I 

116TH CONGRESS 

1ST SESSION H. R. 3447 

To fully fund the Prevention and Public Health Fund and reaffirm the 

importance of prevention in the United States healthcare system. 

IN THE HOUSE OF REPRESENTATIVES 

JUNE 24, 2019 

Ms. MATSUI (for herself, Mr. TONKO, Ms. CLARKE of New York, Mr. WELCH, 

Mr. GRIJALVA, Mr. CA ́RDENAS, Ms. KUSTER of New Hampshire, Ms. 

BLUNT ROCHESTER, Ms. KELLY of Illinois, Mr. SARBANES, Mr. MCNERNEY, Mr. KENNEDY, Ms. BARRAGA ́N, Ms. LEE of California, and Mr. 

LUJA ́N) introduced the following bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To fully fund the Prevention and Public Health Fund and 

reaffirm the importance of prevention in the United 

States healthcare system. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Public Health Funding 

5 Restoration Act’’. 

6 SEC. 2. FINDINGS. 

7 Congress finds the following: 


pamtmann on DSKBFK8HB2PROD with BILLS
2 

•HR 3447 IH

1 (1) The Prevention and Public Health Fund 

2 (section 4002 of the Patient Protection and Afford3 able Care Act (42 U.S.C. 300u–11) was designed 

4 ‘‘to provide for expanded and sustained national in5 vestment in prevention and public health programs 

6 to improve health and help restrain the rate of 

7 growth in private and public health care costs’’. 

8 (2) Funding under such section is essential to 

9 core efforts at the Department of Health and 

10 Human Services and in local and State health de11 partments to prevent and control the spread of in12 fectious disease, and prevent injuries and the devel13 opment of chronic conditions. 

14 (3) Prevention and Public Health Fund dollars 

15 support evidence-based investments in tobacco use 

16 prevention and cessation, nutrition, mental health, 

17 childhood lead poisoning prevention, elder care ini18 tiatives, and immunizations, among other prevention 

19 initiatives. Funding gives States and communities 

20 the flexibility to respond to public health threats 

21 that may be unique to their communities. 

22 (4) Such prevention efforts have shown to be 

23 effective. Funding increases for community based 

24 public health programs reduce infant deaths and 

25 preventable deaths caused by cancer, diabetes, and 


pamtmann on DSKBFK8HB2PROD with BILLS
3 

•HR 3447 IH

1 cardiovascular disease. Every dollar spent on preven2 tion saves nearly $6 in health spending and every 

3 dollar spent on childhood vaccines saves $16.50 in 

4 future health care costs. 

5 (5) Investments in prevention reduce the cost of 

6 health care in the United States. $2,900,000,000 in 

7 investments in community-based disease prevention 

8 is estimated to save $16,500,000,000 annually with9 in 5 years. 

10 (6) Cuts to the Prevention and Public Health 

11 Fund and other public health prevention efforts un12 dermine efforts to create an affordable and acces13 sible health care system, and a better quality life for 

14 Americans. 

15 (7) Restoring Prevention and Public Health 

16 Fund funding to $2,000,000,000 annually will allow 

17 the Fund to invest in more innovative, evidence18 based public health programs and maintain and ex19 pand investments in programs with demonstrated 

20 success. 

21 SEC. 3. PREVENTION AND PUBLIC HEALTH FUND. 

22 Section 4002(b) of the Patient Protection and Af23 fordable Care Act (42 U.S.C. 300u–11(b)) is amended— 

24 (1) in paragraph (4), by adding at the end 

25 ‘‘and’’; and 


pamtmann on DSKBFK8HB2PROD with BILLS
4 

•HR 3447 IH

1 (2) by striking paragraphs (5) through (9) and 

2 inserting the following: 

3 ‘‘(5) for fiscal year 2020 and each fiscal year 

4 thereafter, $2,000,000,000.’’. 

Æ 


pamtmann on DSKBFK8HB2PROD with BILLS