# Commissioned Officers Association of the U.S. Public Health Service

The Commissioned Officers Association of the U.S. Public Health Service, often referred to as the Commissioned Officers Association (COA), is a professional association of officers of the United States Public Health Service (USPHS) Commissioned Corps. It is a nonprofit organization that advocates for the interests of the USPHS Commissioned Corps. COA describes itself as a "nationally recognized member-based organization" formed to "protect and enhance the public health and safety of the United States by supporting and advancing the interests of the Commissioned Corps and its officers." It describes itself as the only organization "that works exclusively on behalf of active, inactive, and retired" USPHS Commissioned Corps officers.
COA describes itself as serving as "a legislative aid, a media consultant, and a career development specialist to its members" which provides "representation and advocacy, education and training for health professionals, collaboration with related organizations, and dissemination of public and professional information."

## History

In the 1920s, small groups of USPHS Commissioned Corps officers began to hold informal meetings to discuss issues of importance to public health in general or to the U.S. Public Health Service. The meetings eventually led to the formal establishment of the Commissioned Officers Association in 1951 to advocate for their interests of USPHS Commissioned Corps officers though leadership, education, and communication.
In the mid-1960s, the association took action to oppose a proposal to close USPHS hospitals and outpatient clinics, contacting members of the United States Congress and its committees to express opposition to the proposal. Ultimately, the hospitals were closed during the 1980s.
In the 1970s, a strong movement began to abolish the USPHS Commissioned Corps. COA secured the support of members of Congress, the United States Secretary of Health, Education and Welfare, and the Surgeon General of the United States and succeeded in blocking any move to abolish the Commissioned Corps.
In June 2000, the USPHS Commissioned Officers Foundation for the Advancement of Public Health (COF), a sister organization of COA, was established as a not-for-profit organization to serve the education and research needs of COA.
In 2002, COA worked through the Military Coalition to lead an effort to defeat a proposal by the George W. Bush Administration to classify USPHS Commissioned Corps officers as civil servants for purposes of compensation.

## Organization

COA is governed by a board of directors. The board consists of the executive director of COA in a non-voting, ex officio capacity and 22 elected, voting members. The executive director and four of the elected, voting members (the chair, the chair-elect, the treasurer, and the past chair) make up the board's executive committee. The rest of the elected voting members include one active-duty USPHS Commissioned Corps officer from each of the 11 USPHS categories (Dental, Dietitian, Engineer, Environmental Health, Health Services, Medical, Nurse, Pharmacist, Scientist, Therapist, and Veterinarian), three field representatives, an officer of the USPHS Commissioned Corps Ready Reserve, and three retired USPHS Commissioned Corps officers. The board of directors approves changes to COA's bylaws (subject to final approval by COA's membership) and significant policies of COA.
Membership in COA is open to active regular, active reserve, reserve, retired, and former officers of the USPHS Commissioned Corps. In 2011, COA had about 5,000 members, six full-time employees, and an operating budget of about US$1,800,000. It is headquartered in Landover, Maryland, and maintains over 70 local branches throughout the United States and overseas.

## Advocacy

COA addresses issues which it deems of importance to the future of the USPHS Commissioned Corps. It describes one of its top priorities as working with the Reserve Officers Association, the Military Officers Association of America, and the Association of Military Surgeons of the United States to ensure that USPHS Commissioned Corps officers maintain parity with officers of the other seven uniformed services of the United States. It also describes itself as a proponent for a major transformation of the USPHS Commissioned Corps to better position it to meet new public health challenges in the 21st century. COA is an active member of The Military Coalition, which in 2020 described itself as " a group of 35 military, veterans, and uniformed services organizations in joint pursuit" of a number of common goals.

## COA Ribbon

Commissioned Officers Association Ribbon
USPHS Commissioned Corps officers receive the COA Ribbon when they join COA. The USPHS Commissioned Corps authorizes COA members in good standing to wear the ribbon when attending a COA function.