Sending Office: Honorable Debbie Dingell
Sent By:

Cosigners: Gregorio Kilili Camacho Sablan, Eleanor Holmes Norton, Jerrold Nadler, Pramila Jayapal, Joe Courtney, Seth Moulton, Adriano Espaillat, Sheila Jackson Lee, Steve Cohen, Terri A. Sewell, Al Green, Nydia M. Velázquez

**This is a programmatic appropriations request**

Instructions will be provided for online data entry

Deadline: Tuesday, March 13th COB

Dear Colleague,

Please join in supporting increased funding for the Hospital Preparedness Program (HPP) in the FY 2019 Labor, Health and Human Services, Education, and Related Agencies Appropriations bill. Over the last year we have experienced emergencies and disasters
on a scale we have never seen before—including hurricanes, droughts, and wildfires. Investing more in readiness and preparedness today will go a long way to harden our health care system tomorrow.

Created after September 11th, the HPP program has served as a vital tool for hospitals and regional health care systems to improve their abilities and capabilities before the worst happens. Through grants and the creation of regional health care
coalitions, this important program incentivizes diverse and competitive communities with different needs to work together to improve emergency preparedness.

Since 2004, we have seen funding for the HPP program erode to half of what it once was. Today we are at a seriously low and concerning level. We have already witnessed devastating consequences of not being prepared. Hospitals, nursing homes, and long-term
care facilities have experienced supply shortages, flooding, and power failures leading to difficult and challenging consequences, including the heartbreaking loss of life. By increasing funding we can properly prepare and harden our health care system—one
of 16 critical infrastructure sectors designated by the U.S. Department of Homeland Security.

With new and increased threats facing hospitals and our public health, increased funding for the HPP program in fiscal year 2019 is needed more than ever to prepare ahead. To sign on or should you have any questions, please contact Kevin Rambosk (
in my office at 5-5664. Thank you in advance for your consideration.




Member of Congress


March 16, 2018


The Honorable Tom Cole


House Committee on Appropriations

Subcommittee on Labor, Health and Human Services, Education, and Related Agencies

H-305 U.S. Capitol

Washington, D.C. 20515


The Honorable Rosa Delauro

Ranking Member

House Committee on Appropriations

Subcommittee on Labor, Health and Human Services, Education, and Related Agencies

1016 Longworth House Office Building

Washington, D.C. 20515


Dear Chairman Granger and Ranking Member Visclosky:

Thank you to the members of the Subcommittee for continuing to recognize the need for public health and health care system emergency preparedness funding.  As you consider the Fiscal Year 2019 Labor, Health and Human Services, Education, and Related Agencies
Appropriations bill, we write to express our support for increased funding for the Hospital Preparedness Program (HPP) at the U.S. Department of Health and Human Services.

Following 2017, a year in which we experienced record-setting natural disasters that included extreme hurricanes, droughts, and wildfires, Congress must do everything we can to ensure our health care system has the resources needed to prepare and respond
effectively to all future threats.  As a designated critical infrastructure sector by the Department of Homeland Security, hospitals face increased risks from future disasters, infectious diseases outbreaks, bioterrorism, superbugs, and antibiotic resistance.

The HPP program is an important tool that helps health systems prepare for the worst from a wide array of threats.  It was first created after September 11th and is the only federal funding source that supports efforts by regional health care
systems to improve preparedness against all threats.  The program establishes important grants and regional health care coalitions (HCC) that incentivize diverse and often competitive health care organizations with differing priorities to work together to
focus on the common needs of the communities and regions that they serve.  The coalitions vary in size and scope—over 475 HCC’s exist nationwide and include more than 31,000 members.  Additionally, with the Center for Medicare and Medicaid Services’ implementing
a new emergency preparedness rule, it is clear that health systems need to do more.  The HPP program would help more hospitals and health care coalitions meet their preparedness goals.

Investing more in the HPP program will help us bolster a critical infrastructure sector and strengthen preparedness and readiness across our health care system.  We ask that the committee consider funding the annual appropriation for the Hospital Preparedness
Program at increased levels.  Thank you in advance for considering this request and for your continuing support.



Debbie Dingell

Member of Congress

Related Legislative Issues

Selected legislative information: Appropriations, HealthCare, Homeland Security

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