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Health Reform

Historic Health Reform Legislation Signed Into Law

On March 23, President Obama signed health reform legislation to provide insurance coverage to the uninsured and reform the healthcare delivery system. The Patient Protection and Affordable Care Act (ACA) contains provisions strengthening local and state health departments and chronic disease prevention. It authorizes new funding for public health workforce training and mandates clinical preventive services to be provided in insurance plans. Details about public health provisions can be found here.

HHS Announces $250 Million for Prevention and Public Health

On June 16, Health and Human Services (HHS) Secretary Sebelius announced allocation of $250 million from the Prevention and Public Health Fund to primary care workforce development. Further information is available here.

On June 18, the Secretary announced allocation of the balance of the Fund.

The $250 million investment in prevention and public health will go to the following:
  • Community and Clinical Prevention:  $126 million will support federal, state and community prevention initiatives; the integration of primary care services into publicly funded community-based behavioral health settings; obesity prevention and fitness; and tobacco cessation.

  • Public Health Infrastructure: $70 million will support state, local, and tribal public health infrastructure and build state and local capacity to prevent, detect, and respond to infectious disease outbreaks. 

    The five-year “Strengthening Public Health Infrastructure for Improved Health Outcomes” cooperative agreement program is designed to support innovative changes in key areas that improve the quality, effectiveness and efficiency of the public health infrastructure that will support the delivery of public health services and programs as specified within the ACA. The program goal is to systematically increase the performance management capacity of public health departments in order to ensure that public health goals are effectively and efficiently met.

    In FY 2010 $42.5 million will be awarded in cooperative agreements. Eligible applicants include all 50 states, Washington, DC, nine large local health departments supporting cities with populations of one million or more inhabitants (Chicago, Dallas, Houston,  Los Angeles, New York City, Philadelphia, Phoenix,  San Antonio, San Diego), five U.S. territories, three U.S. affiliated Pacific islands, and up to seven federally-recognized tribes with an established public health department structure that provide public health services to their tribal members. In total, $212.5 million will be available over five years.

     Grant applications are due Aug. 9, 2010. More information and details about how to apply can be found here.

  • Research and Tracking: $31 million for data collection and analysis; to strengthen CDC''s Community Guide by supporting the Task Force on Community Preventive Services; and to improve transparency and public involvement in the Clinical Preventive Services Task Force.

  • Public Health Training: $23 million to expand CDC''s public health workforce programs and public health training centers.
More information is available here.
Proposed Regulations

The comment period is open on a proposed rule on implementation of new Medicare preventive health benefits. More information can be found here. The Centers for Medicare and Medicaid Services are accepting comments until Aug. 24 with a final rule expected on or about Nov. 1.

Interim Final Rules for Group Health Plans and Health Insurance Issuers Relating to Coverage of Preventive Services—Comments due Sept. 17

The Food and Drug Administration is seeking comments on the new federal menu labeling requirements under PPACA/ACA. To submit comments, click here, then click on “submit a comment” and enter FDA-2010-N-0298 in the keyword space. The docket will be open until Sept. 7.

All of the details on the rule and the full range of details on methods of submitting comments can be found here.

NACCHO Webinar on Health Reform
Health Reform Fact Sheets


White House proposal released in advance of Feb. 25 Health Reform Summit

Summary of Prevention and Public Health provisions in House, Senate Finance and Senate Health Education, Labor, and Pensions Committee bills

U.S. Senate
Senate bill passed - December 24, 2009

Manager''s Amendment—healthcare reform legislation passed by the U.S. Senate on Dec. 24, 2009.
Summary of Changes to Prevention Provisions in Manager''s Amendment (Trust for America''s Health)

See how your senators voted

Summary of Patient Protection and Affordable Care Act
Summary of public health provisions (Democratic Policy Committee)

Senate Health, Education, Labor and Pensions Committee

Senate Affordable Health Choices Act with amendments (800+ pages)
This is the bill passed by the Health, Education, Labor, and Pensions Committee

Funding chart

Summary of Affordable Health Choices Act (original version without amendments)

Summary of Title III "Improving the Health of the American People"

Senate Finance Committee 

October 13 Press Release on Passage of Health Reform Legislation by Finance Committee

America''s Healthy Future Act (amended)

Selected wellness and prevention amendments (Trust for America''s Health)
House of Representatives
House bill passed - Nov. 7, 2009
See how your Representative voted | Thank you letter for Representatives

Draft bill text of Affordable Health Care for America Act (1,990 pages)

Summary of Affordable Health Care for America Act
Funding chart
Amendment  to provide Grants to Promote Positive Health Behaviors and Outcomes
Amendment  to create Healthy Teen Initiative to Prevent Teen Pregnancy

NACCHO/ASTHO letter to Capitol Hill urging support for public health provisions in House bill
NACCHO letter to the White House on health reform

Advocacy Resources and Tools

Talking Points on Public Health in Health Reform - House | Senate

State-by-State Information on the Status of Healthcare and Benefits of Reform (White House Office of Health Reform)

Top Ten Tips for Attending Town Hall Meetings

Sample Letter to the Editor

Letter from Big City/Metro Health Departments to House | Senate

SACCHO Sign-on Letter to Senators

Flyers supporting Prevention and Public Health Fund: Ensure a Healthier Future | Secure the Foundation of Public Health