WASHINGTON - Senator Chuck Grassley has asked Chief Justice John Roberts to provide audio and video coverage of the landmark Supreme Court proceedings of the federal health care reform law.  Grassley is the author of legislation that would allow cameras in federal courts.  The bipartisan legislation has passed the Senate Judiciary Committee.

"Cameras in federal courtrooms are at the very heart of an open and transparent government.  Broadcasting the health care reform law proceedings would not only contribute to the public's understanding of America's judicial system, but provide an excellent educational opportunity on a case that has the potential to have a far reaching impact on every American," Grassley said.  "This law is massive in size and scope.  Its effect is reverberating throughout America's economy.  The constitutional questions are landmark.  The public has a right to hear and see the legal arguments."

Grassley first introduced the Cameras in the Courtroom legislation in 1999.  Since then, the Chief Justice has immediately released audio of oral arguments of compelling cases.  The first release came when, at the request of Grassley and others, then Chief Justice William Rehnquist allowed for the release of audio immediately following oral arguments in the Florida election matter in 2000.  Since then, Chief Justice John Roberts has released audio recordings the same day of the oral arguments for more than 20 cases, including Grutter v. Bollinger, D.C. v. Heller, the Guantanamo Cases and the Citizens United Case.

Here is a copy of the text of Grassley's letter.  A copy of the signed letter can be found here.

 

 

November 15, 2011

The Chief Justice

The Supreme Court of the United States

Washington, DC 20543

Dear Chief Justice Roberts:

I am writing to request that the Supreme Court exercise its discretion to permit television coverage of Supreme Court proceedings when the Court hears arguments in the case of the federal health care reform law.  It is my understanding oral arguments will take place in March of next year.

The decision in this case has the potential to reach every American.  The law is massive in size and scope.  The effect of the law, and the Court's decision, will reverberate throughout the American economy.

The constitutional questions presented in the case are momentous. The public has a right to witness the legal arguments likely to be presented in the case: (1) the constitutionality of the individual mandate; (2) the severability of the individual mandate and whether or not the remainder of the law is valid without the mandate; and (3) the authority of Congress to impose mandatory Medicaid coverage thresholds on states.  Given the nature of the topic, everyone in the country would benefit from following the proceedings in this landmark case.

Modern technology makes televising the proceedings before the Court simple and unobtrusive.  A minimal number of cameras in the courtroom, which could be placed to be barely noticeable to all participants, would provide live coverage of what may be one of the most historic and important arguments of our time.  Letting the world watch would bolster public confidence in our judicial system and in the decisions of the Court.

Providing live audio and video coverage of the oral arguments will be of great benefit to the Court and to the public.  Letting the world watch these historic and important proceedings will bolster confidence in our judicial system and the decisions of the Court.

Sincerely,

Charles E. Grassley

United States Senator

 

Author: Stephanie Walsh, M.D., Medical Director, Child Wellness, Children's Healthcare of Atlanta

The Thanksgiving holiday season is a wonderful time of the year filled with family, friends and of course, food. While the spirit of Thanksgiving is to give thanks for all that we have, the holiday has become increasingly focused on food and eating. There's no harm in enjoying a meal with your family on Thanksgiving, but it's important to remember that the purpose of the holiday is not simply to over-eat.

Childhood obesity continues to be a threatening epidemic in Georgia. Children's Healthcare of Atlanta is continuing to see cases of obesity at all three of its hospitals. The consequences of obesity on children include health issues that are typically seen only in adults, such as Type 2 diabetes, hypertension, sleep apnea, joint problems and high cholesterol. Strong4Life aims to help families take small steps that add up to big changes to help prevent or reverse the consequences of obesity.

Thankfully, there are a lot of ways you can make this Thanksgiving a healthier one for the whole family. Strong4Life helps families bring together four essential building blocks every kid needs to be healthy - Eat Right, Be Active, Get Support and Have Fun. You don't have to take a break from trying to be healthy just because it's the holidays; instead, try incorporating one or two of the tips below into your family's holiday routine:

Eat Right

  • Try to incorporate more whole fruits and vegetables into your Thanksgiving meal; you'll save on the calories that are often added to fruits and vegetables to make heavy casseroles.
  • Serve water with sliced lemon or lime with your Thanksgiving meal instead of sugary beverages like lemonade, alcohol and sweet tea. You'll get more flavor with less sugar and calories.

Be Active

  • Leading up to Thanksgiving, encourage your family to spend one less hour in front of the television and one more hour of physical activity per day to help offset the extra calories consumed on Thanksgiving Day.
  • On Thanksgiving Day, consider leaving the T.V. and computers off all day so your family will have more opportunities to be active.

Get Support

  • Sometimes, overindulging at the holidays can lead to eating unhealthy all of the time. Try to recognize when your family's holiday eating has become an unhealthy habit and work together as a family to make better choices.
  • If you are concerned about childhood obesity, talk to your healthcare provider about more steps your family can take to lead a healthier lifestyle.

Have Fun

  • Play a game of touch football, Frisbee or kickball after the Thanksgiving meal to help everyone feel energized rather than lethargic.
  • Promote "play time" and encourage activities that are fun and physical such as hop-scotch, jumping rope, tag or hide-and-go-seek.

Remember that parents serve as role models for their children, so make sure your actions are ones that you would want your children to follow. By making a few simple changes, your whole family can enjoy a healthy and happy Thanksgiving!

The Iowa Podiatric Medical Society membership elected one new director and re-elected two directors at the 2011 Annual Business Meeting that was recently held in Des Moines. Mica Murdoch, D.P.M., Des Moines was elected as a new director and Mindi Feilmeier, D.P.M., Spirit Lake and Greg McCarthy, D.P.M., Sioux City were both re-elected to a three-year term on the board.

Paul Dayton, D.P.M., Fort Dodge, was elected President of the IPMS Board of Directors. Mark Lucas, D.P.M., Bettendorf was elected as Vice-President, and Greg McCarthy, D.P.M., Sioux City, was elected as Secretary-Treasurer of the IPMS Board of Directors.

Current Board Members include : Gregg Corrigan, D.P.M., Davenport; Christopher Considine, D.P.M., Waterloo; James Mahoney, D.P.M., Des Moines; Gene Nassif, D.P.M., Marion, Past-President; Philip Morreale, D.P.M., Waterloo; Michael Ward, D.P.M., Dubuque; and Tim Yoho, D.P.M., Des Moines.

The Iowa Podiatric Medical Society (IPMS) is the professional organization representing over 135 medical and surgical specialists of the foot and ankle, located throughout the state of Iowa. Doctors of Podiatric Medicine (D.P.M.) are physicians and surgeons who provide comprehensive services ranging from routine foot care to sophisticated foot surgery. Doctors of Podiatric Medicine are also involved in examining and treating patients diagnosed with diabetes, and those at risk for the disease, to assist them in avoiding possible complications, such as foot ulcers and amputations.

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MILWAUKEE, WI - Thanksgiving is filled with good food, company, and gratitude.  For many people, it's also the source of weight gain and anxiety.  This season, don't let the holidays derail your healthy habits.  TOPS Club, Inc. (Take Off Pounds Sensibly), the nonprofit weight-loss support organization, offers tips to eat right, stay active, and reduce stress.

Eat without Regret

• Watch portion sizes. You don't need to fill your plate with everything that's offered.  Sample your favorite foods and use a smaller plate to "trick" yourself into thinking you have consumed more.

• Slow down. Take time to enjoy your food and stop eating before you feel full.

• Change the focus to family at the table. Food and drinks are a large part of the holidays, but they don't have to be the focus.  Instead, go around the table and have everyone say why they are thankful, share favorite holiday memories, and reconnect.

• Don't forget about breakfast. Approaching the Thanksgiving meal on an empty stomach can be a recipe for disaster.  A nutritious breakfast helps control appetite, so you aren't as inclined to overindulge during dinner.  Breakfast can also keep energy levels up.

• Send off leftovers. Don't fill your refrigerator with leftovers; send extra food home with guests.  This will help avoid temptation to dip back into high-calorie treats.


Stay Active

• Take a hike or go for a walk. Make time to get moving on Thanksgiving Day.  Take a walk or hike in the morning or head outside after dinner.  Many communities offer "Turkey Trots," a 5K walk/run, which can be an invigorating way to kick off the day.

• Plan an activity. The day doesn't need to revolve around the Thanksgiving meal.  Go for a family bike ride, play football, or have a relay race for the kids.


Say Goodbye to Holiday Stress

• Take time for yourself. During the holidays, there can be a lot of togetherness.  It's important to spend a few minutes alone periodically to give yourself time to recharge.  Take a nap, listen to music, or simply sneak off to a quiet room in the house to clear your mind.

• Be thankful. Feeling stressed or tired?  Find yourself complaining?  Take time to think about or write down the things you're thankful for, big or small.  Being grateful can decrease stress, boost the immune system, and improve sleep patterns.

• Share the load. There's no reason only one person should plan, cook, and entertain.  If guests offer to prepare a dish, let them bring it to your Thanksgiving celebration.  Also, have the kids help with household chores.  This will decrease your workload and make the holiday more pleasant.

• Help those less fortunate. Forget about your troubles for the day and spend time volunteering at a local soup kitchen or food pantry.  Spread cheer by giving back, taking the focus off of your own stress and helping others in need.

• Breathe! It may seem simple, but people tend to forget to breathe when they're stressed.  Take deep breaths to increase your oxygen intake.  Find a comfortable place to rest and consciously slow the rate of your breathing.  You'll be amazed how good you will feel.

• Keep it simple. Make a few fancy dishes and keep the others easy.  It's okay to scale back the meal and festivities, so you enjoy the holiday rather than spend all of your time preparing.

To successfully employ these tips, make sure to plan ahead and practice an attitude of gratitude.  The holidays are a time to focus on the people in your life, so make an effort to take the emphasis off of sweet treats and creating the perfect meal and be thankful for friends, family, and good health.

TOPS Club Inc. (Take Off Pounds Sensibly) is the original weight-loss support and wellness education organization.  Founded more than 63 years ago, TOPS is the only nonprofit, noncommercial weight-loss organization of its kind.  TOPS promotes successful weight management with a "Real People. Real Weight Loss." philosophy that combines support from others at weekly chapter meetings, healthy eating, regular exercise, and wellness information.  TOPS has about 170,000 members - male and female, age seven and older - in nearly 10,000 chapters throughout the United States and Canada.

Visitors are welcome to attend their first TOPS meeting free of charge.  Membership is affordable at just $26 per year, plus nominal chapter fees.  To find a local chapter, view www.tops.org or call (800) 932-8677.

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Wednesday, November 09, 2011

Sen. Chuck Grassley of Iowa has been working to restore public access to data on malpractice payouts, hospital discipline and regulatory sanctions against doctors and other health professionals and to hold accountable the federal government official who shut down access to this information.  Today, the responsible agency reopened the public part of the database but imposed restrictions.  Grassley made the following comment on the new version.

"HRSA is overreaching and interpreting the law in a way that restricts the use of the information much more than the law specifies.  Nowhere in the law does it say a reporter can't use the data in the public use file to combine that with other sources and potentially identify doctors who have been disciplined in their practice of medicine.  This agency needs to remember that half of all health care dollars in the United States comes from taxpayers, so the interpretation of the law ought to be for public benefit.  It's also hard to see how HRSA has the resources to require the return of supposedly misused data or how that would even work.  It seems the agency's time would be better used in making sure the database is up to date and as useful as possible.  I'm seeking opinions from legal experts on HRSA's interpretation of the law.  And I continue to expect a briefing from HRSA on this situation, including participation from the person who pulled the public data file after a single physician complained that a reporter identified him through shoe leather reporting, not the public data file.  One complaint shouldn't dictate public access to federally collected data for 300 million people."

Details of Grassley's prior inquiries are available here and here.

How Americans Rate Their Diet Quality

A new TV feature is available on the USDA FTP site. The new feature can also be seen on USDA's YouTube channel and downloaded as a video podcast. See below for details.

FTP Download instructions:

The host: ftp://ocbmtcmedia.download.akamai.com

User name: usdanews

Password:  Newscontent1

Filename: diet perception feature

The new file is in QuickTime Movie (H.264 ), MPEG 4, MPEG2 and HDV.

YouTube:http://www.youtube.com/watch?v=BXY9mbpgXHg&feature=channel_video_title

video podcasthttp://itunes.apple.com/us/podcast/usda-down-to-earth-video-podcast/id461819504?uo=4

RSS feed: http://downtoearth.usda.libsynpro.com/rss

Please email bob.ellison@usda.gov if you have problems or suggestions.

Also, use this free ftp client if you have problems.

http://filezilla-project.org/download.php?type+client

FEATURE - How Americans Rate Their Diet Quality

INTRO: Are people learning the healthy eating information being directed at them? A U-S-D-A study aimed to find out. The U-S-D-A's Bob Ellison has more. (1:30)

 

A NEW U-S DEPARTMENT OF AGRICULTURE STUDY SAYS AMERICANS KNOW THEY SHOULD BE EATING HEALTHIER EVEN IF THEY DON'T THINK THEY ARE. THE U-S-D-A'S ECONOMIC RESEARCH SERVICE COMPARED DIET PERCEPTION SURVEYS FROM NINETEEN NINETY ONE AND FROM TWO THOUSAND SIX AND FOUND THAT PEOPLE IN THE OH-SIX SURVEY WERE MORE FAMILIAR WITH FEDERAL DIETARY ADVICE.

 

Christian Gregory, USDA ERS: People are really starting to comprehend that education programs and information in the media and from physicians is really starting to kind of click with people.

 

AND WHILE THOSE SURVEYED DON'T BELIEVE THEIR DIETS HAVE CHANGED, THEIR UNDERSTANDING OF WHAT A HEALTHY DIET IS HAS CHANGED.

 

Gregory: The healthfulness of the diet hasn't changed much. So we really think that there is some suggestive evidence that it's the information environment and people's comprehension of that information that's really changing. But all of this information basically has kind of gotten through and you basically evaluate your diet today and say, "Hmm...that might not be that great".

 

GREGORY SAYS THE NEXT STEP WILL BE TO STUDY IF HEALTHY EATING INFORMATION IS AFFECTING PEOPLE'S ACTUAL DIETS AND NOT JUST THEIR PERCEPTIONS.

 

Gregory: We need to know more about how effective nutrition education programs, especially those that are funded by and sponsored by the USDA.

 

MORE DIET PERCEPTION STUDY INFORMATION CAN BE FOUND AT E-R-S DOT U-S-D-A DOT GOV AND HEALTY EATING GUIDELINES CAN BE FOUND AT CHOOSE MY PLATE DOT GOV. FOR THE U-S DEPARTMENT OF AGRICULTURE I'M BOB ELLISON.

USDA Down To Earth Video Podcast

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WASHINGTON - Sen. Chuck Grassley of Iowa today called for effective oversight of the federal discount drug program after the federal agency in charge of it confirmed it has not conducted a single audit since the program began in 1992.

"This program is growing in popularity," Grassley said.  "That will only increase under the health care overhaul law, which increased eligibility.  The federal government needs to get a handle on potential abuse before program growth gets out of hand, the taxpayers have to pay for it, and program sustainability is in question."

The government entity that runs the 340B program, the federal Health Resources and Services Administration (HRSA), confirmed in a letter to Grassley, in response to an inquiry from Grassley and Sen. Orrin Hatch and Rep. Fred Upton, that it has not conducted any program audits itself.  The agency said it has referred only two cases for outside audit, one to an inspector general and one to the Justice Department.

"Those were both very narrow cases," Grassley said.  "With the lack of oversight, the taxpayers through state and federal governments could be grossly overpaying for prescription drugs and not know it, and that situation could continue to accelerate.  The agency needs to start conducting oversight and keep going."

The health care reform law enacted last year expanded the 340B program to include additional types of hospitals.  The law also included measures to improve program integrity, including provisions to prevent drug manufacturers from overcharging program participants and sanctions in the form of payments to manufacturers for eligible hospitals and other health care entities that violate program requirements.  However, the Government Accountability Office said more steps are needed, including audits.

HRSA's response to Grassley is available here.  Background on the cases referred by HRSA to the Health and Human Services Office of Inspector General and Justice Department are available here and here. Information on the Grassley-Hatch-Upton inquiry to HRSA is available here.

The Government Accountability Office September report concluding more oversight is necessary is available here.  A June 2011 Health and Human Services Inspector General report that raised questions of program integrity without proper federal oversight of taxpayer dollars is available here.

-30-

Kohl-Grassley Generic Drug Bill Would Save Taxpayers Nearly $4.8 Billion, Congressional Budget Office Says

 

WASHINGTON - A new Congressional Budget Office (CBO) estimate finds that a bipartisan bill aimed at cutting costs by encouraging competition from generic drugs would save taxpayers nearly $4.8 billion over the next decade.

CBO anticipates that enacting the Preserve Access to Affordable Generic Drugs Act (S. 27) would accelerate the availability of lower-priced generic drugs and generate $4.785 billion in budget savings between fiscal years 2012 and 2021. CBO also estimates that earlier entry of generic drugs affected by the bill would reduce total drug expenditures in the U.S. by roughly $11 billion over the decade.

The CBO estimate can be found here.

The bill would deter "pay-for-delay" settlements in which brand name drug companies settle patent disputes by paying generic drug manufacturers in exchange for the promise of delaying the release of the generic version into the market. Under the legislation, these anti-consumer pay-off agreements would be presumed illegal and the Federal Trade Commission (FTC) would be provided the authority to stop the agreements.

"Generic drugs are essential to making medicine affordable and holding down costs for taxpayers," Kohl said. "As CBO's new cost estimate shows, backroom pay-for-delay deals are keeping generic drugs off the shelves at a great cost to consumers and taxpayers. Congress and the Joint Select Committee on Deficit Reduction should take this opportunity to fix this problem."

"CBO estimates that there would be significant savings to both the federal government and consumers if our legislation were to be enacted. When people across the country are having a hard time making ends meet, this could be a real boost to their bottom line," Grassley said.  "I urge the deficit reduction committee to include this legislation in their efforts to make the necessary reductions in the federal budget."

Last month, Kohl and Grassley urged the Joint Select Committee on Deficit Reduction to include the bill as part of its budget-cutting effort. The letter can be found here.

The Federal Trade Commission also released a report last month that found that drug companies entered into 28 potential pay-for-delay deals in FY 2011, nearly matching the previous fiscal year's record of 31 deals. Overall, the agreements reached in the latest fiscal year involved 25 different brand-name pharmaceutical products with combined annual U.S. sales of more than $9 billion.

In July, the Senate Judiciary Committee favorably reported the Preserve Access to Affordable Generic Drugs Act.

Previously, CBO estimated that the bill would save the federal government - which pays approximately one-third of all prescription costs - $2.68 billion over ten years. The president included a provision to end pay-for-delay settlements in his FY 2012 budget and estimated it would save the federal government $8 billion over ten years.

-30-

BOSTON–Before digging into Thanksgiving dinner, it is customary to take a moment to give thanks for the people and events that positively shape our lives. But, as the November 2011 issue of the Harvard Mental Health Letter reveals, it may be beneficial to express gratitude on a more regular basis.

Research shows that gratitude is strongly and consistently associated with greater happiness. Reflecting on what one is grateful for results in more positive emotions, greater satisfaction from good experiences, improved health, greater ability to deal with adversity, and stronger relationships.

Editor in Chief Dr. Michael Miller notes that whether someone is thankful for past blessings, present happenings, or is focused on remaining positive for the future, expressing gratitude forces him to refocus on what he has instead of what he lacks. And, while any expression of gratitude is likely to boost morale, like a muscle, this mental state grows stronger with use and practice.

This month`s issue reviews the benefits of gratitude and offers advice on how to cultivate this state of mind, from writing a thank you note to praying or meditating.

Read the full-length article: "In praise of gratitude"

Other topics covered in this issue include :

  • Preventing mental illness in children with depressed parents
  • Causes of common memory lapses
  • Could nicotine boost weight loss?
  • Best psychotherapy for social anxiety disorder
  • People with borderline personality disorder often recover with time
  • Sleeping problems increase chances of cognitive decline
  • Is it possible to become addicted to chocolate?

The Harvard Mental Health Letter is available from Harvard Health Publications, the publishing division of Harvard Medical School, for $59 per year. Subscribe at www.health.harvard.edu/mental or by calling 877-649-9457 (toll-free).

XXX

WASHINGTON - Senator Chuck Grassley is continuing his effort to restore public access to data on malpractice payouts, hospital discipline and regulatory sanctions against doctors and other health professionals and to hold accountable the federal government official who shut down access to this information.

In a letter sent to the Secretary of Health and Human Services, Grassley said the department's response to his inquiry of October 7 was incomplete even while revealing that the Health Research and Services Administration (HRSA) prematurely jumped to conclusions regarding a reporter who used publicly available information to track down the identity of a doctor with a record of malpractice cases.  Grassley said that in doing so, the federal government undermined its own mandate to "enhance the quality of healthcare, encourage greater efforts in professional peer review and restrict the ability of incompetent healthcare practitioners to relocate without discovery of previous substandard performance or unprofessional conduct."  Instead, Grassley said it looks like HRSA was trying to protect a single physician who had a malpractice suit and disciplinary action filed against him.

Grassley said whoever made this decision needs to be held accountable and that the Public Use File in question should be fully restored on the HRSA website.  "Department officials are misguided if they think they can make this issue go away with the response sent to my first letter of inquiry," Grassley said.  "This database contains information intended for public consumption, and efforts to shutter access will be fought by those of us committed to transparency where public dollars and the public interest are at stake."

Click here to read Grassley's November 3 letter.  Click here to read Grassley's October 7 letter.  Click here to read Grassley's October 17 letter.  Click here to read the response from the HRSA Administrator to Grassley's October 7 letter and attachments one, two and three.

 

In addition, below is the text of Grassley's November 3 letter.

November 3, 2011

 

The Honorable Kathleen Sebelius

Secretary

U.S. Department of Health and Human Services

200 Independence Avenue, SW

Washington, D.C., 20201

 

Dear Secretary Sebelius:

On October 7, 2011, I wrote to the Health Research and Services Administration (HRSA) regarding its decision to remove the publically available National Practitioner Data Bank's (NPDB) Public Use File (PUF) from its website.  For years the PUF has served as the backbone in providing transparency for bad acting healthcare practitioners and has been used by researchers and consumer groups to calculate trends in disciplinary actions by state medical boards.

On November 1, 2011, HRSA responded to my letter and provided a set of heavily redacted documents.  However, HRSA failed to respond fully, and the information provided raises additional concerns.  For example, question 4 asked who was responsible for the decision to remove public access to the PUF and the response merely said it was made by HRSA leadership.

Question 1 asks HRSA how it reconciles the claim in the letter to Mr. Bavley that "information reported to the NPDB is confidential and it's not to be disclosed or redisclosed outside of HHS except in furtherance of professional review activities" with the fact that the statute clearly contemplates that the data will be public in a de-identified form. HRSA responded by stating:

The initial information HRSA received did not indicate Mr. Bavley had used the Public Use File (PUF).  . . . HRSA's letters related to use of confidential data from NPDB itself-not from the Public Use File.  Mr. Bavley subsequently informed HRSA that he had not used the NPDB, but had instead conducted research using data from the PUF.

HRSA's response makes it apparent that HRSA simply accepted the complaint of the physician involved at face value and jumped to conclusions about how Mr. Bavley obtained the information.  Once HRSA learned of its mistake, it then compounded the error by shutting down access to information that Congress intended to be public through the PUF.  All Mr. Bavley did was use publicly available data, and HRSA's response to that was to shut down access to that data for everyone.  Moreover, HRSA has still failed to restore the PUF to its website.

Perhaps more puzzling is why HRSA was going against its mandate with respect to the NPDB PUF.  The intent of the legislation that created the PUF was to enhance the quality of healthcare, encourage greater efforts in professional peer review and restrict the ability of incompetent healthcare practitioners to relocate without discovery of previous substandard performance or unprofessional conduct.  However, from the documents provided by HRSA it appears that instead of protecting the interest of public health, its purpose was to protect a single physician who had a malpractice suit and disciplinary action filed against him.

Instead of conducting its own research into the professional conduct of Dr. Tenny, HRSA appears to have over reacted to the complaint of a single physician based on no evidence other than that he received a call from the press.   This action, and the subsequent action of removing public access to the PUF, flies in the face of HRSA's mandate to enhance the quality of healthcare.

In light of all these circumstances, full public access to the PUF should be restored to HRSA's website immediately.  Additionally, I request that the individual at HRSA responsible for the decision to remove the public access to the PUF come in and brief my staff immediately.  As part of this briefing, please bring the unredacted copies of all documents HRSA supplied as part of my initial inquiry.

Should you have any questions regarding this letter, please contact Erika Smith of the Senate Judiciary Committee staff at (202) 224-5225.  Thank you for your immediate attention to this important matter.

Sincerely,

Charles E. Grassley

Ranking Member

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