CONGRESSIONAL UPDATE ACD DECEMBER MEETING

Adrienne Hallett NIH Associate Director for Legislative Policy & Analysis December 13, 2018 $45

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$15 APPROPRIATIONS NOMINAL $ IN BILLIONS $10

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$0 FY 2018 2019 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2014 2015 2016 2013 2017 FY Total OTHER TRANSACTIONS AUTHORITY

Enacted Oct 24, 2018 Public Law No: 115-271

• “high impact cutting-edge research • that fosters scientific creativity and increases fundamental biological understanding • leading to the prevention, diagnosis, or treatment of diseases or disorders, or

• research urgently required to respond to a public health threat.” OVERSIGHT INVESTIGATIONS

ACD working groups are key to our Oversight Investigations. Your counsel enhances our ability to manage these topics. LAME DUCK SESSION FOUR THINGS TO WATCH

H.R. 2851 SITSA (Stop Importation & Tracking of Synthetic Analogues) Research exemption for DEA Scheduled substances

H.R. 2357 Federal Advisory Comm Amdts Act Concerns with peer review and working groups

NIEHS Superfund Appropriation is currently under Continuing Resolution. Disaster Funding? LOOKING FORWARD CONGRESS AFTER THE ELECTION 116TH CONGRESS

29 Physicians & Scientists Will Serve 84 Women serve in the House 23 Women serve in the Senate Profile of the 35 • 18 physicians – 2 Senate, 16 House • 5 dentists - House • 3 veterinarians - House 79 Veterans serve in the House • 2 physical scientists – House • 2 psychologists - House 17 Veterans serve in the Senate • 3 nurses - House • 1 optometrist - Senate • 1 pharmacist - House NEW MEMBERS – HEALTHCARE PROFESSIONALS

Debbie Mucarsel- Laura Powell Underwood John Joyce

th th • Florida 26th • Illinois 14 • Pennsylvania 13 • Democrat • Democrat • Republican • Associate VP, • Licensed RN • Dermatologist FIU Herbert • Public Health • In private Wertheim Nurse practice College of Medicine NEW MEMBERS– HEALTHCARE PROFESSIONALS

Jeff Van Drew Mark E. Green

• 2nd • Washington 8th • Tennessee 7th • Democrat • Democrat • Republican • Dentist • Pediatrician • Flight Surgeon, • In private • In private US Army practice practice • CEO, Align MD, an emergency medical staffing company NEW MEMBERS – SELECT OTHER SCIENTISTS

Sean Casten Joe Cunningham

• Illinois 6th • South Carolina1st • Pennsylvania 6th • Democrat • Democrat • Democrat • MSc, • Ocean Engineer • MSc, Technology Biochemistry and Policy • CEO, Recycled • Girls and Women Energy in STEM advocate Development PREPARING FOR THE NEW SESSION

21% of Congress is New

Education Campaign Champion Development 10 new Senators Need to replace lost 100 new Representatives champions NIH POLICY MAKERS EXPECTED TO BE REMARKABLY STABLE House Senate Labor, HHS, & Education Labor, HHS, & Education

Chair Rosa DeLauro (CT) Chairman Roy Blunt (MO) Ranking (OK) Ranking Patty Murray (WA) Appropriation Energy & Commerce Health, Education, Labor, and Pensions Chairman (NJ) Ranking Greg Walden (OR) Chairman Lamar Alexander (TN) Ranking Patty Murray (WA) Health Subcommittee

Authorization Chair ??? Ranking Dr. Mike Burgess (TX)? WHAT’S ON TAP 2019 LAST BUDGET DEAL?

Non-Defense Budget Caps $ in billions $600

$595 597 Defense Budget Caps $590 $650 $ in billions 590 647 $585 590 $640 644 644

$580 $630 630 630 $620 $575 578 578 $610 616 $570 $600 $565 2019 2020 2021 566 $560 BCA Current Law

$555

$550 2019 2020 2021

BCA Current Law DYNAMICS IN CONGRESS PART I: MEMBERS RUNNING FOR PRESIDENT DYNAMICS PART II SENATE MAP VS PRESIDENTIAL MAP DYNAMICS PART III WHAT DO “WE THE PEOPLE” WANT? CONGRESSIONAL UPDATE ACD DECEMBER MEETING

Adrienne Hallett NIH Associate Director for Legislative Policy & Analysis December 13, 2018