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Category: Health/Medical

Congress Passes $1.8 Trillion FY 2016 Spending and Tax Extension Bill

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This morning the House & Senate approved a $1.8 trillion fiscal year 2016 omnibus spending bill, averting a government shutdown and funding the federal establishment through September 2016. The measure passed with a 316-113 vote in the House followed by a 65-33 vote in the Senate. President Obama is said to sign the measure into law imminently. We encourage you to review our FY2016 Omnibus Analysis. Please let Christy Gullion, UW Director of Federal Relations (cgullion@uw.edu), or Sarah Castro, UW Associate Director of Federal Relations (smcastro@uw.edu), know if you have questions.

 

As noted in a previous post, highlights of the bill include:

  • The National Institutes of Health received $32 billion, $2 billion above current levels.
  • The National Science Foundation is funded at $7.5 billion, an increase of $119 million, and directorates such as Social and Behavioral Sciences were funded at FY 2015 levels.
  • NASA is funded at $19.3 billion, an increase of $1.3 billion above the fiscal year 2015 enacted level to advance America’s leadership in space and science. Within this total, $4 billion is provided for Exploration, including funding to keep the Orion Multi-Purpose Crew Vehicle and Space Launch System on schedule, and $5.6 billion is provided for science programs.
  • Defense research was funded at $69.8 billion for research, development, testing, and evaluation of new defense technologies, which was minor increases.
  • The maximum Pell Grant award is increased to $5,915.
  • Title VI International Education programs were held at FY 2015 levels.
  • NOAA received $5.8 billion, which is $325 million above the fiscal year 2015 enacted level. Funding was included for the National Weather Service to provide critical weather information to the public, and investments in new and existing weather satellites that are essential to maintain and improve weather forecasts, including the Polar Follow On program.
  • Maximum Pell Grant award to $5,915, funded by a combination of discretionary and mandatory funds.

 

In addition to omnibus appropriations, the bill includes a $680 million tax package, which makes permanent several tax provisions that were previously subject to extensions including the research and experimentation tax credit and several charitable donation tax breaks. More information on this can be found here.

House Turns to 21st Century Cures

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The House will consider HR 6, the 21st Century Cures Act. The bipartisan bill modifies current federal processes involving medical research, developing drugs and other treatments, and testing and approving those drugs and treatments in an effort to accelerate the development and delivery of cures to diseases and medical conditions. It reauthorizes the National Institutes of Health (NIH) for three years and includes numerous initiatives to promote medical research and attract young scientists, and it reauthorizes Food and Drug Administration (FDA) activities for five years and modifies elements of FDA’s drug and medical device review and approval process to accelerate the approval and distribution of new drugs and medical devices for diseases and conditions that don’t currently have treatments. It provides $9.3 billion in fully offset mandatory spending for a five-year “Innovation Fund” to provide additional funding to the two agencies, with NIH to receive $1.75 billion a year for biomedical research and the FDA to receive $110 million a year for Cures development activities.

The measure has bipartisan and Administrative support.

The House will begin to consider the measure today and pass it by Friday.

Senate Appropriations Committee Passes FY16 Labor-H

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Today, the Senate Appropriations Committee passed it’s FY16 Labor-H bill by a vote of 16-14. The Senate draft would cut spending from the 2015 enacted level by almost $4 billion to $153 billion and is $14.5 billion below President Barack Obama’s request. The bill would eliminate funding for the Independent Payment Advisory Board, created by the 2010 health law (PL 111-148, PL 111-152) to recommend Medicare spending cuts under certain circumstances.

Both the House and Senate FY16 Labor-H proposals are now cleared to be considered by their respective bodies. There is no timeline on when the Senate would begin consideration of its draft.

House Committee Passes FY16 Labor-H

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The House Appropriations Committee passed it’s FY16 Labor-H bill by a vote of 30-21. The passage came after hours of debate during which Democrats bitterly criticized funding levels for domestic discretionary accounts and saw a series of their amendments defeated. The bill is $3.7 billion below fiscal 2015 enacted levels and $14.6 billion below President Barack Obama’s budget request. It contains increased funding for the National Institutes of Health but would block new discretionary spending to implement the Affordable Care Act. Additionally, the Administration has issued a letter of concern about the legislation. It is speculated that an official veto threat will not be far behind.

The legislation is expected to be considered on the House Floor after the Fourth of July Recess.

 

White House Issues Veto Threat on House’s FY16 House Interior and OMB Letter on FY16 Labor-H Appropriations Bill

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As discussed yesterday, the House’s FY16 Interior appropriations bill contained significant cuts and policy riders which would be of serious concern to the White House. Accordingly, the White House has issued a Statement of Administrative Policy (SAP) about the House’s draft bill, which includes a veto threat. Additionally, the OMB Director Donovan wrote a letter on the House’s FY16 Labor-H appropriations bill outlining the Administration’s concerns.

This not the first veto threat offered by the administration this year (see here and here). Both SAPs for the House’s FY16 Interior and FY16 Labor-H measures cite the conformance to Sequestration levels of funding as an overarching reason to veto the measures, which has been a reoccurring theme all year.

The SAP on the FY16 Interior bill cites the drastically underfunded core Department of the Interior programs as well as the Environmental Protection Agency’s operating budget. Additionally, the SAP states concerns with “the numerous highly problematic ideological provisions that have no place in funding legislation. These provisions threaten to undermine the ability of States and communities to address climate change and protect a resource that is essential to America’s health—clean water, as well as the most basic protections for America’s special places and the people and wildlife that rely on them.

Additionally, the Administration raises concerns with the numerous policy riders including: blocking the Department of the Interior’s proposed fracking regulations; preventing the implementation of the National Ocean Policy; prohibit funding for the EPA to impose new Green House Gas standards; prevent the EPA from continuing work to implement the 2008 Lead Renovating and Repairing rule until the EPA develops a commercially available “improved” lead paint test kit; and allow the use of lead ammunition in the hunting of migratory waterfowl on public lands.

Finally, the SAP raise separation of powers concerns with the bill due to the policy provisions.

The OMB letter on the FY16 Labor-H bill cites the cuts and restrictions to the Affordable Care Act, the cuts to programs like Head Start, the $6.7 billion cut to the Department of Ed (from the PBR’s proposal), and the effective $370 million cut to Pell. The SAP says in part:

“Through a combination of funding cuts and ideologically-motivated restrictions, the Subcommittee bill would obstruct the functioning of the Health Insurance Marketplaces, jeopardizing or disrupting coverage for the more than 10 million people currently enrolled in health insurance plans through the Marketplaces. It would also deny assistance to States expanding their Medicaid programs under the ACA, jeopardizing coverage for many millions more.

– and –

“This bill includes a $370 million cut to the Pell Grant program, which will make it more difficult to help students pay for college over the next decade. It also cuts funding for administering and overseeing the student aid programs by $136 million, or roughly 9 percent, below the President’s request, hurting the Department of Education’s ability to hold the approximately 6,500 colleges and universities that receive Federal dollars accountable to students and taxpayers and ensure that all students have access to high­ quality loan servicing.”

Additionally the letter cites concerns about the elimination of Title X family planning funds, cuts to the Social Security Administration, and cuts to the Biomedical Advanced Research and Development Authority (BARDA) which procures new medical countermeasures to protect against potential chemical; biological, radiological and nuclear attacks. Finally, the Administration is concerned about the numerous policy riders including the prevention of the ED from implementing the Gainful Employment regulations as well as the host of riders designed to defund and effectively kill the ACA.