Corrected 3:46 p.m. | House Republicansattempting to tie the reauthorization of a critical pediatrician training program to efforts to limit gender-affirming care for transgender children acknowledge those efforts will collapse. Now lawmakers are lookingto fund the program as-is through the appropriations process.
Federal authorization for the Childrens Hospitals Graduate Medical Education Program, which trains more than half of pediatric specialists and almost half of general pediatricians nationwide, lapsed on Sept. 30.
Earlier this year, the Republican-led House Energy and Commerce Committee approved a reauthorization bill that bars any federal funds from going to hospitals that provide gender-affirming care. That provision was a nonstarter for Democrats, who wanted to see a clean reauthorization of the physician training program.
Both sides have refused to budge, and without congressional investment, hospitals might be forced to make cuts to fund their next classes of fellows and residents.
But in a last-minute bid to prevent more pediatrician shortages, some lawmakers hope to appropriate dollars for the Childrens Hospitals Graduate Medical Education program through the fiscal 2024 Labor-Health and Human Services-Education funding bill.
There are no actual consequences to not reauthorizing the program and just appropriating funding, a Senate Democratic aide said, unless lawmakers want to make changes to the program. Funding the training program through the appropriations process would sidestep GOP attempts to tie the training program to an anti-trans policy.
The Labor-HHS-Education funding deadline this year is Feb. 2, thanks to an unusual two-pronged approachthe Hill is taking to appropriations this year. So far the House has passed seven of its 12 appropriations bills, but the health funding bill is not on that list.
The proposed House Labor-HHS funding bill includes $400 million for the program, a $15 million boost above the 2023 enacted level but it includes the gender-affirming care restrictions. The Senate bill proposes $385 million flat fundingwithout restrictions.
The focus right now is ensuring the appropriations is as robust as possible to make sure the funding continues, a Childrens Hospital Association spokesperson said. The group is hopeful the gender-affirming care provisions will be stripped out in conference.
Rep. Kim Schrier, D-Wash., a pediatrician who led Democrats attempt to get a clean reauthorization of the program through the House, said shes hopeful this plan will get funds to childrens hospitals in the next year, though shes disappointed the usually bipartisan program has devolved to this.
Congress cannot afford to cut funding at a time when the US desperately needs to be training the next generation of pediatricians and pediatric subspecialists, Schrier said in a statement.
The standoff comes as pediatric hospitals face workforce shortages among physicians and nurses and many childrens hospitals have been forced to rely on temporary staffing agencies to fill workforce gaps, according to the Childrens Hospital Association.
Its become more difficult to fill pediatric residency positions in recent years, and several pediatric specialties are seeing 20 to 40 percent fewer applicants, according to the American Academy of Pediatrics.
The Childrens Hospitals Graduate Medical Education program is, at its core, a workforce program and has historically been a bipartisan, feel-good issue. In 2018 Texas Republican Michael C. Burgess co-led the reauthorization.
But House Republicans are making gender-affirming care a hallmark social issue of this Congress. So far theyve added riders to seven of 12 government funding bills to limit access to hormone therapy, surgery and other, similar care.
Most of the bills have little chance of passing the Democrat-controlled Senate, but thats not the point for conservatives, who want to amplify the issue ahead of the 2024 election.
This is the issue of our time. This is the hill were going to die on, Rep. Daniel Crenshaw, R-Texas, who led the legislative push in committee to tie pediatric physician training to gender-affirming care bans, said of gender-affirming care during a summer legislative hearing on his bill.
But asked this week whether hed hold up the appropriations process over the policy rider, Crenshaw, who is still advocating for his legislation with riders blocking gender-affirming care, acknowledged the House needs to get a bill to the floor.
Im weighing my options as the funding process moves, he said.
This story has been corrected to reflect the correct date the Labor-HHS-Education spending bill expires.
Read the original:
Democrats eye appropriations to protect pediatrician training - Roll Call
- Sang Pediatrics: When to see the doctor for a fever - YourCentralValley.com - May 12th, 2024 [May 12th, 2024]
- Should You Put Sunscreen on Infants? Not Usually - FDA.gov - May 12th, 2024 [May 12th, 2024]
- Thousands of bike helmets to be distributed to Ohio children | 10tv.com - 10TV - May 12th, 2024 [May 12th, 2024]
- How to talk to your teenaged patient about pregnancy and contraception - Contemporary Pediatrics - May 12th, 2024 [May 12th, 2024]
- Adult RSV Shots Given to More Than 30 Babies by Mistake - Medpage Today - May 12th, 2024 [May 12th, 2024]
- Pediatric Health Care Teams Can Help Prevent Youth Suicide - The Pew Charitable Trusts - May 12th, 2024 [May 12th, 2024]
- Small patients, big discoveries | Penn Today - Penn Today - May 12th, 2024 [May 12th, 2024]
- HCPs can play an important role in addressing the US infant formula shortage - Contemporary Pediatrics - May 12th, 2024 [May 12th, 2024]
- East Wenatchee Doctor Awarded For Boosting Child Vaccinations - KPQ - May 12th, 2024 [May 12th, 2024]
- HPV vaccination coverage of US-children aged 9-17 years in 2022 - Contemporary Pediatrics - May 12th, 2024 [May 12th, 2024]
- Weekly review: Profound genetic deafness gene therapy, measles increases, and more - Contemporary Pediatrics - May 12th, 2024 [May 12th, 2024]
- Pediatric Telehealth Platform Market is expected to Expand at a Massive CAGR of 26.6% through 2030 - openPR - May 12th, 2024 [May 12th, 2024]
- DB-OTO improved hearing to normal in child with profound genetic deafness - Contemporary Pediatrics - May 12th, 2024 [May 12th, 2024]
- The IT strategy behind a groundbreaking new $2B pediatric hospital - Healthcare IT News - May 12th, 2024 [May 12th, 2024]
- Modest Changes in Kids' Developmental Scores Seen From Pandemic - Medpage Today - April 23rd, 2024 [April 23rd, 2024]
- This pediatrics subspecialty has the best work-life balance - MD Linx - April 23rd, 2024 [April 23rd, 2024]
- PM Pediatrics Cobble Hill closing Pediatric urgent care options in Brooklyn and lower Manhattan - Brooklyn Bridge Parents - April 23rd, 2024 [April 23rd, 2024]
- Bethesda Pediatrics awarded $18,000 grant by GIVE - Yahoo! Voices - April 23rd, 2024 [April 23rd, 2024]
- Nemours Children's Health, UCF Partner to Elevate the Quality of Healthcare for Florida's Children - UCF - April 23rd, 2024 [April 23rd, 2024]
- Pediatricians told to talk to patients and parents about climate. - Grist - April 23rd, 2024 [April 23rd, 2024]
- Getting a good night's rest is vital for neurodiverse children pediatric sleep experts explain why - The Conversation - April 23rd, 2024 [April 23rd, 2024]
- Tina Cheng Honored as Exceptional CMO - Research Horizons - Research Horizons - April 23rd, 2024 [April 23rd, 2024]
- Let's talk about childhood injury prevention | Hub - The Hub at Johns Hopkins - April 23rd, 2024 [April 23rd, 2024]
- More young people with depression, anxiety in Virginia | Headlines - InsideNoVa - April 23rd, 2024 [April 23rd, 2024]
- Pediatrics fundraising event at Altru helps children with critical needs - Grand Forks Herald - April 15th, 2024 [April 15th, 2024]
- Public perceptions of families affected by pediatric cancer and educational work in pediatric oncology | Pediatric ... - Nature.com - April 15th, 2024 [April 15th, 2024]
- The pediatrician, the resident, the strawberry monster, and the zebra - VUMC News - VUMC Reporter - April 15th, 2024 [April 15th, 2024]
- Receptor targeting to identify medications for pediatric mental health concerns - Contemporary Pediatrics - April 15th, 2024 [April 15th, 2024]
- Hypoglossal nerve stimulation offers hope for pediatric Down syndrome patients with OSA - News-Medical.Net - April 15th, 2024 [April 15th, 2024]
- Efforts to reduce wait times for developmental evaluations - Baylor College of Medicine | BCM - April 15th, 2024 [April 15th, 2024]
- Nasal oxidative stress mediating the effects of colder temperature exposure on pediatric asthma symptoms | Pediatric ... - Nature.com - April 15th, 2024 [April 15th, 2024]
- Week in review: A new dermatology case study, and a new treatment for severe asthma - Contemporary Pediatrics - April 15th, 2024 [April 15th, 2024]
- Chordae Tendinea Rupture and Pulmonary Valve Vegetation in Pediatric Endocarditis: A Rare Condition - Cureus - April 7th, 2024 [April 7th, 2024]
- Pruitt named director of academic pediatrics division Washington University School of Medicine in St. Louis - Washington University School of... - April 7th, 2024 [April 7th, 2024]
- Researchers Show Injury Prevention Program Reduces Injuries in Young Children | Newsroom - UNC Health and UNC School of Medicine - April 7th, 2024 [April 7th, 2024]
- Provident Healthcare Partners Advises SouthernMED Pediatrics and Sweetgrass Pediatrics in a Partnership with U.S. ... - PR Newswire - April 7th, 2024 [April 7th, 2024]
- Online child safety laws could help or hurt 2 pediatricians explain what's likely to work and what isn't - The Conversation - April 7th, 2024 [April 7th, 2024]
- Hundreds of blue pinwheels draw attention for the need of doctors who specialize in child abuse pediatrics - MyStateline.com - April 7th, 2024 [April 7th, 2024]
- Pediatricians can help teens quit vaping and using tobacco - Odessa American - April 7th, 2024 [April 7th, 2024]
- CUTTING-EDGE RESEARCH SHAPING CHILDREN'S HEALTH SHOWCASED AT THE PEDIATRIC ACADEMIC ... - PR Newswire - April 7th, 2024 [April 7th, 2024]
- New NIAID report on maternal COVID-19 vaccination offers direct evidence of protection for newborns - Contemporary Pediatrics - April 7th, 2024 [April 7th, 2024]
- Navigating Pediatric Diabetes: A Q&A With Leading Expert David Maahs, MD - Stanford Medicine Children's Health Blog - Stanford Children's Health - March 29th, 2024 [March 29th, 2024]
- Linaclotide Succeeds for Functional Constipation in Children | GI and Hepatology News - MDedge - March 29th, 2024 [March 29th, 2024]
- Testing and diagnoses capacity of 2009 influenza and COVID-19 pandemics - Contemporary Pediatrics - March 29th, 2024 [March 29th, 2024]
- Predicting Infection Risk in Childhood Cancer - News Center - Feinberg News Center - March 29th, 2024 [March 29th, 2024]
- Healing the divide: Advancing access to pediatric care - HealthLeaders Media - March 29th, 2024 [March 29th, 2024]
- McMaster Child Health Research Day charts the future of pediatric health - Brighter World - March 29th, 2024 [March 29th, 2024]
- This is serious: The results of a measles outbreak have harmful outcomes - Contemporary Pediatrics - March 29th, 2024 [March 29th, 2024]
- Unlocking the Power of Influenza Vaccines for Pediatric Population: A Narrative Review - Cureus - February 29th, 2024 [February 29th, 2024]
- Human Papillomavirus Vaccines - Immunizations - American Academy of Pediatrics - February 29th, 2024 [February 29th, 2024]
- The role of the pediatrician in school-based mental health services - Contemporary Pediatrics - February 29th, 2024 [February 29th, 2024]
- Reminder for IPRC Webinar Preventing Secondary Trauma and Practical Self Care for Pediatric Rehabilitation ... - RCPA - February 29th, 2024 [February 29th, 2024]
- PCORI Awards CYSHCNet Researchers $5.5 Million to Study Transitions for Children and Caregivers from Hospital-to ... - UNC Health and UNC School of... - February 29th, 2024 [February 29th, 2024]
- Viewpoint: Journal Pediatrics reneges on its commitment to print response to botched article claiming GMOs are ... - Genetic Literacy Project - February 29th, 2024 [February 29th, 2024]
- NYC medical school will go tuition-free thanks to $1 billion gift from former pediatrics professor - Anchorage Daily News - February 29th, 2024 [February 29th, 2024]
- Innovative New Pediatric Facility Helps Alleviate Patient Anxiety - Healthcare Construction and Operations News - February 29th, 2024 [February 29th, 2024]
- Most pediatricians aren't prepared to handle teen opioid use, study says - WCVB Boston - February 29th, 2024 [February 29th, 2024]
- As Medicaid Shrinks, Clinics for the Poor Are Trying to Survive - The New York Times - February 29th, 2024 [February 29th, 2024]
- Many children hospitalized with COVID continue to face challenges. - Baltimore Sun - February 29th, 2024 [February 29th, 2024]
- Exposure to neighborhood violence linked to unmet health needs and increased care utilization in children - News-Medical.Net - February 29th, 2024 [February 29th, 2024]
- OUtMATCH: Omalizumab Proves Utility in Multiple Food Allergies for Pediatric, Adult Patients - MD Magazine - February 29th, 2024 [February 29th, 2024]
- Neffy pharmacokinetic profiles compared to epinephrine injections - Contemporary Pediatrics - February 29th, 2024 [February 29th, 2024]
- Clinician quiz: AAP clinical practice guideline for treatment of children with obesity - Contemporary Pediatrics - February 29th, 2024 [February 29th, 2024]
- Contributed: Shortcomings and opportunities for health equity in pediatrics - Mobihealth News - January 27th, 2024 [January 27th, 2024]
- Committed to physician education to enhance children's health - UChicago Medicine - January 27th, 2024 [January 27th, 2024]
- What's leading to youth sports burnout? American Academy of Pediatrics report says 70% of kids are dropping out by 13 - WLS-TV - January 27th, 2024 [January 27th, 2024]
- Washington University School of Medicine joins collaboration to improve pediatric heart disease care - News-Medical.Net - January 27th, 2024 [January 27th, 2024]
- How to Treat Coughs in Kids - Health Matters - January 27th, 2024 [January 27th, 2024]
- COVID-19 vaccination during pregnancy and offspring neurodevelopment - Contemporary Pediatrics - January 27th, 2024 [January 27th, 2024]
- Discontinuing contact precautions for pediatric patients with methicillin-resistant Staphylococcus aureus - Contemporary Pediatrics - January 27th, 2024 [January 27th, 2024]
- Viewpoint: American Academy of Pediatrics fiasco International Association for the Research on Cancer is the ... - Genetic Literacy Project - January 27th, 2024 [January 27th, 2024]
- Recent reports of measles in multiple states - Contemporary Pediatrics - January 27th, 2024 [January 27th, 2024]
- Expert shares advice for parents navigating pediatric influenza, COVID-19, and RSV this winter - Newswise - January 27th, 2024 [January 27th, 2024]
- Global Group of Researchers Release New Criteria for Diagnosing Pediatric Sepsis and Septic Shock - AboutLawsuits.com - January 27th, 2024 [January 27th, 2024]
- Recurrent Syncope Unveiling Pulmonary Hypertension Secondary to Pulmonary Artery Thrombi in a Pediatric Patient - Cureus - January 8th, 2024 [January 8th, 2024]
- ChatGPT bombs test on diagnosing kids' medical cases with 83% error rate - Ars Technica - January 8th, 2024 [January 8th, 2024]
- ChatGPT is terrible at diagnosing child medical cases, according to new study - Mashable - January 8th, 2024 [January 8th, 2024]
- The clinical takeaways of the RSV immunizations - Contemporary Pediatrics - January 8th, 2024 [January 8th, 2024]
- Missouri pediatricians provide eight parenting goals to start the new year strong - Kirksville Daily Express and Daily News - January 8th, 2024 [January 8th, 2024]
- Reviewing the 2023 RSV season and an outlook on 2024 - Contemporary Pediatrics - January 8th, 2024 [January 8th, 2024]