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 May 18, 2009

Policy developments affecting MCH are moving quickly in Washington and latest indications are that health reform legislation could be introduced in the Senate as early as this week. To provide members with the latest updates, answer questions and get your input to inform AMCHP’s advocacy strategies, we will convene an all-member conference call this Thursday, May 21 at 3 p.m. (EST). To register, visit here.

MCH Funding in the President’s Budget
The President’s detailed FY 2010 Budget Proposal recommends flat funding of $662 for the Title V Maternal and Child Health (MCH) Services Block Grant. A chart highlighting proposed funding levels for other important MCH programs across HHS is available here. The action now turns completely to the Congressional Appropriations Committees where AMCHP will continue to make the case for $850 million for Title V.  

The President’s Home Visiting Proposal

The Administration has released initial details describing the President’s home visitation program included in the budget proposal for the HHS Administration for Children and Families. The Administration is requesting $124 million for FY 2010, and additional details for this proposal are available here. Our message is that since at least 40 states are already supporting a variety of home visiting programs — often with Title V funds — there needs to be flexibility and close coordination as the new funding is rolled out. Again, Congress needs to create legislation to authorize this program so details are still fluid. 

Title V in Health Reform
Last week the Senate Finance Committee released a paper outlining financing options for health reform. It includes a proposed option to “reduce infant mortality and improve maternal well being” through Title V. The full paper which covers several critical Medicaid policy options under consideration is available here, and the infant mortality initiative is described on page 61. 

AMCHP received a request from Finance Committee staff to suggest what state Title V programs could do with adequate funding and capacity. Our Legislative and Health Care Finance Committee drafted a memorandum (available here) outlining some initial ideas, but again details are fluid and we will know more about this opportunity in the coming weeks.  

Your feedback on content and strategy for each of these issues is greatly appreciated. Please send to Brent Ewig, Director of Policy or call (202) 266-3041. 

Proposal to Rescind the Targeted Case Management Rule
The Centers for Medicare & Medicaid Services (CMS) has issued a proposal to rescind a number of Medicaid regulations, including Targeted Case Management. The portions of the Targeted Case Management rule to be rescinded include the restrictive definition of individuals transitioning to a community setting, the prohibition against "bundling" of rates, and the "intrinsic element" test (denying reimbursement for case management services that are part of another program).

The interim final rule became effective on March 3, 2008. The Supplemental Appropriations Act imposed a partial moratorium until April 1, 2009, precluding CMS from taking any action to impose restrictions on case management services that were more restrictive than those in effect on December 3, 2007. The law contained an exception for the portion of the regulation as it related directly to implementing the definition of case management services and targeted case management services. That partial moratorium was extended by the Recovery and Reinvestment Act until July 1, 2009.

AMCHP will be submitting comments in support of the proposal to rescind the Targeted Case Management Rule. According to CMS, “rescinding these provisions will permit further opportunity to determine the best approach to further the objectives of the Medicaid program in providing necessary health benefits coverage to needy individuals.” 

Abstinence-Only Funding Redirected to Teen Pregnancy Prevention
The President’s budget for the Administration for Children and Families (ACF) includes $110 million to support community-based efforts to reduce teen pregnancy. The budget proposes to redirect funding from ACF’s abstinence-only education programs to evidenced-based and promising teen pregnancy prevention programs. The Administration will not seek reauthorization for the mandatory State Abstinence Education formula grants when they expire in June of 2009. The Administration instead requests $50 million in mandatory funds for State, Tribal and Territory teen pregnancy prevention efforts. 

The majority of funds for this effort will support programs using models whose effectiveness has been demonstrated through rigorous evaluation. A smaller portion of funds will be available to develop and test promising teen prevention programs. Under the Administration’s proposal, the Centers for Disease Control and Prevention would increase its support for national organizations and state teen pregnancy prevention coalitions to select, implement and evaluate science-based programs.  

CMS Letter on Coverage for Pregnant Women under CHIPRA
CHIPRA, the reauthorized children’s health insurance program, gives states the option to provide necessary prenatal, delivery, and postpartum care to low-income uninsured pregnant women through an amendment to its state child health plan (CHIP plan). The CMS letter issued on May 11, 2009, provides general information concerning the new option and guidance on amending the state CHIP plan. States that choose to cover pregnant women under the CHIP plan are eligible to receive enhanced Federal Medical Assistance Payments (FMAP) for such expenditures and have the option of providing presumptive eligibility to pregnant women. The letter is available here.

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Submit Your Best Practice Today!
AMCHP is seeking submissions of best practices in maternal and child health from around the country by June 12. Whether it’s an effective campaign to promote breastfeeding, an outstanding home visiting program, 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 emerging to promising to evidence-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. Best Practice submissions are accepted on a rolling basis. However, to be considered for the current round of reviews, applications must be submitted by June 12.

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.   

AMCHP’s Women Health Info Series Call on Maternal Mortality
AMCHP’s Women’s Health Info Series call will feature a discussion about “Maternal Mortality: Still a Critical Issue in the United States” on Thursday, May 28 from 3 to 4:30pm (EDT). To register, visit here 

Webinar on the Role of Medical Homes
The American Academy of Pediatrics will offer a webinar on “The Role of Medical Home in Family-Centered Early Intervention” on May 21 at 1 p.m. (EDT). To register for this webinar, visit here 

Seeking Nominations for National MCH Epidemiology Awards
The Coalition for Excellence in MCH Epidemiology announces the ninth year of the National MCH Epidemiology Awards. The Coalition is recruiting nominees for the 2009 awards. Nominees are individuals, teams, institutions, and leaders of institutions who have made significant contributions to improving the health of women, children and families through epidemiology, applied research and the effective use of data. These awards recognize research, teaching, leadership and effective public health practice and recognize individuals and organizations at a community, state and national level. For more details on how to nominate and the awards criteria, visit here. The deadline for nominations will be June 1, 2009.   

New MCH Epi Online Discussion Forum
The MCH Epi Group has launched a new tool for MCH epidemiologists, the MCH Epi Online Discussion Forum. Hosted by The Council of State and Territorial Epidemiologists (CSTE), this discussion forum gives MCH epidemiologists a place to share knowledge and resources that provides functionality beyond the currently available email lists. File attachments are permitted, the discussion trail is preserved online, and the forum is searchable. The H1N1 virus and the Title V needs assessment are examples of topics that might be discussed. The forum is open to anyone who registers, regardless of CSTE or other membership status. To learn more, visit here 

Call for MCH Case Studies
Maternal and Child Health projects of all kinds are needed (community-based/indigenous, public health, NGO, foundation-funded initiatives) to be used in the "International Case Studies in Maternal and Child Health," a textbook for health professionals. The deadline for submissions is September 30. Priority will be given to case studies written by, or in collaboration with, local voices. All questions and submissions should be addressed to the editor Ruth C. White, PhD, MPH, MSW.

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Is your state currently conducting fatherhood initiatives in MCH within your programmatic work? Please include maternal and child health efforts outside of that which you may be conducting with adolescent health. Email your response to Jessica Hawkins.


AMCHP staff, their families, and partners participated in the March of Dimes March for Babies on April 26 in Washington, DC. AMCHP’s goal was to raise $1,000 to support prematurity research and local March of Dimes supported programs.  

From left to right: Phyllis Thompson-Williams (March of Dimes), Lauren Raskin
Ramos and Jonah Ramos, Jason Ramos, Kerry Strug (US Olympic Gymnast
and national spokesperson), Eric Hawkins, Jessica Hawkins, Stacey Cunningham
(National Healthy Start Association), Michael Fraser, Rachel and Evan Arculin,
Brent Ewig, Samantha Biondo, Lucia Ewig, Grace Williams.

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General Maternal & Child Health    

Influenza Resources for Maternal and Child Health Professionals
AMCHP continues to work with the Centers for Disease Control and Prevention (CDC) and state health agencies to monitor the emerging swine flu situation. The CDC is actively investigating isolated human cases of swine influenza A (H1N1) in several states (CA, TX, OH, KS, NY) and is working closely with Canada and Mexico and with the WHO. The CDC is continuously updating investigation information. To view the resources, visit here 

New Report on Prescription Drug Overdose
This report, “Prescription Drug Overdose: State Health Agencies Respond,” published by the Association of State and Territorial Health Officials (ASTHO) and the Centers for Disease Control and Prevention (CDC), assesses the knowledge, response, and planning regarding the drug overdose problem among the leaders in nine states, including Arkansas, Florida, Indiana, Kentucky, Montana, North Carolina, Oklahoma, Utah, and West Virginia. To download the report, visit here 

Women’s Health 

The Office on Women’s Health Releases Two New Publications on Women’s Mental Health 

Action Steps for Improving Women’s Mental Health
This report brings together the most recent research, resources, products, and tools on mental health issues in women and explores the role gender plays in diagnosing, treating, and coping with mental illness. It also points to resilience and social support systems as key factors in overcoming mental illness. The report outlines specific action steps for policymakers, health care providers, researchers, and others to take in an effort to address the burden of mental illness on women's lives and increase their capacity for recovery. To download the report, visit here 

Women’s Mental Health: What It Means to You
A consumer booklet that addresses the stigma associated with mental health, with information on the signs and symptoms of mental illness. It also provides suggestions for support and solutions for preventing and coping with mental illness. To download the booklet, visit here 

Children’s Health 

Transcript of a CDC Conference Call on Child health and Novel H1N1
The call was recorded on May 11, and featured such topics as an update on influenza epidemiology, healthcare delivery, the strategic national stockpile, children with disabilities and chronic medical conditions, schools and childcare closure guidance and other related issues. To hear the transcript, visit here 

New Guide on Childhood Obesity Prevention
The guide, “Preventing Childhood Obesity: A School Health Policy Guide,” published by the National Association of State Boards of Education, contains model policies derived from research findings, existing policy examples, and best practices. Topics include an overview of the obesity epidemic; the rationale for obesity prevention; policies to promote physical education and activity; policies to promote nutrition and healthy eating; and next steps for policymakers, such as implementing local wellness policies, providing professional development and support for teachers and staff, and engaging families and communities. To learn more, visit here. 

Report on the Indicators of School Crime and Safety
The report, “Indicators of School Crime and Safety: 2008,” presents data on crime and safety at school from the perspectives of students, teachers, principals, and the general population. A joint effort by the Bureau of Justice Statistics and the National Center for Education Statistics, this annual report examines crime occurring in school as well as on the way to and from school. It also provides the most current detailed statistical information on the nature of crime in schools, school environments, and responses to violence and crime at school. To download the report, visit here. 

New Report on Early Childhood Transition
The National Early Childhood Transition Center (NECTC) has published a new technical report called “A Review of Research in Early Childhood Transition: Child and Family Studies.” The report summarizes major findings from a review of existing refereed research on transition, especially for youth with disabilities. To download the report, visit here 

Adolescent Health 

Going to College Website Offers Resources for High School Students with a Disability
The website provides a range of information for high school students with a disability who will be or are attending college. The site contains video clips, activities, and resources that can help students explore more about themselves, learn what to expect from college, and examine important considerations and tasks to complete when planning for college. To learn more, visit here.

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Cooperative Agreements for Linking Actions for Unmet Needs in Children’s Health Grant
Deadline: May 20
The Substance Abuse and Mental Health Services Administration, Center for Mental Health Services is accepting applications for fiscal year (FY) 2009 for Cooperative Agreements for Linking Actions for Unmet Needs in Children’s Health (Project LAUNCH). The purpose of Project LAUNCH is to promote the wellness of young children, birth to 8 years of age. Project LAUNCH will award cooperative agreements to states, territories and tribes, each of which will select a locality within the larger jurisdiction to be a partner in Project LAUNCH. States, territories and tribes will bring together child-serving systems to develop a vision and a comprehensive strategic plan for promoting the wellness of all young children, and will develop policies, financial mechanisms and other reforms to improve the integration and efficiency of the child-serving system. States, territories and tribes will identify and work closely with a locality that will engage in infrastructure reform, and will use Project LAUNCH funds to enhance and expand the delivery of services and practices that promote the wellness of young children and their families. To learn more, visit here 

2009 Family Planning Research Cooperative Agreement
Deadline: May 26
This announcement seeks applications from public and non-profit private entities to conduct data analyses and related research and evaluation on issues of interest to the family planning field. Many persons have observed that gaps exist in the array of data and analyses needed by administrators, planners and researchers in the field of family planning. The need for such data is likely to increase. Therefore, funds available under this announcement are for projects to increase the availability of data and research-based information which will be useful to family planning administrators and providers, researchers and officials of local, State and the Federal government, including OPA, in order to improve the delivery of family planning services to persons needing and desiring such services. To learn more, visit here  

CDC Funding Available for Reducing Risks for an Alcohol-Exposed Pregnancy in High Risk Women
Deadline: June 8
The purpose of the program is to reduce alcohol-exposed pregnancies by supporting and establishing the capacity of STD programs in public health departments to 1) implement and evaluate the Project CHOICES Intervention model for reducing risks for an alcohol-exposed pregnancy (AEP) in high risk women during the preconception period; 2) develop a data collection and monitoring system to evaluate changes in alcohol use of patients, evaluate effective contraception use, to determine reduced risk for AEP and other relevant sociodemographic information including risks associated with AEP ; and 3) develop a report describing how the CHOICES intervention model was modified or tailored to fit STD clinics, process and outcome evaluation measures, and lessons learned from implementation of the project. To learn more, visit here 

CDC Funding Available for Fetal Alcohol Syndrome
Deadline: June 8
The purpose of this program is to: (1) determine the prevalence of fetal alcohol syndrome (FAS) within a geographically-defined area (statewide, multiple states, or regions of a state) that may include high risk population subgroups, using the common, multiple source surveillance methodology developed by the Fetal Alcohol Syndrome Surveillance Network (FASSNet); (2) improve the capacity of an existing surveillance system (e.g., birth defects, developmental disabilities) to ascertain infants and children with FAS and generate population-based surveillance data; (3) establish or expand relationships with facilities or programs where children with FAS are likely to be diagnosed or receive services, such as genetics and other specialty clinics, early intervention programs, special education programs, special needs registries, and other programs or settings for children with developmental disabilities; (4) evaluate the surveillance system methodology in terms of completeness of case ascertainment, data quality, ability to generate a prevalence estimate for FAS, and the potential for monitoring trends; and (5) implement provider training and education on FAS to improve case ascertainment. To learn more, visit here 

CDC Funding Opportunity for Early Hearing Detection and Intervention (EHDI) Tracking, Surveillance and Integration
Deadline: June 15
The purpose of the program is to (1) Enhance the tracking and surveillance systems for the EHDI program to accurately identify, match, and collect unduplicated individual identifiable data (not estimated or aggregated) at the State/Territorial EHDI program level, (2) Enhance the capacity of EHDI state and territorial programs to accurately report the status of every occurrent birth throughout the EHDI process for the purpose of evaluating the progress of the National EHDI goals, and (3) Develop and Enhance the capacity of EHDI programs to integrate the EHDI system with other State/territorial screening, tracking and surveillance programs that identify children with special health needs. To learn more, visit here 

Outcome Monitoring of Innovative HIV Prevention Interventions for Men Who Have Sex with Men
Deadline: June 26
The CDC’s Procurement and Grants Office has published a program announcement entitled, “Outcome Monitoring of Non-traditional Programs for Men Who Have Sex with Men that Focus on Psychosocial Factors to Enhance Overall Health and Reduce HIV Risk.” Approximately $400,000 will be available to fund approximately three awards. The purposes of the program are to evaluate and improve the performance of organizations that deliver innovative interventions to MSM at high risk for HIV infection or transmission. To learn more, visit here 

Family Connection Discretionary Grants
Deadline: July 6
The Administration for Children and Families (ACF), Children's Bureau, has announced the availability of competitive grant funds authorized by the Fostering Connections to Success and Increasing Adoptions Act of 2008. The purpose of this funding is to help children who are in or are at-risk of entering into foster care reconnect with family members by developing and implementing grant programs in the areas of kinship navigator programs; programs utilizing intensive family-finding efforts to locate biological family and reestablish relationships; programs utilizing family group decision-making meetings; or residential family treatment programs. Under this Program Announcement applicants will submit proposals for one, or any combination of, the aforementioned four inter-related grant program areas, which comprise elements of a strong system of services to support family connections. Applicants must clearly state for which of these four program areas, or which combination of program areas, they are applying, and must justify their selection of program area(s) in terms of documented needs associated with specified project goals and objectives. To learn more, visit here 

Strengthening Communities Fund (SCF) Grant Programs 

Nonprofit Capacity Building Program
The SCF Nonprofit Capacity Building program will make one-time awards up to $1 million to experienced lead organizations to provide nonprofit organizations -- or project partners -- with capacity building training, technical assistance, and competitive financial assistance. A minimum of 55% of the Federal funds awarded must be provided to project partners through a competitive process. The grant period for this award is 24 months.  

State, Local, and Tribal Government Capacity Building Program
The SCF State, Local, and Tribal Government Capacity Building program will make one-time awards up to $250,000 to State, city, county, and Indian/Native American Tribal government offices (e.g., offices responsible for outreach to faith-based and community organizations or those interested in initiating such an effort), or their designees, to build the capacity of nonprofit faith-based and community organizations to better serve those in need and to increase nonprofit organizations' involvement in the economic recovery. Grantees will use program funds to provide free capacity building services to nonprofit organizations and to build their own capacity to provide such services to nonprofits. The grant period for this award is 24 months.  

To learn more about the SCF grant programs, 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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American College of Nurse-Midwives 54th Annual Meeting & Exposition
May 21-27
Seattle, WA 

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

36th Annual International Conference on Global Health:
New Technologies + Proven Strategies = Health Communities

May 26-30
Washington, DC 

The Bill & Melinda Gates Institute's 7th Annual Summer
Institute in Reproductive Health & Development

June 1-12
Baltimore, MD 

Leadership, Legacy, and Community: A Retreat to Advance Maternal and Child Health Scholarship and Practice
July 20-22
Oakbrook, IL

Health Forum and the American Hospital Association's 17th Annual Leadership Summit
July 23-25
San Francisco, CA  

World Breastfeeding Week 2009 -
Breastfeeding: A Vital Emergency Response
Are you ready?
August 1-7

National Conference on Health Communication, Marketing and Media
August 11-13
Atlanta, GA 

CityMatCH 2009 Urban Maternal and Child Health Leadership Conference
August 22-25
New Orleans, LA

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