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Children's Hospitals - Graduate Medical Education Legislation [1]
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Children's Hospitals - Graduate Medical Education Legislation [1]
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N C H
National Association of
Children's Hospitals
FY 2000 CHILDREN'S HOSPITALS GME
Authorization and Appropriation Enactment
WHITE HOUSE THANK YOU SUMMARY
National Association of
Children's Hospitals
MEMO
N
H
TO:
Chris Jennings, Domestic Policy Office, The White House
Nicole Rabner, Office of the First Lady, The White House
Barbara Woolley, Office of Public Liaison, The White House
FROM:
Pete Willson, N.A.C.H.
St
DATE:
December 17, 1999
SUBJECT: Thank You Letters and Press Releases on Funding
for Children's Hospitals' GME Funding
We have compiled for you copies of thank you letters, press releases, and press
coverage, which children's hospitals have generated to express their appreciation for
the White House's leadership on behalf of securing new GME funding for
independent children's teaching hospitals. A notebook with the copies is attached
for you.
Included is a sample of a letter, which staff at many hospitals also are generating by
calling our GME advocacy toll free 800# phone line. To date, our records indicate the
800# has generated more than 200 letters around the country to The White House.
In addition to these grassroots efforts, on December 15, the presidents of Children's
National Medical Center and N.A.C.H. presented Mrs. Clinton with a giant size thank
you card, on behalf of the nation's children's hospitals, telling her "We can't give you
a big enough thanks!" This took place during the First Lady's annual holiday visit to
Children's National Medical Center to meet with patients. We will arrange for you to
have copies of photos taken of the presentation.
If there is anything else you would like to have, please let me know. We thank each of
you also very much for all of your help and support!
401 Wvihe Sreet, Alexandria VA 22314
An Affiliate of the National Association of
(703) 684-1355 Fax (703) 684-1589
Children's Hospitals & Related Institutions
National Association of
Children's Hospitals
LAWRENCE A. McANDREWS, FACHE
President & Chief Executive Officer
N.A.C.H
December 3, 1999
The President
The White House
Washington, DC 20500
Dear Mr. President:
On behalf of the National Association of Children's Hospitals, I want to express
once again our deep appreciation for your leadership in seeking to establish
federal support for more equitable graduate medical education (GME) funding for
the nation's independent children's teaching hospitals. We are deeply grateful,
too, for the commitment and support by the First Lady in bringing the importance
of this issue to the attention of your Administration and Congress.
From your budget request last January to your budget negotiations with Congress
this month, your leadership and your Administration's support were essential to
addressing this issue. This program is so important not only to the future of the
affected children's hospitals, including Arkansas Children's Hospital, but also the
future of health care for all children.
As we said so many times in our advocacy on Capitol Hill, the GME programs of
the independent children's teaching hospitals are critical in their ability to care for
all children. Regardless of economic or medical need, this program conducts
research to improve children's health care and to train the next generations of
providers of care for children. Although fewer than one percent of all hospitals,
they touch the lives of children in every state in the country.
By enacting both an authorization for $285 million annually and a first year
appropriation of $40 million, Congress has taken the first important steps to
providing more equitable GME funding for independent children's hospitals. We
look forward to working with you in taking the next critically important steps to
bring full equity in federal GME support to children's hospitals.
Lawrend Sincerely, Co. Mc Audrews
Lawrence A. McAndrews
CC:
The First Lady, The White House, Wash., DC 20500
Jack Lew, Office of Management and Budget, OEOB, Wash., DC 20503
Chris Jennings, Office of Domestic Policy, The White House, Wash., DC
20500
401 Wythe Sreet. Alexandria VA 22314
An Affiliate of the National Association of
(703) 684-1 355 Fax (703) 684-1589
Children's Hospitals & Related Institutions
National Association of
Children's Hospitals
LAWRENCE A. McANDREWS, FACHE
President & Chief Executive Officer
N.A.C.H
December 3, 1999
The First Lady
The White House
Washington, DC 20500
Dear Mrs. Clinton:
Your leadership on children's health issues throughout your career, including most
recently in your capacity as First Lady, has been so important to the health and well-
being of all children. It is deeply appreciated by the nation's children's hospitals.
Certainly this has been true during the past year with your invaluable support in
bringing to the attention of the President and his Administration the need for federal
policy to provide more equitable graduate medical education (GME) support for the
nation's independent children's teaching hospitals, including Arkansas Children's
Hospital. In the increasingly competitive health care marketplace, which often does
not recognize essential public goods, such as GME, the inability of children's hospitals
to qualify for significant Medicare GME support has become very problematic.
Because of your efforts, the Administration played a critically important role in
advancing this cause with Congress. The President's budget request in January placed
it squarely on the congressional budget agenda this year and his support in the final
budget negotiations with Congress this fall resulted in the enactment of an initial
appropriation of $40 million. This is an important first step toward achieving the full
level of commensurate GME support for children's hospitals, which Congress has
recognized with an annual authorization of $285 million in the "Children's Hospitals
Education and Research Act."
As children's hospitals celebrate this achievement, each and every one of us
remembers that you announced the Administration's support last January and stood
with us in the ceremonial offices of the Vice President to launch our advocacy this
year. Your efforts help our member hospitals to provide clinical care, education, and
research programs that touch the lives of children in every state of the country. We
look forward to working with the Administration and Congress to build upon the first
steps toward full equity in federal GME support for children's hospitals in FY 2001.
Sincerely, Lawree C
Lawrence A. McAndrews
CC:
Chris Jennings, Office of Domestic Policy, The White House, Wash., DC
20500
401 Wythe Sreet, Alexandria VA 22314
An Affiliate of the National Association of
(703) 684-1355 Fax (703) 684-1589
Children's Hospitals & Related Institutions
National Association of
Children's Hospitals
PRESS RELEASE
FOR IMMEDIATE RELEASE
November 19, 1999
N
H
Contact: Lisa M. Tate
703/684-1355
202/544-0382 (home)
email: [email protected]
www.nachri.org
Children's Hospitals Applaud Congress, President for
Funding Pediatrician Training
McAndrews: "This bill will make a buge difference for children's health care."
Washington, DC Lawrence A. McAndrews, President and Chief Executive Officer of
the National Association of Children's Hospitals, today applauded Congress and the
President for passage of legislation to both authorize and appropriate funding for
graduate medical education at independent children's hospitals.
Tonight, the House passed the Children's Hospitals Education and Research Act by
Rep. Nancy Johnson (R-CT) and Sen. Bob Kerrey (D-NE) as part of S. 580, legislation
to reauthorize the Agency for Health Care Policy and Research. The Senate passed the
bill unanimously earlier this month, and the President is expected to sign it into law.
The House also passed last night the FY 2000 Labor-HHS Appropriations bill including
$40 million in start-up funding for the program, which will help independent
children's teaching hospitals cover the costs of training the next generation of
pediatricians and pediatric specialists. President Clinton has included the start-up
funding in his FY 2000 budget.
"This legislation will make a huge difference for children's health care," said
McAndrews. "Together, Congress and the White House have taken a critical first step,
providing what amounts to start-up funding to support ongoing graduate medical
education at children's hospitals. We're delighted by the progress, which we hope to
build on in seeking full funding next year. We still have a ways to go, but we're glad
to see progress being made. The leadership shown by the key leaders in Congress
and the President on this issue will make a real difference to the nation's independent
children's hospitals and their patients. Because of the reach of these hospitals'
training and research programs, this bill will positively impact the quality of children's
health care across the nation."
--MORE--
401 Wyrhe Street, Alexandria, VA 22314
An Affiliate of the National Association of
(703) 684-1355 Fax (703) 684-1589
Children's Hospitals & Related Institutions
2-2-2
The Children's Hospitals Education and Research Act authorizes Congress to
appropriate up to $285 million annually over the next two years for graduate medical
education funding for independent children's teaching hospitals. The bill had broad,
bipartisan support, including more than 200 sponsors in the House and more than 40
in the Senate. The issue also had the strong support of President Clinton and the
First Lady.
Joining Rep. Johnson in championing the bill in the House were Reps. Sherrod Brown
(D-OH), Bill Thomas (R-CA), Jim Greenwood (R-PA), Michael Bilirakis (R-FL), John
Dingell (D-MI), John Porter (R-IL), Bill Young (R-FL), Deborah Pryce (R-OH), Spencer
Bachus (R-AL), Brian Bilbray (R-CA), Kay Granger (R-TX), and many others. Speaker
Dennis Hastert (R-IL) played a critical role in final passage of the authorization.
Joining Sen. Kerrey in championing the bill in the Senate were Sens. Kit Bond (R-MO),
Edward Kennedy (D-MA), Mike DeWine (R-OH), Slade Gorton (R-WA), Arlen Specter
(R-PA), Richard Durbin (D-IL), Connie Mack (R-FL), Bob Graham (D-FL), and many
others. The leadership of Sen. Bill Frist (R-TN) allowed the children's hospitals GME
bill to come to a vote in the Senate as part of the health services research bill.
Independent children's hospitals represent less than one percent of all hospitals in
the country, but train nearly 30 percent of all pediatricians and nearly half of all
pediatric specialists. If their patients were seniors instead of children, these hospitals
would be eligible for federal Medicare support for physician training. Such support
has come to be the only significant source of funding for graduate medical education,
now that fewer payers of health care are willing to cover the added costs of physician
training.
However, independent children's hospitals receive on average less than 1/200th of the
Medicare GME support that all teaching hospitals receive. According to independent
consultants, the federal government would need to provide approximately $285
million each year to treat children's hospitals comparably to all teaching hospitals in
terms of federal GME support.
For more information or to arrange interviews, contact Lisa Tate at 703/684-1355.
-- ####--
National Association of
Children's Hospitals
PRESS RELEASE
FOR IMMEDIATE RELEASE
December 6, 1999
N
H
Contact: Lisa M. Tate
703/684-1355 ext. 7005
email: [email protected]
www.nachri.org
CHILDREN'S HOSPITAL LEADERS ATTEND WHITE HOUSE SIGNING
OF "CHILDREN'S HOSPITALS EDUCATION AND RESEARCH ACT"
Washington, DC - President Clinton signed into law today the Children's Hospitals
Education and Research Act, which authorizes $565 million over two years to
provide, for the first time, federal graduate medical education (GME) support for the
teaching programs of independent children's teaching hospitals.
"The Children's Hospitals Education and Research Act is a monumental step forward
for children's teaching hospitals around the country," said National Association of
Children's Hospitals CEO Lawrence A. McAndrews, who attended the White House
signing ceremony in the oval office. "The funding provided by this bill will help to
ensure the tradition of excellence at our children's teaching hospitals."
McAndrews was joined by Edwin K. Zechman, Jr., president and CEO of Children's
National Medical Center in Washington, D.C.; Randall L. O'Donnell, Ph.D., president
and CEO of Children's Mercy Hospital in Kansas City, Missouri; and David S. Weiner,
president and CEO of Children's Hospital in Boston, Massachusetts at the ceremony.
Also attending was First Lady Hillary Clinton, former trustee of Arkansas Children's
Hospital, and a strong proponent of providing more equitable graduate medical
education support for independent children's hospitals. Mrs. Clinton devoted her
December 1 nationally syndicated column to the issue of federal support for the many
missions of the nation's children's hospitals.
The children's hospital GME bill was incorporated into the larger Agency for Health
Care Policy Research bill, which passed the Senate and the House by unanimous
consent in November. On November 29, President Clinton signed into law the FY
2000 Labor-HHS Appropriations Bill, which includes $40 million in start-up funding
to begin implementation of the Children's Hospitals Education and Research Act this
year.
--MORE--
401 Wythe Street, Alexandria. VA 22314
An Affiliate of the National Association of
(703) 684-1355 Fax (703) 684-1589
Children's Hospitals & Related Institutions
2-2-2
Children's teaching hospitals have been at a competitive disadvantage for years
because of the federal funding mechanism for physician training programs. Medicare
support for GME has become the only national, reliable funding for this training.
However, because children's hospitals treat children, not the elderly, they qualify for
almost no Medicare GME support. As a result, they receive on average less than
1/200th of the Medicare GME support per resident that adult teaching hospitals
receive. This bill will close that funding gap.
N.A.C.H represents more than 100 children's hospitals across the country, including
freestanding acute care children's hospitals, acute care children's hospitals organized
within larger medical centers, and freestanding children's specialty and rehabilitation
hospitals. For more information or to arrange interviews, contact Lisa Tate at 703-
684-1355.
--# # # #--
National Association of
Children's Hospitals
FOR IMMEDIATE RELEASE
December 6, 1999
N
CONTACT: Lisa Tate
703/684-1355 ext. 7005
CHILDREN'S HOSPITAL LEADERS ATTEND WHITE HOUSE SIGNING
OF "CHILDREN'S HOSPITALS EDUCATION AND RESEARCH ACT"
Washington, DC - President Clinton signed into law today the Children's Hospitals
Education and Research Act, which authorizes $565 million over two years to provide, for the
first time, federal graduate medical education (GME) support for the teaching programs of
independent children's teaching hospitals.
"The Children's Hospitals Education and Research Act is a monumental step forward for
children's teaching hospitals around the country," said National Association of Children's
Hospitals CEO Lawrence A. McAndrews, who attended the White House signing ceremony in
the oval office. "The funding provided by this bill will help to ensure the tradition of excellence
at our children's teaching hospitals."
McAndrews was joined by Edwin K. Zechman, Jr., president and CEO of Children's
National Medical Center in Washington, D.C.; Randall L. O'Donnell, Ph.D., president and CEO
of Children's Mercy Hospital in Kansas City, Missouri; and David S. Weiner, president and
CEO of Children's Hospital in Boston, Massachusetts at the ceremony. Also attending was First
Lady Hillary Clinton, former trustee of Arkansas Children's Hospital, and a strong proponent of
providing more equitable graduate medical education support for independent children's
hospitals. Mrs. Clinton devoted her December 1 nationally syndicated column to the issue of
federal support for the many missions of the nation's children's hospitals.
The children's hospital GME bill was incorporated into the larger Agency for Health
Care Policy Research bill, which passed the Senate and the House by unanimous consent in
November. On November 29, President Clinton signed into law the FY 2000 Labor-HHS
Appropriations Bill, which includes $40 million in start-up funding to begin implementation of
the Children's Hospitals Education and Research Act this year.
Children's teaching hospitals have been at a competitive disadvantage for years because
of the federal funding mechanism for physician training programs. Medicare support for GME
has become the only national, reliable funding for this training. However, because children's
hospitals treat children, not the elderly, they qualify for almost no Medicare GME support. As a
result, they receive on average less than 1/200th of the Medicare GME support per resident that
adult teaching hospitals receive. This bill will close that funding gap.
--MORE--
401 Wythe Sreet, Alexandria VA 22314
An Affiliate of the National Association of
(703) 684-1355 Fax (703) 684-1589
Children's Hospitals & Related Institutions
2-2-2
N.A.C.H represents more than 100 children's hospitals across the country, including
freestanding acute care children's hospitals, acute care children's hospitals organized within
larger medical centers, and freestanding children's specialty and rehabilitation hospitals. For
more information or to arrange interviews, contact Lisa Tate at 703-684-1355.
--###--
Birmingham, AL
OST-HERALD BIRMINGHAM
Giving up
tobacco can
earn you
$1 million
ay, November 23, 1999
35 Cents
Business F1
CONGRESS
Leaders bring home the bacon
By RACHEL SMOLKIN
BIRMINGHAM POST-HERALD
Federal bills mean millions for state
Senate Appropriations Committee
and is chairman of the transporta-
WASHINGTON - Tucked into
tion subcommittee.
the federal spending bills just com-
pleted by Congress are millions of
early learning inifiatives. Even the
might not protect small, indepen-
bers supported the measure.
Rep. Sonny Callahan is chairman
historic Clay County courthouse
dent inventors.
Despite Sessions and Shelby's op-
of a House appropriations subcom-
dollars for Alabama projects.
gets $500,000 for renovations.
Sessions opposed the package be-
position to the final budget package,
mittee, earning him clout as a
There's $80 million for space
Alabama's Republican senators,
cause he said he believes the policy
they worked with Alabama's House
member of the so-called College of
transportation research at NASA's
Richard Shelby and Jeff Sessions,
of bringing an enormous spending
members during the process to find
Cardinals. Reps. Bud Cramer, D-
Marshall Space Flight Center, $13
opposed the final spending package,
bill to the floor on the last day of
money for the state.
Huntsville and Robert Aderholt, R-
million for a training center at Fort
the session needs to stop. "His pri-
Four members of Alabama's
Haleyville, also serve on the House
McClellan and more than $7 million
worth $390 billion.
mary concern is that senators are
nine-member delegation sit on ap-
Appropriations Committee.
for Birmingham transportation pro-
Shelby objected to spending pro-
not given time to analyze the legis-
propriations committees, the cen-
Critics deride earmarks for local
jects. There are funds for studying
visions for the District of Columbia
lation," spokesman John Cox said.
ters for sending money home.
the ecology of coastal lands and for
and to patent provisions he said
All seven Alabama House mem-
Shelby is a senior member on the
Please tuen to PORK, page A6
Birmingham Post-Herald, Tuesday, November 23, 1999
METRO
STATE
Pork
ogy gap as a pork project," said Ri-
Funding for Alabama
ley spokesman Pepper Bryars. "If
it is, SO be it, because it's something
Among the Alabama projects the
purchase hands-on exhibits for
From page A1
that has to be done."
delegation found federal funds for.
the North Alabama Science
For the fourth year in a row,
Science and defense
Center
projects as "pork" that wastes fed-
Shelby secured $400,000 for a stur-
$560 million for the Theater
A Justice Department center
eral taxpayer dollars.
geon conservation program.
High-Altitude Area Defense
in Anniston
"Congress and the president have
Cramer added $1 million toward
System, assembled in Courtland
$13 million for the Center for
just set a new record for pork-bar-
building a new site for the National
and managed out of Huntsville.
Domestic Preparedness at Fort
rel spending," said Thomas Schatz,
Children's Advocacy Center in
$80 million for Spaceliner 100,
McClellan, up from $8.5 million the
president of Citizens Against Gov-
Huntsville.
a research effort to strengthen the
year before. The center trains
ernment Waste, a watchdog group.
Parts of the budget deal with Al-
future role of Marshall Space
state and local first responders,
"These people throw money around
abama interests but do not provide
Flight Center in NASA. The
such as firefighters and
faster than Regis Philbin," bost of
direct funding. Riley succeeded in
program's goal is to make future
emergency medical personnel, to
the popular television show "Who
his bid to get the federal govern-
space transportation more like
prevent and respond to incidents
Wants to Be a Millionaire?"
ment to transfer the recently
airline transportation.
of domestic terrorism.
Others say designating funds for
closed Fort McClellan to Calhoun
$5 million for the new National
$1 million for emergency
local projects is an integral part of
County at no cost for the county's
Center for Space Research and
medical response training at Fort
a congressman's job and an impor-
economic development
Technology in Huntsville. a joint
McClellan's Noble Army Hospital.
tant way to aid causes back home.
Riley and Sessions also secured
venture between Marshall Space
Transportation
Rep. Bob Riley, R-Ashland. secured
federal protection for Dugger
Flight Center and several Alabama
$3.25 million for public transit in
$1 million for 20 public school sys-
Mountain, the state's second-high-
research institutions.
Birmingham and Jefferson
tems in his district to purchase
est peak. The legislation designates
Aderholt found $5 million for
County. Includes $1.25 million for
computers and improve Internet
9,200 acres in east Alabama's Tal-
Summa Technology in Culiman
upgrading the Birmingham bus
access for students.
ladega National Forest as the Dug-
and-Quality Research in Huntsville
fleet and $2 million for
"It's hard to describe giving a
ger Mountain Wilderness Area.
to research a robotic vehicle that
constructing a facility near Central
c
uter to a kid out in Macon
Rachel Smollin can be reached
clears minefields.
Station for multiple forms of
y, Ala., to narrow the technol-
at [email protected]
$4 million for SciQuest to
transportation.
"II
$3 million for the Birmingham
$1 million for the University of
transit corridor study. one of the
South Alabama Center for
first steps for constructing a light
Estuarine Research. To study the
rail system.
ecology of coastal lands and
$1.25 million for Birmingham
seascapes in the Gulf Coast and
199
International Airport to replace the
Mobile Bay areas.
air traffic control tower facilities
$500,000 for the University of
and modernize the equipment.
Alabama Child Development
Community projects
Facility to aid early learning
$1.9 million for the downtown
initiatives.
riverfront project in Montgomery.
Hospitals
$500,000 to help renovate the
$1 million for Children's
historic Clay County Courthouse.
Hospital in Birmingham to help
Higher education facilities
build a new research center. Rep.
and research
Spencer Bachus, R-Vestavia Hills,
$1.5 million for the Spring Hill
worked to get this funding and to
College in Mobile to expand the
add provisions allowing children's
library and create a regional
hospitals across the nation to get
learning center.
reimbursed for some of the cost
$1.25 million for the University
of training pediatricians.
of Alabama at Birmingham to fund
Public schools
development of a Center for Injury
$1 million - $50,000 each for
Sciences, which will enhance
20 public school systems in
research on preventing, treating
Riley's district to purchase
and mitigating effects of motor
computers and introduce more
vehicle injuries.
students to the Internet.
Los Angeles, CA
ChildrensHospitalLosAngeles
For Immediate Use
Contact: Steve Rutledge
November 19, 1999
(323) 669-4121
Childrens Hospital Los Angeles Praises Congress and President
For Passage of Legislation to Fund Training for Pediatricians
Special thanks to Representatives Becerra, Waxman, Dixon, Rogan and Thomas
for leadership on issue critical to children's health
(Los Angeles) Among its final actions (Nov. 18) before recessing this year, the United States
Congress approved, and will send to the President, legislation critical both to the future of children's health
care and to Childrens Hospital Los Angeles' ability to provide that care.
The House of Representatives incorporated the Children's Hospitals Education and Research Act
into related legislation and sent it to President Clinton for his signature. The legislation would authorize
Congress to appropriate up to $285 million annually over the next two years for graduate medical
education (GME) funding for independent children's teaching hospitals such as Childrens Hospital Los
Angeles. The Senate passed the bill on November 4.
In a related development, Congress also reached agreement with the White House on a final Fiscal
Year 2000 Labor-HHS Appropriations Bill that included $40 million to get the program of federal support
for physician training in children's hospitals started this year. The House passed it last night, and the
Senate is expected to do so shortly.
"Congress and the White House have taken a critical first step with these moves," said Walter W.
Noce, Jr., president and CEO, Childrens Hospital Los Angeles. "They have provided what amounts to
startup funding for a program to support ongoing graduate medical education at children's hospitals.
We're encouraged and pleased by the progress, which we hope to build on in seeking full funding. We
still have a ways to go next year, but we're glad to see progress being made."
The bill has broad, bipartisan support. Among the more than 40 Senate and 200 House cosponsors
of the graduate medical education legislation, were Senators Feinstein and Boxer, and Representatives
Thomas, Capps, Gallegly, Sherman, McKeon, Berman, Rogan, Dreier, Waxman, Becerra, Martinez,
Dixon, Roybal-Allard, Napolitano, Kuykendall, Millender-McDonald, Sanchez and Lewis. This issue also
-more-
4650 Sunset Boulevard, Los Angeles, California 90027 Post Office Box 54700, Los Angeles, California 90054-0700 (213) 660-2450
Page 2
had the strong support of President Clinton and the First Lady. "We are especially grateful to
Congressman Bill Thomas for his important role in moving this legislation this year," Noce stressed.
Funding through Medicare reimbursement has come to be the only significant source of funding for
graduate medical education, now that fewer payers of health care are willing to cover the added costs of
physicians training. Although independent children's teaching hospitals represent less than one percent of
all hospitals in the country, they train nearly 30 percent of all pediatricians, and nearly half of all pediatric
specialists. Yet, because children's hospitals don't treat Medicare patients (elderly), they aren't eligible
for the vast majority of GME funding.
In fact, independent children's hospitals receive on average less than 1/200th of the Medicare GME
support that all teaching hospitals receive. According to independent consultants, the federal government
would need to provide approximately $285 million each year to treat children's hospitals comparably to all
teaching hospitals in terms of federal GME support.
"All of us at Childrens Hospital Los Angeles thank those who cosponsored this important
legislation," Noce said. "We also owe special thanks to the President for his leadership. This issue is
critical to every mission of our hospital - clinical care for all who need it, training to prepare the next
generation of physicians for children, and research to advance the state of the art of children's health care.
We look forward to continuing to work with them to make sure we can continue to do what we do best -
focus on children's unique health care needs, regardless of their medical or economic need."
Founded in 1901, Childrens Hospital Los Angeles is a global resource for advanced pediatric
care, research and medical education. Each year, the nonprofit 314-bed hospital treats nearly 200,000
patients from newborn to 18 years of age with specialized, multidisciplinary care in pediatric and
adolescent medicine. CHLA provides family-centered care, including support services for parents,
siblings and other family members. Childrens Hospital Los Angeles houses an internationally
recognized research program and, since 1932, has trained pediatric specialists through its affiliation
with the Keck School of Medicine of the University of Southern California.
U.S. News & World Report has named Childrens Hospital Los Angeles one of the top four
pediatric facilities in the nation since 1990, and its panel of 2,400 physicians has ranked CHLA the
best in the West for 10 straight years.
Visit our website: www.ChildrensHospitalLA.org
ChildrensHospitalLosAngeles
November 22, 1999
The President
The White House
Washington, DC 20500
Dear Mr. President:
On behalf of the patients, parents and employees of Childrens Hospital Los Angeles, I want to
express our deep appreciation for your very important leadership in securing funding for
Walter W. Noce, Jr.
President and
graduate medical education for independent children's teaching hospitals. This is a legislative
Chief Executive Officer
victory that will benefit children in every state of the country.
It is especially appropriate as the nation prepares to celebrate the Thanksgiving holiday that I
write this message of appreciation and gratitude for the support you and the First Lady have
given to this issue. With your original budget request and the administration's efforts during
the appropriations negotiations with Congress, you ensured that the nation's independent
children's teaching hospitals will receive $40 million in new GME support in FY 2000. This
start-up funding is an important first step in helping independent children's hospitals reach
an equitable competitive playing field.
As you and the First Lady are aware, independent children's teaching hospitals currently
receive less than 1/200th of the GME support provided to other teaching hospitals because
they care for children, not the elderly. While these hospitals comprise less thanl% of all
hospitals, they train nearly 30% of all pediatricians and nearly half of all pediatric specialists.
The authorization for the GME funding for independent children's hospitals is $285 million for
the next two years. While the $40 million will be extremely helpful for these institutions this
year, we hope to have your support during the coming year's budget negotiations to help
these hospitals move closer to the equitable funding level of $285 million for GME.
Thank you again for your leadership. We look forward to working with you and your
Administration to build on this important achievement to secure the full level of funding
Congress has authorized next year. May you and your family have a wonderful Thanksgiving
holiday.
Walter may W. Noce, Jr.
Sincerely,
President and Chief Executive Officer
WWN/sls
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the
President, 216 OEOB, 1600 Pennsylvania Ave., N.W., Washington, DC 20500
The First Lady, The White House, Washington, DC 20500
Respect
Service
Excellence
Knowledge
Teamwork
4650 Sunset Boulevard, Mailstop #), Los Angeles, California 90027 (323) 669-2301 Fax: (323) 664-6917
childrens hospital
LOS ANGELES
november
mpass
a special article about chla in ladies' home journal:
thrown for a loop: chris medina
The following article about
placed on a gurney: a collar
Childrens Hospital Los Angeles
protects his neck and a board
studi
and patient Chris Medina is
immobilizes his spine. His
appearing in the December
aunt, Nery Benitez, jumps out
1999 issue of Ladies' Home
of the aircraft, shivering.
Journal.
6:52 p.m.: In the trauma
The setting: Fridav evening
room. more than 10 people
at Childrens Hospital Los
swarm around the boy. His
Angeles (CHLA). a 314-bed
clothes are cut awav. A nurse
facility with a Level I Pediatric
inserts an IV, draws blood and
Trauma Center.
starts fluids. "It may look like
chaos, but everyone knows
The scene: The emergency
what he doing," savs Pamela
room is hopping-toddlers
Griffith, R.N.C., Trauma
wheezing from asthma. a baby
Program manager.
Nov.18
shaking with seizures, a 3-year-
old with a leg gash down to
Chris is alert and breathing
mous
without difficulty. He is
the bone.
scraped and bruised. with a
Bill
6:25 p.m.: The loud. distinct
dark. baseball-sized bump on
$40 million in
ring from the trauma phone
his forehead and some minor
hundred
stops Lourdes Escalona, M.D.,
bleeding on his arm and leg.
Endepend
in her tracks.
Eves wide with terror, he
reaching
"A 7-vear-old ejected from a
starts to crv. "Hi, Chris. Don't
car-code yellow!" Escalona
be scared." Escalona savs
exclaims, giving the hospital's
soothingly. "You'r doing
signal for the highest-level
very well."
trauma.
23-vear-old Nery about the
6:55 p.m.: Lab tests are run.
The hospital chopper is
accident and the boy's medical
bringing the little boy from La
Chris urine appears free of
history. It turns out that Chris
blood, and his hematocrit-
Puente, about 20 miles east of
wasn thrown from a vehicle.
which measures red blood cells
L.A. The trauma room is
He ran into the road after a
and might indicate internal
cleared and prepped.
ball and was struck by a car
bleeding if falling-is checked
6:37 p.m.: Beepers sound.
twice and looks normal. His
going 25 miles per hour. He
The trauma team. always on
white blood cell count is
flew 20 feet, landing on the
call, is mobilized. A surgeon is
ground head first. Chris lost
elevated, but doctors suspect
consciousness for a few
in charge.
that's simply a stress response.
minutes. Nery covered him to
6:50 p.m.: Chris Medina is
7:01 p.m.: Calm and me-
keep him warm.
pulled from the chopper and
thodical. Escalona questions
Continued on page 2
y2k? why not 2k?
Staffing plans have been
For this reason. it S important
completed for the Y2K Code
for you to power off your
Orange standby (Dec. 31
machine each evening, so that
through Jan. 2). Many
when you log on in the
managers are working two and
morning you will pick up any
three shifts in order to give
pending Y2K upgrades.
their employees time off during
Areas that are 7X24 should
this holiday period. Please
re-boot in the early morning
check with vour manager to
hours or when patient care will
confirm whether you are
not be compromised.
scheduled to work. to be on-call
Arty computer that is not
or have been released from
used 7X24 should be turned
work during that time.
off when leaving at night to
Due to the need to make
conserve energy. Powering
your computer applications
down almost 1,500 computers
Y2K compliant, software
will save on the hospital's
upgrades and patches will be
utility costs. Please call the Help
performed through the end
Desk at Ext. 4444 if you have
of the year.
any questions.
thrown for a loop: chris medina
bone marrow registry drive to be
Continued from page I
held tuesday, nov. 30
His mother is In Mexico,
impact. Over the next twelve
visiting relatives. His father
hours. they do regular
died last year.
neurological checks. His CAT
As part of National Bone
have only a one-in-20,000
Marrow Awareness Month,
scan comes back normal.
chance of finding a donor
7:09 p.m.: "We just going
the CHLA Bone Marrow
to take some pictures-don t be
Nery spends the night
through HLA matching. Help
beside him on a chair.
Transplantation (BMT)
lower those odds and give
scared." Escalona assures Chris.
Program, Padres Contra El
someone else a second chance
as a technician uses a portable
Saturday: Chris is sore and
Cancer and KidS COUNT
at life by donating your bone
machine to shoot X-rays of his
shaky. New X-rays indicate
will be hosting a Bone Marrow
marrow.
neck, chest and pelvis. No
nothing awrv. His white blood
Registry Drive on Tuesday,
Aspiration of bone marrow
broken bones. Doctors remove
cell count has returned to
Nov. 30. from 2 to 6 p.m. in
is done with a needle inserted
the neck brace and board. A
normal. Doctors decide to keep
the BMT Conference Room
into the hipbone. It's done as
physical exam finds no serious
him overnight for observation.
on the 4th Floor.
an outpatient procedure and
injuries.
Sunday: His mother arrives.
Be part of an important
usually causes only some
"We think he's fine."
Chris is subdued. but ready to
program that will put your
soreness for a few days.
Escalona tells Nery. "He's very
name and information into an
go home.
Registering with the
lucky." The trauma team
international database which
National Marrow Donor
breaks up.
Epilogue: Weeks after the
identifies you as a potential
Program is easy, and thanks to
Chris's mother. Emma.
accident, he is running around
bone-marrow donor.
donated funds, is being done
hurriedly makes plans to flv
and back in school. "Chris
A simple blood draw
at no cost for CHLA employ-
home.
seemed okay," says his mom.
procedure is all that's needed
ees.
"but he wouldn even go in
7:55 p.m.: Chris displays no
to check your blood for
Give someone the gift of life
the front yard for a few
signs of confusion or loss of
human leukocyte antigen
this holiday season. You'l feel
weeks."
consciousness, but doctors
(HLA) matches.
good about it.
order a CAT scan and admit
Some scars take longer to
Patients requiring a bone-
heal.
marrow donation from
him to the hospital as a
precaution because of the head
Reprinted from Ladies' Home
someone outside their family
Journal. December 1999.
november 22 1999
OPERATION
chad volleyball
tournament
P
INTFEST
raises $3,000
Creating Brighter Children's Hospitals
a kaleidoscope of colors: operation paintfest
The imaginations of hospital-
Feight. executive director, The
members and volunteers.
ized kids at CHLA will soar
Foundation for Hospital Art.
CHLA patients will bring
during "Operation PaintFest:
"However, rooms that invite
nature to life by using the pre-
Creating Brighter Children's
kids to feel like they just
drawn and color-coded ceiling
Arista Burtrum, president and
Hospitals."
opened a brand new jar of
tiles and canvas outlines
founder of the Chad Foundation
Through this program. walls
paint transform them from the
created by The Foundation
for Athletes and Artists, presents
and ceilings will bear the artistic
frightening reality of illness to
for Hospital Art. Once
a gift of $3,000 to CHLA's
signature of youngsters who
the welcome respite of fantasy."
completed, the tiles and
Heart Institute. The funds are
will help paint 60 canvasses
"Operation PaintFest is a
canvasses will be permanently
proceeds from the 5th Annual
and 500 ceiling tiles-with
perfect complement to the
displayed in patient treatment
Chad Volleyball Tournament
butterflies. tropical fish and
mission and spirit of Childrens
rooms throughout the
held Sunday, Sept. 12, at the
exotic animals.
Hospital Los Angeles," says
hospital.
Lakeside Country Club in
Sponsored by The Founda-
Efrain Fuentes. Ph.D.. director.
Toluca Lake.
tion for Hospital Art in
Patient and Family Services.
Operation PaintFest
Pictured are Ms. Burtrum
partnership with Pfizer
"When we were invited to
(holding check, right front) with
Pediatric Health, this national
participate in this program we
Thursday, Dec. 2
Dr. Pierre Wong. Back row:
program is making its debut at
were delighted, especially since
11 a.m. to 2 p.m.
Dr. Michael Silka, Dr. Alan
CHLA on Thursday, Dec. 2.
we are in the midst of con-
Lewis and Dr. Arno R. Hohn.
"From the perspective of a
structing a new surgery center
3 South Waiting Room
child. hospitals can feel like
and renovating the hospital's
infinite corridors and rooms of
public spaces."
For more information on
sterility-an uninviting white-
Working side-bv-side with
Operation PaintFest. call
wash of mazes. explains John
their families. medical team
Efrain Fuentes at Ext. 5478.
respiratory syncytial virus in the child-care setting
Respiratory Syncvtial Virus
Meylan, Infection Control
lung disease and weak
surface. A young child with
(RSV) causes infections of the
coordinator. and Pamela
immune systems are at
RSV may be infectious for one-
upper respiratory tract-like a
Teitelbaum. Infection Control
increased risk of developing
to-three weeks after symptoms
cold-and the lower respiratory
practitioner. are taking extra
severe infections and complica-
subside.
tract-like pneumonia. It's the
precautions to educate CHLA
tions.
The most effective preven-
most frequent cause of lower
staff about this virus and the
RSV is spread through
tive measure against the spread
respiratory infections-
threat it poses to our young
direct contact with infectious
of RSV is careful and frequent
including pneumonia-in
patients.
secretions. You can contract
handwashing.
infants and children under
An RSV infection can range
the virus by breathing these
For more information about
two years of age.
from very mild to life-
moist secretions after an
RSV, call Infection Control at
At CHLA, this virus is
threatening and can even be
infected person has coughed,
Ext. 5510.
taken very seriously. Marysia
fatal. Children with heart or
or by touching a contaminated
fall
november
"
0001
physical therapy/occupational therapy accolades
get your
Edith Mak, OTR, Janet
Kay are collecting data for a
Children with Cerebral Palsy."
potluck
Lurie-Hauser, OTR, and
research grant funded by
The article was published in the
ready!
Nancy Forero-Lilienfeld, PT,
Allergan. investigating the
Journal of Pediatric Orthopaedics
gave a poster presentation at
effects of Botulinum Toxin
in July/August 1999. Susan
For those employees
the National AOTA Confer-
and Serial Casting of the
presented the study at a
working on Thanksgiving
ence in Monterey, CA last
Lower Extremities in children
national conference in Washing-
Day. the Food Service
month. The presentation was
with Cerebral Palsy.
ton, D.C., for the American
Department will be
related to a competency rool
Academy of Cerebral Palsy and
Nancy Forero-Lilienfeld,
supplying sliced turkev.
for NICU therapists titled
Developmental Medicine in
PT Yvette Brewer, PT. and
gravy, stuffing and
"Competency Checklist for the
September.
Emily Levine, OTR, recently
cranberry sauce, as well as
Neonatal and High Risk Infant
completed Board Certification
Susan Rethlefsen. Sandi
serving utensils
and
Therapist" that they devel-
in Neuro-Developmental
Dennis, and Dr. Robert Kay
invites you to bring the
oped and also are having
Treatment. an eight-week
published an article in the
extras!
copyrighted.
post-graduate course in
European Journal of Pediatric
An upcoming e-mail
Jennifer Loiselle, OTR,
specialized treatment approach
Orthopaedics in April 1999
will announce the serving
received a Master's Degree in
for neurologically impaired
entitled "Outcome of Ham-
times and stations.
Public Health from UCLA this
children.
string Lengthening and Distal
year.
Rectus Femoris Transfer in
Elvira Burger. OTR. is
Children."
Jamie Black, OTR, Jennifer
participating in a pilor research
Loiselle, OTR, Susan
study with Dr. Mitchell
Margaret Mortimore. PT.
Rethlefsen, PT, and Dr. Joan
looking at the effects of IV lg
and Donna Groh, P.T. are
mpass
Wright received a grant to
on children with opsoclonus
participating in a collaborative
Published weekly for the
pursue a research project
myoclonus ataxia. Elvira is
study with Children's Hospital
employees, volunteers,
entitled "Functional Change
assessing fine-motor coordina-
of San Diego investigating "The
physicians and students of
in the Spastic Upper Extrem-
tion in these children.
Effectiveness of Foot Orthotics
Childrens Hospital
ity: A Comparison of Botox
Susan Rethlefsen PT,
in the Management of Physical
Los Angeles
and Occupational Therapy."
Sandi Dennis. PT. and Dr.
and Psychological Symptoms in
Editor
They are currently collecting
Children with Juvenile Chronic
Robin Moore
Robert Kay completed and
data for this project.
Arthritis."
Creative Services Manager
published a project entitled
e-mail: [email protected]
Susan Rethlefsen, PT,
"The Effects of Fixed and
Please send your departmental
Ext. 4142
Anna Fern-Buneo, PT, Chere
Articulating Ankle Foot
announcements and achieve-
Mail Stop 59
Dreyden, PT, and Dr. Robert
Orthoses on the Gait of
ments to Robin Moore. Editor.
Deadline for
Mail Stop #59.
submitting material:
Noon Monday for the
equipment repair reminder
next Monday's edition
don't forget:
The Patient Care Services
completely. Call Central
the parking
Equipment Subcommittee
Service at Ext. 2201 and
office has
reminds CHLA staff that one
they will pick up the broken
moved
of its goals is to have well-
item (with attached card) for
International
Leader
in
Pedictrics
functioning equipment
repair.
to the office adjacent to
available to all who work
If we all work to stay on
the Employment Office
here.
top of these repairs we will be
in the 4601 Sunset Blvd.
If equipment is in need of
able to meet our goals and
Building.
repair, please tag it with a
better serve our patients.
yellow "equipment repair"
For more information. call
Childrens Hospital Los Angeles
Susan Santner at Ext. 2861.
IS a United Way
ticket. Be specific about the
Community Impact Provider
problem and fill out the card
"Results You Can See"
Palo Alt ONE CA
LUCILE PACKARD CHILDREN'S
NEWS
HEALTH SERVICES AT STANFORD
UCSF Stanford Health Care
For Immediate Release
November 29, 1999
Contact: Monique Binkley Smith
(650) 497-8364
Lucile Packard Children's Hospital at Stanford Praises Congress,
President for Passage of Legislation Funding Training for Pediatricians
PALO ALTO -Among its final actions before recessing this year, the U.S.
Congress approved and has sent to the President legislation critical both to the future of
children's health care and to Lucile Packard Children's Hospital at Stanford's ability to
provide that care.
Just before recessing on November 18, the House incorporated the "Children's
Hospitals Education and Research Act" into related legislation and sent it to the President
for his signature. The legislation would authorize Congress to appropriate up to $285
million annually over the next two years for graduate medical education (GME) funding
for independent children's teaching hospitals like Lucile Packard Children's Hospital at
Stanford. The Senate passed the bill on November 4.
In a related development, Congress also reached agreement with the White House
on a final Fiscal Year 2000 Labor-HHS Appropriations Bill that included $40 million to
get the program of federal support for physician training in children's hospitals started
this year. The House passed it November 18, and the Senate on November 19.
"Congress and the White House have taken a critical first step with these moves,"
said Christopher Dawes, Senior Vice President and Chief Operating Officer of Lucile
Packard Children's Hospitals. "They have provided what amounts to startup funding for a
program to support ongoing graduate medical education at children's hospitals. We're
encouraged and pleased by the progress which we hope to build on in seeking full
funding. We still have a way to go next year, but we're glad to see progress being made."
(more)
Training Funding Passed
Page 2-2-2-2
The bill had broad, bipartisan support, including Representatives Anna Eshoo (D),
Nancy Pelosi (D), Tom Lantos (D), Zoe Lofgren (D), Sam Farr (D) and Tom Campbell
(R) and Senators Barbara Boxer (D) and Dianne Feinstein (D) who were among the more
that 200 House and 40 Senate cosponsors of the GME legislation. This issue also had the
strong support of President Clinton and the First Lady.
Independent children's hospitals represent less that one percent of all hospitals in
the country, but train nearly 30 percent of all pediatricians and nearly half of all pediatric
specialists. If their patients were seniors instead of children, these hospitals would be
eligible for federal Medicare support for physician training. Such support has come to be
the only significant source of funding for GME, now that fewer payers of health care are
willing to cover the added costs of physician training.
However, independent children's hospitals receive on average less that 1/200th of
the Medicare GME support that all teaching hospitals receive. According to independent
consultants, the federal government would need to provide approximately $285 million
each year to treat children's hospitals comparably to all teaching hospitals in terms of
federal GME support.
"All of us at Lucile Packard Children's Hospital at Stanford owe special thanks to
the entire Bay Area delegation who were early supporters and cosponsors. Each of these
legislators played an important role in helping Congress understand the importance of
this legislation," said Dawes. "We also owe special thanks to the President for his
leadership. This issue is critical to every mission of our hospital -clinical care for all who
need it, training to prepare the next generation of physicians for children, and research to
advance the state of the art of children's health care. We look forward to continuing to
work with them to make sure we can continue to do what we do best -focus on children's
unique health care needs, regardless of their medical or economic need."
Lucile Packard Children's Hospital at Stanford is a part of Lucile Packard
Children's Hospitals, the pediatric division of UCSF Stanford Health Care.
###
Orange Co. , CA
NOV-24-1999 16:44
CHOC BUS DEV/MKTG
714 532 8739
P.02/03
Children's Hospital
of Orange County
FOR IMMEDIATE RELEASE
November 24, 1999
Contact: Jan Lansing
(714) 516-4293
CHILDREN'S HOSPITAL OF ORANGE COUNTY PRAISES CONGRESS, PRESIDENT FOR
PASSAGE OF LEGISLATION FUNDING TRAINING FOR PEDIATRICIANS
Kimberly Cripe: "Special thanks go to Senators Barbara Boxer and
Dianne Feinstein and Representative Loretta Sanchez for leadership on
this issue critical to children's health"
(Orange) - Among its final actions before recessing this year, the U.S. Congress
November 18 approved and will send to the President legislation critical both to the
future of children's health care and to Children's Hospital of Orange County's ability
to provide that care.
Just before recessing. the House incorporated "Children's Hospitals Education
and Research Act" into related legislation and sent it to the president for signature.
The legislation would authorize Congress to appropriate up to $285 million annually
over the next two years for graduate medical education funding for independent
children's teaching hospitals like Children's Hospital of Orange County. The Senate
passed the bill on November 4.
In a related development, Congress also reached agreement with the White
House on a final Fiscal Year 2000 Labor-HHS Appropriations Bill that included $40
million to get the program of federal support for physician training in children's
hospitals started this year.
"Congress and the White House have taken a critical first step with these
moves," said Kimberly Cripe, President and Chief Executive Officer of Children's
Hospital of Orange County. "They have provided what amounts to startup funding
for a program to support ongoing graduate medical education at children's hospitals.
We're encouraged and pleased by the progress, which we hope to build on in seeking
full funding. We still have a ways to go next year, but we're glad to see progress
being made."
The bill had broad, bipartisan support, including Senators Barbara Boxer and
Dianne Feinstein and Representative Loretta Sanchez, who were among the more
than 200 House and 40 Senate cosponsors of the graduate medical education
legislation. This issue also had the strong support of President Clinton and the First
Lady.
P.O. Box 5700, Orange, CA 92613-5700 . 455 South Main Street Orange, CA 92868-3874 (714) 997-3000
NOV-24-1999 16:44
CHOC BUS DEV/MKTG
714 532 8739 P.03/03
Independent children's hospitals represent less than one percent of all
hospitals in the country, but train nearly 30 percent of all pediatricians and nearly half
of all pediatric specialists. If their patients were seniors instead of children, these
hospitals would be eligible for federal Medicare support for physician training. Such
support has come to be the only significant source of funding for graduate medical
education, now that fewer payers of health care are willing to cover the added costs of
physician training.
However, independent children's hospitals receive on average less than
1/200th of the Medicare GME support that all teaching hospitals receive. According
to independent consultants, the federal government would need to provide
approximately $285 million each year to treat children's hospitals comparably to all
teaching hospitals in terms of federal GME support.
"All of us at Children's Hospital of Orange County owe special thanks to
those who played such an important role in helping Congress understand the
importance of this legislation," said Ms. Cripe. "We also owe special thanks to the
President for his leadership. This issue is critical to every mission of our hospital -
clinical care for all who need it, training to prepare the next generation of physicians
for children, and research to advance the state of the art of children's health care. We
look forward to continuing to work with them to make sure we can continue to do
what we do best - - focus on children's unique health care needs, regardless of their
medical or economic need."
Founded in 1964, Children's Hospital of Orange County (CHOC) is Orange
County's only hospital committed to promoting the safety and wellness of children
through outreach, advanced research, advocacy and community education.
Celebrating its 35th anniversary, the organization has grown to become a regional
pediatric healthcare network that includes Children's Hospital at Mission in Mission
Viejo, Clinica CHOC para Niños in Santa Ana, CHOC Register Clinic in Orange,
Children's Hospital Foundation and CHOC Thrift Stores, providing comprehensive
high-quality pediatric care to all of the community's children.
####
TOTAL P.03
Children's Hospital
of Orange County
December 1, 1999
The President
The White House
Washington, D.C. 20500
Dear Mr. President:
On behalf of the patients, parents and employees of Children's Hospital of Orange
County (CHOC) in Orange, California, I want to express our profound gratitude for your
critical leadership in securing funding for graduate medical education (GME) for
independent children's teaching hospitals. This legislative victory will benefit children
nationwide.
With your original budget request and the administration's efforts during the
appropriations negotiations with Congress, you ensured that the nation's independent
children's teaching hospitals will receive $40 million in new GME support in fiscal year
2000. This start-up funding is an important first step in helping children's hospitals reach
an equitable competitive playing field.
Children's teaching hospitals like CHOC, as you know, receive less than 1/200th of the
GME funding provided to other teaching hospitals through Medicare. And children's
hospitals, although we comprise less than 1% of all hospitals, train nearly 30% of all
pediatricians and nearly half of all pediatric specialists.
The authorization for the GME funding for independent children's hospitals is $285
million for the next two years. While the $40 million will be extremely helpful for all of
us this year, we hope to have your support during the coming year's budget negotiations
to move closer to the equitable funding level of $285 million for GME.
Thank you, again, for your leadership. We look forward to working with you and your
Administration to build on this important achievement to secure the full level of funding
Congress has authorized next year.
Sincerely,
Kimberly C. Cripe
President & Chief Executive Officer
cc:
Christopher Jennings, Deputy Assistant to the President
The First Lady
(714) 997-3000
San Diego, CA
Blair I.. Sadler
Mail Code 5069
Children's
President and
3020 Children's Way
Chief Executive Officer
San Diego, California 92123-4282
Hospital
(858) 576-5911
(858) 495-8590 FAX
and Health
www.chsd.org
Center
November 23, 1999
The President
The White House
Washington, DC 20500
Dear Mr. President:
On behalf of the children of San Diego County and Children's Hospital and Health Center, I
want to express deep appreciation for your very important leadership in securing funding for
graduate medical education for independent children's teaching hospitals.
As you and the First Lady are aware, independent children's teaching hospitals currently
receive less than 1/200th of the GME support provided to other teaching hospitals because they
care for children, not the elderly. While these hospitals comprise less than 1% of all hospitals,
they train nearly 30% of all pediatricians and nearly half of all pediatric specialists.
The authorization for the GME funding for independent children's hospitals is $285 million for
the next two years. While the $40 million will be extremely helpful for these institutions this year,
we hope to have your support during the coming year's budget negotiations to help these
hospitals move closer to the equitable funding level of $285 million for GME.
Again, thank you for your leadership. We look forward to working with you to secure the full
level of funding Congress has authorized next year. May you and your family have a wonderful
Thanksgiving holiday.
Sincerely
Blair L. Sadier
President and Chief Executive Officer
BLS:dcs
CC: Christopher Jennings, Deputy Assistant to the President
Executive Office of the President
216 OEOB
1600 Pennsylvania Avenue, N.W.
Washington, DC 20500
The First Lady
The White House
Washington, DC 20500
because children are the future
12/07/99 TUE 15:33 FAX 619 974 8095
CHSD GOV'T/SCHOOL
002
3020 Children's Way
San Diego
Childrens
California 92123-4282
(619) 576-1700
Hospital
TTY 576-5831
and Health
Center
FOR IMMEDIATE RELEASE
November 19, 1999
Contact: Barbara Ryan
(858) 576-4080
CHILDREN'S HOSPITAL AND HEALTH CENTER PRAISES CONGRESS.
PRESIDENT FOR PASSAGE OF LEGISLATION FUNDING TRAINING FOR
PEDIATRICIANS
Blair Sadler, "Special thanks go to the entire San Diego congressional
delegation for leadership on issues critical to children's health"
[SAN DIEGO]-- Among its final actions before recessing this year, the U.S.
Congress November 18 approved and will send to the President legislation
critical both to the future of children's health care and to Children's Hospital
and Health Center's ability to provide that care.
Just before recessing last night, the House incorporated the
"Children's Hospitals Education and Research Act" into related legislation
and sent it to the president for his signature. The legislation would
authorize Congress to appropriate up to $285 million annually over the next
two years for graduate medical education funding for independent children's
teaching hospitals like Children's Hospital and Health Center. The Senate
passed the bill on November 4.
In a related development, Congress also reached agreement with the
White House on a final Fiscal Year 2000 Labor-HHS Appropriations Bill that
included $40 million to get the program of federal support for physician
training in children's hospitals started this year. The House passed it last
night, and the Senate is expected to do so shortly.
"Congress and the White House have taken a critical first step with
these moves," said Blair L. Sadler, President and CEO of Children's Hospital
and Health Center. "They have provided what amounts to startup funding
for a program to support ongoing graduate medical education at children's
hospitals. We're encouraged and pleased by the progress, which we hope to
build on in seeking full funding. We still have a ways to go next year, but
we're glad to see progress being made."
because children are the future
12/07/99 TUE 15:33 FAX 619 974 8095
CHSD GOV T/SCHOOL
003
The bill had broad, bipartisan support, including Ron Packard (48th
District) Brian P. Bilbray (49th District), Bob Filner (50th District). Randy
Cunningham (51ª District), and Duncan Hunter (52ⁿᵈ District), who were
among the more than 200 House and 40 Senate cosponsors of the graduate
medical education legislation. This issue also had the strong support of
President Clinton and the First Lady.
Independent children's hospitals represent less than one percent of all
hospitals in the country, but train nearly 30 percent of all pediatricians and
nearly half of all pediatric specialists. If their patients were seniors instead
of children, these hospitals would be eligible for federal Medicare support for
physician training. Such support has come to be the only significant source
of funding for graduate medical education, now that fewer payers of health
care are willing to cover the added costs of physician training.
However, independent children's hospitals receive on average less
than 1/200th of the Medicare GME support that all teaching hospitals
receive. According to independent consultants. the federal government
would need to provide approximately $285 million each year to treat
children's hospitals comparably to all teaching hospitals in terms of federal
GME support.
"All of us at Children's Hospital and Health Center owe special thanks
to Congressmen Brian Bilbray and Randy "Duke" Cunningham. who each
played such an important role in helping Congress understand the
importance of this legislation," said Blair Sadler. "We also owe special
thanks to the President for his leadership. This issue is critical to every
mission of our hospital - - clinical care for all who need it, training to prepare
the next generation of physicians for children, and research to advance the
state of the art of children's health care. We look forward to continuing to
work with them to make sure we can continue to do what we do best - focus
on children's unique health care needs, regardless of their medical or
economic need."
Children's Hospital and Health Center (Children's) is the region's only
pediatric medical center and is the largest triage center for pediatric care in
San Diego and Imperial Counties. The 220-bed hospital began in 1952 and
has grown over the years to meet the special health care needs of the region.
Today, Children's offers comprehensive programs in diagnosis and
treatment, research, rehabilitation, medical education, outcomes and
community outreach education. Children's has become the hub of a
regional health care network devoted to the care of seriously ill and injured
children from Southern California and throughout the southwestern United
States.
####
Denver, CO
The Children's Hospital
Affiliated with
News Release
University of Colorado Health Sciences Center
For Immediate Release
Contact: Maren Stewart
(303) 764-8387
THE CHILDREN'S HOSPITAL PRAISES CONGRESS, PRESIDENT FOR
PASSAGE OF LEGISLATION FUNDING TRAINING FOR PEDIATRICIANS
Dori Biester, President and CEO "Special thanks go to Senator Ben Nighthorse Campbell and
Representatives Diana DeGette, Scott McInnis, Bob Schaffer, Tom Tancredo and Mark Udall from Colorado
and Senator Michael Enzi from Wyoming for leadership on an issue critical to children's health"
Denver, CO-- Among its final actions before recessing this year, the U.S. Congress November 18 approved and
sent to the President legislation critical both to the future of children's health care and to The Children's Hospital
of Denver's ability to provide that care.
Just before recessing, the House incorporated the "Children's Hospitals Education and Research Act"
into related legislation and sent it to the president for his signature. The legislation would authorize Congress to
appropriate up to $285 million annually over the next two years for graduate medical education funding for
independent children's teaching hospitals like The Children's Hospital. The Senate passed the bill November 4.
In a related development, Congress also reached agreement with the White House on a final Fiscal Year
2000 Labor-HHS Appropriations Bill that included $40 million to get the program of federal support for
physician training in children's hospitals started this year. This was signed into law by the President yesterday,
November 29.
"Congress and the White House have taken a critical first step with these moves," said Dori Biester,
Ph.D, RN, President and CEO of The Children's Hospital. "They have provided what amounts to startup
funding for a program to support ongoing graduate medical education at children's hospitals. We're encouraged
and pleased by the progress, which we hope to build on in seeking full funding. We still have a ways to go next
year, but we're glad to see progress being made."
The bill had broad, bipartisan support including Senator Ben Nighthorse Campbell and Representatives
Diana DeGette, Scott McInnis, Bob Schaffer, Tom Tancredo and Mark Udall from Colorado and Senator
Michael Enzi from Wyoming, who were among the more than 200 House and 40 Senate cosponsors of the
graduate medical education legislation. This issue also had the strong support of President Clinton and the First
Lady.
Independent children's hospitals represent less than one percent of all hospitals in the country, but train
nearly 30 percent of all pediatricians and nearly half of all pediatric specialists. If their patients were seniors
instead of children, these hospitals would be eligible for federal Medicare support for physician training. Such
support has come to be the only significant source of funding for graduate medical education, now that fewer
payers of health care are willing to cover the added costs of physician training.
--continued-
However, independent children's teaching hospitals receive on average less than 1/200th of the Medicare
GME support that adult teaching hospitals receive. According to independent consultants, the federal
government would need to provide approximately $285 million each year to treat children's hospitals
comparably to adult teaching hospitals in terms of federal GME support.
"All of us at The Children's Hospital owe special thanks to our cosponsors who played such an
important role in helping Congress understand the importance of this legislation," said Biester. "We also owe
special thanks to the President for his leadership. This issue is critical to every mission of our hospital - clinical
care for all who need it, training to prepare the next generation of physicians for children, and research to
advance the state of the art of children's health care. We look forward to continuing to work with them to make
sure we can continue to do what we do best - focus on children's unique health care needs, regardless of their
medical or economic need."
The Children's Hospital was recently ranked in the top three percent of all hospitals by U.S. News and
World Report, which surveyed board-certified physicians on the top hospitals in their field. The July 1999 issue
of the magazine represented the seventh year in a row that U.S. News ranked Children's a top pediatric hospital
in the nation. The Children's Hospital is the leading pediatric hospital in an 800-mile radius, according to the
report.
Founded in 1908, The Children's Hospital is a private, not-for-profit pediatric health care system with
more than 1,000 pediatric specialists and 1,700 full-time employees. It provides care to the region's children at
its main campus, and through three specialty-physician satellite offices, four community-based urgent and
emergency care sites, three specialty-care centers providing principally rehabilitation services, and more than
400 outreach clinics held annually in a seven-state region.
###
The Children's Hospital
Kids Need A Kids' Hospital
December 1, 1999
The President
Dorls J. Biester, PhD, RN
President and
:
The White House
Chief Executive Officer
Washington, DC 20500
1056 East 19th Avenue
Denver, Colorado 80218
Dear Mr. President:
303 861-6091
303 861-3992 Fax
On behalf of the patients, parents and employees of The Children's Hospital in Denver,
Colorado, I want to express our deep appreciation for your very important leadership in
securing funding for graduate medical education for independent children's teaching
hospitals. This is a legislative victory that will benefit children in every state of the country.
With your original budget request and the administration's efforts during the appropriations
negotiations with Congress, you have ensured that the nation's independent children's
teaching hospitals will receive $40 million in new GME support in FY 2000. This start-up
funding is an important first step in helping independent children's hospitals reach an
equitable competitive playing field.
As you and the First Lady are aware, independent children's teaching hospitals currently
receive less than 1/200" of the GME support provided to other teaching hospitals because
they care for children, not the elderly. While these hospitals comprise less than 1% of all
hospitals, they train nearly 30% of all pediatricians and nearly half of all pediatric specialists.
The authorization for the GME funding for independent children's hospitals is $285 million
for the next two years. While the $40 million will be extremely helpful for these institutions
this year, we hope to have your support during the coming year's budget negotiations to help
these hospitals move closer to the equitable funding level of $285 million for GME.
Thank you again for your leadership. We look forward to working with you and your
Administration to build on this important achievement to secure the full level of funding
Congress has authorized next year.
Sincerely,
Doris J. Biester, PhD. RN
President and CEO, The Children's Hospital
cc:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the
President, 216 OEOB, 1600 Pennsylvania Ave., N.W., Washington, DC 20500
The First Lady, The White House, Washington, DC 20500
Affiliated with
Hartford, CT
Connecticut
Children's
MEDICAL CENTER
December 6, 1999
The President
The White House
Washington, DC 20500
Dear Mr. President:
As the chair of the Board of Directors of Connecticut Children's Medical Center in Hartford,
Connecticut, I want to express my personal appreciation for your significant leadership in
securing funding for graduate medical education (GME) for independent children" teaching
hospitals. Because my service as a volunteer board member makes me keenly aware of the
needs of children and quality health care, I understand the demands placed on children's
hospitals to meet this need. I know that this legislative victory will benefit children served by
our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue.
The nation's independent children's teaching hospitals will receive $40 million in new GME
support n FY 2000, due in great measure to your original budget request and the Administrations
efforts during the budget negotiations with Congress this fall. This start up funding is an
important first step in helping independent children's teaching hospitals to achieve more
equitable GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have
your support during the coming year's budget negotiations t o help these hospitals move closer to
the equitable GME funding level of $ 285 million authorized in FY 2001, under the "Children's
Hospital Education and Research Act."
Thank you again for your leadership. We look forward to working with you and your
Administration to build on this important achievement. Best wishes to you and your family for
the holiday season.
Sincerely,
Larry M. Gold
President & CEO
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the
President, 216 OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
Children's
MEDICAL CENTER
December 9, 1999
COPY
The President
The White House
Washington, DC 20500
Dear Mr. President:
As the chair of the Board of Directors of Connecticut Children's Medical Center in Hartford,
Connecticut, I want to express my personal appreciation for your significant leadership in
securing funding for graduate medical education (GME) for independent children's teaching
hospitals. Because my service as a volunteer board member makes me keenly aware of the needs
of children and quality health care, I understand the demands placed on children's hospitals to
meet this need. I know that this legislative victory will benefit children served by our hospital
and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue.
The nation's independent children's teaching hospitals will receive $40 million in new GME
support n FY 2000, due in great measure to your original budget request and the Administrations
efforts during the budget negotiations with Congress this fall. This start up funding is an
important first step in helping independent children's teaching hospitals to achieve more equitable
GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have
your support during the coming year's budget negotiations t o help these hospitals move closer to
the equitable GME funding level of $ 285 million authorized in FY 2001, under the "Children's
Hospital Education and Research Act."
Thank you again for your leadership. We look forward to working with you and your
Administration to build on this important achievement. Best wishes to you and your family for
the holiday season.
Sincerely,
Martin J. Gavin
Chair, Board of Directors, Connecticut Children's Medical Center
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the
President, 216 OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
Children's
COPY
MEDICAL CENTER
The President
December 9, 1999
The White House
Washington, DC 20500
Dear Mr. President:
As a vice chair of the Board of Directors of Connecticut Children's Medical Center in Hartford,
Connecticut, I want to express my personal appreciation for your significant leadership in securing
funding for graduate medical education (GME) for independent children's teaching hospitals. Because
my service as a volunteer board member makes me keenly aware of the needs of children and quality
health care, 1 understand the demands placed on children's hospitals to meet this need. I know that this
legislative victory will benefit children served by our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue. The
nation's independent children's teaching hospitals will receive $40 million in new GME support n FY
2000, due in great measure to your original budget request and the Administrations efforts during the
budget negotiations with Congress this fall. This start up funding is an important first step in helping
independent children's teaching hospitals to achieve more equitable GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have your
support during the coming year's budget negotiations to help these hospitals move closer to the equitable
GME funding level of $ 285 million authorized in FY 2001, under the "Children's Hospital Education and
Research Act."
Thank you again for your leadership. We look forward to working with you and your Administration to
build on this important achievement. Best wishes to you and your family for the holiday season.
Sincerely,
J. Danford Anthony, Jr.
Vice Chair, Board of Directors, Connecticut Children's Medical Center
CC: Christopher Jennings, Deputy Assistant to the President, Executive Office of the President,
216 OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
Children's
MEDICAL CENTER
COPY
The President
December 9, 1999
The White House
Washington, DC 20500
Dear Mr. President:
As the secretary of the Board of Directors of Connecticut Children's Medical Center in Hartford,
Connecticut, I want to express my personal appreciation for your significant leadership in securing
funding for graduate medical education (GME) for independent children's teaching hospitals. Because
my service as a volunteer board member makes me keenly aware of the needs of children and quality
health care, I understand the demands placed on children's hospitals to meet this need. I know that this
legislative victory will benefit children served by our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue. The
nation's independent children's teaching hospitals will receive $40 million in new GME support n FY
2000, due in great measure to your original budget request and the Administrations efforts during the
budget negotiations with Congress this fall. This start up funding is an important first step in helping
independent children's teaching hospitals to achieve more equitable GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have your
support during the coming year's budget negotiations t o help these hospitals move closer to the equitable
GME funding level of $ 285 million authorized in FY 2001, under the "Children's Hospital Education and
Research Act."
Thank you again for your leadership. We look forward to working with you and your Administration to
build on this important achievement. Best wishes to you and your family for the holiday season.
Sincerely,
Barbara S. McGrath
Secretary, Board of Directors, Connecticut Children's Medical Center
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the President, 216
OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
Children's
COPY
MEDICAL CENTER
The President
December 9, 1999
The White House
Washington, DC 20500
Dear Mr. President:
As a member of the Board of Directors of Connecticut Children's Medical Center in Hartford,
Connecticut, I want to express my personal appreciation for your significant leadership in securing
funding for graduate medical education (GME) for independent children" teaching hospitals. Because
my service as a volunteer board member makes me keenly aware of the needs of children and quality
health care, I understand the demands placed on children's hospitals to meet this need. I know that this
legislative victory will benefit children served by our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue. The
nation's independent children's teaching hospitals will receive $40 million in new GME support n FY
2000, due in great measure to your original budget request and the Administrations efforts during the
budget negotiations with Congress this fall. This start up funding is an important first step in helping
independent children's teaching hospitals to achieve more equitable GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have your
support during the coming year's budget negotiations t o help these hospitals move closer to the equitable
GME funding level of $ 285 million authorized in FY 2001, under the "Children's Hospital Education and
Research Act."
Thank you again for your leadership. We look forward to working with you and your Administration to
build on this important achievement. Best wishes to you and your family for the holiday season.
Sincerely,
Elease E. Wright
Member, Board of Directors, Connecticut Children's Medical Center
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the President, 216
OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
Children's
COPY
MEDICAL CENTER
The President
December 9, 1999
The White House
Washington, DC 20500
Dear Mr. President:
As a member of the Board of Directors of Connecticut Children's Medical Center in Hartford,
Connecticut, 1 want to express my personal appreciation for your significant leadership in securing
funding for graduate medical education (GME) for independent children's teaching hospitals. Because
my service as a volunteer board member makes me keenly aware of the needs of children and quality
health care, I understand the demands placed on children's hospitals to meet this need. I know that this
legislative victory will benefit children served by our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue. The
nation's independent children's teaching hospitals will receive $40 million in new GME support n FY
2000, due in great measure to your original budget request and the Administrations efforts during the
budget negotiations with Congress this fall. This start up funding is an important first step in helping
independent children's teaching hospitals to achieve more equitable GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have your
support during the coming year's budget negotiations to help these hospitals move closer to the equitable
GME funding level of 285 million authorized in FY 2001, under the "Children's Hospital Education and
Research Act."
Thank you again for your leadership. We look forward to working with you and your Administration to
build on this important achievement. Best wishes to you and your family for the holiday season.
Sincerely,
Maria Bloom
Member, Board of Directors, Connecticut Children's Medical Center
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the President, 216
OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
Children's
COPY
MEDICAL CENTER
The President
December 9, 1999
The White House
Washington, DC 20500
Dear Mr. President:
As a member of the Board of Directors of Connecticut Children's Medical Center in Hartford,
Connecticut, I want to express my personal appreciation for your significant leadership in securing
funding for graduate medical education (GME) for independent children" teaching hospitals. Because
my service as a volunteer board member makes me keenly aware of the needs of children and quality
health care, I understand the demands placed on children's hospitals to meet this need. I know that this
legislative victory will benefit children served by our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue. The
nation's independent children's teaching hospitals will receive $40 million in new GME support n FY
2000, due in great measure to your original budget request and the Administrations efforts during the
budget negotiations with Congress this fall. This start up funding is an important first step in helping
independent children's teaching hospitals to achieve more equitable GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have your
support during the coming year's budget negotiations to help these hospitals move closer to the equitable
GME funding level of 285 million authorized in FY 2001, under the "Children's Hospital Education and
Research Act."
Thank you again for your leadership. We look forward to working with you and your Administration to
build on this important achievement. Best wishes to you and your family for the holiday season.
Sincerely,
Antoinetta M. Capriglione, M.D.
Member, Board of Directors, Connecticut Children's Medical Center
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the President, 216
OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
Children's
COPY
MEDICAL CENTER
The President
December 9, 1999
The White House
Washington, DC 20500
Dear Mr. President:
As a member of the Board of Directors of Connecticut Children's Medical Center in Hartford,
Connecticut, 1 want to express my personal appreciation for your significant leadership in securing
funding for graduate medical education (GME) for independent children" teaching hospitals. Because
my service as a volunteer board member makes me keenly aware of the needs of children and quality
health care, I understand the demands placed on children's hospitals to meet this need. I know that this
legislative victory will benefit children served by our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue. The
nation's independent children's teaching hospitals will receive $40 million in new GME support n FY
2000, due in great measure to your original budget request and the Administrations efforts during the
budget negotiations with Congress this fall. This start up funding is an important first step in helping
independent children's teaching hospitals to achieve more equitable GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have your
support during the coming year's budget negotiations t o help these hospitals move closer to the equitable
GME funding level of $ 285 million authorized in FY 2001, under the "Children's Hospital Education and
Research Act."
Thank you again for your leadership. We look forward to working with you and your Administration to
build on this important achievement. Best wishes to you and your family for the holiday season.
Sincerely,
Madelyn Colon
Member, Board of Directors, Connecticut Children's Medical Center
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the President, 216
OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
Children's
COPY
MEDICAL CENTER
The President
December 9, 1999
The White House
Washington, DC 20500
Dear Mr. President:
As a member of the Board of Directors of Connecticut Children's Medical Center in Hartford,
Connecticut, I want to express my personal appreciation for your significant leadership in securing
funding for graduate medical education (GME) for independent children" teaching hospitals. Because
my service as a volunteer board member makes me keenly aware of the needs of children and quality
health care, I understand the demands placed on children's hospitals to meet this need. 1 know that this
legislative victory will benefit children served by our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue. The
nation's independent children's teaching hospitals will receive $40 million in new GME support n FY
2000, due in great measure to your original budget request and the Administrations efforts during the
budget negotiations with Congress this fall. This start up funding is an important first step in helping
independent children's teaching hospitals to achieve more equitable GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have your
support during the coming year's budget negotiations t o help these hospitals move closer to the equitable
GME funding level of $ 285 million authorized in FY 2001, under the "Children's Hospital Education and
Research Act."
Thank you again for your leadership. We look forward to working with you and your Administration to
build on this important achievement. Best wishes to you and your family for the holiday season.
Sincerely,
Teresa Curry
Member, Board of Directors, Connecticut Children's Medical Center
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the President, 216
OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
Children's
MEDICAL CENTER
COPY
The President
December 9, 1999
The White House
Washington, DC 20500
Dear Mr. President:
As a member of the Board of Directors of Connecticut Children's Medical Center in Hartford.
Connecticut, I want to express my personal appreciation for your significant leadership in securing
funding for graduate medical education (GME) for independent children" teaching hospitals. Because
my service as a volunteer board member makes me keenly aware of the needs of children and quality
health care, I understand the demands placed on children's hospitals to meet this need. I know that this
legislative victory will benefit children served by our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue. The
nation's independent children's teaching hospitals will receive $40 million in new GME support n FY
2000, due in great measure to your original budget request and the Administrations efforts during the
budget negotiations with Congress this fall. This start up funding is an important first step in helping
independent children's teaching hospitals to achieve more equitable GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have your
support during the coming year's budget negotiations t 0 help these hospitals move closer to the equitable
GME funding level of $ 285 million authorized in FY 2001, under the "Children's Hospital Education and
Research Act."
Thank you again for your leadership. We look forward to working with you and your Administration to
build on this important achievement. Best wishes to you and your family for the holiday season.
Sincerely,
Eileen Danaher
Member, Board of Directors, Connecticut Children's Medical Center
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the President, 216
OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
Children's
COPY
MEDICAL CENTER
The President
December 9, 1999
The White House
Washington, DC 20500
Dear Mr. President:
As a member of the Board of Directors of Connecticut Children's Medical Center in Hartford,
Connecticut, I want to express my personal appreciation for your significant leadership in securing
funding for graduate medical education (GME) for independent children" teaching hospitals. Because
my service as a volunteer board member makes me keenly aware of the needs of children and quality
health care, I understand the demands placed on children's hospitals to meet this need. I know that this
legislative victory will benefit children served by our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue. The
nation's independent children's teaching hospitals will receive $40 million in new GME support n FY
2000, due in great measure to your original budget request and the Administrations efforts during the
budget negotiations with Congress this fall. This start up funding is an important first step in helping
independent children's teaching hospitals to achieve more equitable GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have your
support during the coming year's budget negotiations t o help these hospitals move closer to the equitable
GME funding level of $ 285 million authorized in FY 2001, under the "Children's Hospital Education and
Research Act."
Thank you again for your leadership. We look forward to working with you and your Administration to
build on this important achievement. Best wishes to you and your family for the holiday season.
Sincerely,
Christopher Foley, M.D.
Member, Board of Directors, Connecticut Children's Medical Center
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the President, 216
OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
Children's
COPY
MEDICAL CENTER
The President
December 9, 1999
The White House
Washington, DC 20500
Dear Mr. President:
As a member of the Board of Directors of Connecticut Children's Medical Center in Hartford,
Connecticut, 1 want to express my personal appreciation for your significant leadership in securing
funding for graduate medical education (GME) for independent children" teaching hospitals. Because
my service as a volunteer board member makes me keenly aware of the needs of children and quality
health care, I understand the demands placed on children's hospitals to meet this need. I know that this
legislative victory will benefit children served by our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue. The
nation's independent children's teaching hospitals will receive $40 million in new GME support n FY
2000, due in great measure to your original budget request and the Administrations efforts during the
budget negotiations with Congress this fall. This start up funding is an important first step in helping
independent children's teaching hospitals to achieve more equitable GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have your
support during the coming year's budget negotiations t o help these hospitals move closer to the equitable
GME funding level of $ 285 million authorized in FY 2001, under the "Children's Hospital Education and
Research Act."
Thank you again for your leadership. We look forward to working with you and your Administration to
build on this important achievement. Best wishes to you and your family for the holiday season.
Sincerely,
Jerry Franklin
Member, Board of Directors, Connecticut Children's Medical Center
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the President, 216
OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
Children's
COPY
MEDICAL CENTER
The President
December 9, 1999
The White House
Washington, DC 20500
Dear Mr. President:
As a member of the Board of Directors of Connecticut Children's Medical Center in Hartford,
Connecticut, 1 want to express my personal appreciation for your significant leadership in securing
funding for graduate medical education (GME) for independent children" teaching hospitals. Because
my service as a volunteer board member makes me keenly aware of the needs of children and quality
health care, I understand the demands placed on children's hospitals to meet this need. I know that this
legislative victory will benefit children served by our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue. The
nation's independent children's teaching hospitals will receive $40 million in new GME support n FY
2000, due in great measure to your original budget request and the Administrations efforts during the
budget negotiations with Congress this fall. This start up funding is an important first step in helping
independent children's teaching hospitals to achieve more equitable GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have your
support during the coming year's budget negotiations t o help these hospitals move closer to the equitable
GME funding level of $ 285 million authorized in FY 2001, under the "Children's Hospital Education and
Research Act."
Thank you again for your leadership. We look forward to working with you and your Administration to
build on this important achievement. Best wishes to you and your family for the holiday season.
Sincerely,
Robert M. Hadley, CPA
Member, Board of Directors, Connecticut Children's Medical Center
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the President, 216
OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
Children's
MEDICAL CENTER
COPY
The President
December 9, 1999
The White House
Washington, DC 20500
Dear Mr. President:
As a member of the Board of Directors of Connecticut Children's Medical Center in Hartford,
Connecticut, I want to express my personal appreciation for your significant leadership in securing
funding for graduate medical education (GME) for independent children" teaching hospitals. Because
my service as a volunteer board member makes me keenly aware of the needs of children and quality
health care, I understand the demands placed on children's hospitals to meet this need. I know that this
legislative victory will benefit children served by our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue. The
nation's independent children's teaching hospitals will receive $40 million in new GME support n FY
2000, due in great measure to your original budget request and the Administrations efforts during the
budget negotiations with Congress this fall. This start up funding is an important first step in helping
independent children's teaching hospitals to achieve more equitable GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have your
support during the coming year's budget negotiations t o help these hospitals move closer to the equitable
GME funding level of $ 285 million authorized in FY 2001, under the "Children's Hospital Education and
Research Act."
Thank you again for your leadership. We look forward to working with you and your Administration to
build on this important achievement. Best wishes to you and your family for the holiday season.
Sincerely,
Edward S. Johnson, DDS
Member, Board of Directors, Connecticut Children's Medical Center
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the President, 216
OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
Children's
COPY
MEDICAL CENTER
The President
December 9. 1999
The White House
Washington, DC 20500
Dear Mr. President:
As a member of the Board of Directors of Connecticut Children's Medical Center in Hartford,
Connecticut, I want to express my personal appreciation for your significant leadership in securing
funding for graduate medical education (GME) for independent children" teaching hospitals. Because
my service as a volunteer board member makes me keenly aware of the needs of children and quality
health care, I understand the demands placed on children's hospitals to meet this need. I know that this
legislative victory will benefit children served by our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue. The
nation's independent children's teaching hospitals will receive $40 million in new GME support n FY
2000, due in great measure to your original budget request and the Administrations efforts during the
budget negotiations with Congress this fall. This start up funding is an important first step in helping
independent children's teaching hospitals to achieve more equitable GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have your
support during the coming year's budget negotiations t o help these hospitals move closer to the equitable
GME funding level of $ 285 million authorized in FY 2001, under the "Children's Hospital Education and
Research Act."
Thank you again for your leadership. We look forward to working with you and your Administration to
build on this important achievement. Best wishes to you and your family for the holiday season.
Sincerely,
Claire Leonardi
Member, Board of Directors, Connecticut Children's Medical Center
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the President, 216
OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
Children's
COPY
MEDICAL CENTER
The President
December 9, 1999
The White House
Washington, DC 20500
Dear Mr. President:
As a member of the Board of Directors of Connecticut Children's Medical Center in Hartford,
Connecticut, I want to express my personal appreciation for your significant leadership in securing
funding for graduate medical education (GME) for independent children" teaching hospitals. Because
my service as a volunteer board member makes me keenly aware of the needs of children and quality
health care, I understand the demands placed on children's hospitals to meet this need. I know that this
legislative victory will benefit children served by our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue. The
nation's independent children's teaching hospitals will receive $40 million in new GME support n FY
2000, due in great measure to your original budget request and the Administrations efforts during the
budget negotiations with Congress this fall. This start up funding is an important first step in helping
independent children's teaching hospitals to achieve more equitable GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have your
support during the coming year's budget negotiations t o help these hospitals move closer to the equitable
GME funding level of $ 285 million authorized in FY 2001, under the "Children's Hospital Education and
Research Act."
Thank you again for your leadership. We look forward to working with you and your Administration to
build on this important achievement. Best wishes to you and your family for the holiday season.
Sincerely,
Edward Lewis
Member, Board of Directors, Connecticut Children's Medical Center
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the President, 216
OEOB, 1600 Pennsylvania Ave., NW. DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
Children's
MEDICAL CENTER
COPY
The President
December 9, 1999
The White House
Washington, DC 20500
Dear Mr. President:
As a member of the Board of Directors of Connecticut Children's Medical Center in Hartford,
Connecticut, I want to express my personal appreciation for your significant leadership in securing
funding for graduate medical education (GME) for independent children" teaching hospitals. Because
my service as a volunteer board member makes me keenly aware of the needs of children and quality
health care, I understand the demands placed on children's hospitals to meet this need. I know that this
legislative victory will benefit children served by our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue. The
nation's independent children's teaching hospitals will receive $40 million in new GME support n FY
2000, due in great measure to your original budget request and the Administrations efforts during the
budget negotiations with Congress this fall. This start up funding is an important first step in helping
independent children's teaching hospitals to achieve more equitable GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have your
support during the coming year's budget negotiations t o help these hospitals move closer to the equitable
GME funding level of $ 285 million authorized in FY 2001, under the "Children's Hospital Education and
Research Act."
Thank you again for your leadership. We look forward to working with you and your Administration to
build on this important achievement. Best wishes to you and your family for the holiday season.
Sincerely,
Douglas MacGilpin, MD
Member, Board of Directors, Connecticut Children's Medical Center
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the President, 216
OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House. Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
COPY
Children's
MEDICAL CENTER
The President
December 9, 1999
The White House
Washington, DC 20500
Dear Mr. President:
As a member of the Board of Directors of Connecticut Children's Medical Center in Hartford.
Connecticut, I want to express my personal appreciation for your significant leadership in securing
funding for graduate medical education (GME) for independent children" teaching hospitals. Because
my service as a volunteer board member makes me keenly aware of the needs of children and quality
health care, I understand the demands placed on children's hospitals to meet this need. I know that this
legislative victory will benefit children served by our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue. The
nation's independent children's teaching hospitals will receive $40 million in new GME support n FY
2000, due in great measure to your original budget request and the Administrations efforts during the
budget negotiations with Congress this fall. This start up funding is an important first step in helping
independent children's teaching hospitals to achieve more equitable GME funding
While the $40 million will be extremely helpful for these institutions this year. we hope to have your
support during the coming year's budget negotiations t o help these hospitals move closer to the equitable
GME funding level of $ 285 million authorized in FY 2001, under the "Children's Hospital Education and
Research Act."
Thank you again for your leadership. We look forward to working with you and your Administration to
build on this important achievement. Best wishes to you and your family for the holiday season.
Sincerely,
Lon Smith
Member, Board of Directors, Connecticut Children's Medical Center
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the President, 216
OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
Children's
COPY
MEDICAL CENTER
The President
December 9, 1999
The White House
Washington, DC 20500
Dear Mr. President:
As a member of the Board of Directors of Connecticut Children's Medical Center in Hartford,
Connecticut, I want to express my personal appreciation for your significant leadership in securing
funding for graduate medical education (GME) for independent children" teaching hospitals. Because
my service as a volunteer board member makes me keenly aware of the needs of children and quality
health care, I understand the demands placed on children's hospitals to meet this need. I know that this
legislative victory will benefit children served by our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue. The
nation's independent children's teaching hospitals will receive $40 million in new GME support n FY
2000, due in great measure to your original budget request and the Administrations efforts during the
budget negotiations with Congress this fall. This start up funding is an important first step in helping
independent children's teaching hospitals to achieve more equitable GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have your
support during the coming year's budget negotiations t o help these hospitals move closer to the equitable
GME funding level of $ 285 million authorized in FY 2001, under the "Children's Hospital Education and
Research Act."
Thank you again for your leadership. We look forward to working with you and your Administration to
build on this important achievement. Best wishes to you and your family for the holiday season.
Sincerely,
Mr. Keith Stevenson
Member, Board of Directors, Connecticut Children's Medical Center
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the President, 216
OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Connecticut
COPY
Children's
MEDICAL CENTER
The President
December 9, 1999
The White House
Washington, DC 20500
Dear Mr. President:
As a member of the Board of Directors of Connecticut Children's Medical Center in Hartford,
Connecticut, I want to express my personal appreciation for your significant leadership in securing
funding for graduate medical education (GME) for independent children" teaching hospitals. Because
my service as a volunteer board member makes me keenly aware of the needs of children and quality
health care, I understand the demands placed on children's hospitals to meet this need. I know that this
legislative victory will benefit children served by our hospital and throughout the nation.
Thank you so much for the leadership and support you and the first lady have given to this issue. The
nation's independent children's teaching hospitals will receive $40 million in new GME support n FY
2000, due in great measure to your original budget request and the Administrations efforts during the
budget negotiations with Congress this fall. This start up funding is an important first step in helping
independent children's teaching hospitals to achieve more equitable GME funding
While the $40 million will be extremely helpful for these institutions this year, we hope to have your
support during the coming year's budget negotiations t o help these hospitals move closer to the equitable
GME funding level of $ 285 million authorized in FY 2001, under the "Children's Hospital Education and
Research Act."
Thank you again for your leadership. We look forward to working with you and your Administration to
build on this important achievement. Best wishes to you and your family for the holiday season.
Sincerely,
Doris Elder Sugarman
Member, Board of Directors, Connecticut Children's Medical Center
CC:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the President, 216
OEOB, 1600 Pennsylvania Ave., NW, DC 20500
The First Lady, The White House, Washington, DC 20500
282 Washington Street Hartford, CT 06106 (860) 545-9000
Wilmington, DE
duPont
HOSPITAL
November 23. 1999
The President
The White House
Washington, DC 20500
Dear Mr. President:
On behalf of the patients, parents and employees of the Alfred I. duPont Hospital
for Children in Wilmington, Delaware, I want to express our deep appreciation for
your very important leadership in securing funding for graduate medical education
for independent children's teaching hospitals. This is a legislative victory that will
benefit children in every state of the country.
It is especially appropriate as the nation prepares to celebrate the Thanksgiving
holiday that I write this message of appreciation and gratitude for the support you
and the First Lady have given to this issue. With your original budget request and
the administration's efforts during the appropriations negotiations with Congress,
you ensured that the nation's independent children's teaching hospitals will receive
$40 million in new GME support in FY 2000. This start-up funding is an important
first step in helping independent children's hospitals reach an equitable competitive
playing field.
As you and the First Lady are aware, independent children's teaching hospitals
currently receive less than 1/200th of the GME support provided to other teaching
NH NEMOT RS
hospitals because they care for children, not the elderly. While these hospitals
NDATION
comprise less than 1% of all hospitals, they train nearly 30% of all pediatricians
and nearly half of all pediatric specialists.
The authorization for the GME funding for independent children's hospitals is $285
million for the next two years. While the $40 million will be extremely helpful for
these institutions this year. we hope to have your support during the coming year's
budget negotiations to help these hospitals move closer to the equitable funding
level of $285 million for GME.
The President
Page 2
November 23, 1999
Thank you again for your leadership. We look forward to working with you and
your Administration to build on this important achievement to secure the full level
of funding Congress has authorized next year. May you and your family have a
wonderful Thanksgiving holiday.
Sincerely
Administrator/Chief Executive
TPF:ebc
Cc:
The First Lady
Mr. Christopher Jennings
Deputy Assistant to the President
All Ch 7 FL
hospital
News Release
ALL CHILDREN'S HOSPITAL PRAISES CONGRESS, PRESIDENT FOR
PASSAGE OF LEGISLATIVE FUNDING FOR TRAINING OF
PEDIATRICIANS
"Special thanks go to Congressmen Michael Bilarakis and Bill Young and
Senators Bob Graham and Connie Mack for leadership on issue critical to
children's health." - J. Dennis Sexton
For more information, contact:
Ann Miller/Media Specialist (727) 892-8592
St. Petersburg, FL - Among its final actions before recessing this year, the U.S.
Congress on November 18 approved and will send to the President legislation critical
both to the future of children's health care and to All Children's Hospital's ability to
provide that care.
Just before recessing, the House incorporated the "Children's Hospitals Education and
Research Act" into related legislation and send it to the President for his signature.
The legislation would authorize Congress to appropriate up to $285-million annually
over the next two years for graduate medical education funding for independent
children's teaching hospitals like All Children's Hospital. The Senate passed the bill on
November 4.
In a related development, Congress also reached agreement with the White House on
a final Fiscal Year 2000 Labor-HHS Appropriations Bill that included $40-million to get
the program of federal support for physician training in children's hospitals started this
year. The House passed it November 18, and the Senate followed suit on November
19.
"Congress and the White House have taken a critical first step with these moves," said
J. Dennis Sexton, President of All Children's Hospital. "They have provided what
amounts to start-up funding for a program to support ongoing graduate medical
education at children's hospitals. We're encouraged and pleased by the progress,
which we hope to build upon in seeking full funding. We still have a ways to go next
year, but we're encouraged by the progress we've made."
(-more-)
801 Sixth Street South
St. Petersburg. Florida 33701
Page 2 of 2/GME Funding
The bill had broad, bipartisan support, including Florida original co-sponsors of H.R.
1579 Rep. Michael Bilarakis (R) and Rep. Bill Young (R), and S. 391 original co-
sponsors Senators Bob Graham (D) and Connie Mack (R). In addition, House
sponsors from Florida were Reps. Corrine Brown (D), Jim Davis (D), Peter Deutsch (D),
Lincoln Diaz-Balart (R), Mark Foley (R), Alcee Hastings (D), lleana Ros-Lehtinen (R),
Carrie Meek (D), Clay Shaw (R), Karen Thurman (D), and Robert Wexler (D). They
were among the more than 200 House and 40 Senate co-sponsors of the graduate
medical education legislation. The issue also had the strong support of President
Clinton and the First Lady.
The 45 independent children's hospitals and 14 children's rehabilitation hospitals
affected by this legislation represent less than one percent of all hospitals in the
country, but train nearly 30 percent of all pediatricians and nearly half of all pediatric
specialists. If their patients were seniors instead of children, these hospitals would be
eligible for federal Medicare support for physician training. Such support has come to
be the only significant source of funding for graduate medical education now that fewer
payers of health care are willing to cover the added costs of physician training.
However, independent children's hospitals around the United States, like the two in
Florida - All Children's Hospital and Miami Children's Hospital, receive on average
1/200th of the Medicare graduate medical education support that all teaching hospitals
receive. According to independent consultants, the federal government would need to
provide approximately $285-million each year to treat children's hospitals comparably
to all teaching hospitals in terms of federal graduate medical education support.
"Those of us at All Children's Hospital owe special thanks to Congressmen Michael
Bilarakis and Bill Young in the House of Representatives and Senators Bob Graham
and Connie Mack in the Senate who played key leadership roles in helping Congress
understand the importance of this legislation," said Sexton. "We also owe special
thanks to the President for his leadership. This issue is critical to every mission of our
hospital -- clinical care for those who need it, training to prepare the next generation of
physicians for children, and research to advance the state of the art in children's health
care. We look forward to continuing to work with them to insure we continue to do what
we do best -- focus on children's unique health care needs, regardless of their medical
or economic needs."
All Children's Hospital in St. Petersburg, FL is a 216 bed referral center for children that
serves as one of the University of South Florida College of Medicine's primary teaching
hospitals. The hospital has over 150 pediatric medical and surgical specialists and
trains approximately 50 resident physicians each year.
###
Miami FL
MIAMI
CHILDREN'S
HOSPITAL
THE MARY ANN KNIGHT INTERNATIONAL INSTITUTE OF PEDIATRICS
FOUNDED AS VARIETY CHILDREN'S HOSPITAL
FOR IMMEDIATE RELEASE
Contact: Cynthia Gutierrez
November 19, 1999
305-663-8497
MIAMI CHILDREN'S HOSPITAL PRAISES CONGRESS, PRESIDENT FOR
PASSAGE OF LEGISLATION FUNDING TRAINING FOR PEDIATRICIANS
Congress passes "Children's Hospitals Education & Research Act"
[Miami] - Among its final actions before recessing this year, the U.S. Congress
November 18 approved and will send to the President legislation critical to the
future of children's health care and to Miami Children's Hospital's ability to
provide that care.
Just before recessing last night, the House incorporated the "Children's Hospitals
Education and Research Act" into related legislation and sent it to the President
for his signature. The legislation would authorize Congress to appropriate up to
$285 million annually over the next two years for graduate medical education
funding for independent children's teaching hospitals like Miami Children's
Hospital. The Senate passed the bill on November 4, 1999.
In related development, Congress also reached agreement with the White House
on a final Fiscal Year 2000 Labor-HHS Appropriations Bill that included $40
million to get the program of federal support for the physician training in
children's hospitals started this year. The House passed it last night, and the
Senate is expected to do so shortly.
"Congress and the White House have take a critical first step with these moves," "
said Thomas M. Rozek, President and C.E.O. of Miami Children's Hospital.
"They have provided what amounts to startup funding for a program to support
ongoing graduate medical education at children's hospitals. We're encouraged
and please by the progress, which we hope to build on in seeking full funding.
We still have a ways to go next year, but we're glad to see progress being
made."
The bill had broad, bipartisan support from all members of the Florida Delegation
who were among more than 200 House and 40 Senate cosponsors of the
3100 S.W. 62nd Avenue, Miami, Florida 33155-3009 / (305) 666-6511
graduate medical education legislation. This issue also had the strong support of
President Clinton and the First Lady.
Independent children's hospitals represent less that one percent of all hospitals
in the country, but train nearly 30 percent of all pediatricians and nearly half of all
pediatric specialists. If their patients were seniors instead of children, these
hospitals would be eligible for federal Medicare support for physician training.
Such support has come to be the only significant source of funding for graduate
medical education, now that fewer payers of health care are willing to cover the
added costs of physician training.
However, independent children's hospitals receive on average less than 1/200th
of the Medicare GME support that all teaching hospitals receive. According to
independent consultants, the federal government would need to provide
approximately $285 million each year to treat children's hospitals comparably to
all teaching hospitals in terms of federal GME support.
"All of us at Miami Children's Hospital owe special thanks to the South Florida
Community & hospital physicians who played such an important role in helping
Congress understand the importance of this legislation," said Dr. Fima Lifshitz,
Chief of Staff. "We also owe special thanks to the President for his leadership.
This issue is critical to every mission of our hospital - - clinical care for all who
need it, training to prepare the next generation of physicians for children, and
research to advance the state of the art children's health care. We look forward
to continuing to work with them to make sure we can continue to do what we do
best focus on children's unique health care needs, regardless of their medical
or economic need."
Miami Children's Hospital, founded in 1950, is the only licensed specialty hospital
for children in South Florida. The 268-bed medical complex offers
comprehensive medical care and services for children from birth to age 21.
###
MIAMI
Thomas M. Rozek
President and Chief Executive Officer
CHILDREN'S
HOSPITAL
THE MARY ANN KNIGHT INTERNATIONAL INSTITUTE OF PEDIATRICS
FOUNDED AS VARIETY CHILDREN'S HOSPITAL
November 22, 1999
The President
The White House
Washington, D.C. 20500
Dear Mr. President:
On behalf of the patients, parents and employees of Miami Children's Hospital in Miami, Florida, I want to
express our sincere appreciation for your very important leadership in securing funding for graduate medical
education (GME) for independent children's teaching hospitals. This is a legislative victory that will benefit
children in every state of the country.
It is especially appropriate as the nation prepares to celebrate the Thanksgiving holiday that I write this
message of appreciation and gratitude for the support you and the First Lady have given to this issue. With
your original budget request and the administration's efforts during the appropriations negotiations with
Congress, you ensured that the nation's independent children's teaching hospitals will receive $40 million in
new GME support in FY 2000. This start-up funding is an important first step in helping independent
children's hospitals reach an equitable competitive playing field.
As you and the First Lady are aware, independent children's teaching hospitals currently receive less than
1/200th of the GME support provided to other teaching hospitals because they care for children, not the
elderly. While thee hospitals comprise less than 1% of all hospitals, they train nearly 30% of all pediatricians
and nearly half of all pediatric specialists.
The authorization for the GME funding for independent children's hospitals is $285 million for the next two
years. While the $40 million will be extremely helpful for these institutions this year, we hope to have your
support during the coming year's budget negotiations to help these hospitals move closer to the equitable
funding level of $285 million for GME.
Thank you again for your leadership. We look forward to working with you and your Administration to build
on this important achievement to secure the full level of funding Congress has authorized next year. May you
and your family have a wonderful Thanksgiving holiday.
Sincerely,
Thomas M. Rozek
President and Chief Executive Officer
cc:
Christopher Jennings, Deputy Assistant to the President, Executive Office of the President, 216
OEOB, 1600 Pennsylvania Avenue, N.W., Washington, D.C. 20500
The First Lady, The White House, Washington, D.C. 20500
3100 S.W. 62nd Ave., Miami, FL 33155-3009 / (305) 666-6511, Ext. 2548 / Fax: (305) 665-1576 / E-mail: [email protected]
Chicago,
Children's
Public Affairs and Communications
2300 Children's Plaza. no. 40
Chicago, Illinois 60614
NewsRelease
773.880.4500 Fax 773,880,6771
FOR IMMEDIATE RELEASE:
Contact: Kathleen Ellis, 773/880-8137
Friday, November 19, 1999
CHILDREN'S MEMORIAL HOSPITAL IN CHICAGO BENEFITS FROM
LANDMARK LEGISLATION
CHICAGO - US Congressman Jerry Weller (R-Morris) was instrumental in helping to pass landmark
legislation critical to the future of children's teaching hospitals nationwide, including Children's Memorial
Hospital in Chicago.
Late last night, the House incorporated the "Children's Hospitals Education and Research
Act" into related legislation and sent it to the President for his signature. The legislation
would authorize Congress to appropriate up to $285 million annually over the next two
years for graduate medical education funding for independent teaching hospitals like
Children's Memorial Hospital.
Under the Labor-HHS Appropriations Bill, independent children's teaching hospitals will receive $40
million for the fiscal year 2000. This start-up funding is an important step in helping teaching hospitals in
achieving Congress' goal under the "Children's Hospitals Education and Research Act" of achieving $285
million in annual funding to reach an equitable competitive playing field in funding their GME programs.
"Congressman Weller played a significant role in helping Congress understand the importance of this
legislation that will help fund training to prepare the next generation of physicians for children," said
Patrick Magoon, president and CEO of Children's Memorial Hospital. "We are extremely grateful to
Congressman Weller for supporting this issue which will help us remain viable to serve critically ill
children from every corner of the state.
GME/Page 2
Independent children's hospitals currently receive less than 1/200th of the GME support provided to other
teaching hospitals because they care for children not the elderly. While these hospitals comprise less than
one percent of all hospitals, they train nearly 30 percent of all pediatricians and nearly half of all pediatric
specialists.
Children's Memorial is one of the major pediatric training centers in the country, training 151 residents
each year.
###
FOR IMMEDIATE RELEASE:
Contact: Kathleen Ellis, 773/880-8137
Friday, November 19, 1999
CHILDREN'S MEMORIAL HOSPITAL IN CHICAGO BENEFITS FROM
LANDMARK LEGISLATION
CHICAGO - US Congressman John Edward Porter (R-Deerfield) was instrumental in helping
to pass landmark legislation critical to the future of children's teaching hospitals nationwide,
including Children's Memorial Hospital in Chicago.
Late last night, the House incorporated the "Children's Hospitals Education and Research Act"
into related legislation and sent it to the President for his signature. The legislation would
authorize Congress to appropriate up to $285 million annually over the next two years for
graduate medical education funding for independent teaching hospitals like Children's Memorial
Hospital.
Under the Labor-HHS Appropriations Bill, independent children's teaching hospitals will
receive $40 million for the fiscal year 2000. This start-up funding is an important step in helping
teaching hospitals in achieving Congress' goal under the "Children's Hospitals Education and
Research Act" of achieving $285 million in annual funding to reach an equitable competitive
playing field in funding their GME programs.
"Congressman Porter played a significant role in helping Congress understand the importance of
this legislation that will help fund training to prepare the next generation of physicians for
children," said Patrick Magoon, president and CEO of Children's Memorial Hospital. "We are
extremely grateful to Congressman Porter for supporting this issue which will help us remain
viable to serve critically ill children from every corner of the state."
- more -
GME/Page 2
Independent children's hospitals currently receive less than 1/200th of the GME support provided
to other teaching hospitals because they care for children not the elderly. While these hospitals
comprise less than one percent of all hospitals, they train nearly 30 percent of all pediatricians
and nearly half of all pediatric specialists.
Children's Memorial is one of the major pediatric training centers in the country, training 151
residents each year.
###
2300 Children's Plaza, Chicago, Illinois 60614
(Lincoln and Fullerton Avenues)
773.880.4000
Children's
November 19, 1999
Children's Memodal Hospital
Children's Memodal Diagnostic and
Outpations Services
The President
Chikiron's Memorial Foundation
The White House
Children's Memorial Insulure for
Washington, DC 20500
Liducation and Research
C.M HealthCare Rewarces
Dear Mr. President:
On behalf of all of us at Children's Memorial Hospital and the children and familics we
are privileged to serve, I would like to express our sincere appreciation for your critical
A Mumber of the
Northwestern Healthcare Nerwork
leadership in securing authorizing language and funding for graduate medical education
A Mamber of the
(GME) for independent children's tcaching hospitals. This is a legislative victory that will
McGaw Medical Center of
Northwestern University
benefit children in every state of the country.
It is especially appropriate as the nation prepares to celebrate the Thanksgiving holiday
that I write this message of appreciation and gratitude for the support you and the First
Lady have given to this issue. With your original budget request and the administration's
efforts during the appropriations negotiations with Congress, you cnsured that the nation's
independent children's teaching hospitals will receive $40 million in new GME support in
FY 2000. This start-up funding is an important first step in helping independent
children's hospitals reach an equitable competitive playing field.
As you and the First Lady are aware, independent children's teaching hospitals currently
receive less than 1/200th of the GME support provided to other teaching hospitals because
they care for children, not the elderly. While these hospitals comprise less than 1% of all
hospitals, they train nearly 30% of all pediatricians and nearly half of all pediatric
specialists.
The authorization for the GME funding for independent children's hospitals is $285
million for the next two years. While the $40 million will be extremcly helpful for these
institutions this year, we hope to have your support during the coming year's budget
negotiations to help these hospitals move closer to the equitable funding level of $285
million for GME.
Thank you again for your outstanding leadership. We look forward to working with you
and your Administration to build on this important achievement to secure the full level of
funding Congress has authorized next year. May you and your family have a wonderful
Thanksgiving holiday.
Sincerely,
Catrisk Magan
Patrick M. Magoon
President and CEO
cc:
Christopher Jennings, Deputy Assistant to the President
The First Lady
x6317
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MBC