1. Corporate Roundtable Legislative Update Paul Bonta Associate Executive Director Policy and Government Affairs ACPM February 24, 2012

2. ACPM 2012 Legislative Priorities 2012 Congressional Agenda Impact of Elections on 2012 Agenda Future Funding Outlook Signs of Regular Order?

3. 2012 Legislative Priorities Federal funding for PMR training programs Protect the PPHF Improve access/utilization of clinical preventive services

4. Federal funding for PMR Engage Legislative branch officials Engage Executive branch officials (OMB) Engage Administrative branch officials (HHS)

5. Federal Funding for PMR Outcome: New initiative to expose preventive medicine residents to evidence-based integrative medicine curricula

6. Protect the PPHF Work with likeminded stakeholder organizations Work with national public health and prevention-focused coalitions

7. Protect the PPHF Outcome: Congressional Record February 16, 2012 “As I said, Americans get it. Here is a letter from the American College of Preventive Medicine urging us to oppose taking any money, to diverting any money from the Prevention and Public Health Fund.” - Sen. Tom Harkin

8. Improve access/utilization of clinical preventive services Educate partner groups in organized medicine Educate officials at HHS Educate consumers

9. Improve access/utilization of clinical preventive services Outcome: Webinar series with National Forum for Heart Disease and Stroke Prevention Partnership with Careverge

10. ACPM Policy Activities Require Collaborate and reach out to stakeholder organizations Collaborate, participate and convene national coalitions Engage across all branches of gov’t Legislative process Administrative rule making process

11. 2012 Congressional Agenda Defined by 2012 elections No substantive policy actions after June ‘12 Stymied by entrenched partisanship

12. 2012 Elections Campaigns to begin to overshadow congressional work Parties in Congress work with respective nominee on party platform District office over Washington office

13. No Substantive Policy Actions After June 2012 First lesson in Congress is still alive and well Need to campaign trumps need to legislate

14. Stymied by Entrenched Partisanship “The Democrats seem to be basically nicer to people, but they have demonstrated time and again that they have the management skills of celery. They’re the kind of people who’d stop to help you change a flat, but would somehow manage to set your car on fire. I would be reluctant to entrust them with a Cuisinart, let alone the economy…

15. Cont’d Republicans, on the other hand, would know how to fix your tire, but they wouldn’t bother to stop because they’d want to be on time for Ugly Pants Night at the Country Club.” – Dave Berry

16. Impact of Elections on 2012 Agenda

17. 1. Campaigns 2. Campaigns 3. Campaigns

18. Impact of Elections on 2012 Agenda GOP convention – Aug. 2012 Dem convention – Sept. 2012

19. Future Funding Outlook? 3 ways to increase revenue Taxes Spending cuts Improved economy Sequester? Continued divided government?

20. Signs of Regular Order? Appropriators and authorizers want their mojo back

21. Signs of Regular Order? Appropriators are voicing opposition to a continued ban on earmarks Authorizers are actively working to move several major reauthorization bills PDUFA - Prescription Drug User Fee Act MDUFMA - Medical Device User Fee and Modernization Act ADUFA - Animal Drug User Fee Act GDUFA - Generic Drug User Fee Act

22. Questions? Paul Bonta Associate Executive Director Policy and Government Affairs ACPM pbonta@acpm.org 202-466-2044