Archives: Press Releases

Press Release on health-related topics.

TFAH Reflections on the 20-year Anniversary of Hurricane Katrina

(Washington, DC – August 29, 2025) – This week marks 20 years since Hurricane Katrina hit the Gulf Coast and devastated communities in Louisiana, especially New Orleans and its surrounding areas, Mississippi, and other Gulf Coast states, including Alabama and Florida. Tragically, nearly 1,400 lives were lost in the storm. Entire areas were destroyed. Some neighborhoods, which are mostly historically Black or low-income, still haven’t fully recovered from the disaster. This somber milestone should serve as a reminder for government at every level to make necessary and consistent investments in the nation’s emergency preparedness capabilities. Extreme weather events have increased in frequency and intensity since the Category 5 storm ripped through the Gulf Coast in 2005. The lasting and often disparate impacts on the health, economy, and ecology of the region are a call to action that we must be better prepared for future emergencies.

We recognize that many jurisdictions have improved their public health infrastructure and preparedness over the last two decades, with support from the Centers for Disease Control and Prevention, the Administration for Strategic Preparedness and Response, and other federal agencies. TFAH’s annual report, Ready or Not: Protecting the Public’s Health from Diseases, Disasters, and Bioterrorism, has chronicled this progress. But we’ve also found more work is needed to ensure every community is prepared. Furthermore, much of the progress that has been achieved is now at risk due to proposed cuts in federal support for the public health workforce and outbreak prevention and preparedness programs.

The loss of entire swaths of neighborhoods due to extreme weather events is unacceptable. This is a shared responsibility. The federal government has an important leadership role to play in emergency readiness and response. Federal, state, and local governments should collaborate with each other and with trusted local organizations and leaders to safeguard every community.

Hurricane Katrina showed us that our most under-resourced communities must be a focus of and have a role in emergency planning. Failure to do so will not only exacerbate health and economic disparities but will also have a ripple effect on the entire community’s ability to thrive.

TFAH’s Ready or Not report outlines specific policy recommendations for strengthening the nation’s preparedness. We encourage policymakers to act on these recommendations and make the necessary investments to safeguard our communities.

 

 

 

 

 

Statement from J. Nadine Gracia, M.D., MSCE, President and CEO of Trust for America’s Health on the Termination of the CDC Director and Departure of Senior Leadership at CDC

(Washington DC – August 28, 2025) – “We are alarmed and deeply troubled by the abrupt termination of the CDC director, Dr. Susan Monarez, along with the resignations of a number of the agency’s senior leaders. Their departures, along with hundreds of others who have involuntarily left CDC, threaten the nation’s health security and deplete the expertise needed to protect our nation’s health. Less than one month after a targeted shooting at CDC’s headquarters, the agency is left without stable leadership. We express our strong support for CDC staff and their mission, expertise, and impact in promoting health and saving lives.

We cannot accept the weakening of our defenses against health threats, including by subverting well-established, science-based vaccine policies. Our communities are facing respiratory virus and hurricane seasons, while dealing with ongoing chronic disease, mental health, and substance use challenges. The health, economic fortitude, and national security of the U.S. depend on a CDC with experienced, science-driven leaders at the helm.”

 

 

 

 

 

Public Health Leaders’ Joint Statement in Response to the Attack on CDC

(Washington, DC – August 14, 2025) – In response to the horrific shooting that occurred on Friday, August 8, targeting the Centers for Disease Control and Prevention (CDC), the public health community stands in solidarity with our CDC colleagues. We denounce acts of harassment, terror, and violence against the public health workforce.

Our hearts break for the family of police officer David Rose who lost his life protecting his community.

Two hundred bullets struck and caused damage to six federal buildings and over 500 rounds were fired at the CDC campus. We are saddened, alarmed, and deeply concerned about the health and safety of our colleagues. The shooting was an attack on an American workplace and on the people and infrastructure that keep us all healthy and safe.

We are committed to working together to support our nation’s dedicated public servants who comprise the public health workforce and call on others to do the same. It is critical to the health of all communities that CDC and all people working in public health across the country are able to continue to make their invaluable contributions to advancing health and well-being without the fear of harassment or violence.

People choosing public health as a profession are committed to advancing our nation’s health and recognize that good health in every community benefits everyone. It is our hope that all Americans will stand with us to support the vital role that CDC and the entire public health workforce play in supporting safety and well-being in every community. Their expertise and commitment to advancing health deserves all Americans’ unwavering support.

 

American College of Epidemiology

American College of Epidemiology Research and Education Foundation

American Public Health Association

Association of Maternal and Child Health Programs

Association of Public Health Nurses

Association of State and Territorial Dental Directors

Association of State and Territorial Health Officials

Association of State and Territorial Public Health Social Workers

Association of Public Health Laboratories

Association of Schools and Programs of Public Health

Big Cities Health Coalition

CDC Foundation

Council of State and Territorial Epidemiologists

de Beaumont Foundation

National Association of Chronic Disease Directors

National Association of County and City Health Officials

National Association of State Emergency Medical Services Officials

National Network of Public Health Institutes

Prevention Institute

Public Health Accreditation Board

Safe States Alliance

The Kresge Foundation

Trust for America’s Health

                                                   

                                   

                                   

                                            

                                                       

 

                               

                                             

                                                                                                                     

                                                 

TFAH Statement on SCOTUS Decision in Kennedy v. Braidwood Management

(Washington, DC – July 10, 2025) – The U.S. Supreme Court’s ruling in Kennedy v. Braidwood Management, Inc. upheld the constitutionality of a central provision of the Affordable Care Act that mandates no-cost insurance coverage for recommended preventive health services. The decision is an important victory for Americans’ access to the preventive services recommended by the U.S. Preventive Services Task Force (USPSTF) at no cost to the patient.

The decision protects access to lifesaving health screenings, including screenings for cancer and diabetes, preventive screening and treatment for pregnant women, and preventive services for heart disease, and HIV. Access to these screening tools and treatments without cost-sharing is critical to safeguarding and improving Americans’ health. Research has shown that when preventive screening and services require cost-sharing by the patient, fewer people get these screenings or preventive care. Delayed or denied preventive services can lead to worse health outcomes and higher rates of disease.

While the court’s preservation of no-cost access to health screenings and treatments is critical, a second aspect of the decision – affirming that the Secretary of Health and Human Services has the power to “direct and supervise” the work of the USPSTF, including the ability to remove and replace Task Force members at will or potentially reject their recommendations – is concerning.  It is vital that the scientific independence and integrity of the Task Force be upheld.

Trust for America’s Health, with the American Public Health Association, Robert Wood Johnson Foundation, and a coalition of 115 public health and health policy deans and scholars authored an amicus brief to the court outlining the health impacts that the loss of no-cost coverage of preventive health services and screenings would have for the over 150 million Americans who are enrolled in private insurance plans.

 

Missouri, Kansas saw combined drug, alcohol, suicide deaths decline in recent research

(Kansas – June 10, 2025)

Deaths caused by drugs, alcohol and suicide dropped in Missouri and Kansas in 2023, thanks in part to investment in mental health services and data tracking from government agencies, a new report found.

The data analysis from Trust for America’s Health found that Missouri and Kansas tracked nationwide trends when it comes to deaths induced by alcohol, drug overdose or suicide.

Read the article 

Deaths Due to Drug Overdose and Alcohol Are Down Nationally, But Progress is Uneven Across Population Groups and at Risk Due to Cuts in Federal Health Programs

How can progress be sustained and extended to all communities?

(Washington, D.C. – May 28, 2025) – Deaths due to drug overdose and alcohol misuse were down in the United States in 2023 according to Centers for Disease Control and Prevention (CDC) data and newly released CDC 2024 provisional data predict an unprecedented 27 percent one year drop in overdose deaths. These reductions are encouraging and were likely related to a number of factors including investments in primary prevention, mental health, harm reduction, and overdose prevention programs. However, current and proposed federal budget cuts, public health workforce reductions, and proposed federal agency reorganizations are likely to undermine this progress, according to a new report.

Pain in the Nation 2025: The Epidemics of Alcohol, Drug, and Suicide Deaths, released today by Trust for America’s Health, reports that the combined number of deaths from alcohol, drugs, and suicide in the United States declined in 2023 for the second straight year—after two decades in which such deaths increased at an alarming pace.  Still over 200,000 Americans died due to alcohol, drug overdose, or suicide in 2023, twice the rate of such deaths 20 years ago.

The new data highlight the value of investment in mental health and substance use prevention programs – such as ensuring adequate mental health, substance use disorder, and crisis intervention services, access to overdose reversal drugs, and investing in children’s mental health and resilience. The data however also show that much more needs to be done to ensure that the progress against alcohol, drug overdose, and suicide deaths is sustained and that reductions in such deaths are occurring in every community and among all population groups.

“Data show that decades of investment and capacity building in substance use prevention, harm reduction programs, and mental health services have helped reduce associated deaths. The challenge now is to build on these investments and sustain this progress. These programs save lives; their funding should not be cut,” said J. Nadine Gracia, M.D., MSCE, President and CEO of Trust for America’s Health.


Drug overdose rates are declining but still at tragic levels.

In 2023, 105,007 Americans across died from drug overdoses. After precipitous increases in the rate of drug overdose deaths in 2020 and 2021, the 2022 overall overdose mortality rate was virtually unchanged and the 2023 mortality rate was 4 percent lower. Provisional mortality data for 2024 show an unprecedented one-year 27 percent decrease in overdose deaths nationally. Seven states (Louisiana, Michigan, New Hampshire, Ohio, Virginia, West Virginia, and Wisconsin) and Washington D.C. saw the greatest reductions, with declines of 35 percent or more in overdose deaths for the year.

According to public health experts, improved data systems which allow for real-time tracking of substance use and its impacts, the expansion and effectiveness of overdose prevention strategies such as programs to ensure access to naloxone, buprenorphine, and drug-checking tools all played a significant role in bringing down mortality rates.

The improvement was, however, not consistent across all population groups or regions of the country. In 2023, white people were the only racial/ethnic population group that experienced a statistically significant decrease in drug overdose deaths; other population groups had nonsignificant changes or increases. Drug overdose death rates in 2023 were highest among American Indian/Alaska Native people (AI/AN) (65.0 deaths per 100,000 people), adults ages 35 to 54 (57.3 deaths per 100,000 people), Black people (48.5 deaths per 100,000 people), and males (45.6 deaths per 100,000 people).

Alcohol-induced deaths are down.

In 2023, 47,938 Americans died from alcohol-induced causes. The overall age-adjusted alcohol-induced mortality rate decreased by 7 percent from 2022 to 2023 (from 13.5 to 12.6 deaths per 100,000 people). This decrease built on a 6 percent reduction the year prior and crossed nearly all demographic and geographic groups, but such deaths still disproportionately impact some groups. Alcohol-induced death rates in 2023 were highest among AI/AN people (61.5 deaths per 100,000 people), adults ages 55 to 74 (32.5 deaths per 100,000 people), adults ages 35 to 54 (20.2 deaths per 100,000 people), and males (18.1 deaths per 100,000 people).

Suicide deaths unchanged.

The U.S. overall suicide mortality rate remained virtually identical from 2022 to 2023 (14.2 and 14.1 deaths per 100,000 people, respectively). In 2023, 49,316 Americans died from suicide. Age-adjusted suicide rates in 2023 were highest among AI/AN people (23.8 deaths per 100,000 people), males (22.7 deaths per 100,000 people), and adults ages 75 and older (20.3 deaths per 100,000 people).

Budget rescissions and future cuts to prevention programs will cost lives.

While these data demonstrate real progress, the public health community is united in its concern about progress reversals due to cutbacks in federal investment in health promotion, crisis intervention, and overdose prevention programs. For example, staff and funding for the CDC Injury Center have been drastically reduced, and the Center is proposed for elimination in the Administration’s budget request for fiscal year (FY) 2026. The Injury Center conducts research and collects data. Approximately 80 percent of its funding goes to states and other entities for prevention of overdoses, suicide, and adverse childhood experiences (ACEs). Additionally, the Substance Abuse and Mental Health Services Administration (SAMHSA) has experienced major staffing reductions including staff working on the 988 Suicide & Crisis Lifeline, and a potential $1.07 billion funding cut for FY 2026. The Administration has proposed folding some remaining SAMHSA and Injury Center programs into a new Administration for a Healthy America.  These actions followed the Administration’s claw-back of billions of dollars in public health funding already at work in states and communities across the country, including for suicide prevention.

The Pain in the Nation report calls for sustained investment in prevention and harm reduction programs and includes recommendations on actions federal and state policymakers should take including:

  • Protect and bolster investment in public health and behavioral health systems and injury and violence prevention programs to improve mental health and well-being for all Americans.
  • Continue to improve programs, like CDC’s Overdose Data to Action, to track emerging trends by geographic, demographic, and drug type metrics to guide local, state, and national responses and to prevent overdoses and deaths in real time.
  • Focus on underlying drivers of substance use disorder through early intervention and prevention policies including expanding resiliency and substance use prevention programs in schools and increasing access to social and mental health services for children and families.
  • Maximize harm reduction strategies and substance use disorder treatments to reduce overdose risk, and support efforts to limit access to lethal means of suicide.
  • Bolster the continuum of crisis intervention programs and expand the mental health and substance use treatment workforce. Build community capacity to ensure access to mental health and substance use treatment for anyone needing such services.

Read the full report

 

Trust for America’s Health is a nonprofit, nonpartisan public health policy, research, and advocacy organization that promotes optimal health for every person and community and makes the prevention of illness and injury a national priority. Trust for America’s Health (tfah.org)

 

 

Las muertes a causa de sobredosis por drogas y alcohol disminuyen a nivel país, pero el avance es desigual entre los grupos poblacionales y está en riesgo por los recortes en los programas sanitarios a nivel federal

¿Cómo se puede mantener y ampliar el avance para todas las comunidades?

(Washington, D.C., 28 de mayo de 2025). Las muertes a causa de sobredosis por drogas y abuso de alcohol disminuyeron en los Estados Unidos en 2023, según datos de los Centros para el control y prevención de enfermedades (CDC) y de los últimos datos provisorios publicados por los CDC en 2024, en donde que estima una baja sin precedentes del 27 % en un año en las muertes por sobredosis. Estas disminuciones son alentadoras y probablemente se relacionaron con una serie de factores, entre los que se incluyen las inversiones en prevención primaria, la salud mental, la reducción de riesgos y los programas de prevención de sobredosis. No obstante, los recortes presupuestarios actuales y propuestos a nivel federal, la reducción de la fuerza laboral de la salud pública y la reorganización propuesta de las agencias federales probablemente perjudiquen este avance, según un nuevo informe.

El informe Pain in the Nation 2025: the Epidemics of Alcohol, Drug, and Suicide Deaths (Dolor en el país 2025: la epidemia de muertes por alcohol, drogas y suicidio), que hoy publica Trust for America’s Health, expone que la cantidad conjunta de decesos a causa del alcohol, las drogas y los suicidios en los Estados Unidos disminuyeron en 2023 por segundo año consecutivo, tras dos décadas en las cuales tales decesos aumentaban a un ritmo alarmante. Aun así, más de 200.000 estadounidenses murieron a causa de sobredosis por alcohol, drogas o suicidio en 2023, el doble de la tasa por tales causas de muerte de hace 20 años atrás.

Estos nuevos datos ponen de manifiesto el valor de la inversión en salud mental y en los programas de prevención de consumo de sustancias como, por ejemplo, garantizar el acceso a los servicios correspondientes de salud mental, trastorno por consumo de sustancias e intervención por crisis, acceso a medicamentos que revierten la sobredosis, y la inversión en la salud mental y la resiliencia de los niños. No obstante, en los datos también se observa que se necesita hacer mucho más para garantizar que el avance contra las muertes a causa del alcohol, las drogas y el suicidio se mantengan, además de que las disminuciones logradas respecto a tales decesos están produciéndose en cada una de las comunidades y entre todos los grupos poblacionales.

“Los datos demuestran que en las décadas de inversión y desarrollo de capacidades con respecto a la prevención del consumo de sustancias, los programas de reducción de riesgos y los servicios de salud mental ayudaron a disminuir las muertes relacionadas con este flagelo. Actualmente, el desafío consiste en basarse en estas inversiones y mantener este avance. Con estos programas se salvan vidas, y no se debería recortar su financiamiento”, declaró Nadine Gracia, M.D., MSCE, presidenta y directora general de Trust for America’s Health.

 

Las tasas de sobredosis por drogas disminuyen, pero aún estamos en niveles trágicos.

En 2023, 105.007 estadounidenses en todo el país murieron a causa de sobredosis por drogas. Tras los aumentos precipitados en la tasa de muertes por sobredosis en 2020 y en 2021, la tasa general de mortalidad por sobredosis en 2022 no se modificó prácticamente y la tasa de mortalidad en 2023 fue un 4 por ciento menor. Los datos de mortalidad provisorios durante 2024 indican una disminución sin precedentes en un año del 27 por ciento en las muertes por sobredosis a nivel nacional. Se observaron en siete estados (Luisiana, Michigan, New Hampshire, Ohio, Virginia, West Virginia, y Wisconsin) y en Washington D.C. las disminuciones más importantes al tener bajas del 35 por ciento o más en muertes por sobredosis durante el año.

Según expertos en salud pública, los sistemas de datos mejorados que permiten hacer un seguimiento en tiempo real del consumo de sustancias y sus efectos, la ampliación y la eficacia de estrategias de prevención de sobredosis como los programas que garantizan el acceso a la naloxona y a la buprenorfina, o herramientas de control de drogas, tuvieron en conjunto un papel importante en la baja de las tasas de mortalidad.

No obstante, la mejora no fue uniforme en todos los grupos poblacionales ni regiones del país. En 2023, la población blanca fue el único grupo poblacional que tuvo una disminución estadísticamente significativa con respecto a las muertes por sobredosis de drogas; otros grupos poblacionales tuvieron cambios poco significativos o aumentos. Las tasas de muerte por sobredosis de drogas en 2023 fueron las más altas en los grupos poblacionales indoamericano y nativos de Alaska (AI/AN) (65 muertes por cada 100.000 habitantes), en adultos de 35 a 54 años (57,3 muertes por cada 100.000 habitantes), en la población de color (48,5 muertes por cada 100.000 habitantes), y en los hombres (45,6 muertes por cada 100.000 habitantes).

Disminución de las muertes inducidas por el alcohol

En 2023, 47.938 estadounidenses murieron por causas inducidas por el alcohol. La tasa general de mortalidad inducida por el alcohol ajustada por edad disminuyó en un 7 por ciento de 2022 a 2023 (de 13,5 a 12,6 muertes por cada 100.000 habitantes). Esta reducción se acumuló a un 6 por ciento de disminución del año anterior y atravesó a casi todos los grupos demográficos y geográficos, aunque dichas muertes aún afectan de manera desproporcionada a determinados grupos. Las tasas de muerte inducidas por el alcohol en 2023 fueron las más altas en los grupos poblacionales IA/NA (61,5 muertes por cada 100.000 habitantes), en adultos de 55 a 74 años (32,5 muertes por cada 100.000 habitantes), en adultos de 35 a 54 años (20,2 muertes por cada 100.000 habitantes), y en los hombres (18,1 muertes por cada 100.000 habitantes).

Sin cambios en las muertes por suicidio

La tasa de mortalidad general por suicidio en los Estados Unidos sigue prácticamente igual de 2022 a 2023 (14,2 y 14,1 muertes por cada 100.000 habitantes, respectivamente). En 2023, 49.316 estadounidenses murieron por causas del suicidio. Las tasas de muerte por suicidio ajustada por edad en 2023 fueron las más altas en los grupos poblacionales AI/AN (23,8 muertes por cada 100.000 habitantes), en los hombres (22,7 muertes por cada 100.000 habitantes), y en los adultos de 75 años o más (20,3 muertes por cada 100.000 habitantes).

La cancelación de presupuestos y los recortes futuros en los programas de prevención costarán vidas

Si bien con estos datos se demuestran avances reales, la comunidad de la salud pública se encuentra unida en esta preocupación con respecto a los cambios en los avances debido a los recortes en la inversión federal relacionados con la promoción de la salud, la intervención en situaciones de crisis y los programas de prevención de sobredosis. Por ejemplo, el personal y la financiación del Centro de Lesiones de los CDC sufrieron una reducción drástica y se ha propuesto eliminar al Centro en la solicitud de presupuesto del gobierno para el año fiscal 2026. El Centro de Lesiones lleva a cabo investigaciones y recopila datos. Aproximadamente, el 80 por ciento de su financiación se destina a los estados y demás entidades para la prevención de sobredosis, suicidios y experiencias infantiles negativas (ACE).

Asimismo, la Administración de Servicios de Salud Mental y Abuso de Sustancias (SAMHSA) ha sufrido importantes reducciones en su dotación de personal, lo que incluyó personal que trabajaba en la Línea 988 de atención al suicidio y situaciones de crisis y un potencial recorte de presupuesto de 1,07 mil millones para el año fiscal 2026. El gobierno propuso incorporar a los programas que queden de la SAMHSA y del Centro de Lesiones en la nueva Administración para unos Estados Unidos Saludables. Estas acciones siguieron a la recuperación del gobierno de miles de millones de dólares de financiación a la salud pública que ya estaban en marcha en los estado y comunidades de todo el país, incluida la prevención del suicidio.

En el informe Pain in the Nation, se llama a una inversión constante en los programas de prevención y reducción de riesgos y se incluyen recomendaciones sobre medidas que los representantes políticos a nivel federal y estatal deberían tomar, entre las que se incluyen:

  • Proteger y apoyar las inversiones en los sistemas de salud pública y conductual y en programas de prevención de lesiones y violencia a fin de mejorar la salud mental y el bienestar de todos los ciudadanos de los Estados Unidos;
  • Seguir mejorando los sistemas de datos, como Datos de sobredosis para la acción de los CDC, para hacer el seguimiento de las tendencias emergentes según las métricas geográficas, demográficas y por tipo de droga con el fin de orientar las respuestas a nivel local, estatal y nacional y prevenir casos de sobredosis y muertes en tiempo real;
  • Enfocarse en las causas subyacentes de los trastornos por consumo de sustancias por medio de la intervención temprana y políticas de prevención incluidos los programas de ampliación de resiliencia y prevención de consumo de sustancias en las escuelas y aumento del acceso a servicios sociales y de salud mental para los niños y sus familias;
  • Maximizar las estrategias de reducción de riesgos y los tratamientos de trastornos por consumo de sustancias a fin de disminuir el riesgo de sobredosis, y dar apoyo a las iniciativas para limitar el acceso a medios fatales de suicidio;
  • Respaldar la continuidad de los programas de intervención de crisis y ampliar la dotación de personal para que brinde tratamiento de salud mental y por consumo de sustancias; Desarrollar la capacidad en la comunidad para garantizar el acceso a los servicios de salud mental y consumo de sustancias para todos los que necesiten estos servicios.

Lea el informe completo en: https://www.tfah.org/report-details/pain-in-the-nation-2025/

 

Trust for America’s Health es una organización sin fines de lucro no partidaria relacionada con políticas, investigación y defensa de la salud pública que fomenta la salud óptima para cada una de las personas y comunidades, y prioriza la prevención de enfermedades y lesiones a nivel nacional. Trust for America’s Health (tfah.org)

FY 26 Budget Reconciliation Proposal Threatens Americans’ Health and the Nation’s Economic Security

Statement from J. Nadine Gracia, M.D., MSCE, Trust for America’s Health President and CEO

The budget reconciliation legislation being considered in the House of Representatives would have detrimental consequences for the health and economic security of our country. Access to healthcare, nutrition, and clean air are essential to the health of every family and community and are being jeopardized by proposed program cuts.

The proposed budget savings in the bill would result in millions of Americans losing access to healthcare, including through Medicaid. The nonpartisan Congressional Budget Office estimates that the legislation would increase the number of uninsured people by at least 13.7 million by 2034 compared to the status quo — ultimately resulting in a 30 percent increase in the nation’s uninsured rate. This reversal would come after 15 years of progress in increasing coverage rates since the implementation of the Affordable Care Act.

These changes will lead to needless increased health risks for numerous population groups including children, older adults, people with disabilities, pregnant women, and people with behavioral health conditions. Taking away health insurance means fewer people have access to primary care and preventive services, such as cancer and blood pressure screenings. Preventable and manageable health conditions will lead to acute emergencies which will not only increase suffering but will also increase healthcare spending. Furthermore, additional healthcare facilities in rural areas will close due to higher rates of uncompensated care, and cuts to Medicaid will threaten access to pediatric care at children’s hospitals. More people will face medical bankruptcy. The costs of coverage losses are borne by all of us through higher individual payments and increased national spending on healthcare.

The legislation also would enact the largest cut to the Supplemental Nutrition Assistance (SNAP) program in history. Shifting additional benefit costs to states will lead to states either cutting program benefits or substantially limiting eligibility. Not only is SNAP a successful nutrition and food security program, it is also an effective anti-poverty program.

Finally, the bill would loosen pollution standards, eliminate block grants for communities to reduce pollution, and cut pollution monitoring programs while pulling back investments in clean energy. Air pollution is linked to stroke, aggravated asthma, and poor birth outcomes. The health-related spending from pollution and climate change is estimated to cost the U.S. $820 billion per year.

These cuts alone would bring more harm to the health and well-being of our nation, but when paired with the weakening of public health infrastructure due to recent federal budget and workforce reductions, they will lead to increased healthcare spending, higher individual healthcare costs, and worsening health. We urge all Representatives to vote no on this legislation and work in a bipartisan manner to assure the health of the nation.

 

Dr. J. Nadine Gracia on States Public Health Emergency Preparedness

(Washington DC – April 2025)

J. Nadine Garcia M.D. is a President and CEO for the Trust for America’s Health (TFAH) with one video in the C-SPAN Video Library; the first appearance was a 2025 call-in on TFAH’s release of the Pain in the Nation report.

Listen to the interview

Statement of J. Nadine Gracia, M.D., MSCE, President and CEO, Trust for America’s Health on HHS Reorganization, Reductions in Force, and Public Health Funding Cuts

(Washington, DC – April 4, 2025) – Trust for America’s Health, a nonpartisan, nonprofit public health policy, research, and advocacy organization, is deeply concerned about the announced reorganization of federal health agencies and the broad and immediate impact of reductions in force across the U.S. Department of Health and Human Services (HHS).  The impact of these actions will be heightened by the Administration’s decision to pull back public health funding already at work in states and local communities at a time when the country is experiencing infectious disease outbreaks, including measles cases in 20 jurisdictions and bird flu, rising rates of chronic disease, and devastating hurricanes, tornadoes, and wildfires.

Our serious concern is that these actions will negatively impact Americans’ health. Health that is now at greater risk due to what will be slower and less effective responses to disease outbreaks and environmental disasters, and fewer programs to surge public health and healthcare capacity in response to emergencies, ensure vaccine access, support mental health and prevent drug overdose, safeguard the food supply, and address the nation’s chronic disease crisis.

The federal government plays a critical role in securing the nation’s health through the work and expertise of numerous HHS agencies affected by these changes, such as the Centers for Disease Control and Prevention (CDC), the Food and Drug Administration (FDA), the National Institutes of Health (NIH), the Administration for Strategic Preparedness and Response (ASPR), the Substance Abuse and Mental Health Services Administration (SAMHSA), and the Office of the Assistant Secretary for Health (OASH). It also includes offices and institutes dedicated to addressing health disparities, such as my former office, the HHS Office of Minority Health whose statutory mission is to provide national leadership, resources, and coordination to improve the health of racial and ethnic minority populations and to eliminate health disparities.

Congress has long indicated its intent for federal agencies to undertake activities to protect and advance the nation’s health through authorizing and appropriations legislation. Fundamental changes impacting the Department’s ability to execute activities and programs directed by Congress should be made through a deliberate process involving Congress.

CDC’s comprehensive mission and expertise save lives. Congress has directed CDC to work on infectious and non-infectious diseases and conditions through authorizing legislation and appropriations bills. As an example, the bipartisan PREVENT Pandemics Act (P.L. 117-328) defined the obligations of the CDC Director to be “investigation, detection, identification, prevention, or control of diseases or conditions to preserve and improve public health domestically and globally and address injuries and occupational and environmental hazards.”  The reported loss of CDC’s staff expertise to prevent chronic disease, birth defects, injuries, environmental hazards, and other leading causes of death and disability will directly impact the ability of the Department to carry out these important activities.

Furthermore, about 80 percent of CDC’s domestic budget goes directly to states, localities, tribal organizations, community and faith-based organizations, universities, healthcare systems, and other partners. When emergencies happen, the expertise of CDC staff and the funding and technical assistance CDC provides to state and local health departments are critical to waging an effective response. That was the case when Hurricane Helene hit North Carolina and Tennessee, during the East Palestine, Ohio train derailment, and the Los Angeles area wildfires. Cuts to CDC make every community more vulnerable to health threats and would be particularly detrimental to local public health infrastructure in rural communities and other underserved areas.

Dozens of states have estimated their funding losses based on the announced claw-back of pandemic era funding, funding intended to help states not only protect against COVID-19 infections but also build their disease detection infrastructure to protect residents during future health emergencies. The abrupt cancellation of these funds is impacting critical on-the-ground health protection activities, including bird flu testing, measles vaccinations, the electronic data systems that make the sharing of information between healthcare facilities and public health agencies more timely and efficient, public health laboratory modernization, bioterrorism preparedness, and programs to support mental health and prevent suicide and substance misuse. These cuts won’t only be felt in Washington, DC, or Atlanta—the Texas Department of State Health Services is losing nearly $877 million in funding, including staff and laboratories that are critical to its measles response. The Arkansas Department of Health, Human Services, and Education reports that it lost over $179 million in federal funding. Colorado reports losing more than $230 million, Illinois reports losing more than $400 million, Michigan reports losing more than $390 million, and Minnesota will lose approximately $200 million.

TFAH is dedicated to improving the nation’s health. The Administration’s goal of lowering rates of chronic disease in the U.S. is an important one. We want to work with the Administration and Congress on implementing evidence-based solutions to preventing and addressing chronic disease and other health challenges facing the country, as outlined in our Blueprint for Strengthening Public Health for the New Administration and Congress report. Our immediate appeal to federal policymakers, including Secretary Kennedy, is to not dismantle the nation’s health promotion infrastructure without careful review and input from Congress and health experts on how to make systems more effective and efficient while also adhering to the foundational ethos of medicine: first, do no harm.

Trust for America’s Health is a nonprofit, nonpartisan public health policy, research, and advocacy organization that promotes optimal health for every person and community and makes the prevention of illness and injury a national priority.