The U.S. needs to “overhaul” its mental health programs, House Majority Leader Kevin McCarthy said today in response to a question about Wednesday’s mass shooting in San Bernardino, Calif.

Mental health issues “had been a theme to a lot of the other shootings,” the California Republican said at a news conference on Capitol Hill. “I don’t know yet if that theme is coming out of this one. It could be motivated in a different manner.”

Earlier this week, following a mass shooting in Colorado Springs, Colo., House Speaker Paul Ryan (R-Wis.) called on Congress to take up a mental health bill introduced by Rep. Tim Murphy (R-Pa.).

“As the speaker talked about earlier in this week, we have been working with, and we have had a markup on Tim Murphy’s bill dealing with mental health,” McCarthy said.

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