Senators try again to strengthen public health workforce

Proposed legislation would provide scholarships and loan repayments for government public health workers.

A group of senators are pushing for legislation that will promote public health students to enter the civil service.

On Thursday, Senators Chuck Hagel, R-Neb., and Richard Durbin, D-Ill., introduced the 2005 Public Health Preparedness Workforce Development Act. Hagel and Durbin introduced similar legislation last year, but it stalled.

In his year-end report to constituents, Hagel identified public health staffing as a key area of concern. He said Nebraska is facing the largest wave of public health retirements in the country.

"This legislation aims to increase the pipeline of qualified public health workers … by offering scholarships to students going into the public health field," Hagel said in a statement. "It also encourages current employees to stay in the public health field by providing loan repayments."

Hagel said there are "critical public health workforce shortages" that must be addressed "before it becomes a crisis."

The bill would authorize $35 million each year for public health scholarships and $195 million annually for loan repayments.

The bill received immediate support from Sens. Frank Lautenberg, D-N.J., Patty Murray, D-Wash., and Maria Cantwell, D-Wash. Public health advocacy groups also praised the lawmakers for their effort. Several experts warned that the nation's public health emergency preparedness could suffer if initiatives like this are not passed.

"The ability of the public health system to respond adequately to any situation depends on a well-trained public health workforce," said Richard A. Raymond, president of the Association of State and Territorial Health Officials. "States could lose up to 45 percent of their experienced workforce through retirement by the end of 2006. We need to ensure that there are enough people being trained to take their place."

"Public health is on the verge of a massive brain drain in its workforce. The impending mass retirement of baby boomer public health officials is a crisis in the making," said Shelley A. Hearne, executive director of Trust for America's Health. "Replacing this experienced workforce … needs to be a top priority for the country in order to protect U.S. citizens from health threats ranging from bioterrorism to the obesity epidemic."

According to Hagel, the average age of the public health workforce is 47-seven years older than the nation's average.