Markup of Seven Bills

Health Care Costs and Drug PricingHouse Energy and Commerce · 2025-09-17 · 119th Congress
The House Energy and Commerce Committee met to mark up seven bills, including reauthorizations of rural health outreach and telehealth grant programs, the Give Kids a Chance Act on pediatric rare disease drug development, a Public Health Service Commissioned Corps leave-benefits bill, the Healthy Start reauthorization, and the AM Radio for Every Vehicle Act. Begins at 0:18:48
Transcript
Highlights

Title

Markup of seven bills on rural health, pediatric cancer, and AM radio

Purpose

The House Energy and Commerce Committee met to mark up seven bills, including reauthorizations of rural health outreach and telehealth grant programs, the Give Kids a Chance Act on pediatric rare disease drug development, a Public Health Service Commissioned Corps leave-benefits bill, the Healthy Start reauthorization, and the AM Radio for Every Vehicle Act. Democrats used the session to press for extension of enhanced ACA premium tax credits set to expire at year's end and to demand oversight hearings on HHS Secretary Robert F. Kennedy Jr. and vaccine policy. Begins at0:18:48

Who spoke

Chairman Brett Guthrie (R-KY)0:18:48: Opened by outlining the seven bills, including H.R. 2493 (rural health), H.R. 3009 (telehealth), H.R. 1262 (Give Kids a Chance Act), H.R. 1843 (generic drug transparency), and the AM Radio for Every Vehicle Act0:18:48; later disputed that the "working families tax cut" caused ACA credits to expire, noting the Inflation Reduction Act set that expiration date0:44:57.

Rep. Frank Pallone (D-NJ), Ranking Member0:21:19: Criticized Republicans for excluding health workforce diversity and Newborn Screening Reauthorization bills from the markup0:21:48, praised the Healthy Start Act and AM Radio bill0:22:550:23:51, and later urged the CR debate address expiring ACA credits1:20:26.

Rep. Diana DeGette (D-CO)0:26:01: Pressed the chairman on committing to oversight hearings with RFK Jr. and the fired CDC director over politicization of science0:26:420:27:37; cited a New York Times headline on cuts to cancer research0:28:38; later withdrew a large amendment restoring dropped December 2024 health extenders package after discussion2:54:33.

Rep. Kim Schrier (D-WA)0:29:33: Supported the rural health bill she co-led while criticizing Medicaid cuts' effect on rural labor and delivery units0:30:00; later, as a pediatrician, described a friend's son with limb girdle muscular dystrophy whose NIH-funded research was cut2:16:31.

Rep. Buddy Carter (R-GA)0:32:50: Spoke in support of the rural health reauthorization he co-sponsored with Sen. Tim Scott, citing a 43% higher rural mortality rate0:33:180:33:42.

Rep. Troy Carter (D-LA)0:35:07: Noted 44 of Louisiana's 64 parishes are rural and criticized exclusion of H.R. 4262 (Title VII workforce program) from the markup0:35:220:37:45.

Rep. Kathy Castor (D-FL)0:39:08: Offered an amendment for permanent extension of enhanced ACA tax credits, citing 4.7 million Florida ACA enrollees and a projected 30% drop in rural marketplace coverage0:39:38; later withdrew the amendment1:39:39; also offered (and withdrew) an amendment barring changes to vaccine immunization schedules2:31:172:54:33.

Rep. Doris Matsui (D-CA)0:46:48: Said Republicans cut nearly $1 trillion from Medicaid, kicking over 50 million off insurance, and that her constituents face a $121/month premium increase0:47:14; later praised the Give Kids a Chance Act's priority review voucher record1:59:59.

Rep. Darren Soto (D-FL)0:49:14: Warned of premium increases up to 75% for Florida's large ACA exchange and cited a September 30 budget vote deadline0:49:14; later supported the AM radio bill for hurricane preparedness3:50:34.

Rep. Jake Auchincloss (D-MA)0:51:31: Called it "cynical" to cut ACA credits while delivering tax cuts to the wealthy0:51:57; later argued for PBM reform legislation dropped from the December 2024 package, criticizing Elon Musk's role in killing it3:04:50.

Rep. Kristen McDonald Rivet (D-MI)0:53:19: Cited Michigan Blue Cross Blue Shield requesting an 18% premium increase and CBO estimates of 4.2 million losing coverage0:53:19; described her mother's ER experience after the reconciliation bill vote0:55:08.

Rep. Marc Veasey (D-TX)0:57:11: Said premium tax credits are "the difference between a $200 monthly bill or a $1,200 a month bill" and that nearly 4 million Texans rely on them0:58:190:59:52.

Rep. Ayanna Pressley (D-MA)1:01:39: Spoke in support of Castor's amendment, citing a Massachusetts constituent's granddaughter with epilepsy1:03:09 and 200,000 Massachusetts residents affected1:02:40.

Rep. Lizzie Fletcher (D-TX)1:04:40: Cited a 115% premium increase estimate for Harris County and a $17,500 annual increase for a Texas couple in their 60s1:06:131:07:20; noted Harris County raised property taxes to cover a projected $1 billion Medicaid shortfall1:08:17.

Rep. Nanette Barragan (D-CA)1:09:39: Displayed a chart showing Pennsylvania's 10th District premiums rising over 400% and Colorado's 8th District over 200%1:11:511:12:20.

Rep. Morgan Griffith (R-VA)1:14:38: Argued the amendment was not germane to committee jurisdiction, noted Democrats set the five-year sunset on the credits during COVID, and said failing to extend affordably-priced ACA coverage effectively concedes the ACA is broken without special subsidies1:16:09.

Rep. Kathy Manning (D-NJ)1:23:56: Argued health care should be treated as a policy, not budgetary, issue and said Republicans would "own" coverage losses1:24:22.

Rep. Robert Aderholt (R-AL): Not identified as speaking in transcript.

Rep. Gary Palmer (R-AL)1:28:17: Disputed Democrats' CBO-based coverage-loss figures using insured/Medicaid enrollment trend data since 20171:28:46; later spoke for the AM radio bill3:37:53.

Rep. Kim Schrier (D-WA) repeat later moment covered above.

Rep. Suzan DelBene / Rep. Marilyn Strickland (D-WA)1:31:12: Cited 80,000 Washington families predicted to drop insurance coverage1:32:04; later spoke on the AM radio bill regarding rural coverage1:31:12.

Rep. Bill Johnson (R-OH)/unnamed member from Ohio1:33:32: Asked why ACA credits had an expiration date; yielded to a Democratic colleague for the answer1:33:32.

Rep. Jennifer McClellan (D-VA)1:34:57: Described her personal and professional background in health care and argued deadlines should prompt reassessment, not automatic expiration1:35:44.

Rep. Diana Harshbarger (R-TN)2:23:50: Highlighted her Abraham Accords medical supply chain provisions in the Give Kids a Chance Act package2:23:50.

Rep. Robert Menendez Jr. (D-NJ)2:25:39: Spoke of a constituent family searching for a rare-disease diagnosis for their child2:26:20.

Rep. Debbie Dingell (D-MI)2:04:50: Co-lead of the Give Kids a Chance Act, citing 16,000 annual pediatric cancer diagnoses and 53 priority review vouchers awarded since 20112:04:50; later described Fred Upton being denied a COVID vaccine at a pharmacy2:50:58.

Rep. Gus Bilirakis (R-FL)1:46:33: Lead sponsor of the AM Radio for Every Vehicle Act and Give Kids a Chance Act co-sponsor; cited Peter Dion Foundation and Florida families in clinical trials for a Prader-Willi drug2:10:54; later explained the amendment's eight-year AM radio sunset compromise3:25:08.

Rep. Robin Kelly (D-IL)/Rep. John Joyce (R-PA)2:03:36: Rep. John Joyce spoke of losing his mother to cancer and supported the pediatric cancer bill2:03:36.

Rep. Lori Trahan (D-MA)2:20:32: Said the PRV program has reached 200,000 patients across nearly 50 rare conditions2:21:26.

Rep. Diana DeGette covered above.

Rep. Jared Golden or Rep. Jimmy Panetta (D-CA)2:38:54: Spoke supporting Castor's vaccine schedule amendment2:38:54.

Rep. Paul Tonko (D-NY)2:46:10: Cited that childhood vaccines have saved roughly 154 million lives over 50 years and that vaccines are not linked to autism2:47:12.

Rep. Yvette Clarke or Rep. Kathy Castor (amendment sponsor, covered above).

Rep. Scott Fitzgerald / Rep. Russ Fulcher: Not confirmed as speaking.

Rep. Kim Schrier covered.

Rep. Mark Alford (R-MO)2:52:16: Supported Castor's vaccine amendment citing hospital workforce concerns over reemerging diseases2:52:16.

Rep. Jay Obernolte (R-CA)3:47:15: Opposed the AM radio bill, citing a Center for Automotive Research estimate that compliance would cost $3.8 billion, passed on to EV buyers3:47:44.

Rep. Nathaniel Moran / Rep. Jake Ellzey (R-TX)3:57:46: Praised the AM radio compromise and referenced tornado risk in Dallas-Fort Worth3:57:46.

Rep. Cliff Bentz (R-OR)3:59:13: Noted his 70,000-square-mile district lacks cell service for hours at a time, supporting the AM radio mandate3:59:13.

Rep. Troy Carter (D-LA) covered above; also spoke again on AM radio, citing Hurricanes Katrina, Rita, and Ida3:52:46.

Rep. Nick Langworthy (R-NY)3:55:05: Described WBEN radio as the lifeline during Winter Storm Elliott in Buffalo and objected to the eight-year sunset3:55:05.

Rep. Debbie Dingell on AM radio compromise3:42:19: Detailed the bipartisan negotiation with automakers and broadcasters.

Key moments

Rep. Kathy Castor's amendment to permanently extend enhanced ACA premium tax credits sparked over an hour of debate; she cited a National Rural Health Association projection of a 30% drop in rural marketplace coverage and 37% rise in uninsured rural residents0:40:49, and ultimately withdrew the amendment1:39:39.

Chairman Guthrie and Rep. DeGette sparred over whether the "big beautiful bill" caused ACA credit expiration; Guthrie noted the Inflation Reduction Act set the sunset date, which DeGette confirmed but said doesn't change the need to extend it0:44:57.

Rep. Nanette Barragan displayed district-by-district premium-increase charts, citing a 400%+ rise (over $2,000/month) in Pennsylvania's 10th District and 200%+ in Colorado's 8th District1:11:51.

Rep. Morgan Griffith argued the ACA amendment was not germane to committee jurisdiction and noted Democrats themselves set the five-year sunset for the pandemic-era credits1:16:091:17:53.

Rep. Gary Palmer disputed CBO coverage-loss projections, citing his own math showing insured Americans rose by 15.4 million and Medicaid enrollment rose by 4.3 million since 2017, despite CBO's prior warnings1:29:15.

Rep. Kathy Castor's amendment barring modification of vaccine immunization schedules cited a New York Times-style claim that HHS Secretary Kennedy demanded the CDC director "pre-approve" every ACIP vaccine recommendation regardless of evidence, leading to her firing; the amendment was ultimately withdrawn2:33:502:54:33.

Rep. Debbie Dingell recounted former Chairman Fred Upton, age 72, being denied a COVID-19 vaccine at a Virginia pharmacy along with his wife2:50:34.

Rep. Diana DeGette's large amendment restoring the entire December 2024 health extenders package (dropped after Elon Musk's tweets) — including maternal mortality review and special diabetes programs — was debated at length and then withdrawn after Griffith argued smaller bills pass more easily2:55:05.

The AM Radio for Every Vehicle Act amendment compromise shortened the automaker compliance sunset from ten to eight years; Rep. Jay Obernolte was the lone recorded "no" vote, citing a $3.8 billion EV compliance cost estimate from the Center for Automotive Research3:47:44; final vote was 50 ayes to 1 no4:04:50.

All seven bills passed by voice or roll-call vote with no recorded opposition except the AM Radio Act (50-1): H.R. 2493 (49-0)1:46:03, H.R. 3419 (48-0)1:53:16, H.R. 2846 (46-0)1:59:30, H.R. 1262 as amended (47-0)3:13:01, H.R. 3302 (49-0)3:23:43, H.R. 979 (50-1)4:04:50.

Metadata

CommitteeHouse Energy and Commerce
Chamber / CongressHouse · 119th Congress
Date2025-09-17
TypeMarkup
Witnesses
(none listed in event metadata)
Videoyoutube
Transcript513 caption blocks · 33,600 words · 4:05:55 runtime
EventCongress.gov 118639