Winter SACCHO Meeting Legislative Update January 16, 2007 - PowerPoint PPT Presentation

Loading...

PPT – Winter SACCHO Meeting Legislative Update January 16, 2007 PowerPoint presentation | free to download - id: 3ab82-ZTBiM



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Winter SACCHO Meeting Legislative Update January 16, 2007

Description:

... by unanimous consent in the Senate and four days later in the ... and the Senate Health, Education, Labor and Pensions Committee reported a bill in July. ... – PowerPoint PPT presentation

Number of Views:78
Avg rating:3.0/5.0
Slides: 15
Provided by: kgri6
Learn more at: http://www.naccho.org
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Winter SACCHO Meeting Legislative Update January 16, 2007


1
Winter SACCHO MeetingLegislative
UpdateJanuary 16, 2007
2
The Pandemic and All-Hazards Preparedness Act of
2006 (S. 3678)
  • Congress passed it during the last week
  • of the December 2006 lame duck session. It
    moved quickly and passed by unanimous consent in
    the Senate and four days later in the House.
    Clearly the bills sponsors and their House
    counterparts had gotten their lame ducks in a
    row.
  • The bill reauthorizes HHS activities in public
    health emergency preparedness, including the
    cooperative agreement program, through 2011.

3
  • To review Sens. Burr and Kennedy engaged in a
    broad process of consultation with stakeholders
    and the Senate Health, Education, Labor and
    Pensions Committee reported a bill in July.
  • The resulting bill, like any compromise, had
    something for everyone to like and something for
    everyone to hate.
  • The bill codifies much that is already occurring,
    such as performance standards, federal
    biosurveillance, limited vaccine tracking, MRC
    and ESAR-VHP programs.

4
All-Hazards, Once and for All
  • The very title of the bill, as well as its
    content, is build around the concept of
    all-hazards public health preparedness, as
    opposed to the hazard-specific approach we have
    seen from time to time.

5
What Would Change
  • State matching requirement, beginning with 5 in
    FY09 and 10 thereafter. In-kind contributions of
    plant, equipment or services would be counted.
  • Financial penalties for states not meeting
    evidence-based performance standards (beginning
    with 10 withholding from cooperative agreement
    funds in FY09).
  • Maintenance of effort requirement for grantees.

6
Hospital Preparedness Program
  • Moves out of HRSA into office of HHS Asst
    Secretary for Preparedness and Response
  • Eligible grantees are partnerships of hospitals
    and/or other health care facilities with a state
    and/or local government, as well as current
    grantees. This gives HHS the ability to make
    hospital preparedness grants directly, rather
    than going through a state, as long as the state
    or local health officials where the grantees are
    located consult in the application.

7
Modest Improvements for LHDs
  • Codifies existing local concurrence requirement
    in CDC guidance.
  • Clarifies that funds may be used for existing
    personnel who are carrying out preparedness
    activities, regardless of their primary
    assignment, using NACCHO-drafted language.

8
Token Approach to Workforce
  • The original drafts of the bill established a
    large scholarship and loan repayment program for
    public health professionals it took the
    language from the Hagel-Durbin workforce bill,
    which has never moved in Congress.
  • That was too much for fiscal conservatives. The
    final bill whittled this down to two
    demonstration programs in the National Health
    Service Corps. These still require a
    Congressional appropriation to become a reality.

9
Appropriations
  • FY07 year long continuing resolution
  • FY06 level limited adjustments
  • No earmarks how much will be available for
    health?
  • FY08 Presidents Budget early Feb.
  • Budget resolution
  • House/Senate Appropriations

10
Appropriations
  • PH Preparedness for State/Local Capacity Building
  • FY 2004 934 million
  • FY 2005 919 million (-15 million)
  • FY 2006 824 million (-95 million)
  • FY 2007 824 million (proposed)
  • What is the effect of these cuts?
  • Pandemic Flu state/local
  • FY 2006 600 million

11
Appropriations
  • Preventive Health Block Grant
  • FY 2005 131 million
  • FY 2006 99 million
  • FY 2007 100 million (proposed)

12
Other Issues to Watch
  • FDA Regulation of Tobacco
  • Kennedy/Waxman
  • Childrens Health Insurance Program

13
Other Issues to Watch
  • Environmental health
  • Mosquito control
  • Land use planning/community design
  • Environmental health tracking
  • Health Information Technology
  • Biosurveillance
  • Integration of networks

14
Contact Us
  • Donna L. Brown, JD, MPH
  • Government Affairs Counsel
  • Senior Advisor for Public Affairs
  • National Association of County and City Health
    Officials
  • Phone  202-783-5550, ext. 214
  • Email dbrown_at_naccho.org
  • Eli Briggs
  • Senior Government Affairs Specialist
  • National Association of County and City Health
    Officials
  • Phone  202-783-5550, ext. 229
  • Email ebriggs_at_naccho.org
About PowerShow.com