1. Loss of Funding for Behavioral Health in Arizona 2009-2011

2. 2009 Cuts Cuts in funding to state supported programs NonXIX SMI General Mental Health Substance Abuse Children’s Services

3. 2010 Cuts to State Programs Elimination of State Funding –General Mental Health –Substance Use –Children’s Services

4. July 2010-SMI CUTS Stay in Arnold v. Sarn until July 2012 Affected >14,000 People with SMI Generic Medications Only Limited lab and physician services No transportation No counseling No case management No inpatient hospital benefit

5. Decline in NonXIX SMI Enrollment March 201014,537 December 2011 9,952

6. July 2011-Freeze on AHCCCS Enrollment Freeze on enrollment of childless adults GMH/SA populations at risk 5500 SMI can stay on although they may have to qualify for SSI/MAO Some will lose coverage 250,000 enrollees at risk of losing coverage No new enrollments

7. Impact of Freeze 70,719 Childless Adults have been dropped from AHCCCS since July 8 Projected drop by AHCCCS was 77,336 Estimate 10% are behavioral health clients 9,695 people have been moved into SSI category-at least 5500 are SMI

8. Kidscare-SCHIP Program Enrollment frozen in January 2010* Waiting List now in excess of 129,528 Estimate that 10% of children need behavioral health services * only state to freeze enrollment

9. Other funding cuts Capitation rates cuts to providers –15% reduction over past two years Provider rate cuts Reducing reserves for providers Some small providers cannot sustain lost revenue

10. Emily Jenkins, President & CEO AZ Council of Human Service Providers ejenkins@azcouncil.com 602-252-9363