Track II

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• -Track II-
• Advancing Intelligence for Health Care What
  are the Critical Questions to Get Right?

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Election 2006 Analysisand Anticipated Health
Agenda Bob Wood, PresidentShalla Ross, Vice
PresidentBarbour Griffith Rogers, LLC
3
Election 2006 GubernatorialDemocrat Gains

• Beebe (AR)
• Ritter (CO)
• OMalley (MD)
• Patrick (MA)
• Spitzer (NY)
• Strickland (OH)

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Election 2006 Gubernatorial Map
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Election 2006 Gubernatorial Agenda
Health Care Reform

• Expand Access to Care
• Increase Affordability
• Reduce Cost of Medicaid

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Election 2006 SenateDemocrat Gains

• McCaskill (MO)
• Tester (MT)
• Brown (OH)
• Casey (PA)
• Whitehouse (RI)
• Webb (VA)

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Election 2006 Senate Map
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Election 2006 SenateLeadership
Senate Majority Leader Harold Reid (D-NV)
Majority Whip Richard Durbin (D-IL)
Democratic Policy Committee Chairman Byron
Dorgan (D-ND)
Democratic Conference Chairman Deborah Stabenow
(D-MI)
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Election 2006 SenateKey Committee
Chairmanships

• Finance Committee Chairman
• Max Baucus (D-MT)

Health, Education, Labor and Pensions (HELP)
Committee Chairman Edward Kennedy (D-MA)
Appropriations Committee Chairman Robert Byrd
(D-WV)
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Election 2006 SenateKey Minority Posts
Minority Leader Mitch McConnell (R-KY)
Minority Whip Trent Lott (R-MS)
Committee on Appropriations Ranking Member
Thad Cochran (R-MS)
Committee on Finance Ranking Member Charles E.
Grassley (R-IA)
Approps Subcom Labor, Health and Education
Ranking Member Arlen Specter (R-PA)
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Election 2006 House Democrat Gains

• Walz (MN)
• Shea-Porter (NH)
• Yarmuth (KY)
• Hodes (NH)
• Shuler (NC)
• Hall (NY)
• Gillibrand (NY)
• Arcuri (NY)
• Space (PA)
• Altmire (PA)
• Sestak (PA)
• Murphy (PA)
• Carney (PA)
• Lampson (TX)
• Kagen (WI)

• Mitchell (AZ)
• Giffords (AZ)
• McNerney (CA)
• Perlmutter (CO)
• Courtney (CT)
• Murphy (CT)
• Mahoney (FL)
• Klein (FL)
• Donnelly (IN)
• Ellsworth (IN)
• Hill (IN)
• Braley (IA)
• Loebsack (IA)
• Boyda (KA)

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Election 2006 House Map

Includes Independents who align with the
Democratic caucus
Undecided TX-23 (Henry Bonilla v Multiple
Candidates) LA-2 (William Jefferson v Karen
Carter)
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Election 2006 HouseMajority Leadership
Majority Leader Steny Hoyer (D-MD)

• Speaker of the House
• Nancy Pelosi (D-CA)

Majority Whip James Clyburn (D-SC)
Democratic Caucus Chairman Rahm Emanuel (D-IL)
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Election 2006 HouseMinority Leadership

• Minority Leader
• John Boehner (R-OH)

Minority Whip Roy Blunt (R-MO)
Conference Chairman Adam H. Putnam (R-FL)
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Election 2006 HouseKey Committee Chairmanships
and Ranking Members
Appropriations Committee Ranking Member Jerry
Lewis (R-CA)

• Appropriations Committee
• Chairman David Obey (D-WI)

Education and Labor Committee Chairman George
Miller (D-CA)
Education and Labor Committee
Ranking Member Howard McKeon (R-CA)
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Election 2006 HouseKey Committee Chairmanships
and Ranking Members
Energy and Commerce Ranking Member Joe Barton
(R-TX)
Energy and Commerce Committee Chairman John D.
Dingell (D-MI)
Energy and Commerce Subcommittee on Health
Chairman Frank Pallone (D-NJ)
Energy and Commerce Subcommittee on Health
Ranking Member Nathan Deal (R-GA)
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Election 2006 HouseKey Committee Chairmanships
and Ranking Members

• Oversight and Government Reform
• Chairman Henry A. Waxman (D-CA)

Oversight and Government Reform Ranking Member
Tom Davis (R-VA)
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Election 2006 HouseKey Committee Chairmanships
and Ranking Members
Ways and Means Committee Chairman Charles
Rangel (D-NY)
Ways and Means Committee Ranking Member
Jim McCrery (R-LA)
Ways Means Subcommittee on Health Chairman
Fortney H. Pete Stark (D-CA)
Ways Means Subcommittee on Health Ranking
Member David Camp (R-MI)
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Election 2006 HouseDemocrat Leadership Agenda
100 Hours

• Increase minimum wage
• Allow for federal funding on embryonic stem
  cell research
• Change Medicare prescription drug program to
  allow the federal government to directly
  negotiate prescription drug prices
• Cut student loan interest rates in half, expand
  Pell grants, make college
• tuition tax deductible
• Cut foreign oil dependence and create cleaner
  environment with biofuels
• and energy efficient technology, and end tax
  giveaways to Big
• Oil
• Fully implement 9/11 Commission proposal, begin
  phased redeployment
• in Iraq
• Passed by U.S. House of Representatives

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Health Agenda for 100th Congress

• Medicare
• S-CHIP Reauthorization
• Uninsured
• Health IT
• Privacy
• Mental Health Parity
• Prescription Drug User Fee Act (PDUFA)
  Reauthorization

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Medicare

• Part D Non-Interference Legislation (HR4)
• Reduce Payments to Medicare Advantage Plans
• Oversight of all private plan options including
  MSAs and SNPs
• Payments to Hospitals, Nursing Homes and other
  providers
• Payments to Physicians (SGR)

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S-CHIP Reauthorization

• Extend, Strengthen and Expand to cover all
  children.
• Funding shortfalls expected for some states
  expected by May
• Overall program authorization expires Sept 30,
  2007

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Uninsured

• Medicaid waivers at the state level 1/3 of
  states
• Massachusetts plan serves as a model for many
  policy makers
• California Universal Health Plan
• Expand Medicare to cover the uninsured
  (Kennedy/Dingell)

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Health IT

• The Wired for Health Quality Act
  (Frist/Enzi/Kennedy/Clinton)
• ICD10

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Privacy

• Oversight of HIPAA implementation and progress
• Focus on Personal Health Record/Electronic Health
  Record

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Mental Health Parity

• Current law extended until then end of 2007 in
  the omnibus tax extenders bill (H.R. 6111).
• Kennedy/Dominici (Senate)
• Kennedy (RI)/Ramstad (House)

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PDUFA

• Focus on Drug Safety
• Increase user fees for post market surveillance

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Administrations Health Priorities

• Transparency
• Quality
• Entitlement Reform