EXECUTIVE SESSION; Congressional Record Vol. 164, No. 187
(Senate - November 28, 2018)

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                           EXECUTIVE SESSION

                                 ______
                                 

                           EXECUTIVE CALENDAR

  The PRESIDING OFFICER. Under the previous order, the Senate will 
resume executive session in consideration of the Farr nomination.
  The PRESIDING OFFICER. The Senator from Delaware.


                             Climate Change

  Mr. CARPER. Mr. President, I was happy to welcome back our colleagues 
this week from Thanksgiving and come back to work. A lot of stuff needs 
to be done and have some fresh energy and maybe some fresh ideas, but I 
hope my colleagues were able to get home for Thanksgiving and spend 
time with their families. I like to say the thing I like about 
Thanksgiving--it is my favorite holiday, and people ask why. It

[[Page S7166]]

has my six favorite F words: family, faith, friends, food, fun, 
football, among others. What is not to like about that--especially 
football that was played in Columbus, OH, on Saturday afternoon. I hope 
all Americans were able to enjoy some combination of those things over 
the holiday weekend.
  You may be like me and many others across the country who took the 
long weekend to unplug a bit by turning off our phone, maybe turning 
off cable news, too, so we could reconnect with loved ones, but while 
many Americans were recharging--enjoying a good meal with family and 
friends, maybe watching a football game or doing some early Christmas 
shopping--some major news broke over the weekend.
  Last Friday, on the day after Thanksgiving, 13 Federal agencies 
released a nearly 1,700-page report highlighting the devastating 
impacts climate change will have over the next 80 years if we do not 
change course now. The report was a dire warning to our Nation and to 
our planet but one we might have easily missed while celebrating the 
holiday with family and friends, and I am sure a lot of people did miss 
it.
  I suspect the fact that this major report was released on Friday of a 
holiday weekend was not an accident. After all, the report, which was 
put together by experts from over a dozen agencies within the Trump 
administration, spells out the very real and very serious consequences 
of climate change--a global crisis that our President has repeatedly 
called a hoax. In fact, just yesterday the President said he is not 
among the so-called believers who see climate change as a pressing 
problem.
  Luckily, we don't have to just blindly believe in climate change. We 
can look at the facts. Despite the Trump administration's best efforts 
to bury this report on a Friday afternoon, Friday evening, of a holiday 
weekend, those of us based in reality are going to make sure the clear 
facts in it are broadcast far and wide.
  This particular report took not a year, not 2 years but 3 years to 
write. It was written by more than 300 Federal experts, non-Federal 
experts as well, who volunteered their time. It was only finalized 
after an extensive public outreach and interagency review process. This 
report wasn't thrown together to push any agenda. It is a scientific 
report, and its conclusions should be important to every person, not 
just living in my State or the 49 or 50 States but everybody who lives 
on this planet because it has implications for every single one of us.
  I would like to take a few minutes this afternoon to go over some of 
the highlights of the report. Why don't we start with extreme weather. 
People ask: What do you mean by extreme weather? I mean, measuring 
rainfall by feet, not by inches. I am talking about fires in States on 
the west coast, especially where the amount of land being consumed by 
the fires is almost the size of my State of Delaware. I am talking 
about the number of 500-year floods that are occurring every other year 
or every year. I am talking about the number of category 5 hurricanes 
that we have now compared to what it was 10, 20, 30, 40, 50 years ago.
  According to the latest report--which was, again, released by the 
Trump administration--climate change will continue to increase and 
intensify extreme weather events in the years to come. Over the last 3 
years alone, extreme weather events have cost the United States nearly 
$400 billion in damages due to storm surges, due to flooding, due to 
wildfires, and due to crop freezes and crop droughts. So it has cost 
the U.S. Treasury $400 billion, and it comes at a time when our budget 
deficits are going up. The budget deficit picked up between the last 
administration and this administration, I think, somewhere--maybe $500 
billion--a huge amount of money. Last year's deficit on this 
administration was, as I recall, maybe $750 billion. I am told the 
expectation for the budget deficit in this year is maybe as much as 
$950 billion. It wasn't that long ago that the budget for our whole 
country was less than that.
  Why is $400 billion in damages from extreme weather important? We 
don't have the money. We are borrowing this money, and these young 
pages and their children will get to pay for that someday. That is not 
fair.
  More powerful and more frequent extreme weather events will increase 
that figure exponentially and also have far-reaching impacts on people 
in every corner of this country and well beyond the borders of our 
country.
  Say someone happens to live in the Southwest. In 2017, Phoenix, AZ, 
set a new record of nearly 200 days with temperatures of at least 90 
degrees Fahrenheit. Think about that, Phoenix, AZ, 200 days with 
temperatures of at least 90 degrees Fahrenheit in 2017. By 2090, 
Phoenix could be dealing with an additional 45 days--another month and 
a half--every year, which would be about 245 days, which would be about 
8 months out of the year where the temperature in Phoenix is 80 or well 
above 90. That is another 6 weeks of extreme heat in addition to the 
city's already recordbreaking temperatures.
  Let's say somebody lives in the Southeast. Let's take Charleston, SC, 
for example. Charleston, SC, experiences 38 days of tidal flooding 
every year. By 2045, the city could experience 180 days of tidal 
flooding every year--nearly five times the flooding that occurs today.
  Let's say maybe somebody lives out West. By 2050, wildfire seasons 
could burn up to six times more forest area every year. I will say that 
again. That is hard to believe. By 2050, wildfire seasons could burn up 
to six times more forest area every year. We have all seen the historic 
and horrific devastation that fires in California have caused just this 
year alone--in fact, in the last several weeks alone, tragic fires.
  California is a big State. I used to live there when I was in the 
Navy. Sometimes it is difficult to put into context just how big and 
destructive these wildfires are. We have a poster here that I want to 
refer to as a wildfire poster: This is Washington, DC, and the counties 
adjacent to Washington, DC. It gives a little bit of context. Here is 
the area that the recent Camp Fire in California burned in relation to 
a city that all of us who serve here are pretty familiar with, 
Washington, DC, and the suburbs of this city. The Camp Fire burned an 
area over three times greater than Washington, DC. That is how big it 
was. That is just one fire, in just one State, in 1 year. Imagine what 
we are going to be facing with up to six times more forest areas 
burning every single year.
  Now, if the extreme weather conclusions don't make some of our 
colleagues jump to action, maybe the information about the health 
impacts of climate change will cause them to take some notice. This 
report makes clear that increases in ozone and particle pollution will 
result in an additional $26 billion every year in healthcare costs 
across the country.
  Here is a particularly startling statistic: Extreme hot and cold 
temperatures in 49 U.S. cities are projected to result in more than 
9,000 additional premature deaths per year. That is not in a far-off 
developing nation. That is 9,000 more people dying right here at home 
in the USA, but if our colleagues are still not swayed by this year's 
impacts to American health, maybe they will be moved by the impact that 
climate change will have on our country's already aging infrastructure.
  I think this is probably highway transportation infrastructure, if I 
am not mistaken. If we do not act, we can expect up to $26 billion in 
damages to our roadways and our railways every year due to climate 
change--$26 billion in damages to our roadways and our railways every 
year due to climate change.
  We have a poster here. There is a bridge. I am not sure where, but it 
is one of many bridges. We have thousands of bridges around this 
Nation. Increases in rainfall in inland areas--not on the coast but in 
the middle of our country, the heartland--will threaten up to 6,000 
bridges by the year 2090.
  Here is a statistic we will not be able to avoid. It deals with sea 
level rise. Since 1993, sea levels have risen by 3 inches. What we are 
looking at by 2100, according to folks who worked for the last 3 years 
on this Federal report from 13 Federal Agencies, we could be looking at 
as much as 6 feet in sea level rise. If we do nothing, by 2100, we 
could see sea levels rise by up to 6 feet. Those of us who lived 
through Superstorm Sandy saw the absolute destruction that can be 
caused by 3 inches of sea level rise. It is almost unimaginable to 
think about nearly 70 inches.

[[Page S7167]]

  Maybe that is still not alarming enough to get some people's 
attention. Perhaps the impacts on our farmers and ranchers might sway 
my colleagues. Let me mention something in that regard. According to 
this report--the same Federal report--more frequent and intense rains, 
combined with rising temperatures, are likely to reduce agriculture 
production in the Midwest to 1980 levels. Roll back the clock to the 
levels of production in 1980 in the Midwest--that is where we were.
  I have a corn and soybean poster here. When it comes to crops that 
agricultural communities depend on, such as corn and soybeans, which 
are big in my State, farmers could see reduced yields of up to 25 
percent.
  Maybe some of our colleagues don't come from States with a large 
agricultural sector, where it is important. Perhaps an economic impact 
might move them to action.
  Climate change could mean up to $500 billion in economic losses every 
year by 2090. Let me say that again. Climate change could mean up to 
$500 billion in economic losses every year by 2090. Additionally, 
almost 2 billion labor hours are projected to be lost by 2090 due to 
the impacts of extreme temperatures. That alone would cost an 
additional $160 billion in lost wages.
  Here is a stark statistic: Climate change could slash up to 10 
percent of our gross domestic product by 2100. Let's put that into 
context. Ten years ago, when we fell into the great recession--worst 
recession since the Great Depression--we had half of the losses in 
gross domestic product that we are looking at from climate change that 
goes unchecked. According to this report, climate change could slash up 
to 10 percent of our gross domestic product by 2100. That is more than 
double the losses of the great recession.
  Many of our colleagues were here during the great recession. We saw 
what happened. Unemployment was over 10 percent. Banks basically 
stopped lending. Access to capital was greatly impeded. Trade slowed 
down dramatically. It was a miserable time. We fought very hard to get 
out of it. We are now in the ninth longest running economic expansion 
in the history of the country, and stuff like this is not going to help 
extend that recovery. To refuse to act would be to willingly usher in 
an economic calamity twice as painful as the great recession.
  The numbers and facts don't lie. The reality of climate change is 
scary, especially for coastal States like mine--the lowest lying State 
in our country. Our State is sinking instead of rising.
  The facts that this report so clearly lays out affect all of us. It 
doesn't matter whether you are from a coastal State, like some of us, 
or from a landlocked State, like our Presiding Officer--if you care 
about public health or the environment or if you care about our economy 
or national security, this report says that every sector of our economy 
and every person living in this country will be affected by climate 
change if we do nothing.
  As I see it, we have a couple of options. We can take up this fight 
and get serious about addressing and adapting to climate change, or we 
can stick our heads in the sand, as some would do, ignore the facts, 
and do nothing, dooming our children and our grandchildren to live in a 
world that is less healthy, less safe, less stable, and less 
economically vibrant. I say, let's fight. My hope is that our 
colleagues will join us and not fight against one another but fight 
against this threat we all face.
  We have one planet. President Macron from France was down the hall 
about 2 years ago and spoke to a joint session of Congress. There is no 
plan B. We have the only planet. It is the one we have been given to 
take care of by our Heavenly Father, and we need to take that 
responsibility seriously.
  All right. That is the bad news. That is a lot of bad news in 10 
minutes. Before I yield to my friend from Florida, I will say this: 
There is some good news too. The good news is, there are ways to 
address these challenges--the economic challenges, the agricultural 
challenges, the flooding challenges, the temperature challenges. There 
is a way to do it. Among the smart ways to do it is to reduce the 
emission of carbon in this country.
  The good news is, we can do that by adding and creating jobs. Two 
hundred million people went to work in this country today--roughly 200 
million. Three million people went to work in jobs where they are 
involved in renewable energy, energy conservation--things that help 
save our planet and preserve the quality of life on our planet. There 
are a lot more jobs we can add in that kind of work, including building 
vehicles that run on batteries--and we are making great progress--and 
vehicles that run on hydrogen and fuel cells. The only waste product 
from those vehicles is water. You can drink it.
  There are ways to address all these threats in a way that is 
economically viable. We don't have to choose between all this doom and 
gloom and a strong economy; we can address the doom and gloom and add a 
lot of jobs, and we ought to do this. It is going to be a win-win. We 
ought to seize the day.
  I thank my colleague from Florida for his patience with me here 
today. I don't know if I will have a chance to stand here this close 
with him again before he prepares to head off into the sunset. He and I 
were privileged to serve together in the House. He was at one time 
treasurer and insurance commissioner of his State, and I was treasurer 
of Delaware. We walked the path together for a long time, and he has 
been a great servant of the people of Florida for many years. I have 
always been proud to stand next to him, and I am especially proud 
today.
  I am happy to yield to my friend from Florida.
  The PRESIDING OFFICER. The Senator from Florida.
  Mr. NELSON. Mr. President, the subject the Senator from Delaware 
speaks of--climate change especially--affects my State of Florida, as 
we are ground zero with so many of the consequences of climate change--
the sea level rise. I will be addressing that topic within the next 
couple of days. I have addressed that problem over and over, but I want 
to give a concluding speech on that topic.


                               Healthcare

  Mr. President, this afternoon, I want to give a concluding speech on 
the topic of healthcare. I want to talk about the importance of 
ensuring that all Americans--and especially my State, all Floridians--
have access to critical health services through the Affordable Care 
Act.
  When the ACA passed, it stated that an insurance company cannot deny 
health insurance coverage because a person had a preexisting condition. 
In other words, that means you cannot be denied health coverage because 
you have something like asthma, cancer, heart trouble, diabetes, ALS, 
or, in some cases, even a rash. Before the Affordable Care Act, even 
being a woman was considered a preexisting condition.
  Nearly everyone has a preexisting condition. In Florida alone, almost 
8 million people have a preexisting condition. We think of our 
neighbors, our friends and family members, and we thought of them when 
we passed the ACA. We worked very hard to give them the healthcare 
protections they needed.
  In these past few years, I have talked to folks all over our country. 
In Florida, I have talked to the very folks we fought so hard to ensure 
they have health insurance and healthcare. Last year, for example, I 
spoke with a well-known community leader from Hollywood, FL--Elaine 
Geller. Her daughter, Megan, was diagnosed with leukemia at the age of 
26. At the time she was admitted to the hospital, Megan's blood count 
was 4. She had water on the heart. She had pneumonia. She went through 
one round of chemo, and it put the cancer in remission. She was 
initially hospitalized in New York, where she had been working as a 
special-ed teacher, but she returned to Florida to receive care at the 
University of Miami's Comprehensive Cancer Center--one of the finest 
cancer centers around the country.
  As the story goes, Megan's doctor told Megan and her mom, Elaine, 
that she needed a transplant, which required a payment of $150,000 
upfront. From January until about the end of April, Megan lived at that 
Comprehensive Cancer Center at the university and received multiple 
rounds of chemo, biopsies, and various other treatments. Do you know 
what her mom said to me? She said that thanks to the Affordable Care 
Act, as a mom, she could focus all of her energy on her daughter. She 
didn't have to worry about all the

[[Page S7168]]

bills that were piling up, and ultimately she didn't have to write a 
check for the transplant. That is because Megan had health insurance 
despite a preexisting condition, and the Affordable Care Act created a 
transitional program to cover eligible individuals with preexisting 
conditions, like Megan.
  After Megan left the Sylvester Comprehensive Cancer Center, her 
cancer went into remission, but then the cancer came back. The 
remission only lasted 63 days. They flew to Texas, to the MD Anderson 
Cancer Center. Why travel across the country to get cancer treatments? 
Because when you are dying--when a mom is watching her daughter die, 
there is nothing she as a parent would not do. You can't put a price on 
your child's life. It would do us a lot of good if we would remember 
that.
  Sadly, Megan had a fall and hit her head. She died at the age of 28. 
Her total care during that battle with cancer could have cost Elaine, 
her mom, $5 million. Thanks to the ACA, because she had health 
insurance, Megan's part of that treatment was $70,000. That not only 
saved her from going bankrupt, it also gave her more time to spend with 
her daughter. Anyone who has lost someone knows that every second 
counts. We shouldn't take things for granted.
  Elaine said that her daughter would be proud to know that her story 
of the Affordable Care Act matters. It matters to me as their Senator, 
and that is why I am telling it on the floor of the Senate.
  And it should matter to every one of these Senators here.
  Let me give you another person that I met along the trail. I met with 
one of the most courageous 14-year-olds whom I have ever seen, JJ 
Holmes, and his family, who are from Longwood, FL.
  JJ has cerebral palsy and requires a wheelchair and constant 
attention to get around and to be taken care of. He can only 
communicate with his computer vocalization device. It is just amazing, 
since JJ can't directly communicate except by the sparkle in his eyes. 
He uses his left knee on a device on the wheelchair to hit it and it 
goes to a computer screen, and he can type out the words and the sounds 
in order to give him an ability to communicate with another ordinary 
person.
  JJ has a preexisting condition--he has cerebral palsy--and all of the 
efforts to repeal and undermine the ACA are undermining his access to 
care and his ability to live. Each attempt to repeal the ACA was 
another threat to his very life.
  His mom told me that there is so much of a daily struggle, worry, and 
heartache when you have a child who is severely disabled, and the ACA 
finally gave that family the much needed security, and it lifted a huge 
burden of how in the world were they going to cope with this medical 
condition of their child.
  I will give you another example in Florida. Earlier this year, I was 
joined at a local roundtable on healthcare by Elizabeth Isom from St. 
Petersburg. Elizabeth told me that the ACA had saved her life and 
allowed her to purchase insurance for the very first time. She doesn't 
know how she is going to be able to afford coverage if the lifetime 
caps of the law are reinstated and if essential health benefits are not 
provided as the ACA provides.
  Elizabeth was a productive member of society. She was a social 
worker, and then she developed a sinus tumor. She went without 
insurance for 3 years, during which her health was constantly 
deteriorating and it was to the point that she thought she was dying. 
She had vital organ damage and reached complete disability. The mass in 
her sinus had extended into her skull.
  After the ACA became the law of the land, she purchased insurance 
through healthcare.gov. She said it is the best insurance she has ever 
had because it covered essential health benefits like the preventative 
services.
  So let's think about this just in these three cases that I have 
given. The ACA protects people like Megan with preexisting conditions 
from being charged more simply because of their diagnosis. It protects 
people like JJ from being unable to afford care because they have hit 
annual or lifetime limits on coverage. It protects people like 
Elizabeth from being denied treatment because insurers are now required 
to cover essential health services--services and benefits like 
hospitalizations and prescription drugs.
  These folks are not the only ones that I have talked to about how the 
ACA has changed their life. The American people--not just Floridians--
have been writing to us, have been calling to us, have been showing up 
in our townhalls, have been showing up at our roundtables, have been 
approaching me on the street corner, at the airport, at events all over 
Florida to share how important the ACA is to them. The Affordable Care 
Act has given people healthcare they otherwise would never have had. 
Over and over, they have come to me and said: We want to see a 
bipartisan fix--a fix to the ACA, not a repeal. Why can't you just get 
together and fix the ACA?
  How many times have I made that plea on the floor of the Senate? And 
they are right. There is a lot of work to be done to bring down the 
cost of healthcare, to make insurance more affordable, and to increase 
coverage for people who still don't have it. But in the meantime, the 
Trump administration is doing everything in its power to undermine and 
undo the existing law that has helped so many so much.
  We have seen an Executive order of President Trump's stating that the 
policy of his administration was to ``seek the prompt repeal'' of the 
ACA. We have seen rules coming out of the Trump administration cutting 
in half the length of time that people had to enroll in plans on 
healthcare.gov, eliminating low-income subsidies, and cutting outreach 
and advertising for enrollment by 90 percent.
  Why would you make it harder for people to sign up for health 
insurance if your intention wasn't to undermine the Affordable Care 
Act, which is exactly what the Trump administration's intention is?
  We have seen the implementation of expanding short-term health plans. 
These are plans that are less than a year or, as they really are 
designed, junk plans, and that is just what they are. They don't offer 
essential health benefits. They offer extremely limited coverage so 
that people don't have the coverage and they don't have the coverage of 
preexisting conditions. They remove protections for people with those 
preexisting conditions. They do not cover that list of 10 or 12 things 
called essential health benefits, like maternity care and prescription 
drug costs.
  We have seen multiple Republican repeal-and-replace bills that have 
come before the House and before this Senate. We have seen this Trump 
administration claim that they do care about those with preexisting 
conditions. Just last month President Trump tweeted that ``Republicans 
will protect people with preexisting conditions far better than the 
Dems!'' But that is not what they are doing, nor is that what they have 
done.
  Well, Mr. President, if that is the case, then why is your 
administration supporting the lawsuit Texas vs. U.S. Department of 
Health and Human Services--that very lawsuit that was brought forward 
by Republican attorneys general, including Florida's attorney general, 
urging a Federal court to strike down preexisting conditions and 
patient protections as unconstitutional, and it would cause a chaos in 
our healthcare system.
  You are not protecting 133 million Americans with preexisting 
conditions. No, what you are doing is eliminating their healthcare, and 
that includes 17 million children.
  The administration should better look at their situation and do the 
opposite of what they have been doing. I ask the American people to 
demand that the Trump administration stop undermining the ACA, get to 
work as an administration, do its job, and implement all parts of the 
existing law, the Affordable Care Act. We should be looking for ways to 
help people like Elaine, JJ, Megan, and Elizabeth. We should be looking 
for ways to help them get through the tough times. We should be working 
together in a bipartisan way to make the ACA work better, not try to 
kill it.
  I yield the floor.
  The PRESIDING OFFICER (Mr. Cruz). The Senator from Hawaii.


                       Nomination of Thomas Farr

  Ms. HIRONO. Mr. President, I thank my friend, the Senator from 
Florida,

[[Page S7169]]

for speaking out on the critical importance of the Affordable Care Act 
for millions of people in our country and for calling upon this 
administration to support healthcare for all instead of what they are 
doing to the healthcare of millions of people in our country.
  Turning to another matter, nearly 12 years ago, on December 7, 2006, 
President George W. Bush nominated Thomas Farr to be a U.S. District 
Court Judge for the Eastern District of North Carolina. Today, 12 years 
and three nominations later, his name is again before us for 
confirmation to the very same vacancy, which has remained unfilled all 
this time.
  When Mr. Farr was nominated for this vacancy in 2006 and 2007, his 
nomination did not receive a vote in the Judiciary Committee. It was 
known at that time that Mr. Farr had spent his professional life 
engaged in restricting minority voting rights and defending companies 
alleged to have discriminated against African Americans, women, and 
others.
  In the 1980s and in 1990, Mr. Farr represented Senator Jesse Helms, 
notorious for his opposition to civil rights, voting rights, women's 
rights, workers' rights, and LGBTQ rights--in other words, individual 
rights.
  Mr. Farr also helped corporations fight off their employees' 
discrimination claims. In 2003, Mr. Farr defended Blue Cross Blue 
Shield of North Carolina against claims by a female employee who 
alleged that the company had compelled her to resign because of her sex 
and age. To win this case, Mr. Farr convinced the North Carolina 
Supreme Court to strike down the county's antidiscrimination law.
  Given this history of restricting minority voting rights and 
defending companies in discrimination claims, Mr. Farr's nomination did 
not proceed at that time, and rightly so.
  In the 12 years since his first nomination, Mr. Farr has become 
notorious for his defense of the North Carolina legislature's attempts 
to disenfranchise African-American voters.
  His current nomination is opposed by nearly every civil rights group 
in North Carolina and nationally, and the Congressional Black Caucus, 
or the CBC, has fought Mr. Farr's nomination.
  In a 2017 letter to the Judiciary Committee, the CBC wrote: ``It is 
no exaggeration to say that had the White House deliberately sought to 
identify an attorney in North Carolina with a more hostile record on 
African-American voting rights and workers' rights than Thomas Farr, it 
could hardly have done so.''
  This district court vacancy was not filled by President Obama in his 
two terms, but not for lack of trying. President Obama nominated two 
different African-American women for this vacancy, one an assistant 
U.S. Attorney and another a State court judge. Neither nomination moved 
forward because the Republican home State Senators withheld their blue 
slips. Judiciary Committee Chairman Leahy and, later, Chairman Grassley 
both, at that time, abided by the blue-slip process during that period, 
as I said, and no hearings were ever held for these two Obama nominees.

  At the same time, both of my colleagues from North Carolina persisted 
in their desire to confirm Mr. Farr to the Federal bench. Of course, 
now, the return of a blue slip is no longer a barrier to pushing 
nominees through the Judiciary Committee.
  So, on the recommendation of my Senate colleagues from North 
Carolina, Donald Trump nominated Mr. Farr yet again to the seat that 
had been kept open in the Eastern District of North Carolina. In fact, 
when Mr. Farr's nomination was returned at the end of a session of 
Congress last year, the White House decided to renominate him this 
year.
  The history regarding this judicial vacancy and Mr. Farr is key to 
understanding why I and so many of my colleagues will vote no. We will 
be accused of obstruction and wanting to deprive the people of North 
Carolina of a judge in the Eastern District. We will hear how this is 
the longest open vacancy on the entire Federal bench, but, in fact, 
this vacancy has remained open so long because of Republicans' refusal 
to confirm qualified minority women and their insistence on filling 
this vacancy with a man whose career is filled with examples of his 
using the law to advance a racist, obstructionist, plainly un-American 
agenda.
  Had the Republicans not blocked the nominations of qualified minority 
women in 2013 and 2016, this district, which is about 27 percent 
African American, would have had its first African-American judge.
  By contrast Mr. Farr has spent decades opposing the rights of African 
Americans, women, and workers. Let me highlight a few examples.
  When Mr. Farr was working as legal counsel for the 1990 campaign for 
Senator Jesse Helms of North Carolina, the Justice Department filed a 
Federal lawsuit against the campaign for trying to intimidate thousands 
of African Americans from voting. How did they do this? The Helms 
campaign staff sent postcards suggesting that the voters were 
ineligible to vote and warning that they could be prosecuted if they 
voted. Although Mr. Farr denied any involvement in these racist voter 
intimidation efforts, the Justice Department attorney who investigated 
the matter confirmed that Mr. Farr ``was certainly involved in the 
scheme as it was being developed.''
  That is not the only time Mr. Farr has opposed the rights of African-
American voters. When the North Carolina legislature decided to 
restrict or dilute the votes of African Americans over the past 10 
years, Mr. Farr fiercely defended these efforts as a private attorney.
  In 2013, for example, he defended the North Carolina legislature's 
voter suppression efforts that a court found were enacted with racially 
discriminatory intent--racially discriminatory intent. In other words, 
the North Carolina legislature was totally upfront about what they were 
up to.
  After the Supreme Court effectively struck down the part of the 
Voting Rights Act that required North Carolina to preclear any changes 
to their voting laws, the North Carolina State legislature passed a law 
that eliminated or cut back on voter mechanisms that African Americans 
disproportionately used. This is the law that Mr. Farr defended. The 
Fourth Circuit in that case determined that these voting changes 
``target[ed] African Americans with almost surgical precision.'' In 
other words, blatantly discriminatory intent was found by the Fourth 
Circuit.
  Between his efforts to support suppression of voters, Mr. Farr has 
helped companies avoid accountability for discrimination against 
African Americans, women, and minority groups. In 2003, Mr. Farr argued 
that female employees at Pfizer were not protected under Federal civil 
rights law from condescending, sexist, and sexual comments from their 
manager because they were not ``severe'' or ``pervasive'' enough.
  He even tried to undermine the plaintiff's claim by arguing that she 
failed to point out that her manager ``harassed her because of her 
gender on a daily or weekly basis.'' That was the standard he applied: 
You have to have been harassed on a daily or weekly basis. Mr. Farr 
ultimately convinced the court to dismiss the employee's claim as 
untimely.
  A person who has devoted decades of his legal career to furthering 
oppression and injustices against minorities and women has no business 
being confirmed to a lifetime position as a judge, where his 
ideological agenda will certainly be reflected in his decision.
  I will not vote for Mr. Farr's nomination, and I urge my colleagues 
to do likewise.


                      Nomination of Jonathan Kobes

  Mr. President, I would also like to explain my opposition to another 
nominee being considered this week: Jonathan Kobes for the Eighth 
Circuit Court of Appeals from South Dakota.
  Mr. Kobes received a ``not qualified'' vote from a substantial 
majority of the ABA's Standing Committee on the Federal Judiciary. They 
reported that Kobes has ``neither the requisite experience nor evidence 
of his ability to fulfill the scholarly writing required of a United 
States Circuit Court Judge.''
  They continued, saying: ``The Standing Committee had difficulty 
analyzing Mr. Kobes' professional competence because he was unable to 
provide sufficient writing samples of the caliber required to satisfy 
Committee members that he was capable of doing the work of a United 
States Circuit Court judge''; hence, their ``not qualified'' vote for 
him.
  In normal times, this sort of negative evaluation from the ABA would 
be given to the White House before the White House decided to nominate 
someone, and the person would never be nominated. But these are not 
normal times.

[[Page S7170]]

  Instead of following normal procedure, the White House has nominated 
someone not fit to serve for a lifetime on the circuit court, but 
nevertheless will be confirmed on a party-line vote.
  Mr. Kobes has demonstrated a hostility toward women's reproductive 
rights. His anti-choice activism is on par with so many other Trump 
nominees who are relatively young, as he is, and profoundly 
inexperienced.
  In 2005, Mr. Kobes represented, as a volunteer, so-called crisis 
pregnancy centers, which were seeking to uphold the South Dakota law 
requiring doctors to inform women seeking abortions that ``the pregnant 
woman has an existing relationship with that unborn human being and 
that the relationship enjoys protection under the United States 
Constitution and under the laws of South Dakota.'' That is not the 
state of the law, by the way.
  Mr. Farr and Mr. Kobes are two of the worst of President Trump's 
judicial nominees, and that is saying a lot. They are two more examples 
of President Trump's relentless pursuit to pack the Federal courts with 
ideologues who will rule in favor of conservative causes. Clearly, 
Donald Trump does not believe in the independent judiciary envisioned 
by the Framers of our Constitution and respected by every President 
until now.
  We see in his single-minded efforts to pack the courts that he is 
nominating judges who he believes will be his political allies. He 
tells us as much. He believes the judges he appoints are ``Trump 
judges'' and that they will be loyal to him, protect him and his 
policies when the time comes.
  Chief Justice John Roberts could not have been clearer in his 
response last week to Donald Trump's criticism of judges who don't rule 
his way. The Chief Justice told the AP:

       We do not have Obama judges or Trump judges, Bush judges or 
     Clinton judges. What we have is an extraordinary group of 
     dedicated judges doing their very best to do equal right to 
     those appearing before them. That independent judiciary is 
     something we should all be thankful for.

  The independence of the judiciary is not something Donald Trump 
acknowledges, values, or even believes in. What he wants are Trump 
judges who will rule in favor of his policies and decisions and who 
will satisfy his ideologically conservative base. It is no wonder that 
Chief Justice Roberts felt it necessary to take the extraordinary step 
of reminding the President and the country that the judiciary must be 
independent.
  I urge my colleagues to vote against the nomination of Mr. Farr and 
Mr. Kobes.
  I yield the floor.
  The PRESIDING OFFICER. The Senator from Rhode Island.
  Mr. WHITEHOUSE. Mr. President, I ask unanimous consent to speak for 
up to 20 minutes as in morning business; further, that at the 
conclusion of my remarks, the Senator from Massachusetts, Mr. Markey, 
be recognized; that we have permission to engage in a colloquy; and 
that at the conclusion of Senator Markey's remarks, Senator Shaheen of 
New Hampshire be recognized.
  The PRESIDING OFFICER. Without objection, it is so ordered.


                             Climate Change

  Mr. WHITEHOUSE. Mr. President, a persistent argument of my climate 
talks is how corrupt climate denial is. The premise of that argument is 
that the fossil fuel industry denial apparatus is wrong about climate 
change and knows it is wrong. That is my case. The fossil fuel industry 
denial apparatus knows it is wrong about climate change.
  Well, it is a beautiful world, and every once in a while, along comes 
something that proves my case. Last week, on the afternoon of Black 
Friday, the Trump administration released its National Climate 
Assessment by 13 Federal agencies describing the monumental damage the 
United States is facing from climate change. In more than 1,000 pages, 
the report contradicted nearly every fake assertion Trump and his 
fossil fuel flunky Cabinet have made about climate change.
  Trump's pro-polluter policies are predicated on the lies and nonsense 
of this fossil fuel industry denial apparatus, and this report is 
devastating to those policies and to those lies.
  So how did the fossil fuel apparatus respond? What did they do to 
rebut the National Climate Assessment? They did nothing. They did 
nothing. There was all that big talk from Scott Pruitt about how they 
were going to ``red team'' climate science. Well here comes the climate 
science. Where is your red team? Nothing. Instead of engaging with this 
devastating report by the U.S. Government's leading scientists, they 
tried to bury it, timing its release for a day of the year when it 
would be least likely to get public attention.
  Consider for a moment the environment in which they backed down from 
this challenge--no red team, no nothing. They just whimpered and ran 
away and tried to bury the report on Black Friday. At a time when their 
industry populates the Trump administration, at a time when the 
President is in their pocket, at a time when both Houses of Congress 
are under fossil fuel industry control, their phony climate denial 
front groups wield more influence than ever. This should have been 
their moment.
  The tell here is that even in this environment, the fossil fuel 
industry and its bevy of stooges in the Trump administration got this 
report and did nothing. Why? Why nothing? There is only one answer. 
Because they know they are wrong. They know the real science is right. 
They know their science denial campaign is phony, so they backed down. 
They folded like a cardboard suitcase in a rainstorm.
  That, my friends, is an admission. It is an admission by inaction. It 
is an admission that even the fossil fuel industry knows the climate 
science is irrefutable.
  Interestingly, ``irrefutable'' is just what President Trump and his 
family said about climate science in this full-page advertisement they 
signed in the New York Times in 2009, saying that science of climate 
was ``irrefutable'' and that there will be ``catastrophic and 
irreversible'' consequences of climate change.
  The new National Climate Assessment plus the recent Intergovernmental 
Panel on Climate Change report are both very clear. The irrefutable 
science that these two reports disclose couldn't be more clear: Damage 
from climate change is already occurring; there is no credible natural 
explanation for it; human activity is the dominant cause; future damage 
from further warming will be worse than we previously thought; 
economies will suffer; and we are almost out of time to prevent the 
worst consequences of climate change.
  The Bank of England report on this--they are the biggest financial 
regulator in the UK, and they said: The financial risks are far-
reaching in their breadth and magnitude, have uncertain and extended 
time horizons, are foreseeable, but these risk factors will be 
minimized if there is an orderly transition to a carbon economy, but 
the window for an orderly transition is finite and closing. We are 
almost out of time.
  These two reports are tough stuff. As the Trump administration 
summary states, the ``Earth's climate is now changing faster than at 
any point in the history of modern civilization, primarily as a result 
of human activities. The impacts of global climate change are already 
being felt in the United States and are projected to intensify in the 
future,'' which makes sense, since in the history of human 
civilization, the Earth has never seen atmospheric CO2 
concentrations like we have today.
  Many scientists have said warming of around 3 degrees centigrade is 
now likely. What does that mean? Heating the planet well beyond 2 
degrees centigrade would create a ``totally different world,'' says 
Michael Oppenheimer, a climate scientist at Princeton University. He 
says:

       It would be indescribable, it would turn the world upside 
     down in terms of its climate. There would be nothing like it 
     in the history of civilization.

  Here is what the Trump climate assessment chronicles: From our Ocean 
State, we are concerned about sea levels, ocean acidification, and 
warming. We note sea levels are rising, as oceans warm and upland ice 
melts. If fossil fuels are not constrained, the reports says, ``many 
coastal communities will be transformed by the latter part of this 
century.'' For my coastal State, that is a pretty ominous warning. 
Along coasts, fisheries, tourism, human health, even public safety are 
being ``transformed, degraded or lost due in part to climate change 
impacts,

[[Page S7171]]

particularly sea level rise and higher numbers of extreme weather 
events.''
  You get the sea level coming up, and that extreme weather event--
which is stronger to begin with now--has a lot more ocean to throw at 
our shores.
  Out West, ``more frequent and larger wildfires, combined with 
increasing development at the wildland-urban interface portend 
increasing risks to property and human life,'' the report says. By the 
way, from 2000 to 2016, wildfires have burned at least 3.7 million 
acres of the United States in every single year except for 3. From 2000 
to 2016, more than 3.7 million acres burned in all years but 3. 
California still smolders as I speak.
  More than 100 million people in the United States live with poor air 
quality, and climate change will ``worsen existing air pollution 
levels.'' Increased wildfire smoke heightens respiratory and 
cardiovascular problems. With higher temperatures from global warming, 
asthma and hay fever rise.
  Groundwater supplies have declined over the last century, and the 
decrease is accelerating. ``Significant changes in water quantity and 
quality are evident across the country,'' the report finds.
  Midwest farmers take a big hit: warmer, wetter, and more humid 
conditions from climate change; greater incidence of crop disease and 
more pests; worsened conditions for stored grain. During the growing 
season, the Midwest will see temperatures climb more than any other 
region of the United States, the report says. Crop yields will suffer--
a warning that is echoed by grain giants like Cargill.
  To sum it all up, the report says climate change will ``disrupt many 
areas of life,'' hurting the U.S. economy, affecting trade, 
exacerbating overseas conflicts for our military. Costs will be high: 
``With continued growth in emissions at historic rates, annual losses 
in some economic sectors are projected to reach hundreds of billions of 
dollars by the end of the century--more than the current gross domestic 
product of many U.S. States.''
  Danger warnings already flash in some economic sectors. Freddie Mac 
has warned of a coastal property value crash, saying: ``The economic 
losses and social disruption may happen gradually, but they are likely 
to be greater in total than those experienced in the housing crisis and 
Great Recession.'' From a coastal State, that is an ominous warning.
  The insurance industry agrees. Trade publication Risk and Insurance 
has warned: ``Continually rising seas will damage coastal residential 
and commercial property values to the point that property owners will 
flee those markets in droves, thus precipitating a mortgage value 
collapse that could equal or exceed the mortgage crisis that rocked the 
global economy in 2008.'' By the way, the leading edge of this may 
already be upon us as coastal property values are beginning to lag 
inland property values, as reported by the Wall Street Journal.
  Separate from the coastal property values threat is another warning 
about a carbon bubble in fossil fuel markets. Fossil fuel reserves, now 
claimed as assets, that are not developable in a 2-degrees-Centigrade 
world become what they call stranded assets. A recent economic 
publication estimated that collapse of the ``carbon bubble'' would wipe 
out ``around 82 percent of global coal reserves, 49 percent of global 
gas reserves, and 33 percent of global oil reserves.'' A separate 
economic review warns that $12 trillion of fossil fuel industry 
financial value ``could vanish off their balance sheets globally in the 
form of stranded assets.'' Twelve trillion dollars is over 15 percent 
of global GDP, which is why the Bank of England--which I quoted earlier 
as a financial regulator--is warning of this carbon asset bubble as a 
systemic economic risk. That may be the blandest set of words in the 
English language that convey the worst threat. If you were to graph 
``blandness of language'' and ``seriousness of threat,'' you would 
probably come up with systemic economic risk. It basically means 
economic meltdown. Well, that is what we are looking at.
  This level of collapse could cascade beyond the fossil fuel 
companies. It is not just a question of their shareholders getting 
wiped out. It is such a crash that it cascades out into the global 
economy--a crash like that, unfortunately, hits the United States 
particularly hard because lower cost producers can hold on and unload 
fossil fuel reserves into the collapsing market at fire sale prices. 
When they do, the economists warn, ``regions with higher marginal 
costs''--like the United States--``lose almost their entire oil and gas 
industry.''
  The solution is to decarbonize, to invest in more renewables, to 
broaden our energy portfolio away from this asset collapse risk. One 
paper concludes that ``the United States is worse off if it continues 
to promote fossil fuel production and consumption.'' Another paper 
concludes--this is the good news:

       If climate policies are implemented early on and in a 
     stable and credible framework, market participants are able 
     to smoothly anticipate the effects. In this case there would 
     not be any large shock in asset prices and there would be no 
     systemic risk.

  So how do we get to eliminating this hazard of no systemic risk? How 
do we get to no systemic risk? We do what works for us anyway: move to 
renewables. As this graph shows, we have to make a big move to avoid 
this hazard. A carbon price--which is the remedy the fossil fuel 
industry pretends to support, while sending its political forces out to 
oppose exactly the laws it pretends to support--would allow this big 
move to happen, all while generating revenues that could be cycled back 
to States and citizens and help the hardest hit areas of transition.
  The smart move we need to take to make this happen does not have to 
be painful. We avoid a lot of pain if we make the move, but that 
doesn't mean the move itself has to be painful. Nobel Prize winner 
Joseph Stiglitz says it is a win economically. He has testified:

       Retrofitting the global economy for climate change would 
     help to restore aggregate demand and growth. Climate 
     policies, if well designed and implemented, are consistent 
     with growth, development, and poverty reduction. The 
     transition to a low-carbon economy is potentially a powerful, 
     attractive, and sustainable growth story, marked by higher 
     resilience, more innovation, more livable cities, robust 
     agriculture, and stronger ecosystems.

  We could do it the hard way--do nothing; get hit with those dire 
economic consequences because the status quo is not safe.
  Fortune magazine summed up the Trump administration's climate report 
quite beautifully, so I will quote them at some length: ``The report 
catalogs the observed damage and accelerating financial losses 
projected from a climate now unmoored from a 12,000-year period of 
relative stability.''
  What a phrase that is. The Earth's climate, which we inhabit, is 
unmoored from a 12,000-year period of relative stability.
  It goes on:

       The result is that much of what humans have built, and many 
     of the things they are building now, are unsuited to the 
     world as it exists. And as time goes on, the added cost of 
     living in that world could total hundreds of billions of 
     dollars--annually.

  Which way we now go depends on the Congress of the United States--on 
whether Congress can put the interests of our people ahead of the 
interests of the fossil fuel industry.
  The record is not good. I will concede that. Since the Citizens 
United decision, the politics of climate change have turned into a tale 
of industry capture and control. So far, despite the fossil fuel 
industry's obvious conflict of interest, could there be a more obvious 
conflict of interest, indeed? Despite their provable pattern of 
deception and despite clear warnings from, well, virtually everywhere 
now, the Republican Party has proven itself incapable of telling the 
fossil fuel industry: No, we tried our best for you. We held in for you 
as long as we could, and we did everything we could think of, but we 
are not going to wreck our economy, our climate, our oceans, our 
country for you.
  So it doesn't look good, but the climate report does say we still 
have time if we act fast.
  I ask unanimous consent that an article by Max Boot, titled, ``I was 
wrong on climate change. Why can't other conservatives admit it, too?'' 
be printed in the Record at the conclusion of my remarks.
  It concludes: Why haven't other Conservatives owned up to this 
danger?

       They are captives, first and foremost, of the fossil fuel 
     industry. . . . It is a tragedy for the entire planet that 
     the United States' governing party is impervious to science 
     and reason.

  I will close with a reference to ``The Gathering Storm,'' which is 
Winston

[[Page S7172]]

Churchill's legendary book about a previous failure to heed warnings. 
Churchill quoted a poem of a train bound for destruction, rushing 
through the night, with the engineer asleep at the controls as disaster 
looms:

       Who is in charge of the clattering train?
       The axles creak, and the couplings strain.
       . . . the pace is hot, and the points are near,
       [but] Sleep hath deadened the driver's ear;
       And signals flash through the night in vain.
       Death is in charge of the clattering train!

  I contend that we are now that sleeping driver, that the signals are 
flashing at us, so far, in vain, and that it is decidedly time to wake 
up.
  There being no objection, the material was ordered to be printed in 
the Record, as follows:

                       [From The Washington Post]

I Was Wrong on Climate Change. Why Can't Other Conservatives Admit It, 
                                  Too?

                             (By Max Boot)

       I admit it. I used to be a climate-change skeptic. I was 
     one of those conservatives who thought that the science was 
     inconclusive, that fears of global warming were as overblown 
     as fears of a new ice age in the 1970s, that climate change 
     was natural and cyclical, and that there was no need to incur 
     any economic costs to deal with this speculative threat. I no 
     longer think any of that, because the scientific consensus is 
     so clear and convincing.
       The Fourth National Climate Assessment, released Friday by 
     the U.S. government, puts it starkly: ``Observations 
     collected around the world provide significant, clear, and 
     compelling evidence that global average temperature is much 
     higher, and is rising more rapidly, than anything modern 
     civilization has experienced, with widespread and growing 
     impacts.'' The report notes that ``annual average 
     temperatures have increased by 1.8  deg.F across the 
     contiguous United States since the beginning of the 20th 
     century'' and that ``annual median sea level along the U.S. 
     coast . . . has increased by about 9 inches since the early 
     20th century as oceans have warmed and land ice has melted.''
       The report attributes these changes to man-made greenhouse 
     gases and warns: ``High temperature extremes, heavy 
     precipitation events, high tide flooding events along the 
     U.S. coastline, ocean acidification and warming, and forest 
     fires in the western United States and Alaska are all 
     projected to continue to increase, while land and sea ice 
     cover, snowpack, and surface soil moisture are expected to 
     continue to decline in the coming decades.''
       The U.S. government warnings echo the United Nations' 
     Intergovernmental Panel on Climate Change. In October, it 
     released a report that represented the work of 91 scientists 
     from 60 countries. It describes, in the words of the New York 
     Times, ``a world of worsening food shortages and wildfires, 
     and a mass die-off of coral reefs as soon as 2040.''
       The wildfires are already here. The Camp Fire blaze this 
     month is the most destructive in California history, charring 
     153,000 acres, destroying nearly 19,000 structures, and 
     killing at least 85 people. The second-most destructive fire 
     in California history was the one last year in Napa and 
     Sonoma counties.
       The Yale School of Forestry and Environmental Studies notes 
     that climate change has contributed to these conflagrations 
     by shortening the rainy season, drying out vegetation and 
     whipping up Santa Ana winds. Massive hurricanes are 
     increasing along with wildfires--and they too are influenced 
     by climate change.
       It is time to sound the planetary alarm. This is likely to 
     be the fourth-hottest year on record. The record-holder is 
     2016, followed by 2015 and 2017. A climate change website 
     notes that ``the five warmest years in the global record have 
     all come in the 2010s'' and ``the 10 warmest years on record 
     have all come since 1998.''
       Imagine if these figures reflected a rise in terrorism--or 
     illegal immigration. Republicans would be freaking out. Yet 
     they are oddly blase about this climate code red. President 
     Trump, whose minions buried the climate-change report on the 
     day after Thanksgiving, told Axios: ``Is there climate 
     change? Yeah. Will it go back like this, I mean will it 
     change back? Probably.'' And, amid a recent cold snap, he 
     tweeted: ``Brutal and Extended Cold Blast could shatter ALL 
     RECORDS--Whatever happened to Global Warming?''
       By this point, no one should be surprised that the 
     president can't tell the difference between short-term 
     weather fluctuations and long-term climate trends. At least 
     he didn't repeat his crazy suggestion that climate change is 
     a Chinese hoax. Yet his denialism is echoed by other 
     Republicans who should know better. Sen. Joni Ernst (R-Iowa) 
     told CNN on Sunday: ``Our climate always changes and we see 
     those ebb and flows through time. . . . We need to always 
     consider the impact to American industry and jobs.''
       We do need to consider the impact on U.S. jobs--but that's 
     an argument for action rather than, as Ernst suggests, 
     inaction. The National Climate Assessment warns that global 
     warming could cause a 10 percent decline in gross domestic 
     product and that the ``potential for losses in some sectors 
     could reach hundreds of billions of dollars per year by the 
     end of this century.'' Iowa and other farm states will be 
     particularly hard hit as crops wilt and livestock die.
       Compared with the crushing costs of climate change, the 
     action needed to curb greenhouse-gas emissions is modest and 
     manageable--if we act now. Jerry Taylor, president of the 
     libertarian Niskanen Center, estimates that a carbon tax 
     would increase average electricity rates from 17 cents to 18 
     cents per kilowatt-hour. The average household, he writes, 
     would see spending on energy rise ``only about $35 per 
     month.'' That's not nothing--but it's better than allowing 
     climate change to continue unabated.
       I've owned up to the danger. Why haven't other 
     conservatives? They are captives, first and foremost, of the 
     fossil fuel industry, which outspent green groups 10 to 1 in 
     lobbying on climate change from 2000 to 2016. But they are 
     also captives of their own rigid ideology. It is a tragedy 
     for the entire planet that the United States' governing party 
     is impervious to science and reason.

  Mr. WHITEHOUSE. I note that my distinguished colleague from 
Massachusetts has arrived. We have an order in place in which the 
Senator from Massachusetts is to be recognized at the conclusion of my 
remarks and that the distinguished Senator from New Hampshire, Mrs. 
Shaheen, is to be recognized at the conclusion of Senator Markey's 
remarks.
  With that, I yield the floor to the coauthor of the Waxman-Markey 
legislation, the person who had done the most successful work to try to 
solve this climate problem at a time when the situation was slightly 
less desperate.
  The PRESIDING OFFICER (Mr. Rounds). The Senator from Massachusetts.
  Mr. MARKEY. Mr. President, I thank Senator Whitehouse, who has been 
out here on the floor, week after week after week, sounding the 
warning, like Churchill, that there is danger ahead, that there is a 
gathering storm. Yet it is not metaphorical as it was for Churchill. It 
is real. There is a gathering storm. What Senator Whitehouse has been 
doing, year after year after year, is coming out on the floor to 
document this gathering storm and to warn that we have to take action.
  I thank Senator Whitehouse for his incredible, historic leadership 
because, between the U.N. and the U.S. scientists, all of the evidence 
is now there. My belief is, the failure that he talked about to heed 
the dire warnings on climate change is much more now than that 
figurative gathering storm; it is literally gathering much fiercer 
energy in super-charged storms that will bear down on our shores as a 
result of our warming crisis.
  Scientists have shot off the warning flare. In the last 2 months, we 
have received two of the most alarming reports to date on the threat 
that climate change poses to our country, our economy, our security, 
and to our planet. It questions the morality of our country because 
ultimately that is what it is. It is a moral issue of whether we are 
going to leave this planet better than we found it.
  Are we going to be the stewards of this planet and pass it on to 
future generations better than we found it? Right now, the gathering 
evidence from the United Nations and from our own U.S. Government's 
scientists is that we are not.
  The Federal Government's National Climate Assessment that was 
released last week as well as the recent United Nations 
Intergovernmental Panel on Climate Change report are clarion calls. The 
science in these reports is clear. If we fail to act now, storms will 
grow more frequent and more powerful. Extreme weather events, like 
Hurricane Michael, which grew more quickly this October than any storm 
we have seen, will continue to cost the United States hundreds of 
billions of dollars in damage. The National Climate Assessment--the 
congressionally mandated report issued by 13 Federal agencies--
underscores the specific impacts we are facing now and will continue to 
face in the future.
  In our home region of the Northeast, which Senator Shaheen and 
Senator Whitehouse and I have the privilege to represent, the impacts 
are going to be truly devastating. The Northeast region will surpass 2 
degrees centigrade of warming beyond preindustrial levels by as soon as 
2035--not 2050, not 2100 but by the year 2035--if emissions continue at 
their current pace. That would be the quickest warming in the 
contiguous United States and would occur as much as two decades before 
global average temperatures reach a similar point.
  The real-world effects of this warming trajectory are shocking. Sea 
levels

[[Page S7173]]

in the Northeast could rise upward of 11 feet by the end of the 
century. Almost one-third of the sandy shorelines along the Atlantic 
coast could erode inland at rates of at least 3.3 feet per year. We 
will feel the impact on our economy, which is so strongly tied to 
fishing, to our beaches and tourism, and to our natural environmental 
resources.
  In 2012, a 2-degree centigrade water temperature increase boosted 
lobster landings to high summer levels a month earlier than usual. The 
result was an early supply glut and a collapse in prices to the lowest 
level in almost two decades. This type of negative impact on our 
fishing industries will become more commonplace as the climate 
continues to warm and our marine life is forced to move to new areas.
  Outdoor recreation in the Northeast, which will suffer the 
consequences of climate change, contributes nearly $150 billion in 
consumer spending and supports more than 1 million jobs across our 
region. Climate impacts, like beach erosion, are an imminent threat to 
this economic powerhouse. Yet perhaps most devastating will be the 
impacts on the public's health. According to estimates, up to 10,000 
people in Massachusetts could, by the end of the century, visit the 
emergency room annually due to the rising heat.
  Despite these generational warnings from both the United Nations and 
the scientists in our own country, President Trump has continued to 
dismiss the impending disaster from our dangerously warming planet.
  How did President Trump respond when asked about the conclusion that 
climate change could devastate the American economy?
  His answer: ``I don't believe it.''
  Well, it doesn't matter, Mr. President, if you don't believe it 
because the world's leading scientists have shown it to be true, and 70 
percent of Americans believe it. They believe global warming is 
happening.
  President Trump may deny climate science, but there is no denying the 
consequences of climate change. Yet the Trump administration will not 
stop at climate denial. It has a much more insidious scheme to block 
action on climate--deny, delay, and defund. The list of its climate 
sins is long, with each action more egregious than the last one.
  First came the appointment of an all-star Big Oil Cabinet--Scott 
Pruitt at the EPA, former Exxon CEO Rex Tillerson at the State 
Department, and former Texas Governor Rick Perry at the Department of 
Energy.
  Since Mr. Pruitt's ouster after numerous ethics violations, the Trump 
administration has nominated king coal's favorite son, Andrew Wheeler, 
to head the EPA. Mr. Wheeler is a former coal industry lobbyist and has 
downplayed the recent science on the devastating impacts to come from 
climate change. After these reports came out, he said: ``I have some 
questions about the assumptions.'' These are assumptions that have been 
vetted by 300 leading scientists in the United States and across the 
planet.
  The only question, I believe, is why someone like Andrew Wheeler was 
put in charge at the EPA. A coal lobbyist is now the head of the EPA. 
The EPA just turned into every polluter's ally. That is the net result 
of what Donald Trump has done at the Agency.
  The Trump administration is also moving to freeze fuel economy 
standards rather than pushing for the historic and technically 
achievable goal of 54.5 miles per gallon by the year 2025. I am the 
author of the 2007 law that required the first fuel economy increase in 
32 years. Increasing our fuel economy standard to 54.5 miles per gallon 
is the single largest action that any nation has ever taken on 
climate--that one law. Yet the Trump administration is trying to make a 
U-turn on those standards that are saving customers money at the pump 
and reducing the emissions we pump into the air.
  The Trump administration is also trying to repeal President Obama's 
Clean Power Plan. Turning our back on this roadmap for reducing 
pollution in the electricity sector will result in at least 12 times 
more carbon dioxide emissions over the next decade.
  Why is the Trump administration taking us backward on climate in the 
face of these dire warnings? Just follow the money.
  Yesterday, during the weekly Senate Climate Change Task Force 
meeting, Senator Whitehouse, Senator Cardin, other colleagues, and I 
heard about the complex funding behind the climate countermovement, 
which the fossil fuel industry has funded and used to mislead the 
American people and to hold this administration hostage.
  The ``web of climate denial'' is nothing more than dirty energy 
corporations and their shady front groups spending over a quarter of a 
billion dollars each year to deceive Americans about climate change. 
These corporations distort scientific consensus and turn it into an 
artificial political debate. They produce sham scientific documents, 
such as ``Why Scientists Disagree About Global Warning,'' a report 
published by the Heartland Institute and sent to over 300,000 science 
teachers across the country. Funding 300,000 documents to be sent to 
every science teacher in America over science that is patently untrue--
that is how much money the fossil fuel industry has. That is how high 
they try to send up a smoke screen around this issue to terrify 
teachers that they might be getting in trouble if they actually teach 
accurate science rather than the bogus documents that are sent to them 
by the fossil fuel industry, by their handmaidens, the Heartland 
Institute.
  These fossil fuel phonies are on a mission to sow doubt, and their 
efforts seem to be bearing fruit in this administration. The web of 
denial messaging strategy is highly sophisticated, disciplined, and 
politically controlled. Conferences, advertisements, websites, talking 
heads--this fossil fuel-funded farce may be a well-oiled machine and 
well funded, but they are wrong.
  What do we do in the face of this web of denial? We need to look at 
the dollars and cents of it all--not the Big Oil and King Coal 
greenbacks but the success of green energy.
  We are ushering our power sector into a clean energy future that is 
good for our environment and good for our economy. Coal cannot compete 
against wind, solar, and other renewables and natural gas in the free 
market. By the early 2020s, it could be cheaper to build new renewables 
from scratch than to continue operating old, dirty, coal-fired 
powerplants. That is not a conspiracy; that is called competition. Adam 
Smith is smiling in his grave, watching this market force begin to take 
over. And that is why this renewable revolution has become unstoppable. 
It is because the cost of renewables is plummeting. The cost of solar 
has fallen 50 to 60 percent over the last 5 to 6 years. In fact, wind 
and solar are generally cheaper than coal and nuclear energy right now. 
Coal is losing the war against wind and solar in the free market. That 
is what we call it--the free market. The War on Coal is a war that has 
been declared by the free market on coal, and it lost that war.
  It is not just happening here in the United States; it is happening 
all around the globe. Mexico had a power auction at the end of November 
2017 where the average price for solar was 1.9 cents per kilowatt hour. 
In 2017, solar in Saudi Arabia came in at 1.8 cents a kilowatt hour. In 
Dubai, it is 2.4 cents a kilowatt hour.
  Half of all electricity installed around the world last year was 
renewable. Let me say that again. Half of all new electrical generation 
capacity in the world that was installed last year was renewable. So it 
is not just the United States; this is happening globally. The 
revolution is on.
  Renewable energy deployment around the world has increased by 8 
percent a year for 7 years in a row. Globally, more than $330 billion 
was invested in clean energy last year. This is a global clean energy 
race. It is a global job-creation race. It is a global clean energy 
investment race. We are going to save all of creation by engaging in 
massive job creation, as we have all of these people who are hired in 
order to install these new technologies.
  Right now, we have more than 50,000 megawatts of solar installed here 
in the United States. By 2020, we are projected to have more than 
90,000 megawatts of solar. Solar is projected to add another 35,000 
megawatts combined in 2021 and 2022. That means that by the end of 
2022--4 years from now--we are going to have 250,000 megawatts of wind 
and solar in the United States.
  If you think of a nuclear powerplant having 1,000 megawatts--the 
Seabrook

[[Page S7174]]

nuclear powerplant, the Diablo Canyon nuclear powerplant--think of 250 
solar and wind facilities. That would be the equivalent of each one of 
those nuclear powerplants. That is what we are talking about.
  By the year 2020, we will have 500,000 people employed in the wind 
and solar industry. Contrast that with the 50,000 people in the coal 
industry. By 2020, there will be 500,000 in wind and solar. Who are 
they? They are roofers. They are electricians. They are engineers. They 
are people who are working with their hands to install all of this 
equipment.
  The President doesn't seem to really care about those blue-collar 
workers--upwards of 500,000 by the year 2020--but they are working 
hard, they are working for good wages, and they are also not running 
the risk of inhaling dangerous air that can be dangerous to their 
health. That is where we are. We have this incredible opportunity that 
is before us. It is already happening. The President is in denial.
  The climate change fight is not just a question of job creation or 
economic imperative; it is about the moral imperative we have to act. 
We know climate change will get worse. We know lives will be lost. We 
cannot sit back and do nothing.
  In 2015, Pope Francis came to Capitol Hill, and he delivered his 
environmental ``Sermon on the Mount.'' He told us that mankind created 
this problem of climate change and now mankind must fix it. With the 
world's poorest and most vulnerable suffering the worst consequences of 
climate change--extreme poverty, famine, disease, and displacement--we 
have a moral obligation to act.
  I agree with Pope Francis that the United States and the Congress 
have an important role to play. We have a responsibility to help those 
less fortunate amongst us who will be harmed the most by rising seas, a 
warming planet, and more pollutions spewing into our air and water. 
That is why, right now and in the next Congress, I am standing here 
with my colleagues in this fight to ensure that we take climate action, 
for a price on carbon, for investment in clean energy, for resilient 
infrastructure, for 100 percent renewable energy in our country.
  If there is a tax extenders bill, we will be fighting for clean 
energy tax credits and for extenders to help reduce our carbon 
emissions, including for offshore wind, for storage of electricity, and 
for clean vehicles. We will be standing side by side in that fight in 
2019 on the Senate floor so that we continue this revolution.
  If there is an infrastructure package, we will be fighting for 
aggressive renewable energy standards for utilities and the Federal 
Government and for coastal infrastructure needs.
  As we work on appropriations, we will fight for more funding for 
energy efficiency and programs that protect the health of children and 
families from climate change.
  The climate challenges facing our Nation and the entire world are 
indeed great, but the United States has the technological imperative to 
lead on solutions. We have the economic imperative to create 
opportunities and jobs for all people, and we have the moral imperative 
to protect our planet for future generations.

  The rest the world will not listen to us and follow us if we do not, 
in fact, take these actions. You cannot preach temperance from a 
barstool. You cannot ask other countries to act when we ourselves are 
walking away from the responsibility. That is the moment we are in.
  By January 1, 2019, this battle is going to be on. We have been given 
the warning, and we are heeding it. We are going to have mighty battles 
up here on the floor to make sure that future generations do not look 
back at us and wonder why we didn't heed all of those warnings that 
were given to us by the smartest scientists on the planet.
  Now I would like to yield to my great colleague from the State of New 
Hampshire, a woman who has dedicated her career to the issues of clean 
energy up in her home State. I give you the great Senator from New 
Hampshire, Jeanne Shaheen.
  The PRESIDING OFFICER (Mr. Tillis). The Senator from New Hampshire.


                             Climate Change

  Mrs. SHAHEEN. Thank you, Mr. President.
  Thank you to my colleagues Senator Markey and Senator Whitehouse. I 
am pleased to join both of you, who have done such a tremendous job in 
leading on this issue of trying to get everyone to wake up to the 
challenges that we face in climate change and what that is going to 
mean, not just for us in New England but for people across this country 
and across the globe.
  Maybe the reason we feel so passionate about this is because we see 
it. We already see it happening in New England, as my colleagues 
detailed so well. We are on the cutting edge of these changes. You 
don't have to have lived in New Hampshire for very long to have seen 
what is happening as a result of climate change.
  Last week, the U.S. Global Change Research Program released its 
fourth National Climate Assessment, and that details the profound 
effect climate change is having and is going to continue to have on the 
environment, on the economy, and on our public health. The report makes 
it abundantly clear that every American--every American--is affected by 
climate change and that the threat it poses will get worse unless we 
take action.
  As I said, people in my State of New Hampshire have no doubt about 
the reality of climate change because we have been seeing it for years 
now. We have been experiencing it.
  The steady increase in temperatures and the rise in annual 
precipitation are already affecting New Hampshire's tourism and outdoor 
recreation economy. Each year, hundreds of thousands of sportsmen and 
wildlife watchers come to New Hampshire to enjoy our mountains, our 
lakes, and all of our beautiful natural resources. The outdoor 
economy--hunting, fishing, and outdoor recreation--contributes more 
than $4 billion to New Hampshire's economy each year, but this is 
threatened now because rising temperatures are shortening our fall 
foliage season, and they are negatively affecting our snow- and ice-
related winter recreation activities. That includes skiing, 
snowboarding, and snowmobiling. The New Hampshire ski industry employs 
17,000 Granite Staters, and the New Hampshire Department of 
Environmental Services warns that these jobs are threatened by climate 
change.
  New Hampshire's--in fact, all of New England's fall foliage is at 
risk. This is climate modeling by the Union of Concerned Scientists 
that shows that by the end of this century, New Hampshire's summers 
will feel like present-day summers in North Carolina, 700 miles to our 
south. While the Presiding Officer certainly understands that this 
works great for North Carolina, it changes dramatically what happens in 
New Hampshire.
  What this shows is that--this red color, which are the maple and 
beech and birch trees--the maple trees in particular that produce our 
maple syrup--that make such a difference in our fall foliage--those are 
going to be gone by 2070--by the end of this century. All of this red 
that we are seeing throughout--from Pennsylvania, New York, across 
Northern New Hampshire, Vermont, and Maine--that will all be gone by 
the end of this century.
  Again, this underscores that if we fail to act on climate change, we 
are going to see a steep loss of jobs and revenue. That is going to 
affect our outdoor recreation industry, and it is going to affect our 
traditional maple syrup industry.
  New Hampshire produces more than 100,000 gallons of maple syrup 
annually. That makes it the third largest maple syrup producer in the 
United States. Maple syrup is entirely dependent on weather conditions. 
We are already seeing the impact these changes are having because as we 
get into spring, the temperatures are not getting cold enough at night 
to make the sap run in the maple trees, and during the day, we are not 
seeing the fluctuation in temperatures that allows maple syrup to be 
produced.
  The National Climate Assessment notes that the changing climate is 
putting more and more stress on sugar maples. If we fail to act on 
climate change, this could destroy New Hampshire's multimillion-dollar 
maple syrup industry.
  Now, it is also affecting our wildlife. It is affecting their 
habitats.
  Probably one of the most iconic symbols of New Hampshire is our 
moose. Yet they are being threatened. Because

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of milder winters due to climate change, ticks and other insects aren't 
dying off, which leads to infestation on our wildlife and on our trees. 
According to the New Hampshire Fish and Game Department, the estimated 
moose population in New Hampshire has decreased by more than 50 percent 
since the mid-1990s.
  That story is even worse for moose calves. A recent study by 
researchers at the University of New Hampshire found that winter ticks 
are the primary cause of an unprecedented 70-percent death rate of 
calves over a 3-year period. On average--and we can see this 
dramatically in these photos--47,000 ticks were found on each calf that 
was monitored during this study.
  To quote Dr. Peter Pekins, a professor at UNH who is a lead author on 
the study, ``the iconic moose is rapidly becoming the new poster child 
for climate change in parts of the Northeast.''
  We are going to see moose totally disappearing from the Northeast--in 
fact, from all of the northern part of the United States, if we don't 
take action.
  As my colleagues have said, global warming is also impacting our 
fishing industry. New Hampshire may have a small coast--18 miles of 
coastline--but we have an important commercial fishing industry that 
contributes $106 million to the State and supports 5,000 jobs. 
Unfortunately, because of climate change, the average annual 
temperatures in the waters off of southern New England have increased 
by about 2.2 degrees Fahrenheit since the 1970s. This change in 
temperature is driving some of New England's most iconic fisheries 
northward and further out to sea.
  Lobsters, for example, have migrated 40 miles northward to the Gulf 
of Maine in the last decade. As we can see from this illustration, it 
shows the red areas where we used to have lobster until the 1970s. They 
have totally disappeared, and those lobsters have moved north of Cape 
Cod. They are moving into northern Maine and up into Canada. They are 
totally gone from the New England Sound. That is devastating to 
Southern New Hampshire fishing communities where lobster is their 
livelihood.
  Ironically, as I think Senator Markey said so well, the lobster 
migration has contributed to an overabundance in the Gulf of Maine, and 
that has caused price volatility in the lobster market. So we have seen 
dramatic fluctuations which have also affected our fishermen.
  Of course, the impacts on human health have been dramatic because 
people are suffering from the impacts of climate change. Rising 
temperatures increase the number of air pollution action days. They 
increase pollen and mold levels, and they increase allergies. All of 
these things are dangerous to some of our most vulnerable populations, 
including children. In New Hampshire we have one of the highest 
childhood asthma rates in the country because of air pollution that has 
been moving primarily from the Midwest but now is being exacerbated by 
climate change.
  The elderly are affected, as well as those with allergies and those 
with chronic respiratory conditions.
  Rising temperatures also facilitate the spread of insectborne 
illnesses, such as Lyme disease, which have been a huge factor for 
people in New Hampshire and across New England.
  Now, because New Hampshire and the Northeastern States and New 
England have been experiencing major negative impacts from climate 
change, we have been working to reduce carbon emissions to try and 
transition to a more energy-efficient and clean-energy economy. New 
Hampshire is one of nine Northeastern States that participates in the 
Regional Greenhouse Gas Initiative, or RGGI, since the program launched 
in 2009. Massachusetts and Rhode Island are also participants. But 
carbon emissions in RGGI States have fallen by 51 percent. So in less 
than a decade, because of RGGI, we have seen a 51-percent reduction in 
carbon emissions.
  In addition, customers in RGGI States have saved an estimated $773 
million on their energy bills, and billions more are expected. That is 
thanks not just to renewables but to energy efficiency. I am a big 
believer that energy efficiency is also one of the most important ways 
we can reduce our carbon emissions. Also, the wholesale price of energy 
has fallen. So we can see on average 6.4 percent and $773 million in 
energy savings.
  So climate change--as everyone who has spoken about this evening has 
pointed out--is probably the greatest environmental challenge the world 
has ever faced, but we can do something about it if we take action. 
Through smart energy policies and through thoughtful conservation 
measures, we can stop climate change from reaching dangerous, 
irreversible levels, but we have to act now.
  So I urge my colleagues and I urge this administration to recognize 
the economic and environmental imperative of addressing climate change 
before it is too late.
  Thank you, Mr. President.
  I yield the floor.
  I suggest the absence of a quorum.
  The PRESIDING OFFICER. The clerk will call the roll.
  The bill clerk proceeded to call the roll.
  Mr. PORTMAN. Mr. President, I ask unanimous consent that the order 
for the quorum call be rescinded.
  The PRESIDING OFFICER. Without objection, it is so ordered.


                            Opioid Epidemic

  Mr. PORTMAN. Mr. President, I wish to speak tonight about the opioid 
crisis that has gripped my State of Ohio and our country and talk about 
some lessons learned.
  There was an article in the New York Times that some might have seen 
on Sunday about a town in Ohio--Dayton, OH--and the progress they have 
made in combating this opioid crisis, including a reduction in overdose 
deaths, which is really significant. Dayton is a city that has had some 
of the highest overdose death rates in our entire State of Ohio, and 
Ohio is No. 3 or No. 4 in the country in terms of overdose deaths. They 
have seen in Dayton, OH, over the last year, about a 50-percent 
decrease in overdose deaths. It is still totally unacceptable. 
Unfortunately, there are still hundreds of people who are dying every 
year. But from this high-water mark, progress has been made. Why is 
that happening?
  Well, I am going to talk a little bit about that tonight and talk 
about some of the things that are actually working back in our 
communities and perhaps give us a little sense of optimism about what 
might be able to happen over the next couple of years as we try to turn 
the tide on this epidemic.
  For a little context, last year we had the highest rate of overdose 
deaths in the history of our country. Some 72,000 Americans--72,000--
lost their lives to overdoses from drugs. In my State of Ohio, that 
number is particularly high, to the point that it is the No. 1 cause of 
death now in our State.
  I met with the director of the CDC, or the Centers for Disease 
Control, today and talked about the opioid epidemic and talked about 
the tragedy he is seeing in places like southwest Ohio, Dayton, and 
Cincinnati, my hometown, where we see incidences of hepatitis C 
increasing and even hepatitis A. These are diseases that are primarily 
increasing because of the sharing of needles and the opioid epidemic.
  So we have our work cut out for us, don't we?
  In Dayton, OH, by the way, over the last few years, the death rate 
had gotten so high that the coroner's office was literally running out 
of space. There wasn't enough room to put all the bodies.
  I have held roundtable discussions in Dayton and Montgomery County, 
which is the county around Dayton, over the past several years and 
heard the bad news. I have often been with Montgomery County then-
Sheriff Phil Plummer, who has been tireless in trying to focus law 
enforcement, the social workers, the treatment community, the business 
community, and other community leaders on how to respond to this 
problem. Our first responders, of course, are as desperate as anybody 
to address this.
  It has been tough. Again, I have been in Dayton, OH, and had to talk 
about the fact that we had the worst rates in the country of deaths 
and, therefore, one of the worst in the entire country.
  So what has happened? How has Dayton made this progress, this 50 
percent reduction?
  Well, the New York Times highlights a number of reasons for it. They 
talk about greater community involvement, the ability for more Medicaid 
recipients to get treatment, and more

[[Page S7176]]

Narcan being distributed throughout the community. Narcan, of course, 
is this miracle drug that reverses the effects of an overdose.
  They talked about helping to deal with the stigma. In other words, by 
reducing the stigma that is associated with addiction, more people will 
step forward to get treatment for it, and their families will be more 
willing to push them forward. That helps to unite communities against 
what is the biggest public health crisis we face in Ohio and around the 
country.
  I would like to highlight tonight some of the things we have done 
here in this body just in the last couple of years that contribute to 
some of the success that we are seeing.
  Again, are we there yet? No, we are not. Last year was worse than the 
year before, but I do believe that we are going to begin to make 
progress, and, frankly, I think we would already have seen some of 
these efforts at the Federal level, State level, and local level, which 
are taking root, make a bigger difference but for one thing, and that 
is this big influx of synthetic opioids--fentanyl. Fentanyl, 
carfentanil, and other synthetics have taken over.
  I remember being in Dayton, OH, the city we are talking about 
tonight, about 4 years ago when, for the first time, I heard from a law 
enforcement official that fentanyl was pushing out heroin. At that 
time, the big issue was heroin. It wasn't fentanyl. In fact, very few 
people knew about fentanyl. Fentanyl has hit my State and our country 
so hard over the past several years--the last 3, 4, 5 years--that it 
has sort of overwhelmed the system. So as we have begun to make 
progress on better education, better treatment, better recovery 
options, and more Narcan, we have also had this big influx of this 
incredibly powerful drug that is 50 times more powerful than heroin on 
average--an inexpensive drug.
  We will talk in a minute about what we are doing about fentanyl, but, 
again, I think if we had not seen that influx, we would already be 
seeing more progress because of some of the things that we will talk 
about that are happening in Dayton, OH.
  Back in 2016, this body, after 4 years of work, passed legislation 
called the Comprehensive Addiction and Recovery Act. I was proud to 
coauthor that with my colleague Sheldon Whitehouse. It was bipartisan. 
It was nonpartisan. It was based on evidence. It was based on four 
conferences we had here in DC. We brought in people from all over the 
country to talk about this: What is the best treatment option? What is 
the best way to ensure somebody gets through treatment successfully? 
How can we do a better job with our veterans? How can we ensure that we 
are bringing our first responders into this, working with them, and 
helping them to be able to deal with this crisis? All of that led to 
this Comprehensive Addiction and Recovery Act legislation.
  The first thing the legislation did, actually, was it said: Let's 
look at this like a disease. That may be--of all the things that are in 
that legislation, including significant new funding for our 
communities--maybe the most important thing, and it is beginning to 
change the paradigm, so that we don't look at this as a moral failing 
but rather look at it as something that is a disease. Something changes 
in your brain when you become addicted.
  I can't tell you the number of people I have met in my home State of 
Ohio who because of an accident or an injury took an opioid, became 
addicted--physically addicted--shifted to heroin or fentanyl because 
the prescription drugs were hard to find or too expensive, and then 
overdosed, and, in some cases, overdosed and died.
  But having said that, this legislation--this Comprehensive Addiction 
and Recovery Act legislation--focusing on prevention, focusing on 
treatment, focusing on recovery, focusing on providing Narcan to our 
communities, has made a difference. There will be $608 million spent 
this year on these CARA programs. Our first year it was about $182 
million. It has gone up every year since. Why? Because it is working. 
It was based on good evidence, and it is helping to offer innovative 
solutions to this stubborn addiction challenge we face in our country.
  Dayton, OH, and Montgomery County have received $3.5 million in CARA 
funding. So part of the reason they have had some success is that they 
have taken this funding and used it in innovative ways. It includes $2 
million for first responders and about $500,000 for the city of Dayton 
to develop partnerships between first responders and treatment 
providers responding to overdoses as a team.
  Somebody overdoses, Narcan is applied, and their lives are saved. 
Unfortunately, still in America in most cases, the person goes back to 
the community, to the old team, the old gang, and often there is no 
followup.

  In Dayton, what they have said is this: Do you know what? If somebody 
overdoses and Narcan is applied, we are going to follow up with them, 
and the team will include law enforcement, but it also will include 
treatment providers and maybe social workers. This funding has allowed 
them to pursue that.
  Also, there is $1 million from Montgomery County Public Health to 
analyze substance abuse issues and identify potential solutions to come 
up with more innovative and creative ways to deal with this.
  Also, in 2016, this Congress passed another piece of legislation. The 
Comprehensive Addiction and Recovery Act, remember, is funding that 
goes straight to programs to help on prevention, education, and 
innovative solutions. The second one was called the 21st Century Cures 
Act, and this provides funding directly back to the States, and the 
States then decide how it is spent. That funding is also making a big 
difference.
  In each of the last 2 years, Ohio has received $26 million in Cures 
funding to affect the opioid crisis. All of your States have received 
funding too. The funding is based on the degree to which you have a 
problem. So the States like my State of Ohio, West Virginia, and 
Kentucky have gotten significant amounts of money from this because we 
need it.
  Again, the Montgomery County Alcohol, Drug Addiction, and Mental 
Health Services Board, or the ADAMHS Board, has received about $2 
million in Cures funding over the last 2 years in Dayton, OH. I have 
seen and heard about how that funding is being put to good use.
  Just a couple months ago, I was in Dayton. I took part in a 
roundtable discussion with the Montgomery County ADAMHS Board and 
discussed how they are using their Cures money and their CARA money. 
They are using their Cures money to fund a community-based treatment 
team. They are partnering with Dayton and Montgomery County Public 
Health Addiction Services to provide 24/7 ambulance withdrawal 
support--a community treatment team to help people gripped by addiction 
get treatment in their own homes and primary care for high-risk 
addicts, including pregnant women and more.
  They are finding that is working. It is working not just to have 
people be saved from an overdose by Narcan but getting these people 
directed into treatment to actually help them with their addiction 
problem longer term.
  They are implementing impressive programs to help with some of the 
most vulnerable groups that are affected by this crisis, and that is 
mothers who are addicted and their babies, who are too often being born 
with what is called neonatal abstinence syndrome. Because the mom is 
addicted, the baby is born with this syndrome which requires the baby--
tiny innocent babies--to go through withdrawal. It is a very sad 
situation. It is happening in hospitals all over our country. Go to 
your neonatal unit in your hospital, and you will find out that, 
unfortunately, the numbers of these babies has increased dramatically.
  We don't know the impact longer term on these babies who are born to 
moms who are addicted, but there is a great risk there. What we do know 
is that hospitals across the country are being filled up with these 
innocent babies, and they need our help.
  After these babies get out of the hospital, by the way, often they 
can't go back to their moms or their dads because they are addicted, 
nor should they.
  The moms and dads sometimes are in treatment. They can't take their 
babies with them. What happens to these kids? Well, there are some 
groups that have started. Community volunteers have stepped up in 
Dayton, OH, as an example, and started a group called Brigid's Path. 
Brigid's Path is a shining example of an organization that is

[[Page S7177]]

dedicated to helping newborns who are dependent on drugs be able to 
recover longer term. As these innocent babies are taken through the 
withdrawal, they also need to be surrounded by love and support.
  Earlier this year, I had the opportunity to visit Brigid's Path. It 
provides short-term inpatient care in a home-like setting for these 
newborns who are suffering from prenatal drug exposure.
  A lot of volunteers are involved. Some of the volunteers do something 
really important and really simple. You know what it is? They hold the 
babies. Literally, it is the human contact. Based on all of the 
psychological studies and looking at how you create a healthy, well-
adjusted baby, you have got to have that human contact. For these 
babies who can't be with their parents because their parents are 
addicted or maybe the dad isn't around and the mom is addicted, 
volunteers come in and literally hold the babies, love these babies, 
and support these babies. We need to provide as much care and treatment 
as possible to help these kids so that they can achieve their God-given 
potential in life.
  By the way, the opioid legislation that the President signed into law 
just last month, which this Congress passed, provides for the first 
time that organizations like Brigid's Path in Dayton, OH--entirely 
funded up to this point with volunteers, with money from the community, 
but, frankly, they don't have the resources they need to take care of 
all the babies who need the help--for these babies whose families 
qualify for Medicaid, will now be able to get Medicaid reimbursement 
under what is called the CRIB Act, which the President just signed into 
law.
  It provides $60 million in funding for babies and recognizes 
residential pediatric recovery facilities like Brigid's Path as 
providers under Medicaid. This is a huge difference. It is going to 
enable not just Brigid's Path but other organizations like this to pop 
up around our State.
  So that may not be affecting the overdose rate per se, but that is 
affecting something really important, which is the ability for these 
infants--these babies--to be able to have a normal life and to be able 
to achieve whatever God has in mind for them in their life, which is 
not to be growing up in a family with addiction but rather to be able 
to escape the grips of addiction.
  I believe, perhaps most importantly, that the legislation we just 
passed in Congress recently--adding to Cures, CARA and the CRIB Act--is 
dealing with fentanyl and will help in Dayton, OH, and around our 
country.
  I mentioned fentanyl earlier, a synthetic opioid 50 times more 
powerful than heroin and inexpensive. Sadly, while, again, Dayton has 
made progress, fentanyl remains the No. 1 killer in Dayton.
  They told me when I was there a couple months ago that cocaine and 
meth deaths--crystal meth--are rising in the Dayton area. That is 
deaths from cocaine and crystal meth. Why is that?
  Typically, you don't hear about people overdosing on cocaine, but you 
certainly do when fentanyl is mixed in with cocaine, and that is what 
law enforcement is telling me around Ohio is happening.
  These drugs, often mixed with fentanyl, are now deadlier than ever. 
Fentanyl was involved in more than 70 percent of Ohio's overdose deaths 
last year. From January until April of this year, despite the overall 
reduction in overdose deaths, about 77 percent of the overdose deaths 
in Montgomery County, in Dayton, OH, involved fentanyl.
  So, again, we are making progress, but not nearly as much as we all 
want to make, and a major reason for this is this influx of this deadly 
synthetic substance. Unbelievably, we know that fentanyl is mostly 
manufactured in China, and mostly comes to our country through our own 
United States mail system. Up to now, up until last month when the 
President signed this legislation, we did not have a way to screen 
these packages coming in from overseas, specifically from China, coming 
in through the mail system into our communities, causing all of these 
deaths and destruction. Now we have in place something that closes the 
loophole in the international mail screening. It requires the post 
office to do what the other carriers have had to do since 9/11, which 
is to provide law enforcement with advanced electronic data to be able 
to identify these suspect packages and get them offline. I think that 
is going to make a huge difference, not just because it is going to 
stop drugs from coming into our country but because, by reducing the 
supply, you are going to see the costs go up on the street, which has 
been one of our great challenges.

  That is not the ultimate answer. The answer is prevention and 
education, reducing the demand for these drugs, better treatment and 
longer term recovery options--all of those things we talked about in 
terms of taking care of those moms and babies. But we also have to do 
everything we can to reduce the supply of these drugs, and that 
legislation that the President just signed is going to help.
  We are also going to be helped by a new law that the President just 
signed last month which says that with regard to residential treatment 
programs, they are no longer going to be capped by an arbitrary limit 
of 16 beds. This is a vestige of the 1960s and 1970s, when we wanted to 
deinstitutionalize these people, and we said: You can't get 
reimbursement from Medicaid unless you have less than 16 beds for 
mental health and substance abuse treatment.
  Then the opioid crisis hits us, and suddenly we find ourselves with 
no room at the inn. Literally, people are being turned away at 
treatment centers and, in the period they are waiting to get in, 
overdosing and dying. I have heard these stories. I have heard the moms 
and dads talk about the pain of a child who finally says: I am ready.
  In one case, a dad takes his daughter to a treatment center. This was 
in a tele-townhall meeting I had. We have them every month, and I hear 
these stories. These are people who aren't calling to tell these 
stories, but they end up telling it because we are talking about this 
issue. In this case, the dad's heart was heavy. He said: We took her. 
She was ready. There was no room. They couldn't accept her in the 
treatment center. So we took her back home.
  In the 4 weeks that she was waiting to get a slot in the treatment 
center, what happened? She succumbed, once again, to shooting up--in 
her case, heroin--and an overdose in her own bedroom.
  So this arbitrary limit doesn't make any sense. If the treatment 
center is doing a good job, don't limit it to 16 beds. If it is not 
doing a good job, by the way, it shouldn't be getting any 
reimbursement. But if it is doing a good job and successfully helping 
people to get beyond their addiction and into recovery, we shouldn't be 
limiting it. This legislation does that. It actually takes off the cap. 
It has a 5-year life because it has a cost to it, and I am convinced it 
is going to work well. Five years from now, we will extend that even 
further, but this is something some of us have been working on for many 
years, and it is now done. So, again, progress is being made 
incrementally. Some of this legislation we talked about tonight is 
contributing to that.
  We need to ensure that if we implement this, we cannot at this point 
take our eye off the ball. I think when we look back at this year, 
2018--and we are coming to the end of the calendar year now--we will 
see for the first time in the last dozen years a reduction in overdose 
deaths. I predict that is going to happen. I say that in part because I 
spoke to the Director of the Centers for Disease Control and 
Prevention.
  I also say that because back in Ohio I am seeing these programs work. 
I am seeing us finally beginning to turn the tide, despite the influx 
of fentanyl. But I would just state tonight, if that is true, and if we 
begin to see some progress--and I see it on the ground and see it in 
reports from coroners and medical directors around Ohio--if that 
happens, let's not take our eye off the ball. We succeeded. Let's move 
on.
  We did that back in the 1990s with regard to cocaine; we had solved 
the problem. We never solved the problem. It is like the tide. It keeps 
coming in. We have to be vigilant. We have to maintain the support we 
have provided here in the U.S. Congress to push back against this 
terrible addiction, this disease, and we have to ensure that we are not 
just pushing down on one drug and having another drug pop up.
  As we make progress on fentanyl or make progress on heroin, let's 
also be

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mindful of the disastrous impact of cocaine, crystal meth, and drugs we 
haven't even heard of yet--the new synthetic drugs that are coming our 
way.
  I believe that Federal programs like CARA and Cures are making a 
difference. We are working with our States that are passing their own 
legislation and helping in many ways. Our local communities are jumping 
in and figuring out innovative and creative ways of taking that Federal 
dollar and leveraging it with private sector money and with State and 
local money.
  I believe we are going to make progress with the STOP Act in reducing 
the supply and therefore raising the cost of the drug on the streets. I 
think what you have seen in Dayton, OH, which was reported in the New 
York Times, can continue--and not just in Dayton, but in Toledo, 
Columbus, Akron, Cincinnati, and St. Clairsville--all over our State 
and all over our country.
  We have a role to play here, and that is to continue to be better 
partners, as we have been over the last 2\1/2\ years here in Congress--
better partners with our States and with our local communities and with 
our families because, ultimately, this is an issue of the heart, isn't 
it? This is about the future.
  We have some pages with us tonight. They are young people who are 16, 
17 years old who come to this town because they are selected as bright, 
young people. They are listening--at least they are acting as though 
they are listening tonight; thank you. It is about you. It is about 
what kind of future you are going to have and what kind of future we 
are going to have, having safe and healthy communities.
  Thank you.
  I yield back my time.
  The PRESIDING OFFICER. The Senator from Ohio.

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