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21st Century Cures Act

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The 21st Century Cures Act is a United States law enacted by the 114th United States Congress in December 2016 and then signed into law on December 13, 2016. It authorized $ 6.3 billion in funding, mostly for the National Institutes of Health . The act was supported especially by large pharmaceutical manufacturers and was opposed especially by some consumer organizations .

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83-598: The approval of drugs and devices would be streamlined, according to supporters, and treatments would reach the market more quickly. The argument made by opponents was that it would allow the marketing of riskier or less effective treatments by allowing the approval of drugs and devices on the basis of flimsier evidence, bypassing randomized, controlled trials. The bill incorporated the Helping Families In Mental Health Crisis Act, first introduced by then-Congressman Tim Murphy , R-Pa., which increased

166-557: A neck brace for a brief period, Murphy made a full recovery. He opposed both Wall Street bailouts in 2008, the $ 820 billion stimulus package supported by President Obama, and the climate change/greenhouse gas initiative bill known as "Cap and Trade". Murphy was named a "Hero of the Taxpayer" by Americans for Tax Reform . Notably, he voted to increase the debt limit along with historic budget cuts in August 2011. Prior to that, he approved

249-568: A special election . One of eleven children, Murphy was born in Cleveland and was raised in Northfield, Ohio , where he attended St. Barnabas Catholic School and Walsh Jesuit High School . He received his Bachelor of Science from Wheeling Jesuit University , his MA from Cleveland State University , and his PhD in psychology from the University of Pittsburgh . Upon leaving school, he became

332-525: A 32-year-old forensic psychologist . The affair came to light in the course of Edwards' divorce proceedings. On October 3, 2017, Murphy's hometown newspaper, the Pittsburgh Post-Gazette , reported that a text message on January 5 of that year from Edwards to Murphy included the statement, "[Y]ou have zero issue posting your pro-life stance all over the place when you had no issue asking me to abort our unborn child just last week when we thought that

415-505: A big difference." Biden traveled to Washington, D.C. from Iraq in January 2009 for the presidential inauguration and his father's swearing-in as vice president, then returned to Iraq. Biden received a visit at Camp Victory from his father on July 4, 2009. Biden returned from Iraq in September 2009 after completing his yearlong stint on active duty which included a 7-month deployment in

498-548: A few months earlier. This act authorized many harm-reduction strategies, including increased access to the overdose reversal drug naloxone for the opioid crisis, but didn't provide any federal funding for implementation. The 21st Century Cures Act designated $ 1 billion in grants for states over two years to fight the opioid epidemic. The money may be used to improve prescription drug monitoring programs , to make treatment programs more accessible, to train healthcare professionals in best practices of addiction treatment, and to research

581-451: A great United States Senator just as I believe he has been a great attorney general. But Beau has made it clear from the moment he entered public life that any office he sought he would earn on his own.... [I]f he chooses to run for the Senate in the future, he will have to run and win on his own. He wouldn't have it any other way." In October 2009, Biden stated that he was considering a run for

664-516: A healthy lifestyle, electronic health records , clinical laboratory test results and related information, and clinical decision tools. Division C, titled "Increasing Choice, Access, and Quality in Health Care for Americans," concerns Medicare programs and federal tax laws related to health plans for small employers. The 21st Century Cures Act also included provisions that created a QSEHRA (Qualified Small Employer Health Reimbursement Arrangement),

747-690: A lack of available beds. Gus Deeds went on to stab his father before committing suicide. Murphy drafted a bill called the Helping Families in Mental Health Crisis Act, which passed the House of Representatives by a vote of 422–2 in July 2016. The bill attracted support in the press and with various advocacy organizations, with one writer in The Wall Street Journal pointing out that Murphy's bill

830-568: A more efficient way for small businesses and non-profits to offer health insurance to their employees. Division B, titled "Helping Families in Mental Health Crisis," addresses the prevention and treatment of mental illnesses and substance abuse, treatment coverage, communication permitted by HIPAA , and interactions with law enforcement and the criminal justice system. The law strengthens mental health parity regulation, which require insurance companies to cover mental health treatments to

913-696: A patient's medical history or treatment. Under section 4004, information blocking can expose entities to fines of up to $ 1 million per violation. Medical software is regulated as a medical device by the FDA in the Federal Food, Drug, and Cosmetic Act . Section 3060 of the 21st Century Cures Act was created as an amendment to section 520 of the FD&;C Act, which addressed how medical devices are defined. It outlined software functions that would be exempt from FDA regulation, such as those used for administrative purposes, encouraging

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996-562: A practicing psychologist and an assistant professor at the University of Pittsburgh . He also made regular appearances on KDKA-TV in Pittsburgh from 1979 to 1995 as a health-care expert. Murphy co-wrote The Angry Child (2002), which won the National Parenting Publications Award and was featured on Book TV . A few years later, he co-wrote Overcoming Passive-Aggression (2005), again with Loriann Hoff Oberlin,

1079-522: A recipe for mass murder," according to the Connecticut Office of the Child Advocate. Murphy's hearings included testimony by families who experienced firsthand the shortage of available beds and the legal limits placed on efforts to get help for members. Virginia State Sen. Creigh Deeds recounted the death of his son who, after being recommended for psychiatric commitment, was sent home because of

1162-560: A seventh term in the U.S. House in the 2014 election. He was re-nominated unopposed in the Republican primary and was unopposed in the general election, since no candidates filed to run in the Democratic primary. Murphy was unopposed in the primary and the general election. He was re-elected to his eighth term in the U.S. House. This would be his last election to the House after later resigning on October 21, 2017. On November 26, 2005, Murphy

1245-541: A significant barrier to Murphy. Even though Democrats outnumbered Republicans by 70,000 registered voters, it was somewhat friendlier to Republicans than the old 20th had been. Murphy won the Republican primary unopposed and won the general election, defeating Democrat Jack Machek 60%–40%. Murphy won re-election to a second term, defeating Mark Boles 63%–37%. In 2006, Murphy was confronted by KDKA News reporter Andy Sheehan with evidence indicating his District Office employees were illegally working on his campaign. Murphy

1328-528: A single clinical trial averaging fewer than 700 patients; ultimately, however, the law did not allow real-world evidence for approving drugs, but rather for label expansions. Tim Murphy (American politician) Timothy Francis Murphy (born September 11, 1952) is an American former politician and psychologist who served as the U.S. representative for Pennsylvania's 18th congressional district from 2003 until his resignation in 2017. The district included several suburbs south of Pittsburgh . A member of

1411-758: A writer/author and mental-health counselor. Overcoming Passive-Aggression received abundant reviews, including some from specialist mental health publications. Murphy has been interviewed by reporters from Psychology Today , The Washington Post , USA Today , CBS Early Show , CNN, Face the Nation , C-SPAN, and others in the media on the topics of mental health, anger management and violence, parenting, and relationships. In 1996, Republican incumbent State Sen. Michael Fisher decided not to run for re-election in order to run for Pennsylvania Attorney General . Murphy decided to run in Pennsylvania's 37th Senate district and won

1494-438: Is "awarded for heroism, meritorious service and outstanding achievement". In his first bid for political office, Biden ran for attorney general of Delaware in 2006. Biden's opponent was a veteran state prosecutor and assistant U.S. attorney, Ferris Wharton. Major issues in the campaign included the candidates' experience and proposed efforts to address sex offenders, internet predators, senior abuse and domestic abuse. Biden won

1577-478: Is an accepted version of this page Joseph Robinette " Beau " Biden III (February 3, 1969 – May 30, 2015) was an American politician, lawyer, and officer in the Army Judge Advocate General's Corps from Wilmington , Delaware . He was the eldest child of President Joe Biden and Neilia Hunter Biden , served as the 44th attorney general of Delaware from 2007 to 2015, and was a major in

1660-453: The 2016 election to succeed term-limited Democratic Governor Jack Markell . At the time of this announcement, the cancer that would kill Biden in 2015 had been diagnosed (in 2013), but was in remission. According to his father, Biden was diagnosed with ankylosing spondylitis in 2001 after returning from service in Kosovo . He was later diagnosed with brain cancer, which his father believes

1743-453: The 2020 presidential election : I don't think I've ever done this before, but [Buttigieg] reminds me of my son, Beau, and I know that may not mean much to most people, but to me, it's the highest compliment I can give any man or woman. The Major Joseph R. "Beau" Biden III National Guard/Reserve Center, named for Biden, is in New Castle, Delaware ; it was the site of a speech by Joe Biden

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1826-521: The 21st Century Cures Act (2016) was named the Beau Biden Cancer Moonshot initiative after him. A named scholarship was established at Syracuse University College of Law in 2016. In August 2016, Joe Biden, his sister Valerie Biden Owens and son Hunter attended a ceremony that renamed a southeastern Kosovar highway "Joseph R. 'Beau' Biden, III" to honor Beau's contribution to Kosovo for training its judges and prosecutors. That year

1909-728: The Delaware Army National Guard in the Iraq War . He died of glioblastoma at the age of 46 in 2015, at which time he was a candidate for the Democratic nomination for governor of Delaware in the 2016 gubernatorial election . A portion of the 21st Century Cures Act was named the Beau Biden Cancer Moonshot initiative after him. Joseph Robinette "Beau" Biden III was born in Wilmington, Delaware , on February 3, 1969,

1992-641: The National Center for Health Research campaigned against the Cures Act in fear that it will endanger public health by weakening FDA standards. Senator Elizabeth Warren said that the bill had been "hijacked" by the pharmaceutical industry. She said the legislation watered down safety requirements for new drugs and devices and then, as a trade-off, called for research funding — at levels that must be appropriated on an annual basis. John LaMattina, former head of Pfizer research and development and current commentator on

2075-737: The National Institutes of Health for precision medicine and biomedical research. Of this, $ 1.5 billion is earmarked for research on brain disease. In October 2016, the Cohort Program was renamed as the All of Us Research Program . Another $ 1.8 billion is dedicated to cancer research in what is called the "Beau Biden Cancer Moonshot" initiative, named in honor of Vice President Joe Biden 's son Beau Biden , who died of brain cancer in 2015. The initiative aimed to reduce cancer death rates by half. When Joe Biden became president, his administration revived

2158-715: The Republican Party , he also represented the 37th Senate district in the Pennsylvania State Senate from 1996 to 2003. Murphy consistently carried the 18th district with at least 58% of the vote, including unopposed re-election bids in 2014 and 2016 . In October 2017, it was reported Murphy urged a mistress to have an abortion despite his strict public anti-abortion stance , which was followed by reports of endemic abuse and harassment in his congressional office. Murphy resigned immediately following these scandals, with his seat claimed by Democrat Conor Lamb in

2241-609: The Strategic Petroleum Reserve . Revenue from these sales will provide part of the NIH funding provided in the law. The 21st Century Cures Act was originally introduced as H.R. 6 by Fred Upton ( R – MI ) on May 19, 2015. It passed the House on July 10, 2015, but did not pass in the Senate. More than 1,400 registered lobbyists worked on this bill, representing more than 400 different organizations, mostly pharmaceutical companies. Of 455 organizations registered to lobby on

2324-604: The US Chamber of Commerce . Murphy won re-election to a fifth term, defeating Connolly 67%–33%. For the first time in Murphy's career, he was challenged in the Republican primary. Evan Feinberg, also of Upper St. Clair , was a 28-year-old political novice and " Tea Party " favorite, was endorsed by Senators Rand Paul and Tom Coburn , FreedomWorks , and ABC Contractors. Murphy had the backing of two anti-abortion groups: National Right to Life Committee and PA Pro-Life Federation. He

2407-668: The University of Pennsylvania in 1991, where he was a member of the Psi Upsilon fraternity. He was also a graduate of Syracuse University College of Law , as was his father. After graduating from law school, he clerked for Judge Steven McAuliffe of the United States District Court of New Hampshire. From 1995 to 2004, he worked at the United States Department of Justice in Philadelphia, first as Counsel to

2490-402: The pharmaceutical industry , said that full clinical trials are necessary to prove effectiveness, and suggests some drugs may now be approved based on early data and only later proved ineffective. The Public Citizen's Health Research Group says the designation of "breakthrough" devices is too broad, and could lead to clearance of devices that aren't ready for the market. Lupkin points out that

2573-463: The "short term" debt limit increase. Murphy supported a House earmark ban in theory but made nearly $ 14 million in earmark requests in 2010. The left-leaning lobbying group called Citizens for Responsibility and Ethics in Washington (CREW) released its third annual report on the most corrupt members of Congress titled "Beyond DeLay: The 22 Most Corrupt Members of Congress (and two to watch)". Murphy

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2656-720: The Comprehensive Justice and Mental Health Act of 2015 ( H.R. 1854 , S. 993 ); the Mental Health Awareness and Improvement Act of 2015 ( H.R. 5327 , S. 1893 ); the Justice and Mental Health Collaboration Act of 2015 ( H.R. 731 ); and the Behavioral Health Care Integration Act of 2016 ( H.R. 4388 ). The act requires sale of 25 million barrels of crude oil (10,000,000 in 2017, 9,000,000 in 2018, and 6,000,000 in 2019) from

2739-496: The Major Joseph R. "Beau" Biden III National Guard/Reserve Center in New Castle, Delaware was named in his honor. On November 14, 2017, Joe Biden published a memoir titled Promise Me, Dad: A Year of Hope, Hardship, and Purpose , where he reflects on Beau Biden's illness and death. On March 2, 2020, Joe Biden mentioned Beau in a speech, comparing him to former South Bend Mayor Pete Buttigieg after Buttigieg endorsed Biden for

2822-417: The NIH's funding will need to be appropriated each year through the normal budget process, and therefore may be reduced from what this bill promised. The NIH funding was actually less than many advocates hoped for, and earlier versions of the bill had promised. One of the goals of the bill was streamlining approval, but Jerry Avorn and Aaron Kesselheim pointed out that a third of medicines are approved from

2905-543: The Office of Policy Development and later as a federal prosecutor in the U.S. Attorney's Office . Biden was in Kosovo after the 1998-1999 Kosovo War , working on behalf of the OSCE to train judges and prosecutors for the local judicial system. In 2004, he became a partner in the law firm of Bifferato, Gentilotti, Biden & Balick, where he worked for two years before being elected Attorney General of Delaware . When Joe Biden

2988-472: The Republican primary, defeating John Schnatterly 70%–30%. In the general election, he defeated State Representative Greg Fajt 55%–45%. In 2000, he won re-election to a second term, defeating Joseph Rudolph 64%–36%. As a state senator, Murphy wrote the Pennsylvania Patient Bill of Rights and supported public funding for medical research. In 2002, the political website PoliticsPA named him to

3071-518: The Secretary may change rules applying to vulnerable populations in order "to reduce regulatory duplication and unnecessary delays" and "modernize such provisions in the context of multisite and cooperative research projects." Section 3023 provides for joint or shared review of research, review by institutional review boards other than that of the sponsor of research, and use of other means "to avoid duplication of effort." The act allocates $ 4.8 billion to

3154-407: The Senate and that he would make a final decision in January. On January 25, Biden confirmed that he would forgo a Senate run so as to better focus on the prosecution of Earl Bradley , a convicted serial child rapist. On November 2, 2010, he was easily re-elected to a second term as Delaware Attorney General, beating Independent Party of Delaware candidate Doug Campbell by a large margin. Biden

3237-441: The Senate following his 2008 election to the vice presidency. Governor Ruth Ann Minner named former Joe Biden aide Ted Kaufman to fill the vacant seat, but Kaufman made it clear that he would not be a candidate in the 2010 special election . It fueled speculation Beau would run at that time. Biden's father stated after the announcement of Kaufman's appointment, "It is no secret that I believe my son, Attorney General, would make

3320-440: The affair with Murphy to be a campaign issue. However, she did not file the paperwork to run in the 2018 elections . Write-in and minor candidate notes: In 2002, write-ins received 13 votes. In 2006, write-ins received 189 votes. Murphy is married to Nanette Missig. They have one daughter, Bevin, and multiple grandchildren. [REDACTED] Media related to Timothy F. Murphy at Wikimedia Commons Beau Biden This

3403-400: The availability of psychiatric hospital beds and established a new assistant secretary for mental health and substance use disorders. Division A, titled "21st Century Cures," contains provisions related to National Institutes of Health funding and administration, reducing opioid abuse, medical research, and drug development. The Comprehensive Addiction and Recovery Act (CARA) was passed

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3486-592: The bill due to its inclusion of the Comprehensive Justice and Mental Health Act, a portion designed to encourage collaboration among criminal justice, juvenile justice, mental health treatment, and substance abuse systems. Stakeholders who criticized the passing of the act include the FDA , advocates for strong protections in clinical research , consumer organizations , and advocates of regenerative medicine . The expedited drug approval process has been one topic of concern and debate. The Public Citizen 's Health Research Group and

3569-452: The bill for its commitment toward funding research. The American Psychological Association supported the bill due to its mental health provisions. The Advanced Medical Technology Association supported the bill for easing the process of introducing new medical technologies. The American Society of Human Genetics (ASHG) commended the passage of the bill for strengthened genetic privacy for research participants. Prison Fellowship supported

3652-409: The bill, the top five by number of reports and specific issues according to OpenSecrets were: The bill passed the House first by a wide margin. Only five senators voted against it: Elizabeth Warren of Massachusetts; Bernie Sanders of Vermont; Ron Wyden and Jeff Merkley , both of Oregon, all Democrats; and Mike Lee , a Republican of Utah. Warren, Sanders, and Merkley, in particular, objected to

3735-500: The cancer initiative. On the 60th anniversary of the John F. Kennedy moonshot speech , President Biden gave a speech at the JFK library , promoting the revival of the Beau Biden Cancer Moonshot, including the new Advanced Research Projects Agency for Health . In May 2024, Congress voted against renewing funding to the program. The 2024 budget passed by Congress was tight, due to Republican control of

3818-579: The combat zone with the Judge Advocate General (JAG) Corps. During his deployment he announced that he would continue to actively serve as Delaware's attorney general by working in conjunction with his office's senior staff in Delaware, although a member of his unit related that Biden said he had turned over most of his attorney general work to his chief deputy in order to focus on his duties in Iraq. Biden

3901-400: The committee that redrew Pennsylvania's congressional map, and rumors abounded that he'd reconfigured the district for himself, even though numerous Democrats were also on the committee. Mascara challenged Murtha in the Democratic primary for the 12th District, since the newly configured 12th was geographically more his district than Murtha's. However, Murtha easily defeated Mascara. This removed

3984-414: The day before his inauguration where he stated "we should be introducing him (Beau) as president". On January 20, 2021, the day his father was sworn in as president, the band New Radicals reunited for the first time in 22 years to perform their 1998 hit song " You Get What You Give " during an inauguration performance. The song was a favorite of Biden's and at his 2015 funeral his sister Ashley recited

4067-403: The development and approval of genetically targeted and variant protein targeted drugs for treatment of rare diseases. In section 3024, the 21st Century Cures Act allows researchers to waive the requirement for " informed consent " in cases where clinical testing of drugs or devices "poses no more than minimal risk" and "includes appropriate safeguards to protect the rights, safety, and welfare of

4150-428: The election by approximately five percentage points. After being elected, he appointed former Delaware Attorney General and International Judge Richard S. Gebelein as Chief Deputy Attorney General, and former assistant U.S. Attorney Richard G. Andrews was appointed as State Prosecutor. As Attorney General, Biden supported and enforced stronger registration requirements for sex offenders. Joe Biden resigned from

4233-521: The firstborn and elder son of Joe Biden and his first wife Neilia . On December 18, 1972, his mother and infant sister Naomi were killed in an automobile accident while Christmas shopping. He was almost four years old and his brother Hunter was almost three years old. Beau and Hunter were in the car when the crash took place and were critically injured but survived. Beau sustained multiple broken bones while Hunter sustained injuries to his skull and severe traumatic brain damage. They spent several months in

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4316-504: The goal was to "protect domestic manufacturers and the steel industry from countries unwilling to compete fairly in the global marketplace". He added that by tying China's currency to the dollar and not floating its currency on the open market, China could undercut US manufacturers by 40%. In other words, manufacturers in China could make and ship products to the US for less than a US manufacturer could buy

4399-658: The hospital, where their father was sworn into the Senate two weeks after the accident. According to some accounts, Beau and Hunter Biden encouraged their father to marry again, even going so far as to ask him "when were 'we' going to get married". In June 1977, his father married Jill Jacobs , whom Beau welcomed as a stepmother . His half-sister, Ashley , was born in 1981. Biden married Hallie Olivere in 2002. They had two children: daughter Natalie Naomi (b. 2004), and son Robert Hunter II (b. 2006). Biden graduated from Archmere Academy , his father's high school alma mater, and

4482-555: The house, deficit concerns, and Republican desire to deny Biden a win soon before the election. The White House said it was "well prepared to take forward the cancer moonshot in a tough funding cycle;" mandatory moonshot funding was included in Biden's fiscal year 2025 budget request. The Act defined interoperability and prohibited information blocking. Information blocking is defined as a practice that interferes with or prevents access to electronic health information , that is, information about

4565-402: The human subject." One example is a high-tech bandage that monitors blood flow. Standard procedure requires researchers to obtain the patient's permission before testing any new device on them. However, in this example, researchers might want to test the bandage on unconscious patients. In such circumstances, researchers may waive an informed consent requirement since the patient is still getting

4648-420: The list of "Smartest Legislators". He resigned his state senate seat on January 3, 2003. After redistricting, Murphy ran for the newly redrawn 18th Congressional District in 2002 . The district had previously been the 20th, represented by four-term Democrat Frank Mascara . However, the legislature re-drew the district after the 2000 Census in such a way that a large portion of Mascara's district ended up in

4731-691: The most effective approaches to prevent dependency . The 21st Century Cures Act modified the FDA Drug Approval process . It was intended to expedite the process by which new drugs and devices are approved by easing the requirements put on drug companies looking for FDA approval on new products or new indications on existing drugs. For instance, under certain conditions, the act allows companies to provide "data summaries" and "real world evidence" such as observational studies , insurance claims data, patient input, and anecdotal data rather than full clinical trial results. The 21st Century Cures Act facilitates

4814-425: The neighboring Johnstown -based 12th District, represented by an incumbent of 28-years John Murtha . The new district lines were harshly criticized, in part because in some areas portions of several neighborhoods—and even streets—were split between districts. In parts of the eastern part of the district, one side of the street was in the 18th while the other was in the 12th. In parts of the western portion, one side of

4897-578: The next 24 hours, several former staffers came forward with claims of an abusive environment in his office. By October 5, House Republican leaders concluded the allegations should be investigated by the House Ethics Committee . Fearing that a wave of unflattering stories would be published, creating a distraction, they pressed Murphy to leave immediately. Accordingly, he resigned from the House on October 21. In February 2018, Edwards announced that she intended to run for Congress and that she expected

4980-627: The passing of the act include drug companies; medical device manufacturers ; the National Institutes of Health; people advocating for lowered barriers to collecting human subject research data; Representatives Fred Upton (R-MI), Diana DeGette (D-CO), Timothy F. Murphy (R-PA); Senator Lamar Alexander (R-TN); and Vice President Joe Biden . Hospitals and universities, as well as the American Cancer Society Action Network, Research!America , and FasterCures supported

5063-559: The pharmaceutical industry's influence on the bill. In early December 2016, the act had support from both houses of congress. President Obama signed the act on December 13, 2016. The reasons stated for his support included combatting opioid abuse , advancing cancer research , advancing the BRAIN Initiative , advancing the Precision Medicine Initiative , and addressing bipartisan health issues. Stakeholders who praised

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5146-661: The rank of major in the Judge Advocate General's Corps as part of the 261st Signal Brigade in Smyrna, Delaware . Biden's unit was activated to deploy to Iraq on October 3, 2008, and sent to Fort Bliss, Texas for pre-deployment training. This was the day after his father participated in the 2008 presidential campaign's only vice presidential debate . His father was on the record as saying, "I don't want him going. But I tell you what, I don't want my grandson or my granddaughters going back in 15 years, and so how we leave makes

5229-460: The raw materials. The Senate failed to take up the legislation, and Murphy reintroduced the bi-partisan measure in February 2011. Following the shooting of Arizona Congresswoman Gabby Giffords (D-AZ), Murphy and Mental Health Caucus co-chair Grace Napolitano (D-CA) spoke with national media about mental health issues. Both members also held briefings for congressional staffers with questions on

5312-431: The same extent and in the same way as medical treatments. It also includes grants to provide community mental health resources, suicide prevention and intervention programs, and de-escalation training for law enforcement. It also provides five-year grants for a demonstration program in which psychiatry residents and other mental health clinicians will practice in underserved areas. Provisions for reform of HIPAA, elevating

5395-564: The shooting. Following the December 14, 2012 mass shooting of school children at Sandy Hook Elementary School in Newtown, Connecticut, Murphy organized a series of hearings across the nation on the issue of mental health. Adam Lanza, the perpetrator of the shooting, had been diagnosed with a range of mental health problems which deteriorated severely and, "combined with an atypical preoccupation with violence... (and) access to deadly weapons... proved

5478-501: The standard, medically accepted care of blood pressure and heart rate monitoring. Researchers would still need to obey standard research protocols including institutional review boards to approve their research design and ethics. The 21st Century Cures Act calls on the Secretary of Health and Human Services to harmonize differences between the HHS Human Subject Regulations and FDA Human Subject Regulations. In so doing,

5561-569: The standing of families in commitment decisions, and reforms of procedures for challenging release decisions, were not included in the final bill. Some of these provisions were originally proposed in earlier bills, including the Mental Health Reform Act of 2016 ( S. 2680 ); the Mental Health and Safe Communities Act of 2015 ( H.R. 3722 , S. 2002 ); the Helping Families in Mental Health Crisis Act of 2016 ( H.R. 2646 );

5644-410: The street was in the 18th while the other was in the 14th . In the most extreme example, nearly all of Mascara's hometown of Charleroi was drawn into the 12th district, except that a long tendril extending from Allegheny County to Mascara's house stayed in the 18th. After a legal battle, the courts largely upheld Pennsylvania's redistricting plan after some minor modifications. Murphy was a member of

5727-700: Was admitted to Walter Reed National Military Medical Center in Bethesda, Maryland, because of a recurrence of brain cancer. He died there ten days later, on May 30, at the age of 46. His funeral was held at St. Anthony of Padua Roman Catholic Church in Wilmington, Delaware , on June 6. Biden's funeral was attended by then President Barack Obama , First Lady Michelle Obama , their daughters Malia and Sasha , former President Bill Clinton , former Secretary of State and former First Lady Hillary Clinton , former US Army Chief of Staff General Ray Odierno , and then-Senate Majority Leader Mitch McConnell . At his funeral, he

5810-453: Was admitted to the University of Texas MD Anderson Cancer Center in Houston and diagnosed with glioblastoma multiforme , the most aggressive type of brain cancer, after experiencing what White House officials called "an episode of disorientation and weakness". A lesion was removed at that time. Biden had radiation and chemotherapy treatments and the cancer remained stable. On May 20, 2015, he

5893-640: Was also endorsed by former Governor Tom Ridge , former Congresswoman Melissa Hart , Allegheny County Republican Party Chairman Jim Roddey , State Representative Mark Mustio , State Senate candidate D. Raja, the NRA Political Victory Fund , and the Fraternal Order of Police of Allegheny County. Murphy won the primary 63%–33%. In the general election, he won re-election to his sixth term, defeating Washington County Commissioner Larry Maggi 64%–36%. Murphy successfully ran for re-election to

5976-621: Was awarded the Bronze Star Medal for meritorious service in Iraq. Army Chief of Staff Raymond Odierno delivered the eulogy at Biden's funeral and presented a posthumous Legion of Merit for his service in the Delaware National Guard, stating "Beau Biden possessed the traits I have witnessed in only the greatest leaders." He was also posthumously presented with the Delaware Conspicuous Service Cross , which

6059-453: Was awarded the Legion of Merit Award by General Odierno, for his services in the Iraq War . President Obama described Biden as "an original. He was a good man. He did in 46 years what most of us couldn't do in 146." At his funeral service, a solo rendition of the song " Til Kingdom Come " was performed by Chris Martin , the lead singer of the band Coldplay , of whom Beau had been a fan. Biden

6142-637: Was buried at St. Joseph on the Brandywine in Greenville, Delaware . His gravesite is near the graves of his grandparents Joe Sr. and Catherine, his mother Neilia and his sister Naomi. On November 4, 2015, Biden was posthumously awarded the Albert Schweitzer Leadership Award, the highest honor given by the Hugh O'Brian Youth Leadership Foundation (HOBY), for his service to mankind. A portion of

6225-499: Was challenged by Democrat Chad Kluko, a telecommunications executive, in the November 2006 general election. Murphy won re-election to a third term, defeating Kluko 58%–42%. Murphy was challenged by Democrat Steve O'Donnell , a Monroeville health care executive. Murphy won re-election to a fourth term, defeating O'Donnell 64%–36%. Murphy was challenged by Democrat Dan Connolly. Murphy was endorsed by Veterans of Foreign Wars PAC and

6308-462: Was criticized for his handling of the prosecution of Robert H. Richards IV , an heir of the powerful Delaware-based Du Pont family accused of sexually assaulting his young daughter. In 2008, Biden's office charged Richards with two counts of second-degree rape, charges punishable by a minimum of 20 years in prison, but later that year, his office entered a plea bargain with Richards in which Richards pleaded guilty to one count of fourth-degree rape and

6391-613: Was included on the list. CREW issued its analysis of Murphy's alleged ethical lapses. Murphy co-sponsored the Currency Reform for Fair Trade Act , along with Democratic Representative Tim Ryan of Ohio. The bill, which passed the House of Representatives on September 29, 2010, received bi-partisan support. The final vote was 348–79. The measure would authorize the United States Department of Commerce to impose tariffs and countervailing duties against goods from countries with currencies that it deems are undervalued. Murphy told WDUQ that

6474-604: Was injured during a traffic accident in Iraq while riding in a van along with fellow Congressmen Jim Marshall and Ike Skelton . The van swerved off the road to avoid an oncoming vehicle and overturned, injuring Murphy and Skelton. The two were airlifted to Ibn Sina Hospital in Baghdad . After an MRI indicated head and neck injuries, Murphy was flown to the U.S. Military's Landstuhl Regional Medical Center in Germany for further tests, which indicated no permanent damage. After wearing

6557-403: Was nominated for vice president at the 2008 Democratic National Convention , Beau Biden introduced him. Many delegates wept at his speech, which recounted the auto accident that killed his mother and sister and the subsequent commitment his father made to his sons. Biden joined the Delaware Army National Guard in 2003 and attended The JAG School at the University of Virginia . He attained

6640-749: Was one of the options" in the midst of an unfounded pregnancy scare. To which Murphy replied, "I get what you say about my March for life messages. I've never written them. Staff does them. I read them and winced. I told staff don't write any more. I will." In the same article, the Post-Gazette published a June 8 memorandum from Murphy's chief of staff to Murphy complaining of the congressman's repeated harassment of staff and his "hostile, erratic, unstable, angry, aggressive and abusive behavior", which led to an "inability to hire and retain competent staff, [and] abysmal office morale". On October 4, Murphy announced that he would not run for an eighth term in 2018. During

6723-608: Was possibly a consequence of exposure to military burn pits in Iraq. For the final few years of his life, Biden suffered from a brain tumor. In May 2010, he was admitted to Christiana Hospital in Newark, Delaware , after complaining of a headache, numbness, and paralysis. Officials stated that he had suffered a mild stroke. Later that month, Biden was transferred to Thomas Jefferson University Hospital in Philadelphia and kept for observation for several days. In August 2013, Biden

6806-457: Was sentenced by Judge Jan Jurden to eight years' probation. Defending the plea bargain and Jurden's sentencing in a letter to The News Journal , Biden wrote "This was not a strong case, and a loss at trial was a distinct possibility" and said the judge "exercised sound discretion". Biden did not seek election to a third term as attorney general in 2014. In the spring of that year, he announced his intention to run for governor of Delaware in

6889-497: Was the only one likely to have prevented shootings such as those that felled Rep. Gabrielle Giffords, as well as other victims of a spate of shootings. The bill was later folded into the larger 21st Century Cures Act and included the following provisions: Murphy previously served on the Veterans Affairs and Government Reform committees. In early September 2017, Murphy admitted to an extramarital affair with Shannon Edwards,

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