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Camille Bonta 4 pm Legislative Presentation

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Call-On Congress 2012 workshop material

Call-On Congress 2012 workshop material

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    Camille Bonta 4 pm Legislative Presentation Camille Bonta 4 pm Legislative Presentation Presentation Transcript

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