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 State, local, Tribal, and ter-
ritorial health departments to prevent and control 
the spread of infectious disease, and prevent injuries 
and the development of chronic conditions. 
(3) Prevention and Public Health Fund dollars 
support evidenced-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 and bol-
sters the State, local, Tribal, and territorial response 
to global public health threats, including COVID–19. 
(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 of life 
for Americans. 
(7) Cuts to the Prevention and Public Health 
Fund endanger the ability of States and localities to 
distribute vaccinations and public health information 
successfully. The Prevention and Public Health 
Fund is critical to the growth of the Immunization 
Program and to the Epidemiology and Laboratory 
Capacity Program of the Centers for Disease Con-
trol and Prevention under section 317 of the Public 
Health Service Act. 
(8) Restoring Prevention and Public Health 
Fund funding to $2,000,000,000 annually will allow 
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the Fund to invest in more innovative, evidence- 
based public health programs and maintain and ex-
pand investments in programs with demonstrated 
success. 
(9) Restoring Prevention and Public Health 
Fund funding to $2,000,000,000 will give the Cen-
ters for Disease Control and Prevention and State, 
local, Tribal, and territorial health departments the 
funding that they need to invest in prevention ef-
forts that will help the United States avoid future 
pandemics and epidemics. 
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 
(2) by striking paragraphs (5) through (9) and 
inserting the following: 
‘‘(5) for fiscal year 2021 and each fiscal year 
thereafter, $2,000,000,000.’’. 
Æ 
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