Senate Appropriations Subcommittee on Senate Appropriations Subcommittee on. Washington, DC Washington, DC 20510
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1 March 30, 2017 Friends of the Health Resources and Services Administration c/o American Public Health Association The Honorable Roy Blunt The Honorable Patty Murray Chairman Ranking Member Senate Appropriations Subcommittee on Senate Appropriations Subcommittee on Washington, DC Washington, DC The Honorable Tom Cole The Honorable Rosa DeLauro Chairman Ranking Member House Appropriations Subcommittee on House Appropriations Subcommittee Washington, DC Washington, DC Dear Chairmen Blunt and Cole and Ranking Members Murray and DeLauro: The undersigned members of the Friends of HRSA recommend providing $7.48 billion for discretionary Health Resources and Services Administration programs in the FY 2018 Education, and Related Agencies appropriations bill. The Friends of HRSA is a coalition dedicated to supporting programs that are essential for a healthy nation. HRSA administers programs that focus on improving care for millions of Americans, who are medically underserved or face barriers to needed care, by strengthening the health workforce and increasing access to quality health services. Investing in programs that keep people healthy is important for the vitality of our nation. HRSA programs have been successful in improving the health of people at highest risk for poor health outcomes. The agency supports efforts that drive quality care, better leverage existing investments and achieve improved health outcomes at a lower cost. For example: HRSA-funded health centers deliver comprehensive, cost-effective care to more than 27 million people and have demonstrated their ability to reduce the use of costlier providers of care. HRSA supports the health workforce across the entire training continuum and addresses workforce distribution challenges to ensure access to care in underserved areas. HRSA s Maternal and Child Health programs promote optimal health, minimize disparities and prevent chronic conditions for vulnerable women, infants and children. The maternal and child health programs have helped to achieve a decrease in infant mortality rate, a widely used indicator of the nation s health, reaching a historic low of 5.8 infant deaths per 1,000 live births in HRSA s Ryan White HIV/AIDS Program provides medical care, treatment and support services for more than 550,000 people impacted by HIV/AIDS, improving health outcomes for people with HIV and reducing the chance of others becoming infected. These national prevention efforts have contributed to annual HIV infections declining 18 percent from 2008 to 2014.
2 HRSA supports healthcare systems programs that increase the access and availability of life-saving marrow, cord blood and donor organs for transplantation. Additionally, the Healthcare Systems Bureau supports poison control centers, which contribute to significantly decreasing a patient s length of stay in a hospital and save the federal government $662.8 billion each year in medical costs and lost productivity. HRSA also supports community- and state-based solutions to improve efficiencies in delivering rural health services and expand access to care in rural communities. HRSA s family planning program reduces unintended pregnancy rates, limits transmission of sexually transmitted infections and increases early detection of breast and cervical cancer by ensuring access to family planning and related preventive health services to more than 4 million women, men and adolescents. The nation faces a shortage of health professionals, and a growing and aging population which will demand more health care. HRSA is well positioned to address these issues and to continue building on the agency s many successes, but a stronger commitment of resources is necessary to effectively do so. Our funding request would restore HRSA s discretionary budget to the FY 2010 level. We urge you to consider HRSA s central role in strengthening the nation s health and support a funding level of $7.48 billion for HRSA s discretionary budget authority in FY For any questions regarding our request, please contact Gaby Witte at gabriella.witte@apha.org or Sincerely, Academy of Nutrition and Dietetics AcademyHealth Advocates for Youth AIDS Foundation of Chicago AIDS United Allergy & Asthma Network American Academy of Family Physicians American Academy of HIV Medicine American Academy of PAs American Academy of Pediatrics American Association for Dental Research American Association for the Study of Liver Diseases American Association of Colleges of Nursing American Association of Colleges of Osteopathic Medicine American Association of Colleges of Pharmacy American Association of Colleges of Podiatric Medicine American Association of Nurse Practitioners American Cancer Society Cancer Action Network (ACS CAN) American College of Preventive Medicine American Dental Association American Dental Education Association American Dental Hygienists' Association American Geriatrics Society American Hospital Association American Medical Student Association
3 American Nurses Association American Occupational Therapy Association American Optometric Association American Organization of Nurse Executives American Osteopathic Association American Podiatric Medical Association American Psychiatric Association American Psychological Association American Public Health Association American Society for Blood & Marrow Transplantation American Society for Clinical Laboratory Science (ASCLS) American Society for Reproductive Medicine American Society of Transplantation American Thoracic Society ASIA International Community Health Center Asian & Pacific Islander American Health Forum Association of American Medical Colleges Association of American Veterinary Medical Colleges Association of Asian Pacific Community Health Organizations (AAPCHO) Association of Clinicians for the Underserved Association of Departments of Family Medicine Association of Family Medicine Residency Directors Association of Maternal & Child Health Programs Association of Minority Health Professions Schools Association of Nurses in AIDS Care Association of Public Health Laboratories Association of Reproductive Health Professionals Association of Schools and Programs of Public Health Association of Schools of Allied Health Professions Association of University Centers on Disabilities CAEAR Coalition California Public Health Association-North CenterLink: The Community of LGBT Centers Coalition for Health Funding Commission on the Public's Health System Commissioned Officers Association of the U.S. Public Health Service, Inc. (COA) Concilio Latino de Salud Connecticut Public Health Association Consumer Health First Cooley's Anemia Foundation Delaware Academy of Medicine / Delaware Public Health Association Disability Policy Consortium of Massachusetts Equality California Futures Without Violence Georgia Public Health Association GLMA: Health Professionals Advancing LGBT Equality Hepatitis Foundation International HIV Medicine Association IC & RC
4 Idaho Public Health Association Iowa Public Health Association Jeffrey Modell Foundation Kansas Public Health Association Kentucky Public Health Association Khmer Health Advocates, Inc. Latino Commission on AIDS, Inc. Louisiana Public Health Association Maine Public Health Association March of Dimes Maryland Public Health Association Meharry Medical College Michigan Public Health Association Mississippi Public Health Association Morehouse School of Medicine NAADAC, the Association for Addiction Professionals NASTAD National AHEC Organization National Asian Pacific American Families Against Substance Abuse National Asian Pacific American Women's Forum (NAPAWF) National Association for Geriatric Education National Association of Community Health Centers National Association of County and City Health Officials National Association of Pediatric Nurse Practitioners National Black Gay Men's Advocacy Coalition National Black Justice Coalition National Black Nurses Association National Board for Certified Counselors National Center for Farmworker Health National Center for Lesbian Rights National Center for Transgender Equality National Council for Diversity in the Health Professions National Council of Asian Pacific Islander Physicians National Council of Jewish Women National Environmental Health Association National Family Planning & Reproductive Health Association National Health Care for the Homeless Council National Hispanic Medical Association National Immigration Law Center National League for Nursing National Marrow Donor Program, Be The Match National Network of Public Health Institutes National Nurse-Led Care Consortium National Organization for Women National Viral Hepatitis Roundtable National Women's Health Network Nevada Public Health Association New Hampshire Public Health Association New Jersey Public Health Association
5 New Mexico Public Health Association NICHQ (National Institute for Children's Health Quality) NMAC NOELA Community Health Center North American Primary Care Research Group North Carolina Public Health Association North Dakota Public Health Association Ohio Public Health Association Oklahoma Public Health Association Oncology Nursing Society Oral Health America (OHA) Oregon Public Health Association Physician Assistant Education Association Prevent Blindness Public Health Association of New York City Ryan White Medical Providers Coalition School-Based Health Alliance Senior Community Outreach Services, Inc. Society for Public Health Education Society of General Internal Medicine Society of Teachers of Family Medicine South Dakota Public Health Association Southern California Public Health Association Tennessee Public Health Association Texas Public Health Association The AIDS Institute Tuskegee University College of Veterinary Medicine University of New Mexico Vermont Public Health Association Virginia Public Health Association Welcome Back Initiative Whitman-Walker Health Cc: Senate Appropriations Committee House Appropriations Committee
Dear Chairman Frelinghuysen, Ranking Member Lowey, Chairman Cole, and Ranking Member DeLauro:
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3+ 3+ N = 155, 442 3+ R 2 =.32 < < < 3+ N = 149, 685 3+ R 2 =.27 < < < 3+ N = 99, 752 3+ R 2 =.4 < < < 3+ N = 98, 887 3+ R 2 =.6 < < < 3+ N = 52, 624 3+ R 2 =.28 < < < 3+ N = 36, 281 3+ R 2 =.5 < < < 7+
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