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ASTHO Report on Sequestration: Potential Impacts on Public Health

Posted By Administration, Thursday, September 20, 2012

The Association of State and Territorial Health Officials (ASTHO) estimates that at the top line public health agency level, sequestration would cut about $2.4 billion dollars from public health programs in FY 2013, with less than three-quarters of the fiscal year remaining. Sequestration is the process of automatic budget cuts to federal government programs, projects, and activities. The sequester was included as a budget reduction enforcement mechanism as part of the Budget Control Act of 2011 and is scheduled to take effect on January 2, 2013 unless Congress reaches an agreement to pass legislation to postpone it or find other ways to reduce the federal deficit. In its report, "Potential Impact of Sequestration on Public Health”, details of the potential timing of when the cuts will be made to public health programs and the health impacts such large funding reductions will have on public health broadly and by state are examined. Federal public health spending already has been reduced by $2.5 billion, or 8 percent, from FY 2010 through FY 2012. Sequestration will reduce that level by an additional 8.4 percent in a single fiscal year for a total reduction since 2010 of $4.9 billion, or 16 percent. For additional questions about federal sequestration, please contact ASTHO's Federal Government Relations staff (Nicole Kunko or Chris Gould).

http://www.astho.org/Display/AssetDisplay.aspx?id=7486

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DELTA FOCUS (Domestic Violence Prevention Enhancement and Leadership Through Alliances, Focusing on Outcomes for Communities United with States) Grant

Posted By Administration, Monday, September 17, 2012

Department of Health and Human Services

Centers for Disease Control and Prevention DELTA FOCUS (Domestic Violence Prevention Enhancement and Leadership Through Alliances, Focusing on Outcomes for Communities United with States) Grant

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Time-Sensitive Obesity Policy and Program Evaluation (R01)

Posted By Administration, Monday, August 13, 2012
PAR 12-257--Time-Sensitive Obesity Policy and Program Evaluation (R01)

Purpose: This Funding Opportunity Announcement (FOA) is issued by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Cancer Institute (NCI), National Institute on Aging (NIA), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), and the Office of Behavioral and Social Sciences Research (OBSSR), at the National Institutes of Health (NIH). This announcement establishes an accelerated review/award process to support time-sensitive research to evaluate a new policy or program expected to influence obesity related behaviors (e.g., dietary intake, physical activity, or sedentary behavior) and/or weight outcomes in an effort to prevent or reduce obesity. This FOA is intended to support research where opportunities for empirical study are, by their very nature, only available through expedited review and funding. All applications to this FOA must demonstrate that the evaluation of an obesity related policy and /or program offers an uncommon and scientifically compelling research opportunity that will only be available if the research is initiated with minimum delay. For these reasons, applications in response to this time-sensitive FOA are eligible for only one submission. It is intended that eligible applications selected for funding will be awarded within 3-4 months after the application submission/receipt date. However, administrative requirements and other unforeseen circumstances may delay issuance dates beyond that timeline.

Applicants please note: Resubmissions are not allowed for this funding announcement. Please read the PAR very carefully. Only time-sensitive studies will be given priority. Applicants are strongly encouraged to contact one of the program officers listed below.

Christine M. Hunter, Ph.D.
Director of Behavioral Research
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Telephone: 301-594-4728
Email: ch514c@nih.gov

John G. Haaga, Ph.D.
Deputy Director, Division of Behavioral and Social Research
National Institute on Aging (NIA) T
T elephone: 301-496-3131
Email: HaagaJ@mail.nih.gov

Robin A. McKinnon, Ph.D., MPA
Health Policy Specialist
Division of Cancer Control & Population Sciences
National Cancer Institute (NCI)
Telephone: 301-594-3599
Email: mckinnonr@mail.nih.gov

Layla Esposito, Ph.D.
Program Director
Center for Research for Mothers and Children
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Telephone: 301-435-6888
Email: espositl@mail.nih.gov  

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The Conversation on Prevention

Posted By Administration, Wednesday, August 1, 2012

The Conversation on Prevention. In addition to suggesting a number of actions to take during the upcoming Congressional recess, it points out that, " True health reform hinges on community prevention. The Affordable Care Act will not achieve its full potential to improve America's health without sustaining and expanding investments in prevention and public health. By improving the places where people live, learn, work and play, community prevention keeps people from becoming sick or injured, in the first place.”

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CHF also has a dedicated webpage with a toolkit of materials

Posted By Administration, Monday, July 30, 2012

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Here’s a great new flyer from the Coalition for Health Funding (CHF) called Think Before You Cut!

Posted By Administration, Monday, July 30, 2012

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Sample NDD letter with Health Promotion lens

Posted By Susan F. Goekler PhD MCHES, Thursday, July 19, 2012
The August recess is a good time to reach Members of Congress in their home districts -- especially in an election year.  Budget deficit reduction will undoubtedly be on their minds.  When funding for Social Security, Medicare, and the National debt are off the table and many legislators want to protect or increase defense spending, all that remains is non-defense discretionary (NDD) funding.  It is a relatively small part of the overall federal budget and huge cuts decimate vital programs, including not only public health and health promotion but also many programs that address determinants of health such as agriculture, education, transportation, and enviornmental protection.  The attached letter is one health promotion advocates could adapt or use when meeting with legislators urging them to use a balanced approach to fiscal responsiblity and not to continue cutting only NDD programs, which will end up costing us in the long run.

Download File (DOC)

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Appropriations Committee Releases the Fiscal Year 2013 Labor, Health and Human Services Funding Bill

Posted By Administration, Tuesday, July 17, 2012

Washington, Jul 17 - Press Release

The House Appropriations Committee today released the draft fiscal year 2013 Labor, Health and Human Services (LHHS) funding bill, which will be considered in subcommittee tomorrow. The legislation includes funding for programs within the Department of Labor, the Department of Health and Human Services, the Department of Education, and other related agencies.

In total, the draft bill includes $150 billion in discretionary funding, which is a cut of $6.3 billion below last year's level and $8.8 billion below the President's budget request. This funding level is more than $2 billion below the amount provided in fiscal year 2009.

In addition to spending cuts to various ineffective, unnecessary, or lower-priority programs, the legislation contains several policy provisions to promote good government and economic growth. These provisions will help reduce harmful and unnecessary regulations that tie the hands of employers and undermine job creation, ensure the protection and respect of human life, and limit bureaucratic overreach. The legislation also defunds many ObamaCare programs, and prohibits any new discretionary funding for ObamaCare.

"This legislation reflects our strong commitment to reduce over-regulation and unnecessary, ineffective spending that feeds the nation's deficits and hampers economic growth. A careful look was given to all programs and agencies in the bill, with the budget knife aimed at excess spending and underperforming programs, but also with the goal of making wise investments in programs that help the American people the most,” House Appropriations Chairman Hal Rogers said.

Bill Summary:

Defunding ObamaCare – The legislation contains several provisions to stop the implementation of ObamaCare – including rescinding prior-year mandatory funds, as well as prohibiting the use of any new discretionary funding to implement ObamaCare. In all, these provisions will save American taxpayers $8.6 billion this year alone, and will result in a savings of $123 billion over the next five years.

Protecting Life – The bill contains several provisions to protect life, including continuations of all longstanding restrictions on abortion funding that have been included in the legislation in prior years. The legislation also contains language prohibiting funding for Planned Parenthood unless it certifies it will not provide abortions, a provision ensuring "conscience protections” for religious and charitable organizations, and the text of the "Abortion Non-Discrimination Act.”

Department of Labor (DoL) – The bill provides $12 billion for the Department of Labor, which is $497 million below last year's level and $72 million below the President's request.
Employment Training Administration (ETA) – The legislation provides the ETA with $10.6 billion – a decrease of $269 million (-3%) below last year's level and an increase of $174.8 million (2%) above the President's request. This increase is largely the result of a denial of the President's proposal to transfer $448 million for the Community Service Employment for Older Americans program to the Department of Health and Human Services.


Job Corps – The bill provides $1.7 billion for the Office of Job Corps, which is $20 million below last year's level and $33 million above the President's request. This program helps unemployed young Americans receive education, job training, and employment assistance. This funding will provide for the operation of 126 Job Corp centers in 2013.

Veterans Employment and Training Service (VETS) – The bill provides $262 million for VETS, which is $3 million above the President's request. This supports the Administration's request to eliminate the $15 million Veterans Workforce Investment Program due to the duplication of these services under the VOW to Hire Heroes Act of 2011. The bill also provides $3 million above the request for the Transition Assistance Program, often the first line of training and job search assistance provided to transitioning service members seeking suitable civilian employment.

Mine Safety and Health Administration (MSHA) – MSHA is funded at $372 million in the legislation, virtually the same as last year's level and the budget request. The legislation also includes a prohibition on funding for MSHA to continue the development or the implementation of a coal mine dust regulation.

Reducing Harmful Red Tape – The legislation includes several provisions designed to help U.S. businesses create jobs and grow the economy by reducing or eliminating overly burdensome government regulations. Some of these include:
A provision prohibiting the use of Project Labor Agreements (PLA) for federal construction projects.

A provision prohibiting the implementation of the so-called "Persuader” regulation that would interfere with employers' access to specialized, legal counsel during union organizing campaigns.

A provision prohibiting the implementation of a expensive and inefficient one-size-fits-all injury and illness prevention program, eliminating costly burdens on businesses large or small.

A provision prohibiting the implementation of new H-2B Program regulations to reduce unnecessary requirements and excessive costs to participating employers.

A provision prohibiting the continued development of the so-called "Companionship Exemption” regulation, which will simultaneously save jobs while maintaining the quality of services provided by in-home care providers to the elderly, the infirm, and those otherwise unable to care for themselves.

Health and Human Services – The Department of Health and Human Services receives a total of $68.3 billion, a reduction of $1.3 billion below last year's level and $1.8 billion below the President's budget request.

Health Resources and Services Administration (HRSA) – The bill provides HRSA with $5.9 billion in new discretionary budget authority, which is $453 million below last year's level and $315 million below the President's budget request.

Within this total, Community Health Centers are funded at $1.5 billion – the same as last year's level. This includes a rescission of $300 million in previous-year funding that was provided under ObamaCare for this program.

The bill also provides $623 million in total funding for health professions training, including $275 million for the Children's Hospital Graduate Medical Education program. The President requested only $88 million for this essential program. In addition, the bill includes $139 million for rural health programs, an increase of $1.4 million above last year, and eliminates funding for the Family Planning Program.

Centers for Disease Control and Prevention (CDC) – The legislation includes an appropriation level of $5.75 billion for the CDC – $66 million above the fiscal year 2012 level. Further, the bill allows for an additional $126.5 million for the CDC by reducing the ability of HHS to divert funds away from CDC programs.

The bill increases funding for Public Health Preparedness and Response by $84 million over last year's level to ensure the Strategic National Stockpile and State and Local Preparedness capacity is adequate. These programs provide supplies and response efforts in the event of a bio-terror attack or pandemic disease emergency.

National Institutes of Health (NIH) – The bill includes $30.6 billion for the NIH, which is equal to both last year's level and the President's request. Within this funding, the legislation includes $175 million for the National Children's Study, $488 million for Clinical and Translational Sciences Awards, and $376 million for Institutional Development Awards (IDeA) programs.

This funding will support 16,670 training research awards – the pipeline of support for future researchers. The legislation also includes language to ensure the NIH support only research projects that are highly meritorious, based on peer review processes, and that continue the agency's historical unbiased position toward specific diseases.

Substance Abuse and Mental Health Administration (SAMHSA) – The bill funds SAMHSA at $3.1 billion, which is $194 million below last year's level and $1.2 million above the President's budget request. Within this funding, criminal justice activities, such as drug courts, receive an increase of $5 million over last year for a total of $72.3 million, and the Substance Abuse Block Grant for states and localities receives $1.73 billion, an increase of $10 million.

Centers for Medicare and Medicaid Services (CMS) – The recommendation provides $3.5 billion for CMS management and operations ("Program Management”), which is $409 million below the fiscal year 2012 enacted level and $1.4 billion below the budget request. The bill does not include additional funding to implement ObamaCare programs and prohibits funds for the new Center for Consumer Information and Insurance Oversight.

Administration for Children and Families (ACF) – The bill provides $16.37 billion in discretionary funds for ACF, which is $111 million below last year's level and $192 million above the President's budget request. This funding includes:

$3.4 billion for the Low Income Home Energy Assistance Program (LIHEAP) block grant, which is the same as last year's level and an increase of $451 million above the President's budget request.

$2.3 billion for the Child Care and Development Block Grant, which is $25 million more than last year's level.

$8 billion for Head Start – $45.5 million more than last year's level.

$712 million for the Community Services Block Grant, which is the same as last year's level and $332 million above the President's budget request.

The bill also includes language prohibiting funding for the "Healthy Foods Financing” initiative.
Administration on Aging (AoA) – The legislation funds AoA at $1.4 billion – $30 million below last year's level and $537 million below the President's budget request. This funding includes $816 million for nutrition programs, the same as the request.

Department of Education – The bill funds the Department of Education at $70 billion, which is $1.1 billion below last year's level and $2.9 billion below the budget request. The bill eliminates many duplicative, inefficient, or unauthorized education programs, including the Administration's "Race to the Top” program. The bill also includes limitations that prohibit the Department of Education from moving forward with regulations that define "gainful employment” and "credit hour,” or dictates on how states must license institutions of higher education.
Title I Program – These basic grants to local school districts that help all children become proficient in reading and math are funded at $15 billion, which is the same as last year's level.

Pell Grants – The maximum Pell Grant award is increased to $5,635, due to an authorized mandatory cost-of-living adjustment.

Special Education – Special Education grants to states are funded at $12.1 billion in the legislation – an increase of $500 million above last year's level. This will provide a small increase in the federal share of special education funding to the states, allowing better funding of required special education services.

Other Related Agencies –
Corporation for National and Community Service (CNCS) – The bill includes $271 million for CNCS, which will support the National Senior Volunteer Programs within CNCS. This funding will also provide for the orderly elimination of other CNCS programs.

Corporation for Public Broadcasting (CPB) – The CPB has been funded through advance appropriations in previous years. This year, the bill does not provide an advance appropriation for CPB for fiscal year 2015, which is consistent with the budget resolution. To encourage CPB to operate exclusively on private funds, the bill rescinds $111.3 million of the fiscal year 2013 advanced appropriation, and $222.5 million of the fiscal year 2014 advanced appropriation.

National Labor Relations Board (NLRB) – The bill includes $258.3 million for the NLRB – a decrease of $20 million (-7.2%) below last year's level and $34.5 million (-12%) below the President's budget request.

In addition, the legislation includes several provisions intended to stop the NLRB's harmful anti-business regulations that would impose additional and excessive costs on American businesses, increase job loss, and further hinder economic growth. These provisions include: a prohibition on establishing micro-unions; a prohibition on eliminating secret ballot elections; a prohibition on "quick-snap elections”; and a prohibition on the implementation of "e-Card Check” which could promote coercion in union elections.

Social Security Administration (SSA) – The bill includes $10.7 billion to administer SSA activities, which is $287 million below fiscal year 2012.

For the subcommittee draft text of the fiscal year 2013 Labor/Health and Human Services/Education Appropriations bill, please visit: http://appropriations.house.gov/uploadedfiles/bills-112hr-sc-ap-fy13-laborhhsed.pdf

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NDD Sector Coordination to Show Sequester's Impact

Posted By Administration, Monday, July 16, 2012
The Coalition for Health Funding sent a nondefense discretionary (NDD) letter to all congressional offices and major media outlets, expressing concerns about sequestration's impact. If sequestration is allowed to take effect, triggering automatic spending cuts, nonexempt NDD programs will be reduced by 8.4 percent in FY 2013. The letteris an unprecedented, cross-communityshow of support for NDD programs. In total, nearly 3,000 national, state, and local groups signed on, including ASTHO and many ASTHO affiliates.

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The 2012 ASTHO At-Home Hill Day Toolkit is Available

Posted By Administration, Monday, July 16, 2012

from State Public Health Weekly - July 12, 2012

Developing a strong working relationship or strengthening well-established connections with members of Congress is an important way to ensure public health continues to have a strong voice on Capitol Hill. Members of your congressional delegation want to hear from you and there is no better way to show them how important public health is to their constituents than to invite them to see public health "in action." ASTHO's 2012 At-Home Hill Day toolkit demonstrations how to engage with lawmakers, including how to make initial contact and how to invite them to your state's health department. Inform your congressional leaders about vital public health priorities while they're back home on recess! Download the toolkit to get started.

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