Oklahoma could lose almost $47 million in public health funding over the next five years if the prevention and public health fund, part of the Affordable Care Act, were repealed, according to an analysis by the Trust for America's Health, a D.C-based nonpartisan health advocacy group.

Additionally, the Centers for Disease Control and Prevention stands to lose 12 percent of its annual budget. In total, states could lose more than $3 billion over the next five years from grants and programs supported by the prevention fund. "CDC is the world's leading public health authority and the front line against major threats to the health and well-being of the American people — such as disease outbreaks, prescription drug misuse and diabetes," said John Auerbach, Trust for America's Health president and CEO. "Losing the Prevention Fund would result in diminished support for public health in every state, undermining their ability to fight epidemics and keep people safe." The $890 million gap in CDC's annual funding created by eliminating the prevention fund could not be filled under current laws without drawing funds away from service programs in other labor, education or health agencies, according to Trust for America's Health.

If the prevention fund were eliminated, the impact would be felt at the local, state and federal levels as public health organizations respond to several major health crises that are on the rise.

For example, with the exception of the one-time-only funding for Ebola and Zika, Oklahoma's core funding for preparedness and response to health emergencies has been cut by more than one-third in the past decade, with the state now receiving only $7 million per year for these protections.