ms. schwartz. votes no. mr. davis of alabama. votes no. mr. davis of illinois. mr. davis of oil now votes no. mr. ethridge. mr. ethridge votes no. ms. sanchez. votes no. mr. higgins. mr. higgins votes no. mr. yarmouth, voetsdz no. mr. camp. mr. camp votes yes. mr. larson votes no. mr. herger. votes aye. mr. johnson. mr. johnson votes aye. mr. brady. mr. brady votes aye. mr. ryan, mr. ryan votes aye. mr. cantor, mr. cantor votes aye. mr. linder. mr. linder votes aye. mr. nunez, votes aye. mr. tea barry votes aye. ms. brown wait, votes aye. mr. davis of kentucky. mr. davis of kentucky votes aye. mr. reichert, votes aye. mr. buse taney. votes aye. mr. heller, votes aye. mr. ross cam, votes aye. mr. mcdermott, votes no. mr. tanner. mr. tanner votes no. mr. chairman chairman votes no. 16 yeas. 25 nays. thank you mr. chairman the underlying bill allows for redistribution of unused slots for primary residents in medical education, increasing the total number of graduate, milled education slots by 15% is really, part of my amendment. it would direct these newly created slots

ms. schwartz. she has worked in this area before she got to congress and while she has been in congress and made important contributions to the ways and means committee and i yield to her such time as she may consume. ms. schwartz: it has been an honor and a privilege to serve on the ways and means committee. i knew it would always be interesting and always doing important work and the principal work we do in congress, i don't think i could have anticipated to have worked on major issues facing this country. there are few issues as important as the health care of americans. and i think we have seen it in the ways and means committee under your guidance and leadership, the fact that people bring their own experiences in health care. each and every one of us have our own experiences, both good and bad. we bring the concerns of our constituents. and i think our hopes and dreams for our country and how great it can be, under your leadership and our watch to participate in finding a uniquely american so

ms. schwartz: to address the house for one minute. the speaker pro tempore: without objection, so ordered. ms. schwartz: i rise today to discuss comprehensive health care and health care reform, as we move forward to make sure all americans have health care, primary provide thornse frontline of the system, keeping costly conditions from worsening, and yet despite this essential role it is primary care in which we face the most acute provider shortages. fewer and fewer medical students are choosing primary care. it declined from 50% to 20%. by 2025, america will have a shortage of 26,000 primary care providers. my proposal makes a comprehensive approach to addressing this program, providing scholarships and loan repayments for doctors. the speaker pro tempore: the gentlelady's time has expired. for what purpose does the gentleman from louisiana? >> i ask unanimous consent to address the house for one minute. the speaker pro tempore: without objection, the gentlelady is recognized. >> i join the majority of americans who found themselve

ms. schwartz: to address the house for one minute. the speaker pro tempore: the gentlelady is recognized for one minute. ms. schwartz: almost 50 million americans are without health coverage. many millions more worry about the stability of their coverage, that they'll lose coverage, or at a time of accident or illness their insurance will not cover critical needs. in my home state of pennsylvania families have seen a 100% increase in their health premiums since 2000. nearly one in five pennsylvania families pay more than 10% of their income on health care. and american businesses are struggling with increasing premiums and forcing them to pass on more of the cost to employees or drop coverage altogether. the federal government is the largest payer of american health care costs and currently paying nearly half of the $2.5 trillion health bill. while costs keep rising at the rate fasterer than inflation, health outcomes for americans are not improving the status quo is unacceptable. we must move forward in offering a uniquely american r

ms. schwartz, two minutes. the chair: the gentlewoman from pennsylvania is recognized for two minutes. mrs. schwartz: thank you very much. i rise today in support of enhancing small business research and innovation act. ingenuity and innovation are key to the u.s. economy. in pennsylvania the bioscience industry employs more than 77,000 people in good paying jobs. the industry develops life saving pharmaceuticals, medical equipment and devices that are important here at home and around the world. in order to develop these important technologies, these companies need access to early capital. to move their products from the research phase into commercial development. small business programs, particularly sbir and sttr programs, are important tools for our country's entrepreneurs to bring their ideas to market. however, underrules established by the previous administration, companies with large investments from venture capital, were ineligible to participate in the sbir program. this ruling created an unfortunate situation where companies had to choose between utilizing these federal busi

ms. schwartz: finding uniquely american solution to our nation's health care challenges means expanding accesshealth coverage, containing health costs, improving the quality of care and achieving better health outcomes. to achieve these goals we must think in new ways about how to bridge the current system's fragmentation, encourage coordination, and promote collaboration by health care providers. meaningful health care reform requires that we expand delivery of care models that encourage teamwork among providers, improve efficiencies and ensure that americans get better value for their health dollars spent. this includes patient centered medical homes and greater access to primary care. we should also expand opportunities for doctors and hospitals, including those based in community and academic medical centers to design, implement and evaluate such models of care delivery. i've introduced the health care zone act to create and expand these innovative models of care. when we provide incentives to payers and providers to work together to improve care to communities and patients, we will undoub

ms. schwartz: i ask for immediate consideration in the house. the speaker pro tempore: the clerk will report the title of the resolution. the clerk: house resolution 662, supporting the goals and ideals of national save for retirement week, including the tax preferred entitle vehicles for personal savings and retirement financial security. the speaker pro tempore: is there objection to consideration of the resolution? without objection, the resolution is agreed to and the motion to reconsider is laid on the table. for what purpose does the gentleman from tennessee rise? mr. cohen: mr. speaker, i ask unanimous consent that the committee on judiciary be discharged from further consideration of senate joint resolution 19 and ask for its immediate consideration in the house. the speaker pro tempore: the clerk will report the title of the joint resolution. the clerk: senate joint resolution 19, joint resolution granting the consent and approval of congress to amendments made by the state of maryland, the commonwealth of virginia and the district of c