CCHF Capitol Hill Briefing

Prevention & Wellness in PPACA :

Higher Costs for Taxpayers and Intrusions into Private Lives
Twila Brase, RN, PHN, President, Citizens Council for Health Freedom June 21, 2011, 2103 Rayburn, Washington, D.C. Prevention Packed into PPACA PPACA has an array of requirements related to Prevention and Wellness, expanding taxpayer costs and intruding on private lives.
Word Use in PPACA Prevention Wellness Preventive Lifestyle Behavior # of Mentions 233 91 108 16 72

PPACA Requirements Include: Mandates - Mandated preventive care coverage & mandated prevention/wellness programs. (1001) Natl Prevention Council, Prevention Strategy, & Prevention/Public Health Fund (4001/4002/4301) New Purpose - U.S. Preventive Services Task Force/Community Preventive Services T.F. (4003) Campaign - Prevention Outreach and Education Campaign, including two websites: 1) guidelines for prevention & 2) personalized prevention tool to determine and respond to disease risk. (4004) School based Health Centers - to conduct comprehensive health assessments. (4101) Oral Health Surveillance - Oral prevention including 50-state oral health surveillance system. (4102) Tracking - EMRs used to track Medicare patients adherence to doctors treatment plan. (4103) Medicare Wellness Exam - An annual Medicare wellness examination that includes a health risk assessment and expanded access to preventive services in Medicare (4104) and Medicaid (4106) and comprehensive for smoking cessation for pregnant women in Medicaid. (4107) Medicaid Incentives - for Prevention of Chronic disease in Medicaid. (4108) Community transformation - Grants to promote healthy living and reduce disparities use of Healthy Future Corps (Serve America Act) and measurement of behavior, weight, physical activity and chronic disease risk factors (4201) and a Childhood Obesity Demo. Project. (4306) Healthy Aging grants - for health screening (mental health/behavioral, substance use, physical activity, smoking, nutrition, and any other measures) of people 55 - 64 years of age. (4202) Individualized wellness plans written by community health centers. (4206) Workplace programs - HHS evaluation of Federal wellness programs (4402) and of employer prevention programs, including technical assistance for employers to engage in prevention activities including risk assessments, and evaluating changes in health status, absenteeism, productivity, injury, and medical costs. (4303) Behavioral Grants provided to promote positive health behaviors and outcomes. (5313) Small Business - Grants for small business to provide comprehensive wellness programs. (10408)

PROVISION IN PPACA Mandated prevention coverage and wellness programs National Prevention Council, Strategy, Research, Fund Prevention Outreach & Education Campaign School-Based Health Centers Oral Health and Surveillance Annual Wellness Exam in Medicare Incentives for Medicaid/Chronic Illness Community Transformation Grants/ Childhood Obesity Healthy Aging Individualized Wellness Plans Promote Positive Health Behaviors Small business wellness grants
Citizens Council for Health Freedom

APPROPRIATION such sums as may be necessary $5 billion plus $2 billion annually after 2015 $500 million such sums as may be necessary such sums as may be necessary Unfunded mandate $100 million (2011 2015) such sums as may be necessary / $25 million (2010 2014) $50 million such sums as may be necessary such sums as may be necessary $200 million (2011 2015)
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