This included concern from ophthalmologists on a cataract guideline and concern by the pharmaceutical industry over a reduction in the use of new drugs. When the agency produced a guideline that concluded that back pain surgery was unnecessary and potentially harmful, a lobbying campaign aided by Congressmen whose backs had been operated on changed the name of the agency and scaled back the guidelines program, which now exists as the National Guideline Clearinghouse.[3] AHCPR was reauthorized December 6, 1999, for Healthcare Research and Quality (AHRQ) under the Healthcare Research and Quality Act of 1999,[2] which amended Title IX of the Public Health Service Act (42 U.S.C. 299 et seq).