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Palliative Care & Hospice Education and Training Act H.R. 1339 / S. 641 Sponsors: Representative Eliot Engel (DNY16) & Representative Tom Reed (RNY23); Senator Ron Wyden (DOR) Background Palliative care improves quality, controls cost, and enhances patient and family satisfaction for the rapidly expanding population of individuals with serious or lifethreatening illness. In the last five years alone the number of palliative care programs has more than doubled in response to the increasing numbers and needs of Americans living with serious, complex and chronic illnesses and the realities of the care responsibilities faced by their families. Palliative care is a relatively new medical specialty and more must be done to ensure an adequate palliative care workforce is available to provide comprehensive symptom management, intensive communication and a level of coordination of care that addresses the episodic and longterm nature of serious, chronic illness. Bill Summary Palliative Care and Hospice Education Centers: Establishes Palliative Care and Hospice Education Centers to improve the training of interdisciplinary health professionals in palliative care; develop and disseminate curricula relating to palliative care; support the training and retraining of faculty; support continuing education; provide students with clinical training in appropriate sites of care; and provide traineeships for advanced practice nurses. Physician Training: Authorizes grants or contracts to schools of medicine, teaching hospitals and GME programs to train physicians (including residents, trainees, and fellows) who plan to teach palliative medicine. Such programs will provide training in palliative medicine through a variety of service rotations, such as consultation services, acute care services, extended care facilities, ambulatory care and comprehensive evaluation units, hospice, home health, and community care programs. Programs will be required to develop specific performancebased measures to evaluate the competency of trainees. Academic Career Awards: Establishes a program to promote the career development of physicians who are board certified or board eligible in Hospice and Palliative Medicine and have a junior (nontenured) faculty appointment at an accredited school of medicine. Eligible individuals must provide assurance of a fulltime faculty appointment in a health professions institution and commit to spend a majority of their funded time teaching and developing skills in interdisciplinary education in palliative care. Workforce Development: Authorizes funding for up to 24 Palliative Care and Hospice Education Centers to establish fellowship programs that provide shortterm intensive courses focused on palliative care. The fellowships will provide supplemental training for faculty members in medical schools and other health professions schools, targeted to current faculty, and appropriately credentialed volunteer faculty and practitioners, who do not have formal training in palliative care, to upgrade their knowledge and clinical skills for the care of individuals with serious or lifethreatening illness and to enhance their interdisciplinary teaching skills. The fellowship programs will support the team approach of palliative care and allow formal retraining of midcareer physicians in palliative medicine. Career Incentive Awards: Provides grants or contracts for eligible health professionals who agree to teach or practice in the field of palliative care for at least 5 years. Eligible individuals include: advanced practice nurses, clinical social workers, pharmacists, students of psychology who are pursuing a doctorate or other advanced degrees in palliative care or related fields in an accredited health professions school. www.patientqualityoflife.org

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Page 1: Palliative(Care(&(Hospice Education*and*Training Actpatientqualityoflife.org/wp-content/uploads/2014/...Aug 04, 2014  · Palliative(Care(&(Hospice(Education(and(Training !Act$(S.$641)!!

 Palliative  Care  &  Hospice    Education  and  Training  Act  

 

 H.R.  1339  /  S.  641      

Sponsors:  Representative  Eliot  Engel  (D-­‐NY-­‐16)  &  Representative  Tom  Reed  (R-­‐NY-­‐23);  Senator  Ron  Wyden  (D-­‐OR)  

Background  Palliative  care  improves  quality,  controls  cost,  and  enhances  patient  and  family  satisfaction  for  the  rapidly  expanding  population  of  individuals  with  serious  or  life-­‐threatening  illness.  In  the  last  five  years  alone  the  number  of  palliative  care  programs  has  more  than  doubled  in  response  to  the  increasing  numbers  and  needs  of  Americans  living  with  serious,  complex  and  chronic  illnesses  and  the  realities  of  the  care  responsibilities  faced  by  their  families.  Palliative  care  is  a  relatively  new  medical  specialty  and  more  must  be  done  to  ensure  an  adequate  palliative  care  workforce  is  available  to  provide  comprehensive  symptom  management,  intensive  communication  and  a  level  of  coordination  of  care  that  addresses  the  episodic  and  long-­‐term  nature  of  serious,  chronic  illness.  

Bill  Summary  Palliative  Care  and  Hospice  Education  Centers:  Establishes  Palliative  Care  and  Hospice  Education  Centers  to  improve  the  training  of  interdisciplinary  health  professionals  in  palliative  care;  develop  and  disseminate  curricula  relating  to  palliative  care;  support  the  training  and  retraining  of  faculty;  support  continuing  education;  provide  students  with  clinical  training  in  appropriate  sites  of  care;  and  provide  traineeships  for  advanced  practice  nurses.  

Physician  Training:  Authorizes  grants  or  contracts  to  schools  of  medicine,  teaching  hospitals  and  GME  programs  to  train  physicians  (including  residents,  trainees,  and  fellows)  who  plan  to  teach  palliative  medicine.  Such  programs  will  provide  training  in  palliative  medicine  through  a  variety  of  service  rotations,  such  as  consultation  services,  acute  care  services,  extended  care  facilities,  ambulatory  care  and  comprehensive  evaluation  units,  hospice,  home  health,  and  community  care  programs.  Programs  will  be  required  to  develop  specific  performance-­‐based  measures  to  evaluate  the  competency  of  trainees.  

Academic  Career  Awards:  Establishes  a  program  to  promote  the  career  development  of  physicians  who  are  board  certified  or  board  eligible  in  Hospice  and  Palliative  Medicine  and  have  a  junior  (non-­‐tenured)  faculty  appointment  at  an  accredited  school  of  medicine.  Eligible  individuals  must  provide  assurance  of  a  full-­‐time  faculty  appointment  in  a  health  professions  institution  and  commit  to  spend  a  majority  of  their  funded  time  teaching  and  developing  skills  in  interdisciplinary  education  in  palliative  care.  

Workforce  Development:  Authorizes  funding  for  up  to  24  Palliative  Care  and  Hospice  Education  Centers  to  establish  fellowship  programs  that  provide  short-­‐term  intensive  courses  focused  on  palliative  care.  The  fellowships  will  provide  supplemental  training  for  faculty  members  in  medical  schools  and  other  health  professions  schools,  targeted  to  current  faculty,  and  appropriately  credentialed  volunteer  faculty  and  practitioners,  who  do  not  have  formal  training  in  palliative  care,  to  upgrade  their  knowledge  and  clinical  skills  for  the  care  of  individuals  with  serious  or  life-­‐threatening  illness  and  to  enhance  their  interdisciplinary  teaching  skills.  The  fellowship  programs  will  support  the  team  approach  of  palliative  care  and  allow  formal  re-­‐training  of  mid-­‐career  physicians  in  palliative  medicine.  

Career  Incentive  Awards:  Provides  grants  or  contracts  for  eligible  health  professionals  who  agree  to  teach  or  practice  in  the  field  of  palliative  care  for  at  least  5  years.  Eligible  individuals  include:  advanced  practice  nurses,  clinical  social  workers,  pharmacists,  students  of  psychology  who  are  pursuing  a  doctorate  or  other  advanced  degrees  in  palliative  care  or  related  fields  in  an  accredited  health  professions  school.  

 

www.patientqualityoflife.org  

Page 2: Palliative(Care(&(Hospice Education*and*Training Actpatientqualityoflife.org/wp-content/uploads/2014/...Aug 04, 2014  · Palliative(Care(&(Hospice(Education(and(Training !Act$(S.$641)!!

Palliative  Care  &  Hospice  Education  and  Training  Act  (H.R.  1339)    

Sponsors:  Congressman  Eliot  Engel  (D-­‐NY-­‐16)  &  Congressman  Tom  Reed  (R-­‐NY-­‐23)    

Rep.  Beatty,  Joyce  [D-­‐OH-­‐3]  -­‐  7/8/2013  Rep.  Bera,  Ami  [D-­‐CA-­‐7]  -­‐  07/16/2014  Rep.  Bishop,  Sanford  D.,  Jr.  [D-­‐GA-­‐2]  -­‐  9/11/2013  Rep.  Blumenauer,  Earl  [D-­‐OR-­‐3]  -­‐  3/21/2013    Rep.  Bonamici,  Suzanne  [D-­‐OR-­‐1]  -­‐  10/30/2013  Rep.  Brady,  Robert  A.  [D-­‐PA-­‐1]  -­‐  03/26/2014  Rep.  Braley,  Bruce  L.  [D-­‐IA-­‐1]  -­‐  4/9/2013    Rep.  Brooks,  Susan  W.  [R-­‐IN-­‐5]  -­‐  07/08/2014  Rep.  Brown,  Corrine  [D-­‐FL-­‐5]  -­‐  3/21/2013    Rep.  Brownley,  Julia  [D-­‐CA-­‐26]  -­‐  02/11/2014  Rep.  Buchanan,  Vern  [R-­‐FL-­‐16]  -­‐  9/17/2013    Rep.  Capito,  Shelley  Moore  [R-­‐WV-­‐2]  -­‐  11/19/2013  Rep.  Capps,  Lois  [D-­‐CA-­‐24]  -­‐  4/9/2013    Rep.  Carney,  John  C.,  Jr.  [D-­‐DE]  -­‐  9/19/2013    Rep.  Carson,  Andre  [D-­‐IN-­‐7]  -­‐  03/14/2014  Rep.  Cartwright,  Matt  [D-­‐PA-­‐17]  -­‐  9/17/2013    Rep.  Castor,  Kathy  [D-­‐FL-­‐14]  -­‐  9/17/2013    Rep.  Cicilline,  David  N.  [D-­‐RI-­‐1]  -­‐  6/19/2013    Rep.  Clarke,  Yvette  D.  [D-­‐NY-­‐9]  -­‐  04/29/2014  Rep.  Clay,  Wm.  Lacy  [D-­‐MO-­‐1]  -­‐  7/30/2013  Rep.  Cohen,  Steve  [D-­‐TN-­‐9]  -­‐  10/22/2013    Rep.  Connolly,  Gerald  [D-­‐VA-­‐11]  -­‐  7/30/2014  Rep.  Conyers,  John,  Jr.  [D-­‐MI-­‐13]  -­‐  10/7/2013  Rep.  Cook,  Paul  [R-­‐CA-­‐8]  -­‐  9/11/2013  Rep.  Courtney,  Joe  [D-­‐CT-­‐2]  -­‐  9/12/2013    Rep.  Cuellar,  Henry  [D-­‐TX-­‐28]  -­‐  9/11/2013  Rep.  Davis,  Danny  K.  [D-­‐IL-­‐7]  -­‐  7/11/2013  Rep.  Davis,  Susan  A.  [D-­‐CA-­‐53]  -­‐  06/17/2014  Rep.  DeGette,  Diana  [D-­‐CO-­‐1]  -­‐  6/4/2013  Rep.  Delaney,  John  K.  [D-­‐MD-­‐6]  -­‐  10/30/2013  Rep.  DeLauro,  Rosa  L.  [D-­‐CT-­‐3]  -­‐  05/28/2014  Rep.  DelBene,  Suzan  K.  [D-­‐WA-­‐1]  -­‐  01/27/2014  Rep.  Dent,  Charles  W.  [R-­‐PA-­‐15]  -­‐  12/11/2013  Rep.  Deutch,  Theodore  E.  [D-­‐FL-­‐21]  -­‐  9/10/2013    Rep.  Doggett,  Lloyd  [D-­‐TX-­‐35]  -­‐  9/10/2013  Rep.  Doyle,  Michael  F.  [D-­‐PA-­‐14]  -­‐  9/19/2013  Rep.  Edwards,  Donna  [D-­‐MD-­‐4]  -­‐  7/30/2014  Rep.  Ellison,  Keith  [D-­‐MN-­‐5]  -­‐  03/14/2014  Rep.  Enyart,  William  L.  [D-­‐IL-­‐12]  -­‐  6/11/2013  Rep.  Eshoo,  Anna  G.  [D-­‐CA-­‐18]  -­‐  11/13/2013  Rep.  Farr,  Sam  [D-­‐CA-­‐20]  -­‐  3/21/2013    Rep.  Fattah,  Chaka  [D-­‐PA-­‐2]  -­‐  06/17/2014  Rep.  Fitzpatrick,  Michael  G.  [R-­‐PA-­‐8]  -­‐  7/10/2013  Rep.  Frankel,  Lois  [D-­‐FL-­‐22]  -­‐  9/11/2013  Rep.  Gallego,  Pete  P.  [D-­‐TX-­‐23]  -­‐  07/16/2014  Rep.  Garamendi,  John  [D-­‐CA-­‐3]  -­‐  10/9/2013  Rep.  Garcia,  Joe  [D-­‐FL-­‐26]  -­‐  12/12/2013  Rep.  Gibson,  Christopher  P.  [R-­‐NY-­‐19]  -­‐  10/29/2013  Rep.  Grayson,  Alan  [D-­‐FL-­‐9]  -­‐  06/17/2014  Rep.  Green,  Al  [D-­‐TX-­‐9]  -­‐  06/17/2014  Rep.  Green,  Gene  [D-­‐TX-­‐29]  -­‐  7/31/2013  

Rep.  Griffin,  Tim  [R-­‐AR-­‐2]  -­‐  11/18/2013  Rep.  Grimm,  Michael  G.  [R-­‐NY-­‐11]  -­‐  10/7/2013  Rep.  Guthrie,  Brett  [R-­‐KY-­‐2]  -­‐  10/29/2013  Rep.  Hanna,  Richard  L.  [R-­‐NY-­‐22]  -­‐  12/10/2013  Rep.  Hastings,  Alcee  L.  [D-­‐FL-­‐20]  -­‐  7/30/2013  Rep.  Higgins,  Brian  [D-­‐NY-­‐26]  -­‐  5/23/2013    Rep.  Hinojosa,  Ruben  [D-­‐TX-­‐15]  -­‐  9/10/2013    Rep.  Holt,  Rush  [D-­‐NJ-­‐12]  -­‐  9/10/2013    Rep.  Honda,  Michael  M.  [D-­‐CA-­‐17]  -­‐  10/22/2013    Rep.  Horsford,  Steven  A.  [D-­‐NV-­‐4]  -­‐  11/18/2013  Rep.  Huffman,  Jared  [D-­‐CA-­‐2]  -­‐  9/12/2013  Rep.  Israel,  Steve  [D-­‐NY-­‐3]  -­‐  12/03/2013  Rep.  Jackson  Lee,  Sheila  [D-­‐TX-­‐18]  -­‐  04/01/2014  Rep.  Jeffries,  Hakeem  S.  [D-­‐NY-­‐8]  -­‐  11/13/2013  Rep.  Jenkins,  Lynn  [R-­‐KS-­‐2]  -­‐  05/19/2014  Rep.  Johnson,  Eddie  Bernice  [D-­‐TX-­‐30]  -­‐  9/17/2013    Rep.  Johnson,  Hank  [D-­‐GA-­‐4]  -­‐  9/17/2013  Rep.  Jones,  Walter  B.,  Jr.  [R-­‐NC-­‐3]  -­‐  9/25/2013  Rep.  Kaptur,  Marcy  [D-­‐OH-­‐9]  -­‐  04/29/2014  Rep.  Keating,  William  R.  [D-­‐MA-­‐9]  -­‐  4/25/2013    Rep.  Kelly,  Robin  L.  [D-­‐IL-­‐2]  -­‐  9/11/2013  Rep.  Kennedy,  Joseph  P.  III  [D-­‐MA-­‐4]  -­‐  9/17/2013    Rep.  Kildee,  Daniel  T  [D-­‐MI-­‐5]  -­‐  7/30/2013  Rep.  Kind,  Ron  [D-­‐WI-­‐3]  -­‐  06/17/2014  Rep.  King,  Peter  T.  [R-­‐NY-­‐2]  -­‐  9/11/2013  Rep.  Lance,  Leonard  [R-­‐NJ-­‐7]  -­‐  6/12/2013    Rep.  Langevin,  James  R.  [D-­‐RI-­‐2]  -­‐  04/29/2014  Rep.  Larson,  John  B.  [D-­‐CT-­‐1]  -­‐  01/29/2014  Rep.  Latham,  Tom  [R-­‐IA-­‐3]  -­‐  9/17/2013  Rep.  Lee,  Barbara  [D-­‐CA-­‐13]  -­‐  6/20/2013    Rep.  Lipinski,  Daniel  [D-­‐IL-­‐3]  -­‐  11/19/2013  Rep.  Loebsack,  David  [D-­‐IA-­‐2]  -­‐  6/3/2013    Rep.  Lofgren,  Zoe  [D-­‐CA-­‐19]  -­‐  9/19/2013    Rep.  Lujan,  Ben  Ray  [D-­‐NM-­‐3]  -­‐  05/19/2014  Rep.  Lujan  Grisham,  Michelle  [D-­‐NM-­‐1]  -­‐  11/20/2013  Rep.  Maloney,  Sean  Patrick  [D-­‐NY-­‐18]  -­‐  9/17/2013    Rep.  Matsui,  Doris  O.  [D-­‐CA-­‐6]  -­‐  6/19/2013    Rep.  McCollum,  Betty  [D-­‐MN-­‐4]  -­‐  06/17/2014  Rep.  McDermott,  Jim  [D-­‐WA-­‐7]  -­‐  10/22/2013  Rep.  McGovern,  James  P.  [D-­‐MA-­‐2]  -­‐  4/9/2013    Rep.  McKinley,  David  B.  [R-­‐WV-­‐1]  -­‐  12/03/2013  Rep.  Meeks,  Gregory  W.  [D-­‐NY-­‐5]  -­‐  01/07/2014  Rep.  Michaud,  Michael  H.  [D-­‐ME-­‐2]  -­‐  9/11/2013  Rep.  Moore,  Gwen  [D-­‐WI-­‐4]  -­‐  5/21/2013  Rep.  Murphy,  Tim  [R-­‐PA-­‐18]  -­‐  7/30/2014    Rep.  Nolan,  Richard  M.  [D-­‐MN-­‐8]  -­‐  05/20/2014  Rep.  Norton,  Eleanor  Holmes  [DC-­‐At  Large]  -­‐  7/30/2014  Rep.  O'Rourke,  Beto  [D-­‐TX-­‐16]  -­‐  9/10/2013  

Rep.  Owens,  William  L.  [D-­‐NY-­‐21]  -­‐  01/07/2014  Rep.  Pastor,  Ed  [D-­‐AZ-­‐7]  -­‐  9/12/2013  Rep.  Paulsen,  Erik  [R-­‐MN-­‐3]  -­‐  4/26/2013    Rep.  Payne,  Donald  M.,  Jr.  [D-­‐NJ-­‐10]  -­‐  10/30/2013  Rep.  Perlmutter,  Ed  [D-­‐CO-­‐7]  -­‐  03/24/2014  Rep.  Peterson,  Collin  C.  [D-­‐MN-­‐7]  -­‐  9/11/2013  Rep.  Pingree,  Chellie  [D-­‐ME-­‐1]  -­‐  12/03/2013  Rep.  Pocan,  Mark  [D-­‐WI-­‐2]  -­‐  9/19/2013    Rep.  Price,  David  E.  [D-­‐NC-­‐4]  -­‐  07/08/2014  Rep.  Quigley,  Mike  [D-­‐IL-­‐5]  -­‐  04/29/2014  Rep.  Rahall,  Nick  J.,  II  [D-­‐WV-­‐3]  -­‐  5/16/2013    Rep.  Rangel,  Charles  [D-­‐NY-­‐13]  -­‐  7/30/2014  Rep.  Ribble,  Reid  J.  [R-­‐WI-­‐8]  -­‐  5/17/2013    Rep.  Roe,  David  P.  [R-­‐TN-­‐1]  -­‐  07/08/2014  Rep.  Ruiz,  Raul  [D-­‐CA-­‐36]  -­‐  9/17/2013    Rep.  Runyan,  Jon  [R-­‐NJ-­‐3]  -­‐  9/17/2013    Rep.  Rush,  Bobby  L.  [D-­‐IL-­‐1]  -­‐  4/9/2013    Rep.  Ryan,  Tim  [D-­‐OH-­‐13]  -­‐  4/9/2013    Rep.  Schakowsky,  Janice  D.  [D-­‐IL-­‐9]  -­‐  6/6/2013    Rep.  Schiff,  Adam  B.  [D-­‐CA-­‐28]  -­‐  10/22/2013    Rep.  Schneider,  Bradley  S.  [D-­‐IL-­‐10]  -­‐  9/19/2013  Rep.  Schrader,  Kurt  [D-­‐OR-­‐5]  -­‐  01/16/2014  Rep.  Schwartz,  Allyson  Y.  [D-­‐PA-­‐13]  -­‐  9/17/2013    Rep.  Scott,  David  [D-­‐GA-­‐13]  -­‐  9/17/2013    Rep.  Sensenbrenner,  James  [R-­‐WI-­‐5]  -­‐  7/30/2014  Rep.  Serrano,  Jose  E.  [D-­‐NY-­‐15]  -­‐  12/11/2013  Rep.  Shea-­‐Porter,  Carol  [D-­‐NH-­‐1]  -­‐  4/16/2013    Rep.  Slaughter,  Louise  McIntosh  [D-­‐NY-­‐25]-­‐6/11/2013  Rep.  Stivers,  Steve  [R-­‐OH-­‐15]  -­‐  01/28/2014  Rep.  Terry,  Lee  [R-­‐NE-­‐2]  -­‐  02/26/2014  Rep.  Thompson,  Bennie  G.  [D-­‐MS-­‐2]  -­‐  07/16/2014  Rep.  Thompson,  Mike  [D-­‐CA-­‐5]  -­‐  11/18/2013  Rep.  Titus,  Dina  [D-­‐NV-­‐1]  -­‐  7/10/2013  Rep.  Tonko,  Paul  [D-­‐NY-­‐20]  -­‐  9/25/2013  Rep.  Tsongas,  Niki  [D-­‐MA-­‐3]  -­‐  9/12/2013  Rep.  Van  Hollen,  Chris  [D-­‐MD-­‐8]  -­‐  10/30/2013  Rep.  Vargas,  Juan  [D-­‐CA-­‐51]  -­‐  04/29/2014  Rep.  Vela,  Filemon  [D-­‐TX-­‐34]  -­‐  7/10/2013  Rep.  Visclosky,  Peter  J.  [D-­‐IN-­‐1]  -­‐  02/11/2014  Rep.  Walz,  Timothy  J.  [D-­‐MN-­‐1]  -­‐  7/17/2013  Rep.  Wasserman  Schultz,  Debbie  [D-­‐FL-­‐23]  -­‐  8/1/2014  Rep.  Waters,  Maxine  [D-­‐CA-­‐43]  -­‐  7/17/2013  Rep.  Welch,  Peter  [D-­‐VT-­‐At  Large]  -­‐  05/28/2014  Rep.  Whitfield,  Ed  [R-­‐KY-­‐1]  -­‐  9/12/2013  Rep.  Wilson,  Frederica  S.  [D-­‐FL-­‐24]  -­‐  12/12/2013  Rep.  Yarmuth,  John  A.  [D-­‐KY-­‐3]  -­‐  06/17/2014      

       

147  supporters  

Democrats:  120     Republicans:  27  

As  of  August  4,  2014  

Page 3: Palliative(Care(&(Hospice Education*and*Training Actpatientqualityoflife.org/wp-content/uploads/2014/...Aug 04, 2014  · Palliative(Care(&(Hospice(Education(and(Training !Act$(S.$641)!!

   

Palliative  Care  &  Hospice  Education  and  Training  Act  (S.  641)    

Sponsor:  Senator  Ron  Wyden  (D-­‐OR)    

Sen.  Baldwin,  Tammy  (D-­‐WI)  -­‐  10/29/2013  Sen.  Begich,  Mark  [D-­‐AK]  -­‐  9/9/2013    Sen.  Bennet,  Michael  F.  [D-­‐CO]  -­‐  9/12/2013  Sen.  Boxer,  Barbara  [D-­‐CA]  -­‐  7/31/2014  Sen.  Heinrich,  Martin  [D-­‐NM]  -­‐  12/17/2013  Sen.  Hirono,  Mazie  K.  [D-­‐HI]  -­‐  12/19/2013  Sen.  Johnson,  Tim  [D-­‐SD]  -­‐  11/14/2013  Sen.  King,  Angus  [I-­‐ME]  -­‐  7/23/2014  Sen.  Merkley,  Jeff  [D-­‐OR]  -­‐  02/12/2014  Sen.  Murphy,  Christopher  S.  [D-­‐CT]  -­‐  9/19/2013  Sen.  Reed,  Jack  [D-­‐RI]  -­‐  3/21/2013    Sen.  Schatz,  Brian  [D-­‐HI]  -­‐  9/19/2013  Sen.  Schumer,  Charles  E.  [D-­‐NY]  -­‐  6/6/2013    Sen.  Shaheen,  Jeanne  [D-­‐NH]  -­‐  12/12/2013  Sen.  Tester,  Jon  [D-­‐MT]  -­‐  9/12/2013  Sen.  Warren,  Elizabeth  [D-­‐MA]  -­‐  9/26/2013  Sen.  Whitehouse,  Sheldon  [D-­‐RI]  -­‐  4/9/2013  

18  supporters  

Democrats:  17     Independents:  1  

Republicans:  0  

As  of  August  4,  2014