- U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act, 2007
The U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act, 2007, (USPL|110|28), is an emergency
appropriations actpassed by the 110th United States Congressand signed into law by George W. Bushon May 25, 2007that provides funding for the Iraq Warthrough September 30, 2007. A prior version of the act, USBill|110|H.R.|1591, included a timeline for withdrawal of U.S. troops from Iraq. H.R. 1591 was passed by Congress but vetoed by the President.cite web
last = Angle
first = Martha
title = Defying Bush, House Passes New Deadline for Withdrawal From Iraq
The New York Times
url = http://www.nytimes.com/cq/2007/07/12/cq_3069.html
accessdate = 2007-07-18 ] While the veto of H.R. 1591 could have caused delays for Iraq war expenditures, the availability of funds resulting from the passage of the Defense Appropriations Act on September 29, 2006, allowed the Department of Defense to continue Iraq war spending in the interim period between the veto of H.R. 1591 and the President's signature of approval for H.R. 2206.cite web
last = Tsai
first = Michelle
title = Can the Army Go Broke? What Happens when a War Spending Bill gets Vetoed.
url = http://www.slate.com/id/2165280
accessdate = 2007-08-02 ] The
Feed and Forage Actwas not invoked by the U.S. government in the days prior to the passage of H.R. 2206.
Components of the U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act of 2007 include:
*Funding for wars in Afghanistan and Iraq (Title I)
Disaster reliefrelated to Hurricane Katrina(Title II)
*Elimination of the
State Children's Health Insurance Program(SCHIP) shortfall and other health matters (Title VII)
Fair Minimum Wage Act of 2007(Title VIII)
The bill was passed by Congress on
May 24, 2007[http://www.ocregister.com/ocregister/news/nationworld/washingtonbureau/article_1709697.php News: Keeping track of Congress - OCRegister.com ] ] [ [http://www.senate.gov/legislative/LIS/roll_call_lists/roll_call_vote_cfm.cfm?congress=110&session=1&vote=00181 Senate roll call vote] , via Senate.gov] [ [http://clerk.house.gov/evs/2007/roll425.xml House roll call vote] , via clerk.house.gov] and signed by President Bush on May 25. [http://news.yahoo.com/s/ap/20070525/ap_on_go_co/us_iraq yahoo.com] ]
The Act is formally entitled the "Making emergency supplemental appropriations and additional supplemental appropriations for agricultural and other emergency assistance for the fiscal year ending
September 30 2007, and for other purposes." [USBill|110|H.R.|2206]
Withdrawal from Iraq
The Act included eighteen benchmarks for the Iraqi government to meet. [cite web
last = Warner
first = John
authorlink = John Warner
title = Excerpt of Senator Warner's Iraq benchmark provisions in H.R.2206, U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act, 2007.
United States Senate
date = 2007-06-11
url = http://www.senate.gov/~warner/pressoffice/statements/20070611.htm
accessdate = 2007-07-18 ]
The Act contains additional provisions beyond the funding of the wars. It includes the
Fair Minimum Wage Act of 2007as a rider, which raises the minimum wagefrom $5.15 an hour to $7.25 an hour from 2007 to 2009 [Section of resolution concerning minimum wage: http://thomas.loc.gov/cgi-bin/query/F?c110:7:./temp/~c110E2wrFd:e225850] , and contains some $5 billion in tax breaks for small businesses.
Domestic Spending for Disaster Relief
The bill also includes domestic spending, such as more than $6 billion for hurricane relief.
Tamper-Resistant Prescription Pads
In addition, Title VII sets forth the first federal mandate of tamper-resistant prescription pads for Medicaid reimbursement. The requirement states that “Effective October 1, 2007; Medicaid outpatient drugs will be reimbursable only if non-electronic written prescriptions are executed on a tamper-resistant pad.” The recommendation for this provision was previously enumerated by President Bush in his 2008 budget, which projected that the prevention of fraudulant prescriptions could reap $355 million in taxpayer savings. [ [http://www.aafp.org/online/en/home/publications/news/news-now/practice-management/20070710prescriptionlaw.html Law to Make Prescriptions Tamper-Proof Raises Concerns - AAFP News Now - American Academy of Family Physicians ] ] [http://www.msnbc.msn.com/id/19835186/ Tamperproof drug pads may spell trouble - Health care - MSNBC.com ] ] Although not objecting to the new requirement's rationale, the
American Pharmacists Association(APhA) on July 17, 2007asked the Centers for Medicare and Medicaid Services(CMS) to delay implementation because of the short timeline. [ [http://www.aphanet.org/AM/Template.cfm?Section=Home&CONTENTID=8196&TEMPLATE=/CM/ContentDisplay.cfm Pharmacist.com | Home ] ] . In the request letter to CMS, APhA warned that the immediate implementation of the Act could potentially result in many Medicaid patients being turned away from pharmacies if not possessed of a valid prescription written on a tamper-resistant pad. The APhA's rationale for delay of tamper-resistant pads include:
* Unrealistic to presume medical and pharmacy practice can implement the change in 3 months
* Delay could prevent the suffering of Medicaid patients by allowing time to prepare for the following
** Define standards for what constitutes "tamper-resistant"
** Educate providers, pharmacists, and patients
** Clarify the applicability of telephone orders, electronic, and faxed prescriptions
** Allow organizations time to appropriate resources, print, and distribute pads
Representatives Charles Wilson (D-Ohio),
Marion Berry(D-Arkansas), and Mike Ross(D-Arkansas) joined APhA in representing concerns of Medicaid enrollees and pharmacies. The representatives are reported to be working on an amendment aimed at limiting the tamper-resistant pad to only controlled substances. Further, an individual with the American Medical Association was interviewed about the topic by the Associated Press. "The implementation timetable is too short to educate prescribing physicians about the new law and is also likely too short to produce and distribute the enormous quantity of new prescription pads that will be needed," said Dr. Edward Langston, chairman of the board for the American Medical Association(as reported to the Associated Press). Dr. Langston also warned that, in effect, such a rapid implementation of law threatens access to medicine. The AP article also reported that CMS spokesperson Steve Hahnindicated that there were no plans to push back the October 1 implementation date, but that the agency is talking with "health care providers" to help prepare.
USBill|110|H.R.|1591 was a bill for "Making emergency supplemental appropriations for the fiscal year ending September 30, 2007, and for other purposes". The bill was
vetoed by president George W. Bush, his second veto while in office. The House of Representatives failed to override the veto, so that version of the bill is now dead.
*, the passed House bill
*, the vetoed House bill
* [http://www.govtrack.us/congress/bill.xpd?bill=h110-1591 GovTrack U.S. – H.R. 1591]
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