[Fax and Report to Tim Westmoreland from Martin Delaney]

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Martin Delaney

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S 1 Discussion Points / Analysis / Clarification

TABLE 1

S1 Issue / Position Fauci et al
Make the OAR Director the primary federal official responsible for the conduct of AIDS-related Supports
research.
OARD will be appointed by Sec. HHS, report to Director, NIH. Supports
OARD will develop and oversee the implementation of a scientifically justified budget for AIDS- Supports
related research at NIH, and conduct evaluation of such programs.
OARD, acting with advice of institutes, centers, and divisions of NIH, and in consultation with Supports
the (new) advisory council, will develop and oversee implementation of a comprehensive, longrange plan for the conduct and supports of AIDS research by the institutes, centers, and
divisions of NIH;, update the plan annually; determine balance;, prioritize;, specify broad short
and long range objectives;, provide estimate of needed resources; evaluate sufficiency of existing
programs, make recommendations for changes and necessary resource allocations.
OARD shall establish coordinating groups for each discipline composed of reps from NIH and Supports
extramural scientists to evaluate and assess, to advise on the strategic plan, and determine
compliance with the plan.
OARD shall act as the primary federal official with responsibility for overseeing all AIDS-related Supports
research efforts at NIH; shall represent NIH AIDS program at relevant executive branch task
forces and committees; shall maintain communications with all relevant PHS agencies and with
various other federal departments to insure timely transmission of information concerning
advances in research and treatment
BUDGET CREATION: Supports
A: (budgets) OARD shall, in accordance with strategic plan, and in consultation with the
Council and based on budget requests and advice from the directors of the NIH Institutes,
centers and divisions, prepare and submit directly to the President for review and transmittal to
Congress, an annual, scientifically justified budget estimate for AIDS-related research
conducted within the NIH (etc.), after reasonable opportunity for comment (but without change)
by the Sec. HHS and Dir. NIH, which shall include the amount of funds required (as requested
by the directors of institutes, etc. for:
1 Continued funding of the commitment base (ongoing program initiatives) at the sole
discretion of the directors of such institutes, etc.
2 The funding of new and competing program initiatives through such institutes, etc. at the
discretion of the OARD
BUDGET DISBURSEMENT: Some
B: (disbursement) OARD shall receive from the President and OMB directly all AIDS-related dispute
research funds appropriated by Congress for transfer to, and obligation and expenditure by, the
institutes, etc. in accordance with the budget (described above).
C: Distribute AIDS research funding to institutes, etc. in accordance with the budget
delineated under (1 and 2) above.
DISCRETIONARY FUND Supports
The Secretary shall ensure that not to exceed 25% of the funds available in excess of the
amount of the baseline AIDS research spending during the previous fiscal year be made
available to the OARD for establishment of an AIDS research discretionary fund, to fund:
A: emergency AIDS research programs
B: programs for the conduct of research aimed at filling gaps that exist in existing research
programs
C: Conduct conferences, convene committees, hold meetings or carry out other activist
determined appropriate by the Director.
Evaluate the effectiveness of this program no more than 5 years after its initiation, and provide a Supports
report to Congress no more than 1 year after initiating the report.