,i #aac? ,,congress #b;d ,session ,h4 ,r4 #eehj ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #ah1 #bjad ,ms4 ,de,lauro 7= h]self & ,mr4 ,higg9s7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ! ,budget ,a ,,bill ,to prioritize fund+ = ! ,national ,in/itutes ( ,heal? to discov] treatm5ts & cures1 to ma9ta9 global lead]%ip 9 m$ical innovation1 & to re/ore ! pur*as+ p[] ! ,,nih _h aft] ! hi/oric d\bl+ campaign t end$ 9 fiscal ye> #bjjc4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,accel]at+ ,biom$ical ,rese>* ,act4 #b4 ,f9d+s ,congress makes ! foll[+ f9d+s3 7#a7 ,! ,national ,in/itutes ( ,heal? 7ref]r$ to 9 ?is section z ! ,,nih7 is ! lead+ biom$ical rese>* entity 9 ! _w4 ,x supports rese>*]s 9 e ,/ate z !y discov] treatm5ts & cures to prev5t & r$uce human suff]+4 ,?anks 9 l>ge "p to ,,nih-fund$ m$ical rese>*1 ,am]icans today are liv+ long] & heal?i]4 ,life expectancy 9 ! ,unit$ ,/ates has jump$ f #dg ye>s 9 #aijj to #gh ye>s 9 #bjji1 & disability 9 p ov] age #fe has dropp$ dramatically 9 ! pa/ #c decades4 7#b7 ,ov] ! pa/ #dj ye>s1 ,,nih-support$ rese>* contribut$ to ! discov]y ( #aec new ,food & ,drug ,adm9i/ration-approv$ drugs1 vacc9es1 or new indications = curr5t drugs4 7#c7 ,! application success rate is n[ at an all-"t l[4 ,f #aihj to #bjjc1 ! la/ ye> ( ! d\bl+1 ! grant application success rate rang$ betwe5 #be & #ce p]c5t4 ,by #bjac1 ! grant success rate _h fall5 to #af4h p]c5t4 7#d7 ,rec5t ,f$]al fund+ cuts ?reat5 to dim9i% ,unit$ ,/ates lead]%ip 9 ! _w4 ,! int]national community has recogniz$ ! role biom$ical rese>* plays 9 g5]at+ economic gr[?4 ,engl&1 ,*9a1 ,brazil1 ,s\? ,korea1 ,india1 ,s+apore1 ,g]many1 ,france & ,japan are increas+ _! inve/m5t1 despite ! worldwide recession4 ,only ! ,unit$ ,/ates has decreas$ its inve/m5t1 f #j4bae p]c5t ( ,gross ,dome/ic ,product 9 #bjjc 7! la/ ye> ( ! d\bl+7 to #j4agd p]c5t 9 #bjac4 ,9 #h ye>s1 if curr5t tr5ds cont9ue1 ,*9a w surpass ! ,unit$ ,/ates 9 total gov]nm5t biom$ical rese>* inve/m5t4 7#e7 ,,nih is vital to ! ,unit$ ,/ates economy4 ,9 fiscal ye> #bjab1 ! ,,nih extramural program support$ ar\nd #ej1jjj competitive rese>* grants & #cjj1jjj sci5ti/s & rese>* p]sonnel at m ?an #b1ejj univ]sities1 m$ical s*ools1 & o!r rese>* in/itutions across our #ej ,/ates4 7#f7 ,economi/s h e/imat$ ! return on ea* doll> ( inve/m5t 9 ,,nih to g5]ate any:]e f #a4hj to #c4bj 9 economic output4 ,! ,f$]al inve/m5t ( #c1hjj1jjj1jjj 9 ! ,human ,g5ome ,project f #aihh to #bjjc help$ drive #gif1jjj1jjj1jjj 9 economic output1 :i* is a return ( #ada = e #a inve/$4 7#g7 ,9 #bjac1 sales ( products built ar\nd lic5s$ ,,nih & ,food & ,drug ,adm9i/ration inv5tions includ$ #ceh lic5sees report+ a total ( #g1jjj1jjj1jjj 9 sales4 7#h7 ,! hi/oric d\bl+ ( ,f$]al fund+ = ! ,national ,in/itutes ( ,heal? end$ 9 fiscal ye> #bjjc4 ,s9ce t "t1 ,,nih appropriations h n kept up ) biom$ical inflation4 ,,nih has lo/ m ?an #bj p]c5t ( its pur*as+ p[] = m$ical rese>* s9ce #bjjc4 7#i7 ,if ,,nih _h kept up ) biom$ical inflation1 ,,nih's appropriation w\ld h total$ #cg1jjj1jjj1jjj 9 #bjac1 in/ead ( ! #bh1ijj1jjj1jjj t 0 actually appropriat$1 a loss ( #h1ajj1jjj1jjj or #bh p]c5t4 ,to re/ore fund+ to ! #bjjc po/-d\bl+ level w\ld require ,congress to appropriate #df1ejj1jjj1jjj 9 fiscal ye> #bjba1 ! f9al ye> ( ! ,budget ,control ,act ( #bjaa 7,public ,law #aab-be74 7#aj7 ,high heal? c>e co/s f a v>iety ( common conditions ?reat5 ,f$]al1 ,/ate1 & local budgets1 z well z ! budgets ( ,am]ican families4 ,rec5t e/imates indicate t ! economic co/s ( ,alzheim]'s disease is ov] #bjj1jjj1jjj1jjj ea* ye> b w rise to ov] #a1jjj1jjj1jjj1jjj by #bjej unless a prev5tion or cure is f\nd4 ,9 #bjjf1 economi/s f\nd t a future #a p]c5t r$uction 9 mortality rates f canc] w\ld save #ejj1jjj1jjj1jjj to curr5t & future ,am]icans4 ,a cure = canc] 0 e/imat$ to save #ej1jjj1jjj1jjj1jjj to ,am]icans1 m ?an #c times ! gross dome/ic product ( ! ,unit$ ,/ates 9 #bjab4 ,! ,c5t]s = ,disease ,control & ,prev5tion reports t annual co/s f undiagnos$ diabetes 0 #bde1jjj1jjj1jjj ea* ye>4 ,& a rec5t /udy projects t by #bjcj1 ne>ly #dd p]c5t ( ! ,unit$ ,/ates population w face "s =m ( c>diovascul> disease co/+ a total ( #a1bjh1jjj1jjj1jjj betwe5 #bjab & #bjcj4 7#aa7 ,budget cap adju/m5ts are h[ ,congress traditionally prioritizes areas ( sp5d+ t produce economic gr[? & r$uce co/s t contribute to ! ,f$]al debt4 #c4 ,cap adju/m5t ,section #bea7;b77#b7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe 7#b ,u4,s4,c4 #ija7;b77#b77 is am5d$-- 7#a7 by r$esignat+ subp>agraph 7,d7 z subp>agraph 7,e72 & 7#b7 by ins]t+ aft] subp>agraph 7,c71 ! foll[+3 7,d7 ,national ,in/itutes ( ,heal? 7i7 ,9 g5]al ,if a bill or jo9t resolution mak+ appropriations = a fiscal ye> is enact$ t specifies am\nts = ! ,national ,in/itutes ( ,heal? at ! ,dep>tm5t ( ,heal? & ,human ,s]vices 7#ge-iiae-a-a-eeb71 !n ! adju/m5ts = t fiscal ye> %all be ! am\nt ( additional new budget au?ority provid$ 9 t ,act = su* programs = t fiscal ye>1 b %all n exce$-- 7,i7 = fiscal ye> #bjae1 #c1jjj1jjj1jjj 9 additional new budget au?ority2 7,,ii7 = fiscal ye> #bjaf1 #f1cjj1jjj1jjj 9 additional new budget au?ority2 7,,iii7 = fiscal ye> #bjag1 #h1ajj1jjj1jjj 9 additional new budget au?ority2 7,,iv7 = fiscal ye> #bjah1 #aj1jjj1jjj1jjj 9 additional new budget au?ority2 7,v7 = fiscal ye> #bjai1 #ab1jjj1jjj1jjj 9 additional new budget au?ority2 7,,vi7 = fiscal ye> #bjbj1 #ad1ajj1jjj1jjj 9 additional new budget au?ority2 & 7,,vii7 = fiscal ye> #bjba1 #af1cjj1jjj1jjj 9 additional new budget au?ority4 7ii7 ,def9itions ,z us$ 9 ?is subp>agraph3 7,i7 ,additional new budget au?ority ,! t]m additional new budget au?ority means ! am\nt provid$ = a fiscal ye>1 9 excess ( #bi1ibf1ajd1jjj1 9 an appropriation ,act & specifi$ to support ! ,national ,in/itutes ( ,heal?4 7,,ii7 ,national ,in/itutes ( ,heal? ,! t]m ,national ,in/itutes ( ,heal? means ! appropriations acc\nts t support ! v>i\s in/itutes1 (fices1 & c5t]s t make up ! ,national ,in/itutes ( ,heal?4 4