Prevention and Public Health Fund Detailed Activities by Agency

Prevention and Public Health Fund Detailed Activities by Agency FY2014 (dollars in millions) Final^ AHRQ Clinical Preventive Services Task Force 7.0 AHRQ subtotal 7.0 FY2015 Final^^ FY2016 Final^^^ FY2017 Final* FY2018 Final FY2019 President's Budget** FY2019 House Bill FY2019 Senate Bill CDC Preventive Health and Health Services Block Grants 160.0 160.0 160.0 160.0 160.0 160.0 160.0 Million Hearts 4.0 4.0 4.0 4.0 4.0 4.0 4.0 Tobacco Prevention (Media and Quitlines), Office of Smoking and Health 105.0 111.0 126.0 126.0 126.0 126.0 129.6 Racial & Ethnic Approaches to Community Health (REACH) 30.0 30.0 50.9 51.0 Section 317 Immunization Program 160.3 210.3 324.4 324.4 324.4 324.4 324.4 Workplace Wellness 10.0 10.0 Breastfeeding promotion and support grants 8.0 8.0 8.0 8.0 8.0 10.0 8.0 Cancer Prevention and Control 104.0 104.0 Nutrition, Physical Activity, and Obesity State Grants 35.0 35.0 Diabetes Prevention 73.0 73.0 73.0 73.0 52.3 76.6 52.3 Heart Disease & Stroke Prevention 73.0 73.0 73.0 73.0 53.3 74.0 57.0 National Early Care Collaboratives 4.0 4.0 4.0 4.0 4.0 4.0 4.0 Lead Poisioning Prevention 13.0 13.0 17.0 17.0 17.0 17.0 17.0 Epidemiology and Laboratory Capacity Grants 40.0 40.0 40.0 40.0 40.0 40.0 40.0 Healthcare-Associated Infections 12.0 12.0 12.0 12.0 12.0 12.0 12.0 CDC Subtotal 831.3 887.3 892.3 892.4 801.0 848.0 808.3 SAMHSA Access To Recovery 50.0 Suicide Prevention - Garrett Lee Smith 12.0 12.0 12.0 12.0 12.0 Health Surveillance SAMHSA Subtotal 62.0 12.0 12.0 12.0 12.0 Administration for Community Living Chronic Disease Self-Management Education 8.0 14.7 Alzheimer's Disease Prevention Education and Outreach 14.7 14.7 Alzheimer's Disease Initiative - Services 14.7 14.7 14.0 Chronic Disease Self-Management 8.0 8.0 8.0 8.0 8.0 Elderly Falls Prevention 5.0 5.0 5.0 5.0 5.0 5.0 ACL Subtotal 27.7 27.7 27.7 27.0 27.7 27.7

Prevention and Public Health Fund Detailed Activities by Agency (dollars in millions) FY2014 Final^ FY2015 Final^^ FY2016 Final^^^ FY2017 Final* FY2018 Final FY2019 President's Budget** FY2019 House Bill FY2019 Senate Bill Sequestered Funds 72.0 73.0 68.0 69.0 159.3 152.0 164.0 Total, All Activities 1000 1000 1000 1000 1000 1000 1000 ^ FY2014 Allocation: http://www.hhs.gov/open/prevention/fy2014-allocation-pphf-funds.html (allocated by Congress) ^^ FY2015 Allocation: http://www.hhs.gov/open/prevention/fy-2015-allocation-pphf-funds.html (allocated by Congress) ^^^FY2016 Allocation: http://www.hhs.gov/open/prevention/index.html (allocated by Congress) *FY2017 Allocation: https://www.hhs.gov/open/prevention/index.html (allocted by Congress) ** FY2019 President's Budget does not contain an allocation for the PPHF.

Agency FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 FY2016 Agency FY2010 FY2011 FY2012 AHRQ 5.5 12 12 6.5 7 0 0 AHRQ 1% 2% 1% CDC 191.8 611 855 462.9 831 887.3 892.4 CDC 38% 81% 82% HRSA 270.7 20 37 1.8 30.3 0 0 HRSA 54% 3% 4% SAMHSA 20 88 92 14.7 62 12 12 SAMHSA 4% 12% 9% ACL 20 9.2 27.7 27.7 28 ACL 0% 0% 2% CMS 453.8 0 0 CMS 0% 0% 0% OS 12 19.1 30 0 0 OS 2% 3% 3% Total $ 500 750.1 1046 948.9 958 927 932.4 Total % 100% 100% 100%

FY2013 FY2014 FY2015 FY2016 1% 1% 0% 0% 49% 87% 96% 96% 0% 3% 0% 0% 2% 6% 1% 1% 1% 3% 3% 3% 48% 0% 0% 0% 0% 0% 0% 0% 100% 100% 100% 100%

In Billions FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 FY2016 FY2017 FY2018 FY2019 FY2020 FY2021 Enacted 0.5 0.75 1 1.25 1.5 2 2 2 2 2 2 2 As amended 0.5 0.75 1 1 1 1 1 1 1.25 1.25 1.5 1.5 2.5 Prevention and Public Health Fund 2 1.5 1 0.5 Enacted As amended 0 $ Billion

FY2022 2 2

CDC Preventive Health and Health Services Block Grants 160.0 24% Million Hearts 4.0 Tobacco Prevention (Media and Quitlines), Office of Smoking and 105.0 Racial & Ethnic Approaches to Community Health (REACH) 30.0 Workplace Wellness 10.0 Breastfeeding promotion and support grants 8.0 Cancer Prevention and Control 104.0 Nutrition, Physical Activity, and Obesity State Grants 35.0 Diabetes Prevention Program 73.0 Heart Disease & Stroke Prevention 73.0 National Early Care Collaboratives 4.0 Preventing the Leading Causes of Death Subtotal: 446.00 66% Environmental Health Lead Poisioning Prevention 13.0 2% Immunization Section 317 Immunization Program 160.3 24% Epidemiology and Laboratory Capacity Grants 40.0 Healthcare-Associated Infections 12.0 Improving Public Health Detection and Repsonse Subtotal 52.0 8% CDC Subtotal 671.3 100%

CDC Preventive Health and Health Services Block Grants 160.0 19% chronic disease (diabetes, heart disease prevention) Million Hearts 4.0 flexible funding for state health department priorities Tobacco Prevention (Media and Quitlines), Office of Smoking and 105.0 immunization Racial & Ethnic Approaches to Community Health (REACH) 30.0 infectious disease prevention (not including immunization) Workplace Wellness 10.0 environmental health (lead poisoning) Breastfeeding promotion and support grants 8.0 Cancer Prevention and Control 104.0 Nutrition, Physical Activity, and Obesity State Grants 35.0 Diabetes Prevention Program 73.0 Heart Disease & Stroke Prevention 73.0 National Early Care Collaboratives 4.0 Preventing the Leading Causes of Death Subtotal: 446.00 54% Environmental Health Lead Poisioning Prevention 13.0 2% Immunization Section 317 Immunization Program 160.3 19% Epidemiology and Laboratory Capacity Grants 40.0 Healthcare-Associated Infections 12.0 Improving Public Health Detection and Repsonse Subtotal 52.0 6% CDC Subtotal 831.3 100% 19% 19% 6% 2% 54%

54% 19% 19% 6% 2% chronic disease (diabetes, heart disease prevention) flexible funding for state health department priorities immunization infectious disease prevention (not including immunization) environmental health (lead poisoning)

CDC Preventive Health and Health Services Block Grants 160.0 Community Transformation Grant Program ARRA: Communities Putting Prevention to Work ARRA: Evaluation ARRA: Media Million Hearts 4.0 Tobacco Prevention (Media and Quitlines), Office of Smoking and Health 110.0 National Media Campaign on Tobacco Use chronic disease (diabetes, heart disease prevention) flexible funding for state health department priorities immunization infectious disease prevention (not including immunization) environmental health (lead poisoning) National Prevention, Health Promotion & PH Council/Strategy Racial & Ethnic Approaches to Community Health (REACH) 30.0 Workplace Wellness 10.0 Breastfeeding promotion and support grants 8.0 National Youth Fitness Survey Let's Move/ Healthy Weight Task Force Obesity Activities Cancer Prevention and Control 104.0 Chronic Coordination Grants to States and Local Nutrition, Physical Activity, and Obesity State Grants 35.0 Prevention, Education, and Outreach/Community Health Worker Pilot Diabetes Prevention Program 73.0 Heart Disease & Stroke Prevention 73.0 National Early Care Collaboratives 4.0 HIV Screening and Prevention Infectious Disease Screening Activities (hepatitis) Lead Poisioning Prevention 13.0 Preventing the Leading Causes of Death Subtotal: 464.00 Public Health Infrastructure/NPHII Public Health Workforce CDC Funding in PPHF (FY 6% 1% 24% 52% 18%

Epidemiology and Laboratory Capacity Grants 40.0 Healthcare-Associated Infections 12.0 Environmental Public Health Tracking Improving Public Health Detection and Repsonse Subtotal 52.0 Community Guide/Community Preventive Services Task Force CDC Healthcare Surveillance/National Center for Health Statistics Prevention Research Centers Public Health Systems Research Emergency Preparedness Research Using Information for Action Subtotal 0.0 Section 317 Immunization Program 210.3 CDC Subtotal 886.3

52% 18% 24% 6% 1% Y2015) chronic disease (diabetes, heart disease prevention) flexible funding for state health department priorities immunization infectious disease prevention (not including immunization) environmental health (lead poisoning)

CDC Preventive Health and Health Services Block Grants 160.0 Community Transformation Grant Program ARRA: Communities Putting Prevention to Work ARRA: Evaluation ARRA: Media Million Hearts 4.0 Tobacco Prevention (Media and Quitlines), Office of Smoking and Health 126.0 National Media Campaign on Tobacco Use National Prevention, Health Promotion & PH Council/Strategy Racial & Ethnic Approaches to Community Health (REACH) 50.9 Workplace Wellness Breastfeeding promotion and support grants 8.0 National Youth Fitness Survey Let's Move/ Healthy Weight Task Force Obesity Activities Cancer Prevention and Control Chronic Coordination Grants to States and Local Nutrition, Physical Activity, and Obesity State Grants 0.0 Prevention, Education, and Outreach/Community Health Worker Pilot Diabetes Prevention Program 73.0 Heart Disease & Stroke Prevention 73.0 National Early Care Collaboratives 4.0 HIV Screening and Prevention Infectious Disease Screening Activities (hepatitis)

Lead Poisioning Prevention 17.0 Preventing the Leading Causes of Death Subtotal: 355.90 Public Health Infrastructure/NPHII Public Health Workforce Epidemiology and Laboratory Capacity Grants 40.0 Healthcare-Associated Infections 12.0 Environmental Public Health Tracking Improving Public Health Detection and Repsonse Subtotal 52.0 Community Guide/Community Preventive Services Task Force CDC Healthcare Surveillance/National Center for Health Statistics Prevention Research Centers Public Health Systems Research Emergency Preparedness Research Using Information for Action Subtotal 0.0 Section 317 Immunization Program 324.4 CDC Subtotal 892.3

chronic disease (diabetes, heart disease prevention) 40% flexible funding for state health department priorities 18% immunization 36% infectious disease prevention (not including immunization) 6% environmental health (lead poisoning) 2%

Chart Title 6% 2% 36% 40% 18% chronic disease (diabetes, heart disease prevention) flexible funding for state health department priorities immunization infectious disease prevention (not including immunization) environmental health (lead poisoning)

(dollars in millions) AHRQ Clinical Preventive Services Research Clinical Preventive Services Task Force Healthy Weight Practice-Based Research Networks AHRQ subtotal FY2017 Final* CDC Preventive Health and Health Services Block Grants 160.0 Community Transformation Grant Program ARRA: Communities Putting Prevention to Work ARRA: Evaluation ARRA: Media Million Hearts 4.0 Tobacco Prevention (Media and Quitlines), Office of Smoking 126.0 National Media Campaign on Tobacco Use National Prevention, Health Promotion & PH Council/Strategy Racial & Ethnic Approaches to Community Health (REACH) 51.0 Workplace Wellness Breastfeeding promotion and support grants 8.0 National Youth Fitness Survey Let's Move/ Healthy Weight Task Force Obesity Activities Cancer Prevention and Control Breast and Cervical Cancer Colorectal Cancer Chronic Coordination Grants to States and Local Nutrition, Physical Activity, and Obesity State Grants Prevention, Education, and Outreach/Community Health Worker Pilot National Diabetes Preveniton Program Diabetes Prevention 73.0 Heart Disease & Stroke Prevention 73.0 National Early Care Collaboratives 4.0 HIV Screening and Prevention Infectious Disease Screening Activities (hepatitis) Lead Poisioning Prevention 17.0 Birth Defects Preventing the Leading Causes of Death Subtotal: 339.00 Public Health Infrastructure/NPHII Public Health Workforce Epidemiology and Laboratory Capacity Grants 40.0

Healthcare-Associated Infections 12.0 Environmental Public Health Tracking Improving Public Health Detection and Repsonse Subtotal 52.0 Community Guide/Community Preventive Services Task Force CDC Healthcare Surveillance/National Center for Health Statistics Prevention Research Centers Public Health Systems Research Emergency Preparedness Research Foundational Capabilities Using Information for Action Subtotal America's Health Block Grant Good Health and Wellness in Indian Country Antibiotic Resistance Section 317 Immunization Program 324.4 CDC Subtotal 959.0 HRSA Primary Care Residencies and Physician Assistant Training Traineeships for Nurse Practitioner Students State Health Workforce Development Grants for Primary Care Nurse Managed Care Centers Public Health Training Centers Public Health and Preventive Medicine Training Programs Nutrition, Physical Activity, and Screen Time Standards in Child Care Settings Healthy Weight Collaborative Mental and Behavioral Health - health professions Alzheimer's Disease Prevention Education and Outreach HRSA Subtotal otes program could be supported by $500 million America's Health Block SAMHSA Access To Recovery Primary & Behavioral Health Care Integration Suicide Prevention - Garrett Lee Smith 12.0 Prescription Drug Monitoring Integration and Interoperability Expansion Screening, Brief Intervention and Referral to Treatment SAMHSA Healthcare Surveillance Health Surveillance SAMHSA Subtotal 12.0 Administration for Community Living Chronic Disease Self-Management Education Alzheimer's Disease Initiative - Communications Campaign Alzheimer's Disease Prevention Education and Outreach Alzheimer's Disease Initiative - Services 14.0 Chronic Disease Self-Management 8.0 Elder Justice

Elderly Falls Prevention 5.0 ACL Subtotal 27.0 Centers for Medicare and Medicaid Services Health Insurance Enrollment Support CMS Subtotal Office of the Secretary Media: Tobacco Prevention Obesity Media Activities Prevention Education and Outreach ASPA Subtotal ASPE Healthy Living Innovation Awards / Evaluation ASPE Subtotal Tobacco Cessation President's Council on Fitness, Sports, and Nutrition Strategic Planning OASH Subtotal OS Subtotal, all GDM Sequestered Funds 69.0 Total, All Activities 1067

Chronic disease 35% flexible funding for state health department priorities 17% immunization 34% infectious disease prevention (not including immunization) 5% environmental health (lead poisoning) 2% 93% infectious disease prevention (not including immunization) 6% immunization 36% env h p

nvironmental health (lead poisoning) 2% Chronic disease 38% flexible funding for state health department priorities 18%

Chronic disease Flexible funding for state health department priorities Immunization Infectious disease prevention (not including immunization) Environmental health (lead poisoning)

247.6 31% 160.000 20% 324.400 40% 52.000 6% 17.000 2% 801.000

Compatibility Report for PPHF 2014-2018.xlsm Run on 3/27/2018 12:28 The following features in this workbook are not supported by earlier versions of Excel. These features may be lost or degraded when opening this workbook in an earlier version of Excel or if you save this workbook in an earlier file format. Significant loss of functionality This file originally contained features which were not recognized by this version of Excel. These features are not preserved when saving an OpenXML file to the XLSB file format, or vice versa. # of occurrences 1 Minor loss of fidelity One or more charts in this workbook contain data label functionality and formatting that is not supported in earlier versions. This functionality and formatting will be removed from the data labels when viewed in earlier versions of Excel. 1 FY17 by target'!a1:f108

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