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Washington Update

Association of American Physicians & Surgeons

The Voice for Private Physicians Since 1943

<http://www.aapsonline.org> www.aapsonline.org

Legislative news & Washington D.C. update

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1. Medical liability passes House

2. Abortion non-discrimination moves to Senate – Action needed!

3. Vaccine liability bills still need public action

4. AAPS helps stall pediatric drug rule – Action needed!

5. Other Washington news--

New FDA chief

Action on HIPAA

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1. Medical liability bill passes House

On Sept. 26, the House of Representatives passed H.R. 4600, the “Help

Efficient, Accessible, Low Cost, Timely Health Care (HEALTH) Act of

2002. The bill now moves to the Senate. The vote was along party lines,

with 14 Democrats supporting. (Bill summary, text and voting:

http://thomas.loc.gov/cgi-bin/bdquery/z?d107:h.r.04600:

This is good news and bad news. The good news is that lawmakers are

finally paying attention to the devastating effects of policy on

litigation, medical liability premiums and availability. The bad news

is that it does not address the root causes, and may exceed federal

authority.

In the words of Congressman Ron , M.D., (a lifetime AAPS member) on

the floor of the House:

“…while I support the efforts of the sponsors of HR 4600 to address the

crisis in health care caused by

excessive malpractice litigation and insurance premiums, I cannot

support this bill. HR 4600 exceeds

Congress' constitutional limitations and denies full compensation to

those harmed by the unintentional

effects of federal vaccine mandates. Instead of furthering

unconstitutional authority, my colleagues should

focus on addressing the root causes of the malpractice crisis by

supporting efforts to restore the primacy

of contract to the doctor-patient relationships.”

To read the entire text of Dr. ’s eloquent statement, visit

http://www.house.gov/paul/congrec/congrec2002/cr092602.htm

The bill is supported by the AMA, with whom we have been working closely

to advance liability reform, and the bill incorporates a number of the

proposals outlined in the AAPS “Primer on

<http://www.aapsonline.org/judicial/malprim.htm> Medical Malpractice

Reform.” If you would like more information on H.R. 4600 and the

Senate version, there is a summary and analysis posted by the AMA at

http://www.ama-assn.org/ama/pub/category/6087.html

2. Abortion non-discrimination bill passes House

Last week the House passed H.R. 4691, the Abortion Non-Discrimination

Act (ANDA) by a vote of 229 to 189, largely along party lines, with the

Republicans supporting. It now moves to the Senate as S. 2008 sponsored

by Sen. Judd Gregg. Bilirakis

H.R. 4691 clarifies the scope of a nondiscrimination statute (42 USC

§238n) that Congress overwhelmingly approved in 1996. The current law

protects “health care entities,” including medical residency programs,

from being forced by government bodies to provide abortions or abortion

training. The new bill makes it clear that this protection extends to

the full range of health care entities, including hospitals and

individual health professionals. It also applies this protection to

entities being told they must pay for abortions against their will.

This does not place any restrictions on abortions, instead allowing

individual physicians and others to follow their own consciences.

Please thank your member for a yes vote, and urge your Senators to do

the same.

To read the HOUSE bill summary, text and how your representative voted,

see:

http://thomas.loc.gov/cgi-bin/bdquery/z?d107:h.r.04691:

<http://thomas.loc.gov/cgi-bin/bdquery/z?d107:h.r.04691:1>

To read the SENATE version:

http://thomas.loc.gov/cgi-bin/bdquery/z?d107:SN02008:

<http://thomas.loc.gov/cgi-bin/bdquery/z?d107:SN02008:8>

3. Vaccine liability bill still needs public action

Last week we sent you an alert about two bills pertaining to vaccines.

The first, S. 2053 sponsored by Sen. Frist (R-TN) and would create new

hurdles for the vaccine-injured. (The House version is H.R. 5282)

The second is House bill H.R. 3741 sponsored by Reps. Dan Burton (R-IN)

and Henry Waxman (D-CA).

We urged that you help defeat the Frist bill and its House version, and

support the Burton/Waxman bill. There has been no movement on either on

the calendar, but please keep up your efforts.

Click here to read the <http://www.aapsonline.org/alerts/fristalert.htm>

background sent out with the original alert. To read the bills:

H.R. 3741 Burton/Waxman:

http://thomas.loc.gov/cgi-bin/bdquery/z?d107:h.r.03741:

S. 2053 Frist:

http://thomas.loc.gov/cgi-bin/bdquery/z?d107:s.02053:

<http://thomas.loc.gov/cgi-bin/bdquery/z?d107:s.02053:3>

H.R. 5282

http://thomas.loc.gov/cgi-bin/bdquery/z?d107:h.r.05282:

<http://thomas.loc.gov/cgi-bin/bdquery/z?d107:h.r.05282:2>

4. AAPS helps stall pediatric drug rule

Attempts at political maneuvering could get a controversial bill on the

Senate calendar, but so far we have been able to stall it. Last week,

we sent a letter to Sen. Rick Santorum to urge him to keep it off the

calendar. So far so good.

The bill, S. 2394 would require pediatric testing for all new drugs.

Supporters of the bill have tried to portray AAPS and others who oppose

it as impeding delivery of drugs to children.

But AAPS opposes this bill because it hurts children, instead of helping

them. We cannot support unrestricted clinical pediatric trials.

Also, the legislation would add further delays to the FDA approval

process, making new drugs unavailable to the entire population. (Click

here to read AAPS <http://www.aapsonline.org/legis/fdaped.htm> letter

and analysis of the bill.)

Supporters are trying to sneak this controversial bill onto the “consent

calendar” to be approved with a batch of other bills (like post office

naming) that will be approved unless someone objects. ASK YOUR SENATOR

TO OBJECT TO “SENATE CALENDAR 547.”

To reach your Senator: http://www.senate.gov/contacting/index.cfm

5. Other Washington news

New FDA chief

Dr. Mark McClellan has been nominated to become FDA commissioner,

leaving his position as the president’s chief health care policy

advisor, where he has been influential in shaping the administration’s

free-market agenda.

Action on HIPAA

Congressional offices are reporting contact from doctors about problems

with the HIPAA regulations, particularly the privacy regs. PLEASE KEEP

UP THE PRESSURE.

We are working on some legislative language that could be instrumental

in assuring a right to medical privacy, as well as additional

litigation.

Association of American Physicians and Surgeons

1601 N. Tucson Blvd. Suite 9

Tucson, AZ 85716

(800) 635-1196

(520) 325-4230 Fax

www.aapsonline.org

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