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Washington Highlights: January 7, 2005

109th Congress Organizes

The first session of the 109th Congress opened Jan. 4 with the swearing in of new and returning members of the House and Senate. Rep. Dennis Hastert (R-Ill.) was re-elected as Speaker of the House. House Republicans retained Rep. Tom DeLay (Texas) as Majority Leader and Roy Blunt (Mo.) as Majority Whip, while Democrats Nancy Pelosi (Calif.) and Steny Hoyer (Md.) will continue as Minority Leader and Whip, respectively.

In the Senate, Bill Frist (R-Tenn.) will continue to serve as Majority Leader and Mitch McConnell (R-Ky.) as Majority Whip, while Harry Reid (D-Nevada) becomes the Minority Leader and Richard Durbin (D-Ill.) the Minority Whip.

House Republican leaders Jan. 5 selected Rep. Jerry Lewis (R-Calif.) to chair the chamber's Appropriations Committee. Rep. Lewis was chosen by the House Republican Steering Committee, a 28-member panel made up of GOP leaders, key committee chairmen and regional party representatives, over Reps. Ralph Regula (R-Ohio), and Harold Rogers (R-Ky). Rep. Lewis replaces Rep. Bill Young (R-Fla.), who had served the full six-year limit that House Republicans have placed on committee chairmen. The Steering Committee also selected Rep. Steve Buyer (R-Ind.) to take over as chairman of the Veterans Affairs Committee, replacing Rep. Chris Smith (R-N.J.) who has chaired the committee for the last 4 years. Rep. Buyer previously chaired the Subcommittee on Oversight and Investigations.

In the Senate, Republicans have made several changes in committee chairs, including selecting Sen. Thad Cochran (R-Miss.) to replace Ted Stevens (R-Alaska) as chairman of the Appropriations Committee. Sen. Stevens also had served the maximum six years as chairman. Other new committee chairs include Senators Judd Gregg (R-N.H.) on the Budget Committee; Michael Enzi (R-Wyo.) at the Health, Education, Labor and Pensions (HELP) Committee; Arlen Specter (R-Pa.) at the Judiciary Committee; and Larry Craig (R-Idaho) on the Veterans Affairs Committee.

Senate Republicans and Democrats earlier had announced proposed committee assignments for 109th Congress. Key changes include:

Finance: Republican Michael Crapo (Idaho) replaces Don Nickles (Okla.). Democrats lose one seat on the committee and will add Ron Wyden (Ore.) and Charles Schumer (N.Y) to replace Tom Daschle (S.D.), John Breaux (La.), and Bob Graham (Fla.).

Health, Education, Labor and Pensions (HELP): Republicans Orrin Hatch (Utah), Richard Burr (N.C.), and Johnny Isakson (Ga.) replace Christopher Bond (Mo.), Lindsey Graham (S.C.), and John Warner (Va.). Democrats lose one seat on the committee; John Edwards (N.C.) will not be replaced.

Appropriations: Republican Wayne Allard (Colo.) replaces Ben Nighthorse Campbell (Colo.). Democrats lose a seat on the committee, so Ernest Hollings (S.C.) will not be replaced.

Budget: On the Republican side, Lamar Alexander (Tenn.) and Lindsey Graham replace Don Nickles and Conrad Burns (Mont.). Democrats lose a seat on the committee; so Ernest Hollings will not be replaced.

Although individual committee assignments have yet to be made in the House, Republican and Democratic leadership announced new committee ratios for several committees. Republicans will gain one seat on the Appropriations Committee, and both parties will lose one seat on the Veterans Affairs Committee and two seats on the Budget Committee. Ratios will remain the same on the Energy and Commerce and the Ways and Means committees.

Information:
Dave Moore, Senior Director
AAMC Government Relations
dbmoore@aamc.org
(202) 828-0525

Changes Expected in the Bush Cabinet

President Bush has announced his nominations for several key Cabinet level positions. Of particular interest to medical schools and teaching hospitals, are changes at the departments of Health and Human Services (HHS), Education and Veterans Affairs (VA). To replace outgoing Secretary Tommy Thompson at HHS, President Bush has nominated former Utah Governor Mike Leavitt, who has served for the last year as Administrator of the Environmental Protection Agency (EPA). At the Department of Education, Assistant to the President for Domestic Policy Margaret Spellings is the President's choice to succeed outgoing Secretary Roderick Paige. And at the Department of Veterans Affairs, former Republican National Committee chairman and ambassador to the Vatican Jim Nicholson has been nominated to replace Secretary Anthony Principi. All Cabinet nominees must be ratified by the Senate.

Providers Urge Bush Not to Cut Medicare or Medicaid in Upcoming Budget

The AAMC and 25 other hospital and physician groups Dec. 16 sent a letter to President Bush urging him not to include any Medicare or Medicaid reductions in his FY 2006 budget.

States the letter, "With many states in crisis, Medicaid reductions at the federal level would drastically unravel an already frail safety net. Similarly, Medicare must be able to meet increasing needs of an aging population that is growing in numbers."

The letter also acknowledges the strides the President made in enacting "landmark" Medicare legislation, and recalls how previous Bush budgets did not include provider reductions.

The provider communication was preceded by a Dec. 14 letter to the President from 48 Senate Democrats opposing "any Medicaid reform proposal" that would cap federal spending, alter eligibility standards, or reduce services. Coordinated by Sen. Jeff Bingaman (D-N.M.), the letter advised the President to "take steps to stabilize and improve health coverage rather than undermine it."

A Dec. 22 letter by the Chair and Vice Chair of the National Governors Association (NGA) urged House and Senate Majority and Minority leaders to reform the Medicaid program, but warned against doing so as part of the FY "2006 fiscal year budget reduction and reconciliation process, especially if it does nothing more than shift additional costs to states."

Information:
Lynne Davis Boyle, Assistant Vice President
AAMC Government Relations
ldavisboyle@aamc.org
(202) 828-0526
Christiane Mitchell, Senior Legislative Analyst
AAMC Government Relations
cmitchell@aamc.org
(202) 828-0526

AAMC Endorses NIH "Best Practices" for Genomic Inventions

The AAMC Jan. 4 submitted comments endorsing the National Institutes of Health's (NIH) proposed "best practices for the licensing of genomic inventions" [69 Federal Register 67747]. The practices would promote continued sharing of information about genomic discoveries among scientific and health researchers, and would encourage research institutions to consider seeking patent protection and licensing of gene-based inventions primarily when further development by the private sector is necessary for commercial application. Exclusive licenses to genomic inventions - which industries often require before investing private capital in further development - should be appropriately tailored to the type of application being sought. The NIH also suggests that universities retain in their licensing agreements the right for academic and other scientific organizations to use the invention for research and educational purposes. In its comments, the AAMC noted that the proposal appears to be fully consistent with the current university practices and the long tradition of openness in genomic research. The practices are intended as advice to NIH intramural and extramural researchers, and do not constitute new regulation, conditions of award, or other requirements. The deadline for public comments to NIH is Jan. 18.

Information:
Stephen Heinig, Lead Science Policy Analyst
AAMC Biomedical Health Sciences Research
sheinig@aamc.org
(202) 828-0488

On the Hill

Representative Robert Matsui (D-Calif.) passed away Jan. 1 from complications related to myelodysplastic syndrome. First elected to the House of Representatives in 1978, Rep. Matsui served as a senior member of the Ways and Means Committee and for the last two years as Chairman of the Democratic Congressional Campaign Committee. A special election will be called to fill the remainder of his term.

Washington Highlights Now Available Paper-Free

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