Floor Statement of Sen. Chuck Grassley

"We Must Stop the Spread of Synthetic Drug Use"

Delivered Wednesday, February 15, 2012

In the fall of 2010, I came to the floor to speak about my growing concern of synthetic drug use in this country. Specifically, I raised concerns about a popular new drug known as K2 or Spice after a constituent of mine, named David Rozga, committed suicide. David killed himself shortly after smoking a package of the drug he and some friends bought at a local shopping mall. At the time, David's death in June 2010 was one of the first deaths associated with what was a new and very dangerous drug craze.  Now, nearly two years after David's death, the use of synthetic drugs like K2 has exploded and is becoming a major problem across the country.

In 2009, the American Association of Poison Centers reported only 13 calls concerning synthetic drug use. In 2010, over 1,300 calls were made to poison centers about synthetic drugs. Last year, there were over 12,000 calls to poison centers regarding synthetic drugs. The Monitoring the Future survey, a survey of high school youth, asked students for the first time last year if they ever tried synthetic drugs. Roughly one in nine high school seniors responded that they had used synthetic drugs in the last year. These numbers are an astonishing increase in just two year, and this illustrates how rapidly the use of these drugs has come on the scene.

These drugs are having a terrible effect on those who use them. Emergency room doctors across the country are reporting increasing cases of synthetic drug users coming to the hospital. My staff heard from one such doctor from upstate New York about what she has seen. Dr. Sandra Schneider, from Rochester New York, reported that users in her ER experienced psychotic episodes, rapid heart rate, very high blood pressure, and seizures. In some cases users, many of whom were in their teens and twenties, suffered heart attacks and strokes, and died as a result. Other cases involved users who tried to kill themselves, harm others, or got into car accidents while high on these drugs.

How did we get here? The people who manufacture and sell these drugs have circumvented the laws to easily sell synthetic drugs online, at gas stations, in novelty stores at the local shopping malls, and in tobacco stores and other shops. Many of the drugs are manufactured overseas in counties like China and imported into the United States. They spray chemical compounds that have not been tested on humans and were not intended for human consumption on dried leaves. They package and market these drugs to appear as legitimate products like incense, bath salts, plant food, and snow remover. They slap a label on these packages stating that the product is not for human consumption to get around FDA regulation.

Over 30 states have passed laws to ban various synthetic drug compounds. The Drug Enforcement Administration has also acted to stop these drugs. Although the DEA has used its emergency scheduling powers to control seven chemical compounds, there are too many on the market now for the DEA to go through the long and laborious process to schedule each and every one. The makers of these drugs know this too well and have altered their chemical formulas, some as little as a molecule, to get around existing state and federal laws.

This is exactly the case in my home state of Iowa. Iowa passed a law last year that banned many chemical compounds; however, the law only listed a specific set of chemical compounds and the drug makers altered their formulas. Recently, two Iowa youths have become victims of the new drugs. One is a Polk County teenager who got into a high speed crash after smoking a product called "100% Pure Evil." This teen had two other passengers in her car. After smoking this product, the driver became agitated and stated she wanted to kill herself. She started driving her car into several trees. When paramedics arrived on the scene they reported that everyone was badly hurt and the driver was vomiting blood. Thankfully, all passengers survived the crash.

Another teen in Central Iowa experienced a near death experience after smoking the same product. This teen purchased the product "100% Pure Evil" at a local store and started convulsing and vomiting shortly after smoking the drug. Once paramedics got this boy to a hospital he fell into a coma. He, however, woke from the coma the next day but had failed to recognize his mother or grandmother at the hospital. Thankfully, this boy has since recovered his memory. Now he suffers occasional anxiety attacks. When the boy's mother told the police about the product and where he got it, she reported that the police told her there was nothing they could do about it because it was not known what was in the product and it may be legal. This product is still being reviewed to see if any compounds fall under Iowa's ban.

Nearly a year ago, I introduced legislation, named after David Rozga, with Senator Feinstein, that bans the chemicals that comprise K2/Spice. We designed the legislation to capture a wide variety of compounds so it would not be so easy to circumvent this law by altering a molecule. In fact, the Iowa Governor's Office of Drug Control Policy is crafting new legislation, based on the legislation I introduced last year that captures more substances. My legislation was unanimously passed out of the Judiciary Committee last July. It is currently being prevented from consideration by the full Senate by one Senator. The House of Representatives passed its version of the Synthetic Drug Control Act overwhelmingly last December with more than 70 percent of representatives supporting scheduling these drugs.

Many of the opponents of this legislation stated on the House floor that by scheduling these compounds, we are preventing scientific research. That is far from true. Any scheduled substance, even current schedule I drugs like cocaine and heroin, can be researched. Any scientist can apply to be registered by the DEA to research any drug. Just because we are removing the drugs from the store shelves does not mean we can't study them.

It is time for the Senate to take action. We cannot let the will of just one senator obstruct the will of many. I believe if our legislation received a vote and a fair debate, this body would pass it overwhelmingly. I urge my colleagues to support our efforts to get these drugs off the store shelves and off the streets. I urge the Senate leadership to allow a debate and vote on this issue. The American people, people like the Rozga family and others who have been victims of these drugs, want to see this poison removed from their communities.

 

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Legislation seeks to attract top-notch medical talent to veterans' care facilities

Washington, DC - Rep. Bruce Braley (IA-01) introduced the Veterans Access to Care Act today, legislation that seeks to expand veterans' access to quality healthcare by helping the Veterans Administration and state veterans' homes recruit more highly-qualified doctors, nurses, and mental health providers to provide services to America's veterans.

The legislation would make veterans' care facilities eligible to hire National Health Service Corps fellows, helping attract recent medical school graduates to careers helping veterans.

Braley said, "The Veterans Access to Care Act will allow veterans' healthcare facilities to hire from a top-notch pool of medical talent committed to practicing in the public interest.  This will improve veterans' quality of care by encouraging the nation's best and brightest young doctors to work in veterans' healthcare facilities.

 

Braley continued, "The National Health Service Corps is a program with a well-established track record of attracting high quality medical professionals who have chosen to give back to their country by serving those who are most in need.  What better group of people to have caring for our veterans, who share this commitment to service?"

 

The National Health Service Corps is a national scholarship program operated by the US Department of Health and Human Services that pays medical school expenses for future doctors, nurses, and health practitioners who agree to work in medically underserved areas after graduation.  Braley's bill would simply add Veterans Administration facilities and state veterans' homes as eligible "underserved areas" in which graduates would be eligible to serve.

Dr. Douglas Steenblock, Director of Mental Health Services at the Iowa Veterans' Home in Marshalltown, approached Braley with the idea for the bill.  Steenblock is himself a former fellow of the National Health Service Corps.

 

Steenblock said, "It can be difficult to attract medical professionals to work in the unique environment of a veterans' facility, particularly those outside of our major metropolitan areas.  The Iowa Veterans' Home Mental Health Department hasn't been fully staffed since September 2010 despite ongoing efforts to hire new personnel.  The National Health Service Corps has proven to be a powerful incentive to recruit and retain quality providers in underserved areas.  It could be easily adapted to do the same for veterans' facilities."

 

The bill introduced by Braley today is similar to a proposal he introduced in 2010.  The text of the bill can be downloaded at the following link: http://go.usa.gov/QGP

# # #

Braley will be joined by Iowa Veterans' Home's Dr. Douglas Steenblock

Washington, DC - Rep. Bruce Braley (IA-01) will hold his weekly press conference call with Iowa reporters this morning at 10:30am CST.

Braley will discuss the introduction of legislation that will expand veterans' access to quality healthcare by helping the Veterans Administration recruit more qualified health providers to America's rural communities.  Braley will be joined on the call by Dr. Douglas Steenblock, the Director of Mental Health Services at the Iowa Veterans' Home, who initially came to Braley with the idea for the legislation.

WHAT: Bruce Braley's weekly press call with Iowa reporters

WHO: Rep. Bruce Braley (IA-01)

Dr. Douglas Steenblock, Director of Mental Health Services, Iowa Veterans' Home

WHEN:                 TODAY, Wednesday February 15th, 2012

11:30am EST // 10:30am CST

CALL-IN:               866-704-2208

PASSCODE:         2414543#

 

# # #

Gilda's Club and Genesis Cancer Care Institute are partnering to offer Cancer Transitions™ is a free 2 hour, six-week workshop designed to help cancer survivors make the transition from active treatment to post-treatment care.  Expert panelists including physicians, nutritionists and fitness experts will discuss exercise tailored to each participant's abilities, training in relaxation and stress management and tips for nutritious eating. Cancer Transitions will answer many of your questions about cancer survivorship post-cancer treatment.  The course covers the following topics:

Session 1: Get Back to Wellness: Take Control of Your Survivorship

Session 2: Exercise for Wellness: Customized Exercise

Session 3: Emotional Health and Well-Being: From Patient to Survivor

Session 4: Nutrition Beyond Cancer

Session 5: Medical Management Beyond Cancer: What You Need to Know

Session 6: Life Beyond Cancer

Date: Wednesday, March 7 (meets for 6 weeks)

Time: 10:00 a.m. - 12:00 p.m.

Location: Gilda's Club Quad Cities, 1234 E. River Dr,  Davenport, IA 52803

Contact for more information or to sign up: Melissa Wright, 563-326-7504 or melissa@gildasclubqc.org

Cancer Transitions is a program of the Cancer Support Community and LiveStrong™

LeClaire, IA (PRWEB) February 13, 2012

Although many people have never heard the term "medical tourism", a growing number of Americans are finding it highly valuable to travel outside the United States for health care services.

While medical tourism has been popular in numerous countries around the world, Americans have only recently begun to understand the benefits of this low cost option.

"As a nurse, I became extremely frustrated with the outrageous costs of our health care system," said Pam Brammann R.N., President and Managing Director of IHT World. "Upon discovering that American quality care can be obtained in other countries for a fraction of the cost in the United States, I decided to offer medical tourism services to help Americans save money on their health care costs."

Typical savings are usually in the range of 50 to 80 percent compared to medical costs in the United States, including travel expenses for two.

IHT World offers valuable information that helps Americans make informed decisions concerning their health care choices. IHT World also offers a variety of assistive services, such as ensuring safe transfer of medical records abroad to the patient's choice hospital, as well as forwarding medical records after surgery from the hospital overseas to the patient's home physician for follow up care.

One common concern regarding medical tourism is what happens in the event of a complication? Although rare, surgery and health care treatment carries the risk of complication both in the United States and overseas.

If complications would develop, financial protection must be ensured. That's why IHT World strongly suggests that all participants purchase medical tourism insurance. Such a policy is not expensive and offers coverage regarding unfortunate events that may arise.

IHT World works with a company that offers customized medical tourism benefits. Unlike other medical tourism companies, IHT World does not collect commission from insurance policies to help keep costs low.

Individuals, employers and insurance companies are all experiencing the financial burden of American health care.  IHT World offers customized medical tourism services that will help reduce health care costs, without compromising quality.

To discover more go to http://www.ihtworld.com

Many of you are aware of the danger that radon gas poses to our health and the work that we've been doing to raise awareness through the Iowa Radon Coalition over the past year. (Radon is a naturally occurring gas that comes from the ground. Iowa has the highest incidence of radon in homes in the nation.)

I'm happy to report that legislation is in the works to protect Iowans from this deadly threat, the second-leading cause of lung cancer behind smoking.  Radon kills about 400 Iowans a year - more than are killed in traffic accidents.

Sen. Jeff Danielson, D-Cedar Falls, and Rep. Peter Cownie, R-West Des Moines, chairs of their respective chambers' State Government Committees, have submitted requests for study bills dealing with radon. The bills will include important strategies for protecting Iowans from radon, requiring:

  • Radon testing and disclosure for all real estate transactions
  • Radon Resistant New Construction (RRNC) in all new residential construction
  • A state income tax credit of up to $500 for home radon mitigation
  • Testing and disclosure for all rental housing and K-12 school buildings
  • Earmarking all funds collected by the state from radon mitigation professionals for radon education through the Dept. of Public Health.

Please take action by contacting Sen. Danielson and Rep. Cownie today to thank them for requesting these bill drafts and ask them to do their best to get a bill passed out of committee before the first funnel deadline, February 24th.

Our most exciting day of the year is rapidly approaching! Day at the Capitol is Wednesday, Feb. 22nd. We will inform and inspire you, feed you and transport you to and from the Capitol for meetings with your legislators. And it's all free!

As many of you know, we have a very special guest as our featured speaker that day - Dr. Otis Brawley. As the chief medical officer and executive vice president of the American Cancer Society, Dr. Brawley is responsible for promoting the goals of cancer prevention, early detection, and quality treatment through cancer research and education. He champions efforts to decrease smoking, improve diet, detect cancer at the earliest stage, and provide the critical support cancer patients need. Dr. Brawley is a key leader in the Society's work to eliminate disparities in access to quality cancer care. It is this area that Dr. Brawley will focus his remarks on at our event.

You do not want to miss the chance to hear Otis Brawley. Sign up TODAY and help spread the word about this event to friends and colleagues.

Friday February 10, 2012

Departments of Health & Human Services, Labor, and Treasury announce final rule for implementation

 

Washington, DC - Three government agencies announced new rules late yesterday to fully implement Rep. Bruce Braley's (IA-01) Plain Language in Health Insurance Act, a bill he introduced that was later passed into law as part of the 2010 Affordable Care Act.

Under the rule announced today, health insurers must provide clear, consistent and comparable summary information to consumers about their health plan benefits and coverage. The new forms will be available beginning on September 23rd, and will be a helpful resource for the roughly 150 million Americans with private health insurance.

"I think everyone agrees that health insurance forms should be written as clearly as possible," said Braley. "These new rules will make insurance forms much easier to understand, so that consumers know exactly what they're paying for.  Small businesses will also save time and money as they can easily compare plans for their employees, and won't have to decipher the same old insurance gobbledygook that we've dealt with for years.  This is a big step towards a more transparent, consumer-friendly healthcare marketplace."

The Braley Plain Language in Health Insurance provision of the Affordable Care Act requires health insurers to eliminate confusing language from marketing materials that make it difficult for consumers to understand exactly what they are buying.

The rules announced yesterday stipulate that consumers have access to two key documents to help them understand and evaluate their health insurance choices:

·         A short, easy-to-understand Summary of Benefits and Coverage; and

·         A uniform glossary of terms commonly used in health insurance coverage, such as "deductible" and "co-payment."

A key feature of the Summary of Benefits and Coverage is a new, standardized plan comparison tool called "coverage examples," similar to the Nutrition Facts label required for packaged foods.  The coverage examples will illustrate sample medical situations, describing how much coverage the plan would provide in events such as having a baby or managing diabetes.  These examples will help consumers understand and compare what they would have to pay under each plan they are considering.

A template of the Summary of Benefits and Coverage can be downloaded at the following link: http://go.usa.gov/Q9H

# # #
You Probably Know What's In Your Kids' Peanut Butter, But Do You
Know What's In Their Toothpaste?

Most parents are careful about learning what's in the stuff their kids eat and drink. They avoid artificial dyes, preservatives, chemicals, and sweeteners. Yet ask just about any of those same folks if they have ever looked at what is in their toothpaste and you'll likely get blank stares.

Considering the fact that children - and adults -- ingest toothpaste twice a day every day, it's probably the most frequent thing we put in our mouths other than water or other beverages. And still, most people have never looked at what is in their toothpaste.

Dentist and national oral health care expert Harold Katz, (www.therabreath.com), suggests that needs to change. Many ingredients in some commercial toothpastes are of questionable benefit and some are just plain bad for you.

Consumers have become increasingly aware of the hidden toxins in foods, beverages and eating and drinking utensils, he says. They avoid high fat and high sodium foods, sulfates in their personal care products, aerosol sprays, and toxic chemicals in their household cleaners.

"They're taking no chances, and rightfully so. Remember the rush to replace plastic baby bottles with glass ones after the BPA scare in 2008?" he asked.

However there has been a surprising lack of attention to toothpaste, Katz says. The dentist suggests that all consumers - but especially parents - take the time to read their toothpaste tubes today. Effects of potentially unhealthy toothpaste ingredients are multiplied in the smaller bodies of children.

Here are a few ingredients to stay away from:

• FD&C blue dye No. 2: This commonly used toothpaste dye is one of several on the list of additives to avoid, maintained by the Center for Science in the Public Interest. It's said to be linked to learning, behavioral and health problems, severe allergic reactions, and headaches, among other problems.

• Sodium lauryl sulfate: The American College of Toxicology reports this ingredient in cosmetics and industrial cleaning agents can cause skin corrosion and irritation. Doses of .8 to 110 grams/kilogram in lab rats caused depression, labored breathing, diarrhea and death in 4 out of 20 animals.

• Triclosan: An anti-microbial ingredient, the federal Environmental Protection Agency lists triclosan as a pesticide and regulates its use in over-the-counter toothpastes and hand soaps. According to the agency's fact sheet, "Studies on the thyroid and estrogen effects led EPA to determine that more research on the potential health consequences of endocrine effects of triclosan is warranted. ... Because of the amount of research being planned and currently in progress, it will undertake another comprehensive review of triclosan beginning in 2013."

• Saccharin and aspartame: Both of these artificial sweeteners are on the Center for Science in the Public Interest's list of additives to avoid.

Toothpaste buyers should look for natural ingredients, such as aloe vera juice, which cleans and soothes teeth and gums and helps fight cavities, according to the May/June 2009 issue of General Dentistry, the Academy of General Dentistry's clinical, peer-reviewed journal. Aloe vera tooth gel is said to kill disease-causing bacteria in the mouth, Katz says.

Also, avoid all toothpastes that contain sodium lauryl sulfate, a harsh detergent that has been linked to canker sores. Toothpastes that are free of sulfates include Weleda's Salt Toothpaste, TheraBreath and Tom's of Maine.

Brush your teeth at least twice a day and get children into the habit from a young age, Katz says. You'll have fresh breath, avoid painful dental problems, and be far more likely to have your teeth in your mouth when you go to sleep at night as you age.

Just be sure to check what's in your family's toothpaste and avoid buying anything with problematic ingredients. And when it comes to brushing kids teeth use a pea-sized drop of paste on the brush - no more - and oversee brushing to ensure young children don't swallow their toothpaste, says Dr Katz.

About Dr. Harold Katz

Dr. Harold Katz received his degree in bacteriology from UCLA and is the founder of The California Breath Clinics and author of The Bad Breath Bible. He has been featured on ABC's "Good Morning America," CBS's "Early Show" and "The View" with Barbara Walters and countless other TV shows. Dr. Katz's formulated the TheraBreath oral care program in 1994 and has continued to update products in order to make use of the most effective and most natural ingredients.

 

Tuesday, February 7, 2012

WASHINGTON - Senator Chuck Grassley today called on the Secretary of Health and Human Services to rescind the Obama Administration's health care rule that will force religious affiliated organizations to either abandon their freedom of conscience or pay a fine of up to $2,000 per employee.

The rule issued by the Department of Health and Human Services, as part of the department's implementation of the sweeping Affordable Care Act of 2010, mandates that religious-affiliated charities, schools and hospitals provide coverage for controversial contraceptive products.

"The federal government does not have the right to tell religious groups to provide a service that violates their faith," Grassley said.  "This rule emphasizes one of the many concerns Americans have with the 2010 health care law, that it is a dramatic overreach into personal freedoms and liberties."

In a letter to Secretary Kathleen Sebelius, Grassley said the mandate as written will result in litigation that could be avoided with a regulation that shows respect for religious freedom.  Here is the text of his letter.

 

February 7, 2012


The Honorable Kathleen Sebelius

Secretary, U.S. Department of Health & Human Services

200 Independence Avenue, S.W.

Washington, D.C. 20201

 

Dear Secretary Sebelius,

I write to express serious reservations with the rule issued by the U.S. Department of Health and Human Services (HHS) on January 20, 2012, mandating that religious-affiliated charities, schools, and hospitals provide coverage for controversial contraceptive products.  This decision would force many groups, including charities, schools, and hospitals, to provide coverage of contraceptive and abortifacient products despite strong objections to these drugs rooted in religious beliefs.

The federal government does not have the right to tell religious groups to provide a service that violates their faith.   It is disturbing that under the broad HHS requirement and narrow exemption, religious affiliated organizations will face a choice that Americans should not confront: adhere to their freedom of conscience or pay a fine of up to $2,000 per employee.  As currently written, this mandate will result in litigation that could be avoided if HHS issued a regulation that showed greater respect for religious freedom.

This rule highlights this Administration's continued invasive role in designing the health care benefits available to Americans and underscores one of the numerous concerns Americans have with the Affordable Care Act.  That the definition of a preventative benefit services has morphed into a requirement to force Americans to buy a product that violates their conscience demonstrates the dramatic overreach of the law into Americans' personal freedoms and liberties.  This burdensome and morally dubious regulation stands against more than 200 years of our nation's proud history of religious and individual liberty.  I strongly urge you to rescind this rule and ensure that any future issuance of a revised rule respects the conscience of not only medical providers, but healthcare consumers and faith-based organizations as well.

 

Sincerely,

Charles E. Grassley

United States Senator

By Steph Larsen, stephl@cfra.org, Center for Rural Affairs

An estimated nine million Americans could receive rebates from their health insurers in 2012. Will you be one of them?

The Affordable Care Act, passed nearly two years ago in March 2010, protects consumers by requiring health insurance companies to spend between 80-85 percent of their premium dollars on medical care or improvements, instead of on administration, advertising or executive salaries. The purpose of this provision is to protect consumers from insurers who increase prices without good reason or justification.

If insurers fail to meet this standard - one that many insurers already achieve now - they will be required to issue rebates to their customers. The federal Health and Human Services Department estimates these rebates could average $165 per individual.

The customers most likely to receive rebates are those who are not part of a large plan through their employer, but instead purchase their insurance on the individual market. group includes many rural small business owners and self-employed workers, such as farmers, ranchers and rural mainstreet entrepreneurs.

Insurers will be required to publish the costs of their medical claims costs, administrative costs and taxes by June 1, 2012. Those who qualify for a rebate will receive checks this summer.

Of course, insurance companies can avoid paying rebates by lowering premiums. Either way, consumers win.

To find out more about health insurance rebates and other Affordable Care Act provisions contact Steph Larsen, at 402.687.2100 or StephL@cfra.org.


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