Full Committee Markup of 16 Bills

Health Care Costs and Drug PricingHouse Energy and Commerce · 2026-05-21 · 119th Congress
The House Energy and Commerce Committee held a full committee markup to consider 16 bills spanning its jurisdiction, including a bipartisan motor vehicle safety and supply-chain package tied to the surface transportation reauthorization, a recycling infrastructure and data bill, and 14 public health reauthorizations covering issues from Alzheimer's, ALS, and Down syndrome research to school-based health centers and tick-borne disease programs. Begins at 0:16:11
Transcript
Highlights

Title

Committee advances 16 bills on auto safety, recycling, and public health reauthorizations

Purpose

The House Energy and Commerce Committee held a full committee markup to consider 16 bills spanning its jurisdiction, including a bipartisan motor vehicle safety and supply-chain package tied to the surface transportation reauthorization, a recycling infrastructure and data bill, and 14 public health reauthorizations covering issues from Alzheimer's, ALS, and Down syndrome research to school-based health centers and tick-borne disease programs. Chairman Brett Guthrie (R-KY) and Ranking Member Frank Pallone (D-NJ) both stressed the bipartisan work behind the package while noting unresolved issues on right-to-repair preemption, autonomous vehicles, and AM radio mandates. Begins at0:16:11

Who spoke

Chairman Brett Guthrie (R-KY)0:16:11: Outlined the 16-bill agenda, including the recycling pilot program, the auto safety/motor vehicle modernization package with a Chinese vehicle ban0:17:49, and ten health subcommittee bills0:18:17; later confirmed no preemption of state right-to-repair laws in the auto bill2:33:12.

Ranking Member Frank Pallone (D-NJ)0:19:10: Highlighted the TBI reauthorization, ACT for ALS, school-based health centers, and the recycling package0:19:42; pressed for continued work on consumer access to safety features and affordable repairs0:22:40, and co-led the auto safety amendment negotiations2:32:12.

Rep. Diana DeGette (D-CO)0:23:12: Praised public health reauthorizations including the EARLY Act and ACT for ALS0:23:28; introduced her Deondra Dixon NIH INCLUDE Project Act co-led with Rep. Hudson0:24:18, noting the INCLUDE Project has funded five Down syndrome research grants across 18 NIH institutes and supports over 13 clinical trials0:24:18; introduced constituent Michelle Sie Whitten0:24:45.

Rep. Frank Pallone / Rep. Bonnie Watson Coleman-area member on recycling (identified as gentleman from New Jersey)0:26:52: Voiced support for H.R. 2145, noting only 21% of recyclable materials are actually recycled and Virginia alone loses 1.1 million tons annually (later attributed to Rep. from Virginia)3:39:47...

Rep. Mariannette Miller-Meeks (R-IA)0:34:16: Sponsor of the Recycling Infrastructure and Accessibility Act; said 36% of Iowa households lack recycling access and Iowa recovers less than half of aluminum cans and only 15% of steel cans0:34:46; noted communities in her district lack a recycling facility within 75 miles0:36:37.

A member from New York (recycling bill support)0:37:32: Noted 70% of American households have curbside recycling access versus 40% in rural and multifamily communities0:37:58.

A member from Virginia (recycling co-sponsor)0:39:47: Cited global recycling reduces CO2 emissions by 700 million tons/year, and that only 21% of recyclable materials are recycled in the US0:40:16.

Rep. Kathy Castor (D-FL)0:55:59: Co-sponsor of the AM Radio for Every Vehicle Act; described AM radio as a lifeline during the 2018 Camp Fire in Paradise, California0:56:26, and for farmworkers and seniors in her district0:57:11.

Rep. John James (R-MI)0:58:06: Highlighted his Promoting Resilient Supply Chains Act (H.R. 2444) included in the motor vehicle package, targeting dependence on China0:58:55.

Rep. Darren Soto (D-FL)1:00:20: Discussed Central Florida infrastructure investments ($3.5B I-4 expansion, airport grants)1:00:20; supported the AM radio and Sunshine Protection Act provisions1:03:13.

Rep. Lori Trahan (D-MA)1:03:46: Raised concerns that the auto safety bill's right-to-repair section omits protection for the Massachusetts right-to-repair law approved by 75% of voters, warning it could be read as implied preemption1:04:141:05:07; said she could not support the bill without clarity1:06:27.

Rep. Neal Dunn (R-FL)1:06:59: Praised Trahan's remarks as "articulate and intelligent"1:06:59; later spoke on his REPAIR Act, criticizing the substitute's right-to-repair language as a "watered down version" that excludes telematics data1:19:381:21:03.

Rep. Jen Kiggans / gentlelady on Sunshine Protection Act concerns (Florida)1:07:29: Raised health and safety objections to permanent daylight saving time, citing AMA and sleep medicine opposition and the 1974 experiment's reversal after child traffic deaths1:07:561:09:22.

Rep. Jake Auchincloss (D-MA)1:10:46: Associated himself with Trahan's preemption concerns1:10:46; praised inclusion of the Magnus White Act and Mullin's touchscreen distraction bill1:11:16; cited pedestrian deaths reaching 7,541 in 2022 and an 80% rise in pedestrian deaths from 2009–20231:12:121:12:41; later proposed doubling NIH funding for Alzheimer's research3:15:07.

A member from New York (preemption question)1:14:03: Asked directly whether the bill contained preemption language; Guthrie and Pallone confirmed no preemption1:14:35.

Rep. Kathy Castor / Doris Matsui (D-CA)1:23:49: Highlighted her Motor Vehicle Flammability Standards Study Act, noting toxic flame retardants required since a 1971 standard remain in vehicle upholstery1:24:181:25:10.

Rep. Gus Bilirakis (R-FL)1:26:04: Praised AM radio and Sunshine Protection Act inclusion, crediting Secretary Rubio's earlier Senate work and citing his CMT subcommittee's role1:26:561:28:07.

Rep. Yvette Clarke (D-NY)1:29:04: Introduced her Magnus and Safe Streets for Everyone Act, honoring cyclist Magnus White, killed in 2023; cited Black Americans as four times more likely to die while cycling1:30:56.

A member from California (ADAS/AM radio critique)1:32:33: Supported the ADAS Functionality and Integrity Act with Rep. Harshbarger1:32:56 but objected to mandatory AM radio in EVs, citing potential costs of "hundreds of dollars" per vehicle1:34:18.

Rep. Debbie Dingell (D-MI)1:36:11: Reaffirmed support for the auto safety package and her Safe Vehicle Access for Survivors Act1:36:52; discussed her Promoting Resilient Supply Chains Act and opposition to China gaining a foothold in the U.S. market1:40:16.

Rep. Nick Langworthy (R-NY)1:41:40: Spoke in support of the Motor Vehicle Modernization Act and AM radio provisions for rural Western New York1:42:32.

Rep. Marc Veasey (D-TX)1:43:50: Argued the committee is "a couple of years too late" on China EV competition, noting China controls 70–80% of global lithium-ion battery manufacturing1:44:25.

Rep. Robin Kelly (D-IL)1:47:11: Introduced her Safe Exit Act requiring manual door releases after reports of passengers trapped by failed electronic door latches1:47:351:48:39.

Rep. Pat Harrigan (R-NC)1:49:37: Supported AM radio provisions but urged pairing with the American Music Fairness Act, noting radio earns $14 billion annually while artists are paid nothing1:49:54.

Rep. Kim Schrier (D-WA)1:51:33: Highlighted her Know Before You Drive Act addressing ADAS driver overreliance1:52:03.

Rep. Robert Menendez (D-NJ)1:52:55: Yielded time to Rep. Mullin; later raised concerns about EV adoption provisions and daylight saving time inclusion1:55:25.

Rep. Young Kim / a member introducing Mullin's bill (California)1:53:24: Presented the Driver Technology and Pedestrian Safety Act (H.R. 3360), directing NHTSA study of touchscreen distraction1:53:41.

Rep. Troy Carter (D-LA)1:55:54: Co-chair of the Disaster Preparedness Caucus; supported AM radio for hurricane preparedness and the American Music Fairness Act1:56:101:57:29.

Rep. Bob Latta (R-OH)1:59:37: Offered (then withdrew) an amendment on self-driving/autonomous vehicles; cited China's EV production overtaking Japan (8 million to 7 million) and warned against a state-by-state patchwork2:00:252:01:14.

Rep. Debbie Dingell (again, on AV amendment)2:05:53: Supported Latta's AV framework, criticized Chinese subsidies and "slave labor," and noted Chinese vehicles are already collecting data near U.S. military installations2:08:34.

Rep. Josh Balderson (R-OH)2:12:33: Supported the SELF DRIVE Act, citing Ohio's DriveOhio and Transportation Research Center2:12:33.

Rep. Victoria Spartz / a member from Indiana2:13:57: Discussed AV benefits for the 18 million Americans with disabilities and cited nearly 40,000 U.S. roadway deaths in 20242:14:57.

Rep. Mariannette Miller-Meeks (AV amendment)2:16:21: As a physician, framed roadway safety as a public health issue, citing 12,000 drunk-driving deaths and 3,200 distracted-driving deaths in 20242:17:31.

Rep. Diana Harshbarger (R-TN)2:18:57: Offered (then withdrew) her DRIVE Act amendment on vehicle data ownership, arguing "if you buy a car, you should own the data"2:19:25.

Rep. Gary Palmer (R-AL)2:25:35: Offered (then withdrew) an amendment on rare-earth magnets in EV traction motors, noting China's April 2025 export restrictions caused auto plant shutdowns in Europe, the U.S., and Canada2:26:31.

Rep. Jared Golden / gentleman from Massachusetts (right-to-repair)2:35:12: Said he would vote for the bill given commitments from Guthrie and Pallone to resolve Massachusetts preemption concerns before House floor consideration2:36:05.

Rep. Ann Wagner / gentleman from Virginia (H.R. 4348, tick disease)2:42:28: Spoke for the Kay Hagan Tick Act reauthorization, noting Virginia has among the highest Lyme disease rates2:43:16.

Rep. Nydia Velázquez / gentleman from New York (H.R. 4348)2:44:02: Co-lead of the TICK Act; cited over 18,000 Lyme disease cases in New York in 20242:44:31.

Rep. Mariannette Miller-Meeks (EARLY Act, H.R. 4541)2:52:31: Reauthorization sponsor; noted her sister died of breast cancer and discussed the MAMMO and SERVICE Acts for veterans2:52:502:53:14.

Rep. Kathy Castor / Debbie Wasserman Schultz (H.R. 4541)2:55:05: Lead sponsor of the EARLY Act; cited 321,000 new invasive breast cancer diagnoses expected in 2025, 16% in women under 502:51:18.

Rep. Troy Balderson (H.R. 3747, ADAPT Act)3:03:16: Cited more than 230,000 Ohioans with Alzheimer's; described the ADAPT Act's Project ECHO training expansion3:03:43.

Rep. Nanette Barragán (D-CA)3:05:12: Co-lead of the ADAPT Act; shared her mother's Alzheimer's diagnosis experience and cited 7 million Americans currently living with Alzheimer's, projected to reach 13 million by 20503:05:41; noted 69% of providers report little to no dementia training3:06:37.

Rep. Darren Soto (ADAPT Act)3:08:01: Discussed new FDA treatments like Leqembi and the need for caregiver support3:08:45.

Rep. Paul Tonko (D-NY) (ADAPT Act)3:09:53: Noted 427,000 New Yorkers affected by Alzheimer's; discussed his companion ASAP Act on Medicare biomarker test coverage3:10:203:11:23.

Rep. Julie Fedorchak (R-ND) (ADAPT Act)3:12:33: Shared that both her parents died of Alzheimer's3:12:58.

Rep. Buddy Carter / gentleman from Louisiana on ALS bill (H.R. 8205)4:34:33: Explained the amendment extending ACT for ALS programs through 20314:35:01.

Rep. Ben Griffith / gentleman from Virginia on ALS bill4:37:12: Described personal connections to ALS deaths in his Roanoke Valley "hot spot" and support for including other neurodegenerative diseases4:38:31.

Rep. Buddy Carter (H.R. 2715, hazardous imports)4:43:34: Introduced the Destruction of Hazardous Imports Act with Rep. Clay Higgins, targeting "port shopping" by Chinese exporters of contaminated seafood and counterfeit drugs4:45:234:46:13.

Rep. Buddy Carter (H.R. 2821, FDA Modernization 3.0)4:51:45: Sponsor of legislation requiring FDA to implement animal-testing alternatives under the FDA Modernization Act 2.04:52:29.

A member from New York (animal testing, Richland Farms)4:53:46: Described conditions at Richland Farms in Wisconsin and Marshall Farms in Wayne County, NY, breeding roughly 30,000 dogs annually for testing4:54:38.

Rep. Troy Carter (H.R. 2821, FDA Modernization 3.0)4:56:18: Co-lead with Reps. Barragán, Buchanan, DeLauro, and Harshbarger4:56:18.

A member from Virginia (H.R. 5347, ACO reporting)5:01:08: Explained the Health Care Efficiency Through Flexibility Act's digital quality measure reporting reforms for ACOs5:02:03.

A member from Pennsylvania (H.R. 1703, wheelchair choice)5:07:42: Explained the Choices for Increased Mobility Act allowing Medicare Part B patients to pay out-of-pocket for titanium or carbon-fiber wheelchair upgrades5:08:085:08:31.

Key moments

Rep. Lori Trahan warned the auto safety substitute's list of protected state laws omits the core owner-to-repairer relationship, comparing it to "protecting a house from a storm" while leaving the front door unmentioned; she withheld support pending fixes1:04:391:06:03.

Guthrie and Pallone publicly confirmed, in response to a direct question from a New York member, that there is no preemption of state right-to-repair laws in H.R. 73891:14:351:15:04.

Rep. Neal Dunn criticized the right-to-repair language as a "watered down version" of his REPAIR Act that excludes telematics data, saying he saw the final substitute language "only two days ago"1:22:481:20:12.

Rep. Bob Latta withdrew his autonomous-vehicle amendment after Guthrie and Pallone committed to moving a bipartisan AV framework "this summer"2:04:242:05:11.

Rep. Gary Palmer withdrew his rare-earth magnet amendment after citing China's April 2025 export restrictions, which he said caused vehicle-line shutdowns in Europe, the U.S., and Canada2:26:312:31:24.

H.R. 2145 (recycling) passed 45-01:46:06; H.R. 7389 (motor vehicle modernization), as amended, passed 48-1, with Rep. Jake Auchincloss casting the lone "no" vote2:39:542:41:56.

Rep. Diana DeGette cited a ten-year increase in life expectancy for people with Down syndrome since Congress began funding the NIH INCLUDE Project4:09:09.

Multiple members flagged a growing U.S. maternal mortality crisis during debate on the NIH IMPROVE Act (H.R. 6238): Rep. DeGette cited a rate of 45 per 100,000 for Black women versus 14 per 100,000 for white women4:19:18; Rep. Kelly said Chicago's rate is five times the white rate4:20:37; Rep. Fletcher disclosed she nearly died from placenta previa 11 years ago4:27:11.

All 16 bills were adopted by roll call or voice vote, most by unanimous or near-unanimous bipartisan margins, before the committee adjourned5:12:58.

Metadata

CommitteeHouse Energy and Commerce
Chamber / CongressHouse · 119th Congress
Date2026-05-21
TypeMarkup
Witnesses
(none listed in event metadata)
Videoyoutube
Transcript662 caption blocks · 43,608 words · 5:13:13 runtime
EventCongress.gov 119327