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February 12, 2013

NACHSA e-Alert

 

Greetings NACHSA Members!

With just days before a March 1, 5.1 percent across-the-board cut will be triggered on domestic discretionary programs, there is still no agreement between Democrats and Republicans on whether or how the cuts would be averted. President Obama is expected to highlight the potential impact of the sequester on the slowly recovering economy during his State of the Union address tonight.      

NACHSA Dues Are Due! NACHSA 2013 dues are due. To save labor and postage costs, NACHSA invoices members via these e-Alerts. This is the ninth consecutive year that NACHSA's dues have been frozen. Click here to access the dues letter highlighting NACHSA's efforts in 2012 and the form itself. 
Conference Stipends Available: NACHSA is offering a limited number of $500 stipends to county directors or their designee to help defray the costs of attending the upcoming National Association of Counties' Legislative Conference, to be held March 2-6, 2013 at the Washington Hilton. Contact Tom Joseph at tj@wafed.com to receive a brief application form. For more information about the NACo conference, click here
In This Issue
Health Reform Implementation Resources
Human Services Resources
Webinars
NACo Awards Process
Human Services Jobs
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Health Reform Implementation Resources 

CMS Posts New Reform Implementation FAQ's: The Centers for Medicare & Medicaid Services (CMS) has posted a set of frequently asked questions on a range of issues including the Basic Health Program, the new FMAPs and how states qualify, MAGI issues, and the coverage of pregnant women and children. Click here to read it. (5 pp.)

 

Draft of ACA Application Form Released: CMS has released drafts of the online and paper versions of the single, streamlined application for health coverage. This application will be used to determine eligibility for Medicaid, CHIP, and the premium tax credits available to help consumers purchase insurance in the exchange. Click here to view the CMS sample. Other application materials may be downloaded here.

 

CMS Videos Demonstrate ACA Application Process:To demonstrate how users may interact dynamically with the online application for health insurance, CMS has posted two videos of the application being completed.  One follows a family of three and the other an individual. The video demonstrations are available here.

Human Services Resources

SNAP Benefits to Decrease:  The 2009 Recovery Act's temporary boost to Supplemental Nutrition Assistance Program (SNAP) benefits is scheduled to end on November 1, 2013, resulting in a benefit cut for every SNAP household. For families of three, the cut likely will be $20 to $25 a month - $240 to $300 a year. Without the Recovery Act's boost, SNAP benefits average only about $1.30 per person per meal. The Center on Budget and Policy Priorities reviews the cut here.

 

SNAP Supports Work:  In addition to increasing food purchasing power, SNAP has become effective in supporting work. The overwhelming majority of SNAP recipients who can work do so. Among SNAP households with at least one working-age, non-disabled adult, more than half work while receiving SNAP - and more than 80 percent work in the year prior to the year after receiving SNAP. The rates are even higher for families with children - more than 60 percent work while receiving SNAP, and almost 90 percent work in the prior or subsequent year. Click here to read the Center on Budget and Policy Priorities brief.

 

Rate of Texas Foster Kids on Psychotropic Drugs Falls: In a 2004 report titled "Forgotten Children" that highlighted the overuse of psychotropic medication by foster children in Texas, then-state Comptroller Carole Keeton Strayhorn wrote of a foster child who was prescribed 11 medications in one month, including two antidepressants and two stimulants to treat ADHD, at a cost of $1,088 to the state's Medicaid program. Since that critical report, Texas has instituted massive reforms. And though the changes have improved the state's health care system for foster children, child welfare advocates say, the rate of foster kids prescribed psychotropic drugs remains high, and accountability gaps regarding prescriptions of the psychiatric medicines persist. This Texas Tribune story covers the issue.

 
Child Welfare: States Use Flexible Federal Funds, But Struggle to Meet Service Needs: This new Government Accountability Office report reviewed the federal child welfare services law to illustrate the variety of financing and service delivery approaches state and local child welfare officials use. It analyzed HHS expenditure data and program evaluations; and interviewed HHS officials, child welfare experts, and state and local child welfare officials in 4 states and 13 localities. Click here to read the one page summary and here to view the entire report.

 

Indian Child Welfare Act Subject of NY Times Article: Under the Indian Child Welfare Act of 1978, local agencies must try to place Indian children with Indian families whenever possible, and tribes may intervene in certain custody proceedings. Congress passed the law after generations of Indian children were wrested from their homes and placed in non-Indian foster facilities and boarding schools. The law's supporters say it has worked in many instances - allowing Indian children to remain connected to their heritage, even when families fall apart. But a chronic shortage of licensed Indian foster families in states, coupled with the poverty and substance abuse endemic to American Indian communities, has also made it challenging to apply. Recently, the law's interpretation has been tested in a case that will be heard by the United States Supreme Court this year and is being watched closely by child welfare experts. Read the rest of the story here.

 

Revealing the Real TANF: The Nation's Greg Kaufmann wrote about TANF in his This Week in Poverty blog. He reported on a Center for American Progress (CAP) panel on the program. Click here to view the presentations.

 

Assets & Opportunity Scorecard Released: TheCorporation for Enterprise Development (CFED) Assets & Opportunity Scorecard finds that nearly half (43.9 percent) of U.S. households are "liquid asset poor" with almost no savings to fall back on in the event of a job loss, health crisis or other income-depleting emergency. CFED notes that while most of these families are living below the poverty line, nearly a quarter would be considered middle class. The Scorecard includes state-by-state data on how residents are faring and assesses asset-building policies that are making a difference.

Webinars

Child Welfare and the Affordable Care Act: On February 19, at 1 p.m. ET, First Focus and the Urban Institute will review the recent proposed rule implementing the expansion of Medicaid coverage to former foster children up to age 26. The draft rule, however, would give states the option to not cover those youth who resided in a different state when in foster care. This issue and others will be discussed.  Comments on this proposed rule are due Thursday, February 21st, 2013. Register for the webinar here.   

 

NACo ACA Implementation Webinar: On February 21, from 2 p.m.- 3:15 p.m., NACo will address key provisions of the Affordable Care Act and the role of counties in public outreach and assistance. It will also address the implications for counties in states that do not expand Medicaid. The webinar will also explore questions related to funding for local prevention initiatives and potential impacts on county behavioral health services.  Click here to register.

NACo Achievement Awards Process Underway

NACo Solicits Achievement Awards Applications: The National Association of Counties is soliciting applications for the NACo Annual Achievement Award Program. The Achievement Awards is a great way for counties to receive national recognition for not only their innovative and state-of-the-art county government programs, but for the dedicated employees who make these programs successful. In addition to receiving national recognition, Achievement Awards provides a comprehensive list of best practices that counties, your association, and NACo can use to demonstrate why counties are so important. Member counties and non-member counties are both eligible to apply with a fee ($60 for member counties; $150 for non-member counties). Click here to access the application materials.  The application deadline is February 21. 

Human Services Jobs

 

San Bernardino County, Calif. is recruiting for a Deputy Director in their Child Support Services Department.

 

The County of Santa Clara, Calif. is seeking a Director of Employment and Benefit Services.

 

The City and County of San Francisco has an opening for their Deputy Director of Family and Children's Services. 

 

NACHSA members may post senior job openings free of charge. Contact Tom Joseph at tj@wafed.com for more information. 

Tom Joseph
National Association of County Human Services Administrators