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Washington Highlights: June 23, 2006

HHS Funding Bill Stalls in the House

Prospects for a House vote in the near future on the FY 2007 Labor-HHS-Education appropriations bill (H.R. 5647) are beginning to look bleak. House Majority Leader John Boehner (R-Ohio) June 20 indicated he will "probably not" allow any spending bill to come to the House floor that raises the minimum wage. The House Appropriations Committee June 13 voted 32-27 to adopt an amendment to the Labor-HHS-Education bill to raise the minimum wage from $5.15 to $7.25 by January 2009. The House Appropriations Committee June 20 filed the report on the Labor-HHS-Education bill (H.Rpt. 109-515). House Appropriations Chair Jerry Lewis (D-Calif.) had pledged to have all FY 2007 spending bills passed by the House before the July Fourth congressional recess.

The Senate Appropriations Committee June 21 approved the spending ceilings - known as 302(B) allocations - for its individual subcommittees. The Senate is working with the same $873 billion discretionary spending cap approved by the House. As expected, the Senate committee transferred $9 billion from the Administration's defense request to domestic programs, including $5 billion for the Labor-HHS-Education subcommittee. Senate Labor-HHS-Education Subcommittee Chair Arlen Specter (R-Pa.) had sought $7 billion for his subcommittee. The House Labor-HHS-Education bill is $4.1 billion above the President's budget.

The Senate Labor-HHS-Education subcommittee is tentatively scheduled to consider it FY 2007 bill on July 18, with full committee action July 20.

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

DeGette, Gillmor Reintroduce Human Research Protection Proposal

Reps. Diana DeGette (D-Colo.) and Paul Gillmor (R-Ohio) June 9 introduced legislation to expand federal protections for volunteers in human research projects. The "Protection for Participants in Research Act of 2006" (H.R. 5578) is identical to legislation (H.R. 3594) introduced by Rep. DeGette in the 108th Congress.

The bill expands federal "Common Rule" protections to all research participants, regardless of the source of the funding for the project; calls for harmonization of HHS and FDA patient safety regulations; outlines the composition and responsibilities of institutional review boards (IRBs); and delineates the conditions and process for informed consent. The bill permits the Secretary of Health and Human Services to "facilitate" the voluntary accreditation of institutions and IRBs by a private accrediting entity.

The bill also provides statutory authority for the Office of Human Research Protections (OHRP) within HHS and provides the office with a range of authorities for compliance and enforcement, ranging from audits and required corrective action plans to suspension or termination of specific research projects or suspension of all federally funded research at an institution.

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

House, Senate Debate Budget Process Reform

The House June 22 approved, 247-172, an expedited line-item rescissions bill (H.R. 4890) that Republicans and the White House contend will help instill fiscal discipline in Congressional spending. Sponsored by Rep. Paul Ryan (R-Wis.), the measure allows the President to propose a package of rescissions on discretionary spending, direct spending items, and tax provisions targeted to a single individual or entity. Members of Congress would then be required, within 12 days, to vote on the entire package without amendments.

The legislation was modified from its original form after members of both parties complained it transferred too much legislative power to the Executive branch. The bill also attempts to compensate for shortcomings in a previous line-item veto proposal that was ruled unconstitutional by the Supreme Court in 1998.

Opponents of the measure object that the current version still abdicates Congress' "power of the purse," and leaves entitlement programs such as Medicaid, Medicare, and veterans benefits vulnerable to the whims of the President. Because the line-item authority would apply to new or expanded entitlement benefits, at a June 14 mark-up of the bill by the House Budget Committee, Rep. Richard Neal (D-Mass.) suggested that the legislation would allow the President to "alter a carefully put-together formula on graduate medical education."

Meanwhile, the Senate Budget Committee June 20 approved a more robust approach to budget process reform. The "Stop Over-Spending (SOS) Act of 2006" (S. 3521), introduced by Budget Committee Chair Judd Gregg (R-N.H.), incorporates line-item rescission authority alongside other budget overhaul proposals including a biennial budget system, budget caps with enforcement mechanisms, and commissions to study entitlement spending and "duplicative" programs. The two commissions would be granted fast-track legislative authority, requiring Congress to consider its recommendations without the opportunity for amendments. Significant revisions to the bill are expected to avoid a Democratic filibuster.

Information:
Tannaz Rasouli, Senior Legislative Analyst
AAMC Government Relations
trasouli@aamc.org
(202) 828-0525

HEA Reauthorization Postponed Again

The House June 22 approved the "Second Higher Education Extension Act of 2006" (H.R. 5603), which extends the Higher Education Act (HEA) through Sept. 30. The Senate is expected to pass the extension bill before HEA's June 30 expiration.

Though the House passed its version of HEA reauthorization (H.R. 609) on March 30, it is unclear whether the Senate will consider its measure (S. 1614) before the midterm elections. The reauthorization bills have become a focus of much partisan debate, centering on the student loan provisions passed as part of the Deficit Reduction Act, signed by the President in February.

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