The Community Services Block Grant


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Planned Use of Funds


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Community Programs to Promote Youth Development


Book Description

After-school programs, scout groups, community service activities, religious youth groups, and other community-based activities have long been thought to play a key role in the lives of adolescents. But what do we know about the role of such programs for today's adolescents? How can we ensure that programs are designed to successfully meet young people's developmental needs and help them become healthy, happy, and productive adults? Community Programs to Promote Youth Development explores these questions, focusing on essential elements of adolescent well-being and healthy development. It offers recommendations for policy, practice, and research to ensure that programs are well designed to meet young people's developmental needs. The book also discusses the features of programs that can contribute to a successful transition from adolescence to adulthood. It examines what we know about the current landscape of youth development programs for America's youth, as well as how these programs are meeting their diverse needs. Recognizing the importance of adolescence as a period of transition to adulthood, Community Programs to Promote Youth Development offers authoritative guidance to policy makers, practitioners, researchers, and other key stakeholders on the role of youth development programs to promote the healthy development and well-being of the nation's youth.




Social Services Block Grant


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The Social Services Block Grant (SSBG) is a flexible source of funds that states use to support a wide variety of social services activities. States have broad discretion over the use of these funds. In FY2009, the most recent year for which expenditure data are available, the largest expenditures for services under the SSBG were for child care, foster care, and special services for the disabled. The FY2012 Consolidated Appropriations Act (H.R. 2055, P.L. 112-74) provided $1.7 billion for the SSBG in FY2012, the same level of funding as had been requested in the FY2012 President's Budget. This is also the same level of annually appropriated funding that the SSBG has received in every year since FY2002. Since FY2001, annual appropriations for the SSBG have included a provision stipulating that states may transfer up to 10% of their Temporary Assistance for Needy Families (TANF) block grants to the SSBG. In addition to funding from annual appropriations, the SSBG received supplemental appropriations in FY2006 and FY2009 for necessary expenses resulting from natural disasters. The FY2013 President's Budget, released by the Obama Administration in February 2012, proposed to maintain annual SSBG funding at $1.7 billion. FY2013 appropriations have yet to be enacted, but both the Senate Appropriations Committee-reported bill (S. 3295, S.Rept. 112-176) and the draft bill approved by the House Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies would maintain level funding for the SSBG. By contrast, the Sequester Replacement Reconciliation Act of 2012 (H.R. 5652) includes a provision that, if enacted, would repeal the SSBG, effective October 1, 2012. This budget reconciliation bill was agreed to in the House on May 10, 2012, by a vote of 218-199. However, the Senate has not taken up the measure. The House Budget Committee report accompanying the reconciliation bill (H.Rept. 112-470) calls the SSBG a duplicative funding stream that lacks focus and accountability. Those with dissenting views argue that the block grant's flexibility allows states to address the needs of vulnerable populations and respond to local concerns. Prior to the introduction of the reconciliation bill, the House Budget Committee report (H.Rept. 112-421) accompanying the House-passed concurrent resolution on the FY2013 budget (i.e., the House budget resolution for FY2013, H.Con.Res. 112) had included a recommendation that the SSBG be eliminated in FY2013. Under current law, the SSBG is permanently authorized in Title XX of the Social Security Act (SSA). The 111th Congress amended Title XX of the SSA in the health care reform legislation signed into law by President Obama on March 23, 2010, the Patient Protection and Affordable Care Act (PPACA; P.L. 111-148). This law inserted a new subtitle on elder justice into Title XX, which was itself re-titled as Block Grants to States for Social Services and Elder Justice. The health reform law also amended Title XX by establishing two demonstration projects to address the workforce needs of health care professionals and a new competitive grant program to support the early detection of medical conditions related to environmental health hazards. The purpose of this report is to provide background and funding information about the SSBG; the report does not provide detailed information on other programs authorized within Title XX of the SSA.




Primary Care and Public Health


Book Description

Ensuring that members of society are healthy and reaching their full potential requires the prevention of disease and injury; the promotion of health and well-being; the assurance of conditions in which people can be healthy; and the provision of timely, effective, and coordinated health care. Achieving substantial and lasting improvements in population health will require a concerted effort from all these entities, aligned with a common goal. The Health Resources and Services Administration (HRSA) and the Centers for Disease Control and Prevention (CDC) requested that the Institute of Medicine (IOM) examine the integration of primary care and public health. Primary Care and Public Health identifies the best examples of effective public health and primary care integration and the factors that promote and sustain these efforts, examines ways by which HRSA and CDC can use provisions of the Patient Protection and Affordable Care Act to promote the integration of primary care and public health, and discusses how HRSA-supported primary care systems and state and local public health departments can effectively integrate and coordinate to improve efforts directed at disease prevention. This report is essential for all health care centers and providers, state and local policy makers, educators, government agencies, and the public for learning how to integrate and improve population health.




Community Services Block Grant Program


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