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State
Funding
PROP. 10 FUNDING
FOR ASTHMA - Click here
to download the RFA.In January
2000, The California Children and Families Commission announced
the award of $6.1 million for a two-year program to address asthma
among children 0 to five years of age to be administered by the
California Department of Health Services.
Unofficial
announcement about Prop 10 Asthma Funding:
Joint community
and treatment:
Alameda County
ALA
San Diego
Asthma and Allergy Foundation (Southern CA)
Community
only:
ALA Central
Coast
San Francisco
Asthma Education Resource Council (Marin County)
CONGRATULATIONS!
The four major components
of the program are described as:
-
multifaceted community
interventions;
-
provider education
to improve the quality of pediatric asthma health care services
and management;
-
asthma treatment
services for low-income families without health care coverage;
and
-
evaluations of
interventions and epidemiological studies.
This funding was part
of $40 million approved by the State Commission for its first
round of funding, aimed at addressing an array of education, child
care and health related needs for children prenatal to age five
and their families.
DHS has released the RFA for community asthma interventions and
asthma treatment services in the upcoming month. If you are interested
in this RFA, please send your name, organization name, mailing
address, fax, email and phone to: plaija@dhs.ca.gov.
or download it from their site. Click here.
DHS is currently completing
its asthma strategic plan with its asthma advisory committee.
Ronald M. Chapman, MD, MPH, has just been named the Chief of the
Medicine and Public Health Section in the Chronic Disease Control
Branch of DHS. He will oversee the administration of nine public
health programs, including the Asthma Control Program.
ASTHMA FUNDING
REMOVED FROM STATE BUDGET
In signing the state's
budget, Governor Davis deleted the $9 million asthma funding that
the American Lung Association helped to include in the legislature’s
budget. This funding would have established a statewide asthma
program and targeted public health activities in communities most
heavily impacted by asthma. In his veto message, Governor Davis
said that Proposition 10 and the Master Tobacco Settlement funds
should provide the resources necessary to fund asthma prevention
at the local level. What he failed to say is that Prop. 10 asthma
funding can only be spent for children 0 to five years old, and
that the tobacco settlement funds have all been allocated this
year! Please contact Governor Davis to express your disappointment.
Paul Knepprath, ALA
FEDERAL
FUNDING
President Clinton’s
FY 2001 Budget proposal that was sent to Congress on Monday, February
7, 2000 included $100 million in demonstration grants to states
($50 million in each FY 2001 and 2002) to test innovative asthma
disease management techniques for children enrolled in Medicaid
in order to provide the most appropriate care, and keep their
asthma in check. If Congress approves this budget item, this will
be a considerable increase in asthma specific funding within the
administration budget. In FY99 no funds were allocated specifically
for asthma, and in the FY2000 appropriations by Congress included
11.3 million on asthma specific programs.
- There are
a number of asthma specific
bills waiting for action in the federal government. For example:
- Asthma Act,
H.R.1965 , "To provide the Secretary of Health and Human
Services and the Secretary of Education with increased authority
with respect to asthma programs, and to provide for increased
funding for such programs." Last action: referred to
the Subcommittee on Early Childhood, Youth and Families
on 6/18/1999.
- Children's
Asthma Relief Act of 1999 (Introduced in the Senate) S.805
"A bill to amend Title V of the Social Security Act to
provide for the establishment and operation of asthma treatment
services for children, and for other purposes " Last
action: read twice and referred to the Committee on Finance
on 4/15/99. Introduced in the House as H.R.2840. Last
- (funding continued)
- action: referred
to the Subcommittee on Health and Environment on 10/8/99.
- Asthma Awareness,
Education and Treatment Act of 1999 (Introduced in the
House) H.R. 1966. "To authorize the Secretary of Health
and Human Services to carry out programs regarding the prevention
and management of asthma, allergies, and related respiratory
problems, to establish a tax credit regarding pest control
services for multifamily residential housing in low-income
communities, and for other purposes." Last action:
referred to House Ways and Means on 5/26/1999.
Urban Asthma Reduction
Act of 1999 (Introduced in
the House) H.R. 875. "To provide for programs to develop
and implement integrated cockroach management programs in urban
communities that are effective in reducing health risks to inner
city residents, especially children, suffering from asthma and
asthma-related illnesses." Last action: referred
to the Subcommittee on Health and Environment on 3/16/1999.
Asthma Inhalers Regulatory
Relief Act of 1999 (Introduced in the House ) H.R.136. "To
limit the authority of the Administrator of the Environmental
Protection Agency to ban metered-dose inhalers." Last action:
referred to the Subcommittee on Health and Environment
on 1/20/1999.
There are
many other bills that can affect asthma, including children’s
health, school environmental improvement, and air quality legislation.
For policy updates in the Federal government go to
http://thomas.loc.gov/ and type in the word "asthma".
Please contact your representatives to encourage
their support of asthma funding.
Grants
RWJ FUNDING
Action Against
Asthma: Several groups across the region and 253 across the
country replied to Robert Wood Johnson’s (RWJ) request for proposals,
"Action for Asthma". San Francisco’s YES WE CAN Project
(see profile on page 4) was one of 26 asked to submit a full proposal.
RWJ plans to fund eight coalitions.
Improving Asthma
Care for Children: A new
national RWJ seeks to improve the management of asthma for children
covered by Medicaid and State Children's Health Insurance programs
(SCHIP). Under the "Improving Asthma Care for Children"
program, grantees will be expected to develop innovative clinical
models of care for asthma that improve the health, quality of
life, and functional status of children with asthma.
The models should
demonstrate collaboration between a managed care organization
and other key partners, and the system-wide changes should be
sustainable. "Improving Asthma Care for Children" grant
offers six three-year grants of up to $500,000.
Grants are available
to support formal collaborations of managed care organizations
(MCOs) and other providers of asthma care, such as school-based
health centers, childcare agencies, public health agencies, and
federally qualified health centers. All applicants must demonstrate
an ability to improve pediatric asthma care within a managed care
population of at least 20,000 Medicaid or SCHIP enrollees. Letters
of intent are due September 1, 2000. For more information, go
to http://www.rwjf.org/new/jwnew.htm.
FUNDING
FOR RESEARCH CENTERS
The National Institute
of Allergy and Infectious Diseases (NIAID) and the National Institute
of Environmental Health Sciences (NIEHS) invite applications from
organizations to administer Asthma and Allergic Diseases Research
Centers (AADRCs). This program is designed to support basic and
clinical research on mechanisms of, and diagnosis, treatment,
and prevention of, asthma and allergic diseases. The scientific
scope of this program encompasses immunologically mediated inflammation
and the role of innate and adaptive immunity as they pertain to
asthma and allergic diseases. The estimated total funds (direct
and facility and administrative available for the first year of
support is $6,750,000. NIAID and NIEHS plan to make approximately
six to eight awards under this program in FY 2001. Although not
required, a letter of intent may be submitted by November 8, 2000.
Applications are due by January 8, 2001.
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