1. Upcoming Program Deadlines NGA HHS Committee January 22, 2015 Federal Funds Information for States www.ffis.org

2. Overview Programs covering all major areas expire in 2015 – Immediate HHS ones total ~$44 billion Most are mandatory-funded programs – Require congressional action Some have been operating under short- term extensions for years ACA programs at greatest risk

3. Expired programs Program Funding Expiration Date Last Authorized in ACA Personal and Home Care Aide State Training $5M/year10/1/2012X National Background Check 160M10/1/2012X School-based health centers 50M/year10/1/2013X CHIPRA Performance Bonuses ~307M/year10/1/2013 Health Insurance Rate Review 250M10/1/2014X State Aging and Disability Resource Centers (mandatory portion) 10M/year10/1/2014X Medicaid primary care increase n/a1/1/2015X Health insurance exchange ~775M/year1/1/2015X

4. Expiring April 1, 2015 (~$1 Billion) ProgramFY 2015 Funding Last Authorized in ACA Maternal, Infant, and Early Childhood Home Visiting $400M Qualifying Individual (QI) Program 550M Transitional Medical Assistance N/A Medicare Outreach and Enrollment Assistance 13M Family-to-Family Health Information Centers 3M

5. Expiring October 1, 2015 (~$43 Billion) ProgramFY 2015 Funding Last Authorized in ACA Health Profession Opportunity Grants $85M Personal Responsibility Education Program 75M Abstinence Education 50M Community Health Centers (mandatory portion) 2.1BX CHIP (state allotments, contingency fund, outreach) 21BX TANF 16.6B Child Care and Development Fund (mandatory/matching) 2.9B Healthy Marriage/Responsible Fatherhood 150M

6. Programs Expiring Beyond Program FY 2015 Funding Expiration Date Last Authorized in ACA Money Follows the Person Rebalancing Demonstration $417M10/1/2016X TANF Contingency Fund 583M10/1/2016 Pregnancy Assistance Fund 23M10/1/2019X Health insurance exchange (territories) n/a10/1/2019X

7. Questions? For more information: www.ffis.org,www.ffis.org Trinity Tomsic (ttomsic@ffis.org )ttomsic@ffis.org