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Indiana gets bad grade in public health spending
Indiana 49th in federal funds for programs and in state cash spent on public health, group says
* t# c) P. E# `, c  `1 B6 LBy Maureen Groppe / Star Washington BureauPosted: April 5, 2008WASHINGTON -- Indiana ranks second-to-last in federal funding for certain health programs as well as for the amount of state money spent on public health, according to a report from a health watchdog group.

& i+ g5 c# r% Z7 r2 M/ vIndiana received $87 million, or $13.69 per person, in competitive grants and formula funding from the U.S. Centers for Disease Control and Prevention in 2007, according to Trust for America's Health, a Washington-based nonprofit. The group, which produced the report with a grant from the Robert Wood Johnson Foundation, said only Kansas ranked lower, at $13.61 per person.
4 N: v8 P! b( f- PWhen Gov. Mitch Daniels campaigned for his office in 2004, he said he would put more emphasis on winning federal grants, including health-care grants."We are the last state in America in grants from the federal government in the area of health," Daniels said during a campaign debate. "We are leaving tens of millions of dollars on the table in this critical area of health care simply because other states have mobilized to seek those funds, and no one was minding the store."
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Indiana ranked last in CDC grants in 2004 at $9.61 per person. Since then, the state has increased its per capita funding and moved up one position.

+ s/ t( n! @* [" t0 w5 s"The governor will always push for more," Daniels' spokeswoman, Jane Jankowski, said Friday.

. L% j# Q. L# ]4 e) G# mShe said the state's health commissioner, Dr. Judy Monroe, and her team have started to "build relationships with the CDC that have languished for some time."

"We would expect that Indiana will see the results of these efforts in future years," Jankowski said.
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Monroe said in a statement that the Department of Health continues "to work closely with the federal, state and local partners to secure funding which will allow us to achieve our public health goals."

8 G! V5 ^  r0 C4 ~, qPrograms for which Indiana received money last year included cancer prevention, chronic disease prevention and health promotion, diabetes control, immunizations and bioterrorism preparedness.
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8 U/ W0 U9 @+ O7 a( M4 M: l# pSome CDC funds are distributed to states based on formulas that take into account such factors as population and disease rates.

But Trust for America's Health said states get most of their funding through competitive grants.

The group found that Midwestern states overall received the least funding of any region.

"Every American should have the opportunity to be as healthy as he or she can be," said Jeff Levi, the group's executive director. "If we're serious about improving the health of Americans, we need to make a much bigger investment in disease prevention efforts in every state and every region."

% U) X1 t1 A- w. @9 n% GIndiana also ranked 49th in the amount of state money spent on public health.
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* f/ v0 @6 s# j1 oHealth initiatives started by Daniels include a statewide promotion of healthier living. A new insurance program that helps low-income Hoosiers sign up for drug companies' free or reduced-price prescription drug programs is financed by an increase in the cigarette tax.

  r% s7 x9 X; T! z' ^! dIndiana ranks fifth in the nation for the percentage of adults who smoke and ninth for the percentage of obese adults.

The percentage of Hoosiers without health insurance -- about 12 percent -- is below the national average.
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