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Washington Highlights: June 15, 2007

AAMC Holds NIH Advocacy Day

The AAMC conducted an Advocacy Day on June 12 to make the case in support of increased NIH funding with Congress and the Administration. Robert Alpern, M.D., dean of Yale University School of Medicine and co-chair of the AAMC's NIH Special Action Committee, Eli Adashi, M.D., dean of Brown University School of Medicine, and AAMC President Darrell Kirch, M.D., began the day with a visit with the assistant Washington bureau chief of the Wall Street Journal to draw attention to the impact of 5 years of relatively flat funding on the nation's medical schools and teaching hospitals, young investigators, and America's ability to compete globally in the research arena.

Later in the day, Paul DeLuca, Jr., Ph.D., vice dean and associate dean-research, University of Wisconsin School of Medicine and Public Health, and Bruce Zetter, Ph.D., vice president for research, Children's Hospital in Boston, joined the group for a meeting with Julie Goon, special assistant to the president for economic policy, and Stacie Maas, special assistant to the president for domestic policy. The group also met with Rob Lehman, Office of Management and Budget (OMB) chief of staff; Don Dempsey, OMB associate director; and Jennifer Gera, OMB's program examiner for the NIH. The discussions with the Administration focused on the prospects for the NIH budget in FY 2009. In addition, throughout the day, deans and their government relations staff met with members of their Congressional delegations.

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

House Committee Delays Action on HHS Spending Bill

An agreement between Democrats and Republicans on how to handle the inclusion of member projects in spending bills has resulted in the House Appropriations Committee postponing consideration of the FY 2008 Labor-HHS-Education bill until the week of July 9. The committee had originally planned to take up the bill June 14, with floor action tentatively scheduled for June 20 or 21.

Meanwhile, the Senate Appropriations Committee approved its subcommittee (302(b)) allocations on June 14. The Labor-HHS-Education Appropriations Subcommittee received $149.2 billion, an increase of $4.7 billion (3.3 percent) over FY 2007, but $1.9 billion less than the House allocation. The Senate Labor-HHS-Education Appropriations Subcommittee is scheduled to mark up its FY 2008 bill June 19.

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

Congress Moves VA Appropriations

The House June 15 was expected to pass the "Military Construction and Veterans Affairs Appropriations Act, 2008" (H.R. 2642). The bill provides $36.6 billion for VA medical care, a $4.5 billion (14 percent) increase over the FY 2007 joint funding resolution (JR). The measure also provides $480 million for VA Medical and Prosthetic Research, an increase of $66.3 million (16 percent) over the FY 2007 JR [see Washington Highlights, June 8].

The Senate Appropriations Committee June 14 approved, 28-1, its version of the VA appropriations bill. The measure provides the same increases for VA medical care as the House bill, but includes $500 million for VA research, an $86.3 million (21 percent) increase over the FY 2007 JR.

In a Statement of Administration Policy June 13, the White House states "If Congress increases VA funding above the President's request and does not offset this increase with spending reductions in other bills, the President will veto any of the other bills that exceed his request."

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

House Panel Passes Education Reconciliation Bill

The House Committee on Education and Labor June 13 approved, 30-16, the "College Cost Reduction Act of 2007" (H.R. 2669). According to a press release from Chair George Miller (D-Calif.), the bill would increase student aid by nearly $20 billion over the next 5 years, reduce federal subsidies paid to lenders, and provide $750 million for federal budget deficit reduction.

Of particular importance to academic medicine, the bill:

  • Eliminates the 3-year limit on the Economic Hardship Deferment, allowing qualifying resident physicians to postpone federal loan repayments until after completing their training;
  • Increases aggregate (graduate and undergraduate) subsidized Stafford loan limits from $65,500 to $73,000; and
  • Prohibits states from reducing their total annual contribution to public institutions of higher education (below the average amount provided during the previous 5 years).

The House June 7 passed the "First Higher Education Extension Act of 2007" (H.R. 2559) to extend temporarily authority of the Higher Education Act (HEA) through Oct. 31. The last HEA reauthorization expired on Sept. 30, 2003; since then, several extensions have been enacted, making no policy changes but allowing uninterrupted administration of the programs. The most recent extension is scheduled to expire June 30.

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

Senators Introduce Health Disparities Bill

Senators Edward Kennedy (D-Mass.) and Thad Cochran (R-Miss.) introduced June 7 the "Minority Health Improvement and Health Disparity Elimination Act" (S. 1576). The bill seeks to improve the health and health care of racial and ethnic minority groups through enhancing the diversity of the health workforce, improving cultural competency training for providers and increasing research and data collection related to minority health and health disparities. The legislation is similar to a bill introduced by Senator Kennedy and former Senate Majority Leader Bill Frist (R-Tenn.) at the end of the 109th Congress.

Of particular interest to academic medicine, the bill:

  • Reauthorizes the Title VII diversity training programs through 2012, including the Centers of Excellence, Health Careers Opportunity Program, Scholarships for Disadvantaged Students, and Faculty Loan Repayment program;
  • Requires health professions schools to collect and report demographic data annually on applicants, matriculates and graduates, as well as graduates' intended practice location and discipline;
  • Requires the Agency for Healthcare Research and Quality (AHRQ) to create a health disparities strategic plan and establish new grants for health disparities research; and
  • Reauthorizes and strengthens the National Center for Minority Health and Health Disparities' oversight of NIH research related to health disparities.

The bill's sponsors hope to mark up the proposal in the Senate Health, Education, Labor, and Pensions Committee by the end of June or beginning of July.

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

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

House Panel Boosts NSF Funding

The House Appropriations Subcommittee on Commerce, Justice, and Science June 11 approved its FY 2008 spending bill, providing $6.509 billion for the National Science Foundation (NSF). The figure represents an increase of $593.4 million (10 percent) over FY 2007 and $80 million (1.2 percent) over the President's request.

The bill shifts the Experimental Program to Stimulate Competitive Research (EPSCoR) from the Education and Human Resources (EHR) account to the Research and Related Activities (R&RA) account, and specifies $8 million within R&RA for the program. Overall, R&RA receives $5.140 billion, an increase of $376.3 million (7.9 percent) over FY 2007 when accounting for the EPSCoR shift. EHR receives $822.6 million, an increase of $124.6 million (17.9 percent) over FY 2007, when adjusted for EPSCoR.

The increases are in line with the Democratic leadership's Innovation Agenda and the President's American Competitiveness Initiative (ACI) to bolster support for research and education in the physical sciences. The full House Appropriations Committee is scheduled to consider the bill June 18.

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

House Approves NSF HIS Bill

The House June 6 approved by voice vote a bill establishing grant programs at the National Science Foundation (NSF) for education and training in health care information systems (HIS) [see Washington Highlights, May 25]. The House Science and Technology Committee approved the measure, sponsored by Rep. David Wu (D-Ore.), on May 23.

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