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On March 2, 2023, ASTHO announced that during the 2023 spring meeting, island health officials will also meet with Congress and the administration to urge them to strengthen island health systems and infrastructure.

On March 23, 2023, ASTHO President Anne Zink testified before the U.S. House of Representatives Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies.

On March 23, 2023, ASTHO President Anne Zink testified before the House Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies regarding sustainable and flexible public health funding.