Update from Washington: The President’s FY 2011 Budget

Legal Action CenterFebruary 16, 2010

Legal Action Center: SAAS’s Voice in Washington, DC

Advocacy with Congress and the Administration

Expanding access to/support for alcohol and other drug prevention, treatment, recovery supports and research Resources (annual funding process) Policy changes (national healthcare reform, parity,

Medicaid expansions)

Eliminating discriminatory policies against people with addiction histories and/or criminal records

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What We’ll Discuss Today

Review of the annual federal funding processDiscussion of the President’s FY 2011 budget Funding requests for core programs at SAMHSA

and NIH Proposals for new prevention and treatment

programs

Next steps

Steps in the Annual Funding Process

President’s budget released in February

Includes funding requests for current discretionary programs, new initiatives

Reveals Presidential/Administration priorities

Proposes funding increases and decreases, new programs, program consolidations and terminations

The FY 2011 Budget

Released February 1, 2010

FY 2011 fiscal year runs from October 1, 2010 until September 30, 2011

Congress responds with own budget blueprint Can deviate from President’s budget requests Must be consistent with statutory authority

The President’s Proposed Spending Freeze

President proposing overall freeze of non-security discretionary fundingWould exclude certain agencies and programs Security-related agencies: DHS, the Pentagon, and the VA Mandatory programs: Medicare, Medicaid, and Social Security

International spending would also be exempt, including State Department and global health programs“Priority programs” would be held harmless, including education and possibly some “poverty” programsProjected the freeze would save $250 billion over the next 10 yearsCongressional response to President’s proposal unclear…

The FY 2011 Budget: Funding Requested for SAMHSA

SAMHSA would receive $3.7 billion, a $110 million increase over FY 2010

New proposals for cross-center programming Prevention initiatives Services for the homeless

Several priorities consistent with those enumerated by ONDCP Working more closely with primary care Services provided at the community-level

Key Drug and Alcohol Programs: SAMHSA’s SAPT Block Grant

Substance Abuse Prevention and Treatment Block Grant FY 2011 Budget Request: $1.799 billion

(funding level to FY 2010) Would include $359.72 million for prevention

set-aside Includes MOE language—SAMHSA is

“monitoring the situation closely”

Key Drug and Alcohol Programs: CSAT programming

Center for Substance Abuse Treatment (CSAT) FY 2011 Budget Request: $487 million Would represent an increase of $34 million over

FY 2010

Key Drug and Alcohol Programs: CSAT programming (cont’d)

Specific CSAT program funding requests: $108.85 million for ATR (increase of $10 million) $37 million for SBIRT (increase of $8 million over FY

2010) $84.2 million for criminal justice programs (increase of

$16.6 million over FY 2010)– $56.4 million for Treatment Drug Courts ($12.6 million increase)– $23.2 million for the Ex-Offender Re-entry program ($5 million

increase)– $5 million for the Family Dependency/Treatment Drug Courts

program (level to FY 2010)– $4.6 million for the Adult Criminal Justice Treatment program

($1 million cut)

Key Drug and Alcohol Programs: CSAT programming (cont’d)

Additional CSAT program funding requests: Treatment Systems for the Homeless: $47.36 million

($4.6 million increase) ATTCs: $9.08 million (level funding) Opioid Treatment programming: $8.9 million (level

funding) Programming for Pregnant and Postpartum Women:

$17.4 million ($1.4 million increase) Programming for Children and Families ($190,000 cut)

Key Drug and Alcohol Programs: Proposals for New Treatment Programming

Health Resources Services Administration (HRSA) proposal to improve availability and quality of addiction treatment at FQHCs $25 million request for 125 service expansion

grants Proposed purposes of the funds Additional details needed

Key Drug and Alcohol Programs: Proposals for New Treatment Programming (cont’d)

Indian Health Service proposal to improve alcohol and other drug treatment programming in Indian country $205.8 million for alcohol and drug treatment

programming ($11.4 million increase) Would include a new $4 million grant program to

hire addiction professionals

Key Drug and Alcohol Programs: CSAP programming

Center for Substance Abuse Prevention (CSAP) FY 2011 Budget Request: $223 million Would represent an increase of $21 million over

FY 2010

Key Drug and Alcohol Programs: CSAP programming (cont’d)

Specific CSAP program funding requests: $103.5 million for Strategic Prevention

Framework State Incentive Grants (SPF-SIGs) (cut of $8.3 million from FY 2010)

$23 million for new Prevention-Prepared Communities program

– Would serve young people 9 to 25 years of age– Would include both substance use and mental illness

prevention strategies– Would include grants to States

Key Drug and Alcohol Programs: CSAP programming (cont’d)

Additional CSAP program requests: $9.7 million for Project LAUNCH initiative

– Currently a CMHS program, would become a joint CMHS-CSAP project

– Aimed at providing children from 0 to 8 years of age with substance use and mental illness prevention and health/wellness strategies

$8 million for the STOP Act (a $1 million increase)

Key Drug and Alcohol Programs: Drug-Free Communities Program

Drug-Free Communities Act program FY 2011 Budget Request: $85.5 million Would represent a cut of $9.5 million from FY

2010

Key Drug and Alcohol Programs: Proposals for New Prevention Programming

Prevention programming at the Department of Education Safe and Drug-Free Schools and Communities

State Grants program eliminated FY 2011 budget includes request for new

Successful, Safe and Healthy Students program– Consolidation of several programs into a $410 million

program– Specific required focus on substance use prevention?

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Key Drug and Alcohol Programs: The Research Institutes

National Institute on Drug Abuse (NIDA): FY 2011 Budget Request: $1.0941 billion Would represent an increase of $34.6 million

over FY 2010

National Institute on Alcohol Abuse and Alcoholism (NIAAA): FY 2011 Budget Request: $474.6 million Would represent an increase of $12.5 million

over FY 2010

Additional Key Funding—Electronic Health Records

$4 million funding request to help SUD and MH service providers plan, develop, and start implementing health information technology

$12.8 million request for an initiative on privacy and electronic health records—specific to SUD and MH treatment

Additional Key Funding—Department of Justice programming

Second Chance Act: $100 million (level funding)Byrne JAG program: $519 million (level funding)RSAT program: $30 million (level funding)Enforcing Underage Drinking Laws (EUDL) program would be eliminatedProposal to consolidate several DOJ programs (including the Drug Court and Mentally Ill Offender programs) into a new $57 million Drug, Mental Health and Problem-Solving Courts program

Next steps: Work in Congress Begins

Congress will likely craft a FY 2011 budget blueprint this spring House and Senate Budget Committees Provides parameters for funding process

Appropriators will begin work on funding bills this spring/summer House and Senate Appropriations Committees;

Subcommittees organized by Department

Our Collective Work to Fight for Increased Funding

Advocacy with Congress Meeting with your Members of Congress and

their staffers Program visits in the home district—educating

your Representatives about your great work and the tremendous need for increased funding

Meetings in Washington Work with our key contacts Legislative updates and alerts!!

Next Steps: Work of the Advocacy Community

Field funding recommendations SAPT Block Grant: $2.0085 billion ($210

increase over FY 2010) CSAT: $529.6 million ($75 million increase over

FY 2010) CSAP: $277.2 million ($75 million increase over

FY 2010) NIDA and NIAAA Ad Hoc Group for Medical

Research Recommendations

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Keeping Yourself Informed

LAC and SAAS newsletters, updates and alerts

Contact Gab (gdelagueronniere@lac-dc.org) or Dan (dbelnap@lac.org) at 202-544-5478 with any questions

Thank you for all of your work!!