Health Care Reform - September 23 marked the six-month anniversary of the enactment of health care reform. It was also the day on which many of the hallmark insurance reforms started to go into effect. The same week, Republicans came out with a 21-page "Pledge to America," which, among other things, promises to repeal the health reform law and replace it with GOP-favored alternatives including medical liability reform, allowing the purchase of health coverage across state lines, and codification of the Hyde Amendment. Also in late September, the Government Accountability Office (GAO) appointed 19 members to the Patient-Centered Outcomes Research Institute (PCORI). The PCORI was created as part of health care reform to oversee comparative effectiveness research (CER). While stakeholders were largely pleased with the list of appointees, some were surprised that the government representative spot was given to Robert Jesse from the Veteran's Affairs office rather than to an FDA official. The press release and full list of appointments are available online. In early October, CMS announced a revised formula for determining the amount the federal government will recapture from Medicaid rebates based on the required increase under health care reform. State Medicaid directors were highly critical of CMS's original plan, and the new formula will allow states to keep more rebate money.