The Public Health AmeriCorps, a new initiative created by President Joe Biden's administration, is being deployed across the country, but at a smaller scale than Biden initially promised.
The Centers for Disease Control and Prevention and AmeriCorps — an agency for service and volunteers — partnered to fund new public health workers through the Biden administration's American Rescue Plan, the $1.9 trillion coronavirus and economic relief bill that Biden signed within weeks of taking office in 2021. Initially, the investment was a five-year, $400 million deal to recruit and train workers.
However, the Fiscal Responsibility Act, which Congress passed in 2023 to extend the debt ceiling to January 2025, cut nearly half of this plan's funding. The program is not funded beyond 2024. Despite the cut, Public Health AmeriCorps had created 4,700 new public health workers as of June 1, AmeriCorps said in a statement to PolitiFact.
AmeriCorps gives members as young as 17 years old a stipend for a year of training in locations across the country, and then funding to further their education or advance in public health careers. Members get résumé support and must complete an online public health developmental course.
Public health workers try to prevent disease nationwide by tracking and researching infectious diseases. They also educate underserved populations about public health crises and develop policies to promote health equity.
Health policy experts say this investment into public health workers is a step in the right direction toward addressing a national health care worker shortage. A 2023 study published in Health Affairs, a peer-reviewed health care journal, shows that in their sample of more than 150,000 state and local public health workers, nearly half of them left the field from 2017 to 2021. The study also said three-fourths of workers 35 years old and younger left the workforce in that time period. The AmeriCorps investment has so far trained workers in all 50 states, and 70% of the members are younger than 30, according to the CDC.
Staff retention problems in public health carried over from the 2008 financial crisis and were exacerbated by the COVID-19 pandemic, the study said.
"I do think it provided an important model given the significant challenges the country faces with the depletion of the public health workforce," said Jen Kates, the senior vice president at KFF, a nonprofit health policy organization.
Because Biden was unable to use the full American Rescue Plan investment to create a larger public health workforce, he has fallen short of the goal to create 100,000 new public health workers. But the AmeriCorps plan Biden created expands the public health workforce. We rate this promise a Compromise.