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 June 21, 2010

HHS Announces Initial Allocations from $500 Million Prevention Fund
Last week, Health and Human Services Secretary Kathleen Sebelius announced the initial allocation of $500 million in FY 2010 funds from the Prevention and Public Health Fund created by the health reform law. In a surprise move, Sec. Sebelius first announced a series of new investments worth $250 million to increase the number of health care providers and strengthen the primary care workforce. While recognizing the critical importance of an adequate workforce, many advocates and even the Congressional authors of the Prevention Fund indicated disappointment that the intent of the Prevention Fund was not being honored.   

AMCHP joined the Association of State and Territorial Health Officials (ASTHO) and 11 affiliated organizations in sending a letter to key policymakers indicating we “are surprised and disappointed that the administration directed $250 million from the Prevention and Public Health Fund…to support the Primary Care Workforce. This use of funds for delivery of healthcare does not honor the intent of the Prevention and Public Health Fund and limits our nation's opportunity to make a significant, positive impact in health outcomes.” A copy of the letter is available here 

On Friday, Sec. Sebelius announced the second allocation of $250 million, with new funds dedicated to four critical priorities:  

Community and Clinical Prevention ($126 million)
The initiative supports prevention activities that will work to reduce health care costs and improve the promotion of health and wellness.

  • Putting Prevention to Work ($74 million). Support federal, state and community initiatives to use evidence-based interventions to address tobacco control, obesity prevention, HIV-related health disparities, and better nutrition and physical activity.  
  • Primary and Behavioral Health Integration ($20 million). Assist communities with the coordination and integration of primary care services into publicly-funded community mental health and other community-based behavioral health settings. 
  • Obesity Prevention and Fitness ($16 million). Advance activities to improve nutrition and increase physical activity to promote healthy lifestyles and reduce obesity related conditions and costs. These activities will support the First Lady’s “Let’s Move!” initiative and help implement recommendations of the president’s Childhood Obesity Task Force. 
  • Tobacco Cessation ($16 million). Implement anti-tobacco media campaigns showing the negative health consequences of tobacco use, telephone-based tobacco cessation services, and outreach programs targeting vulnerable populations.  

Public Health Infrastructure ($70 million)
The allocation strengthens state and local capacity to prepare health departments to meet 21st century challenges. 

  • Public Health Infrastructure ($50 million). Support state, local and tribal public health infrastructure to advance health promotion and disease prevention through improved information technology, workforce training and regulation and policy development. 
  • Epidemiology and Laboratory Capacity Grants ($20 million). Build state and local capacity to prevent, detect and respond to infectious disease outbreaks.  

Research and Tracking ($31 million)
The initiative supports the Affordable Care Act’s expansion of coverage for community and clinical preventive services by increasing resources for guidance and evaluation of preventive services.  

  • Surveillance ($21 million). Fund data collection and analysis to measure the impact of health reform and support strategic planning. 
  • Community Preventive Services Task Force ($5 million). Strengthen CDC’s Community Guide by supporting the Task Force on Community Preventive Services’ efforts to identify and disseminate additional evidence-based recommendations on important public health decisions to inform policymakers, practitioners and other decision makers. 
  • Clinical Preventive Services Task Force ($5 million). Expand the development of recommendations for clinical preventive services, with enhanced transparency and public involvement in the processes of the Task Force. 

Public Health Training ($23 million)
These funds support the training of existing and next generation public health professionals. 

  • Public Health Workforce ($8 million). Expand CDC public health workforce programs to increase the number of fellows trained and placed in public health positions. 
  • Public Health Training Centers ($15 million). Support training of public health providers to advance preventive medicine, health promotion and disease prevention, and improve the access and quality of health services in medically underserved communities. 

AMCHP will provide additional details on these new funding opportunities as they become available.  

Home Visiting Program Guidance Accelerates State Planning
The funding opportunity announcement (FOA) for the home visiting program has set in motion a flurry of state action. On Monday, June 14, AMCHP convened a national teleconference to review and discuss the FOA for the new Maternal, Infant, and Early Childhood Home Visiting Program. The call provided an opportunity to hear your initial questions and comments, and discuss together what state MCH programs need to move forward to optimize this new opportunity.  

This FOA is the first of three that will be issued to complete the FY 2010 application process. This process includes submitting a state needs assessment and an updated state plan with application for a state home visiting program grant. We want to reiterate that a complete needs assessment that meets the requirements outlined in the law is required of every state as a condition of receiving payment of FY 2011 Title V Maternal and Child Health Services Block Grant (Title V MCH Block Grant) funds. This first FOA provides instructions for states to submit an application for 2010 funding and is due July 9.   

AMCHP conducted an initial assessment which indicates that nine states have designated their state health agency and Title V MCH program to lead the home visiting program and three states have designated their child welfare or human services agency as lead. We will continue to seek ways to support your work implementing this new program and encourage you to contact Michelle Alletto or call (202) 775-0436 with any questions or suggestions. 

Congress Still Considering FMAP Extension
On Wednesday, June 17, the Senate introduced a scaled back version of a tax extenders bill that failed in a test vote earlier in the day. This legislation includes an extension of the temporary increase in Medicaid FMAP (Federal Medical Assistance Percentage) funding to states for an additional six months. At press time it was unclear if supporters would have the 60 votes needed to pass the legislation.  

The paired down bill froze a cut of 21 percent in Medicare payments to doctors from taking effect for six months rather than for the rest of the year as proponents were hoping. Opponents of the bill had sought to remove the FMAP provision, pointing out it was the only part of the bill that added to the overall cost and did not provide an offset. If passed, the bill will have to return to the House of Representatives for approval. The House passed a similar bill prior to the Senate; however, they removed the FMAP extension in their version citing federal deficit concerns. 

Progress Slow on FY2011 MCH Appropriations
Congress does not appear any closer to completing the appropriations process for fiscal year 2011. With no mark-up scheduled to consider the first draft of a FY 2011 Labor HHS Appropriations bill and November elections on the horizon, it appears that Congress could once again be heading towards a continuing resolution (CR). A CR continues to fund federal programs if the formal appropriations bill has not been completed by the end of the fiscal year. AMCHP continues to build on the president’s proposed increase to the Title V MCH Block Grant by advocating for an increase to $730 million for FY 2011.  

White House Asks All Federal Agencies to Propose Five Percent Reductions
On June 8, the White House Office of Management and Budget (OMB) sent a memo to all federal agencies, asking each one to develop a FY 2012 budget that includes a 5 percent reduction of the president’s FY 2011 proposed budget. Agencies were also asked to identify programs that have the lowest impact on the mission of the agency that add up to at least 5 percent of the budget. These two requests are to be completed separately of each other and the information is to be included with each agencies FY 2012 budget request. AMCHP will be monitoring closely what the potential impact on MCH programs may be. 

Summary of HHS Health Implementation Call for States
The HHS Office of Intergovernmental Affairs is conducting a weekly conference call with state governors’ office designees on health reform implementation. The following is a summary of the June 3 and June 17 calls.  

On June 3, The Center for Medicare and Medicaid Services Chief of Staff joined the call and spoke about the Medicare rebate checks. Checks for $250 will be mailed to Medicare beneficiaries who fall into the coverage gap for 2010. Checks will continue to be mailed every 45 days. Additional information is available here. Officials from the Administration on Aging also joined the call to discuss the recently announced $60 million in grant opportunities around long-term care. Future phone calls will be scheduled to provide additional information. Information on the grants can be found here. 

On June 17, HHS announced a series of new investments worth $250 million to increase the number of health care providers and strengthen the primary care workforce under the Affordable Care Act. The funds will be available to enhance the development of physician assistants, nurse practitioners and nurse management centers. Part of the funding is targeted for states to conduct workforce planning development. The grants have two components: a one year planning grant and a second implementation component. States are encouraged to work with their state workforce boards, as well as other workforce partners. The grants can be found on the grants.gov website and are due by July 19. HHS also announced the release of new regulations building on President Obama’s pledge that people who enjoy their health plan will be able to keep it. The rules, published in the Federal Register specify that health plans existing prior to the passage of Affordable Care Act will not be subject to many of the regulations in the new health reform legislation. Additional information may be found here.

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GET INVOLVED 

AMCHP to Host a Two-Part Webinar on How to Collaborate to Improve School-Based Health in Youth
The webinar, “Leveraging the Expertise and Experience of Health and Education Departments to Collaboratively Improve School-Based Sexual Health Programs for Youth,” to convene on June 23 from 2 to 3:30 p.m. (EDT), will focus on national and state-level experiences and perspectives related to how state health and education departments have effectively worked together to improve programs and policies for youth.  The esteemed speakers will share their experiences and lessons learned from working with the public health and education communities and provide strategies and tools for helping to build more effective partnerships to improve school-based sexual health programs for youth. To register for Part I click here. The second webinar in the series will convene on June 29 from 2 to 3:30 p.m. (EDT). To register for Part II click here. If you have any questions, please contact Lissa Pressfield 

MCHB’s Customer Satisfaction Survey of its Resource Centers
The Health Resources and Services Administration’s Maternal and Child Health Bureau (MCHB) is conducting a Customer Satisfaction Survey of its Resource Centers. MCHB provides funding for the Maternal and Child Health Library. The goal is to use the feedback to help improve the quality of their Resource Centers’ services and learn how they can serve you better. The survey will take approximately 10 minutes to complete. CFI Group, an independent research and consulting firm, is conducting this survey for MCHB. The survey is hosted via a secure server and your participation will remain anonymous. If you have any technical questions or issues while taking the survey, please contact MCHBsurvey@mail.cfigroup.com. To complete the survey, visit here 

AUCD Call for Proposals
The Association of University Centers on Disabilities (AUCD) is seeking concurrent sessions, poster presentations, and films for the media room for its 2010 AUCD Annual Meeting and Conference. Proposals will be accepted through June 28 on a wide variety of topics, including Systems-level Implementation, Demonstration and Evaluation. To submit a proposal, visit here 

RWJF Local Funding Call for Proposals
The Robert Wood Johnson Foundation (RWJF) Local Funding Partnerships program forges relationships between the RWJF and local grantmakers to fund promising, original projects that can significantly improve the health of vulnerable people in their communities. The deadline to submit an application is June 30. For more information on how to apply, visit here 

RWJF Active Learning Research Call for Proposals
Active Living Research is a national program of the Robert Wood Johnson Foundation (RWJF) that supports research to inform policy and environmental strategies for increasing physical activity among children and adolescents, decreasing their sedentary behaviors and preventing obesity. The program places special emphasis on reaching children and youth ages 3 to 18 who are at highest risk for obesity: Black, Latino, American Indian and Asian/Pacific Islander children, as well as children who live in under-resourced and lower-income communities. This call for proposals will support opportunistic, time-sensitive studies on emerging or anticipated changes in physical activity-related policies or environments. Rapid-response grants are expected to accelerate progress toward policy and environmental strategies to prevent and reduce childhood obesity. For maximum impact, studies should be completed in as short a time frame as realistically possible, and results disseminated using methods designed to reach local, state or national decision-makers in time to help inform key policy decisions. Detailed results of these studies, including methodologies and data analyses, along with the outcome of the efforts to reach policy audiences, also should be subsequently reported in peer-reviewed publications. Letters of intent are due by July 1. To learn more, visit here.

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PUBLICATIONS & RESOURCES   

General Maternal & Child Health     

New Online Resource on the Life Course Perspective
CityMatCH and Contra Costa have launched “MCH Life Course Toolbox,” an online resource designed to offer a central location for sharing life course tools and resources; provide a discussion board for professionals to share best practices and ideas; and maintain a registry of professionals to share the latest in life course. To learn more, visit here 

Report on the Association between Infant Mortality and Relationship Breakups
The study, “Marriage and Cohabitation Outcomes After Pregnancy Loss,” published in Pediatrics, discusses the association between fetal loss and the risk of relationship dissolution. The study used data from a national U.S. survey on relationships and reproductive health to evaluate marriage and cohabitation outcomes for couples who experienced a live birth or fetal death at any gestational age of pregnancy. To read the abstract, visit here. 

June is Home Safety Month 2010
During June, the Home Safety Council (HSC) is working to educate and motivate families to take actions that will increase the safety of their homes. You can help spread the word by joining the Hands on Home Safety Campaign. It's easy! The Home Safety Council has created ready-made home safety resources that you can share with family members, your community members, employees/coworkers and many more to help encourage people to take a hands-on approach to making their homes safer this June. The site features brochures, newsletter articles, lesson plans, off-the-job safety, online resources, posters and more. For more information, visit here.

Adolescent Health 

Guidebook on How Young Adults Can Advocate for Their Own Health
The guidebook, “Being a Healthy Adult: How to Advocate for Your Health and Health Care,” published by the Boggs Center University Center of Excellence on Developmental Disabilities, is available in English or Spanish. To download the guide, visit here 

New Report on the 2009 Data on Youth Health Risk Behaviors
The report, “Youth Risk Behavior Surveillance -- United States, 2009,” published in the June 4, 2010, issue of Morbidity and Mortality Weekly Report Surveillance Summaries, offers data from the national Youth Risk Behavior Survey, 42 state surveys, and 20 local surveys of students in grades 9 through 12 conducted during September 2008 through December 2009. The report addresses six categories of priority health-risk behaviors among adolescents and young adults; these behaviors contribute to unintentional injuries and violence, tobacco use, alcohol and other drug use, sexual behaviors that can result in unintended pregnancy and sexually transmitted diseases (including HIV infection), unhealthy dietary behaviors, and physical inactivity. To download the report, visit here.

Children’s Health  

New Booklet on Nutrition and Feeding of CSHCN
The booklet, “Nutrition Interventions for Children with Special Health Care Needs,” published by the Washington State Department of Health, addresses the growth, nutrition and feeding of children with or at increased risk for a broad range of chronic illnesses or conditions who require intervention beyond basic, routine, pediatric care. The 2010 edition is divided into three sections and includes new chapters on breastfeeding, physical activity and autism spectrum disorders. Each chapter contains intervention strategies, outcomes, and references. Additional tools are included in the appendix. To download the publication, visit here 

AAP Updates its Children and Disaster Webpage
The American Academy of Pediatrics' (AAP) recently provided updated information on attending to the needs of infants and children in the wake of the oil spill in the Gulf Coast. The site offers information and tools for pediatricians, child care providers, families, schools, and policy makers to protect and care for children in other disaster situations. To learn more, visit here 

CFK is Revamped and Revised as SparkAction
Connect for Kids (CFK) has officially re-launched as SparkAction for children, for youth, for change, with a new, improved website: SparkAction.org. The new site merges the comprehensive CFK library of articles and resources with the Youth Policy Action Center's high-tech online advocacy tools and the National Youth Development Information Center's publications. To learn more, visit here.

Women's Health

New Ad Developed to Help Black Mothers Fight the Flu
The ad, “You Can Stop the Flu, Even With Your Hands Full,” developed by Robert Wood Johnson Foundation Executive Nurse Fellows Lisa Davis, RN, BSN, MBA, Chief of the Public Health Initiatives Branch for the State of Connecticut Department of Public Health and Deborah Washington, RN, PhDc, Director of Diversity for Patient Care Services at Massachusetts General Hospital, offers four simple tips to stop the spread of influenza, and encourages readers to go to the Centers for Disease Control and Prevention’s website or call the United Way’s information and referral line for further information. To learn more or to download the ad, visit here.

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CAREER OPPORTUNITIES  

 Australian-American Health Policy Fellowship
On behalf of the Australian Government Department of Health and Ageing, The Commonwealth Fund is pleased to announce the 2011-12 Australian-American Health Policy Fellowship. The Australian-American Health Policy Fellowship offers a unique opportunity for outstanding, mid-career U.S. professionals—academics, government officials, clinical leaders, decision-makers in managed care and other private health care organizations, and journalists—to spend up to 10 months in Australia conducting research and working with leading Australian health policy experts on issues relevant to both countries. The Australian Government Department of Health and Ageing hopes to enrich health policy thinking as fellows study how Australia approaches health policy issues, share lessons learned from the United States, and develop an international perspective and network of contacts to facilitate exchange and collaboration that extends beyond the fellowship experience. The deadline for applications is August 15. For further information on the 2011-12 Australian-American Health Policy Fellowships and to obtain an application, visit here 

Fellowships for the Prevention of Child Abuse and Neglect  
The Doris Duke Fellowships for the Prevention of Child Abuse and Neglect aim to identify and nurture promising leaders in child abuse prevention in doctoral and dissertation students. Each fellow will receive an annual stipend of $25,000. The deadline to apply is December 15. To learn more, visit here. 

AMCHP’s CAREER CENTER
The Career Center is the premiere online job board for individuals seeking employment in Maternal and Child Health programs. Whether you are looking for an entry-level position or are a more seasoned professional looking for new opportunities, AMCHP's Career Center has great openings for great people! Searching our database is free and open to all job-seekers. AMCHP members receive a discount on job-postings - so sign up today!

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FUNDING 

HRSA Funding for Developmental Behavioral Pediatric Research Network
Deadline: June 28
The purpose of the Developmental Behavioral Pediatric Research Network is to establish a multi-center scientific and clinical research network that will promote coordinated research activities and address health issues for, but not limited to, children with autism spectrum disorder (ASD) and other developmental disabilities. Furthermore, it will build a developmental behavioral pediatric research infrastructure that supports multidisciplinary research, focuses on the translation of research to practice and provides the environment in which to train a new generation of developmental behavioral pediatric researchers. These funds should be leveraged to develop more research studies leading to the effective and evidence-based developmental behavioral pediatric care and treatment that will improve clinical services and health outcomes. This will be accomplished through the development and maintenance of a national network of developmental behavioral pediatric research programs that will collaborate in research design, implementation and mentorship. This cooperative agreement will support the Research Network to develop new ideas for study; pilot protocols; and seek additional research funding sources to carry out specific critical research studies on a range of topics relevant to developmental behavioral pediatrics. To learn more, visit here 

HHS Funding for CHIPRA Pediatric Healthcare Quality Measures Program Centers of Excellence
Deadline: June 30
This Funding Opportunity Announcement (FOA) by the U.S. Department of Health and Human Services' (HHS) Agency for Healthcare Research and Quality (AHRQ), solicits cooperative research demonstration and dissemination projects for the purpose of implementing the Children’s Health Insurance Program Reauthorization Act (CHIPRA) of 2009 section on advancing and improving pediatric quality measures. Under this FOA, the CHIPRA Pediatric Healthcare Quality Measures Program Centers of Excellence (U18) AHRQ anticipates making seven to nine awards that total $55 million over a four-year period. The maximum annual award can be no greater than $2 million. To learn more, visit here. 

CJ Foundation for SIDS Grant Opportunity
Deadline: July 8
The CJ Foundation for SIDS will offer two grant opportunities for 2010, including a Program Services Grant and the Program Services Mini-Grant (formerly the Express Grant). Programs offering education or bereavement services relating to Sudden Infant Death Syndrome (SIDS), Sudden Unexpected Infant Death (SUID) and/or Infant Safe Sleep are eligible to apply for funding. The guidelines for both the Program Services Grant and Program Services Mini-Grant are now available. The application materials will not be posted on the CJ Foundation’s website. To request the grant program information, accompanying materials, and application guidelines, please contact Wendy S. Jacobrs directly. Please specify which guidelines (Program Services, Mini-Grant, or both) you would like to receive and if you would like the guidelines sent to you by email or mail. While you are welcome to request the guidelines for both types of grants, an organization may apply for either a Program Services Grant or a Program Services Mini-Grant, not both. Remember that in order to apply for a grant, you must follow the application guidelines provided by the CJ Foundation for SIDS. For more information or to apply, please contact Wendy S. Jacobs, Assistant Executive Director of Programs & Grants, or call her at (866) 314-7437.  

HRSA Funding for Partnership for Oral Health Leadership Cooperative Agreement
Deadline: July 14
The purpose of this program is to support national membership organization efforts focused on maternal and child oral health to assist their members to improve public oral health programs for women and children and the delivery of maternal and child oral health care services at the national, state and local levels. More specifically, funding support will allow these organizations to develop and disseminate new information about maternal and child health (MCH) in a format most useful to policy and decision makers concerned with developing MCH policies and programs in the public and private sectors at local, state and national levels; to gather information from their membership about issues of concern relating to maternal and child oral health; to assist members to work together and with staff from other service programs to solve maternal and child oral health problems; and, to more clearly articulate the particular needs of women, children and their families in the nation at large. Strategies will be utilized that are focused on innovative and effective fundamental approaches to prevention, diagnosis, early intervention and treatment of oral disease, with focus on school-based comprehensive oral health access to services. To learn more, visit here. 

CDC Funding for Chronic Disease Prevention and Health Promotion Projects
Deadline: July 18
The funding, issued by the Centers for Disease Control and Prevention (CDC), addresses the “Healthy People 2010” focus areas of: Component A: To reduce health disparities through chronic disease management Component B: For blood pressure and obesity screening programs, including training of health care professionals. To learn more, visit here. 

CDC Funding for Racial and Ethnic Approaches to Community Health for Communities
Deadline: July 21
The purpose of the program is to support local communities to strategically organize to implement and evaluate evidence-based policy, system and environmental change interventions that eliminate racial and ethnic health disparities in chronic diseases. This program will support the transition of communities from the analysis of intervention results to the use of these results in facilitating health equity and policy change. This funding opportunity is unique in that it (1) allows a phased project period with key outcomes for each phase, (2) engages populations typically left out of the policy, systems, and environmental processes, thereby not realizing the full benefit of such public health actions, and (3) will close the gap in the impact of policy, systems and environmental change interventions in communities of color. The REACH CORE program will run concurrently with the continuation of the REACH U.S. program in 2012 - 2017. The evidence-based policy, systems, and environmental change strategies that emerge from the REACH CORE program provides the needed complement to the evidence-based behavioral change and community interventions from REACH U.S. to most effectively eliminate racial and ethnic health disparities at the population level. To learn more, visit here 

ACF Funding for Mentoring Children of Prisoners
Deadline: July 30
The Administration for Children and Families (ACF), the Administration on Children, Youth and Families (ACYF) and the Family and Youth Services Bureau (FYSB) are accepting applications for the Mentoring Children of Prisoners (MCP) program. This program supports the creation and maintenance of one-on-one mentoring relationships between children of incarcerated parents and caring, supportive adult volunteer mentors. The intent of this program is to support the establishment or expansion and operation of mentoring programs, using a network of public and private community entities, in areas with substantial numbers of children of incarcerated parents. The MCP program is designed to be a community-based mentoring program in which children and youth ages four and up to age 18, are appropriately matched with an adult mentor, who has been screened and trained, for a one-on-one (one mentor/one youth), friendship-oriented (non curriculum-based) mentoring relationship. To learn more, visit here. 

ACF Funding for Family Violence Prevention and Services/Technical Assistance and Resource Development to Expand Services for Children and Youth
Deadline: July 30
This funding opportunity will support one project to gather and disseminate information on best practices and available technical assistance for programs serving children exposed to domestic violence, as well as provide technical assistance and support the evaluation process for recipients of the Expanding Services for Children and Youth grants. By the end of the grant period, the grantee will be expected to collate nationwide resources on promising practices and available technical assistance for programs serving children exposed to domestic violence. The grantee will assist the FVPSA Program efforts to develop guidance and enhance responses for children exposed to domestic violence. The grantee will not duplicate the work of other youth-focused resource centers and will focus on the provision of services to children exposed to domestic violence, not other children’s issues such as custody, internet safety or general research. To learn more, visit here. 

FNS Funding for WIC Breast Feeding Peer Counseling Curriculum Update and Training
Deadline: August 20
The Food and Nutrition Service (FNS) will fund a competitive cooperative agreement award of up to $350,000 in Fiscal Year 2010 to a qualified applicant to: (1) update two existing FNS breastfeeding peer counseling training curricula and (2) coordinate and conduct trainings, based on each of the updated curricula, in a, train-the-trainer format for WIC state agency staff in each of the seven FNS geographic regions. To learn more, visit here.

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CALENDAR 

AMCHP Special Events

MCHB 75th Anniversary of Title V Commemoration
October 20
Washington DC 

Looking to the Future: What are the Opportunities and Challenges of Health Reform for Improving Maternal and Child Health?
October 21
Washington, DC 

Other MCH Events 

Summit: Substance Exposed Newborns
June 23-24
Alexandria, VA 

Advisory Committee on Immunization Practices (ACIP) Meeting
June 23-24
Atlanta, GA 

18th Annual Health Forum and American Hospital Association Leadership Summit
July 22-24
San Diego, CA 

Fourth Annual National Conference on Health Communication, Marketing, and Media
August 17-19
Atlanta, GA 

CityMatCH Urban MCH Leadership Conference
September 11–14
Chicago, IL 

AHRQ’s 2010 Annual Conference
September 27-29
Bethesda, MD 

2010 AUCD Conference
October 30-November 3
Crystal City, VA

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