Comité Health de la Cámara de Representantes, 16 de marzo de 2026

Transcripción

185 turnos. Seleccione un tiempo para reproducir ese momento del video.

1. 0:13:44

   You're up first.

2. 0:13:45

   Speaking right out and she's been here so.

3. 0:15:34

   Yeah. Okay, we are ready to start. Um, and we're gonna hear Senate Bill 19, f- um, excuse me, 91 first. Senator Tillery, that is LC520705.

4. 0:15:55

   Well, thank you, Mr., Mr. Chairman. Thank you, uh, members of the committee too. Appreciate your time and your indulgence. This is a bill that passed out of your committee last year, and it was recommitted after the, uh, the end of the 40-day session, and we're back to it again. I described it somewhat tongue in cheek last year as a taking a cannonball instead of a scalpel to the problem. I think it probably does that again. Many of you have heard from your independent pharmacists, and in that process you know that they've been battling back and forth with PBMs for a while.

5. 0:16:31

   I'll give you my thoughts on what happens. I think we've now got to a point where we're vertally- vertically integrated to a point that it's a, whatever you would call that, is a monopoly, um, where independent pharmacists aren't on a level playing field when they're competing, uh, against PBMs. And because of that vertical monopoly, uh, what I introduced was Senate Bill 91 to try to bust that up and make the game more fair for everyone. Senate Bill 91's pretty simple in its concept, and obviously very simple.

6. 0:17:02

   It's only 23 lines. It says that if you wanna be a PBM, that's fine. If you wanna be a retail pharmacy, that's fine. But you can't be a retail pharmacy and a PBM. Because of what we saw, um, that we think was some unfair business practices that, that hurt our independent pharmacists. Happy to answer any questions, and thank you so much for giving me the opportunity to explain it.

7. 0:17:24

   Uh, we've got a question, but before we get there, do you mind if we offer an amendment on line 13 and change 2025 to 2026?

8. 0:17:33

   Yes, sir. I'd love it if it was 2025, but I understand that that probably is no longer feasible.

9. 0:17:39

   And also on 21. Thank you. Uh, I don't know who number eight is.

10. 0:17:45

    That's me.

11. 0:17:47

    Uh, Chairman Newton.

12. 0:17:48

    Thank, thank you, Mr. Chairman, and, and thank you for the bill. I would argue that this is still a little bit of a scap- scalpel, because you're just directing things that the state does businesses with. It's not telling another Coca-Cola or Home Depot or anybody else that they're not allowed to do business with a, with a PBM that owns. Is that correct? Am I reading that right?

13. 0:18:07

    Correct. It's related to contracts that we enter in for the plans of health, health insurance located, offered by the state.

14. 0:18:14

    Right. Well, thank you, thank you for that. And I guess one other thing that has changed in this last year, in addition to more recognition both federally and otherwise at, at the vertical integration that's, that does raise monopoly or excess influence, but there's a lot more PBMs out there now that, that are not affiliated with the retail pharmacies or the physicians on the providing, providers on the pr- prescribing side or the retail pharmacies. So I think there's a lot more choices out there that might not have been there last year, but that the, for example, state health benefits would have choices they can make moving forward from a lot of different PBMs that are, uh, arguably not doing that, uh, vertical integration that, that you correctly describe as dangerous.

15. 0:18:55

    But thank you for the bill.

16. 0:18:57

    Thank you. Uh, I see no other questions. There is someone signed up to speak, Brooke Mills.

17. 0:19:10

    Hello, I just wanted to... Uh, my name is Brooke Mills. I just wanted to, to give a general fa- favorable appreciation of this bill and recommend that it do pass.

18. 0:19:19

    Thank you. I like that. Short and to the point. Okay, do I hear a motion?

19. 0:19:24

    That it do pass.

20. 0:19:25

    Do I hear a second? Okay, going to the amendment. Amendment again on line 13, changing 20, uh, 25 to 2026 and on line 21 also.

21. 0:19:37

    Do pass.

22. 0:19:38

    Do I hear a motion?

23. 0:19:39

    Do pass.

24. 0:19:40

    Second?

25. 0:19:41

    Second.

26. 0:19:41

    All those in favor, say aye.

27. 0:19:43

    Aye.

28. 0:19:43

    All those opposed, say nay. The amendment i- is now on the bill. All those in favor of the bill as amended, say aye.

29. 0:19:52

    Aye.

30. 0:19:52

    All those against, say nay. Congratulations, you have Senate Bill 91 do pass, LC520705.

31. 0:20:01

    Thank you so much, Mr. Chairman.

32. 0:20:02

    Yes, sir.

33. 0:20:02

    Thank you, members.

34. 0:20:04

    Uh, Vice Chairman, uh, Kelly is gonna take over. I need to go to another meeting.

35. 0:20:11

    You didn't have a copy on your desk, but I brought you the file if you want...

36. 0:20:22

    I appreciate you.

37. 0:20:48

    Bruce is outside.

38. 0:20:49

    Oh, oh, oh. Uh, we'll work it out. Okay.

39. 0:20:53

    I'm trying to find somewhere we can get before you

40. 0:20:57

    Thank you.

41. 0:20:57

    Larry's going through-

42. 0:20:58

    Oh, is he? Okay. Well, thank you.

43. 0:21:01

    Larry doesn't think we have the votes to pass it the way the amendment went on it. I have to-

44. 0:21:09

    All right. Thank you, everyone. We're now gonna move forward with Senate Bill 439, working off SB439 CSFA. Senator Steele?

45. 0:21:27

    Being joined by Chairman LaHood.

46. 0:21:29

    Want me to say we- Yeah, yeah, please.

47. 0:21:34

    I'm going. I feel like I should, uh, defer to the chairman to my left, um, to present this, but he knows this industry far better than I do. Um, Senate Bill 439 is a bill that came out of this really unique, call it a conflict, um, not often, but occasionally between assisted living facilities, private pay, not Medicare/Medicaid, and referral agencies.

48. 0:22:07

    So it is not legal to charge a referral fee for skilled nursing facilities where Medicare/Medicaid are the payer, but when it's self-pay, uh, referral fees are common practice. And so the average fee is first month's rent. If you've ever dealt with a loved one that has to go to assisted living or independent living, it could be $4,000 or $5,000 a month, might be north of $10,000 a month, private pay.

49. 0:22:41

    And so that's a, that's a big fee, a big referral fee. And what this does is it creates guardrails on the length of time that a referral can be given. It clarifies the notification that a referral has been received so that multiple referral agencies aren't trying to seek a fee from the same patient, loved one. And it puts requirements on when the assisted living facility is going to pay that fee of when they've moved in.

50. 0:23:15

    And so what we believe this bill does is, through a tremendous amount of hard work, uh, from the Senior Living Association and from our friends that, that work in the referral side, they've come together with a, um, a, a crafted, uh, bill that, that really breaks that down. So it, it makes sure that we're addressing assisted living facilities of a certain size, so more than 25 beds.

51. 0:23:47

    It says that the referral period is limited to, uh, 24 months, so it's not open-ended forever. Uh, but if, if they've made the referral, they've received confirmation that that was, uh, was posted. And then it also gets into the notification, uh, and gets in line 62 that, um, there has been a receipt of the disclosure and that a fee is going to be paid on their behalf.

52. 0:24:19

    And that really gets into the, uh, the crux of the bill. Um, Chairman LaHood, uh, knows this industry, you know, very well from a, a practical standpoint. He's sitting with me today because he can certainly, you know, speak to some of the, the technical aspects of this. But, um, I'm happy to answer any questions as the original author of the bill if, uh, if there are any.

53. 0:24:43

    All right, looks like we do have a few. Uh, I'm going to recognize Representative Clark.

54. 0:24:51

    Thank you, Mr. Chairman. Um, my question has to do with, um, on line 45 and then again on line 62 when we talk about, uh, the disclosure. Um, I- I see on line 44 that we ask that it be conspicuously disclosed, but on line 45 and on 62 we talk about verbal disclosure and then verbal acknowledgement. I know that a lot of times this could be done, like, maybe over the phone.

55. 0:25:22

    And so is there any requirement that these verbal... Because that's, I can see something written, I can see something electronic. Verbal, is there anything that requires this to be recorded so that we actually have proof that this verbal communication actually happened?

56. 0:25:45

    That came up in committee. That's a good question. Um, when you think about, you know, let's just say you're- you're, um, at a doctor's office, they give verbal orders to staff all the time to document, so it would be, you know, th- that it's a verbal, they're documenting it, and they're logging it into a record.

57. 0:26:06

    Okay.

58. 0:26:06

    So it just gives them some flexibility on the way in which they're gonna be doing that.

59. 0:26:11

    Um, a follow-up, Mr. Chair?

60. 0:26:13

    Go ahead.

61. 0:26:14

    Um, so I understand if we're talking about verbally to, like, a doctor, like doctor's orders, but this says to a prospective resident. So this is just, like, the person who's calling the referral agency. I just wanna make sure that we're protecting the... So I- I love the intent of this bill. I just wanna make sure that we're protecting these potential people by making sure that this is actually happening and not having someone say, "Oh, no, we told you," and a person saying, "Well, I don't remember that being said," or...

62. 0:26:45

    Like, I just wanna make sure that we are just, there's some protection here, and I would love if it somewhere showed that if it was verbal, it was recorded somewhere. I don't know if that's, there's a way to make that-

63. 0:26:56

    Right. So, um, line 65, you know, says who's retaining that information, so it's gonna be retained by the referral agency. Um, the reason that this was worded the way that it was was the referral agency folks, um, wanted to borrow language from Texas that had already passed a similar bill, and we were following the example that was used by that, that they're gonna be, um- Uh, they're going to be retaining that.

64. 0:27:30

    So if it is documented verbally, it's gonna be verbally issued and then written down, typed, emailed letter in some way form or fashion, and then they've got three days to be able to, um, send receipt, the, the facility send receipt back saying, "Yes, we received it. We, we have it. We have your referral. Thank you. We'll let you know if they move in."

65. 0:27:53

    Thank you.

66. 0:27:59

    Who's number seven?

67. 0:28:01

    Right here, Chairman.

68. 0:28:01

    All right.

69. 0:28:03

    Chairman Petrea.

70. 0:28:05

    Thank you, Chairman. And, uh, uh, Senator and, um, my good friend John LaHood, uh, with you. So what you're really trying to do, the ... So we're dealing ... You're talking about agencies like A Place for Mom. Okay. They, uh, they provide referrals almost entirely, as you alluded to, to private sector assisted living communities now, all congregate settings, all private sector, no Medicaid, no Medicare, just to make sure everyone knows that.

71. 0:28:35

    And so y- y- you have at times, uh, issues where there's disagreements between the referral agency and the, and the provider and in some cases the families as well. So you're putting some parameters around that and transparency that I think are a good thing. Is that not, is that not true? Is that the intent as I understand it?

72. 0:28:54

    That is entirely the intent. Yes sir.

73. 0:28:56

    Yeah. Seems to be very, uh, very wise to me. Thank you.

74. 0:29:03

    Uh, Mr. Chairman, if you don't mind, I'll just kind of elaborate on what, uh, Chairman Petrea was saying. There's a lot of times when a daughter out of state might engage with a referral agency, but there's a local daughter who's already engaged directly with the provider. And so we're just trying to get transparency and clarity on, you know, who's, um, you know, who's officially engaged with, uh, with the referral agency. Because at, at the end of the day, we're trying to, to protect the consumer, provide as much value to the consumer as we can.

75. 0:29:33

    And by the way, uh, uh, Senator Steele's done an excellent job with this, negotiating with the, uh, referral agencies and with the help of the Senior Living Association, and all parties are in agreement. Um, and I also wanted to add that several states, including Texas, Colorado, Oregon, Oklahoma, um, Arizona have passed similar bills.

76. 0:29:56

    Thank you for that insight. Chairman LaHood. All right. Uh, Representative Douglas.

77. 0:30:02

    Thank you, Mr. Chair. I have just a quick question. The normal stay in a room stay, what is the actual cost for referral?

78. 0:30:13

    I'm sorry, the average cost for what?

79. 0:30:15

    Average cost for a referral for room stay. Somebody wants-

80. 0:30:19

    One month.

81. 0:30:20

    One month. How much is one month?

82. 0:30:21

    It, it depends. So as I said-

83. 0:30:24

    Well-

84. 0:30:24

    ... in my opening comments, maybe I wasn't clear about that. So in my district, the average price of a, a private pay assisted living is about $10,000 a month.

85. 0:30:34

    Okay. All right. Is that the norm?

86. 0:30:37

    Um, it, it varies, you know, from, uh, you know, probably 3 or 4,000 to north of 12.

87. 0:30:43

    Gotcha.

88. 0:30:49

    Okay.

89. 0:30:49

    All right. Representative Davis.

90. 0:30:54

    Um, my question is how many referral agencies operate in Georgia on average here?

91. 0:31:03

    Referral agencies? Um, there are dozens and dozens of them. Some of them are, are private. Could just be a, a social worker, uh, or a nurse that started an agency, or it could be a large, uh, national corporation, uh, that, that does it by, um, you know, investing heavily in their marketing efforts and, and how they do that. Um, uh, some of these companies are so large that, you know, their revenues are in the hundreds of millions of dollars-

92. 0:31:30

    Mm-hmm

93. 0:31:30

    ... you know, for the big national companies. And some of them are just, you know, um, a, a mom and pop, you know, company that, that operates and, but they, they perform a service and it's a valuable service 'cause they can bring folks around and go look at different facilities that, that may be where they want to bring, uh, a loved one, to shop it, if you will. You know, kinda like-

94. 0:31:52

    Mm-hmm

95. 0:31:52

    ... looking for an apartment. You know, does this make sense? Are they gonna provide the level of care that we need? And once they feel like there's a fit and that referral becomes a placement, then they receive their, um, commission, if you will, um, after they move in.

96. 0:32:09

    Okay. A follow-up right quick. Um, what penalties exist, uh, for non-compliance, and who will enforce those penalties?

97. 0:32:19

    Well, I mean, that, that gets into, so there's a contract between referral agency and the, and the facility. So it's a, that's a legal binding contract. And they agree that this is what they're going to, um, adhere to. So if there's non-payment, they're gonna go to court. They're gonna follow their normal, you know, court standards by not abiding by the terms of the agreement. So we don't need to spell that out here. I mean, that's just standard contract law.

98. 0:32:46

    Thank you. All right. Representative Gisler.

99. 0:32:49

    Thank you, Mr. Chairman. Um, I had a similar question around enforcement, but I'm more about enforcement of this potential law legislation. Um, the last section here says that it's enforced, enforceable by the attorney general and specifically not through private right of action. I was just curious why that was.

100. 0:33:11

     Which version? I've got a couple different-

101. 0:33:13

     It's, uh-

102. 0:33:14

     I apologize. Walking in-

103. 0:33:15

     Sorry. It's, uh-

104. 0:33:15

     ... there were a couple different bills. Like, can you point me to the specific-

105. 0:33:17

     Yeah. It's, uh, lines 88 through 90, right at the very end there.

106. 0:33:23

     Says, "The code section is only enforceable through, by the attorney general and not enforceable through private right of action."

107. 0:33:32

     Term in the hood. Do you recall why, what we-

108. 0:33:35

     I, I believe the answer is because that's what was negotiated with, between the parties.

109. 0:33:39

     Okay.

110. 0:33:39

     Um, you know, the providers, you know, would, would prefer more, more teeth-

111. 0:33:45

     Mm-hmm

112. 0:33:45

     ... enforcement, uh, teeth. But this is what was negotiated.

113. 0:33:48

     Yep. So, so if an individual thought that-

114. 0:33:51

     Yeah

115. 0:33:51

     ... they were working with a, a referral agency that was violating this, they would have to petition the attorney general to file a case?

116. 0:33:58

     That's how I read this, yes.

117. 0:33:59

     Okay.

118. 0:34:00

     And, and it could be enforced through the attorney general's Consumer Protection Division.

119. 0:34:03

     Okay. All right, that was it. And I think Chairman Parsons has a question, too.

120. 0:34:07

     Thank you.

121. 0:34:07

     Just for sharing mics.

122. 0:34:10

     All right. We, they're still lit up over here pretty good, and we got one more person gonna speak. Uh, we're gonna go down to Representative Mitchell.

123. 0:34:21

     Let me just say this, I think the average consumer perhaps thinks that they, there's some advantage to going to these referral agencies. Is there a, a method, a, a collection of sorts for the average consumer to go to get referrals, uh, from?

124. 0:34:40

     I think he and I can both speak to it. I'll, I'll take first crack at it, and you do as well. Um, in, uh, in an early chapter of my life, I worked in home healthcare. I did it for a decade. I was, um, under my purview, we had about 10,000 PRN nurses that worked private duty home care, skilled nursing, staffing, et cetera.

125. 0:35:03

     When someone is being discharged from a hospital and they need to go to assisted living, independent living, they're not ready to go home, uh, sometimes it's a, it's a long-term plan, and sometimes it's a, we gotta find somewhere fast. And when you talk to that discharge planner, case manager at the hospital, you wanna ask their advice on where do I go? I don't, I don't know where to begin. This is a new chapter for me. I don't know what to do. And so you put your care and trust into that case manager and say, "Who do you recommend?

126. 0:35:37

     What do I do?" It's a lot cleaner and easier to say, "Let me give you a referral agency that can help you find the best fit for your family member, because this is gonna be self-pay." Um, that's a much better answer than saying, "Have you asked Google?" Because that's what a lot of people do, and that is not a very thoughtful or caring way to address this very sensitive and difficult conversation that people have to have. Um, and, you know, just last week, I was dealing with a medical emergency for a family member, um, my daughter, who, um, was in a pretty bad accident.

127. 0:36:15

     And so even knowing the healthcare system, even knowing the folks that I know here in this building, it took all the resources that I had to be able to find the best place to get her after she was, uh, being discharged from the ER at Grady. And so even with all the folks we know in this building, um, I had to go and ask people that do this every day, "What's your best recommendation on what's next? What's our next chapter for this?" And so for people that don't have those resources, I imagine that it's an even more daunting path to have to solve.

128. 0:36:51

     And so the referral agencies do provide a great value, I think, in that, that regard.

129. 0:36:57

     Mr. Chairman, I'm ready to make a motion when you're, when you're ready.

130. 0:37:01

     I'm about ready to recognize you for that, but we do have a individual who signed up, uh, to speak, and I want to give them the opportunity. Uh, Ms. Ramp with the Georgia Senior Living Association. I'm gonna let a couple questions get asked after Ms. Ramp speaks.

131. 0:37:18

     Okay. Do you want

132. 0:37:21

     my mic?

133. 0:37:22

     I'll be quick, I promise.

134. 0:37:25

     Chairman, members of the committee, thank you so much for allowing us to speak today and asking for, uh, great questions. My name is Katie Ramp, and I'm the president and CEO of the Georgia Senior Living Association. Uh, our members make up the community of senior living providers in the state, which care for nearly 47,000 elders in Georgia. Uh, we also have members that are partners in the support and care, including referral agencies. At its heart, Senate Bill 439 is a transparency bill. Families searching for the right place for a loved one to live and receive care deserve c- to clearly understand who is helping guide them, how those services are paid for, and how their information might be shared.

135. 0:38:06

     This bill simply requires that referral agencies disclose three, three things: that they are paid by contracted communities, that families have options outside of the communities that they're going to see, and those options might be more appropriate, and that they can opt out of these services at any time. That clarity matters for our families who are seeking guidance. It matters for providers who want to compete fairly and transparently in Georgia, and it matters for the integrity of our industry for Georgia's elders.

136. 0:38:38

     We've seen situations where this clarity really would have made a difference really quite recently, in fact. After a resident in Athens, uh, passed away recently, in his obituary, they thanked the community in which he lived. The community was part of his memorial services, and his obituary said the community he lived. Within a month, there was an invoice at that property for someone who moved in more than three years prior. In another case, a hospice provider who was in East Cobb, uh, the hospice provider is not a paid referral source.

137. 0:39:13

     They helped guide a resident to a community. But a well-meaning distant relative, a sister who lived in Colorado, filled out an online form on behalf of her sister. So when the family arrived at the community, there was confusion because the community already had her information. Senate Bill 439 helps bring clarity to situations like these. It ensures families know who they're working with, it sets reasonable boundaries around referral agreements, and provides a clear definition of who is representing the resident and at what time.

138. 0:39:45

     Most importantly, this will help maintain trust for Georgia seniors and their families. On behalf of the Georgia Senior Living Providers and the residents that we serve, I respectfully ask for your support of Senate Bill 439. Thank you.

139. 0:39:57

     Thank you so much. Uh, looks like we got three questions left, and then we're gonna be ready to take action. Chairman Parsons.

140. 0:40:05

     Thank you, Chairman. I wanted to ask, I had, I had never heard of this, uh, referral agency thing before. And, uh, the questions that the Representative Davis asked kinda clarified for me what I'm, what I'm looking for. But I'm just reading down through here. There, there is, in this bill, on line 32, there is a definition for referral agency. It tells you what it is. And this is in, this is in Title 10, where basically the rules and regulations and laws re- relating, uh, relating to how businesses conduct themselves, uh, are, are located.

141. 0:40:39

     So, uh, if I'm understanding this correctly, there's no, there is nothing in code already about, directly about a referral agency. So they could do what they wanted to right now because-

142. 0:40:49

     Oh

143. 0:40:49

     ... there's nothing to prevent them from doing as far as a, a contract or anything like that. A referral agency, even though it's not defined in code, could basically make any kind of contract or arrangement with a, um, provider or, uh, an individual that they wanted to. Is that correct or not?

144. 0:41:06

     Uh, that is correct, Chairman Parsons. Um, and go back to your question earlier, there, there's so many of these referral agencies, and I believe part of the reason is that there's no barriers. There's no guide, um, regulations. There's no, um-

145. 0:41:21

     Okay

146. 0:41:21

     ... um, and so this is just the beginning of putting some, some transparency-

147. 0:41:24

     Okay

148. 0:41:24

     ... and some guardrails on it.

149. 0:41:25

     Just one follow-up. And, and so, so that is what we're doing here.

150. 0:41:28

     Mm-hmm.

151. 0:41:28

     I mean, basically w- we're defining it, put it in code, and therefore you can have some regulations re- re- regarding it. Thank you.

152. 0:41:35

     Correct.

153. 0:41:39

     Representative Clark. Okay. Well, that was, he was ... Okay. All right. Chairman Newton.

154. 0:41:49

     Uh, thank you, Chairman Dubnik. Just in that follow-up, and, and she may have answered it a little bit, the, the, the example you gave, Chairman LaHood, on, um, there's an out-of-town child who may have gone online and done some research, um, whether it's time-sensitive like you describe or not, and there might've been a local one who had stopped by to get information about a couple of communities. Who, does this bill say who, who does get paid or ... I'm, I'm just curious. Or does the person, does the assisted living location have a contract in place?

155. 0:42:21

     Or I'm just curious who, who gets paid in the situation you describe where there are two doing research at the same time-

156. 0:42:28

     Right. So-

157. 0:42:28

     ... and then m- mom or dad gets brought there, or the name actually gets there, or you file for, get an application. Is it ... How do y'all decide ?

158. 0:42:39

     So the, the reason for the, um, line 61 through 68. So, um, if they wanna terminate working with that referral agency, that's in 57 through 60. If, um, there has been a, some sort of written or electronic receipt of confirmation that a referral was placed ... So let's role play for just a moment. I'm the referral agency, and you work at the assisted living.

159. 0:43:11

     I tell you that Grandpa LaHood is coming, and he's gonna-

160. 0:43:17

     About time

161. 0:43:17

     ... come stay with you. That's gonna be a rough one. So, uh-

162. 0:43:20

     He's pretty demanding.

163. 0:43:22

     I've given you notification. You've got three days to send confirmation that you got that, that, "Yes, I received that referral. Thank you very much." That way if any other referral agencies contact you about that referral, you say, "All right. Well, I've, I've already gotten this referral. Thank you very much." And-

164. 0:43:36

     That's when you would say, "I've al- we've already gotten the, the, the local daughter or son dropped by, and we already have this name."

165. 0:43:42

     We've, we've, whoever the first one that, that's gotten that written confirmation in, they're the ones that are gonna be given the referral-

166. 0:43:47

     Thank you

167. 0:43:48

     ... fee if it comes through that way.

168. 0:43:51

     All right.

169. 0:43:51

     And, and just to go a little bit further, uh, Chairman Newton, um, if the provider is not, does not have a contract with the referral agency, they're, they're not gonna get the, um, the referral.

170. 0:44:04

     I'm assuming you have to contract with almost everybody, don't you?

171. 0:44:07

     Yes.

172. 0:44:10

     All right. Looks like we have all of our questions. Um, Representative Mitchell, you're recognized.

173. 0:44:17

     Mr. Chairman, I, I move to pass on SB 439 as passed by the Senate.

174. 0:44:22

     Second.

175. 0:44:23

     All right. We got a motion-

176. 0:44:24

     Mm-hmm

177. 0:44:24

     ... by Representative Mitchell, a second by Chairman Petrea. Any discussion or amendments? All right. Seeing none, all those in favor make it known by saying aye.

178. 0:44:34

     Aye.

179. 0:44:35

     All opposed like sign. The bill passes unanimously. And I'm assuming Chairman LaHood's gonna carry this for you.

180. 0:44:41

     Yes, sir.

181. 0:44:41

     All right. Thank y'all so much. No other business for the committee. We'll stand adjourned.

182. 0:44:45

     Thank you.

183. 0:44:46

     Good job.

184. 0:44:46

     Listen, appreciate it.

185. 0:44:49

     All right. Health care, huh?