1. Legislative Update: 2007 Recap and 2008 Outlook Legislative Update: 2007 Recap and 2008 Outlook March 5, 2008

2. Overall Landscape VS.Plus: Campaign 08

3. Public Health Funding (Appropriations) FY07FY08PresidentFY09 State/LocalPreparedness*$713 $700 M** -1.7% $609 M APCs $5.4 M 0 Pan Flu 000 *In FY07, CDC reprogrammed $39M from the $760M appropriated by Congress ** CDC reprogrammed an additional $16 M from FY07 funds for Business Services and Support

4. Public Health Funding (Appropriations) FY07FY08 President FY09 Preventive Health BG $99 M $97.3 M -1.7%0 Section 317 Immuniz. $453 M $468 M +3.3% $465 M Maternal/ Child Health $693 M $666 M -3.8%

5. Timeline 1st wk. Feb.President submits budget to Congress Feb - May Hearings Mar-AprBudget Committee Action Mar 19House LHHS Wishlist deadline Apr 4 Senate LHHS Wishlist deadline May - June Sub & Full Committee markups June - JulyFloor action AugustCongressional Recess (meetings at home) Sept- DecConference Committee (???) Send bill to President (???) October 1Fiscal year begins (bill completed or begin continuing resolutions)

6. Grassroots What to do when you return home? What to do when you return home? –Wishlists –Encourage members to get involved Legislative Action Center Legislative Action Centerhttp://capwiz.com/naccho/home/

7. Medicaid NACCHO Opposes Cuts for Targeted Case Management NACCHO Opposes Cuts for Targeted Case Management –Regulation effective 3/3/08 Legislation to Delay Rule Legislation to Delay Rule –HR 5173/S 2578 State Specific Letters State Specific Letters

8. FDA Regulation of Tobacco Family Smoking Prevention and Tobacco Control Act –S. 625 (Kennedy/Cornyn)/ HR 1108 (Waxman/Davis) –56 Senate cosponsors, 218 House HELP Committee Passed the bill August 1 House Committee markup - March

9. State Childrens Health Insurance Program (SCHIP) Reauthorization legislation vetoed Reauthorization legislation vetoed Extension for 18 months passed Extension for 18 months passed Farm Bill – Nutrition programs Increased funding in Senate Increased funding in Senate Future is uncertain Future is uncertain

10. On the Horizon Public Health Workforce Public Health Workforce –Hagel/Durbin bill S. 1882 Health Information Technology Health Information Technology –Grants for RHIOs/S. 1693 Climate Change Climate Change –How can public health be involved?

11. On the Horizon Environmental Public Health Tracking authorization (S. 2082/HR 3643) Environmental Public Health Tracking authorization (S. 2082/HR 3643) –To provide for the development of a nationwide network Infectious disease (S. 1551/HR 1532) Infectious disease (S. 1551/HR 1532) –Passed HELP Committee –Program to fund Global and US TB prevention and control

12. On the Horizon Health care system reform Health care system reform –Discussions starting now –Opportunity for public health involvement