What is Ahead for Supportive Housing Policy at the Federal Level

Transcription

1 What is Ahead for Supportive Housing Policy at the Federal Level CSH, Center for Budget and Policy Priorities and National Health for the Homeless Council

2 PRESENTERS and SPEAKERS Hilary Swab Gawrilow, CSH Director of Federal Policy Kathy Saile, CBPP Associate Director for Government Affairs Daniel Rabbitt, NHCHC Health Policy Organizer

3 Current State of Affairs: Lame Duck FY2015 Appropriations: THUD LHHS Deadline: Dec. 11th Tax Extenders: LIHTC EITC Runaway and Homeless Youth Act: UC

4 FY2015 Appropriations: Housing and Services Program FY14 Funding House FY15 THUD Senate FY15 THUD Housing Choice Vouchers McKinney Vento Assistance $19.1 billion $19.3 billion $19.5 billion $2.105 billion $2.105 billion $2.145 billion HOME $950 million $700 million $950 million CDBG $3.030 billion $3 billion $3.020 billion Section 811 $126 million $135 million $135 million

5 Service Programs in FY2015

6 New Year, New Congress New Congress; New Members Republican Senate Majority Committee Leadership Changes: Senate and House Appropriations Ways and Means and Finance Committees Banking and House Financial Services

7 Did we get set up? Sequestration yesterday, sequestration now, sequestration tomorrow. Budget Control Act (BCA) will be back in effect after the one year budget agreement between Sen. Murray and Rep. Paul Ryan. Budget Process Back on Track: Likely majorities will pass budgets; Budget Reconciliation Debt Ceiling: Remember those tax cuts we made permanent at the end of ? Extraordinary measures end in spring 2015

8 Chart Time! BCA is Back: Cuts to Non- Defense Discretionary

9 Chart Time! Housing Programs Losing Ground

10 What Can We Expect? Gridlock! Rs controlling both chambers + D President=VETOS Cutting Deals: Reaching across the aisle to get some wins under their belt. Need Dems to pass bills. Spending Cut or Stalled: Put new housing at risk; Funding existing housing at level funds (reduction in assistance/services).

11 Health Services for the Homeless Case management, outreach, benefit enrollment, primary and behavioral health care Essential to engage those experiencing homelessness and help them regain housing stability Targeted and mainstream programs critical as HUD moves away from funding services

12 Overview of Service Programs for the Homeless Health Centers and Health Care for the Homeless Services Provided: primary health, behavioral health, dental, other supports Health Centers served 21 million patients; 250 HCH served 850k in 2013; HCHs receive 8.7% of total HC funding. SAMHSA Programs PATH: formula grants for outreach to homeless; ACT and SOAR; Support Services in Housing: five year grants, services in supportive housing Runaway and Homeless Youth 3 Grant Programs: transitional housing; outreach; basic centers; 740 grantees in 2013 Needs to be reauthorized in 2015

13 Medicaid and CHIP: Critical Health Care Access for the Homeless Federal-state partnership; Primary source of health coverage for homeless; Flexibility to provide services in supportive housing and other targeted services; ACA State Option to Expand Medicaid

14 Issues for Services in FY2016 Health Center ACA Funding Cliff HHS Funded Programs Medicaid and Other Mandatory Programs Expiration of ACA Mandatory Money in 2016 Flat funded for years Easy targets for deficit reduction Needs $3.6 billion in funding in FY2016 to continue Non-defense discretionary not likely to increase Changes in eligibility, limiting or capping services

15 Health Center/HCH Funding Cliff

16 Key Members of Congress for Health Policy

17 Issues for Housing Funding Legislative Opportunities Administrative Changes Housing Choice Vouchers: Renewal Costs Special Purpose Vouchers Rental Housing Reform: MTW; S8 changes; RAD FSS Expansion Finalizing proposed regs; Shifting gears; Homelessness Assistance: Ending Chronic; Renewal Costs; HUD-VASH SIF/PFS Connecting housing and services; SPV + Services = $$ savings Look At: Budget proposal New guidance

18 Key Members of Congress for Housing

19 Engaging Members and Staff Coalitions: National State Local Reaching Out to Staff: Newsletters Meeting in Person Property Tours Invite Members/staff Ribbon Cuttings Highlight Key Programs used

20 QUESTIONS? Hilary Gawrilow x50 Dan Rabbitt PPT will be posted on CSH s Website Join NOC to be part of monthly updates from Washington D.C.!