On Wednesday, the House Energy and Commerce Committee’s Subcommittee on Health is holding a hearing entitled “Setting Fiscal Priorities in Health Care Funding”. While the witness list is not yet available, it is expected to address ways to defund the Affordable Care Act (ACA) including proposals to reclassify the mandatory funding in ACA to discretionary funding (meaning funding that must receive appropriations). The Prevention and Public Health Fund is one example of a mandatory spending program in the ACA. The Prevention Fund distributed $750 million to states and communities in FY 2011 to improve access to prevention services, expand the public health workforce and infrastructure, and expand research and surveillance. With mandatory spending programs, the law has to be amended to change the funding level as opposed to programs that must go through the appropriations process.