The American Pain Foundation
Information.
Advocacy. Support.
Date: January, 2004
Re: HR 1863, National Pain Care Policy
Act of 2003
Last year, Congressman Mike
Rogers (R-MI) introduced H.R. 1863, the National Pain Care Policy Act of 2003
in the House of Representatives. The bill is an exceptional step toward gaining
federal recognition of the importance of pain as a critical and unanswered
health care problem in our nation.
The National Pain Care Policy Act (H.R. 1863) would create a
National Center for Pain and Palliative Care Research at the National
Institutes of Health (NIH) as part of a campaign to raise public awareness
about pain and palliative care, which supports the medical, emotional, social
and spiritual needs of people facing the end of life. The bill also includes
funds to improve pain treatment and would allocate more resources for pain
research.
The Pain Care Policy Act would also create a White House
Conference on Pain Care to identify key barriers as part of a national campaign
to provide public information regarding responsible pain management, related
symptoms and palliative care.
In
addition, the bill would require NIH to establish programs that develop and
advance the quality, appropriateness and effectiveness of pain and palliative
care and authorize the Health and Human Services Secretary to award grants,
cooperative agreements and public/private contracts to further the education
and training of health care professionals in those areas.
Your support is needed! Please write to your Members of Congress to request
her/his support as a cosponsor for H.R. 1863. Click below to see the full text
of the bill, a summary of the bill, talking points on pain. A sample letter and
other resources are included (click on Take Action! below).
Thank you for joining us in the fight for
good pain care!
Updated January, 2004
© 2003 American
Pain Foundation
201 N. Charles Street, Suite 710, Baltimore, Maryland 21201-4111
http://www.painfoundation.org
I: SUMMARY:
NATIONAL
PAIN CARE POLICY ACT OF 2003
Section 1: Short Title
Provides that the title of the bill shall
be the "National Pain Care Policy Act of 2003."
Section 2: White House Conference on Pain
Care
Authorizes a White House Conference on
Pain Care. The purposes of the conference would be to:
Section 3: National Center
for Pain and Palliative Care Research
Establishes a National Center for Pain
and Palliative Care Research at the National Institutes of Health. Primary
functions of the Center would include:
Section 4: Pain Care Education and
Training
Requires the Agency for Healthcare
Research and Quality (AHRQ) to:
Section 5: Public Awareness Campaign on
Pain Management
Requires the Secretary of DHHS to develop
and implement a national outreach and awareness campaign to educate consumers,
patients, families and other caregivers on:
Section 6: Pain Care Initiative in
Military Health Facilities
Requires the Secretary of Defense to
develop and implement a pain care initiative in all military health care
facilities to ensure that all personnel receiving treatment in military health
care facilities are assessed for pain at the time of admission or initial
treatment, and that they receive appropriate pain care.
Section 7: Pain Care Standards in
Medicare+Choice Plans
Requires managed health care plans that
offer Medicare+Choice plans to older persons to offer appropriate care for the
treatment of patients in pain, including specialty and tertiary care for
patients with intractable pain.
Section 8: Pain Care Standards in TRICARE
Plans
Requires similar protections for military
personnel and dependents enrolled in TRICARE plans.
Section 9: Annual Report on Medicare
Expenditures for Pain Care Services
Requires CMS to submit to Congress an
annual report on Medicare expenditures for pain and palliative care.
Section 10: Pain Care Initiative in
Veterans Health Care Facilities
Requires the Secretary of the VA to
develop and implement a pain care initiative in all VA health care facilities
to ensure that all veterans receiving treatment in those facilities are
assessed for pain at the time of admission or initial treatment, and that they
receive appropriate pain care.
II: THE FULL TEXT OF THE
BILL IS A PDF FILE AT:
http://www.painfoundation.org/downloads/NPCPA2003_Bill.pdf
III: TALKING POINTS ON PAIN
Magnitude of the Pain Problem
Over 75 million Americans suffer serious
pain annually: 50 million of those endure serious chronic pain
annually (pain lasting 6 months or more), and another 25 million experience acute
pain (from injuries, accidents, surgeries, etc.). [National Pain Survey,
conducted for Ortho-McNeil Pharmaceutical, 1999]
Headache, lower back pain, arthritis and
other joint pain, and peripheral neuropathy are the most common forms of
chronic pain. ["Pain in America," study sponsored by Mayday Fund,
1998]
Over 26 million adults experience
frequent back pain and 2/3 of Americans will have back pain during their
lifetime. [Dionne, C.E., "Low back pain," Epidemiology of Pain,
(Seattle:IASP) 1999.]
1 in 6 Americans suffers from arthritis.
[Lawrence, R.C., et al, "Estimates of the Prevalence of Arthritis and
Selected Musculos-Skeletal Disorders in the United States," Arthritis
and Rheumatism, 1998.]
Close to 4 million Americans -- mostly
women -- suffer from fibromyalgia, a complex condition involving
widespread pain and other symptoms.
The Gross Undertreatment of Pain in
America
A 1999 study, Chronic Pain in America,
found that only 1 in 4 of those with pain received adequate treatment.
["Chronic Pain in America," survey conducted for American Pain
Society, American Academy of Pain Medicine and Janssen Pharmaceutica, 1999.]
An estimated 70% of those with
cancer experience significant pain during their illness, yet in an early study
of cancer pain fewer than half received adequate treatment for their pain.
[Grossman, S., et al, "Correlation of patient and caregiver ratings of
cancer pain," Journal of Pain and Symptom Management, 1991; and Von
Roenn, et al, "Physician Attitude and Practice in Cancer Pain
Management," Annals of Internal Medicine, 15 July 1993 (119:2).
A recent study published in the Journal
of the American Medical Association (JAMA) of nursing home patients with
cancer found that 24% of patients with significant pain received nothing
stronger than aspirin.
Another study recently published in JAMA
found that 41% of nursing home patients who were admitted with moderate to
severe pain still had approximately the same level of pain 6 months later.
The Cost of Pain to Society
The National Institute of Health
estimates that pain costs us over $100 billion/year in medical expenses,
lost wages and other costs. [National Institute of Health, The NIH guide:
New directions in pain research I, Washington, DC:GPO, 1998.]
A study found that 50 million workdays
were lost to pain in 1995. ["Pain and absenteeism in the workplace,"
study conducted for Ortho-McNeil Pharmaceutical, 1997.] The same study revealed
that untreated pain results in lower productivity, greater employee
absenteeism, and higher insurance premiums.
IV: TAKE ACTION!
Please click here to send a letter through Last Act Partnership's
Action Alert Campaign or
Modify the letter below as needed (please
include a story about yourself or someone you know with pain) and send it to
your elected representatives.
To find your elected officials and their
contact information, please visit Congress.org.
- SAMPLE LETTER -
Date
The Honorable (full name)
U. S. House of Representatives
Washington DC 20515
Dear Representative (last name):
(Start with a personal introduction and story about how pain has affected your
life or the life of a loved one……“I am a person suffering with chronic
pain…….”)
I am writing to urge your support and co-sponsorship of H.R.1863, the
National Pain Care Policy Act. This bill, introduced by Rep. Mike Rogers of
Michigan is the first comprehensive pain care bill ever introduced in the
Congress. The American Pain Foundation, Pain Care Coalition, American
Medical Association and others enthusiastically support this bill.
Pain is one of the nation’s greatest healthcare problems. Millions of
Americans suffer with serious chronic pain that affects almost every aspect of
their lives. Yet, few pain sufferers get the care they need and deserve.
Unfortunately, our federal government does little to ensure access to effective
pain care, or to promote pain research and pain management education for
healthcare professionals.
Please help me and the millions of Americans like me who suffer in pain by
co-sponsoring H.R.1863 and working for its passage.
Sincerely,
Your name
Address