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Examples of New Prevention <br />Activities <br />- Expands access to dinical preventive services in <br />Medicare and private plans (with no cost sharing) <br />- Public-private partnership to support health promotion <br />outreach and education campaigntse<400,1 <br />- Sorli~,example of grents for prevention and wellness: <br />Maternal, infant, and early childhood home visiting programs <br />lac zesil.. <br />-- •-.Personal responsibility education tsx. xss~ <br />'• Diabetes prevention (sec losol> <br />• Dental caries management ts,e.,lo:> <br />Prevention: Worksite Wellness <br />- Worksite wellness initiatives <br />• CDC to provide tedlnipl assistance, tbrsultatlon, tads, and oher <br />resources in evaluating welhess programs offered by employers d <br />all sizes csr~. 430 <br />• Grants to encourag: sma//!ws/rl~ses(S00 employees or fewer) to <br />offer comprehenshe worl~lace wellness programs csec la0ei <br />Autrgrhes ;200 mlgbn fro the perbd of FY 2011-2015 <br />• Employers can trove wellness programs that indude requirements <br />thaf`enrpllees satisry Health status factors (i.e., tobacco cessation <br />-_ ' cx wegtit) if the finartdal consequences (reward a penalty) do rid <br />czceed30% of the txst of empbyee-only coverage (or 30% of <br />famiy coverage if dependents pattkipate)* cser_ iz01i <br />'HHS Secretary can adhodze simlar wetness programs in the <br />individual market in u0 to 10 dates; however, states must showme ~ <br />program will not resuh in a decease h coverage. <br />Congressional Budget Office <br />(CBO) Projections <br />- Covers 92% of all nonelderly residents (94% of <br />legal, nonelderly residents) <br />• Would cover an additional 32 million people (leaving 23 <br />million nonelderly res(dents uninsured by 2019) <br />- Expansion of insurance coverage and new <br />"appropriations included in PPACA will cost $938 <br />bllliQn over 10 years. <br />• However, with new revenues and other spending cuts, <br />PPiXCA is estimated to reduce the federal deficit by $124 <br />billion over 10 years.* <br />. raorc reeent coo estimela suggeeb ma. earn woua increase or s11s <br />en~on w«loyeen:xc•nPeu nonce .wme prmwiom mm .rc.umoNZea <br />el cerbm kvea eM n•1 yN approprlalea. a•un:ea: L80 NIr« mtea Marts D <br />20, 2010, R1•Y 11,1010. <br />Prevention <br />Competitive Grants <br />- Community transformation grants csec. 4201, ta,o3r <br />• To be used for the implementation, evaluation, and dissemtnatlorof <br />evidence-based community prevenfve health actNlL'es to reduce <br />chronic diseases, prevent the devebpment of seconday conditions, <br />address health disparities, and develop evidene based effective <br />preventbn prog2ms. <br />Available to state and local government agendas and communlty- <br />based organizations. <br />Adrvltie3:may focus on healthier school environments, alive living <br />rommumbes, atxess to nutritious foods, chronic disease, worksite <br />w~Jln?;5 healthy food options, and redudng disparities. <br />• Alithonzes funds necessary. May be funded by the Prevention and <br />Public Health fund. <br />Prevention Research <br />and Evaluation <br />- Funding for research to optimize the delivery of public <br />health services. (sec. 41gi1 <br />• Research shall indude examining evidence-based practices reladnn, gg to <br />pr~en~ion, with a partlcular fans an high pn areas as IdenMled yy the <br />HHS Secretary in the National Prevention S~h-aotegy or HealNy People 2020, <br />and comparing community-based public health m lions In terms of <br />effelxiveness and cost. <br />-'IiHS= cretary must ensure that all publicly-funded heaRh <br />' pilwogra , ~ surveys, and reports collect data on race, <br />ethnicrtyisex, primary language, and disability status and <br />that data be collected at the smallest geographic level <br />possibie,(effective no later than March 23, 2012). lsec 4wz1 <br />• %+~ rthortzes sorb sums as necessary through FY 2014. <br />•- iiti5=secretary will evaluate the effectiveness of federal <br />;- health and wellness initiatives. (sec 44oA <br />5 <br />4 <br />