SCHA-LA

Rally to Save Prop 36 on Fri 06/19/09

Posted in CA Budget by SCHA-LA on June 18, 2009

URGENT: RALLY IN LOS ANGELES ON JUNE 19TH. LET’S HELP MINIMIZE BUDGET CUTS IN OUR PROFESSION!

Please join Assemblymember Jim Beall Jr. and members of the California Assembly’s Alcohol and Drug Abuse Select Committee at a special hearing and rally hosted by Assemblymember Kevin de Leon on June 19 at the Los Angeles County  USC Medical Center.

This hearing focuses on the cost of alcohol’s harm to California and potential cuts that would eliminate Proposition 36, the Offender Treatment Program, and affect local funding that combats addictions. Elimination of these programs will lead to the unnecessary destruction of people’s lives as well as their families’ while adding to Californias costs for healthcare, foster care and imprisonment.

Select Committee members will discuss alternatives to the Governor’s proposed cuts including the concept of raising levies on alcohol to help pay for alcohol-related accidents, emergency medical and trauma care, treatment programs, and law enforcement costs.

The Select Committee invites you to attend this crucial rally and hearing to provide your ideas and solutions to save these important treatment programs in the face of a devastating $24 billion state deficit Please contact interested groups or individuals about this special meeting.

Assembly Select Committee on Alcohol and Drug Abuse Hearing

June 19, 2009

Los Angeles County +USC Medical Center
2051 Marengo Street
Los Angeles, CA 90033

Agenda:

10am – Rally/News Conference: Top Steps of New Hospital’s Main Entrance

11:30 a.m – Informational hearing: Inpatient Tower 1st floor Conference Room
The Select Committee advises participants to arrive 30 minutes early to allow themselves enough time to find parking and go through hospital security. Parking is tentatively reserved and available on a first come first serve basis in Lot 9D located at 1950 Marengo Street. Please check our website Monday for parking and facility details including map of facility. http://www.assembly.ca.gov/beall

For more information contact Sunshine Borelli or Rodney Foo, (408) 282-8920.

Thank you for your support by attending this rally.

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most recent information on the CA Budget’s possible impact on HIV services

Posted in CA Budget by SCHA-LA on June 16, 2009

——————————————— FROM THE STATE OFFICE OF AIDS ———————————————————

Yesterday the Conference Committee voted to not adopt the Administration proposal and voted to adopt a Compromise proposal. Following are the highlights of the Compromise Proposal:

ADAP – Reduce General Fund support to ADAP but utilize rebate funds to fully fund ADAP in FY 2009-10. Rejected the formulary reduction and premium payment components of the Administration proposal. Other specific areas of cost-saving are outlined in the agenda; they do not have client impact.

Education and Prevention – Reduce GF by $2.22 million. This is approximately 9% of GF and 7% of total funds in this program area.

Counseling and Testing – No reduction

Surveillance and Epi Studies – Reduce GF by $1 million. This is approximately 12% of GF and 10% of total funds in this program area.

Early Intervention –No reduction

Therapeutic Monitoring Program – Reduce GF by $0.714 million ($714,000). This is approximately 9% of GF and total funds in this program area.

Housing – Reduce GF by $0.101 million ($101,000). This is approximately 9% of GF and 2% of total funds in this program area.

Home and Community Based Care –Reduce GF by $0.538 million ($538,000). This is approximately 9% of GF and 5% of total funds in this program area.

State Operations –Reduce GF by $3.427 million. This is approximately 52% of GF and 16% of total funds in the area of support to State Operations. The number of positions listed to be eliminated in the Conference Committee agenda is 36. Details regarding this item are being clarified.

NEXT STEPS

1.                  Conference Committee budget proposal must be voted on by full legislature.

2.                  Governor can veto specific funding when he signs a final budget bill.

3.                  Thus, OA is continuing contingency planning for both the Administration Proposal and for the Conference Committee compromise proposal.

——————————————— FROM THE HIV COMMISSION ————————————————————-

Budgeting/Allocations Processes

In these times of economic uncertainty, budget cuts and other financial hardships, numerous budget processes are occurring simultaneously and causing significant confusion—even for those who are working directly in the service delivery system(s) that the various budgetary decisions will impact. As a result, this brief has been developed, concur‐rent with other briefs about State budget cuts, to explain the various processes at the federal, state and local levels, and their possible outcomes, impacts and consequences.

Federal Funding:

At the federal level, funding for local and statewide HIV/AIDS services is more promising than it has been in recent years. Funds for two of the three primary HIV revenue streams are on track to be increased during the federal FY 2010 budget cycle (October 2009 – September 2010): Ryan White funds are proposed to be increased by 2.4%, or $54 million, and Centers for Disease Control and Prevention (CDC) prevention services are expected to be increased by 5.4%, or $53.9 million. Regrettably, increased funding for Housing Opportunities for Persons With AIDS (HOPWA) has not been proposed for FY 2010.

Due to increased funding at the federal level, because the County and State surveillance system continue to mature and contribute more case reports to national case counts, and because LA County submitted a highly competitive application this past year, LA  County received an increase in Ryan White funding of 7.4% to $35,910,442 for FY 2009 (March 2009 – February 2010). Local CDC funding for prevention services remained stable at $12,800,172 and HOPWA funding was increased by 3.1% to $10,764,091 for the 2009 program year.

In the early part of the calendar year, Congress approved the President’s budget, which included stimulus funding for federal and state purposes. California is expected to receive $8+ billion in stimulus funding, which will be used in numerous ways. However, those stimulus funds come with conditions such as restricting changes to Medi‐Cal eligibility requirements (see State Budget Cuts Brief #3, June 9, 2009).

State Funding:

The worst budgetary news is occurring at the State level, as the Governor and State legislators grapple with a budget deficit estimated at $21 ‐ $24 billion. Due to the results from the May 19, 2009 special election, the Governor is not considering any revenue enhancement (e.g., taxes, revenue increases) strategies.

As a result, the Governor has proposed a series of devastating cuts to State services and programs, including to HIV/AIDS services run by the State Office of AIDS (see State Budget Cuts Brief #2, May 30, 2009) and to other programs that will negatively impact people with HIV/AIDS (see State Budget Cuts Brief #3).

The State Legislature’s Conference Committee on the Budget has responded with its own budget cut proposal(s)—including some of the Governor’s proposals, alternative strategies, and proposals differing from the Governor’s recommendations. The Conference Committee proposals will be summarized in an updated brief shortly.

Following the Conference Committee’s action, both the State Assembly and State Senate must approve the Conference Committee’s budget proposal. After approval by both houses, the Legislature’s budget proposal is sent to the Governor for his signature. The Governor has the power to cut (“blue pencil”) specific line items from the budget the Legislature has sent to him. Once he signs the budget—with or without any “blue‐pencil” cuts—the budget becomes effective.

Reports that the State will be completely out of money at various points in July are fueling the accelerated pace at which these decisions are being made. At this point in time, the President and Congress (federal level) have not demonstrated an interest in helping the state out of its financial crisis with additional loans and/or grants.

Local Funding:

Local resources are impacted by both federal and State funding levels. Due to proposed State budget cuts, care and treatment (medical outpatient, oral health, home‐based care and medications, among other programs) and prevention services could be impacted. Contrary to State resources, federal Ryan White funding for the local service delivery system has been increased this year—but the Ryan White amount received in LA varies annually.

At the local level, the Commission on HIV is responsible for deciding what proportions of the annual Ryan White award are allocated for various services. The Commission determines the allocations a year in advance in order to give its administrative partner, Office of AIDS Programs and Policy (OAPP), time to solicit new services, if needed. In addition, HIV/ AIDS services are supported with the County’s Net County Cost (“NCC”) funds (similar to County general funds), determined by OAPP.

Currently, the Commission is considering allocations for FY 2010 (March 2010 – February 2011). While the Ryan White award has been increased for the current year, there is no certainty that it will be the same level the following year (for which allocations are being determined). Also, because the number of clients entering the Ryan White‐funded system of care is rising and State budget cuts are jeopardizing medical and clinical services, local Ryan White funds may need to be shifted to support those and related services. That may mean that Ryan White funds for other services are decreased (OAPP makes its decisions about NCC funds independently). When the Commission determines allocations, it considers client need first and then if other resources can be used to pay for the services, among other factors. The Commission will conclude its allocation decisions in the summer 2009, but may revise them in 2010 as in‐formation about the funding for 2010 is verified.

Additionally and separately, OAPP is contracting new prevention services, funded by the CDC, State and other resources. Following the recommendations of the HIV Prevention Plan 2009‐2013, OAPP has begun shifting a greater proportion of its available prevention resources from Health Education/Risk Reduction (HE/RR) to HIV Counseling and Testing (HCT) services. Agencies have been notified of those new contracts, and the resulting changes—but contracts may change following final State budget cuts.

by Craig Vincent-Jones, Kyle Baker

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