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A Weekly Publication of the Department of Government Relations  Week of January 10, 2011 
In This Issue
112th Congress Overview
Federal Funding Showdown
DEA Administrator Confirmed in Waning Days of 111th Congress
Fellowship Program

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112th Congress Overview

Last November's election results bring many new faces to Capitol Hill, as one-fifth of the new 112th Congress will be freshmen.  Your DGR staff has already initiated a year-long effort to educate the new Members of Congress about APA priorities for our members and your patients.  The sheer number of freshmen, together with the change in party control of the House creates opportunities to make new friends and find new champions on the Hill.

                           

There will also be significant challenges.  On January 4, the House approved the rule setting terms for the upcoming floor debate on legislation to repeal last year's health reform law.  Originally scheduled for January 12, the debate has been postponed in the wake of the shooting of Representative Gabrielle Giffords (D-AZ) and nineteen others in Tucson.  Given the retention of a slim Democratic majority in the Senate, outright repeal is unlikely, all the more so since President Obama has already stated he will veto any repeal bill that makes it to his desk.

 

House lawmakers are therefore poised to try to scale back the scope of the law by targeting unpopular provisions such as the individual/employer coverage mandate, reducing or eliminating funding to carry out the law, or using spending bills to block regulations implementing key provisions of the law to which they object.  Assuming ongoing federal lawsuits by various state attorneys general seeking to dismantle the law are unresolved, these and similar congressional activities can be expected to carry on through much of the two-year Congress in the run up to the presidential election in 2012.

 

Even while Congress debates whether to repeal or scale back health reform, we will have to devote a lot of attention to the simultaneous issuance of analyzing and commenting on myriad federal regulations to implement the reform law, and in providing information to APA members about how the actual implementation will (or won't) impact your practice.  We're certainly living in interesting times, and look forward to your active involvement as we navigate these tumultuous political currents.

Federal Funding Showdown

House-Senate clashes over federal spending will happen early this year.  The current stopgap spending law runs through March 4, and lawmakers will have to reach an agreement on funding for the balance of the year to avoid a government shutdown.  Just a few weeks later, lawmakers may have to take up legislation to increase the nation's debt limit, which would add another wrinkle to any budget fight. House Majority Leader Eric Cantor (R-VA) acknowledged recently that Senate Democrats control enough votes to block cuts passed by the House. Changes pushed by new House Speaker John Boehner (R-OH) would break up the 12 annual appropriations bills for government agencies into smaller measures. He has said that cutting spending would be easier if the bills were more narrowly focused. At this point, House GOP leaders may attempt to cut federal domestic spending back to 2008 levels, which would mean a decrease of about 8 percent in most programs.

DEA Administrator Confirmed in Waning Days of 111th Congress

Sen. Herb Kohl (D-WI) has lifted the hold on the nomination of Michelle Leonhart to head the U.S. Drug Enforcement Agency after receiving assurances from Attorney General Eric Holder that the DEA would address roadblocks to the timely administration of painkillers and psychiatric medications in long term care facilities. The DEA has promised to work with Senator Kohl on proposed changes to the regulatory requirement that physicians personally transmit written orders and will submit a proposal that allows the option for assigned agent intermediaries to transmit the practitioner's order. The APA had highlighted how these barriers affect psychiatric care in its letter to Senator Kohl after announcement of the hold. Click here to read our December letter.

Fellowship Program 

The U.S. Department of Veterans Affairs (VA) announces openings for the 2011 - 2012 academic year of its Interprofessional Fellowship Program in Psychosocial Rehabilitation and Recovery Oriented Services for Veterans with serious mental illness. The Fellowship Program is a state-of-the-art, clinical training program that focuses on the theory and practice of psychosocial rehabilitation.  To read more about this opportunity please click here.