Ocean, mountain President, Republicans have spent months trying to repeal the affordable care act. They knew tens of millions of Americans would lose their care. They knew it would be trey our federal trust responsibility to native Americans and they new it would throw one fifth of our economy into chaos, trump care failed because the American people posted American spoke out against it and record numbers trump care failed the past four times. We hope now we've put To bad and we can move on, but rather than listening to millions of Americans, President trump has responded by sabotaging the affordable care act. His reckless behavior is already causing chaos in the marketplace. His actions have height up the cost of premiums. He has send out of pocket cost to the roof and instead of helping Americans get better health care. He has put it out of reach for millions. I commend my colleagues Alexander and senator murray they have found a bipartisan solution to this new health care crisis caused by our President. I urge leader, mcconnell to put it on to the floor, but the affordable care act isn't the only health care program at risk. The President and Republicans are letting funds run dry for other critical health programs. Last month the children's health insurance program expired chip ensures all my S nine million children across the country, including over 11000 kids in my home state of new Mexico, the community health centers program also expired last month Republicans fail to extend maternal infant and early childhood home visiting services that is one of the most effective health programs. We have without it more one more than one thousand new Mexico parents could miss out on home visits They won't get crucial information about how to nurse their newborns recognize healthy behavior in infants and teach basic skills to their children and the special diabetes program for Indians is set to expire in December. I rise today to urge Republicans to work with us to re authorize these critical healthcare programs. We need to act urgent link. We can get this done by Thanksgiving earlier if we work together, not a I wanna talk about chip first chip provides comprehensive health insurance for kids whose families don't quite qualify for medicaid but can't afford private insurance chip covers basic medical care like communications and prescriptions and routine check up and dental visits. Thanks to chip the rate of uninsured kids in America, is dropped from 14 percent to four point five percent chip has been a life saver For some families, this is called he's from the small town of Anthony new Mexico. Colton was eight years old when he was diagnosed with cancer. Fortunately, the cancer was treatable and he was insured by chip so the cost of his treatment and medications were cover without chip culture, family would have had to pay hundreds of dollars a month for his treatment the cost of a month's rent family should not have Of to choose between life saving care for their children and a roof over their heads cultures, father wrote to the Santa fe new Mexican and in said and I quote watching my son battle for cancer battle for his life, was almost more than I could bear. I couldn't imagine dealing with the stress of scraping together everything we had to cover the medical bills. If we didn't have coverage having chip allowed us Focus on what was truly important cultures future and being there for my family as we went through this life changing experience, but now States are looking at contingency plans, new Mexico has reserves, but only until next spring. In some States will be forced to cover all of the cost in just a few months and others are preparing to send notices to families that there coverage you land no parent It was already in crisis because of the sick child should have to go through that and President chip was a bipartisan success story. I hope we can get back to working together on this man and present the 50 year old community health centers program delivers comprehensive healthcare services to some of our nation's most vulnerable individuals, school children, people experiencing homelessness, agriculture, workers in our Veterans in new Mexico, 17 of these clinic served 300 and 33000 patients and 90 under served in rural communities and the community health. Centers are important to the economy and world communities in new Mexico. They employ almost three thousand people across the state. These clinics cannot sustain a 70 percent funding cop federal support. His cancel. many Be force to shut their doors. I recently visited one of these clinics. The baca family practice clinic and Fort sumner new Mexico. It provides high quality medical services to over three thousand patients over one fifth of its patients are children. Another one fifth, our seniors, but if funding run South the clinic will be forced to start laying off essential medical staff and to reduce its hours clinic director Lisa walraven told me and I quote here you simply cannot reduce funding by 70 percent for a small frontier health care facility and inspect anything other than a significant loss of access to care. Full chip and community health. Centers provide preventive care to under served communities throughout new Mexico. They are supplementing our health care system to ensure we don't let any families fall through the cracks in the income We also depends on these programs and others, like them to provide vital care to their communities. The federal government has a trusted treaty obligation to provide health care to native Americans and yet the Indian health service is severely underfunded chip and similar programs help supplement care that the Indian health service can provide chip currently covers more than 14 hundred native American children in new Mexico, allowing these programs to expire would be trade. Our trading obligations on Another program sided that is critical to Indian country is the special diabetes program for Indians. It provides grants to native communities for diabetes treatment and prevention without proper treatment, diabetes can lead to limb amputation and kidney. Failure. The disproportionate impact on native Americans is a public health problem. We can't ignore this program is making real progress. Progress. It helps fund over 300 native health programs are 35 States, including 29 programs in new Mexico, they help educate communities about how to prevent diabetes and provide care so native patients can manage their diabetes more effectively. It is one of the most effective public health initiatives ever undertaken by the federal government, diabetes related kidney failure has drop 54 percent among native Americans in some States like Alaska leg amputation Native people with diabetes have decreased more than 68 percent. This program literally saves life and lamb program directors across Indian country tell me that without this funding, they will have to start laying off staff and limiting their diabetes programming. We need to provide funding to tribal communities so they can invest in projects that will be more effective in preventing diabetes over time Congress must act to allow the Successful program to reach its full potential. We cannot allow diabetes to become a death sends an Indian country once again, Mr President of failure to fund ship there to fund community health. Centers home visiting services and the special diabetes program will force families into another health crisis, everyday. We neglect these programs more people will suffer These programs have years sometimes decades of proven success. The American people want Congress to work together to come up with bipartisan solutions, most of these programs were created through bipartisan cooperation. Let's get back to that spirit and work together for the American people again, I feel the floor Call they're all strong sander Thank you, Ms nasty nine is consented to be the shit without objection. Thank you. Mister President. This present President trump has been in office now for more than nine months