Transcript Principles of Good Advocacy: How to Effectively

Update from Washington:
The President’s FY 2011 Budget
Legal Action Center
February 16, 2010
Legal Action Center:
SAAS’s Voice in Washington, DC
Advocacy with Congress and the Administration
Expanding access to/support for alcohol and other
drug prevention, treatment, recovery supports and
research
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Resources (annual funding process)
Policy changes (national healthcare reform, parity,
Medicaid expansions)
Eliminating discriminatory policies against people
with addiction histories and/or criminal records
What We’ll Discuss Today
Review of the annual federal funding
process
Discussion of the President’s FY 2011
budget
 Funding
requests for core programs at
SAMHSA and NIH
 Proposals for new prevention and treatment
programs
Next steps
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Steps in the Annual Funding
Process
President’s budget released in February
Includes funding requests for current
discretionary programs, new initiatives
Reveals Presidential/Administration priorities
Proposes funding increases and decreases,
new programs, program consolidations and
terminations
The FY 2011 Budget
Released February 1, 2010
FY 2011 fiscal year runs from October 1,
2010 until September 30, 2011
Congress responds with own budget
blueprint
 Can
deviate from President’s budget requests
 Must be consistent with statutory authority
The President’s Proposed
Spending Freeze
President proposing overall freeze of non-security
discretionary funding
Would exclude certain agencies and programs
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Security-related agencies: DHS, the Pentagon, and the VA
Mandatory programs: Medicare, Medicaid, and Social Security
International spending would also be exempt, including
State Department and global health programs
“Priority programs” would be held harmless, including
education and possibly some “poverty” programs
Projected the freeze would save $250 billion over the next
10 years
Congressional response to President’s proposal unclear…
The FY 2011 Budget: Funding
Requested for SAMHSA
SAMHSA would receive $3.7 billion, a $110 million
increase over FY 2010
New proposals for cross-center programming

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Prevention initiatives
Services for the homeless
Several priorities consistent with those
enumerated by ONDCP

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Working more closely with primary care
Services provided at the community-level
Key Drug and Alcohol Programs:
SAMHSA’s SAPT Block Grant
Substance Abuse Prevention and Treatment
Block Grant
 FY
2011 Budget Request: $1.799 billion
(funding level to FY 2010)
 Would include $359.72 million for prevention
set-aside
 Includes MOE language—SAMHSA is
“monitoring the situation closely”
Key Drug and Alcohol Programs:
CSAT programming
Center for Substance Abuse Treatment
(CSAT)
 FY
2011 Budget Request: $487 million
 Would represent an increase of $34 million over
FY 2010
Key Drug and Alcohol Programs:
CSAT programming (cont’d)
Specific CSAT program funding requests:
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$108.85 million for ATR (increase of $10 million)
$37 million for SBIRT (increase of $8 million over FY
2010)
 $84.2 million for criminal justice programs (increase of
$16.6 million over FY 2010)
– $56.4 million for Treatment Drug Courts ($12.6 million increase)
– $23.2 million for the Ex-Offender Re-entry program ($5 million
increase)
– $5 million for the Family Dependency/Treatment Drug Courts
program (level to FY 2010)
– $4.6 million for the Adult Criminal Justice Treatment program
($1 million cut)
Key Drug and Alcohol Programs:
CSAT programming (cont’d)
Additional CSAT program funding requests:

Treatment Systems for the Homeless: $47.36 million
($4.6 million increase)
 ATTCs: $9.08 million (level funding)
 Opioid Treatment programming: $8.9 million (level
funding)
 Programming for Pregnant and Postpartum Women:
$17.4 million ($1.4 million increase)
 Programming for Children and Families ($190,000 cut)
Key Drug and Alcohol Programs:
Proposals for New Treatment
Programming
Health Resources Services Administration
(HRSA) proposal to improve availability and
quality of addiction treatment at FQHCs
 $25
million request for 125 service expansion
grants
 Proposed purposes of the funds
 Additional details needed
Key Drug and Alcohol Programs:
Proposals for New Treatment
Programming (cont’d)
Indian Health Service proposal to improve
alcohol and other drug treatment
programming in Indian country
 $205.8
million for alcohol and drug treatment
programming ($11.4 million increase)
 Would include a new $4 million grant program to
hire addiction professionals
Key Drug and Alcohol Programs:
CSAP programming
Center for Substance Abuse Prevention
(CSAP)
 FY
2011 Budget Request: $223 million
 Would represent an increase of $21 million over
FY 2010
Key Drug and Alcohol Programs:
CSAP programming (cont’d)
Specific CSAP program funding requests:
 $103.5
million for Strategic Prevention
Framework State Incentive Grants (SPF-SIGs)
(cut of $8.3 million from FY 2010)
 $23 million for new Prevention-Prepared
Communities program
– Would serve young people 9 to 25 years of age
– Would include both substance use and mental illness
prevention strategies
– Would include grants to States
Key Drug and Alcohol Programs:
CSAP programming (cont’d)
Additional CSAP program requests:
 $9.7
million for Project LAUNCH initiative
– Currently a CMHS program, would become a joint
CMHS-CSAP project
– Aimed at providing children from 0 to 8 years of age
with substance use and mental illness prevention
and health/wellness strategies
 $8
million for the STOP Act (a $1 million
increase)
Key Drug and Alcohol Programs:
Drug-Free Communities Program
Drug-Free Communities Act program
 FY
2011 Budget Request: $85.5 million
 Would represent a cut of $9.5 million from FY
2010
Key Drug and Alcohol Programs:
Proposals for New Prevention
Programming
Prevention programming at the Department
of Education
 Safe
and Drug-Free Schools and Communities
State Grants program eliminated
 FY 2011 budget includes request for new
Successful, Safe and Healthy Students program
– Consolidation of several programs into a $410 million
program
– Specific required focus on substance use prevention?
Key Drug and Alcohol Programs:
The Research Institutes
National Institute on Drug Abuse (NIDA):
 FY
2011 Budget Request: $1.0941 billion
 Would represent an increase of $34.6 million
over FY 2010
National Institute on Alcohol Abuse and
Alcoholism (NIAAA):
 FY
2011 Budget Request: $474.6 million
 Would represent an increase of $12.5 million
over FY 2010
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Additional Key Funding—
Electronic Health Records
$4 million funding request to help SUD and
MH service providers plan, develop, and
start implementing health information
technology
$12.8 million request for an initiative on
privacy and electronic health records—
specific to SUD and MH treatment
Additional Key Funding—
Department of Justice
programming
Second Chance Act: $100 million (level funding)
Byrne JAG program: $519 million (level funding)
RSAT program: $30 million (level funding)
Enforcing Underage Drinking Laws (EUDL)
program would be eliminated
Proposal to consolidate several DOJ programs
(including the Drug Court and Mentally Ill Offender
programs) into a new $57 million Drug, Mental
Health and Problem-Solving Courts program
Next steps: Work in Congress
Begins
Congress will likely craft a FY 2011 budget
blueprint this spring
 House
and Senate Budget Committees
 Provides parameters for funding process
Appropriators will begin work on funding bills
this spring/summer
 House
and Senate Appropriations Committees;
Subcommittees organized by Department
Our Collective Work to Fight for
Increased Funding
Advocacy with Congress
 Meeting
with your Members of Congress and
their staffers
 Program visits in the home district—educating
your Representatives about your great work and
the tremendous need for increased funding
 Meetings in Washington
 Work with our key contacts
 Legislative updates and alerts!!
Next Steps: Work of the Advocacy
Community
Field funding recommendations
 SAPT
Block Grant: $2.0085 billion ($210
increase over FY 2010)
 CSAT: $529.6 million ($75 million increase over
FY 2010)
 CSAP: $277.2 million ($75 million increase over
FY 2010)
 NIDA and NIAAA Ad Hoc Group for Medical
Research Recommendations
Keeping Yourself Informed
LAC and SAAS newsletters, updates and
alerts
Contact Gab ([email protected])
or Dan ([email protected]) at 202-544-5478
with any questions
Thank you for all of your work!!
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