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4004 - Education and Outreach Campaign Regarding Preventive Benefits

 
Implementation Status 
Statutory Text 

Summary

As revised by section 10401(c) of the Senate Manager’s Amendment, directs HHS to organize a national public-private partnership to conduct an outreach and education campaign focused on raising public awareness of health prevention and promotion goals. Directs the CDC to implement the national science-based media campaign on health promotion and disease prevention by March 23, 2011.

Among other things, the campaign is to disseminate information that explains the preventive services covered by QHPs in the Exchange.  Stipulates consultation with the IOM in undertaking the campaign.  Calls for an independent evaluation (and corresponding report to Congress) of the campaign efforts at least every two years.

Directs HHS to consult with the private sector in developing a website that provides science-based information to health care providers and consumers.  Also directs CDC to provide for the development and operation of a website that provides for personalized prevention plan tools, and directs HHS broadly to establish a web portal for accessing risk-assessment tools.

Directs HHS to provide guidance to states and providers on Medicaid-covered preventive and obesity-related services, further specifying that states design public awareness campaigns to educate Medicaid enrollees about the availability and coverage of such services.  Furthermore directs HHS to report to Congress by January 1, 2011, and every 3 years thereafter through January 1, 2017, on meeting its responsibilities under this provision to educate states, health care providers, and Medicaid beneficiaries about preventive and obesity-related services.

Authorizes (but does not appropriate) such sums as may be necessary to carry out this section.  Earlier passage specifies that funding for the education and outreach campaign take priority over funding provided through the CDC for grants to states and other entities for similar purposes and goals, and that not more than $500 million be expended on the campaign and its associated activities.

#Health Insurance Exchanges, #Physicians, #Prevention, #Qualified Health Plans

Implementation Status

 
Summary 
Statutory Text 

2010

In 2010, HHS published a report to Congress regarding preventive and obesity-related services available to Medicaid enrollees (see the corresponding informational bulletin here). According to the CMS’ webpage devoted to this topic, the agency continues to work with states to determine what assistance states need in developing public campaigns to educate Medicaid beneficiaries about these services.

2011

In the fall of 2011, CMS in its FY 2012 Medicare Physician Fee Schedule (MPFS) final rule, which effectuated the incorporation a health risk assessment (HRA) as part of the Medicare Annual Wellness Visit (AWV) (see section 4103), addressed its collaboration with the CDC, given the CDC’s work to develop guidelines for a personalized prevention tool pursuant to this provision.

2013

In early 2013, AHRQ released its Guide to Clinical Preventive Services, which serves as a pocket guide for practitioners and others, and includes USPSTF recommendations on screening, counseling, and preventive medication topics and includes clinical considerations for each topic.  For details, see here.  See also related FAQ, issued on February 20, 2013 by CCIIO, on coverage of preventive health services as it pertains to Title I provisions.

2014

On June 20, 2014, CMS issued an information collection in which it requests OMB approval and public comments (deadline: on or around July 20) on a newly proposed survey of states’ efforts to enhance utilization of preventive services in Medicaid and CHIP. The agency says the “results will provide a baseline regarding the coverage of preventive services and will help us identify ways to assist states with materials focusing on prevention and technical assistance.” Note also that, earlier that month, CMS launched a national outreach initiative, “From Coverage to Care” (C2C), to assist consumers in using health coverage they’ve newly obtained through Marketplaces. CMS indicated that the initiative focuses on consumer awareness of preventive and primary care services, as well as giving providers “the tools they need to promote patient engagement.”

On July 1, 2014, AHRQ released a report on the safety of commonly used vaccines finding strong evidence that serious adverse events are rare.

On July 9, 2014, the CDC allocated $40 million for organizations, state and local government agencies, non-profits, educational institutions and other working to build capacity to strengthen public health immunization infrastructure and performance. Applications are due August 21, 2014.

On July 10, 2014, the USPSTF released a compendium of recommendations intended to assist primary care providers in their clinical decisions regarding preventive services.

On July 14, 2014, the National Prevention, Health Promotion, and Public Health Council released its first annual National Prevention Strategy report focused on the work of 20 Federal departments and agencies that are working to improve the health of Americans at every stage of life.

July 15, 2014, under a new, three-year initiative known as “Partnerships for Care: Health Departments and Health Centers Collaborating to Improve HIV Health Outcomes,” HRSA announced an $11M grant opportunity that aims to drive integrated HIV/AIDS care through community health center collaboration with public health departments in NY, MA, FL and MD. Eligible health centers must apply by 5pm ET on August 12, 2014.

On July 17, 2014, the CDC announced it was conducting an information collection on newly-proposed project titled, “Monitoring and Reporting System for the Division of Community Health’s Cooperative Agreement Programs National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).” Specifically, the CDC has three new cooperating agreement programs to address chronic diseases and risk factors for chronic diseases. Comments are due within 60 days of publication, putting the deadline for comments on or around September 17, 2014.

On Sept. 25, the CDC announced the award of $212 million in Fiscal Year (FY) 2014 grants to support chronic disease prevention and health promotion initiatives across the country. The 193 total awards announced today, which are supported in part through Affordable Care Act (ACA) funds, will be used by states, localities, national and community organizations, and other eligible entities to focus on the following 3 broad goals: (1) reduce rates of death and disability due to tobacco use; (2) reduce prevalence of obesity; and (3) reduce rates of death and disability due to diabetes, heart disease, and stroke.

Statutory Text

 
Implementation Status 
Summary 

SEC. 4004 ø42 U.S.C. 300u–12¿. EDUCATION AND OUTREACH CAMPAIGN REGARDING PREVENTIVE BENEFITS. (a) IN GENERAL.—The Secretary of Health and Human Services (referred to in this section as the ‘‘Secretary’’) shall provide for the planning and implementation of a national public–private partnership for a prevention and health promotion outreach and education campaign to raise public awareness of health improvement across the life span. Such campaign shall include the dissemination of information that— (1) describes the importance of utilizing preventive services to promote wellness, reduce health disparities, and mitigate chronic disease; (2) promotes the use of preventive services recommended by the United States Preventive Services Task Force and the Community Preventive Services Task Force; (3) encourages healthy behaviors linked to the prevention of chronic diseases; (4) explains the preventive services covered under health plans offered through an Exchange; øAs revised by section 10401(c)¿ (5) describes additional preventive care supported by the Centers for Disease Control and Prevention, the Health Resources and Services Administration, the Substance Abuse and Mental Health Services Administration, the Advisory Committee on Immunization Practices, and other appropriate agencies; and (6) includes general health promotion information. (b) CONSULTATION.—In coordinating the campaign under subsection (a), the Secretary shall consult with the Institute of Medicine to provide ongoing advice on evidence-based scientific information for policy, program development, and evaluation. (c) MEDIA CAMPAIGN.— (1) IN GENERAL.—Not later than 1 year after the date of enactment of this Act, the Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall establish and implement a national science-based media campaign on health promotion and disease prevention. (2) REQUIREMENT OF CAMPAIGN.—The campaign implemented under paragraph (1)— (A) shall be designed to address proper nutrition, regular exercise, smoking cessation, obesity reduction, the 5 leading disease killers in the United States, and secondary prevention through disease screening promotion; (B) shall be carried out through competitively bid contracts awarded to entities providing for the professional production and design of such campaign; (C) may include the use of television, radio, Internet, and other commercial marketing venues and may be targeted to specific age groups based on peer-reviewed social research; (D) shall not be duplicative of any other Federal efforts relating to health promotion and disease prevention; and (E) may include the use of humor and nationally recognized positive role models. (3) EVALUATION.—The Secretary shall ensure that the campaign implemented under paragraph (1) is subject to an independent evaluation every 2 years and shall report every 2 years to Congress on the effectiveness of such campaigns towards meeting science-based metrics. (d) WEBSITE.—The Secretary, in consultation with private-sector experts, shall maintain or enter into a contract to maintain an Internet website to provide science-based information on guidelines for nutrition, regular exercise, obesity reduction, smoking cessation, and specific chronic disease prevention. Such website shall be designed to provide information to health care providers and consumers. (e) DISSEMINATION OF INFORMATION THROUGH PROVIDERS.— The Secretary, acting through the Centers for Disease Control and Prevention, shall develop and implement a plan for the dissemination of health promotion and disease prevention information consistent with national priorities, to health care providers who participate in Federal programs, including programs administered by the Indian Health Service, the Department of Veterans Affairs, the Department of Defense, and the Health Resources and Services Administration, and Medicare and Medicaid. (f) PERSONALIZED PREVENTION PLANS.— (1) CONTRACT.—The Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall enter into a contract with a qualified entity for the development and operation of a Federal Internet website personalized prevention plan tool. (2) USE.—The website developed under paragraph (1) shall be designed to be used as a source of the most up-to-date scientific evidence relating to disease prevention for use by individuals. Such website shall contain a component that enables an individual to determine their disease risk (based on personal health and family history, BMI, and other relevant information) relating to the 5 leading diseases in the United States, and obtain personalized suggestions for preventing such diseases. (g) INTERNET PORTAL.—The Secretary shall establish an Internet portal for accessing risk-assessment tools developed and maintained by private and academic entities. (h) PRIORITY FUNDING.—Funding for the activities authorized under this section shall take priority over funding provided through the Centers for Disease Control and Prevention for grants to States and other entities for similar purposes and goals as provided for in this section. Not to exceed $500,000,000 shall be expended on the campaigns and activities required under this section. (i) PUBLIC AWARENESS OF PREVENTIVE AND OBESITY-RELATED SERVICES.— (1) INFORMATION TO STATES.—The Secretary of Health and Human Services shall provide guidance and relevant information to States and health care providers regarding preventive and obesity-related services that are available to Medicaid enrollees, including obesity screening and counseling for children and adults. (2) INFORMATION TO ENROLLEES.—Each State shall design a public awareness campaign to educate Medicaid enrollees regarding availability and coverage of such services, with the goal of reducing incidences of obesity. (3) REPORT.—Not later than January 1, 2011, and every 3 years thereafter through January 1, 2017, the Secretary of Health and Human Services shall report to Congress on the status and effectiveness of efforts under paragraphs (1) and (2), including summaries of the States’ efforts to increase awareness of coverage of obesity-related services. (j) AUTHORIZATION OF APPROPRIATIONS.—There are authorized to be appropriated such sums as may be necessary to carry out this section.

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  • III-Improving the Quality and Efficiency of Health Care
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  • VIII-Community Living Assistance Services and Supports (CLASS ACT)
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