Hill Day Advocates Highlight Importance of NIH/NCI Funding and Moonshot Initiative

Nearly 80 cancer center directors, physicians, researchers, and patient advocates representing 25 states and the District of Columbia visited Capitol Hill on May 12 to urge legislators to provide stable, predictable support for the National Institutes of Health (NIH) and the National Cancer Institute (NCI) in Fiscal Year 2017.  The event allowed advocates to participate in over 130 meetings with members of Congress and their staff, including leadership and key committee staff.

AACR Hill Day Reception [INITIALS] 20160511

L to R: AACR President Nancy Davidson, MD; Rep. Kathy Castor; ASCO President Julie Vose, MD, MBA, FASCO;  and AACI President George Weiner, MD, during the Hill Day reception held at Rayburn House Office Building in Washington, DC, on Wednesday, May 11, 2016.  (Photo: Alan Lessig)

Hill Day was co-hosted by AACI, the American Association for Cancer Research (AACR), and the American Society of Clinical Oncology (ASCO).  The event kicked off with a reception the evening prior to Hill Day.  U.S. Representatives Kathy Castor (D-FL) and Chuck Fleischmann (R-TN) were recognized for their outstanding support for cancer research.

Both members of Congress attended the reception to accept their awards and praised the work cancer centers and cancer researchers are doing to transform the discovery and delivery of care.  Rep. Castor applauded Moffitt Cancer Center in Tampa, FL for its commitment to cancer care, while Rep. Fleischmann explained how cancer had impacted his own family.  Rep. David Price (D-NC) also attended and offered remarks as well, describing the lasting impression that patient advocates have left on him.

AACI, AACR, and ASCO advocates hit Capitol Hill on Thursday, thanking members of Congress for providing the NIH with a $2 billion increase in FY 2016 and asked that Congress provide at least $34.5 billion for the NIH in FY 2017.  Hill Day participants also expressed support for Vice President Joe Biden’s National Cancer Moonshot Initiative, urging legislators to consider a $680 million increase for the NCI to initiate the effort.

AACR Hill Day Reception [INITIALS] 20160511

L to R: AACI President George Weiner, MD; Bill Dalton, MD; Rep. Chuck Fleischmann; ASCO President Julie Vose, MD; and AACR President Nancy E. Davidson. (Photo: Alan Lessig)

The visits to Capitol Hill were well-received, with many members of Congress voicing support for the FY 2017 appropriations request and others agreeing to co-sponsor National Cancer Research Month resolutions led by Reps. Kevin Yoder (R-KS) and Emanuel Cleaver (D-MO) and U.S. Senators Dianne Feinstein (D-CA) and Johnny Isakson (R-GA).

May is National Cancer Research Month.  Please contact Jennifer Pegher (jen@aaci-cancer.org) if your cancer center would like to support the National Cancer Research Month resolutions.

Jennifer W. Pegher, AACI Government Relations Manager

U.S. Representatives Castor, Fleischmann to be Honored as part of Capitol Hill Day Advocacy for Cancer Research Funding

The Association of American Cancer Institutes (AACI), the American Association for Cancer Research (AACR) and the American Society of Clinical Oncology (ASCO) will honor Representatives Kathy Castor (D-FL) and Chuck Fleischmann (R-TN) for their outstanding leadership on behalf of cancer research at a reception on May 11. On May 12, cancer researchers, physicians, survivors, patient advocates, and cancer center directors associated with AACI, AACR, and ASCO will call on Congress to provide robust, sustained, and predictable funding increases for the National Institutes of Health (NIH) and the National Cancer Institute (NCI) in Fiscal Year 2017 and beyond.

Reps. Castor and Fleischmann have been outspoken supporters of the NIH and the NCI. Since first taking office in 2007, Congresswoman Castor has been a champion for cancer research and has fought tirelessly for increases to the NIH budget and for research funding through other federal agencies. A strong proponent of cancer prevention, for the past two years Castor has spearheaded a far-reaching campaign to promote awareness of the HPV vaccine and how it can prevent all kinds of cancers. She also joined her colleague Rep. Renee Ellmers (R-NC) in working to advance the Accelerating the End of Breast Cancer Act, H.R.1197, to the House floor for a vote earlier this year.

Rep. Fleischmann has represented the third district of Tennessee since 2010. He currently serves on the House Appropriations Subcommittee on Labor, Health and Human Services where he is a devoted advocate for the cancer community. Representative Fleischmann encourages cancer patients to share their stories and has further opened the dialogue in Congress about the need for more research to bring more cures. He has repeatedly called for a national commitment to defeat cancer, and readily shares his personal experiences to bring hope to others.

In 2015, Congress passed a bipartisan spending bill, which provided the NIH with a $2 billion increase in federal funding for FY 2016- the largest boost in annual appropriations for the NIH in more than a decade. Cancer researchers, physician scientists, the nation’s cancer centers and cancer patients depend on robust, predictable and sustainable funding increases for the NIH and NCI in order to increase the pace of progress against cancer.

For the past 10 years each May, which is National Cancer Research Month, the three largest organizations representing more than 60,000 cancer researchers and community oncologists, and 95 cancer centers across the U.S. converge on Capitol Hill to share how cancer research is saving lives and transforming patient care. This year, advocates will thank Members of Congress for their renewed commitment to NIH and NCI in FY 2016, and they will urge Congress to continue the momentum by providing a $2.4 billion increase for the NIH in FY 2017.


Blue Ribbon Cancer Panel Draws Praise from the Association of American Cancer Institutes

The Association of American Cancer Institutes (AACI) congratulates the new members of a Blue Ribbon Panel, announced April 4 by the National Cancer Institute (NCI), which will inform the scientific direction and goals at NCI of Vice President Joe Biden’s National Cancer Moonshot Initiative. blue-ribbon-panel-article

The panel, comprised of scientific experts, cancer leaders, and patient advocates, includes four AACI cancer center directors: Mary Beckerle, Ph.D., CEO and Director, Huntsman Cancer Institute, Salt Lake City; Chi Van Dang, M.D., Ph.D., Professor of Medicine and Director, Abramson Cancer Center, University of Pennsylvania, Philadelphia; Augusto Ochoa, M.D., Professor of Pediatrics and Director, Stanley S. Scott Cancer Center Louisiana State University, New Orleans; and, Jennifer Pietenpol, Ph.D., Professor of Oncology, Professor of Biochemistry, and Director, Vanderbilt-Ingram Cancer Center, Nashville, Tennessee. In addition, Laurie Glimcher, M.D., Professor of Medicine and Dean, Weill Cornell Medical College, is incoming President and CEO, Dana-Farber Cancer Institute, Boston.

The Blue Ribbon Panel is co-chaired by Tyler Jacks, Ph.D., Chair, National Cancer Advisory Board, and Director, Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, Elizabeth Jaffee, M.D., Professor and Deputy Director for Translational Research, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, and Dinah Singer, Ph.D., Acting Deputy Director and Director, Division of Cancer Biology, National Cancer Institute, Bethesda, Maryland. (A full list of panel members is at this link http://www.cancer.gov/news-events/press-releases/2016/blue-ribbon-panel-announced)

In the course of its work the panel will consider how to advance a number of themes that have been proposed for the initiative, including enhanced data sharing, a goal highlighted by the vice president earlier this year when he urged leading cancer centers to break down silos and reach unprecedented levels of cooperation.

“As a primary source for the generation, collection and use of molecular, clinical and outcomes data, AACI and its member cancer centers fully support the vice president’s call to revolutionize the sharing of medical and research data,” said AACI President George J. Weiner, MD.

Dr. Weiner stressed that steady, predictable funding for the National Institutes of Health and NCI is vital as cancer centers work to share data and improve information systems and communication across the cancer continuum. Streamlining regulatory oversight of these efforts, while also protecting patient privacy, is central to optimizing progress.

A key element of AACI’s mission is helping cancer centers keep pace with the changing landscape in science, technology and health care.

“AACI looks forward to collaborating with the members of the Blue Ribbon Panel in order to meet the vice president’s goal of ending cancer as we know it,” said AACI Executive Director Barbara Duffy Stewart, MPH.

AACI Thanks President Obama, Vice President Biden for Highlighting “Cancer Moonshot”

The Association of American Cancer Institutes (AACI) thanks President Barack Obama for his call for a “cancer moonshot” in his final State of the Union address, and Vice President Joe Biden’s focus on expanded cooperation among cancer centers.


Vice President Joe Biden

AACI President George J. Weiner, MD, director of the Holden Comprehensive Cancer Center at the University of Iowa, applauded the President’s remarks, saying:

“It is an incredible time in cancer research and cancer medicine. In many ways, a cancer moonshot is much more challenging than the original moonshot.  There is only one moon, and its behavior is predictable based on the laws of physics.   However, every cancer is different and every patient is different.  Nevertheless, based on years of progress resulting from research conducted in large part at the nation’s academic cancer centers, we now understand cancer better than ever and are advancing clinical care for cancer patients at a rapid pace.”

In a follow-up to the President’s speech, Vice President Biden outlined in a blog post plans to encourage leading cancer centers to reach unprecedented levels of cooperation.  AACI cancer centers currently collaborate in many ways based on the understanding that success in cancer research, education and care is faster when we work together.  The Vice President’s call to action will push AACI cancer centers to a new level of partnership and cooperation. Comprised of 95 premier academic cancer research centers in the U.S. and Canada, AACI is poised to ease the burden of cancer by supporting the ability of its member centers to work together.

“A coordinated cancer moonshot will allow us to accelerate our research progress, thereby reducing the pain and suffering caused by cancer, for current and future generations,” Dr. Weiner said.  “The nation’s cancer centers look forward to working with the President and Vice President to move these general concepts from the drawing board to the launching pad.”

NCI’s Bypass Budget: Join the Conversation

In two days, leaders of the nation’s cancer centers will convene in Washington, D.C. for the 2015 AACI/CCAF Annual Meeting. Cancer centers are the backbone of the country’s National Cancer Program, and as the head of communications for NCI, I’m honored to have this opportunity to blog about a very important topic affecting us all.

Peter F. Garrett, Director, NCI Office of Communications and Public Liaison

Peter F. Garrett, Director, NCI Office of Communications and Public Liaison

The Future of Funding for Cancer Research

On September 16, NCI delivered its Annual Plan and Budget Proposal for Fiscal Year 2017, or “Bypass budget,” to the President, Congress, the Office of Management and Budget (OMB), NCI’s advisory boards, the NIH and fellow HHS agencies. This year’s Bypass, also known as the Professional Judgment budget, differs from recent proposals in that acting NCI director Dr. Doug Lowy requests a seven percent funding increase, compared to 15 percent last year, and asks Congress to pledge to fund seven percent increases for each of the next ten years.

This strategic approach to double NCI’s budget by 2026 acknowledges the reality of today’s budgetary climate in Congress and the necessity of a sustained national commitment to restoring cancer research’s buying power so that we, as a nation, are able to meet the expectations of cancer patients — investing in cutting-edge research, facilitating advances across the continuum of scientific research, and supporting our most valuable resources – the cancer research community.

A New Approach to Engaging the Cancer Community 

I have also instituted a change in how the Bypass budget proposal for 2017 is presented to the community.  Rather than beginning with a printed version (still available by request), the information is being disseminated digitally, via emails and social media pointing to a web portal.  We want researchers, advocates, and others with a stake in cancer research to consider NCI’s proposals and engage in conversations—online and offline—about the strategies and opportunities we’ve outlined.

NCI wants your ideas to make this budget proposal come alive.  Discussion, debate, and engagement surrounding the topics in the Bypass Budget make it a meaningful, living proposal – the new, digital-first Bypass Budget should be more than just a page on a website, it should be the starting point for a meaningful conversation.

Your Voice is What Matters Most 

We want your input–through any communication channel (e.g. e-mail, Facebook, Twitter, etc.).  One way for you to share your ideas with us and the broader cancer community is to comment on Bypass-related blog posts that are appearing this fall (see full schedule below).

September 17: NCI Releases Budget Proposal for Fiscal Year 2017

September 24: Cancer Trends: Influencing Care and Research Priorities

October 8: Progress Against Cancer: The Role of Basic Science

October 22: Bringing Cancer Research to the Public: NCI’s Networks and Programs

November 5: A Holistic Approach to Reducing Cancer Health Disparities

November 19: Precision Medicine Part I: Understanding Precision Medicine

December 10: Precision Medicine Part II: Clinical Trials for Adults and Children

January 13: Cancer Prevention: The Best Defense

Each blog post offers a view from NCI leadership on the pivotal advances in cancer research that create key opportunities for progress.  The comment section accompanying each blog post allows you to open a dialogue with NCI and other thought leaders.

For those of you who actively participate in social media as a way of interacting with the public, we invite to join us in an upcoming Google Hangout.

Join the Conversation!

Make your voice heard. We have already engaged the community in conversations about cancer trends and the importance of basic science.  Starting today, you can comment on our Cancer Currents blog on how NCI networks, including the NCI-designated cancer centers, bring cancer research to the public. On November 2 we will host a Google Hangout about NCI networks and another one on November 10 about bioinformatics and expanding access to data. We would love for you and your colleagues to participate.

Once again, I appreciate this opportunity to write to you and I ask you to let me know if there are other ways we can facilitate better communication across the community and with the public we all serve.

Peter F. Garrett, Director, Office of Communications and Public Liaison 

Three New Members Join AACI CRI Steering Committee

AACI congratulates the following new members of the AACI Clinical Research Initiative (CRI) Steering Committee. Each will serve a three-year term beginning September 1, 2015:

  • Rosemarie Gagliardi, Tisch Cancer Institute, Mount Sinai Medical Center
  • Jessica Moehle, BS, CCRP, Huntsman Cancer Institute, University of Utah
  • Steve Williamson, MD, University of Kansas Cancer Center
New CRI Steering Committee members (L-R) Gagliari, Moehle and Williamson.

New CRI Steering Committee Members (L-R) Gagliardi, Moehle and Williamson.

The AACI CRI is a network of cancer center clinical research leaders that examines and shares best practices that promote the efficient operation of cancer center clinical research facilities, and leverages the ability of the AACI cancer center network to advocate for improvement in the national clinical trials enterprise.

Rosemarie Gagliardi is Associate Dean of Research Services, Icahn School of Medicine at Mount Sinai;  Operations Director, Cancer Clinical Trials Office (CCTO), Tisch Cancer Institute; and Assistant Professor, Department of Population Health Science and Policy. The primary mission of the Tisch Cancer Institute Clinical Protocol and Data Monitoring (CPDM) program is to assist investigators in the development, conduct, and reporting of clinical research in an efficient, compliant and scientifically sound manner. The CPDM provides regulatory, budgeting, study management, compliance, data management and reporting services to ensure clinical research uniformity and consistency. Ms. Gagliardi serves as the CCTO Operations Director, a role established in 2011 to provide direct management of CPDM operations.

Jessica Moehle is Associate Director of Operations, Clinical Trials Office, at Huntsman Cancer Institute. She has more than ten years of clinical research experience, including directing operations for the clinical trials office overseeing a staff of 109 FTEs. Prior to this time she served as the Clinical Trials Regulatory Department Manager and specialized in project management, operational leadership, protocol development, clinical trial portfolio management, IRB regulation, IND submissions, FDA regulation, NCI National Reporting criteria, principal investigator and pharmaceutical sponsor relations, clinical trial staff hiring and training. Ms. Moehle also spent several years in pre-clinical office administration at the National Institutes of Health, Division of AIDS, and Vaccine Research Program.

Stephen Williamson is Medical Director, Clinical Trials Research Unit, and Phase I Director, at University of Kansas Cancer Center. He has been involved in clinical trials research since his oncology fellowship, starting in 1984. Dr. Williamson has been involved in clinical trial development locally and nationally through the Southwest Oncology Group (now known as SWOG). Since 1986 he has been active in the Lung, GI and Head and Neck Committees of the Southwest Oncology Group. His first multi-institutional phase II trial through SWOG was initiated in 1986 and he has been the principal investigator on multiple investigator-initiated trials at the University of Kansas, including a phase I gene therapy clinical trial utilizing irradiated autologous melanoma cells adenovirally transduced with the human GM-CSF gene.

Recess Is A Time To Promote Research

Congress may be recessed, but dialogue surrounding important legislative issues continue in the cancer community. August presents a prime opportunity to meet with your senator(s) and representative to discuss issues impacting cancer centers. If your member of Congress has not yet visited your cancer center, invite them to do so while they are home. Items worth discussing include:

• NIH Funding
• (21st Century) Cures in the Senate
• Medicare Payment Proposals Impacting Hospital Outpatient Departments
• Oral Chemotherapy Parity Legislation

NIH Funding
NIH funding remains a top priority for AACI despite a recent victory in the House with the passage of H.R. 6, the 21st Century Cures Act in July. In June, House and Senate Appropriations Committees marked up Fiscal Year (FY) 2016 spending bills in their respective Labor, Health and Human Services, and Education subcommittees and aimed to significantly increase funding for the National Institutes of Health (NIH). Talks between Republicans and Democrats stalled as July came to a close and when Congress returns after Labor Day, they must move quickly toward a budget agreement in order to avoid another government shutdown. The Fiscal Year begins October 1. Therefore, it is important that you ask your legislators to collaborate with their colleagues in order to lift the caps imposed by the Budget Control Act and support increased funding for the NIH.

Cures in the Senate
You can expect Cures discussions to heat back up when the Senate returns after Labor Day. While several leaders in the senate are looking to the biomedical research community for direction of the bill, it is important that the cancer community maintains the need for sustainable and predictable, mandatory, funding for the NIH in order to make continued progress in cancer research.

Medicare Payment Proposals Impacting Hospital Outpatient Departments
Site-neutral policy recommendations have been made recently in regard to hospital outpatient departments and physician offices, with the suggestion to equalize Medicare payments. This recommendation is of concern to our nation’s cancer centers. National Cancer Institute-designated cancer centers and academic research institutions are the primary source of new discoveries into cancer’s causes, as well as the prevention, diagnosis, and treatment of cancer.

Our nation’s cancer centers treat some of the sickest and costliest patients. A recent study prepared for the American Hospital Association determined that relative to patients treated in physician offices, cancer patients receiving care in hospital outpatient departments are often more likely to be:

• Minority or underserved patients
• Uninsured, self-pay, charity care or Medicaid patients
• Residing in areas of poverty, with lower household income and lower educational attainment
• Burdened with more severe chronic conditions and comorbidities

H.R. 2895, the Medicare Patient Access to Treatment Act, has been introduced in the House and would equalize payments between community-based cancer clinics and hospital outpatient departments. AACI strongly objects to site-neutral reimbursement proposals performed in a budget neutral manner at the expense of cancer centers and other hospital-based programs.

Oral Chemotherapy Parity Legislation
Representatives Leonard Lance (R-NJ) and Brian Higgins (D-NY) have reintroduced oral chemotherapy parity legislation, H.R. 2739, the Cancer Drug Coverage Parity Act, to require health insurance plans which cover traditional, intravenous chemotherapy drugs provide equal coverage for prescribed, orally-administered anticancer medications. They have garnered 23 cosponsors and are hoping to add additional members of Congress to the bill. Senators Mark Kirk (R-IL) and Al Franken (D-MN) introduced S. 1566, the companion bill in the senate and are also looking to add cosponsors.

If your member of Congress has co-sponsored either bill, please thank them. There are several members of Congress who have expressed interest in cosponsoring the legislation but would like to hear from their constituents. If your representative or senator has not cosponsored H.R 2739 or S. 1566, please ask them to do so, because no patient should be forced to make difficult treatment decisions based on insurance coverage.