One of the things to note on the impact, too, is we are finding that athletes are now failing the impact test on purpose so that their baseline is now lower to start out with. So that if in fact the concussion occurs, they dont have to get back to what truly is their normal baseline. But one that has been fabricated because of choices theyve made during the testtaking. So this is about changing the nature of this injury as well. And really getting people to care about their brains so that they dont make choices like that. And in this case, you mean, that that enables them to get back out on the field. Correct. It takes it takes their baseline and lowers it. So that their results dont have to come back to what is their normal baseline. I see. They wouldnt take that impact until the day after. Correct. Youre doing sort of a quick and dirty on the side lines, to decide whether they can go back in immediately or not. Then you are holding thep out and doing that, you know, check towards baseline the day after. And every seven days until they return to normal. All right. There have been a number of athletic organizations getting involved in the business of donating millions of dollars to research. Some through nih. How can the public be sure that these donations do not bias the outcome of the research . Owe can speak to the nih donation by the football league. Nih gave 50,000 to the Organization Associated with the National Institute of health to accept money from the private sector to then be used for Peer Reviewed research. So there is this firewall between accepting the money, and then the review that is done through nih. Not through fnih. And so, the goal of the nfl giving that money so it didnt have any conflict of interest, there wasnt any playing favorites. It was there to truly support research so it could be Peer Reviewed and funded just like any other nih research. So in that case, i strongly support it. Okay. Now, final question. A reseptember medical journal said emergency room visit for these sports related tbis increased by the 2 over a tenyear period. Youre a parent. You have a child. They want to play sports. If its a contact sport, do you let them play . Right down. Mr. Newinski. After doing this for a long ill keep you short because we have to vote. We have sports with repetitive brain trama after high school i dont have kids yet, but i would say, don let them get hit in the head hundreds of times before high school. I would have to agree with mr. Newinski. There is a high school in texas that has gone to flag football up through high school. You see players in the nfl that dpt play in college. They become pro bowl players in the nfl. So can you in fact remove Contact Sports until high school and still teach fundamentals . Still teach even correctly how to attack, removing contact . I believe that you can. Doctor . I agree. I just still have my concerns as large and fast as High School Players have gotten today that there is still a major issue. But at least reremoved anybody under the age of 15 or 16 from being engaged. Sir . I think weve had a tremendous knee jerk response in our society to limited research that has led to a lot of perhaps scary stories that are passed along. And thats before we have adequate science. However, we also have to think rationally and make rational decisions. I think people are now understanding that hitting your head over and over again is not necessarily a good thing for you. So i would agree with everyone else that at the very least, Contact Sports with repetitive hits to the head should be limited to as late as possible. We especially bant to thank our special guest, ken. We want to thank all of you, mr. Chairman, and most illuminating. Senator . I apologize for interrupting. But im wuondering whether the record could be kept pope this has been a phenomenally good panel. I have questions to submit. The record will be kept open for five days. Thank you. Meeting is adjourned. On American History tv in prime type, discussing service in world war ii, vietnam and afghanistan, hosted by the u. S. Naval institute at the u. S. Naf yl academy in annapolis, maryland. At 9 40 eastern, tom brokaw reflects on his career in the 198 the fall of the berlin wall and talk to the museum here in washington, d. C. Friday night on book tv and prime time, ronald rockbottom talks about nazi occupied paris in 1902. Then an account of the war in afghanistan as told through the lives of throw afghans. And Walter Isaacson on his new book about the entrepreneurs and creators of the internet. Next, house energy and commerce hearing with the heads of nih and fda as well as neuro surgeons and drug developers. They testified on medical cures and innovation. And challenges of conducting research with tightening budgets. This event took plis place at the farm and home center in lancaster, pennsylvania. Ace at farm and home center in lancaster, pennsylvania. Good afternoon and welcome. Im councilman joe pitts. Welcome to the 16th Congressional District of pennsylvania. For your information, this meeting will be streamed live. Cspan is here. So you might want to keep that in mind. But id like to welcome everyone here, especially our distinguished panelists. And i have a short introductory comment to set the stage. Through the 21st century initiative, congress is taking a comprehensive look at the full arc of accelerating cures. From the discovery of clues and basic science, to streamlining the drug and Device Development process, to unleashing the power of medicine and social media the at treatment delivery phase. And this cycle of discovery and development and delivery is what saves lives. And we want this cycle to work effectively and efficiently so theres no gap between the 21st century science and the washington regulatory process. This work will be a collaborative effort which is why we are first listening to experts and involved parties. So that together we can achieve our common goal, accel ratting the pace of cures and keeping america at forefront of medicine and discovery. As chairman of the health subcommittee, weve conducted six hearings and three roundtables. This is the first of the roundtables in the country. And there will be a series in the next month or so of roundtables across the country. But were eager to hear from interested stake holders. And thats why im hosting todays event. I want to welcome all of our distinguished members. Our panelists. Our attendees to the 21st century roundtable. The discussion will showcase the innovative work going on in pennsylvania and elsewhere, to help us understand the ideas that can understand the pace for cures for patience. Given the advances in molecular medicine, we will examine how the fda is using the existing pathways and if there are new ways to improve the process of developing and approving new drugs and medical devices. Advances and our understanding of disease at the genetic level can also help reduce the cost and quicken the pace of Clinical Trials while also giving patience faster access to the treatments and trials. Capturing the impact of new drugs and devices provides new data to share with researchers, care givers and patients, information that can serve to fine tune the discovery process so treatments can adapt and help even more people in the future. Of course, the most important goal is generating Better Health and saving lives. And achieving these goals will only occur through greater team work and collaboration among nih, fda, private industry, academics, medical professionals, philanthropists, patients and advocates. And it is unclear if the management and organizational structures to achieve this broad and Effective Team work are in place today or can be improved. But america must maintain its leadership role. In this effort. And this effort accelerate tours will put the nation and our researchers on trajectory to make the predominant diseases of today a thing of the past and provide hope for all. The nish ator of this whole program is the chairman of our energy and commerce committee. And im very pleased to ask our distinguished chairman. Chairman upton from michigan, for any remarks he would like to make. Then id like to again thank him for taking the time to visit lancaster, pennsylvania. Mr. Chairman . Thank you, mr. Chairman. And i just want to say from the getgo that i certainly appreciate your leadership on this effort. But i also want to say that it is truly bipartisan. Something that we have worked on for nearly a year now. We have formally unveiled it this last spring. But in fact we tried to make it, and itll be boy partisan, every step of the way. This 21st Century Cures Initiative is in fact going to stabilize. It is going to impact every family, not only in this country but perhaps around the world. It is going to keep our country the leader in medical innovations. Accelerate the discovery, development and delivery cycle of new cures and treatments for all patients. Panelists are inaugural roundtable way back when understood the starkness of the challenge. Voting that there are 7,000 known diseases. But we only have treatments for about 500 of them. And thats just unacceptable. We can and we must do better, and we will. Few initiatives have it kind of direct impact on american lives. Or as we think about our family members or Close Friends that have been impacted by some awful disease. The past number of weeks our colleagues have taken this conversation back home. Soliciting comments from patients, from families, researchers, advocates and thought leaders all across the country. Chairman pitts, your Committee Held six hearings around 21st century cures. But weve add number of roundtable discussions as well. Not only in washington but this is the first stop as we travel around the country. We are going to be holding additional hearings when Congress Returns next month and your efforts tireless on this initiative coupled with bipartisan work on medicare have helped millions of americans, obviously here in the 16th district. Pennsylvania. This subcommittee, the one you chair is responsible for enacting nearly two dozen Public Health measures into law this congress. Tremendous accomplishment, testament, to your leadership. As i said before when we looked back at the 113th congress, it is going to remember perhaps as the Public Health congress and im pleased to be here not only with you but Ranking Member of the subcommittee and vice chairman burgess as we continue to work together. Closing i want to thank those folks who have contributed to the 21st Century Cures Initiative. We have received invaluable input from patients, government leaders, such as dr. Collins and dr. Hamburg who are both here today. Innovators and researchers, especially Everyday Americans where folks with weigh in on the website on cures at mail. House. Gov. We look forward to having a number of these discussions in the weeks ahead. And our goal is to move begin to move legislation early next year and get her done. And i yield back. Thank you. Thank you for those statements. Im pleased to introduce the Ranking Member of the committee. He and i have worked tirelessly, i think 22 or 24 bills now sign need law. So far this year. And he deserves a lot of credit. So frank, youre welcome to make any Opening Statements you like. Oh, yeah. Sorry. Thank you. Thank you, chairman pitts. I think you know that many times i mentioned to you that i wanted to visit i had to watch how i said it. Because i was told i wasnt pronouncing it right. Is it lancaster . I know im not pronouncing it right. But i wanted to come and visit so this provided me the opportunity to come to your beautiful district. And i appreciate all that youve done working on a bipartisan basis to, as you say, enact a number, quite impressive list, of bills and accomplishments that weve had in the subcommittee for the last two years during session. I also wanted to mention that again that it is the chairman upton said, the 21st Century Cures Initiative is obviously a great initiative. It has been bipartisan and i hope we will continue to be boy partisan as we proceed. And that is very important because you dont accomplish anything in Congress Unless it is done on a boy partisan basis and obviously this is a this issue and this initiative is very important for our country. Not only in terms of a cure in diseases but also in terms of our economy and job creation. You know my district is one that has a tremendous amount of pharmaceutical companies. But for all these reasons, im pleased to be here mr. Chairman. Thank you. Thank you, frank. Now im very pleased to introduce my vice chairman, dr. Michael burgess from dallas, texas. His medical expertise has been of significant value, as we consider Public Policy questions regarding health care and it is great to have you, if you would make a few comments. Thank you. I thank you for the invitation to come up from pennsylvania. Ive add number of opportunities to talk to people. Both in the dallas area where im from as well as down in the houston area, texas medical center. Last monday, i was at the invitation of Manhattan Institute at boston. So this is this exercise has attracted a lot of attention around the country. And i think thats appropriate. For me it is great to be at the roundtables. We are hearing from people on the front lines if the development and to know what we can do to make things happen faster. Because that is, after all, what the name of the blame is. Thank you mr. Chairman. I yield back. Thank you, michael. Next i would like to have each of our distinguished guests to take two minutes to introduce themselves. Tell us who you are. A little bit of your background. And talk about what your health care does in the Health Care Space and we will get into more discussions about what each of you thinks can be done to accelerate cures for patience. So dr. Collins, a great honor to have you with us and we will begin with you fold by dr. Hamburg. Well, thank you, chairman pitts, chairman upton, Ranking Member and it is great that you pulled this session together. To allow us to have this conversation and i just want to thank you and chairman upton for creating a space for these kinds of conversations to happen. Im the director for the National Institutes of health. Im trained as a physician, as geneticist. I had the pleasure of leading the human genome program. And im exhilarated by what i see in terms of a potential of these advances in medical research to transform our ability to give people the opportunity to live long and healthy lives. Both in terms of prevention and treatment. Im very grateful by your interest in asking the question of what can be done to make this wholeant price more efficient and able go faster and certainly we will have questions, and have shared some with you in other meetinges a not roundtables that i think could help nih quite a bit. That being said, i think our major concern right now is in fact the difficulty that we have in terms of providing resources to the best and brightest of our nation who are seeking to break down the barriers and they are all over the country, including here in pennsylvania. Last year, we awarded 1. 4 billion worth of nih funds to the state including at least one in your district. Franklin martial. So the brain trust is not in bethesda, maryland. It is all over the country. And the brain trust is struggling now and we are leaving a good deal of wonderful sighs on the table because the current stress on the system, which we understand, given our federal fiscal constraints but we remain hopeful. That the case is so strong in terms of contributions to our health and keen my that we can have a stable trajectory forward and certainly that would be a wonderful way document americas intent to continue leadership in this space. Thank you. Thanks you, dr. Collins. Dr. Hamburg . Thank you. Im thankful to be in your district and with distinguished colleagues. There is huge value as is noted in getting out of washington and listening to people on the ground dealing with important issues from varying perspectives and this is a welcome opportunity to do so. And in a region that is rich with distinguished Research Institutions and Wonderful Health care facilities and systems. But very appropriate as was noted, the 21st Century Cures Initiative has given us a chance to come together across disciplines, across sectors, across states. And across party lines. And in toward address one of the most important pressing problems our jeeryy most important pressing problems our jeer era and promise techno to people that we serve and it matters hugely for individuals, liberties and our nation. And it matters that in terms of the health and wellbeing and quality of life. But it matters in terms of the Health Care Systems as well as the health of our economy. And i think we all recognize that over a period of many years now our nation has been preeminent in the area of Biomedical Research and important new product, development. We remain in that important role. And im happy to report that fda in fact approved more drugs more quickly than any other country in world but we can and must do better and we must do it in toward strengthen help and also to continue to support our nations economy. High will have u job and the strong export sector thats part of this important enterprise. So it is exciting and clearly the people around this table and the visions that is embodied in 21st century cures recognizes this is all about partnership and dlab racicollaboration. There is no one entity that can advance it the