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Washington Highlights: October 29, 2004

HRSA Primary Care Advisory Committee Considers Reports

The Advisory Committee on Training in Primary Care Medicine and Dentistry (ACTPCMD) met Oct. 21-22. The Committee is designed to provide advice and recommendations to the Secretary of Health and Human Services on the primary care medicine, dentistry and physician assistant health professions programs authorized under Title VII of the Public Health Service Act. It is directed to produce annual reports to Congress on its activities.

The Committee met to finalize its fourth report on the critical role of the primary care programs and work on a fifth report, which will address outcomes measurement. The fourth report is due to be released in November. Bureau of Health Professions Associate Administrator Kerry Nesseler began the meeting with an update on recent activities, including a reorganization and new staff. She highlighted the Bureau's work on its strategic plan, which will incorporate health outcomes, and the All Grantee Conference scheduled for June 1-3, 2005. Other speakers provided perspectives on appropriate outcomes measurements for he primary care programs and a legislative update.

The committee elected a new chair, Eugene Rich, M.D., professor and chair of the Department of Medicine at Creighton University in Omaha, Nebraska.

Information:
Erica Froyd, Director, Public Health and Research Legislative Affairs
AAMC Office of Governmental Relations
efroyd@aamc.org
(202) 828-0525

Corporate Tax Bill Includes NHSC LRP Exemption

The "American Jobs Creation Act of 2004" (H.R. 4520, P.L. 108-357), signed by President Bush on Oct. 22, includes a provision making awards under the National Health Service Corps (NHSC) Loan Repayment Program (LRP) and certain state loan repayment programs exempt from gross income for tax purposes. Currently, the NHSC makes awards of up to $35,000 annually to health care providers who provide primary care services in federally-designated health care shortage areas. The awards also include an additional payment equal to 39 percent of the award to cover the associated tax burden. Enactment of this proposal, which is effective for tax years after Dec. 31, 2003, makes the NHSC and state loan repayment programs consistent with the tax-exempt status of awards under the NHSC Scholarship Program.

Information:
Jonathan Fishburn, Director, Research, Education and Veterans' Legislative Affairs
AAMC Office of Governmental Relations
jfishburn@aamc.org
(202) 828-0525

New NIEHS Director Named

National Institutes of Health (NIH) Director Elias Zerhouni, M.D., Oct. 26 announced the appointment of David A. Schwartz, M.D., as the new director of the National Institute of Environmental Health Sciences (NIEHS) at the NIH. Dr. Schwartz currently serves as Director of the Pulmonary, Allergy, and Critical Care Division and Vice Chair of research in the Department of Medicine at Duke University. He received his B.A. degree in biology from the University of Rochester, his M.D., from the University of California-San Diego, and his M.P.H. from the Harvard School of Public Health. Dr. Schwartz will begin his appointment on April 4, 2005, replacing Kenneth Olden, Ph.D., who has led NIEHS since 1991.

NIH Announces Unprecedented Number of Loan Repayment Awards

The National Institutes of Health (NIH) announced Oct. 25 that it has awarded 1,407 loan repayment awards for FY 2004, a 17.5 percent increase over the previous year, bringing the program's total to over 3,200 awards since its inception in FY 2002. The FY 2004 contracts totaled $68 million, for an average of $48,300. The NIH loan repayment programs provide up to $35,000 annually to repay educational debt for individuals pursuing careers in selected areas of research. The program also covers the cost of the associated tax burden.

Individuals seeking awards must hold doctoral level degrees; devote 50 percent or more of their time to research; be US citizens, permanent residents or US nationals; and have educational debt equal to or greater than 20 percent of their institutional base salary. In FY 2004, 40 percent of awardees held M.D. degrees, 34 percent held Ph.D. degrees, and 9 percent held M.D., Ph.D., degrees.

The NIH administers five loan repayment programs addressing clinical research, clinical research for individuals from disadvantaged backgrounds, contraception and infertility research, health disparities research, and pediatric research. The online application deadline is Dec. 15.