POTENTIAL CHANGES UNDER THE ACA REPEAL AND REPLACE PLAN
On March 6th, legislators unveiled a new proposal to replace the Affordable Care Act. In addition to making significant changes to health insurance coverage, the bill would eliminate the Prevention and Public Health Fund—the only dedicated source of federal funding for prevention. This fund allows local health departments to create healthy policies, neighborhoods, and services that keep communities healthy and safe in the first place, helping to avoid costly treatments and long-term care. Eliminating the Prevention and Public Health Fund could cost California health agencies over $300 million over the next 5 years, making it difficult to sustain gains made by communities across the country in tobacco use prevention, healthy eating, and active living, among other efforts to improve community health and wellbeing.
The table below shows the current (2017) uses of the Prevention and Public Health Fund by agency, program, allocation, and the activity to be supported. For more detailed information see this article in Health Affairs, or state-by-state analysis by the Trust for America’s Health.