How Congress Works Insiders Guide to the 112

How Congress Works Insider’s Guide to the 112 th Congress Katherine Hayes, JD Associate Research Professor 1

How Congress Works: Learning Objectives • Who are the leaders in Congress? • What are the roles of committees in Congress? • What are the major health committees and subcommittees? • Roles of Congressional agencies 2

Congressional Leaders - House Majority party – party with more than half of congressional seats Minority party – party with less than half of congressional seats 3

House Floor Leaders • Speaker • Majority leader – majority party’s floor leader • Majority Whip – assist majority leader • Minority Leader – minority party’s floor leader • Minority Whip – assists minority leader 4

Speaker of The House • Overall leader • Member majority Party • In charge of nearly everything that occurs in House John Boehner (OH) Speaker of the House 5

House Majority Leaders Eric Cantor (VA) Majority Leader Kevin Mc. Carthy (CA) Majority Whip 6

House Minority Floor Leaders Nancy Pelosi (CA) Minority Leader Stenny Hoyer (MD) Minority Whip Jim Clyburn (SC) Assistant Minority Leader 7

Senate Majority Floor Leaders Harry Reid (NV) Majority Leader Dick Durbin (IL) Majority Whip 8

Senate Minority Floor Leaders Mitch Mc. Connell (KY) Minority Leader Jon Kyl (AZ) Asst. Minority Leader 9

President of the Senate Vice President is President of the Senate Joe Biden 10

Committee Membership • Committee leaders (Chairs) are members of majority party • Majority gets over half the seats on a committee 11

Seniority System • System where committees assignments given to those with the longest time in Congress • Committee chairperson usually committee member in the majority with the most time in Congress (although not always) • Minority is usually called ranking minority member or vice chair 12

Key House Committees • House Budget Committee • House Appropriations Committee • Authorizing Committees – Energy & Commerce – Ways & Means

House Budget Committee • Budget Resolution – Not sent to President – Hearings on fiscal year (FY) federal budget – agency heads and interested parties testify on funding levels for federal programs – Mark-up of Budget Resolution - drafts budget resolution for current FY 2011 – Manages budget resolution on House floor

Members House Budget Committee Republicans Paul Ryan (WI-01), Chairman Scott Garrett (NJ-05), Vice-Chairman Mike Simpson (ID-02), Appropriations Designee John Campbell (CA-48) Ken Calvert (CA-44), Appropriations Designee Todd Akin (MO-02) Tom Cole (OK-04), Appropriations Designee Tom Price (GA-06), Ways & Means Designee Tom Mc. Clintock (CA-04) Jason Chaffetz (UT-03) Marlin Stutzman (IN-03) James Lankford (OK-05) Diane Black (TN-06), Ways & Means Designee Reid Ribble (WI-08) Bill Flores (TX-17) Mick Mulvaney (SC-05) Tim Huelskamp (KS-01) Todd Young (IN-09) Justin Amash (MI-03) Todd Rokita (IN-04) Frank Guinta (NH-01) Rob Woodall (GA-07)*, Rules Designee Democrats Chris Van Hollen (MD-08), Ranking Member Allyson Schwartz (PA-13) Marcy Kaptur (OH-09) Lloyd Doggett (TX-25), Ways & Means Designee Earl Blumenauer (OR-03), Ways & Means Designee Betty Mc. Collum (MN-04) John Yarmuth (KY-03) Bill Pascrell (NJ-08) Mike Honda (CA-15) Tim Ryan (OH-17) Debbie Wasserman Schultz (FL-20) Gwen Moore (WI-04) Kathy Castor (FL-11) Heath Shuler (NC-11) Karen Bass (CA-33) Suzanne Bonamici (OR-01)

House Appropriations Committee • Sets subcommittee allocations for subcommittee for each fiscal year • 12 Subcommittees • Health-related Subcommittees – Labor HHS – Medicare, Medicaid, Public Health, including funding for 330 grants

Members House Appropriations Subcommittee – Labor, HHS Republicans Democrats Denny Rehberg, Montana Jerry Lewis, California Rodney Alexander, Louisiana Jack Kingston, Georgia Kay Granger, Texas Michael K. Simpson, Idaho Jeff Flake, Arizona Cynthia M. Lummis, Wyoming Rosa L. De. Lauro, Connecticut Nita M. Lowey, New York Jesse L. Jackson, Jr. , Illinois Lucille Roybal-Allard, California Barbara Lee, California

House Energy & Commerce Committee • Public Health Service Act (CDC, NIH, HRSA, Private insurance) Section 330 grants • Food and Drug Administration (Drugs and devices) • Medicaid and Child Health Insurance Program – FQHC payments • Medicare – FQHC Payments – Part B (physician and outpatient hospital, home health, etc. ) – Part C (Medicare Advantage – private insurers offering all Medicare benefits) – Part D (private insurers offering prescription drug coverage)

Members House Energy & Commerce Republicans Fred Upton (MI) Joe Barton (TX) Cliff Stearns (FL) Ed Whitfield (KY) John Shimkus (IL) Joseph R. Pitts (PA) Mary Bono Mack (CA) Greg Walden (OR) Lee Terry (NE) Mike Rogers (MI) Sue Myrick (NC) John Sullivan (OK) Tim Murphy (PA) Michael Burgess (TX) Marsha Blackburn (TN) Brian P. Bilbray (CA) Charles F. Bass (NH) Phil Gingrey (GA) Steve Scalise (LA) Democrats Bob Latta (OH) Cathy Mc. Morris Rodgers (WA) Gregg Harper (MS) Leonard Lance (NJ) Bill Cassidy (LA) Brett Guthrie (KY) Pete Olson (TX) David Mc. Kinley (WV) Cory Gardner (CO) Mike Pompeo (KS) Adam Kinzinger (IL) Morgan Griffith (VA) Henry A. Waxman (CA) John D. Dingell (MI) Edward J. Markey (MA) Edolphus Towns (NY) Frank Pallone, Jr. (NJ) Bobby L. Rush (IL) Anna G. Eshoo (CA) Eliot L. Engel (NY) Gene Green (TX) Diana De. Gette (CO) Lois Capps (CA) Michael F. Doyle (PA) Jan Schakowsky (IL) Charles A. Gonzalez (TX) Tammy Baldwin (WI) Mike Ross (AR) Jim Matheson (UT) G. K. Butterfield (NC) John Barrow (GA) Doris O. Matsui (CA) Donna Christensen (VI) Kathy Castor (FL) John Sarbanes (MD)

House Ways & Means Committee • Internal Revenue Code (Insurance deductibility, exclusion and tax credits) • Medicare – Part A (hospitals and other inpatient providers) – Parts of part B (outpatient hospital, home health, not physicians) – Part C (Medicare Advantage – private insurers offering all Medicare benefits) – Part D (Private insurers offering prescription drug coverage)

Members House Ways & Means Republicans Democrats Dave Camp, MI, Chairman Wally Herger, CA Sam Johnson, TX Kevin Brady, TX Paul Ryan, WI Devin Nunes, CA Pat Tiberi, OH Geoff Davis, KY Dave G. Reichert, WA Charles W. Boustany Jr. , LA Peter J. Roskam, IL Jim Gerlach, PA Sander Levin, MI Ranking Member Bill Pascrell Jr. , NJ Charles B. Rangel, Shelley Berkley, NV NY* Joseph Crowley, NY Fortney Pete Stark, CA Jim Mc. Dermott, WA John Lewis, GA Richard E. Neal, MA Xavier Becerra, CA Lloyd Doggett, TX Mike Thompson, CA John B. Larson, CT Earl Blumenauer, OR Ron Kind, WI Tom Price, GA Vern Buchanan, FL Adrian Smith, NE Aaron Schock, IL Lynn Jenkins, KS Erik Paulsen, MN Kenny Marchant, TX Rick Berg, ND Diane Black, TN Tom Reed, NY

Key Senate Committees • Senate Budget Committee • Senate Appropriations Committee • Committees of Jurisdiction – Finance – Health, Education, Labor & Pensions • Senate Rules Committee

Senate Budget Committee • Reports Budget Resolution – Holds hearings on fiscal year (FY)budget – Agency heads and interested parties testify on funding levels for federal programs – Drafts budget resolution for current fiscal year (FY 2011) – Manages budget resolution on House floor

Members Senate Budget Committee Democrats Republicans Kent Conrad, (Chair) South Dakota Patty Murray, Washington Ron Wyden, Oregon Bill Nelson, Florida Debbie Stabenow, Michigan Benjamin L. Cardin, Maryland Bernie Sanders, Vermont Sheldon Whitehouse, Rhode Island Mark R. Warner, Virginia Jeff Merkley, Oregon Mark Begich, Alaska Chris Coons, Delaware Jeff Sessions Alabama Charles Grassley, Iowa Mike Enzi, Wyoming Mike Crapo, Idaho John Cornyn, Texas Lindsey Graham, South Carolina John Thune, South Dakota Rob Portman, Ohio Pat Toomey, Pennsylvania Ron Johnson, Wisconsin Kelly Ayotte, New Hampshire

Senate Appropriations Committee • Sets subcommittee allocations for subcommittee for each fiscal year • 12 Subcommittees • Health-related Subcommittees – Labor HHS – Medicare, Medicaid, Public Health – Agriculture – FDA – Others (Military Construction/VA, Defense, Legislative Branch)

Members Senate Appropriations Subcommittee on Labor, HHS Democrats Tom Harkin (Chairman) (IA) Daniel Inouye (HI) Herb Kohl (WI) Patty Murray (WA) Mary Landrieu (LA) Richard Durbin (IL) Jack Reed (RI) Mark Pryor (AR) Barbara Mikulski (MD) Sherrod Brown (OH) Republicans Richard Shelby (Ranking) (AL) Thad Cochran (MS) Kay Bailey Hutchison (TX) Lamar Alexander (TN) Ron Johnson (WI) Mark Kirk (IL) Lindsey Graham (SC) Jerry Moran (KS)

Senate Finance Committee • Tax Code (exclusion, deductibility and tax credits) • Medicaid and Child Health Insurance Program – FQHC payments • Medicare (parts A, B, C and D) – FQHC payments • Maternal and Child Health Block Grant

Members of Senate Finance Committee Democrats Republicans Max Baucus, (Chair), MT John D. Rockefeller IV, WV Kent Conrad, ND Jeff Bingaman, NM John F. Kerry , MA Ron Wyden, OR Charles E. Schumer, NY Debbie Stabenow, MI Maria Cantwell, WA Bill Nelson, FL Robert Menendez, NJ Thomas R. Carper, DE Benjamin L. Cardin, MD Orrin Hatch, (Ranking), UT Chuck Grassley, IA Olympia J. Snowe, ME Jon Kyl, AZ Mike Crapo, ID Pat Roberts, KS Michael B. Enzi, WY John Cornyn, TX Tom Coburn, OK John Thune, SD Richard Burr, NC

Senate Health, Education, Labor & Pensions Committee • Public Health Service Act (Section 330 grants) • Food and Drug Administration • ERISA

Members of Senate HELP Committee Democrats Tom Harkin (IA), Chair Barbara A. Mikulski (MD) Jeff Bingaman (NM) Patty Murray (WA) Bernard Sanders (I) (VT) Robert P. Casey, Jr. (PA) Kay R. Hagan (NC) Jeff Merkley (OR) Al Franken (MN) Michael F. Bennet (CO) Sheldon Whitehouse (RI) Richard Blumenthal (CT) Republicans Michael B. Enzi (WY), Ranking Lamar Alexander (TN) Richard Burr (NC) Johnny Isakson (GA) Rand Paul (KY) Orrin G. Hatch (UT) John Mc. Cain (AZ) Pat Roberts (KS) Lisa Murkowski (AK) Mark Kirk (IL)

How a Bill Typically Moves through Congress • Committee hearing on an issue or specific legislation • Committee “mark-up” and reporting of legislation • Floor consideration • Identical legislation must be passed by both houses before being “enrolled” and sent to the President for signature

Conference Committees • Ad hoc committee established for the specific purpose of resolving differences between House-passed and Senate-passed legislation. • Appointed by leadership in each party and in each body. • Develop conference agreement that must be voted on by each body. • Alternatives to conference committee – “pass back”

Congressional “Agencies” • • Congressional Budget Office Government Accountability Office Library of Congress Med. PAC – Medicare Payment Advisory Commission • MACPAC – Medicaid Payment Advisory Commission • Others

Library of Congress: Congressional Research Service • Independent Research arm of Congress • Different from GAO in that they are usually more research oriented than investigative. • Seen as balanced and well-respected by Congress and staff

Congressional Budget Office • Official Scorekeeper of the Congress • Provides cost-estimates on legislation considered by Congress • In most cases, CBO must determine the cost to the federal government prior to floor consideration of legislation.

Government Accountability Office • Congressional “watchdog” • Comptroller General – Gene Dodaro • Independent research and oversight of federal programs • Provides studies, reports and recommendations to Congress

Med. PAC • Medicare Payment Assessment Commission • Made up of 17 commissioners • Make recommendations to Congress (Senate Finance, House W&M, House E&C Committees)

MACPAC • Medicaid & CHIP Payment Assessment Commission – Advises Congress re: Medicaid and CHIP – 17 commissioners – Authorized under PPACA – First report March 15, 2011