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Immunization Funding is an Investment in Public Health that Saves Lives and Dollars

February 26, 2018 Leave a comment

ba3f8b28-e868-42b5-b217-1d8da24ffbd8For the past two decades, every President has proposed a fiscal budget that has underfunded immunization programming. Fortunately, over the years, Congress has been steadfast in approving higher amounts. As we approach another crossroad in our fiscal planning, we must, once again, call upon Congress to properly fund critical prevention programs.  

In the following Op Ed published in The Hill, Every Child By Two Executive Director, Amy Pisani, makes the case that Congress should support the CDC’s Immunization Program to the fullest extent possible. In order to truly effect change, the program requires $1.03 billion. While it may seem like a hefty sum, the argument in favor of full funding is that an investment in public health will save lives as well as future expense. 

 

Undercutting the Immunization Program

Puts Both Lives and Dollars at Risk

 

By Amy Pisani, executive director of Every Child By Two, a nonprofit organization committed to reducing the burden of vaccine-preventable diseases in families and individuals.

 

Earlier this month, President Trump released his proposed Fiscal Year 2019 budget. It notes an impressive achievement: For every $1 the Centers for Medicare and Medicaid Services (CMS) spends on preventing fraud and abuse, the agency saves $5.

Whenever you can spend money to save money in government, it’s a no brainer for policymakers. Unfortunately, that rationale seems to have escaped the President on the issue of vaccination.

For every $1 we spend on childhood vaccines, we save $10.10, which is nearly double the savings of preventing fraud. The vaccines given to children born over the past two decades will result in a savings of $360 billion in direct and nearly $1.65 trillion in societal costs.

The benefits don’t end with children. The U.S. still spends nearly $26.5 billion annually treating adults over the age of 50 for just four diseases that could be prevented by vaccines: influenza, pertussis, pneumococcal disease and shingles.

The majority of these avoidable costs are borne by federal health insurance programs. Yet for the second year in a row, the President has proposed gutting the Centers for Disease Control and Prevention’s (CDC’s) Immunization Program.

This is not just a discussion of dollars saved. It’s also a matter of lives saved. Over the past 23 years the Vaccines for Children program has prevented 381 million illnesses, 855,000 early deaths and 25 million hospitalizations, but we have much more work to do.

(Click here to read the full article on The Hill)

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For information pertaining to the preparedness of our nation, and for suggestions on what we can do as a nation to make our country stronger and more resilient in the face of emerging health threats, review Vaccinate Your Family’s second annual State of the ImmUnion report here.   

Congress Proposes Big Cuts to Prevention and Public Health Fund

February 6, 2018 1 comment
by Erica DeWald, Director of Advocacy, Every Child By Two

Congress is Proposing a $2.85B Cut to Prevention and Public Health Fund (PPHF) over 10 Years

Congress is once again developing a Continuing Resolution (CR) to keep the government from shutting down on Thursday, February 8. Every Child By Two (ECBT) is pleased to report that the proposed CR budget also includes critical funding for many public health programs including two years of funding for community health centers and the National Health Service Corps.

Unfortunately, it also includes a $2.85 billion cut over ten years to the nation’s Prevention and Public Health Fund (PPHF).

Here’s how it’s broken down (courtesy of Trust for America’s Health):

Fiscal Year Current Law Latest CR Net Cumulative Net
FY2018 $900M $900M 0 0
FY2019 $800M $900M +$100M +$100M
FY2020 $800M $1.0B +$200M +$300M
FY2021 $800M $1.0B +$200M +$500M
FY2022 $1.25B $1.1B -$150M +$350M
FY2023 $1.0B $1.1B +$100M +$450M
FY2024 $1.7B $1.1B -$600M -$150M
FY2025 $2.0B $1.1B -$900M -$1.05B
FY2026 $2.0B $1.1B -$900M -$1.95B
FY2027 $2.0B $1.1B -$900M -$2.85B
FY2028 $2.0B $0B -$2.0B -$4.85B

As we’ve shared in previous updates, the PPHF accounts for 53% of Centers for Disease Control and Prevention’s (CDC’s) Immunization Program budget. Any cut could mean serious reductions in our country’s and states’ abilities to:

  • Support the science that informs our national immunization policy.
  • Provide a safety net to uninsured, low-income adults by enabling vaccine purchases;
  • Monitor the safety of vaccines.
  • Educate healthcare providers.
  • Perform community outreach.
  • Conduct surveillance, laboratory testing and epidemiology in response to disease outbreaks.

With the U.S. continuously facing costly outbreaks of vaccine-preventable diseases such as influenza, measles and pertussis (also known as whooping cough), now is not the time to weaken the backbone of our nation’s public health infrastructure.

We are watching these budget developments closely.

While it’s somewhat reassuring that Congress is replacing the money they cut from the PPHF to reauthorize the Children’s Health Insurance Program (CHIP) in this CR, no cut is acceptable. On the positive side, this delay in finalizing the budget does give us time to shore up support among Congressional Members for the critical services funded by the PPHF.

We will continue to send you updates on immunization funding and will be sure to let you know if we need to begin reaching out to our Members of Congress.

Thank you as always for your support of immunizations!



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Every Child By Two/Vaccinate Your Family has prepared our second annual State of the ImmUnion report to examine how strong our defenses truly are against vaccine-preventable diseases and what we can do as public health advocates and legislators to make our country stronger and more resilient in the face of emerging health threats.

We hope this report will offer you insights into areas of improvement to strengthen our protection against dangerous, and potentially deadly, vaccine-preventable diseases.

Impact of Latest Congressional Actions on Immunization Programs

December 12, 2017 Leave a comment
By Erica DeWald, Director of Advocacy, Every Child By Two/Vaccinate Your Family

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As we near the end of 2017, we want to extend a big thanks to each of you! Without your support for immunizations, our voice would not be heard in Washington. Only through regular outreach to our lawmakers have we been able to demonstrate the impact federal policies would have on vaccination rates and thus our country’s health.

Unfortunately, our work for the year isn’t over yet. We are still closely monitoring the appropriations process as well as the reauthorization of the Children’s Health Program (CHIP), which provides health coverage for 8.9 million children who are uninsured.

Congress has twice extended the deadline for an FY18 spending bill. The next Continuing Resolution (CR) expires December 22. A new proposal from House Appropriations Chairman Frelinghuysen would extend funding for all non-defense spending through January 19 and reauthorize the CHIP funding for five-years. Unfortunately, the proposal also includes $6.35 billion in cuts to the Prevention and Public Health Fund (PPHF). As a reminder, PPHF accounts for 53% of the Immunization Program’s funding.

The Immunization Program’s non-PPHF funding also remains in jeopardy. The Senate has proposed level funding from FY17 for the Centers for Disease Control and Prevention’s Immunization Program (which received a 4 million dollar cut last year), while the House has proposed a 50 million dollar cut. That large of a cut would devastate immunization infrastructure. 

Both CHIP and the Immunization Program enjoy bipartisan support but Congress has had difficulty understanding how their funding choices affect our nation’s health. If fewer children are able to access health care through CHIP – either because Congress is delaying reauthorization or because they have instituted new demands that states match funds – then less children will end up receiving life-saving vaccines. Second, if Congress uses Prevention & Public Health Fund (PPHF) dollars to help pay for CHIP as proposed in the House bill, they are in fact cutting essential funds from the very public health clinics and immunization programs that accept CHIP and provide care to children.

Please consider calling your Representative and Senators to urge them to support ALL public health funding. Ask them to reauthorize CHIP without using the PPHF as a budgetary offset. You can find contact information for your legislators at whoismyrepresentative.com.

Every Child By Two/Vaccinate Your Family will continue to watch these legislative issues and do our best to keep you informed.   

Thank you again for your interest and support!

Help Stop Devastating Cuts to Immunization Infrastructure

July 20, 2017 18 comments

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The House is moving forward on budget proposals for Fiscal Year 2018 (FY18) and has suggested a $50 million cut to immunization funding to the Centers for Disease Control and Prevention (CDC).

This could mean serious reductions in our country’s and states’ abilities to:

  • Support the science that informs our national immunization policy;
  • Provide a safety net to uninsured, low-income adults by enabling vaccine purchases;
  • Monitor the safety of vaccines;
  • Educate healthcare providers;
  • Perform community outreach; and
  • Conduct surveillance, laboratory testing and epidemiology in response to disease outbreaks.
With the U.S. currently facing costly outbreaks of vaccine-preventable diseases such as measles and pertussis (also known as whooping cough), now is not the time to weaken the backbone of our nation’s public health infrastructure.
We are not asking for a funding increase, we are simply asking that Congress not reduce current levels of immunization funding.
States have already had to make tough decisions because of a $4 million cut in funds in the 2017 budget.

Please call your Representative today and tell him or her:

“Please reject the proposed $50 million cut to the CDC Immunization Program and maintain level funding for FY18. A funding reduction would have serious consequences for communities across the country at a time when outbreaks of vaccine-preventable diseases such as measles are on the rise.”

SOTI-Report_Cover.pngYou can also reference Every Child By Two’s State of the ImmUnion report to examine how strong our defenses truly are against vaccine-preventable diseases and what we can do, as public health advocates and legislators, to make our ImmUnion stronger and more resilient in the face of emerging health threats. You may even want to share this report with your Representative since it highlights the successes of vaccines, the economic and societal savings incurred from vaccines, challenges facing the public health system and key areas that we need to focus on to achieve optimal protection against vaccine-preventable diseases.

Please use Who Is My Representative? to quickly find your Member of Congress in the House.

Thank you for your continued support of immunizations and their critical role in protecting our health!

Every Child By Two Delivers Critical Message to Legislators

June 27, 2017 2 comments

Every Child By Two will also be making a special presentation on Capitol Hill today, alongside experts from the CDC, AAP and Children’s National Health System.

The panelists will discuss concerns regarding the vaccine-preventable diseases that continue to infect American children and debunk misinformation about vaccine safety.   Every Child By Two’s Executive Director, Amy Pisani, will explain the impact that proposed cuts in vaccine funding and changes to the healthcare replacement bills will have on efforts to protect the American public from deadly preventable diseases.

Please contact your legislators and suggest they attend this special Childhood Immunization Presentation at 2322 Rayburn House Office Building between 3-4 pm today, June 27th.  (You can also tune into Facebook Live by following the Vaccinate Your Family Facebook page where we have provided live feed coverage of the meeting).  

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Given the continuing discussions on health care reform, Every Child By Two believes it is more important than ever to re-circulate their State of the ImmUnion report to our nation’s legislators.  This report details our country’s current abilities to control and respond to vaccine-preventable diseases.

It’s important that legislators understand that preserving funds for the Vaccines For Children (VFC) program was an important first step in protecting the nation against deadly infectious diseases, but it’s not enough. Proposed funding cuts to Medicaid, the Prevention and Public Health Fund (PPHF), and the Centers for Disease Control and Prevention (CDC) would:

  • Directly cause the understaffing and potential closure of health clinics across the country.
  • Prevent pregnant women from accessing crucial vaccines to prevent whooping cough and flu in their newborns. About half of babies younger than one year of age who contract whooping cough need care in the hospital, and 1 out of 100 babies who get treatment in the hospital die.  Additionally, in the 2016-2017 influenza season, 101 children died as a result of the flu.
  • Place adults at risk of vaccine-preventable disease. Influenza and pneumonia, both of which are vaccine-preventable, are currently the eighth most common cause of death among adults in the U.S. Treatment of adults for influenza, pneumonia, pertussis and influenza costs the U.S. $27 billion annually in unnecessary healthcare costs.
  • Reduce the management of the $4.3 billion investment in government-purchased vaccines for children. Administration of the VFC program is funded by Section 317 dollars which are subject to significant cuts in funding.

Ongoing outbreaks of measles, whooping cough, and flu are stark reminders that even small drops in vaccination rates can have devastating consequences.

This is why Every Child By Two is taking steps to encourage federal legislators to put the health of our nation first by fully funding CDC, replacing the PPHF, and maintaining a strong safety net through the preservation of Medicaid.  

 

 

Contact Your Senator to Prevent Devastating Cuts to Immunization Programs

June 15, 2017 2 comments

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Every Child By Two has a long history of advocating for immunization funding and strong immunization policies. As the Senate is now considering two crucial pieces of legislation — the American Health Care Act (AHCA) and the Fiscal Year (FY) 2018 budget — we are calling upon the public to speak out in support of #PreventionProtection. Both of these pieces of legislation could impact vaccine programs in a way that limits access for millions of Americans.

It is critical that we help Senators understand the impact of their legislation on public and individual health before they finalize the bill language. Time is of the essence, so we are encouraging everyone to take action this week.

Please call AND email your Senators TODAY with this critical message:

Call your Senators to say:

I am a constituent and am calling to urge Senator X to ensure CDC’s immunization programs continue to be fully funded, both through direct appropriations and through preservation of the Prevention and Public Health Fund.

It is also critical to preserve first dollar coverage in private health plans and Medicaid. Coverage for vaccines is critical to our nation’s health and integral to accessing cost-saving and potentially life-saving vaccines.

Please support public health funding and oppose any aspects of the American Health Care Act which would slash these critical investments.

To ensure your Senator is getting the message, follow-up with an email that reads:

Read more…

Federal & State Legislators are Listening: Time To Advocate For the Value of Vaccines

March 23, 2017 11 comments

There has clearly been a political awakening in this country and people are once again motivated to make their voices heard in regard to political policies.  When it comes to protecting our nation’s health and maintaining our personal freedoms, there are plenty of differences in opinion.

In a recent VaxTalk podcast hosted by Voices for VaccinesEvery Child By Two Board Member Sarah Depres and Immunize Texas member Jinny Su, discuss the potential impact proposed federal and state policies could have on the health of our nation and our local communities.  More importantly, they explain how everyday citizens are being encouraged to actively engage with their legislators on these issues. 

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Federal Policies and Their Impact on the Prevention of Disease

To start, Ms. Depres explains how the American Healthcare Act and the President’s proposed budget may impact the availability, accessibility and affordability of immunization services across the country. While these policies are still evolving, she comments that the proposed plans suggest significant budget cuts will be made to the U.S. Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC).  These two federal agencies are currently responsible for the majority of federal immunization programs and vaccine oversight.  A reduction in their operating budgets will likely have a significant and fairly immediate impact on things such as vaccine safety and oversight, disease surveillance, outbreak response, scientific evaluation of effective immunization practices and research that helps us to understand what interventions work to improve vaccination rates across the U.S..

While some may argue that we can save money by streamlining budgets and consolidating programs, there is a larger concern that must be addressed and it has to do with state level immunization programs.  The fact is that the collective work of these agencies has a direct impact on individual state efforts to provide good immunization services to the public. Not only do states benefit from the large-scale research and oversight that the federal government conducts on vaccines, but a large portion of these federal funds trickle down to assist states in their specific efforts to prevent outbreaks that can easily cross state lines.  As Ms. Depres explains, infectious diseases have no borders and it is therefore unrealistic and, quite frankly, unacceptable, to put the bulk of responsibility on the states when they are not in the same position that the federal government is to fund large scale programs that we know benefit the country and its citizens as a whole.

SOTI-VPDCostIGTake the state of Nevada as an example.  Nevada continues to rank at the bottom of the list for public health spending with just $4.10 per capita and they also happen to be a state with some of the lowest immunization rates in the U.S. In comparison, Idaho, their neighbor to the northeast, spends as much as $94.70 per capita. When The Affordable Care Act was established, it included the Prevention and Public Health Fund (PPHF) to sustain and expand preventive health measures and save the country money typically spend on illness and disease.  Fortunately, this fund has supplemented Nevada’s budget with more than $31 million since the fund’s inception, and has had a direct impact on the programs being developed to ensure vaccine access across the state.  Unfortunately, with the repeal of the ACA, the PPHF funds are at risk of being eliminated, and Nevada will likely suffer major public health setbacks as a result.

A Surge in State Specific Immunization Related Bills

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