June 28, 2019
Congress will be on recess next week for the Fourth of July holiday so watch for us to be back in your inboxes on July 12. In the meantime here are the latest updates from Congress and the Administration, and keep an eye out for the Employment and Economic Well-Being section, where we share our recently released TANF paper, “Measuring What Matters: Shifting Temporary Assistance for Needy Families to an Outcomes-Based Model.
Legislative Update
CBO Releases 2019 Long-Term Budget Outlook
The Congressional Budget Office (CBO) is required to release an annual report that provides budget projections for the next three decades. The findings from this report show “Large budget deficits over the next 30 years are projected to drive federal debt held by the public to unprecedented levels—from 78 percent of gross domestic product (GDP) in 2019 to 144 percent by 2049.” 
Medicaid Extenders Bill
Last week, the House passed the Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019 (H.R. 3253), and the bill has now moved to the Senate. If passed, it would make appropriations through FY2024 for, and otherwise revise, the Money Follows the Person Rebalancing Demonstration Program; temporarily extend the Community Mental Health Services Demonstration program; temporarily extend the applicability of Medicaid eligibility criteria that protect against spousal impoverishment for recipients of home and community-based services; and more.
Emergency Supplemental Appropriations for Humanitarian Assistance and Security at the Southern Border Act
This week both chambers of Congress passed different versions of legislation for emergency supplemental FY 2019 appropriations, to deal with the growing humanitarian crisis at the southern border. The Senate version has a slightly higher price tag of $4.59 billion, compared to the House version of $4.5 billion. In both versions, $2.9 billion is slated for The Department of Health and Human Services. Both bills include provisions requiring U.S. Customs and Border Patrol to establish standards of health and safety for migrants in custody, and temporary migrant children’s centers must comply with National Academy of Pediatrics recommendations. Additionally, both versions forbid HHS from placing children in unlicensed “influx” centers in most cases and limiting those stays to 90 days when allowed. 
TANF Extension Bill Passed
Earlier this month, the House of Representatives passed HR 2940, a bipartisan bill extending the Temporary Assistance for Needy Families (TANF) program and related programs through September 30, 2019. The bill extends TANF without making any reforms. On Thursday, June 27, the Senate cleared HR 2940 and it is expected to move to the President’s desk for signature. 
Hawaii Governor Signs HINET Law Supporting Student Needs
Hawaii Governor David Ige signed a new law, SB50 SD2 HD1, that ties education support to SNAP recipients. The Hawai‘i Nutrition Employment and Training (HINET) Program appropriates $455,000 for each of the next two fiscal years to help low income students with basic needs including food. The bill was signed via Facebook live.
Child and Family Well-Being
Transition Out of Foster Care For Older Youth Helped by New Model
Youth Villages helps the vulnerable age group of young adults aged 19 to 21 successfully transition out of the foster care system. Homelessness is an issue for 20% of this demographic after leaving foster care and 70% of young women will become pregnant by age 21 after leaving the system. With most resources dedicated to younger children, this demographic remains underserved with only 25 states extending services past the age of 18. The Youth Villages national model has been found to improve housing stability and economic well-being.
Funding Opportunity for Families Affected By Opioid Abuse
The Administration For Children and Families (ACF) share a funding opportunity announcement (FOA) for grant funds available to "improve the well-being of, and to improve the permanency outcomes for children and families affected by opioids and other substance abuse." Application due date is July 31.
Employment and Economic Well-Being
APHSA & NSC Release Joint TANF Paper: Measuring What Matters
The current Temporary Assistance for Needy Families (TANF) system makes it challenging for parents to become self-sufficient or advance in today’s economy. With TANF due for reauthorization, Congress has the opportunity to address this issue. A joint paper between APHSA and National Skills Coalition (NSC), “Measuring What Matters: Shifting Temporary Assistance for Needy Families to an Outcomes-Based Model,” suggests TANF shift to an outcomes-based accountability system where states are rewarded based on how successfully they assist TANF participants in earning in-demand job skills and gaining sustainable, family-supporting employment.
CMS Commits $50 Million to Assist States with Substance Use Disorder Treatment and Recovery
On June 25 , the Centers for Medicare & Medicaid Services (CMS) announced a Notice for Funding to award 10 State Medicaid Agencies with an 18-month planning grant to treat and assist in recovery of Substance Use Disorders (SUDs). The grants will focus on recruitment, training, and technical assistance for Medicaid providers that offer SUD treatment or recovery and improved reimbursement for treatments. Medicaid agencies should submit 18-month proposals by August 9 for application review.
"Block Grant" Waivers Are Being Considered by CMS
The Centers for Medicare & Medicaid Services (CMS) is considering using "block grant" waivers, which allow states to avoid federal oversight, in exchange for capping federal Medicaid funding. Some advocates say that these waivers pose risks to beneficiaries, health providers, and states and would end the coverage guarantee for individuals who have gotten sick or lost jobs.
State of the Nation's Housing Report Shows Rising Inequality
The Joint Center for Housing Studies of Harvard University produced a new State of the Nation’s Housing 2019 report showing an inequality in the housing market. With more higher-income people renting, lower-income people are being left out with less lower cost housing options. The majority of low-income renters with incomes of $15,000 or less are spending more than half their income on housing and homelessness has increased for the second year in a row.
Upcoming Events
Overcoming Challenges and Embracing Diversity: Oscar Munoz Reflects on Leadership
As part of The Bob & Elizabeth Dole Series on Leadership; The Bipartisan Policy Center is holding an intimate discussion with Oscar Munoz, CEO of United Airlines. Mr. Munoz has broad leadership experience at some of the world’s most recognized brands, including CSX Railroad, AT&T, The Coca-Cola Company, and Pepsico.

Tuesday, July 9, 5:00-6:00 PM EST
Bipartisan Policy Center, 1225 Eye St. NW, Suite 1000, Washington, DC
National Association for Welfare Research and Statistics ( NAWRS) Workshop
The NAWRS 2019 Workshop will have presentations on topics including child support, coaching, early childhood education, child care, foster care, substance abuse, workforce programs including SNAP E&T, and more. Additionally, they will have several exciting Research Academy sessions to discuss how to incorporate rigorous research methods into ongoing agency efforts to improve and document program effectiveness.

July 28 - 31 | Omni Royal Orleans Hotel, New Orleans, LA
Well-Being Exchange - Igniting The Potential
Join clinical and organizational psychologist Beth Cohen, Ph.D. in this session designed for human services professionals who frequently experience emotional stress as a result of the nature of their work. The purpose of the Well-Being Exchange is to provide information on health and well-being, share information, discuss strategies and explore frameworks related to health and well-being in human services. Participants will be provided with opportunities to share meaningful ideas and best practices.

Thursday, August 29, 9:00 AM-4:00 PM EST
UC Davis Activities & Recreation Center, Davis, CA
Upcoming Conferences
National Association for Program Information and Performance Measurement (NAPIPM) Annual Education Conference
The 2019 NAPIPM Annual Education Conference is a comprehensive learning and networking experience for dedicated human services professionals responsible for improving the performance measurement capabilities of their agencies. Join your colleagues from across the nation for a series of information-rich presentations and breakout sessions focusing on reshaping today’s service delivery systems.

August 5-8 | Sheraton Memphis Downtown, Memphis, TN
American Association of SNAP Directors (AASD) & National Association of State TANF Administrators (NASTA) Education Conference
The 2019 AASD/NASTA Annual Conference is designed to assist Health and Human Service leaders and policy makers to shape the future of SNAP and TANF programs through collaboration and modernization and the exchange of experience and knowledge amongst attendees. Join your colleagues from across the nation for a series of information-rich presentations and breakout sessions focused on advancing SNAP and TANF programs.

August 25-28 | Hilton Charlotte Center City, Charlotte, NC
Information Technology Solutions Management for Human Services (ISM) Annual Conference
The 2019 ISM Conference is the premiere conference for health and human services IT leaders, focusing on innovative IT solutions. For 52 years, the ISM Conference has brought together the brightest minds from public H/HS agencies, private industry, academia and community-based organizations to showcase the future of H/HS Information Technology. The 2019 topics will include: Data Analytics, Modernizing the Workforce, Inventive Strategies, Operationalizing Technology, Technology in Service of Customers and more.

September 22-25 | Milwaukee, WI
National Staff Development and Training Association (NSDTA), AASD/NASTA Award & Scholarship Opportunities
Opportunities to nominate your peers and apply for scholarships are now open for NSDTA and AASD/NASTA.

NSDTA Recognition Awards are to recognize outstanding individuals and initiatives within your organization which are helping advance the delivery of health and human services practices or programs to staff. Nominations close on Saturday, July 13.

NSDTA Joan Carrera Memorial Scholarships allow first time attendees to attend the conference at partial to no cost. Scholarships are open to anyone who provides training or organizational development technical assistance to public human services employees. Application closes on Saturday, July 13.

AASD/NASTA Distinguished Service Awards offer the opportunity to recognize outstanding performance in the design, delivery, management and administration of the SNAP and TANF Programs by human services employees and programs. Awards are open to any individual, agency, company, or program that provides SNAP or TANF services. Nominations close on Friday, July 19.
National Association of Counties (NACo) Annual Conference & Exhibition
The NACo Annual Conference & Expos ition is the largest meeting of county elected and appointed officials from across the country. Participants from counties of all sizes come together to shape NACo's federal policy agenda, share proven practices and strengthen knowledge networks to help improve residents’ lives and the efficiency of county government.

July 12-15 | Las Vegas, NV
A Home for Everyone Annual Conference
A Home for Everyone conference hosted by the Wisconsin Collaborative for Affordable Housing focuses on issues for low-income families and individuals. Their mission is to provide access to decent, safe and affordable housing for economically disadvantaged households in Wisconsin through the preservation and development of housing and housing services by promoting effective collaboration between public, private and community organization.

July 17 – 18 | The Lismore Hotel, Eau Claire, WI
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.