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Senate Proceeding on Jan 22nd, 2009 :: 9:06:40 to 9:16:40
Total video length: 9 hours 29 minutes Stream Tools: Stream Overview | Edit Time

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Chuck Grassley

9:06:36 to 9:06:57( Edit History Discussion )

Chuck Grassley: the kinds of things we've done today and act the way we did, theay we got it done. than the presiding officer: the senator from iowa is mr. grassley: thank you,

Chuck Grassley

9:06:40 to 9:16:40( Edit History Discussion )
Speech By: Chuck Grassley

Chuck Grassley

9:06:58 to 9:07:18( Edit History Discussion )

Chuck Grassley: mr. president. mr. president, i rise for the purpose introduction of a bill today over the past several years, i've worked to establish greater transparency in the financial relationships and financial disclosure requirements between

Chuck Grassley

9:07:19 to 9:07:39( Edit History Discussion )

Chuck Grassley: physicians and manufacturers of drugs, of by logics and medi devices. in the last congress, the 110th, senator herb coleman -- senator herb and i introduced what is called, "the physicians payment sunshine

Chuck Grassley

9:07:40 to 9:08:02( Edit History Discussion )

Chuck Grassley: act," which is intended to bring some mh-need transparency to these relationships between physicians and manufacturers. to explain why this bill is so important, let me point to a number of investigations that i have conducted in the depth and scope of these relationships between physicians on

Chuck Grassley

9:08:03 to 9:08:24( Edit History Discussion )

Chuck Grassley: hand and manufacturers of drugs, biologics and medical devices on the other hand. my troubling and reveal significant undisclosed financial ties between physicians and industry. some examples. these relationships at times

Chuck Grassley

9:08:25 to 9:08:47( Edit History Discussion )

Chuck Grassley: resulted in annual incomes over a million dollars to individual physicians from just one company. another example. my investigations determined that several prominent physicians at major universities had failed t disclose large sums of money to their research

Chuck Grassley

9:08:48 to 9:09:09( Edit History Discussion )

Chuck Grassley: institutions. this was despite institutional as well as federal requirements that these reportings take place. this was also despite the federal research involvement by

Chuck Grassley

9:09:10 to 9:09:31( Edit History Discussion )

Chuck Grassley: the studies and the drug makers with whom they have financial relationships. and this financial research has involved billions of dollars in taxpayers' money to fund this research. my oversight has confirmed the need for a consistent, system of disclosure as opposed

Chuck Grassley

9:09:32 to 9:09:52( Edit History Discussion )

Chuck Grassley: to a patch work of disclosure requirements at state and institutional levels, although i want to compliment sta have such laws on so today i'm they're introduce, along with senator kohl, "the physician payment sunshine act

Chuck Grassley

9:09:53 to 9:10:13( Edit History Discussion )

Chuck Grassley: of the physician payment sunshine act would require that manufacturers of biologics and medical devices disclose on an annual basis any financial relationships that they have with physicians. that information would be posted

Chuck Grassley

9:10:14 to 9:10:38( Edit History Discussion )

Chuck Grassley: on-line by the secretary of health format that is searchable, that public to understand. whether the relationship is as simple as buying a doctor's dinner or as complex as a multimillion-dollar consulting

Chuck Grassley

9:10:39 to 9:10:59( Edit History Discussion )

Chuck Grassley: arrangement, these relationships may affect prescribing practices and may influence research. more obscure existing between doctors and patients and that is a question that every doctor a

Chuck Grassley

9:11:00 to 9:11:21( Edit History Discussion )

Chuck Grassley: has to consider: what is the best for the patient? this legislation senator kohl and i closely parallels the version that i circulated last year and follows some recent medpac recommendations.

Chuck Grassley

9:11:22 to 9:11:42( Edit History Discussion )

Chuck Grassley: medpac recommended a low -- a lower annual reporting thresho of 00. in the previous bill, it was -- it was no de minimis exceptions for payments and a tighter preemption provision. medpac will

Chuck Grassley

9:11:43 to 9:12:04( Edit History Discussion )

Chuck Grassley: recommendations in their march report to congress. i will recommendations into consideration and intend to continue pursuing policies that go beyond the transparency in health care than even the existing bill does. this is a greater need for this

Chuck Grassley

9:12:05 to 9:12:26( Edit History Discussion )

Chuck Grassley: legislation need is demonstrated by a witness testifying at the finance committee hearing on health reform last year. and this is that industry and physician relationships are pervasive. drug and device companies spend billions and billions every year

Chuck Grassley

9:12:27 to 9:12:49( Edit History Discussion )

Chuck Grassley: on marketing, product development and research, and mu to doctors. last year, the -- the "des quote -- "your doctor's hand may be in the till of a drug company, so how can you know whether the prescription he or she writes is in your interest

Chuck Grassley

9:12:50 to 9:13:12( Edit History Discussion )

Chuck Grassley: or the best interest of company?" that's a pretty that we all ought to be looking at. now, many of these relationships are beneficial and appropriate. that's why we don't of these relationships. what we do is just make them be reported. and some of these should be

Chuck Grassley

9:13:13 to 9:13:33( Edit History Discussion )

Chuck Grassley: reported in a more regular basis than they are even without this legislation. you know, physicians play important roles in inventing and revising -- refing new devices or in conducting medical research they are hired to educate other doctors, and we don't do

Chuck Grassley

9:13:34 to 9:13:54( Edit History Discussion )

Chuck Grassley: anything in this legislation end those professional relationships. but as is often the case, a few bad apples can spoil the whole barrel. mr. president, it is clear that congress needs to act now to pass disclosure legislation.

Chuck Grassley

9:13:55 to 9:14:15( Edit History Discussion )

Chuck Grassley: currently, drug and device makers have to comply with a number of state requirements, each state giving its own definition and own rules. patients as well as other doctors have no way to learn about these important relationships. this information

Chuck Grassley

9:14:16 to 9:14:38( Edit History Discussion )

Chuck Grassley: be available to those few americans lucky enough to live in a state already requiring some level of disclosure. even in the states currently requiring disclosure, most don't apply that law to medical device companies. some states don't even make

Chuck Grassley

9:14:39 to 9:15:00( Edit History Discussion )

Chuck Grassley: public collect, so of littl value to patients that mit want to know do their doctors have relationship with a drug company or a medical device company that they ought to know about. now this bill isn't adding new burdens to the industry by

Chuck Grassley

9:15:01 to 9:15:21( Edit History Discussion )

Chuck Grassley: creating a centralling system. the -- by creating a central reporting system. the legislation actually relieves in addition, i'm hopeful that this bill will enjoy the same wide-ranging support as my prior legislation that senator kohl and i put in, congress.

Chuck Grassley

9:15:22 to 9:15:42( Edit History Discussion )

Chuck Grassley: i want to be clear -- and this is the second time i'm being clear on this point -- this legislation does not regulate the business of drug and device companies. let the people in industry do their business since they have the traing and skills to get the job

Chuck Grassley

9:15:43 to 9:16:05( Edit History Discussion )

Chuck Grassley: but keep the american people apprised of the busines doing and how you are doing it. after all, what's at risk here isn't merely private interest but the health and well-being of all americans who depend upon the drugs and medical devices to sustain and to improve their life.

Chuck Grassley

9:16:06 to 9:16:27( Edit History Discussion )

Chuck Grassley: in this process of what we call transparency, in this process that we call legislation, i often quote from an opinion of justice brandeis i quote -- "sunlight is the best disinfectant."

Chuck Grassley

9:16:28 to 9:16:40( Edit History Discussion )

Chuck Grassley: and that's i are aiming to accomplish with this physician payment sunshine act, just a little sunlight so that the public's better informed.

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