Pharma Alliance International Presentation February, 2013 Media Management

Deficits: How we got here

Discretionary vs. Mandatory Spending nationalpriorities.org/en/budget-basics/federal-budget-101/spending

Major Spending Categories

Deficit Reduction to Date

Future Deficit Reduction

What Sequester Means

NDD - Sequester Dollars Program8.2%5.2%** AoA *$121 million$76 million SCSEP$37 million$23 million CDC$464 million$294 million Housing Counseling $4 million$2 million LIHEAP$285 million$181 million *$13 million in mandatory funding at AoA and the $1 billion Prevention and Public Health Fund also subject to sequester, but at different rates. **OMB estimates that practical effect of sequester levied on 7 months of funding would be a 9% cut.

NDD - Sequester People

Short-term Sequester Alternatives

Long-term Sequester Alternatives What is a balanced package? Spending-Revenue Percentage Spending-Revenue Ratio Enacted/Current Deficit Reduction72% - 28%2.8 to 1 Future Long-Term Deficit Reduction ($1.2 trillion over 10 years) 100% spending cuts83% - 17%4.9 to 1 50% revenues, 50% spending64% - 36%1.8 to 1 90% revenues, 10% spending50% - 50%1 to 1

Mandatory Spending - Medicare

Senior Groups on Cutting Medicare

Medicaid & Seniors – Long-term Care

Medicaid & Seniors – Other Coverage

Medicaid Per Capita Caps

Senior Groups on Cutting Social Security

Resources NCOA Federal Budget Advocacy Toolkit NDD United Campaign Toolkit Leadership Council on Aging Organizations For more information