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Washington Highlights: July 28, 2006

CMS Responds to Senate Inpatient Rule Request

Centers for Medicare and Medicaid Services (CMS) Administrator Mark McClellan July 20 sent Sen. Rick Santorum (R-Pa.) a response to the July 12 bipartisan Senate sign-on letter urging a delay of the FY 2007 inpatient proposed rule [see Washington Highlights July 21]. In the letter, Administrator McClellan confirms that the final rule will be published Aug. 1. He also states that the rule "will reflect modifications as appropriate to achieve the goal of smooth and effective implementation, based on our thorough review and analysis of these comments."

According to McClellan, the public comment period for the inpatient proposed rule "generated many constructive comments...on how the recommended reforms can be improved, what transition steps are needed to avoid any disruptions from sudden changes in the payment system, and what steps can be taken to limit any potential short-term impact of the proposal."

Information:
Christiane Mitchell, Senior Legislative Analyst
AAMC Government Relations
cmitchell@aamc.org
(202) 828-0526


Senators Urge Leadership to Address Physician Payment Cuts

Eighty Senators, including 37 Republicans, signed a July 17 letter to Majority Leader Bill Frist (R-Tenn.) and Minority Leader Harry Reid (D-N.V.), urging them to address projected cuts in Medicare physician payments. According to the letter, the Senate should address the issue before adjournment in October.

The letter, which was circulated by Sens. Jon Kyl (R-Ariz.) and Debbie Stabenow (D-Mich.), states that "at a minimum, we must provide...a positive Medicare update for 2007." Calling physicians the "foundation of the American health-care system," the letter asks for a "stable payment structure."

Information:
Christiane Mitchell, Senior Legislative Analyst
AAMC Government Relations
cmitchell@aamc.org
(202) 828-0526

NIH IDeA Program Holds First National Symposium

The National Institutes of Health (NIH) Institutional Development Award (IDeA) program held its first national symposium July 20-22 in Washington, DC. The symposium presented and exhibited a range of research projects supported by IDeA, which is designed specifically to broaden the geographic distribution of NIH-supported research, and to build capacity for health research and training in states that traditionally receive a relatively small share of NIH's overall support.

Twenty-three states and Puerto Rico are eligible for the program, which is managed by NIH's National Center for Research Resources (NCRR). While IDeA began as a modest program in 1993, with approximately a $10 million annual budget, it expanded substantially beginning in 1999, now exceeding $220 million per year. The program's two major focuses are to support development of comprehensive, often multi-disciplinary research centers and the formation of state-wide research and education networks.

In their opening addresses to the symposium, NIH Director Elias Zerhouni, M.D., NCRR Acting Director Barbara Alving, M.D., and Program Director Fred Taylor, Ph.D., underscored IDeA's successes. Since the inauguration of the program, IDeA states have grown in receipt of NIH competitive research funding at a rate higher than the national average. Donald Capra, M.D., of the Oklahoma Medical Research Foundation and a participant in the program, calculated that such growth trends remain evident even when funding from the IDeA program itself is removed from the total, indicating that the program has been successful in leveraging wider growth in competitive research.

Among other highlights of the symposium, Maurizio Del Poeta, M.D., of the Medical University of South Carolina, presented the honorary Thomas Maciag Lecture on his team's ground breaking discovery of the role sphingolipids in mediating signal pathways and fungal pathogenesis, including a common AIDS-related opportunistic infection.

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

Six More Senators Sign Letter Opposing Medicaid Cuts

Sens. Gordon Smith (R-Ore.) and Max Baucus (D-Mont.) July 20 resent a June 29 sign-on letter to Health and Human Services Secretary Mike Leavitt opposing the Administration's proposed cuts to Medicaid [see Washington Highlights, July 7, 2006]. Six additional Senators joined the initial 44 signers of the bipartisan letter: Lisa Murkowski (R-Alaska), Daniel Inouye (D-Hawaii), Patrick Leahy (D-Vt.), Christopher Dodd (D-Conn.), and Finance Committee members John Rockefeller (D-W.V.) and Ron Wyden (D-Ore.).

Information:
Christiane Mitchell, Senior Legislative Analyst
AAMC Government Relations
cmitchell@aamc.org
(202) 828-0526

Higher Ed Commission to Meet in DC

In a July 24 Federal Register notice, the Department of Education announced a sixth open meeting of the Secretary of Education's Commission on the Future of Higher Education. The meeting will be held Aug. 10 in Washington, DC, to discuss the recently released second draft of the Commission's final report [see Washington Highlights, July 21]. Attendees must register in advance.