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Interest in methods to provide drugs at lower cost, particularly for the elderly, has rekindled discussion over the role the federal government plays in facilitating the creation of new pharmaceuticals for the marketplace. This report explores the issue of whether or not the substantial federal investment in health-related research and development (R&D) entitles the public to commensurate consideration in prices charged for any resulting drugs. It is intended to provide the reader with an understanding of the rationale for government support of R&D and subsequent efforts to facilitate private sector commercialization of new technologies generated from such work. Concerns surrounding innovation in pharmaceuticals and biotechnology are discussed within the broader context of the federal role in facilitating technological progress.

This report details the constitutional standards that currently apply to indirect aid programs and summarizes all of the pertinent state and federal court decisions, including the Ohio case that will be heard by the Supreme Court. On September 25, 2001, the Supreme Court agreed to review a case raising the controversial issue of the constitutionality of education vouchers. In Zelman v. Simmons-Harris the Sixth Circuit held Ohio’s Pilot Scholarship Program, which provided up to $2500 to help low-income students in Cleveland’s public schools attend private schools in the city, to violate the establishment of religion clause of the First Amendment.

A near tripling in the price of crude oil from March 1999 to the first months of 2000, coupled with other developments, initially brought about sharp increases in the price of home heating oil and diesel fuel, which are essentially the same product. Gasoline prices then increased. These developments brought about discussion of what might be done to mitigate price increases and possible spot shortages, and what might be done to prevent a similar situation in the future.

Appropriations are one part of a complex federal budget process that includes budget resolutions, appropriations (regular, supplemental, and continuing) bills, rescissions, and budget reconciliation bills. This report is a guide to one of the 13 regular appropriations bills that Congress passes each year. It is designed to supplement the information provided by the House and Senate Subcommittees on Energy and Water Development Appropriations.

The Immigration and Naturalization Service (INS), with a current annual budget of $4.3 billion, is the primary agency charged with enforcing the nation's immigration law. Regulating immigration can be viewed as having two basic components: stemming illegal immigration (enforcement) and facilitating legal immigration (service). The Administration is moving forward to restructure the agency internally by separating the agency's enforcement and service functions, but maintains that the immigration function must be managed by a single executive who can integrate immigration policy, standards, and operations. There is no statutory requirement that the Administration gain Congress's formal approval of its plan to restructure INS. Congress, however, could choose to mandate legislatively that INS be dismantled or restructured differently.

An estimated 16-18 million people are in need of humanitarian assistance in the Horn of Africa region. Ethiopia is by far the most affected country with an estimated 10 million people at risk. More than one million people have been displaced due to the border conflict between Ethiopia and Eritrea. Relief and United Nations officials have not yet called the situation in Ethiopia a famine. Moreover, an estimated 3.3 million people in Kenya, 1.2 million people in Somalia, 1.3 million in Eritrea, and 150,000 in Djibouti are in need of emergency food assistance. In Sudan, an estimated 1.7 million people are in need of humanitarian assistance.

Among the 107th Congress' first orders of business will be dealing with the initiatives-both domestic and foreign policy-proposed by President Bush throughout his presidential campaign. This report contains information on those orders of business including U.S. foreign and security policy, global issues, defense policy, and more.

The European Union (EU) continues to ban imports of meat derived from animals treated with growth hormones despite rulings by World Trade Organization (WTO) dispute settlement panels that the banis inconsistent with the Uruguay Round Agreement on health and safety measures used to restrict imports (the Sanitary and Phytosanitary or SPS Agreement). U.S. retaliation, authorized by the WTO, in the form of 100% duties on $116 million of EU agricultural products remains in effect while negotiations to resolve the dispute continue. Thus far, EU offers of compensation (trade concessions) for lost U.S. meat exports in lieu of lifting the ban have been rejected by the United States.

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In the Antiquities Act, Congress authorized the President to create National Monuments. Recently, there has been discussion of a possible monument designation involving the coastal plain of the Arctic National Wildlife Refuge in Alaska. Several issues surround that possibility, including the potential size of such a monument and whether provisions of the Alaska National Interest Lands Conservation Act might preclude the designation. In addition, that Act provides for the termination of certain large withdrawals in Alaska unless they are approved by an Act of Congress within one year of notice of the withdrawal.

Taxes have been a major focus of congressional attention during the first half of 2000. In part, Congress has returned to many of the issues it addressed last year. In August, 1999, Congress passed a set of tax cuts with the Taxpayer Refund and Relief Act (H.R. 2488; TRRA). However, President Clinton vetoed the bill, arguing that the cuts were too large (an estimated $792 billion over 10 years), would drain funds from Social Security surpluses, and would force reductions in domestic spending. Early in 2000, Congress signaled its intention of revisiting tax cuts with passage on April 13 of a fiscal year (FY) 2001 budget resolution (H.Con.Res. 290) calling for a 5-year tax cut of $175 billion.

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO evaluated the Department of Defense's (DOD) efforts to protect U.S. forces stationed overseas from terrorist attacks, focusing on: (1) the extent to which DOD has made improvements to its antiterrorism/force protection program overseas; (2) changes in DOD's process for assessing and reporting vulnerability at overseas installations; and (3) the adequacy of antiterrorism/force protection funding and staff."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the Archer-Shaw Social Security reform proposal, focusing on: (1) the extent to which the proposal achieves sustainable solvency and how it would affect the U.S. economy and the federal budget; (2) the balance struck between the twin goals of income adequacy (level and certainty of benefits) and individual equity (rates of return on individual contributions); and (3) how readily such changes could be implemented, administered, and explained to the public."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO evaluated insurance regulatory oversight and information-sharing in the matter of a highly publicized insurance investment scam exposed in May 1999, focusing on: (1) the alleged scam; (2) the oversight and information-sharing by insurance regulators; and (3) cross-financial-sector coordination issues, including those emanating from the scam relevant to financial regulators' efforts to implement the Gramm-Leach-Bliley (GLB) Act."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the Postal Service's (USPS) performance measures, reports, and plans, focusing on: (1) how well USPS fiscal year (FY) 1999 performance report addressed USPS' progress toward achieving the goals established by the FY 1999 performance plan; and (2) whether USPS' FY 2001 preliminary performance plan demonstrates continued progress in developing a reasonable basis for establishing accountability for results."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the Social Security Administration's (SSA) final actions to ensure its year 2000 readiness, including the actions it took during the rollover period--December 30,1999, through January 3, 2000, as well as for the February 29 leap year date--to ensure a successful transition to the new century."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the health safety controls over the use of beryllium, focusing on: (1) beryllium's uses and risks; and (2) key events that illustrate the evolution of the federal government's response to risks posed by beryllium."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the Nuclear Regulatory Commission's (NRC) shift to a risk-informed regulation, focusing on the: (1) views of NRC's staff on the quality of the work that NRC performs, the management of and staff's involvement in changes occurring in the agency, and the move to a risk-informed regulatory approach; and (2) status of NRC's efforts to develop a strategy to implement a risk-informed regulatory approach."

A letter report issued by the General Accounting Office with an abstract that begins "The first Internet pharmacies began online service in early 1999. Public health officials are concerned about Internet pharmacies that do not adhere to state licensing requirements and standards. Public officials are also concerned about the validity of prescriptions and international drugs that are not approved in the United States being sent by mail. The unique qualities of the Internet pose new challenges for enforcing state pharmacy and medical practice laws because they allow pharmacies and physicians to reach consumers across state and international borders and remain anonymous. Congress is considering legislation to strengthen oversight of Internet pharmacies."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the federal costs of conducting validity examinations at three California Desert parks, focusing on whether: (1) data are available on the National Park Service's costs of conducting validity examinations at these parks since 1994; and (2) the Park Service recovers the costs of such examinations from claimants."

A letter report issued by the General Accounting Office with an abstract that begins "Between 1987 and 1997, the growth in mental health spending in the United States roughly paralleled the growth in overall health care spending. However, federal mental health spending grew at more than twice the rate of state and local spending. This led to the federal government's share surpassing that of state and local governments, while the share attributable to private sources declined slightly. The ability to care for more people in the community has been facilitated by the continued development of new medications that have fewer side effects and are more effective in helping people manage their illness. Furthermore, treatment approaches, such as assertive community treatment, supported employment, and supportive housing, provide the ongoing assistance that adults with serious mental illness (SMI) often need to function in the community. The Health Care Financing Administration (HCFA) has encouraged the use of community-based services for Medicaid beneficiaries with SMI by disseminating information on the use of new medications and treatment models, which can help people function better in the community. HCFA also supports states' use of Medicaid managed health care services. However, incentives associated with capitated payment can …

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO assessed the strengths and weaknesses of the Small Business Administration's (SBA) 8(a) program information system, focusing on: (1) whether the system meets the information needs of SBA field and headquarters staff; and (2) what plans, if any, does SBA have for improving the existing system."