How Is CDC Funded to Respond to Public Health Emergencies? Federal Appropriations and Budget Execution Process for Non–Financial Experts
Identifieur interne : 000692 ( Pmc/Curation ); précédent : 000691; suivant : 000693How Is CDC Funded to Respond to Public Health Emergencies? Federal Appropriations and Budget Execution Process for Non–Financial Experts
Auteurs : Leah S. Fischer ; Scott Santibanez ; Greg Jones ; Bethany Anderson ; Toby MerlinSource :
- Health Security [ 2326-5094 ] ; 2017.
Abstract
The federal budgeting process affects a wide range of people who work in public health, including those who work for government at local, state, and federal levels; those who work with government; those who operate government-funded programs; and those who receive program services. However, many people who are affected by the federal budget are not aware of or do not understand how it is appropriated or executed. This commentary is intended to give non–financial experts an overview of the federal budget process to address public health emergencies. Using CDC as an example, we provide: (1) a brief overview of the annual budget formulation and appropriation process; (2) a description of execution and implementation of the federal budget; and (3) an overview of emergency supplemental appropriations, using as examples the 2009 H1N1 influenza pandemic, the 2014-15 Ebola outbreak, and the 2016 Zika epidemic. Public health emergencies require rapid coordinated responses among Congress, government agencies, partners, and sometimes foreign, state, and local governments. It is important to have an understanding of the appropriation process, including supplemental appropriations that might come into play during public health emergencies, as well as the constraints under which Congress and federal agencies operate throughout the federal budget formulation process and execution.
Url:
DOI: 10.1089/hs.2017.0009
PubMed: 28574728
PubMed Central: 5510675
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PMC:5510675Le document en format XML
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<series><title level="j">Health Security</title>
<idno type="ISSN">2326-5094</idno>
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<front><div type="abstract" xml:lang="en"><p>The federal budgeting process affects a wide range of people who work in public health, including those who work for government at local, state, and federal levels; those who work with government; those who operate government-funded programs; and those who receive program services. However, many people who are affected by the federal budget are not aware of or do not understand how it is appropriated or executed. This commentary is intended to give non–financial experts an overview of the federal budget process to address public health emergencies. Using CDC as an example, we provide: (1) a brief overview of the annual budget formulation and appropriation process; (2) a description of execution and implementation of the federal budget; and (3) an overview of emergency supplemental appropriations, using as examples the 2009 H1N1 influenza pandemic, the 2014-15 Ebola outbreak, and the 2016 Zika epidemic. Public health emergencies require rapid coordinated responses among Congress, government agencies, partners, and sometimes foreign, state, and local governments. It is important to have an understanding of the appropriation process, including supplemental appropriations that might come into play during public health emergencies, as well as the constraints under which Congress and federal agencies operate throughout the federal budget formulation process and execution.</p>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Health Secur</journal-id>
<journal-id journal-id-type="iso-abbrev">Health Secur</journal-id>
<journal-id journal-id-type="publisher-id">hs</journal-id>
<journal-title-group><journal-title>Health Security</journal-title>
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<issn pub-type="ppub">2326-5094</issn>
<issn pub-type="epub">2326-5108</issn>
<publisher><publisher-name>Mary Ann Liebert, Inc.</publisher-name>
<publisher-loc>140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA</publisher-loc>
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<article-categories><subj-group subj-group-type="heading"><subject>Commentary</subject>
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<title-group><article-title>How Is CDC Funded to Respond to Public Health Emergencies? Federal Appropriations and Budget Execution Process for Non–Financial Experts</article-title>
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<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Fischer</surname>
<given-names>Leah S.</given-names>
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<contrib contrib-type="author"><name><surname>Santibanez</surname>
<given-names>Scott</given-names>
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<contrib contrib-type="author"><name><surname>Jones</surname>
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<contrib contrib-type="author"><name><surname>Anderson</surname>
<given-names>Bethany</given-names>
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<contrib contrib-type="author"><name><surname>Merlin</surname>
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<author-notes><fn id="fn1" fn-type="other"><p>Leah S. Fischer, PhD, is a Health Scientist; Scott Santibanez, MD, is Associate Director for Science; Greg Jones, MPA, is Senior Advisor for Program Integration; and Toby Merlin, MD, is Director; all in the Division of Preparedness and Emerging Infections, Centers for Disease Control and Prevention, Atlanta, Georgia. Bethany Anderson, MS, is Senior Public Health Advisor, Office of Appropriations, Centers for Disease Control and Prevention, Atlanta. The contents of this work are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.</p>
</fn>
<corresp><addr-line>Address correspondence to:</addr-line>
<addr-line><italic>Leah S. Fischer, PhD, MBA</italic>
</addr-line>
<addr-line><italic>Health Scientist</italic>
</addr-line>
<addr-line><italic>Division of Preparedness and Emerging Infections</italic>
</addr-line>
<addr-line><italic>National Center for Emerging & Zoonotic Infectious Diseases</italic>
</addr-line>
<addr-line><italic>1600 Clifton Rd. NE</italic>
</addr-line>
<institution><italic>Centers for Disease Control and Prevention</italic>
</institution>
<addr-line><italic>Atlanta, GA 30329-4018</italic>
</addr-line>
<italic>Email:</italic>
<email xlink:href="mailto:lsfischer@cdc.gov">lsfischer@cdc.gov</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><day>01</day>
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<pmc-comment>string-date: May/June 2017</pmc-comment>
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<pub-date pub-type="pmc-release"><day>01</day>
<month>6</month>
<year>2017</year>
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<pmc-comment> PMC Release delay is 0 months and 0 days and was based on the . </pmc-comment>
<volume>15</volume>
<issue>3</issue>
<fpage>307</fpage>
<lpage>311</lpage>
<history><date date-type="received"><day>30</day>
<month>1</month>
<year>2017</year>
<pmc-comment>string-date: Manuscript received January 30, 2017</pmc-comment>
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<date date-type="rev-recd"><day>23</day>
<month>2</month>
<year>2017</year>
<pmc-comment>string-date: revision returned February 23, 2017</pmc-comment>
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<date date-type="accepted"><day>01</day>
<month>3</month>
<year>2017</year>
<pmc-comment>string-date: accepted for publication March 1, 2017</pmc-comment>
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<permissions><copyright-statement>Copyright 2017, Mary Ann Liebert, Inc.</copyright-statement>
<copyright-year>2017</copyright-year>
</permissions>
<self-uri content-type="pdf" xlink:type="simple" xlink:href="hs.2017.0009.pdf"></self-uri>
<abstract><p>The federal budgeting process affects a wide range of people who work in public health, including those who work for government at local, state, and federal levels; those who work with government; those who operate government-funded programs; and those who receive program services. However, many people who are affected by the federal budget are not aware of or do not understand how it is appropriated or executed. This commentary is intended to give non–financial experts an overview of the federal budget process to address public health emergencies. Using CDC as an example, we provide: (1) a brief overview of the annual budget formulation and appropriation process; (2) a description of execution and implementation of the federal budget; and (3) an overview of emergency supplemental appropriations, using as examples the 2009 H1N1 influenza pandemic, the 2014-15 Ebola outbreak, and the 2016 Zika epidemic. Public health emergencies require rapid coordinated responses among Congress, government agencies, partners, and sometimes foreign, state, and local governments. It is important to have an understanding of the appropriation process, including supplemental appropriations that might come into play during public health emergencies, as well as the constraints under which Congress and federal agencies operate throughout the federal budget formulation process and execution.</p>
</abstract>
<kwd-group kwd-group-type="author"><title><bold>Keywords:</bold>
</title>
<kwd>Public health preparedness/response</kwd>
<kwd>Legislative issues</kwd>
<kwd>Legal aspects</kwd>
<kwd>Epidemic management/response</kwd>
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