Legislative Update: Legislative Update: 2007 Recap2007 Recap

and 2008 Outlookand 2008 Outlook

March 5, 2008

Overall LandscapeOverall Landscape

VS.VS.

Plus: Plus: Campaign ’08Campaign ’08

Public Health FundingPublic Health Funding(Appropriations)(Appropriations)

FY07FY07 FY08FY08PresidePreside

nt nt

FY09FY09State/LocalState/Local

PreparednesPreparedness*s*

$713$713$700 M**$700 M**

-1.7%-1.7%$609 M$609 M

APCsAPCs $5.4 M$5.4 M $5.4 M$5.4 M 00

Pan FluPan Flu 00 00 00

*In FY07, CDC reprogrammed $39M from the $760M appropriated by Congress

** CDC reprogrammed an additional $16 M from FY07 funds for Business Services and Support

Public Health FundingPublic Health Funding(Appropriations)(Appropriations)

FY07FY07 FY08FY08 PresidePresident FY09nt FY09

Preventive Preventive Health BGHealth BG $99 M$99 M

$97.3 M$97.3 M

-1.7%-1.7%00

Section Section 317 317

Immuniz. Immuniz. $453 M$453 M

$468 M$468 M

+3.3%+3.3%$465 M$465 M

Maternal/Maternal/

Child Child HealthHealth

$693 M$693 M$666 M$666 M

-3.8%-3.8%$666 M$666 M

TimelineTimeline1st wk. Feb.1st wk. Feb. President submits budget to CongressPresident submits budget to CongressFeb - May Feb - May HearingsHearingsMar-AprMar-Apr Budget Committee ActionBudget Committee ActionMar 19Mar 19 House LHHS Wishlist deadlineHouse LHHS Wishlist deadlineApr 4 Apr 4 Senate LHHS Wishlist deadlineSenate LHHS Wishlist deadlineMay - June May - June Sub & Full Committee markupsSub & Full Committee markupsJune - JulyJune - July Floor actionFloor actionAugustAugust Congressional Recess Congressional Recess

(meetings at home)(meetings at home)Sept- DecSept- Dec Conference Committee (???) Conference Committee (???)

Send bill to President (???)Send bill to President (???)October 1October 1 Fiscal year begins (bill completed or Fiscal year begins (bill completed or

begin continuing resolutions)begin continuing resolutions)

GrassrootsGrassroots

What to do when you return home?What to do when you return home?– WishlistsWishlists– Encourage members to get involvedEncourage members to get involved

Legislative Action CenterLegislative Action Center

http://capwiz.com/naccho/home/http://capwiz.com/naccho/home/

MedicaidMedicaid NACCHO Opposes Cuts for Targeted NACCHO Opposes Cuts for Targeted

Case Management Case Management – Regulation effective 3/3/08Regulation effective 3/3/08

Legislation to Delay RuleLegislation to Delay Rule– HR 5173/S 2578HR 5173/S 2578

State Specific LettersState Specific Letters

FDA Regulation of FDA Regulation of TobaccoTobacco

Family Smoking Prevention and Family Smoking Prevention and Tobacco Control ActTobacco Control Act– S. 625 (Kennedy/Cornyn)/S. 625 (Kennedy/Cornyn)/

HR 1108 (Waxman/Davis) HR 1108 (Waxman/Davis) – 56 Senate cosponsors, 218 House 56 Senate cosponsors, 218 House

HELP Committee Passed the bill August 1HELP Committee Passed the bill August 1

House Committee markup - MarchHouse Committee markup - March

State Children’s Health Insurance State Children’s Health Insurance Program (SCHIP)Program (SCHIP)

Reauthorization legislation vetoedReauthorization legislation vetoed Extension for 18 months passedExtension for 18 months passed

Farm Bill – Nutrition programsFarm Bill – Nutrition programs Increased funding in SenateIncreased funding in Senate Future is uncertainFuture is uncertain

On the HorizonOn the Horizon

Public Health WorkforcePublic Health Workforce– Hagel/Durbin bill S. 1882Hagel/Durbin bill S. 1882

Health Information Technology Health Information Technology – Grants for RHIOs/S. 1693Grants for RHIOs/S. 1693

Climate ChangeClimate Change– How can public health be involved?How can public health be involved?

On the HorizonOn the Horizon

Environmental Public Health Tracking Environmental Public Health Tracking authorization (S. 2082/HR 3643)authorization (S. 2082/HR 3643)– To provide for the development of a To provide for the development of a

nationwide networknationwide network

Infectious disease (S. 1551/HR 1532) Infectious disease (S. 1551/HR 1532) – Passed HELP CommitteePassed HELP Committee– Program to fund Global and US TB Program to fund Global and US TB

prevention and control prevention and control

On the HorizonOn the Horizon

Health care system reformHealth care system reform– Discussions starting nowDiscussions starting now– Opportunity for public health Opportunity for public health

involvementinvolvement