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GOP Senators Signal They Will Not Block Sotomayor; Full Senate Vote Expected By Aug. 7
Senate Republicans on Thursday said that they do not plan to block a vote on Supreme Court nominee Sonia Sotomayor, the Washington Post reports. Senate Judiciary Committee ranking member Jeff Sessions (R-Ala.) told Sotomayor that he would not support any effort to filibuster her nomination, meaning that she would need a simple majority of 50 votes to be confirmed. Because Democrats hold 60 votes in the Senate, Sessions" comments effectively end "any possible suspense over her fate," according to the Post (Kane et al., Washington Post, 7/17). Sessions said, "I will not support and I don"t think any member of this side will support a filibuster or any attempt to block a vote on your nomination," adding, "I look forward to you getting that vote before we recess in August." According to CQ Politics, Sessions" statement that Republicans will not filibuster "is bound to rile conservative activists," who have urged GOP senators to delay the vote to allow more time to build opposition.Sen. Lindsey Graham (R-S.C.) also signaled that he would vote for Sotomayor"s confirmation (Perine, CQ Politics, 7/16). He said, "We"ll see what your future holds, but I think it"s going to be pretty bright" (Bendavid, "Washington Wire," Wall Street Journal, 7/16). Sen. James Inhofe (R-Okla.) said that although he will not support Sotomayor"s confirmation, he will not filibuster the vote (Rushing, The Hill, 7/16). Sen. Tom Coburn (R-Okla.) told Sotomayor, "Thank you for giving us such a cordial response, and I am mightily impressed" (Washington Post, 7/17).Voting Timeline UnclearSenate Judiciary Committee Chair Patrick Leahy (D-Vt.) said he would schedule a committee vote on the nomination for July 21. It remains unclear whether committee Republicans will delay the vote until July 28, as they are permitted to do under committee rules. Sessions called the July 21 vote "unrealistic," adding that there "will be a number of questions submitted to the nominee that take some time" (CQ Politics, 7/16). A party-line vote on the nomination does not seem likely, as a number of committee Republicans have praised Sotomayor and signaled that they will vote to confirm her, the AP/Boston Globe reports (Holland, AP/Boston Globe, 7/17). The committee"s vote serves as a recommendation to the full Senate, which likely will hold its final roll-call vote on the nomination by Aug. 7 (Washington Post, 7/17). Senate Majority Leader Harry Reid (D-Nev.) on Thursday said he wants a floor vote on Sotomayor "as quickly as possible" (Brady, Roll Call, 7/16).During the hearing on Thursday, Sotomayor reiterated that she would consider each case individually and declined to state her specific views on abortion rights. In response to Coburn, she said, "Would you want a ... nominee who came in here and said, "I agree with you. This is unconstitutional," before I had a case before me?" She added, "I don"t know that that"s a justice that I can be" (Kiely/Biskupic, USA Today, 7/17). According to the New York Times, "Some observers thought they detected her tipping her hand on abortion rights when she said Supreme Court precedents required abortion restrictions to make exceptions for a woman"s health" (Savage, New York Times, 7/17).
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In The Case Of Epilepsy, Generic Drugs And Random Product Substitution Are Not Always "Good Medicine"
A recent report released by Wolters Kluwer Health predicts that by the end of the year, nearly two-thirds of all drug prescriptions will be filled with generic drugs. This march to generics is fueled by several factors, which include the current economy, ever-increasing co-payment requirements for brand name drugs and pharmacies" desire to increase their profits by filling prescriptions with high margin generics versus lower margin brand name medicines.
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As Patients Age, Future Physicians Develop End Of Life Skills
The American Medical Student Association (AMSA), the nation"s oldest and largest, independent association for physicians-in-training, is pleased to present the graduates of the AMSA Foundation-VITAS End of Life Education Fellowship Program. Five medical students have spent the past six weeks immersing themselves in end of life (EOL) care issues.
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IMPROVE Bill Seeks To Fight Medicare Fraud

Lawmakers push bill to fight Medicare fraud as part of health reform legislation. Minnesota Public Radio reports: "Sen. Amy Klobuchar, [D-Minn.] says she hopes to include legislation to prevent Medicare fraud in the health reform bill being debated in Washington. Klobuchar is co-sponsoring a bill, called the IMPROVE Act (Improving Medicare and Medicaid Policy for Reimbursements through Oversight and Efficiency), that would require Medicare providers to be paid through direct deposit. Klobuchar says that would help stop sham clinics and doctors from billing Medicare for fake care." MPR notes: "Lawmakers say electronic payments would require providers to have bank accounts. That would mean account holders would have to provide identification, which would allow the government to better track Medicare payments" (Nelson, 7/28). From Pennsylvania, the Bucks County Courier Times reports: "Congressman Patrick Murphy, D-8, along with co-sponsors Sen. Amy Klobuchar, D-Minn., and Rep. Mike Arcuri, D-N.Y., and Sen. Mel Martinez, R-Fla., on Tuesday unveiled the bipartisan bill that would close the check cashing, laundering loophole. ... As an additional benefit to taxpayers, the bill would reduce costs associated with printing and mailing provider payments, health care providers would get their money faster, and anti-money-laundering laws could be applied in fraud cases, Kolbuchar said" (Ciavaglia, 7/29). This information was reprinted from kaiserhealthnews.org with kind permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Health Policy Report, search the archives and sign up for email delivery at kaiserhealthnews.org. © Henry J. Kaiser Family Foundation. All rights reserved.


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