Volume 14, No. 3, March 2016
IN THIS ISSUE
NEWS FROM THE WHITE HOUSE

President Obama’s FY17 Budget
NEWS FROM THE SUPREME COURT
 Justice Scalia’s Passing Casts Uncertainty on Pending Supreme Court Cases
NEWS FROM THE HILL


Congressional Response to the Zika Virus
House Ways and Means Chairman Looks for an ACA Replacement


House and Senate Divided Over Mandatory Dedicated NIH Funding
Congress Considers 100% Funding of State Medicaid Expansion
FEDERAL AGENCY NEWS


HRSA Projects Nationwide Dentist Shortage
FDA Announces Opioid Action Plan
NEWS FROM CANADA

Canadian Dental Students Participate in Clinical Research Program
UPCOMING EVENTS


ADEA Advocacy Day, April 12, 2016
ADEA Annual Session Government Relations Seminars
CONGRESSIONAL RESOURCES



ADEA Advocacy Website
ADEA/AGR Twitter and Congressional Websites
ADEA Day Book
FEDERAL GRANT OPPORTUNITIES
***
NEWS FROM THE WHITE HOUSE
President Obama’s FY17 Budget
President Obama sent the final budget of his presidential term to
Congress February 2016. It proposes funding for federal
programs of interest to dental education and dental and
craniofacial research for fiscal year 2017 (FY17). Below are the
details of programs of interest.
Department of Health and Human Services
The President’s budget request for FY17 includes $1,150,252,000,000 in budget authority for the
Department of Health and Human Services (HHS), of this amount $82.8 billion is discretionary
funds, or 8% of the total HHS budget.
ADEA Washington Update
Volume 14, No. 3, March 2016
Page 2

Oral Health Training—Title VII Programs
Program
FY15
Appropriation
FY16
Appropriation
FY17
President’s Request
Oral Health
Training
$33,928,000
$35,873,000
$35,873,000
In the FY16 appropriations bill, Congress provided a $1.9 million increase above the previous
year’s level made possible by the Bipartisan Budget Agreement of 2015, which provided
additional discretionary spending in both defense and non-defense categories. The FY16
appropriation includes ADEA’s request that $10 million be set aside for each of the Pediatric
Dental Residencies and General Dentistry Residencies.

Area Health Education Centers (AHEC)
Program
FY15
Appropriation
FY16
Appropriation
FY17
President’s Request
AHEC
$30,250,000
$30,250,000
$0
The President made no request for the AHEC program in FY17. ADEA will proactively support
including funding for AHECs in FY17.

National Institutes of Health (NIH)
Program
FY15
Appropriation
FY16
Appropriation
FY17
President’s Request
NIH
$29,369,000,000
$32,311,349,000
$33,136,349,000
NIH has been a focus of support from the Administration and Congress in tight budgetary times.
However, due to NIH being the focus of much of the work of the White House Cancer Moonshot
Task Force it has a bump up for FY17.

National Institute of Dental and Craniofacial Research (NIDCR)
Program
FY15
Appropriation
FY16
Appropriation
FY17
President’s Request
NIDCR
$399,886,000
$415,582,0001
$413,396,000
1
$2.2 million of this amount was transferred to the Office of AIDS Research at NIH, leaving the program
level for FY16 at $413.4 million, the same amount as the President’s request for FY17.
ADEA Washington Update
Volume 14, No. 3, March 2016
Page 3
The President’s request for NIDCR is the same as the FY16 program level, after a transfer of funds
to the Office of AIDS Research (OAR) within the Office of the Director. ADEA will make it a priority
to advocate for an increase in funding.

Health Career Opportunity Program (HCOP)
Program
FY15
Appropriation
FY16
Appropriation
FY17
President’s Request
HCOP
$14,189,000
$14,189,000
$14,189,000
The fact that the President’s budget included a request for the HCOP program is a victory for
ADEA. In recent years, the Administration sought to end the program or to change its character
and focus; however, Congress rejected each of those proposals. ADEA will actively support the
FY17 request.

Ryan White, Dental Reimbursement, Part F
Program
FY15
Appropriation
FY16
Appropriation
FY17
President’s Request
Ryan White
$13,122,000
$13,122,000
$13,122,000
The FY 2017 President’s budget requests flat funding for the dental reimbursement program
under Ryan White, Part F.
Department of Education
The President’s budget for the Department of Education (ED) includes a total of $69.4 billion for
FY17, an increase of $1.3 billion over the current year. Within this overall amount, $2.2 billion will
fund Higher Education programs and $22.9 billion funds various Student Aid programs.

Pell Grants
Program
FY15
Appropriation
FY16
Appropriation
FY17
President’s Request
Pell Grants2
$27,628,285,000
$28,321,000,000
$31,014,000,000
The President proposes two new Pell Grant awards. First, the On-Track Pell Bonus would award
$300 per semester for students who enroll in at least 15 credit hours. It is expected that
approximately 2.3 million students will qualify. The Second-Chance Pell reinstates eligibility for
2
Includes mandatory and discretionary funds.
ADEA Washington Update
Volume 14, No. 3, March 2016
Page 4
incarcerated individuals who are eligible for release to assist them in receiving job related
training.
ADEA will continue to engage Congressional members on key funding requests for FY17 in
support of dental education and craniofacial research. Please join us in Washington on April 12
during Advocacy Day to visit with your Members of Congress about these important funding
priorities.
NEWS FROM THE SUPREME COURT
Justice Scalia’s Passing Casts Uncertainty on Pending Supreme Court Cases
On Feb. 13, Associate Justice Antonin Scalia, United States Supreme
Court, passed away. Now an unexpected vacancy must be filled, and a
shadow of uncertainty has been cast upon the Court.
Many cases that were argued before the Court last year have yet to be
decided. One in particular—Abigail Fisher v. University of Texas—could
decide the fate of affirmative action in college admissions. Since Justice
Elena Kagan recused herself because she worked on the case when she
was solicitor general, only seven justices can vote on the case. When
Justice Scalia was alive, the Court was widely expected to rule 5 to 3
against the university, with Justice Anthony M. Kennedy possibly joining the conservatives.
Therefore, if Justice Kennedy votes with the conservatives, the university’s affirmative action
program will be struck down. Scalia’s death eliminates the possibility of a tie vote. A 4 to 3 ruling
against the university would be likely if the Court moved forward before a new justice was
installed.
Legal experts believe that the Supreme Court will hold over the decision until a replacement for
Justice Scalia is confirmed. However, even if President Obama were to nominate a replacement
for Scalia, she or he would not be confirmed before the current term ends in June. Speculation
about likely nominees has surfaced one familiar prospect—Attorney General Loretta Lynch—and
several lesser known individuals: Ninth Circuit Judge Paul Watford; Merrick Garland, Chief Judge
on the D.C. Circuit Court; Sri Srinivasan, who also sits on that court; Jane Kelly, former public
defender and a Harvard Law classmate of the President; Kamala D. Harris, Attorney General, State
of California; and Adalberto J. Jordan, judge on the U.S. Court of Appeals for the 11th Circuit.
Senator Chuck Grassley (R-IA), Chairman of the Senate Judiciary Committee, has publicly stated
that the next President of the United States, to be sworn in January 2017, not President Obama,
should nominate someone to replace Justice Scalia. The lines are drawn for a long, highly
charged, political battle to replace Justice Scalia.
ADEA Washington Update
Volume 14, No. 3, March 2016
Page 5
NEWS FROM THE HILL
Congressional Response to the Zika Virus
On Feb. 8, President Obama requested more than $1.8 billion in
emergency funding to address the Zika virus. The President’s
response came on the heels of the World Health Organization
(WHO) declaring Zika a public health emergency of international
concern.
U.S. public health officials have been working to reinforce the
portrait of an administration responding swiftly. Appropriated monies would go toward
expanding programs that control mosquitoes transmitting the virus, research into vaccines and
the development of new public education programs with a focus on pregnant women. For
example, of the $1.8 billion, $828 million would go to the Centers for Disease Control and
Prevention (CDC) to pay for surveillance and rapid-response programs. An additional $200 million
would go to research and development of a vaccine, even though a vaccine would not be
available for several years.
On Feb. 18, House Appropriations Chairman Harold Rogers (R-KY), State and Foreign Operations
Subcommittee Chairwoman Kay Granger (R-TX) and Labor, Health and Human Services
Subcommittee Chairman Tom Cole (R-OK) sent a letter to the Office of Management and Budget
(OMB) urging the Administration to pursue the use of current unobligated funds, including Ebola
funds, to meet the immediate needs of response to the Zika virus.
ADEA will continue to monitor the issue since funding for the virus will be the subject of much
debate while members formulate the FY17 budget.
House Ways and Means Chairman Looks for an ACA Replacement
Kevin Brady (R-TX), Chairman of the House Ways and Means
Committee, said one of his panel’s top goals in 2016 is to pass a
replacement health care bill, not simply to repeal the Affordable
Care Act (ACA).
Chairman Brady’s comments came after a daylong retreat on Feb.
1 for members of the House Ways and Means Committee,
Congress’ key tax-writing committee. Brady told reporters that a major goal of the panel was to
“offer an alternative to the . . . Obamacare bill, and work with the other committees in doing so.”
“We have a lot on our plate, and we’re going to be strategic going forward,” he added during
his press conference, noting that other priorities included reforming both welfare and the tax
code.
ADEA Washington Update
Volume 14, No. 3, March 2016
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One of the difficulties with constructing an acceptable repeal bill is that at least three House
committees can claim some jurisdiction over the sweeping 2010 health care law. Those include
Energy and Commerce, Education and the Workforce, and the Ways and Means Committees.
The day after Chairman Brady’s comments, the House failed to reach the two-thirds vote
needed to override President Obama’s veto of legislation that would have ended the ACA.
The House vote, 241–186, was more than three dozen votes short.
House and Senate Divided Over Mandatory Dedicated NIH Funding
The Senate Health, Education, Labor and Pensions (HELP)
Committee is moving slowly on a companion “Cures” bill to H.R.
6, the 21st Century Cures Act, which the House passed last
summer. The concept of mandatory dedicated funding for the
National Institutes of Health (NIH)—which would guarantee a
certain amount of money each year, bypassing the annual
appropriations process or any mandatory budget caps—has
emerged as a key sticking point.
The House passed H.R. 6 on July 10, 2015, by a 344–77 vote margin. Among other things, the
legislation directs the Food and Drug Administration (FDA) to study ways that it could use already
available information to help speed drug approval. It also provides an additional $8.75 billion to
NIH over five years through a dedicated funding stream that would come from selling oil from
the Strategic Petroleum Reserve.
Senate Republicans, including HELP Chairman Lamar Alexander (R-TN), are reluctant to choose
that funding option, although Chairman Alexander did say at a Feb. 9 hearing on the subject that
he was willing to consider the use of mandatory funds for five priority areas:





The White House precision medicine initiative.
A $1 billion funding “Moonshot” to try to find a cancer cure.
The Brain Research through Advancing Innovative Neurotechnology initiative.
Grants for “big ideas” at NIH.
Financial support to help younger researchers.
Chairman Alexander said any dedicated NIH funding stream would have to be offset by a
reduction in other mandatory funding programs, adding that he will wait for a full Senate floor
debate before discussing potential sources of mandatory NIH funding.
The HELP Committee’s top Democrat, Patty Murray (D-WA), has said she will support the whole
Senate Cures package only if mandatory funding for the NIH and FDA is included. The Senate
committee plans to meet again in March and April to finish working on its larger package of Cures
legislation.
ADEA Washington Update
Volume 14, No. 3, March 2016
Page 7
Congress Considers 100% Funding of State Medicaid Expansion
President Barack Obama’s proposed FY17 budget provides a new
incentive for the 19 states that have not yet expanded Medicaid
under the Affordable Care Act (ACA). However, a member of the
Republican House leadership says Congress is not likely to approve
such a plan.
The Administration’s proposed budget, just sent to Congress, calls
for 100% funding of state Medicaid expansion for three years “no
matter when the state takes up the option.” The White House calls that an “extra incentive”
because the ACA originally allowed the federal government to pay 100% of Medicaid
expansion costs only during a 2014–2016 window. Federal support would then decrease to
90% in 2020.
Obama announced his plans to extend the timetable for 100% federal payment for Medicaid
expansion during a trip to Baton Rouge, LA, in January. Louisiana’s newly elected governor,
Democrat John Bel Edwards, made Medicaid expansion his first major act in office. Louisiana
became the 31st—and latest—state to expand the eligibility benefits of its Medicaid
program, a move that gave health benefits to some 300,000 poor state residents.
Majority Whip Steve Scalise (R-LA) said that one of his party’s objections to the President’s
proposal is that Medicaid expansion tends to raise health care costs for those states that
participate.
For more information on Medicaid expansion, see ADEA’s White Paper, “The ACA and
Medicaid Expansion or Lack Thereof: How is Access to Oral Health Care Affected.”
FEDERAL AGENCY NEWS
HRSA Projects Nationwide Dentist Shortage
Growth in the supply of dentists will be insufficient in the coming
years, according to a report issued by the Health Resources and
Services Administration (HRSA) National Center for Health
Workforce Analysis. The report concludes that growth in the
supply of dentists by 2025 will fall short of projected demand,
“leading to a significant unmet demand nationally.”
While all 50 states are “projected to experience a shortage,” individual state projections “vary
widely in terms of their ability to meet the demands for dentists and dental hygienists,” the report
says. Some states, among them California, Florida and New York, are expected to be short by
over 1,000 full-time equivalent dentist positions.
ADEA Washington Update
Volume 14, No. 3, March 2016
Page 8
The report indicates that the projected shortage of dentists will likely “exacerbate access
problems for underserved populations who forgo basic oral health care because of lack of
proximity to a provider, inability to pay for care and limited oral health literacy.” The federal
government estimates that more than 46 million Americans currently live in areas with a shortage
of dental providers.
Conversely, the report projects a surplus of dental hygienists. Nationally, the supply of dental
hygienists is expected to increase 28% by 2025, while demand increases by only 10%. Only
Mississippi, Montana, North Dakota, South Dakota and West Virginia are expected to have their
demand for dental hygienists outpace supply.
HRSA is providing support to states through grants to develop innovative programs to address
dental workforce needs in dental shortage areas. ADEA will continue advocating for funding of
dental training and loan repayment programs that facilitate the ability of dental professionals to
provide care to underserved populations.
FDA Announces Opioid Action Plan
On Feb. 4, Food and Drug Administration (FDA) leaders
announced their intention to create a plan to reassess how the
agency regulates opioid medications. The FDA urged such action
in part because, it said, “overdose deaths, [especially] from
prescription opioids and illicit drugs like heroin and illegally-made
fentanyl, are now the leading cause of injury death in the United
States.”
According to an agency press release, the FDA intends to address the opioid epidemic by
taking the following actions:

Re-examine the risk–benefit paradigm for opioids and ensure that the agency considers
their wider public health effects.

Convene an expert advisory committee before approving any new drug application for an
opioid that does not have abuse-deterrent properties.

Assemble and consult with the Pediatric Advisory Committee regarding a framework for
pediatric opioid labeling before any new labeling is approved.

Develop changes to immediate-release opioid labeling and include additional warnings
and safety information.

Update Risk Evaluation and Mitigation Strategy requirements for opioids.

Expand access to and encourage the development of abuse-deterrent formulations of
opioid products.
ADEA Washington Update
Volume 14, No. 3, March 2016
Page 9

Improve access to naloxone and medication-assisted treatment options for patients with
opioid use disorders.

Support better pain management options, including alternative treatments.
The FDA will seek guidance on pain management from outside experts, and the agency will
convene pediatric and independent advisory committees to help strengthen the framework for
opioid approval and labeling. It is unclear whether the agency will seek input from dental
organizations or dental providers in formulating its plans.
The move by the FDA is part of a broad federal campaign against opioid abuse that also involves
other agencies within the Department of Health and Human Services. The department is
concentrating on three strategies: providing education and updated opioid prescribing
guidelines to providers; increasing the use of naloxone to reduce overdose deaths; and using
medication-assisted treatment to assist people in overcoming opioid addiction.
NEWS FROM CANADA
Canadian Dental Students Participate in Clinical Research Program
Following the 2015 Canadian Dental Association (CDA) National
Conference in St. John's, Newfoundland, Canadian dental
students gathered to take part in the annual CDA/DENTSPLY
Student Clinician Research Program.
The competition displayed the work of top student researchers from each of Canada’s 10 dental
schools. The first-prize winner, Dania Alkhani from the University of Saskatchewan, identified a
toxic compound with the potential to assist in the development of less invasive treatments for
squamous cell carcinoma. Second-prize winners, Jessie (Xin) Zhang and Michelle Chan from
McGill University, examined the effects of serotonin reuptake inhibitors (SSRIs) on bone healing
and implant Osseo integration.
The Student Clinician Research Program of the ADA (SCADA) involves students from 450 dental
schools in 36 countries. The program, started in 1959, works to “encourage original clinical and
research work at the undergraduate level, promote student membership in the ADA, and
introduce students to dental society activities,” according to the SCADA website.
ADEA Washington Update
Volume 14, No. 3, March 2016
Page 10
UPCOMING EVENTS

ADEA Advocacy Day, April 12, 2016
Please join faculty and students from around the country as we gather
in Washington, DC, for ADEA Advocacy Day on Capitol Hill on April
12, 2016. We will meet in the Rayburn House Office Building, Room
2168, at 8:30 a.m. Eastern Time for breakfast and a short program to
review the issues, hear from members of Congress and
representatives from such agencies as the Health Resources and
Services Administration (HRSA) and then proceed to meetings with
your members of Congress and/or staff. ADEA will schedule all appointments.
Your voice can make the difference in funding programs of importance to dental
education and dental and craniofacial research. Please register today for Advocacy Day.
If you have questions with regard to the schedule or hotel accommodations, please
contact Ryne Chua at ChuaR@ADEA.org. Remember the words of Margaret Mead, “One
person can make the difference and everyone should try.”

ADEA Annual Session Government Relations Seminars
Please join us at the upcoming 2016 ADEA Annual Session &
Exhibition in Denver, CO, March 12–15. We have scheduled
several seminars to update you on issues and court cases of
importance to dental education. Please check the ADEA schedule
of events for room locations and to learn more about the seminars
below. See you in Denver!

Medicare Graduate Medical Education Update
Sunday, March 13, 2016
10:30 a.m. – noon

The Changing Landscape of Dentistry: Education, Practice and the Federal
Government
Monday, March 14, 2016
10:30 a.m. – noon

U.S. Supreme Court Update
Monday, March 14, 2016
1:30 – 3:00 p.m.
o North Carolina Board of Dental Examiners v. FTC
o Fisher v. University of Texas at Austin
ADEA Washington Update
Volume 14, No. 3, March 2016
Page 11
CONGRESSIONAL RESOURCES

ADEA Advocacy Website
The ADEA Advocacy website is updated daily and contains issues of importance to academic
dentistry and dental and craniofacial research. Also, it allows you to communicate with your
elected officials by simply entering your zip code or address.
You can navigate the website by clicking through the drop-down menus at the top of the page.
While there, please subscribe to ADEA Action Alerts to maximize your ability to send messages
to your elected officials.

ADEA/AGR Twitter and Congressional Websites
For the latest information on issues affecting dental education and dental
and craniofacial research in Washington and the state legislatures, please
follow us on Twitter at @ADEAAGR and find information on congressional
proceedings at the U.S. House and U.S. Senate.

ADEA Day Book
The ADEA Day Book provides current information regarding
congressional hearings, briefing, federal agency meetings, and
webinars and policy conferences that may be of interest. ADEA
facilitates your ability to watch, listen or participate. Simply click on
the link provided next to the event to be connected. Check back
often for the most current listing of events.
FEDERAL GRANT OPPORTUNITIES
Below are selected funding opportunities that might be of interest. You can search for additional
federal government funding opportunities at grants.gov.
NOT-HD-16-004
Notice of NICHD, NINDS, NIDCR and NIAID’s Interest to Prioritize Zika Virus (ZIKV)
Research Areas
National Institutes of Health (NIH)
Grant Information
PAR-15-192
Immune System Plasticity in the Pathogenesis and Treatment of Complex Dental, Oral, and
Craniofacial Diseases (R01)
National Institute for Dental and Craniofacial Research (NIDCR)
Closes September 7, 2018
Grant Information
ADEA Washington Update
Volume 14, No. 3, March 2016
Page 12
PAR-15-193
Immune System Plasticity in the Pathogenesis and Treatment of Complex Dental, Oral, and
Craniofacial Diseases (R21)
National Institute for Dental and Craniofacial Research (NIDCR)
Closes September 7, 2018
Grant Information
HRSA-16-089
Ryan White HIV/AIDS Program Part F Dental Reimbursement Program
Health Resources and Services Administration (HRSA)
Closes March 22, 2016
Grant Information
HRSA-16-020
Delta States Rural Development Network Grant Program
Health Resources and Services Administration (HRSA)
Closes April 4, 2016
Grant Information
HRSA-16-012
Telehealth Network Grant Program
Health Resources and Services Administration (HRSA)
Closes April 8, 2016
Grant Information
CDC-RFA-DP16-1609
Models of Collaboration for State Chronic Disease and Oral Health Programs
Centers for Disease Control and Prevention (CDC)
Closes April 15, 2016
Grant Information
Health Resources and Services Administration (HRSA), Bureau of Health Workforce Programs
Faculty Loan Repayment Program
Applications Reopen May 2016
More Information
RFA-CA-16-004
Advanced Development and Validation of Emerging Technologies for Cancer-Relevant
Biospecimen Science (R33)
National Institutes of Health (NIH)
Closes September 26, 2016
Grant Information
PAR-16-089
Imaging and Biomarkers for Early Cancer Detection (U01)
National Institutes of Health (NIH)
Closes December 11, 2018
Grant Information
ADEA Washington Update
Volume 14, No. 3, March 2016
Page 13
PAR-16-070
NIDCR Small Research Grants for Data Analysis and Statistical Methodology Applied to
Genome-wide Data (R03)
National Institute for Dental and Craniofacial Research (NIDCR)
Closes January 7, 2019
Grant Information
Quotable
“Education is simply the soul of a society as it passes from one generation to another.”
G. K. Chesterton
The ADEA Washington Update is published monthly when Congress is in session. Its purpose is
to keep ADEA members abreast of federal issues and events of interest to the academic dental
and research communities.
©2016 American Dental Education Association
655 K Street, NW, Suite 800, Washington, D.C. 20001
Telephone: 202-289-7201, Website: www.ADEA.org
Yvonne Knight, J.D.
ADEA Chief Advocacy Officer
(KnightY@ADEA.org)
Jennifer Thompson Brown, J.D.
ADEA Director of State Relations
(BrownJ@ADEA.org)
Ellen Kuo, J.D.
ADEA Director of Outreach and Advocacy
(KuoE@ADEA.org)
B. Timothy Leeth, C.P.A.
ADEA Senior Director of Federal Relations
(LeethT@ADEA.org)
Evelyn Lucas-Perry, D.D.S., M.P.H
ADEA Director of Public Policy Research
(Lucas-PerryE@adea.org)
ADEA Washington Update
Volume 14, No. 3, March 2016
Page 14