BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SJR 7
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          SENATE THIRD READING
          SJR 7 (Alan Lowenthal)
          As Introduced April 20, 2009
          Majority vote 

           SENATE VOTE  :36-0  
           
           HEALTH              19-0                                        
           
           ----------------------------------------- 
          |Ayes:|Jones, Fletcher, Villines,         |
          |     |Ammiano, Block, Carter, Conway,    |
          |     |Hill, De Leon, Emmerson, Gaines,   |
          |     |Hall, Hayashi, Hernandez, Bonnie   |
          |     |Lowenthal, Nava,                   |
          |     |V. Manuel Perez, Salas, Audra      |
          |     |Strickland                         |
          |     |                                   |
           ----------------------------------------- 
           SUMMARY  :  Urges the President and the Congress of the United  
          States (U.S.) to expand federally funded research efforts aimed  
          at developing a reliable means of detecting pancreatic cancer in  
          its early stages and more effective means of treatment, through  
          legislative measures, such as H.R. 745.  Specifically,  this  
          resolution  :   

          1)Makes the following legislative findings and declarations  
            regarding the devastating impact of pancreatic cancer and the  
            lack of resources currently targeted towards research for  
            detecting and treating pancreatic cancer.

          2)Urges the California Legislature, the President and Congress  
            of the U.S. to expand federally funded research efforts aimed  
            at developing a reliable means of detecting pancreatic cancer  
            in its early stages and more effective means of treatment,  
            through legislative measures, such as H.R. 745.

          3)Resolves that the Secretary of the California State Senate  
            transmit copies of this resolution to the President and Vice  
            President of the U.S., to the Speaker of the U.S. House of  
            Representatives, to each U.S. Senator and Representative from  
            California in the Congress, and to the directors of the  
            National Institutes of Health (NIH) and NCI.









                                                                  SJR 7
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           FISCAL EFFECT  :  None

           COMMENTS  :  According to the sponsor of this resolution,  
          Pancreatic Cancer Action Network, pancreatic cancer is one of  
          the few cancers for which survival has not improved  
          substantially over the past 30 years.  As the most lethal form  
          of cancer - 75% of pancreatic cancer patients die within the  
          first year of their diagnosis and only 5% survive more than five  
          years - pancreatic cancer is the fourth leading cause of  
          cancer-related death in the U.S.  The sponsor maintains that the  
          number of people diagnosed with pancreatic cancer in the U.S.  
          and the number of deaths caused by pancreatic cancer are going  
          up and expected to reach over 40,000 nationally within the next  
          few years.  The sponsor argues that available pancreatic cancer  
          early detection and treatment tools for pancreatic cancer today  
          are roughly equivalent to the tools available for breast cancer  
          in the 1930s.  By the 1930s, rudimentary surgical methods to  
          remove early breast and pancreatic cancer tumors had been  
          developed.  However, according to the sponsor, while mammography  
          was developed by the 1950s, and many effective breast cancer  
          treatments followed, similar early detection and treatment tools  
          for pancreatic cancer still do not exist.  The sponsor maintains  
          that current federal funding levels for pancreatic cancer have  
          rendered scientific progress for this disease fatally slow. 

          According to the sponsor there are a number of factors that make  
          pancreatic cancer research particularly challenging, such as:   
          1) pancreatic cancer research has been drastically under-funded  
          and as a result there a relatively few researchers investigating  
          the disease; 2) pancreatic cancer cells are surrounded by tough,  
          dense fibrotic cells that make it extremely difficult for  
          treatments to reach and enter the actual cancer cells; and, 3)  
          pancreatic cancer patients die quickly, making it difficult to  
          include them in clinical trials and/or collect tissue samples.   
          These challenges, according to the sponsor, are not  
          insurmountable, but require disease specific solutions.
           
           The Pancreatic Cancer Research and Education Act (Act), or H.R.  
          745, was introduced in the U.S. House of Representatives by  
          California Congresswoman Anna Eshoo to assist in coordinating  
          activities to address the high mortality rate associated with  
          pancreatic cancer.  H.R. 745 is based on the National Plan to  
          Advance Pancreatic Cancer Research, a report developed by the  
          Pancreatic Cancer Action Network.  Key components of the Act  








                                                                  SJR 7
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          include launching a pancreatic cancer research initiative which  
          would be established by the Secretary of the Department of  
          Health and Human Services in consultation with the Directors of  
          the NIH, NCI and the Centers for Disease Control and Prevention  
          (CDC) to:

          1)Provide strategic direction and accountability.
           
           2)Establish a five-year grant for a cancer research incubator  
            pilot project at the NCI specifically for research into the  
            most deadly cancers.
           
           3)Strengthen and expand Centers of Excellence for Pancreatic  
            Cancer to provide increased opportunities for cancer research.
           
           4)Promote physician and public awareness by asking NIH and CDC  
            to work with patient advocacy organizations to develop a  
            primary care provider education program on pancreatic cancer  
            and a communication tool kit for patients.  
           

           Analysis Prepared by :    Tanya Robinson-Taylor / HEALTH / (916)  
          319-2097 


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