ms. shalala: i yield 30 seconds to ms. jackson lee. the speaker pro tempore: the gentlewoman is recognized for 30 seconds. ms. jackson lee: i happen to live and be in the area of the texas children's hospital. i have obviously supported the legislation of danny davis. the point is that people with pre-existing conditions including sickle cell will not have access to health care under the trump guidance and i'm standing here not about the research, which is certainly beneficial, but it is about the fact that i'm standing for those with sickle cell, with pre-existing conditions, which is a pre-existing condition, to not be blocked from having good health care. that's why i rise to support h.r. 986 in order to ensure access to health care and not stopping pre-existing conditions from being covered. i thank the gentlelady and i ield back. the gentlewoman from florida is recognized. ms. shalala: i yield two minutes to the gentleman from new mexico, mr. lujan. the speaker pro tempore: the gentleman is recognized for two minutes. mr. lujan: i

ms. shalala. the chair: the gentlewoman from florida is recognized for 2 1/2 minutes. ms. shalala: i yield myself such time as i may consume. this amendment expresses a sense of congress the secretary should not do anything that prohibits state insurance commissioners from allowing for so-called silver loading. let me walk you through how we got to this point. because while silver loading has worked to keep costs on the exchange lower for folks who get subsidies, it has only been used because the president was actively trying to kill the affordable care act. in 2017, the president decided to stop reimbursing health insurance companies for what are called cost sharing reductions or c.s.r.'s. c.s.r.'s are payments that health insurance companies are required to make to help low and moderate income people afford health care. under the affordable care act, the health insurance companies must help people that have more affordable and possibly no co-pays or deductibles. the federal government was supposed to reimburse insurance providers from making these payments. however, in oc

ms. shalala, for five minutes. ms. shalala: mr. speaker, i rise to celebrate the life of one of the greatest public servants of any age. the indomitable alice riveland who died of cancer last week. an intellectual giant with midwestern sensibilities, she had a resume that would never be matched. assistant secretary for policy and evaluation at t.t.w., founding director of the congressional budget office, director of the office of management and budget, president of the american economic association and vice chair of the federal reserve. in between her government service, she sat on a high perch at the brookings institution producing rigorous, centrist and insightful books and articles on a wide range of federal policies. in her spare time, she was credited with saving d.c. from bankruptcy, she never forgot -- forgot her responsibility to her adopted hometown. alice was deeply respected and beloved by her peers and politicians of both parties. she was one of the first recipients of a macarthur genius award, a tribute to her skill in

ms. shalala of florida. the chair: the gentlewoman from florida and a member opposed each will control five minutes. the air recognizes gentlewoman from florida. ms. shalala: the sea level in florida has risen eight inches and only speeding up. by 2030, the sea level in south florida is projected to rise up to 12 inches. and by the end of the century, perhaps 80 inches. if we continue to do nothing on climate change, my community and in fact, my district will disappear. we have a moral obligation to mitigate and adapt immediately as we are already seeing the effects of climate change and sea level rise. the international community came together to sign the paris agreement and i was deficient stated when this administration announced the united states' withdrawal. the paris agreement strengthens the international response to climate change adapttation, mitigation and capacity building. it is our best collective effort to combat climate change. so withdrawal from paris and the failure to act on climate is a mi

ms. shalala. the chair: the gentlewoman from florida is recognized for 2 1/2 minutes. ms. shalala: i yield myself such time as i may consume. this amendment expresses a sense of congress the secretary should not do anything that prohibits state insurance commissioners from allowing for so-called silver loading. let me walk you through how we got to this point. because while silver loading has worked to keep costs on the exchange lower for folks who get subsidies, it has only been used because the president was actively trying to kill the affordable care act. in 2017, the president decided to stop reimbursing health insurance companies for what are called cost sharing reductions or c.s.r.'s. c.s.r.'s are payments that health insurance companies are required to make to help low and moderate income people afford health care. under the affordable care act, the health insurance companies must help people that have more affordable and possibly no co-pays or deductibles. the federal government was supposed to reimburse insurance providers from making these payments. however, in oc

ms. shalala talked about a little bit, the number of employees -- employers, i should say, paying 100 me% or a portion. and i don't know what the numbers are for small businesses but i would imagine it's staggering with small businesses and the cost of staying in business just not being able to pay at all. my memory from reading is in 2000 or 2001, almost 30% of employers paid 100 percent% of their health care costs. so this model to me clearly doesn't work. so it's a question of what we're going to do about it. like mr. asken, i'm a survivor of cancer. four years ago, i was diagnosed with stage 4 chronic lympho sattic leukemia. i took a pill that keeps me alive. senator durbin said to me recently because he knows of my health struggles, he said how is your health. and i said fine, dick, i have a pill in my pocket i take every day and it keeps me alive. and he said how much does it cost? and he said $400 and he said that's outrageous and i said not to me, it keeps me alive. my oncologist said 15 years ago somebody who came in with the same diagnosis and we would sprinkle some water on you

ms. shalala, 63%. i come in third, 75,887 of my constituents are currently on medicare advantage, which is 44% of all of the people on medicare in my district. i can go on and on, but my point is medicare for all would take away all of this from everyone. so my question is -- to ms. turner, what do you think about that? do you think senioring will be happy that their medicare advantage plans are taken away? >> the medicare advantage allows seniors to voluntarily, as you said, enroll in these plans that provide coordinated care, integrated care, so they can have one plan with their physician coverage, their hospital coverage, their drug coverage, they obvious provide additional benefit, yes, i think seniors are gravitating to these ambulance, because they give them more resources to deal with an evermore complex health care system. they highly value it. now about 20 million seniors overall are on medicare advantage. as you say, the number grows because it provides coordinated, integrated benefit. >> and

ms. shalala: they have harassment to the bias that older same-sex couples face. in the gallery today is christian baylor an openly gay and gender none conforming student who was barred from delivering his speech at his high school on account of his sexuality. two nights ago, he was honored hefner first hugh amendment award for education. today, we will take a crucial step for standing up for people like christian bypassing h.r. 5. and the birth of the modern lgbtq movement. there is no better way to honor the decades' long struggle for dignity and equality for lgbtq people and our elected leaders in congress to pass this legislation. i'm proud to support h.r. 5. the speaker pro tempore: you are not allowed to reference occupants in the gallery. the gentleman from georgia. mr. collins: i reserve. mr. nadler: mr. speaker, how much time do i have remaining? the speaker pro tempore: 10 1/2. the speaker pro tempore: the gentleman is recognized. mr. nadler: i yield one minute to the gentleman from texas, mr. doggett. the speaker pro tempore: the gentleman is recognized

ms. shalala: i met ellen tauscher in the 1980's when i was a director of the american stock exchange and she was an officer and she was brilliant and heart of gold. she was legitimated to congress. she hadn't changed and could focus razor sharp. she was a classic citizen legislator and had a previous career in finance and then committed herself to public service. all of us who knew and worked and played with her. we had a date for dinner. she will be missed as a kind, warm and wonderful friend as a classy colleague and will be remembered as a patriot who loved her country and served it well. talking about how we each knew ellen in different ways, she was very active in the new democratic coalition. and we have someone who served with her as one of her could horts as a new democrats and believed chaired with her at one time, and i'm happy to recognize ron kind. mr. kind: i thank the gentlelady for recognizing me tonight and securing this special order to honor one of our great friends and colleagues in this institution ellen tauscher and i thank representative garamendi. she was a great p

ms. shalala: the brothers grant and michael miller have grown the business to include 14 additions -- editions covering miami-dade county. it covers the local issues that are the fabric of our neighborhoods. recognizing the accomplishments of high school students and centennial birthdays, it is hypercxds hyper local. however, they do not shy away from dust discussing important issues. the miller brothers host breakfast sorblese and a hunchon series that has featured everyone from the county transportation director to david beckham. the millers have for years given jobs to numerous people attempting to re-enter society after incarceration, with the distribution of 65,000, their newspapers can be found in every diner and lobby in miami-dade. we honor mileal and grant miller as a great small business. the speaker pro tempore: the gentlelady's time has expired. for what purpose does the gentleman from kentucky rise? >> ask unanimous consent to address the house for one minute and to revise and extend my remarks. the speaker pro tempore: without objection. the gentleman is recognized for one minute

ms. shalala: they have harassment to the bias that older same-sex couples face. in the gallery today is christian baylor an openly gay and gender none conforming student who was barred from delivering his speech at his high school on account of his sexuality. two nights ago, he was honored hefner first hugh amendment award for education. today, we will take a crucial step for standing up for people like christian bypassing h.r. 5. and the birth of the modern lgbtq movement. there is no better way to honor the decades' long struggle for dignity and equality for lgbtq people and our elected leaders in congress to pass this legislation. i'm proud to support h.r. 5. the speaker pro tempore: you are not allowed to reference occupants in the gallery. the gentleman from georgia. mr. collins: i reserve. mr. nadler: mr. speaker, how much time do i have remaining? the speaker pro tempore: 10 1/2. the speaker pro tempore: the gentleman is recognized. mr. nadler: i yield one minute to the gentleman from texas, mr. doggett. the speaker pro tempore: the gentleman is recognized