From ALSA...

_____________________________________________
200 Cosponsors…and Counting! Let’s Get a Majority

Your advocacy efforts are making a difference! We now have won the support of more than 200 Members of the House who have cosponsored the ALS Registry Act (H.R. 2295) – just 15 short of a majority! Additional Senators also have cosponsored the Senate version of the bill (S. 1382), as we now have nearly 20 Senators as cosponsors. It is a testament to the effectiveness of your advocacy that we have achieved this level of support in such a short period of time. In fact, this is the quickest that an ALS specific bill has ever reached 200 cosponsors in the House – faster than in 2006 and faster than was achieved with the 24-month waiver legislation – legislation that ultimately became law.


A full listing of cosponsors will be available on the Advocacy Action Center of our website here (http://capwiz.com/alsa/issues/bills/). As of this writing, the list had not been updated by the Government Printing Office, which publishes cosponsor information electronically. However, we expect the full list to be updated by tomorrow.

ACTION NEEDED

We urge you to continue to reach out to your Members of Congress and request that they cosponsor the ALS Registry Act (or thank them if they already have cosponsored the bill). Your outreach will help us to win the support of a majority of the House and Senate. At the same time, it also is absolutely critical that we get the support of the Members of the House Energy and Commerce Committee, which has jurisdiction over the bill and which can determine whether or not the ALS Registry Act moves forward through the normal legislative process. Therefore, it is especially important that people living in the districts of the following Committee Members send letters TODAY! Most of the Members of the Committee already have cosponsored the bill, but the following Members have yet to add their support:


Arizona: Rep. John Shadegg (R-3rd, Phoenix)

California: Rep. George Radanovich (R-19th, Fresno, Turlock)

California: Rep. Jane Harman (D-36th, El Segundo, Wilmington)

Colorado: Rep. Diane DeGette (D-1st, Denver)

Illinois: Rep. Dennis Hastert (R-14th, Batavia, Dixon, Geneseo)

Indiana; Rep. Steve Buyer (R-4th, Monticello, Plainfield, Bedford)

Indiana: Rep. Baron Hill (D-9th, Jeffersonville)

Louisiana: Rep. Charlie Melancon (D-3rd, Gonzales, Houma, New Iberia, Chalmette)

New Mexico: Rep. Heather Wilson (R-1st, Albuquerque)

Oklahoma: Rep. John Sullivan (R-1st, Tulsa, Bartlesville) – NOTE: cosponsored in 2006

Pennsylvania: Rep. Joe Pitts (R-16th, Lancaster, Unionville) – NOTE: cosponsored in 2006

Tennessee: Rep. Marsha Blackburn (R-7th, Memphis, Clarksville, Franklin)

Texas: Rep. Ralph Hall (R-4th, Texarkana, Rockwall, Sherman, New Boston)

Texas: Rep. Michael Burgess (R-26th, Lewisville, Ft. Worth)

Virginia: Rep. Rick Boucher (D-9th, Abington, Pulaski, Big Stone Gap)



Please only contact these Members if you live in their district or serve families in their district, since Members of Congress are only responsive to their constituents. If you know someone who lives in any of these districts, please ask them to contact Congress.


Visit the Advocacy Action Center of our website http://capwiz.com/alsa/home/ to learn if you live in one of these districts and to send a letter directly to your elected officials. Together we can obtain a majority of the Congress as cosponsors and we can pass the ALS Registry Act during the 110th Congress.



If you have any questions or would like additional information, please contact the Advocacy Department at advocacy@alsa-national.org or toll-free at 1-877-444-ALSA.



Thank You!





The ALS Association
Capital Office

601 Pennsylvania Ave., N.W.
Suite 900, South Bldg.
Washington, DC 20004
ph: (202) 638-6997
Toll-free: 1-877-444-ALSA
fax: (202) 638-6316
e-mail: advocacy@alsa-national.org

National ALS Registry Efforts Underway

The ALS Association’s 2007 Public Policy Priorities
(PRIORITY #1) Pass the ALS Registry Act.
(PRIORITY #2) Include funding dedicated for ALS specific programs at the Department of Defense (DOD).
http://www.catfishchapter.org/news/issues.html
http://www.alsa.org/policy/article.cfm?id=1091

http://energycommerce.house.gov/



House Subcommittee Passes ALS Registry Act

We are extremely pleased to report that this morning, the House Energy and Commerce Committee Subcommittee on Health unanimously passed the ALS Registry Act (HR 2295). The bill is now cleared to move forward in the House and next will head to the full Energy and Commerce Committee. This is a tremendous victory and is one of the most critical steps in the legislative process, as most bills introduced in Congress never make it "through Subcommittee."

There is a bill in congress right now to create a mechanism to track ALS. Please help it pass by using links below.

http://capwiz.com/alsa/issues/alert/?alertid=9048996 (Senate bill);

http://capwiz.com/alsa/issues/alert/?alertid=9048906 (House bill).

It is super easy and quick to send them a form email, and easy to modify and personalize the message.


Elected Officials
Find elected officials, including the president, members of Congress, governors, state legislators, local officials, and more.
http://capwiz.com/alsa/dbq/officials/

Search By ZIP Code:
Congress: State: Local:
http://capwiz.com/alsa/dbq/officials/


Search By Last Name:
Congress: State: Local: Any State
http://capwiz.com/alsa/dbq/officials/


Select State

New London


My oldest brother died last August from Amyotrophic Lateral Sclerosis, more commonly known as Lou Gehrig's disease. Since then, it seems that I rarely talk with anyone who isn't aware of someone with ALS.


Over a period of two years, we watched helplessly as my brother lost the ability to walk, lift his arms and use his hands. Eventually, he couldn't use his voice or chew and swallow his food. He had a feeding tube inserted into his stomach.


During these losses, his ability to breathe on his own decreased and he had to rely on a breathing machine to pump air into his lungs. He could neither smile nor wink to indicate happiness or distress.


My brother died slowly, day by day, knowing exactly what was happening to him and how he would die. Throughout it all, he experienced excruciating pain.


My brother is just one of thousands of Americans who have suffered with ALS. Unfortunately, there are no centralized records of how many people are diagnosed with ALS, or even how many people die from it every year.


In order for researchers to learn more about the disease and eventually develop effective treatments, our country needs a national ALS registry. Sen. Harry Reid, D-Nev., and Rep. Eliot Engel, D-N.Y., introduced the ALS Registry Act earlier this year.


Researchers would have important data about the incidence and prevalence of ALS throughout the country. They would have the data they need to develop treatments and management of this awful disease. Ultimately, this registry will aid researches to find a treatment and cure for ALS.


Please contact your members of Congress and ask them to pass the ALS Registry Act. To learn more about ALS, go to www.alsa.org.


Evelyn Whelan Rudolph,

http://www.postcrescent.com/apps/pbc...709040536/1036

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ALS Registry Act (Introduced in House)

HR 2295 IH


110th CONGRESS

1st Session

H. R. 2295
To amend the Public Health Service Act to provide for the establishment of an Amyotrophic Lateral Sclerosis Registry.


IN THE HOUSE OF REPRESENTATIVES

May 14, 2007
Mr. ENGEL (for himself, Mr. TERRY, Mr. WAXMAN, Mr. UPTON, Mr. MARKEY, Mr. WHITFIELD, Mr. TOWNS, Mr. SHIMKUS, Mr. RUSH, Mr. FOSSELLA, Mr. WYNN, Mrs. BONO, Mr. GENE GREEN of Texas, Mr. FERGUSON, Mrs. CAPPS, Mrs. MYRICK, Mr. DOYLE, Mr. ALLEN, Ms. SCHAKOWSKY, Ms. SOLIS, Mr. GONZALEZ, Mr. INSLEE, Ms. BALDWIN, Mr. ROSS, Mr. WEINER, Mr. MATHESON, Mr. BUTTERFIELD, Mr. BARROW, Ms. ROS-LEHTINEN, Mr. RANGEL, Mr. MCCRERY, Mr. STARK, Mr. GOODE, Mr. KENNEDY, Mr. GERLACH, Mr. ROTHMAN, Mr. BURTON of Indiana, Mr. EMANUEL, Mr. SHAYS, Mr. HIGGINS, Ms. FALLIN, Mr. COHEN, Mr. BOUSTANY, Mr. PATRICK J. MURPHY of Pennsylvania, Mr. SMITH of New Jersey, Mr. MCDERMOTT, Mr. BROWN of South Carolina, Ms. NORTON, Mrs. MCMORRIS RODGERS, Mr. PRICE of North Carolina, Mr. MCHUGH, Mr. ABERCROMBIE, Mr. EHLERS, Mr. MCNULTY, Mr. GALLEGLY, Mr. MCINTYRE, Mr. PEARCE, Mr. NADLER, Ms. CARSON, Mr. OLVER, Mr. TIERNEY, Mr. KANJORSKI, Mr. BISHOP of New York, Mr. MCGOVERN, Mr. CROWLEY, Mr. GRIJALVA, Mrs. LOWEY, Mr. SHERMAN, Ms. LORETTA SANCHEZ of California, Mr. MURTHA, Mr. ETHERIDGE, Mr. CAPUANO, Ms. KAPTUR, Mr. VAN HOLLEN, Mrs. MCCARTHY of New York, Ms. MCCOLLUM of Minnesota, Mr. BERMAN, Mr. SIRES, Ms. ROYBAL-ALLARD, Mr. CRAMER, Ms. HIRONO, Ms. BORDALLO, Mr. BOSWELL, and Mr. KIND) introduced the following bill; which was referred to the Committee on Energy and Commerce


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A BILL
To amend the Public Health Service Act to provide for the establishment of an Amyotrophic Lateral Sclerosis Registry.


Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the `ALS Registry Act'.

SEC. 2. FINDINGS.

Congress makes the following findings:

(1) Amyotrophic lateral sclerosis (referred to in this section as `ALS') is a fatal, progressive neurodegenerative disease that affects motor nerve cells in the brain and the spinal cord.

(2) The average life expectancy for a person with ALS is 2 to 5 years from the time of diagnosis.

(3) The cause of ALS is not well understood.

(4) There is only one drug currently approved by the Food and Drug Administration for the treatment of ALS, which has thus far shown only modest effects, prolonging life by just a few months.

(5) There is no known cure for ALS.

(6) More than 5,000 individuals in the United States are diagnosed with ALS annually and as many as 30,000 individuals may be living with ALS in the United States today.

(7) Studies have found relationships between ALS and environmental and genetic factors, but those relationships are not well understood.

(8) Scientists believe that there are significant ties between ALS and other motor neuron diseases.

(9) Several ALS disease registries and databases exist in the United States and throughout the world, including the SOD1 database, the National Institute of Neurological Disorders and Stroke repository, and the Department of Veterans Affairs ALS Registry.

(10) A single national system to collect and store information on the prevalence and incidence of ALS in the United States does not exist.

(11) In each of fiscal years 2006 and 2007, Congress directed $887,000 to the Centers for Disease Control and Prevention to begin a nationwide ALS registry.

(12) The Centers for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry has established three pilot projects, beginning in fiscal year 2006, to evaluate the science to guide the creation of a national ALS registry.

(13) The establishment of a national registry will help--

(A) to identify the incidence and prevalence of ALS in the United States;

(B) to collect data important to the study of ALS;

(C) to promote a better understanding of ALS;

(D) to collect information that is important for research into the genetic and environmental factors that cause ALS;

(E) to strengthen the ability of a clearinghouse--

(i) to collect and disseminate research findings on environmental, genetic and other causes of ALS and other motor neuron disorders that can be confused with ALS, misdiagnosed as ALS, and in some cases progress to ALS;

(ii) make available information to patients about research studies for which they may be eligible; and

(iii) maintain information about clinical specialists and clinical trials on therapies; and

(F) to enhance efforts to find treatments and a cure for ALS.

SEC. 3. AMENDMENT TO THE PUBLIC HEALTH SERVICE ACT.

Part P of title III of the Public Health Service Act (42 U.S.C. 280g et seq.) is amended by adding at the end the following:

`SEC. 399O. AMYOTROPHIC LATERAL SCLEROSIS REGISTRY.

`(a) Establishment-

`(1) IN GENERAL- Not later than 1 year after the receipt of the report described in subsection (b)(2)(A), the Secretary, acting through the Director of the Centers for Disease Control and Prevention and in consultation with a national voluntary health organization with experience serving the population of individuals with amyotrophic lateral sclerosis (referred to in this section as `ALS'), shall--

`(A) develop a system to collect data on ALS and other motor neuron disorders that can be confused with ALS, misdiagnosed as ALS, and in some cases progress to ALS, including information with respect to the incidence and prevalence of the disease in the United States; and

`(B) establish a national registry for the collection and storage of such data to include a population-based registry of cases in the United States of ALS and other motor neuron disorders that can be confused with ALS, misdiagnosed as ALS, and in some cases progress to ALS.

`(2) PURPOSE- It is the purpose of the registry established under paragraph (1)(B) to gather available data concerning--

`(A) ALS, including the incidence and prevalence of ALS in the United States;

`(B) the environmental and occupational factors that may be associated with the disease;

`(C) the age, race or ethnicity, gender, and family history of individuals who are diagnosed with the disease;

`(D) other motor neuron disorders that can be confused with ALS, misdiagnosed as ALS, and in some cases progress to ALS; and

`(E) other matters as recommended by the Advisory Committee established under subsection (b).

`(b) Advisory Committee-

`(1) ESTABLISHMENT- Not later than 90 days after the date of the enactment of this section, the Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall establish a committee to be known as the Advisory Committee on the National ALS Registry (referred to in this section as the `Advisory Committee'). The Advisory Committee shall be composed of at least one member, to be appointed by the Secretary, acting through the Director of the Centers for Disease Control and Prevention, representing each of the following:

`(A) National voluntary health associations that focus solely on ALS and have demonstrated experience in ALS research, care, and patient services, as well as other voluntary associations focusing on neurodegenerative diseases that represent and advocate on behalf of patients with ALS and patients with other motor neuron disorders that can be confused with ALS, misdiagnosed as ALS, and in some cases progress to ALS.

`(B) The National Institutes of Health, to include, upon the recommendation of the Director of the National Institutes of Health, representatives from the National Institute of Neurological Disorders and Stroke and the National Institute of Environmental Health Sciences.

`(C) The Department of Veterans Affairs.

`(D) The Agency for Toxic Substances and Disease Registry.

`(E) The Centers for Disease Control and Prevention.

`(F) Patients with ALS or their family members.

`(G) Clinicians with expertise on ALS and related diseases.

`(H) Epidemiologists with experience in data registries.

`(I) Geneticists or experts in genetics who have experience with the genetics of ALS or other neurological diseases.

`(J) Statisticians.

`(K) Ethicists.

`(L) Attorneys.

`(M) Other individuals with an interest in developing and maintaining the National ALS Registry.

`(2) DUTIES- The Advisory Committee shall review information and make recommendations to the Secretary concerning--

`(A) the development and maintenance of the National ALS Registry;

`(B) the type of information to be collected and stored in the Registry;

`(C) the manner in which such data is to be collected;

`(D) the use and availability of such data including guidelines for such use; and

`(E) the collection of information about diseases and disorders that primarily affect motor neurons that are considered essential to furthering the study and cure of ALS.

`(3) REPORT- Not later than 1 years after the date on which the Advisory Committee is established, the Advisory Committee shall submit a report concerning the review conducted under paragraph (2) that contains the recommendations of the Advisory Committee with respect to the results of such review.

`(c) Grants- Notwithstanding the recommendations of the Advisory Committee under subsection (b), the Secretary, acting through the Director of the Centers for Disease Control and Prevention, may award grants to, and enter into contracts and cooperative agreements with, public or private nonprofit entities for the collection, analysis, and reporting of data on ALS and other motor neuron disorders that can be confused with ALS, misdiagnosed as ALS, and in some cases progress to ALS.

`(d) Coordination With State, Local, and Federal Registries-

`(1) IN GENERAL- In establishing the National ALS Registry under subsection (a), the Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall--

`(A) identify, build upon, expand, and coordinate among existing data and surveillance systems, surveys, registries, and other Federal public health and environmental infrastructure wherever possible, including--

`(i) the 3 ALS registry pilot projects initiated in fiscal year 2006 by the Centers for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry at the South Carolina Office of Research & Statistics; the Mayo Clinic in Rochester, Minnesota; and Emory University in Atlanta, Georgia;

`(ii) the Department of Veterans Affairs ALS Registry;

`(iii) the DNA and Cell Line Repository of the National Institute of Neurological Disorders and Stroke Human Genetics Resource Center;

`(iv) Agency for Toxic Substances and Disease Registry studies, including studies conducted in Illinois, Missouri, El Paso and San Antonio, Texas, and Massachusetts;

`(v) State-based ALS registries, including the Massachusetts ALS Registry;

`(vi) the National Vital Statistics System; and

`(vii) any other existing or relevant databases that collect or maintain information on those motor neuron diseases recommended by the Advisory Committee established in subsection (b); and

`(B) provide for research access to ALS data as recommended by the Advisory Committee established in subsection (b) to the extent permitted by applicable statutes and regulations and in a manner that protects personal privacy consistent with applicable privacy statutes and regulations.

`(2) COORDINATION WITH NIH AND DEPARTMENT OF VETERANS AFFAIRS- Notwithstanding the recommendations of the Advisory Committee established in subsection (b), and consistent with applicable privacy statutes and regulations, the Secretary shall ensure that epidemiological and other types of information obtained under subsection (a) is made available to the National Institutes of Health and the Department of Veterans Affairs.

`(e) Definition- For the purposes of this section, the term `national voluntary health association' means a national non-profit organization with chapters or other affiliated organizations in States throughout the United States.

`(f) Authorization of Appropriations- There are authorized to be appropriated to carry out this section, $25,000,000 for fiscal year 2008, and such sums as may be necessary for each of fiscal years 2009 through 2012.'.



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THOMAS Home | Contact | Accessibility | Legal | USA.gov

http://thomas.loc.gov/cgi-bin/query/z?c110:H.R.2295:

Legislation > 2007-2008 (110th Congress)
S. 1382: ALS Registry Act
A bill to amend the Public Health Service Act to provide the establishment of an Amyotrophic Lateral Sclerosis Registry.

Bill Status Summary Floor Speeches Other Info

On Congresspedia
Be the first to start a collaborative analysis of this bill on Congresspedia, a wiki for Congress. Sponsor: Sen. Harry Reid [D-NV]show cosponsors (41)
Cosponsors [as of 2007-08-26]
Sen. Max Baucus [D-MT]
Sen. Evan Bayh [D-IN]
Sen. Robert Bennett [R-UT]
Sen. Jeff Bingaman [D-NM]
Sen. Barbara Boxer [D-CA]
Sen. Sherrod Brown [D-OH]
Sen. Jim Bunning [R-KY]
Sen. Richard Burr [R-NC]
Sen. Robert Casey [D-PA]
Sen. Hillary Clinton [D-NY]
Sen. Thad Cochran [R-MS]
Sen. Norm Coleman [R-MN]
Sen. Kent Conrad [D-ND]
Sen. Larry Craig [R-ID]
Sen. Jim DeMint [R-SC]
Sen. Christopher Dodd [D-CT]
Sen. Elizabeth Dole [R-NC]
Sen. Byron Dorgan [D-ND]
Sen. Richard Durbin [D-IL]
Sen. Dianne Feinstein [D-CA]
Sen. Charles Hagel [R-NE]
Sen. Thomas Harkin [D-IA]
Sen. Daniel Inouye [D-HI]
Sen. John Isakson [R-GA]
Sen. Tim Johnson [D-SD]
Sen. Amy Klobuchar [D-MN]
Sen. Frank Lautenberg [D-NJ]
Sen. Trent Lott [R-MS]
Sen. Mel Martinez [R-FL]
Sen. Robert Menéndez [D-NJ]
Sen. Lisa Murkowski [R-AK]
Sen. Patty Murray [D-WA]
Sen. Bill Nelson [D-FL]
Sen. John Reed [D-RI]
Sen. Bernard Sanders [I-VT]
Sen. Charles Schumer [D-NY]
Sen. Olympia Snowe [R-ME]
Sen. Debbie Ann Stabenow [D-MI]
Sen. John Thune [R-SD]
Sen. David Vitter [R-LA]
Sen. John Warner [R-VA]
Cosponsorship information sometimes is out of date. Why?
Bill Text: - CRS Summary
- Full Text
Status: Introduced May 14, 2007
Scheduled for Debate -
Voted on in Senate -
Voted on in House -
Signed by President -

This bill is in the first step in the legislative process. Introduced bills go first to committees that deliberate, investigate, and revise them before they go to general debate. The majority of bills never make it out of committee.
Last Action: May 14, 2007: Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Show All Related Votes

This bill is identical to H.R. 2295 (Status: Introduced).

Committee Assignments
This bill is in the first stage of the legislative process where the bill is considered in committee and may undergo significant changes in markup sessions. The bill has been referred to the following committees:

Senate Health, Education, Labor, and Pensions

http://www.govtrack.us/congress/bill.xpd?bill=s110-1382

1.1. Re: Senator Coburn ????????????????????????????????????????
Posted by: "Leon" hightide9103@yahoo.com hightide9103
Date: Fri Jan 11, 2008 9:16 am ((PST))



Thank you Senator Coburn for being our watchdog! If there was a cure
for ALS you could save us 1000 times this amount. Doctor, what are you
thinking?

CONGRESSIONAL BUDGET OFFICE COST ESTIMATE January 9, 2008

S. 1382
ALS Registry Act
As reported by the Senate Committee on Health, Education, Labor, and
Pensions
on December 4, 2007

source; http://www.cbo.gov/ftpdocs/89xx/doc8919/s1382.pdf
<http://www.cbo.gov/ftpdocs/89xx/doc8919/s1382.pdf>




Messages in this topic (43)
__________________________________________________ ______________________

1.2. Re: Senator Coburn ????????????????????????????????????????
Posted by: "rknt50c" rknt50c@yahoo.com rknt50c
Date: Fri Jan 11, 2008 9:23 am ((PST))


...and ALS advocates have spent a lot out of their own pockets to make
difficult trips to Washington and to visit public figures to get the
word out about the need for a registry. That investment of money and
precious time (especially precious for those dealing with the ticking
ALS clock) goes poof if Coburn's watchdog tactics prevail at the expense
of the ALS Registry Act.




Messages in this topic (43)
__________________________________________________ ______________________
__________________________________________________ ______________________



------------------------------------------------------------------------
Yahoo! Groups Links

<*> To visit your group on the web, go to:
http://groups.yahoo.com/group/alsadvocacy/

Senator Coburn ?

Posted by: "Chuck Hummer" gamboachuck@yahoo.com gamboachuck
Date: Mon Jan 14, 2008 8:32 am ((PST))

I spent a good deal of time with the ALSA advocacy department
representative at a local conference yesterday and specifically asked
about the status of the registry legislation and, in particular, our
friend, Senator Coburn. Their experience with Coburn goes all the way
back to when he was in the House. He has been a maverick with more or
less the same objectives from his earliest days, in spite of being very
unpopular in wide circles, but popular amongst his constituency base.

ALSA met with him and his staff over the past two years specifically on
the registry and provided numerous briefings. The latest was prior the
HELP committee hearing where the bill was reported out by unanimous
consent with no amendment or objection by Senator Coburn. Then he gave
notice to the entire Senate that he would put a hold on at least 80
pieces of legislation that were intended to pass at the last hour by
unanimous consent, a procedure that that unless someone objects (C0burn)
the legislation passes without further action.

It does not appear that the Senator will deviate from his long policy
where he feels the government should not pass legislation on specific
diseases, or even health care at all and his strong objection to
anything that has the appearance of an earmark. (Which the registry
bill does not) and his long standing unhappiness with the CDC
management.

What happens next? The Senators can easily pass the legislation by the
normal process should it wish to, in spite of Coburn's solo objection,
but it will take longer. Even with a bill like ours with 70
co-sponsors, it is prudent to keep communicating with your Senators on
the importance of this legislation. ALSA intends to put out some
guidance on a campaign to pass the registry when Congress reconvenes.

I pointed out that one of my concerns was the complete lack of any word
on what was happening or going to happen since the hold was placed at
Christmas time, and especially since there had been such an overwhelming
support and participation by grass roots advocates. So my report above
may serve to catch everyone on this list up and just as important, the
need for timely communication to the advocates by the advocacy
department.

gamboachuck aka Chuck Hummer


To visit your group on the web, go to:
http://groups.yahoo.com/group/alsadvocacy/

With friends like Senator Coburn...who needs enemies!