Sebelius announces $42.5 million for public health improvement programs through the Affordable Care Act

$399,836 to Georgia State Department of Community Health

U.S. Department of Health and Human Services Secretary Kathleen Sebelius today (September 20) announced that the Centers for Disease Control and Prevention (CDC) has awarded funding for 94 projects totaling $42.5 million to state, tribal, local and territorial health departments to improve their ability to provide public health services. This funding, made possible through the new Prevention and Public Health Fund created by the Affordable Care Act, will be distributed through cooperative agreements to 49 states, eight federally recognized tribes, Washington, D.C., nine large local health departments, five territories, and three Affiliated Pacific Island jurisdictions to maximize public health efforts.

“These funds will help health departments around the country to improve the quality and effectiveness of the critical health services that millions of Americans rely on every day,” said Secretary Sebelius. “Strengthening our public health system through better coordination and collaboration will help to deliver higher quality health care more efficiently.”

This new 5-year cooperative agreement program entitled, Strengthening Public Health Infrastructure for Improved Health Outcomes, will provide health departments with needed resources to make fundamental changes in their organizations and practices, so that they can improve the delivery of public health services including:

- Building and implementing capacity within health departments for evaluating the effectiveness of their organizations, practices, partnerships, programs and use of resources through performance management

- Expansion and training of public health staff and community leaders to conduct policy activities in key areas and to facilitate improvements in system efficiency

-Maximizing the public health system to improve networking, coordination, and cross-jurisdictional cooperation for the delivery of public health services to address resource sharing and improve health indicators

-Disseminating, implementing and evaluating public health’s best and most promising practices

- Building a national network of performance improvement managers that share best practices for improving the public health system.

“Investing in public health builds a foundation for a strong and healthy society and contributes to lowering the cost of health care. Investing in proven preventive services and strong policies helps us to avoid unnecessary costs later,” said CDC Director Thomas R. Frieden, M.D., M.P.H.

“These funds are a down payment on improving public health services across the nation,” said Dr. Judith A. Monroe, CDC’s deputy director for state, tribal, local and territorial support. “With these funds, we will help our nation’s public health departments work more effectively and efficiently to detect and respond to public health problems. This program will strengthen the nation’s public health system and our ability to improve the health and well being of all Americans.”

In response to the CDC’s original funding announcement Public Health Systems and Infrastructure projects in July 2010, CDC received more than 140 applications from health departments seeking funds through this cooperative agreement. For more information, please visit http://www.cdc.gov/ostlts

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HHS Awards $31 million more for prevention and wellness projects

Funded by the Affordable Care Act of 2010

The U.S. Department of Health and Human Services (HHS) today announced $31 million for awards to ten communities in eight states and one award to a state health department to support public health efforts to reduce obesity and smoking, increase physical activity and improve nutrition.
The awards funded by the Prevention and Public Health Fund included in the Affordable Care Act are part of the HHS Communities Putting Prevention to Work (CPPW) program, a comprehensive prevention and wellness initiative administered by the Centers for Disease Control and Prevention.

"As I've seen throughout the year in my work with Let's Move!, prevention works when it comes to improving the health of our families," said First Lady Michelle Obama. "These critical investments will help more communities across America tackle serious health challenges like childhood obesity, while promoting physical activity and healthy eating."

Today's announcement follows the release in February and March 2010 of more than $491.8 million in Communities Putting Prevention to Work funds to states, U.S territories and communities. Those projects are supporting statewide and community based policy and environmental changes in nutrition, physical activity, tobacco control, expanded tobacco quit lines, and cessation media campaigns.

"To realize our goals of improving the health of Americans and lowering our nation's health care costs, we must address the underlying factors that influence our families' health - factors like the foods we eat and the conditions that exist in our homes, neighborhoods and workplaces," said HHS Secretary Kathleen Sebelius. "With Communities Putting Prevention to Work, we're creating evidence-based models that we can replicate on a large scale to permanently reduce the chronic diseases plaguing so many of our communities."

These Communities Putting Prevention to Work awards will provide communities with the resources to create healthy choices for residents, such as increasing availability of healthy foods and beverages, improving access to safe places for physical activity, discouraging tobacco use, and encouraging smoke-free environments. Of the 11 new awards, ten are dedicated to obesity prevention efforts and one to tobacco cessation.

Currently, seven of ten deaths among Americans each year are caused by chronic diseases such as heart disease, cancer, stroke and diabetes. These same chronic diseases account for more than 75% of our nation's health care spending.

HHS also announced $10 million in additional funding for six communities - all of which were part of the original 44 Communities Putting Prevention to Work communities funded by the American Recovery and Reinvestment Act of 2009 (ARRA) - to provide mentoring to less experienced communities based on their previous success in specific policy strategies. Funding for the "Community Mentoring" initiative comes from ARRA.

Awards:

Communities Putting Prevention to Work Community Initiative

. $3.0 Million to Alabama Department of Health: Mobile County, Alabama for tobacco prevention
. $2.3 Million to Arkansas Department of Health: City of North Little Rock, Arkansas for obesity prevention; and Independence County, Arkansas for obesity prevention
. $5.8 Million to Children's Memorial Hospital / City of Chicago, Illinois for obesity prevention
. $2.35 Million to DeKalb County Board of Health, Georgia for obesity prevention
. $3.7 Million to North Carolina Division of Public Health: Appalachian District Health Department, North Carolina for obesity prevention; and Pitt County, North Carolina for obesity prevention
. $4.85 Million to Pinellas County Health Department, Florida for obesity prevention
. $3.6 Million to Santa Clara County Public Health Department, California for obesity prevention
. $3.8 Million to Southern Nevada Health District, Nevada for obesity prevention

Note: The five small city/rural awards are administered through three state departments of health (Alabama, Arkansas, and North Carolina).

Communities Putting Prevention to Work States and Territories Competitive Special Policy and Environmental Change Initiative

. $1.6 Million to South Carolina Department of Health and Environmental Control for obesity prevention

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ViiV Healthcare Awards Southern Initiative Grants to Reduce HIV Disparities Among African Americans and Latinos

/PRNewswire/ -- ViiV Healthcare today announced the grant awardees of the Positive Action Southern Initiative, focused on supporting African American and Latino populations in Alabama, Georgia, Louisiana, and Mississippi to help high-risk HIV/AIDS individuals and provide linkages to HIV/AIDS care and treatment adherence.

"The Positive Action Southern Initiative awards are being made at a critical time in the national fight against HIV. These funds are nothing short of life-saving. Community organizations are facing tremendous pressure to do more with less in this economic climate and the demands continue to grow, especially among African American and Latino communities in Southern states," stated A. Cornelius Baker, Senior Policy Advisor of the National Black Gay Men's Advocacy Coalition. "I am excited that ViiV is supporting such important initiatives that address disparities in HIV and support the goals of the National HIV/AIDS Strategy."

In the U.S., 1.1 million people are living with HIV/AIDS(i) and African Americans and Latinos account for a disproportionate share of new HIV infections (62 percent). In 2007, the Southern United States accounted for almost half (46 percent) of new AIDS cases and has the greatest number of people estimated to be living with AIDS(i).

The Southern Initiative is part of ViiV Healthcare's Positive Action, a collaborative, community-focused program designed to address gaps in services or programs that support care and treatment adherence among individuals living with HIV/AIDS. ViiV Healthcare has committed $850,000 this year to support Positive Action Community Grants in the U.S. and $500,000 over the next two years to support the Southern Initiative grantees. ViiV Healthcare is hosting the grant recipients at this week's United States Conference on AIDS, where they will enable the development of a Regional HIV Network to share best practices and resources to advance the fight against HIV.

ViiV Healthcare has selected a total of seven organizations to receive grants over the next two years to support their programs specifically focused on reducing disparities in HIV/AIDS linkages to care and treatment among African American and Latinos in Alabama, Georgia, Louisiana, and Mississippi. The following organizations were selected as grant awardees:

-- Aid to Inmate Moms, based in Montgomery, AL, will continue its
collaboration with local AIDS Service Organizations to support
HIV-positive incarcerated women with critical counseling services.
-- Atlanta Harm Reduction Coalition, based in Atlanta, GA, will provide
additional case management services for HIV-positive individuals who
are re-entering the community from the state's jails and prisons.
-- Family Service of Greater Baton Rouge, based in Baton Rouge, LA, will
expand its Corrections Referral and Case Management program to serve
more HIV-positive individuals exiting the corrections system and to
successfully connect them with quality care.
-- Grace House in Jackson, MS, will expand its CLEAR (Choosing Life:
Empowerment, Action, Results) program to serve more HIV-positive
clients and provide services aimed at improving treatment adherence,
cognitive behavior, and prevention activities.
-- Positive Impact, based in Atlanta, GA, will provide additional
intensive case management services for HIV-positive Latino individuals
and HIV-positive African American women.
-- Southwest Louisiana AIDS Council based in Lake Charles, LA, will
expand its medical systems navigation program, FAST (Find, Assess,
Stabilize, and Treat), to serve additional newly-diagnosed persons,
previously incarcerated persons, and those who have not successfully
remained in care.
-- Union Mission's J.C. Lewis Primary Health Care Center, based in
Savannah, GA, will enhance its Healthy Living education and adherence
program for homeless and low-income persons living with HIV/AIDS.



"ViiV Healthcare received a great response from grassroots organizations in the South demonstrating the need is great. The awardees' proposed programs are unique and provide promise towards alleviating HIV in the United States among communities most impacted by the disease. ViiV Healthcare puts the interests of those affected by HIV at the center of everything we do. We are honored to support communities through these grants. It is our hope the initiatives will positively impact those areas in critical need of HIV/AIDS resources," said Bill Collier, Head of North America, ViiV Healthcare.

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$10 Million in Grants Aimed at Enrolling American Indian, Alaska Native Kids in Health Care to be Awarded

HHS Secretary Kathleen Sebelius today announced the availability of up to $10 million in grants to help reach American Indian and Alaska Native (AI/AN) children who qualify for, but are not yet enrolled, in Medicaid and the Children's Health Insurance Program (CHIP).

These new grants are part of a broader effort to find and enroll uninsured children who are eligible for Medicaid or CHIP but not enrolled. The Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) set aside $100 million for fiscal years 2009-2013
expressly to help find and enroll eligible uninsured children, including $10 million specifically for Indian health providers.

As called for in CHIPRA, grants will be awarded by the Centers for Medicare & Medicaid Services (CMS) to applicants whose outreach, enrollment and retention efforts will target geographic areas with high rates of eligible but uninsured American Indian and Alaska Native
children, who often live in isolated areas and are uninsured at higher-than-average rates.

"American Indian children are often uninsured, although many are eligible for Medicaid and CHIP," Secretary Sebelius said. "These grants will help Tribes and Indian health providers reach out to children and families to ensure more children get the health care they need."

Grants will be awarded to applicants that will be able to demonstrate increases in enrollment and improved retention of children already in Medicaid and CHIP. Grantees will report to CMS the number of new enrollees and those who retained coverage that are directly attributable
to the grant activities. Grantees will also report activities they believe were the most effective in finding, enrolling and maintaining coverage for eligible children.

"States have been effective in enrolling over 28 million children in Medicaid and more than 7 million children in CHIP, but there are still millions of uninsured, low-income children who are not enrolled in these programs even though they are eligible" said Cindy Mann, the director of
the CMS Center for Medicaid and State Operations. "We are looking forward to innovative grant proposals that will put new outreach, enrollment and renewal systems in place to ensure that uninsured Indian children get enrolled and stay enrolled for as long as they are eligible."

Applications are due by Jan. 15, 2010, and the grants will be awarded on April 15. Grants will be available to:

* The Indian Health Service;
* Tribes and Tribal organizations operating a health program; and,
* Urban Indian organizations operating a health program.

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HHS Secretary Sebelius Announces Cornerstone Funding of the $650 Million Recovery Act Community Prevention and Wellness Initiative

Creating ways for healthful lifestyle habits to be the natural first choice for Americans is the goal of a $650 million initiative of the U.S. Department of Health and Human Services (HHS). The funds from the American Recovery and Reinvestment Act will be used to increase physical
activity, improve nutrition, decrease obesity, and decrease smoking in U.S. communities.

HHS Secretary Kathleen Sebelius today announced a funding opportunity for communities and tribes to apply for $373 million in cooperative agreements for the comprehensive public health initiative, Communities Putting Prevention to Work, to be led by the Centers for Disease Control
and Prevention (CDC).

"This initiative will make disease prevention and health promotion top priorities in states and communities across the country," Secretary Sebelius said. "Preventing disease is vital as a strategy to improve our nation's health and reduce health care costs."

Communities Putting Prevention to Work will change systems and environments-for example, improving access to healthy foods and opportunities for physical activity-and putting into place policies, such as clean-indoor-air laws, that will promote the health of populations. Funded entities will have two years to complete their work.

The $373 million in cooperative agreements will be awarded to communities through a competitive selection process. The cooperative agreements will support evidence-based prevention strategies for youth and adults and will promote partnerships across communities and sectors.

The remainder of the funds for this initiative will be made available in the coming weeks to states, territories, and organizations to support, extend and evaluate the reach and impact of the community projects.

Funded projects will emphasize high-impact, broad-reaching policy, environmental, and systems changes in schools (K-12) and communities. For example, communities will work to make high-fat snack foods and sugar-sweetened beverages less available in schools and other community sites and to use media to promote healthy choices. In addition, funded communities will be encouraged to provide quality physical education in the nation's schools and enact comprehensive smoking bans.

"The CDC is excited to have this opportunity to help states and communities do more to deliver proven prevention strategies, in ways that reach whole communities and populations," said CDC Director, Thomas Frieden, M.D., M.P.H. "Chronic diseases linked to obesity, poor nutrition, physical inactivity, and tobacco use are the leading causes of death and disability in our nation. These additional resources will improve the quality of life for millions of Americans."

Communities interested in applying for Communities Putting Prevention to Work grants can find more information at www.grants.gov. The application deadline for the community projects is Dec. 1, 2009. Deadlines for state, territory, and other prevention projects that are part of the
Communities Putting Prevention to Work initiative will be announced soon.

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Secretary Sebelius Releases $33 Million in ARRA Funds to Train Health Professionals

HHS Secretary Kathleen Sebelius today announced awards totaling $33 million to expand the training of health care professionals. The funds are part of the $500 million allotted to HHS' Health Resources and Services Administration (HRSA) to address workforce shortages under the American Recovery and Reinvestment Act (ARRA).

"President Obama is committed to passing health insurance reform and we're closer to reform than ever before," said Secretary Sebelius. "The Recovery Act will help ensure we grow our health care workforce and give our aspiring doctors, nurses and health professionals the tools and training they need to provide top-quality care to more Americans."

"As we mark 200 days since President Obama signed ARRA, HRSA has moved quickly to distribute most of the $2.5 billion assigned to us," said HRSA Administrator Mary Wakefield, Ph.D., R.N. "These funds are helping us rebuild the infrastructure needed to produce more skilled health professionals, and they are expanding essential primary care services to hundreds of thousands of additional Americans through our health center system."

The grants announced today, with funding totals, are distributed through six HRSA programs:

* Scholarships for Disadvantaged Students, $19.3 million. This
program funds health professions schools and training programs which, in
turn, provide scholarships to full-time health professions students,
with priority given to those with financial need.

* Centers of Excellence, $4.9 million. This program funds health
professions schools to establish or expand programs for minority
individuals. Funds may be used to improve student academic performance,
recruit and retain minority faculty, and expand opportunities to train
at off-campus, community-based health care sites.

* Public Health Traineeships, $3 million. This program funds
schools of public health to support traineeships that pay tuition, fees,
and stipends for students in biostatistics, epidemiology, environmental
health, toxicology, nutrition, or maternal and child health.

* Nursing Workforce Diversity, $2.6 million. This program
increases nursing education opportunities for individuals from
disadvantaged backgrounds through student scholarships or stipends,
pre-entry preparation, and retention activities.

* Health Careers Opportunities, $2.5 million. This program funds
schools and health professions training sites to establish or expand
programs that help individuals from disadvantaged backgrounds enter and
graduate from a health professions program.

* Dental Public Health Residency Training, $810,925. This program
funds residency programs in dental public health, including financial
aid to residents.

Today's grants follow an Aug. 12 announcement by HHS Deputy Secretary Bill Corr of $13.4 million in ARRA funds for loan repayments to nurses who agree to practice in facilities with critical shortages and for schools of nursing to provide loans to students who will become nurse
faculty.

To date, HHS has announced the availability of nearly $200 million in ARRA workforce funds, of a total $300 million, to expand HRSA's National Health Service Corps. The funds will pay for student loan repayments for primary care medical dental and mental health clinicians who wish to practice, for a minimum of two years, in NHSC sites that treat underserved and uninsured people.

In addition, HRSA received $2 billion through ARRA to expand health care services to low-income and uninsured individuals through its health center program. To date, more than $1.3 billion of these funds have been awarded to community-based organizations across the country. HRSA-supported health centers treated 17 million patients in 2008, 40 percent of whom have no health insurance.

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HHS Secretary Announces $25.7 Million in Grants to Expand, Improve Health Center Services

Health and Human Services Secretary Kathleen Sebelius yesterday announced more than $25.7 million in grants to increase and improve health and support services at the nation's health centers.

“These grants could not be coming at a better time,” Secretary Sebelius said. “With more than 14.5 million Americans out of work, and 47 million without health insurance, the health centers are seeing more patients now than ever before.”

Overseen by the Health Resources and Services Administration (HRSA) at HHS, the Health Center system served more than 17 million medically underserved people in 2008, up from 10 million patients served in 2001. Since the economic downturn began, the health center patient population has grown by another one million people – a third of them children. By law, patients are accepted regardless of their ability to pay.

A total of 180 grants worth more than $21.9 million will give existing health centers the funds to add or increase mental health/substance abuse, enabling (i.e., outreach, transportation, case management services), oral health or pharmacy services. Additionally, 48 planning grants totaling more than $3.8 million will be distributed to organizations in hard hit areas that do not have health centers to help them develop new service delivery sites. New health center sites must meet federal requirements for governance, community involvement, quality of care and financial feasibility.

HRSA’s Health Center Program funds a national network of more than 1,100 community, migrant, homeless and public housing health center grantees. These organizations provide health care at more than 7,500 clinical sites, ranging from large medical facilities to mobile vans. In FY 2009, more than $2.1 billion was appropriated to support the Health Center Program.

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