The Public Health Infrastructure Saves Lives Act directs the federal government to strengthen public health systems nationwide by establishing a grant program through the Centers for Disease Control and Prevention. State, territorial, and local health departments serving 500,000 or more people would receive guaranteed funding based on population size, disease burden, and poverty rates, while other health departments could compete for additional grants. The legislation requires at least 50 percent of funds go to guaranteed grants and at least 30 percent to competitive grants, with state health departments required to allocate at least 25 percent of their funding to local health departments. The bill defines core public health infrastructure broadly to include disease surveillance, emergency preparedness, policy development, communications, community partnerships, organizational leadership, financial management, and efforts to reduce health disparities. Funding begins at 750 million dollars in fiscal year 2024 and increases to 4.5 billion dollars annually by 2028, with health departments required to meet accreditation standards by 2027 unless granted a waiver, and grants can only supplement rather than replace existing state and local public health funding.
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