The State of Federal Appropriations for Cancer Prevention and Research. ACS CAN Leadership Summit & Lobby Day September 21, 2009

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1 The State of Federal Appropriations for Cancer Prevention and Research ACS CAN Leadership Summit & Lobby Day September 21, 2009

2 Where are we? President s Budget Request Budget Resolution Funding for Cancer Research and Prevention Appropriations Bills

3 What is the current state of play? President s Budget Request Budget Resolution Appropriations Bills Funding for Cancer Research

4 Ideally, what do we want? NIH 10% above FY09 ($33.3 Billion) NCI - 20% above FY09 ($6 Billion) NCMHD 10% above FY09 ($227 Million) CDC Cancer Programs - $471M (Requests for 9 Line Items) HRSA Patient Navigator Program - $18.6M FDA - $2.425B

5 ACS CAN s CDC Wish List CDC Cancer Programs - $471M National Comprehensive Cancer Control Program: $50M National Program of Cancer Registries: $65M National Breast and Cervical Cancer Early Detection Program: $250M Colorectal Cancer Screening, Ed. & Outreach : $50M National Skin Cancer Prevention Education Program: $5M Prostate Cancer Awareness Campaign: $25M Ovarian Cancer Control Initiative: $10M Geraldine Ferraro Blood Cancer Program: $6M Gynecologic Cancer and Education and Awareness (Johanna's Law): $10M

6 What Did We Get So Far?

7 NIH Funding FY Funding for Biomedical Research NIH Appropriations FY (in millions) $31,000 $30,959 $30,000 $29,380 $30,017 $29,000 $28,900 $28,000 $27,000 $26,000 $27,075 $27,888 $26,886 $28,412 $26,365 $28,349 Adjusting for Inflation, NIH's budget has decreased by $3.4 billion (12.7 percent) since FY $25,000 $25,144 $24,695 $24,000 $24,040 $23,673 $23,634 $23,000 FY 2003 FY 2004 FY 2005 FY 2006 FY 2007 FY 2008 FY 2009 Enacted FY 2010 House Appropriated Amount Adjusted for Inflation, In FY 2003 Dollars

8 NCI Funding FY Cancer Research in Need of Support $5,400 NCI Appropriations FY (in Millions) $5,200 $5,150 $5,000 $4,964 $4,800 $4,600 $4,400 $4,592 $4,724 $4,554 $4,795 $4,449 $4,747 $4,791 $4,831 Adjusting for Inflation, NCI's budget has decreased by nearly $660 million (14.4 percent) since FY $4,200 $4,210 $4,094 $4,000 $3,953 $3,915 $3,932 $3,800 FY 2003 FY 2004 FY 2005 FY 2006 FY 2007 FY 2008 FY 2009 FY 2010 House Appropriated Amount Adjusted for Inflation, in FY 2003 Dollars

9 CDC Funding FY Cancer Prevention in Need of Support Funding for CDC Cancer Prevention and Control Losing Ground (in Millions) $380 $360 $340 Adjusting for Inflation, the CDC Cancer Control and Prevention budget would increase under the Senate bill by $7.6 million (2.4 percent) over FY $340.3 $349.5 $380.2 $320 $317.3 $309.7 $307.9 $309.5 $305.5 $300 $297.8 $301.4 $291.6 $280 $283.8 $284.5 FY 2005 FY 2006 FY 2007 FY 2008 FY 2009 FY 2010 House FY 2010 Senate Appropriated Amount Inflation Adjusted, in FY 2005 Dollars

10 Breast & Cervical Funding FY Early Detection in Need of Support $225 National Breast and Cervical Cancer Early Detection Program Not Keeping Pace (in millions) $220 $215 $210 Adjusting for Inflation, the NBCCEDP budget has decreased by more than $20 million (11 percent) since FY $214.7 $220.0 $205 $204.4 $205.9 $200 $201.3 $200.8 $198.4 $195 $194.7 $190 $186.7 $185 $184.6 $184.8 $183.6 $180 $179.2 $175 FY 2005 FY 2006 FY 2007 FY 2008 FY 2009 FY 2010 House FY 2010 Senate Appropriated Amount Inflation Adjusted, in FY 2005 Dollars

11 Why Funding for Cancer Must Increase Why we care! Research is providing breakthroughs in prevention and early detection, and new treatments for the deadliest cancers. At the same time we are seeing great advances in cancer research, the budget for CDC cancer programs is falling well below where it needs to be.

12 Impact of Declining Cancer Funding Fewer People Being Served The CDC s National Breast and Cervical Cancer Early Detection Program served fewer women in 2006 than in The CDC s colorectal cancer screening initiative is under-funded and unable to increase public awareness about the need for colorectal screening.

13 Excuses, Excuses, Excuses! Things you might actually hear We just took care of the NIH in the stimulus. The NIH has a lot of money. Right now, we re focused on health care reform.

14 Congressional Outreach Building Support for Cancer Research What about the Stimulus money? What about the President s goal of doubling funding for cancer research?

15 Congressional Outreach Support for Research & Prevention We are developing an outreach and education strategy for new members in Washington and at the local grassroots level. NCI-designated cancer centers and state cancer control programs are an important part of our message.

16 But wait Wasn t there more? The National Cancer Fund

17 The National Cancer Fund What happened to the National Cancer Fund? Are we still advocating for it?

18 Federal Funding to Fight Cancer ACS CAN Leadership Summit & Lobby Day Wrap-up and Questions

19 Thank You!