Healthy Aging Programs and the Affordable Care Act
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1 Healthy Aging Programs and the Affordable Care Act Howard Bedlin, Vice President, Public Policy & Advocacy Marci Phillips, Director, Public Policy & Advocacy January 5, 2017 Improving the lives of 10 million older adults by 2020
2 What s At Stake Congress plans to repeal the Affordable Care Act (ACA) by February Previous bills rescinded money from the unobligated Prevention and Public Health Fund (PPHF) Eliminates $1 billion annually, including: $5 million for Falls Prevention $8 million for Chronic Disease Self-Management Education (CDSME) Unclear if repeal will affect FY17 or FY18 funding Improving the lives of 10 million older adults by National Council on Aging 2
3 Prevention and Public Health Fund (PPHF) Created by the Affordable Care Act (ACA) Nation s largest single investment in prevention Purpose: to provide expanded and sustained national investments in prevention and public health, to improve health outcomes, and to enhance health care quality FY17 funding: $931 million Funds a range of evidence-based activities, e.g., diabetes, heart disease and stroke prevention, immunization, smoking cessation, Chronic Disease Self-Management ($8 million) and falls prevention ($5 million) Improving the lives of 10 million older adults by National Council on Aging 3
4 PPHF Support for CDSME Programs Grantees 22 states funded Reached over 86,000 program completers Grantees 8 state and community-based organizations funded Plan to reach over 19,000 program completers Grantees 7 state and community-based organizations funded 5 tribal organizations funded Plan to reach over 17,000 program completers Improving the lives of 10 million older adults by National Council on Aging 4
5 PPHF Support for Falls Prevention Programs Grantees 10 state and community-based organizations funded 4 tribal organizations funded Planned to reach 17,000 program participants, reached over 24, Grantees 7 state and community-based organizations funded Plan to reach over 16,800 program participants Grantees 7 state and community-based organizations funded 4 tribal organizations funded Plan to reach over 15,900 program participants Improving the lives of 10 million older adults by National Council on Aging 5
6 Timing Best Current Estimates Mid-January: Senate, then House vote on FY17 Budget Resolution Late January: House Committee markups and floor vote on reconciliation bill Early-Mid February: Senate reconciliation vote Goal is Congress approval by February 17 April: Finalizing FY17 appropriations April September: FY18 appropriations Improving the lives of 10 million older adults by National Council on Aging 6
7 Messages Don t repeal the ACA without a detailed replacement proposal in the same package Do no harm to Americans receiving ACA benefits Don t repeal the PPHF and funding for falls prevention and CDSME Describe effects of loss of funding to your state Use data & stories to detail the need Share successes of ACL grant(s) or plans to compete for grant funding Improving the lives of 10 million older adults by National Council on Aging 7
8 Key Congressional Targets Focus on 6 states members of Congress ARIZONA Sen. McCain Sen. Flake IOWA Sen. Grassley MAINE Sen. Collins Appropriations Committee member Improving the lives of 10 million older adults by National Council on Aging 8
9 Key Congressional Targets MISSOURI Sen. Blunt Appropriations Subcommittee Chair OKLAHOMA Sen. Lankford Appropriations Committee member Rep. Cole Appropriations Subcommittee Chair TENNESSEE Sen. Alexander Appropriations Committee member Sen. Corker Improving the lives of 10 million older adults by National Council on Aging 9
10 Possible House Energy and Commerce Committee Amendment Republican Members of Energy and Commerce Committee Greg Walden (Oregon - 02) Chairman Joe Barton (Texas - 06) John Shimkus (Illinois - 15) Tim Murphy (Pennsylvania - 18) Michael Burgess (Texas - 26) Marsha Blackburn (Tennessee - 07) Fred Upton (Michigan - 06) Steve Scalise (Louisiana - 01) Robert Latta (Ohio - 05) Cathy McMorris Rodgers (Washington - 05) Gregg Harper (Mississippi - 03) Leonard Lance (New Jersey - 07) Brett Guthrie (Kentucky - 02) Pete Olson (Texas - 22) David McKinley (West Virginia - 01) Mike Pompeo (Kansas - 04) Adam Kinzinger (Illinois - 16) Morgan Griffith (Virginia - 09) Gus Bilirakis (Florida - 12) Bill Johnson (Ohio - 06) Billy Long (Missouri - 07) Larry Bucshon (Indiana - 08) Bill Flores (Texas - 17) Susan Brooks (Indiana - 05) Markwayne Mullin (Oklahoma - 02) Richard Hudson (North Carolina - 08) Chris Collins (New York - 27) Kevin Cramer (North Dakota - 00) Buddy Carter (Georgia - 01) Ryan Costello (Pennsylvania - 06) Tim Walberg (Michigan - 07) Mimi Walters (California - 45) Improving the lives of 10 million older adults by National Council on Aging
11 Local Advocacy Activities Congress using the NCOA Action Alert Organize statewide advocacy with group letters to Congress Educate your members of Congress or their local staff with meetings and materials Engage social media and traditional media Mobilize advocacy by others by promoting PPHF blog post and advocacy news sign-up if you know of Republican members who support falls prevention or CDSME Improving the lives of 10 million older adults by National Council on Aging
12 NCOA CDSME and Falls Materials Available State-specific CDSME infographics State-specific falls prevention infographics CDSME grantee profiles Falls prevention grantee profiles Falls prevention coalition descriptions (click Falls Prevention Coalitions and navigate to your state) State falls prevention data profiles (click Falls Prevention Coalitions and navigate to your state) We can work with you on developing other materials as needed. Contact Marissa Whitehouse at for assistance. Improving the lives of 10 million older adults by National Council on Aging
13 Other Resources NCOA Straight Talk blog post on the PPHF Advocacy one-pager on PPHF and CDSME and Falls Prevention Trust for America s Health Backgrounder on the PPHF Improving the lives of 10 million older adults by National Council on Aging
14 Future Budget Debates March: Focus turns to FY17 and FY18 funding after ACA debate over Mid-to late April: FY17 appropriations finalized before April 28 May?: Administration s FY18 budget request Improving the lives of 10 million older adults by National Council on Aging
15 Future Budget Debates April through July: FY18 appropriations hearings, markups (Labor-HHS-Education bill funding ACL and CDC usually last) September: Finalize FY18 appropriations bills before FY19 begins October 1 June through December: Second reconciliation bill with tax, possible Medicare, Medicaid cuts Improving the lives of 10 million older adults by National Council on Aging
16 Q&A Questions? Please submit through the chat function Improving the lives of 10 million older adults by National Council on Aging
Healthy Aging Programs and the Affordable Care Act
Healthy Aging Programs and the Affordable Care Act Howard Bedlin, Vice President, Public Policy & Advocacy Marci Phillips, Director, Public Policy & Advocacy January 6, 2017 Improving the lives of 10 million
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