### Federal Role in Funding of State Programs for Children with Special Health Care Needs

Thomas Vallin, MPH, Jean Lim, MPP, and Laura Kavanagh, MPP. NCEMCH, Georgetown University, 2000 15th Street N., Suite 701, Arlington, VA 22201-2617, (703)524-7802, tvallin@ncemch.org

At least 30 percent of a state's federal Title V block grant dollars must fund services for children with special health care needs (CSHCN). This presentation looks at the extent to which total Federal-State Partnership funding (federal, state, local, and other sources) for CSHCN exceeds the federally mandated minimum. 1999 budget data for 49 states and the District of Columbia were reviewed. One state was excluded due to contradictory data. The percentage of states' total Partnership budgets allocated to CSHCN ranged from 12.1 to 79.7. The breakdown of Partnership funds allocated to CSHCN was 60.1% to 80% (3 states), 40.1% to 60% (10 states), 20.1% to 40% (31 states), and less than 20% (6 states). The percentage of direct federal Title V funds allocated by states to CSHCN programs ranged from 30% to 66.6%. Nine states budgeted exactly the 30% minimum. Thirty-eight states allocated between 30% to 40%, while 10 budgeted 40.1% to 50%, and two budgeted 50.1% and 60%. The distribution of states, by the portions of each state's CSHCN Partnership budget from federal funds, was: 0% to 20% (8 states), 20.1% to 40% (19 states), 40.1% to 60% (16 states), 60.1% to 80% (four states), and 80.1% to 100% (three states). Only one state had its entire CSHCN budget funded solely from federal dollars at the 30% minimum. Most states exceed the minimum investment in CSHCN services required by federal policy. Data suggests the federal minimum still plays a role in assuring programs for this population.

Learning Objectives: At the conclusion of the session, the participant in this session will be able to: Describe how CSHCN programs are funded in the United States? Specify the minimum amount of federal Title V block grant funds that states can earmark for CSHCN programs. Describe how total state CSHCN funding differs from federal CSHCN funding

Keywords: Children With Special Needs, Funding

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: Cooperative agreement (MCU-119301), Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services