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  1. Title of Presentation Presentation by Andrew Sperling Director of Federal Legislative Affairs National Alliance on Mental Illness (NAMI)

  2. Current Federal Policy Environment • 2012 as a status quo election • Continued legislative gridlock • Major focus on oversight and congressional investigations – including federal involvement in mental health services • House Energy & Commerce oversight hearings • GAO investigation • Newtown response • Senate HELP package (S 689) – 95-2 Senate vote on April 18

  3. Grand Budget Deal? • Federal deficit is falling – CBO now projects it to $642 billion for 2013 v. a $1.2 trillion projection earlier this year • Higher revenue projections • Fannie/Freddie returns • Lower projected health care costs • Pressure for a large deficit reduction agreement is diminishing • Debt limit will not be reached until at least October

  4. FY 2014 Funding for Mental Illness Research and Services • Tight limits on Non-Defense Discretionary (NDD) spending remain in place • Senate FY 2014 budget resolution allows for $91 billion more in discretionary funding than the House budget resolution - $1.058 trillion v. $967 billion ($17 billion less than FY 2013 cap) • NDD as percentage of federal spending is now below 1963 levels • More information at www.nddunited.org

  5. FY 2014 Funding for Mental Illness Research and Services • House budget resolution protects defense and security spending and imposes a 19% reduction on NDD below the FY 2013 post-sequestration level and 28% below FY 2010 levels • Senate NDD levels are much better and undo the FY 2013 5% across-the-board sequestration cuts • In the absence of a grand budget agreement, a “continuing resolution” at FY 2013 post-sequestration levels is expected

  6. FY 2014 Funding for Mental Illness Research and Services NIMH • FY 2014 request - $1.466 billion ($12 billion below FY 2012 with transfer to NIAID) • FY 2013 sequester is resulting in 4% reductions to currently funded projects and the NIMH intramural program • 529 “new and competing” grants projected for 2013 v. 584 in 2012 and fewer than 500 in 2011

  7. FY 2014 Funding for Mental Illness Research and Services SAMHSA • FY 2013 sequestration wiped out the increases Congress enacted to the Mental Health Block Grant in 2011 & 2012 that had boosted funding to $460 million • FY 2013 post-sequestration levels • PATH - $62.8 million • Childrens MH - $111.2 million • Primary-BH Integration - $31.8 million • Suicide Prevention - $46 million

  8. FY 2014 Funding for Mental Illness Housing • HUD Section 811 - President’s FY 2014 budget seeks a $39 million reduction to the 811 Project-Based Rental Assistance (PRA) Demonstration • Cutting funding from $165 million in FY 2012 to $126 million • 811 produced over 3,500 new units of PSH in 2012 v. 948 units in 2010 & 2011 combined • McKinney-Vento - President’s FY 2014 budget does request a $352 million increase for homeless assistance programs, up to $2.38 billion • VASH – House, Senate and President are all in agreement in support of an $75 million for an additional 10,000 VASH vouchers for FY 2014 – supportive housing for homeless veterans

  9. FY 2014 & FY 2015 Funding for Veterans Programs Overall Veterans Medical Care – Forward funded and NOT subject to overall limits on discretionary spending • FY 2013 -- $41.508 billion v. FY 2014 enacted -- $43.557 billion • FY 2015 advance appropriation included in House bill -- $45.015 billion, a 3.4% increase over FY 2014 Veterans Mental Health Care • FY 2015 advance request of $7.717 billion or a 7% increase over the FY 2014 level (a $506.3 million increase) • $20 million increase in the House bill for suicide prevention activities Homelessness Activities • House bill allocates $1 billion through FY 2015, in addition to $5.216 billion currently available to the VA in FY 2013 and 2014 for the non-HUD portion of VASH, the per diem program and the VA domiciliary programs VA Medical Research - President’s FY 2014 request of $585.7 million, or $3.573 million above the FY 2013 level of $582.091 million

  10. Thank you!