A Healthy Blog

Massachusetts health care — wonky, with a healthy dose of reality

ACA Repeal Also Threatens Massachusetts Prevention and Public Health Funding

ACA Repeal Also Threatens Massachusetts Prevention and Public Health Funding

July 6, 2017

The Prevention and Public Health Fund was established in 2010 as part of the Affordable Care Act. As the nation’s first mandatory fund dedicated to improving public health, this fund has played a major role in funding prevention programs throughout the country. The current proposed legislation to repeal the Affordable Care Act would eliminate this fund.

This fund provided $17 million to Massachusetts during fiscal year 2016. The programs that benefited include programs dedicated to combating racial and ethnic health disparities, providing immunizations for children, and increasing prevention and control for heart disease, strokes, and diabetes. A new study reports that If the fund is repealed, Massachusetts will lose over $88 million over the next five years.

Preventable diseases are a major health care issue. These diseases cause an estimated 70% of all deaths, and are the main cause for around 75% of health care spending. Yet only about 3 percent of health care spending goes towards preventing these same diseases.

For Massachusetts, repealing this fund along with the ACA would mean cuts in valuable programs such as

  • vaccines for children ($3.6 million);
  • diabetes and heart disease prevention programs ($5 million);
  • lead poisoning prevention and tobacco cessation ($780,000).

The funds also supports $2.3 million to combat racial and ethnic health disparities.

Prevention programs are an important and under-utilized method for addressing these diseases. Supporting prevention programs is a fiscally responsible strategy - it's cheaper to prevent illness now than treat them later. Prevention programs help improve quality of life and reduce death rates by helping individuals combat preventable diseases.

Yet another reason to oppose the plans to "repeal and replace" the Affordable Care Act.

                                                                                                                                                           - Sean Connally