Night before. She said, we do not believe in terrorism. She demonstrated this. This extraordinary inner fortitude that she possessed, which was a quality of hers to an extent that very few other peep in World History can demonstrate. She had that. She stood up and she showed it. I think that must have given courage to not just her party but the country. There was fear around. She was going to give in to it. I think thats one of the extraordinary qualities. Thats a tremendous fitting end to the discussion. Thank you very much for our three distinguished guests for a fascinating and extremely insightful discussion. Thank you, everybody for joining us. We have a reception following the event if you would like to join us for that. Thank you. Later today, president obama will be giving a speech in newark, new jersey. We will have coverage on cspan2. The House Veterans Affairs committee will be hearing from subpoenaed Witnesses Today on alleged misuse of the Veterans Affairs program to relocate workers. Live coverage on cspan2. As the new speaker begins his first full week, what will it look like on the house side in terms of his first agenda . Good morning, bill. Well, all eyes will be on ryan. This is his first week as speaker. He hit five talk shows yesterday and made it very clear what his priorities are. He wants to change house rules, the way the house is run. He wants to lay out a bold vision. His first big test in the house will be the highway bill which comes up for consideration. It is facing a november 20th deadline and a little patch was fasted recently to give them extra time to work out a compromise between the senate and the house. The senate has passed its bill. The house is taking up its bill this week. Ryan wants this more open process, is whether he is going to allow a lot of amendments on that bill and there are funding issues as well. Thisi will be his first big tes. Washington post has a picture of president obama signing the veto of the Defense Authorization bill. There is talk that congress may work this week on overriding the president s veto. I am not sure whats going to happen with that. They can try and do that. They dont really have the vote for that. It is not clur what is going to happen with that. How about on the senate side as they return. You are going to see another pushback at the senate on the republican side. Republicans are trying to get a bill through that would have the epa revisit a rule on epa or Environmental ProtectionAgency Oversight of water. Small, small bodies of water. Republicans complain that the epa rule has gone so far that it would regulate puddles and ditches and some democrats from farm states specially agreed with republicans on this, that they would like the epa to go back and relook at this rule, which they see is just incredible overreach. That particular bill faces a procedure hurdle in the senate this week. It is not sure they are going to be able to, republicans, reach the 60 vote threshold to get past that. At the moment, it doesnt look like they will. Francine keifer is congressional reporter for the Christian Science monitor. Thanks for joining us. Thanks, bill. The house is back in for legislative business later, 2 00 eastern today with votes at 6 30 eastern. Live on cspan. The Senate Returns tomorrow at 10 00 a. M. Eastern on cspan2. All persons having business before the honorable, the Supreme Court of the United States are admonished to draw mere and give their attention. This week on cspans landmark cases, we will discuss the historic Supreme Court case of schenck versus the United States. In 1917, the United States entered world war i. Patriotism was high. Some forms of criticism of the government for a federal offense. Charles schank, general secretary of the socialist party handed out and mailed leaflets against the draft. This was the flier that was produced in 1917. 15,000 copies were produced. The point was to encourage member liable for the draft not to register. The language in this flier is particularly fiery. It equates the con description with slavery and calls on every citizen of the United States to resist the conscription laws. He was arrested and he appealed and the case went directly to the Supreme Court. Find out how the court ruled weighing the issues of clear and present danger and freedom of speech. Our guests include attorney, thomas goldstein, cofounder of scotus blog and beverly gauge, professor of his story at yale university, coming up on the next landmark cases live tonight at 9 00 p. M. Eastern on cspan, cspan3 and cspan raid crow. For background on each case while you watch. Order your copy of the landmark cases companion book. It is available for 8. 95 plus shipping at cspan. Org landmark cases. Next, a hearing on Mental Health. The director said they conduct research on guns as it relates to Mental Health. He is joined by other experts testifying before the Senate HealthCommittee Last week. The Senate Committee on health, education, please come to order. Senator murray is on her way. It is suggested we go ahead. She and i will each have an Opening Statement and introduce our panel of witnesses and after our witness testimony, senators will have five minutes of questions. Tom, we are discussing the importance of the issue of Mental Health and Substance Abuse disorders. Mental illness affects a great Many Americans. According to a 2013 report, nearly 1 in 5 adultses over the age of 26 reported suffering from a Mental Illness. Nearly 1 in 10 reported having at least one major depressive episode. In tennessee 1 in 5 adults reported a Mental Illness in 2013. More than 1 million. About 5 had a severe Mental Illness. About 41,000 had a major depressive episode. Already, an enormous response to try to help at the state level, the private sector and the federal government. As a former governor, i know that states have traditionally been on the forefrant with the department of Mental Health, Treatment Facilities and Community Based services. States have had the primary responsibility for behavior, health and Community Based programs that include counseling, case management, social work and provide screening, diagnosis and treatment for children. In the private sector, there are many private hospitals, nonprofits, Mental Health professionals and others working to help those in need. Efforts for the private sector totalled about 67 billion in 2009 or 39 of total dollars spent for behavior health, which includes Mental Health and Substance User advices. Government spending totalled about 105 billion in 2009 or 61 that includes medicare and medicaid. One role is through the agencies. Its role in supporting Mental Health programs is relatively small compared to the responsibility that states have in the role of medicaid. It is critically important. Sam sa supports states, Behavioral Health care providers and others by improving the availability and quality of prevention and treatment services. Collecting Behavioral Health data. Samsa should be looked at as a leader in the field. The biggest Government Role is the amount of money and the amount of money is spend through you medicaid, which is a federal state partnership. In 2009, medicaid spending on Behavioral Health totalled about 44 billion. 26 of total dollars spent. These medicaid dollars can be used to provide care from community Behavioral Health professionals, inpatient or residential treatment for seniors with Mental Illness and help those with severe Mental Illness get the prescription drugs they need. In tennessee, state spending totalled about 555 million. Half was spent on the state. The federal governments medicare spending plays a role financing seven of total expenditures to treat Mental Illness at 21 billion a year. These medicaid dollars could help seniors and a small fraction of inpatient for Mental Health. This federal support already is a significant amount of money. One question for today is, should we be spending these dollars differently or more dollars . If so, in what ways . There are causes for the federal government to help those in need and to do more. Twice, the Senate Health committee has passed different versions of the Mental Health awareness and improvement act senator murray and i have sponsored. This Bipartisan Legislation supports suicide and intervention programs. It helps train teachers and School Personnel to recognize and understand Mental Illness. It works to reduce the stigma against those struggling with Mental Illness and helps children recover from traumatic events. I hope it will be passed by the senate and become law by the congress. Other senators are attacking the issue of how to improve Mental Health treatment. Senators cassidy and murphy have a Mental Health bill. Senator franken and senator cornen has a bill he is working on. So i expect to see the help Committee Report additional legislation in the coming months that better supports states in addressing Mental Health and Substance Use disorder. Today is to better understand the federal governments role in Mental Health treatment and how it can help states like tennessee meet such high need and deliver such critical care. Other things we can do, problematic things. Are we putting up roadblocks . How are our programs working . I am particularly interested in your thoughts onement tall Health Research . Thats one of the most important things our federal government does. That enables individuals to move forward in this big complex society. We are not such good managers. Sometimes we are not even good regulators. Government research that we have funded and encouraged has enabled enormous breakthroughs in our country. I would like your thoughts as well. Senator murray. Thank you to all of our colleagues that are joining us today. I want to welcome you as you prepare to move on and thank you for your tremendous amount of work. We all appreciate what you have been able to do and will continue to do. Over the last three years, we have made Real Progress towards building a Health Care System that works for our families and communities and puts their needs first. As i have often said, there is a lot more we can and must do, specially when addressing Mental Health and Substance Abuse. Today, nearly 1 in 5 people in our country experience Mental Illness in a given year. Far too many do not receive treatment when they need it. There is on average nearly a decade between someone showing signs of Mental Illness and getting treatment. Suicide is the second highest cause of death for those 1534. Nearly a quarter of the state prison population has struggled with Mental Illness. These statistics are deeply disturbing. The stories behind them are even more tragic, of stigma that keeps too many of them from seeking help even though it could make all the difference, of treatable illnesses dealt with by a judge instead of clinicians. All of us have heard these stories far too often and they demand action. Members of this committee on both sides of the aisle have made clear that improving our Mental Health system is a priority. In particular, i do appreciate the bipartisan work that senators murphy and cassidy are doing to push for progress. Im looking forward to hearing from my colleagues and our witnesses about the ideas they have to strengthen our Mental Health system and prevent more of our parents and our friends and our neighbors, students and children from falling through the cracks. Our Mental Health workforce should support the foundation on which a sprong system is built. Far too many communities have inadequate access to Mental Health professions. Half of all u. S. Counties do not have a single psychiatrist, psychologist or social worker. In far too many patients, it is unclear where to turn for help. We have to make sure they can intervene and treatment and support those struggling with Mental Illness. This is critical to show that it is seen as much of a priority as physical health. So is integrating primary care with Mental Health care. Too often, patients mental and physical health are considering separately. Patients with serious Mental Health illness who need primary care may not get it when they need it. On the other hand, any signs of Mental Illness may go undetected. That presents a real threat to patients with Mental Illness, specially those with chronic physical Health Problems or Substance Abuse disorders that can make Mental Health worse. I am interested in a model being practiced where Mental Health professionals can provide telehealth consulting in communities that lack access. That model helps patients receive treatment that is mindful of both mental and physical health. As we work to improve detection and treatment of Mental Illness, with he need to prioritize Crisis Response. I have heard too many stories in my state and across the country of patients with Mental Illness held for days and weeks in Emergency Rooms or even solitary confinement waiting for treatment. That is unacceptable. Communities need the resources to respond quickly and appropriately when someone is clearle in or approaching a crisis. Without those resources, it comes too late or not at all. Suicide takes tens of thousands of lives and shatters countless others. I have been deeply concerned about the high rate of suicide among our veterans. We also need to take a close look at what is driving those tragic decisions among other populations. I was very concerned to learn, for example, recent studies show young adults from tribal communities are at specially high risk. I know the administration is very focused on Suicide Prevention. Our committee recently passed the Mental Health awareness and act. So i look forward to continuing to Work Together to put an end to this crisis in every one of our communities. Finally, it is critical to acknowledge that in order to confront the challenges we have talked about and many others within our Mental Health system, we have to break down the barriers that stigma creates for those sfrufrg Mental Illness. That means prioritizing research that helps enhance our understanding of and ability to effectively treat Mental Illness. It also means raising awareness so those struggling dont feel they have to struggle alone. I saw this stigma early on when i interned in a v. A. Psychiatric ward when i was a college student. There were veterans returning and they were told they were simply shell shocked. Over the course of my career, i have heard time and time again from veterans and constituents from all walks of life that stigma and stereotypes are a crushing burden to bear on top of illness. Those struggling with Mental Illness should be treated with compassion, respect and dignity and they should have the resources they need to live and work in their communities. That is something i will continue to be very focused on. Mr. Chairman, im very please