AAMC Home   Tomorrow's Doctors Tomorrow's Cures
  Home  Government Affairs   Newsroom   Meetings   Publications Shopping Cart   Site Map    

Washington Highlights: September 9, 2005

House, Senate Consider Delays To Budget Reconciliation

In their first week back from August recess, House and Senate Republican leaders are considering whether to delay the budget reconciliation process to allow time to prepare disaster relief legislative packages associated with Hurricane Katrina. The FY 2006 budget resolution (H.Con.Res. 95) set a Sept. 16 deadline for congressional committees to report budget reconciliation proposals to the House and Senate Budget Committees.

Speaking Sept. 8 on the House floor, House Majority Leader Tom DeLay (R-Texas) said, "Entitlement reform is still one of the highest priorities of the House this fall. However, due to the events of the last 10 days, it has been replaced as the number one priority. Therefore, we will likely postpone consideration of these very important reforms for a number of weeks…. I just think it is probably a little early for us to give specific dates as to when we would go to markup and those kinds of things until we get a better handle on what we need to be doing to make sure that we are doing everything that we can to take care of those victims of Katrina."

House Minority Leader Nancy Pelosi (D-Calif.), Senate Minority Leader Harry Reid (D-Nev.), Senate Budget Ranking Member Kent Conrad (D-N.D.), and House Budget Ranking Member John Spratt (D-S.C.) sent a Sept. 7 letter to the Republican Leadership and chairs of the House and Senate Budget Committees urging them to suspend budget reconciliation. "Now is not the time to cut services for our most vulnerable, cut taxes for our most fortunate, and add $35 billion to the deficit," the letter says.

Four members of the Senate Finance Committee - Senators Gordon Smith (R-Ore.), Olympia Snowe (R-Maine), Jeff Bingaman (D-N.M.), and Blanche Lincoln (D-Ark.) - sent a Sept. 6 letter to Committee Chair Charles Grassley (R-Iowa), requesting that he "indefinitely delay" consideration of FY 2006 budget reconciliation instructions, in light of the "many tragedies surrounding Hurricane Katrina." The letter argues it is "inappropriate to move forward on … a legislative package that would cut funding for Medicaid, food stamps, WIC, housing, and education" during a period when "millions are displaced and seeking federal and state assistance…."

Chairman Grassley issued a statement Sept. 8 comment regarding plans to delay budget reconciliation during Senate work on hurricane relief. He noted, "There's no doubt that Hurricane Katrina has made it necessary to provide additional resources for the Medicaid program, and we're going to do that apart from reconciliation in the Katrina relief package that's being put together…. It's important to understand that the Medicaid reform effort is about fixing loopholes and stopping abusive spending so that more money is available to help states reach those in need both in the short- and long-term."

The AAMC is particularly concerned about the portion of the FY 2006 budget agreement that instructs the House Energy and Commerce Committee and Senate Finance Committee to identify $14 billion and $10 billion, respectively, in cuts to mandatory spending programs. The cuts would occur over 5 years, and could come from the Medicaid program.

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

Senate HELP Committee Approves Higher Education Bill

The Senate Health, Education, Labor, and Pensions (HELP) Committee Sept. 8 unanimously approved legislation to reauthorize the 1998 Higher Education Act (P.L. 105-244). Chairman Michael B. Enzi (R-Wyo.) and Ranking Member Edward M. Kennedy (D-Mass.) introduced the "Higher Education Amendments Act of 2005" (S.1614) Sept. 6. Like the House's legislation, the "Higher Education Affordability Act" (H.R. 609), S. 1614 eliminates the single holder rule, increases annual subsidized Stafford loan limits from $2,625 to $3,500 for freshmen and from $3,500 to $4,500 for sophomores (the annual limit for juniors and seniors remains $5,500 and graduate or professional students are still eligible for up to $8,500), and increases annual unsubsidized Stafford loan limits for graduate and professional students from $10,000 to $12,000.

Higher Education groups are praising the bill as better than the House version, which the House Education and Workforce Committee passed in July [see Washington Highlights, July 22], but still say there is work to be done. While no amendments were offered during mark up, Senators Judd Gregg (R-N.H.) and Hillary Rodham Clinton (D-N.Y.) said they were unhappy with the lack of provisions to direct student aid to low-income students, and may offer amendments on the Senate Floor. Additionally, the Senate bill:

  • increases unsubsidized Stafford loan limits for post-baccalaureate program students from $5,000 to $7,000
  • reauthorizes the federal Perkins Loan Program through 2010;
  • enables the Secretary of Education to reduce the fees that students must pay to obtain loans from 4 percent to "no less than 1 percent and not more than 3 percent" of the amount borrowed;
  • expands Pell Grants by raising the income cutoff for automatic eligibility, increasing the maximum grant to $5,100 for the 2006-07 academic year (subsequently increasing the maximum by $300 per year for 5 years), and enabling students to use their awards year-round; and
  • cuts spending on the student loan programs by $7 billion and devotes the funds to reducing the federal budget deficit.

Unlike H.R. 609, the Senate bill does not make any interest rate changes to Stafford loans or in the area of loan consolidation. Currently, students can borrow under a Stafford loan at a variable rate and consolidate under the fixed rate formula both capped at 8.25 percent. On July 1, 2006, Stafford loans are scheduled to change to a fixed of 6.8 percent.

Information:
Matthew Shick, Senior Legislative Analyst
AAMC Government Relations
mshick@aamc.org
(202) 862-6116

House, Senate Higher Ed Bills Fall Short of Savings Targets

Proposals to reauthorize the Higher Education Act (HEA) under consideration in both the House and Senate reportedly will fall short of the budget savings targets mandated in the final FY 2006 budget agreement. The FY 2006 budget resolution (H.Con.Res. 95) included instructions to both the House Committee on Education and the Workforce and the Senate Committee on Health, Education, Labor, and Pensions (HELP) to identify $12.65 billion in savings over the next 5 years. Recently, the Congressional Budget Office (CBO) scored the House Committee-approved provisions of the "College Access and Opportunity Act of 2005" (H.R. 609) as cutting student loan expenditures by $8.6 billion rather than the $11 billion the committee had targeted for reconciliation. The House Education Committee will reportedly meet the week of Sept. 12 to discuss options to identify an additional $2.5 billion in savings.

The Senate version of the HEA reauthorization bill (S. 1614), which the Senate HELP Committee was scheduled to mark up Sept. 8, is expected to dedicate only $7 billion to reconciliation, $5.65 billion short of its reconciliation target. In addition to this shortfall, the bill establishes a new mandatory program that would provide $4.5 billion over 5 years in additional awards to Pell Grant recipients and an additional $1 billion over 5 years in grants to low-income students who major in science fields deemed "critical to national security." The Senate's new grant programs and funds dedicated to reconciliation are financed by cuts close to $13 billion from the student loan programs.

Information:
Matthew Shick, Senior Legislative Analyst
AAMC Government Relations
mshick@aamc.org
(202) 862-6116

Federal Court Upholds Rejection of EST Patents

A Federal appeals court Sept. 7 issued an important ruling upholding the U.S. Patent and Trademark Office's (PTO's) rejection of a patent application on certain Expressed Sequence Tags (ESTs). The AAMC, the National Academy of Sciences, and other academic and scientific organizations had joined Eli Lilly and Company in an amicus brief supporting the PTO's position, which has now been affirmed by the Court.

At issue was a patent application by Monsanto scientists claiming five ESTs, or purified nucleic acid sequences, that encode protein fragments in maize. The application did not claim any specific genes in maize or other organism, nor could it claim any function or other characteristic associated with a gene to which the fragment might relate. Monsanto argued that the five ESTs are useful as biochemical probes or markers in further genetic research on maize.

The PTO rejected the application on grounds that it failed to demonstrate a "specific or substantial utility" for the invention. An appeals board within the PTO upheld the patent examiner's determination. In Monsanto's appeal to the Court of Appeals for the Federal Circuit (CAFC), the Court upheld the rejection of the application.

In re Fisher was closely watched as the first test case to reach the appellate court of the PTO's enhanced threshold standard for utility, or usefulness, of an invention, which was revised in early 2001 after nearly a decade of controversy and discussion among the PTO, NIH, and biomedical researchers. The revised threshold was intended to prevent patents on relatively superficial or insubstantial discoveries for fear that such patents might later be used to lay claim to or tie up more significant discoveries. In its appeal on Fisher, Monsanto's attorneys essentially argued that the PTO had raised the bar too high.

While the CAFC did uphold the PTO's interpretation of the utility standard, one judge on the three-judge panel dissented. Judge Randall Rader agreed with the plaintiff that the claimed ESTs have sufficient utility as "research tools," though he sympathized with the PTO that its examiners lack any other effective standard for rejecting insubstantial discoveries. "Rather than distort the utility test," Rader argued, "the Patent Office should seek ways to apply the correct test, the test used world wide for such assessments (other than the United States), namely inventive step or obviousness."

While more test cases may be in the offing, the ruling makes it unlikely that other EST applications (numbering in the thousands) will move ahead at this time. Rader's dissent is noteworthy because numerous scholars have complained that CAFC decisions in recent years had reduced the stringency of both the utility and (non)obviousness standards of patent law.

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

Susan Ehringhaus, Sr. Director & Regulatory Counsel
AAMC Biomedical Health Sciences Research
sehringhaus@aamc.org
(202) 828-0543

President to Appoint Pellegrino to Head Bioethics Council

The White House announced Sept. 7 that the President intends to appoint Edmund D. Pellegrino, M.D., to chair the President's Council on Bioethics. Dr. Pellegrino is Professor Emeritus of Medicine and Medical Ethics, a Senior Research Scholar of the Kennedy Institute of Ethics, and Adjunct Professor of Philosophy at Georgetown University. He is the former Director of the Center for the Advanced Study of Ethics and founder of the Center for Clinical Bioethics at Georgetown University. Leon R. Kass, M.D., who has chaired the Council since it was created by Executive Order in 2001, is expected to step down in October.