Linda Sánchez Leads Bipartisan Letter to Help Secure CDC Funding for Major U.S. Cities to Fight Opioid Crisis

July 31, 2018
Press Release

Washington, DCHouse Democratic Caucus Vice Chair Linda Sánchez led a letter with 47 bipartisan Members of Congress who represent Los Angeles County, Chicago, Philadelphia, New York City, and Houston to Centers for Disease Control Director Robert Redfield urging the CDC to ensure that all jurisdictions pre-approved to receive public health crisis funding are able to apply for additional funding to address the nation’s opioid epidemic.

When Congress passed the Fiscal Year 2018 Consolidated Appropriations Act, it made additional funds available to address the opioid crisis. Despite being pre-approved to receive direct funding in the event of a public health crisis such as the opioid epidemic, the public health departments for Los Angeles County, Chicago, Philadelphia, New York City, and Houston – the largest cities and counties in the country – were not permitted to apply for funding.

The opioid epidemic claims the lives of about 115 Americans each day and overdose deaths are climbing. Under-resourcing some of the largest cities and counties in the country during this crisis will limit their capacity to save lives.

The letter underscores Congressional intent to fund these jurisdictions and asks the CDC to ensure that all pre-approved jurisdictions, including the public health departments of these cities and counties, are eligible to apply for these funds and future funds for public health crises.

Co-signers include: Reps. Nanette Diaz Barragán (D-CA), Karen Bass (D-CA), Brendan F. Boyle (D-PA), Robert A. Brady (D-PA), Julia Brownley (D-CA), Tony Cárdenas (D-CA), Judy Chu (D-CA), Yvette D. Clarke (D-NY), Ryan A. Costello (R-PA), Joseph Crowley (D-NY), Danny K. Davis (D-IL), Rosa L. DeLauro (D-CT), Daniel M. Donovan, Jr. (R-NY), Adriano Espaillat (D-NY), Eliot Engel (D-NY), Dwight Evans (D-PA), Brian Fitzpatrick (R-PA), Al Green (D-TX), Gene Green (D-TX), Jimmy Gomez (D-CA), Luis V. Gutiérrez (D-IL), Sheila Jackson Lee (D-TX), Hakeem Jeffries (D-NY), Robin L. Kelly (D-IL), Peter T. King (R-NY), Steve Knight (R-CA), Ted W. Lieu (D-CA), Daniel W. Lipinski (D-IL), Alan Lowenthal (D-CA), Nita M. Lowey (D-NY), Carolyn B. Maloney (D-NY), Gregory W. Meeks (D-NY), Grace Meng (D-NY), Jerrold Nadler (D-NY), Grace F. Napolitano (D-CA), Ted Poe (R-TX), Mike Quigley (D-IL), Lucille Roybal-Allard (D-CA), Ed R. Royce (R-CA), Bobby L. Rush (D-IL), Jan Schakowsky (D-IL), Adam B. Schiff (D-CA), José E. Serrano (D-NY), Brad Sherman (D-CA), Norma J. Torres (D-CA), Nydia M. Velázquez (D-NY), Maxine Waters (D-CA)


The text of the letter:


July 30, 2018


Dr. Robert R. Redfield


Centers for Disease Control and Prevention

1600 Clifton Road

Atlanta, GA 30329


Dear Director Redfield:

We write to express our concern that the public health departments of the large metropolitan areas we represent, including Los Angeles County, Chicago, Houston, New York City, and Philadelphia, were excluded from receiving additional funds to address the opioid epidemic, despite having been pre-approved for funding under a public health crisis funding mechanism. At a time when we are losing approximately 115 Americans each day to the epidemic, our public health departments must be able to access the resources they need to confront the crisis.

To ensure rapid disbursement of funds in a public health emergency, CDC issued a Notice of Funding Opportunity (NOFO) for “Cooperative Agreement for Emergency Response: Public Health Crisis Response” last fall. Under this mechanism, eligible jurisdictions could be pre-approved to receive funds in the event of a public health crisis. Our local health departments were eligible to apply for pre-approval, along with the 50 states, 8 territories, and Washington, DC. All jurisdictions, including our public health departments, were granted approval and were put on an “approved but unfunded” list until funding is available to address public health crises.

We approved additional funding for the CDC to fight the opioid epidemic and scale up prevention activities in the FY 2018 Consolidated Appropriations Act and Accompanying Report because we wanted states, territories, and the large cities and counties to be able to fight this epidemic most effectively. All approved jurisdictions under the Crisis NOFO mechanism, except our public health departments, are now eligible to receive a portion of this new funding. It is our understanding that there are no other forthcoming funding opportunities in FY 2018 under which our public health departments could receive these funds. 

Together, we represent the metropolitan areas covered by five of the largest cities and counties in the country, all of which have been hard-hit by the opioid epidemic, which demands our continued attention and action. In 2016 alone, drug overdoses claimed the lives of more than 63,000 Americans. Nearly two-thirds of these deaths involved prescription or illicit opioids, with heroin and synthetic opioids like fentanyl and carfentanyl driving overdose deaths by illicit opioids.

Local public health authorities are on the front-lines of public health crises, and the opioid epidemic is no exception. With their deep knowledge of the diverse communities we serve and the health challenges they face, our public health departments are well-equipped to ensure funding is executed efficiently and directly to reach those most in need. In many cases, our metropolitan areas have gone above and beyond to incubate some of the most promising and effective responses to the epidemic. Los Angeles County distributed safe prescribing guidelines on the administration of pain medication in emergency departments and urgent care centers. Chicago created pharmaceutical representative licenses and Philadelphia made naloxone available in libraries. New York City created a new nonfatal overdose response system and will distribute 100,000 naloxone kits citywide annually. Our public health departments are creating and implementing best practices and saving lives. It was our intent, when our chamber approved an increase in appropriations to CDC to combat the opioid epidemic, that pre-approved jurisdictions, including these large urban public health departments, would be eligible to receive direct funding to fight the opioid crisis. Without direct funding for our public health departments, our cities and counties will be limited in their capacity to address the opioid epidemic and the health needs of our large and complex populations—when overdose deaths are still climbing.

We respectfully urge you to ensure that pre-approved, directly-funded urban public health departments are eligible to receive public health crisis funding under this and future public health crisis funding announcements.



Rep. Linda T. Sánchez represents California’s 38th Congressional District. She is a member of the Ways and Means Committee and serves as the Vice Chair of the House Democratic Caucus.