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Washington Highlights: June 30, 2006

AAMC Comments on NIH Clinical and Translational Science Awards

The AAMC June 28 sent a comment letter to the National Institutes of Health (NIH) on the upcoming reissue of the Clinical and Translational Science Award (CTSA) request for applications (RFA). While supportive of the overall goals of the CTSA initiative, namely to strengthen clinical and translational research by providing an "academic home" for such research, AAMC made a number of suggestions to improve and strengthen the RFA:

  • Alter several parts of the language of the RFA to provide the flexibility needed to accommodate the different organizational and administrative mechanisms that characterize academic medicine, thus allowing diverse institutions to meet the goals of the initiative;

  • Provide financial support for the mentoring that is critical to the success of the initiative; and

  • Provide transparent and sufficient funding of this initiative in a timely manner.

NIH is scheduled to reissue the RFA after Aug. 14, 2006, with applications due Jan. 17, 2007.

Information:
Howard Dickler, Director
AAMC Biomedical Health Sciences Research
hdickler@aamc.org
(202) 828-0567

House Approves NSF Funding

The House June 29 approved the FY 2007 Science-State-Justice-Commerce Appropriations bill (H.R. 5672), including $6.020 billion for the National Science Foundation (NSF). The funding level represents a $439 million increase (8 percent) over FY 2006, in accordance with the President's American Competitiveness Initiative to double funding over 10 years for NSF, the National Institute of Standards and Technology (NIST), and the Office of Science at the Department of Energy. NIST also received the Administration's request of $627 million, while the energy component was fully funded at $4.132 billion in the House-passed FY 2007 Energy-Water Appropriations bill (H.R. 5427).

Within the NSF appropriation is $4.6 billion for research, an increase of $334.5 million over FY 2006, and $832.4 million for science education. The Senate Appropriations Committee is scheduled to mark up the spending bill July 13. The House is expected to consider two authorization bills to enhance math and science competitiveness (H.R. 5356 and H.R. 5358) after the July 4 recess.

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

Supreme Court Dismisses Diagnostic Tests Patent Dispute

The Supreme Court June 22 dismissed as "improvidently granted" its earlier decision to review a controversial patent case, LabCorp v. Metabolite. The Court agreed with arguments by Metabolite and the U.S. Solicitor General that the important question of law at issue-what constitutes patentable subject matter under 35 U.S.C. Section 101-had not been specifically examined by the lower courts in this case.

The decision was a disappointment for the AAMC, which had joined the American Medical Association (AMA) and other medical organizations in an amicus brief filed in December 2005 asking that the patent claim at issue be invalidated [see Washington Highlights, Jan 6, 2006]. The patent, exclusively licensed by Metabolite, claims a correlation, i.e., a thought process that recognizes that elevated blood homocysteine levels may imply a B-vitamin deficiency. The claim covers not only Metabolite's but any other test that is used to measure blood homocysteine levels. The AAMC argued that the correlation claimed in the patent is a phenomenon or principle of nature, which should not be patentable under section 101.
In a strong dissent from the majority's decision to dismiss the case, Justice Stephen Breyer, joined by Justices John Paul Stevens and David Souter, sided with the medical community and others, and concluded that the patent claim is in fact invalid under current patent law. Justice Breyer also elucidated the outstanding question as to where boundaries lie between un-patentable principles of nature and patentable processes or methods employing those principles. Legal observers believe these boundaries will almost certainly need to be revisited by the Court in the near future.

On a related matter, the U.S. Patent and Trademark Office is developing new guidelines for patent examiners on patent subject matter eligibility. The deadline for public comments on the interim guidelines is July 31.

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

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

CHAMPUS/TRICARE to Cover Clinical Trials

The Department of Defense June 20 announced in a final rule that the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS/TRICARE) will waive normal requirements to allow beneficiaries to participate in Phase II and Phase III clinical trials approved by the National Cancer Institute. Coverage will not be available for Phase I trials or for any items or services already covered under the investigational protocol. A provider seeking treatment for a CHAMPUS-eligible patient must obtain pre-authorization before initial evaluation. Applicable cost-shares and deductibles will continue to apply.

The rule is effective July 20.

Information:
Ivy Baer, Director & Regulatory Counsel
AAMC Health Care Affairs
ibaer@aamc.orc
(202) 828-0490