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21st Century Cures Proposes Funding Increase for NIH

The latest version of the 21st Century Cures Act was released this morning and the House Energy and Commerce Subcommittee on Health is scheduled to markup the measure on Thursday, May 14th. Like the discussion draft, the updated version provides for an increase in funding for the National Institutes of Health (NIH), both through reauthorization and $10 billion over five years in mandatory funding, starting in FY 2016.

Meanwhile, Senator Richard Burr (R-NC), a member of the Senate HELP Committee, said Tuesday the chamber would draft its own biomedical innovation bill rather than picking up the House’s 21st Century Cures Act. HELP Chair Lamar Alexander (R-TN) said the committee had a goal to get a bill on the floor by early next year but many think that is an overly ambitious timeframe.

21st Century Cures Draft Provides $10 Billion Increase for NIH

Bipartisan House Energy and Commerce Committee leaders have released a discussion draft marking continued progress in the 21st Century Cures Initiative. The discussion draft is the product of months of bipartisan negotiations and bipartisan staff continues working toward finalized legislation.

The biggest and best provision included in the draft provides for an increase in funding for the National Institutes of Health (NIH), both through reauthorization and $10 billion over five years in mandatory funding, starting in FY 2016.

 The discussion draft also includes provisions to:

  • Incorporate the patient perspective in the discovery, development, and delivery process.
  • Foster development of treatments for patients facing serious or life-threatening diseases.
  • Repurpose drugs for serious or life-threatening diseases and conditions.
  • Modernize clinical trials.
  • Break down barriers to increased collaboration and data sharing among patients, researchers, providers, and innovators.
  • Help the development of personalized and precision medicines so the right patient can receive the right treatment at the right time.
  • Provide for continued work in the telehealth space.
  • Advance a truly interoperable health care system.
  • Provide clarity for developers of software products used in health management and medical care.

A complete section-by-section summary of the discussion draft is available online here and a one-page summary is available online here.

Busy Budget Week in Congress

It’s shaping up to be a busy week as Capitol Hill continues its efforts to finally pass a repeal and replacement of the much-maligned Sustainable Growth Rate (SGR) or “Doc Fix.” While a group of bipartisan legislative leaders released the broad outlines of a proposal last week, we are sure to see more detailed legislative language as early as today – and the official cost of the proposal. A vote could take place later this week, just a few days before the increased rates are to take effect (March 31st) if Congress takes no action.

In addition to impending action on the SGR proposal, Congressional leaders from both chambers continue to debate their respective budget resolutions. Unlike the potential SGR fix, the budget debate will be largely partisan and include attempts (again) to repeal the Affordable Care Act. The result of these budget negotiations could go a long way toward setting up their overall strategy — and the tone for what they accomplish — heading into the heart of the legislative year.

Congress will then recess for a two-week Easter break, returning to the Capitol on April 13th.

 

House Passes Repeal of ObamaCare, again

On Tuesday, the House voted, again, to repeal Obamacare. What makes this attempt notable, however, is that the measure contained instructions to the House Committees with jurisdiction to develop alternative policies and legislation in the absence of the health care law. This is the first time the House has coupled an ObamaCare repeal vote with instructions to write a replacement, but the legislation doesn’t impose any deadlines on committees to finish their work.

In addition, while the vote of 239-186 fell largely around party lines, this vote was the first time any Republicans have voted against repealing ObamaCare.  Every Democrat in the chamber opposed the measure and three Republicans: Reps. Robert Dold (R-IL), John Katko (R-NY) and Bruce Poliquin (R-ME) voted against repeal. The defectors cited a lack of a clear substitute was the cause for their vote against repeal; it was not due to their support of ObamaCare. Of note, these three Members sit in seats held by Democrats in the last Congress and districts which Obama carried in the last presidential election.

House Passes VA Conference Report

The conference report to accompany H.R. 3230 (reported earlier on the Federal Affairs Blog) was adopted by the House – 420 Yeas, 5 Nays.

The Senate is expected to pass it later this week.