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<br /> <br />Maternal and Child Health Block Grant (MCHBG) Concerns <br /> <br />In FY 2011-12, NC General Assembly (NCGA) began to carve out MCHBG money for specific programs. <br />• Since 2011, # of programs and amount of money set aside by the NCGA has increased to 39% of the entire <br />MCHBG in 2017. <br /> <br /> <br />• As a result, we will be out of compliance with the following Title V requirements (Sec. 505. [42 U.S.C. 705] <br />(a)(3)): <br /> (A) at least 30 percent of such payment amounts for preventive and primary care services for <br />children, and <br /> (B) at least 30 percent of such payment amounts for services for children with special health care <br />needs <br />• The total amount of MCHBG reduction needed for legislated reallocations for SFY17-18 is $3,256,458 and <br />this is the amount that will have to be cut from other programs. Total MCHBG available for SFY 17-18 is <br />$18,089,519 (a total funding availability reduction of >$500K from prior SFY) and there are no new resources <br />to fund legislated carve-outs. <br /> Legislated carve-outs include $2.2M each year for at least 3 years for “Every Week Counts” research <br />project in 2 counties (Robeson and Columbus) to be done by UNC. From previous budget, it is <br />anticipated that much of this funding will go to UNC salaries and overhead. Even the researchers who <br />put together the proposal do not want a project like this to take away from critical maternal and child <br />health infrastructure and would defeat the purpose. <br /> Local Health Departments will take a $2.2M reduction starting October 1, 2017 <br /> LHDs have experienced cumulative reductions, now to the point of damaging infrastructure to <br />provide safety net services and programs for pregnant women, infants/children and women. <br /> Impacts LHDs ability to offer medical services as a safety net provider and evidence-based <br />programs for maternal and child health. <br /> LHDs are critical, especially in rural areas with limited resources and health care access issues. <br /> Majority of the remaining MCHBG reductions taken from Genetics contracts with medical centers <br />terminated following the approved budget. <br /> <br />7.65% 6.73% <br />11.70% <br />15.72% <br />23.06% 22.26% <br />38.73% <br />0 <br />0.05 <br />0.1 <br />0.15 <br />0.2 <br />0.25 <br />0.3 <br />0.35 <br />0.4 <br />0.45 <br />FY 11-12 FY 12-13 FY 13-14 FY 14-15 FY 15-16 FY 16-17 FY 17-18 <br />Pe <br />r <br />c <br />e <br />n <br />t <br /> <br />o <br />f <br /> <br />t <br />o <br />t <br />a <br />l <br /> <br />p <br />l <br />a <br />n <br /> <br />Carveouts in Maternal and Child Health <br />Block Grant state plan