House votes 'aye' for Cures Act

'Of the 10,000 known diseases – 7,000 of which are rare – there are treatments for only 500.'
By Bernie Monegain
08:08 AM

After 18 months in the making and vigorous bipartisan campaigning, the 21st Century Cures bill, H.R. 6, which aims to get new medical treatments to market faster, passed the U.S. House of Representatives today. Next stop: the U.S. Senate.

Work on the bill, introduced by Rep. Fred Upton, a Republican from Michigan, and chairman of the House Committee on Energy and Commerce, and Rep. Diana DeGette, a Democrat from Colorado, began with a series of roundtable discussions – fact-finding sessions – with healthcare luminaries across the industry.

The legislation originally called for an additional $10 billion for the National Institutes of Health over five years, but funding was lowered to $8.75 over that period. The legislation also calls for $110 million per year for the FDA.

[See also: Privacy advocates blast 21st Century Cures bill.]

Called 'historic" by several House members speaking before the vote this morning, the bill had seemed likely to pass given the wide bipartisan support, but a few concerns did crop up in the few days prior to the vote.

The White House in a statement released July 8, raised concerns over funding, and highlighted the proposed FDA funding, noting the FDA could not handle all the tasks outlined in the bill.

"The new responsibilities for FDA outlined in H.R. 6 exceed the resources provided in the bill and the President’s FY 2016 Budget and as such, FDA will be unable to fully implement the programs established in the bill, while maintaining its current performance levels," the administration stated in the memo.

The Administration also raised the worry that the bill could undermine regulatory standards by allowing unproven uses of therapies to be marketed to health care payers as though such uses had been proven safe and effective.

Also, it touched on health IT interoperability, stating, "The Administration appreciates the bipartisan interest in advancing the interoperability of health information technology and remains focused on the need to strengthen this critical foundation for delivery system reform and precision medicine."

Organizations such as HIMSS, CHIME – as well as health IT experts including John Halamka, MD, CIO of Boston's Beth Israel Deaconess Medical Center – have all weighed in on the interoperability aspect of the bill, essentially cautioning lawmakers that interoperability can be complicated. Halamka has said that some of the legislative language on standards makes no sense.

[See also: Will interoperability undo Cures bill?.]

Today, as the House prepared for a vote on the bill, the House committee released a list of more than 100 patient groups and organizations that support the bill. Also, two former governors joined the supporters: Former Mississippi Gov. Haley Barbour and former Gov. of Utah (and former HHS Secretary) Michael Leavitt.

"There is not a single person in this chamber or watching at home today who has not been touched by disease in some way. And it’s time we did something about it," Upton said Thursday in his remarks during the House hearing on the bill.

Despite many medical advancements over the past several years, Upton added, "for every disease we defeat, every condition we cure, there are thousands more still plaguing our people. Of the 10,000 known diseases – 7,000 of which are rare – there are treatments for only 500."

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