Today's NY Times is detailing the behind-the-scenes jostling through which Senator Arlen Specter (R-PA) was able to secure a $10 billion increase in funding for the National Institutes of Health. This represents a one-third increase in total budget and will mainly be used to fund up to 15000 extramural research grants. More below.
For those of you who are not medical researchers, here's the deal: the NIH is the single largest funder of medical research in the United States. Most of this funding is distributes through research grants which are awarded to investigators at universities, typically for 5 years with a possibility of renewal if productive research is being done. For the last 10 years there has been a gradual decrease in funding for these research grants with the result that many excellent and worthy projects are declined funding.
But even lobbyists are stunned by the coup Mr. Specter pulled off this week. In return for providing one of only three Republican votes in the Senate for the Obama administration’s $787 billion economic stimulus package, he was able to secure a 34 percent increase in the health agency’s budget — to $39 billion from $29 billion.
After money intended for highways, schools and states, it is the largest of chunk of financing in the budget and is almost three times the $3.5 billion first approved by the House. Nearly $2 billion is intended for building and equipment projects at the N.I.H. campus in Bethesda, Md., as well as at universities across the country. But most of the money will go to pay for as many as 15,000 additional grants submitted by scientists at universities across the country.
The health institutes currently issue 45,000 such grants at an average cost of $360,000 a year. And although most grants are financed for four to five years, administrators said they would give priority to projects that could be completed in two years.
Here's the skinny on Specter's skillful maneuvering:
How Mr. Specter managed his coup is a story of tough bargaining that began in a legislative backroom and took an important turn at a presidential Super Bowl party.
After biding his time for many years, Mr. Specter pounced on Jan. 27, offering the $10 billion budget increase as an amendment to the stimulus bill at a hearing of the Senate Appropriations Committee.
The committee’s chairman, Senator Daniel K. Inouye of Hawaii, had won assurances from his Democratic colleagues that no amendments would be offered or accepted. But Mr. Specter recalled in an interview that Senator Richard J. Durbin, Democrat of Illinois, pulled him into a back room, along with Senator Tom Harkin, Democrat of Iowa.
“Dick came to me and said, ‘Don’t offer it now because I don’t want to have to vote against it,’ ” Mr. Specter said.
Picking up the story, Mr. Durbin said in an interview that he promised that he and others would support the amendment on the Senate floor.
Mr. Durbin said later that he almost had occasion to regret that promise. When the majority leader, Senator Harry Reid of Nevada, asked him whether he had extracted an agreement from Mr. Specter to vote for the bill, Mr. Durbin had to admit he did not know.
“I flunked Politics 101; I never asked him that,” Mr. Durbin said in the interview. “I gave away $10 billion but never got his commitment.”
Democrats began to press Mr. Specter, saying he would get the $10 billion increase only if he promised to vote for the eventual bill. Mr. Specter pushed back, saying he was concerned about the size of the bill and its mix of tax credits and spending.
“I really do not make deals,” he said. And while he had promised Mr. Durbin nothing, the Illinois senator had made him a promise. As Mr. Durbin recalled, at a Super Bowl party at the White House on Feb. 1, “I told him, ‘I’m keeping my word.’ ”
More hard bargaining was ahead. Mr. Specter’s support was in doubt until the very end. And once he voted for the bill, Mr. Durbin said that he made sure that the additional $10 billion for the N.I.H. was protected in conference negotiations with the House.
Pat White, vice president for federal relations at the Association of American Universities, said that the past week had been one of most important in the health institute’s recent history, and that the credit went largely to Mr. Specter.
If you would like to contact Senator Specter to thank him for this uncontroversially excellent piece of legislation, you can do so here: