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118th Congress } { Report
HOUSE OF REPRESENTATIVES
2d Session } { 118-514
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DR. LORNA BREEN HEALTH CARE PROVIDER
PROTECTION REAUTHORIZATION ACT
_______
May 21, 2024.--Committed to the Committee of the Whole House on the
State of the Union and ordered to be printed
_______
Mrs. Rodgers of Washington, from the Committee on Energy and
Commerce, submitted the following
R E P O R T
[To accompany H.R. 7153]
The Committee on Energy and Commerce, to whom was referred
the bill (H.R. 7153) to reauthorize the Dr. Lorna Breen Health
Care Provider Protection Act, and for other purposes, having
considered the same, reports favorably thereon without
amendment and recommends that the bill do pass.
CONTENTS
Page
Purpose and Summary.............................................. 1
Background and Need for Legislation.............................. 2
Committee Action................................................. 2
Committee Votes.................................................. 3
Oversight Findings and Recommendations........................... 5
New Budget Authority, Entitlement Authority, and Tax Expenditures 5
Congressional Budget Office Estimate............................. 5
Federal Mandates Statement....................................... 5
Statement of General Performance Goals and Objectives............ 5
Duplication of Federal Programs.................................. 5
Related Committee and Subcommittee Hearings...................... 5
Committee Cost Estimate.......................................... 6
Earmark, Limited Tax Benefits, and Limited Tariff Benefits....... 6
Advisory Committee Statement..................................... 6
Applicability to Legislative Branch.............................. 6
Section-by-Section Analysis of the Legislation................... 6
Changes in Existing Law Made by the Bill, as Reported............ 6
Purpose and Summary
H.R. 7153 reauthorizes the Dr. Lorna Breen Health Care
Provider Protection Act, which directs the Secretary of Health
and Human Services (HHS) to allocate resources to health care
entities for programs that promote the utilization of mental
health and substance use disorder services among health care
professionals.
Background and Need for Legislation
Health care provider burnout and mental health conditions
have been on the rise in recent years and was exacerbated by
the COVID-19 pandemic. As of 2022, 42 percent of health care
workers reported feeling burned out, which has increased from
32 percent reported in 2018.\1\ Additionally, health care
workers who reported a hostile work environment were more
likely to report having anxiety, depression, burnout and/or
suicidal ideation.\2\
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\1\Centers for Disease Control and Prevention, Health Workers Face
a Mental Health Crisis. October 24, 2023, https://www.cdc.gov/
vitalsigns/health-worker-mental-health/index.html.
\2\Id.
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Since 2022, Congress has provided $103 million in funding
to 44 organizations\3\ to implement evidence-informed
strategies that reduce and prevent suicide, burnout, and
substance use disorders. This bill would reauthorize the Dr.
Lorna Breen Health Care Provider Protection Act, which is aimed
at reducing burn out and mental health conditions among health
care workers.
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\3\Workplace Change Collaborative, ``HRSA Grantees''. https://
www.wpchange.org/hrsa-
grantees.
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Committee Action
On February 14, 2024, the Subcommittee on Health held a
hearing on H.R. 7153. The title of the hearing was
``Legislative Proposals to Support Patients and Caregivers.''
The Subcommittee received testimony from:
Andy Shih, PhD, Chief Science Officer,
Autism Speaks;
Corey Feist, JD, MBA, Co-Founder and CEO,
Dr. Lorna Breen Heroes' Foundation;
Joanne Pike, DrPH, President and CEO,
Alzheimer's Association;
Gordon Tomaselli, MD, Former President,
American Heart Association; Marilyn and Stanley M. Katz
Dean, Emeritus and Professor of Medicine, Albert
Einstein College of Medicine; Adjunct Professor of
Medicine, Johns Hopkins University School of Medicine;
Michelle Whitten, President, CEO, and Co-
Founder, Global Down Syndrome Foundation;
Randy Strozyk, President, American Ambulance
Association; and
Christina Annunziata, MD, PhD, Senior Vice
President of Extramural Discovery Science, American
Cancer Society.
On March 12, 2024, the Subcommittee on Health met in open
markup session and forwarded H.R. 7153, without amendment, to
the full Committee by a record vote of 25 yeas and 0 nays.
On March 20, 2024, the full Committee on Energy and
Commerce met in open markup session and ordered H.R. 7153,
without amendment, favorably reported to the House by a record
vote of 48 yeas and 0 nays.
Committee Votes
Clause 3(b) of rule XIII requires the Committee to list the
record votes on the motion to report legislation and amendments
thereto. The following reflects the record votes taken during
the Committee consideration:
[GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT]
Oversight Findings and Recommendations
Pursuant to clause 2(b)(1) of rule X and clause 3(c)(1) of
rule XIII, the Committee held a hearing and made findings that
are reflected in this report.
New Budget Authority, Entitlement Authority, and Tax
Expenditures
Pursuant to clause 3(c)(2) of rule XIII, the Committee
finds that H.R. 7153 would result in no new or increased budget
authority, entitlement authority, or tax expenditures or
revenues.
Congressional Budget Office Estimate
Pursuant to clause 3(c)(3) of rule XIII, at the time this
report was filed, the cost estimate prepared by the Director of
the Congressional Budget Office pursuant to section 402 of the
Congressional Budget Act of 1974 was not available.
Federal Mandates Statement
The Committee adopts as its own the estimate of Federal
mandates prepared by the Director of the Congressional Budget
Office pursuant to section 423 of the Unfunded Mandates Reform
Act.
Statement of General Performance Goals and Objectives
Pursuant to clause 3(c)(4) of rule XIII, the general
performance goal or objective of this legislation is to help
support the reduction of burnout and mental health conditions
among health care professionals.
Duplication of Federal Programs
Pursuant to clause 3(c)(5) of rule XIII, no provision of
H.R. 7153 is known to be duplicative of another Federal
program, including any program that was included in a report to
Congress pursuant to section 21 of Public Law 111-139 or the
most recent Catalog of Federal Domestic Assistance.
Related Committee and Subcommittee Hearings
Pursuant to clause 3(c)(6) of rule XIII, the following
related hearing was used to develop or consider H.R. 7153:
On February 14, 2024, the Subcommittee on Health
held a hearing on H.R. 7153. The title of the hearing was
``Legislative Proposals to Support Patients and Caregivers.''
The Subcommittee received testimony from:
Andy Shih, PhD, Chief Science Officer,
Autism Speaks;
Corey Feist, JD, MBA, Co-Founder and
CEO, Dr. Lorna Breen Heroes' Foundation;
Joanne Pike, DrPH, President and CEO,
Alzheimer's Association;
Gordon Tomaselli, MD, Former President,
American Heart Association; Marilyn and Stanley M. Katz
Dean, Emeritus and Professor of Medicine, Albert
Einstein College of Medicine; Adjunct Professor of
Medicine, Johns Hopkins University School of Medicine;
Michelle Whitten, President, CEO, and
Co-Founder, Global Down Syndrome Foundation;
Randy Strozyk, President, American
Ambulance Association; and
Christina Annunziata, MD, PhD, Senior
Vice President of Extramural Discovery Science,
American Cancer Society.
Committee Cost Estimate
Pursuant to clause 3(d)(1) of rule XIII, the Committee
adopts as its own the cost estimate prepared by the Director of
the Congressional Budget Office pursuant to section 402 of the
Congressional Budget Act of 1974. At the time this report was
filed, the estimate was not available.
Earmark, Limited Tax Benefits, and Limited Tariff Benefits
Pursuant to clause 9(e), 9(f), and 9(g) of rule XXI, the
Committee finds that H.R. 7153 contains no earmarks, limited
tax benefits, or limited tariff benefits.
Advisory Committee Statement
No advisory committees within the meaning of section 5(b)
of the Federal Advisory Committee Act were created by this
legislation.
Applicability to Legislative Branch
The Committee finds that the legislation does not relate to
the terms and conditions of employment or access to public
services or accommodations within the meaning of section
102(b)(3) of the Congressional Accountability Act.
Section-by-Section Analysis of the Legislation
Section 1. Short title
Section 1 provides that the Act may be cited as the ``Dr.
Lorna Breen Health Care Provider Protection Reauthorization
Act''.
Section 2. Education and awareness initiative encouraging use of
mental health and substance use disorder services by
health care professionals
Section 2 makes technical changes to, and reauthorizes,
section 3 of the Dr. Lorna Breen Health Care Provider
Protection Act for five fiscal years, from fiscal year 2025
through 2029.
Section 3. Programs to promote mental health among the health
professional workforce
Section 3 makes technical changes to, and reauthorizes,
section 4 of the Dr. Lorna Breen Health Care Provider
Protection Act for five fiscal years from, fiscal year 2025
through 2029.
Changes in Existing Law Made by the Bill, as Reported
In compliance with clause 3(e) of rule XIII of the Rules of
the House of Representatives, changes in existing law made by
the bill, as reported, are shown as follows (existing law
proposed to be omitted is enclosed in black brackets, new
matter is printed in italics, and existing law in which no
change is proposed is shown in roman):
DR. LORNA BREEN HEALTH CARE PROVIDER
PROTECTION ACT
* * * * * * *
SEC. 3. EDUCATION AND AWARENESS INITIATIVE ENCOURAGING USE OF
MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES BY
HEALTH CARE PROFESSIONALS.
(a) In General.--The Secretary, in consultation with relevant
stakeholders, including medical professional associations,
shall establish a national evidence-based or evidence-informed
education and awareness initiative--
(1) to encourage health care professionals to seek
support and care for their mental health or substance
use concerns, to help such professionals identify risk
factors associated with suicide and mental health
conditions, and to help such professionals learn how
best to respond to such risks, with the goal of
preventing suicide, mental health conditions, and
substance use disorders; and
(2) to address stigma associated with seeking mental
health and substance use disorder services.
(b) Reporting.--Not later than 2 years after the date of
enactment of this Act, and annually thereafter, the Secretary
shall provide to the Committee on Health, Education, Labor, and
Pensions of the Senate and the Committee on Energy and Commerce
of the House of Representatives an update on the activities and
outcomes of the initiative under subsection (a), including a
description of quantitative and qualitative metrics used to
evaluate such activities and outcomes.
(c) Authorization of Appropriations.--To carry out this
section, there are authorized to be appropriated $10,000,000
for each of fiscal years [2022 through 2024] 2025 through 2029.
* * * * * * *
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PUBLIC HEALTH SERVICE ACT
* * * * * * *
TITLE VII--HEALTH PROFESSIONS EDUCATION
* * * * * * *
PART E--HEALTH PROFESSIONS AND PUBLIC
HEALTH WORKFORCE
Subpart 1--Health Professions Workforce Information and Analysis
* * * * * * *
SEC. [764] 764A. PROGRAMS TO PROMOTE MENTAL HEALTH AMONG THE HEALTH
PROFESSIONAL WORKFORCE.
(a) Programs to Promote Mental Health Among Health Care
Professionals.--
(1) In general.--The Secretary shall award grants or
contracts to health care entities, including entities
that provide health care services, such as hospitals,
community health centers, and rural health clinics, or
to medical professional associations, to establish or
enhance evidence-based or evidence-informed programs
dedicated to improving mental health and resiliency for
health care professionals.
(2) Use of funds.--An eligible entity receiving a
grant or contract under this subsection shall use funds
received through the grant or contract to implement a
new program or enhance an existing program to promote
mental health among health care professionals, which
may include--
(A) improving awareness among health care
professionals about risk factors for, and signs
of, suicide and mental health or substance use
disorders, in accordance with evidence-based or
evidence-informed practices;
(B) establishing new, or enhancing existing,
evidence-based or evidence-informed programs
for preventing suicide and improving mental
health and resiliency among health care
professionals;
(C) establishing new, or enhancing existing,
peer-support programs among health care
professionals; or
(D) providing mental health care, follow-up
services and care, or referral for such
services and care, as appropriate.
(3) Priority.--In awarding grants and contracts under
this subsection, the Secretary shall give priority [to
eligible entities in] to eligible entities that--
(A) are in health professional shortage
areas or rural areas[.]; or
(B) have a focus on the reduction of
administrative burden on health care workers.
(b) Training Grants.--The Secretary may establish a program
to award grants to health professions schools, academic health
centers, State or local governments, Indian Tribes or Tribal
organizations, or other appropriate public or private nonprofit
entities (or consortia of entities, including entities
promoting multidisciplinary approaches) to support the training
of health care students, residents, or health care
professionals in evidence-based or evidence-informed strategies
to address mental and substance use disorders and improve
mental health and resiliency among health care professionals.
(c) Grant Terms.--A grant or contract awarded under
subsection (a) or (b) shall be for a period of not less than 3
years.
(d) Application Submission.--An entity seeking a grant or
contract under subsection (a) or (b) shall submit an
application to the Secretary at such time, in such manner, and
accompanied by such information as the Secretary may require.
(e) Reporting.--An entity awarded a grant or contract under
subsection (a) or (b) shall periodically submit to the
Secretary a report evaluating the activities supported by the
grant or contract.
(f) Authorization of Appropriations.--To carry out this
section and section 5 of the Dr. Lorna Breen Health Care
Provider Protection Act, there are authorized to be
appropriated $35,000,000 for each of fiscal years [2022 through
2024] 2025 through 2029.
* * * * * * *
[all]
