits, we do this all the time. Other partnerships with SBA, uh, US Conferen- US Chamber of Commerce, uh, Girl Scouts. The idea that we can't do it because it's a private, uh, resource is absurd. They do it all the time. What they don't like is the fact that it is not meeting their, their agenda. That what we're talking about doing is actually providing services, health care, uh, things that pregnant women need. And while Miss Moore, uh, you know, as a mom I appreciate it, Um, but as a mom, I really appreciated diapers. That was a need that babies had, that moms had, that are quite expensive. And having that as a need in my area and having it be a resources that you cannot afford. Being in diapers. I think there are a lot of things, including clothes, uh, and care, and having somebody that actually cares for you, that will talk to you and counsel you, is an important thing. Are we gonna be an end-all, be-all? Absolutely not. This is a resource page. This is as deep as this gets. This is a resource page to women who find themselves in need and you've got organizations who are actually putting money and care and items together in training, this is what this is about. And, you know, I appreciate the amendments, but I this is this is not the kind of a discussion that we need to explode this into for a web site, for women in need. Thank you, and I yield back.

Rep. Smith (MO-8)6:58:50 – 6:58:58

Further discussion on the amendment. Seeing none, the question is on our agreeing to the amendment offered by Miss Moore. The clerk will call the roll.

Clerk6:59:00 – 6:59:01

Mister Buchanan.

Rep. Smith (MO-8)6:59:01 – 6:59:02

No.

Clerk6:59:03 – 6:59:07

Mister Buchanan, no. Mister Smith of Nebraska.

Rep. Smith (MO-8)6:59:07 – 6:59:08

No.

Clerk6:59:08 – 6:59:12

Mister Smith of Nebraska, no. Mister Kelly.

Rep. Smith (MO-8)6:59:12 – 6:59:12

No.

Clerk6:59:13 – 6:59:32

Mister Kelly, no. Mister Schweikert. Mister LaHood. Mister LaHood, no. Mister Arrington. Mister Errington, no. Mister Estes, Mister Estes, no. Mister Smucker.

Rep. Smith (MO-8)6:59:29 – 6:59:30

No.

Clerk6:59:34 – 6:59:48

Mister Smucker, no. Mister Hearn, Mister Hearn, no. Mrs. Miller, Mrs. Miller, no. Doctor Murphy, Doctor Murphy, no. Mister Kustoff, Mister Kustoff, no. Mister Fitzpatrick.

Rep. Smith (MO-8)6:59:48 – 6:59:48

No.

Clerk6:59:51 – 6:59:51

Mister Stubbe,

Rep. Smith (MO-8)6:59:52 – 6:59:52

No. No.

Clerk6:59:52 – 6:59:57

Mister Stubbe, no. Miss Tenney. Miss Tenney, no. Mrs. Fischbach.

Rep. Smith (MO-8)6:59:57 – 6:59:57

No.

Clerk6:59:58 – 7:00:00

Mrs. Fischbach, no. Mister Moore.

Rep. Smith (MO-8)7:00:01 – 7:00:01

No.

Clerk7:00:01 – 7:00:03

Mister Moore, no. Miss Van Duyn.

Rep. Smith (MO-8)7:00:04 – 7:00:04

No.

Clerk7:00:04 – 7:00:07

Miss Van Duyn, no. Mister Feenstra.

Rep. Smith (MO-8)7:00:07 – 7:00:07

No.

Clerk7:00:07 – 7:00:10

Mister Feenstra, no. Miss Malia Takis.

Rep. Smith (MO-8)7:00:10 – 7:00:10

No.

Clerk7:00:11 – 7:00:13

Mister Malia Takis, no. Mister Kerry.

Rep. Smith (MO-8)7:00:14 – 7:00:14

No.

Clerk7:00:14 – 7:00:16

Mister Kerry, no. Mister Joachim.

Rep. Smith (MO-8)7:00:16 – 7:00:17

No.

Clerk7:00:17 – 7:00:23

Mister Joachim, no. Mister Miller. Mister Bean.

Rep. Smith (MO-8)7:00:23 – 7:00:23

No. No.

Clerk7:00:23 – 7:00:25

Mister Bean. No.

Rep. Smith (MO-8)7:00:25 – 7:00:26

OK, I'll go.

Clerk7:00:26 – 7:00:26

Mister Moran.

Rep. Smith (MO-8)7:00:26 – 7:00:27

We do know that.

Clerk7:00:32 – 7:00:36

Mister Neal. Mister Doggett.

Unknown7:00:36 – 7:00:37

Aye.

Clerk7:00:37 – 7:00:39

Mister Doggett, yes. Mister Thompson.

Unknown7:00:39 – 7:00:40

Aye.

Clerk7:00:40 – 7:00:42

Mister Thompson, yes. Mister Larson.

Unknown7:00:42 – 7:00:42

Yes.

Clerk7:00:42 – 7:00:45

Mister Larson, yes. Mister Davis.

Unknown7:00:45 – 7:00:45

Yes.

Clerk7:00:45 – 7:00:48

Mister Davis, yes. Miss Sanchez.

Rep. Smith (MO-8)7:00:48 – 7:00:48

Aye.

Clerk7:00:49 – 7:00:54

Miss Sanchez, yes. Miss Sewell. Miss Del Bene.

Rep. Smith (MO-8)7:00:54 – 7:00:54

Aye.

Clerk7:00:55 – 7:00:57

Miss Del Bene? Yes. Miss Chu.

Rep. Smith (MO-8)7:00:57 – 7:00:58

Aye.

Clerk7:00:58 – 7:01:00

Miss Chu? Yes. Miss Moore.

Rep. Smith (MO-8)7:01:00 – 7:01:01

Aye.

Clerk7:01:01 – 7:01:10

Miss Moore? Yes. Mister Boyle. Mister Beier. Mister Evans.

Rep. Smith (MO-8)7:01:10 – 7:01:10

Yes.

Clerk7:01:11 – 7:01:13

Mister Evans? Yes. Mister Schneider.

Rep. Smith (MO-8)7:01:13 – 7:01:14

Yes.

Clerk7:01:14 – 7:01:16

Mister Schneider? Yes. Mister Panetta.

Rep. Smith (MO-8)7:01:17 – 7:01:17

Yes.

Clerk7:01:17 – 7:01:29

Mister Panetta? Yes. Mister Gomez. Mister Horsford. Miss Plaskett. Mister Swasey.

Unknown7:01:29 – 7:01:30

Aye.

Clerk7:01:30 – 7:01:36

Mister Swasey, yes. Mister Schweikert.

Unknown7:01:36 – 7:01:37

No.

Clerk7:01:37 – 7:02:09

Mister Schweikert, no. Mister Fitzpatrick. Mister Miller. Mister Moran. Mister Neal. Miss Sewell. Mister Boyle. Mister Beyer. Mister Gomez. Mister Horsford. Miss Plaskett. Chairman Smith.

Rep. Smith (MO-8)7:02:09 – 7:02:09

No.

Clerk7:02:09 – 7:02:10

Chairman Smith?

Unknown7:02:10 – 7:02:11

Oh, it's not Smith, yeah.

Clerk7:02:10 – 7:02:11

No.

Rep. Smith (MO-8)7:02:23 – 7:02:24

Clerk will report the vote.

Clerk7:02:26 – 7:02:29

Mister Chairman, the yeses are twelve and the noes are twenty-three.

Rep. Smith (MO-8)7:02:29 – 7:02:45

There being twelve yeses and twenty-three noes, the amendment is not agreed to. Are there additional amendments to the amendment in the nature of a substitute? Seeing none, the question is on the adoption of the amendment in the nature of a substitute. All those in favor, signify by saying aye.

Unknown7:02:45 – 7:02:46

Aye. Aye.

Rep. Smith (MO-8)7:02:46 – 7:02:47

Those opposed say no.

Rep. Moore (WI-4)7:02:47 – 7:02:48

No.

Rep. Smith (MO-8)7:02:48 – 7:02:56

In the opinion of the chair, the ayes have it, and the amendment in the nature of a substitute is agreed to. I will now recognize Mister Buchanan for the purpose of offering a motion.

Rep. Buchanan (FL-16)7:02:56 – 7:03:01

Mister Chairman, I move the committee favorably report H R ten three five six,

Clerk7:02:59 – 7:03:00

One glint.

Rep. Buchanan (FL-16)7:03:01 – 7:03:04

as amended to the House of Representatives.

Rep. Smith (MO-8)7:03:04 – 7:03:11

The question is on the motion to favorably report H R one O three fifty six, as amended to the House of Representatives. The clerk will call the roll.

Clerk7:03:12 – 7:03:13

Mister Buchanan.

Rep. Buchanan (FL-16)7:03:13 – 7:03:13

Yep.

Clerk7:03:13 – 7:03:19

Mister Buchanan, yes. Mister Smith of Nebraska. Yes. Mister Smith of Nebraska, yes.

Unknown7:03:19 – 7:03:21

Mister, give me that, will you?

Clerk7:03:20 – 7:03:21

Mister Kelly. Yes.

Unknown7:03:21 – 7:03:22

That's it.

Clerk7:03:22 – 7:03:41

Mister Kelly, yes. Mister Schweikert. Mister Lohood. Yes. Mister Lohood, yes. Mister Arrington. Yes. Mister Arrington, yes. Mister Estes. Yes. Mister Estes, yes. Mister Smucker.

Unknown7:03:41 – 7:03:42

I'm going with yes.

Clerk7:03:42 – 7:03:45

Mister Smucker, yes. Mister Hearn.

Unknown7:03:45 – 7:03:46

Yes.

Clerk7:03:46 – 7:03:48

Mister Hearn, yes.

Unknown7:03:47 – 7:03:48

Yes.

Clerk7:03:48 – 7:03:49

Mrs. Miller.

Unknown7:03:49 – 7:03:49

Yes.

Clerk7:03:49 – 7:03:52

Mrs. Miller, yes. Doctor Murphy.

Unknown7:03:52 – 7:03:52

Jane, yes.

Clerk7:03:53 – 7:03:55

Doctor Murphy, yes. Mister Custoff.

Unknown7:04:10 – 7:04:11

Yes, Kustaf, yes.

Clerk7:04:12 – 7:04:14

Mister Kustaf, yes. Mister Fitzpatrick.

Unknown7:04:14 – 7:04:15

Yes.

Clerk7:04:15 – 7:04:20

Mister Fitzpatrick, yes. Mister Stubbe. Mister Stubbe, yes. Mister Tenney.

Unknown7:04:20 – 7:04:21

Yes. Yes.

Clerk7:04:21 – 7:04:23

Mister Tenney, yes. Mister Fischbach.

Unknown7:04:23 – 7:04:23

Yes.

Clerk7:04:23 – 7:04:39

Mister Fischbach, yes. Mister Moore. Mister Van Duyn. Mister Van Duyn, yes. Mister Feenstra. Mister Feenstra, yes. Mister Malia Takis. Miss Malia Takis, yes. Mister Kerry,

Unknown7:04:39 – 7:04:40

Yes.

Clerk7:04:40 – 7:04:42

Mister Kerry, yes. Mister Joachim,

Unknown7:04:42 – 7:04:42

Yes.

Clerk7:04:42 – 7:04:49

Mister Joachim, yes. Mister Miller. Mister Bean, Mister Bean, yes.

Unknown7:04:48 – 7:04:48

Yes.

Clerk7:04:50 – 7:04:50

Mister Moran.

Unknown7:04:51 – 7:04:52

No. Oh, yes.

Clerk7:04:52 – 7:04:54

Mister Moran, yes.

Unknown7:04:54 – 7:04:54

Yes.

Clerk7:04:55 – 7:04:59

Mister Neal. Mister Doggett.

Unknown7:05:00 – 7:05:00

No.

Clerk7:05:00 – 7:05:03

Mister Doggett, no. Mister Thompson.

Rep. Horsford (NV-4)7:05:25 – 7:05:26

How how am I recorded?

Clerk7:05:27 – 7:05:28

Mister Thompson's not recorded.

Rep. Horsford (NV-4)7:05:29 – 7:05:29

No.

Rep. Smith (MO-8)7:05:29 – 7:05:29

Oh,

Rep. Horsford (NV-4)7:05:30 – 7:05:32

Mister Chairman, how am I recorded?

Rep. Smith (MO-8)7:05:30 – 7:05:35

nice. Have you went through the entire

Clerk7:05:33 – 7:05:35

Have you went through the entire

Rep. Smith (MO-8)7:05:35 – 7:05:41

Let's let's let's do it the normal way, like we've not even went through it one time, so start saying the names, Mister Lee.

Clerk7:05:43 – 7:05:43

Mister Larson.

Rep. Horsford (NV-4)7:05:45 – 7:05:45

No.

Clerk7:05:46 – 7:05:48

Mister Larson, no. Mister Davis.

Rep. Horsford (NV-4)7:05:48 – 7:05:49

No.

Clerk7:05:49 – 7:05:51

Mister Davis, no. Miss Sanchez.

Unknown7:05:52 – 7:05:53

No, how come?

Clerk7:05:52 – 7:05:55

Miss Sanchez, no. Miss Sewell.

Rep. Horsford (NV-4)7:05:55 – 7:05:56

You're always saying no.

Clerk7:05:58 – 7:05:58

Miss Delbene.

Unknown7:05:59 – 7:05:59

No.

Clerk7:05:59 – 7:06:01

Miss Delbene, no. Miss Chu.

Unknown7:06:01 – 7:06:02

No.

Clerk7:06:02 – 7:06:04

Miss Chu, no. Miss Moore.

Unknown7:06:04 – 7:06:04

No.

Clerk7:06:05 – 7:06:09

Miss Moore, no. Mister Boyle. Mister Buyer.

Rep. Smith (MO-8)7:06:09 – 7:06:10

No.

Clerk7:06:10 – 7:06:12

Mister Buyer, no. Mister Evans.

Rep. Smith (MO-8)7:06:12 – 7:06:13

No.

Clerk7:06:13 – 7:06:15

Mister Evans, no. Mister Schneider.

Rep. Smith (MO-8)7:06:15 – 7:06:15

No.

Clerk7:06:15 – 7:06:17

Mister Schneider, no. Mister Panetta.

Rep. Smith (MO-8)7:06:18 – 7:06:18

No.

Clerk7:06:18 – 7:06:20

Mister Panetta, no. Mister Gomez.

Rep. Smith (MO-8)7:06:18 – 7:06:19

No. No.

Clerk7:06:23 – 7:06:32

Mister Horsford. Miss Plaskett. Mister Swazi.

Rep. Smith (MO-8)7:06:33 – 7:06:33

No.

Clerk7:06:34 – 7:06:38

Mister Swasey, no. Mister Schweikert.

Unknown7:06:38 – 7:06:38

Um.

Rep. Smith (MO-8)7:06:39 – 7:06:39

Yes.

Clerk7:06:39 – 7:06:42

Mister Schweikert, yes. Mister Moore.

Rep. Smith (MO-8)7:06:43 – 7:06:44

Yes.

Unknown7:06:43 – 7:06:45

Mister Swasey.

Clerk7:06:44 – 7:06:52

Mister Moore, yes. Mister Miller. Mister Neal.

Rep. Smith (MO-8)7:06:52 – 7:06:53

I don't see where they started.

Clerk7:06:55 – 7:07:05

Miss Sewell. Mister Boyle. Mister Gomez.

Rep. Smith (MO-8)7:07:06 – 7:07:07

Okay.

Unknown7:07:07 – 7:07:07

Yeah.

Clerk7:07:07 – 7:07:10

Mister Horsford. Miss Horsford. Miss Plaskett. Miss Plaskett.

Unknown7:07:11 – 7:07:12

Miss Plaskett.

Clerk7:07:12 – 7:07:13

Chairman Smith.

Rep. Smith (MO-8)7:07:13 – 7:07:14

Yes.

Clerk7:07:14 – 7:07:14

Chairman Smith.

Unknown7:07:15 – 7:07:15

I'm gonna go with

Clerk7:07:15 – 7:07:15

Yes.

Unknown7:07:17 – 7:07:20

I'm gonna go with one thing. Yeah. Oh, nice.

Rep. Smith (MO-8)7:07:27 – 7:07:28

Clerk will report the vote.

Clerk7:07:27 – 7:07:34

Yeah. Mister Chairman, the yeses are twenty-five and the noes are thirteen.

Rep. Smith (MO-8)7:07:35 – 7:08:00

There being twenty-five yeses and thirteen noes, the motion is agreed to in H R one O three fifty-six as amended, as ordered favorably reported to the house. Without objection, I ask that staff be author authorized to make technical and conforming changes to H R one O three fifty-six and that members have two additional days to file with the committee clerk's supplemental additional additional dissenting, or minority views. There being no further business before the committee, the committee stands adjourned.

Rep. Schweikert (AZ-1)7:08:01 – 7:08:02

mr. chairman

Rep. Smith (MO-8)7:08:02 – 7:08:02

yeah

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