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Marc Garufi: National Chlamydia Coalition Presentation


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Presented by Marc Garufi, Chief, Public Health Branch, Office of Management and Budget (OMB), Executive Office of the President at the 2012 National Chlamydia Coalition meeting.

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Marc Garufi: National Chlamydia Coalition Presentation

  1. 1. National Chlamydia Coalition January 26, 2012 Marc Garufi, Chief, Public Health Branch Office of Management and Budget (OMB), Executive Office of the President *The following views are of the presenter only and do not represent the official position of the Executive Office of the President.
  2. 2. Perspectives on OMB <ul><li>One of the interesting things about OMB is that it is unexplainable to everyone who lives outside of the Beltway and misunderstood by nearly everyone who lives inside the Beltway.” Paul O'Neill, Former Treasury Secretary and OMB Deputy Director </li></ul><ul><li>“ If I can get … support for my idea … it goes over to the supergod called the OMB. And they vote you down 9 times out of 10 just to show you who the boss is.” – Tommy Thompson, former HHS Secretary </li></ul>
  3. 3. OMB’s Mission <ul><li>Assists the President in overseeing the preparation of the federal budget. </li></ul><ul><li>Evaluates the effectiveness of agency programs, policies, and procedures, assesses competing funding demands among agencies, and sets funding priorities. </li></ul><ul><li>Reviews agency reports, rules, testimony, and proposed legislation for consistency with the President's Budget. </li></ul><ul><li>Oversees and coordinates the Administration's procurement, financial management, information, and regulatory policies. </li></ul>
  4. 5. Budget Process <ul><li>Schedule </li></ul><ul><ul><li>Executive Branch: September – February </li></ul></ul><ul><ul><li>Congressional Branch: February - ? </li></ul></ul><ul><li>Process: Budget Resolution; Authorizing Committees; Appropriations Committees </li></ul><ul><li>Key Players: </li></ul><ul><ul><li>HHS Secretary; Agency Head; OMB; White House Councils; Stakeholders </li></ul></ul><ul><ul><li>Congress: Members; staff; Stakeholders </li></ul></ul>
  5. 6. CDC Budget 2008-2012
  6. 7. CDC’s 2012 Budget
  7. 8. Sexual Health Funding
  8. 9. Health Reform: Public Health <ul><li>Coverage/access expansion from bottom up (Medicaid) to middle down (Exchanges) </li></ul><ul><li>Expansion of Preventive Benefits under Health Reform </li></ul><ul><li>How does Public Health Change after Health Reform? In 2012, more questions than answers: </li></ul><ul><ul><li>Can S/L Health Departments become more like provides (e.g., billing, electronic health records)? </li></ul></ul><ul><ul><li>How significant is shift away from direct services (e.g., immunizations)? </li></ul></ul><ul><ul><li>How to define Preventive Benefits? What about in case of communicable diseases? </li></ul></ul><ul><ul><li>What is public health’s continued role in assisting individuals with connective/support services? </li></ul></ul><ul><ul><li>How will public health’s role change for emergency/emerging health crisis? </li></ul></ul>
  9. 10. Budgeting for Public Health Post Reform <ul><li>Budget Control Act </li></ul><ul><ul><li>Discretionary Caps </li></ul></ul><ul><ul><li>Sequestration </li></ul></ul><ul><li>Federal Spending for Safety Net </li></ul><ul><li>State Budgets </li></ul><ul><li>Federal Elections </li></ul>