Wednesday, September 13, 2017

GERIATRICS WORKFORCE LEGISLATION INTRODUCED

Source: House Representative Doris O. Matsui (D-CA, 6th)

Washington, D.C. - September 13, 2017 (The Ponder News) -- Congresswoman Jan Schakowsky and Congresswoman Doris Matsui, Co-Chairs of the Seniors Task Force, introduced H.R. 3713, the Geriatrics Workforce and Caregiver Enhancement Act. This bipartisan bill invests in geriatric training and caregiver programs to create a well-trained workforce to provide coordinated quality care for older adults. After introducing the legislation, Reps. Schakowsky and Matsui released the following statement:

“A serious shortage in the health care workforce is failing to meet the needs of older Americans. It is estimated that by 2030, 3.5 million trained health care workers will be needed just to maintain the current access level for older Americans. This means that unless we act now, seniors, especially those with multiple chronic conditions and cognitive impairments, may not receive the quality of care they need.

“The bipartisan legislation we introduced seeks to confront that challenge by investing in the creation of a robust workforce and focusing on engaging family caregivers. This bill also re-establishes the Geriatric Academic Careers Awards, which allows training programs to reach more underserved and rural communities. We must invest in the wellbeing of our nation’s seniors – and this bill will do just that.”

Bill Introduced to Expand Access to Addiction Treatment

Source: House Representative Ben R. Lujan (D-NM, 3rd)

Washington, D.C. - September 13, 2017 (The Ponder News) -- U.S. Representatives Ben Ray Luján (D-NM) andPaul D. Tonko (D-NY) have introduced H.R. 3692, the Addiction Treatment Access Improvement Act, a bill that would significantly expand access to medication-assisted treatment (MAT) for opioid use disorder, particularly among vulnerable populations such as pregnant women and postpartum mothers struggling with addiction.

More than 64,000 people in the U.S. died of drug overdoses in 2016, the deadliest year on record. That number represents an increase of more than 20 percent over the previous year. Just one fifth of the patients who need treatment are currently receiving it.

Rep. Luján: “As addiction continues to devastate families across our nation, we must expand access to medication-assisted treatment and allow nurses to practice to the full extent of their licensures. Advanced Practice Nurses are an integral part of health care teams all across the country, but especially in rural states like New Mexico where thousands of families depend on advanced practice nurses for so much of their routine health care. We especially need to make it easier for pregnant and postpartum women struggling with addiction to get help. Allowing Certified Nurse Midwives to prescribe and refer for MAT treatment will expand access for addicted moms – something we need to do immediately.”

Rep. Tonko: “Opioid addiction is a deadly and painful epidemic that continues to spread across our nation. Thousands more of our family members, friends and neighbors fall victim to this disease every year, while just a fraction are finding their way to treatment. We must do more. This legislation addresses the epidemic head-on by empowering the healthcare professionals at the front lines of this crisis, locking in previous treatment expansions and granting more specialist nurses the ability to prescribe the medication-assisted treatment that we know gives patients their best chance to recover.”

The bill has received support from the American Society of Addiction Medicine, the American Nurses Association, American Association of Nurse Practitioners, American Academy of Physician Assistants, the American College of Nurse-Midwives, the American Association of Nurse Anesthetists, the National Association of Clinical Nurse Specialists and the American Congress of Obstetricians and Gynecologists.

American Society of Addiction Medicine President Kelly Clark, MD, MBA, DFASAM: “ASAM is grateful to Representatives Tonko and Lujan for their leadership in crafting smart addiction treatment policy, and we are pleased to endorse this bill. Solidifying into law the recent gains we’ve made in treatment access, and ending arbitrary time for healthcare providers to treat patients, will ensure that we can continue to improve access for evidence based care. Although physicians are providing more addiction treatment than ever before, expanding the addiction treatment workforce to include all advance practice registered nurses is urgently needed to address access challenges and provider shortages due to the magnitude of this epidemic. We look forward to seeing this bill become law.”

American College of Nurse-Midwives President Lisa Kane Low, PhD, CNM, FACNM, FAAN: “Midwives stand for access to quality care for all women, including those who are pregnant and facing the challenge of an opioid addiction. Expanding access to medication-assisted treatment (MAT) is a critical step in helping combat this nationwide epidemic. Providing authorization for midwives to treat, prescribe and refer for MAT services are all within the midwifery scope of practice. This legislation will remove a barrier to MAT for those in need who midwives serve.”

Addiction Treatment Access Improvement Act

The Addiction Treatment Access Improvement Act builds on steps taken under the previous Comprehensive Addiction and Recovery Act to enable clinical nurse specialists, certified nurse midwives, and certified registered nurse anesthetists to prescribebuprenorphine. These advanced practice nursing professionals have similar educational and training requirements as other currently eligible providers and often serve as primary care providers for vulnerable populations.

In addition, the bill would codify a 2016 regulation that expanded the number of patients qualified physicians could treat to 275 while preserving the ability of the HHS Secretary to adjust the patient limit, and make permanent the authorization that allows non-physician providers to treat patients with buprenorphine.

State Department to Reorganize

Source: House Representative Nita Lowey (D-NY, 17th)

Washington, D.C. - September 13, 2017 (The Ponder News) -- Representatives Nita Lowey (D-NY17), Harold “Hal” Rogers (R-KY5), Eliot Engel (D-NY16), and Ed Royce (R-CA39), sent a letter to Mick Mulvaney, Director of the Office of Management and Budget (OMB), on the Office’s role in the reorganization of the U.S. State Department and the U.S. Agency for International Development (USAID). The letter was prompted by recent reports that State and USAID are scheduled to turn over their recommendations for reorganization this week.

“We firmly believe that reforming the diplomatic and development architecture of the United States should enhance – not impede – the ability of the State Department and USAID to advance our most pressing foreign policy priorities,” the Members wrote. “Smart investments in diplomacy and development can help accelerate economic growth, create opportunity, prevent the spread of infectious diseases, stabilize communities, and mitigate the need for costly military interventions that put our Armed Forces in harm’s way. Poor planning and execution can have the exact opposite effect.”

“Congress has a critical role to play in the ongoing reform process. Without Congressional assent, reform will not be sustainable over the long-term. Though we have held periodic meetings with teams from the State Department and USAID, we have yet to engage with OMB on the role that it will play in this process. Toward this end, and consistent with the requirements of Section 7076(a)(2) of the Fiscal Year 2017 Consolidated Appropriations Act, we request that you and your colleagues brief us as soon as possible on the role you intend to play and your work to date; share with the appropriate Congressional committees the submissions by the State Department and USAID required pursuant to Executive Order 13781 of March 13, 2017; and engage directly and often with Congress before taking any actions to implement reform proposals that affect the instruments of U.S. foreign diplomacy and development,” the Members concluded.

Lowey is the Ranking Member and Rogers is the Chairman of the House State and Foreign Operations (SFOPS) Appropriations Subcommittee. Engel is the Ranking Member and Royce is the Chairman of the House Foreign Affairs Committee. The House Appropriations and Foreign Affairs Committees are responsible for funding and overseeing the work of State and USAID.

The full text of the letter can be read here.

More News about this:

US State Department’s First Steps at Reorganization Downgrade Human Rights

US State Dept. to Submit Reorganization Review by September 15

Radio Free Asia Offices In Cambodia Closed After Intimidation from Cambodian Government

Source: House Representative Alan Lowenthal (D-CA, 47th)

Washington, D.C. - September 13, 2017 (The Ponder News) -- Congressman Alan Lowenthal (CA-47) issued the following statement on the announced closure of Radio Free Asia (RFA) operations inside Cambodia due to ongoing pressure and intimidation from the regime of Cambodian Prime Minister Hun Sen:

“The Hun Sen regime is making it perfectly clear that it has no intention of allowing a free press to exist in Cambodia, and the government appears ready to use any contrivance it can—intimidation, threats, coercion, and even outright violence—to prevent the people of Cambodia from having independent, reliable, and trustworthy news that is not filtered through the Hun Sen lens.
“RFA in Cambodia has faced a growing escalation of rhetoric from the Hun Sen regime, and now, for the safety of its staff, RFA has been forced to cease operations within Cambodia. It joins the Cambodia Daily newspaper, numerous non-governmental agencies, as well as FM broadcast stations that have been forced to close by the government.

“The democratic principles that the Cambodia people are guaranteed under their constitution are being destroyed—one at a time—by the Hun Sen government and I am appalled.

“The right of political expression, the right of a free media, and the right to dissent, are all being quashed by Hun Sen in an effort to subvert free and fair national elections in Cambodia scheduled for next year.

“This is a crisis situation and I will call on the United States ambassador to Cambodia as well as the Secretary of State to express my concern and urge them to take any and all action to stop this out of control situation and assist the Cambodian people.”

Rep. Loudermilk and Wife Recovering After Car Accident

Source: House Representative Barry Loudermilk (R-GA, 11th)

Washington, D.C. - September 13, 2017 (The Ponder News) -- Rep. Loudermilk (R-GA) and his wife are recovering after a car accident in Knoxville, TN.

Early Tuesday morning, Congressman Loudermilk and his wife were involved in a two car accident near Knoxville, TN. After coming home to Georgia to assist with Irma response, and the storm having cleared the area, Congressman Loudermilk and his wife were en route back to Washington D.C. They were traveling East on I-40 when their vehicle was struck from behind by a second vehicle, causing their vehicle to leave the road and flip multiple times, coming to rest on the passenger side. Both the Congressman and Mrs. Loudermilk were transported to the hospital with non-life threatening injuries where they were treated and released. They have been instructed to return to Georgia for follow-up treatment.

The Loudermilk's immediately acknowledged God’s hand in protecting them from serious injury, and they would appreciate your thoughts and prayers as they recover.

Bill Introduced to Jumpstart American Apprenticeship

Source: House Representative Frank LoBiondo (R-NJ, 2nd)

U.S. Representative Linda Sánchez (CA-38), Vice Chair of the House Democratic Caucus, along with Representatives Brian Fitzpatrick (PA-08), Derek Kilmer (WA-06), Frank LoBiondo (NJ-02), and Mike Thompson (CA-05) today introduced the bipartisan Apprenticeship and Jobs Training Act of 2017 to enhance training and education opportunities for American workers through registered apprenticeships. Apprenticeship programs have been an integral part of America’s workforce development, allowing workers to increase their skills while also earning a paycheck. This legislation is the House companion to the bill introduced earlier this year by Senators Maria Cantwell and Susan Collins.

Full text of the legislation is available here.

Substantive apprenticeship programs are an integral part of the quality education that leads to good paying American jobs. A skilled workforce is a critical component to a continued productive economy, but in recent decades employers have been experiencing a shortage of properly trained, available workers.

Apprenticeship programs are a proven tool for workers to learn advanced skills while also earning a paycheck. The bill would create a $5,000 tax credit based upon wages paid by companies who hire individuals enrolled in a federal or state registered apprenticeship program. For employers participating in a multi-employer apprenticeship program, the credit rate would be $3 per hour each individual works. A worker must be employed for 7 months before the credit can be claimed and can be claimed as the apprentice works through the program for a maximum of three years. The bill also allows veterans to apply their previous skills and experience towards education hours so they can be put to use more quickly.

“In today’s global economy there are more ways to succeed than ever before,” said Representative Linda T Sánchez. “The Apprenticeship and Jobs Training Act would ensure that more hard-working Americans are able to learn the skills necessary to compete for good paying jobs in today’s most in-demand industries. Expanding apprenticeship programs will help our middle class thrive by closing our skills gap and raising household wages.”

“Apprenticeship programs grow our economy by fostering training programs that will prepare workers for in-demand careers,” said Rep. Brian Fitzpatrick. By closing the skills gap, this bipartisan program will encourage more good-paying jobs for working families, while addressing our nation’s current shortage of trained workers. I am proud to work with Congresswoman Sanchez on this bipartisan legislation to enhance America’s workforce and bring robust job growth to Bucks and Montgomery Counties.”

“Apprenticeships empower workers to get on-the-job training without breaking the bank,” Rep. Derek Kilmer said. “In a rapidly changing economy this is a key path to learning a new skill and earning a decent wage. I’m proud to be part of this effort to create new opportunities for local employers to invest in our workforce and create quality jobs through apprenticeships.”

“As we seek to bolster American job creation and lower unemployment, encouraging apprenticeships will help build the skilled workforce our country needs to compete in the global economy,” said Rep. Frank LoBiondo. “Given the needs for well-trained workers in many fields, this bipartisan legislation would provide opportunities for individuals seeking additional education and experience to further their careers.”

“Apprenticeship programs have consistently proven to be successful models of both career and workforce development, creating opportunities for workers and companies,” said Rep. Mike Thompson. “By allowing workers to earn a living while learning a trade, companies are able to create more jobs and build out their business. This bill would create greater incentives for companies to expand apprenticeship programs and would ensure veterans can apply their relevant military training to their apprenticeships.”

Senate Votes to Sunset UAMF

Source: House Representative Barbara Lee (D-CA 13th)
Source: Senator Rand Paul (R - KY)


The U.S. Senate will hold a vote on U.S. Senator Rand Paul’s amendment to the 2018 National Defense Authorization Act (NDAA) to sunset the 2001 and 2002 Authorizations for Use of Military Force.

This will mark the first Senate vote addressing an AUMF since 2002.

Senator Paul’s amendment would take effect six months after the 2018 NDAA becomes law, giving Congress time to hear from the American people and thoroughly debate granting any new, specific authority. You can read his amendment HERE.

Earlier today, Senator Paul spoke on the Senate floor to demand Congress take its constitutional responsibilities seriously and vote on his amendment.

“I rise today to oppose unauthorized, undeclared, and unconstitutional war,” said Senator Paul.

You can find Senator Paul’s remarks as prepared for delivery HERE, and you can find video of his full remarks on the floor HERE.

Congresswoman Barbara Lee released this statement on the Senate vote to table Senator Paul amendment to sunset the 2001 and 2002 Authorization for the Use of Military Force (AUMF):

“For sixteen years, Congress has abdicated its fundamental constitutional responsibility to debate and vote on matters of war and peace. While young men and women risk their lives for this country, Congress has been unable to muster the courage to vote on our endless wars.

“Earlier this year, my amendment to repeal the 2001 AUMF was adopted in a bipartisan vote in the House Appropriations Committee. This amendment, which sunset the 2001 AUMF eight months after enactment, would have given Congress ample time to debate and vote on a new war authorization. But before it could reach the House Floor, Speaker Ryan and Republican House leadership stripped the amendment in the darkof night.

“And now, with the vote today to table Senator Paul’s amendment, Congress once again chose political convenience over our duty to the American people and service members.

“While this outcome is disappointing, we must and will keep fighting to get this blank check for war off the books. The constitution – and the American people – deserve no less.”

This would effectively stop Trump from using military force in the MiddleEast as he has said he would do, or release "fire and fury" on North Korea. If this gets passed, blame Congress, not Trump.

Congresswoman Lawrence Sends Letter to White House Calling for Clarity on DACA Position

Source: House Representative Brenda Lawrence (D-MI, 14th)

Washington, D.C. - September 13, 2017 (The Ponder News) -- Rep. Brenda Lawrence (MI-14) sent a letter to the White House in response to the conflicting messages on the Administration’s positon and plans for DACA recipients and timeline of rescinding the program:

“On Wednesday, September 6, the President via Twitter and through Attorney General Jeff Sessions announced that the DACA program would be rescinded within 6 months. The very next day, President Trump posts a vague tweet declaring that [f]or all those (DACA) that are concerned about your status during the 6 month period, you have nothing to worry about-No action!

“DACA recipients have a lot to worry about with this administration’s mixed messages. On Sunday September 10, I hosted a press conference in my district where the stories of hope and fear of our DACA recipients and members of our immigrant community were voiced. It is cruel to play games with the lives of people who have contributed so much to our communities and our country. The stress, anxiety and uncertainty caused by the words and actions of Trump’s administration is no less than mental abuse of this immigrant community. These members of our community deserve better, and we must demand better of our nation’s leaders.

“This is why I have sent a letter to the White House calling for clarification of this Administration’s position and plan of action with DACA and the DREAMers. If the President directed Attorney General Jeff Sessions to announce the end of DACA and the very next day tweets that these recipients “have nothing to worry about,” then these recipients and America need a clear official statement. Tweets are an insufficient response to an issue that could affect over 800,000 people in America. The President’s tweet does not simply “speak for itself”—the President needs to speak for himself and that’s why I call on this administration to make their position and plan on DACA crystal clear.”

From what I have seen, no matter how clear the President makes himself, it isn't clear enough. I am reminded of those kids in class who wanted to "make a problem harder than it was" by questioning it to death. I wonder if those kids became Democrats?

Larsen Opposes Concealed Carry Reciprocity Act of 2017

Source: House Representative Rick Larsen (D-WA, 2nd)

Washington, D.C. - September 13, 2017 (The Ponder News) -- Rep. Rick Larsen (WA-02) released the following statement on H.R. 38, the Concealed Carry Reciprocity Act of 2017:

“I oppose H.R. 38,” said Larsen. “Voters and advocates across Washington state tell me that making our communities safer from gun violence is a high priority. However, this bill would do the opposite. It would force Washington to turn a blind eye to individuals from states with laxer permitting standards who carry a concealed weapon in our state. I am also concerned this bill would make it harder for law enforcement officials to do their already difficult jobs.”

“H.R. 38 tosses out the window laws that Washington state residents have fought hard for and overwhelmingly approved,” said Margy Lavelle, Chair of Safe and Sane Skagit. “Thank you to Rep. Larsen for standing up for your constituents and opposing H.R. 38. Lives are at stake on this one.”

More information about this bill can be found at the links below:


The Good and Bad Of The Concealed Carry Reciprocity Act


Gun Owners of America: We Need Roy Moore in the Senate to Secure Concealed Carry Reciprocity

Cornyn Introduces the “Constitutional Concealed Carry Reciprocity Act of 2017” in the Senate

LaMalfa Comments on Misuse of Taxpayer Dollars to Fund Delta Tunnels

Source: House Representative Doug LaMalfa (R-CA, 1st)

Washington, D.C. - September 13, 2017 (The Ponder News) -- Congressman Doug LaMalfa (R-Richvale) issued the following statement after a federal audit found that the Obama Administration improperly used $84 million in taxpayer dollars on the delta tunnels project.

LaMalfa said: “The use of taxpayer dollars by the Obama Administration to improperly fund Governor Brown’s pet delta tunnel project is unacceptable. The state of California and the federal government lied to Congress and stole millions of hard-earned dollars from taxpayers – who ended up paying for a large portion of the project’s planning costs without their knowledge. California needs to repay every penny to the federal government immediately. The Bureau of Reclamation needs to explain to Congress how and why this happened and the employees and appointees who carried it out must be held responsible. Lying to Congress and the American people cannot be tolerated.”

Congressman Doug LaMalfa is a lifelong farmer representing California’s First Congressional District, including Butte, Glenn, Lassen, Modoc, Nevada, Placer, Plumas, Shasta, Sierra, Siskiyou and Tehama Counties.

It's not like they weren't warned last year.