A project of the George Washington University's Hirsh Health Law and Policy Program and the Robert Wood Johnson Foundation

House Appropriations Committee seeks to cut all AHRQ and PCOR funding

Posted on July 18, 2012 | No Comments

PDF Version
Details
Key Developments
Library
Implementation Briefs

Yesterday, the House Appropriations Committee posted the proposed fiscal year 2013 spending bill for the Departments of Labor, Health and Human Services, Education and related agencies. The bill effectively terminates the Agency for Healthcare Research and Quality (Section 223) by cutting its budget entirely. This is the first such attack on AHRQ funding in almost 20 years.

AHRQ funds research and programs at local universities, hospitals, and health departments that improve the quality, safety, efficiency, and effectiveness of health care. The bill also cuts funding for patient-centered outcomes research (Section 217). The PCOR funding prohibition would extend to any federal agency in the subcommittee’s jurisdiction.

No Comments

Public comments are closed.

The Affordable Care Act (ACA) includes provisions that promote research to evaluate and compare health outcomes and the clinical effectiveness, risks, and benefits of medical treatments, services, procedures, drugs, and other strategies or items that treat, manage, diagnose, or prevent illness or injury. One provision relates to the establishment of the private, nonprofit corporation, the Patient-Centered Outcomes Research Institute. The Institute will assist, through research, patients, clinicians, purchasers, and policy-makers in making informed health decisions by advancing the quality and relevance of evidence-based medicine through the synthesis and dissemination of comparative clinical effectiveness research findings. The Internal Revenue Service (IRS) released a notice of proposed rulemaking (NPRM) regarding fees on health insurance policies and self-insured plans for the patient-centered outcomes research trust fund. The NPRM contains proposed regulations that implement and provide guidance on the fees imposed by the Affordable Care Act (ACA) on issuers of certain health insurance policies and plan sponsors of certain self-insured health plans to fund the Patient-Centered Outcomes Research Trust Fund. These proposed regulations affect the issuers and plan sponsors that are directed to pay those fees.
The Patient-Centered Outcomes Research Institute (PCORI) proposed national priorities for patient-centered comparative clinical effectiveness in their first version of PCORI’s Research Agenda. PCORI expects to learn and update this as we move forward. We are not specifying or prioritizing any particular condition or disease for research, although we may do so in the future. Consistent with the criteria outlined in the Affordable Care Act (ACA), PCORI’s first research agenda looks at: -Comparisons of Prevention, Diagnosis, and Treatment Options...
Since the enactment of the Affordable Care Act (ACA), at least 27 lawsuits have been filed challenging the constitutionality of various provisions of the law. While nearly half of the lawsuits have been dismissed on procedural grounds, three district courts have found provisions challenged to be constitutional, and three have found them to be unconstitutional. Previous HealthReform GPS Implementation briefs/updates have discussed these lower court decisions. Following appeals of each of these rulings, the United States Courts of Appeals in the Fourth, Sixth, and Eleventh Circuits have now issued decisions as well. Most importantly, the appellate decisions continue to reflect a split in judicial opinion regarding the constitutionality of the Affordable Care Act’s individual mandate. Other important issues addressed by the appellate rulings concerned the constitutionality of the ACA Medicaid expansion and the question of whether the trial court in the Virginia cases (Liberty University v. Geithner and Commonwealth of Virginia v. Sebelius) had the authority to hear the cases at all.
This is an updated version of a brief originally published on November 15, 2010. Shortly after President Obama signed the Patient Protection and Affordable Care Act (ACA)[1] into law, opponents of the law filed a series of legal challenges in federal court. This health reform implementation brief provides an overview of the legal challenges by identifying and providing summaries of the two major cases filed by states and select claims, not raised by the states, from other cases.