Public Health Infrastructure Saves Lives Act

The Public Health Infrastructure Saves Lives Act (S 1995) provides federal grants to strengthen public health systems across the U.S. It directly affects state, territorial, and local health departments serving 500,000+ people, plus tribal health departments. Key mechanisms include: 50% of funds for formula-based grants to all states/territories (prioritizing population, disease burden, and poverty), 30% for competitive grants targeting departments with highest infrastructure needs, and a requirement for grantees to achieve accreditation by 2027. The bill allocates increasing annual funding - $750 million in 2024 rising to $4.5 billion annually by 2028 - with 3% reserved specifically for tribal health departments. It defines "core public health infrastructure" to include surveillance, emergency response, equity-focused services, and workforce capacity.