Legislative and Policy Update

1
Legislative and Policy Update

• March 5, 2009

2
2009 Hill Day

• Over 65 visits to key offices
• Another great success!

3
Kathleen Sebelius Nomination

• After confirmation reform should take off
• Having a Secretary will precipitate more
  appointments

4
Stimulus ARRA

• It is unknown how much of the 650 Million of
  Prevention and Wellness(PW) will go to states.
  NACDD has been included in meetings with key
  partner groups to review options.
• No definitive models or funding mechanisms have
  been adopted for how the 650 Million for
  Prevention and Wellness will be used by the HHS
  Secretary.
• These dollars may not move as quickly as stimulus
  dollars in other areas, so there can be more
  thought on how they can be a down payment on
  health reform

5
ARRA

• The White House and Dora Hughes are formulating
  plans and looking for a large initiative
  integrated across HHS.
• HHS may hold back 550 million to invest in the
  "big idea." CDC may or may not get to manage the
  dollars for the big idea.
• Dr. Besser is chairing the internal HHS stimulus
  workgroup on the PW dollars. The workgroup is
  reviewing over 80 proposals from across HHS for
  PW activities seeking funding
• It is unclear how much funding will be passed to
  CDC. One rumor has it that CDC may get 100 M for
  Healthy Communities

6
2009 Omnibus Appropriations

• The FY2009 Omnibus (H.R. 1105) was introduced on
  Monday February 23rd. The legislation is a
  consolidated spending package that includes nine
  of this years appropriations bills (all except
  Homeland Security, Defense, and Military
  Construction/VA). Its total cost is 410
  billion, with the Labor, Health and Human
  Services, and Education component adding up to
  151.8 billion, which is 6.4 billion over the
  Presidents request and 6.7 billion over the
  FY2008 level. The House of Representatives has
  already completed work on the Omnibus, passing it
  by margin of 245-178. The Senate is expected to
  take action on the bill March 5th.

7
2009 Omnibus

• CDC ChronicTotal of 881.7m, an increase of
  47.9m over FY 08Highlights include
• 25m increase in colorectal cancer to
  launch a nationwide colorectal screening program
• 4m increase for the Heart Disease and
  Stroke program (of which 1.5m is for increasing
  the Delta Health Initiative--3m total for DHI)
• 3m increase for Diabetes

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Omnibus 2009 (cont)

• 5m increase for Breast and Cervical Cancer
• 1.3m increase for Arthritis
• 2m increase for Tobaccofor the Smoking Lab
• 2.1m increase for Nutrition, Physical Activity
  and Obesity
• 3.3m increase for school health (Healthy
  Passages study is funded at 3.5m)
• 2m decrease for Healthy Communities
• 1.7m increase for REACH
• Prevent Block - 3m increase to 102m

9
2010 Budget

• Optimism about modest increases

10
Health Reform

• Big Issue of The Year - Stay Tuned