2012 Call-on Congress Legislative Priorities <ul><li>CDC Colorectal Cancer Control Program Funding </li></ul><ul><li>Acces...
Colorectal Cancer Control Program
Colorectal Cancer Control Program
Colorectal Cancer Control Program <ul><li>Demonstrated Success (Fiscal Year 2010) </li></ul><ul><ul><li>Screened 8,500 Ind...
Colorectal Cancer Control Program <ul><li>Recent Federal Funding History </li></ul><ul><ul><li>Fiscal Year 2010 - $44.53 m...
Colorectal Cancer Control Program <ul><li>CDC Colorectal Cancer Screening Goals </li></ul><ul><ul><li>2008 = 63% </li></ul...
Colorectal Cancer Control Program <ul><li>Colorectal Cancer Mortality is Decreasing </li></ul><ul><ul><li>Between2003-2007...
Colorectal Cancer Control Program <ul><li>More Americans have access to colorectal cancer screenings without cost sharing....
Colorectal Cancer Control Program <ul><li>Fight Colorectal Cancer’s Request to Congress </li></ul><ul><ul><li>Fund the CRC...
Colorectal Cancer Control Program <ul><li>Funding Challenges </li></ul><ul><ul><li>President’s budget consolidates cancer ...
Colorectal Cancer Control Program <ul><li>Key Messages </li></ul><ul><ul><li>Colorectal cancer screening saves lives. </li...
Colorectal Cancer Control Program <ul><li>Parting Words </li></ul><ul><ul><li>Integrate personal story/experiences with ke...
Medicare Beneficiary Cost Sharing Colorectal Cancer Screenin g  Colonosocopy
Cost Sharing for Screening Colonoscopy <ul><li>Current Medicare Law </li></ul><ul><ul><li>Colorectal cancer screenings are...
Cost Sharing for Screening Colonoscopy <ul><li>Cost Sharing Definitions </li></ul><ul><ul><li>Deductible:  Amount insured ...
Cost Sharing for Screening Colonoscopy <ul><li>Colorectal Cancer Screening Coverage and Cost Sharing History </li></ul><ul...
Cost Sharing for Screening Colonoscopy <ul><li>Colorectal Cancer Screening Coverage and Cost Sharing History </li></ul><ul...
Cost Sharing for Screening Colonoscopy <ul><li>Colorectal Cancer Screening Coverage and Cost Sharing History </li></ul><ul...
Cost Sharing for Screening Colonoscopy <ul><li>Colorectal Cancer Screening Coverage and Cost Sharing History </li></ul><ul...
Cost Sharing for Screening Colonoscopy <ul><li>Fight Colorectal Cancer’s Request to Congress </li></ul><ul><ul><li>Ask rep...
Cost Sharing for Screening Colonoscopy <ul><li>Key Messages </li></ul><ul><ul><li>Current Medicare policy is confusing. </...
Medicare Cost Sharing for Screening Colonoscopy <ul><li>Key Messages </li></ul><ul><ul><li>Screening colonoscopy is the mo...
Cost Sharing for Screening Colonoscopy <ul><li>Parting Words </li></ul><ul><ul><li>Integrate personal story/experiences wi...
Colorectal Cancer Research
Supporting Colorectal Cancer Research <ul><li>Lawmakers can demonstrate their commitment to colorectal cancer research by:...
Peer Reviewed Cancer Research Program <ul><li>Supports research into specific cancers, including colorectal cancer, with r...
Peer Reviewed Cancer Research Program <ul><li>CDMRP </li></ul><ul><ul><li>Innovative, high-risk/high-reward, research. </l...
Peer Reviewed Cancer Research Program <ul><li>Funding History </li></ul><ul><ul><li>Fiscal Year 2009 - $16 million </li></...
National Cancer Institute <ul><li>NCI </li></ul><ul><ul><li>One of 27 Institutes and Centers at the NIH. </li></ul></ul><u...
 
National Cancer Institute <ul><li>Funds critical colorectal cancer research. </li></ul><ul><ul><li>Specialized Programs of...
National Cancer Institute <ul><li>NIH Funding History </li></ul><ul><ul><li>Fiscal Year 2011 - $30.388 billion </li></ul><...
Supporting Colorectal Cancer Research <ul><li>Key Messages </li></ul><ul><ul><li>Difficult budget environment lends urgenc...
Supporting Colorectal Cancer Research <ul><li>Parting Words </li></ul><ul><ul><li>Integrate personal story/experiences wit...
Colorectal Cancer Stamp Act H.R. 894
Colorectal Cancer Stamp Act <ul><li>H.R. 893 </li></ul><ul><ul><li>Provides for issuance and sale of fundraising stamp by ...
Colorectal Cancer Stamp Act <ul><li>H.R. 893 </li></ul><ul><ul><li>Revenues raised from the stamp would be distributed as ...
Colorectal Cancer Stamp Act <ul><li>Semipostal Stamp History </li></ul><ul><ul><li>All semipostal stamps to date have been...
Colorectal Cancer Stamp Act <ul><li>Key Messages </li></ul><ul><ul><li>There is no cost to the federal government to issue...
Colorectal Cancer Stamp Act <ul><li>Parting Words </li></ul><ul><ul><li>Bill was introduced in March 2011 and only has 11 ...
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Camille Bonta 4 pm Legislative Presentation

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Call-On Congress 2012 workshop material

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Camille Bonta 4 pm Legislative Presentation

  1. 1. 2012 Call-on Congress Legislative Priorities <ul><li>CDC Colorectal Cancer Control Program Funding </li></ul><ul><li>Access to Colorectal Cancer Screening </li></ul><ul><li>Colorectal Cancer Research Funding </li></ul>
  2. 2. Colorectal Cancer Control Program
  3. 3. Colorectal Cancer Control Program
  4. 4. Colorectal Cancer Control Program <ul><li>Demonstrated Success (Fiscal Year 2010) </li></ul><ul><ul><li>Screened 8,500 Individuals </li></ul></ul><ul><ul><li>Identified 22 Cancers </li></ul></ul><ul><ul><li>Prevented 1,187 Cancers </li></ul></ul>
  5. 5. Colorectal Cancer Control Program <ul><li>Recent Federal Funding History </li></ul><ul><ul><li>Fiscal Year 2010 - $44.53 million </li></ul></ul><ul><ul><li>Fiscal Year 2011 - $43.07 million </li></ul></ul><ul><ul><li>Fiscal Year 2012 - $43 million </li></ul></ul>
  6. 6. Colorectal Cancer Control Program <ul><li>CDC Colorectal Cancer Screening Goals </li></ul><ul><ul><li>2008 = 63% </li></ul></ul><ul><ul><li>2012 = 66% </li></ul></ul><ul><ul><li>2020 = 83% </li></ul></ul><ul><li>Reaching Screening Goals Requires a Commitment from Congress </li></ul>
  7. 7. Colorectal Cancer Control Program <ul><li>Colorectal Cancer Mortality is Decreasing </li></ul><ul><ul><li>Between2003-2007, 66,000 deaths prevented and 32,000 lives saved compared to 2002. </li></ul></ul><ul><ul><li>Half of prevented cases and deaths were due to screening. </li></ul></ul><ul><ul><li>One in 3 adults (age 50-75) is not up to date with recommending screening. </li></ul></ul>
  8. 8. Colorectal Cancer Control Program <ul><li>More Americans have access to colorectal cancer screenings without cost sharing. </li></ul><ul><li>Awareness remains low about why colorectal cancer screening at recommended intervals is important. </li></ul><ul><li>CDC Program dedicates a majority of funds to education and outreach strategies. </li></ul>
  9. 9. Colorectal Cancer Control Program <ul><li>Fight Colorectal Cancer’s Request to Congress </li></ul><ul><ul><li>Fund the CRCCP at $70 million for fiscal year 2013. </li></ul></ul><ul><ul><ul><li>$27 million increase over fiscal year 2012. </li></ul></ul></ul><ul><ul><ul><li>Allows for nationwide implementation. </li></ul></ul></ul>
  10. 10. Colorectal Cancer Control Program <ul><li>Funding Challenges </li></ul><ul><ul><li>President’s budget consolidates cancer prevention and control programs (except comprehensive cancer control program). </li></ul></ul><ul><ul><li>Overall, total cancer prevention and control programs $324 million; $4 million less than fiscal year 2012. </li></ul></ul><ul><ul><li>Difficult federal budget environment. </li></ul></ul><ul><ul><ul><li>Budget Control Act discretionary spending caps. </li></ul></ul></ul>
  11. 11. Colorectal Cancer Control Program <ul><li>Key Messages </li></ul><ul><ul><li>Colorectal cancer screening saves lives. </li></ul></ul><ul><ul><li>Colorectal cancer screening saves costs. </li></ul></ul><ul><ul><li>The CRCCP is a program with proven success. </li></ul></ul><ul><ul><li>The CRCCP should be a national program, not just a program limited to 25 states and 4 tribal organizations. </li></ul></ul><ul><ul><li>Fund the CRCCP at $70 million in fiscal year 2013. </li></ul></ul>
  12. 12. Colorectal Cancer Control Program <ul><li>Parting Words </li></ul><ul><ul><li>Integrate personal story/experiences with key messages and facts. </li></ul></ul><ul><ul><li>Don’t be apologetic for asking lawmakers to fund the CRCCP at $70 million. This is a proven program that deserves funding. </li></ul></ul><ul><ul><li>In this fiscal environment, if you ask for it, you have a better chance of getting it. If you don’t ask for it, you won’t. </li></ul></ul>
  13. 13. Medicare Beneficiary Cost Sharing Colorectal Cancer Screenin g Colonosocopy
  14. 14. Cost Sharing for Screening Colonoscopy <ul><li>Current Medicare Law </li></ul><ul><ul><li>Colorectal cancer screenings are free, including screening colonoscopy. </li></ul></ul><ul><ul><li>However, if polyp is removed during colonoscopy, Medicare beneficiary must pay coinsurance. </li></ul></ul>
  15. 15. Cost Sharing for Screening Colonoscopy <ul><li>Cost Sharing Definitions </li></ul><ul><ul><li>Deductible: Amount insured has to pay out of pocket for expenses before insurer will cover the remaining costs. </li></ul></ul><ul><ul><li>Coinsurance: Set percentage that insured must pay of the covered costs after the deductible has been reached. </li></ul></ul>
  16. 16. Cost Sharing for Screening Colonoscopy <ul><li>Colorectal Cancer Screening Coverage and Cost Sharing History </li></ul><ul><ul><li>1998: Medicare coverage of screening colonoscopy for high-risk individuals. </li></ul></ul><ul><ul><li>2001: Medicare coverage of screening colonoscopy for average-risk individuals. </li></ul></ul>
  17. 17. Cost Sharing for Screening Colonoscopy <ul><li>Colorectal Cancer Screening Coverage and Cost Sharing History </li></ul><ul><ul><li>2005: Deficit Reduction Act waived Medicare beneficiary deductible for colorectal cancer screening. </li></ul></ul><ul><ul><ul><li>However, if a polyp was removed during screening colonoscopy, beneficiary was liable for the deductible. </li></ul></ul></ul>
  18. 18. Cost Sharing for Screening Colonoscopy <ul><li>Colorectal Cancer Screening Coverage and Cost Sharing History </li></ul><ul><ul><li>2010: Affordable Care Act corrected previous law. Now deductible is always waived, even if a polyp is removed during a screening colonoscopy. </li></ul></ul>
  19. 19. Cost Sharing for Screening Colonoscopy <ul><li>Colorectal Cancer Screening Coverage and Cost Sharing History </li></ul><ul><ul><li>2010: Affordable Care Act waives coinsurance for colorectal cancer screenings. </li></ul></ul><ul><ul><ul><li>Colonoscopy, Sigmoidoscopy, FOBT </li></ul></ul></ul><ul><ul><li>But, Medicare beneficiary must still pay coinsurance if polyp is removed during screening colonoscopy. </li></ul></ul>
  20. 20. Cost Sharing for Screening Colonoscopy <ul><li>Fight Colorectal Cancer’s Request to Congress </li></ul><ul><ul><li>Ask representatives to cosponsor H.R. 4120, “Removing Barriers to Colorectal Cancer Screening Act.” </li></ul></ul><ul><ul><ul><li>Introduced by Rep. Charlie Dent (R-PA) on March 1, 2012 </li></ul></ul></ul><ul><ul><li>Cultivate champions for introduction of companion legislation in the Senate. </li></ul></ul>
  21. 21. Cost Sharing for Screening Colonoscopy <ul><li>Key Messages </li></ul><ul><ul><li>Current Medicare policy is confusing. </li></ul></ul><ul><ul><li>Creates disincentive to screening. </li></ul></ul><ul><ul><li>Trends in decreased colorectal cancer incidence could stall or decline. </li></ul></ul><ul><ul><li>Coinsurance “gap” due to unintentional oversight in the law. </li></ul></ul>
  22. 22. Medicare Cost Sharing for Screening Colonoscopy <ul><li>Key Messages </li></ul><ul><ul><li>Screening colonoscopy is the most effective test for the prevention of colorectal cancer. </li></ul></ul><ul><ul><ul><li>Allows for the removal of potentially precancerous polyps or cancer during the procedure. </li></ul></ul></ul><ul><ul><li>Screening colonoscopy is a unique preventive service. </li></ul></ul>
  23. 23. Cost Sharing for Screening Colonoscopy <ul><li>Parting Words </li></ul><ul><ul><li>Integrate personal story/experiences with key messages and facts. </li></ul></ul><ul><ul><li>Colorectal cancer prevention has a history of bipartisan support. </li></ul></ul><ul><ul><li>Despite claims, colorectal cancer screenings are not “free” for all Medicare beneficiaries. </li></ul></ul><ul><ul><li>Congress needs to take action this year. </li></ul></ul>
  24. 24. Colorectal Cancer Research
  25. 25. Supporting Colorectal Cancer Research <ul><li>Lawmakers can demonstrate their commitment to colorectal cancer research by: </li></ul><ul><ul><li>Fund the DoD Peer Reviewed Cancer Research Program at $16 million in FY2013. </li></ul></ul><ul><ul><li>Fund the National Institutes of Health at $32.7 billion. </li></ul></ul><ul><ul><li>Fund the National Cancer Institute at $5.36 billion. </li></ul></ul><ul><ul><li>Cosponsor H.R. 893 , which creates a colorectal cancer semi-postal stamp. </li></ul></ul>
  26. 26. Peer Reviewed Cancer Research Program <ul><li>Supports research into specific cancers, including colorectal cancer, with relevance to military service members. </li></ul><ul><li>Program is one of several medical research programs under the Congressionally Directed Medical Research Programs (CDMRP). </li></ul>
  27. 27. Peer Reviewed Cancer Research Program <ul><li>CDMRP </li></ul><ul><ul><li>Innovative, high-risk/high-reward, research. </li></ul></ul><ul><ul><li>Complements, not duplicates, research conducted through the National Institutes of Health (NIH). </li></ul></ul>
  28. 28. Peer Reviewed Cancer Research Program <ul><li>Funding History </li></ul><ul><ul><li>Fiscal Year 2009 - $16 million </li></ul></ul><ul><ul><li>Fiscal Year 2010 - $15 million </li></ul></ul><ul><ul><li>Fiscal Year 2011 - $16 million </li></ul></ul><ul><ul><li>Fiscal Year 2012 - $12.8 million </li></ul></ul><ul><ul><li>Fiscal Year 2013 - $16 million (Fight Colorectal Cancer Request) </li></ul></ul>
  29. 29. National Cancer Institute <ul><li>NCI </li></ul><ul><ul><li>One of 27 Institutes and Centers at the NIH. </li></ul></ul><ul><ul><li>Leads a national effort to eliminate the suffering and death from cancer. </li></ul></ul>
  30. 31. National Cancer Institute <ul><li>Funds critical colorectal cancer research. </li></ul><ul><ul><li>Specialized Programs of Research Excellence </li></ul></ul><ul><ul><ul><li>Enables rapid and efficient movement of basic scientific findings into clinical settings. </li></ul></ul></ul><ul><ul><li>Clinical trials </li></ul></ul><ul><li>Genome sequencing to guide therapy. </li></ul><ul><ul><li>Colorectal cancer patients tested for gene mutations to guide drug choices. </li></ul></ul>
  31. 32. National Cancer Institute <ul><li>NIH Funding History </li></ul><ul><ul><li>Fiscal Year 2011 - $30.388 billion </li></ul></ul><ul><ul><li>Fiscal Year 2012 - $30.623 billion </li></ul></ul><ul><ul><li>Fiscal Year 2013 - $30.623 billion (President’s Request) </li></ul></ul><ul><ul><li>Fiscal Year 2013 - $32.698 billion (Fight Colorectal Cancer Request) </li></ul></ul><ul><li>NCI Funding History </li></ul><ul><ul><li>Fiscal Year 2011 - $5.058 billion </li></ul></ul><ul><ul><li>Fiscal Year 2012 - $5.081 billion </li></ul></ul><ul><ul><li>Fiscal Year 2013 - $5.068 billion (President’s Request) </li></ul></ul><ul><ul><li>Fiscal Year 2013 - $5.362 billion (Fight Colorectal Cancer Request) </li></ul></ul>
  32. 33. Supporting Colorectal Cancer Research <ul><li>Key Messages </li></ul><ul><ul><li>Difficult budget environment lends urgency to grassroots advocacy. </li></ul></ul><ul><ul><li>Millions invested in cancer research to date have led to great advances. </li></ul></ul><ul><ul><li>Cancer incidence will nearly double by 2020. </li></ul></ul><ul><ul><li>5-year survival rate for colorectal cancer is now 67 percent. </li></ul></ul><ul><ul><li>Now is not the time to pull back on federal funding. </li></ul></ul>
  33. 34. Supporting Colorectal Cancer Research <ul><li>Parting Words </li></ul><ul><ul><li>Integrate personal story/experiences with key messages and facts. </li></ul></ul><ul><ul><li>Help lawmakers understand in human terms the importance of DoD and NIH medical research. </li></ul></ul><ul><ul><li>We are on the brink of losing the next generation of researchers. </li></ul></ul><ul><ul><li>Cultivate new congressional cancer research champions. </li></ul></ul>
  34. 35. Colorectal Cancer Stamp Act H.R. 894
  35. 36. Colorectal Cancer Stamp Act <ul><li>H.R. 893 </li></ul><ul><ul><li>Provides for issuance and sale of fundraising stamp by the USPS to benefit colorectal cancer research and prevention. </li></ul></ul><ul><ul><li>Introduced by Rep. Charlie Dent (R-PA) </li></ul></ul><ul><ul><ul><li>11 cosponsors </li></ul></ul></ul>
  36. 37. Colorectal Cancer Stamp Act <ul><li>H.R. 893 </li></ul><ul><ul><li>Revenues raised from the stamp would be distributed as follows: </li></ul></ul><ul><ul><ul><li>40% DoD Peer Reviewed Medical Research Program for Colorectal Cancer Research </li></ul></ul></ul><ul><ul><ul><li>40% to the CDC Colorectal Cancer Research Program </li></ul></ul></ul><ul><ul><ul><li>Remaining amounts to the NIH for colorectal cancer research </li></ul></ul></ul>
  37. 38. Colorectal Cancer Stamp Act <ul><li>Semipostal Stamp History </li></ul><ul><ul><li>All semipostal stamps to date have been established through law. Two currently in circulation. </li></ul></ul><ul><ul><ul><li>Breast Cancer - $75 million raised to date </li></ul></ul></ul><ul><ul><ul><li>Heroes of 2011 - $10.5 million raised </li></ul></ul></ul><ul><ul><ul><li>Stop Family Violence - $3.1 million raised </li></ul></ul></ul><ul><ul><ul><li>Vanishing Species - New </li></ul></ul></ul>
  38. 39. Colorectal Cancer Stamp Act <ul><li>Key Messages </li></ul><ul><ul><li>There is no cost to the federal government to issue a semipostal stamp. Therefore, H.R. 893 is an opportunity to increase funding for colorectal cancer research and prevention without adding pressure to the federal budget. </li></ul></ul><ul><ul><li>Make sure Hill staff understand that a semipostal stamp costs more than a regular stamp. The “extra charge” is the fundraising amount. </li></ul></ul>
  39. 40. Colorectal Cancer Stamp Act <ul><li>Parting Words </li></ul><ul><ul><li>Bill was introduced in March 2011 and only has 11 cosponsors. More cosponsors are needed if this bill has a change to advance. </li></ul></ul><ul><ul><li>Need to identify Senate champions for introduction of companion legislation in the Senate. </li></ul></ul>
  40. 41. QUESTIONS?

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