Stabilizing the Funding of NIH and ADAMHA Research Project Grants: A Background Paper

Stabilizing the Funding of NIH and ADAMHA Research Project Grants Copyright Contents INTRODUCTION AND SUMMARY SUMMARY I. The Origins of the Stabilization Policy II. The Budget History III. The Program Indicators A. NIH B. ADAMHA IV. Other Program Aspects of Concern I. THE ORIGINS OF THE STABILIZATION POLICY A. HEW (HHS) HEALTH RESEARCH PLANNING IN 1979-80 1979 HEW report IOM critique 1980 HHS report B. Perspective of the Policy's Chief Architect II. THE BUDGET HISTORY A. F.Y. 1981-84: SUPPORT FOR STABILIZATION B. F.Y. 1985-86: An Acute Budget Issue CONGRESSIONAL ACTION FOR F.Y. 1985 The President's F.Y. 1986 budget Response to the President's F.Y. 1986 budget The outcome III. THE PROGRAM INDICATORS A. NIH Causes of declines in award rates and paylines The success-rate alternative Implications for future policy B. ADAMHA IV. OTHER PROGRAM ASPECTS OF CONCERN A. VARIATIONS AMONG THE INSTITUTES IN AWARD RATES AND PAYLINES B. SUPPORT OF NEW INVESTIGATORS C. SUPPORT FOR ELEMENTS OF THE SCIENCE BASE OTHER THAN RESEARCH PROJECTS V. POSSIBLE SUBJECTS FOR FURTHER EXPLORATION REFERENCES AND INTERVIEWS REFERENCES APPENDICES APPENDICES Contents Appendix 1a Estimated Reductions of Budget Authority Appendix 1b DEPARTMENT OF HEALTH AND HUMAN SERVICES Appendix 1c National Institutes of Health BUDGET PROFILE (Dollars in thousands) May 15, 1985 Appendix 1d NATIONAL INSTITUTES OF HEALTH History of Research Project Grants and Research Training (Dollars in thousands) Appendix 1e ADAMHA Research by Mechanism (Dollars in thousands) Appendix 2a NUMBER OF NIH COMPETING RESEARCH PROJECT APPLICATIONS-BY TYPE FISCAL YEARS 1975 - 1984 Appendix 2b NATIONAL INSTITUTES OF HEALTH RESEARCH PROJECT APPLICATIONS REVIEWED AND FUNDED, 1984 (Dollars in thousands)... Appendix 2c DHHS-NATIONAL INSTITUTES OF HEALTH Competing Research Project Grants-Applications Funded (Dollars in thousands)... Appendix 3a PRIORITY SCORES FOR NIH COMPETING RESEARCH PROJECTS* AT VARIOUS PERCENTILES, FISCAL YEARS 1976-1984 Appendix 3b DISTRIBUTION OF NUMBER OF ELIGIBLE NIH COMPETING RESEARCH PROJECT APPLICATIONS Appendix 3c DISTRIBUTION OF NUMBER OF NIH COMPETING RESEARCH PROJECTS AWARDED