1. Public Health and Health Reform: A Snapshot of Current Legislative Activity Jeffrey Levi Richard Hamburg July 2009

2. Status  Senate HELP Committee has reported out a bill; principal committee for public health provisions Finance Committee still working on a draft  Paying for reform is biggest challenge  House Tri-Committee bill in midst of markup Energy & Commerce has prime jurisdiction over public health

3. Key prevention and public health components of health reform  Universal coverage, including first $ coverage of clinical preventive services  National Prevention Strategy  Reliable funding stream through creation of a Trust Fund (mandatory appropriation) to support: Core public health functions Community prevention Public health workforce Public health and prevention research

4. House and Senate Bills (1) HouseSenate HELP 1 st $ coverage of preventive servicesNoYes National Prevention StrategyYes Trust FundYes

5. House and Senate Bills (2) HouseSenate HELP Core public health functionsYesNot explicit Community preventionYes Public health workforceYes Public health and prevention research Yes

6. What’s next?  House and Senate schedules  What are potential challenges? Questions regarding community prevention Size of Trust Fund  What Congress needs to hear  FIND UPDATED INFORMATION AT www.healthyamericans.org/health-reform