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NIH Hearing from House Labor-H Appropriations Subcommittee

The House Labor-HHS-Education Appropriations Subcommittee has scheduled a hearing on the National Institutes of Health (NIH) for Wednesday, May 17, 2017 at 10 a.m. in 2358-C Rayburn.

The hearing will feature NIH Director Francis Collins, accompanied by five institute directors.

 

Oversight Hearing – Advances in Biomedical Research
Wednesday, May 17, 2017 10:00 AM 
Subcommittee on Labor, Health and Human Services, Education, and Related Agencies

Witnesses
Dr. Francis Collins, Director, NIH

Accompanied by:

Dr. Anthony S. Fauci, Director, NIH, National Institute of Allergy and Infectious Diseases

 

Dr. Gary Gibbons, Director, NIH, National Heart, Lung and Blood Institute

 

Dr. Joshua Gordon, Director, NIH, National Institute of Mental Health

 

Dr. Doug Lowy, Acting Director, NIH, National Cancer Institute

 

Dr. Nora Volkow, Director, NIH, National Institute of Drug Abuse

 

This hearing will be webcast.

Senate Clears Omnibus

The Senate passed H.R. 244, the FY 2017 Omnibus appropriations bill today which will fund the government through Sept. 30. The $1.07 trillion legislation now goes to President Donald Trump for his signature. The Senate tally was 79-18 . The omnibus legislation includes the 11 unfinished appropriations bills and intelligence authorization legislation, as well as funding for retired coal miners’ health care, supplemental defense money and funding to avert a Medicaid shortfall in Puerto Rico.

Trump is expected to sign the legislation, which must be enacted before the current continuing resolution expires at midnight Friday

FY 2017 Omnibus Released

At 2 am last night, House and Senate appropriators released the FY 2017 Omnibus, which  comprises the 11 unfinished FY 2017 appropriations bills, providing fresh spending instructions for nearly every corner of the federal government and formally appropriates more than $1 trillion in discretionary spending for FY 2017, in keeping with the spending limits agreed to last year. A high level overview is below.

Overall, the FY 2017 Omnibus provides an annualized total of $1.07 trillion in base spending for FY 2017, or $1.16 trillion including Overseas Contingency Operations (OCO) funding. Beyond the top line, and widely reported, the FY 2017 Omnibus includes a $2 billion increase to NIH or a 6.2 percent increase over current levels. The deal includes an extra $1.5 billion to enhance border security, but there is no money to begin construction of Trump’s wall along the Mexican border.  Additionally, appropriators absolutely rejected about $18 billion in cuts to domestic discretionary programs that Trump had suggested to avoid further expanding the deficit in his FY 2017 supplemental request. To boost funding for the military and border security, lawmakers increased by $15 billion the OCO spending, which does not count against statutory budget cap.

While the budget numbers will look big on paper, they will have less meaning in the real world because most of the money to be formally appropriated has already been spent, since there are only five months remaining in the current FY 2017, which runs through Sept. 30.

The most recent stopgap (H.J.Res. 99), enacted Friday, keeps the government open through May 5. The Omnibus legislation could see a House could vote as soon as Wednesday. Once the Omnibus passes the House, it will move on to the Senate.

The legislation did resolve a significant amount of big political sticking points, including:

  • provide a permanent fix for a depleted health fund needed by thousands of retired coal miners;
  • shore up Puerto Rico’s troubled Medicaid program with an extra $295 million;
  • provide $2 billion in disaster relief for California, West Virginia, Louisiana and North Carolina;
  • combat wildfires with an extra $407 million;
  • $68 million to reimburse local law enforcement agencies for the costs of protecting Trump and his family, predominantly in Manhattan;
  • provide $100 million to combat opioid abuse; and
  • preserve federal funding for Planned Parenthood.

 


 

Labor-H

                Health Provisions

  • NIH — $34.1 billion (+$2.0 million)
    • Fogarty Center receives $72,213,000 (+$1.7 million)
  • AHRQ received: $324,000,000 (Slight cut of ~$8 million)
  • SAMSHA — $3.6 billion (+ $130.5 million above the previous Administration’s budget request. Includes an increase of $150 million for treatment of opioid and heroin programs)
  • CDC – $7.3 billion (+ $22 million above the fiscal year 2016 enacted level. This includes $6.3 billion in appropriated funds, as well as $891 million in transfers from the Prevention and Public Health Fund.)
    • NIOSH– $335.2M (about + $4M)
  • ERC Program $29 million (+$500 thousand)
  • AFF Program $25.5 million (+$500 thousand)
    • Chronic Disease Prevention — $1.112 billion ($777.6 million in discretionary, $338.0 million in transfers)
  • Prevention research centers — $25.5 M
  • Worker Health will receive “not less than FY16 levels”
  • HRSA — $6.4 billion for HRSA (+ $77 million)
    • Health Professions Title VII – $301M (- , but language below in dentistry
    • Nursing Title VIII — $229 million (level)
  • National Institute of Nursing Research receives $150,273,000 for nursing research.

Report language of note:

NIH

“Funding from the 21st Century Cures Act was previously appropriated for fiscal year 2017 by section 194 of the Continuing Appropriations Act, 2017. Per the authorization, $300,000,000 is transferred to the National Cancer Institute for cancer research and $52,000,000 will be allocated from the NIH Innovation Fund, in this agreement reflected in the Office of the Director, for the Precision Medicine Initiative cohort ($40,000,000), the BRAIN Initiative ($10,000,000), and regenerative medicine research ($2,000,000).”

 

Education Provisions

  • IES — $605.267 million (- $13 million)
  • GEAR Up — $339.7 million (+$17 million)
  • TRIO — $950 million (+$50 million)
  • Pell
    •  Maximum award will be increased to $5,935, funded by a combination of discretionary and mandatory funds
    • Year-round Pell restored
    • $1.3 B in surplus reallocated
  • Title VI international– $72.2 million (flat)

 

Report language of note:

TRIO:

There is concern that the Department has rejected and made ineligible for review several fiscal year 2017 grant applications based on minor formatting issues. The Department is strongly encouraged to provide flexibility to such applicants by permitting submission of a corrected application. The Department should include consistent formatting requirements across all TRIO competitions in the future.”

 

Defense

Research Accounts:

6.1:  $2.28 Billion (level)

6.2:  $5.30 billion (+$30 million)

 

USDA

AFRI — $375 million (+$25 million)

McIntire-Stennis — $33.9 million (level)

 

CJS

  • NSF– $7.4 overall
    • MREFC– $209.0 Million (+$8.7 million, $121.9 million for 3 research vessels)
  • NOAA
    •  Integrated Ocean Observing System– $30.7 million (+$1.2 million)
  • Adopts IOOS language from both bills (will need to go through again) and encourages use of HF radars
    • OAR CI’s– $60.0 M (level)
    • Sea Grant– $63.0 M (- $10.0 M)
  • NASA
    • Space Grant– $40.0 M (level)
    • Earth Science– $1.92 B (level)

E&W

  • EERE — $761 million (+$40 million)
    • Water Power Energy R&D $84 million (+$14 million)
  • ARPA-E — $276 million (+$15 million)
  • Office of Science – $5.4 billion (+$40 million)
    • Fusion — $330 million (+$7 million)

 

Interior

  • EPA Science and Technology — $91.9 million (-$9 million)
    The bill provides $713,823,000 to be partially offset by a $7,350,000 rescission for a net discretionary appropriation of$706,473,000. The bill transfers $15,496,000 from the Hazardous Substance Superfund account to this account.

    • Chemical safety and sustainability – $ 126.9 million (-$9 million)
    • National priorities — $4.1 million (-$10 million, but over the FY2017 request of $0)
    • Safe and sustainable water resources — $106.2 million (-$1.1 million)
    • Sustainable and healthy communities — $ 134.3 million (-$5.6 million)
  • USGS
    • CRU’s– $17.4 million (level)
    • Earthquake Early Warning– $10.2 M (+ $2 M)
  • NEH– $149.8 million (+$1.9 million)

 

 

Domestic Policy Council, Staff Announcements

Trump has announced his Domestic Policy Team.

Andrew Bremberg, Director of the White House Domestic Policy CouncilAndrew Bremberg worked at the U.S. Department of Health and Human Services from 2001 to 2009, including serving as the Chief of Staff for the Office of Public Health and Science. He later served as Policy Advisor and Counsel on Nominations for Senator Mitch McConnell. He worked as the Policy Director for the 2016 Republican Party Platform. He now works in a lead policy and administrative role on the Presidential Transition Team. Mr. Bremberg received a J.D. from the Catholic University of America Columbus School of Law and a B.A. from the Franciscan University of Steubenville.

Paul Winfree, Deputy Director of the Domestic Policy Council and Director of Budget PolicyPaul Winfree was Director of the Thomas A. Roe Institute for Economic Policy Studies, the Center for Data Analysis and the Richard F. Aster Research Fellow, all at The Heritage Foundation. Prior to joining Heritage, Mr. Winfree was the Director of Income Security on the U.S. Senate Committee on the Budget. He has a Master of Science degree in economics and economic history from the London School of Economics and a Bachelor of Science degree in economics from George Mason University.

Katy Talento, Healthcare PolicyKaty Talento, an infectious disease epidemiologist with nearly 20 years of experience in public health and health policy, as well as government oversight and investigations and program evaluation, served on the campaign since July 2016. Ms. Talento has spent 12 years in the U.S. Senate, working for five Senators and two committees. A graduate of Harvard School of Public Health and the University of Virginia, she has also worked in the field on disease control programs in the U.S. and in Africa.

Ja’Ron Smith, Urban Affairs and RevitalizationJa’Ron K. Smith has served as a Congressional staff member for nearly a decade. Smith served the House Republican Conference legislative staff under then-Chairman Mike Pence prior to joining the Republican Study Committee to serve on the professional policy staff under Congressman Jim Jordan. He later served as Economic Advisor to Senator Tim Scott and currently works as the Director of External Affairs for Generation Opportunity. Mr. Smith was born in Cleveland, Ohio and is a double graduate of Howard University with a BBA in Finance and a Masters in Divinity.

Rob Goad, Education PolicyRob Goad currently serves on the Presidential Transition as the education lead for the implementation of the President-elect’s education policy agenda. Prior to developing education policy for the President-elect’s successful campaign, Mr. Goad served as a Senior Policy Advisor to House Policy Committee Chair Luke Messer focusing on education issues. He also played a pivotal role advancing school choice policies as Director of the Congressional School Choice Caucus. Mr. Goad received a bachelor’s degree in political science at Indiana University.

John Zadrozny, Justice and Homeland Security PolicyJohn Zadrozny has worked for the past six years on the House Committee on Oversight and Government Reform, the Senate Committee on Foreign Relations, and the Senate Committee on the Judiciary for Senator Ted Cruz. Prior to working on Capitol Hill, he served in the Office of National Drug Control Policy and the Department of State. Mr. Zadrozny has a J.D. from Catholic University’s Columbus School of Law in Washington, D.C. and a B.A. in History from Fordham University in Bronx, where he graduated magna cum laude.

Zina Bash, Regulatory Reform, Legal and Immigration PolicyZina Bash has held a variety of positions in business, law and government, and currently serves as the Executive Vice President of Operations and Business Development at Doctors’ Hospital at Renaissance. Her previous positions include Deputy Director of Policy and Communications for Senator Ted Cruz’s presidential campaign and Senior Counsel to the Senate Judiciary Committee in Senator John Cornyn’s office. Ms. Bash also practiced law as an appellate attorney at international law firm Gibson Dunn, & Crutcher LLP. Fluent in Spanish as a native speaker, she earned a bachelor’s degree from Harvard College, a J.D. from Harvard Law School and an M.B.A. from Wharton Business School. Ms. Bash also served as a law clerk to Justice Samuel Alito of the U.S. Supreme Court and Judge Brett Kavanaugh of the U.S. Court of Appeals for the D.C. Circuit.

Peter J. White, Senior Policy AnalystPeter White received his J.D. from American University’s Washington College of Law and has worked at the Federal Trade Commission and the Federal Communications Commission. Most recently, Mr. White served as Legislative Counsel for Congressman Mo Brooks. Licensed to practice law in the District of Columbia, Mr. White is an active member of the Federalist Society and performs pro bono legal work for the Washington Legal Clinic for the Homeless.

Additionally, the following team members are joining the Office of the Senior Advisor to the President for Policy, and will help to develop all policy and administer all functions underneath the umbrella of the Office, such as the formulation of a pro-worker agendaincluding support for affordable childcare and family initiatives.

Office of the Senior Advisor to the President for Policy, Staff Announcements:

Carlos Diaz-Rosillo, Director of Policy and Interagency CoordinationCarlos Diaz-Rosillo brings a wealth of experience on presidential power, administrative action, executive leadership and the policymaking and executive action process to this key role. Mr. Diaz-Rosillo has been serving on the President-elect’s Transition Team as Policy Implementation Executive Authority Advisor and White House Lead. He is fluent in Spanish, and graduated summa cum laude with degrees in International Relations (B.A.) and Civil Engineering (B.S.C.E) from Tufts University and Public Policy (M.P.P) and Government (A.M., PhD) from Harvard University, where he has been a member of the faculty of government for more than eight years.

Vince Haley, Advisor for Policy, Strategy and SpeechwritingVince Haley is a longtime associate of former U.S. House Speaker Newt Gingrich. He served as policy director and later campaign manager of Gingrich’s 2012 presidential campaign. Mr. Haley holds an undergraduate degree from the College of William & Mary, a law and Master’s degree from the University of Virginia, and a Master’s of law from the College of Europe. During the President-elect’s successful campaign, Mr. Haley developed ethics reform policies.

Ross Worthington, Advisor for Policy, Strategy and SpeechwritingRoss Worthington was a longtime aide to former U.S. House Speaker Newt Gingrich. He served as research director for Gingrich, deputy communications director for Gingrich’s 2012 presidential campaign and later as Gingrich’s primary writer. He is a graduate of Brown University, where he concentrated in Political Theory. During the campaign, Mr. Worthington, together with Mr. Vince Haley, worked to formulate and communicate policies that advanced the Trump agenda.

Ryan Jarmula, Advisor for Policy Development and SpeechwritingRyan Jarmula served as a member of Vice President-elect Mike Pence’s staff for a number of years. As a member of then-Congressman Pence’s Capitol Hill office, he handled a variety of issues including foreign affairs, and later served Pence in his capacity as Governor of the State of Indiana as Policy Director for Veterans Affairs and most recently as Speechwriter. During the campaign, Mr. Jarmula worked on Stephen Miller’s staff and had an active role in policy development. Mr. Jarmula is a graduate of Indiana University and completed his B.A. while majoring in political science in 2007.

Robert Gabriel, Special Assistant to the Senior AdvisorRobert Gabriel served as policy advisor on the President-elect’s campaign and assisted the National Policy Director in policy development, speechwriting functions, and staff management. He received a B.A. in Economics with a concentration in Policy from New York University.

Cures Passes House

Last night, the House approved, 392-26, the 21st Century Cures Act, amended by a Manager’s Amendment submitted by House Energy and Commerce Chair Fred Upton (R-MI). While the Manager’s Amendment modifies slightly the allocation of funding in the NIH Innovation Account on an annual basis, it maintains the overall level of funding in the Account at a total of $4.796 billion between FYs 2017 and 2026. For the Precision Medicine Initiative, the Amendment provides $1.455 billion between FYs 2017 and 2026; for BRAIN, $1.511 billion between FYs 2017 and 2026; for cancer research, $1.8 billion between FYs 2017 and 2023; and for clinical research to advance regenerative medicine using adult stem cells, the Amendment provides $30 million between FYs 2017 and 2020.

The overwhelming vote tally gained more Republican votes and registered the same level of Democratic support when compared to the vote on a previous 2015 bill version (HR 6).

The legislation now moves to the Senate for consideration next week.