ASTMH Council Meeting

May 5, 2013

Jodie Curtis, Senior Government Relations Director

Erin Will Morton, MA, Senior Government Relations Manager

ASTMH Council Meeting – May 2013

ASTMH Accomplishments: November 2012 – May 2013

ASTMH Council Meeting – May 2013

• Submitted public testimony on March 15, 2013, to the House Labor, Health, and Human Services Appropriations subcommittee regarding fiscal year 2014 requests for the National Institutes of Health and Centers for Disease Control and Prevention

• Submitted report language to the House and Senate DoD and LHHS subcommittees (over 40 offices) regarding research and development within DoD, NIH, and CDC

ASTMH Advocacy: Testimony and Report Language

ASTMH Council Meeting – May 2013

ASTMH Advocacy

• Met with 25 Capitol Hill offices regarding budget requests for global health and tropical medicine R&D

• Activated the ASTMH membership several times to weigh in with policymakers on the impact of sequestration and budget cuts to global health programs

• Sent a letter to Congresswoman Barbara Lee (D-CA) expressing appreciation for the introduction of H.Res. 31, recognizing the anniversary of the cholera outbreak in Haiti

• Worked closely with the global health and foreign aid communities to protect funding

ASTMH Council Meeting – May 2013

ASTMH Advocacy: Department of Defense

• Sent letters to the Secretary and Surgeons General of the Army and Navy regarding conference attendance and meeting requests

• Met with Vice Admiral Nathan, Navy Surgeon General, on March 13, 2013

• Held a teleconference on April 4, 2013, with the office of the Army Surgeon General

• Continue to co-chair DoD advocacy working group with the Global Health Technologies Coalition (GHTC)• Organized a teleconference with Dr. Alan McGill to discuss

DoD budget and infectious disease research and development• Organized a teleconference with Col. Pete Weina at WRAIR to

learn more about WRAIR operations and research priorities

ASTMH Council Meeting – May 2013

DoD Hearing – April 24

• Testimony from Vice Admiral Matthew L. Nathan, Surgeon General of the Navy and Lieutenant General Patricia D. Horoho, Surgeon General of the Army

• Questions specifically about malaria R&D at WRAIR and NMRC

• “…right now we're still using the prevention of oral medication as our soldiers, sailors, airmen and Marines deploy. But we are focused on trying to find a vaccine.” (Horoho)

ASTMH Council Meeting – May 2013

ASTMH Involvement in Stakeholder Events

“Rally for Medical Research” on April 8,

2013“Malaria 101: Briefing and

Reception” on April 11, 2013

World Malaria Day event, “Invest in the Future:

Defeat Malaria” on April 25, 2013

ASTMH Council Meeting – May 2013

ASTMH Stakeholder Involvement

• Signed onto ten coalition letters to policymakers regarding budget and sequestration and impact on global health R&D

• Participate in malaria R&D working group• Attend and actively participate in the Global Health

Technologies Coalition• Participate in the malaria and NTD roundtables• Met with the Center for Strategic and International Studies

(CSIS) regarding global health R&D priorities and possible collaboration for ASTMH annual meeting

ASTMH Council Meeting – May 2013

Life in Washington

ASTMH Council Meeting – May 2013

A Few Things Are Going On…

• Fiscal cliff averted (for now)• FY 2013 funding FINALLY wrapped up• President’s FY 2014 budget FINALLY released• Congressional budget and appropriations process

for FY 2014 underway• Debt ceiling expires again on May 19, 2013• Sequestration?

ASTMH Council Meeting – May 2013

President Obama on Scientific Research

• 150th Anniversary of the National Academy of Sciences

• “We can’t afford to stand still for a year, or two years, or three years. We’ve got to seize every opportunity to get ahead”

• “…we’re on the brink of amazing breakthroughs that have the chance, the potential to change life for the better, which is why we can’t afford to cut these investments in science and technology.”

ASTMH Council Meeting – May 2013

Secretary Kerry

• Focused on global hot spots• Global health agenda not as

visible as under Secretary Clinton

ASTMH Council Meeting – May 2013

President’s FY 2014 BudgetAgency FY 12 Final FY 2014 Request Percent Change

NIH $30,868,000,000 $31,340,000,000 1.53%

NIAID $4,487,000,000 $4,578,813,000 2.05%

Fogarty $70,000,000 $72,864,000 4.09%

CDC $5,655,670,000 $5,217,000,000 -7.76%

CDC Parasitic Diseases and Malaria $22,069,000 $22,231,000 0.73%

Emerging and Zoonotic Infectious Disease $310,393,000 $380,664,000 22.64%

Global Health/Child Survival (USAID) $2,629,800,000 $2,645,000,000 0.58%

USAID NTDs $89,000,000 $85,000,000 -4.49%

USAID Malaria $650,000,000 $670,000,000 3.08%

ASTMH Council Meeting – May 2013

• Appropriations committees are working on program and agency funding levels

• Public witness hearings and agency officials testifying• Appropriations bills will be released• House and Senate bills will be conferenced• Individual bills or omnibus passed• Possible continuing resolution

Budget Outlook

ASTMH Council Meeting – May 2013

Sequestration

• Effective March 1, 2013 (delayed from January 1, 2013)• Medicare sequester (2 percent) effective April 1• Non-defense discretionary programs cut about 5 – 6

percent• Defense programs cut about 7 – 8 percent• Beyond FY 2013?• Anticipated continued travel cuts

Most Believe Sequestration Will Have No Impact on Families

Source: Steven Thomma,“Poll: Sequester Has Not Hit Home,” McClatchy Newspapers, March 10, 2013.

What Kind of Impact Will Sequestration Have on You and Your Family?

Negative

Impact

Positive

Impact

No Impact

Analysis49% of registered voters believe federal spending cuts will have no effect on them or their families

Updated

March 20, 2012

Department of Justice, National Institutes of Health to Incur Major Cuts due to Sequestration

Source: “Flight Delays, Furloughs and Military Cuts, Oh My!,” Matt Vasilogambros, National Journal, Feb. 21, 2013.

* List is non-exhaustive

Cuts to Key Government Programs and Agencies*

(Cuts in Billions)

NoteSeveral mandatory spending programs are exempt from cuts, including Social Security, Medicaid, food stamps, veteran’s benefits and the Children’s Health Insurance Program

Federal Aviation

Administration

National Park

Service CDC

National Institutes of Health

Federal funding

for health centers

Global humanitaria

n assistance

Global health funding

Global conflict

prevention

Military assistance to foreign nationsUSAID FEMA

HeadStart

programsDepartment of Justice

National Science

Foundation NASA

Updated2/22/13

ASTMH Council Meeting – May 2013

ASTMH’s Sequestration Talking Points

• Message #1: Indiscriminate budget cuts are the wrong way to reduce the nation’s debt. They will set us back on innovation and disrupt life-saving global public health programs.

• Message #2: Slashing funding now will interrupt scientific progress and leave us without the urgent tools we need to address health needs now and in the future.

• Message #3: Cutting foreign aid will not solve the debt crisis.

ASTMH Council Meeting – May 2013

ASTMH’s Role

ASTMH Council Meeting – May 2013

ASTMH “Asks”

• Provide increased funding for the Centers for Disease Control and Prevention, including:• The CDC Emerging & Zoonotic Infectious Disease Program • CDC global health programs

• Ensure robust funding for the Department of Defense infectious disease research efforts including activities at Walter Reed Army Institute of Research (WRAIR) and the Naval Medical Research Center (NMRC)

• Provide $32 billion to NIH with a commensurate funding to NIAID and the Fogarty Center

ASTMH Council Meeting – May 2013

ASTMH “Asks”

• Support robust funding for USAID programs including:• At least $100 million for bilateral neglected disease control efforts

and invest in R&D• $670 million for the President’s Malaria Initiative (PMI)• Funding of clean water and sanitation programs under the Global

Health and Child Survival program and the Paul Simon Water for the Poor Act

• Funding for late-stage research and development of new tools (drugs, diagnostics, vaccines)

• Fund the United States’ FY 2014 voluntary contribution to the Global Fund at $1.65 billion

ASTMH Council Meeting – May 2013

Upcoming ASTMH Activities

• Repeat our messages over and over

• Work with community to advocate for highest possible numbers for global health

• Work as a bridge in global health community

• Hill meetings• Hill testimony• Hill briefings

ASTMH Council Meeting – May 2013

CapWiz

• CapWiz alerts are an effective way to communicate with policymakers

• The number of messages sent matters!• Messages are written for a Hill audience—but personalized

stories always help• World Malaria Day message had 107 participants and 317

advocacy messages sent to the Hill• ASTMH plans to send one message every month

ASTMH Council Meeting – May 2013

Next Steps in ASTMH Advocacy• Increase member participation in Capwiz Capitol Hill outreach

campaigns• Council Members on Capitol Hill on Monday

• Dave Walker• Dan Bausch• Stephen Dobson• Kayla Laserson

• Webinars – “Advocacy 101, Session Update”• Leverage ASTMH Annual Meeting in Washington, D.C.• Use social media to inform about policy

• Alan Magill• Pat Walker• Pete Zimmerman

ASTMH Council Meeting – May 2013

Questions and Answers