CDC/ATSDR President’s Budget Request Fiscal Year 2012 Centers for Disease Control and Prevention

Public health in America A cost-effective investment Many of our greatest health gains in the past century have come from public health investments Historic opportunity to strengthen public health and expand proven interventions Investments in public health support personal responsibility and empower communities to prevent illness, injury, disability and death

CDC budget history Funding over the past five years

Compares to FY 2010 enacted level Builds on FY 2011PB key program increases and $100 million administrative savings Includes new budget structure, aligned with improved organizational design Reduces number of budget lines Launches several new flexible, comprehensive programs Budget proposal for fiscal year 2012

FY 2011 priority areas Key increases carried forward Winnable Battles Domestic HIV/AIDS Prevention (+$32M) National Healthcare Safety Network (+$12.3M) Teen Pregnancy Prevention (+$11M) Food Safety (+$8M) Health Statistics (+$23.2M) Section 317 Immunization (+$17M) Global Water, Sanitation and Hygiene (+$10M) Public Health Workforce Programs (+$10M)

FY 2011 priority areas Key increases carried forward Nanotechnology (+$7M) STD Prevention (+$7M) Field Epidemiology Lab Training and Sustainable Management Development (+$6.8M) Global Maternal, Newborn, and Child Health (+$2M) Autism (+$1.8M) National Violent Death Reporting System (+$1.5M)

FY 2012 priority areas In addition to increases carried forward from FY 2011 Strategic National Stockpile (+$59M) Domestic HIV/AIDS (+$58M) Business Services Support (+$51M) Polio Eradication (+$11M) Viral Hepatitis (+$5M) Quarantine Migration (+$1M)

Chronic Disease Prevention Block Grant eliminated (–$100M) REACH and Healthy Communities eliminated (–$63M) Genomics (–$11M) Preparedness and Response Support PHEP Grant reduced by 10% (–$71M) Academic Centers and Advanced Practice Centers eliminated (–$35M) CDC Preparedness reduced (–$19M) Key decreases Proposed for FY 2012

Environmental Health Asthma/Lead Poisoning Prevention (–$33M) Built Environment eliminated (–$3M) Climate Change reduced (–$1M) Infectious Disease Activities Prion Disease eliminated (–$5M) Occupational Safety and Health Education Research Centers eliminated (–$24M) National Occupational Research Agenda Agricultural Sector eliminated (–$23M) Key decreases Proposed for FY 2012

Launching the “Chronic Disease Prevention and Health Promotion Grant Program” for States and Territories Consolidating existing birth defects funding into three new areas: Child Health and Development; Health and Development for People with Disabilities; and PH Approach to Blood Disorders Initiating the new “Healthy Home and Community Environments” Program Establishing World Trade Center as a mandatory program Maximizing investments New CDC programs

Expansion of Services Preventive services without cost sharing National Prevention Strategy New programs and policies, including menu labeling, and Medicare personal wellness plan Prevention and Public Health Fund Prevent the leading causes of death Build essential public health detection and response Use information for action Prevention and Public Health Fund One of ACA’s public health pillars to 2019 $500 million$750 million$1 billion$1.25 billion$1.5 billion$2 billion/yr

Community prevention is key to preventing disease and reducing long run cost growth Community Transformation Grants ($221M) Chronic Disease State Grants ($158M) Tobacco Control ($79M) Immunization Support ($62M) HIV/AIDS Prevention ($30M) Unintentional Injury Prevention ($20M) Baby Friendly ($2.5M) Prevent the leading causes of death Prevention Fund for FY 2012

Critical to stop outbreaks and preparing for and stopping natural or terrorist disasters Public Health Detection and Response Capacity Grant ($40M) Epidemiology and Laboratory Capacity ($40M) Public Health Workforce ($25M) Healthcare Associated Infections ($20M) Environmental Public Health Tracking Network ($9M) Building essential public health detection and response Prevention Fund for FY 2012

Key to ensuring results, identifying if and where course corrections are needed, and monitoring impact of ACA Healthcare Surveillance/Health Statistics ($35M) Community Guide/Prevention Task Force ($10M) Information for action Prevention Fund for FY 2012

FY 2012 budget request (Dollars in millions) Budget Activity/DescriptionFY 2010 FY 2011CR FY 2012PB FY 2012+/- FY 2010 Immunization and Respiratory Diseases HIV/AIDS, Viral Hep, STD and TB Prevention 1,118.71, , Emerging and Zoonotic Diseases Preventive Health and Health Services Block Grant –100.2 Chronic Disease and Health Promotion , , Birth Defects, Developmental Disabilities, Disability and Health Injury Prevention and Control Environmental Health –43.3 Funding includes budget authority, PHS Evaluation and ACA Prevention Funds

FY 2012 budget request (Dollars in millions) Budget Activity/DescriptionFY 2010 FY 2011CR FY 2012PB FY 2012+/- FY 2010 Public Health Scientific Services Occupational Safety and Health –114.7 Global Health Public Health Preparedness and Response 1,522.31,522.61,452.6 –69.7 Public Health Leadership and Support –31.8 Buildings and Facilities –39.1 Business Services Support Funding includes budget authority, PHS Evaluation and ACA Prevention Funds

FY 2012 budget request (Dollars in millions) Budget Activity/DescriptionFY 2010 FY 2011CR FY 2012PB FY 2012+/- FY 2010 TOTAL PROGRAM LEVEL FUNDING 6,941.46,750.57, Agency for Toxic Substances and Disease Registry –0.5 Public Health and Social Services Emergency Fund Transfer Affordable Care Act –48.0 Vaccines for Children3,760.63,899.14, Energy Employees Occupational Illness Compensation Program Act Other User Fees TOTAL AGENCY FUNDING 10, , , Funding includes budget authority, PHS Evaluation and ACA Prevention Funds

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