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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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  • 1. 2012 Call-on Congress Legislative Priorities
    • CDC Colorectal Cancer Control Program Funding
    • Access to Colorectal Cancer Screening
    • Colorectal Cancer Research Funding
  • 2. Colorectal Cancer Control Program
  • 3. Colorectal Cancer Control Program
  • 4. Colorectal Cancer Control Program
    • Demonstrated Success (Fiscal Year 2010)
      • Screened 8,500 Individuals
      • Identified 22 Cancers
      • Prevented 1,187 Cancers
  • 5. 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
  • 6. Colorectal Cancer Control Program
    • CDC Colorectal Cancer Screening Goals
      • 2008 = 63%
      • 2012 = 66%
      • 2020 = 83%
    • Reaching Screening Goals Requires a Commitment from Congress
  • 7. 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.
  • 8. 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.
  • 9. 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.
  • 10. 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.
  • 11. 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.
  • 12. 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.
  • 13. Medicare Beneficiary Cost Sharing Colorectal Cancer Screenin g Colonosocopy
  • 14. 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.
  • 15. 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.
  • 16. 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.
  • 17. 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.
  • 18. 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.
  • 19. 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.
  • 20. 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.
  • 21. 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.
  • 22. 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.
  • 23. 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.
  • 24. Colorectal Cancer Research
  • 25. 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.
  • 26. 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).
  • 27. Peer Reviewed Cancer Research Program
    • CDMRP
      • Innovative, high-risk/high-reward, research.
      • Complements, not duplicates, research conducted through the National Institutes of Health (NIH).
  • 28. 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)
  • 29. 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.
  • 30.  
  • 31. 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.
  • 32. 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)
  • 33. 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.
  • 34. 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.
  • 35. Colorectal Cancer Stamp Act H.R. 894
  • 36. 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
  • 37. 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
  • 38. 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
  • 39. 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.
  • 40. 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.
  • 41. QUESTIONS?