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December 16, 2005

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In this Issue


Budget Battles Continue, Ag Cuts Likely to Follow Senate Actions


Congress Remains in D.C., Labor-HHS Approps Unresolved


Katrina, Ag Disaster, Bird Flu Money Now in Defense Spending Bill


House Panel Approves Bill to Override State Food Safety Warnings


House Committee Holds Hearing on Internet Sales of Controlled Substances


340B Program Examined in House Subcommittee


Canada Slaps Provisional Anti-Dumping Duty on U.S. Corn


DOHA Inches Along, No Progress on Ag; EU Refuses to Increase Offer on Subsidies, Access


South Korea to Impose Fewer Restrictions on U.S. Beef Imports


House Subcommittee Approves Ammonium Nitrate Bill


U.S. Trade Deficit Hits Record High


New Bills

 

Budget Battles Continue, Ag Cuts Likely to Follow Senate Actions

While some in Congress contend the contentious $45-billion budget reconciliation package will be carried into January, House and Senate leadership late this week ordered their conferees to end negotiations and get the conference package ready for formal committee action by the end of the week. The House has said it will work through the weekend and the Senate is expected to follow suit.

This means that to get to a compromise budget number there will likely be an additional 1% across-the-board cut in all federal discretionary spending, including ag programs. It also means any section of the bill that is vaguely controversial will likely get jettisoned, including a push to allow drilling in the Arctic National Wildlife Refuges (ANWR).

On the ag side, where conferees need to reconcile $3 billion in Senate budget trimming with about $3.5 billion in House cuts, it appeared the Senate path to savings will prevail. By taking the Senate cuts, which do not include controversial changes to food stamp eligibility as does the House bill, members avoid being the Scrooge of food aid.

The Senate cuts also extend all existing farm and nutrition programs through 2011, not just food stamps and conservation as the House did. The Administration, however, isn’t buying it. Secretary of Agriculture Mike Johanns said Senate action to extend the programs sends the wrong signal to trading partners about the U.S.’s serious intent to cut subsidies.

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Congress Remains in D.C., Labor-HHS Approps Unresolved

Congress will continue working through the weekend with the House shooting for a Wednesday adjournment and the Senate saying the session could run through Friday, December 23. As for when they will return, the Senate is scheduled to start on Jan. 18 with the House convening Jan. 31.

The FY2006 Labor-HHS appropriations bill remains in flux. The Senate was expected to vote on Thursday; however it did not appear to have the votes to pass the $142.5 billion spending bill and therefore the vote was withheld. A vote is expected next week and the Senate could add the Labor-HHS bill to the Defense FY2006 appropriations bill, the last one on the table.

Last month, the House voted down the negotiated conference report on the Labor-HHS bill which includes funding for the National Institutes of Health (NIH) and the Health Resources and Services Administration (HRSA). On Monday evening the conference committee agreed to a slightly revised report which maintained the $1.4 billion in cuts from last year's spending levels. The House passed the Labor-HHS conference report 215 to 213 with 11 Republicans joining the Democrats in voting against the bill.

FY2006 began Oct. 1 and the current continuing resolution for FY2006 Labor-HHS funding unapproved programs expires Saturday. Another short-term CR is expected.

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Katrina, Ag Disaster, Bird Flu Money Now in Defense Spending Bill

Senate Appropriations Chair Thad Cochran (R-MS) spent most of the week trying to hold together his $35-billion Katrina/ag disaster package, while concluding the politically masterful feat of attaching it to the defense spending bill, the last piece of “must-pass” legislation on the schedule before the holiday recess.

Negotiators have tried to cut the Cochran plan back to $25 billion ($3+ billion for drought and other farm disasters), along with chopping the White House request for avian influenza money by half. Cochran is pushing for offsets out of unspent Iraq reconstruction monies, but may also have to rely on his colleagues to successfully include the controversial Arctic National Wildlife Refuge (ANWR) language in the defense package once it was dumped from the budget reconciliation bill. ANWR is important because it represents over $8 billion in prospective revenue, so it can be used to offset spending in other programs.

Further complicating Cochran’s plan is a promise by Sen. Tom Coburn (R-OK) and others to block any appropriations measure carrying unrelated amendments.

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House Panel Approves Bill to Override State Food Safety Warnings

A bill to bring national uniformity – federal preemption -- to food safety warning labels on food packaging was approved Dec. 15 by the House Energy & Commerce Committee. H.R. 4167, the National Uniformity for Food Act, sponsored by Reps. Mike Rogers (R-MI) and Ed Towns (D-NY) and 216 others, passed by a vote of 30-18, and was essentially identical to one reported by the committee last year but not enacted. The bill, which has lingered through two congresses, is facing hard sledding in the Senate.

In his opening statement, Committee Chair Joe Barton (R-TX) noted “it is common sense” to have common food labels throughout the country. Rep. John Dingell (D-MI), ranking minority member of the committee (who voted for the bill when the committee considered it last year), stated he was “troubled by H.R. 4167.” He cited the lack of hearings, a subcommittee mark-up or other opportunities for members or consumers to consider the legislation. He noted state food and drug officials are “worried about the impact” of the legislation and urged the Barton to postpone the mark-up until there is greater opportunity for all stakeholders to understand and discuss it.

Dingell’s comments were echoed by several other Democratic members, including Rep. Henry Waxman (D-CA), who referred to the bill as “quite radical” and as changing food law “in a sweeping way.” Even first responders, he said, are objecting to the bill. Opposition was also expressed by Rep. Anna Eshoo (D-CA), who stated it will pre-empt food safety laws in 37 states, not just in California and Reps. Jay Inslee (D-WA) and Tammy Baldwin (D-WI). Rep. Lois Capps (D-CA), in her opposition to the bill, noted FDA doesn’t have the resources it needs to assure all aspects of food safety and relies on states for many things and that the bill is opposed by the Association of Food & Drug Officials of the states and by the National Association of State Departments of Agriculture.

Dingell offered a motion to postpone mark-up of the bill until Feb. 15, stating although he is “conflicted” because he supports uniformity and doesn’t believe California should be able to “make rules for the whole country,” he believes hearings are needed for controversial measures such as this. The motion was defeated.

Capps offered an amendment to exempt from the bill state requirements regarding labeling of carcinogens. The amendment was defeated 21-22. Inslee, with Waxman, proposed an amendment designed to clarify the legislation does not pre-empt “the void;” i.e., does not prohibit states from acting in cases where FDA has not acted. Barton, after hearing considerable discussion on this topic, including technical drafting matters, agreed to work with Inslee and Waxman on acceptable language to address the concern. This, he said, would be incorporated in the bill prior to its consideration by the full House.

On final passage, the bill was supported by four Democrats (Reps. Bobby Rush (D-IL), Al Wynn (D-MD), Mike Doyle (D-PA) and Mike Ross (D-AR)) and opposed by one Republican (Mary Bono (R-CA)). Otherwise, the vote was along party lines, with Republicans supporting and Democrats opposing.

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House Committee Holds Hearing on Internet Sales of Controlled Substances

On December 13, the House Energy & Commerce subcommittee on oversight & investigations held a hearing entitled “Safety of Imported Pharmaceuticals: Strengthening Efforts to Combat the Sales of Controlled Substances Over the Internet.”

Testifying for the Government Accountability Office (GAO), Richard Stana, director of homeland security & justice issues, said a GAO study indicates there is a substantial and increasing volume of prescription drugs imported into the U.S. for which FDA cannot assure safety and/or effectiveness. While acknowledging FDA and Customs & Border Protection (CBP) are trying to work more effectively and cooperatively on the matter, resource constraints and other limitations are preventing further progress on stemming the tide of illegal imports.

GAO specifically recommends reconsideration of requirements that FDA notify addressees and allow them to provide evidence that packages are admissible. This, combined with the sheer volume of packages, is leading to continued release of products from mail and other shipment facilities. Rep. Bart Stupak (D-MI), ranking minority member, reminded the subcommittee that both FDA and members of Congress have asked HHS to propose a mechanism to eliminate the FDA notification requirement, to no avail.

Other witnesses representing the Drug Enforcement Administration (DEA), CBP, and FDA essentially acknowledged the enormity of the problem. They have a huge task of trying to regulate Internet sellers, many of which are based outside the U.S. and thus outside U.S. law. Joseph Rannazzisi, DEA, reported that as of October, DEA had begun 236 investigations of Internet sales of controlled substances without a prescription and, in 2004 seized more than $14.5 million in assets after such investigations. This was a huge increase over DEA actions in any previous year. Difficulties in attempting to deal more effectively with this problem include unclear requirements for legitimate Internet prescribing and dispensing of drugs, the lack of a statutory definition of a valid “doctor/patient” relationship and insufficiently stringent penalties for illegal sales of Schedules III, IV and V controlled substances.

Jayson Ahern, CBP, said processes have been modified to simplify and expedite interdiction and destruction of packages. Dr. Robert Meyer, FDA, said obtaining prescription controlled substances undermines the actions of FDA to assure the safe and proper use of these medications, many of which are subject to strict risk management plans in the legitimate marketplace.

Stupak said while Congress has held a number of hearings on this matter and federal agencies have done a lot of talking, nothing has happened to solve the problem. Subcommittee Chair Ed Whitfield (R-KY) asked all of the witnesses to identify the major obstacle to dealing with the issue. Stana replied it is the nature of the Internet, which prevents agencies from getting a handle on matters, and the lack of agency accountability to produce tangible results. The fact many Internet sites are “fake pharmacies” and many are overseas means there is no clear regulatory control, according to Rannazzisi. Ahern stated better information regarding shipments, in an electronic format, would help. He also reported CBP is taking action to streamline paperwork requirements and make use of the Abandoned Property Act to identify illegal shipments and destroy them.

Rep. Michael Burgess (R-TX) questioned FDA’s Meyer about the role of FDA in surveillance and monitoring imported drugs to determine if the products are safe Meyer replied resource constraints prevent ongoing surveillance. Burgess indicated such surveillance is essential to assure the integrity of the supply chain, and also noted his view that FDA should do more to educate physicians about the burgeoning purchase of drugs via the Internet so they can talk with their patients about the risks. When asked by Rep. Mike Ferguson (R-NJ) the nature of the public health threat from the purchase of controlled substances via “rogue Internet pharmacies,” Meyer said there is “great therapeutic concern.”

A second panel included representatives of VISA, Mastercard, FedEx, UPS, Google and Yahoo, as well as of IntegriChain, a company that recently conducted a survey of Internet sites selling, or purporting to sell, controlled substances. Joshua Halpern of IntegriChain reported that of 180 websites surveyed, they are operated by 129 entities and 65% of the websites are hosted on U.S.-based servers. Further, the company determined many of these sites rely on major credit cards and national/international shipping companies, providing potential avenues for affecting the sites’ capabilities.

The credit card and shipper representatives reported it is difficult to take action to try to prevent the use of their services for purchasing prescription drugs without a valid prescription. For example, credit card companies must rely on banks to identify problems and take action, since it is the bank, not the credit card company, that has a business relationship with the vendor.

Andrew McLaughlin, Google, reported only licensed pharmacies and pharmacists are allowed to display ads on Google sites, and Google provides free advertising to government agencies so they can educate people about the risks of Internet purchases. John Scheibel, Yahoo, noted the site prohibits advertisers that say prescription drugs are available without a prescription. The site also requires vetting and qualification of all pharmacies advertising the sale of prescription drugs via the Internet.

 

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340B Program Examined in House Subcommittee

On December 15, the House Energy & Commerce subcommittee on oversight and investigations held a hearing entitled “Oversight and Administration of the 340B Drug Discount Program: Improving Efficiency and Transparency.” The stated focus of the hearing was on deficiencies and need for improvement in the management of the 340B program by the Health Resources and Services Administration (HRSA), for example, whether the drugs sold at a discount are being “diverted” to non-340B recipients. Yet much of the questioning instead related to whether companies are accurately reporting their prices for purposes of calculating the discounts.

The witnesses included representatives from the HHS Office of Inspector General (deputy for evaluation and inspections Stuart Wright,), HRSA (deputy administrator Dennis Williams), the Public Hospital Pharmacy coalition (William Von Oehsen), the 340B Prime Vendor Program (Christopher Hatwig) and GlaxoSmithKline (David Brown).

The Inspector General’s office reported on the 340B pricing issue in the past and is continuing to review the issue. Wright’s testimony stated the IG, based on its reviews, has concluded “that the 340B program may not be functioning as intended to ensure that appropriate discounts on drugs are available to eligible entities.” The IG has made a number of recommendations to HRSA, some of which have been implemented, including the agency audit of manufacturers and wholesalers to verify ceiling prices are being calculated correctly and provided to the eligible entities.

It was called to the subcommittee’s attention by Ranking Democrat Rep. Bart Stupak (D-MI) that a 2001 IG report indicated half or more of drugs sold to 340B providers were exceeding the government ceiling prices and, despite HRSA’s promises to strengthen its oversight of the program, the problem has not declined. The IG is continuing to oversee the matter and will be producing an updated report in the next year.

Subcommittee Chair Edward Whitfield (R-KY) attempted to get at the question of whether the government has sufficient authority to “require” ceiling prices. The HRSA representative said they have no such authority, but companies are required themselves to report their ceiling prices to CMS, which reports them to HRSA. This elongated process recently has been revised, so now HRSA will be directly involved in the information gathering and calculation. Williams said this should allow for improved oversight. However, his response did not satisfy the members who wanted the government to have the ability to dig deeper into price calculations to ensure that the intent of Congress – i.e., 340B providers get a maximal discount – is being satisfied.

A representative of GlaxoSmithKline testified the company voluntarily provides the government with its prices calculations because of the company’s commitment to provide the most favorable pricing to these providers. Williams stated HRSA hopes this will serve as an example to other companies and more will provide detailed pricing information for purposes of calculating the ceiling price.

Subcommittee members including Reps. Diana DeGette (D-CO) and Tammy Baldwin (D-WI) emphasized their continuing concern about this issue, and Whitfield promised to hold additional hearings on the matter.

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Canada Slaps Provisional Anti-Dumping Duty on U.S. Corn

The Canadian Border Services Agency (CBSA) this week came to a preliminary decision finding the U.S. is dumping subsidized unprocessed corn, but determined processed corn did not violate the anti-dumping statutes. The decision leads to a provisional anti-dumping duty on U.S. corn moving into Canada of 58 cents per bushel and a countervailing duty of $1.07 per bushel. The duties cover goods moving into Canada beginning Dec. 15, 2005 and end when the CBSA terminates its investigation. That decision is expected by March 15, 2006. The Canadian International Trade Tribunal begins its inquiry into potential injury to Canadian industry, with a decision expected by April 14, 2006.

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DOHA Inches Along, No Progress on Ag; EU Refuses to Increase Offer on Subsidies, Access

The World Trade Organization’s (WTO) Hong Kong ministerial meeting this week produced almost no progress on agriculture issues, and most fingers were pointed at the European Union (EU) as the roadblock to achieving any substantive changes in global ag subsidies, tariff reduction or market access.

U.S. Special Trade Representative Rob Portman said progress was likely unachievable at the Hong Kong forum. He proposed ministers from all 148 WTO member countries meet in Geneva before March 31. Portman’s request was echoed by several other trade ministers.

The EU’s trade minister, Peter Mandelson, was reminded during the talks that EU officials have no authority to make any new offer on subsidy reduction or market access. That reminder came from the Committee of Agricultural Organizations (COPA), the largest European farm cooperative, which participated in the Hong Kong meeting as a nongovernmental organization (NGO). Further, COPA said it has assurances from the head of the European Commission that there will be no overhaul of the EU common agricultural policy until it expires in 2013.

Meanwhile, other EU officials said they will not set a date on ending subsidies until they see from the U.S. an offer to reduce international food aid, as well as offers on ending export credit guarantees and restraining state trading entities, such as the Australian and Canadian wheat boards.

Portman continued to hold hope that he and other ministers from developed nations would be able to make an announcement on a proposal to provide duty-free and quota-free access to the U.S. market for products from 49 “least developed” nations, a program similar to that in place in the EU. However, countries which would not qualify for the trade status blocked progress on the program.

In the U.S., House Ag Committee Chair Bob Goodlatte (R-VA) said he’s disappointed the EU’s “obstinacy” is blocking progress on global trade reform. “Until the EU is willing to make a more realistic proposal, these negotiations will remain at a standstill…,” Goodlatte said. He said attacks on U.S. food aid are simply a ruse to distract from EU “doggedness.” Sen. Charles Grassley (R-IA), chair of the Senate Finance Committee, said the EU is afraid of agriculture reform.

 

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South Korea to Impose Fewer Restrictions on U.S. Beef Imports

South Korea will place fewer restrictions on U.S. beef imports in the wake of this week’s decisions by its livestock quarantine committee that U.S. beef is safe and recommended the government lift its two-year ban. The reopening of the market could come as early as next week, and was expected once Japan lifted its beef import ban.

The Koreans will take beef from animals 30 months of age or younger in contrast to Japan’s 21-month-old age restriction. While some Korean farmers wanted to see a policy similar to Japan’s, the Korean government tried to assuage concerns by pointing to its country-of-origin labeling program that begins in 2007.

 

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House Subcommittee Approves Ammonium Nitrate Bill

A House Homeland Security Committee subcommittee this week approved a bill to regulate the production of ammonium nitrate by requiring any person who produces, sells or buys ammonium nitrate to register with the U.S. Department of Homeland Security (DHS). An amendment accepted in subcommittee would require sellers to record the purchaser’s drivers license number or other photo identification and the amount of ammonium nitrate purchased. Records would have to be retained for three years. DHS would be authorized to make grants to states to enforce the law, and record audits would be conducted during other state inspections of fertilizer facilities. There’s no word on when the full committee will vote on the bill. A similar bill in the Senate has seen no action.

 

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U.S. Trade Deficit Hits Record High

The U.S. trade deficit hit a record $68.9 billion in October, fueled by record imbalances with China and Europe. The October figure was $2.9 billion more than in September, and so far this year, the trade deficit is running at a rate of $718 billion, significantly above last year’s $617.6 billion.

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New Bills

A number of new bills have been introduced. Click here to send a request for a copy of the text or more information about the bill.


S.2085
Sen. Max Baucus (D-MT) offered a bill that would provide a supplemental payment to assist agricultural producers in mitigating increasing input costs, including energy and fertilizer costs.

S.2087
Sen. Saxby Chambliss (R-GA) introduced the “Agricultural Employment and Workforce Protection Act” that would amend the Immigration and Nationality Act to provide for the employment of foreign agricultural workers.

S.2104
Sen. Joseph Lieberman (D-CT) introduced the “American Center for CURES Act of 2005" that would establish the Center within NIH to accelerate the development of public and private research efforts towards tools and therapies for human diseases with the goal of early disease detection, prevention, and cure.

H.R.4502 & 4503 & 4504
Rep. Charlie Norwood (D-GA) offered three bills that would amend the Migrant and Seasonal Agricultural Worker Protection Act to provide for an exemption for workers who work year-round, mandatory mediation, and recovery of attorneys fees and a statute of limitations.

H.R.4340
Rep. Roy Blunt (R-MO) introduced a bill that would implement the United States-Bahrain Free Trade Agreement.

H.R.4520
Legislation offered by Rep. Fortney “Pete” Stark (D-CA) and 31 co-sponsors would amend part B of title XVIII of the Social Security Act to assure equitable payment for physicians’ services under the Medicare Program.

H.R.4544
Rep. Bobby Rush (D-IL) proposed a bill that would revise and expand the section 340B program to improve the provision of discounts on drug purchases for certain safety net providers.

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Inside Track is produced as a service to clients of Policy Directions, Inc., a Washington, DC-based government relations/strategic government communications firm founded in 1995, specializing in customized advocacy on health care; food; biomedical research; biotechnology, human drug, and medical device regulation; federal nutrition policy and programs; and environmental policies and programs. For more information about PDI, please e-mail info@poldir.com.

All material © 2005 Policy Directions.

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