support research for pain & neurologic disease...abuse and heroin use •hhs opioid initiative...

#NOH18@MikeAmeryDC@DerekBrandtDC@AANMember©2018 American Academy of Neurology

Support Research for Pain & Neurologic

Disease


NIH Funding

Source: Federation of American Societies for Experimental Biology, 2017


NIH Funding in FY 2017• AAN spearheaded efforts to garner support for a

congressional letter promoting the BRAIN InitiativeLed to FY17 appropriation of $260 million for the BRAIN Initiative, a $110 million increase

• NIH received $2 billion increase ($34.1 billion total)

• Alzheimer’s disease research received a $400 million boost ($1.39 billion total)


NIH Funding for FY 2018• House & Senate approved increases for NIH funding• Current continuing resolution until March 23$2 billion increase for the National Institutes of Health for 2018-2019 (in addition to funding from 21st Century Cures) The final FY18 and FY19 appropriations may be greater than this figure


NIH Funding for FY 2019• President Trump released proposed budget, but

Congress will ultimately make the appropriations decisions

• Includes stable funding for the NIHNINDS is one of the few agencies with positive increase from FY2018$500 million for non-opioid research


BRAIN Initiative• Launched in 2013 - bold

new effort to revolutionize our understanding of the human brain

• NIH and its partners are driving the development and use of innovative technologies to produce a clearer, dynamic picture or map of the brain


BRAIN Initiative• Increase in funding every year since 2013

• 21st Century Cures Act was passed in Dec. 2016 Includes additional $1.51 billion for BRAIN Initiative over 10 years through the NIH Innovation Account (subject to annual appropriations)

• Ultimate goal is $500 million/year


The Ask

Support robust funding for the NIH and the BRAIN Initiative in FY2018 & FY2019


Non-Opioid Pain Research


Opioid Crisis

• Oct. 26, 2017: President Trump declared the opioid crisis a public health emergency• Gives states more flexibility, but not additional

funding


Federal Policy Response2015 • Presidential Memorandum: Addressing Prescription Drug

Abuse and Heroin Use• HHS Opioid Initiative

2016• National Pain Strategy• FDA Opioids Action Plan• CDC Guidelines for Prescribing Opioids for Chronic Pain• Comprehensive Addiction and Recovery Act• 21st Century Cures Act

2017• Pain Management Best Practices Inter‐Agency Task Force• President’s Commission on Combating Drug Addiction & the Opioid Crisis final report

• Declaration of public health crisis


State Policy Response• In 2017, state legislatures considered 3,654 bills

related to opioids, including:Prescription Drug Monitoring ProgramsRescue drugs (Naloxone)Prescribing limits/guidelinesProvider educationPain clinicsOther (e.g., take-back programs, taxes on opioids, non-opioid directives for pts., abuse deterrent formulations)


Opioid Activity: Looking Ahead• Presidential opioid emergency declaration expires

April 23• CDC, HHS, SAMHSA, HRSA, NIH grants on opioids• FDA 2018 Strategic Policy Roadmap opioid priorities


Opioids and STOP Pain Initiative Act (S. 2260/H.R. 4733)• NIH funds only $116 million annually on opioids, & $483

million on pain research• Appropriates an additional $5 billion over five years for

new NIH initiative focused on: Fundamental, translational, and clinical research with

respect to the understanding of painDiscovery of therapies for chronic pain, including alternatives

to opioids Developing improved options and evidence for medication-

assisted treatment & opioid overdose reversal treatments Creation of a Federal Pain Research Strategy


The Ask

Cosponsor the Opioids and STOP Pain Initiative Act (S. 2260/H.R. 4733)


Related Bills• Advancing Cutting Edge (ACE) Research Act

(S. 2406/H.R. 5002) Introduced by Rep. Fred Upton (R-MI) & Rep. Debbie Dingell (D-MI)Provides the NIH flexibility in conducting research on public health threats, including the opioid epidemicDoes not provide fundingSimilar language is included in the Opioids and STOP Pain Initiative Act


Frequently Asked Questions•Where would the $5 billion in funding come from?Emergency appropriations


Questions?


Example Ask


Practice the Ask in Your Small Groups


Develop Your Pitch• Share your storyTalk about the impact of opioid misuse in your communityOr pick a statistic the illustrates the need for opioid alternatives

• Practice your story linking to the ask• Tell your story + “…that’s why we’re here today

asking for your support. We’d like you to cosponsor S. 2260/H.R. 4733 to provide critically needed funding for non-opioid pain research.”


Final Thoughts

support research for pain & neurologic disease...abuse and heroin use •hhs opioid initiative...

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