we've had coordinated entry at h.h.s. offices both at 1235 mission where our caap offices are as well as at 170 odis where people apply for calworks, trying to meet people where they're at and have are them come to our building and assess people on the spot has been really important. finally, we're expanding our s.s.i. advocacy services through a partnership with the tipping point community foundation. so tipping point is helping to fund two community-based legal services provider organizations to help with more of a legal model towards s.s.i. advocacy so they can help with the appeal cases. they are specifically expanding our capacity to serve extremely hard-to-serve populations. it's through the tipping point foundation collaboration that we have c.b.o. attorneys at the shelter and navigation centers. they're focusing on transition-aged youth. they are often not people that want to come into our offices. and so it's a specific focus on this, it's important to us. and then cases that we talked about earlier, the dual dia

this is unsupported by the data you provided and none of the allegations involve h.h.s. employees. y deliberately and mischaracterizing the data, you impugned the integrity of hundreds of civil servants like commander white ensured the well-being of 50,000 unaccompanied alien children who have been charged by federal law to protect. on behalf of these dedicated employees of the department of health and human services asigned to this program we request you apologize to this civil servants for your untoward comments. acknowledging you were wrong is the moral, decent and right thing to do. unfortunately, chairman nadler is not here, but i hope you take this information back to your chairman and i do request that the individual who made these allegations against these dedicated federal employees, civil servants provide the appropriate apology that mr. hayes has requested and i will be happy to take a question that the gentleman from tennessee had. mr. cohen: i wanted to clarify, doctor, i have kept very close attention to mr. nadler's statements on impeachment and unfortunately i have

so right now i just have one question and maybe h.h.s. could answer this, where would you say that the gaps in services are? >> i guess i'm up. um, so, i mean, i think that there are gaps throughout this system. i mean, we're talking -- i think that there's absolutely, you know, gaps in community-based residential care programs and whether they're board and care facilities or transitional housing and treatment programs or skilled nursing facilities. there's definitely gap there is so that when people are leaving p.e.s., whether or not there's housing available for them, if they still need care, -- sorry -- if they still need care and we don't either have permanent supportive housing or they still have medical issues that make it difficult for them to get into p.h.s., we really need more of those beds. but also as we're adding more community-based care we have to understand that those folks need to go somewhere. so, you know, for every transitional program that we set up we need to be planning for where those exits are going to be and whet

the director the national institutes of house released a statement online writing the h.h.s. framework formalizes robust oversight for federally funded research with enhanced pathogens of pandemic potential consistent with the h.h.s. framework these proposals were deemed to be scientifically sound i would say once again that we're in a position where much like foreign policy and much like the military industrial complex much so full of the moon i think that there is we're in a new generation of people who are saying i don't think those guidelines that you're working off of very very good to begin with i don't think the guidelines yes you follow the guidance follow up and that's not enough yeah and there are for our thought that's what a lot of people. who share a ross miss universe and medical center rotterdam that our lives these are one of the that's one of the groups working on this and you'll cicutto a couple of the universe in wisconsin i'm out of the university of tokyo the other two working on theirs they actually had separately modified the five n one influenza virus

or h.h.s. where they have better conditions holding the people.they aren't supposed to be where we saw the chain link fencing for more than 72 hours. when we have more border crossings, this is what happened. and actually, ali, they're building another facility like we saw over the summer. we just learned yesterday they're building another processing facility in el paso, texas, simply to be able to take in more of these people. so while we aren't seeing children without their parents in these places, we will see more of these places that really aren't equipped to hold people more than 72 hours, and we are seeing more deaths of children in the custody of customs and border protection. there was just a still born child very recently. we know two children died in their custody in december. they're trying to ramp up medical attention, but as we've seen in reports, they simply aren't able to get the medical attention where they need to. and then a lot of cases immigrants are saying their concerns are symptoms aren't being listened to, they aren't being

we received a number of awards through h.h.s. city agency for number of grants and exercise equipment, additional training, nutritional information. we tried to provide that to department as well. we brought on hygienist to help with the safety and policy procedures. from an infrastructure perspective, one of the initiatives was to secure or expand revenue generation and funding alternatives. we have ilindicated funding in. we've explored a number of other supplemental funding programs via reimbursements on the e.m.s. said. those initiatives continue. we're looking at expanding and establishing a grants committee department wide which would help in the vetting projects and the information grants department wade. we're reevaluating our fleet program as part of the program budget process. we have streamlined the specification development to make the most efficient vehicle that fit our need. technology wise, we tried to expand the tools available to first responders. be it tablet or application available. tools become more available

would be appropriate for the member of your committee to provide an apology to the and they of the h.h.s. director of office of refugee resettlement. i hope to see that happen this week. if it does not, am prepared to press this further. thank you, mr. chairman. i yield back. rep. mcgovern: if anybody here has any question as to whether or not russia interfered in our 2016 election, i'm happy to organize for this committee a briefing with the head of our intelligence agencies, because i think at this point that should no longer be a question or hypothetical. it happened. there is plenty of documentation, classified and unclassified that's available for people. if there is any question, we can get a meeting together with this committee. mr. raskin. reppo raskin mr. chairman, thank you very much. i'm very much in support of house congressional resolution number 24. we live in a time of rising authoritarianism all around the world. whether it is vladimir putin in ban in hungary, duterte in the philippines, or mbs, then turkey, or crown prince of saudi arabia who murders journalists, whereve

i talked to h.h.s.to understand and visited their facilities as well to understand the care that they provide to the children once they're in their custody. >> homeland security secretary kirstjen nielsen facing tough questions from democrats on capitol hill. that was alyssa slot kin, a freshman from michigan who is a former c.i.a. and pentagon official in the previous administration. all this of course, with the zero tolerance policy which led to the separation of children from their parents at the border and the lack of tracking of those children. join being me now is alyssa, former white house deputy chief of staff for president obama and author of "so here's the thing" knots on growing up, getting older and trusting your gut, another great title, another great book from alyssa. as a former deputy chief of staff, what would you have done if a policy were handed to you to implement, separating children and their parents, with no way of tracking them or reuniting them? do you think you would have gone

it also directs h.h.s. to provide guidance to states on best practices. i urge my colleagues to adopt this bill with the ace kids act included and i ask unanimous the recordsubmit for a letter from a whole host of organizations thanking us for our leadership in introducing this bipartisan legislation to improve care for children with complex medical conditions. the speaker pro tempore: without objection. ms. castor: i yield back my time. the speaker pro tempore: the gentleman reserves. the chair recognizes the gentleman from texas. mr. burgess: at this time, i'm pleased to recognize the gentleman from michigan, former chairman of the emergency and commerce committee, three minutes to speak on this subject. the speaker pro tempore: the gentleman from michigan is recognized. mr. upton: i rise in strong support of this bipartisan legislation. i just want to remark briefly to my colleague from florida, the ace kids bill was an important bill that we worked on through three concxds con gresses. you and joe barton did a marvelous job. we passeded it in this hou

couple of my colleagues have already, the management challenges, i did some show and tell by bringing h.h.s., o.i.c. top management challenges. it is a valuable document produced by our offices. i would really encourage viewers a look at our web site. it can be found, and it gives relatively small document, a very comprehensive view of the many, many issues to be dealt with in our health care program and our social service program. gives you kind of a window that you of things on't -- won't associate with our office and one concerns unaccompanied children, the the children who cross borders without legal status. there has been a lot of that in news. many people may not know our involved in make hadding -- in making sure these are a n wind up in referral from the department of homeland securiti. these referrals are examined by our office. been able to collect 200 lawyers, investigators, lawyers, fan out to almost four dozen facilities around the united examine whether help and safety for these children are being properly taken care look at the underlying financial arrangements and make sure

does have the leadership role within h.h.s. and our diverse,s vast and including all the operational pieces that it takes to deliver vaccines. all the localy, partnerships that it takes to why vaccines for are important. communication is a hugely important part. effectiveness and safety of vaccines so that we continue to assure the public vaccinesnow that the are working like we think they are. >> madam chairwoman, i will just say, both of these, both n.i.h. c.d.c., when members of congress come visited -- i know it's a pain in the neck, but very good to receive us. dr. fauci, i try to come to the n.i.h. once each congressional term. and dr. messonnier, i was at c.d.c. -- it's harder to get to atlanta for me. but you've been very good about -- when i have come, to make available information and personnel. it's very helpful in setting the background for what you just described. question of either of you or both of you. 1999 public health service recommended removing a mercury-containing compound. understanding, the childhood vac

the $300 million investment in this budget, it is allocated within h.h.s. there's money for hrsa. there's money for the ryan white health care programs. there's some money for indian health services. and we're really predominantly trying to increase the testing to be able to make sure that people can get the lifesaving medications that have now been developed and can fundamentally change and prolong their life which is fantastic. mr. yarmuth: the gentleman's time has expired. now recognize the gentleman rom new york, mr. morelle. mr. morelle: thank you for your testimony today. a couple quick observations and couple questions. the tax cuts bill referred to is a tax cut for wealthiest individuals. the stimulus was largely unnecessary during the -- as it relates to tax policy during an economic expansion which was well under way for six years prior to this administration. if you look charts from 2010, wages, unemployment rates have continued on an upward path since 2010. tax cuts did not pay for itself. i think that's been pretty well established and does not have appeared to have a

one of those that both created this bottleneck and weaponized h.h.s. was the announcement of a formalized memorandum of agreement to share information including immigration status of potential child sponsors. i've seen many folks raised concerns about this, the idea of using information obtained from detained immigrant children to try to deport their parents risks rep niezing or.r. into becoming an immigration arm of dhs. 170 such people were deported as a result of that information sharing. the proposed information collection under the moa will alter long standing practice to place children in the least restrictive setting in their best interest. how does the moa interfere with o.r.r. ability's to act with the child's best interest. >> when the congress gave responsibility to o.r.r., what they did is separated who was going to be doing the immigration enforcement and the care and custody of children would be a completely different arm of government. we had a whole other department and agencies who were responsible for immigration enforcement. up until

former h.h.s. secretary tom price spent more than $400,000 in travel on private jets. former interior secretary ryan zinke spent over $39,000 of taxpayer funds on a helicopter tour of national monuments in nevada, he then spent an additional 1-2,000 of taxpayer funds on a private -- $12,000 of taxpayer funds on a private jet to go to las vegas, nevada, to speak to a major hockey team for a donor. shulkin spent over $122,000 of taxpayer funds to go his wife to europe for the primary purpose of sight seeing. we have scott pruitt who spent $58,000 on charter flights. and i could go on. if this had been law, they wouldn't have been able to do this. a vote against this amendment is really something that taxpayers would not appreciate. so i urge my colleagues to vote on this commonsense amendment and i yield back. >> i rise in opposition. the chair: the gentleman is recognized for five minutes. >> i thank the chair. this is duplicative of current rules. they are government employees. mr. jordan: restrictions are there and have been there but the democrats seem to want more b

you you'llly talked about the fat high sky trysts and or medical community but also you worked at h.h.s. >> that's right. i believe in data driven, evidence-based policy making. i would suggest the incumbent pact faj tahjing and and so coming out of the hearing yesterday, we still don't know what she knew before implementing the policy or if they were just so negligent to consider the impact on the children and their families moving forward. but either way i'm uncomfortable. >> i don't think wong to you just tell because you know it and some policies makers obviously know it, but could you just tell our viewers briefly what are those long-term impact for the children? >> we know they are at risk for physical illness like cans are and chronic disease. even if the children are later reon itsed w parents, this idea of toxic stretch and the trauma they've undergone in their time in detention and federal custody will have long sweeping chronic and cumulative impact on their his. we want to make sure there is a plan in place to take care of these children that we can forward plan. congresswom

what are our barriers at the h.h.s. levels? that actually prevent the adoption of disruptive technologies? because these things do exist today. we need to actually embrace the concept of rapid, disruptive adoption of these technologies. because remember our five pillars. if we do not have a disruption in the cost of health care, as we're getting older very quickly as a society -- remember, in only nine years, we have two workers for every one person in retirement. in nine years, if you pull interest out, half the spending here coming out of washington, d.c., half of it will be to those 65 and older. and it's substantially health care. so think of this. as we start to talk about our ability to -- we all carry around these smartphones. should our health records be on those? of course they should because they should be portable with us because health data, health records are going to become something dramatically different than the record that's sitting there at the hospital. it's going to be living. how many of you ever use somet