March 15, 2019
Greetings!
This week the President released his FY 2020 proposed budget request, and Congress began holding hearings with agency officials to discuss the proposals by agency. Under the appropriations tab, we have shared an overview of human services-related budget requests from the Administration. Also, Congress is on recess next week so look for TWIW on March 29. If any breaking news occurs during this time, we will send a special alert.
Appropriations
President’s FY 2020 Budget Request
On Monday, the President released his FY 2020 proposed budget, which includes substantial cuts and changes to key health and human services programs such as SNAP and TANF. While this proposed budget presents the Administration’s policy priorities, many of the proposals have already been rejected by Congress. Bipartisan approval is needed to approve the provisions laid out in the budget and at this time there does not appear to be enough support from either side. One of the major issues is that the proposal does not take into account that congressional leadership has agreed to increase government spending limits to avoid drastic cuts to numerous programs and departments. Read APHSA's Overview of President’s Budget Request.
 
 
 
 
Legislative Update
House Bill Would Provide SNAP in Puerto Rico, American Samoa,
and the Northern Mariana Islands
On March 6, HR 1576: A bill to amend the Food and Nutrition Act of 2008 to provide for the participation of Puerto Rico, American Samoa, and the Northern Mariana Islands in Supplemental Nutrition Assistance Program was introduced by Rep. Nydia Velazquez (D-NY). The bill was referred to the House Agriculture Committee. Currently, the three territories receive capped block grants for basic food assistance instead of participating in the Supplemental Nutrition Assistance Program (SNAP). Read more about HR 1576 .

A corresponding bill, S 677, was introduced by Sen. Bernard Sanders (I-VT) on March 6. The Senate version of the bill is co-sponsored by 10 other Democratic Senators. It was referred to the Senate Agriculture, Nutrition, and Forestry Committee. Read press release.
Bill Authorizing HCV Opportunity Mobility Demonstration
Passes House
On February 8, Rep Emmanuel Cleaver (D-MO) introduced H.R 1122— Housing Choice Voucher Mobility Demonstration Act of 2019 in the Financial Services Committee which authorizes the Department of Housing and Urban Development (HUD) to implement a mobility demonstration program so that public housing agencies (PHAs) can administer housing choice rental assistance vouchers specifically designed to encourage low income families receiving such assistance to move to lower poverty areas as well as expand access to opportunity areas.

HUD would require PHAs applying to participate in the program to submit a specified Regional Mobility Plan identifying any specific actions that the PHA and other entities will undertake to accomplish the goals of the demonstration, which must include a comprehensive approach to enable a successful transition to opportunity areas and may include counseling and continued support for families. The bipartisan bill is co-sponsored by Rep. Sean Duffy (R-WI). The bill passed in the House on March 11. Read Summary of H.R 1122 .
Child and Family Well-Being
ACF Outlines Details on FY 2020 Child Welfare Funding
The Children's Bureau has provided guidance to states on actions required to receive FY 2020 allocations for Child Welfare Services, Promoting Safe and Stable Families, Child Abuse Prevention and Treatment Act State Grants, Chafee Foster Care Program for Successful Transition to Adulthood, and Education and Training Vouchers. Learn More
ACF Provides Guidance on Disaster Recovery
Flexibilities in Head Start
The Head Start ECLKC has issued guidance to all Head Start and Early Head Start Agencies and Delegate Agencies in Areas Affected by Disaster. The guidance provides information on the program’s role in the recovery of affected communities, including administrative flexibility. Read ACF Memorandum
ACF Issues Refugee Guidance on Medical Costs
The Office of Refugee Resettlement has issued a policy letter that outlines when and how Refugee Medical Assistance (RMA) will cover emergency medical costs of refugees and special immigrant visa holders during transit from their port of entry to their final destination. Read ACF Letter
Employment and Economic Well-Being
Key Findings From The 2019 Prosperity Now Scorecard
The Prosperity Now Scorecard is a comprehensive resource for data on household financial health, racial economic inequality and policy recommendations to help put everyone in our country on a path to prosperity. The January Scorecard centers on Vulnerability in the Face of Economic Uncertainty. View Scorecard
Healthcare
ASPE Releases Report on Substance Use Disorders
This study by the HHS Office of the Assistant Secretary for Planning and Evaluation examines how many factors affect health plan performance on the IET measures for both commercial and Medicaid health plans. The report provides best practices and barriers to health plans engaging people with substance use disorders in treatment. Read Report
CMS Requests Information on Purchasing Health Insurance
Across State Lines
The Centers for Medicare & Medicaid Services (CMS) seeks recommendations on how to eliminate regulatory, operational, and financial barriers to enhance issuers’ ability to sell health insurance across state lines. Read Information Request
The Agency for Healthcare Research and Quality (AHRQ) Competition
The Agency for Healthcare Research and Quality (AHRQ) announced a challenge competition to develop new online tools to present and encourage use of free, publicly available social determinants of health data to better understand and predict communities’ unmet healthcare needs. The total prize pool for the competition is $220,000.

In addition to systems research and practice improvement, AHRQ's enterprise strategy includes engaging the consumers in the care they receive and leveraging their rich data assets to help policy makers, and healthcare systems and professionals deliver safe, quality, high value care to the American people.
CMS Releases Medicaid Work Requirement Guidance
On Thursday, the Centers for Medicare and Medicaid Services (CMS) released tools and guidance on how to implement and evaluate 1115 waivers in Medicaid, particularly community engagement programs, including an implementation template, a monitoring report template and evaluation design guidance. A blog post from Administrator Verma, reiterating the need for community engagement, was released with the guidance.
Upcoming Events
Bipartisan Policy Center Invitation: Tracking Federal Funding To Combat The Opioid Crisis
The Bipartisan Policy Center is holding an event to share a new report that tracks investments in the prevention, treatment and recovery efforts for the opioid crisis. Panelists including Senators Rob Portman (R-OH) and Jeanne Shaheen (D-NH) will discuss ways in which federal support is assisting states and localities in addressing the opioid epidemic. View Invitation and RSVP

Tuesday, March 26 | 11:00 AM - 12:00 PM ET
Bipartisan Policy Center, 1225 Eye St NW, Suite 1000, Washington, DC 20005
Paid Family Leave: A discussion with Sen. Bill Cassidy, M.D. (R-LA)
Join AEI for a discussion with Sen. Bill Cassidy, M.D. (R-LA), who will outline his ideas and thoughts on a path forward to provide working-class Americans with paid family leave. After a moderated discussion with Sen. Cassidy, a panel of experts will analyze current paid family leave proposals at the state and federal level and discuss optimal frameworks for a possible federal plan. View Invitation and RSVP

Wednesday, April 3, 2019 | 9:00 - 10:30 AM ET
AEI, Auditorium, 1789 Massachusetts Avenue NW, Washington, DC 20036
Upcoming Webinars
The Future of Human Services Webinar Series - Stepping into the Human Services 2035 Scenarios
During the third webinar, we will “step into” the future of human services and human progress in the year 2035, exploring the four national scenarios. This session will train participants to think like a futurist and to use the scenarios in their organization or community to enhance their strategic planning, review their vision and better create their preferred future.

Wednesday, March 27 | 1:00 PM - 2:00 PM, ET
Outcomes-Based Financing: A Model For Next-Generation
Public-Private Partnerships
The Massachusetts Pathways for Economic Advancement Project and Maycomb Capital have developed a cutting-edge model for public-private partnerships that enables federal, state and local governments to partner with high performing service providers and use private capital to expand social programs.

The key players from the Massachusetts/Maycomb Capital partnership and APHSA's Center for Economic and Employment Well-Being (CEEWB) will explain exactly how outcome-based financing works and how your agency can utilize public-private partnerships to improve the well-being of your communities. Co-presented by CEEWB & The Maycomb Capital Community Outcomes Fund.

Thursday, April 4 | 3:00 PM – 4:00 PM EST
Upcoming Conferences
APHSA National HHS Summit
APHSA is elevating critical policy discussions and providing an opportunity for collective conversations with the Administration and Congress for a shared path forward for a modern, responsive and effective human service system.

This year’s National Summit is designed to showcase transformation efforts underway across the nation focusing on:
  • Operational Optimization
  • Healthier Communities Through Prevention
  • Policy and Practice Solutions for Family and Community Well-Being
  • Equity

May 19-22 | Crystal Gateway Marriott | Alexandria, VA
State Healthcare IT Connect Summit 
States are coordinating major initiatives including data governance and interoperability, Medicaid modernization, MMIS re-procurement, HIX operations, payment reform, population health, program integrity as well as data privacy, security, and compliance issues at many levels.

Cross-cutting agenda themes include Data Quality, IT Service Management, Project Portfolio Optimization, Interoperability, Consumer Empowerment, Security and Compliance will also be discussed across the track sessions.

March 18-20 | Hilton Baltimore | Baltimore, MD
If you can't attend in person, register for the Complimentary Live Video-Stream of ALL Pre-Conference Workshops, Keynotes, Breakouts here.
2019 Housing Policy Forum: Seizing the Moment for Bold Solutions
This forum will explore creative ways affordable housing advocates can build public and policy maker awareness by engaging investigative reporting and using visual media like short documentaries. Experts will share ways to pitch and produce stories that go beyond the printed page and tips on getting the right storytellers to share the right stories. Invited and confirmed Forum speakers include Senators Kamala Harris (D-CA), Todd Young (R-IN), and Elizabeth Warren (D-MA) and Matthew Desmond, author of the Pulitzer-Prize winning book Evicted: Poverty and Profit in the American City. View Invitation and RSVP

March 27 – March 29
Washington Court Hotel, 525 New Jersey Avenue, NW, Washington, DC 20001
Northwest Regional Prosperity Summits
Join Prosperity Now at these FREE full-day Summits where practitioners and advocates will learn and share the latest tools, resources and information on advancing financial well-being. The Summits are being designed in partnership
with teams of local practitioners to ensure they are relevant, valuable and helpful.

April 3, 9:30 AM - 5:00 PM MDT
Des Moines Central Public Library| Des Moines, IA
April 23, 8:30 AM - 5:00 PM MDT
Boise State University, Alumni & Friends Center | Boise, ID
APHSA Career Center - Post Your Open Positions Today

APHSA serves as a clearinghouse for job opportunities throughout the health and human services (H/HS) field. Employers reach a wide audience of candidates looking for careers in H/HS and job seekers will find a bevy of opportunities throughout the country.