mr. lujan: thank you very much. mr. chairman, i thank the staffs for their time and effort and the courtesy of the chairman and ranking member. with that not offer this amendment today. we'll see if we might be able to work together, mr. chairman, and if not we'll come back next year and see what we can do. maybe we'll need to take a look at a vote. appreciate everyone's courtesy today. with that i yield back the balance of my time. the chair: does the gentleman seek to withdraw his amendment? mr. lujan: i seek to withdraw my amendment as well. the chair: without objection, he amendment is withdrawn. for what purpose does the gentleman from rhode island seek recognition? mr. cicilline: i have an amendment at the desk. the chair: the clerk will report the amendment. the clerk: amendment offered by mr. cicilliniveryry. page , line 17, before the semicolon, insert of which $ million shall be for environmental infrastructure projects for financially distressed municipalities. the chair: for what purpose does the gentleman f

mr. lujan: mr. speaker, i ask unanimous consent to enter into the record the story of a young honduran girl who resisted being robbed for $5 was clubbed over the head, drugged out for two men, cut a hole in her throat and left her in a reconvenient. the speaker pro tempore: without objection, the gentleman will be charged. mr. lujan: mr. speaker, parliamentary inquiry. the speaker pro tempore: the gentleman is recognized. mr. lujan: again, if there is discretion that can be shared, that was directly from the article that i asked unanimous consent to be entered, and on many occasions i've been on this floor and been part of many debates in the five years i've been honored to serve for the congress and used the exact same approach and have never been charged when seeking unanimous consent request. is there any discretion that the speaker can give us direction on? the speaker pro tempore: the chair is using its discretion. that's exactly what i said previously. the chair has discretion in this measure.

mr. lujan. the speaker pro tempore: the gentleman from new mexico is recognized. mr. lujan: i rise in support of this legislation and many other bills we are considering that deal with human and sex trafficking, an important issue, critical issue that especially relates to protecting children who are too often victims of abuse and violence. i commend the speaker for bringing these bills up for a vote. mr. speaker, as i was watching the debate this evening, i couldn't tout but come back to the floor. i hope all of my colleagues that are speaking tonight on the importance of passing these human trafficking bills will join us next week to talk about the importance of protecting children. it was with alarm, mr. speaker, that i read a letter that speaker boehner penned to president barack obama that appears that my republican colleagues when they left the meeting earlier this afternoon are asking to take away the very protections from children during a law that was passed in 2008 that we're asking t

lujan grisham. >> thank you, mr. chairman. i'm probably going to repeat some of the stuff that's been discussed already this morning. i want to follow-up on my colleague, ms. lee. in case managing and doing any kind of social support, it only has impacts if you have something to case manage to do. the big issue we have and discharge planning is there is no place to discharge anybody to. you don't have any of those social supports, whether they're government focused and paid for or they're familial. they don't exist. if we talk about the safety net, i don't know if people understand what that means anymore. and most case management folks and most social workers are very effective at the thing you do for that particular client. maybe it is food support. maybe it's housing. maybe it's access to specialty medical care. maybe it's transportation. and when you have to be broad about all those things and because they differ from state to state, it is a very challenging circumstance for the person that's doing that case management. in

lujan grisham: thank you, mr. speaker. last september i was honored to welcome the tricaucus health disparate summit to my home state of new mexico. the center for health policy at the university of new mexico in albuquerque brought experts from all over the country together to talk about what they are seeing as providers and researchers and patients. we heard that communities of color continue to face substantial cultural, social, and economic barriers to obtaining quality health care and achieving equitable health outcomes. several of my colleagues, in fact, joined me at that summit and we all pledged not to just acknowledge these disparates, but to act. to provide tsh-disparities, but to act. to provide resources to achieve health equity. that's what the health equity and accountability act does. it's a comprehensive bill developed with significant stakeholder input that would build on the gains of the affordable care act and put in place the policies and the infrastructure needed to eliminate health disparities. the bi

lujan grisham. >> thank you, mr. chairman. thank you, mr. elmendorf. i'm going to follow the same line of questioning, of course. our long-term budget aspects are significantly challenging, giving current rates of expenditures can and population shifts and the graying of america, as you will. and i am clear that the role of this committee, and i appreciate that leadership by the chairman -- >> watch this event on our website, c-span.org. we're going to leave the last few minutes of it now to take you live to a discussion on the access, quality, and costs of health care provider networks. this event hosted by the alliance for health reform. introductory remarks now getting started. live coverage. >> some people call it a value-oriented network. a lot of people call it controversial. some of the changes that are brought about by the reform law made it harder to hold down costs using some of the traditional methods, making sure all policies covered things like maternity benefits and that a pre-existing medical condition didn't exclude a person from gettin

lujan grisham. >> thank you, mr. chairman. i'm probably going to repeat some of the stuff that's been discussed already this morning. i want to follow-up on my colleague, ms. lee. in case managing and doing any kind of social support, it only has impacts if you have something to case manage to do. the big issue we have and discharge planning is there is no place to discharge anybody to. you don't have any of those social supports, whether they're government focused and paid for or they're familial. they don't exist. if we talk about the safety net, i don't know if people understand what that means anymore. and most case management folks and most social workers are very effective at the thing you do for that particular client. maybe it is food support. maybe it's housing. maybe it's access to specialty medical care. maybe it's transportation. and when you have to be broad about all those things and because they differ from state to state, it is a very challenging circumstance for the person that's doing that case management. in