Exploring Tax Policy to
Advance Population
Health, Health Equity, and
Economic Prosperity
PROCEEDINGS OF A WORKSHOP
Theresa M. Wizemann, Rapporteur
Roundtable on Population Health Improvement
Board on Population Health and Public Health Practice
Health and Medicine Division
THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu
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This activity was supported by contracts between the National Academy of Sciences and Aetna Foundation (#10002892), The California Endowment (#10003309), Dartmouth-Hitchcock Medical Center, Fannie E. Rippel Foundation, Health Resources and Services Administration (DHHS-10003351), Kaiser East Bay Community Foundation (#10002957), The Kresge Foundation (#10002910), Nemours, New York State Health Foundation (#10001272), New York University Langone Medical Center, Office of the Assistant Secretary for Health (#10003388), Robert Wood Johnson Foundation (#10001270), Samueli Institute, and Wake Forest Baptist Medical Center. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-48359-9
International Standard Book Number-10: 0-309-48359-X
Digital Object Identifier: https://doi.org/10.17226/25237
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Copyright 2019 by the National Academy of Sciences. All rights reserved.
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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2019. Exploring tax policy to advance population health, health equity, and economic prosperity: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/25237.
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PLANNING COMMITTEE ON EXPLORING TAX POLICY TO ADVANCE POPULATION HEALTH, HEALTH EQUITY, AND ECONOMIC PROSPERITY1
BOBBY MILSTEIN (Chair), ReThink Health
ELLA AUCHINCLOSS, ReThink Health
KATHY GERWIG, Kaiser Permanente
ALAN GILBERT, GE Healthymagination
JEREMIE GREER, Prosperity Now
JAMES HESTER, Population Health Systems
GIRIDHAR MALLYA, Robert Wood Johnson Foundation
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.
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ROUNDTABLE ON POPULATION HEALTH IMPROVEMENT1
GEORGE J. ISHAM (Co-Chair), Senior Advisor, HealthPartners; Senior Fellow, HealthPartners Institute for Education and Research
SANNE MAGNAN (Co-Chair), Adjunct Assistant Professor, University of Minnesota
PHILIP M. ALBERTI, Senior Director, Health Equity Research and Policy, Association of American Medical Colleges
TERRY ALLAN, Health Commissioner, Cuyahoga County Board of Health
JOHN AUERBACH, Executive Director, Trust for America’s Health
CATHY BAASE, Chair, Board of Directors, Michigan Health Improvement Alliance, Consultant for Health Strategy, The Dow Chemical Company
DEBBIE I. CHANG, Senior Vice President, Policy and Prevention, Nemours
CHARLES J. FAZIO, Senior Vice President and Medical Director, HealthPartners
GEORGE R. FLORES, Senior Program Officer, The California Endowment
KATHY GERWIG, Vice President, Employee Safety, Health and Wellness and Environmental Stewardship Officer, Kaiser Permanente
ALAN GILBERT, Director of Global Government and NGO Strategies, GE Healthymagination
MARY LOU GOEKE, Executive Director, United Way of Santa Cruz County
MARTHE GOLD, Senior Scholar in Residence, The New York Academy of Medicine
MARC N. GOUREVITCH, Professor and Chair, Department of Population Health; New York University School of Medicine
GARTH GRAHAM, President, Aetna Foundation
GARY R. GUNDERSON, Vice President, Faith Health, Wake Forest University
WAYNE JONAS, Executive Director, H&S Ventures
ROBERT M. KAPLAN, Professor, Stanford University
DAVID A. KINDIG, Professor Emeritus of Population Health Sciences; Emeritus Vice Chancellor for Health Sciences, University of Wisconsin–Madison
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.
PAULA M. LANTZ, Associate Dean for Academic Affairs and Professor of Public Policy, University of Michigan
MICHELLE LARKIN, Associate Vice President, Associate Chief of Staff, Robert Wood Johnson Foundation
THOMAS A. LaVEIST, Professor and Chair, Department of Health Policy, Milken Institute School of Public Health, The George Washington University
JEFFREY LEVI, Professor, Milken Institute School of Public Health, The George Washington University
SHARRIE McINTOSH, Vice President for Programs, New York State Health Foundation
ROBERT McLELLAN, Chief, Section of Occupational and Environmental Medicine; Medical Director, Live Well/Work Well; Professor, Medicine, Community and Family Medicine, and the Dartmouth Geisel School of Medicine at Darmouth, Dartmouth-Hitchcock Medical Center
PHYLLIS D. MEADOWS, Senior Fellow, Health Program, The Kresge Foundation
BOBBY MILSTEIN, Director, ReThink Health
JOSÉ T. MONTERO, Director, Office for State, Tribal, Local, and Territorial Support; Deputy Director, Centers for Disease Control and Prevention
MARY PITTMAN, President and CEO, Public Health Institute
PAMELA RUSSO, Senior Program Officer, Robert Wood Johnson Foundation
JOSH M. SHARFSTEIN, Vice Dean for Public Health Practice and Community Engagement, Professor, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health
MYLYNN TUFTE, State Health Officer, Office of the Governor, State of North Dakota
Health and Medicine Division Staff
ALINA BACIU, Roundtable Director
CARLA ALVARADO, Program Officer
KIMANI HAMILTON-WRAY, Senior Program Assistant
ROSE MARIE MARTINEZ, Senior Board Director
Consultant
THERESA M. WIZEMANN, Rapporteur
Reviewers
This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.
We thank the following individuals for their review of this proceedings:
Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by BRUCE N. CALONGE, The Colorado Trust. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur and the National Academies.
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Contents
Organization of the Workshop and Proceedings
2 UNDERSTANDING THE BASICS OF TAX POLICY AND STATE BUDGETS
The Fiscal Environment of State Budgets
3 CREATING A PIPELINE OF FINANCING FOR POPULATION HEALTH: EXPLORING SIN TAXES AND TAX CREDITS
Exploring Tax Credits to Finance Population Health Investments
4 DESIGNING SOUND POPULATION HEALTH TAX POLICY: SMALL GROUP ACTIVITY
Acronyms and Abbreviations
AAMC | Association of American Medical Colleges |
ACH | accountable community for health |
CHIP | Children’s Health Insurance Program |
CTC | child tax credit |
DSRIP | Medicaid 1115 Delivery System Reform Incentive Payments |
EITC | earned income tax credit |
GE | General Electric Company |
LIHTC | low-income housing tax credit |
NMTC | new markets tax credit |
TFAH | Trust for America’s Health |
UC | University of California |
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