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Washington Highlights: October 6, 2006

President Signs Funding Extension

President Bush Sept. 29 signed the FY 2007 Defense appropriations bill (H.R. 5631, P.L. 109-289). The bill includes a continuing resolution (CR) that provides funding for federal programs through Nov. 17. The CR is necessary because only two of the 12 annual appropriations bills have been signed into law. For programs within the Labor-HHS-Education appropriations bill (H.R. 5647, S. 3708), which has been approved by both the House and Senate Appropriations Committees but has not been passed in either chamber, the CR provides funding at the FY 2006 levels.

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

Academic Medical Centers Named as First CTSA Recipients

The National Institutes of Health (NIH) Oct. 3 announced the first 12 academic medical centers and partners to receive Clinical and Translational Science Awards (CTSAs). The institutions include:

  • Columbia University Medical Center (New York, N.Y.)
  • Duke University Medical Center (Durham N.C.)
  • Mayo Clinic College of Medicine (Rochester, Minn.)
  • Oregon Health & Science University (Portland, Ore.)
  • Rockefeller University (New York, N.Y.)
  • University of California, Davis (Davis. Calif.)
  • University of California, San Francisco (San Francisco, Calif.)
  • University of Pennsylvania School of Medicine/Children's Hospital of Philadelphia (Philadelphia, Pa.)
  • University of Pittsburgh (Pittsburgh, Pa.)
  • University of Rochester School of Medicine and Dentistry (Rochester, N.Y.)
  • University of Texas Health Science Center at Houston (Houston, Texas)
  • Yale University School of Medicine (New Haven, Conn.)

Total first-year funding for the awards is approximately $100 million. When fully implemented by 2012, the CTSA initiative is expected to include 60 academic medical centers and a total of $500 million annually.

At a press conference announcing the awards, NIH Director Elias Zerhouni, M.D., noted that the strength and quality of the 35 applications received reflected great energy and commitment in the academic community for clinical and translational research, and allowed NIH to make more awards in the first round than anticipated. An additional 52 academic medical centers were selected to receive planning grants to help plan and prepare future CTSA applications.

In his remarks describing the purpose of the CTSA program, Dr. Zerhouni underscored the demands of chronic care in a growing population, which consumes more than 75 percent of the nation's medical resources. There have also been tremendous advances in genomics, molecular biology, informatics and other laboratory sciences. The new awards, which he described as a "consortium" of clinical and translational research organizations, will accelerate the rate at which new discoveries can be translated into clinical application. Barbara Alving, M.D., Acting Director of NIH's National Center for Research Resources, which oversees the program, commented that there will be a strong evaluation component to the program, both at NIH and within the awardee institutions themselves. Dr. Alving added that the academic centers themselves have invested significant resources into making the program work.

A second Request for Applications (RFA) for CTSAs has been issued, calling for the next round of submissions to be made by Jan. 17, 2007, with awards expected in fall 2007.

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

Senate Passes Animal Research Protection Bill

The Senate Sept. 29 passed the "Animal Enterprise Terrorism Protection Act" (S. 3880), which is designed to strengthen the legal authority for law enforcement to prosecute individuals involved in campaigns targeting animal research enterprises and researchers. Cosponsored by Sens. James Inhofe (R-Okla.) and Dianne Feinstein (D-Calif.), the legislation also addresses actions against companies doing business with academic and commercial biomedical enterprises.

Rep. Thomas Petri (R-Wis.) is lead sponsor of a nearly identical House bill (H.R. 4239), which is expected to be considered by the House Judiciary Committee when Congress returns in November. The AAMC Sept. 12 sent a letter to House Judiciary Chair James Sensenbrenner (R-Wis.) and Ranking Member John Conyers (D-Mich.) urging the committee to pass H.R. 4239.

Information:
Erica Froyd, Director, Public Health and Research Legislative Affairs
AAMC Government Relations
efroyd@aamc.org
(202) 828-0525

Congress Clears Children's Hospital GME

The Senate Sept. 26 passed the Children's Hospital GME Support Reauthorization Act (H.R. 5574), clearing the bill to be signed by the President. The bill, which reauthorizes the Children's Hospital GME program through FY 2011, was passed by the House June 21.

The bill includes a provision that all grantees must submit annual reports to the Department of Health and Human Services. Beginning in FY 2008, failure to report will result in a 25 percent reduction of payment. The reports must include:

  • types of residency training programs available at the hospital;
  • the number of training positions for residents, the number of positions recruited to fill, and the number filled;
  • the types of training available to residents related to health care needs of different populations such as the underserved;
  • changes made during the year for the purpose of training residents to care for the underserved and for the improvement of quality and patient safety; and
  • the number of residents who completed their residency and are caring for children in the service area of the hospital or within the state.

H.R. 5574 authorizes $330 million per fiscal year through FY 2011. The program is funded at $297 million in FY 2006. The FY 2007 Labor-HHS-Education Appropriations bill approved by the House Appropriations Committee (H.R. 5647) includes $300 million for Children's GME, while the Senate version (S. 3708) provides $200 million. The AAMC signed onto an April 28 joint hospital association letter urging Congress to provide $330 million for the program in FY 2007.

Information:
Erica Froyd, Director, Public Health and Research Legislative Affairs
AAMC Government Relations
efroyd@aamc.org
(202) 828-0525

Frist, Kennedy Introduce Health Disparities Bill

Senate Majority Leader Bill Frist (R-Tenn.), and Senators Edward Kennedy (D-Mass.), Jeff Bingaman (D-N.M.), and Barrack Obama (D-Ill.) Sept. 29 introduced the "Minority Health Improvement and Health Disparity Elimination Act" (S. 4024). The legislation seeks to improve the health and health care of racial and ethnic minority and other health disparity populations through enhanced cultural competency training for providers, grants to improve health care access and outreach to underserved populations, and increased research to reduce health care disparities, among other provisions.

The bill reauthorizes the Title VII Centers of Excellence, Health Careers Opportunity Program, Scholarships for Disadvantaged Students, and Faculty Loan Repayment programs, which are designed to improve the diversity of the health care workforce through recruitment, training and mentoring. The legislation also requires health professions schools to collect and report demographic data on applicants, matriculants, and graduates to the Department of Health and Human Services to be stored in a database and analyzed to assess diversity within the health professions.

The bill also creates a new grant program at the Agency for Healthcare Research and Quality for research to improve the health of racial and ethnic minority and other health disparity populations. It directs the Institute of Medicine to convene a summit to evaluate and report on federal efforts addressing health disparities. The bill reauthorizes the National Center for Minority Health and Health Disparities and strengthens its role in coordinating disparities research at the National Institutes of Health.

Sen. Frist hopes to pass the bill in November, before he leaves the Senate.

Information:
Erica Froyd, Director, Public Health and Research Legislative Affairs
AAMC Government Relations
efroyd@aamc.org
(202) 828-0525

AAMC Supports Moderate Republican Push for Labor-HHS Funding

The AAMC Oct. 4 sent a letter to 24 moderate Republican members of the House of Representatives who called on their leadership to fulfill a commitment made earlier this year to provide additional funding for the FY 2007 Labor-HHS-Education appropriations bill. The moderates, led by Rep. Mike Castle (R-Del.), sent a Sept. 27 letter reminding House Majority Leader John Boehner (R-Ohio) "of the agreement to provide no less than $7 billion above the Administration's request" for the FY 2007 Labor-HHS bill [see Washington Highlights, Sept. 29].

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