Congress Sends $44,250,000 To PHEP

Congress Sends $44,250,000 To PHEP

On September 29, 2016, the President signed the Zika Response and Preparedness Act, which includes restoration of $44,250,000 to the Public Health Emergency Preparedness (PHEP) Program redirected to fight Zika.

The funding will be available to the states as soon as possible, stated a source at the CDC.

The funding was redirected from the PHEP program in March after Congress failed to provide emergency supplemental funding for Zika research and response, as requested by the White House. The shift required states to submit amended budgets to the CDC, which led to cuts in sub grants to local health departments across the country.

Because of the Congressionally mandated PHEP formula, the cuts were not equally distributed, ranging from 0.8% in Palau to 9.4% in California. As such, the restoration of funding will follow the same formula.

Though the Zika Response and Preparedness Act provides full funding restoration for the states, it may not necessarily translate to the same for local health departments. The onus here is not on the CDC, as each state's laws, regulations, and policies will determine how or if current PHEP sub grants with locals can be amended before the funding obligation date of June 30, 2017.

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Also, as I wrote about in March in my article, PHEP Zika Cut Likely To Hit HPP & Healthcare Coalitions, the bleed-over in state office operational cost in many states, such as dual funded (HPP & PHEP) personnel and shared technology solutions, HPP sub grants were not necessarily left unscathed.

It is unlikely that healthcare coalitions and other HPP sub grantees will see restoration of lost funding caused by such indirect cuts. That said, there may be funding opportunities for ‘shovel ready’ projects of cross-cutting benefit that are in sync with both PHEP and HPP capabilities.

Next Steps

Note that the new funding is being provided through an amendment to the current Notice of Award, which is associated with the 2016-2017 (BP5) Continuation Guidance. States must obligate funds consistent with that guidance.

  1. States reach agreement with authority(s) who author the 'Letter of Concurrence.'
  2. States submit amended PHEP budget to CDC (Likely the budget submitted in February, prior to the Zika Sift).
  3. Once the budget is approved by CDC, the amended Notification of Award is finalized.
  4. States implement what was outlined in the approved budget.
  5. Funds must be obligated by June 30, 2017.

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Karl Schmitt, MPA

Karl Schmitt, MPA

Karl is the Passionate Founder & CEO of bParati. He is on a mission to build a national network of effective, sustainable healthcare coalitions. More...

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