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NIH and Congress ADRIENNE HALLETT ASSOCIATE DIRECTOR FOR LEGISLATIVE POLICY & ANALYSIS NATIONAL INSTITUTES OF HEALTH

NIH and Congress. ORWH...My Background Joined NIH in 2015 Senate Appropriations Committee 20012015-• Mostly on Subcommittee that funds NIH • Negotiated many contentious programs

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Page 1: NIH and Congress. ORWH...My Background Joined NIH in 2015 Senate Appropriations Committee 20012015-• Mostly on Subcommittee that funds NIH • Negotiated many contentious programs

NIH and CongressADRIENNE HALLET T

ASSOCIATE DIRECTOR FOR LEGISLATIVE POLICY & ANALYSIS

NATIONAL INSTITUTES OF HEALTH

Page 2: NIH and Congress. ORWH...My Background Joined NIH in 2015 Senate Appropriations Committee 20012015-• Mostly on Subcommittee that funds NIH • Negotiated many contentious programs

My BackgroundJoined NIH in 2015

Senate Appropriations Committee 2001-2015• Mostly on Subcommittee that funds NIH• Negotiated many contentious programs including family

planning and Obamacare implementation• Managed the speakers in the Senate floor debate on

Stem Cell Enhancement Act of 2005

Senator Tom Harkin (D-IA) personal office 1999-2001

Master’s in Theological Studies from Vanderbilt Divinity School

2

Page 3: NIH and Congress. ORWH...My Background Joined NIH in 2015 Senate Appropriations Committee 20012015-• Mostly on Subcommittee that funds NIH • Negotiated many contentious programs

2019 = Rebuilding Year

Education Campaign10 new Senators

100 new Representatives

Champion DevelopmentNeed to replace lost

champions

21% of Congress is new

Page 4: NIH and Congress. ORWH...My Background Joined NIH in 2015 Senate Appropriations Committee 20012015-• Mostly on Subcommittee that funds NIH • Negotiated many contentious programs

116th Congress84 Women serve in the House

23 Women serve in the Senate

79 Veterans serve in the House

17 Veterans serve in the Senate

29 Physicians & Scientists serve

Profile of the 35• 18 physicians – 2 Senate, 16 House• 5 dentists – House• 3 veterinarians – House• 2 physical scientists – House• 2 psychologists – House• 3 nurses – House• 1 optometrist – Senate • 1 pharmacist – House

Presenter
Presentation Notes
Activists are beginning to approach elections differently. An increasing number of groups have emerged to field candidates based on demographics more than belief systems. Scientists have begun running as scientists. Should there be a big increase in the number of scientists serving next year, will that change the legislative agenda in any way?
Page 5: NIH and Congress. ORWH...My Background Joined NIH in 2015 Senate Appropriations Committee 20012015-• Mostly on Subcommittee that funds NIH • Negotiated many contentious programs

NIH Policy MakersHouse Senate

Appr

opria

tion Labor, HHS, & Education

Chair Rosa DeLauro (CT)Ranking Tom Cole (OK)

Labor, HHS, & Education

Chair Roy Blunt (MO)Ranking Patty Murray (WA)

Auth

oriza

tion

Energy & Commerce

Chairman Frank Pallone (NJ)Ranking Greg Walden (OR)

Health Subcommittee Chair Anne Eshoo (CA)Ranking Dr. Mike Burgess (TX)

Health, Education, Labor, and Pensions

Chairman Lamar Alexander (TN)Ranking Patty Murray (WA)

5

Presenter
Presentation Notes
Authorizing = Policy Approps = Funding Exceptions- riders and mandatory $ Time in authorizing – competing with energy vs competing with education
Page 6: NIH and Congress. ORWH...My Background Joined NIH in 2015 Senate Appropriations Committee 20012015-• Mostly on Subcommittee that funds NIH • Negotiated many contentious programs

Appropriations UpdateHouse + $2 billionSenate + $3 billion

Continuing Resolution ends Nov 21st

Page 7: NIH and Congress. ORWH...My Background Joined NIH in 2015 Senate Appropriations Committee 20012015-• Mostly on Subcommittee that funds NIH • Negotiated many contentious programs

NIH Appropriationsnominal $ in billions

$0

$5

$10

$15

$20

$25

$30

$35

$40

$45

FY 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

FY Total

Page 8: NIH and Congress. ORWH...My Background Joined NIH in 2015 Senate Appropriations Committee 20012015-• Mostly on Subcommittee that funds NIH • Negotiated many contentious programs

Hot Topics

Foreign InfluenceSexual Harassment

Health DisparitiesMaternal Mortality

Page 9: NIH and Congress. ORWH...My Background Joined NIH in 2015 Senate Appropriations Committee 20012015-• Mostly on Subcommittee that funds NIH • Negotiated many contentious programs

NIH OversightHouse Senate

Gov

ernm

ent

wid

e

Government Reform & Oversight

Chairman Elijah Cummings (MD)*Ranking Jim Jordan (OH)

Homeland Security & Government Reform

Chairman Ron Johnson (WI)Ranking Gary Peters (MI)

Auth

oriza

tion Subcmte on Oversight &

Investigations

Chairman Diana DeGette (CO)Ranking Brett Guthrie (R-KY)

HELP CommitteeOversight at Full Cmte level

Chairman Lamar Alexander (TN)Ranking Patty Murray (WA)

9

Page 10: NIH and Congress. ORWH...My Background Joined NIH in 2015 Senate Appropriations Committee 20012015-• Mostly on Subcommittee that funds NIH • Negotiated many contentious programs

Fall Schedule

Page 11: NIH and Congress. ORWH...My Background Joined NIH in 2015 Senate Appropriations Committee 20012015-• Mostly on Subcommittee that funds NIH • Negotiated many contentious programs

Questions?

Page 12: NIH and Congress. ORWH...My Background Joined NIH in 2015 Senate Appropriations Committee 20012015-• Mostly on Subcommittee that funds NIH • Negotiated many contentious programs

Pace of Change

Change in Control of House, Senate and/or White House

1960 1962 1964 1966 1968 1970 1972 1974 1976 1978

1980 1982 1984 1986 1988 1990 1992 1994 1996 1998

2000 2002 2004 2006 2008 2010 2012 2014 2016 2018

Credit: Mehlman Castagnetti