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block_grants [2019/03/02 16:15]
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block_grants [2019/03/30 22:38] (current)
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**Increased Child and Family Support for 2018** **Increased Child and Family Support for 2018**
-A couple of major examples of block grants include two related to supporting families with children. Happily for 2018 Congress approved including in the budget bill extended funding for both those programs. The MIECHV, or eternal, Infant and Early Childhood Home Visiting program is now funded for another five years. So funds will be provided to states to provide critical support for visiting programs to help at-risk families. Also CCDBG, the Child Care and Development Block Grant program was awarded almost $6 billion for a period of two years. This amount dramatically increases funds available to the states and in turn to local agencies which help families with child care.+A couple of major examples of block grants include two related to supporting families with children. Happily for 2018 Congress approved including in the budget bill extended funding for both those programs. The MIECHV, or Maternal Infant and Early Childhood Home Visiting program is now funded for another five years. So funds will be provided to states to provide critical support for visiting programs to help at-risk families. Also CCDBG, the Child Care and Development Block Grant program was awarded almost $6 billion for a period of two years. This amount dramatically increases funds available to the states and in turn to local agencies which help families with child care.
**News March 2019** **News March 2019**
According to a January, 2019 report in the Wall Street Journal, Trump’s administration is laying the grounds for using something like block grants to let states revamp their Medicaid offerings to be more like block grants. States would have increased latitude to structiure their own programs while still complying with federal requirements. According to a January, 2019 report in the Wall Street Journal, Trump’s administration is laying the grounds for using something like block grants to let states revamp their Medicaid offerings to be more like block grants. States would have increased latitude to structiure their own programs while still complying with federal requirements.
- While some fear such a move could reduce the coverage available to low income and disabled people, others believe the increased flexibility would lead to creative solutions that improves offerings and reduces costs. Any move that would seriously reduce coverage would appear to be unlikely giving the upcoming elections in 2020. The jury is out but the Centers for Medicare and Medicaid (CMS) say that helping to create new approaches to  Medicaid innovation. Stay tuned…+ While some fear such a move could reduce the coverage available to low income and disabled people, others believe the increased flexibility would lead to creative solutions that improve offerings and reduces costs. Any move that would seriously reduce coverage would appear to be unlikely giving the upcoming elections in 2020. The jury is out but the Centers for Medicare and Medicaid (CMS) say that they favor helping to create new approaches to  Medicaid innovation. Stay tuned…
**Update August 2017** **Update August 2017**
-We are hearing more then ever about the term “block grants” these days. There is much controversy over whether or not medicaid should be changed to a block grant structure. That would give the states more latitude and flexibility in their spending, as well as giving them an incentive to control and reduce their costs. It is difficult to sort out fact from fiction as very few in the media seem willing to treat anything this administration does as positive. Some point to relatively recent experience with Welfare Reform. In that case the switch of AFDC from entitlement to a block grant program (TANF) did result over time by reduced spending and benefits per family.+We are hearing more then ever about the term “block grants” these days. There is much controversy over whether or not medicaid should be changed to a block grant structure. That would give the states more latitude and flexibility in their spending, as well as giving them an incentive to control and reduce their costs. It is difficult to sort out fact from fiction as very few in the media seem willing to treat anything this administration does as positive. Some point to relatively recent experience with Welfare Reform. In that case the switch of AFDC from entitlement to a block grant program (TANF) did result over time in reduced spending and benefits per family.
**Update January 2017** **Update January 2017**
Block Grants are apt to be much more in the news once Trump is sworn in as president. He has proposed using block grants in two very major areas: healthcare via Medicaid, and Education. Block Grants are apt to be much more in the news once Trump is sworn in as president. He has proposed using block grants in two very major areas: healthcare via Medicaid, and Education.
 +
With regard to healthcare he has indicated he favors giving block grants to states rather than mandating who is covered at the federal level. Some argue that this will harm the most needy, while others insist states will administer the funds more efficiently and people will actually be better off. Time will tell, but often states are in a better position to respond to local needs. The area of education is another biggie many anticipate with hope, and for good reason. Trump’s intention is to give huge block grants to states and let them use it as they fit — i.e. they could use it for vouchers for each child and let those funds follow the child whether they go to a public or private school. For years urban areas, especially the low income, have made it clear they very much want vouchers.Now that someone bold is in office perhaps that will happen… With regard to healthcare he has indicated he favors giving block grants to states rather than mandating who is covered at the federal level. Some argue that this will harm the most needy, while others insist states will administer the funds more efficiently and people will actually be better off. Time will tell, but often states are in a better position to respond to local needs. The area of education is another biggie many anticipate with hope, and for good reason. Trump’s intention is to give huge block grants to states and let them use it as they fit — i.e. they could use it for vouchers for each child and let those funds follow the child whether they go to a public or private school. For years urban areas, especially the low income, have made it clear they very much want vouchers.Now that someone bold is in office perhaps that will happen…
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block_grants.txt · Last modified: 2019/03/30 22:38 by admin