Letter to James Henry Scully, Jr., M.D., Medical Director and Chief Executive Officer of the American Psychiatric Association

Letter


Letter to James Henry Scully, Jr., M.D., Medical Director and Chief Executive Officer of the American Psychiatric Association

James Henry Scully, Jr., M.D.
Medical Director and Chief Executive Officer
American Psychiatric Association
1000 Wilson Boulevard, Suite 1825
Arlington, VA 22209
Dear Dr. Scully:

The United States Senate Committee on Finance (Committee) has jurisdiction over the Medicare and Medicaid programs and, accordingly, a responsibility to the more than 80 million Americans who receive health care coverage under these programs. As Ranking Member of the Committee, I have a duty to protect the health of Medicare and Medicaid beneficiaries and safeguard taxpayer dollars authorized by Congress for these programs.

For the last three years, the Committee has been investigating various aspects of the pharmaceutical industry, including consulting arrangements and industry funding for Continuing Medical Education (CME). Further, my staff members have examined several issues related to non-profit organizations, and I have read newspaper accounts documenting the strong ties between the pharmaceutical industry and non-profit charities. I am hoping that you can provide me with some additional insight into these relationships.

Based upon reporting in the New York Times, I have come to understand that money from the pharmaceutical industry can shape the practices of non-profit organizations which purport to be independent in their viewpoints and actions.[1] Specifically, it is alleged that pharmaceutical companies give money to non-profits in an attempt to garner favor in ways that increase sales of their products.

Accordingly, I would appreciate an accounting of industry funding that pharmaceutical companies and/or the foundations established by these companies have provided to the American Psychiatric Association (APA) (The term "industry funding" means any transfer of value from a pharmaceutical company, including but not limited to grants, donations, and sponsorship for meetings or programs, etc.) This request covers the period of January 2003 to the present.

Because reporting practices vary widely from one charitable organization to another, I would appreciate you also placing this income into a chart, detailing annual amounts of industry funding from pharmaceutical companies. For each year, please provide the following information for the APA:

1. Year;
2. Name of company;
3. Amount of funding; and
4. Reason(s) that the funding was provided.

In addition, please explain the APA's policies for accepting industry funding by answering the following questions. For each question, please respond by first repeating the enumerated question followed by the appropriate answer.

1. Please describe the policies for accepting industry funding and whether or not the APA allows companies to place restrictions or provide guidance on how funding will be spent.

2. If the APA allows companies to place restrictions on industry funding, then please explain all restrictions and/or guidance for each transfer of value from a pharmaceutical company since January 2003. For every transfer of value with a restriction, please provide the following information: year of transfer, name of company, and restriction placed on funding.

In cooperating with the Committee's review, no documents, records, data or information related to these matters shall be destroyed, modified, removed or otherwise made inaccessible to the Committee.

I look forward to hearing from you by no later than July 24, 2008. All documents responsive to this request should be sent electronically in PDF format to Brian_Downey@finance-rep.senate.gov. If you have any questions, please do not hesitate to contact Paul Thacker at (202) 224-4515.

Sincerely,
Charles E. Grassley
Ranking Member

[1] The New York Times "Charities Tied to Doctors Get Drug Industry Gifts," June 28, 2006.


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