Government Affairs and Advocacy Archives - Page 3 of 10

On Jan. 31, the House of Representatives passed (357 to 70) a significant $78 billion bill which expands the child tax credit and reinstates certain business tax breaks. Republican Rep. Jason Smith, the main sponsor in the House, praised the bill as beneficial for growth and employment. It enlarges the child tax credit, though at a reduced level compared to the pandemic period, and revives business tax breaks until 2025. Additionally, it enhances tax benefits for low-income housing and disaster victims. The package of tax breaks is paid for by curbing the pandemic-era employee retention tax credit. Lawmakers see the bill as a positive bipartisan achievement amidst a divisive political climate.

Despite overwhelming approval in the House, the bill faces challenges in the Senate. The main proponent, Sen. Ron Wyden (D-Ore.), has argued its benefit to families and businesses, and pointed to the bipartisan nature of the bill’s passage in the House. Senate Republicans, however, have reservations, particularly regarding the impact of the expanded child tax credit on parents’ work incentives. Mike Crapo (R-Idaho) highlighted a provision that permits parents to collect the larger credit by claiming earnings from previous years, thereby discouraging work, in his eyes. Despite these challenges, the bill is supported by President Biden as well as many senators and could gain momentum in the coming weeks.

HHS Highlights Progress After Two Years of Overdose Prevention Strategy

On Feb. 1, the U.S. Department of Health and Human Services (HHS) marked the second anniversary of its Overdose Prevention Strategy. From 2019-2021, the United States witnessed alarming increases in overdose death rates. Recent efforts, however, have successfully stabilized this trend. According to the administration, over the last three years the rate of increase in overdose deaths has plummeted by over 90%, with a consistent decline observed almost every month.

The administration argues that significant investments in overdose prevention programs have contributed to these positive outcomes. Key initiatives encompass primary prevention, treatment, harm reduction, and recovery support services. Such efforts include SAMHSA’s Youth Fentanyl Awareness Prize Challenge, which elicited advice from youth aged 14-18 on best practices for educating young people; the Building Communities of Recovery program, which brings together community resources to support long-term recovery; and telescribing, which has made it easier to access treatment.

Other highlights include naloxone sales, which have surged notably in the past year, signaling wider availability of this life-saving medication. Concurrently, there has been a significant rise in the number of individuals receiving buprenorphine treatment, indicating enhanced access to evidence-based care.

Despite progress, challenges persist as provisional data indicate a persistently high number of overdose deaths. HHS unveiled bold new steps, which include new opioid use disorder treatment rules, aiming to make flexibilities introduced during the pandemic permanent, aligning standards of care with evidence-based practices, and broadening access to interim care with methadone.

Border Bill Introduced and Then Falters in the Senate

Last week, the Senate faced difficulty advancing legislation for aid to U.S. allies after rejecting a bipartisan plan to boost border security. Four months of negotiations, initiated by Republicans wary of increasing aid to Ukraine without linking it to stricter border controls, ended in the plan’s failure, after House Republicans and former President Donald Trump expressed opposition to the proposal. Like many immigration and border proposals in the past, the way forward is uncertain with Congress divided over border security measures in an election year.

In its current form, the proposal would introduce new emergency measures that greatly limit access across the border, triggered when crossings exceed an average of 5,000 a day over the course of a week or 8,500 in one day. Under these measures, asylum seekers would have to apply at designated ports of entry, scheduling appointments via a government app. Asylum officers from the U.S. Citizenship and Immigration Services, previously U.S. immigration judges, would decide on asylum cases at the border. Successful applicants would need to demonstrate they could not relocate within their country to avoid persecution. Asylum seekers who pass initial screenings would immediately qualify for work permits, while others could appeal to an asylum review board. The proposal also would expand the use of Alternatives to Detention for migrants awaiting asylum case decisions, such as ankle monitors and cell phones for check-ins with authorities.

HUD Releases New Factsheet on Agency Support for Black People

In a newly released factsheet, the U.S. Department of Housing and Urban Development (HUD), under the leadership of Secretary Marcia L. Fudge, outlined several initiatives undertaken to support Black communities in homeownership, economic empowerment, and housing stability. Notably, HUD broke down systemic barriers to homeownership, facilitating approximately 250,000 Black Americans in purchasing homes with an FHA mortgage since 2021. Additionally, foreclosure prevention measures implemented during the pandemic helped 160,000 Black homeowners retain their homes amidst financial challenges. HUD expanded access to housing counseling, invested in Black-owned, small, disadvantaged businesses, and awarded over $10 million to historically Black colleges and universities for wealth building and housing research.

Efforts to combat racial discrimination in housing continue with HUD working to eliminate bias in appraisals and promote fair housing practices. Furthermore, HUD expanded rental assistance programs, including emergency housing vouchers targeting homelessness, with a significant portion benefiting Black households. Finally, the Secretary oversaw efforts to review HUD regulations, policies, and guidance that discriminate against people with past criminal records. These initiatives demonstrate HUD’s commitment to advancing equity, homeownership, and housing stability for Black communities under Secretary Fudge’s leadership.

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The bipartisan Tax Relief for American Families and Workers Act, co-led by House Committee on Ways and Means Chair Jason Smith (R-Mo.) and Senate Finance Committee Chair Ron Wyden (D-Ore.), received overwhelming support (40-3) in a Republican-led committee vote, advancing it to a full House vote.

The plan includes temporary expansions of the child tax credit and revived tax breaks for businesses. The bill proposes increasing the child tax credit incrementally from the current $1,600 to $1,800 in 2023, $1,900 in 2024, and $2,000 in 2025, as well as boosting tax credits for low-income housing construction. The proposal, if enacted, could lift 400,000 children out of poverty in the first year and reduce poverty for an additional 3 million. By 2025, it is expected to move around half a million children out of poverty and reduce poverty for about 5 million other children.

To fund the deal, a COVID-19 tax break for businesses that retained employees during the pandemic would be terminated, saving an estimated $79 billion. Despite strong support for the legislation in committee, during the markup concerns were raised the child tax credit expansion still may not adequately meet the needs of low-income families. There is also resistance from some House members who demand full restoration of state and local tax deductions. The House is set to return on Jan. 29. The bill has yet to make it out of committee in the Senate. Nevertheless, there is optimism that Congress may pass the tax measure before the April 15 tax-filing deadline, providing families with the expanded credit for the 2023 tax year.

Federal Budget Deadline Extended

On Jan. 19, President Joe Biden signed a stopgap spending measure to keep federal departments and agencies open into March, averting a partial shutdown that was set to begin on Jan. 20.

With negotiations on budget allocations dragging on for weeks, however, lawmakers are already growing concerned about the impending funding deadlines in March. Sen. Patty Murray (D-Wash.) and Rep. Kay Granger (R-TX), the Appropriations Committee chairs, have yet to reach an agreement on top-level defense and nondefense spending figures for the 12 appropriations bills. Senate Appropriations Vice Chair Susan Collins (R-Me.) expressed worry about the ability to fund the government by the March 1 and March 8 deadlines. While Murray blamed the House for the delay, Sen. Shelley Moore Capito (R-W.Va.) criticized Senate Majority Leader Chuck Schumer (D-N.Y.) for not bringing more appropriations bills up for vote.

Simultaneously, negotiators are on the brink of finalizing a border and immigration deal tied to aid for Ukraine, Israel, and Taiwan. Senate GOP leaders, including Minority Leader Mitch McConnell (R-Ky.), aim to pass a comprehensive bill despite presidential candidate Donald Trump’s public opposition to the deal. The latest discussions involve a new authority to suspend asylum in some ports of entry when daily migrant crossings exceed a certain threshold, as well as expedited decisions on asylum cases and limited use of parole. Senate Majority Leader Chuck Schumer (D-N.Y.) and negotiators are working around the clock to finalize the deal. While challenges in crafting legislative language persist, Sen. Chris Murphy (D-Conn.) noted there is a 90-plus percent agreement on the text. If the bill passes, it will be the first major immigration bill to pass since the 1990s.

Historic Enrollment Numbers for ACA Marketplace

The Biden-Harris Administration announced 21.3 million people selected health insurance plans through the Affordable Care Act (ACA) Health Insurance Marketplace during the 2024 open enrollment period. This figure includes over five million new enrollees and 16 million coverage renewals. The enrollment period is ongoing in four states and Washington, D.C. until Jan. 31.

The Inflation Reduction Act (IRA) and the American Rescue Plan contributed to the affordability of Marketplace coverage. Due to the IRA, four out of five HealthCare.gov customers found 2024 plan coverage for $10 per month or less after subsidies.

The administration also allocated almost $100 million in Navigator Awards to organizations, supporting the hiring of staff trained to assist consumers in finding affordable and comprehensive health coverage. This initiative expanded access to affordable coverage for middle- and lower-income families, illustrated by a 4.2 million increase in enrollment from the previous year for individuals with a household income less than 250% of the federal poverty level. Marketplace coverage played a critical role for those transitioning from Medicaid or the Children’s Health Insurance Program (CHIP), with 2.4 million plan selections made by individuals who were previously enrolled in Medicaid or CHIP coverage.

HHS Releases New Guidelines for Foster Youth to Independence Program

The U.S. Department of Health and Human Services (HHS), in collaboration with the Administration for Children and Families (ACF) and the U.S. Department of Housing and Urban Development (HUD), has issued new guidelines to assist Runaway and Homeless Youth (RHY) grant recipients in implementing the Foster Youth to Independence (FYI) program. This program provides rental assistance and support services for young adults aged 18 to 24 who are transitioning out of foster care, facing homelessness, or at risk of homelessness. The guidance emphasizes the significance of housing stability for achieving self-sufficiency, especially during the critical transition to adulthood.

To access the FYI program, public child welfare agencies must refer eligible young adults to a local public housing authority. The guidance encourages RHY grant recipients to strengthen partnerships with child welfare agencies, and thereby gain information about the FYI program, facilitating connections with eligible young adults who may not be utilizing available resources. This collaboration is seen as crucial in addressing the unique needs of young people at risk of or experiencing homelessness.

Approximately 20,000 youth exit foster care each year, typically between ages 18 and 21. These individuals often encounter challenges in securing housing, leading to rates of homelessness higher than the general population. The guidance aims to equip communities with essential knowledge and tools to prevent and end youth homelessness.

The Advocacy Amplified Training and Hill Day is a comprehensive and interactive three-day event in Washington, D.C., designed to empower individuals in the social sector with fundamental and advanced advocacy skills. Held at Social Current Headquarters and Capitol Hill, the event will focus on transforming expertise into impactful strategies, fostering relationships, and mobilizing support around the Streamlining Federal Grants Act and other policy topics important to the sector.

The event will begin with a two-day training to equip attendees with the information and skills to effectively participate in Hill Day. On day three, attendees will gain real-world experience through Capitol Hill visits. They will meet with legislators and staff to advocate for critical issues and deliver persuasive messages based on the training received the previous days. Social Current facilitators and guest speakers will drive engagement throughout the event. Learn more.

Proposal for Strengthened Child Tax Credit Goes Public

On Tuesday, Democratic Senator Ron Wyden (D-Ore.) and Republican Representative Jason Smith (R-MO) released an $80 billion proposal – up from prior reports of a $70 billion proposal – to expand the child and low-income housing tax credits and restore recently expired business tax breaks and deductions. It would also tie the child tax credit to inflation moving forward. According to Wyden, the child tax credit changes would benefit the families of 15 million children and lift 400,000 children out of poverty by increasing the refundable portion of the credit on a per child basis. The proposal would also pave the way for the construction of 200,000 new affordable housing units across the country. House Speaker Mike Johnson (R-LA), Senate Majority Leader Chuck Schumer (D-N.Y.), and President Joe Biden have not commented on the deal, and it seems like there isn’t yet a consensus at the committee level on bringing the bill to the floor in either chamber of Congress. Notably, progressives are pushing to increase the current child tax credit maximum from $2,000 to $3,600. The bill’s sponsors aim to pass the proposal before the Jan. 29 tax-filing season, possibly linking it to a must-pass funding bill to avoid a government shutdown on Jan. 19.

New Bill Introduced to Address Isolation and Loneliness Among Older Adults

On Dec. 7, U.S. Senators Bob Casey (D-Penn.) and Chris Murphy (D-C.T.) introduced the Addressing Social Isolation and Loneliness in Older Adults (SILO) Act to combat the crisis of social isolation among older Americans and adults with disabilities, exacerbated by the COVID-19 pandemic. The proposed legislation aims to enhance social connections and diminish loneliness by allocating funding to Area Agencies on Aging (AAAs) and community-based organizations. The bill responds to the profound mental and physical health impacts of social isolation, emphasizing that isolation and loneliness have long been significant issues for older Americans and people with disabilities. The SILO Act establishes a new grant program, allocating $62.5 million annually, dedicated to supporting AAAs and community-based organizations.

These funds will be utilized for training programs, outreach to at-risk individuals, creating community-based solutions, connecting at-risk individuals with support structures, and program evaluation. As of 2019, 25% of the 54 million adults aged 65 and older in the U.S. experienced social isolation. The legislation addresses the serious public health risks associated with social isolation, contributing to poor health outcomes and significant excess Medicare spending, estimated at $6.7 billion annually. The SILO Act aims to ensure older adults and individuals with disabilities can age without experiencing isolation and loneliness in their later years.

HUD Allocates $10 Million to Assist Vulnerable Families and Youth from Foster Care Facing Homelessness

The U.S. Department of Housing and Urban Development (HUD) allocated $10 million to 13 public housing authorities across the nation. This funding, under the Family Unification Program (FUP), will provide more than 600 vouchers to identify and support homeless or at-risk former foster care youth as well as families whose inadequate housing is the primary reason their children are in foster care. The initiative aims to improve access to supportive services by enhancing coordination among public housing authorities, child welfare agencies, and Continuums of Care. “Keeping youth and families off the streets is essential to our efforts to reduce and ultimately end homelessness,” HUD Secretary Marcia L. Fudge said. “This funding will help our local partners aid youth and allow families to get into more permanent and stable housing. HUD is committed to ending homelessness, and this funding and partnership help us continue that critical part of our mission.”

Administered by public housing authorities in collaboration with public child welfare agencies, the FUP provides housing choice vouchers to families where inadequate housing is a key factor in child placement and youth aged 18-24 at risk of homelessness after exiting foster care. FUP vouchers for families have no time limit, while those for youth are limited to 36 months, with possible extensions under the Fostering Stable Housing Opportunities amendments. In addition to rental assistance, FUP youths receive supportive services for 36 months, focusing on skills like money management, job preparation, educational counseling, and nutrition.

HHS Releases New Healthcare Enrollment Report and Online Resource Hub

The U.S. Department of Health and Human Services (HHS) has unveiled a detailed state-by-state examination of the efficacy of enrollment strategies implemented by the Centers for Medicare and Medicaid Services (CMS). The examination follows the resumption of full eligibility renewals post-COVID-19 to safeguard Medicaid and Children’s Health Insurance Program (CHIP) enrollment, particularly for children. According to the data, more than 88 million people, including nearly 40 million children, were enrolled in Medicaid and CHIP across all 50 states and the District of Columbia as of Sept. 2023. Notably, states that expanded Medicaid and prioritized autorenewal (ex parte) rates experienced fewer disenrollments of children and youth. Conversely, the ten states that did not expand Medicaid—Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin, and Wyoming—have collectively disenrolled more children and youth than the 40 states that did. This analysis underscores the pivotal role of state policy decisions and operational choices in preserving Medicaid and CHIP coverage for eligible individuals.

HHS has also introduced an online hub designed to facilitate the renewal and transition processes for Medicaid and CHIP beneficiaries. This initiative consolidates crucial resources, primarily developed by CMS, to aid partners in outreach and engagement endeavors. The hub aims to ensure that individuals with Medicaid or CHIP coverage are well-informed about the renewal process, facilitating seamless transitions to alternative coverage options like employer-based plans or Affordable Care Act Marketplace plans. HHS encourages partners, including community-based organizations, to leverage the new resource hub to guarantee appropriate coverage for children and families. The user-friendly webpage offers diverse communication materials and toolkits in multiple languages, including English, Spanish, Chinese, Hindi, Korean, Tagalog, and Vietnamese. It also addresses potential scams and fraud related to Medicaid renewals, providing valuable information for partner-led community education.

House and Senate members are actively involved in last-ditch negotiations on a year-end tax deal that would address key issues for both Democrats and Republicans. Ahead of the 2024 election, Democrats are pushing for a strengthened Child Tax Credit (CTC) to address rising childhood poverty after a refundable CTC expired in 2021. Republicans are hoping to reinstate full deductibility for research and development investments, a provision that lapsed in 2022. Senate Finance Committee Chairman Ron Wyden (D-Ore.) and House Ways and Means Chairman Jason Smith (R-Mo.) are collaborating on a potential package, with an estimated cost of around $100 billion.

If a deal cannot be made by the end of the year, both sides of the aisle are eyeing passage of the bill in January. This is good news considering a similar deal was attempted and failed last December, and talks did not continue into the new year. Nevertheless, the $100 billion tax deal is expected to encounter numerous challenges, such as determining the appropriate legislative vehicle to pass the deal as well as Congress needing to reach consensus on essential appropriations bills.

Special Committee on Aging Holds Hearing on Substance Use Trends Among Older Adults

On Dec. 14, the Senate Special Committee on Aging convened its 11th hearing of the 118th Congress to address substance use disorder in older adults. Chairman Bob Casey (D-Penn.) and Ranking Member Mike Braun (R-Ind.) introduced the hearing by providing context. The National Survey of Drug Use and Health reported that nearly 4 million older adults had a substance use disorder in 2022. The committee is also addressing the overlooked issue of synthetic drugs, like fentanyl, with overdose death rates increasing by 53% among older Americans. According to the senators, the hearing aimed to shed light on the challenges faced by older adults with substance use disorders, emphasizing gaps in data, stigma, and barriers to accessing treatment, while also addressing the broader fentanyl crisis affecting different demographic groups and regions of the country.

The first witness, Keith Humphreys of Stanford Medical School and a former White House drug policy advisor, emphasized the need for urgent policy actions, pointing to factors such as the growing number of pharmaceutical products, changes in drug tolerance with aging, generational substance use patterns, and the expansion of synthetic drugs contributing to the crisis. The second speaker, James W. Carroll, former director of the White House Office of National Drug Control Policy, advocated for tailored treatment for older adults, accountability in treatment centers, supply-side interventions to counter the influx of synthetic drugs, and comprehensive prevention efforts, including education, naloxone availability, and safe disposal of medications.

The next witness, Deborah Steinberg, representing the Legal Action Center, highlighted the organization’s Medicare Addiction Parity Project, which has found that financial barriers in Medicare persist. She recommended addressing remaining gaps, including discriminatory standards, barriers in Medicare Advantage plans, and the need to expand coverage for community-based and residential substance use disorder treatment. The final speaker, William Stauffer of the Pennsylvania Recovery Organization Alliance, highlighted the prevalence of negative attitudes and stigma surrounding addiction in society, especially affecting older adults due to ageism, leading to underreporting and insufficient support. The speaker proposed initiatives such as a Master Plan for Older Adults, investment in the substance use disorders workforce, and the establishment of an Older Adult Recovery Community Corps to utilize the strengths of older adults in recovery.

HHS Announces New Guidelines for HCBS Worker Registries

The U.S. Department of Health and Human Services (HHS) has rolled out directives via the Centers for Medicare & Medicaid Services (CMS) to enhance accessibility to home- and community-based services (HCBS). The central focus revolves around the establishment and management of worker registries, advanced platforms that identify health workers delivering Medicaid-covered HCBS to specific groups, like those grappling with disabilities and the elderly. The guidelines underscore the availability of substantial federal funding, courtesy of the American Rescue Plan (ARP), which earmarked aid to states for these registries. In a statement, HHS Secretary Xavier Becerra said, “The Biden-Harris Administration has distributed $37 billion from the American Rescue Plan across all 50 states for home- and community-based services. Additionally, we are delivering new guidance to states about how direct worker registries can help ensure more individuals receiving Medicaid-covered services can receive care in a setting of their choice.”

The guidelines are geared toward helping Medicaid recipients stay in their homes and neighborhoods, rather than utilizing nursing homes. Additionally, CMS highlights how ARP funds have been strategically injected to strengthen HCBS workers registries, allowing states to access a verified list of professional home care workers. This initiative dovetails with overarching endeavors in support of quality HCBS, which include increased funding, proposed rule adjustments around access and quality, and collaborative ventures with government partners to refine workforce data, all in sync with President Biden’s executive mandate amplifying access to top-notch care and supporting caregivers.

Biden Administration Urges All-of-Government Approach to Naloxone Access

The U.S. Department of Housing and Urban Development (HUD), the White House Office of National Drug Control Policy (ONDCP), and the U.S. Department of Health and Human Services (HHS) have jointly issued a letter urging collaboration between public health departments, health care providers, housing providers and agencies, and community-based organizations. The objective is to enhance access to naloxone and other overdose reversal medications, particularly in public housing facilities, multifamily housing and housing counseling programs, and programs for individuals experiencing homelessness. The joint effort aims to address overdoses happening within homes and encourage housing providers to ensure access to effective medications that can reverse an overdose. The guidance stresses the importance of making overdose reversal medications readily available in all public spaces, such as schools, libraries, and community institutions.

The guidance aligns with President Biden’s Unity Agenda, which calls for a collective response to the nation’s overdose epidemic, de-stigmatization of substance use disorders, and emphasis on recovery. “Naloxone and other overdose reversal medications save lives and should be as available in public housing as smoke detectors and fire extinguishers,” said to Richard Monocchio, HUD’s Principal Deputy Assistant Secretary for Public and Indian Housing. The letter underscores the federal government’s commitment to a flexible and collective response to the evolving overdose epidemic, working together at federal, state, and local levels. It also aligns with President Biden’s National Drug Control Strategy and the investments made in the State Opioid Response (SOR) grant program, which has already helped states acquire nearly 9 million naloxone kits and reverse over 500,000 overdoses.

More than 800 nonprofits have joined a sign-on letter to Congress in support of the Streamlining Federal Grants Act (S. 2286/H.R. 5934). Social Current has been active in advocating for federal grant reform, and in collaboration with the National Council of Nonprofits, has been educating the sector on the importance of this legislation that would enhance the efficiency and performance of federal grants and cooperative agreements.

Social Current’s Senior Director of Government Affairs Blair Abelle-Kiser commented on the importance this act has for the sector:

“I believe the Streamlining Federal Grants Act is a transformative step toward a more efficient and equitable grant administration system. By addressing critical issues and advocating for coordination, transparency, and equitable access, this legislation has the potential to empower nonprofits and uplift underserved communities across the nation.”

Grassroots advocacy by community-based organizations has been instrumental in building support in Washington, D.C., for the Streamlining Federal Grants Act. Since Social Current hosted its first-ever Capitol Hill Day on October 18, during which dozens of our network organizations met with members of Congress and staff, eleven members of Congress have cosponsored the bill.

These new cosponsors include Derek Kilmer (D-Wash.), Sara Jacobs (D-Calif.), Jimmy Panetta (D-Calif.), Rudy Yakym (R-Ind.), David Trone (D-M.D.), Chuck Edwards (R-N.C.), Joseph Morelle (D-N.Y.), Brian Fitzpatrick (R-Penn.), Jake Auchincloss (D-Mass.), Yadira Caraveo (D-Colo.) and Doug LaMalfa (R-Calif.).

Please sign onto the letter endorsed by more than 800 other nonprofits and help keep up the momentum!

HHS and DOE Release New Resource for Inclusion of Children with Disabilities in Early Childhood Programs

The U.S. Department of Education (DOE) and the U.S. Department of Health and Human Services (HHS) have collaboratively issued an updated policy statement highlighting the value of integrating children with disabilities into early childhood programs. This revised statement expands upon a 2015 version, reaffirming dedication and urgency to surmount obstacles hindering these children from fully engaging in inclusive early childhood programs. The revision aligns with President Biden’s executive order focusing on enhanced access to top-tier care and bolstering support for caregivers. Secretary of Education Miguel Cardona said, “Our nation’s youngest learners – including those with disabilities – deserve access to high quality early childhood programs that nurture their potential and provide a strong foundation for future success.”

With over 61 million U.S. adults grappling with disabilities and nearly one in six children experiencing developmental delays, the administration has advocated for a culture of inclusion spanning from birth to education and extending into communities and workplaces, according to HHS and DOE. The statement underscores the need for inclusive environments, presenting updated guidelines for implementing programs administered under the Individuals with Disabilities Education Act, Head Start, childcare, home visiting, preschool, and public schools. It also includes evidence-based models and resources to facilitate tailored programming for children with disabilities in early childhood programs.

Administration Launches 2024 Marketplace Open Enrollment Period

The Biden-Harris administration announced that more than 4.5 million people have opted for health insurance plans through the Affordable Care Act (ACA) Health Insurance Marketplace in the ongoing 2024 Marketplace Open Enrollment Period (OEP), between Nov. 1 and 18. This data encompasses the 32 states using HealthCare.gov up to week three, and in the 17 states as well as the District of Columbia with State-based Marketplaces until week two. Among these selections, 920,000 individuals (20% of total) are newcomers to the Marketplaces for 2024, while 3.7 million people (80% of total) possess existing 2023 coverage.

In a statement, Secretary of Health and Human Services Xavier Becerra highlighted the robust launch of this year’s enrollment season, stressing four out of five individuals can secure a plan for $10 or less per month after subsidies on HealthCare.gov. According to the administration, the Inflation Reduction Act has played a role in reducing costs and enhancing benefits; it is anticipated 9 out of 10 customers will be eligible for savings. During the OEP, almost 96% of HealthCare.gov consumers have the option to choose from at least three health insurers. The highly competitive Marketplace for 2024 offers various plan choices, encouraging individuals to revisit and shop for plans that better align with their needs at a reduced cost.

The 2024 OEP spans from Nov. 1, 2023, to Jan. 15, 2024, and individuals enrolling by midnight on Dec. 15 can secure full-year coverage starting on Jan. 1, 2024. The administration also provides support through Navigator Awards to organizations aiding in consumer assistance.

Congress Punts Federal Budget Negotiations Until Next Year

President Joe Biden signed a temporary funding bill on Nov. 16, following the Senate’s bipartisan approval in a vote of 87-11. The legislation, referred to as a continuing resolution (CR), effectively averts the risk of a government shutdown until after the holiday season. The CR garnered substantial backing in the House, securing a vote of 336-95 on Tuesday. Senate Majority Leader Chuck Schumer (D-N.Y.) highlighted the significance of bipartisan collaboration in ensuring government operations without detrimental cuts or contentious provisions.

Crafted by House Speaker Mike Johnson (R-La.), the CR allocates funds to specific departments such as Agriculture, Transportation, Housing and Urban Development, and Veterans Affairs until Jan. 19, 2024. The Defense Department, along with Health and Human Services, Education, and other government components, will receive funding until Feb. 2. Johnson’s strategy was aimed at avoiding a last-minute comprehensive spending package ahead of Christmas. Notably, the CR is characterized as “clean,” devoid of spending cuts or policy disputes that could isolate Democrats, and it excludes a supplemental package addressing matters like aid for Israel and Ukraine, humanitarian assistance, or border security.

This interim measure grants additional time for House Republicans to pass remaining appropriations bills and for negotiators in both the House and Senate to finalize funding agreements. Despite challenges, Johnson maintains an optimistic outlook, underscoring the ongoing process of consensus-building within the Republican ranks.

More than 800 nonprofits have joined this sign-on letter in support of the Streamlining Federal Grants Act (S. 2286/H.R. 5934). This legislation addresses critical issues in managing federal grant programs and would help enhance the efficiency and performance of federal grants and cooperative agreements.

The Streamlining Federal Grants Act first gained momentum when introduced by Sens. Gary Peters (D-Mich.), James Lankford (R-Okla.), and John Cornyn (R-Texas) on July 17. At the time, leaders from across the social sector shared statements of support for the bill in a press release from the U.S. Senate Committee on Homeland Security & Governmental Affairs.

Now, 827 nonprofits have rallied behind the legislation recognizing the lasting impact it could have on the sector and the communities served. Specifically, the Act focuses on several fundamental principles that will enhance this grant process for all:

Coordination and Standardization: The Act acknowledges the need for better coordination and standardization in federal grant administration. The lack of uniform rules and forms across federal agencies creates unnecessary complexity and inefficiency.
Streamlined Grant Application Processes: The Act aims to simplify the grant application process, reducing redundant requirements and paperwork and making it easier for nonprofit organizations and communities to access federal grants.
Improving Transparency: Standardizing Notices of Funding Opportunities and implementing common data standards enhances transparency and ensures potential grant applicants can quickly identify and apply for relevant opportunities.
Equitable Access: The Act specifically addresses the need to provide underserved communities and organizations with greater access to federal grants. This focus on equity aligns with our commitment to serving all members of our society, regardless of their size, location, or resources.
Support for Workforce Development: The Act recognizes the importance of a well-trained workforce and the need for agencies to provide training and assistance to potential grant applicants. This support is crucial for the success of nonprofits and communities alike.

Social Current has been active in advocating for federal grant reform and educating our network about the issue. Social Current’s Senior Director of Government Affairs Blair Abelle-Kiser commented on the importance this act would have on the sector:

Social Current is monitoring the progress of the Streamlining Federal Grant Act of 2023 and will share updates in our Policy and Advocacy Radar newsletter. Subscribe online.

VIEW LETTER

Learn More & Take Action

Review highlights of the legislation’s provisions that benefit charitable nonprofits in this one-pager from Social Current and the National Council of Nonprofits.
View Social Current’s on-demand Policy Briefing about the issue.
View the National Council of Nonprofits recorded webinar, The Urgency of Government Grants Reform for Your Nonprofits.
Read the op-ed, “Government contract reform is a must for social sector nonprofits,” authored by Social Current President and CEO Jody Levison-Johnson in New York Nonprofit Media in February 2023.
See highlight from Social Current’s Hill Day during our SPARK 2023 conference. Participants spent the day advocating for support of this legislation with their members of Congress.
Reach out to Blair Abelle-Kiser, senior director of government affairs at Social Current, with any questions.

The Biden-Harris Administration is taking significant steps to bolster public health by addressing social determinants through a collaborative effort across multiple agencies. The U.S. Department of Health and Human Services (HHS), particularly the Centers for Medicare & Medicaid Services (CMS), is unveiling vital resources to streamline the coordination of health care, public health, and social services at the federal, state, and local levels.

The effort includes the introduction of the inaugural U.S. Playbook to Address Social Determinants of Health, underscoring the interdependence of health, secure housing, nutritious food, and unpolluted air. HHS Secretary Xavier Becerra said, “It is clear that the health of our people does not exist in a vacuum, but it is affected by our access to stable housing, healthy food, and clean air to breathe.”

Additionally, the administration is launching a Call to Action to Address Health Related Social Needs as well as a Medicaid and CHIP Health-Related Social Needs Framework. These resources offer guidance to states in structuring programs that tackle housing and nutritional deficiencies for vulnerable populations. The guidance advocates for collaborative efforts across sectors, engaging private health care, social services, public health, environmental agencies, government, and information technology, to cultivate a more integrated health and social care system.

This all-encompassing strategy aligns investments across diverse federal agencies, including the departments of Health and Human Services (HHS), Agriculture (USDA), Housing and Urban Development (HUD), Veterans Affairs (VA), the Environmental Protection Agency (EPA), and others, to fund local initiatives, empower communities, and enhance health outcomes. Rooted in the White House Challenge to End Hunger and Build Healthy Communities, this initiative aligns with the Biden-Harris Administration’s National Strategy on Hunger, Nutrition, and Health. The overarching objective is to establish fair, accessible, person-centered health and social care systems, irrespective of social circumstances, reinforcing the administration’s dedication to health equity and comprehensive well-being.

HHS Announces New Funding for Community Behavioral Health

As part of the Biden-Harris Administration’s commitment to address behavioral health challenges at the community level, the U.S. Department of Health and Human Services (HHS) and the Substance Abuse and Mental Health Services Administration (SAMHSA) have unveiled funding opportunities totaling $74.4 million. These grants are designed to proactively prevent substance use, addressing associated concerns in line with the administration’s efforts to combat the overdose epidemic and tackle the national mental health crisis.

In related remarks, Secretary Xavier Becerra of HHS underscored the promotion of positive outcomes and the advancement of health equity through the support of community-based behavioral health services. SAMHSA, led by Miriam E. Delphin-Rittmon, is dedicated to enhancing access to behavioral health care services nationwide. The funding empowers organizations to implement evidence-based strategies aimed at preventing and addressing substance misuse while also promoting mental health.

The announced funding opportunities include $30.4 million in grants for the Expansion and Sustainability of the Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (CMHI) program. This initiative targets the enhancement of mental health outcomes for children and youth at risk of serious emotional trauma. Additionally, $13.1 million is earmarked for Tribal Behavioral Health to counteract suicidal behavior, substance use/misuse, overdose, and trauma among American Indian/Alaska Native youth. Two grants, $15.5 million each, are directed at state and community entities to mitigate substance misuse onset and progression by prioritizing prevention and mental health promotion services. This initiative aligns with the administration’s comprehensive mental health strategy and the National Drug Control Strategy, contributing to a holistic, whole-of-government approach to addressing the overdose epidemic and mental health crisis.

HUD Rolls Out Grants for Youth Experiencing Homelessness

The U.S. Department of Housing and Urban Development (HUD) introduced a comprehensive strategy to tackle homelessness, with a specific focus on youth, individuals in unsheltered environments, and those in rural areas. HUD has designated $50 million for Youth Homelessness System Improvement (YHSI) grants, which will benefit around 35 communities. The grants seek to bring about systemic changes that improve response systems for youth at risk or experiencing homelessness. Objectives include enhancing impact through Youth Action Boards, setting up regional committees to address youth homelessness across various systems, gathering and utilizing data on at-risk youth, nurturing community leaders, and refining coordination of homeless assistance projects.

According to HUD Secretary Marcia L. Fudge, “The Biden-Harris Administration is taking a whole-of-government approach toward ending homelessness. We encourage our state and local partners to join us in this critical effort and leverage unprecedented levels of federal resources and flexibilities available to address this crisis.” In addition to the YHSI grants, HUD is implementing a technical assistance strategy for 62 Continuum of Care communities and 139 Public Housing Authorities (PHAs). This strategy aims to improve program coordination, elevate leaders with lived experience, engage individuals in unsheltered and rural settings, and make permanent housing a reality with supportive services.

Family First Prevention Services Clearinghouse Posts New Ratings

The Family First Prevention Clearinghouse has posted new ratings for twelve prevention services. One was found to be “well-supported,” one was rated as “supported”, one as “promising”, and nine were rated as “does not currently meet criteria.” The programs included mental health, substance abuse, kinship navigator, and in-home parent skill-based services. So far, 160 programs and services have been reviewed, and 79 have been rated as promising, supported, or well-supported. The new ratings are:

Autism Parent Navigators: “Does not currently meet criteria”
Celebrating Families!™: “Does not currently meet criteria”
Celebrating Families!™ 0 Thru 3 Years: “Does not currently meet criteria”
e-Family Foundations: “Does not currently meet criteria”
Family Foundations: “Well-supported”
FF@Home: “Does not currently meet criteria”
Maternal Early Childhood Sustained Home-visiting®: “Supported”
Parent-Child Assistance Program: “Does not currently meet criteria”
Parent-Child Care: “Promising”
Strong Foundations: “Does not currently meet criteria”
Wellbriety & Celebrating Families!™: “Does not currently meet criteria”
Washington State Kinship Navigator Program: “Does not currently meet criteria”

The Streamlining Federal Grants Act was recently introduced in the Senate and House (S. 2286/H.R. 5934) and seeks to improve the effectiveness and performance of federal grants and cooperative agreements, simplify application and reporting requirements, and facilitate greater coordination among federal agencies responsible for delivering services to the public. Notable for nonprofits, the bill promotes consultation with charitable organizations and governments and calls for improving services delivered to communities and organizations that historically have been unable to access federal grants or cooperative agreements.

Read the nonprofit coalition letter in support of the Streamlining Federal Grants Act. The due date to sign on has now passed. We still encourage you to take action and reach out to your members of Congress today.

Budget Proposals Still Lack Necessary Funds for WIC

As the Nov. 17 deadline nears, lawmakers are still negotiating the federal budget, with many expecting another continuing resolution that will fund the government temporarily while compromises are hashed out. According to the Center on Budget and Policy Priorities, the current proposals under consideration in both the House and Senate fall significantly below the necessary funding levels for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). WIC stands as a remarkably effective program, providing nutrition aid, educational resources, and assistance to families with limited incomes. Absent supplementary funding, an estimated 600,000 eligible new parents and young children may be denied access to WIC, potentially resulting in waitlists and decreased enrollment. This funding shortfall could also dissuade eligible families from seeking program benefits.

Insufficient funding for WIC would mark an extraordinary situation, predominantly impacting recent parents, young children, and preschoolers, potentially resulting in heightened food insecurity and enduring health ramifications. The Senate bill allocates $6.3 billion for WIC, but this sum falls short due to the increasing levels of participation and rising food costs. Estimates suggest that Congress must allocate a total of $7.1 billion for WIC in 2024 to ensure that every eligible family can access the complete benefit. Congress is strongly encouraged to honor its commitment and supply the requisite funding for WIC as the appropriations process unfolds.

Youth Prevention and Recovery Reauthorization Act Introduced

On Oct. 18, Senators Shelley Moore Capito (R-W.Va.) and Gary Peters (D-Mich.) introduced the bipartisan Youth Prevention and Recovery Reauthorization Act to reauthorize funding for the Youth Prevention and Recovery Initiative. This initiative was established as part of the 2018 SUPPORT Act, focusing on expanding access to opioid addiction treatment for adolescents. It aims to secure ongoing funding for this critical resource within the U.S. Department of Health and Human Services, benefiting youth, families, care providers, and communities.

The backdrop for this legislation is a troubling rise in opioid use among American adolescents, with over 695,000 using opioids for nonmedical purposes in 2018, marking a substantial increase since 2015. Additionally, during the initial two years of the COVID-19 pandemic, monthly drug overdose deaths among adolescents aged 10 to 19 nearly tripled, according to the CDC. The legislation aims to address these difficulties by allocating funds to broaden the availability of medications for treating opioid addiction among adolescents and young adults. It also intends to raise awareness of the hazards linked to opioids and provide training to healthcare professionals, families, and school staff in effective strategies to support adolescents dealing with opioid use disorders.

New Funding for Community Development Projects

On Oct. 10, the U.S. Department of Health and Human Services (HHS) announced the allocation of $16.7 million in new grants to support 39 Community Economic Development (CED) projects. The CED initiative aims to broaden the scope of employment prospects in regions grappling with long-standing poverty and elevated joblessness, all while eradicating hindrances to secure employment. These grants empower beneficiaries to furnish crucial supports, such as childcare, transportation, and financial education.

These grants aim to create over 575 new, sustainable full-time jobs for individuals residing in low-income communities across 26 states. Three-quarters of the job opportunities originating from each CED grant will be set aside for individuals with low incomes, and awardees will provide assistance services to tackle the employment obstacles faced by this group.

Notably, many of the awarded grants align with the Justice40 Initiative, benefitting disadvantaged communities and furthering the goal of fostering sustainable economies in areas that need it most. The CED initiative is managed by the Administration for Children and Families’ Office of Community Services, which administers multiple anti-poverty programs to address poverty’s root causes, enhance economic security, and revitalize communities.

HHS and HUD Tackle Housing and Homelessness Together

On Nov. 1, Secretary Xavier Becerra was named the chair of the U.S. Interagency Council on Homelessness (USICH), which coordinates the federal homelessness strategy, supporting state and local efforts to address homelessness. To combat homelessness and enhance housing accessibility, the U.S. Department of Health and Human Services (HHS) announced several initiatives, including nine new grants worth $2.1 million to strengthen wrap around services for families living in affordable housing and 11 grants totaling nearly $4 million for preventing youth homelessness.

Furthermore, HHS and the U.S. Department of Housing and Urban Development (HUD) have launched the Housing and Services Partnership Accelerator (Accelerator). This initiative aids states in enhancing pioneering housing-related assistance and services for individuals with disabilities and older adults facing homelessness risks. The Accelerator assembles cross-disciplinary teams from four states to confront shared challenges and enhance cooperation and coordination. Its primary objectives are to optimize resource utilization, harmonize policies, and provide comprehensive services.

Last Wednesday, Social Current held its first-ever Hill Day in Washington, D.C., as part of our larger SPARK 2023 conference. During this event, 40 participants from dozens of our network organizations participated in over 50 meetings with members of Congress and staff to build support for the bipartisan Streamlining Federal Grants Act. Each of our advocates crisscrossed Capitol Hill throughout the day, speaking with numerous offices on both sides of the aisle about the necessity to pass this crucial legislation, which would simplify the grant application process so that all nonprofits, large and small, can access federal grants.

Based on initial reports from the participants, our delegation was received warmly with curiosity and growing support.

Hill Day teams met with multiple offices across Congress. The offices pictured above include Sens. John Cornyn (R-TX), John Kennedy (R-LA), Marco Rubio (R-FL), Alex Padilla (D-CA), and Tammy Baldwin (D-WI).

Prior to Hill Day, participants joined the Igniting Advocacy Training at SPARK 2023 to prepare for their conversations ahead. Led by Social Current’s Senior Director of Government Relations Blair Abelle-Kiser, the training covered the fundamentals of Congress, details on the Streamlining Federal Grants Act, and ways to effectively tell your organization’s story and build a compelling message. Participants left the trainings confident and prepared to advocate to their senators and representatives on behalf of their organizations and local communities.

*Participants during the Igniting Advocacy Trainings at SPARK 2023*

All in all, the advocacy training and Hill Day was a success. Social Current plans to host future advocacy days in Washington, D.C., as we, in concert with our network, flex our advocacy muscles to amplify the power of the social sector!

And save the date for SPARK 2024, Oct. 21-22, in Denver, Colorado.

The Biden-Harris Administration has proposed significant changes to the Office of Management and Budget’s (OMB) Uniform Grants Guidance aiming to benefit nonprofit organizations, particularly addressing concerns related to indirect costs. These reforms are set to streamline service delivery, enhance equity, and improve the administration of federal financial assistance. Key provisions include bolstering federal reimbursement for nonprofits’ indirect costs, simplifying the federal grant process, and advancing equity.

Bolstering Federal Reimbursement for Nonprofits’ Indirect Costs

The proposed OMB Uniform Grants Guidance seeks to increase reimbursement rates for indirect costs carried by nonprofit organizations, currently set at ten percent. The new plan raises the de minimis rate to 15 percent, providing better recovery of indirect costs, especially for newer organizations without formal rate negotiation capabilities.

De Minimis Rate Increase: The proposal aims to raise the guaranteed de minimis rate for indirect costs from ten percent to 15 percent, benefiting new or inexperienced nonprofits.
No Forced Lower Rates: Federal agencies cannot compel nonprofits to use rates lower than 15 percent unless required by law, preserving organizations’ autonomy.
Dispute Resolution: Nonprofits can notify OMB about disputes with federal agencies concerning indirect cost rates, seeking resolution and protection of their rights.
Stronger Mandate: Pass-through entities like state and local governments must adhere to federally negotiated indirect cost rates for subrecipients, ensuring consistency across agencies.

Making the Federal Grant Process Simpler and More Equitable

The OMB Grant Guidance proposes several changes to simplify and make the federal financial assistance management process more transparent and equitable:

Clear Communication: The proposal emphasizes clear and plain language in notices of funding opportunities, requiring executive summaries and comprehensive explanations of program requirements.
Eligibility Clarity: Agencies must specify eligibility criteria for each funding opportunity, facilitating access for new organizations.
Simplified Notices: Reforms aim to simplify and clarify Notices of Funding Opportunities, benefiting applicants with less experience and those from underserved communities.

Advancing Equity and Overcoming Barriers

The proposed revisions aim to reduce complexity and lower barriers for recipients of federal financial assistance, particularly those in underserved communities:

Multilingual Approach: The exclusive use of English in notices, applications, and reporting would not be required.
Diversity Consideration: Federal agencies should consider diversity when developing policies and procedures for merit review panels.
Community Engagement: Encouragement for agencies and recipients to engage, in both the planning and implementation stages, with community members benefiting from federal assistance programs.

Additional Significant Reforms

In addition to the above, the proposed reforms include:

Complete Revision of Notices of Funding Opportunities (NOFOs) for clarity and brevity.
Raising the Single Audit Threshold from $750,000 to $1 million.
Proposal to focus only on measuring relevant program performance metrics to eliminate unnecessary reporting.

These proposed reforms represent a significant shift towards a more accessible, equitable, and efficient federal grant process, mainly supporting nonprofit organizations and addressing longstanding concerns related to indirect costs. Public comments on these reforms are invited until Dec. 4, 2023, offering an opportunity for further input and refinement.

Resources

Dollars Delivering Results: Biden-Harris Administration Publishes Proposed Updates to the Uniform Grants Guidance to Improve Impact of Federal Grants and Other Financial Assistance, White House News Release, Sept. 22, 2023.
Guidance for Grants and Agreements, published in the Federal Register, Oct. 5, 2023.

HHS Announces Major Step Forward for Kinship Caregivers

The Department of Health and Human Services released a new rule to help relatives become licensed or approved foster caregivers. Research has clearly demonstrated children are served better by living with kinship caregivers. Kinship families, however, have faced unnecessary barriers to becoming licensed, including requirements to participate in trainings that are geared toward non-relative foster parents. Under the new rule, grandparents, aunts, uncles, and other kin will have more expedient access to licensing or approval. They will also receive services and foster care maintenance payments equal to other foster families. The rule includes provisions to address other unique aspects of kinship caregiving, such as raising the age limit for kinship foster care providers and allowing foster children to share sleeping spaces with kin. HHS has pledged to work closely with states, tribes, community-based organizations, and families as they integrate these new policies.

HHS Introduces New Initiatives on Maternal Health Day of Action

On Sept. 27, the Department of Health and Human Services (HHS) Maternal Health Day of Action, Secretary Xavier Becerra announced $103 million in awards to address gaps in maternal health across the nation, as well as a new task force on the issue and a new national public education campaign called “Talking Postpartum Depression.” To combat the maternal mortality crisis, the secretary said at the announcement ceremony, “HHS is taking action to improve maternal care, help new moms, and ensure their children have the healthiest start in life.” The Human Resources and Services Administration will disperse the vast majority of the funds to efforts such as expanding the perinatal workforce, increasing access to maternal health in underprivileged and rural communities, funding wrap around services like OB/GYNs and midwives, and developing maternal health research. A newly announced task force on maternal mental health will convene experts and those with lived experience to identify best practices and evidence-based interventions to improve health equity and incorporate trauma-informed practices. Finally, the “Talking Postpartum Depression” campaign will exhibit personal stories from women who have experienced postpartum depression and increase awareness of symptoms and resources.

The House of Representatives Loses Its Speaker

Last week, for the first time in the country’s history, the Speaker of the House, Kevin McCarthy (R-Calif.), was toppled, leaving the House of Representatives without a leader and the federal budget negotiations in turmoil. McCarthy joined with moderate Republicans and the Democrats the week before to pass a continuing resolution, which would fund the government at current levels for forty-five days, buying more time for Congress to negotiate the budget. This caused backlash from far-right members of the GOP caucus, led by Rep. Matt Gaetz (R-Fl.), who initiated a motion to vacate the Speakership, ultimately overthrowing McCarthy.

It is unclear where the House goes from here. The first step is for the GOP to elect a new Speaker. So far, two members, Reps. Jim Jordan (R-OH) and Steve Scalise (R-La.), have thrown their hats in the ring of what will undoubtedly be a tendentious fight for leadership. The new Speaker, whoever it may be, will have to steer a challenging negotiation in the House over the federal budget, with two issues taking center stage: border security and Ukraine aid.