Full Committee Markup of 16 Bills

Health Care Costs and Drug PricingHouse Energy and Commerce · May 21, 2026 · 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 at▶ 0:16:11

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 ban▶ 0:17:49, and ten health subcommittee bills▶ 0:18:17; later confirmed no preemption of state right-to-repair laws in the auto bill▶ 2:33:12.

• Ranking Member Frank Pallone (D-NJ)▶ 0:19:10: Highlighted the TBI reauthorization, ACT for ALS, school-based health centers, and the recycling package▶ 0:19:42; pressed for continued work on consumer access to safety features and affordable repairs▶ 0:22:40, and co-led the auto safety amendment negotiations▶ 2:32:12.

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

• 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 cans▶ 0:34:46; noted communities in her district lack a recycling facility within 75 miles▶ 0:36:37.

• 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 communities▶ 0:37:58.

• 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 US▶ 0:40:16.

• 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, California▶ 0:56:26, and for farmworkers and seniors in her district▶ 0:57:11.

• 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 China▶ 0:58:55.

• 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 provisions▶ 1:03:13.

• 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 preemption▶ 1:04:14▶ 1:05:07; said she could not support the bill without clarity▶ 1:06:27.

• 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 data▶ 1:19:38▶ 1:21:03.

• 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 deaths▶ 1:07:56▶ 1:09:22.

• Rep. Jake Auchincloss (D-MA)▶ 1:10:46: Associated himself with Trahan's preemption concerns▶ 1:10:46; praised inclusion of the Magnus White Act and Mullin's touchscreen distraction bill▶ 1:11:16; cited pedestrian deaths reaching 7,541 in 2022 and an 80% rise in pedestrian deaths from 2009–2023▶ 1:12:12▶ 1:12:41; later proposed doubling NIH funding for Alzheimer's research▶ 3:15:07.

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

• 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 upholstery▶ 1:24:18▶ 1:25:10.

• 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 role▶ 1:26:56▶ 1:28:07.

• 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 cycling▶ 1:30:56.

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

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

• 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 York▶ 1:42:32.

• 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 manufacturing▶ 1:44:25.

• 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 latches▶ 1:47:35▶ 1:48:39.

• 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 nothing▶ 1:49:54.

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

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

• 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 distraction▶ 1:53:41.

• 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 Act▶ 1:56:10▶ 1:57:29.

• 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 patchwork▶ 2:00:25▶ 2:01:14.

• 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 installations▶ 2:08:34.

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

• Rep. Victoria Spartz / a member from Indiana▶ 2:13:57: Discussed AV benefits for the 18 million Americans with disabilities and cited nearly 40,000 U.S. roadway deaths in 2024▶ 2:14:57.

• 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 2024▶ 2:17:31.

• 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 Canada▶ 2:26:31.

• 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 consideration▶ 2:36:05.

• 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 rates▶ 2:43:16.

• 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 2024▶ 2:44:31.

• 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 veterans▶ 2:52:50▶ 2:53:14.

• 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 50▶ 2:51:18.

• 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 expansion▶ 3:03:43.

• 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 2050▶ 3:05:41; noted 69% of providers report little to no dementia training▶ 3:06:37.

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

• 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 coverage▶ 3:10:20▶ 3:11:23.

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

• Rep. Buddy Carter / gentleman from Louisiana on ALS bill (H.R. 8205)▶ 4:34:33: Explained the amendment extending ACT for ALS programs through 2031▶ 4:35:01.

• Rep. Ben Griffith / gentleman from Virginia on ALS bill▶ 4:37:12: Described personal connections to ALS deaths in his Roanoke Valley "hot spot" and support for including other neurodegenerative diseases▶ 4:38:31.

• 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 drugs▶ 4:45:23▶ 4:46:13.

• 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 2.0▶ 4:52:29.

• 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 testing▶ 4:54:38.

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

• 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 ACOs▶ 5:02:03.

• 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 upgrades▶ 5:08:08▶ 5:08:31.

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 fixes▶ 1:04:39▶ 1:06:03.

• 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. 7389▶ 1:14:35▶ 1:15:04.

• 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"▶ 1:22:48▶ 1:20:12.

• Rep. Bob Latta withdrew his autonomous-vehicle amendment after Guthrie and Pallone committed to moving a bipartisan AV framework "this summer"▶ 2:04:24▶ 2:05:11.

• 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 Canada▶ 2:26:31▶ 2:31:24.

• H.R. 2145 (recycling) passed 45-0▶ 1:46:06; H.R. 7389 (motor vehicle modernization), as amended, passed 48-1, with Rep. Jake Auchincloss casting the lone "no" vote▶ 2:39:54▶ 2:41:56.

• Rep. Diana DeGette cited a ten-year increase in life expectancy for people with Down syndrome since Congress began funding the NIH INCLUDE Project▶ 4:09:09.

• 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 women▶ 4:19:18; Rep. Kelly said Chicago's rate is five times the white rate▶ 4:20:37; Rep. Fletcher disclosed she nearly died from placenta previa 11 years ago▶ 4:27:11.

• All 16 bills were adopted by roll call or voice vote, most by unanimous or near-unanimous bipartisan margins, before the committee adjourned▶ 5:12:58.

Metadata

CommitteeHouse Energy and Commerce
Chamber / CongressHouse · 119th Congress
DateMay 21, 2026
TypeMarkup
Witnesses
(none listed in event metadata)
Videoyoutube
Transcript662 caption blocks · 43,608 words · 5:13:13 runtime
EventCongress.gov 119327