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Title VII -
FY04 Appropriations Alert
ACTION
NEEDED:
1.)
Please call your Representative to ask that he/she NOT support
the Labor/HHS Appropriations bill for FY04, as passed by the House Appropriations
Committee.
2.) Please
call your Senators, and ask that they NOT support the
Labor/HHS Appropriations bill for FY04, as passed by the Senate Appropriations
Committee.
For talking
points, please see below.
BACKGROUND:
Both
the House and Senate Appropriations Committees have completed action on
the Labor/HHS appropriations bills. Funding for Health Professions programs
(Title VII) was cut in both bills; dramatically so in the Senate version.
The Senate decimated the program, reducing it from an over $300 million
dollar program to less than $20 million after full committee action!
In the
House version, Health Professions received a $30 million cut. The Primary
Care Medicine and Dentistry cluster (which includes family medicine) received
almost half of the total cut - over $13 million - which represents a 14%
cut in the program.
Our strategy
is to make the case very strongly that these cuts are unacceptable. Our
hope is that if the leadership realizes these bills are not supported as
is, they will agree to add more funding to the total pot of money available.
HOUSE-SPECIFIC
TALKING POINTS:
• Please
do not support the bill to fund the Labor/HHS programs for FY04 (H.R. 2660)
• Health professions received a $30 million cut in the House Labor/HHS
appropriations bill. The Primary Care Medicine and Dentistry cluster
received almost half of the total cut - over $13 million - which represents
a 14% cut in the program. This cluster, which makes up 30% of the Title VII
funding, received 44% of the overall cuts.
SENATE-SPECIFIC
TALKING POINTS:
• Please
do not support the Senate Appropriations Committee bill to fund
the Labor/HHS programs for FY04 (S-1356).
• Health professions funding was decimated in the Senate Labor/HHS
appropriations bill. A program currently funded at over $300 million was cut
to less than $20 million.
• Thirty-three Senators - a third of the Senate - signed a letter to the
committee Chair and Ranking Member asking that these programs
receive STRONG funding this year. To see if your Senators
signed on, click here.
TALKING
POINTS FOR ALL PHONE CALLS:
• Such
drastic cuts are not acceptable. Section 747 funding for family
medicine has led thousands of physicians to go into primary care and family
medicine and serve millions of patients. Specifically, a study by the
Robert Graham Center for Policy Studies showed that medical schools that
received Section 747 family medicine funds produced more medical students
who ultimately practiced in family medicine or primary care, practiced in a
rural area or practiced in an underserved area called a HPSA.
• The study showed that this funding was associated with the production
of
an additional 7,000 primary care physicians by 2000. That represented about
27 percent of all primary care physicians in practice at the time. The study
showed that continued funding during the years of medical school training
had more of a positive impact than intermittent funding.
• Community Health Centers are increased in the House bill by $100 million,
or 8%. This bill does not reconcile the fact that almost half the physicians
who serve in community health centers are family physicians.
• Unless Congress continues to fully fund programs to train future family
physicians, who will staff these centers, the population will remain
underserved.
• Funding for health professions programs, particularly the Primary Care
Medicine and Dentistry cluster, must be restored.
• A recent survey of departments of family medicine assessing the impact
of
Title VII funding, found that just over half of departments of family
medicine said their viability would be threatened if Title VII went away.
The survey found that if Title VII funding goes away, the average number of
faculty positions lost would be 6 per department.
-
FY04
Appropriations Alert: If
your Representative and/or Senator(s) sit on the Appropriations Committee,
please
CALL them as soon as possible to request that they include funding of $169
million for Title VII, Section 747 in their priority wish list.
You can
follow up your conversation with a letter faxed to the Capitol Hill office.
For a
draft letter to your legislator(s), please click
here.
- FY03
Background
click
here to view
- Key
Talking Points for FY03
click
here to view
Our
FY03 Request of Congress
click
here to view
-
FY03
Senate Appropriations Alert: We
ask that you contact your Senator if he or she sits on the Senate Appropriations
Committee to request that the committee add, on the Senate floor, additional funding
to at least current levels for the health professions programs. The committee
has not fully restored funding for health professions training programs for FY03.
Funding for Title VII has been reduced by the committee to $160 million, as compared
to $295 million appropriated in fiscal year 2002. We need to make sure the committee
members know the cuts to the health profressions program have not gone unnoticed.
Please contct your Senator.
- FY03
House Appropriations Alert: We
aks that you contact your Representative if he/she sits on the House Appropriations
Committee as soon as possible. We expect the Committee to mark up the bill shortly.
Appropriators need to hear your vocal support for Title VII and AHRQ programs!
- FY03
Statement to the House Subcommittee on L-HHS Appropriations, concerning
Family Practice Training Programs and Research
click here to view
- FY02
Testimony to the House Subcommittee on L-HHS Appropriations, concerning Family
Practice Training Programs and Research (Presented by Robert Schwartz, MD)
click here to view
- FY01
Statement to the Subcommittee on L-HHS, Education & Related Agencies House
Committee on Appropriations, concerning Family Practice Training Programs and
Research
click
here to view
- FY00
House Labor HHS Appropriations Subcommittee - Family Practice Training Programs
and Research (Presented by John Dickinson, MD)
click
here to view
- FY99
House Labor, HHS Appropriations Subcommittee - Family Practice Training Programs
and Research (Presented by Joseph Hobbs, MD)
click
here to view
-
Presentation to the HRSA Advisory Committee on Training in Primary Care Medicine
and Dentistry (Presented by Carlos Moreno, MD & Joseph Scherger, MD)
click here to view
ALERT
#1: RESTORE FUNDING FOR TITLE VII TO CURRENT LEVELS
Both the
House and Senate have cut funding for Title VII, Section 747 Family Medicine
training programs in their FY04 spending bills. We need your help now to
restore funding to current levels.
BACKGROUND:
In the
House version, Health Professions received a $30 million cut. The Primary
Care Medicine and Dentistry cluster (which includes family medicine) received
almost half of the total cut - over $13 million - which represents a 14%
cut in the program.
The Senate’s
version of the bill was even more drastic. Funding for Title VII would essentially
be eliminated. All of Title VII received less than $20 million - down from
its current level of $308 million. Family Medicine funding was zeroed out.
Yet there is some positive news on the Senate side. On September 10, 2003
Senate Majority Leader Bill Frist engaged several other supporters of Title
VII programs in a conversation on the Senate floor. Senator Frist asked that
the conferees "fully restore funding for all Health Professions Training
Programs."
Soon we expect
the House and Senate to meet in conference to iron out the differences in the
two bills. It is vital that Title VII be fully funded in conference.
ACTION
REQUESTED:
Please
call your Representative and Senators. Urge him/her to restore funding
to current levels for all Title VII Health Professions programs, especially
the Section 747 Primary Care Medicine and Dentistry cluster.
TOOLS
TO HELP:
Talking
points to aid in your phone conversation.
A draft
letter to follow up your call
Senators
Reed and Roberts initiated a Dear
Colleague letter in the Senate in support of FULL FUNDING for Title
VII. 33 Senators signed on--to see if your Senator supports Title VII funding, click
here.
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