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Update from Washington, DC

With the House gone for its August recess, the Senate will turn its attention this week to passing one more spending bill, replenishing the popular Cash for Clunkers program, and confirming President Obama’s pick for the Supreme Court, Judge Sonia Sotomayor, all with the aim to leave town Friday until after Labor Day.

APPROPRIATIONS

As Congress prepares to leave for August recess, the House, which adjourned last week, has completed work on all 12 appropriations bills, and the Senate is expected to be a third of the way done when it departs Friday.  The Senate will consider its Agriculture spending measure this week.  With Senate passage of the Agriculture bill this week, the Senate will have passed four of its bills.

The Senate plans to continue floor consideration of spending bills in September, and leaders would like to get a handful of spending bills enacted before the Oct. 1 start of federal fiscal year 2010.  A continuing resolution will be needed to fund most government agencies when the new fiscal year arrives.  Democrats remain intent on enacting all 12 spending bills individually, and avoiding a massive multi-bill omnibus spending measure, as has so often been the result over the past 14 years. 

The House and Senate will begin informal and then formal conference committee negotiations to work out the differences between their spending measures.  The Office of Federal Relations will continue to advocate for funding priorities that affect the University of Washington, including congressionally-directed funding and specific programmatic (agency) funding.

HEALTH

The six Senate Finance Committee members negotiating a bipartisan healthcare overhaul bill will meet throughout the week, but will not hold a markup on any overhaul measure.  While they keep reporting that the group is making progress, no one has seen a proposal on paper.  One provision that appears close to a final decision is an insurance co-op in lieu of a public option.  The public option issue will likely be hotly debated when Congress returns to DC in September. 

The House meanwhile may be on recess, but lawmakers working on a health care overhaul still have a lot of work to do over the break to prepare to pass legislation when they return.  Democratic leaders and committee chairs will have to find a way to resolve differences in the versions of the bill approved by two committees – Education and Labor and Ways and Means – and a compromise measure approved just before the House recessed last week by the Energy and Commerce Committee that includes proposals crafted with moderate Democrats on the panel who had opposed the original bill over cost concerns.

The House is looking now to pass the bill in mid-September, a few days after Congress reconvenes. 

AUGUST RECESS

House Members have already started their August recess, with many of them back in their home states/districts.  The Senate will follow after they complete their work this week.  The WA State Delegation will spend the recess period holding town hall meetings, attending forums, and meeting with community leaders and constituent groups – with a focus on health care reform, Recovery Act implementation, and climate issues.  Many of the DC staff from these offices will be in the state, and I am arranging for several of these staff to be on campus to learn more about our priorities as they relate to the federal government. 

I will be on campus from August 19 through September 4, and am currently scheduling meetings with faculty and staff to discuss on-going University projects and issues.  The Office of Federal Relations is also gearing up on the development of our FY2011 Federal Agenda.  This agenda will likely include a continued focus on obtaining Recovery Act funding, as well as identifying new research opportunities through health care reform and climate legislation.  Additionally, we are beginning to discuss priorities for FY2011 congressionally-directed funding requests.

Please let me know if you would like to meet with me during the time I’m on campus – either to discuss the current FY2010 process, the upcoming FY2011 Federal Agenda development, or any other issue that has some federal nexus and needs some attention by the Office of Federal Relations. 

Christy Gullion, Director

HHS Recovery Act Funding Available to Expand Health Professions Training

HHS Secretary Kathleen Sebelius today announced the availability of $200 million to support grants, loans, loan repayment, and scholarships to expand the training of health care professionals.  The funds are expected to train approximately 8,000 students and credentialed health professionals by the end of fiscal year 2010.  Today’s funds are part of the $500 million allotted to HHS’ Health Resources and Services Administration (HRSA), to address workforce shortages under the American Recovery and Reinvestment Act (ARRA).

The $200 million will be directed to the following program areas:

  • $80.2 million for scholarships, loans, and loan repayment awards to students, health professionals, and faculty. Of those funds, $39 million will be targeted to nurses and nurse faculty, $40 million to disadvantaged students in a wide range of health professions, and $1.2 million to health professions faculty from disadvantaged backgrounds.
  • $50 million in grants to health professions training programs. Funds will be used to purchase equipment needed to expand programs and improve the quality of training.
  • $47.6 million to support primary care training programs. These funds will support the training of residents, medical students, physician assistants, dentists and individuals, many of whom will practice in underserved areas.
  • $10.5 million to strengthen the public health workforce. Funds will support public health traineeships and increase the number of individuals trained through preventive medicine and dental public health residencies.
  • $10.2 million to increase the diversity of the health professions workforce.
  • And $1.5 million to support the efforts of state professional licensing boards in reducing barrier to telemedicine.

HRSA is using a competitive process to award all funds. Some awards will be made over the next several months.  In addition, funding opportunities for some programs will be announced over the next several months, giving applicants adequate time to prepare materials.  The remaining $300 million in ARRA workforce funds is being used to expand HRSA’s National Health Service Corps, which provides scholarships and loan repayment for primary care providers who serve in health professional shortage areas.  In addition, HRSA received $2 billion through ARRA to expand health care services to low-income and uninsured individuals through its health center program.

House Democrats Release Health Care Legislation

Yesterday, House Democrats finally unveiled their comprehensive health care overhaul legislation, including details on how they intend to pay for it.  For the most part, the $1 trillion-plus plan would be paid for through a surtax on upper incomes (families with adjusted gross incomes of more than $350,000) and by more than $500 billion in savings from Medicare over 10 years.

On the Medicare side, some providers would see their Medicare payouts cut directly (with Medicare Advantage seeing a $156 billion reduction).  And in other areas, Medicare would “bundle” payments for a number of related services, with the goal of providing better, less costly care for patients.  Currently, Medicare typically reimburses providers for every procedure or test they do.

 Prevention and wellness measures of the bill include:

  • Expansion of Community Health Centers;
  • Prohibition of cost-sharing for preventive services;
  • Creation of community-based programs to deliver prevention and wellness services;
  • A focus on community-based programs and new data collection efforts to better identify and address racial, ethnic, regional and other health disparities;
  • Funding to strengthen state, local, tribal and territorial public health departments and programs.

The bill expands the health care workforce through:

  • Increased funding for the National Health Service Corp;
  • More training of primary care doctors and an expansion of the pipeline of individuals going into health professions, including primary care, nursing and public health;
  • Greater support for workforce diversity;
  • Expansion of scholarships and loans for individuals in needed professions and shortage areas;
  • Encouragement of training of primary care physicians by taking steps to increase physician training outside the hospital, where most primary care is delivered, and redistributes unfilled graduate medical education residency slots for purposes of training more primary care physicians. The proposal also improves accountability for graduate medical education funding to ensure that physicians are trained with the skills needed to practice health care in the 21st century.

Read more about the proposal.

President Obama Nominates New NIH Director

Today, President Barack Obama nominated Francis S. Collins as the new Director of the National Institutes of Health (NIH). Dr. Collins served as Director of the National Human Genome Research Institute (NHGRI) at NIH from 1993-2008. He is a physician-geneticist noted for his discoveries of disease genes and his leadership of the Human Genome Project. Dr. Collins received a B.S. in Chemistry from the University of Virginia, a Ph.D. in Physical Chemistry from Yale University, and an M.D. with Honors from the University of North Carolina. Prior to coming to NIH, he spent nine years on the faculty of the University of Michigan, where he was an investigator of the Howard Hughes Medical Institute. Dr. Collins must now be confirmed by the Senate.

If confirmed, Collins will head a $31 billion agency with roughly 18,000 employees. NIH is on course to receive a modest increase (1.4%) in funding in FY10, over FY09, because of significant funding ($10.4 billion) provided in the Recovery Act. NIH continues to serve as the University of Washington’s largest source of federal grant funding.

White House Press Release

House Committee Chairmen Release Health Care Proposal

SUMMARY OF DRAFT HOUSE BILL

DRAFT HOUSE BILL

[Provided by the American Hospital Association]

House Ways and Means Committee Chairman Charles Rangel (D-NY), Energy and Commerce Committee Chairman Henry Waxman (D-CA) and Education and Labor Committee Chairman George Miller (D-CA) today released their draft health care reform legislation. The AHA is reviewing the language and will provide a more detailed summary in the coming days. Based on our initial read, here are some highlights: Continue reading “House Committee Chairmen Release Health Care Proposal”