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Update from Washington, DC

Congress returns to work this week after a fractious August recess during which lawmakers were confronted about the public health insurance option and other contentious elements in Democratic health reform bills.  Policy experts already are identifying less controversial proposals that could attract support from moderate Democrats and even some Republicans.

Lawmakers hope to come up with a compromise on health reform by the middle of October.  If no compromise is found, it’s likely they will try to enact a series of smaller health measures. 

President Obama will address a joint session of Congress on Wednesday to discuss health care overhaul legislation. Health care negotiations in both chambers are expected to dominate legislative business for much of the fall. 

Meanwhile, it seems all but certain that Congress will not be able to complete all twelve FY10 appropriations bills before the next fiscal year begins Oct. 1st.  Lawmakers will likely has to pass a continuing resolution (CR) later this month to fund federal agencies when FY10 begins. 

House and Senate leaders still hope to avoid an omnibus package.  Completing all of the bills individually will depend largely on how quickly the Senate acts on its eight remaining measures. 

The House has passed all twelve of their FY10 bills, but none of the measures has gone to conference or been enacted into law.  Four bills that both chambers have approved – Agriculture, Energy-Water, Homeland Security, and Legislative Branch – will likely be sent to the President for signature before October 1st

The Senate is expected to take up three of their FY10 spending bills this week, including Transportation-HUD, Interior-Environment, and Commerce-Justice-Science. The Defense spending bill will follow late this week or next, after subcommittee markup on Wednesday. 

Even with the busy legislative schedule this fall, we are looking forward to seeing several members of the UW community in DC and on Capitol Hill.  If you are planning on being in DC this fall, please get in touch with our office so that we can coordinate all the visits – and to ensure that you are getting appointments with the folks you need to see.  As always, we are here to help you advocate for your projects and programs! 

Christy Gullion, Director

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.

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.