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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
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
Current State of Affairs: Lame Duck
FY2015 Appropriations:
THUD
LHHS
Deadline: Dec. 11th
Tax Extenders:
LIHTC
EITC
Runaway and Homeless
Youth Act:
UC
FY2015 Appropriations: Housing and
Services
Program FY14 Funding House FY15
THUD
Senate FY15
THUD
Housing
Choice
Vouchers
$19.1 billion $19.3 billion $19.5 billion
McKinney
Vento
Assistance
$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
Service Programs in FY2015
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
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
2014…..?
Extraordinary measures end in spring 2015
Chart Time! BCA is Back: Cuts to Non-
Defense Discretionary
Chart Time! Housing Programs Losing Ground
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).
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
Overview of Service Programs for the
Homeless
•Services Provided: primary health, behavioral health, dental, other supports.
•1200 Health Centers served 21 million patients; 250 HCH served 850k in 2013;
•HCHs receive 8.7% of total HC funding.
Health Centers and Health Care for the
Homeless
•PATH: formula grants for outreach to homeless; ACT and SOAR;
•Support Services in Housing: five year grants, services in supportive housing
SAMHSA Programs
•3 Grant Programs: transitional housing; outreach; basic centers;
•740 grantees in 2013
•Needs to be reauthorized in 2015
Runaway and Homeless Youth
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
Issues for Services in FY2016
Health Center ACA Funding Cliff
Expiration of ACA Mandatory Money in 2016
Needs $3.6 billion in funding in
FY2016 to continue
HHS Funded Programs
Flat funded for years
Non-defense discretionary not likely to increase
Medicaid and Other Mandatory
Programs
Easy targets for deficit reduction
Changes in eligibility, limiting or
capping services
Health Center/HCH Funding Cliff
Key Members of Congress for Health Policy
Issues for Housing
Funding
Housing Choice Vouchers:
Renewal Costs
Special Purpose Vouchers
Homelessness Assistance:
Ending Chronic;
Renewal Costs;
HUD-VASH
Legislative
Opportunities
Rental Housing Reform:
MTW; S8 changes; RAD
FSS Expansion
SIF/PFS
Connecting housing and services;
SPV + Services = $$ savings
Administrative Changes
Finalizing proposed regs;
Shifting gears;
Look At:
Budget proposal
New guidance
Key Members of Congress for Housing
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
QUESTIONS?
Hilary Gawrilow
202-715-3985 x50
Dan Rabbitt
443-703-1337
PPT will be posted on CSH’s Website
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