enzi: thank you, mr. president. i want to join the senator from california in the hope that the house will pass the bill that was sent over from the senate last night. it was a tremendous amount of effort that was put into it by a whole number of people over a number of days and weeks, and i think is the best answer that we could come up with at this point in time. i particularly want to thank leader mcconnell and vice president biden for working numerous hours starting again yesterday morning at 6:45 and winding up with something late last night, more than 12 hours later, over the last two issues, as i understand it. and, yes, i'm glad that a.m.t. was fixed. i would remind everybody that a.m.t. is the last effort that we had to tax the rich and it's backfired to where it now taxes everybody, or almost everybody. and so it desperately needed -- needed a fix. now we're talking about taxing the rich again. i hope that we can come up with some collective ways that will be certain that the people are rich and that it wi

like senator enzi. i would like to followup with questions about community health center as vehicles for delivering primary health care. it's their impact on access on costs and on disparity. and i was very interested. i read through the testimony and very impressed by the work you have done, it's terrific work. i was very glad to hear about the work that's done out in wyoming you have community health centers there. what i would like to know is what else do we know about them? any of the dimensions either as i said about cost, access, reducing disparity. can anyone peek to that? doctor your head snapped up. i'm guessing you. >> sorry for that. >> no. i like it. >> in addition to my work i work at the community health center in boise, idaho. and my cernes provide a critical safety net for the uninsured of our valley. i live in the treasure valley. the uninsurance rate for the population is nearly 50% which is actuallily second highest in the nation. my experience in that clinic despite the access it pro

thank you. >> senator enzi. >> thank you, mr. chairman. i want to congratulate senator alexander who gave up a leadership position to be ranking member on this committee. it shows his dedication to health and education and workplace safety. i know he will do an outstanding job and i appreciate you holding this hearing on mental health, the initial one. my first question is for administrator hyde. i want to know more about the coordination and collaboration of agencies at the federal, state and local level within your appropriate role as a federal agency, what needs to be done to better enhance that coordination and collaboration of agencies at the federal, state and local level? >> thank you, we have been trying hard to recognize the relationship between states and local communities because the state of and will create laws, rules, regulations that the community has respond to so when we provide grants to our communities we are trying to say how does this relate to the state plan and direction? when providing grants to our states we're try

pennsylvania leaders object the enzi of -- the ncaa using most of them on the outside the state. nearly three weeks after a gunman's rampage and those who escaped, students and teachers at sandy hook elementary school in newtown connecticut are returning to school tomorrow. the december 14 shooting skill -- killed 26 downs and teachers. >> an emotional tribute to the the prince williams accounted for an officer killed in the line of duty. friends, family, fellow officers gathered for a vigil last night for officer chris yung. monday, he was responding to an exit -- an accdiiden thnwhen a mini van pulled up in front of him. you can see the damage. >> he was my best friend. >> officer chris yung just 35. he leaves behind a wife and three children. note charges have been filed in connection with the case. george washington university is mourning the loss of its former president. lloyd elliott died tuesday at george washington university hospital. he was a president from 1955- 1988 and is credited with the school's endowment from $8 million to $200 million in 19 88. he was 94-years o

that they rattle off a few points and get to make to senator enzi. first and foremost, we must address the issue of primary care reimbursement rates. specialist aaron as much for their lifetime apart is, $2.8 billion more than primary care providers. if you're going into medicine, you can resurrect their lifetime and earn $3 million more than a primary care part titian. radiologists and gastroenterologists have an comes more than twice that. the system in this country is largely determine the physicians on the american medical association committee the rock by the census for medicare and medicaid services and are adopted by private insurers. specialist on the committee determine reimbursement rates. we have to look at that issue. medicare has promoted the growth of residents use the specialty fields by providing 10 billion each year to teaching hospitals without requiring any emphasis on training primary care doctors thirdly, unlike other nations, which provides significant financial support for medical school education, we buy a large do not do this

>> likes amateur enzi, i would like -- like senator enzi, i would like to talk about the access to costs and disparities. i read through all of the testimony and i was very impressed by the work you have done. it has been terrific work. i was very glad to hear about the work that has been done out in wyoming. what i would like to know is what else do you know about any of those dimensions, cost, access, reducing disparity? can anybody speak -- your head popped up. >> in addition to my work at the va, i also worked at the community health center in boise, idaho. it provides a critical safety net for the uninsured of our valley. the an insurance rate for this population is nearly 50%, which is the second-highest in the nation. my experience in that clinic is that despite the access that it provides, oftentimes there are -- what we end up providing is care we would not find acceptable because it did not have the resources. even though they have a foot in the door to the clinic at the community health center come off the time patients are unable to access additional services that would be st

alexander and senator enzi and to welcome our new colleagues, wonderful to see you here. thank you, mr. chairman. >> i think our first panel, thank you, miss hyde, for being here. we will call our second panel, dr. michael hogan. .. >> on sunday flint and hillary man leverett argue a change in policy toward the government of iran is necessary. that's at 9 a.m. eastern. at 3 p.m., williams rhodes explores the financial challenges facing europe and asia. watch these programs and more all weekend long on booktv. for a complete schedule, visit booktv.org. >> next, from politics & prose bookstore in washington, d.c., thane gustafson looks at how russia's unstable economic and political systems could impact the country's oil output with 12% of the world's oil supply coming from rush b shah, he also explores what this could mean for the global economy. this is a little under an hour. >> a pleasure to see you all here tonight. as we know, happinesses is a relative thing, and i began the day this morning in the dentist's chair having a crown put in, and here by tonight i'm at poli

and i want to thank senator enzi for his work has the ranking member. like everyone on this committee, as devastated by the tragedy in newtown. and in the wake of this tragedy there's been a new focus on mental health issues which i've been working on for a long time. paul held the seat that i hold, and i too share the sense of urgency about the rules on being finalized. while i'm glad we are focusing on mental health i think it is important not to stigmatize people of mental health or generalize about the connection between mental illness and violent behavior. i want to thank you both of you for making that very clear that this written testimony most people that are violent do not have a mental disorder and most people with mental disorder are not violent, and as you said the essentially the same thing. we should make sure that everyone has access to mental and behavioral health services that they need because a will make our communities and families healthier and happier. but again i think it is absolutely vital that we not stigmatize mental illness i

enzi: when it came to the floor, senator frist filled the tree. filling the tree means nobody can make another amendment to the bill. here's the catch. after this thing came out of committee we had people that had a problem with the bill, and we had one amendment that would have solved those problems. with the tree filled, that one amendment can't come up. that one amendment can't happen. so what happens? we talked about the bill and how it lacked this particular part. i kept explaining how we had an amendment that would take care of that. everybody in the chamber knew that that amendment was not going to happen. and consequently, on a process vote, it was killed with just over 40 votes. that's what happens with a filibuster. had that amendment been possible, we would have had one of the things in place for health care. just one. but it would have solved a lot of things for a lot of businesses, and that's where a lot of people work in this country. it's where jobs are. so that's how you can do it. my second story would be -- and this one is much s

so last year i worked in a bipartisan way with senators enzi and rubio, senator schumer and others to introduce a bill that would make start-up companies eligible for the existing research and development or r&d tax credit. and today i'm proud to reintroduce that legislation as the start-up innovation credit act of 2013 with our original cosponsors, as well as senators blunt, stabenow and moran. this broad bipartisan support i think suggests that this is a bill whose time has come. although we represent among the cosponsors very different parts of our country and very different backgrounds, all of us know that to strengthen our economy, we have to support innovation and entrepreneurship. each of us is committed to fostering the kind of environment that supports the private sector and which turns ideas into innovations, innovations into products, products into companies that help create good jobs. under current policy, one way we do that federally is by supporting research and development through the existing r&d tax credit. companies that invest in r&d generate new products which spar

enzi: mr. president, i'd suggest the absence of a quorum. the presiding officer: the clerk will call the roll. quorum call: quorum call: quorum call: quorum call: