URBAN ECONOMIC POLICY

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AND THE WORKFORCE


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HUMAN SERVICES

Ryan White Comprehensive AIDS Resources Emergency (CARE) Act
Full Parity for Substance Abuse Treatment Services
Unsafe Children's Products
Reauthorization of Substance Abuse and Mental Health Services Administration (SAMHSA)
Older Americans Act Reauthorization
Support of Employment
of Adults with Disabilities

Support for Bipartisan Legislation to Provide Federal Graduate Medical Education Funding to Independent Children's Teaching Hospitals, and Protecting Our Teaching Hospitals From Medicare Cuts
Helping Our Seniors
Meet The Rising Cost of Prescription Drugs

Enabling Children Adopted Through a State Protection Agency to Receive Financial Aid to Attend Higher Education, and Allowing Foster Children to Be Declared as a Tax Deduction

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RESOLUTIONS INDEX

HEALTH AND HUMAN SERVICES

SUPPORT FOR BIPARTISAN LEGISLATION TO PROVIDE FEDERAL GRADUATE MEDICAL EDUCATION FUNDING TO INDEPENDENT CHILDREN’S TEACHING HOSPITALSSUPPORT FOR BIPARTISAN LEGISLATION TO PROVIDE FEDERAL GRADUATE MEDICAL EDUCATION FUNDING TO INDEPENDENT CHILDREN'S TEACHING HOSPITALS, and PROTECTING OUR TEACHING HOSPITALS FROM MEDICARE CUTS

WHEREAS, teaching hospitals are a valuable resource for many cities, providing essential free care, important research, local employment and training opportunities for our next generation of physicians; and

WHEREAS, the Balanced Budget Act of 1997 mandated $115 billion in Medicare cuts over a five year period; and

WHEREAS, President Clinton in his FY’00 budget proposed an additional $9 billion in cuts; and

WHEREAS, some proposals for further changes in Medicare would move support for direct medical education and disproportionate share hospitals from the Medicare Trust Fund to the annual appropriations process; and

WHEREAS, the results of the present cuts are resulting in job losses, price rises and lowered bond ratings among teaching hospitals,

WHEREAS, independent children’s teaching hospitals are a critical component of the health care safety net of our nation’s cities, providing clinical care, education, research and public health services to benefit all children, regardless of medical or economic need; and

WHEREAS, independent children’s teaching hospitals are major centers of graduate medical education (GME) for children’s physicians, representing less than one percent of all hospitals but training nearly 30 percent of all pediatricians and half of all pediatric subspecialists, making these institutions a significant source of the pediatric workforce in many cities and regions; and

WHEREAS, by virtue of their clinical, education, public health and research missions, independent children’s hospitals also are major corporations making valuable contributions to the economic health of their cities, including providing employment to thousands of individuals while also stimulating significant economic development in their surrounding communities; and

WHEREAS, independent children’s teaching hospitals face the same challenges in receiving patient care reimbursement sufficient to cover the added costs of their GME programs as other teaching hospitals face, but without the ability to access the one, major source of GME support available to other teaching hospitals through the federal Medicare program; and

WHEREAS, the lack of GME support jeopardizes the ability of independent children’s teaching hospitals to sustain their missions of indigent care, academic medicine, and specialty care; and

WHEREAS, since reforms to provide broad-based GME financing may take several years, independent children’s teaching hospitals need, on an interim basis, new federal GME funding to recognize their contributions to physician training and to provide them with a more equitable competitive playing field; and

WHEREAS, there is strong bipartisan support in both Congress and the Clinton Administration, plus broad support in the child health and hospital community, for enactment of new federal GME funding for independent children’s teaching hospitals,

NOW, THEREFORE, BE IT RESOLVED that The U.S. Conference of Mayors recognizes the important contributions independent children’s teaching hospitals make to the health of children and the economic well-being of our nation’s cities, which can be jeopardized without efforts to provide a more equitable competitive playing field for these teaching institutions; and

BE IT FURTHER RESOLVED that The U.S. Conference of Mayors supports the enactment of new federal GME support for independent children’s hospitals, commensurate to the level of GME support the federal government provides to all teaching hospitals, such as has been proposed by leading members of Congress in both parties in the "Children’s Hospitals Education and Research Act;" and

BE IT FURTHER RESOLVED that The United States Conference of Mayors calls on Congress to revisit the Medicare cuts of the Balanced Budget Act of 1997 as they apply to teaching hospitals; and

BE IT FURTHER RESOLVED that The United States Conference of Mayors opposes the transfer of direct medical education and disproportionate share funding from the Medicare Trust Fund to the annual appropriations process; and

BE IT FURTHER RESOLVED that The United States Conference of Mayors will work with the teaching hospitals of our cities to lobby Congress for fair funding of this important urban resource.

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