Andrew S. Rein Associate Director for Policy

Centers for Disease Control and Prevention

April 20, 2011National Tribal Health Reform Implementation

Summit

The Affordable Care Act and

Public Health

More Than Coverage, Quality, and Cost…

The Affordable Care Act is a

Real Opportunity for Public Health

Public Health Pillars of the Affordable Care Act

Preventive services without cost sharing

Policies and programs

Prevention and Public Health Fund

National Prevention Strategy

More People Will Have Access

to Preventive Services Preventive services covered with no cost sharing

USPSTF, ACIP, Bright Futures, and women’s health guidelines and recommendations

Private insurance, Medicare

Incentive for states to include in Medicaid

Medicare wellness visit Review medical history, current care

Health risk assessment

Routine measurements, e.g., BMI

Nationwide Menu Labeling Puts

Information in Consumers’ Hands

Calories listed on menus and menu boards Restaurants and retail food establishments with 20 or

more locations Other nutrient information (e.g., saturated fat, cholesterol,

sodium, carbohydrates, sugars, fiber, protein) available in writing upon request

Calories listed for vending machine items Operators who own or operate 20 or more machines

Prevention and Public Health Fund Provides Sustainable

Funding

Grows from $500m to $2b annually

2010 $250m for primary care workforce $250m for prevention and public health

2011 $750m for community and clinical prevention, public

health infrastructure, and research and tracking

2010 2011 2012 2013 2014 2015-19

$500m $750m $1b $1.25b $1.5b $2b

PPHF Prevents Disease, Improves Health, and Saves

Money

Empower communities to prevent the leading causes of death – heart attacks, cancer, stroke, injuries, and more

Improve health protection agencies’ capacity to detect and control threats

Identify and monitor health system’s successes and challenges

PPHF – CDC FY10 InvestmentsInvestment area AmountNPHII $50m

CPPW $36.4m

HIV $30.3m

ELC / EIP $20m

Healthcare surveillance $19.8m

Tobacco media $9.5m

Public health workforce $7.5m

Tobacco quit lines $5m

Community Guide $5m

ARRA evaluation $4m

ARRA media $4m

Total $191m

CDC FY10 PPHF Funding to Tribes

PPHF – Prevent Leading Causes of Death

Empower communities to prevent heart attacks, cancer, stroke, injuries, and more Communities Putting Prevention to Work Increase tobacco cessation and reduce initiation Curb HIV epidemic through enhanced laboratory capacity,

surveillance, testing, care and treatment, and prevention Community Transformation Grants Chronic Disease Grants Immunization

Critical to stop outbreaks and prepare for and stop natural or terrorist disasters

State and local detection and response Increase capacity to use resources efficiently

Epi and lab capacity to detect and respond Test for food borne diseases, flu, etc., and analyze data quickly

Skilled workforce to address complex public health demands Front line workers, epidemiologists and more – next generation

leaders Healthcare Associated Infections

Reduce infections, save lives and reduce costs of treatment and unnecessary hospital readmission

PPHF – Strengthen Public Health Detection and

Response

PPHF – Produce information for Action

Know what prevention programs work and track health system performance—increase health value of our health investments

Community Guide Identify and promote what works

Healthcare Surveillance Improve access to accurate and timely data on obesity and physical

activity, changes in heart attack and stroke care and prevention and more

Prevention Research

Opportunity to prioritize and align prevention efforts across the federal government and the nation

Chaired by the Surgeon General Council members: 17 federal departments Advisory Group: 15 non-federal members

appointed

National Prevention, Health Promotion, and Public Health

Council

Council MembersBureau of Indian Affairs Department of Labor

Corporation for National and Community Service

Department of Transportation

Department of Agriculture Department of Veterans Affairs

Department of Defense Environmental Protection Agency

Department of Education Federal Trade Commission

Department of Health and Human Services

Office of Management and Budget

Department of Homeland Security Office of National Drug Control Policy

Department of Housing and Urban Development

White House Domestic Policy Council

Department of Justice

National Prevention Council: Charge

Develop the National Prevention Strategy

Provide ongoing leadership and coordination of federal prevention and health promotion efforts

Produce an Annual Status Report

Identify goals, priorities, and actions for improving health

Ground activities in evidence-based practices Align and focus federal prevention and health

promotion activities Align with existing national efforts, such as:

– Let’s Move!– Healthy People 2020– National Quality Strategy – America’s Great Outdoor Initiative

National Prevention Strategy

Work across sectors Catalyze public and private partnerships:

Federal, state, tribal, local, and territorial Private, non-profit, faith, community, labor

Focus on where people live, learn, work, and play Community, worksite, institutions, etc.

Promote healthy development and behaviors throughout all stages of life

Eliminate disparities

Approach

Stakeholder Engagement

National conferences

Stakeholder input sessions

Outreach calls

HHS Regional meetings

Council website:

www.healthcare.gov/nationalpreventioncouncil

Working together to improve the health and

quality of life for individuals, families, and

communities by moving the nation from a

focus on sickness and disease to one based

on wellness and prevention.

Draft Vision

Draft Goal and Pillars

Americans Living Healthier and Longer Healthy Communities Preventive Clinical and Community Efforts Empowered Individuals Eliminate Health Disparities

Draft Priorities Healthy Physical, Social and Economic Environments Prevention and Public Health Capacity Quality Clinical Preventive Services Tobacco-Free Living Preventing Excessive Alcohol and Other Substance Abuse Healthy Eating Active Living Injury-Free Living Sexual Health Mental and Emotional Wellbeing

Thank you!

For more information go to: www.healthcare.gov