1. Public Policy l Course of action chosen by public authorities to ______________________ »Problem = l Policies need _______ and __________ support

2. Branches of U.S. Government l __________: »President »Cabinet l __________: »Senate »House of Representatives l __________: »court system

3. How a Bill Becomes Law

4. Lobbying Opportunities l _______________ l Action at appropriate __________________ l Encourage ____________ to sign/veto

5. Developing Effective Policy l Document _______ and define the problem »Develop a “grassroots” coalition of support l Draft a policy statement; l Seek and gain support from l Policy is: »____________ »monitored/_____________ »____________?

6. The buck stops where? l Entitlement vs. discretionary funding l Block grants »ProsCons

7. Elements of National Nutrition Policy

8. Healthy People 2020 l Vision = a society in which people live long, healthy lives l Overarching Goals = l Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death. l Achieve health equity, eliminate disparities, and improve the health of all groups. l Create social and physical environments that promote good health for all. l Promote quality of life, healthy development, and healthy behaviors across all life stages.

9. Agencies: for info and partnership l Federal »_____: Food and Nutrition Services; FNIC; FSIS… »_____: FDA, NIH, CDC, CMS, HRSA… l Professional »___________________ l Voluntary health agencies »___________________ l Companies l Non-profits »AARP, United Way…

10. How to locate proposed legislation? l Thomas Legislative Information »thomas.loc.gov l Federal Register »www.access.gpo.gov/su_docs/ aces/aces140.htmlwww.access.gpo.gov/su_docs/ aces/aces140.html l U.S. State and Local Government Gateway »www.health.gov/statelocalwww.health.gov/statelocal l Specific government agencies, cities, states…

11. Hints for finding topics: l Check out your N336 textbook l Consider issues discussed in other classes l Check the government websites, especially the thomas.loc.gov site l Brainstorm among yourselves l Look around—what are current health concerns in our society? l Check JADA…

12. l Should government programs provide nutrition and food assistance to individuals who consistently participate in risk-taking health behaviors? For example, should a single parent with 3 children continue to receive food assistance when that parent spends about one third of each monthly paycheck on cigarettes and alcohol? Why or why not? Policy

13. Healthy People 2020 “Goals” l Over the course of the decade, 4 foundation health measures will be used to monitor progress toward: »promoting health »preventing disease and disability »eliminating disparities »and improving quality of life

14. HP 2020 Foundation Health Measures l General Health Status l Measures include: »Life expectancy »Healthy life expectancy »Years of potential life lost »Physically and mentally unhealthy days »Self-assessed health status »Limitation of activity »Chronic disease prevalence

15. HP 2020 Foundation Health Measures l Health-Related Quality of Life and Well-Being l Measures include: »Physical, mental, and social health-related quality of life »Well-being/satisfaction »Participation in common activities

16. HP 2020 Foundation Health Measures l Determinants of Health l A range of personal, social, economic, and environmental factors that influence health status are known as determinants of health. Determinants of health include such things as biology, genetics, individual behavior, access to health services, and the environment in which people are born, live, learn, play, work, and age.

17. HP 2020 Foundation Health Measures l Disparities l Measures include differences in health status based on: »Race/ethnicity »Gender »Physical and mental ability »Geography