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National Institutes of Health (NIH)

NIH Funding

PAN continues to be active in supporting increases in funding for the National Institutes of Health (NIH). Along with the Ad Hoc Group for Medical Research, a coalition of over 100 patient advocacy groups, academic institutions, and scientific communities, PAN supports a $1.9 billion, or 6.6 percent, increase for NIH’s budget in the Fiscal Year (FY) 2009 Labor, Health, and Human Services Appropriations bill. Appropriations for NIH must, at a minimum, keep pace with biomedical inflation. PAN requests an increased federal commitment to the NIH in order to hasten better treatments and cures for Parkinson’s disease and many others.

While PAN advocates for additional funding for NIH, we also fight for a better balance between funding for basic science and patient-oriented science, known as translational and clinical research, at NIH. Without appropriate funding, NIH does not have the resources to engage in the clinical and translational research needed to accelerate the discovery of better treatments and cure for PD. It is a travesty that, over the last five years, NIH has not received adequate funding to keep up with biomedical inflation and this has drastically diminished the amount of research dollars going towards patient-oriented science. Dr. Elias Zerhouni, Director of NIH, said in his congressional testimony on March 19, 2007, “the impact [of NIH budget cuts] is primarily in our ability to translate from the laboratory to the clinic to the bedside into the community what we need to do to prevent diseases.”

In 2007, PAN weighed in with both the House and Senate in favor of the strongest increases possible for NIH. Unfortunately, the enacted Fiscal Year 2008 omnibus bill, which included funding for NIH as well as all non-defense spending bills, only provided $28.94 billion in program funding for NIH -- which equates to 0.46% increase or $133 million over the previous year. This de facto funding cut harms the Parkinson’s community’s on-going efforts to enhance patient-oriented outcomes at NIH.

This year, thanks to the efforts of Parkinson’s disease advocates across the country, we have been successful in securing additional funds for NIH to spend in 2008. The Fiscal Year (FY) 2008 Emergency Supplemental appropriations bill contained $150 million for NIH.

PAN and its advocates continue working to secure a 6.6 percent increase for NIH’s budget in the Fiscal Year (FY) 2009 Appropriations process. In June 2008, the Senate Appropriations Committee approved their version of the FY 2009 Labor, Health, and Human Services Appropriations bill, providing $30.2 billion or a $1.025 billion increase over the FY 2008 level and the President’s budget request. The House Appropriations Committee has yet to complete their version of the bill. Please check the PAN website for updates on NIH funding as the appropriations process moves forward.

 


Udall Centers Evaluation

Exactly ten years ago, PAN advocates successfully worked to enact legislation that created the Morris K. Udall Centers of Excellence for Parkinson's Disease Research (Udall Centers). On November 13, 1997, the President signed the Morris K. Udall Parkinson’s Disease Research Act of 1997 into law (P.L. 105-78), which created the Udall Centers among other initiatives. Although not every aspect of the legislation was ultimately implemented, the creation of the Udall Centers was an essential component of both the Morris K. Udall Parkinson's Disease Research Act of 1997 as well as overall PAN’s advocacy efforts.

In late 2005, NINDS commissioned the formal evaluation to objectively review the Udall Centers Program. The evaluation of the Centers was sparked by Jeff Martin, as both Chair of the PAN Board of Directors and a member of the National Advisory Neurological Disorders and Stroke Council, when he encouraged NINDS to assess the progress of the Udall Centers Program. PAN continued to be involved in the Udall Centers evaluation as Amy Comstock Rick participated on the Center Program Evaluation Working Group.

The evaluation has been completed and the Working Group found that the Udall Centers Program significantly impacted the Parkinson’s disease research field and recommended that NINDS should continue to support the program. The formal evaluation process also included a Data Report developed by Booz Allen Hamilton, which was utilized by the Working Group to aid in the development of Udall Center program recommendations.

Please download the final Data Report to read background information on the project, study questions and design, and data and analyses on the Udall Centers and a comparison group of Parkinson’s disease researchers. Staff from Booz Allen Hamilton, contracted by the NINDS, developed the study methodology and conducted the data collection and analysis.
Download the Data Report (pdf, 3 MB)

Please download the final Recommendations Report to read the findings and recommendations made by the Working Group.
Download the Recommendations Report (pdf, 353 KB)

Exactly ten years ago, PAN advocates successfully worked to enact legislation that created the Morris K. Udall Centers of Excellence for Parkinson's Disease Research (Udall Centers).  On November 13, 1997, the President signed the Morris K. Udall Parkinson’s Disease Research Act of 1997 into law (P.L. 105-78), which created the Udall Centers among other initiatives.  Although not every aspect of the legislation was ultimately implemented, the creation of the Udall Centers was an essential component of both the Morris K. Udall Parkinson's Disease Research Act of 1997 as well as overall PAN’s advocacy efforts.

In late 2005, NINDS commissioned the formal evaluation to objectively review the Udall Centers Program. The evaluation of the Centers was sparked by Jeff Martin, as both Chair of the PAN Board of Directors and a member of the National Advisory Neurological Disorders and Stroke Council, when he encouraged NINDS to assess the progress of the Udall Centers Program.  PAN continued to be involved in the Udall Centers evaluation as Amy Comstock Rick participated on the Center Program Evaluation Working Group.

The evaluation has been completed and the Working Group found that the Udall Centers Program significantly impacted the Parkinson’s disease research field and recommended that NINDS should continue to support the program.  The formal evaluation process also included a Data Report developed by Booz Allen Hamilton, which was utilized by the Working Group to aid in the development of Udall Center program recommendations.

Please download the final Data Report to read background information on the project, study questions and design, and data and analyses on the Udall Centers and a comparison group of Parkinson’s disease researchers. Staff from Booz Allen Hamilton, contracted by the NINDS, developed the study methodology and conducted the data collection and analysis.
Download the Data Report (pdf, 3 MB)

Please download the final Recommendations Report to read the findings and recommendations made by the Working Group.
Download the Recommendations Report (pdf, 353 KB)

Udall Centers
In 1998 and 1999, NINDS funded the first 11 Udall Centers. Ten of the original Udall Centers are still in existence today along with an additional four Centers, including the Parkinson’s disease – Data Organizing Center (PD-DOC).

Brigham and Women’s Hospitaloriginal center
Columbia University of the Health Sciencesoriginal center
Duke Universityoriginal center
Emory Universityformer center
Harvard University Medical School
    and McLean Hospital
original center
Johns Hopkins University original center
Massachusetts General Hospital with
    Massachusetts Institute of Technology
original center
Mayo Clinic at Jacksonvilleoriginal center
Northwestern Universitynew center
University of California, Los Angelesoriginal center
University of Kentuckyoriginal center
University of Miami new center
University of Pennsylvanianew center
University of Pittsburghnew center
University of Virginia (UVA)original center
University of Rochester - Parkinson's Disease -
    Data Organizing Center
new center



NIH Small Business Innovative Research Program

In order to hasten discovery of better treatments and a cure for Parkinson’s disease, PAN advocates for additional funding for the National Institutes of Health (NIH).  We also fight for a better balance between funding for basic science and patient-oriented science, known as translational and clinical research, at NIH.  An important source of NIH translational and clinical research funding is the Small Business Innovative Research (SBIR) program.  PAN is currently working to ensure that this innovative granting program at NIH is reauthorized by Congress before expiring on September 30, 2008.

Sadly, over the last five years, NIH has not received adequate funding to keep up with inflation.  These de facto funding cuts have directly impacted the amount of patient-oriented research being conducted at NIH.  Dr. Elias Zerhouni, Director of NIH, said in his congressional testimony on March 19, 2007, “the impact [of NIH budget cuts] is primarily in our ability to translate from the laboratory to the clinic to the bedside into the community what we need to do to prevent diseases.”  This climate makes the SBIR granting program’s support for cutting-edge translational and clinical research all the more important – research that otherwise would not be funded by NIH.

SBIR grants play a significant role in the drug development arena as they aim to move or “translate” promising basic research into real therapeutic possibilities for patients.  Often, promising new therapies are lost between the basic discovery being funded by NIH and the drug development stage.  Small businesses that receive SBIR grants are able to fund the translational research and clinical work needed to advance potential new therapies.

On February 13, 2008, Amy Comstock Rick testified before the House Small Business Committee in favor of reauthorizing the SBIR program at NIH, as well as lifting the current restrictions to allow small businesses that receive venture capital funding to participate in the SBIR program.  In 2003, the Small Business Administration, which has jurisdiction over eligibility requirements for the SBIR program, ruled that in order for small companies to be eligible for SBIR grants, they cannot receive a majority of their funds from venture capital sources.  As a result, many companies pursuing promising treatments are no longer eligible for SBIR grants.

In her testimony Rick said, “From a patient perspective it does not seem logical, and is in fact scary, that we eliminate from eligibility research projects that otherwise merit funding because of the financial structure of the company…the very companies that are doing a good enough job in one area are, because of that success, barred from federal support for other promising research.”  To read Amy Rick's full testimony, click here.

Fortunately, the House of Representatives recently passed SBIR reauthorization legislation, H.R. 5819, that will allow small venture capital-backed businesses to participate in the SBIR program.  PAN supported this legislation and will work with the Senate to pass similar legislation and reauthorize this important program before September 30, 2008.





 

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