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Legislative Action Alert! Contact Senate Leaders Now

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Last Wednesday, the House of Representatives approved its version of the state budget (HB 590). Unfortunately, this budget includes a $450,000 cut in funds for teen pregnancy prevention. This cut will eliminate at least eight local programs. 

Representative Diana Parfitt of Cumberland County offered an amendment to restore the funds, but the amendment failed by 71 “no” votes to 47 “yes” votes.  Other efforts are already underway to hopefully restore the funds, and there is a sense that the House’s leadership of the Appropriations Subcommittee on Health and Human Services may be receptive and supportive if the Senate were to find a viable solution. 

However, it is critical to let legislators know over the coming two weeks how important teen pregnancy prevention funding is - and how our communities cannot lose eight (or more) teen pregnancy prevention projects. 

In This Update:

Budget Update

Next Steps: What You Should Do Now

Special Provisions Update

Who to Contact

 

Budget Update

Teen Pregnancy Prevention Items Included in the House Budget

  • $2.5 million in federal TANF Block grant funds for pregnancy prevention ($1.5 million that will go to local projects and $1 million that will go to local health departments)
  • $650,000 in Maternal & Child Health Block Grant funds for pregnancy prevention projects and initiatives

Teen Pregnancy Prevention Items Not Included in the House Budget

  •  $450,000 in federal TANF Block grant funds for pregnancy prevention.  Without these funds, at least eight local pregnancy prevention projects will have to be cut or not funded.  The current 58 pregnancy prevention projects will be reduced to 50 projects.  At one time, there were 71 local projects in the state and that number was reduced to 58 over the years.  The overall program has never recouped the funding that was lost after the last time cuts were made forcing a reduction in local projects. The proposal to cut the TANF funds for teen pregnancy prevention came from the Department of Health and Human Services. The cut represents a 16.1% decrease in funding for local pregnancy prevention projects.  In the past, funding appropriated to teen pregnancy prevention has totaled $3.9 million, which includes both state and federal funding.  The funding from the federal TANF Block Grant has totalled $2.9 million.  The TANF Block Grant was cut at the federal level and those cuts have had a ripple effect for North Carolina.  

Next Steps: What Advocates Should Do Now

The budget has passed the House, but we can still make a difference! We have less than two weeks to communicate the importance of sustaining teen pregnancy prevention to key leaders in the Senate. (See who needs to hear from you now!)

Your Message:  

  • Support the teen pregnancy prevention funding that was included in the House Budget (HB 590) AND restore the $450,000 cut in the federal TANF Block grant.
    • North Carolina has done a great job in reducing the rate of teen pregnancy and has a state goal to reduce teen pregnancy an additional 30% by the 2020. In years past, when prevention funding is reduced, pregnancy rates have gone up.  
    • Reducing teen pregnancies saves the state money
    • Reducing teen pregnancies saves the disruption that takes place in the life of a young person, their family, and the community.

Special Provisions Update

 The following special provisions may affect your work at the local level. 

Child Care Allocation Formula/Direction

SECTION 10.2A.  Section 10.2(a) of S.L. 2011-145 is amended by adding the following new subdivisions to read:

"SECTION 10.2.(a)  The Department of Health and Human Services shall allocate child care subsidy voucher funds to pay the costs of necessary child care for minor children of needy families. The mandatory thirty percent (30%) Smart Start subsidy allocation under G.S. 143B‑168.15(g) shall constitute the base amount for each county's child care subsidy allocation. The Department of Health and Human Services shall use the following method when allocating federal and State child care funds, not including the aggregate mandatory thirty percent (30%) Smart Start subsidy allocation:

(1)        Funds shall be allocated to a county based upon the projected cost of serving children under age 11 in families with all parents working who earn less than seventy‑five percent (75%) of the State median income.

(2)        No county's allocation shall be less than ninety percent (90%) of its State fiscal year 2001‑2002 initial child care subsidy allocation.

(3)        For fiscal year 2012-2013, the Division of Child Development and Early Education shall base the formula identified in subdivision (1) of this subsection on the same data source used for the 2011-2012 fiscal year.

(4)        The Department of Health and Human Services shall allocate to counties all State funds appropriated for child care subsidy and shall not withhold funds during the 2012-2013 fiscal year."

Community Health Grant Funding

SECTION 10.13.(a)  By no later than January 1, 2013, the Department of Health and Human Services shall enter into contracts obligating the entire amount of funds appropriated in this act for community health centers for the 2012‑2013 fiscal year. These funds shall be used only for community health grants to nonprofit or public health care safety nets that provide primary and preventive medical services to uninsured or medically indigent patients, including free clinics, community health care centers, rural health centers, school‑based health centers, and local health departments. The Department shall not use these funds to supplant any reduction in funding prescribed by the General Assembly for the 2012‑2013 fiscal year.

SECTION 10.13.(b)  By no later than March 1, 2013, the Department of Health and Human Services shall submit a written report on community health grants awarded during the 2012‑2013 fiscal year to the Joint Legislative Oversight Committee on Health and Human Services, the Senate Appropriations Committee on Health and Human Services, the House Appropriations Subcommittee on Health and Human Services, and the Fiscal Research Division. The report shall include at least all of the following:

(1)        The identity and a brief description of the community health activities performed by each grantee.

(2)        The amount of funding awarded to each grantee.

(3)        The number of persons served by each grantee.

Funds for Community-Based Health and Wellness Initiatives

SECTION 10.14.(a)  Funds appropriated in this act to the Department of Health and Human Services for the 2012‑2013 fiscal year for community‑based health and wellness programs and initiatives shall be used only for the following:

(1)        Programs to prevent and reduce tobacco use by students in grades kindergarten through 12. The Department shall not spend any funds allocated to these programs for statewide marketing and media campaigns for tobacco cessation and prevention. This subdivision shall not be construed to prohibit the use of these funds for (i) local or community‑based tobacco cessation and prevention campaigns, (ii) tobacco cessation and prevention campaigns conducted on the premises of North Carolina elementary schools, middle schools, and high schools, or (iii) the North Carolina Tobacco Use Quitline known as QuitlineNC.

(2)        ChecKmeds.

(3)        Medication Assistance Program.

(4)        Roanoke Chowan Telehealth Network.

(5)        County health department initiatives. County health departments shall use these funds only for county community health and wellness initiatives to promote healthy behaviors, including, but not limited to, tobacco cessation, improved nutrition, increased physical activity, disease prevention, and school nurse positions. Funds received by county health departments pursuant to this section shall not supplant existing funds for health and wellness programs or initiatives.

SECTION 10.14.(b)  By December 1, 2013, the Department shall submit a written report to the Joint Legislative Oversight Committee on Health and Human Services, the House of Representatives Appropriations Subcommittee on Health and Human Services, the Senate Appropriations Committee on Health and Human Services, and the Fiscal Research Division on the use of these funds. The report shall include the identity and a brief description of each grantee and each program or initiative offered by the grantee; the amount of funding awarded to each grantee; and the number of persons served by each grantee, broken down by program or initiative.

Reports by Non-State Entities Receiving Direct State Appropriations 

SECTION 10.19.(a)  The Department of Health and Human Services shall require the following non‑State entities to match ten percent (10%) of the total amount of State appropriations received each fiscal year. In addition, the Department shall direct these entities to submit a written report annually, beginning December 1, 2012, of all activities funded by State appropriations to the Joint Legislative Oversight Committee on Health and Human Services, the Senate Appropriations Committee on Health and Human Services, the House of Representatives Appropriations Subcommittee on Health and Human Services, and the Fiscal Research Division:

(1)        North Carolina Senior Games, Inc.

(2)        ARC of North Carolina.

(3)        ARC of North Carolina – Wilmington.

(4)        Autism Society of North Carolina.

(5)        The Mariposa School for Children with Autism.

(6)        Easter Seals UCP of North Carolina.

(7)        Easter Seals UCP of North Carolina and Virginia.

(8)        ABC of North Carolina Child Development Center.

(9)        Residential Services, Inc.

(10)      Oxford House, Inc.

(11)      Brain Injury Association of North Carolina.

(12)      Food Bank of Central and Eastern North Carolina, Inc.

(13)      Food Bank of the Albemarle.

(14)      Manna Food Bank.

(15)      Second Harvest Food Bank of Metrolina, Inc.

(16)      Second Harvest Food Bank of Northwest North Carolina, Inc.

(17)      Second Harvest Food Bank of Southeast North Carolina

(18)      Prevent Blindness NC.

SECTION 10.19.(b)  The report required by subsection (a) of this section shall include the following information about the fiscal year preceding the year in which the report is due:

(1)        The entity's mission, purpose, and governance structure.

(2)        A description of the types of programs, services, and activities funded by State appropriations.

(3)        Statistical and demographical information on the number of persons served by these programs, services, and activities, including the counties in which services are provided.

(4)        Outcome measures that demonstrate the impact and effectiveness of the programs, services, and activities.

(5)        A detailed program budget and list of expenditures, including all positions funded and funding sources.

(6)        The source and amount of any matching funds received by the entity.

Funds for Family Planning Services by Local Health Departments

SECTION 10.12.  Of the funds appropriated in this act to the Department of Health and Human Services for the 2012‑2013 fiscal year, none shall be allocated to renewing, extending, or entering into new contracts for the provision of family planning services and pregnancy prevention activities with providers other than local health departments. Upon the expiration of any contracts in effect during the 2011‑2012 fiscal year between the Division of Public Health and private providers of family planning services and pregnancy prevention activities, the Department shall reallocate three hundred forty‑three thousand dollars ($343,000) of these contract funds to local health departments.  Local health departments receiving funds under this section shall not contract with outside vendors for the provision of family planning services or pregnancy prevention activities. These services shall be provided directly by local health department recipients.  This section does not apply to contracts administered by the Department pursuant to G.S. 130A‑131.15A. (Note: The last line of this provision specifically exempts TPPI-funded projects from the provision.) 

Who to Contact

The Senate Appropriations Subcommittee on Health and Human Services is in the process of making budget decisions right now. Please contact the following members now. (Contact them even if they do not represent your district!)

Senator Stan Bingham (R) Co-Chairman

2117 Legislative Building

16 W. Jones Street

Raleigh, NC 27601-2808

O:  (919) 733-5665

B:  (336) 859-0999 (Davidson, Guilford)

 

Senator Andrew C. Brock (R) Co-Chairman

623 Legislative Office Building

300 N. Salisbury Street  

Raleigh, NC 27603-5925

O:  (919) 715-0690

B:  (336) 936-0180 (Davie, Rowan)

 

Senator Ralph Hise (R) Co-Chairman

1026 Legislative Building

16 W. Jones Street

Raleigh, NC 27601-2808

O:  (919) 733-3460

B: (828) 766-8329 (Avery, Haywood, Madison, McDowell, Mitchell, Yancey)

 

Senator Louis Pate (R) Co-Chairman

406 Legislative Office Building

300 N. Salisbury Street 

Raleigh, NC  27603-5925

O:  (919) 733-5621 

B:  (919) 658-3637 (Greene, Pitt,Wayne)

 

Senator Austin M. Allran (R)

625 Legislative Office Building

300 N. Salisbury Street 

Raleigh, NC 27603-5925

O:  (919) 733-5876

B:  (828) 322-1410  (Catawba, Iredell) 

  

Senator Doug Berger (D)

516 Legislative Office  Building

300 N. Salisbury Street 

Raleigh, NC 27603-5925

O:  (919) 715-8363

B:  (919) 556-0857  (Franklin, Granville, Vance, Warren)

 

Senator Fletcher L. Hartsell, Jr. (R)

300C Legislative Office Building

300 N. Salisbury Street 

Raleigh, NC 27603-5925

O: (919) 733-7223

B: (704) 786-5161 (Cabarrus, Iredell)

 

Senator Eric Mansfield (D)

1119 Legislative Building

16 W. Jones Street

Raleigh, NC 27601-2808

O:  (919) 733-9349

B:  (919) 323-9222 Ext. 232 (Cumberland)

 

Senator Bill Purcell (D)

517 Legislative Office Building

300 N. Salisbury Street 

Raleigh, NC  27603-5925

O:  (919) 733-5953

H:  (910) 276-7328 (Anson, Richmond, Scotland, Stanly)

 

Senator Bill Rabon (R)

2108 Legislative Building

16 W. Jones Street

Raleigh, NC 27601-2808

O:  (919) 733-5963

B:  (910) 457-5110 (Brunswick, Columbus, Pender)

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