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. MCNER-
NEY, Mr. KENNEDY, Ms. BARRAGA´N, Ms. LEE of California, and Mr. 
LUJA´N) introduced the following bill; which was referred to the Com-
mittee 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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Public Health Funding 
Restoration Act’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
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(1) The Prevention and Public Health Fund 
(section 4002 of the Patient Protection and Afford-
able Care Act (42 U.S.C. 300u–11) was designed 
‘‘to provide for expanded and sustained national in-
vestment in prevention and public health programs 
to improve health and help restrain the rate of 
growth in private and public health care costs’’. 
(2) Funding under such section is essential to 
core efforts at the Department of Health and 
Human Services and in local and State health de-
partments to prevent and control the spread of in-
fectious disease, and prevent injuries and the devel-
opment of chronic conditions. 
(3) Prevention and Public Health Fund dollars 
support evidence-based investments in tobacco use 
prevention and cessation, nutrition, mental health, 
childhood lead poisoning prevention, elder care ini-
tiatives, and immunizations, among other prevention 
initiatives. Funding gives States and communities 
the flexibility to respond to public health threats 
that may be unique to their communities. 
(4) Such prevention efforts have shown to be 
effective. Funding increases for community based 
public health programs reduce infant deaths and 
preventable deaths caused by cancer, diabetes, and 
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cardiovascular disease. Every dollar spent on preven-
tion saves nearly $6 in health spending and every 
dollar spent on childhood vaccines saves $16.50 in 
future health care costs. 
(5) Investments in prevention reduce the cost of 
health care in the United States. $2,900,000,000 in 
investments in community-based disease prevention 
is estimated to save $16,500,000,000 annually with-
in 5 years. 
(6) Cuts to the Prevention and Public Health 
Fund and other public health prevention efforts un-
dermine efforts to create an affordable and acces-
sible health care system, and a better quality life for 
Americans. 
(7) Restoring Prevention and Public Health 
Fund funding to $2,000,000,000 annually will allow 
the Fund to invest in more innovative, evidence- 
based public health programs and maintain and ex-
pand investments in programs with demonstrated 
success. 
SEC. 3. PREVENTION AND PUBLIC HEALTH FUND. 
Section 4002(b) of the Patient Protection and Af-
fordable Care Act (42 U.S.C. 300u–11(b)) is amended— 
(1) in paragraph (4), by adding at the end 
‘‘and’’; and 
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(2) by striking paragraphs (5) through (9) and 
inserting the following: 
‘‘(5) for fiscal year 2020 and each fiscal year 
thereafter, $2,000,000,000.’’. 
Æ 
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