mental health is a health issue, and we ought to treat it as a health issue. but in rare and tragic occasions, people with a mental health issue undealt with can become dangerous, and that's what we've seen in this and other similar circumstances. and so one of the responses is always, well, we need to have a better mental health delivery system, and that's true. but we should realize that according to the national institutes of health, for at least a decade now they have estimated that at least one in five americans has a diagnosable and almost always treatable mental health or behavioral health issue. and, frankly, the pandemic made that even greater. june 2020 survey by the centers for disease control and prevention found that 41% of adults in the united states said they had had at least one symptom of a mental health condition in a recent time. and 11% said they had seriously considered suicide in the previous month. those are extraordinary numbers, but even if they were -- half of those numbers were correct, you see the size of the problem we have and the

to improve human health and lower health care costs.his bill keeps the focus on lifesaving research. the director will have the power to hire. not based on provisions that reward government bureaucrats. we require those who receive funding to receive a report on indirect facilities and administrative costs and to further break down on duplication omission creep, we limited the amount of offices to six, not the 14 proposed by the administration. of those offices, at least four must be be focused on r&d. and not more than 15% of the funding is allowed to go towards administrative costs. i thank my colleagues for working together on this. i want to recognize the leadership of chairman pallone, health subcommittee chair eshoo, republican lead tear guthrie and 21st century cures leaders, fred upton and did he get. we put arpa-h on the right path increased accountability and transparency and promoting american innovators and this is the record of success in moving legislation that will continue america's global leadership in biomedical resear

mental health is a health issue, and we ought to treat it as a health issue. but in rare and tragic occasions, people with a mental health issue undealt with can become dangerous, and that's what we've seen in this and other similar circumstances. and so one of the responses is always, well, we need to have a better mental health delivery system, and that's true. but we should realize that according to the national institutes of health, for at least a decade now they have estimated that at least one in five americans has a diagnosable and almost always treatable mental health or behavioral health issue. and, frankly, the pandemic made that even greater. june 2020 survey by the centers for disease control and prevention found that 41% of adults in the united states said they had had at least one symptom of a mental health condition in a recent time. and 11% said they had seriously considered suicide in the previous month. those are extraordinary numbers, but even if they were -- half of those numbers were correct, you see the size of the problem we have and the

mental health is health and we should not be stigmatizing it in this way. we should be focused on solutions that really protect people. we don't want to send kids to school, where they are not safe, or grandparents sent to grocery stores where they are guns down. mental illness is not the culprit here. host: so in terms of solutions that could protect people, explain what a red flag law is? guest: red flag law, that term is often stigmatizing to people who fall under it, but extreme risk protection orders are a mechanism, a civil court order that would take guns away for a periods [video clip] --. -- period of time, when they might be likely to do something to themselves or someone else. that's not based on a diagnosis of mental illness. a history of violence, abuse, trauma, substance use are a number of factors for violence. a person's behavior may indicate they are at immediate risk of committing a violent act towards themselves or someone else. in most cases, a family member or a law enforcement officer would go to the court to ask for this individual to

mental health problems. this is a new 75-bed facility that provides wraparound services designed to aid the transition to independent living after deals with the justice system. it deals with case management, medication management, and support recovery groups. it supports recovery through group therapy, peer support, and medication assisted treatment for substance use disorders. a really great project putting 75 beds and making 75 beds available, again, for adults in the criminal justice system who have behavioral health disorder. the next item on the director's report is an update on monkey pox, and dr. bada will provide an update in just a minute after i go over some items. just to remind the commission that we have the agricultural commission, cree morgan, and his direction in the environmental inspection branch. during a routine inspection of the fedex branch in san francisco, these investigators were investigating a shipment of plants from the state of florida. among inspection of the plants, live suspe

mental health care is health care. and it's time we treat it as such. the advanced research projects agency health act will jump start our nation's investment in medical research and innovation. i'm privileged to represent part of north carolina's research triangle park and to see the breakthroughs that happenthere by establishing and funding arpa-h, we ensure that research like this will continue. that more people will be able to access ground breaking treatments and cures. and that our nation remains a leader in medical innovation. the lgbtqi+ data inclusion act will equip agencies with the data they need to reduce barriers and challenges facing this community. good data helps us make good policy. without data, we're forced to legislate blindly and guess at solutions to close disparities. i want to note that the lgbtqi+ data inclusion act does not mandate that anyone disclose information about their gender identity or sexual orientation. under this bill, individuals choose whether to share that information or not. this bill which we take up during pri

something that protects our mental health and physical health, for that matter. that is an individual choice. people have to decide, parents have to decide where they come out on that but the collars notion that spirituality is a supported by the mental research. >> all right >> all right, daniel is a student in san bernardino, california. good morning daniel. daniel, are you there? go ahead, daniel. >> okay, so, i thank you miss heard, me my name is dennis. but i have been through, i wasn't in the classroom but my elementary school, in six, great went through a shooting. ever since flynn, they've done things like when you try to get into the front office there is a color camera and stuff like that. you have to wait for the door to open and it's locked. one entry and multiple exits will be good. i used to live in a reality, not a reality, but a mindset where i thought that lightning could never strike twice. because once you've been in a shooting i felt like it could never happen again. but we're starting to go into an era where you can go through multiple shooti

it was the community mental health act. we went to the community mental health act emily did that it was obvious that act was designed to close a lot of facilities that probably needed to be closed. but it was also designed to create a lot of alternatives that never quite got completed. and so for most of that 50 years the local police in the emergency room have become the de facto mental health system for the country. that is beginning to change but it cannot change as quickly as we should want to change. we have 41 states now that are part of a program we developed in legislation. we were also talking about that date ten states fully in the certified community behavioral health clinic program making a difference in those states britto make a difference to people who are thinking about harming themselves or others. i think we ought to look at that is one of the things we figure how to take more advantage of. but even more importantly than that i would want to say everybody with a mental health problem is not dangerous. in

of health says one out of five has and almost three to treatable behavioral health issue. we cannot give one out of five adults and then to have anyone hesitant to step forward because they see themselves as becoming part of a class on —- a class seen as dangerous. doesn't mean mental health is not an important part to deal with people who are troubled. almost all of these cases involve not justho somebody was decided that also who was purposely decided this is a way for them to end their own life. so whether suicide or homicide but also have the mental health system and the balance of that this is an important balance to be sure to achieve. spent the president will attend the summit and l.a. and has never said for democracy. denniston nothing to get the peaceful protest including teenagers that are prison. and with the family members they took those organizations terrorism and has never done anything for people in the freedom. piece of policies don't work and let me give you an example. after the obama appeasement policy but then to get infected and i do her policy where

our nurses, you know, in a might strong health policy and have great health systems. if you're not getting that nursing advice. thank you very much for the interview and for your time howard . my flesh ah ah, this is what remote learning looks like for 17 year old raquel, every day she hikes along the teeny park river to collect the homework assignment. papers covered numbers in this remote part of the philippines. 3 hours, east of manila are down, but her school, like most in the country, has remain closed for over 2 years now. with no internet connection, children in her village have no choice. but to study alone. wilma, finding some of my classmate and would rather be climbs and tell them to make money for others as friends to new their time. as i know my, they didn't complete them anymore. and michelle obama, let's face it. they can quickly owe money this way. and a minimum and manila, raquel saw many friends drop out of school during the pandemic. some even got married. the philippines have seen one of the toughest locked downs for children worldwide. this public

and health care services.e actively partnering with them and discussing how can we add additional resources, a different actions to improve and increase our discharge and relocation numbers? and so there's still a lot more work to do and we will continue to come back to the commission and keep you informed as much as possible so that concludes my presentation and. i am happy to try to answer any questions that you have. >> thank you director pictins. secretary morewitz do we have anybody on the comment line? >> we do. if you would like to comment on this item press star four to make a comment and we will wait 30 seconds to make sure you get this message. >> . >> again press star three. okay. there's no public comment and -- oh sorry. >> commissioners any questions or comments for director pickins? >> commissioner chow has his hand up. >> okay. commissioner chow. >> thank you for a very extensive discussion of the process that's going on here. in the recertification the reason assurance period are we going to r

mental health. this is an area i don't think we all and more resources in mental health we will ideally save lives. we will get ahead of some of these different problems . not only the horrendous acts, i would argue there is a growing mental health issue in america with folks that have anxiety, folks that have depression. there's all these things and we read my own staff, we have been through hell and back. and i told my team i've heard after the dust settles we all need to seek mental physicians and get counseling . my entire community needs to do the same. we need to get rid of this month that's happening in america. we need to get to the root of it because our children are suffering for it. they're going up in a world that you and i did not grow up in and we have to protect them. part of that i believe is investing heavily in mental health resources. >> let me ask you about the police response in uvalde. the police chief said he gave no order to not enter the room for the police officers who were

community behavioral health clinics. many of these providers already operated in communities across the country. better legislation expands the networks of clinics to deliver even stronger and more close some support to our communities. we also include provisions to expand supportive care in our schools. because it is at school that many of our young people will be identified as needing support. teachers actually spend more time than parents typically with their school-age children and the supportive services that will be part of this bill that will help identify students that need that help so intervention can become as early as possible. mr. president as 60% of gun deaths in america are suicides. we want to try our best to do things that will stop salvador ramos in the future of hurting people. working to try to help them and keep them from hurting themselves as well. i believe this huge investment in america's mental health delivery system is a safer and healthier communities. another pillar of the legislation's schoo

yes, we did declare a national health emergency in children's mental health. and declared bias for the american academy of child an acid lesson psychiatry and the children's hospital association. mental health problems are an epidemic proportions among our youth. they've only been getting worse. increased funding so that we can diversify our workforce, as mr. willing have noted, train and educate the current workforce we do have to do this work a little bit differently in a trauma informed way. in a way that is culturally humble. so we can use the tools that are out there. there are evidence based tools for screening an assessment for diagnosis. evidence based interventions for treatment. for families that we do identify or children we do, identify are struggling and have difficulties. i would also just like to point out that those with mental health problems are far more likely to be victims of violence then to perpetrate violence. and that the forensic analysis done in 2019 looking back at all the mass shootings in america back to 1966 found that 100% and th

there is more we can do in the health plan and health system side to address all the aspects of health much more broadly. there is one more slide on aspects of helping people take care of relaxation. mindfulness and during the pandemic again especially this is one example of resources that have been rolled out to really help people both through music or health care tracking, meditation, really take more control of their health in their own way. so, i covered a lot of ground ing a short period of time also. appreciate your attention. i leave you with a couple points on the last slide. i would reinforce that the older adult the medicare population is a specialized population. they have unique needs. we need to think of customized ways to both engage and design programs that bring value. that really in a whole person way address all the care needs of that population. and that take into account the personal values and preferences of older adults as they age. we have a lot of new tools and capabilities both through physician offices through health care systems through the health plan really

health care. and it would encourage the department to collaborate with state agencies, nonprofit organizations, and stakeholders to help ensure these programs fully meet the needs of students. . in other words, the enhancing student care and suicide prevention through campus planning act is essential to ensure we care for student's well being. i want to thank ms. wild and mrn this critical priority and urge a yes vote on this bill. madam speaker, i reserve the balance of my time. the speaker pro tempore: the gentleman reserves. the -- for what purpose does -- the gentleman from -- the gentleman from pennsylvania is recognized. mr. keller: thank you, madam speaker. i'm here to discuss h.r. 5407 and yield myself such time as i may consume. the speaker pro tempore: the gentleman is recognized. >> today i rise in strong support of h.r. 5407, the enhancing mental health and suicide prevention through campus planning act. the mental health of our nation's students is on the minds of many americans. mr.

mental health care access program. it gives pediatric providers extra training in mental health, and i could go on. now, there's still a lot of misinformation out there. but i would say if you don't know what's in the bill, it's online, pick it up and read it. but if you're pro-second amendment, you should be for this bill. we can protect second-amendment rights, we can make an impact on teen suicide, upon domestic abuse, upon straw purchases landing guns in the hands of criminals and rampage shooting and we can do that while protecting the second amendment. that's what i'm hearing from the ment >> >> c-span is your -- >> wow is there for our customers with speed and choice. now more than ever, it all starts with internet. quacks after the senate approved the gun legislation, the house took up the bill. it passed 234-193 and president biden signed the bill into law today. here is the house debate on the bill. it runs about 90 minutes. i didn't comment on the decision of the supreme court minutes ago to revoke the const

mental health is health and we should not be stigmatizing it in this way. we should be focusing on solutions that really protect people. we do not want to send kids to school where they are saved, we do not want to have grandparents at grocery stores run down. mental illness is not the culprit here. host: in terms of solutions that could protect people, explain what a red flag law is. guest: red flag law uses term extremist protection order. red flag law is often stigmatizing to people who fall under it. does detection orders are a mechanism. that would take for a. of time for anyone who shows a respect for violence. to do something for themselves or to someone else. research has shown that a history of violence, domestic violence, abuse, trauma, substance abuse are a number of factors. and then, current behaviors may indicate that they are an immediate risk of committing violence against themselves or someone else. what these extreme protection orders do, they allow it, in most cases, a family member or law enforcement officer to ask for this individual --

-- maia goldman with modern health care. you mentioned your directing -- to help with patients and collaborators. can you describe what that will look like? sec. becerra: under federal law there is access to privacy. we will make sure that we investigate and enforce the law to make sure providers are in compliance, that patients are being provided with the care they deserve. we do not want anyone's private health information to be leaked in ways that violate federal law. we also want to make sure no one misunderstands what the supreme court's ruling on friday means. if they do not believe they have any rights whatsoever, rights continue forward, whether it is family-planning, whether it is birth control services, and we want to make sure there is no misunderstanding and we will enforce any violations of those rights. >> you have a sense of what specific actions to enforce those will look like? audits? surveys? what will that look like? sec. becerra: just as we are keeping every option on the table on what we can do, we will

mental health care access program. it gives pediatric providers extra training in mental health, and i could go on. now, there's still a lot of misinformation out there. but i would say if you don't know what's in the bill, it's online, pick it up and read it. but if you're pro-second amendment, you should be for this bill. we can protect second-amendment rights, we can make an impact on teen suicide, upon domestic abuse, upon straw purchases landing guns in the

the public health emergency unlocks a health care system flexibility. something that cms relies on significantly. it extends medicaid coverage for folks during times of an emergency. it extends tele-health coverage to those on medicare. it allows hospitals and nursing homes and other health care facilities someplace ability in responding to the situation at hand. we continue to be in touch to understand whether these are still necessary. as dr. walensky said, the department will come together and make that decision or recommendation to the secretary for him to decide. we will give 60 days notice before it comes down. >> you've answered the question that i asked. which is, we're late piece extended? it's past july 15th, so it will be extended right,? no notifications been made to the states that it will be extended past that. i'll write the secretary and ask him what the criteria is to end the state of emergency. the public health emergency. i would only point out that the guidance that we currently have does not suggest there is a public health emergenc

this package has to be based in mental health support. everything i have gotten, every indication i have seen is essentially going to be a mental health bill. this has the opportunity to have more resources ever passed into law and the history. that is important. as far something gun things the other specifics i have been a proponent of that judgment, that shooter should never been able to purchase that weapon. not because he was 18 years old but because he was mentally unstable. we would have found that out with a long history off mentall illness as a juvenile. that's where the parts that makes sense to me but let's identify these children that have issues. let's make sure they don't have' access to things. i am a proponent of legal responsible gun owners pray think it's important to protect them ask well. >> you mentioned the mental health component pride yes is going to be a lot of money in this proposal even though the amount has not been agreed to yet for telehealth, school mental health resources, securing schools there outside ment

so that bill do not die or they do not have health health impacts. and so that is in character as, as an abortion, or as life saving procedures are being character, as, as abortions, that means i were criminalizing all pregnant people for wanting to essentially say their own life, and cannot talk about my ish and protecting life is a blanket statement when it comes to abortion, when in a lot of these situations, the abortion is what stands between death and someone's life. amy, yes, her dear, among many women who are celebrating the decision because this is a something that a respects life. and then when you talk into the women who are expressing their concerns as we speaking in the united states of america, how do you see moving forward against the backdrop of this device? if political reality in the analysis of america, people are divided about every single aspect of their own daily lives, including abortion. one thing that i think is highly important is that we address them. there's information that is being perpetuated. and 970 dr. bernard nathan

health care facilities. much of that is pretty much self-explanatory, but explain what presumption of services is. guest: glad you asked. basically what it says is if you served in one of these countries, iraq and afghanistan being two of the list but also includes syria, yemen, kuwait, and it goes back to before the post 9/11 era. if you served during these time periods and you come down with one of these 23 medical conditions, we will presume that you got that medical condition because of your time in service. therefore, you are eligible for v.a. health care and disability benefits. it removes the burden of proof from the veteran for proving their illness was a result of service. it presumes the eldest was because of service. that is an incredible change and something long-overdue. glad you put that list up. you saw agent orange listed. this is how far back the government deniability comes from. we know about agent orange's used during the vietnam war and have veterans had to fight for so long to get the g

reproductive health care's health care. and medical decisions should be made by women and those that they trust, not politicians and officials. we have a choice. we can be the nation that rolls back the clock, that rolls back the rights of women and that strips them of their very liberty, or we can be the nation of choice, the nation where every woman can make her own choice. freedom is our right to choose. >> the gentlelady yields back. mr. bishop. >> well, thank you. mrs. caroline said a few moments ago that this hearing was called because of an imminent peril to the right of abortion. professor goodwin, i guess you're the only witness presented by the majority is having the expertise in the law. do you unequivocally condemned the leak of the draft opinion? >> it is absolutely unprecedented that there is a lead and it is a story, it is not the story of these hearings. but that is unprecedented. >> i didn't -- [inaudible] factual [inaudible] maybe we've both covered that. i'm interested, as a matter of your expertise, do y

it is health care fundamental health care. and it is something that is completely necessary for, for people who may or may not want to carry pregnancy to term, including people who are carrying a pregnancy to term and may have complications. and those people are no longer protected in the states that have trigger bands that have now outlawed abortion. it is fundamentally dangerous in many states, to be a woman of reproductive age because these laws are denying women the right to vital health care. and i also want to underscore that the, the ability to vote in elected officials that will protect that health care is being fundamentally dismantled and many of the same states with denying by vital protections for voters and in the end gerrymandering. a legislative seats making it very, very difficult to vote in people who are attacked this by on health care. jill, quite interesting, that in a place like the united says of america women under some sort of a limbo, they are yet to understand what happens next. when the take the deci

the ministry of health does not lead. we monitor the situation on the drug market.e constantly keep our finger on the pulse. ukrainian drugs continue to be produced. to arrive in the quantities and with such supplies that the ukrainian patient needs at the moment mr. oleksandr, i understood, i hope our audience also understood what we talked about today, and this concern will no longer exist because i understand that each problem and the supply of each drug will be approached separately and considered separately so that there are no problems later, of course, our main task as the ministry of health is to ensure that every ukrainian citizen and every ukrainian patient receives the best possible treatment the best conditions for him, therefore, we are not at all inclined to create artificial restrictions or artificial barriers for a ukrainian, we are talking exclusively about the fact that the company should apply for manufacturing business in the territory of russia, accordingly, they do not pay taxes there which will be converted into projectiles that will kill our

mental health problems. this is a new 75-bed facility that provides wraparound services designed to aid the transition to independent living after deals with the justice system. it deals with case management, medication management, and support recovery groups. it supports recovery through group therapy, peer support, and medication assisted treatment for substance use disorders. a really great project putting 75 beds and making 75 beds available, again, for adults in the criminal justice system who have behavioral health disorder. the next item on the director's report is an update on monkey pox, and dr. bada will provide an update in just a minute after i go over some items. just to remind the commission that we have the agricultural commission, cree morgan, and his direction in the environmental inspection branch. during a routine inspection of the fedex branch in san francisco, these investigators were investigating a shipment of plants from the state of florida. among inspection of the plants, live suspe

it expand mental health services under medicaid. school-based mental health services, all expanded. it reauthorizes the pediatric mental health care access program. it is pediatric providers extra training in mental health. and i couldd go on. now, there still a lot of misinformation out there, but i would say if you don't know what's in the bill, it's online. pick it up and read it. but if you are pro-second amendment you should be y for ts bill. we can protect second amendment rights we can make an impact on teen suicide upon domestic abuse, upon straw purchases landing guns in the hands of criminals, and upon rampage shooting. now we can do that while protecting the second amendment. that's what i hear from the american people. that's what this bl

you can go into health care whether it's a physician or nurse practitioner any of the health care providers, they want patients or action with patients and families. they want to help people with their medical issues. it becomes frustrating when you find yourself spending most of your time dealing with paperwork rather than talking to, for example, the patients. let me just tell you this it has been shown that if you have a poor relationship with the patient or family because we have not interact with them a lot, it results in more litigation. as far as medical malpractice claims. there is no personal relationship that has been established. this is a really big problem, one that we want to try to address. >> brenda, in california, democratic collar. a question or comment for the congressman? >> comment, my comment is, what i have found as an african american woman, but i have found is, i used to have a really good doctor. he passed away. it is almost impossible to find another good doctor, who is going to take care of my needs and treat me in a respectful way. what i find is, with the new d

mental health counselors. new york is hiring hundreds of school social workers with american rescue plan dollars. rep. wild: i will stop you for a second because you have been talking about mental health as my next question is about that. it is wonderful how states and districts have been able to use arp funds to support student social and emotional mental health needs. can you tell the committee why the extra funding is necessary and why will it be needed for the next few years? sec. cardona: thank you for the second part of the question. this is not a one-time thing. mental health needs were greater before the pandemic. now, i mean, research study after research study shows the -- it is at a point now of crisis. the surgeon general called it a crisis in our schools, in our country, the mental health needs. we have anxiety levels and suicide rates up. if we want to protect lives we need to look at mental health support, not only as a fix for the pandemic but as an underlying necessity for successful schools t

tt is debilitating effect on a person doesn't mental health.- doesn't mental health.xperience, and unwanted experience and an experience that can make you feel devalued and demeaned at work. an experience of that can be feelings of hurt, anger, upset and anxiety, not being able to trust those around you. ultimately it stops you from doing your work and erode your confidence and all this leads to mental health difficulties.— this leads to mental health difficulties. ~ �* ~ difficulties. while the bma report focuses on doctors _ difficulties. while the bma report focuses on doctors it _ difficulties. while the bma report focuses on doctors it comes i difficulties. while the bma report focuses on doctors it comes after| difficulties. while the bma report. focuses on doctors it comes after a week following similar findings from the royal college of nurses. it affects patient care as wealth is that there are many doctors from other countries who have held senior and expert rolls and they come here and expert rolls and they come here and they are effectively dumbed down. ,

we've been working and national center for environmental health over the last decade to support healthepartments to prepare for, respond to and recover from wildfire disasters. specifically to your question about booster shots for this population, cdc has committed to continuously reviewing the data on the safety and efficacy and need for booster shots but we do so all the time. we strengthen our recommendation for a fourth shots for those over the age of 50. and should we seee. a need in safety and efficacy we will continue to expandda we certainy want to file the data as we do separate. >> i appreciateho that dr.fi walensky. madam chair, my time express on a couple questions i will submitted to the he record. i am hoping that is a long way of saying yes, definitively to make these changes but not all of us are over 50. i just turned 50 i can say that now. there are a lot of young families and children and grandchildren who are in these settings above the age of five. we had them all in one place. when we would get scares of spread are those who tested positive it is the perfect place