,i  #aacth ,,congress  #b;d ,session    
,h4 ,r4 #eehj  ,,in ,,the ,,house ,,of  
,,representatives  ,september #ah1 #bjad
 ,ms4 ,de,lauro 7for herself and ,mr4   
,higgins7 introduced the following bill2
 which was referred to the ,committee on
 the ,budget  ,a ,,bill  ,to prioritize 
funding for the ,national ,institutes of
 ,health to discover treatments and     
cures1 to maintain global leadership in 
medical innovation1 and to restore the  
purchasing power the ,,nih had after the
 historic doubling campaign that ended  
in fiscal year #bjjc4  #a4 ,short title 
,this ,act may be cited as the          
,accelerating ,biomedical ,research     
,act4  #b4 ,findings ,congress makes the
 following findings3  7#a7 ,the         
,national ,institutes of ,health        
7referred to in this section as the     
,,nih7 is the leading biomedical        
research entity in the world4 ,it       
supports researchers in every ,state as 
they discover treatments and cures to   
prevent and reduce human suffering4     

,thanks in large part to ,,nih-funded   
medical research1 ,americans today are  
living longer and healthier4 ,life      
expectancy in the ,united ,states has   
jumped from #dg years in #aijj to #gh   
years in #bjji1 and disability in people
 over age #fe has dropped dramatically  
in the past #c decades4  7#b7 ,over the 
past #dj years1 ,,nih-supported research
 contributed to the discovery of #aec   
new ,food and ,drug                     
,administration-approved drugs1         
vaccines1 or new indications for current
 drugs4  7#c7 ,the application success  
rate is now at an all-time low4 ,from   
#aihj to #bjjc1 the last year of the    
doubling1 the grant application success 
rate ranged between #be and #ce percent4
 ,by #bjac1 the grant success rate had  
fallen to #af4h percent4  7#d7 ,recent  
,federal funding cuts threaten to       
diminish ,united ,states leadership in  
the world4 ,the international community 
has recognized the role biomedical      
research plays in generating economic   

growth4 ,england1 ,china1 ,brazil1      
,south ,korea1 ,india1 ,singapore1      
,germany1 ,france and ,japan are        
increasing their investment1 despite the
 worldwide recession4 ,only the ,united 
,states has decreased its investment1   
from #j4bae percent of ,gross ,domestic 
,product in #bjjc 7the last year of the 
doubling7 to #j4agd percent in #bjac4   
,in #h years1 if current trends         
continue1 ,china will surpass the       
,united ,states in total government     
biomedical research investment4  7#e7   
,,nih is vital to the ,united ,states   
economy4 ,in fiscal year #bjab1 the     
,,nih extramural program supported      
around #ej1jjj competitive research     
grants and #cjj1jjj scientists and      
research personnel at more than #b1ejj  
universities1 medical schools1 and other
 research institutions across our #ej   
,states4  7#f7 ,economists have         
estimated the return on each dollar of  
investment in ,,nih to generate anywhere
 from #a4hj to #c4bj in economic output4

 ,the ,federal investment of            
#c1hjj1jjj1jjj in the ,human ,genome    
,project from #aihh to #bjjc helped     
drive #gif1jjj1jjj1jjj in economic      
output1 which is a return of #ada for   
every #a invested4  7#g7 ,in #bjac1     
sales of products built around licensed 
,,nih and ,food and ,drug               
,administration inventions included #ceh
 licensees reporting a total of         
#g1jjj1jjj1jjj in sales4  7#h7 ,the     
historic doubling of ,federal funding   
for the ,national ,institutes of ,health
 ended in fiscal year #bjjc4 ,since that
 time1 ,,nih appropriations have not    
kept up with biomedical inflation4 ,,nih
 has lost more than #bj percent of its  
purchasing power for medical research   
since #bjjc4  7#i7 ,if ,,nih had kept up
 with biomedical inflation1 ,,nih's     
appropriation would have totaled        
#cg1jjj1jjj1jjj in #bjac1 instead of the
 #bh1ijj1jjj1jjj that was actually      
appropriated1 a loss of #h1ajj1jjj1jjj  
or #bh percent4 ,to restore funding to  

the #bjjc post-doubling level would     
require ,congress to appropriate        
#df1ejj1jjj1jjj in fiscal year #bjba1   
the final year of the ,budget ,control  
,act of #bjaa 7,public ,law #aab-be74   
7#aj7 ,high health care costs from a    
variety of common conditions threaten   
,federal1 ,state1 and local budgets1 as 
well as the budgets of ,american        
families4 ,recent estimates indicate    
that the economic costs of ,alzheimer's 
disease is over #bjj1jjj1jjj1jjj each   
year but will rise to over              
#a1jjj1jjj1jjj1jjj by #bjej unless a    
prevention or cure is found4 ,in #bjjf1 
economists found that a future #a       
percent reduction in mortality rates    
from cancer would save #ejj1jjj1jjj1jjj 
to current and future ,americans4 ,a    
cure for cancer was estimated to save   
#ej1jjj1jjj1jjj1jjj to ,americans1 more 
than #c times the gross domestic product
 of the ,united ,states in #bjab4 ,the  
,centers for ,disease ,control and      
,prevention reports that annual costs   

from undiagnosed diabetes was           
#bde1jjj1jjj1jjj each year4 ,and a      
recent study projects that by #bjcj1    
nearly #dd percent of the ,united       
,states population will face some form  
of cardiovascular disease costing a     
total of #a1bjh1jjj1jjj1jjj between     
#bjab and #bjcj4  7#aa7 ,budget cap     
adjustments are how ,congress           
traditionally prioritizes areas of      
spending that produce economic growth   
and reduce costs that contribute to the 
,federal debt4  #c4 ,cap adjustment     
,section #bea7;b77#b7 of the ,balanced  
,budget and ,emergency ,deficit ,control
 ,act of #aihe 7#b ,u4,s4,c4            
#ija7;b77#b77 is amended--  7#a7 by     
redesignating subparagraph 7,d7 as      
subparagraph 7,e72 and  7#b7 by         
inserting after subparagraph 7,c71 the  
following3  7,d7 ,national ,institutes  
of ,health  7i7 ,in general ,if a bill  
or joint resolution making              
appropriations for a fiscal year is     
enacted that specifies amounts for the  

,national ,institutes of ,health at the 
,department of ,health and ,human       
,services 7#ge-iiae-a-a-eeb71 then the  
adjustments for that fiscal year shall  
be the amount of additional new budget  
authority provided in that ,act for such
 programs for that fiscal year1 but     
shall not exceed--  7,i7 for fiscal year
 #bjae1 #c1jjj1jjj1jjj in additional new
 budget authority2  7,,ii7 for fiscal   
year #bjaf1 #f1cjj1jjj1jjj in additional
 new budget authority2  7,,iii7 for     
fiscal year #bjag1 #h1ajj1jjj1jjj in    
additional new budget authority2  7,,iv7
 for fiscal year #bjah1 #aj1jjj1jjj1jjj 
in additional new budget authority2     
7,v7 for fiscal year #bjai1             
#ab1jjj1jjj1jjj in additional new budget
 authority2  7,,vi7 for fiscal year     
#bjbj1 #ad1ajj1jjj1jjj in additional new
 budget authority2 and  7,,vii7 for     
fiscal year #bjba1 #af1cjj1jjj1jjj in   
additional new budget authority4  7ii7  
,definitions ,as used in this           
subparagraph3  7,i7 ,additional new     

budget authority ,the term additional   
new budget authority means the amount   
provided for a fiscal year1 in excess of
 #bi1ibf1ajd1jjj1 in an appropriation   
,act and specified to support the       
,national ,institutes of ,health4       
7,,ii7 ,national ,institutes of ,health 
,the term ,national ,institutes of      
,health means the appropriations        
accounts that support the various       
institutes1 offices1 and centers that   
make up the ,national ,institutes of    
,health4  4