At the beginning of March, President Joe Biden offered his first official State of the Union address, in the midst of the violent crisis in Ukraine, the COVID-19 pandemic, rising inflation, and other challenges. While the speech began with a focus on foreign policy and the war in Ukraine, it quickly moved to domestic policy. While President Biden’s Build Back Better plan seems doomed after it failed to get the votes necessary to pass in the Senate, he attempted to revive a new version of his agenda called “Building a Better America.” Since the speech, Sen. Joe Manchin (D-W.V.) said he is concerned about inflation and has hinted about raising taxes on the rich and corporations to bring down deficits. Biden talked about individual elements of Build Back Better as cost-saving measures for families worried about rising prices, which represented a change in messaging.
While it is unclear what will happen with the Build Back Better agenda, Biden announced a new framework, his “Unity Agenda,” which is focused on four areas of potential bipartisan compromise and support:
- Addressing the opioid crisis
- Solving the mental health crisis
- Supporting veterans
- Curing cancer
Of interest to the social sector, his proposal for a new mental health bill includes a focus on strengthening system capacity, improving access, addressing parity, improving youth mental health, strengthening children’s privacy and banning targeted advertising for children, and instituting stronger online protections for young people. His proposal is clearly laid out in a new fact sheet. Many of his ideas align with the priorities and expertise of community based organizations, including investing in programs that bring more providers into behavioral health, promoting the mental well-being of the front-line workforce, expanding evidence-based community mental health services, expanding telehealth for mental health care, expanding access to supports in schools, co-locating mental health and substance use providers in community-based settings, and increasing behavioral health navigation resources.
As reported by Social Current last month, the Senate is beginning work on a bipartisan mental health bill, and Social Current will continue to identify opportunities for advocacy in this process.
Federal Budget Negotiations Gaining Steam Before Deadline
Lawmakers are rushing to pass the budget for FY 2022 before a self-imposed deadline of March 11. The 12-bill omnibus package, which must be passed every year to fund the entire federal government, is finally in the last stages of negotiations after months of delays. Appropriators would also like to add two supplemental packages on Ukraine aid and COVID-19 relief. However, the Ukraine aid, which could amount to up to $10 billion, seems to be a sticking point. On Wednesday, Senate Minority Leader Mitch McConnell (R-Ky.) said that Democrats were trying to fit in the Ukraine aid by shrinking the defense budget in the omnibus bill, something Republicans oppose. However, Sen. Chris Coons (D-Del.) insisted that the Ukraine aid would be on top of the already negotiated defense bill. In the House of Representatives, Chair of the Appropriations Committee Rosa DeLauro (D-Conn.) said that everyone is “negotiating in good faith” and that she hopes to reach an agreement in the next few days. If Congress does not reach a deal before March 11, they are likely to pass another short term extension for a week or two, to buy more time to complete negotiations.
Source: Bloomberg Government
ACF Releases Anticipated Guidance on Advancing Equity
From the National Child Abuse Coalition:
On Feb. 2, the Administration for Children and Families (ACF) released a new Information Memorandum (IM) focused on advancing race equity. Titled “Equity in Action: Prioritizing and Advancing Racial Equity and Support for Underserved Communities,” the IM calls for ACF grantees to assess and address how its programs and policies perpetuate systemic barriers for children and families of color. It also includes three attachments which include key equity definitions, references from the IM, and selected resources for supporting race equity.
Among other things, it details the history of racism in America and its impact on children and families, and it calls out racism as a social determinant of health, calls for comprehensive action to address structural racism in policy, and highlights promising practices that jurisdictions have implemented to address racial equity. It concludes with four key recommendations for the field in advancing equity for children and families:
- Review policies and commit to revising them in partnership with a diverse group of people the policies are meant to serve.
- Create and promote a statewide policy to meet the needs of children and families of diverse racial and ethnic backgrounds.
- Identify contract and procurement opportunities that are barriers to full equitable participation. At a minimum, ensure these opportunities are promoted and communicated to providers of goods and services owned or operated by members of diverse racial and ethnic backgrounds.
- Establish a diverse and culturally competent workforce that acknowledges the importance of culture, has the capacity for cultural self-assessment, recognizes the dynamics resulting from cultural differences, strives for expansion of cultural knowledge, and adapts services to meet culturally unique needs.
This IM is the latest action by the Biden Administration to advance racial equity within ACF. Last year, the agency launched an internal equity advisory group and an agency-wide council on diversity. They have also solicited program-specific equity action plans, in response to the Biden Administration’s Jan. 20, 2021 Executive Order calling for all federal agencies to review their policies and procedures and make recommendations for how to advance equity. And they have taken steps to diversify their workforce, implement staff trainings, and create employee resource groups focused on equity. The Children’s Bureau also recently released a resource for child welfare agencies titled Advancing Equity and Inclusion Through the CFSRs.
New Report on Poverty Reduction Due to American Rescue Plan
The U.S. Department of Health and Human Services published a new report that details the impact of the American Rescue Plan (ARP) on poverty in 2021. The ARP, which passed in March last year, included large investments in state and local governments, stimulus checks, expanded unemployment benefits and the newly expanded Child Tax Credit (CTC). It aimed to give aid to those most impacted by the economic effects of the pandemic, particularly the unemployed and children.
The report found that the ARP kept 20.1 million people out of poverty, including 7.8 million children. Accounting for the aggregate impact of all the provisions in the ARP, the poverty rate decreased by 45% in 2021 from pre-pandemic levels. The child poverty rate was 8.3% in 2021, a decrease of 42% compared to 2019, due to the advanced payments of the CTC and federal and state stimulus efforts. For Black, Latino and American Indian/Alaska native people, the impacts were greater compared to the entire population. Even without accounting for the CTC, the annual poverty rate fell by 6.2 percentage points among American Indian/Alaska Native people, 5.3 percentage points among Black people, and 5.0 percentage points among Hispanic people.
The Senate Finance Committee is beginning work on a mental health bill to address current challenges. A few weeks ago, it held several hearings focused on youth mental health challenges, one featuring U.S. Surgeon General Dr. Vivek Murthy. Senate Finance Chairman Ron Wyden (D-Ore.) has selected four core focus areas:
- Strengthening the workforce
- Increasing integration/coordination and access
- Ensuring parity between behavioral and physical health
- Furthering the use of telehealth
The committee has identified a bipartisan pair of co-chairs from among its members to lead the work on each focus area. Sens. Debbie Stabenow (D-Mich.) and Steve Daines (R-Mont.) will work on the workforce issues. Sens. Catherine Cortez Masto (D-Nev.) and John Cornyn (R-Texas) are working on integration and access to care. Sens. Michael Bennet (D-Colo.) and Richard Burr (R-N.C.) are working on parity issues. Finally, Sens. Ben Cardin (D-Md.) and John Thune (R-S.D.) are working on telehealth.
Their goal is to produce bipartisan legislation this summer that brings together these various pieces of work. Parity seems to be a big issue heading into this discussion, as health insurance companies often violate laws and refuse to pay for mental health or substance abuse services. Insurance companies are already bracing to fight policy ideas around enforcements and fines. Social Current will be involved in advocacy efforts around this legislation and will continue to track this closely.
In other news, Congress voted to pass another short-term continuing resolution that would keep the government funded through March 11. Senate and House Appropriations Committee leads have agreed on a bipartisan funding framework for the 2022 fiscal year budget and are now working out the details. They are hoping to pass an omnibus budget bill before March 11 but may need another short-term extension to buy time if negotiations are not complete by then.
Equity Commission at USDA Formed
On Feb. 10, the U.S. Department of Agriculture announced the creation of the new Equity Commission, an initiative authorized and funded by the American Rescue Plan, which passed last March. The commission also includes a subcommittee on agriculture, and an additional subcommittee on rural community and economic development is forthcoming. The 15-member commission and its subcommittee will provide ideas and recommendations to USDA Secretary Tom Vilsack on ways the department can give all farmers and ranchers an equal chance at success and prosperity and close the racial wealth gap and other inequities in agriculture. Members will focus on tackling racial equity issues inside the department as well as in its programs. The commission launched after the one-year anniversary of the Biden administration’s executive order requiring federal agencies to reevaluate all internal and external programs and policies with a specific focus on advancing racial equity.
USDA Delivers $1.4 Billion for Rural Economic Development
The U.S. Department of Agriculture announced a $1.4 billion investment in rural business and cooperative services that is estimated to create or save over 50,000 jobs. These funds will be distributed across 49 states, the Virgin Islands, and Puerto Rico, and will help businesses and regional cooperatives hire and retain staff, create new opportunities for historically disadvantaged communities, and expand to new customer bases. For example, one grant for the Pella Cooperative Association will shore up its loan fund, which will help build a new women’s housing and health care building. Another grant will support rural microentrepreneurs and microenterprises in 12 Nebraska counties, including Native American business owners. USDA Secretary Tom Vilsack says that these investments will make rural economies whole and equitable.
New Brief on Transition-Age Youth
First Focus on Children recently released the policy brief, How Tax Credits Could Provide Transition-Age Youth Greater Financial Stability, which outlines challenges that youth aging out of foster care have faced in recent years and opportunities to alleviate hardship moving forward. There are approximately 700,000 youth (ages 16-24) with experience in foster care. Among findings in the brief:
- 27% were homeless in the past two years
- 22% had children in the last two years
- 31% were receiving public assistance
At the start of the pandemic in Spring 2020, the unemployment rate for this population rose from 8.4% to 24.4%. However, changes to the tax code in 2021 disproportionately helped youth with foster care experience. For example, the Earned Income Tax Credit was expanded to include eligibility for former foster youth and homeless youth ages 18-25, benefiting an estimated 380,000-500,000 youth. Youth with children became eligible for monthly payments and expanded care support through the Child Tax Credit and the Child and Dependent Care Tax Credit. The brief calls on Congress to make these changes and others permanent, so that youth with foster care experience continue to receive support.
The current federal budget is set to expire on Feb. 18. The House of Representatives has passed nine out of 12 appropriations bills. However, none of those bills have passed in the Senate, which has an even split of Democrats and Republicans. Appropriations Committee chairs in the House and Senate are currently discussing a budget for the remainder of the 2022 fiscal year, but they have not reached a resolution yet. Remaining issues include the division of funding between defense and non-defense items and policy riders. Last week, Richard Shelby (R-Ala.), who serves as the top Republican on the Senate Committee, said he thought another short-term continuing resolution would be necessary to avoid a government shutdown. Negotiations will continue over the coming weeks, and we will see if Congress can come to an agreement.
Make Your Voice Heard in Our Policy Agenda!
Social Current is currently leading a highly inclusive and collaborative process to engage its network in developing its federal policy agenda for 2022-2024. The agenda-setting process will determine the federal policies and issues of focus for our network’s collective policy and advocacy work.
This series of focus groups, held in February and March, will capture critical feedback from the Social Current network on policy issue areas. All Social Current network organizations, including those that have purchased engagement packages or are pursuing or have achieved COA Accreditation, are strongly encouraged to participate relevant focus groups. We welcome the input of leaders at all levels. Don’t forget to sign up for at least one!
The series of policy agenda-setting focus groups includes:
- Social Sector Health & Excellence: Feb. 16 from 3-4 p.m. ET
- Social Determinants of Health & Health Equity: Feb. 17 from 2-3 p.m. ET
- Child & Family Well-Being: Feb. 22 from 2-3 p.m. ET
- Economic Mobility: Feb. 23 from 4-5 p.m. ET
- Education: Feb. 24 from 3-4 p.m. ET
- Advancing Equity: March 3 from 3-4 p.m. ET
Build Back Better in Limbo
Last week, Sen. Joe Manchin (D-W.Va.), when asked about the status of President Joe Biden’s Build Back Better Act, replied that the package was “dead” and that any new negotiations must start from square one. At the end of December, Manchin had announced, to the surprise of the White House and other Democrats, that he couldn’t support the Build Back Better package, which included investments in child care, pre-K, health care, elder care and climate solutions, among other initiatives. An extension of the Child Tax Credit past December, a major priority of the administration, seemed to be a sticking point in the negotiations. In a press conference earlier this month, President Biden said he was hoping Manchin would accept “chunks” of the bill passing, if and when negotiations start back up.
In response to Manchin’s comments on Tuesday, Senate Majority Leader Chuck Schumer (D-N.Y.) stated that there are many areas of potential agreement, such as drug costs, climate change, and tax code reform. It is becoming increasingly difficult to see how the Senate could fit Build Back Better into its hectic schedule over the next few months, as the chamber deals with competing priorities, such as a Supreme Court nomination, legislation boosting competitiveness with China, consideration of the Electoral Count Act, and a Russian offensive in Ukraine.
Source: Bloomberg Government
Heating and Cooling Relief Act Introduced in Congress
On Jan. 20, Senator Edward J. Markey (D-Mass.) and Congressman Jamaal Bowman (D-N.Y.) introduced the Heating and Cooling Relief Act, which would bolster the Low Income Home Energy Assistance Program (LIHEAP) and provide more funds for weatherization. According to Markey’s office, only 16% of eligible households are enrolled in LIHEAP. The bill would boost uptake by increasing funding to $40 billion and ensuring that no household pays more than 3% of its annual income on energy costs. The bill would also increase funds to support community outreach and technological upgrades and ensure LIHEAP coordinators are paid a living wage. Finally, the bill would create a new Just Transition Grant for states and localities, which would help eligible households weatherize and adopt renewable energy sources.
FCC Finalizes Rules for Affordable Connectivity Program
Last month, the Federal Communications Commission (FCC) released the details of the Affordable Connectivity Program, a new $14.2 billion initiative that provides discounts to eligible households for internet services and technology, such as computers and tablets. The program will contribute $30 per month ($75 per month for households on Tribal lands) for broadband services and a one-time discount of $100 for technology. Any household that earns income at or below 200% of the federal poverty guidelines is eligible. Moreover, eligibility extends to any family that participates in certain public benefit programs, such as Medicaid, SNAP, federal housing assistance, WIC, SSI, and free and reduced-price lunch or breakfast programs. Under the new FCC rules, consumers will be protected from credit checks during enrollment, upselling and downselling practices, and measures that lead to bill shock.
New Ratings in Family First Prevention Services Clearinghouse
The Family First Prevention Services Clearinghouse recently announced new ratings. First, the Intensive Care Coordination Using High Fidelity Wraparound program was rated as a promising practice under mental health programs and services. The Intercept program, which went through a re-review process, was rated as well-supported under the in-home parent and skill-based programs and services category. The Lilliput Families Kinship Support Services program was deemed not eligible for review by the Clearinghouse.
Social Current is currently leading a highly inclusive and collaborative process to engage its network in developing its federal policy agenda for 2022-2024. The agenda-setting process will determine the federal policies and issues of focus for our network’s collective policy and advocacy work.
This series of focus groups, held in February and March, will capture critical feedback from the Social Current network on policy issue areas. All Social Current network organizations, including those that have purchased engagement packages or are pursuing or have achieved COA Accreditation, are strongly encouraged to participate in relevant focus groups. We welcome the input of leaders at all levels. Don’t forget to sign up for at least one!
The series of policy agenda-setting focus groups includes:
- Social Sector Health & Excellence: Feb. 16 from 3-4 p.m. ET
- Social Determinants of Health & Health Equity: Feb. 17 from 2-3 p.m. ET
- Child & Family Well-Being: Feb. 22 from 2-3 p.m. ET
- Economic Mobility: Feb. 23 from 4-5 p.m. ET
- Education: Feb. 24 from 3-4 p.m. ET
- Advancing Equity: March 3 from 3-4 p.m. ET
Update on State Funds from the American Rescue Plan
In the American Rescue Plan Act, passed in March 2021, states were allocated $195 billion to help fill budget gaps caused by the pandemic and to invest in the recovery. So far, states have spent about half of these dollars, with the rest expected to be released in states by May. States have used these funds for a variety of issues, including balancing their budgets; providing health care services; strengthening food, housing, and other social services; investing in economic development; and beefing up education systems. About $90 billion is left to be spent, and negotiations are ongoing. The governor of Kentucky, for example, has proposed $400 million in bonuses for front-line workers who stayed on the job throughout the pandemic.
On Jan 6, the Treasury Department issued its Final Rule on these state funds, as well as funds for localities. The rule, which builds upon the department’s interim rule published last year, greatly clarifies questions around accessibility for nonprofit organizations. The rule states that nonprofits can be eligible for financial assistance based on criteria such as decreased revenue, financial instability, and increased expenses. It also clearly states that nonprofits can receive funds as providers of services to the community, not just as recipients of assistance. Premium pay for essential workers is also encouraged.
Supreme Court Vaccination Ruling
Last week, the Supreme Court blocked the Biden administration’s “shot or test rule,” which would have required employers with at least 100 workers to mandate vaccination or weekly testing, affecting an estimated 80 million employees. The Supreme Court effectively stopped the rule on Jan. 13. States continue to have a patchwork of different laws and executive actions that either restrict, ban, or mandate vaccines within private businesses. For example, Montana and Tennessee have bans on employers requiring vaccines. Alabama, Alaska, Missouri, and Wyoming all have state laws or executive orders prohibiting enforcement of a federal mandate. Additionally, 26 states have their own workplace safety agencies, and have been waiting on the Supreme Court ruling before moving forward on their own standards. The remaining states are subject to OSHA’s standards.
Without the federal mandate, businesses and nonprofits are making their own vaccine policy choices. Many already require vaccines, but one in three had planned to do so only if the OSHA rule survived. The rise in Omicron variant cases may encourage mandates, as rising numbers of workers are out sick.
Separately, the Supreme Court upheld the federal vaccine mandate for health care workers in Medicare and Medicaid participating facilities, allowing it to go into effect. The third mandate, focused on federal contractors, remains in limbo after a district court blocked it.
Family First Prevention Services Clearinghouse Updates
Recently, the Family First Prevention Services Clearinghouse announced that 121 program and service recommendations were submitted during the most recent call, which closed Dec. 21, 2021. The clearinghouse has received 1,500 nominations to date. It will continue to convene public calls for recommendations on a regular basis. The clearinghouse shared that it will be prioritizing programs and services recommended by state or local government administrators in response to the 2018 Federal Register notice, programs rated by other clearinghouses, those recommended by federal partners, or those evaluated as part of grants supported by the U.S. Children’s Bureau.
Voting Rights Bills Die in the Senate
On Wednesday night, President Joe Biden and Senate Majority Leader Chuck Schumer (D-N.Y.) failed to deliver the votes necessary to pass two voting and elections bills, the Freedom to Vote Act and the John Lewis Voting Rights Act. In an initial vote, the Senate split 50-50 along party lines to end debate and advance the bills for a final vote, thereby failing to overcome the 60-vote threshold known as the filibuster. In a second vote, which would’ve suspended the super majority threshold for advancing voting rights bills, two Democrats, Joe Manchin (D-W.V.) and Kyrsten Sinema (D-Ariz.), voted in opposition, along with all Republicans, which denied Democrats the majority vote needed to change the filibuster rule and advance the bills. After a long, concerted effort by Schumer to win over moderates in his own party, this is a major blow to the prospect of voting reform.
President Biden and Chuck Schumer have vowed to continue the fight to protect voting rights and the integrity of elections. A small bipartisan group of moderates in both parties have begun discussions around reforming the Electoral Count Act, which could potentially clarify the role of Congress and the vice president in certifying presidential elections. However, such a bill would leave out voting rights provisions that would expand voting accessibility—a major priority for Democrats. It is unclear where the debate goes from here, but there’s no doubt that the filibuster rule emerged from this latest confrontation unscathed and will continue to force both parties to work together and compromise.
Source: Bloomberg Government
USDA and DHS Reiterate Change to “Public Charge” Rule
In a joint letter, the Departments of Agriculture and Homeland Security announced that the receipt of Supplemental Nutrition Assistance Program (SNAP) benefits will not be used to determine eligibility for permanent residency or citizenship. Under the Trump administration, DHS updated the “public charge” rule, declaring that immigrants’ participation in SNAP, as well as other public benefit programs, could weigh negatively on applications for changes in status. To encourage the use of SNAP for families that need it, regardless of immigration status, the Biden administration vacated the “public charge” rule for SNAP beneficiaries on March 9, 2021. Despite this action, advocates cited continued reluctance among immigrant communities to participate in SNAP, so the latest announcement reiterates the rule change. USDA and DHS also included a template letter that local entities can send to community members, communicating the effects of the administration’s decision.
USDA Announces More Funding for School Meals
The Department of Agriculture announced an extra $750 million in funding for school meal programs to help school districts keep up with rising food prices. In a statement, USDA said that funding for these programs does not usually change in the middle of the school year; however, inflation requires more funds to ensure children get enough to eat. The reimbursement rate for the school year was already 15% higher than the standard rate for free lunch. With this new funding, the rate will be 22% higher than normal. This change is part of a proactive effort by the USDA to ensure that children are healthy and well-fed during the ongoing pandemic. Other investments include $1 billion for school meal programs and nationwide waivers that give schools added flexibility in distributing meals to students and families.
Social Current is currently leading a highly inclusive and collaborative process to engage its network in developing its federal policy agenda for 2022-2024. The agenda-setting process will determine the federal policies and issues of focus for our network’s collective policy and advocacy work. Our coordinated and connected efforts will provide the Social Current network with the support and influence needed to engage their boards, staff, and communities in achieving federal policy change.
“Social Current has tremendous ability to advocate for policies that equitably support our organizations and communities. By bringing together the Alliance for Strong Families and Communities and Council on Accreditation, we have greatly increased our reach and our impact,” said Social Current President and CEO Jody Levison-Johnson. “The development of our policy agenda is a critical step toward realizing our network’s collective power and influence.”
For an overview of our policy work, opportunities for network engagement, and the policy agenda-setting process, watch our on-demand webinar, Engaging in Policy Advocacy with Social Current.
Complete the Survey
Provide your input through this brief survey by Friday, March 11. It should take about 20 minutes to complete and only needs to be submitted once per organization.
Participate in Focus Groups
A series of focus groups will be held in February and March to capture critical feedback from the Social Current network on policy issue areas. All Social Current network organizations, including those that have purchased engagement packages or are pursuing or have achieved COA Accreditation, are strongly encouraged to participate relevant focus groups. We welcome the input of leaders at all levels.
The series of policy agenda-setting focus groups includes:
- Social Sector Health & Excellence: Feb. 16 from 3-4 p.m. ET
- Social Determinants of Health & Health Equity: Feb. 17 from 2-3 p.m. ET
- Child & Family Well-Being: Feb. 22 from 2-3 p.m. ET
- Economic Mobility: Feb. 23 from 4-5 p.m. ET
- Education: Feb. 24 from 3-4 p.m. ET
- Advancing Equity: March 3 from 3-4 p.m. ET
Register now to participate in the focus groups.
Last week, Senate Majority Leader Chuck Schumer (D-N.Y.) announced his goal to pass two voting rights bills called the Freedom to Vote Act and the John Lewis Voting Rights Act before Jan. 17, Martin Luther King Jr. Day. The bills would expand access to the ballot box, prevent interference with election administration, and modernize the federal voting system, and reinstitute voting rights protections gutted by the Supreme Court in 2013. With all Republicans in the Senate opposed, the bills have little chance of passing unless the Senate votes on a rule change that weakens the 60-vote threshold known as the filibuster, allowing a simple majority of 50 senators to pass a bill. Sens. Joe Manchin (D-W.V.) and Kyrsten Sinema (D-Ariz.), two must-need votes for Democrats, continue to express skepticism of eliminating the filibuster, though the former has publicly stated he is in discussions with members on both sides of the aisle about rules changes.
In the background of these negotiations is the one-year anniversary of the Capitol insurrection attempting to overturn the 2020 presidential election. Many Democrats argue that the Freedom to Vote Act would shore up elections and increase faith in the democratic process. As a compromise, Minority Leader Mitch McConnell (R-Ky.) has floated the idea of reforming the Electoral Count Act. So far, Schumer has written off McConnell’s overture, arguing that changing the Electoral Count Act is insufficient to confront the many challenges the election system faces.
Meanwhile, Congress and the administration remain stalled in negotiations over the Build Back Better Act. These efforts halted in December when negotiations between Sen. Joe Manchin (D-W.V.) and President Biden broke down. Manchin’s vote is needed to pass the legislation. Meanwhile, several tax provisions expired at the end of 2021, including the expanded Child Tax Credit, the Earned Income Tax Credit enhanced benefits, and the Universal Charitable Deduction for non-itemizers. It is unclear what the path forward will look like, but the recent omicron variant spike is reinvigorating some bipartisan conversations around targeted relief provisions.
Supreme Court to Hear Vaccination Requirement Cases
From the National Council of Nonprofits:
The U.S. Supreme Court began hearing oral arguments last Friday concerning the legality of the Biden administration’s vaccination requirements in millions of organizations. At issue are the OSHA emergency temporary standard affecting employers with 100 or more employees and a rule from the Centers for Medicare and Medicaid Services applicable to staff of employers receiving payments from the federal health care programs.
States and businesses have filed lawsuits in every federal circuit court challenging the authority of the federal government to mandate vaccinations or ongoing testing. Many courts acting on the cases have stayed enforcement of the requirements. However, on Dec. 15 a panel of the Sixth Circuit Court of Appeals lifted the stay in a consolidated case, setting the stage for consideration by the Supreme Court this week. Employers are hoping for a quick resolution by the court because OSHA enforcement is slated to begin as early as Monday, Jan. 10.
ACA Enrollment Soars Due to American Rescue Plan
The Department of Health and Human Services announced that 13.6 million people have enrolled in health insurance coverage for 2022 through Affordable Care Act exchanges, an all-time record for signups. The American Rescue Plan (ARP), passed in March 2021, made premiums more affordable by expanding subsidies for covered plans. As a result, 92% of signups will receive premium tax credits to help with monthly payments. The policy changes under the ARP allowed 400,000 people to enroll who would otherwise have not been able. Families still have time to enroll during the special enrollment period, which lasts until Jan. 15, 2022. Over 1,500 certified navigators are available throughout the country to walk consumers through the enrollment process.
No Surprises Act Takes Effect
On Jan. 1, 2022, consumers gained financial protection from surprise health care bills from emergency rooms visits, elective surgeries, and hospital births. Before, consumers in the private insurance marketplace were subject to surprise medical bills from out-of-network providers, facilities, and air ambulance providers. The No Surprises Act bans surprise bills for emergency care as well as for elective procedures performed by certain out-of-network providers in in-network hospitals. It requires providers to charge in-network rates for these types of visits and to provide patients with transparent information regarding their billing protections. For uninsured patients, providers are required to provide a “good faith estimate” of costs before providing non-emergency care.
Senate Hearing on Economic Development in Underserved Communities
On Jan. 5, 2022, the Senate Subcommittee on Housing, Transportation, and Community Development held the hearing, “Exploring How Community Development Financial Institutions Support Underserved Communities.” The hearing covered the topic of tackling economic disparities through expanded financial services and capital investment in communities of color, Tribal lands, and rural communities. In particular, the hearing addressed two bills, the CDFI Bond Guarantee Program Improvement Act and the Native American Rural Homeownership Improvement Act, cosponsored by Sens. Tina Smith (D-Minn.) and Mike Rounds (R-S.D.). The first bill would allow Community Development Financial Institutions (CDFI) to access long-term, secure funding to invest in underserved areas. The second bill would help native communities increase home ownership with expanded access to mortgages.
Social Current has collaborated with Prevent Child Abuse America on a new toolkit to help community-based organizations understand how to advocate for and access funds available through recent opioid settlements with pharmaceutical companies. The prevention and treatment services that community-based organizations provide are essential to addressing the ongoing opioid epidemic.
After a lengthy legal process to hold companies accountable for downplaying the addictiveness of opioids, 47 states have settled with opioid manufacturers, pharmaceutical distributors, and pharmacies for $26 billion. Separate opioid settlements are in process or concluded in the remaining states as well as additional localities. Though the funds resulting from the major settlement are temporarily in limbo because of legal action taken by the family that owns Purdue Pharma, these resources will ultimately be used to address the opioid crisis, and it is critical that community-based organizations begin preparing now to ensure that these funds are used not just for treatment, but also for prevention.
The settlement funds, proposed to be disbursed over the next 18 years and frontloaded at the beginning, will go to states and localities for the purpose of addressing the opioid epidemic. As these funds flow to entities across the nation, community-based organizations must have a seat at the table to decide how these funds are spent locally. These will be significant investments in the kinds of services our sector provides. The deep impact of the opioid epidemic has made it clear that a major part of the solution will be strengthening communities with upstream resources and supports.
This guide offers tools and resources to help community-based organizations navigate the complex legal and legislative process. Organizations should reach out to relevant stakeholders immediately, as these decisions are being made now in many states.
Download the toolkit from the Policy Action Center.
After a last-minute burst of activity to pass the Build Back Better Act by year’s end, negotiations between President Joe Biden and Sen. Joe Manchin (D-W.V.), the last holdout in the Senate, broke down. Over the weekend, Senator Manchin announced he could not support the Build Back Better bill and would vote no. Manchin expressed concerns over inflation and the budgetary design of the legislation, arguing that the bill’s proposed revenue increases, which last for 10 years, would not cover the full cost of social programs if they were extended over the full 10-year period. In response, the administration penned a forceful public response, virtually accusing Manchin of betraying the president. Senate Majority Leader Chuck Schumer announced that consideration of the Build Back Better Act would continue in early 2022.
As of now, it is unclear whether Senator Manchin will support a dramatically paired down version of the Build Back Better Act or if he has truly given up on negotiations. Manchin recently focused his criticisms on the Child Tax Credit, which expires this month but would be extended until the end of 2022 under the Build Back Better Act. If extended beyond next year, he argued, the credit would increase the deficit over the 10-year window. The administration countered that any future extensions of programs would be paired with increases in revenues to ensure the programs are fully paid for. Because of the events over the weekend, the likelihood of families receiving a January installment of the credit is highly unlikely. The Child Tax Credit reached 61.6 million children and kept 3.6 million children out of poverty in October, according to a study from the Center on Poverty and Social Policy. Take action now by reaching out to your legislators and asking them to extend the Child Tax Credit!
Late last week, congressional leaders reached a deal to avoid defaulting on our federal debt by extending the debt limit through early 2023. This deal increased the debt ceiling by $2.5 trillion, the amount intended to extend the government’s borrowing authority past next year’s midterm congressional elections. The bill had mostly Democratic support. Without action, the government would have had difficulty meeting its obligations after Dec. 15.
In other news, Social Current President and CEO Jody Levison-Johnson, recently authored the op-ed, “Why the Social Sector is Essential to Achieving Health Justice Across the United States,” in Nonprofit Quarterly. In the piece, she articulates the value community-based organizations bring to addressing the complex issues that impact health outcomes by using place-based approaches, harnessing data on risk and protective factors, as well as listening to the voices of those with lived experience.
Violence Against Women Act (VAWA) Reauthorization Moving Forward
After years of negotiations, Sens. Dianne Feinstein (D-Calif.), Joni Ernst (R-Iowa), Dick Durbin (D-Ill.) and Lisa Murkowski (R-Alaska) reached a bipartisan agreement to reauthorize the Violence Against Women Act. The proposed framework would improve rape prevention efforts and services for survivors, expand access to housing for survivors, and strengthen funding for legal services and trauma-informed law enforcement responses. The proposal would also expand programs in rural areas, bolster culturally specific services, and increase support for LBGTQ survivors and those who seek voluntary community-based restorative practice services. Finally, the agreement would bar individuals who are convicted of misdemeanor domestic violence crimes against a dating partner from possessing or purchasing firearms or ammunition. The senators plan to introduce their modernized VAWA reauthorization next month.
CMS Announces Funding for Vaccine Counseling Visits for Children
The Centers for Medicare and Medicaid Services announced that the federal government will match 100% of state Medicaid funds expended for COVID-19 vaccine counseling visits for children and youth. This funding will ensure that families of children covered by Medicaid can access individualized medical advice on vaccines from a trusted source, local providers. Consultations for children and youth under age 21 that fall under the Medicaid Early and Periodic Screening, Diagnostic and Treatment benefit will be covered under the new matching requirement. This guideline will last until a year after the COVID-19 public health emergency is declared over. Since Medicaid covers over 40% of children in the U.S., this new policy will help ensure that all families can access sound health information from community providers.
New Broadband Connectivity Program Seeks Public Comments
The Infrastructure and Jobs Act, which was recently signed into law, included the Affordable Connectivity Program (ACP), a $14 billion, long-term funding stream that will replace the Emergency Broadband Benefit (EBB) Program, which was created during the pandemic to help low-income households afford broadband. Under ACP, the maximum monthly benefit to help pay for broadband will fall to $30 per month, instead of $50 under the EBB. However, more households will have access to broadband assistance than before. Households that receive Special Supplemental Nutrition Program for Women, Infants, and Children benefits will be eligible for the program, in addition to recipients of SNAP and Medicaid under the EBB. Furthermore, families that have income below 200% of the federal poverty guidelines (FPG) will be eligible for the benefit, as opposed to families below 135% of the FPG under the EBB. The new program will begin March 1, 2022. Current recipients of the EBB will continue to receive benefits until then and information on the transition will be available in the coming weeks. In the meantime, the Federal Communications Commission is seeking public comments on the enacted changes and proposed rules for the Affordable Connectivity Program.
Online Forum with Elected Officials Highlights Nonprofit Workforce Challenges
In early December, three nonprofit state associations in the northeast hosted an online event that highlighted aspects of the nonprofit workforce crisis. During the event, 40 state legislators from Connecticut, Massachusetts, ad Rhode Island, the three associations’ states, joined the event and heard about challenges that nonprofits face, including budget uncertainty, spikes in service demand, and ambivalence from government leaders. Social sector leaders discussed how they can’t offer competitive salaries and wages and, as a result, are losing employees to the grocery and retail industries, as well as state government and hospitals. These leaders said that longstanding structural inequalities hamper the social sector’s ability to compete and weaken the sector. One of the main topics for further action was government grant and contract reform, which would create more permanency and stability within the sector. With American Rescue Plan funding flowing to the states, the nonprofits argued that now is an opportune time to invest in community-based organizations and set them up for success moving forward.
Major Cities Taking the Lead in Ending Contracting Challenges for Nonprofits
From our partner, the National Council of Nonprofits:
Newly elected officials in New York City announced recently that they are committed to stopping many of the longstanding and well-documented contracting abuses imposed on nonprofits providing services on behalf of the city. In an op-ed in the New York Daily News, Mayor-Elect Eric Adams and Comptroller-Elect Brad Lander wrote, “When nonprofits fall short—whether because the city fails to pay them on time, or because a small handful of rogues exploit the system—the most vulnerable New Yorkers are the ones who suffer most.” The incoming officials created a joint transition taskforce, “to identify the root causes of the dysfunction, establish a clear agenda to fix it and implement the changes.” Among other things, the taskforce will focus on significantly reducing payment delays to nonprofit contractors, increasing the predictability of payment schedules, increasing public transparency in the contract registration and payment process, and delivering on the City’s recent commitment to increase the “indirect cost rate” for nonprofit service providers. Representatives on the taskforce include Meg Barnette of New York Nonprofits and Doug Bauer of the Clark Foundation, a board member of the National Council of Nonprofits.
In San Francisco, nonprofit leaders are calling for systemic change in how governments hire and reimburse charitable nonprofits. A recent article in Mission Local quotes Jan Masaoka, CalNonprofits CEO, as saying, “Contracting should be fair,” and that “Smart governments know nonprofits will do the work and do it well.” She and others on a recent panel highlighted the many inequities in the government grants and contracting system.
New Legal Rulings Halt Vaccine Orders
All three of the federal vaccine mandates have been halted by the courts until further notice. First, the OSHA rule, which mandates either vaccination or testing for organizations with 100+ employees, remains in limbo because a federal circuit court has temporarily blocked it. Multiple lawsuits have been filed from various states, and they have been consolidated into one proceeding that currently sits before the Sixth Circuit Court of Appeals. Additional rulings are expected in the coming weeks. The second rule, which relates to health care facilities receiving Medicare and Medicaid dollars, was blocked last week by a federal court in Louisiana. This rule requires all covered health care facilities to require vaccination for all employees, trainees, students, and volunteers. Covered facilities include clinics, community mental health centers, immediate care facilities for people with intellectual disabilities, programs for all-inclusive care for elderly organizations, hospitals, immediate care, long-term care facilities, psychiatric residential treatment facilities, home health agencies, and more. Excluded entities include certain community-based services, assisted living facilities, group homes, and home- and community-based services. Ultimately, the case could end up in the Supreme Court.
A third mandate, pertaining to federal contractors, was recently halted until further notice. This mandate requires all federal contractors (not grantees) to get vaccinated.
Social Current will continue to share information as we receive it. For more information, check out our vaccine mandate resource collection, and for a candid discussion with executives at community based organizations, watch the recording of last week’s webinar on vaccine mandates.
January Contreras Nominated for Assistant Secretary for ACF
On Dec. 7, the White House announced January Contreras as its nominee for Assistant Secretary for the U.S. Department of Health and Human Services, Administration for Children and Families (ACF). She has served in a range of county, state, and federal roles supporting child and family well-being for more than 20 years.
Contreras is a former county prosecutor and assistant attorney general who went on to lead a legal aid center for children and young adults who have experienced abuse, neglect, family separation, homelessness, and human trafficking. She previously served in the Obama administration as Ombudsman for Citizenship and Immigration Services at the U.S. Department of Homeland Security and as a designee to the White House Council on Women and Girls. In this role, she led efforts to launch new federal training and guidance to ensure that immigrant victims of domestic violence and other crimes are treated with dignity and protection. At the state level, Contreras oversaw the Arizona Department of Health Services after serving as Assistant Director of the Arizona Health Care Cost Containment System, Arizona’s Medicaid agency. She was a member of Gov. Janet Napolitano’s Children’s Cabinet and the Arizona Early Childhood Development and Health Board.
Late last week, congressional leaders reached a deal to avoid a government shutdown by passing a short-term continuing resolution through Feb. 18. The current budget was set to expire last Friday. This will push the fiscal year 2022 budget conversations into early next year. Congress is still under pressure to get several things done before the end of the calendar year, including an extension of the debt limit, which will help the U.S. avoid defaulting on our loans.
In addition, President Joe Biden’s Build Back Better plan negotiations continue. After passing in the House of Representatives last month, the Build Back Better Act has fallen in line behind several other priorities in the Senate, including raising the debt ceiling. Senate Majority Leader Chuck Schumer (D-N.Y.) stated the social spending bill, which would dedicate almost $2 trillion for universal pre-K, affordable child care, housing investments, and climate tax credits, among other things, would be pass by Christmas. However, Chairman of the House Ways and Means Committee, Richard Neal (D-Mass.), predicts the process might drag into 2022. Democrats in both houses of Congress are debating whether to raise the $10,000 deduction cap on state and local tax payments, a provision strongly supported by Democrats in high-tax states but opposed by others as a tax break for high-income families. Paid family and medical leave is another source of friction, as Sen. Joe Manchin (D-W.V.) continues to oppose its inclusion in the overall package. If the bill is ultimately passed early next year, families may lose access to the child tax credit monthly installment in January, a possibility that is creating urgency for lawmakers leading up to Christmas.
In other news, the Biden administration unveiled its new winter COVID-19 mitigation strategy. According to senior administration officials, people with private insurance will be able to get at-home tests reimbursed because of laws set forth in the CARES Act. The administration is also putting out new travel requirements, including extending the mask rule on domestic flights through March, creating new testing protocols for people flying to the U.S., and more. The U.S. is also scheduled to deliver 200 million vaccine doses abroad in the next 100 days. The administration is launching a booster shot publicity effort, including notifying all Medicare recipients.
New Toolkits for Building Your Advocacy Muscle
Social Current offers two newly updated advocacy toolkits, one with general public policy advocacy how-tos and another with tips for media relations and social media to support advocacy. Inside, you’ll find sections on creating impact stories, engaging with legislators, developing media relations, hosting special events, and conducting social media outreach. They also contain brand new sections on virtual advocacy, constituent engagement and coalition building.
Read about how COVID-19 has changed the rules for meeting with legislators and download the toolkits from the Policy Action Center.
Rebecca Jones Gaston Nominated for Top Child Welfare Role in Administration
Recently, President Joe Biden nominated Rebecca Jones Gaston to become the Commissioner of the Administration for Children, Youth, and Families within the Department of Health and Human Services. She currently serves as the Child Welfare Director for the Oregon Department of Human Services. In this role, she will oversee the Children’s Bureau and the Family and Youth Services Bureau. Her appointment is now pending the confirmation process in the Senate. Under her leadership in Oregon, the state launched a major transformation built on trauma-informed, family- and community-centered, and culturally responsive programs and services. She previously served as executive director of the Maryland Department of Human Services’ Social Services Administration. She has worked in the field of child welfare and human services for nearly 25 years as a social worker, advocate, therapist, consultant, and administrator. She has worked as a Director at Casey Family Programs providing technical assistance to child welfare agencies in the past.
New Legal Rulings Halt Vaccine Orders
Two out of three of the federal vaccine mandates have been halted by the courts until further notice. First, the OSHA rule, which mandates either vaccination or testing for organizations with 100+ employees, remains in limbo because a federal circuit court has temporarily blocked it. Multiple lawsuits have been filed from various states, and they have been consolidated into one proceeding that currently sits before the Sixth Circuit Court of Appeals. Additional rulings are expected in the coming weeks. The second rule, which relates to health care facilities receiving Medicare and Medicaid dollars, was blocked last week by a federal court in Louisiana. This rule requires all covered health care facilities to require vaccination for all employees, trainees, students, and volunteers. Covered facilities include clinics, community mental health centers, immediate care facilities for people with intellectual disabilities, programs for all-inclusive care for elderly organizations, hospitals, immediate care, long-term care facilities, psychiatric residential treatment facilities, home health agencies, and more. Excluded entities include certain community-based services, assisted living facilities, group homes, and home- and community-based services Ultimately, the case could end up in the Supreme Court.
A third mandate, pertaining to federal contractors, is still moving forward. This mandate requires all federal contractors (not grantees) to get vaccinated.
Social Current will continue to share information as we receive it. For more information, check out our vaccine mandate resource collection, and for a candid discussion with executives at community based organizations, watch the recording of last week’s webinar on vaccine mandates.
21st-Century Children and Families Act Introduced in the House
Rep. Karen Bass (D-Calif.) introduced the 21st-Century Children and Families Act, which would modernize the child welfare system and increase the likelihood of children in foster care returning to safe, permanent families. Specifically, the law would automatically terminate a parent’s rights when a child has been in foster care for 24 months. Currently, parental rights are modified if a child is in foster care for 15 out of 22 months. The law also would create exemptions to the 24-month timeline when a parent is actively engaged in services, or if the parent is incarcerated or in detention by the Department of Homeland Security. The goal of the law is for children to return to safe and stable homes, rather than stay in foster care and age out of the system. The bill would also strengthen non-discrimination laws in foster care services and placements and require states to report on disproportionality and disparities in access to services.
USDA Invests $86 Million in Rural Areas
U.S. Department of Agriculture Secretary Tom Vilsack announced 218 project investments in infrastructure, economic development, housing, health care, and high-speed internet in rural communities. The funding will impact 425,000 people in 46 states through programs like Tribal College Initiative Grants, Rural Community Development Initiative Grants, Housing Preservation Grants, Delta Health Care Grants, Socially Disadvantaged Groups Grants, and Water and Waste Disposal Grants.
As examples, the funds will help low-income families improve the safety and health of their homes in Central Florida, and in rural Pennsylvania, they will provide business development technical assistance to women-owned agricultural cooperatives. The USDA says these investments will improve equitable access to jobs, housing, and health care.
New Texting Feature for the National Suicide Prevention Lifeline
The Federal Communications Commission (FCC) has signed off on a plan to allow individuals to access the National Suicide Prevention Lifeline via text in addition to calling. In a statement, the FCC said that texting allows for increased anonymity compared to having a conversation over the phone, thereby increasing access for individuals in crisis. The FCC is requiring that texting providers connect individuals who text ‘988’ to the Lifeline by July 16, 2022.
Individuals can continue to access the lifeline by dialing 1-800-273-8255 or via chat on the website.
New Data on Nonprofit Workforce Crisis
The National Council of Nonprofits released a preliminary analysis of its recent survey to gauge the effects of the workforce shortage on the nonprofit sector. As of Nov. 15, 700 nonprofits responded from 47 states and nearly half reported vacancy rates between 0% and 9%. Of respondents, 15% have a vacancy rate of 10-19%, while another 26% have a rate of 20-29%.
The top barriers to hiring or retaining staff are:
- Salary competition from other sectors (80%)
- Child care challenges (23%)
- Vaccination policies (21%)
For 27% of respondents, job vacancies have extended waitlists for services to more than a month. Many organizations said that they have had turn people away or expand caseloads per social worker to meet demand for services. The survey also asked respondents for solutions to the workforce crisis. Nonprofits cited outdated reimbursement rates, the lack of cost-of-living increases and the burden of indirect costs as major obstacles to financial stability and salary competitiveness.
Complete the survey online.
Related resources from Social Current:
- 2021 U.S. Human Services Workforce Trends and Compensation Study
- Vaccine mandate resource collection and candid conversation webinar recording
- How to Future-Proof Your Hiring webinar recording
On Nov. 15, President Joe Biden signed into law the bipartisan Infrastructure Investment and Jobs Act, a $1.2 trillion bill that will build and repair roads and bridges, improve public transit, support passenger rail, upgrade airports and ports, replace lead pipes, modernize transmission lines, and expand high-speed internet. The bill also includes a $50 million carve out for nonprofits, the Nonprofit Energy Efficiency pilot program, which will help nonprofits make capital upgrades to their buildings. Unfortunately, the bill does not include an extension of the Employee Retention Tax Credit, a lifeline for many nonprofits during the pandemic that expired in September; however, the nonprofit community will continue to advocate for that provision in upcoming bills. The administration touts the infrastructure bill as the largest investment in infrastructure in decades, creating millions of blue-collar jobs and improving efficiencies across the economy.
Now, Congress is turning its focus to President Biden’s signature Build Back Better Act, an almost $2 trillion bill that would make significant investments in climate change mitigation, pre-K, child care, housing, and elder care, as well as extend the new Child Tax Credit. The House of Representatives voted to pass the bill last Friday morning. The Congressional Budget Office (CBO), the nonpartisan reviewer of proposed legislation, had announced on Thursday that the bill did not include enough tax increases to pay for itself, adding $367 billion to the deficit over a decade. Nevertheless, moderate Democrats, nervous about deficit spending, decided to vote for the bill. Another point of contention in the House was the inclusion of the State and Local Tax (SALT) Deduction, a provision that would result in major tax cuts for high-earning households. Progressives claimed the SALT Deduction was a giveaway to the rich, while moderates, especially from high tax states like New Jersey and New York, required its inclusion in exchange for their vote for the entire package.
Now that the Build Back Better Act has passed the House, it will head to the Senate, where another round of negotiations will occur. Senate Democrats, with only a small majority of 50 seats plus the vice president’s tiebreaking vote, will have to balance the progressive and moderate wings of the party to get anything passed. Sens. Joe Manchin (D-W.V.) and Kyrsten Sinema (D-Ariz.) remain the primary holdouts and have made public complaints about the revenue raising side of the bill, its impact on inflation, and the House’s inclusion of paid family leave. Moreover, the reconciliation process in the Senate, which allows legislation with a budgetary impact to pass with just 50 votes instead of the usual 60 votes, may lead to some of the House bill’s provisions being eliminated from the bill, such as immigration provisions that expand the number of green card holders and stop deportations. Timing on a Senate vote is still not clear.
Social Current will continue to keep you updated on the legislative process, as this legislation winds its way through Congress.
New Toolkits for Building Your Advocacy Muscle
Social Current offers two newly updated advocacy toolkits, one with general public policy and advocacy how-tos and another with tips for media relations and social media to support advocacy. Inside, you’ll find sections on creating impact stories, engaging with legislators, developing media relations, hosting special events, and conducting social media outreach. They also contain brand new sections on virtual advocacy, constituent engagement and coalition building.
Read about how COVID-19 has changed the rules for meeting with legislators and download the toolkits from the Policy Action Center.
New Resources on Vaccine Mandate Policies and Sixth Circuit Court Review
Just a few weeks ago, the Biden administration announced new vaccine mandates for employers. Several new resources are available that break down vaccine requirements for nonprofit employers. In recent days, after numerous lawsuits from states around the country, the Sixth Circuit Court announced it will hear lawsuits against the administration’s rule. The rule was formally issued Nov. 5 and requires compliance by Jan. 4. Even if the Sixth Circuit weighs in quickly, it’s likely the decision will be appealed, and litigation could continue for weeks or months. Ultimately, the case could end up in the Supreme Court.
Social Current Webinar and Curated Resource List
Leaders of community-based organizations are finding themselves needing to determine their organizations’ paths for creating and upholding vaccine policies, a topic that will be covered in the Dec. 1 webinar, Critical Conversation: The State of Vaccine Mandates and Community-Based Organizations.
Leaders are also finding that they are a powerful resource for providing support and guidance around vaccine hesitancy to their staff and communities. To help community-based organizations navigate this complex issue, this list of resources breaks down key considerations and includes tools and tips to meet compliance requirements and address vaccine polarization.
The OSHA Vaccine Mandate
This mandate is for employers with 100+ employees and requires employees (barring some exceptions) to either get vaccinated or submit to weekly COVID-19 testing beginning in early January. A new summary from Lutheran Services in America breaks down covered entities, exclusions, deadlines, rules, reporting requirements, and more. The National Council of Nonprofits has also updated its summary.
The CMS Vaccine Mandate
This mandate is for covered health care entities that receive Medicaid or Medicare dollars. It requires that all employees (barring some exceptions) get vaccinated, with no weekly testing option. A new summary from Lutheran Services in America breaks down the rule. While many community-based organizations are excluded as covered entities, home health agencies, long-term care facilities, intermediate care facilities for individuals with intellectual disabilities, Psychiatric Residential Treatment Facilities, and others do qualify as covered. An FAQ from CMS has also been released.
The Status of the Momnibus Bill
For many months, various members of Congress have advocated for a package of bills, known as the “Momnibus,” that supports improving maternal health. Social Current has supported and endorsed this legislation. The most recent draft of the Build Back Better Act includes every eligible provision of the Momnibus bill, as well as mandatory, permanent investments in yearlong postpartum Medicaid coverage in every state. Compared to the previous draft of the Build Back Better bill, every provision has either the same or increased funding. Investments include addressing social determinants of health through community-based organizations, perinatal health workforce investments, maternal mental health equity grant program, advancing maternal health research institutions serving minorities, and more. Rep. Lauren Underwood (D-Ill.) has led this legislation along with members of the Black Maternal Health Caucus. If the Build Back Better bill passes, it would provide the largest maternal health equity investments in American history. The Build Back Better bill still has not made it across the finish line yet, so now is an important time to speak out in support of the maternal health provisions.
House Passes the Family Violence Prevention and Services Improvement Act
On Oct. 26, the House of Representatives voted to reauthorize the Family Violence Prevention and Services Improvement Act through the 2026 fiscal year. This critical funding stream supports emergency shelters for victims of domestic violence and prevention services through grants and cooperative agreements between states, tribes, and community-based groups. According to the bill, recipients can use funding for technical assistance, evidence-based prevention approaches, community strategies to reduce family violence, and partnership development. Moreover, there are specific grants to organizations that provide population-specific and culturally specific services to racial and ethnic minority groups.
LIHEAP Funds Released for Winter Bills
The Office of Community Services in the Department of Health and Human Services announced the distribution of $3.37 billion in block grant funding for the Low-Income Home Energy Assistance Program (LIHEAP). LIHEAP serves low-income households with heat and energy assistance, as well as weatherization assistance. The program primarily serves households with seniors, young children, and people with disabilities. These funds were made available by a concurrent resolution, passed at the end of September, keeping the government open until Dec. 3.
New Toolkit on Addressing Health Misinformation
U.S. Surgeon General Vivek Murthy recently released A Community Toolkit for Addressing Health Misinformation, which provides tools to help community-based organizations and other entities recognize and push back against misinformation. The toolkit includes:
- A health misinformation checklist
- Tips on how to have conversations with friends and family about misinformation
- A list of popular types of disinformation tactics
- Examples of instances when individuals encountered misinformation
As COVID-19 vaccines are now available to children 5-11 years old, the toolkit represents a “whole-of-society” approach to combatting misinformation.