1. The BCA in FY 2014 and Beyond HSFO Annual Conference Columbus, Ohio July 30, 2013 Federal Funds Information for States www.ffis.org

2. How did we get here?

3. The BCA in a nutshell 1. Discretionary spending caps w/adjustments 2. Joint Select Committee on Deficit Reduction 3. Sequestration process

4. The federal budget in a nutshell Composition of Federal Outlays in FY 2012 ($ in Billions, % of Total)

5. How sequestration works $984 billion in cuts through FY 2021 (~$109 billion/year, half from defense, half from nondefense) FY 2013 sequestration occurred on March 1, 2013 – “Fix” reduced cuts from $109b to $85b Many mandatory and a few discretionary programs are exempt (special rules for some programs) ATB cuts in FY 2013, different process for FY 2014+

6. How sequestration was implemented in FY 2013 ATB percentage cuts: -5.0% for nondefense discretionary and -5.1% for nondefense mandatory – Applied to FY 2013 funding in place on 3/1/13 Cuts were required to be applied to each program, project, and activity (interpretation varied by agency) Final 2013 appropriation levels and existing agency flexibility mitigated or worsened effects of sequester in some instances Cuts reflected in grant awards issued after March 1, 2013 – Timing varied by program

7. How does FY 2014 sequestration compare to FY 2013? FY 2013FY 2014 MandatoryATB (-5.1%)ATB (-7.2% est.) Program ExemptionsYes Effective DateMarch 1, 2013October 1, 2013 FlexibilityPPA DiscretionaryATB (-5.0%)Lower Caps Program ExemptionsYesNo Effective DateMarch 1, 2013October 1, 2013 FlexibilityPPAAppropriation Account EnforcementN/ASame as FY 2013

8. Mandatory programs: FY 2014 OMB sequestration estimates ProgramPre- Sequester ($ in millions) Sequester Cut ($ in millions) Maternal, Infant, and Early Childhood Home Visiting $400-$29 ACA Health Centers (2%)1,983-40 Affordable Insurance Exchange Grants 1,343-97 Money follows the person449-32 Medicaid program integrity82-6 Supporting Healthy Families (PSSF, Abstinence Ed., PREP) 470-34

9. Mandatory programs: FY 2014 OMB sequestration estimates ProgramPre- Sequester ($ in millions) Sequester Cut ($ in millions) SSBG$1,785-$129 Aging and Disability Resource Center 10<-1 Prevention and Public Health Fund 1,000-72 Pregnancy Assistance Fund25-2 Senior Farmer’s Market Nutrition 21-2 Special Milk11<-1

10. House and Senate take divergent paths in FY 2014, neither of which conforms to BCA

11. Divergent paths lead to different outcomes for states

12. How do major grant programs fare? ($ in millions)Proposed FY 2014 vs. FY 2013 Federal AgencyFY 2012FY 2013PresidentHouseSenate Agriculture $6,861$6,7669.6%2.3%8.5% Education 37,27335,3418.7%n/a6.0% Health and Human Services 25,18024,1279.6%n/a13.5% HUD 40,81239,42111.5%-0.9%12.2% Energy/EPA 63,18363,2881.5%-8.2%1.9% Justice 1,2511,2214.6%-13.0%-2.1% Homeland Security 1,2541,3599.9%28.4%8.7% Labor 6,5796,1764.3%n/a3.5% Transportation 54,09854,5320.9%1.4%1.7%

13. What if gridlock persists? ($ in millions) ProgramFY 2012FY 2013FY 2014 est.FY 13 to FY 14 Head Start $7,969$7,573$7,505$-68 LIHEAP 3,4723,2613,232-29 Ryan White HIV/AIDS Grants 2,3922,2262,206-20 Child Care BG 2,2782,2062,186-20 Substance Abuse BG 1,8001,7101,694-15 Administration on Aging 1,4711,3951,382-13 Refugee Assistance 768999990-9 Community Services BG 677635629-6 CDC-State and Local Capacity 657623617-6 Maternal Child Health BG 639607601-5

14. Discretionary spending grows after FY 2014, even with sequestration

15. The BCA becomes less restrictive going forward

16. Questions, Comments, Difficulties The House and Senate are proceeding based on their own budget resolutions, which are vastly different from one another. How and when will the gaps be bridged? Will FY 2014 begin with a CR? “Action-forcing” event: raising the debt ceiling. After FY 2014, discretionary spending increases under the BCA, even with sequestration. Continued focus on reforming mandatory programs.

17. The End: Questions? For more information, visit www.ffis.orgwww.ffis.org or contact: Trinity Tomsic (ttomsic@ffis.org)