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 January 26, 2009

Health Provisions in the Economic Recovery Proposals
It’s a new era in our nation’s capital. After celebrating the inaugural festivities last Tuesday, Congress quickly returned to the pressing work of crafting an economic recovery package. Details of the health provisions of the House’s proposed
American Recovery and Reinvestment Act of 2009 are now available, and the bad news is that despite AMCHP’s advocacy efforts, funds for the Title V MCH Block Grant are not included. AMCHP is advocating now with key leaders in the Senate asking that the MCH Block Grant be included in their bill, which is expected to be released soon.

Although the exclusion of the MCH Block Grant is deeply troubling, it is important to note that there are several proposed provisions in the House bill that will benefit women and children, including $87 billion for Medicaid; $954 million for immunization; $545 million for chronic disease; $50 million for injury prevention and control; $1.5 billion for Community Health Centers; $600 million for the National Health Service Corps; $600 million for IDEA early intervention services; $296 million for the Preventive Health Block Grant and $500 million for CDC Healthy Community Grants (formerly the STEPS program). $100 million for lead paint abatement; $100 million for WIC information systems; and $40 million of the National Center for Health Statistics - which should alleviate the vital statistics purchasing situation. The proposal also extends the moratorium on the six Medicaid regulations and gives states the flexibility to expand eligibility for contraceptive coverage under Medicaid without first having to obtain a family planning waiver. All told, it includes nine provisions advocated in AMCHP’s 100 Day Policy Agenda for the new Administration and Congress. 

Again, while there are no specified funds for the Title V MCH Block Grant, the flexibility inherent in the Preventive Block Grant and the proposed Healthy Community grants may offer opportunities for state MCH programs to advocate that services for women and children are prioritized in those programs. It is important to also note that these are expected to be one-time only funds so questions of sustainability will need to be addressed. 

AMCHP will continue to push for inclusion of the MCH Block Grant in the Senate bill and will share details on allocation of funds as they become available. 

Title V Appropriations Update 
Unfortunately, the news on the exclusion of Title V in the recovery bill is coupled with indications from Capitol Hill that cuts to some health programs could be expected in the FY09 Appropriations Omnibus bill. This bill is expected to be taken up before the current continuing resolution expires March 6. While we do not know yet if Title V is on that list, this development indicates the challenge before us as we work to strengthen and expand our advocacy for Title V and underscores the need to redouble our efforts to educate all policymakers on Capitol Hill about the vital importance of the MCH Block Grant. As noted, we are encouraging all members and Friends of Title V to set up Hill visits during our upcoming annual conference to spread the message about the need for full funding of the MCH Block Grant, and will be sponsoring a legislative briefing audio conference on February 5 to discuss preparations.

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GET INVOLVED

Vote for your AMCHP Board of Directors
The 2009 election for AMCHP’s open Board positions is now open. All AMCHP delegates whose programs have paid dues for the 2008-2009 membership year are eligible to vote. For information on the candidates, please visit, http://www.amchp.org/elections. Delegates and family delegates that do not vote electronically may vote in-person at the 2009 Annual Conference. If you have any questions, please contact Nora Lam or call (202) 775-0436. 

AMCHP February Board Meeting
The next AMCHP Board Meeting will be held during our Annual Conference on Saturday, February 21 from 8 a.m. to 2 p.m. Additional information will be provided in the coming weeks. Board Members who will be attending should RSVP to Nora Lam or call (202) 775-0436. 

AMCHP Business Meeting 
All members, partners and staff are invited to attend a business meeting on Tuesday, Feb. 24 from 10:15 to 11:45 a.m. during our Annual Conference. 

Submit Your Best Practice Today!
AMCHP is seeking submissions of best practices in maternal and child health from around the country. Whether it’s an effective campaign to promote breastfeeding, an outstanding nurse-family partnership, or a proven early intervention program for young children, get the word out about your best practice. AMCHP defines “best practices” as a continuum of practices, programs and policies ranging from promising to evidence-based to science-based. A best practice could focus on the health of women, adolescents, young children, families, or children with special health care needs. Best practice focus areas include preconception care, mental health, data and assessment, financing, program and system integration, workforce development, injury prevention, emergency preparedness, family involvement, or other public health issues. Contribute to AMCHP’s Innovation Station – a growing database of what is working in MCH. 

1) Click here to download a PDF of the submission form.  

2) When you are ready to submit, click here to start the survey. 

For more information on submitting best practices, please contact Darlisha Williams or call (202) 775-0436. 

Family Voices’ Gala 
The Family Voices Gala will be held on Monday, February 23, 2009, in conjunction with AMCHP’s Annual Conference at the Marriott Wardman Park Hotel in Washington, DC. AMCHP members get a discounted price! $175 for AMCHP members. For more information, visit Family Voices 2009 Gala.

Call for Applications: Evidence-Based Approaches to Teen Pregnancy Prevention
AMCHP and NACCHO, with the support of CDC’s Division of Adolescent and School Health and the Division of Reproductive Health, have formed a partnership to provide capacity-building assistance on evidence-based approaches for teen pregnancy, HIV and STI prevention to state and local prevention practitioners. AMCHP and NACCHO will select up to three teams composed of state and local level representatives to receive financial and technical assistance to support collaborative efforts to promote evidence-based programming to address teen pregnancy, HIV and STI infection at the local level and document successes, barriers, and lessons learned. Eligible states include Hawaii, Massachusetts, Minnesota, North Carolina, Pennsylvania, South Carolina, and Washington. The application deadline is January 30. For more information, visit here 

AMCHP Legislative Briefing and Advocacy Training
AMCHP will conduct a legislative briefing and advocacy training conference call on Thursday, February 5 from 3 to 5 p.m. (EST). Visit the House of Representatives and Senate websites to find links to your Congressional Representatives’ offices. Visit here to RSVP. Once you have registered, you will receive the dial-in number and passcode and other information prior to the call. Please contact Josh Brown if you would like additional assistance in setting up appointments. If you are calling to schedule an appointment, it is best to call the office, ask to speak with the member’s scheduler, and ask for an appointment to discuss funding for the Title V MCH Block Grant. 

AMCHP Women’s Health Information Series Call 
The next Women’s Health Call, “Fatherhood Involvement in Maternal and Child Health” will occur on Thursday, February 12 from 3 to 4:30 p.m. (EST). Please register here to receive the call-in number and passcode. For more information, contact Jessica Hawkins or call 202-775-0436.  

New Medical Home Implementation Teleconference Series
The American Academy of Pediatrics (AAP) will host an “Implementing Medical Home for all Children and Youth” teleconference on March 3 at 12 p.m. (CST). The teleconference series is designed to highlight the value of the family-centered primary care medical home for all children and youth, the availability of practical tools and resources, and strategies for improving care and increasing patient/family satisfaction. Registration will open on February 3. For more information, visit AAP’s website or contact Brenda Amos-Lewis

Call for Applications for the YALT Program 
Are you between the ages of 18 and 24 and have a desire to be a "change agent" for children? If so, the upcoming 2009 Young Advocate Leadership Training (YALT) program might be the perfect opportunity for you to develop your knowledge and skills in child advocacy. Children’s Defense Fund's (CDF) vision is to develop the next generation of leaders who are committed to social justice and improving the lives of all children in America. To help achieve this goal, one of the many programs that CDF offers is the YALT program. During the YALT program, participants are exposed to dynamic workshops and plenary sessions, facilitated action plan development, and targeted training sessions on developing organizing and advocacy skills. Each year, this program attracts hundreds of young adults from across the country for a weekend of knowledge and skills-building at CDF's Haley Farm in Clinton, Tennessee. The 2009 YALT program will be held March 20-22. The deadline is February 4. To apply, visit here.  

Call for Proposals
Salud America! is a national program of the Robert Wood Johnson Foundation (RWJF) that supports research on environmental and policy solutions to the epidemic of obesity among Latino children. The program also aims to develop a network of researchers whose findings will help identify the most promising obesity-prevention strategies specifically tailored for Latino communities. The specific objectives of this call for proposals (CFP) are to: increase the skills and experience of researchers who are working to reduce and prevent obesity among Latino children; and identify the most promising policy-relevant strategies to reduce and prevent obesity among Latino children. Investigators must propose a project in one of two general areas: 1) research that has strong potential to inform policy; or 2) the evaluation of an existing policy or program, its implementation or its impact. Both research and evaluation proposals must focus on one topic from the detailed lists included in the full CFP. Application deadline is February 6, 2009. To learn more, visit here.

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 ASK AN EXPERT  

AMCHP, the Children’s Safety Network, and the State and Territorial Injury Prevention Directors Association are interested in hearing from states about work in preventing child maltreatment. We want to showcase, in an April 2009 webcast, programs and activities that focus on one or more of the following: 

• Integration of child health and safety, social and human development, and public health systems; 

• Influences of parents, family, community, and society in shaping human development; 

• Formative and operational systems change in relation to child maltreatment;  

• Parenting and family innovations and opportunities for prevention of child maltreatment; 

• Community and society innovations and opportunities for preventing child maltreatment  

Please send description of your program and activities to Malia Richmond-Crum, Children’s Safety Network, no later than January 28. If you have any questions, please contact Lauren Raskin Ramos. 

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PUBLICATIONS & RESOURCES 

General Maternal & Child Health

New Report Examines Trends in Children’s Health Coverage
The Kaiser Commission on Medicaid and the Uninsured issued a new report, Challenges of Providing Health Coverage for Children and Parents in a Recession: A 50 State Update on Eligibility Rules, Enrollment and Renewal Procedures, and Cost-Sharing Practices in Medicaid and SCHIP in 2009. The report finds that state efforts to expand coverage to children slowed in state fiscal year 2008 amid uncertainty around SCHIP’s future funding as Congress and the Bush Administration failed to agree on reauthorization of the program as states experienced the early stages of budget crunches triggered by the nation’s recession. The report also examines trends in parental coverage and state outreach efforts, including the use of technology to facilitate enrollment. To download the report, visit here.  

New Brief Explores Eligibility Thresholds for Public Coverage
The brief, Setting Income Thresholds in Medicaid/SCHIP: Which Children Should Be Eligible?, published by the Urban Institute with support from the Robert Wood Johnson Foundation, examines the extent to which increases in the cost of employer-sponsored insurance have outstripped income growth since the enactment of the State Children's Health Insurance Program (SCHIP). The brief draws information on the cost of employer-sponsored insurance premiums from the Medical Expenditure Panel Survey Insurance Component to assess how the affordability of private health insurance coverage has been changing over the past decade. The analysis focuses on changes in the average premium relative to family income and also examines alternative affordability measures. To download the brief, visit here.

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Women's Health

New Study Examines Live Birth Rates After In Vitro Fertilization
The article, Cumulative Live-Birth Rates after In Vitro Fertilization, published in The New England Journal of Medicine, found that after three In Vitro Fertilization (IVF) cycles, the conservative cumulative live-birth rate was 45%, and the optimistic rate was 53%. After six cycles, the conservative and optimistic rates were 51% and 72%, respectively. Among women younger than age 35, the optimistic cumulative live-birth rate after six IVF cycle was 86%, and the conservative rate was 65%. Both rates decreased with increasing age, and the age-specific ratios were significantly different from one another. Women who did not return for cycles 2 through 4 tended to have poorer potential for fertility due to their older age. To view the abstract, visit here.  

Children's Health

The Centers for Disease Control and Prevention’s Injury Center has released the following new resources for the prevention of child injuries in the United States:  

Protect the Ones You Love: Child Injuries Are Preventable
This is a new initiative to raise parents’ awareness about the leading causes of child injury and how they can be prevented. As part of the initiative, the Injury Center has developed a number of resources that can be used to help parents to keep their children injury-free, including fact sheets, podcasts, e-cards, and media and event planning guides. To view the resources, visit here.  

CDC Childhood Injury Report: Patterns of Unintentional Injuries among 0-19 Year olds in the United States, 2000 – 2006 This data report provides an overview of unintentional injuries related to drowning, falls, fires or burns, transportation, poisoning, and suffocation, among others, during the period 2000 to 2006. Results are presented by age group and sex, as well as the geographic distribution of injury death rates by state. To view the report, visit here

Child Injury Prevention Video
On December 11, 2008, the Injury Center brought together a network of professionals to look at how policy, communications/media outreach, and national and local programs can be used to empower parents in their efforts to protect children. To view highlights of the video, visit here.

Adolescent Health

Final 2006 Teen Birth Data Available
The National Center for Health Statistics (NCHS) released final 2006 teen birth data in January that confirmed a three percent increase in the national teen birth rate, a figure first reported in December 2007 based on preliminary analyses. The increase between 2005 and 2006 is the first increase in the U.S. teen birth rate after 14 years of steady decline. To download the report, visit here.  

Report on Marijuana Use and Perceived Risk Among Adolescents 
The Substance Abuse and Mental Health Services Administration's National Survey on Drug Use & Health has released a report that provides trends in both adolescent's marijuana use from 2002 to 2007 and rates of their perceived risk from smoking marijuana at least once a month. To view the report, visit here.

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FUNDING

Healthy Kids, Healthy Communities Call for Proposals Released
Deadline: February 3
“Healthy Kids, Healthy Communities” is a new national program of the Robert Wood Johnson Foundation (RWJF), which aims to implement healthy eating and active living initiatives for children, families and communities across the United States. The program places special emphasis on reaching children who are at highest risk for obesity on the basis of race/ethnicity, income and/or geographic location. RWJF will award approximately 60 grants to help local community partnerships nationwide increase opportunities for physical activity and improve access to affordable healthy foods for children and families. Special consideration will be given to communities in 15 states with the greatest incidence of or risk for childhood obesity (Alabama, Arizona, Arkansas, Florida, Georgia, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, South Carolina, Tennessee, Texas and West Virginia). To learn more, visit here.   

Grants to States to Support Oral Health Workforce Activities
Deadline: April 1
Health Resources & Services Administration grants are available to states to improve the accessibility of the oral health workforce for underserved geographic areas and populations. Section 340F defines a designated shortage area as "an area, population group, or facility that is designated by the Secretary as a dental health professional shortage area under section 332 or designated by the applicable State as having a dental health manpower shortage." To learn more, visit here.

Funding Available for Male Involvement in Child Maltreatment Prevention Programs
Deadline: Open
The CDC’s National Center for Injury Prevention and Control solicits research applications that will help advance knowledge of effective strategies for engaging the participation of fathers and male caregivers in evidence-based parenting programs that may prevent child maltreatment. Specific proposals are being sought to take an evidence-based parenting program (that is, a program that has been evaluated using a randomized- or quasi-experimental design with evidence of positive effects on parenting and/or child behavior outcomes) and develop systematic adaptations to the delivery structure, content, and/or materials to target father or male caregiver involvement and engagement in the program. Furthermore, the applications should seek to conduct pilot evaluations of the effects of the adapted programs on participant involvement and engagement in the program; parenting behaviors and male caregiver-child relationships; and child behavior outcomes. To learn more, visit here

Changes in Health Care Financing and Organization Funding Alert
Deadline: Open
HCFO supports policy analysis, research, evaluation and demonstration projects that provide policy leaders timely information on health care policy and financing issues. This call for proposals is intended to support projects that 1.) examine significant issues and interventions related to health care financing and organization and their effects on health care costs, quality and access; and 2.) explore or test major new ways to finance and organize health care that have the potential to improve access to more affordable and higher quality health services. To learn more, visit here.  

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CAREER OPPORTUNITIES 

Call for Nominations: ELPH-Emerging Leaders in Public Health
The Emerging Leaders in Public Health (ELPH) program prepares the next generation of committed public health leaders to manage and lead in times of uncertainty.  This program prepares these leaders to expand their influence in their organizations and within their communities. The ELPH program is custom designed for public health (and related) professionals who want to improve their leadership skills for improved planning and decision-making and want to increase their professional network ELPH has embraced the idea that issues of racial and ethnic health disparities in the US can not be addressed without bringing key minority participants and others to the table for the decision-making process. The application deadline is March 31, 2009. To learn more, visit here.

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CALENDAR 

Families USAs’ Health Action 2009 Conference
January 29-31
Washington, DC  

AMCHP’s 2009 Annual ConferenceLaunching MCH: Opportunities for a New Era
February 21-25
Washington, DC 

Family Voices’ Gala – One Heart, Many Voices: The Time is Now!
February 23
Washington, DC

Eighth Annual Forum for Improving Children’s Healthcare: Thrive Together
March 9-12
Grapevine, TX

The Third International Conference on Fetal Alcohol Spectrum Disorder
March 11-14
Victoria, British Columbia, Canada  

Empowering the Majority: Increasing Access to Family Planning National Conference
April 26-29
Bethesda, MD 

National WIC Association’s Annual Conference
May 24–27
Nashville, TN  

University of Illinois at Chicago’s MCH Leadership Conference
Chicago, IL
July 20-23

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