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Washington Highlights: January 4, 2008

President Signs FY 2008 Funding Package

President Bush Dec. 26 signed the omnibus "Consolidated Appropriations Act for FY 2008" (H.R. 2764), the $555 billion spending package approved by Congress Dec. 19 [see Washington Highlights, Dec. 21]. When combined with the previously-passed Defense spending bill (P.L. 110-116), the omnibus meets the President's overall discretionary spending limit of $932.8 billion.

According to a White House press release, President Bush called the spending levels in the omnibus "reasonable and responsible," but criticized lawmakers' use of "nearly 9,800 earmarks that total more than $10 billion."

Most of the programs in the Labor-HHS portion of the omnibus were subject to a 1.747 percent across-the-board cut to meet the President's spending limit. For NIH, the omnibus provides an appropriation of $29.229 billion, an increase of $329 million (1.1 percent) over FY 2007. The bill provides $194 million for the Title VII health professions training programs, a $9.2 million (5 percent) increase over FY 2007.

The bill also includes language reinstating for FY 2008 the NIH's authority to transfer 1 percent of its budget for National Research Service Awards (NRSA) to the Health Resources and Services Administration (HRSA) and the Agency for Healthcare Research and Quality. The language inadvertently had been deleted in 2006.

Looking forward to the FY 2009 budget, the President stated, "In February I will submit my budget proposal for fiscal year 2009, which will once again restrain spending, keep taxes low, and continue us on a path towards a balanced budget."

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

Department of Education Appoints COSFA Chair to Rulemaking Committee

The Department of Education Dec. 31 named Carrie Steere-Salazar to represent the AAMC and graduate/professional schools on the upcoming negotiated rulemaking committee on student loans. Ms. Steere-Salazar is chair of the AAMC Committee on Student Financial Assistance (COSFA) and director of Student Financial Services at the University of California, San Francisco, School of Medicine.

The committee is charged with developing regulations to reflect changes made to the Higher Education Act by the "College Cost Reduction and Access Act" (P.L. 110-84) [see Washington Highlights, Sept. 7, 2007], an education budget bill signed by the President Sept. 27, 2007 . The student loan panel will address the following issues:

  • Income-based repayment plan (IBR);
  • Conforming the economic hardship deferment with IBR;
  • Public service loan forgiveness;
  • Definition of not-for-profit holder; and
  • Federal preemption of state laws related to improper inducements and arrangements between schools, lenders and other entities in the students loans programs.

The Department has tentatively scheduled 3 negotiated rulemaking sessions in Washington, DC, for Jan. 14-16, Feb. 4-6, and March 3-5.

Information:
Matthew Shick, Legislative Analyst
AAMC Government Relations
mshick@aamc.org
(202) 828-0525

IRS Releases Revised Form 990

The Internal Revenue Service (IRS) Dec. 20 issued an updated version of its Form 990, the return that tax-exempt organizations are required to file annually. The final format includes a "core form" and a series of schedules. The new core form allows an organization to describe its exempt accomplishments and mission. Other changes were made to the form's summary page, governance section, and various schedules, including those relating to executive compensation, related organizations, foreign activities, hospitals, non-cash contributions and tax exempt bonds. The new form will be used for the 2008 tax year (for returns filed in 2009).

The IRS also provided a document that describes highlights of the Schedule H form, for use by tax-exempt hospitals. It briefly discusses comments that were received on the draft schedule, and describes the changes that were made. In 2008, only Part V (a list of facilities and the activities and programs conducted at each) will be required. Other parts of the form will be optional next year but mandatory for tax years beginning in 2009. While Schedule H will allow reporting of bad debt and Medicare shortfalls, they will not be reported as community benefit. The document provides few details about the reporting of education and research, other than to state that Part III "requires reporting of aggregate Medicare reimbursements (including DSH and IME, but not GME)."

The AAMC will provide members with more information as it becomes available.

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

President Bush Signs CHIMP Act Alteration

President Bush Dec. 26 signed into law the "Chimp Haven is Home Act" (S. 1916), which prohibits removal of chimpanzees from a federal sanctuary for chimps retired from research. The "Chimpanzee Health Improvement, Maintenance and Protection Act" of 2000 (CHIMP Act, P.L. 106-551) established the sanctuary administered through the National Institutes of Health's (NIH) National Center for Research Resources (NCRR), for chimpanzees that are no longer thought to be needed in NIH and Food and Drug Administration (FDA) research.

S. 1916, introduced Aug. 1 by Sen. Richard Burr (R-N.C.), deletes the provision in the CHIMP Act that allowed chimps to be removed from the sanctuary for research. The bill still allows the use of sanctuary chimps in noninvasive behavioral studies and medical studies that use information collected during the course of normal veterinary care within the sanctuary.

Information:
Abigail Schopick, Legislative Analyst
AAMC Government Relations
aschopick@aamc.org
(202) 828-0525

Dept. of Commerce Committee Finds "Deemed Export" Rules are Obsolete

The Deemed Export Advisory Committee (DEAC) to the U.S. Department of Commerce (DOC) Dec. 20 released its final report, recommending revised deemed export regulations that more selectively build higher "walls" around specific technologies and allow for more latitude and flexibility in industry and university controls. The term "deemed export" refers to the release of technology to foreign nationals within the United States. The DEAC - an independent, ad hoc committee chaired by Norman Augustine, retired chairman and CEO of Lockheed Martin Corporation - has determined that the current regulatory regime for deemed exports does not effectively protect national security, and in fact may hinder U.S. industry and universities as they seek to collaborate or compete with their increasingly sophisticated international counterparts.

Under existing DOC regulations, deemed exports from a list of protected technologies with potential civilian and military use could require an export license. But the DEAC finds that the current list is unnecessarily broad and that the DOC inconsistently and ineffectively implements the rules. In 2005-06, the DOC, responding to criticism by its Inspector General, had proposed tightening deemed export restrictions in ways that would have dramatically and adversely affected universities and many other research organizations [see Washington Highlights, April 1, 2005]. Responding to industry and university concerns, the DOC suspended the proposed revisions and in October 2006 appointed the DEAC, with members from industry and academe, to examine the current regulatory regime and to propose changes.

In its final report, the DEAC also proposes a new category of "trusted entities" that could include academic institutions and companies that "voluntarily elect to qualify for special, streamlined treatment in the processing of Deemed Export licenses by meeting certain specified criteria." The DEAC also recommends using a more conventional definition of fundamental research than is currently the case, and not distinguishing products of fundamental research from the use of certain equipment or technologies in performing that research (a problem under current rules). But the committee leaves open options for federal restriction of publication of research results, for example, in classified research. It is not clear from the report if other types of restrictions on publication would be sought.

Information:
Stephen Heinig, Senior Research Fellow
AAMC Biomedical Health Sciences Research
sheinig@aamc.org
(202) 828-0488

Susan Ehringhaus, Associate General Counsel, Regulatory Affairs
AAMC Biomedical Health Sciences Research
sehringhaus@aamc.org
(202) 828-0543

On The Hill...

Rep. Roger Wicker (R-Miss.) was appointed by Mississippi Governor Haley Barbour (R) Dec. 31 to fill the Senate seat vacated by former Sen. Trent Lott (R). The former ranking member of the House VA Appropriations subcommittee, Rep. Wicker's departure leaves an open seat on the House Appropriations Committee. Gov. Barbour will call a special election within 60 days to fill Rep. Wicker's House seat.

Rep. John Peterson (R-Pa.) Jan. 3 announced that he is retiring from Congress. Rep. Peterson, 69, cited health problems at home as the reason he has decided to retire at the end of the 110th Congress. No other candidates have filed for the seat with the Federal Elections Commission, though the state filing deadline is not until Feb. 12.