Senate Appropriations Committee Issues Report on Departments of Labor, HHS, Education, Related Agencies Appropriation Bill, 2018 (Part 8 of 12)
HEALTH CARE FRAUD AND ABUSE CONTROL
Appropriations, 2017....................................
Budget estimate, 2018................................... 751,000,000
Committee recommendation................................ 745,000,000
The Committee recommends
The Committee recommendation includes a base amount of
Administration for Children and Families
PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND FAMILY SUPPORT PROGRAMS
Appropriations, 2017....................................
Budget estimate, 2018................................... 2,995,400,000
Committee recommendation................................ 2,995,400,000
The Committee recommendation includes
These funds support States' efforts to promote the self- sufficiency and economic security of low-income families, including administrative expenses matching funds and incentive payments to States for child support enforcement; grants to States to help establish and administer access and visitation programs between noncustodial parents and their children; payments to territories for benefits to certain aged, blind, or disabled individuals; and temporary benefits for certain repatriated citizens.
LOW INCOME HOME ENERGY ASSISTANCE PROGRAM
Appropriations, 2017....................................
Budget estimate, 2018...................................................
Committee recommendation................................ 3,390,304,000
The Committee recommendation includes
REFUGEE AND ENTRANT ASSISTANCE
Appropriations, 2017....................................
Budget estimate, 2018................................... 1,456,755,000
Committee recommendation................................ 1,506,691,000
The Committee recommends
The
The Committee affirms the community consultation process embedded in the
Transitional and
The Committee recommendation includes
In fiscal year 2018, HHS estimates the number of eligible arrivals will significantly decrease relative to fiscal years 2016 and 2017. This is due to a significant estimated reduction in eligible Cuban entrants because of the change in administration policy in
The Committee continues to support the matching grant program and strongly encourages HHS to increase the percentage of eligible arrivals served by the program. Further, the Committee strongly encourages HHS to give matching grant organizations flexibility in administering their programs, including, when justified, carrying over unexpended funding and slots and providing exemptions to the 31 day enrollment period.
The Committee recommendation includes
The Committee continues to support the services currently provided by the Social Services program, as well as the Targeted Assistance Grant program, which addresses the critical needs of counties with high arrival patterns and high concentrations of refugees facing difficulties achieving self- sufficiency. Within the total for
Victims of Trafficking
The Committee recommendation includes
Within the total, the Committee recommendation includes
Social Services
The Committee recommendation consolidates funding for this program into a new
The Committee recommendation consolidates funding for this program into a new
Targeted Assistance
The Committee recommendation consolidates funding for this program into a new
Unaccompanied Children
The Committee recommendation includes
There is significant uncertainty in the cost estimates for this program, which depend heavily on the number of unaccompanied children coming to
In addition to the fiscal year 2018 funding provided here, the Committee recommendation includes a rescission of
Victims of Torture
The Committee recommendation includes
PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT
Appropriations, 2017....................................
Budget estimate, 2018................................... 2,761,000,000
Committee recommendation................................ 2,856,000,000
The Committee recommends
The CCDBG Act allows HHS to offer guidance to States on child-to-provider ratios. Accordingly, the Committee directs the Department to report to the Committees on Appropriations of the
SOCIAL SERVICES
Appropriations, 2017....................................
Budget estimate, 2018...................................................
Committee recommendation................................ 1,700,000,000
The Committee recommends
CHILDREN AND FAMILIES SERVICES PROGRAMS
Appropriations, 2017....................................
Budget estimate, 2018................................... 10,204,293,000
Committee recommendation................................ 11,284,368,000
The Committee recommends
The Committee recommendation includes
The Committee continues to direct HHS to ensure that as part of the effort to expand the duration of
The Committee recommendation includes, in addition to funds otherwise available for Early
Within the total for
Preschool Development Grants
The Committee recommendation includes
Consolidated Runaway and Homeless Youth Program
The Committee recommendation includes
Education and Prevention Grants To Reduce Sexual Abuse of Runaway Youth
The Committee recommendation includes
Child Abuse Prevention and Treatment State Grants
The Committee recommendation includes
Child Abuse Discretionary Activities
The Committee recommendation includes
Quality Improvement Center for Research-based
Community-Based Child Abuse Prevention
The Committee recommendation includes
Child Welfare Services
The Committee recommendation includes
The Committee recommendation includes
Adoption Opportunities
The Committee recommends
The Committee supports ACF's efforts in fiscal year 2017 to fund activities to improve hospital-based adoption support services for pregnant and expectant mothers, including training for hospital staff and doctors. The Committee supports the continued funding of such activities, which will help ensure that mothers who wish to make an adoption have access to trained staff and comprehensive supports throughout the adoption process.
Adoption Incentives
The Committee recommends
Social Services and
The Committee recommends
Native American Programs
The Committee recommends
Native American Language Preservation.--Within the total, the Committee recommendation includes
Native American Early Education.--The Committee is concerned that some Federal programs that support early childhood development in American Indian and Alaska Native communities are not well-coordinated and, therefore, reduce the abilities of these tribal communities to develop and implement community-wide early childhood initiatives. The Committee encourages the Secretary of HHS (through the Assistant Secretary for ACF) to convene a working group of Federal early childhood program administrators, tribal early childhood stakeholders, and tribal leaders to examine this issue. Community Services
The Committee recommendation includes
The Committee recommendation includes
The Committee recognizes the value in providing communities with the tools necessary to create sustainable economic development to help low-income families living in those communities. In awarding funds under this program, the Committee encourages ACF to give priority to rural communities, to help them identify community service needs and improve upon the services provided to low-income individuals and families in such communities.
Rural Community Facilities
The Committee recommendation includes
National Domestic Violence Hotline
The Committee recommendation includes
Family Violence Prevention and Services
The Committee recommendation includes
The Committee recommendation is
Chafee Education and Training Vouchers
The Committee recommendation includes
Disaster Human Services Case Management
The Committee recommends
The Committee recommendation includes
PROMOTING SAFE AND STABLE FAMILIES
Appropriations, 2017....................................
Budget estimate, 2018................................... 404,651,000
Committee recommendation................................ 384,765,000
The Committee recommends
This program supports activities that can prevent the emergence of family crises that might require the temporary or permanent removal of a child from his or her home. Grants allow States to operate coordinated programs of family preservation services, time-limited family reunification services, community-based family support services, and adoption promotion and support services.
The Committee notes that the authorization for Promoting Safe and Stable Families expired in fiscal year 2016. Mandatory funding for certain court improvement programs funded within this account were continued in division M of the Consolidated Appropriations Act, 2017 but are not assumed to continue in the CBO baseline for fiscal year 2018. Accordingly, the Committee recommendation does not include continued funding for those activities in fiscal year 2018.
PAYMENTS FOR FOSTER CARE AND PERMANENCY
Appropriations, 2017....................................
Budget estimate, 2018................................... 6,225,000,000
Committee recommendation................................ 6,225,000,000
The Committee recommends
Foster Care Data Collection.--The Committee directs ACF to submit a report to
Administration for Community Living
AGING AND DISABILITY SERVICES PROGRAMS
Appropriations, 2017....................................
Budget estimate, 2018................................... 1,851,450,000
Committee recommendation................................ 1,993,815,000
The Committee recommends an appropriation of
ACL was created with the goal of increasing access to community support for older Americans and people with disabilities. It is charged with administering programs authorized under the Older Americans Act [OAA] and the Developmental Disabilities Act, as well as promoting community living policies throughout the Federal Government for older Americans and people with disabilities.
Home- and Community-Based Supportive Services
The Committee recommends an appropriation of
The Committee recommends
Protection of Vulnerable Older Americans
The Committee recommends
National Family Caregiver Support Program
The Committee recommends
Native American Caregiver Support Program
The Committee recommendation includes
Congregate and Home-Delivered Nutrition Services
The Committee recommends an appropriation of
Nutrition Services Incentives Program.--The Committee recommendation includes
Aging Grants to Indian Tribes and Native Hawaiian Organizations
Aging Network Support Activities
The Committee recommends
Within funding for the Aging Network Support Activities, the Committee supports the continuation of the National Alzheimer's Call Center, which is available in all States, 24 hours a day, 7 days a week, year-round, to provide expert advice, crisis counseling, care consultation and information referral services in at least 140 languages, for persons with Alzheimer's disease, their family members and informal caregivers.
The Committee also includes
Alzheimer's Disease Demonstration Grants to States
The Committee recommendation includes
Alzheimer's Disease Initiative
The Committee recommends
Lifespan Respite Care
The Committee recommends
Chronic Disease Self-Management Program
The Committee recommends
Elder Falls Prevention
The Committee recommends that
Elder Rights Support Activities
The Committee recommends
Aging and
The Committee recommendation includes
The Committee recommendation includes
The Committee recommendation includes
Limb Loss
The Committee provides
Traumatic Brain Injury
The Committee provides
The Committee includes not less than the fiscal year 2017 funding level for protection and advocacy services, as authorized under section 1305 of Public Law 106-310.
Developmental Disabilities State Councils
The Committee recommendation includes
Partnerships for Innovation, Inclusion, and Independence
The Committee does not consolidate the State Councils on Developmental Disabilities, State Independent Living Councils, and State Advisory Boards on Traumatic Brain Injury. The Committee recognizes the unique role played by each program and believes consolidation into one program will not serve the needs of the people living with a disability.
Developmental Disabilities Protection and Advocacy
The Committee recommendation includes
Voting Access for Individuals With Disabilities
The Committee recommendation includes
Developmental Disabilities Projects of National Significance
The Committee recommendation includes
Technical Assistance.--The Committee includes
Transportation.--The Committee includes
The Committee recommendation includes
The Committee recommendation includes
The Committee recommendation includes
The Committee recognizes that there is a significant opportunity over the next decade for the Department to simultaneously lower healthcare costs and improve quality of life for the older adult and disabled population by embracing the rapidly growing shift to technology solutions for daily living. These solutions are poised to extend the ability to live independently into advanced age, and "age in place", helping to bridge the "care gap" so that older and disabled adults might avoid nursing homes and other institutionalized care as long as possible, while also remaining connected to their families and communities.
The Committee encourages NIDILRR to continue to support research and activities that help older or disabled adults to increase, maintain, or improve their functional capabilities and allow for independent living. To that end, the Committee supports increased investment in public university research to harness technological advances, including wireless sensors, smart materials, and body wearables; movers and protective devices; and companion and quality of life robotics, which have the potential to enable mobility, improve health, protect against falls and injuries, maximize community engagement, encourage productivity, and preserve independence among older individuals and their families. Special emphasis should be given to research projects that seek to address medically underserved areas in rural and frontier regions with high populations of older adults, disabled populations, and tribal communities.
Assistive Technology
The Committee recommendation includes
The Committee recommends
Continues with Part 9 of 12
Senate Appropriations Committee Issues Report on Departments of Labor, HHS, Education, Related Agencies Appropriation Bill, 2018 (Part 3 of 12)
Senate Appropriations Committee Issues Report on Departments of Labor, HHS, Education, Related Agencies Appropriation Bill, 2018 (Part 9 of 12)
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