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4001 - National Prevention, Health Promotion and Public Health Council

 
Implementation Status 
Statutory Text 

Summary

As revised by section 10401(a) of the Senate Manager’s Amendment, requires the establishment of a National Prevention, Health Promotion and Public Health Council (“Council”) with the Surgeon General appointed to serve at the helm.  Specifies membership to include heads of a number of federal departments, including HHS, USDA, ED, DOT, ONDCP, and so forth.

Directs the President to also establish a 25-member “civilian” Advisory Group to the Council, known as the Advisory Group on Prevention, Health Promotion, and Integrative and Public Health (“Advisory Group”),  to develop policy and program recommendations and advise the Council.  Directs the Council to develop and make public a national prevention, health promotion, and public health strategy by March 23, 2011.

Also requires the Council to submit to the President and the Congress by July 1, 2010 and annually thereafter through January 1, 2015, a report that, among other things, contains specific science-based initiatives to achieve the measurable goals of Healthy People 2020 regarding nutrition, exercise, and smoking cessation, and targeting the 5 leading disease killers in the United States.  Calls for joint periodic reviews (at least every five years) by HHS and the GAO.

#Prevention, #Public Health

Implementation Status

 
Summary 
Statutory Text 

The Council was established in 2010 via Executive Order and subsequently re-established in late 2012 (see the relevant Executive Order).  The Council continues to move forward on prevention-oriented efforts as delineated in the Council’s annual progress reports to the Congress (see here).  For the latest information regarding Council membership, including the National Prevention Strategy document released on June 16, 2011, see here.

2013

On March 28-29, 2013, the Advisory Group met to hear an update on the National Prevention Council Action Plan, among other things.  A detailed agenda is available here.

On July 1, 2013, the U.S. Surgeon General released the 2013 Annual Status Report of the National Prevention, Health Promotion, and Public Health Council (National Prevention Council), which provides an update on cross-departmental efforts to meet federally-stipulated prevention objectives.

2014

On February 5, 2014, the USPSTF announced new additions to serve on the panel. The Advisory Group on Prevention, Health Promotion, and Integrative and Public Health convened on February 26. Details here and here.

The Advisory Group on Prevention, Health Promotion, and Integrative and Public Health met on April 28-29, 2014; details here.

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 Nov. 5, the CDC released data showing that that in 2012, about eight million women ages 21 to 65 years have not been screened for cervical cancer in the past five years. Uninsured women were more likely to have gone without screening. The agency stressed that under the ACA preventive services like cervical cancer screenings should be covered without additional cost in an effort to increase screening.

On Nov. 25, SAMHSA released a report finding that only about 1 in 4 mental health treatment facilities offer services to quit smoking. The study found that the provision of smoking cessation services varied considerably by the facility treatment setting. For example, 57.1 percent of inpatient only programs provided smoking cessation services, compared to only 17.0 percent of outpatient only programs. People with mental illness have higher rates of tobacco use and other risk factors that increased risk for early mortality. The goal of the Primary and Behavioral Health Care Integration program is to improve the physical health status of adults with serious mental illnesses who have or are at risk for co-occurring primary care conditions and chronic diseases.

On Nov. 26, the CDC released a report finding that the cigarette smoking rate among adults in the U.S. dropped from 20.9 percent in 2005 to 17.8 percent in 2013.

The next meeting of the Advisory Group on Prevention, Health Promotion, and Integrative and Public Health (Advisory Group) will convene on Mar. 9-10, 2015; details.

2016

On July 21, HHS announced in the Federal Register that the 20th meeting of the Advisory Group on Prevention, Health Promotion, and Integrative and Public Health – established to assist in carrying out the mission of the National Prevention, Health Promotion and Public Health Council – will occur on Sept. 26, 2016 from 8:45am-5:30pm ET. Details are available here. To receive PDF materials in advance, e-mail npcsupport@cdc.gov.

Statutory Text

 
Implementation Status 
Summary 

SEC. 4001 [42 U.S.C. 300u–10]. NATIONAL PREVENTION, HEALTH PROMOTION AND PUBLIC HEALTH COUNCIL.

(a) ESTABLISHMENT.—The President shall establish, within the Department of Health and Human Services, a council to be known as the ‘‘National Prevention, Health Promotion and Public Health Council’’ (referred to in this section as the ‘‘Council’’). (b) CHAIRPERSON.—The President shall appoint the Surgeon General to serve as the chairperson of the Council. (c) COMPOSITION.—The Council shall be composed of— (1) the Secretary of Health and Human Services; (2) the Secretary of Agriculture; (3) the Secretary of Education; (4) the Chairman of the Federal Trade Commission; (5) the Secretary of Transportation; (6) the Secretary of Labor; (7) the Secretary of Homeland Security; (8) the Administrator of the Environmental Protection Agency; (9) the Director of the Office of National Drug Control Policy; (10) the Director of the Domestic Policy Council; (11) the Assistant Secretary for Indian Affairs; (12) the Chairman of the Corporation for National and Community Service; and (13) the head of any other Federal agency that the chairperson determines is appropriate. (d) PURPOSES AND DUTIES.—The Council shall— (1) provide coordination and leadership at the Federal level, and among all Federal departments and agencies, with respect to prevention, wellness and health promotion practices, the public health system, and integrative health care in the United States; (2) after obtaining input from relevant stakeholders, develop a national prevention, health promotion, public health, and integrative health care strategy that incorporates the most effective and achievable means of improving the health status of Americans and reducing the incidence of preventable illness and disability in the United States; (3) provide recommendations to the President and Congress concerning the most pressing health issues confronting the United States and changes in Federal policy to achieve national wellness, health promotion, and public health goals, including the reduction of tobacco use, sedentary behavior, and poor nutrition; (4) consider and propose evidence-based models, policies, and innovative approaches for the promotion of transformative models of prevention, integrative health, and public health on individual and community levels across the United States; (5) establish processes for continual public input, including input from State, regional, and local leadership communities and other relevant stakeholders, including Indian tribes and tribal organizations; (6) submit the reports required under subsection (g); and (7) carry out other activities determined appropriate by the President. (e) MEETINGS.—The Council shall meet at the call of the Chairperson. (f) ADVISORY GROUP.— (1) IN GENERAL.—The President shall establish an Advisory Group to the Council to be known as the ‘‘Advisory Group on Prevention, Health Promotion, and Integrative and Public Health’’ (hereafter referred to in this section as the ‘‘Advisory Group’’). The Advisory Group shall be within the Department of Health and Human Services and report to the Surgeon General. (2) COMPOSITION.— (A) IN GENERAL.—The Advisory Group shall be composed of not more than 25 non-Federal members to be appointed by the President. (B) REPRESENTATION.—In appointing members under subparagraph (A), the President shall ensure that the Advisory Group includes a diverse group of licensed health professionals, including integrative health practitioners who have expertise in— (i) worksite health promotion; (ii) community services, including community health centers; (iii) preventive medicine; (iv) health coaching; (v) public health education; (vi) geriatrics; and (vii) rehabilitation medicine. (3) PURPOSES AND DUTIES.—The Advisory Group shall develop policy and program recommendations and advise the Council on lifestyle-based chronic disease prevention and management, integrative health care practices, and health promotion. (g) NATIONAL PREVENTION AND HEALTH PROMOTION STRATEGY.—Not later than 1 year after the date of enactment of this Act, the Chairperson, in consultation with the Council, shall develop and make public a national prevention, health promotion and public health strategy, and shall review and revise such strategy periodically. Such strategy shall— (1) set specific goals and objectives for improving the health of the United States through federally-supported prevention, health promotion, and public health programs, consistent with ongoing goal setting efforts conducted by specific agencies; (2) establish specific and measurable actions and timelines to carry out the strategy, and determine accountability for meeting those timelines, within and across Federal departments and agencies; and (3) make recommendations to improve Federal efforts relating to prevention, health promotion, public health, and integrative health care practices to ensure Federal efforts are consistent with available standards and evidence. (h) REPORT.—Not later than July 1, 2010, and annually thereafter through January 1, 2015, the Council shall submit to the President and the relevant committees of Congress, a report that— (1) describes the activities and efforts on prevention, health promotion, and public health and activities to develop a national strategy conducted by the Council during the period for which the report is prepared; (2) describes the national progress in meeting specific prevention, health promotion, and public health goals defined in the strategy and further describes corrective actions recommended by the Council and taken by relevant agencies and organizations to meet these goals; (3) contains a list of national priorities on health promotion and disease prevention to address lifestyle behavior modification (smoking cessation, proper nutrition, appropriate exercise, mental health, behavioral health, substance use disorder, and domestic violence screenings) and the prevention measures for the 5 leading disease killers in the United States; (4) contains specific science-based initiatives to achieve the measurable goals of Healthy People 2020 regarding nutrition, exercise, and smoking cessation, and targeting the 5 leading disease killers in the United States; [As revised by section 10401(a)] (5) contains specific plans for consolidating Federal health programs and Centers that exist to promote healthy behavior and reduce disease risk (including eliminating programs and offices determined to be ineffective in meeting the priority goals of Healthy People 2020); [As revised by section 10401(a)] (6) contains specific plans to ensure that all Federal health care programs are fully coordinated with science-based prevention recommendations by the Director of the Centers for Disease Control and Prevention; and (7) contains specific plans to ensure that all non-Department of Health and Human Services prevention programs are based on the science-based guidelines developed by the Centers for Disease Control and Prevention under paragraph (4). (i) PERIODIC REVIEWS.—The Secretary and the Comptroller General of the United States shall jointly conduct periodic reviews, not less than every 5 years, and evaluations of every Federal disease prevention and health promotion initiative, program, and agency. Such reviews shall be evaluated based on effectiveness in meeting metrics-based goals with an analysis posted on such agencies’ public Internet websites.

Browse ACA Titles

  • I-Quality, Affordable Health Care for all Americans
  • II-Role of Public Programs
  • III-Improving the Quality and Efficiency of Health Care
  • IV-Prevention of Chronic Disease and Improving Public Health
  • V-Health Care Workforce
  • VI-Transparency and Program Integrity
  • VII-Improving Access to Innovative Medical Therapies
  • VIII-Community Living Assistance Services and Supports (CLASS ACT)
  • IX-Revenue Provisions

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