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Timeline Slipping for Major Legislation

Senate Foreign Relations Committee Chairman John Kerry (D-MA) announced this week that a climate bill will not likely emerge before the spring of 2010. The announcement confirms that at least 1 of 3 (and likely all 3) of President Obama’s top legislative initiatives for 2009 will slip into 2010 -the other two being health care and student aid reform. Some proponents of the three pieces of legislation hoped to move to completion this year, as to avoid political considerations made by the 2010 mid-term election season. The cap-and-trade climate legislation, introduced by Senator Kerry and Senator Boxer (D-CA), initially drew support from accross the aisle; as Senator Lindsay Graham (R-SC) came out in support of the effort. However, since then, the bill has garnered little bipartisan support; passing the Senate Energy and Public Works Committee without Rebuplican support on the panel and after a boycott of the mark-up. At present, it appears that Senator Kerry is trying to put together a compromise that will garner the 60 votes necessary to break a filibuster; much the same tactic that is being employed by Majority Leader Reid in advancing a health-care overhaul.

Given that the Senate companion bill to the House Student Aid and Fiscal Responsibility Act (SAFRA) has been linked to the passage of health care reform, student aid reform remains on hold. Leaders on the Hill have indicated that both chambers will likely be in session until the third full week of December.

Health Reform Legislation Passes Finance and Delays Student Aid Reform

Yesterday, 10/13/09, the Senate Finance Committee approved a health reform package on a largely party-line vote of 14-9, with only Senator Olympia Snowe (R-ME) crossing the partisan divide. The vote in Senate Finance was the last of the five House/Senate committee (3 House committees, 2 Senate Committees) votes before consideration by the chambers.  Leadership and select members of the committees of jurisdiction will need to work together to merge bills that have been produced. In the Senate, the reform package will need to clear 60 votes to avoid a filibuster, while in the House only a simple majority is needed. At present, a public insurance option appears to be the major point of contention between the more conservative version of reform produced by the Senate Fiance Committee  and legislation advanced by the Senate HELP Committee and the House. After bills pass the Senate and House, differences will again need to be worked out between the chambers so that a single bill can be sent to the President.

Passage of health care reform may be linked to the student aid overhaul that was approved in the House over the summer. If Senate Democrats are unable to pull together the 60 votes necessary to pass health care reform, they may tie the legislation to the student aid bill in the form of a budget reconciliation package that would only require a simple majority to pass. As a result, the Senate companion to the House (H.R. 3221) student aid bill is currently awaiting further developments on the health care reform front. The University of Washington, and much of the higher education advocacy community, is using the extra time allotted for the student aid bill to seek some improvements in the legislation.

President Obama Marks Midway Point of NIH Recovery Act Awards

Today, at the National Institutes of Health (NIH), President Obama announced that the Administration has released nearly half ($5 billion) of the funding provided the NIH in the American Recovery and Reinvestment Act (ARRA). To date, the University of Washington has drawn roughly $40 million in ARRA NIH awards.

President Obama stated that the more than 12,000 grants awarded at NIH would “support cutting-edge medical research in every state across America.”  He added, “We know that this kind of investment will also lead to new jobs: tens of thousands of jobs conducting research, manufacturing and supplying medical equipment, and building and modernizing laboratories and research facilities.”

White House Press Release

New CDC H1N1 Guidance for Universities

Department of Health and Human Services (HHS) Secretary Kathleen Sebelius and Department of Education (ED) Secretary Arne Duncan joined with Dr. Beth Bell, Deputy Director, National Center for Immunization and Respiratory Diseases at the Centers for Disease Control and Prevention (CDC), to announce new guidance for Institutions of Higher Education (IHE) to plan for and respond to the upcoming flu season.

The guidance crafted by the scientists and doctors at the CDC is designed to help colleges and universities start planning and acting now for the impact that seasonal and 2009 H1N1 influenza could have this fall and winter on their students and faculty members, as well as other university employees.  

Government officials are especially concerned about the impact of H1N1 on schools because the virus appears to disproportionately affect young people. The CDC’s Advisory Committee on Immunization Practices recently found that younger Americans, specifically those ages 6 months to 24 years, are one of the top priority groups when it comes to the new H1N1 vaccine.

HHS has created a special toolkit for administrators and students, as well some badges and widgets that can be used on social media sites such as Facebook and Twitter

The new guidance suggests that the most important actions institutions can take are: to encourage and facilitate good hand washing and covering coughs and sneezes; to encourage flu vaccination for recommended groups when vaccine becomes available; and to separate sick people from well people as soon as possible.

The Secretaries and the CDC stressed the need for different institutions to tailor the strategies to their own circumstances, based on their location, student population, resources, and information from local health officials about the severity and spread of flu in their area, and encouraged them to partner with local health officials and others in their community to plan for the upcoming flu season.

For the complete H1N1 guidance for higher education institutions and the special H1N1 Higher Education, please visit http://www.flu.gov/plan/school/higheredguidance.html.

The Toolkit is available at http://www.flu.gov/plan/school/higheredtoolkit.html.

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.