What’s at Stake
The Affordable Care Act (ACA) created the Prevention and Public Health Fund (PPHF), which sets aside a specific amount of funding for Congress to allocate to a variety of public health and prevention initiatives in communities across the nation. The Fund has been threatened with elimination as part of the debate over the future of the Affordable Care Act (ACA) and it has also been subject to cuts, usually to offset (pay for) the cost of extending or creating new programs. By now, the annual funding level should be $2 billion, after the latest round of cuts totaling $1.35 billion, funding currently stands at $900 million.
Much of the PPHF is allocated to the Centers for Disease Control, but the Administration for Community Living (ACL) receives funding for Alzheimer’s Disease Demonstrations, Chronic Disease Self-Management Education (CDSME), and Falls Prevention. The first PPHF allocation for CDSME was made in FY12, totaling $10 million. Subsequent sequestration cuts eroded the investment to the current $8 million in annual funding. A few years ago, Senate appropriators proposed as much as $10 million for Falls Prevention, but only $5 million annually has been provided once the allocations began in FY14.
In addition to the threat to PPHF allocations, recent Administration budget requests and Congressional appropriations bills have proposed cuts in annual funding for CDSME and Falls Prevention.
Check this page frequently for the latest legislative updates and how that influences advocacy strategies.
FY19 Budget and Appropriations
The Administration’s FY19 budget request proposes eliminating Falls Prevention and CDSME funding at ACL, and Falls Prevention funding at CDC. Similar to last year, Congress will have the final say on how these programs are funded. House and Senate appropriators are working on their own FY19 proposals, and it is worth noting they rejected the Administration’s proposed FY18 cut for CDSME and elimination of CDC Falls Prevention funding.
There are a number of ways you can help defend the PPHF and funding for Falls Prevention and CDSME.
- Educate your members of Congress or their staff with local meetings and events, using our federal budget advocacy information. Make sure you your voice is heard on FY19 funding by emailing your delegation.
- Organize statewide advocacy with group letters to Congress, such as the template for statewide falls prevention advocacy
- Engage social media and traditional media
- Mobilize advocacy by others by promoting NCOA’s advocacy news sign-up, Straight Talk for Seniors® blog posts, and federal budget policy information.
- Email NCOA Advocacy if you know of Republican members who support Falls Prevention or CDSME
It’s important for individuals and organizations in all states to educate members of Congress about CDSME and falls prevention, and the impact that loss of PPHF funding can have. Advocates with members on the Senate Appropriations Committee and House Appropriations Committee can make unique contributions by reaching out to key members of their Congressional delegations. Contact NCOA Advocacy for details.
We have a variety of resources to provide more information on this issue, enlist allies, and educate Congress.
- Issue Brief: Chronic Disease Self-Management Education (CDSME) Funding. Issue brief outlining NCOA’s rationale for $16 million in funding for CDSME in FY19.
- Issue Brief: Falls Prevention Funding. Issue brief outlining the rationale of the Falls Free® Coalition for at least $7.1 million in funding for falls prevention in FY19.
- Group letter organized by National Safety Council in support of $2 million for CDC Falls Prevention and $5 million for ACL Falls Prevention.
- Trust for America’s Health Prevention and Public Health Fund Detailed Information
- TFAH op-ed for The Hill: “Missing in the ACA debate: Funding to prevent disease in the first place”
- Straight Talk for Seniors® blog post on the PPHF
- Advocacy One-Pager: PPHF, CDSME, and Falls Prevention
- Recording and slides from Heathy Aging and the ACA webinars (Jan. 5 & 6)
- National CDSME Infographic
- CDSME Success Stories
- Falls Prevention Success Stories
- Falls Prevention Saving Lives, Saving Money Infographic
- State-specific CDSME Infographics (upon request)
- State-specific Falls Prevention Infographics (upon request)
- CDSME Grantee Profiles: Use these documents to learn more about how ACL/AoA’s 2012, 2015, and 2016 state and tribal grantees are implementing, expanding, and sustaining CDSME.
- Falls Prevention Grantee Profiles: Use these documents to learn more about how ACL/AoA’s 2014, 2015, and 2016 state and tribal grantees are utilizing evidence-based programs to reduce falls and fall-related injuries.
- Falls Prevention Coalition Descriptions (click Falls Prevention Coalitions and navigate to your state): Use these documents to learn more about how each state’s falls prevention partners are working together to reduce falls and fall related injuries.
- State Falls Prevention Data Profiles (click Falls Prevention Coalitions and navigate to your state): Use these documents to learn more about the impact of falls prevention efforts in each state.
Contact us if you have questions or need additional support reaching out to your members of Congress.