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Critics of US House proposal to ax AHRQ say idea is penny-wise and pound-foolish.

A HOUSE APPROPRIATIONS SUBcommittee has recommended eliminating the Agency for Healthcare Research and Quality (AHRQ) and ending discretionary spending on patient-centered outcomes research. Investigators and organizations involved in payment reform, patient safety, and comparative effectiveness research say the subcommittee’s actions threaten to undermine attempts to improve and rationalize the health care system. AHRQ was created through bipartisan support in 1989, when it was known as the Agency for Health Care Policy and Research (AHCPR). Its mission is to generate the evidence necessary to build a high-quality, highvalue health care system. The subcommittee, voting mostly along party lines, on July 17 approved an appropriations bill for the Departments of Labor, Health and Human Services, and Education for the fiscal year beginningOctober1.The legislationcontains several provisions to stop the implementation of the Affordable Care Act (ACA), cuts funding for the Department of Health and Human Services and the Centers for Medicare & Medicaid Services, and keeps the National Institutes of Health’s budget flat. Specific language in the bill calls for terminating AHRQ October 1. The bill also states, “Notwithstanding any other provision of the law, none of the discretionary funds appropriated by this Act may be used to support any patient-centered outcomes research” (http://tinyurl.com/6wyjvbt). Despite the stated date, the subcommittee’s action will have no immediate effect on AHRQ. Congressional leadership has agreed to put off making federal budget decisions until early next year, following November’s Presidential, House, and Senate elections.