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OCR Page 1 of 24The Honorable J. Dennis Hastert
Speaker of the House
of Representatives
Washington, D.C. 20515
Dear Mr. Speaker:
Enclosed for the consideration of the Congress is the
Administration's draft bill, the "Pediatric Asthma Demonstration
Act of 1999". The bill supports the President's Budget for FY
2000.
The bill would provide $50 million for the establishment of a
pediatric asthma demonstration designed to improve health
outcomes for certain low-income children suffering from asthma
and to develop improved methods for prevention and treatment of
pediatric asthma. This funding would be available for
competitive grants to States to test disease management
approaches including, but not limited to, those based on the
National Asthma Education and Prevention Program Expert Panel
Report-2: Guidelines for the Diagnosis and Management of Asthma,
1997 (the "NIH Clinical Practice Guidelines"), to identify and
treat asthma in children enrolled in Medicaid or the Children's
Health Insurance Program (CHIP).
States would be permitted to use grant funds for activities
including (1) collection of data and development of baselines on
pediatric asthma; (2) development and application of treatment
outcome measures; (3) development of innovative pediatric asthma
disease management programs such as those based on the NIH
Clinical Practice Guidelines; (4) education and training of
health care providers participating in Medicaid and CHIP in
implementation of the most effective disease management
strategies such as those based on the NIH Clinical Practice
Guidelines; and (5) outreach and education for children with
asthma and their families and caregivers.
Asthma is one of the most common and costly diseases in the
United States. The number of asthma sufferers has more than
doubled in the last two decades and now affects more than 5
percent of the U.S. population. More than 4 million who suffer
from this disease are children. The need to respond is
increasingly urgent.
We urge the Congress to give the draft bill its prompt and
favorable consideration.
The Omnibus Budget Reconciliation Act (OBRA) requires that all
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