vimarsana.com

Card image cap

Of the u. S. Public Health Service commissioned course core as well as the Inspector General. Here is part of the hearing. The subcommittee will come to order. Good morning to all and welcome hhs,e labor hhs labor, and appropriations subcommittee. We are here today for another oversight hearing, this time with Administration Officials and members of the office of the Inspector General to discuss the on they released report care of Migrant Children. I would like to thank you for being here today. Maxwell, the office of Inspector General department of health and Human Services, Jonathan Hayes, director of the office of Refugee Resettlement department of health and Human Services and jonathan white, commander public Health Service commissioned. This hearing is part of our oversight responsibility which we take very seriously something even more precious is at stake and that is the mental and physical wellbeing of children. That is why the office of the Inspector General report was so alarming. It confirms our worst fears that intentional policy choices by this administration created what ive called a Mental Health crisis which the office of the Inspector General said health and Human Services and the office of Refugee Resettlement fails to address. It is a crisis of deliberate government sanctioned child abuse. We must stop the problems inflicted on these children so i believe the Administration Must quickly implement the proposed recommendations. The administration for children and families have concurred with each of the recommendations. The words are not enough and created the crisis as children are still dealing with the effects. As summarized on page eight in the testimony, and i quot quote, policy changes in 2018 exacerbate the challenges and resulted in a rapid increase in the number of children separated from their parents and entering the United States many of whom were younger and longer stays for children. Plus the changes in 2018 worthy administrations zerotolerance family separation. Ripping children from their parents, fingerprinting and discharge to a halt. As a result of the childs average length of stay is government custody nearly tripled from 35 days to 93 days. The numbers have improved since the administration began implementing its operational directives to reverse the changes to the process. I will note the accountability and now we need to see the agencys plan to enter the discharge process so that we can get them out as safely and quickly as possible so they do not experience toxic stress and mental trauma. We do not only need a plan for the capacity. And as i understand it, its on the guarantees and that is the contractor responsible for the discharge consistent with policies and regulation that the contractor is responsible, so they must then have policies in placplace that gets children ind out of the facility as quickly as possible, because when homestead which is an influx of 30 is charging 750,000 per night per child, the motivation to move these kids may not be as strong as it needs to be. It must be changed because as they concluded children have been suffering because of these intentional policy choices. The testimony on page nine and again i quote along with instances of self harm and suicidal ideation. Exhibiting more fear, feelings of abandonment and post Traumatic Stress than children who were not. In that report oand the report f also describes how children express grief that caused them to cry inconsolably. In another story they shared a seven or 8yearold boy separated from his father without any explanation as to why it occurred the child was under the delusion that his child. Co. Father had been killed. Its terrible and then the administration failed to adequately treat it and the report spotlighted in the summary facilities struggle to address the needs of children who had experienced this and have difficulty accessing specialized treatment for children who need it. Overwhelmed, they reported caseloads double what they should have been. Unprepared for the younger children, those Mental Health providers have been available for premier league prepared to serve teenagers, not the mental and social needs of preschoolers who cannot communicate their background and needs to. The policy for those who than did not receive the proper care they needed and to say very honestly i believe it is twisted and shameful. We do not know the mental state of the children who were separated in 2017. It is a matter that is still in the courts and we only know about the 2017 children because of the office of the Inspector General and the aclu, and its really interesting to me at the time of july in 2018 who made the decision to certify the left that is enacted in 2018, not what happened in 2017. What was the role . I dont know about your role and what factors what went into making that. Now we can also assume that it mirrors that of the children that they identified in this report. It is a childs Welfare Agency and we must and shall word that it is upholding its mission, which brings us to the recommendation. One recommendation is they should take over th all of the e and reasonable steps to reduce the time children remain in the care and i wholeheartedly agree. The memorandum of the agreement between the department of Homeland Security and the department of health and Human Services. With respect to the agreement th,the subcommittee has heard fm outside witnesses and the guarantees who said that it continues to scare away the potential sponsors who otherwise want to take care of the child or are too afraid to come forward. The fact that the assistant secretary johnson agreed with the subcommittee that the memorandum of agreement should be rescinded. It would appear the responsibility to resend is in the hands of the white house. Because if the administration wholeheartedly agrees with the recommendations than they must resend the memorandum of agreement immediately. Another recommendation is that they should identify and disseminate evidencebased approaches to address trauma. Again, i wholeheartedly agree. The subcommittee has provided resources for the care of children and the appropriation bill house passed the last two years and into emergency supplemental bill with respect to 2019. And thank you for accepting by voice vote for the amendment to provide funding for the mental Health Service administration through the national Traumatic Stress network for what was a total increase of 10 million for the network, 4 million of which was for the children and i would say clearly today that we need more funding. We are committed to ensure they are holding bother to act as a tool of enforcement which is why we need to see the administration quickly implement the necessary change including the recommendations. Children did not just arrived at our border. They suffered by our hand and they are suffering still due to the longterm Mental Health trauma. That isnt something that we can ignore or sweep under the rug. We need to stop the pain and suffering caring for the most sensitive of our duties and as a people of this great nation there can be no greater sin than allowing ourselves to live by a lesser standard. I want to say thank you for this report and for your work and i look forward today to hearing more about it, hearing from the administration. And i hope to learn from hhs how you and ten to prevent the trauma of youngsters as a result of the way that i characterize the administrations heartless policies moving forward. First let me introduce my republican colleagues a member of the subcommittee for any remarks. I want to begin with for thank you is the first one is for you to focus on this issue has been a unrelenting inappropriate and while we may disagree over this or that interpretation, the fact is you kept this committee focused on where its needed to be and you deserve all of our thanks. It is the right way to do oversight and youve done it. Friends of the people told you what you want to know and not what you need to hear. You told us what we needed to go and you did it very well in this case and i appreciate it. I also want to thank the director i traveled with him and i see a lot of effort to implement the changes to be responsive to criticism and to correct the situations we all agree and finally to the muchmaligned congress, i want to give a thanks to the congress. It took us a little too long but we finally gave them the resources they needed in the emergency supplemental. Again it took us six weeks and did the same thing for president obama but at the end it was a bipartisan action that they provided the resources that began to let us address some of the problems and very appropriately pointed out there is still a long way to go, but this wathatthis was a promising. With that, i want to welcome our witnesses to the subcommittees third hearing. Today we are here to focus on Mental Health needs of children in the department of health and Human Services. Before we begin, i want to focus on the history of the program the last few years. In 2012, the program received an appropriation of 169 this past year, fiscal year 2019, the Appropriation Committee provided more than 1. 3 billion. In just seven years the appropriation for the program has grown by more than 670 , so there has certainly been a focus on it here. In 2012, the department of health and Human Services office of Refugee Resettlement had over 13,000 referred to them by the department of Homeland Security and in the current year, they have had over 60,000 referred to them for care. By the end of the fiscal year, they will likely have cared for over 70,000 more than any prior year. Again in just seven years an increase of 370 , pretty staggering. Both the democratic and republican president requested supplemental appropriations in the bill to support unanticipated rivals of teenagers in the southern order. Hhs routinely cares for tens of thousands of children and traveled thousands of miles most coming from el salvador, guatemala and el salvador. This is a crisis and one that needs a comprehensive bipartisan solution. Federafederal law requires the department of Homeland Security to transfer any unauthorized unaccompanied by parent or legal guardian. This requirement means that when the customs and Border Protection or enforcement apprehend a minor and when an uncle, aunt, grandmother, grandfather, brother or sister find that as unaccompanied and require transferred to the hhs. I understand there are many that believe that he should remain, however that is in th isnt thef the United States and its probably some that we should look at. I also want to address the topic of the zerotolerance policy implemented by the department of justice in 2018. Theyve made several attempts to stem the flow of migration happening to the southern border. The zerotolerance policy was clearly a mistake, and im glad the president quickly ended it and the implementation of it, but the consequences continue. While we may disagree on the merits of such policy, we all agree they do not play a role in the establishment of the policy. Hhs doesnt separate family, hhs doesnt separate children from their parents. It is a responsibility to care for children referred by dhs and to find suitable sponsors intimate area we make considerable progress. As i said many are coming to the border from mexico and Central America and its no surprise such an arduous dangerous journey is traumatic and many of the children left family members and condition to come here. Once apprehended by dhs, they are turned over to hhs to begin the process of finding a sponsor and a short time they are there, they are provided with vaccinations, menta mentalhealh screening and legal information. For the services to be a part of that process the office of Inspector General highlighted the challenges with meeting the needs of children in care and want to point out a sick attempt portion also faces the challenge of assessing and accessing mental Health Services. According to the resources and services, 34 of the American Population lives in the mentalhealth professional area. Access to mentalHealth Services is something many areas are when i was fortunate enough to be chairman of this committee, we passed 21st century killers. There was a lot of provision and math and a former member murphy came to visit me and i think you have multiple things here i cant find them all. Take one or two things. They said number one, we need more Mental Health care professionals. Anything you do otherwise we are just going heating back and forth for a very small pool of professionals and so we need to test for and create a healthcare professional Service Corps that we need. I also appreciate the desire for the rule and the care of these children to be expanded, however given the unprecedented surge of those crossing the border, the primary focus should be the establishment of the state license and small facilities to care for children in the basement with a sponsor is possible and i want to commend you to have done more of that in the last 60 to 90 days and that has been very helpful. I know that my friends are doing their best and with the difficult work they are performing and note that they are facing many of the same challenges faced by the prior administration. Its my hope that this committee will work with them and provide the resources needed to confront this challenge and with that, i will yield back my time. Thank you very much, congressman. I would like to yield to the congresswoman of new york. You said that the ranking. [laughter] i thank you, madam chair. I want to thank the Ranking Member for holding this hearing and the Inspector General for joining us today. The fact that we are here again today is a clear example of how damaging the Trump Administration actions have be been. This could have been largely avoided. Many of us have read this article in the New York Times july 30, and it says in testimony before Congress Earlier this month, Border Patrol chief lawenforcement obligations Brian Hastings said the agency established they elected saturday to a child if there is a determination that the parent or the legal guardian poses a danger to the child. Otherwise if they have a criminal history or Communicable Disease or they are transferred to a detention setting to prosecute other than improper entry. 70,000 children have been separated from their parents. Im going to say a few more words, but i find that astonishing. Two months ago, the chair and several of our colleagues as i look through the Inspector General report on the mentalhealth needs of these children, it is clear we are not provided a full picture of the challenges. I am deeply concerned with the Inspector Generals findings and some of these include clinicians shortage problems for the level of trauma in these children, what causes me more concerned is what we still dont know. To repeat this again. I have just been correct if i buy a distinguished chair. I want to conclude by saying whether it was 70,000 for this number is wrong, by prying concerned, no matter how many smiles were on the face, no matter how many books they were given to repeat, no matter how many toys that were given to play with, i feel very, very strongly children belong with their parents and to leave it to the Border Patrol who may elect to select a Border Patrol person to make that decision precipitate a child from a parent a Border Patrol person is making a distinction as to whether the parent brought the child here should be taking care of the child that is putting it in ainto the sympathy of a frome child. I cannot believe that many of those children, i cannot believe that they were unfit to take care of the child while they are waiting for a hearing. It is clear although we visited and saw some good things we saw many things that had to be corrected. I want to conclude again because as good as your clinicians are, they may be fine people doing their job, you cant tell me that thousands and thousands of children are better off in a facility that is clean and smiling. Thank you, very much madam chair. We are now going to proceed to the opening remarks from the assistant Inspector General, office of the Inspector General department of health and Human Services followed by the director of the office of Refugee Resettlement and the department of health and Human Services, and we are also joined by the commander jonathan direct Public Health who will be available to respond to questions. Welcome and thank you for being here today. Your full testimony will be entered into the record. You are now recognized for five minutes. Good morning members of the subcommittee. Thank you for the opportunity to discuss the ongoing oversight of the unaccompanied alien Children Program administered by the office of Refugee Resettlement. Today we will be focusing on the challenges of facilitiesbased addressing the needs of children in care. These facilities to serve my grandchildren to rid that arrivn the u. S. On their own or who are separated by immigration officials. The have often experienced intense, which is why thatll give you the mentalhealth treatment is required and is essential for a childs wellbeing. My testimony reflects what we heard first hand we are told tod there artoldthat their argumentc challenge is to make it difficult for the staff to address the needs of children such as psychologists and psychiatrists who treat children with greater needs. One example the only bilingual within a neighboring state. The staff reported options within the network equipped to treat those who needed a higher level of care. This was especially for children who needed secure settings through a history of behavioral problems. To ensure that they have the clinical staff and who are fully supported and able to access the need for children. In the spring of 2018 the department of Homeland Security formally adopted a zerotolerance policy of criminally prosecuting and placing their children in facilities. Facilities reported that addressing the needs of children separated from their parents was particularly challenging because they have more feelings of abandonment than children who were not separated. One medical director told us that it would prevent physical symptoms as manifestations of the psychological pain. They woul would say would see tt even though there was nothing wrong with them ethically. One title defense at every heartbeat hurts. These children didnt understand why they were separated. As a result of some were angry be leaving their parents and have them and others were anxious concern for their parents safety. 18yearold boy separated from his father was under the delusion that his father was killed and that he was next and he required emergency psychiatric care. Staff reported that they have shorter Attention Spans and needed greater supervision and more commonly exhibited to finance and other behaviors. They couldnt always accurately communicate. The little ones is the Program Director said dont know how to express how they are feeling. There were other policy changes and fees involved the process for discharging children to sponsors. They added new requirements and started sharing with immigration officials. They noted it led to longer stays and that had a negative effect on their behavior and their Mental Health. Even children who enter good coping skills became disillusioned as their time and care dragged on resulting in levels of hopelessness, frustration and more instant self harm. If the policy changes made in 2018 have largely been reversed so these continue to serve separated children as well as those that are not quickly discharged from care. To address these continuing challenges and to ensure children are not unnecessarily harmed, we recommend that they continue to reassess whether its current policies are negatively impacting children in any way and adjusted as needed. We also recommend the established guard rails to ensure future policy changes prioritized the considerations above all other competing demands. Thank you to the committee for the opportunity to present this information and your ongoing support of our oversight is greatly appreciated and we are happy to answer any questions that you may have. Director, welcome back. Thank you for being here and your testimony will be entered into the record and now we will recognize you for five minutes. Thank you, chairwoman and Ranking Members of the committee it is my honor to appear on behalf of the department of health and Human Services. I mean this Jonathan Hayes and is the director of the resettlement, i oversee the unaccompanied alien Children Program. Im joined today by Jonathan Woodgate and officer in the public Health Service currently assigned to the secretary for preparedness and response. The commander served as the federal Health Coordinating official to reunify children separated from their parents and care as of june 26, 2018. He also previously served as a deputy director. Thank you for the opportunity to discuss the report titled terror provided this is the script challenges with Mental Health needs of children and hhs custody. In hhs custody. We are committed to addressing the needs in the care. We welcomed the report as we continually provide services to children in our care. We operate nearly 170 state licensed care provided facilities and programs and 23 different states. We have different types of facilities in order to meet the different needs of the miners and our care and in addition to the traditional state licensed facilities, we also offer it at the end point of care facility when the capacity is strained by the referrals were in the case of a Natural Disaster or under an emergency. They have detailed policies for when children can be sure that a temporary influx of care facility. Mental Health Services are available at all of our facilities. Policy requires at a minimum if you ac and the state with the facilities receive an individual counseling session and to Group Counseling sessions with the clinician each week and Additional Services are available as needed. The children have a unique aid with a wide range of backgrounds and cultures that speak a variety of languages. Many of the children have severe trauma the mentalhealth professionals must be bilingual and the report acknowledges the general shortage of qualified practitioners nationwide. Qualification requirements based difficulties as well as finding referrals for Additional Services in the communities andd the facilities. One challenge identified in reportthereport is that some cln staff told the oig that they are often unprepared to assist with the trauma experienced trading with trauma is complicated and is only made more complicated by the relatively short time children residing in care. Some clinicians were told they were concerned about asking children to revisit their trauma when it was unclear whether they would be there long enough to make progress in addressing the trauma. For this reason most children do not stay in the care for very long based on the Club Expertise of professionals on staff, the focus of the mentalHealth Services has been to stabilize children and to provide them with a sense of security. The programs that assist each and provide Additional Services as appropriate. Working to provide the clinicians with tools to strengthen the mentalHealth Services recently they collaborated with the national Traumatic Stress network to develop a fourpart series on addressing. Continuing to work with them to develop additional resources. They also offer a post Relief Services and if the child needs Additional Services after they leave the care, the post Relief Service caseworker will work both with a child and sponsor to find services in their community. They are working to expand the nunn or that they received. I believe that a child should remain in their care any longer than the time needed to find an appropriate sponsor for the child. A central part of the mission is to discharge children from the care as quickly as possible while still ensuring the safety of the child. At the time they conducted to visit the average length of care was 83 days and its now 50 days a 40 reduction. They will continue to assess the efficiency of its operations to improve the process for the relief and the time in our care and custody. My top priority and is the safety and wellbeing of the children in the care of hhs. We welcomed the report because it explained the Services Currently provided at identified obstacles that we face and providing the services. We are ready to face those obstacles with help from our partners and continued support of congress. Thank you for the opportunity to discuss the work. Thank you very much. Getting rights to the question here. You know that the policies that traumatized the children have largely been reversed and i will pick up the quote at the end of the remarks. The facility still faces challenges addressing the trauma of separation and that we ought to Pay Attention to that and to be deteriorating Mental Health of those that remain in care. The policies that have been reversed or the policies that ought to be examined Going Forward . The additional challenges continue to be of concern despite the policy reversal. First of all facilities continue to provide care for children so the court order as you mentioned that stop the separations allows the separation of the certain conditions. Theyve recently certified to the court that there were 911 separated over the last year. In addition with respect to the length of stay in the additional screening requirements and length of stay however they continue to share information about the sponsors according and again as you mentioned that there are concerns that have had a Chilling Effect which is why we are recommend this for the appropriate. Thank you for the clarity on that issue. The answer to this question they have the tools to provide mental Health Services for younger children. Not according to the staff that we spoke to. They told us that as the director mentioned they expressed concerns about not being able to treat children that had intense, before coming in to care. The president of the American Psychiatric association told us about toxic stress with separation from the family resulting in irreparable harm. I respect the testimony that ive heard you have provided in your previous hearings and the warnings that you gave about the impact of family separation. But any aspect or medical background what do you know about the children that end up in the care and what can you tell us about the toxic stress and in their countries of origin to the journey to the United States and as a result of the family separation. Thank you, madam chair. To be clear, it is designed to serve unaccompanied children. That is an enormous challenge but it is dwarfed by the unique challenge of targeted to children anseparated childrenanf others, it is in my professional judgment impossible to build a program that can respond appropriately in the needs of separated children. The only way to address that prompted these can trauma its prevention and this speaks to the need that is permissible to separate a child from a parent at the border and to have the appropriate rights and remedies for the parents to experience that. The program is the right place for children who enter the United States unaccompanied, but neither it nor any other federal program i could imagine could respond to the recent severity, toxicity of separation from parents particularly when the clinicians themselves with the scene as a part of the very system that separated them. I am going to go for a last comment. The length of stay after they signed with the hs the longer children stay in care of the longer they are traumatized. To make a final comment here as long as it is still in place, there are those coming forward in the july hearing assistant secretary johnson agreed that hhs should be terminated as long as the noaa is in place, it is unnecessarily extending which further traumatizes them and must be presented. Thank you very much madam chair. Me start with you if i may. There were some very valuable and helpful information on the damage that is done in terms of the Family Federation for young children. We obviously have a Larger Population that is unaccompanied but if you could distinguish the last testimony as you probably did a pretty good job of this, the second population that we are dealing with very large numbers, what are the differences that you see and we all agree is a bad mistake and obviously the more normal situation is that traumatized to the same extent . Thank you for that question. The report deals with the entire population of children at the facilities to provide Mental Health care. Most of the challenges we heard about were systemic challenges that affected all the children in care and we heard again and again that although children suffered severe trauma during the journey into some children experienced additional trauma unexpectedly being separated from their parents. As we move forward in the recommendations on the practical side but they are paid to address these challenges, we have designed them so that they would help to improve the Mental Health care for all the children responsible. Protector, could you give me some idea of the steps you have taken to respond to some of the things that theyve placed in front of you . We are working on a number of things in response to the report. We are already working on developing an interim program with colleges and universities in order in hopes that they will join us as postgraduates. Additional funding for the continuing education to the clinicians as a retention strategy is also something that we are undertaking and we are working to expand our presence at job fairs across the nation in order to find the needed clinician. So that is not helpful and we also partnered with the National Child Traumatic Stress network to develop a serious reference to my testimony and in april of 2019 we also hired a boardcertified psychiatrist. Let me go back quickly. Do you have a mechanism to follow up i think theres a good faith effort to try to respond, but its important obviously that we have as you provided us an outside view to make sure the process continues. We are happy to see the steps that theyve committed to and have undertaken but yes our process is to always solve the recommendations and be in conversation to a sure the commitments they made are fulfilled so we will continue. I hope that youll stay in touch with the committee. Let me go back to you if i may. Its got to be asked for the really difficult to get the personnel that you need. We know that as i mentioned earlier for the entire population and in this case, you need bilingual professions i would suspect. There cant be a ton of those particularly. Number one, what are you doing at what level of success . Thank you, congressman. Yes, to your plate it does require the majority to be in the area that they are apprehended. The northeast corridor, southern florida and california, and so there is a challenge to identify and retain. We are looking to expand outside of some of those areas that we work very closely with the Committee Staff being informed on the efforts to look into the larger metropolitan areas where we have some of these smaller and mediumsized shoulders and hopefully have a fresh pool of clinician staff although we are seeing some resistance in dc and Northern Virginia at the desire of congress to open up more shoulders they are licensed in seeking to do that is not receiving enough support on this issue. For the workers and other support staff that we need. I have to step out, that i will be back. I want to apologize. I was called to another hearing. I want to thank you all for your thoughts and comment when you talk about the severity. They were brought here by their parents and being separated, so the New York Times is saying they and their family separations and have already removed more than half were under the age of ten at the time of this observation. 185 of those were under the age of five. The administration is still doing separation under the guise that they are protecting children from their parents even though the criminal history they are citing is minor. I want to thank the chair for having this hearing again. Thank you for your good work and you are kind to do the right thing. But this policy is outrageous and i do hope that we can all Work Together to change it. Thank you. Thank you, madam chair. Thank you very much at madam chair for calling the hearing about mentalhealth care. I need to ask, and commander, its on your arm in small print i am too old to read that far. You are a licensed social worker and understand the lack of Mental Health professional availability in the United States. In fact, as the ranking vendors that according to i believe it is a hhs report, the designated shortage there some hundred 11 million americans who live within the shortage areas, the designated shortage area. 60 are in rural areas, so i have come i will estimate i have tens of thousands if not hundreds of thousands of people who live without adequate Mental Health coverage. Is this something that you appreciate that there are a lot of americans that dont have adequate Mental Health care . There is no doubt nationwide over the evidence that we have and everything at our department has produced for many years there is not enough Mental Health force and the results of particular positions from geographic areas and in the case of the children that we serve, theres also additional challenges both for those children and anyone who needs culturally and linguistically appropriate services that those with Mental Health needs would have, these are national amplifier for us because they are a federal responsibility which is a giant problem. Policymakers we always have to balance when we have a limited resource like health professions, where are we putting them now. It says i guess in the report, and i guess its true, they require each for each 12 children of care a ratio of one to 12. In Baltimore City where i give you almost everthatyou almost es of someone whos been killed, the ratio of counselors of the schools is 9801. 121 sounds pretty good. How are we getting to the . You must be doing tremendous recruiting because we cant recruit inner cities in maryland where we have students that unquestionably have the need for Mental Health care. So where does 121 come from because it seems like it is a low ratio compared to those in Baltimore City schools and the 2501 is recommended nationwide for the School Counselors and again they have more problems these children are exposed to trauma every day, it is a lawless environment and they are absolutely right about baltimore. Where does this come from . The ratio of 112 and case managers is in spite of the policies and procedures. Perhaps my colleague can speak to that, but specifically in the policy. And you hit that ratio, you do have the 12 to one ratio congratulations because it is much better than exists in other highrisk populations. Like Baltimore City school students. There are two categories of children, once have been separated by their parents, some relative of theirs decided send this child across the track, you cant call it self separation because the children had nothing to do with it, then you have families abrasion that occurs under the law. What is the highest its been and what is it now of those patient groups . I dont have the specific numbers, but i can state the overwhelming majority that are in our care, the absolute majority are not those that are separated by long meaning they came across the border either on a company door with someone other than the overwhelming majority. So, how do i explain to people in my district who dont have mentalhealth care that we have a 121 ratio in the facilities when the vast majority are there because their parents chose to separate them and thats a rhetorical question you are nothing to answer that. I would say that its great and i congratulate you can find the entire hearing on cspan. Org. Type Migrant Children into the search bar. Sarah ferris from politico joins us. The house got the job done funding the government through november 21 but with a september 30 deadline facing congress

© 2024 Vimarsana

vimarsana.com © 2020. All Rights Reserved.