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Big News for Lyme Patients

https://www.lymediseaseassociation.org/news/1586-asbury-park-press-big-news-for-chronic-lyme-disease-sufferers

ASBURY PARK PR: BIG NEWS FOR CHRONIC LYME SUFFERERS
01 December 2016

With the help of Rep. Chris Smith and a Wall advocate, the House passed breakthrough legislation on the hot-button issue.

For decades, Wall resident Pat Smith has implored the medical establishment to acknowledge the existence of chronic Lyme disease. On Wednesday, her quest took a big step forward.

The House of Representatives passed the 21st Century Cures Act, a comprehensive health care bill that would establish a national working group on Lyme disease. The 14-member panel would include physicians with experience in treating tick-borne diseases, Lyme patients and advocates for those suffering from the condition.

“This is really groundbreaking,” said Smith, president of national nonprofit Lyme Disease Association in Wall. “Prior to this we’ve never had anything at the federal level that permitted patients to be at the table with federal officials. It’s desperately needed.”

Lyme disease affects nearly 400,000 people per year in the U.S., most of whom live in the northeast. For many who are diagnosed promptly, the standard month-long course of antibiotics mitigates the illness. But detection is difficult, and for thousands of folks, the symptoms continue for months or years.

To date, the influential Infectious Diseases Society of America has declined to recognize chronic Lyme in its clinical practice guidelines. Chronic Lyme advocates say that omission has caused a domino effect of needless suffering.

Representative Chris Smith (R-4th) has been pushing for a federal panel to address the issue since the early 1990s. The Senate is expected to pass the Cures Act, which got through the House by a vote of 392-26, in the coming days.

“Many have suffered for decades with this debilitating disease, only to be told that their illness does not exist,” Chris Smith said in a statement. “Enactment of the Cures package will move us one step closer to acknowledging and addressing the root problems of chronic Lyme.”

The issue was first brought to Rep. Smith’s attention by Pat Smith. In the late 1980s Lyme disease afflicted two of her daughters, one of whom missed four years of school. For years, she and Chris Smith (no relation) worked in vain to get federal recognition of chronic Lyme.

“The continued dissemination of outdated guidelines . . . has contributed to medical community’s denial of chronic Lyme disease and the denial of coverage by insurance companies of treatments for chronic Lyme disease,” Smith told the Asbury Park Press in a wide-ranging interview on the subject in May.

New Jersey ranks second among all states in Lyme cases, with 4,855 reported in 2015. Since the condition is known to be under-reported because it can be difficult to detect, the actual number of cases in the Garden State is believed to be closer to 50,000.

“Having knowledgeable people at the table will put the focus on the research, and there is a huge amount of brand-new research that shows there are (Lyme) cells that are left over after regular treatment,” said Pat Smith, who was involved in drafting the language establishing the working group. “This may be the root of the problem.”
In addition, she said, the Cures Act “will cause these federal agencies to have to talk about all of this in public.”

For both Pat and Chris Smith, it marks a victory after prior attempts to create a national task force were rejected.

“My original legislation ensured the individuals impacted by federal policies would have a seat at the table when the decisions are made,” Chris Smith said. “It has taken many years and several drafts, but thankfully today’s Cures package includes similar language that will begin the process of addressing the great unmet needs in the Lyme community in an open and transparent manner.”

For more information on the Wall-based Lyme Disease Association, visit www.lymediseaseassociation.org.
Staff writer Jerry Carino: jcarino@gannettnj.com
Please take time to go to article and post a comment
(Asbury Park Press 12/1/16, Jerry Carino)

21st CCA Bill Lyme Language

https://www.congress.gov/114/bills/hr34/BILLS-114hr34eah.pdf (p. 115-120)

4 SEC. 2062. TICK-BORNE DISEASES.
IN GENERAL.—The Secretary of Health and Human Services (referred to in this section as ‘‘the Secretary’’) shall continue to conduct or support epidemiological, basic, translational, and clinical research related to vector-borne diseases, including tick-borne diseases.

REPORTS.—The Secretary shall ensure that each triennial report under section 403 of the Public Health Service Act (42 U.S.C. 283) (as amended by section 2032) includes information on actions undertaken by the National Institutes of Health to carry out subsection (a) with respect to tick-borne diseases.

TICK-BORNE DISEASES WORKING GROUP.— ESTABLISHMENT.—The Secretary shall establish a working group, to be known as the Tick-Borne Disease Working Group (referred to in this section as the ‘‘Working Group’’), comprised of representatives of appropriate Federal agencies and other non-Federal entities, to provide expertise and to review all efforts within the Department of Health and Human Services related to all tick-borne diseases, to help ensure interagency coordination and minimize overlap, and to examine research priorities.

RESPONSIBILITIES.—The working group shall—not later than 2 years after the date of enactment of this Act, develop or update a summary of ongoing tick-borne disease research, including research related to causes, prevention, treatment, surveillance, diagnosis, diagnostics, duration of illness, and intervention for individuals with tick-borne diseases; advances made pursuant to such research; Federal activities related to tick- borne diseases, including epidemiological activities related to tick-borne diseases; and basic, clinical, and translational tick-borne disease research related to the pathogenesis, prevention, diagnosis, and treatment of tick-borne diseases; gaps in tick-borne disease research described in clause (iii)(II); (v) the Working Group’s meetings required under paragraph (4); and (vi) the comments received by the Working Group; (B) make recommendations to the Secretary regarding any appropriate changes or improvements to such activities and research; and (C) solicit input from States, localities, and nongovernmental entities, including organizations representing patients, health care providers, researchers, and industry regarding scientific advances, research questions, surveillance activities, and emerging strains in species of pathogenic organisms.

(3) MEMBERSHIP.—The members of the working group shall represent a diversity of scientific disciplines and views and shall be composed of the following members: (A) FEDERAL MEMBERS.—Seven Federal members, consisting of one or more representatives of each of the following: (i) The Office of the Assistant Secretary for Health. (ii) The Food and Drug Administration. (iii) The Centers for Disease Control and Prevention. (iv) The National Institutes of Health. (v) Such other agencies and offices of the Department of Health and Human Services as the Secretary determines appropriate. (B) NON–FEDERAL PUBLIC MEMBERS.—
Seven non–Federal public members, consisting of representatives of the following categories:  (i) Physicians and other medical providers with experience in diagnosing and treating tick-borne diseases. (ii) Scientists or researchers with expertise. (iii) Patients and their family members.  (iv) Nonprofit organizations that advocate for patients with respect to tick-borne diseases.  (v) Other individuals whose expertise is determined by the Secretary to be beneficial to the functioning of the Working Group.

(4) MEETINGS.—The Working Group shall meet not less than twice each year.

(5) REPORTING.—Not later than 2 years after the date of enactment of this Act, and every 2 years thereafter until termination of the Working Group pursuant to paragraph (7), the Working Group shall—A) submit a report on its activities under paragraph (2)(A) and any recommendations under paragraph (2)(B) to the Secretary, the Committee on Energy and Commerce of the House of Representatives, and the Committee on Health, Education, Labor, and Pensions of the Senate; and (B) make such report publicly available on the Internet website of the Department of Health and Human Services.

(6) APPLICABILITY OF FACA.—The Working Group shall be treated as an advisory committee subject to the Federal Advisory Committee Act (5 U.S.C. App.).

(7) SUNSET.—The Working Group under this section shall terminate 6 years after the date of enactment of this Act.

Congressman Smith on CCA

  (Approx. 1 min.)

Published on Dec 1, 2016
Congressman Chris Smith (NJ-04) is a senior member of the House of Representatives, spoke just before the passage of the 21st Century Cures Act, which will establish a new working group on Tick-borne Disease and help patients with Chronic Lyme.

392-26 Passed House

The 21st Century Cures Act passed the House with a recorded vote of 392-26 at 6:39 PM yesterday.  The debate took place early in the afternoon, but then a request was made for a recorded vote and so there was a delay of approx. 4.5 hours till other matters were debated and until the whole house could get together on site for a recorded vote.

Despite a switch in bills at the last minute, Lyme Advocates fought hard to overcome the harmful wording to patients.

There are many in Congress that do not want to deal with Lyme and tick borne illnesses as they are influenced and have loyalty to agencies who do not want the Lyme bill at all.

Due to all of this, there were 6 iterations of changes during negotiations and as one advocated on the front lines stated,

“They offered us lemons, we made lemonade. Not as sweet as we would have liked it, but it replaced something that IDSA, and the agencies would have loved: no list of categories, no diversity of views, no FACA (transparency and accountability). Would we have liked more? Yes. Would we have had the Lyme provision removed if we could have and started from scratch in the future? Yes, but that was not an option. What we got was good. Plus we have several champions in the upcoming Congress who will be helping us to ensure we can make the best of this language, if it passes, in the Senate.”

So there you have it folks. The hard reality of working with governmental agencies.

As soon as the official language is published, I will post it.

Today – consider this a victory. Sometimes it’s small steps forward.

Use Voter Voice

The US House of Representatives will vote today on the 21st Century Cures Act. Provisions related to Lyme disease are included in the bill.

Click here:  https://www.lymedisease.org/get-involved/take-action/support-legislation/?vvsrc=%2fcampaigns%2f48669%2frespond to use Voter Voice to send a message to your lawmakers.

You can either use the brief message already supplied or feel free to add your own comments and experiences.  Now is the time to be heard.  It will be delivered to your Representative and Senators.

The Senate will vote soon.

Let’s remind them we aren’t going away and our numbers are growing.