Preventing Disease and Improving Well-Being
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1 September 14, 2010 Dear Senator: As the Senate considers the Small Business Jobs and Credit Act (H.R. 5297), the 248 undersigned organizations listed below strongly urge you to oppose the use of the Prevention and Public Health Fund from the Affordable Care Act (ACA) as an offset for an amendment offered by Senator Johanns (No. 4596). Such an action would virtually eliminate the Fund, and mark a severe blow to this monumental commitment to prevention and public health under the Act. We will also oppose any other such efforts to use the Fund as an offset. ACA included historic reforms that have the potential to transform our health system. For too long, we have focused spending on treating people once they are sick rather than preventing illness in the first place. The Prevention and Public Health Fund (Fund) is urgently needed to address the many emerging health threats our country faces and the persistent chronic disease rates that we must begin to control. The Fund is intended to ensure a coordinated, comprehensive, sustainable, and accountable approach to improving our country s health outcomes through the most effective prevention and public health programs. ACA clearly states that the money be used for programs authorized by the Public Health Service Act, for prevention, wellness, and public health activities. The money would be strategically used to support disease prevention by promoting access to vaccines, building the public health workforce, and investing in community-based prevention. Furthermore, the Act specifically states that community-based prevention funding must only support evidence-based prevention programs which have been shown through scientific research to reduce chronic disease, including behavioral health conditions, and address health disparities. Research has shown that effective community level prevention activities focusing on nutrition, physical activity and smoking cessation can reduce chronic disease rates and have a significant return on investment. Already in Fiscal Year 2010, we have seen these funds invested for programs to promote tobacco control and implement tobacco cessation services and campaigns, as well as obesity prevention, better nutrition and physical activity. The fund has been invested to support state, local and tribal public health efforts to advance health promotion and disease prevention, and to build state and local capacity to prevent, detect and respond to infectious disease outbreaks. The funds are also being used to support the training of current and next generation public health professionals. The Fund is a unique opportunity to truly bend the cost curve on health care spending. Seventyfive percent of all health care costs in our country are spent on the treatment of chronic diseases, many of which could be prevented. Further, in a public opinion survey conducted just prior to the passage of the Act, Trust for s Health and the Robert Wood Johnson Foundation (RWJF) found that 71 percent of ns favored an increased investment in disease prevention and that disease prevention was one of the most popular components of health reform. We must ensure that we capitalize on the unprecedented opportunity to transform our public health system by investing in prevention and public health. We urge you to vote NO on the prevention fund offset within the Johanns amendment, or on any other such legislative vehicles. Sincerely,
2 AARP ACCESS Women's Health Justice Advocates for Better Children s Diets AIDS Action AIDS Alabama All Saints Home Care n Academy of Pediatrics n Academy of Physician Assistants n for International Aging n of Colleges of Nursing n of Colleges of Osteopathic Medicine n of Colleges of Pharmacy n of People With Disabilities n on Health and Disability n Cancer Society Cancer Action Network n College of Clinical Pharmacy n College of Gastroenterology n Congress of Obstetricians and Gynecologists n College of Occupational and Environmental Medicine n College of Preventive Medicine n Counseling n Dental Education n Diabetes n Dietetic n Federation of State, County and Municipal Employees n Foundation for Suicide Prevention n Heart n Lung n Medical Student n Nurses n Psychiatric n Psychological n Public Health n Social Health n Society for Gastrointestinal Endoscopy n Thoracic Society Applied Research Center Arthritis Foundation Asian and Pacific Islander n Health Forum of n Medical Colleges of Maternal & Child Health Programs for Prevention Teaching and Research of Public Health Laboratories of Schools of Public Health of State and Territorial Dental Directors of State and Territorial Directors of Nursing of State and Territorial Health Officials of State & Territorial Public Health Nutrition Directors of University Centers on Disabilities of Women's Health, Obstetric and Neonatal Nurses Atlanta Regional Health Forum A World Fit for Kids! Bazelon Center for Mental Health Law Berkeley Media Studies Group Boston Public Health Commission Building Healthier C3: Colorectal Cancer Coalition California of Alcohol and Drug Abuse Counselors California Center for Public Health Advocacy California Conference of Local Health Department Nursing Directors California Food Policy Advocates California Foundation for the Advancement of Addiction Professionals California Immigrant Policy Center California Pan-Ethnic Health Network California Partnership
3 California School Health Centers Campaign for Community Change Campaign for Public Health Campaign for Tobacco-Free Kids CASA de Maryland C-Change Center for Biosecurity, University of Pittsburgh Medical Center Center for Health Improvement Center for Science in the Public Interest Cerebral Palsy of Ohio Children and Adults with Attention- Deficit/Hyperactivity Disorder Children Now Children s Dental Health Project Children s Health Fund City of Philadelphia Department of Public Health Coalition for Health Services Research Coalition for Humane Immigrant Rights of LA Colon Cancer Alliance Colorado Progressive Coalition Commissioned Officers of the U.S. Public Health Service CommonHealth ACTION Community Action Partnership Community Catalyst Community Health Councils Community Health Partnership: Oregon s Public Health Institute Comprehensive Health Education Foundation Connecticut Certification Board Connecticut Citizen Action Group Council of State and Territorial Epidemiologists County Health Executives of California Crohn s and Colitis Foundation of Defeat Diabetes Fund Digestive Disease National Coalition Faith Action for Community Equity Family Voices Federation of s in Behavioral & Brain Sciences First Five Friends of AHRQ Friends of NCHS Friends of SAMHSA Georgia AIDS Coalition Granite State Organizing Project Grassroots Organizing Harlem United Community AIDS Center, Inc. Having Our Say Coalition Health Care for Now Health Law Advocates of Louisiana, Inc Health Promotion Advocates Health Rights Organizing Project Hepatitis Foundation International HIV Medicine Home Safety Council Idaho Community Action Network Indian People s Action Infectious Diseases Society of Institute for Health and Productivity Studies Rollins School of Public Health, Emory University Institute for Public Health Innovation International Certification and Reciprocity Consortium (IC&RC) International Health, Racquet & Sportsclub Interstitial Cystitis ISAIAH JWCH Institute, Inc. Korean Resource Center Libreria del Pueblo Inc. Louisiana Public Health Institute Mahoning Valley Organizing Collaborative Main Street Alliance Maine People s Alliance Make the Road New York March of Dimes Foundation Maricopa County Dept of Public Health Media Policy Center Mental Health Michigan for Local Public Health Montana Organizing Project National Alliance of State and Territorial AIDS Directors National Assembly on School-Based Health Care
4 National for Public Health Statistics and Information Systems National of Chain Drug Stores National of Children s Hospitals National of Chronic Disease Directors National of Community Health Centers National of Counties National of County & City Health Officials National of Local Boards of Health National of Public Hospitals and Health Systems National of School Nurses National of State Alcohol and Drug Abuse Directors National of State Mental Health Program Directors National Business Coalition on Health National Coalition for LGBT Health National Coalition of STD Directors National Council of Asian Pacific Islander Physicians National Council of Jewish Women National Council of La Raza National Council on Aging National Education National Environmental Health National Family Planning & Reproductive Health National Federation of Families for Children s Mental Health National Forum for Heart Disease and Stroke Prevention National Health Council National Indian Project Center National Kidney Foundation Northeast Ohio Alliance for Hope National Korean n Service and Education Consortium National Network of Public Health Institutes National Nursing Centers Consortium National Recreation and Park National Rural Health National Viral Hepatitis Roundtable National WIC Nebraska Appleseed Nebraska Urban Indian Health Coalition Nemours New Hampshire Public Health New York Academy of Medicine NYC Department of Health and Mental Hygiene New York Immigration Coalition New York Society for Gastrointestinal Endoscopy North Carolina Fair Share Northern Illinois Public Health Consortium Northwest Federation of Community Organizations Novo Nordisk NYU Langone Medical Center Ocean State Action Ohio Alliance for Retired ns Oregon Action Out of Many, One Papa Ola Lokahi Partners for a Healthy Nevada Partnership for Prevention Pediatric Pharmacy Advocacy Group Pew Children s Dental Campaign Physician Assistant Education Planned Parenthood Federation of PolicyLink Prevention Institute Preventive Cardiovascular Nurses Progress Ohio Progressive Leadership of Nevada Project Inform Public Health of Nebraska Public Health Foundation Public Health Institute Public Health Law and Policy Public Health-Monroe County (MI)
5 Public Health - Seattle and King County Public Health Solutions Pulmonary Hypertension Rails-to-Trails Conservancy REACH U.S. SouthEastern African n Center of Excellence for Elimination of Disparities (REACH U.S. SEA-CEED) RiverStone Health Safe States Alliance Service Employees International Union Sexuality Information and Education Council of the U.S. Society for Adolescent Health and Medicine Society for Healthcare Epidemiology of Society for Public Health Education South Carolina Fair Share Summit Health Institute for Research and Education, Inc. TakeAction Minnesota Tenants and Workers United Thai Health and Information Services, Inc. The AIDS Institute The Amos Project The Community Heart Health Coalition of Ulster County The Greenlining Institute The LGBT Cancer Project - Out With Cancer The MetroHealth System The National Alliance to Advance Adolescent Health Toledo Area Jobs with Justice Trust for s Health UHCAN Ohio United Action Connecticut United Ostomy s of Urban Coalition for HIV/AIDS Prevention Services U.S. PIRG Virginia Organizing Project Washington Health Foundation West South Dakota Native n Organizing Project WomenHeart: The National Coalition for Women with Heart Disease YMCA of the USA
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