Prevention and Public Health Fund
kkrisberg | October 17, 2017In more encouraging public health news, the Centers for Disease Control and Prevention reports that vaccination rates among kindergarteners have remained stable, with the median vaccine exemption rate at 2 percent. Some states even reported an increase in immunization rates.
In a study published last week in CDC’s Morbidity and Mortality Weekly Report, researchers examined 2016-2017 data from 49 states regarding coverage of three vaccines: measles, mumps and rubella (MMR); diphtheria, tetanus and acellular pertussis (DTaP); and varicella, more commonly known as chickenpox. Researchers also…
kkrisberg | September 20, 2017Senate Republicans are again trying to ram through an Affordable Care Act replacement that threatens the health and well-being of millions of Americans. It’s shameful. But don’t take my word for it. Let’s look at what people who actually work in health care are saying about the Graham-Cassidy-Heller-Johnson bill.
In this interview, Sen. Bill Cassidy insists that his bill would protect people with pre-existing conditions. Blue Cross Blue Shield Association disagrees. (Cassidy also says in that same interview that his bill would work through the Children’s Health Insurance Program (CHIP), which…
kkrisberg | August 11, 2017Umair Shah’s story isn’t an uncommon one in public health. Starting out in medicine, with a career as an emergency department doctor, he said it quickly became clear that most of what impacts our health happens outside the hospital and in the community.
Today, that philosophy drives his work as executive director of Harris County Public Health (HCPH) in Houston, Texas — an agency that serves the third-largest county in the nation, home to about 4.5 million residents. In fact, Shah, who first joined the agency in 2004 and become director in 2013, said the agency’s mantra is this: “Health…
kkrisberg | June 30, 2017In Cuyahoga County, Ohio, nearly 200 people have died from opioid-related overdoses in the first five months of this year. That means that this one U.S. county is on pace to lose more than 700 people to fatal overdoses by the end of 2017.
Terry Allan, health commissioner at the Cuyahoga County Board of Health, and colleagues across the county have spent years building and scaling up a multifaceted response to the opioid addiction and overdose epidemic that includes getting people into treatment, changing clinical prescribing habits, preventing deadly overdoses, and dealing with the often-…
lborkowski | January 21, 2014Both houses of Congress have now passed, and President Obama has signed, the omnibus spending bill, and it’s a welcome relief from budget battles through the end of this fiscal year (September 30, 2014). I was especially curious to see what the bill contained for the Prevention and Public Health Fund, an important part of the Affordable Care Act that has suffered under previous budget manuevering.
Section 4002 of the Affordable Care Act established the Prevention and Public Health Fund "to provide for expanded and sustained national investment in prevention and public health programs to…
lborkowski | December 10, 2013A coalition of public-health organizations, including the Robert Wood Johnson Foundation (RWJF) and Campaign for Tobacco-Free Kids, has released a report criticizing most U.S. states for under-investing in smoking prevention and cessation. Broken Promises to Our Children: The 1998 State Tobacco Settlement 15 Years Later calculates that states over the past 15 years, states have collected a total of $391 billion from tobacco settlements and tobacco taxes, but spent only 2.3% of that amount on tobacco prevention programs.
The report compares states’ tobacco-prevention expenditures to the levels…
lborkowski | May 21, 2013At the Washington Post's Wonkblog, Ezra Klein has put up two posts about healthcare costs that are well worth reading. The first is about Oregon's Medicaid program, which has been the basis for some exciting recent research on how Medicaid coverage affects recipients' lives and is now trying to reduce the growth in healthcare costs by improving community health. The second is an interview with Bill Gates, whose Gates Foundation is trying to reduce global deaths of children under age five. Both pieces address one of today's key healthcare questions: How can we best use finite resources to…
lborkowski | May 21, 2012by Kim Krisberg
"We will pay for this by taking money from one of the slush funds in the president's health care law."
That's an April quote from U.S. House Speaker John Boehner, R-Ohio, on how Republicans plan to offset the cost of stopping scheduled hikes in student loan interest rates. And the "slush fund" in question? The Prevention and Public Health Fund, the historic $15 billion investment in prevention authorized via the Affordable Care Act (ACA).
The April move by House Republicans wasn't the first attempt to raid the fund. Several tries have been made to repeal the fund entirely or…
lborkowski | February 21, 2012By Kim Krisberg
Friday wasn't a great day for public health.
That day, Congress voted to raid the Affordable Care Act's Prevention and Public Health Fund to the tune of $5 billion. The move comes as part of a deal to delay scheduled cuts to Medicare physician payment rates and was part of a legislative package to extend the payroll tax cut and unemployment benefits. Both the Senate and House voted by wide margins to pass the bill, and President Obama is expected to sign it.
Of course, this was hardly the intent of the Prevention and Public Health Fund, which was created via the Affordable…