CREW: HHS: Regarding Rogers-Related Non-Profits: 4/14/11 - HHS Responsive Documents

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Feb07,201110:11:49WS#20
OSNUM: 020720111010
OFFICE OF THE SECRETARY
CORRESPONDENCE
CONTROL CENTER
cn~n!11'~11l' ttl fl,e Unit~b j$;tnh~11

tRlIul,h,,,h"', 1)0£a11515
Februttry 3. 2011
n,o HOllomblo Kalhleen SebolJus

SeCRlttuy
U.S. Dopat1mont of Health and Human Services
200 Independenco Avenuo, S.W.
W88Idn,gtoJl. D.C, 20201
Door SeCRltary SobeJlus. 'I
It lias eOll10 toourattontlon lhat PJaluled ParenthDod clinics InIowa 8fO ush18telemedloJno or
lelohealtl. vldeoeonforonoil18 melhods todispense mlfep1'1slOIlO, tllO abortion dnlS commonly
known asRU.486, to pallcnfa wlthotlt Jlftvh)ga doetor Pl'CBent. We 81'0 concerned that tbls
praotlce oftltelen\cd abol'llons" may have received taxpayer t\mdJng 8ud we Ol~ cOllcemed tllot
shnllt", programs may receive taxPlt)'01' fun~ln8ln tho ftltUfe, despite Cedelld laws tbat prohibit
taxpayer ftllldlliB forabortIon, Jffederal dolJar~ 111'0 used fortelomed aborlloll~ 11 would mako
AlDmOftl1 t8xpftyora cOl~pJlclt In\Ioderwrlling the deslructlon ofltmoccmt unb01'n obJldreUl\lld -II
supporting organizations tllal endllnger wonton's JIves and health by Intentionally olrcumventlng I
FDA guidelines for dispensing RU-486. ,i
Tho Food and Dl"8 Administration (FDA) lequlres that RU·486 "bopl'Ovlded byor under the
suporvlslon ofa pbyslofRn who meets tho followJng qualifications: abIlIty toassess thedllration
of JJ1'08IlftIIOY••bUlly 10 dlagllose ecloplo pregnonoies; obmt)' toPl'OVktO surgical Intervention In
oosus of JnCQrnpJote abortion 01' sovere bleeding.,. II We beliove dispensing RU·486 via
lolomediolne violates FDAprotocols and puIs womon'a sllfety and beaUh at risk.
According to tbo A8sooiated Press. tho 1l11\111lfacull'er ofRU·486, Danco Labol'lltorles, says "it
[RU-486J ••cftectlvo abollt 95Jlcrcent oCtho time, with surgical pmcedtn'CS needed in most of
tllO otbor 08808 to Gnd the proglll'lllOy orstop heavy bleedblg.... Planned Paronthood, qtlotfng the
AmorlclIl1 Coflego of Obatetrlo1all8 and Oynccologlals aoknowledges, "about 92percent of
WOJJlen wJ11 conlplete their IRtJ.486I1tdllced] abortlou wlUtont theneed Col' a wcumn
Ilsplmtlofl.,,1 meaning IlOar1y ono 111 ton wollton who lako RU·486 w1U R!'l,dl'O sUI'Slcal
Intervention by a dootor to c:oI\lplete 'l~ "00)1101\, A doctor dispensing RU·486 over the illtcmc(
ft'Oll1 a location bundreds or ovelltllollS8llds or miles away laclearly unablo to provide aurglcnl .i
I
Intorvontlon I" cases ofsovoro bleeding.

RU-486is a dllllgerol18 dm8tbat 1188 been assoolated willi atleast 11 deaths and thousands of
Ca8CS ofoxcosslvo bleedingandInfeotlon. BvRdlug FDA guldeUoos bydispensing RU-486
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OSNUM: 020720111010
CORRESPONDENCE
CONTROL CENTER
Ihnmgh telolnedichlo hastlto potenlial toIn01'ease compllcatloll8 and fatalltlos associated with its 'I
use, We cannot allow taxpayer dolJal'lJ to be lISed tollUppolt telell1cd abol1lolls.
Most recently, InFIscal Year 201 O. COIIS1'eSS provided tho DCpaJ.1fllCnl of Healtlumd HUlllan
Servlcest Health ReSOU1'CCS andScuvlces Administration (HRSA) with SII.61l11l11on forIts I
kllchcalth l1rogrem. While telemedlchl0 nlay bea positive means Ofpl'Ovldlng oo11aln health
selvicos. aOO11101\ lanothealthcare, and dispensing ltU·486 withollta doctol' present is both risk)' .
~
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tothu mother and deadly to Ul0 \111bo1'n child, U.S. taxpayers should notbeforced tounderwrite
aborllons, norshould Americans' tax dollars be \lBcd toclrculnvent FDA guidelines regarding
RU·486.
I
Wu mepartloularly conoerned tl1at affiliates orthoPlatUled Pal'entbood Pedoratlon of Amodoo I
I
(PPFA). the lal'g08t abortlo1l1'l'Ovldor IntheUnited Slates. may bereceiving federal 1lll1d'ng aud I
t1811lS fedemlly fimded cq\1lpluent tofaollltate tclcl1ted abortion, - meaning federal taxpa)'ors
arct\mdlng abOl11oJl8, It has come to Olll' attention tbal: '
o Plallned Parenthood ofUtab Islisted nsa grant reclplenlll1the HRSA 2007·2008
Office for tile Advancement ofToloheillth Ol'tmteo Dh'ectory; ,
o Pleillled Parenthood ofthe Hearl~alld InIowa Isknown toprovlde telell1edlclllo -I
RU·486 abortions;
o Planned Parenthood olinlcs lit 10locations InWisconsin received a fedol'alglll11t iI
toJ>IIY tor teJemedlcJne video phenes whloh cost $15,000 eacb3; ,
I
I
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o PPFAVicc President 01'. Van08sa CtdlhlS said "Thea'o are lUany [Pl)FA) affiliates I I
tbllt aro carcfillly considering [Celemcd aborlloll}4;11 and '
o A J\1I10 2009 l"podbyTIdes Illd the California Endowmont wrote of the
,
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,j
·llnprecedented oppol1mllty· duo to ·now ftlllding forhealtlt·lnformntion
, teoimolo8Y atthefederal lovel,· listing nine Cllllfomla Planned Parenthoods as
·coJllulunlty clinics· fOl' whioh telelned grants llllght be avallable."s .
lit light ofthose concenlS, we rospect(l1l1y request al'08POIlSC to the following q\tcsllollS nolater
thlUl M01'cl\ 2, 201 J: ,
1. In total. how l11uol1 federal filllding hilS been ftl)pl'Opriated for telcmedlclne lind wI.al 'I
portion oftlaosu AUlds have been used tolllll'OllOSO tclcmedicino equll>ffient? !
2. Havo auyaddltlollal funds other thall those des~rlbed htquestion (I) beennsed to ftll1d
telemedloJllo? (B.g. have flmds that WCl'O notspecifically designated for toiemedtcillo
been \lsed tosnpport lolol11edloJne.)
3. Hfts tho Planned Parenthood Federation ofAmerica (PPPA), Itsaffiliates, 01'clinics
l'Ocolved any toicmedlclllo f\lndillg? Irao, pleaso provldo a listofPPFA affiliates and
cUnlos that received f\mds for telollledicino Rnd indicate tho amo'tlll otfunding provIded
toeaeb, (Include both l'rlntllry grantees ftltd subgt'tlotees.) .
4. Have any odiCi' fftclllilos tllat pCl'form abortions received telemediolno ftmdlng? Ifso,
1)101186 pl'ovldo 8 lIat of thefacUlties llnd Indicate tho amO\ll1t of ftmdiug provided toeaell.
(Include both l)1'Jmary grantees and SUb8l'ltlltees.) , .
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5. Hoe tbo Dopnt1menf ofHoallb mid H"mllll So,vlC(ls (okonllny mcaslll'08 toCltlSUt'O dtllt
fcdol'ft! ntlldJIl8 Co)' lolomo"lolno 8ml equlpltloll( Isnot\lsed to fhollllntolololUod I
abortions? Ifao.l,IOlIIO pl'OvJdo 8 COlty otony momos 0\' 8111dlltlco Issued (0 lIotbSlIllld
88t111l8t 1~1l8)'or ftmdlt\8 for toIcnuxl nbol110n.
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OSNUM: 020720111010
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Feb07,201110:11:49WS#20
OSNUM: 020720111010 I
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"'RECEIVED'"
Feb07,201110:11:49WS#20
OSNUM: 020720111010
CORRESPONDENCE
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Representative SteveKing
Representative Kenny Marchant
Representative Adam Kinzinger
Representative Robert Latta
Representative BillyLong
Representative BillFlores
Representative Daniel Lipinski
Representative Stephen Fincher
Representative ToddAkin
Representative Morgan Griffith
Representative Bill Huizenga
Representative Quico Canseco
Representative RickCrawford
Representative Jeff Fortenberry
Representative Ann Buerkle
Representative Tom Reed
Representative MikePence
Representative Tim Huelskamp
Representative PeterRoskam
Representative RonPaul
Representative Brett Guthrie
Representative PaulBroun
Representative John Fleming
Representative Phil Roe
Representative James Lankford
Representative DougLamborn
Representative Tim Johnson
.Representative Alan Nunnelee
Representative ChuckFleischmann
Representative BlakeFarenthold
Representative Marsha Blackburn
Representative GreggHarper
Representative Rodney Alexander
Representative ScottRigell
Representative Tim Walberg
Representative Joseph Pitts
Representative SteveScalise
Representative MikePompeo
Representative Randy Neugebauer
Representative Ted Poe
Representative Bobby Schilling
Representative Joe Wilson
Representative Thaddeus McCotter
Representative Spencer Bachus
Representative ChrisSmith
Representative OaryMiller
"'RECEIVED'"
Feb 07.201110:11:49WS#20
OSNUM: 020720111010
CORRESPONDENCE
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Representative Renee Ellmers

Representative Donald Manzullo
Representative Lamar SmUt)
Representative Randy Forbes
Representative Jim Sensenbrenner
Representative Tom Cole
Representative Harold Rogers
Representative Scott Garrett
Representative Robert Aderholt
Representative Jack Kingston
Representative Dan Burton
Representative Tom Latham
Representative RalphHall .:
Representative Steve Pearce
Representative John Kline
Representative John Shimkus
Representative Jean Schmidt
Representative Walter Jones
Representative Steve Chabot
Representative Michele Bachmann
Representative Mike Conaway
Representative Dennis Ross
Representative Trent Franks
Representative Louie Gohmert
Representative Andrew Harris I \
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••• RECEIVED'" Pl.EASE RESPOND TO:
HAROLD ROGERS Aug 05,2010 14:40:11 WS#20 WASHINGTON OFFICE
6TH DISTllJCT. KENTUCl"I OSNUM: 080520101032
OFFICE OF THE SECRETARY o 2406AAYBURN IlOUSE OFFICE BUILDING
WllSlI·.NGTON.1lC 20515-1700
.COMMtTTEE: ONAPPROPRIATIONS CORRESPONDENCE
1202)22&-<1601
CONTROL CENTER
RANKING MEM&R
SUBCOMMITTEE ONTIlE DEPAillMENTOF DlSTJnC'J OFFICES
HOMELAND SECURITY
SUBCoMMlmE ON DEFENSE
o 551 CLIFTY STREET
SQY.EIlSEl. 'I.''1425Ol
''''Il''J1l1-1J3.OG Of\
t...coo-G:J2..c:;c3
~ngrrss of the itnfttd ~tatf5 o rot MAIN S1IIl:ET

HAZARD. KY.170.
(600) 439-0794
'11.0USt of RtlJtarntatiutS o 110llESOURCE COURT

SUIl'EA
PRESTONSaURG. KY 416!i3
1&16\ S86-<\M4
ttlashington) lat 20j15-1105
July 30, 2010
Hdnorable Kathleen Sebelius, Setr~tary

u~ s. Department of Health and Human Services
~~~~~~~~5:W~
Washington, DC 20201
" ----------=====------l
All redactions on this page are withheld under (b)(6).
Dear Madame Secretary:
It is my understanding that you have a vacancy for the Head Start RegionalProgram
Manager for Region rv located in Atlanta, GA.
I would like to respectfully recommend for your consideration MrJ Branch

Manager, MS, MBA to fill the aforementioned position. Mr=~~~ha~jfoud4fdecades plus of
experience with working with my district'sr~~-~- programs. Mr. Griffin is
knowledgeable and his experience dealingWitfi your grantees has"b;;;; exceptional.
Be assured that Md;.vill continue to serve your grantees and my constituents in a

most fair and equitable man~
Thank you very much for your consideration in this matter and as you are apprised, I am
a very staunch supporter of Head Start.
.JJ Resp~1lo
#.!ROge~ ~
MEMBER Of CONGRESS
.. '
"
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DEPARTMENT OF HEALTH &. HUMAN SERVICES Health Resources and Services
Administration
Bureau of Clinician Recruitment and Service
Rockville. MO 20857
JUl 12. 20m

The Honorable Hal Rogers

Member,U.S. House of Representatives
55I Clifty Street
Somerset,Kentucky 42503
Dear Representative Rogers:
Thank you forY..Q.~Ltf.:~!~Lon behalfof Dr.t. ..."."""~ ..~~~~ ....-' You wrote in
support of'Dr.l,...•.~...•Japplication to the Faculty Loan Repayment Program (FLRP).
This year applications to the FLRP reachedan all time high. We received approximately
400 apP.li(,':~1i9II~Jmd have the funding to award about 22 contracts. Please be assured
that Dr.] 'application will receiveequitableconsideration.
I hope this information is helpful.
Sincerely,
~h~.h,rd.~ £;n-~
~~~Pitzgo 'T(fT-
Associate Administrator
":;-:
-eROLD R;GE~S
5THDISTRICT. KENlIJCKV PLEASf RESPOND TO:
WASI-IINfjTOIIJOFRCE.
COMMITT~e ONAPPROPRIATIONS o ,,,,. ftAV!lur'N 1I0uSL OH'a BUILDIN(j
RANKING MEMIlER W~KII'/CiTON. CC205"H 705
SUBCOMMITTl:E ONTHE DEPAATMENT OF 12021.l21H~1
HOMElAND SB;URI1Y
DI9T1llCT OFFICES:
o 55' CUflY STAEET
SOMERS£T. KV <12501
4~1~7lHl_OR
'-tongrrss of the tinittd ~tatfS

I-Ill» 1532 SSll8
o 001 MAIN S'ml!ET

tlJIZIIRD,KY4no1
... RECEIVED'" t80S1439-07!l4
May 27.201009:26;10 WS#20
OSNUM; 052720101005
illous£ of 1RcpfrsCnmtloES o ItO RESOuRCE COURT
SVlTEA
OFFICE OF THE SECRETARY PRESTONSBURG~ KY 411ffi.'l
CORRESPONDENCE
CONTROL CENTER 9ashington, ~Q: 2lJ515-1705 (~18afH)1lol4
May4, 2'010
SecretaryKathleen Sebclius
U.S. Department of Health and Human Services
Health Resources and Services Administration
Bureau of Clinician Recruitment and Service
DivisionofApplicationsand Awards
5600Fishers Lane, Room 8-37
Rockville, Maryland 20857
ss#
Dear Secretary Scbelius.l All redactions on this page are withheld under (b)(6).
r am contacting you regarding my constituentnamed above.

PROBLEM: P~ea~~.!efert~".th~~~!!~~,~!~~aI!P.!i~J,l!!~n ~!!!~!p-0,,!dcncesubmitted by
,_ mr,~onstituent ,. . .._.. _._~_~~.,.""",.,""~_~"_~,,,...._._,,,,,,.,,,_~~i was raised in
• , ,,~ee County, Kentucky which is in an under served, distressed area of
~AppiJaciilabut that was never II t!~!~!:~,~~.t to him. I personally know that to be true
because I have personally known L~",. . ~~.and his family for the last 28 to 30 years and
found them to be fine, upstanding P!~JlIe tl!~!~hav~!~~}:sg!!.!~.,,!~~1..y._~them,selves for
the betterment of their community. attend;0
and graduate from college aad he dJa'so wilIi'toefulriiifenfionforetunlliomc-and do
whatever be could do to make his community a better place to live and work.
I fully support and endorseL."" """.Japplication for the "Faculty Loan Repayment
Program" for the fiscal year 2010. He is a wonderful role model for the students that he .
educates and an ideal mentor for any student that holds the hope of gai~!~g~~~!!~~~l:)~
even ifthcy reside in Appalachia. It is a privilege for me to reeommendi i
r~r this program. "'.'"WW"W'.'.'"'"W,,"""'.WN"""
... ... RECEIVED'"
May 27.201009:26:10 WS#20
OSNUM: 052720101005
CORRESPONDENCE
CONTROL CENTER
Please respond back to me and advise me of the status ofl ...mmwJlpplication and
any deelsinns or determinations in process or expected. ...
Please forward any correspondence in this regard to my District Officein Somerset. Your
cooperation and assistance in this matter is appreciated. I remain,
OL OGERS
Member of Congress
,.
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.-
(:ongrt~5 of tbt lInittb &tatti
.OUSt of ~tpft.5tntatibtf:l ... RECEIVED •••
..a..... l trion 'mt#" <1)0515 Feb01.201016:36:10WS#20
lIllIlJ ;go!J~n~. • 2lIilI~ '" OSNUM: 020120101012
CORRESPONDENCE
CONTROL CENTER
January 25, 2010
The Honorable Stephen Harper

Prime Mmister of Canada
- -Office of the Pnme Mtnlster__ ~_..:=.. - rn
- 0,- - __ - - -
80 Wellington Street
Ottawa, ON Canada
KIAOA2
Dear Pnme Munster Harper
We wrote to you last year to call your attention to the consequences the "Cracking Down
on Tobacco Marketmg AImed at Youth Act" has on our burley tobacco growers The Act IS so
broad that It bans tradrtional blended products contammg burley tobacco, even though they taste
hke tobacco, and not like confectionary or fruit flavors which could be marketed to young
people
Flue-cured tobacco compnses over 98% of the Canadian market, while tradrtional
blended tobacco products dominate the U S market Both products taste hke tobacco, yet the
Act penmts flue-cured CIgarettes because they use only one type oftobacco WIth hmited
additrves
At the recent meetmg of the World Trade Orgamzation's Technical Barriers to Trade
Committee, a number of countnes, mcludmg Argentina, Brazil, and MeXICO, voiced their
-~__opposrnon to.Canada's ban _We recentlylearned that Health_CMaqa IS actlvtj.y Iobbymg _
through the Framework Convention on Tobacco Control to have the parties adoptthlS approacn
as a guideline m implementmg Articles 9 and 10 of the Treaty If this guideline IS adopted, our
burley tobacco growers Will suffer sigmficant economic hardship
·
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January 25,2010 OSNUM: 020120101012
Page 2 CORRESPONDENCE
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Health Canada's advocacy m the FCTC to adopt as a recornmendanon tlns sweeping ban
cannot be justified as a health-related or a youth smokmg prevention measure, and It WIll be very
harmful to significant portions of our state's economy We urge the Government of Canada to
be mmdful of this Impact and the Import for U S - Canada relations
Sincerely,
F
/d I/~~ Ed WhItfield
t~~
Ben Chandler
',- --'
Member of Congress
--'-'~~ -~-~'~-~~ 0P- Member of Congress
~b Member of Congress
Brett Guthrie
Member of Congress
CC ]he Honorable Tom Vilsack, Secretary of the Department of Agriculture

y'The Honorable Kathleen Sebehus, Secretary of the Department of Health and Human
Services
The Honorable Ron KIrk, Umted States Trade Representative
The Honorable Stockwell Day, Munster of International Trade and Minister for the Asia-
Pacific Gateway Enqumes Service (BCI)
The Honorable Gary Doer, Ambassador of Canada to the Umted States of Amenca
- --- --- - - -----~-

THE SECRETARY OF HEALTH AND HUMAN SERVICES
WASHINGTON. D.C. 20201
JUl - 6 2009
The Honorable Harold Rogers
Ranking Member, Subcommittee on Homeland Security
Committee on Appropriations
U.S. House of Representatives
I am writing to invite you to attend the Department of Health and Human Services' HINI
Influenza Preparedness Summit on Thursday, July 9, in Bethesda, Maryland.
The HI N I influenza continues to spread nationally, The Department of Health and

Human Services (HHS), acting in concert with Congress, the President, and other federal
agencies and departments, has worked since the very beginning of this outbreak to protect
the health of our citizens, and continues to study the severity and progression of the virus
to help inform future critical policy decisions related to vaccines and mitigation
guidelines. In anticipation ofa possible fall wave of the HINl virus in the U.S., HHS
and its partners have developed a National Framework for Response, which outlines the
four pillars of the Administration's overall flu preparedness strategy: medical
surveillance; community mitigation; vaccination; and communications.
Next week's HI Nl Influenza Preparedness Summit, which I will host at the Natcher
Conference Center on the campus of the National Institutes of Health, will bring together
key leaders in federal, state, and focal govenunent to discuss the steps we will need to
take at every level to prepare for the fall. The goals ofthe summit are to demonstrate the
federal government's commitment to both novel BINI and seasonal flu preparedness and
call on state and local leaders to work in partnership with us to ensure they are prepared
to take all appropriate measures to reduce the health and societal impact of influenza. We
will review lessons learned from the spring HINI flu outbreak, discuss best practices by
state and local governments, provide an update on the effort to develop and potentially
administer an H 1N 1 vaccine, and examine strategies for effectively communicating with
stakeholders and the public. The most recent version of the draft agenda for the summit
is enclosed for your review.
Given your role as a leader in Congress on these issues, the summit would benefit greatly
from your involvement. If the busy congressional calendar precludes you from attending
in person, we.hope that you are able to send a senior representative from your staff.
Thank you for all you have done to ensure our nation is prepared for health emergencies
like the ongoing HINt flu outbreak. Congress has been and will continue to be an
essential partner in this effort. I look forward to working closely with you in the weeks
and months ahead to protect the health of the American people.
Kathleen Sebelius
.~ RECEIVED -
May 28,2009 14:58:22 WS 22
QInngrtZ5 of tlyt ~nitto ~ta±tJ~~gi~~:~~~i~t~~T

CONTROL CENTER
RY
~a5¥ngfo:tt, ~.QL 2US1S
May 21,2009
Honorable Kathleen Sebelius

Secretary, Department of Health and Human Services
Hubert H. Humphrey Building
200 Independence Avenue, S.W.
Washington, D.C. 20201
Dear Secretary Sebelius:

, ' " . I
Congratulations on being selected and confirmedasSecretary of the Department of Health and Humah
Services (HHS). ,In this role, you are entrusted with important responsibilities, We wishyouthe best of'
luck as you work with Members of Congress and the Administration to protect the health .of all
Americans, .
As the new leader of the Department responsible for enforcing conscience protection laws, we are writing
to you regarding President Obama's recent comments to graduates at the University of Notre Dame. As
you know, the President expressed his support to allow pro-life health care providers the right to refus~ to
participate in procedures they find morally reprehensible. ' \
Although federal law has long forbidden discrimination against health-care professionals who refuse to
participation in an abortion or provide referrals for them, late last year regulations were issued requiring
institutions that receive federal funding to certify their compliance with laws protecting conscience rights.
The regulation also promoted education within the medical community regarding their rights and
provided an avenue of recourse 'in the event of discrimination through the Office of Civil Rights' within
HHS.
We respectfully request that you honor the deeply held convictions of millions of Americans and rescind
the review of the current conscience protection regulation. In the absence of guidance and ieducation, \
cases of discrimination may go unchecked and professionals may continue to leave their fields,
exacerbating the health care workforce crisis that is already plaguing our country. Additionally, we urge
you to commit to defending conscience protections in future rulemaking that affects both individual and
institutional health care providers. W~ look forward toworking wjth you in protecting the consciences bf
healthcare workers across the country.
incerely, 17 ,
·~ll~~
PRlNTEOON RECYCl-EOPAPER
.~.
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-RECEIVED-
Aug 96,2008 12:13:44 WS# 22
OSNUM: 080620081047
CORRESPONDENCE
CONTROL CENTER
fCongrt£)£) of the 1tnittb~fatt.£i'

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.a·~bington, ll(t 20515
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July 16, 2008 ",' .":"'.:,\1,
L~.,
The Honorable Michael Leavitt

Secretary
Department of Health and Human Services
200 Independence Ave, SW
Washirigton, D.C. 20201
..
Dear Secretary Leavitt,
In 2004, Congress approved language included in the FY05 Labor, Health and Human Services
Appropriations bill protecting the right of health care entities, including hospitals and insurance
providers, to refuse to perform or refer for abortions. Specifically, the language, often referred to
as the Hyde-Weldon provision, states:
None ofthe funds made available in this Act may be made available
to a Federal agency or program, or to a State or local government,
if such agency, program, or government subjects any institutional or
individual health care entity to discrimination on the basis that the
health care entity does not provide, payfor, provide coverage of,
or refer for abortions. .
As you know, this language has been included in four consecutive appropriations bills and was
intended to provide much-needed protection against documented state and local efforts, in
Alaska, New Mexico, New Jersey and elsewhere, to force hospitals and other healthcare
providers to perform abortions. Unfortunately, due to the absence offederaJ regulations guiding
the implementation and enforcement ofthe Hyde-Weldon provision, many of these institutions
remain vulnerable.
We strongly urge you to initiate and complete the rule-making process implementing these
conscience-protecting safeguards as soon as possible. Failure to implement the language leaves
institutions and governments under a cloud of ambiguity regarding its application and
enforcement, particularly in the face of regulations that have been interpreted as being in conflict
with the Congressionally approved language.
It is our understanding that the delay in implementing Hyde-Weldon was in part due to ongoing
legal challenges to the language. While we would have preferred that regulations be issued
notwithstanding the litigation, now that all legal challenges have been dismissed, we trust that
PRINTEDON RECYCLED PAPER

\ .
HHS has had ample opportunity to thoroughly examine the scope of the policies that need to be :
altered in order to fully comply with the law..
This week, the New York Times reported that regulations regarding the series of conscience-
protection laws enacted by Congress over the years have been drafted and include broad
protections for the rights of conscience for medical professionals and institutions. I If these
reports are accurate, we applaud you for drafting regulations that require institutions to
proactively certify.that they will not discriminate against those exercising their rights of
conscience in refusing to participate or refer for abortion. .~ RECEIVED~'
Aug 06,200812:13:44 WS# 22
OSNUM: 060620061047
Thank you for your attention to this urgent matter. OF F THE SECRETARY
NDENCE
CONTRa ENTER
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Sincerely,
'Z,C:!:.vis
•
Dave Weldon, M.D..
~ss , ~tong>
Bart Stupak
Member of Congress
WlJI!Jth
Member of Congress
-
1 AbortionProposal Sets Condition on Aid. July 15,2008. The New York Times . .
http://www.nytimes.com/2008/07!15/washington/15ruJe.html?scp-1 &S9-AboI1ion%2QProposal%20Sets%20CondIt
ion%20on%20Aid&si=cse . .
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OSNUM: 080620081047
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OSNUM: 080620081047
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OFFICE OF THE SECRETARY ~
CORRESPONDENC~~ :,~ ~
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WASHINGTON. D.C. 20~Ol

2406 Rayburn House Office Building
Washington, D.C. 20515-1705
Thank you for your letter regarding proposed regulations from the
Department of Health and Human Services (HHS). I will provide
this response to the other Representatives who co-signed your
letter.
Health care providers should not have to choose between

practicing medicine and following their conscience. It is my
intention to ensure that the conscience rights of health care
providers are approp~iately protected.
Recently, HHS issued a final regulation intended to raise

awareness of existing Federal laws that defend the rights of
healthcare providers.to refuse to perform or refer patients for
abortion or other activities that might violate their religious
beliefs or moral convictions. These laws include the Church
Amendments, the Public Health Service Act, and the Weldon
Amendment.
My staff reviewed comments received during the public comment

period for this regulation. For the most part, the public
discourse over the last few months has shown that great confusion
exists and that such a regulation is necessary. The final rule
represents a balance between patient access to legal services and
protecting the conscience of health care workers in accordance
with Federal law.
Please feel free to contact me if you have any further thoughts

or questions.
. GEOFF DAVIS COMMITIEE ON ARMED SERVICES
4TH DISTRiCT, KENTUCKY SUBCOMMITTEE ON AIR AND lAND FORCES
SUaCOMMllTEE ON OVERSIGHT AND INVESTfGATCONS
DEPUTY REPUBUCAN WHIP. (ltongrt~~ of tbt llntttb ~tatt~ COMMITIEE ON FINANCIAL SERVICES
SUBCOMMITTEE Oil CAPITAL MARKETS, IIISURAlfCE,
1108LON~:'H~:~O:~::g::~::BUllOI"G i&bu~t of l\tpfe~tntattbt~

AND GOVERNMENT SPONSORED ENTERPRISES
--RECEroJED'" SuecoMM,ncE ON FINANClAL INS11TUTIONS

WASHINGTON, DC 20515 Apr 22,2008 10:51 :28 WS# 2 0 ' . AND CONSUMER CREDIT
PHONE: (202) 225-3465
FAX: (202}225-0003
OSNUM: 042220081036
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April 15,2008 N
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The Honorable Michael O. LeaVl tJ <:
Secretary j rei
l:Y 0
U.S. Department of Health andlHuman Services N
200 Independence Avenue, S.W. ex;
I
Re: 42 CFR Parts 5 aJd 51 c: Designation of Medically Underserved

Populations and Heal~h Professional Shortage Areas; Proposed Rule 73
Federal Register 11232-11281 (February 29, 2008)
Dear Secretary Leavitt:
We are writing to express our concerns regarding the proposed rule for
de1iignating.ppm!lry'F!l!e.~l;t9~1ige,~~~s. 3.Q.4 ~tsp.~.t,entiaJ. impact on the ability of our
~~~~~ professionals to pio'yidl:ira4~ua~e,"qu~lity ~~~i~ ..care throughout Kentucky. While
we und~r~tl!nd tl;t~..l)e~~s~i.ty. ~~~P~~~.?g·.t):1~J?:;(,l~~~.~·9fj~~tif)?ng. J;f.1.~ical~y underserved
populations and areas expenencmg significanthealth professional shortages in order to
allocate
. . resources
."
to ~hy.~e,eJ!i¢.st-
" . ' :~e. areconcerned
,. populations, '.
that jhe proposed
. . .'
metliodologyis missing·key elements. ... :.. \. :: "", .:. - .'.' ':: ' ., . :". . ",.~, .,-,
;.':.~I·; ', .,; ":': :,{;.;.;.::' .:.,. ~,'.' ·~·:·i"·~:··'j: :,;:\.'.," .:..:: .::: ;.;.. : ':
'.r:.:' . .It is our uIl:ders,t~9ing,~ha~;:due to the.complexity of the pew methodology, the
Health, and Resources Service~ Administration (HRSA) was delayed multiple times in
distributing an accurate testing tool to measure the impact at the local level. With this
delay: ~e' are concerned that me current sixty day comment period does not allow nearly
enough time for an adequate impact analysisof this complex proposed rule.
.,t:.;:A~ you know, shortage d~si~ati~ns are required fo~participation in many federal
.pregrams that createincentjv.e~ forprovidersto.\09ate in otherwise underserved are~.
These programs are <i.I¥~ial· to, the health-andwell-being of Kentuckians. Therefore, it is
critical that Kentucky health care providers'and organizations be given sufficient time to
4~~ennin~ the potential i!j11p~u;:~ on local communities, which will in turn enable them to
provide well-informed f~<?db~~~. t9...the Department on-the..p rnposedrule. ;~r:: .: . : ',
i':), . '!~ • . • ,,',>':i'.~':.. '~":'} ~~~(¥:.I <; ·.:qY;i·I:·~¥~' :;: ",'.~.P: I:: ;r·:·.·. ." ~::~fl : .' :.,~.~ . . • . :!.. ~ .
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:'.;,:"f.~.i \.' ~nsure.~at. the.P!oP.QS§4;.I:UJ~;)~-fun.y ~~~~4~ f.q~:i$~ imp~l;{On.~~IJ.tuck:y"an(i :
~~pr.uil:d.e~s~~~. ar~l:l~~ !~.~J~~p~~tf!.i!h: ~~l:J~st,tpa~ithe·.;Qc~p~m~~t·.o~ B;.eal~b and ,'::.' :.
Human $~ry!~~~j~~te.n~.!4~,co~eptP.~I10~~Y:1f:0.day~:.; ;L~"! .: ~{F~ :;;)~I:i:. ! ..•. : ' . .
ASHLANDOFFICE:
... ' ~"J.~'.': r: :'~'r-.;;~ :'] ~_;:~. ':::':' ::I·~J. !.":MAWlrLE.o~Aci~~~·~~-:.r..::::~~;: ~>:', ··;f: ..f i ( ~......; _ ~ .. "i':;" WILUAMSTOWN OFFICE,
• FORTMITCHELL OFFICE, KeNTONCOMMONWEALTH CENTER LAGRANGE OFFICE' CIlV BUILDING. SUITE.145
1405 GREENUP AVENUE 108 W. JEFFERSON STREET 400 N. MAIN STREET
SUITE236 277 BUTTERMILK PIKE 201 COMMONWEALTH CENTER,S UITE 102
LAGRANGE, KY 40031 WILLIAMSTOWN, KY41097
AsHLAND, KY 41101 '•• FORTMrrCHEU, KY 41017 MAYSYlU.E, KY 41056
PHOIIE: (502) 222-2233 PHONE: (859) 824-3320
PHONE: 1606} 324-9SS6 •. PoKONE: (S59;' 426;-0080 PHONE: (606) 564-9004
FAX: (502) 222-4080 FA><: (859}824-3340
FA><: 1606}325-SB66 FAX: (859)426-0061 FA><' (606) 564-9355
... RECEIVED ...
Apr 22,200810:51:28 WS# 20
OSNUM: 042220081036
CORRESPONDENCE
CONTROL CENTER
Thank you for your consideration of this request. Please do not hesitate to contact
us if we can be of further assistabce.· .
Sincerely,
~4I~ Geo s Harold Rogers . Ron Lewis

Member of Congress Member of Congress Member ofCongress
A Ed Whitfield
liL~j~~
Member of Congress
., -~ I
/JMI.~
Ben Chandler
Member of Congress
DEPARTMENT OF HEALTH & HUMAN SERVICES Health Resources and Services
Administration
Rockville, MD 20857
MAY 1 ~ 2008

House of Representatives
Washington! DC 20515
Dear Mr. Rogers:
Thank you for your letter to Secretary Leavitt regarding the

Department of Health and Human Services! (HHS) Federal Register
notice of proposed rulemaking for "Designation of Medically
Underserved Populations and Health Professional Shortage Areas."
Secretary Leavitt has asked me to respond on his behalf.
On February 29, 2008, HHS published the notice of proposed

rulemaking (73 FR 11232) to revise and consolidate the criteria
and processes for designating medically underserved populations
[MUPsj and health professional shortage areas (HPSAs). HHS
p rov i.ded a 60-day public comment period, with written comments
to he received on or before April 29, 2008. HHS and the Health
Reso~rces and Services Administration have received requests for
an extension of the comment period. In consideration of these
requests, HHS has extended the comment period an additional 30
days, with a new closing date of May 29, 2008. The extension is
noted in the April 21, 2008, Federal Register (73 FR 21300). An
identical letter has been sent to the other signatories.
Thank you for your commitment to underserved communities.
Sincerely!
£L UJAyL
Eli~~th M. Duke
Admi~i:~rator
-- RECEIVED --
HAROLDROGERS May02,2007 11:54:55 WS# OlPLEASE RESPOND TO:
5THDISTRICT. KENTUCKV OFFICE OF THE SECRETARY
--"~
COMMITTEE ON APPROPRIATIONS
CORRESPOND~CE WASHINGTONOFFICE:
CONTROL CENtl!'R 2406RAYBURNHOUSEOFFICE BUILOING
CHAIRMAN WASHINGTON,DC 20515-1705
12021225-4601
SUBCCMMITTEE ON THEDEPARTMENT OF
HOMELANDSECURITY
DISTRICT OFFICES:
SUBCOMMITTEE ONTHE DEPARTMENTS OF
COMMERCE. JUSTICE,STATEAND JUDICIARY
0 551 CLIFTYSTREET
SOMERSET, KY 42501
(608' 879-8346 OR
SUBCOMMlmE ON THE DEPARTMENTS OF
Q:ongrtss of tht ilnitcd ~tatts

1-800-632-8588
TRANSPORTATION AND TREASURY. AND
INDEPENDENT AGENCIES
0 601 MAIN STREET
HAZARD, KY 41701
SELECT COMMITTEE ON (606) 439-G794
HOMELANDSECURITY
lItousr of '1R.tprtsrnmtiots 00
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~ashington, 1)0: 20515-1705 C:::P1

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April 24, 2q07 rr:~~ I
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The Honorable Secretary Mike Leavitt
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U.S. Department of Health and Human Services
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200 Independence Avenue, S.W. -I~
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Washington, DC 20201 r-< CD
Dear Secretary Leavitt:
This letter is written in support of an application made by Kentucky Highlands

Investment Corporation (KHIC) for an office of Community Services Community
Economic Development Discretionary Grant. The $700,000.00 grant will be used to
finance an expansion of Foothills Academy, Inc. in Wayne County, Kentucky which is
part of the Kentucky Highlands Empowerment Zone. The project will provide 71 jobs
for low income and unemployed individuals in a residential treatment facility.
The total cost of the new facility to be located in Wayne County is $4,770,000 is being
of
requested in a grant from the Office Community Services as part of the competitive
Community economic Development Discretionary Program. The remaining $4,070,000
is financing from various state and federal sources.
The area is an area that has experienced a tremendous loss ofjobs in the past few years in
the textile industry alone. The unemployment rate for Wayne County is significantly
higher than the national average. This project has the potential of reducing the
unemployment rate and will provide much needed treatment services in the area.
Kentucky Highlands was formed in 1968 to stimulate growth and create employment
opportunities in a nine-county region of Southeastern Kentucky. Their mission is to
provide and retain employment opportunities in Southeastern Kentucky through sound
investments and management assistance.
KHIC makes equity investments and assists businesses in developing financing packages
as small as $500 to investments up to $10,000,000. Kentucky Highlands Investment
Corporation has made a huge impact in my district and their record speaks volumes.
Please give this application the attention it "deserves!
',. ...
..
,
!
. .' ~
-RECEIVEO-
May 02,2007 11:54:55 WS# 06
· ... CORRESPONDENCE
CONTROL CENTER
Thank you for your consideration of the application for Kentucky Highlands Investment
Corporation
qr;
HAROLDR~RS
Member of Congress
HR:jh
--- ... _.__... _---.....
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[ DEPARTMENT OF HEALTH &. HUMAN SERVICES
"......,,,,
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AD~INISTRATION FOR CHILDREN AND FAMILIES

Office of the Assistant Secretary, Suite 600
370 L'Enfant Promenade, S.W.
MAY 182007

Washington, DC 20515-1705
Secretary Leavitt has asked me to thank you for your letter supporting the application submitted
by Kentucky Highlands Investment Corporation (KHIC) and to respond to you directly. This
application was submitted under the Administration for Children and Families' (ACF)
Community Economic Development (CED) program. .
CED grant awards are made based on the program policy and selection criteria as published on
the ACF website located at: www.acf.hhs.gov/grants.Anintegral part ofthat process includes a
comprehensive review of each application by a panel of independent reviewers, which will assist
ACF in making funding determinations, Please be assured that all applications will receive fair
and full consideration, and a copy of your letter will be added to the applicant's file.
I hope this information is helpful to you. Please call me if I can be of further assistance.
~~
f-
Daniel C. Schneider
Acting Assistant Secretary
for Children and Families
- RECEIVED --
Oct 03,200614:49:41 WS# 06 (k:/v
HAROLD ROGERS
5THDISTRICT. KENTUCKY
OFFICE OFTHE SECRETARY
CORRESPONDENCE
CONTROL CENTER
rt ..J PLEASE A~SPONO TO:
WASHINGTON OFfICE:
COMMITTEE ON APPROPRIATIONS SEP 2 6 2006 o 2406RAyBURNHOUSE OFFICE BUILl

WASHINGTON. DC 20515-1705
b(~~t/{
CHAIRMAN 1202) 225-4601
SUBCOMMITTEE ON THE DEPARTMENT OF
HOMElAND SECURITY DISTRICT OFFICES:
SUBCOMMITTEE ON THEDEPARTMENTS OF
TRANSPORTATION. TREASURv. / J; 4'C/ A r'Y\ o 551 CLIfTY STREET
SOMERSET. KY 42501
JUDICIARY. AND HUD l6051 67!l-8346 OR
1-8Ol)...632-B588
Q:ongr[ss of th[ CJlinitnI ~tat[S o 601 MAIN STREH

HAZARD. KY41701
16Oe1~!>-()794
ilous£ of 1RtprrsmtatiofS o 110RESOURCE COURT

SUITE A
PRESTONSBURG. KV..653
imlashington, B<t 20515-1705 16(6)~
September 15,2006
Dr. Mark McClellan, Administrator

Centers for Medicare & Medicaid Services ~
--t .
314 Hubert H. Humphrey Building .j
200 Independence Ave., SW :",

Washington, D.C. 2020 I • 'j
,
Dear Dr. McClellan: ~
vJ
<.fI
As you know, final implementation of revisions for coding, coverage aridpayment for
Power Mobility Devices (PMD) under Medicare is scheduled for October 1, 2006. I understand
that significant disagreement continues to persist over CMS's methodology, calculation, and
product classification related to PMOs. For this reason, I respectfully request that CMS make
every effort to resolve these differences before new codes, pricing, and coverage policies are
implemented. The 5th District of Kentucky, which I represent, has some of the largest
concentration's of disabled persons in the nation and their well-being and access to quality,
affordable healthcare is a top priority of mine.
Should you have any questions, please contact my Legislative Assistant, Victoria Ewing,
at (202) 225-4601. Thank you for your attention to this matter.
HR:ve
.- RECEIVED •••
HAROLDROGERS May 17,2006 12:31:37 WS# 0Et-LEASE RESPOND TO'
6THDISTRICT. KENllJCICY OFFICE OF THE SECRETARY .
CORRESPONDENCE WASliINGTON OFfIce:
COMMITIEE ON APPROPRIATIONS , ,. "CONTRoL CENJ!]R 2406RAYBURN HoUSEOFACE BUIt.DING
CHAIRMAN WASHINGTON. DC 20516-170.
1202l22~1
SUBCOMMITTEE ONTHEDEPARTMENT OF
HOMELAND SECURIlY
DISTRICT OFFICES:
SUBCOMMITTEE ONTHEDEPARTMENTS OF
TRANSPORTATION. TREASURY.
o 651 CUFTY STREET
SOMERSET. ICY42501
JUDICIARY. ANDHUD ,, (608) Il7IH1348 OR
1_4688
Q:ongrrss of tht t!nittd ~tatrs o 6Ill MAIN STREET

HAZARD. ICY 41701
1_1439-0784
tlOUSf of'Rtprcstntatiucs o 110 RESOURCE COURT

SUITE A
PRESTONSBURG. ICY 41853
fllashington, 1lQ: 20515-1705 1608188&-<1844
May 12, 2006

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1n~, H~iidraBle'~S~cretaryMike Leavitt
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U. S. Department of Healthand Human Services ~n.."
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200 Independence Avenue, S.W. ~C;r;; -I
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Washington, DC 20201 :::0 (/l rn
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Dear Secretary Leavitt: -1-1
:::o~ en .".. !
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This letter is written in support of an application made by Kentucky Highlarids

Investment Corporation for an Office of Community Services Community Economic
Development Discretionary Grant. The $700,000 grant will be used to finance an
expansion ofSenture, LLC in Wayne County, Kentucky which is part of the Kentucky
Highlands Empowerment Zone. The project will provide 100 jobs for low income and
unemployed individuals in a data management and call center environment.
The total cost of the new'faclliiy;to:,ne located'in Wayne County is $2.0 million.'
$700,000 is being requested in a grant fiom theOffice of Community Services as part of
the competitive Community Economic Development Discretionary Program. The
remaining $1.3 million is financing from the Kentucky Highlands Empowerment Zone
revolving loan fund.
The area is an area that has experienced a tremendous loss ofjobs in the past few
years in the textile industry alone. The unemployment rate for Wayne County is
significantly higher ·than the national average. This project has the potential of reducing
the unemployment rate and will provide much needed employment for the area.
. ,
Thank you for your consideration ofthe application for Kentucky Highlands
Investment Corp~r~tion. ' ' ,,. .
, . c, 1.
tlr;t,J.?JhF:;;\r;:q n.1f.nI.~~.rn·H·i·J ~:J ~.~. :~r}i:,;' :J.t~-IJ:t::~~~ :I;'~~' .... :.: :; :';.:~.::-"". ':,':J, .,: . -.- .c:..
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.\.laVlc'I.r
(~lb" DEPARTMENT OF HEALTH AND HUMAN SERVICES

'-'. J!-
'4''''01111
ADMINISTRATION FOR CHILDREN AND FAMILIES

Office of the Assistant Secretary. Suite 600
370 t:Enfam Promenade, S.W.
JUN 07 2006 Washington. D.C. 20447

U.S. HouseofRepresentatives
Secretary Leavitt has asked me to thank you for yourletter supporting the application
submitted by the Kentucky HighlandsInvestment Corporation and to respond to you
directly. This application was submittedunderthe Administration for Children and
Families' (ACF) Community Economic Development program.
Grantawardsare made on the basis of the programpolicy and selection criteria as

published on the ACF website locatedat: www.acf.hhs.gov/grants.Anintegral part of
that process includes a comprehensive review of each applicationby a panel of
independent reviewers, which will assist ACFin makingfunding determinations, Please
be assured that this application will receivefair and full consideration,and a copy of your
letterwill be added to the applicant's file.
I hope this information is helpful to you. Please call me if I can be of further assistance.
Sincerely,
)C\
t/>:
WadeF. Hom, Ph.D.
l Assistant Secretary
for Childrenand Families
OCT. 20. 2005 4: 36PM HON HAROLD ROGERS - REcEIV~Q-O 278 P. 1
Ocl 21:2005 12:40:32 WS# 06
HAROLD ROGERS OFFicE OF THE SECRETAR~A$e RESPOND TO;
rnI DfS'tllJC1, IIDI1VCKY
CORRESPONDENCE WASHINGTONOfl'l~E:
COMMlme ONAPPROPRIATIONS CONTROL CEf5E~ RAYBURN HOUSE O~ACll8UII.OCNQ

"'I'lSHiNGTON, DC2G51&.171l5
ClWnMAN . (ml~eo'
SUDCOMMrne ON'DiEDGPA1'ITMENT Of
~OMr;LllND SECUAITV ' DISTlUCTOFRCES:
SU6COMMlmi QH tHE DEPARTMENl& OF
l1tl\NSPOR1AlION, TIIIiAS\IRV.
o lIIllcum STREET
SOMEllSET. KYQlDI
JUDICWlV, ANDWUIl , 1~B7~DR
(iongrms of the: ilnittd '~tatfS

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l!\ousr of RqJftsflJtatiufll o
WashingtDn, i)Q: 20515-1705
October20, 2005
The HonorableMichael Leavitt

Secretary
Department ofHealth and Human Services
HubertHumphreyBuilding, Room'615F
200 Independence Ave SW 'n <
m
Washington, DC 20201 o
,FAX (202) 690-7203
, ' Dear SecretaryLeavitt:
, We are writing toyou in the context of our roles on the House Homeland Security
Appropriations Subcommittee, withjurisdictionover the funding and implementation of
Project BioShield. We want to expressour serious concerns regarding the status and
adequacy ofour nation's preparedness againstthe threat of a potential future anthrax
attack.
While we commend your Departmentfor building up significantstockpiles of antibiotics,

and the recent acquisition of 5 million dosesof the FDA~1icensed anthrax vaccine, we are
concernedabout the now four year delay in acquiring the Department's 75 million dose
anthrax vaccinerequirement for post-exposure use in response to a potential attack.
Following the 2001 anthrax attacks,your predecessor and others at HHS gave us
optimistic timelines for the development, FDA approval and production ofnew anthrax
vaccines, from. various manufacturers. for the national stockpile
, ,
We are advised that HHS has apparentlyadopted a BioShield procurementpolicy

committing upwards of a $1 billion for its entireanthrax requirement by relying on Cine
elperimental, non-FDA..ap-proved anthrax: vaccine from one company that has never'
successfully developed such a product. '
OCT. 20.2005 4: 36PM HaN HAROLD ROGERS NO.~~i~lVEeP- 2
Ocl21',2005 12:40:32 WS# 06
OFFICE OF THE SECRETARY'
CORRESPONDENCE
CONTROL CENTER
SecretaryMichael Leavitt
October 20) 2005
Page 2
In addition, we are concerned that we do not have a significantstockpile of the FDA-

licensed anthrax vaccine for pre-exposure vaccination'of our first responders aridothers
who might be, called upon to respond to an attack. The Defense Department has learned
that military personnel want FDA-approved vaccines and drugs and arehighly resistant to
taking experimental therapies. .
You. and the Departmentare to be commendedfor a policy of pursuing multiple

technologies and multiple manufacturers of pandemicand annual influenza vaccines and
smallpox vaccines for the stockpiles. Likewise) the Departmentthrough CDC executes
multiple contracts with. all the childhood vaccine manufacturers for the VaccinesFor
Childrenand state immunizationprograms to assure an adequate supply and choice of
products. Therefore it does not seem to make sense for the Department to piace such a
heavy reliance on developmentof one. early-stageexperimental vaccine against anthrax,
which ~iS puts at the top of their biological threat list.
Given.all of our "lessons learned" from recent vaccine shortages and the need for
multiple manufacturers, we strongly believe the Departmentshould adopt a strategy of .
multiple procurements from multiple suppliers) for both licensed vaccine and next
generationvaccines) underBioShield. While the Department's recentprocurement of 5
million doses ofthe FDA-approvedanthrax vaccine is a positive step, it does not resolve
the
,
need for greaterbalance in the' larger supplyfor the StrategicNational Stockpile.
We would greatly appreciate your personallyreviewingthis matter and providing US with

a plan on how the Departmentintends to addressthis apparent gap in our preparedness..
We would also like to see an explicit explanation for the single-supplierprocurement for
anthrax'vaccine, noted. above. .
Sincerely,
/'-f-.
\,::i~
DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary
Office of the Assistant Secretary for

Public Health Emergency Prepare<lness
Washington. D.C. 20201
FEB 1 6 2006

Chairman, Subcommittee on Homeland Security
Committee on Appropriations
Dear Chairman Rogers:
Thank you for your letter of October 20,2005 to Secretary Leavitt, who has asked that I respond
to you on his behalf. I appreciate the opportunity to provide you with information about our
strategy to improve our nation's preparedness and response capabilities in the event of an anthrax
attack.
The U.S. Department ofHealth and Human Services (HHS) is pursuing a comprehensive
strategy for addressing the threat of anthrax, and has made a substantial investment in acquisition
of medical countermeasures for the Strategic National Stockpile (SNS). This comprehensive
approach includes the appropriate acquisition of antibiotics, vaccines and therapeutics to meet
immediate public health needs in the event of an 'attack. The Food and Drug Administration
(FDA) has approved antibiotics for post-event treatment of anthrax exposure, and they are at the
core of our preparedness strategy. We have enough antibiotics to treat some 740,000
symptomatic anthrax patients, and to provide 60-day prophylaxis for approximately 40 million
people. In addition, we are pursuing the acquisition oftherapeutic antitoxins which are under
development and may enhance our ability to treat symptomatic anthrax patients.
Anthrax vaccine offers protection to those who are at risk for exposure to anthrax, and could
offer additional protection in a post-exposure setting, when used in combination with antibiotics.
The interagency Weapons of Mass Destruction Medical Countermeasures Subcommittee is the
focal point in the U.S. Government for the determination of requirements and acquisition options
to support medical countermeasure procurements under Project BioShield. Based on the need
for a next-generation vaccine articulated in a 2002 Institute of Medi cine report, this interagency
group of experts determined in the fall of 2003 that it was appropriate to pursue the acquisition
of75 million doses of an anthrax vaccine based on recombinant protective antigen (rPA). More
than a decade of research, including a robust development program funded by the National
Institutes of Health and the Department ofDefense supported this decision.
Page 2 - The Honorable Harold Rogers
In November of 2004, following a full and open competition, HHS awarded a contract for $877.5
million to VaxGen, Inc. (Brisbane, CA) for 75 million doses of an rPA anthrax vaccine. The
Request for Proposals was open to all technically qualified companies. VaxGen, Inc. met strict
U.S. Government requirements to be considered for this contract. The evaluation considered
technical factors, costs, past performance and small disadvantaged business participation.
A highly qualified panel of experts from industry, academia and government performed the
technical evaluation of proposals. HHS maintains a commitment to develop a next-generation
rPA anthrax vaccine. In addition to this contract, HHS continues, through the National Institute
of Allergy and Infectious Disease (NIAID), to support funding for rPA anthrax vaccine
development with contracts to VaxGen, Inc. and Avecia Biotechnology.
While pursuing and supporting development of this next-generation vaccine, HHS and the
Weapons of Mass Destruction Medical Countermeasures Subcommittee also recognize the
importance of filling immediate needs and continually evaluating requirements. The
Subcommittee therefore supported the acquisition of five million doses of the Anthrax Vaccine
Adsorbed (AVA) vaccine, and HHS awarded a $122.7 million contract to BioPort Corporation
last May. HHS has stated its intention, subject to the availability of funds, to purchase additional
AVA for the Strategic National Stockpile.
HHS is proceeding with deliberate speed to acquire appropriate countermeasures to prepare for
an anthrax attack. This balanced acquisition portfolio supports both immediate and future
preparedness goals. Attached please find specific responses to the questions you posed in your
letter. I would be glad to discusswith you or your staff the confidentiality of any specific
information or to answer any further questions. A similar response has also been provided to
Representative Latham.
Stewart Simonson
Enclosure
••• RECEIVED~"
I . Jun 14.200512:31:28 WS# 06
HAROLQROGERS OFFICE OF THE SECRETARYPLEASE RESPOND TO:
5TH DISTRICT, KENTUCKY
1 . CORRESPONDENCE WASHINGTON OffiCE:
COtMMITTEE ON tPPROPRIATIONS CONTROL CEN19R 2406 RAYBURN HOUSE OFFICE BUILDING
, CHAIRMAN WASHINGTON. OC2051!H705
(2021225-<1601
SUBCOMMrrrEEON THEDEPARTMENT OF
HOMELAND SECURITY
DISTRICT OFFICES:
. I
·SUBCOMMITTEE ON THEDEPARTMENTS OF
TRANSPORTATliJN, TREASURY,
o 551 tuFTY STREET
SOMERSET, ICY 4250'
~UDlctARyj ANDHUD (608) 67!Hl346 OR .
I
of ne ilnitro.~tQt~s
'-llOO-632-85B8
II ~ongrt5s o 00, MAIN STREET

HAZARD,KY 4'70,
11108) 439-0794
il\ousr of'lRtprrsrntatiurs o 100RESOURce DRIVE

PllESTONSBURG, leV41653
16061886-0844
~ashington, ill!: 20515-1705
I
All redactions on this page are withheld under (b)(6). (")0
0."
3::"1 .",
The Honorable Michael O. Leavitt, Secretary 3::3 g
CPl <.rJ
%I
U.S. Department of Health and Human Services 3:'0
0 0-"
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;z: rn
200 Independence Avenue, SW rt';>-f
~:::!::r:
o
Washington, DC 20201 . ri~P1
;oU)i:q
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Dear Secretary Leavitt: ;j);!
0
o
. ' . r0::0
~,,~........._o._.......
I would like to take this opportunity to offer my recommendation' that Dr."!

I .
included as a voting member on the newly-created Medicaid Commission. . .~...._....~..~....... ~.......
A\d~dicated,
accomplishedphysician, DrC~= '=~~]contributions ~he.~edic~l ~Qnlmunity
to
jnl(~nntckrne~far::[~J~..chin~angJQng:l~ting, For th~Jl!;l,~r two year~, Dr. I ~"~'=~'i4as served. !!§~... ~.
~~_.-r--~:1-~~~"" .. ". - - .--~"-.-~_.~.~" ~ ~~~~~. During his tenure, Dr.
hasbeen a leader in the state's effort to transform its Medicaid program. . ~~= --~~-
I. . , i-'~-"'-"'''''''i
.
.~_ _~AtJ accomplished cardiologist, I?ri...... ~...~.._!also served as chancellor ofthe [ ..........~~!'
i FC!'!;c=iMedic~ Ce:n.~~~ A<!4jti~gl!!!YJ he was ap'p~i,~!~~:,!~y Pr~~l~ent JI. W~Bush as Undersecretary .
:l~onMaJoi"GenerarTii"tIieo:S':AiIDfR:eserve. .
He
. '. i has also att~ed ~e
As you can see, Dr] boasts laudable accomplishments in the private and public .
sectors..I.sincerely appreciate"the'work jhat he has done for the.betterment of Kentuckians, and am
'confident that he would be an asset to the Medicaid commission.
. Thank you for your kind attention to this matter. If! can be of any further assistance on behalf
9fDr. Holsinger, please do not hesitate to contact me.
i .
I
I·
I I
. I
!
HR:sp
i;
\ I.
WASHINGTON. D.C. 202()!

United States Congress
Dear Mr. Rogers:
Thank you for your letter recommending DrJ ',0 serve on the
Medicaid Commission here at the Department ofHeaItliancfHliiiiaiiServices.
We are working diligently to attract highly-qualified individuals, and we thank

you for your help. As we continue the process of reviewing the many resumes received,
please be certain that be given every consideration.
Again, thank you for your interest in the future of the Department of Health and
Human Services.
Sincerely,
~JO.~e:tt-
~cht~l-~. L;a~i~
v
__ •,,-,I.:it::HS -RECEIVED- NO.1 001 p, 2
51" DISTRlCT,l\ENTUCI<Y Jul 01,2004 08:34:36 WS# O~LEASE RESPOND TO'
OFFICE OF THE SECRETARY .
COMMITTEe ON APPROPRIATIONS CORRESPONDENCE wASIl''''CTONOFflCE
CONTROLCENlSR - '
ClIAlRMAN
U' '2406 RAYBURN HOllSll OffIceBUlUllNG
WASHII'I<l'lON. DC2011111-.706
~UacOMMlTTEE ON THE!JSY"flTMl!N'r OF 12111) 22!<-f801
/lOMEWlO SliCURtTV
GImleT OFFICES.
SUSCOMMtnEE ~ 'l'l<~ OEPARTM[)Nl'S OF
COMMERce. Jusnce. STATE ANDJIJOlCIARY o 06laJFlVSmEET 0 IlIllM""'lS~""Y
Q:ongrrns of the tinitnt ~tatts

GOMERaE'r, KYoU501 HUARO,ItV.'70'
t~~~R tooele_1M
liUIlCOMMJlTfE ON'l'l<E DEPMTMEliTS OF
TllANBI'ORTATlON ANDTREASURY. AND -
INOEPENDEIiT ACENCIES o "11COUEGES11IEET 0 'OORESOURt:eORIVE
SELECT COMMITTEE ON ilousr of 1Rlprf5wtatiOtB SUITe 2, ROOM 212

flltEVIUE, ICY 4160'
(GOG) 432"'381l
aUIlE A
PRESTONSBllRG. ICY 4185:1
lGOO) &SIi-\l6AO
HOMEI.AND SECURITY
~a.shfngtont lBl!: 20515-170)
June 29, 2004
The Honorable Tommy Thompson

SecretaryofHealth and Human Services
200 IndependenceAvenue SW
Dear SecretaryThompson:
-Ithas come to my attention that Forwardin the Fifth has submitted an application
for financial assistance through the Office of Community Services for a Compassion
Capital Fund. I respectfully requestthat this organizationbe given utmost consideration
for grant funding.
As a community-based and faith-based organization in Central Appalachia,

Forwardin the-Fifth has provided invaluable educational services to the homeless, elderly
and at-risk youths. Some of these servicesincludeinstalling computers in the homes of
those who are less fortunate than others, helping engage Appalachian families to improve
local schools, and providing regional workshops for continuing education. Undoubtedly.
this program is a valuable asset to Southernand Eastern Kentucky.
I sincerely appreciate your attentionin this matter.

DEPARTMENT OF HEALTII AND HUMAN SERVICES
AOMINlSTRATlON FOR CHllORE"l AND FAMIliES

Office of the Assistant Secretary, SUIte 600
370 L:Enfant Promenade. S.W.
Washington. D.C. 20447

Dear Mr. Rogers:

Thank you for your letter to Secretary Thompsonregarding your support for the
application for funding submitted by forward in the Fifth, Their application was
submitted under the Administration for Children and Families' (ACF) Compassion
Capital Fund Demonstration program. I regret to inform you that the application was not
funded.
Grant awards are made on the basis of the programpolicy and selection criteria as
published in the Federal Register. An integral part of that process includes a
comprehensive revi.ew of each application by a panel of independent reviewers. The
applicationsare then rated according to the merits of howwell the applicant responded to
the review criteria. The applications with the highest ratings are then considered for
funding. We are in the process of notifying all unsuccessful applicants, as well as
sending them the reviewers' comments.
I appreciate your interest in the programs administered by ACF. Please call me if I can
be of further assistance.
Sincerely,
Clarence H. Carter
Director
Office of Community Services
FEB. 24. 2003 8: 58AM ... RECEIVED •••
NO. 0309 p, 2
Feb 25,200310:38:02 WS# 05
HAROLD ROGERS OFFICE OF THE SECRETARY PlEASEIIEBPOND 10:
ITH 0It'll\lCT. KENTUCKY
CORRESPONDENCE WMHINliTON OFACE:
COMIVlI"'!E ON CONTROL CENTER o tloe ftAV8UllN IUILDING
APPFlOPRIATlOIIIS WASIII1oIG'tON. OC2Oll1!>-nC5
110112:1$-4801
CIIAIlIMAN
SUBCOWollTTliE ONTnIlNSJ'OIIT/lTIOH DI!lTIlICT OFFIC6:
SUllCOMMllTES OMCONMQlCl!. JU611C[.

o lSI Cl,If1VST1I!!tT
1OMEl'ISeT, IC'r 4Zl101
liTAlE. ANDTImJUDICIARV (1DlI111J-_ OR
l~
!lU8COMMIl"TE~ ONENe/lGV liND
WAT5A lll.vILOPMENT [ungress of thr tlnittd ~tatts o 901 MIIIN STRm
~.ItY"'701
1M1143I-07tI
!I-l.oOSf of 'RrpftsmtaDofS o 111COLLEGE &T.
SUITE I, ROOM ~,~
PlKlIVlI.l.'.'I.'f41S01
ilDashinllblD, B~ 20515-J705 .i0614ft-U18
February 20, 2003
The Hon. Tommy O. Thompson

Secretary ofHealth and Human Services
200 Independence Ave., S.W.
Dear Mr. Secretary;
It has cometo my attention that the Ci':y of Beattyville, locatedin Lee County. Kentucky, has
submitted an application for financial aasistance through the Centerfor Substance Abuse
Treatment's Targeted Capacity Expansion (TGE) program (PA 03~OOI). I strongly suPPOl1 this
application andurgeyour carefulconsideration.
The pwposeofthe TeE program is to provide local governments the resources to expand
substance and alcohol abuse treatment services to underserved communities. Project Advanceis a model
program. that assists women wbohave developed substance abuseproblems fromtral1ll1atic experiences
or upbringing, andprovides stabilization, recovery, and transitional care services. The City ofBeattyviUe
is requesting approximately $438,000 to expandProjectAdvance into Lee, Owsley, Breathitt, and Wolfe
counties, some of the most underserved counties in Kentucky Appalachia.
Thisprogram bas the unqualified supportof the University of Kentucky Center for Drugand
Alcohol Research, as well as Kentucky RiverCommunity Care, Inc. I am confidenttha~ given the
dedication of everyone involved, additional funds from your program will go a long way towardmaking
ProjectAdvance available to thosethat trulyneed help. As you review applications, I urge you to keep
the significant Deeds of southern and eastern Kentucky in mind.
.,,~---
HR:dc
a.::::I-. Mar.]~. 2003 2:06PM
DKPAIl'1'MI!NT OI'HEAL'l'lI" HUMANSB1WlCllS

No.5029
Substance Abuseand Mental

P.36
Health Servleta Administration
Centerfar Mental HeBlth SIMCR.

Centerfor Substallce Abu••
Prevention
Cant8r for Substance Abu••
Treatment
Rockville MD 20857
FEB 2 7 2003

Washington. D.C. 20515-1705
Dear Mr. Rogers:
S~creta1Y Thompson ~ asked me to thank you for your letter of February 20, and to respond
directly to you regarding your support of a grantapplication submitted by the Ciry of
BeattyVille, located in Lee County, Kentucky.
Grant applications received by the Substance Abuse and Mental Health Services
Administration's (SAMHSA) Center for Substance Abuse Treatment (CSAT) are reviewed for
technical merit by a peer review group composed primarily of non-Federal experts in the
relevant fields. Uponcompletion at' the initial review, all scored applications are submitted to
SAMHSNCSAT's National Advisory Council for a second level review. All applicants are
notified of the review results. Selection for funding is based on the outcome of the review1 the
availability of funds, and other criteria listed in the grant announcement. Unfortunately, funds
may not be available to fund all scored applications.
Please be assured that the application will receive careful and fair consideration. If it is
recommended for approval and selected for an award, you will be notified by the Department's
Congressional Liaison Office.
If your staff needs further information on this grant, they may contact Mr. Jo~eph Faha,
SAMHSA's Director of Legislation, at (301) 443-4640. Thank you for your Interest in our
programs.
,./. . . '")"
Sincerely,
".~._ E~
~_ .. '.. .::~.. > ~... ~.
Charles G. Curiel M.~ ~'t:'\'V.
Administrator
•. CI II RI ~. -"'ICc, of MllUlllld Can-Of(lllll of

. .-J'\_ of EquII Empfoymem op~unllV .. v grn........'"
of'" ned SlIIdl-otnCl of CammunICItlOnr-w ll
/foe or til. Admln'lItfllor-OffiCl

__ J - . IU __...... " " " - , . . , , ~r_..... ."......
1»..... 1>
:IV'
.....
r. mlnllllnn-MI.... nr Pr". ram S.rvicell
'"RECEIVED'''
HAROlD ROGERS Jan 02,2003 11:49:44 WS# 05 PLEASERESPONDTO:
5TH DISlRICT. KENTUCKY OFFICE OF THE SECRETARY
WASHINGTON OfFICE-
CORRESPONDENCE
COMMITTEE ON CONTROL CENTER 0 2406 RAYBURN BUILDING
WASHINGTON, DC 20515-1705
APPROPRIATIONS
(202j 22S-4601
CHAIRMAN
DISTRICT OFFICES;
SUBCOMMITTEE ON TRANSPORTATION
o 551 CLIFTYSTREET
SOMERSET. KY42501
SUBCOMMITTEE ON COMMERCE. JUSTICE,
STATE. AND THE JUDICIARY (606) 679-8346 OR
1-80()..632-85BB
Sl'BCOMMITTEE ON ENERGY AND

WA.TER DEVElOPMENT ([ongress of the tinitrd ~tates 0 50'
MAIN STREET
HAZARD, KV 41701
16061439-0794
lllollsr of Rcprrsrntatiut5 0 119 COLLEGE ST.

sorrr 2, ROOM 212
PIKEVILLE. KV 41501
illlJashington, 16([ 20515-1705 e606\ 432-4388
December 18. 2002
The Hon. Tommy G. Thompson

Secretary of Health and Human Services
Dear Mr. Secretary:
It has come to my attention that the Taylor County Industrial Development Authority, located
in Campbellsville, Kentucky, has submitted an application for financial assistance through the Center for
Substance Abuse Treatment's (CSAT) Targeted Capacity Expansion program (CFDA 98.230). I am
writing today to urge your strongest consideration of their proposal.
The purpose of CSA T's Targeted Capacity Expansion program is to provide local governments
the resources they need to expand substance and alcohol abuse treatment services to underserved
communities. The Rural Women's Recovery Project, developed by Taylor County in 2000, seeks to assist
women who have developed a substance abuse problem as a result of a traumatic experience
or upbringing. As someone who has worked for many years, alongside many concerned citizens, to
combat illegal drug use in southern and eastern Kentucky, I believe that more programs like the Rural
Women's Recovery Project are needed.
I am proud to say that the Rural Women's Recovery Project has the unqualified support
of Campbellsville University, the Campbellsville/Taylor County Anti-Drug Coalition, and the Central
Kentucky Agency for Substance Abuse Policy. I am confident that a grant from your program will go a
long way toward helping Taylor County broaden its reach to several more counties. As you review
applications, I urge you to keep the significant needs of southern and eastern Kentucky in mind.
Again, thanks for your consideration. Should you have any questions, do not hesitate to contact
me or David Connelly of my staff at 202-225-4601.
d~~~
OOERS/
Member of Congress
HR:dc
Cc: Jeffrey Schuhmann, Taylor County Industrial Development Authority
-------_ _--
Jan /31. 2003 5:57PM
. No.4877 P.20
(J. DEPARTMENT OP HEALTH a. HUMAN S:EllVICES SubliUlnljletAbu•• and Memal

Health Services Adminilltration
Centerfor Mental He~lth Stllvice$

Center for Substance Abuse
Ptellention
Cftnterfor Sub,tanee AbtJII.,
Treatment
JAN 3 1 ZOO3 Roc:kvill" MD20B57

HouseofRepresentatives
Washington, D_C. 20515·1409
Dear Mr. Rogers:
Secretary Thompson _ asked :me to thank. you for your letter ofDecember 18. 2002, andto
respond. directly to you regarding the Taylor County Industrial Development Authority grant.
application. .
Grant applications received by the Substance Abuse and Mental Health Senric:es Administration's
(SAMHSA) Center for Substance Abuse Treatment (CSAT) are reviewed for technical merit by a
peer review group composed primarily ofnon-Federill experts in the relevant fields. Upon
completion of the initial review, all scored applications are submitted to SAMHSAlCSAT's
National Advisory Council for a second level review, All applicants are notified of the review
results. Selection for fundjng is based on the outcome ofthe review, the availability offQnds, and
othercriteria listed in the grant announcement. Unfortunately. funds may not be available to fund
all scored applications.
Please be assured that tho application will. receive careful and fair consideration. Ifit is
recommended for approval aDd selected for an 8'W8(d, you wiD be notified by the Department's
Ifthe staff Of the Taylor County Industrial Development Authority need fUrther assistance
concerning this matter, they may wish 10 contact Mady Chalk, Ph.D.~ Director, Division of
Services Improvement. SAMHSA/CSAT, 5600 Fishers Lane, Rockwall II, 6th Floor, Rockville,
Maryland 20857, telephone (301) 443-8796.
Thank you for your interest in our programs to eombat substance abuse.
Offlc8 \II Ihe AdmlrlIOIr,10r-O,""" of Applied $tudi• ....-4lfI. of COmMunio.tlall""Offic. of EQual EITtployment OpllOrlunlly III CI..II lIillhtll-Offl"B of M.negcd c.r-oHlcll of
Mlno rJrt Hallt~lftc:o of Pelley II Progf.m CcJordlnlllcl)-OfllClll
..
. '., '.. .'. ..... .... ... .....,. . " . p'
.
Prc>gram S.rvk:n
..~ .. .. .. .. .
SEP. 26. 2:)02 11 :44AM NO. 5206 P. 2
"'RECEIVED'"
HAROLD ROGERS Sap 30,2002 08:50:10 WS# 05 PLEASE RESPONDTO:
5THCISTRI<;T. ~eN1VCKY OFFICE OF THE SECRETARY
CORRESPONDENCE WASHINGTON OFfiCE;
COMMlrrEE ON
APPROPRIATIONS
CONTROL CENTER o 2408IU\VIURN BUILDING
WASItINGYON. DC2a6'50~105
12Im2l....601
CHAIR~A.N
SUeC;OMMfTTEE ON TRANSPORTATION DISTRIct OFFiCes
SUBCOMMlnEE ON COMMERCE. JUSTLCE.

o 66' CLIFTY S'r1IiET
so..~RSET. KY 425ll.
S1"TE. ANt>THE JUDIClAllV 16061619-ll348 OR
'~-e588
SUBCOMMITTEE ON ENERGY AND
WATeR ceveLOPMENT [:ongrrss of the tinitm ~tat[S o 1lO' IIIAIN STREET
HAZARO;KV.,70t
leoeJ~l"
!lOUSE of R£pr£srntatiors o 118COllEGE &1.

&\lITE2.11DOM212
PII(liVlllE. ICY'" 1lO,
'lllllashington, 1.9[: 20515-1705 1.0tll <32-43119
Septe.mber20,2002
The Hon, Tommy G. Thompson

200 Independence Ave., S.W,
Dear Mr. Secretary:
It has come to my attention that the Morgan County Board of Education has submitted an
application for financial assistance through the Early Learning Opportunities program (eFDA 93.577).
Morgan County, Kentucky is among one of the most underserved counties in Appalachia, and I am
writing to urge your strongest consideration of their proposal.
As you know, the purpose of the Early Learning Opportunities program is to support community-
based early childhood development that prepares toddlers for school and promotes parenting skills. The
Parents-as-Teachers program is geared toward this and program officials are requesting funds in the
amount of $237,540 to provide heahhcare, transportation. and in-home services.
If funded, I am confident that such assistance will go a long way toward helping many low-
income families in my district whose access to dependable childcare and affordable health insurance is
limited. Positive early childhood instruction is essential to human development and the Parent-as-
Teachers program is composed of qualified and dedicated professionals. So as you review application, I
hope you will keep in mind the significant needs of southern and eastern Kentucky in mind.
Again, thank you for your consideration. Should you have any additional questions, do not
hesitate to contact me or David Connelly, my legislative assistant.
HR:dc
Cc: Carolyn Bishop. WEVE family Resource Center
......• ....·Cf,J
(
,,1-
~ DEPARTMENT OF HEALTH AND HUMAN SERVICES

370 l:Enfant Promenade, S.W.
DEC 4 2[02

Dear Mr. Rogers:
Thank you for your letter of support for the grant application submitted by the Morgan County
Board of Education for Early Learning Opportunities Act funding.
All applications submitted for funding consideration were competitively and impartially
reviewed by panels composed of individuals knowledgeable in the fields of child care and early
childhood development, including professionals who work in those fields. Each application was
evaluated on its programmatic and technical merits based on the criteria published in the Federal
Register on April 25, 2002.
Funding decisions have been made and I regret to inform you that the application from the
Morgan County Board of Education was not selected. The funds available allowed us to select
only the highest scoring applications.
Thank you for your interest in our programs. Please be assured that the application submitted
by the Morgan County Board of Education received a full and impartial review.
Sincerely,
Wade F. Horn, Ph.D.

Assistant Secretary
••• RECEIVED •••
HAROlD ROGERS Sep 11,2002 14:34:47WS# 05 PLEASERESPONDTO:
5TH DISTRICT.KENTUCKY OFFICEOF THE SECRETARY
WASHINGTON OFFICE:
CORRESPONDENCE 0
COMMITTEE ON CONTROLCENTER 240& RAYBURN BUILDING
WASHINGTON, DC 20515-1105
.ll.PPROPR1ATIONS 12021225-4&01
CHAIRMAN
OISTfUCT OFFICES
SUBCOMMITIEE ON TRANSPORTATION
o 551 CLIFTY STREET
SOMERSET. KY 42501
SUBCOMMITTEE ON COMMERCE,JUSTICE,
STATE, AND THE JUDIC1ARY i,6061 679-8346 OR
1-800-632-6588
SUBC:OMMJTIEEON ENERGY AND
WATER DEVELOPMENT «iongrrss of the <}Jinitm tStatrs o 601 MAIN STREET
HAZARD. KY 41701
{6061439-0794
!louse of 1Rcprrscntatiocs o 119 COLLEGE ST.

SUITE 2. ROOM 212
PIKEVILLE,KY 41501
illlashinllton, f)Q: 205l5-l705 1&061432-4388
September 4, 2002
The Hon. Tommy G.Thompson

Dear Mr. Secretary:
It has come to my attention that the Southern Kentucky Economic Development Corporation
(SY...EDC) has submitted an application for financial assistance through the Office of Community Services
(Priority Area lOP). I am writing to urge your strongest consideration of their proposal.
For several years now, SKEDe has been instrumental in attracting new businesses to southern
and eastern Kentucky and I am pleased to endorse their request for a $349,000 grant to help secure the
presence ofa business corporation in the newly developed Lone Oak Industrial Park in Owsley County,
Kentucky. Specifically, this money would be used to finance the purchase of equipment and, if awarded,
would go a long way toward creating jobs in one of the most underserved counties in Appalachia.
You will be pleased to know that Owsley County was recently designated as part of a new
"renewal community," making it and its neighboring counties eligible for several tax incentives over the
next seven years as a way to attract new business, create affordable housing, and encourage investment in
depressed communities. In Owsley County, poverty hovers at 35% compared to 23% for the state, and
many of its citizens lack a high school education or dependable healthcare. I applaud SKEDC's initiative
in assisting Owsley County's development efforts, and hope that as you review applications, you will keep
the significant needs of southern and eastern Kentucky in mind.
Again, thank you for your consideration. Should you have any questions or comments, do not
hesitate to contact me or David Connelly, my legislative assistant at 225-460].
SinceL.-n
~i;;ERst:-~
Member of Congress
HR:dc
Cc: Clarence Carter, Director of Office of Community Services

Greg Jones, SKEDC
Susan Ramos, Booneville/Owsley County Industrial Authority
DEPARTMENT OF HEALTH & HUMAN SERVICES

370 tEnfant Promenade. S.W.
SEP 30 2JGZ

Washington, D.C. 20515-) 705
Dear Mr. Rogers:
Secretary Thompson asked me to thank you for your letter and to respond directly to you
concerning your support for the application submitted by the Southem Kentucky Economic
Development Corporation (SKEDe). SKEDe's application was submitted for funding under the
Administration for Children and Families' (ACF) Community Economic Development Program.
Applications for funding have been reviewed and evaluated competitively by independent
reviewers according to each applicant's responsiveness to the program guidelines and
evaluation criteria published in the program announcement. The results of these reviews
will assist ACF in considering applications for funding. Grant awards will be announced
no later than September 30, 200L
I hope this information will be helpful to you and your constituent. Please call me if I can be of
further assistance.
Sincerely,
Wade F. Hom, Ph.D.

Assistant Secretary
'"RECEIVED'''
HAROLD ROGERS Ju110.2002 14:33:50 WS# 04 PLEASE RESPOND TO:
5TH DISTRICT, KENTUCKY OFFICE OF THE SECRETARY
WASHINGTON OFFICE:
CORRESPONDENCE 0
COMMITTEE ON CONTROL CENTER 2406 RAYBURN BUILDING
APPROPRIATIONS WASHINGTON. DC 20515-1705
(2021 225-4Sll1
CHAIRMAN
OISTRiCT OFFICES:
o 551 CLIFTY STREET
SOMERSET, KY 42501
SUBCOMMInEE ON COMMERCE. JUSTICE.
STATE. AND THE JUDICIARY ('061579-83<16 OR
tiongrrss of thr tinitro ~tatfs

1-8D0-632-8SBB
SUBCOMMITTEE ON ENERGY AND

WATER DEVELOPMENT o 601 MAIN STREET
HAZARD. KV 41701
(60SI439-0794
iRonsr of 'lRrprcs£n11ltinrs o 119 COLLEGE ST.

SUITE 2, ROOM 212
PIKEVILLE, KY 41501
Washington, 1.9(i 20515-1705 {606! 432-438B
July 2,2002

200 Independence Ave.~ S.W.
.
~ ~.:.
Dear Mr. Secretary:
It has come to my attention that the City of Beattyville, located in Lee County, Kentucky, has
submitted an application for financial assistance through the Center for Substance Abuse Treatment's
(CSAn Targeted Capacity Expansion program (PA 00-001). I am writing today to urge your strongest
consideration for their proposal.
The purpose ofCSATs Targeted Capacity Expansion program is to provide local governments
the resources to expand substance and alcohol abuse treatment services to underserved communities.
Project Advance, developed by the City of Beattyville in 1998, seeks to assist women who have
developed substance abuse as a result of a traumatic experience or upbringing. As someone who has
worked for many years, and with many concerned citizens, to combat illegal drug use in southern and
eastern Kentucky, I believe that more programs like Project Advance are needed.
I am proud to say that Project Advance has the unqualified support ofthe University of Kentucky
Center for Drug and Alcohol Research as well as Kentucky River Community Care, and I am confident
that a grant from your program will go a long way toward helping the City of Beattyville broaden its
reach to several more counties. As you review applications, I urge you to keep the significant needs of
southern and eastern Kentucky in mind.
Again, thanks for your consideration. Should you have any questions, do not hesitate to contact
me or David Connelly ofmy staff at 202-225-4601.
SinCerelY~ I
i-I-zA.2c.~
~LD~OGERS •
Member of Congress
Cc: Sheila Allen, Kentucky River Community Care

Charlie Beach, Mayor of Beattyville
Charles Curie, Administrator - Substance Abuse and Mental Health Services Administration
DEPARTMENT OF HEALTH &. HUMAN SERVICES Substance Abuse and Mental
Health Services Administration
AUG
7 7 ~G02
Center for Mental Health Services
Prevention
Treatment
Rockville MD 20857

House ofRepresentatives
Washington, D.C. 20515-1705
Dear Mr. Rogers:
Secretary Thompson has asked me to thank you for your letter ofJuly 2, and to respond directly
to you regarding your support ofa grant application submitted by the City ofBeattyville.
Grant applications received by the Substance Abuse and Mental Health Services Administration's
(SAMHSA) Center for Substance Abuse Treatment (CSAT) are reviewed for technical merit by a
peer review group composed primarily ofnon-Federal experts in the relevant fields. Upon
completion ofthe initial review, all scored applications are submitted to SAMHSNCSAT's
National Advisory Council for a second level review. All applicants are notified of the review
results. Selection for funding is based on the outcome ofthe review, the availability of funds, and
other criteria listed in the grant announcement. Unfortunately, funds may not be available to fund
all scored applications.
Please be assured that the application will receive careful and fair consideration. If it is
recommended for approval and selected for an award, you will be notified by the Department's
If the staffofthe City ofBeattyville need further assistance concerning this matter, they may wish
to contact Mady Chalk, Ph.D., Director, Division of Services Improvement, SAMHSNCSAT,
5600 Fishers Lane, Rockwall II, 7th Floor, Rockville, Maryland 20857, telephone (301) 443-8796.
Thank you for your interest in our programs to combat substance abuse.
Office of the Administrator-Office of Applied Studias-Office of Communications-Office of Equal Employment Opponunity & Civil Rights-Office of Managed Care-Qftice of
Minority H~allh-Offica of Policy III Program Coordinatioll-Office of Program Services
._--_._--... _--_._--_. ----

••• RECEIVED -.
((ongress of tbe Itniteb ~tate~ OcI15,2001 14:22:57 WS# 05

CORRESPONDENCE
Uasl)ington.J)14: 20515 CONTROL CENTER
October 10, 2001
The Honorable Tommy Thompson

Secretary
Dear Mr. Secretary:
On behalf of all the healthcare providers in Kentucky, thank you for all your hard work as
you address the numerous healthcare issues important to both urban and rural communities.
However, we would like to take this opportunity to raise with you a topic of concern to our
constituencies.
It has come to our attention that the Department of Health and Human Services (RRS)
intends to issue a proposed rule eliminating the 150 percent federal Medicaid upper payment
limit (UPL) for non-state governmental hospitals. Because Medicaid payments to Kentucky
hospitals have not kept pace with actual costs, this limit is crucial to our providers that treat
Medicaid patients. According to the Kentucky Hospital Association, the percent of actual
treatment costs covered by Medicaid has dropped from 93 percent to 78 percent since 1995. In
addition, according to the most recent MedPac report to Congress, Kentucky ranked tenth lowest
among the states in the percent of Medicaid cost covered by Medicaid payments. For the current
fiscal year, Kentucky is anticipating a Medicaid deficit of approximately $163 million.
In order to cover their Medicaid costs, several states developed intergovernmental

transfer (lOTs) programs whereby local public hospitals were reimbursed by state governments
at higher levels so as to claim larger federal reimbursements. Local hospitals were then required
to return excess funds to the state to help cover their share of Medicaid costs. While we respect
the administration's goal of curbing abuses committed by some states that previously used excess
Medicaid reimbursements for non-Medicaid purposes, we feel that an elimination of or reduction
in the 150 percent UPL would be detrimental to Kentucky's 22 public hospitals. The current rule,
effective March 13, 2001, addresses abusive accounting practices promulgated by some state
lOT programs, and recognizes the importance of the 150 percent UPL in protecting the role of
safety net hospitals in providing essential services and uncompensated care.
Kentucky has developed and submitted an lOT plan that is in full compliance with the
current rule, and we trust that all federal funds realized from this plan will stay within the
Medicaid program. To rescind the 150 percent UPL now would put Kentucky in a precarious
situation as they struggle to meet their responsibilities to its hospitals. Therefore, we oppose any
adjustment to the 150 percent UPL and hope that you will expeditiously approve Kentucky'S lOT
plan as provided for under the current rule.
Sincer~~
Ron Lewis
PAINTED ON RECVCLED PAPER

"'RECEIVED-
Oct 15,200114:22:57 ws# 05
CORRESPONDENCE
CONTROL CENTER
October 5, 200 I Thompson Letter, Page 2
Ken Lucas '

DEPARTMENT OF HEALTH &. HUMAN SERVICES Health Care financing Administration
.f
The Administrator
OCT 2 2 2001 Washington, D.C. 20201

Dear Mr. Rogers:
The Secretary read with interest the concerns that you and your colleagues in Congress
conveyed. He has asked me to respond directly to you regarding the rulemaking related to the
150 percent upper payment limit (UPL) for Medicaid payments to non-state government-owned
or operated hospitals.
We appreciate your desire to maintain Federal funding to provide health care services to millions
of low-income and uninsured citizens of Kentucky. The Medicaid program will continue to be
successful only to the extent that it adheres to that mission and ensures that the funds provided
are used appropriately and that the program retains its integrity.
Since we issued our UPL rule in January, states and hospitals have expressed concern about the
impact on other health care programs. We share these concerns, and are committed to ending
inappropriate use of Federal funds. We also want to ensure that public hospitals and other safety
net providers can continue to meet their mission of serving Medicaid and uninsured patients.
We are considering issuing a notice ofproposed rulemaking that will address the 150 percent
UPL for non-state government-owned or operated hospitals. The proposed rule will be open to
public comments, and we would welcome your detailed input. Your views on this issue are
important to me and will be given full consideration as we evaluate moving forward with this
issue.
We look forward to working with you and your colleagues in Congress in our quest to find
creative, effective and efficient ways to provide health care to those in need. An identical letter
also will be sent to the other co-signers of your letter.
Sincerely,
(jL£ Thomas A. Scully

Administrator
Centers for Medicare
The Health Care FinancingAdministration (HCFA) was renamed to the Centen for Medicare & Metlical4
Services (CMS). We are exercising fiscal restraint by exhausting our stock ofstationery.
-RECEIVED'"
HAROLD ROGERS Jun 25,2001 14:57:44 WS# 05 PLEASE RESPOND TO:
!;TH DISTRICT.KENTUCKY OFFICE OF THE SECRETARY
CORRESPONDENCE WASHINGTON OFFICE'
COMMITIEE ON CONTROL CENTER 0 2400 RAYBURN BUILDING
APPROPRIATIONS WASHINGTON. DC 205'5-1705
12021 225-4001
CHAIRMAN
OI$TAICT OFFICES:
o 551 CLIFTY STREET
SOMERSET. KY 4250'
SUBCOMMmEE ON COMMERCE. JUSTICE.
STATE. AND THE JUDICIARY 15061679-8345 OR
1-800-632-8588
SUBCOMMlffiE ON ENERGY AND
WATERDEVELOPMENT ([ongfrss of the mnitrd ~tatrs o 601 MAIN STREET
HAZARD. KY 4170'
16061 439-0794
iltousr of 'Rrprcsmtatincs o "9 COLLEGE ST.

SUITE 2. ROOM 212
PIKEVillE. KY 4j 501
~ashington, B~ 20515-1705 1606)432-4388
June 21, 2001

Dear Mr. Secretary:
I want to express my unqualified support for the grant application by Hazard Perry
County Community Ministries, Inc. for their "New Beginnings" program through the Office of
Community Services: Administration for Children and Families. I urge you to approve this
grant, which would provide welfare recipients needed education and employment in the
childcare industry.
Lack of accessible and affordable child-care is one identifiable barrier in moving families
from welfare to work and out ofpoverty. This both presents an obstacle for welfare recipients
seeking employment and limits industry expansion and economic development in the region.
The Hazard Perry County Community Ministries, Inc. has developed an innovative
approach entitled "New Beginnings" to provide employment and educational opportunities for
welfare recipients and low income families while meeting the child care and early childhood
development needs of other potential new industries in Hazard and Perry County, Kentucky. I
believe this initiative will provide an opportunity for people to move from welfare to work,
blending education withjob training and thereby reducing the traditional barriers facing rural
Kentucky families. This organization has already secured nearly $2 million from other public
and private sources. The $500,000 requested in their grant application will make this program a
reality, while maximizing the federal government's investment.
I sincerely hope this grant application is successful and thank you in advance for yow'
attention to this matter. IfI can be of any further assistance on behalf of Hazard Perry County
Community Ministries, Inc. feel free to contact me or Roger Libby in my Washington office.
AROLD~~
Member of Congress
CC: Gerry Roll, Hazard Perry County Community Ministries, Inc.

DEPARTMENT OF HEALTH & HUMAN SERVICES

370 l'Enfant Promenade, S.W.
JUl 13 2001

U. S. House of Representatives
Dear Mr. Rogers:
Secretary Thompson has asked me to thank you for your recent letter, and to respond
directly to you.
Thank you for your endorsement of the application submitted by the Hazard Perry
County Community Ministries, Inc. The application was submitted for funding under our
Discretionary Community Development Program.
All applications for funding will be reviewed and evaluated competitively by independent
reviewers according to their responsiveness to the program quidellnes and the
evaluation criteria published in the program announcement. The results of these
reviews will assist the Director and OCS Program Staff in considering applications for
funding. Grant awards will be announced no later than September 30, 2001.
We appreciate your interest in the programs administered by OCS and we thank you for
your letter of support.
Sincerely,
~~
Claren:~ ~. Garter
Director
Office of Community Services
-RECEIVED'"
Sap 27,2000 09:14:18 WS# 03
HAROLD ROGERS OFFICE OF THE SECRETARY PLEASE RESPOND TO:
5TH DISTRICT. KENTUCKV CORRESPONDENCE
WASHINGTON OFFICE:
COMMITTEE ON
CONTROL CENTER 0
~410 RAVBURN BUILDING
APPROPRIATIONS WASHINGTON. DC 2051&-1105
12021225-4601
CHAIRMAN
DISTRiCT OFFICES:
SUBCOMMITI~E ON COMMERCE.
JUSTICE, STATE. AND THE JUDICIARY o 551 CLIFTY STREET
SOMERSET. KY 42501
~aoo, 679-8346 OR
VICE-CHAIRMAN
1-800-632-8588
SUBCOMMITIEE ON ENERGy
AND WATER DEVELOPMENT
MEMBER. SUBCOMMITTEE ON
<Ulngrrss of the tlnitro ~tates o 50' MAIN STREET
HAZARD, KY 4'701
{6061 .c39--0194
TRANSPORTATION
'!ROUSEof'Rcprrsrntatiucs o BOIlHAMBUEY BLVD,
PiKeVilLE. KY4'501
1606t C32-43B8
fiJashington, 19<i 20515-)705
September 21, 2000
Secretary Donna Shalala

200 Independence Ave. SW
Hubert Humphrey Building
Dear Secretary Shala1a:
I want to make you aware of a decision by the Health Resources and Services
Administration's Bureau of Health Professions that will have a serious negative effect on
the health care provided to the underserved area of southeastern Kentucky. An Allied
Health Grant recently awarded to the University of Kentucky (UK) College of Allied
Health Professions in conjunction with the Sanders-Brown Center on Aging was awarded
with a 30% cut in funding. This cut puts the program at risk and would result in the
removal of needed health care services from my district.
This grant was to fund a geriatric interdisciplinary health care program in the rural
area surrounding McKee, Kentucky in Jackson County in order to assist with case
management for fragile elderly persons with multiple chronic problems. In particular,
the program was to continue a 9-year partnership between UK and the White House
Clinic in McKee. This rural area has little access to health care services and this
partnership has helped provide needed health care that would otherwise not be available.
The application received a high score of 89, but the reviewers perceived the
administrative costs to be too high and suggested a 30% cut in funding. This cut,
eliminating $132,900 out ofa $487,350 grant, would eliminate the on-site coordination of
health care providers, patients and other entities involved. While the reviewers may have
suggested the cut believing the program could be coordinated from UK instead of on-site,
the parties involved do not agree with that assessment. The distance between UK in
Lexington, Kentucky and the White House Clinic in McKee is substantial enough to:'
make coordination extremely difficult and potentially dangerous for the patients.
--------_ .. --- - _ _ -_.. _ _--_._--_ _-----.. -

'''RECEIVED-
Sap 27,2000 09:14:18 WS# 03
CORRESPONDENCE
CONTROL CENTER
While the clinic was meeting with its board members to determine if UK could do
the coordination, the university was informed that they needed to either accept the grant
with the 30% reduction or forfeit the grant completely. Still believing there was some
way to make the program work with the 30% cut, UK accepted the contract for the grant
(# I-D37-HP-00777-01) and received a letter dated June 28,2000 awarding the contract.
The White House Clinic later informed UK that they could not afford to
participate without the on-site coordinator, and the program coordinator for UK said that
the cut can not be spread across the board in order to provide for this position. Therefore,
the program is now at risk ofleaving Jackson County. UK was informed by a HRSA
representative that they could use an alternate site closer to Lexington, enabling them to
coordinate from the university, ifthe White House Clinic pulled out and the new site was
in an underserved area. This is not UK's preference and would seriously hurt those who
need this and similar programs to provide health care in Jackson County and the
surrounding underserved area.
I therefore ask you again to reconsider the decision by HRSA's Bureau of Health
Professions under your department. This cut is unreasonable and would have devastating
effects on the people of rural southeastern Kentucky.
CC: Claude Fox, HRSA Administrator

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••• RECEIVED •••

cn~n!11'~11l' ttl fl,e Unit~b j$;tnh~11

n,o HOllomblo Kalhleen SebolJus

Door SeCRltary SobeJlus. 'I

Intorvontlon I" cases ofsovoro bleeding.

use, We cannot allow taxpayer dolJal'lJ to be lISed tollUppolt telell1cd abol1lolls.

OFFICE OF THE SECRETARY

Representative Renee Ellmers

~ngrrss of the itnfttd ~tatf5 o rot MAIN S1IIl:ET

'11.0USt of RtlJtarntatiutS o 110llESOURCE COURT

Hdnorable Kathleen Sebelius, Setr~tary

Dear Madame Secretary:

I would like to respectfully recommend for your consideration MrJ Branch

Be assured that Md;.vill continue to serve your grantees and my constituents in a

JUl 12. 20m

The Honorable Hal Rogers

Dear Representative Rogers:

I hope this information is helpful.

'-tongrrss of the tinittd ~tatfS

o 001 MAIN S'ml!ET

r am contacting you regarding my constituentnamed above.

All redactions on this page are withheld under (b)(6).

January 25, 2010

The Honorable Stephen Harper

Dear Pnme Munster Harper

--'-'~~ -~-~'~-~~ 0P- Member of Congress

CC ]he Honorable Tom Vilsack, Secretary of the Department of Agriculture

- --- --- - - -----~-

Dear Representative Rogers:

The HI N I influenza continues to spread nationally, The Department of Health and

QInngrtZ5 of tlyt ~nitto ~ta±tJ~~gi~~:~~~i~t~~T

Honorable Kathleen Sebelius

Dear Secretary Sebelius:

fCongrt£)£) of the 1tnittb~fatt.£i'

The Honorable Michael Leavitt

PRINTEDON RECYCLED PAPER

~~~~~f- Z)rCEO.Q~ Mo-~

Aug 06,2008 12:13:44 WS# 22

The Honorable Harold Rogers

Dear Representative Rogers:

Health care providers should not have to choose between

Recently, HHS issued a final regulation intended to raise

My staff reviewed comments received during the public comment

Please feel free to contact me if you have any further thoughts

SUaCOMMllTEE ON OVERSIGHT AND INVESTfGATCONS

1108LON~:'H~:~O:~::g::~::BUllOI"G i&bu~t of l\tpfe~tntattbt~

--RECEroJED'" SuecoMM,ncE ON FINANClAL INS11TUTIONS

Washington, D.C. 20201

Re: 42 CFR Parts 5 aJd 51 c: Designation of Medically Underserved

Dear Secretary Leavitt:

~4I~ Geo s Harold Rogers . Ron Lewis

The Honorable Harold Rogers

Dear Mr. Rogers:

Thank you for your letter to Secretary Leavitt regarding the

On February 29, 2008, HHS published the notice of proposed

Thank you for your commitment to underserved communities.

Q:ongrtss of tht ilnitcd ~tatts

~ashington, 1)0: 20515-1705 C:::P1

0"""1"1 -< (')

Dear Secretary Leavitt:

This letter is written in support of an application made by Kentucky Highlands

AD~INISTRATION FOR CHILDREN AND FAMILIES

The Honorable Harold Rogers

QInngrtZ5 of tlyt ~nitto ~ta±tJgi:~~~i~t~~T