PREVENTION AND PUBLIC HEALTH FUND

POTENTIAL CHANGES UNDER THE ACA REPEAL AND REPLACE PLAN

On March 6th, legislators unveiled a new proposal to replace the Affordable Care Act. In addition to making significant changes to health insurance coverage, the bill would eliminate the Prevention and Public Health Fund—the only dedicated source of federal funding for prevention. This fund allows local health departments to create healthy policies, neighborhoods, and services that keep communities healthy and safe in the first place, helping to avoid costly treatments and long-term care. Eliminating the Prevention and Public Health Fund could cost California health agencies over $300 million over the next 5 years, making it difficult to sustain gains made by communities across the country in tobacco use prevention, healthy eating, and active living, among other efforts to improve community health and wellbeing.

Funding Distribution

The table below shows the current (2017) uses of the Prevention and Public Health Fund by agency, program, allocation, and the activity to be supported. For more detailed information see this article in Health Affairs, or state-by-state analysis by the Trust for America’s Health.
AGENCY ACTIVITY OR PROGRAM ALLOCATION PLANNED USES OF FUND
CDC Hospitals Promoting Breastfeeding 8,000,000 To fund community initiatives to support breastfeeding mothers and support hospitals in promoting breastfeeding.
CDC Diabetes Prevention 72,000,000 To implement improved and enhanced diabetes prevention and control strategies within state and local organizations that address primary prevention and support the National Diabetes Prevention Program lifestyle change intervention.
CDC Epidemiology and Laboratory Capacity Program 40,000,000 To enhance the ability of state, local, and territorial grantee capacity for detecting and responding to infectious diseases and other public health threats.
CDC Healthcare Associated Infections 12,000,000 To strengthen public health infrastructure for HAI activities related to monitoring, response, and prevention across all health care settings and to accelerate electronic reporting to detect HAIs at the state level.
CDC Heart Disease and Stroke Prevention Program 73,000,000 To implement improved and enhanced heart disease and stroke prevention efforts.
CDC Million Hearts Program 4,000,000 To improve cardiovascular disease and stroke prevention by promoting medication management and adherence strategies and improving the ability to track blood pressure and cholesterol controls.
CDC Office of Smoking and Health 126,000,000 To raise awareness about the harms of tobacco use and exposure to secondhand smoke in areas of the country with high rates of tobacco use prevalence.
CDC Preventive Health and Health Services Block Grants 160,000,000 To support programs that focus on the leading causes of death and disability and the ability to respond rapidly to emerging health issues, including outbreaks of foodborne infections and waterborne diseases.
CDC Racial and Ethnic Approaches to Community Health (REACH) 50,950,000 To improve linkages between the health care system and minority communities with unique social, economic, and cultural circumstances; and change the chronic disease conditions and risk factors in local communities.
CDC Immunization 324,350,000 To improve the public health immunization infrastructure to maintain and increase vaccine coverage among children, adolescents, and adults.
CDC Lead Poisoning Prevention 17,000,000 To support and enhance surveillance capacity at the state and city level to prevent and ultimately eliminate childhood lead poisoning.
CDC National Early Child Care Collaboratives 4,000,000 To support efforts to improve physical activity and nutrition environments in early childhood education (ECE) settings.
ACL Alzheimer's Disease Prevention Education and Outreach 14,700,000 To fund new grants to states that expand specialized services and supports targeting certain categories of individuals living with Alzheimer’s disease or related disorders. To initiate a new public awareness campaign to encourage consumers experiencing memory loss to seek medical advice and to address the stigma associated with dementia.
ACL Chronic Disease Self-Management 8,000,000 To fund a national resource center and award new competitive grants to help older adults and adults with disabilities from underserved areas and populations (including Tribal communities) better manage their chronic conditions by providing access to evidence-based chronic disease self-management programs; also assist grantees with developing and implementing strategies for sustainable program funding beyond the scope of the grant period.
ACL Falls Prevention 5,000,000 To fund a national resource center and award new competitive grants to implement evidence-based community programs that have been proven to reduce the incidence of falls for older adults and adults with disabilities (including Tribal elders), as well as identify sustainable funding mechanisms for these programs; via the resource center, promote the importance of falls prevention strategies and provide public education about the risks of falls and ways to prevent them.
SAMHSA Garrett Lee Smith Youth Suicide Prevention 12,000,000 To fund continuation grants for Youth Suicide Prevention - States grantees.
TOTAL 931,000,000
Source: https://www.hhs.gov/open/prevention/