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Fund for a Healthy Maine Program Funding Impacts and Program OutcomesHead Start:Fund for a Healthy Maine funding to Head Start funds comprehensive developmental services for low-income pre-school children, ages 3-5.This includes health, nutrition, mental health, social and family support in addition to early childhood education. The Head Start and EarlyHead Start in Maine serve 3,813 children; 3,203 in Head Start and 610 in Early Head Start.Nineteen US states provide funding for local Head Start programs, including Maine. In FY11, the State of Maine provided $3.8 million tofund 207 Head Start and 201 Early Head Start spaces; $1.4 million of this money was allocated from the Fund for a Healthy Maine.Purchased Social Services:Fund for a Healthy Maine funding for Purchased Social Services (PSS) funds a flexible and comprehensive network of community-based(child care) services for the states disadvantaged families, children and individuals. The program allows for disadvantaged families to seechild care through the use of subsidies and vouchers supplied, allowing working parents to remain employed (a requirement of theprogram). About 3,000 children, aged birth to 12, currently receive child care, Head Start, or after-school programs. Nearly 2,500 children,ages 12-15, participate in a range of recreational, cultural, academic, and arts programs after school and in the summer.This funding receives a match from the federal government 2-to-1. Maine currently allocates the minimum amount to the program. A $1million cut to the GF portion of the PSS would eliminate vouchers for over 300 working families.Home Visitation:Fund for a Healthy Maine funding for Home Visitation funds programs that support and assist new and adolescent parents in understandingchild development so children have better health outcomes, developmental issues are identified earlier, and child abuse is prevented. If the Compiled by the Friends of the Fund for a Healthy Maine, Updated June3, 2011 [ako]
Legislature passes a budget with proposed cuts to the FHM funded Home Visitation program, 3000 families will have services eliminatedand 100 professionals will be faced with unemployment. Statewide success of the FHM funded Home Visitation programs are below:· 99.5% of the children in these home visitation programs have primary care physicians· 98% of these children are up to date with their well-child visits· 93% of children have up to date immunizations· 95% of these children have health insurance· Age-eligible children are being regularly screened for delays and home visitation identified 7% of children with possible delays andprovided support to address those delays early before these children needed costly remediation in the school system· 94% of expectant mothers had adequate prenatal care which resulted in fewer premature and low birth weight babies· Nearly half of the children in the program who were exposed to second-hand smoke are no longer exposed· Of the parents who entered the program without a high school diploma, 94% have earned either a HS diploma or GED· Of parents seeking employment, 91% achieved either PT or FT employmentDental Education:Fund for a Healthy Maine funding for Dental Education funds a program through the Finance Authority of Maine (FAME) that provides loansand loan repayments for qualifying dentists that practice in underserved population areas in Maine. Under proposed elimination of fundingfrom the FHM, the program would have enough funding to allow only three new members in FY12 and two new members in FY13 into theprogram, with 8 dental loan renewal options available. This is not sustainable for it uses reserve funding to continue the program into thenext biennium.Oral Health:Fund for Healthy Maine funding for Oral Health funds programs that provide access to oral health care services for low income individualswithout dental insurance. This includes school-based oral health care and dental subsidies. Oral health cuts will impact 30,000 school Compiled by the Friends of the Fund for a Healthy Maine, Updated June3, 2011 [ako]
children in 236 schools who receive oral health education or services through the School Oral Health Program. In addition, over 50,000would still be negatively impacted people who receive services at a community clinic with a sliding scale fee may lose the opportunity to seea dentist or hygienist at a price they can afford. Forty-four percent (44%) of all patients served at community clinics qualify for a sliding feescale subsidized by the Fund for a Healthy Maine.Donated Dental:Fund for a Healthy Maine funding for the Donated Dental program is used to fund a (Maine Referral) coordinator position responsible fororganizing and facilitating donated dental service activities that include 44 labs and 140 volunteer dentists. These services are provided tothe elderly, disabled and medically at-risk.Substance Abuse:Fund for a Healthy Maine funding for Substance Abuse funds contracts with treatment and prevention services providers; develops anddelivers substance abuse services to persons in the correctional system; and oversees treatment and prevention programs. Underproposed cuts, 9 agencies will see residential programs close and 1,500 individuals in need of treatment will lose services.Family Planning:Fund for a Healthy Maine funding to the Family Planning program provides quality family planning services to low-income women andadolescent. If funding is eliminated, 10-12 clinics will close, 20-25 professionals will lose their jobs, and 45 clinics will be subject to reducedhours of operation. Without family planning services in Maine, the teen pregnancy rate is projected to double. Compiled by the Friends of the Fund for a Healthy Maine, Updated June3, 2011 [ako]
Quality Child Care:Fund for a Healthy Maine funding to the Quality Child Care program funds scholarships that allow students to enter training for earlychildhood education. 200 scholarships were awarded in FY11, with each scholarship totaling $700. This incentive program is effective:more than ½ go on to community college to finish their degrees in early childhood education.Health Education Centers:Fund for a Healthy Maine funding for Health Education Centers funds a program with the goal of attracting health care personnel inunderserved areas of the State and provide services to underserved cultural groups through educational system incentives. FHM fundingfor this program accounts for 18% of total the total investment; 50% of the funding is Federal and the University of New England providesthe remaining 32%. Federal match is at risk if FHM funding is eliminated.Attorney General:Fund for a Healthy Maine funding for the Attorney General provides funding to enforce the Tobacco Manufacturers Act and the TobaccoDistributors Act. This is necessary to ensure the State of Maine meets the requirements of the 1998 settlement agreement, ensuring thestate will remain in compliance and eligible to obtain annual payments from the tobacco industry.Tobacco Prevention, Control and Treatment:Fund for a Healthy Maine funding for Tobacco funds the efforts of Partnership for a Tobacco Free Maine (PTM). As implied by its title, itspurpose is to prevent and control tobacco use. More specific objectives include: Preventing youth and young adults from starting to usetobacco, motivating and assisting tobacco users to quit, protecting nonsmokers from the hazards of secondhand smoke, and eliminatingdisparities related to tobacco use among population groups. Funding also supports the work of Healthy Maine Partnerships, tobaccoenforcement through the Attorney General’s Office, the Maine Tobacco HelpLine, and several specialized contracts that aid in Maine’s Compiled by the Friends of the Fund for a Healthy Maine, Updated June3, 2011 [ako]
effort to reduce tobacco use and exposure to secondhand smoke. The HelpLine is supported by the clinical efforts of the Center forTobacco Independence and communications/media campaigns that draw more nearly 7,000 people who want to quit tobacco use to theHelpLine annually.Community and School Grants:Fund for a Healthy Maine funding for Community and School Grants funds the efforts of the 26 Healthy Maine Partnerships serving nearlyevery community in Maine, 25 School Based Health Centers serving 17 communities, and more than 50 school health coordinators servingapproximately 20% of Maine’s school administrative units (SAUs). The programs have been implemented to reduce tobacco use, chronicdisease, and associated risk factors by addressing these issues at the local level.The Healthy Maine Partnerships (HMPs) are engaged in over 800 health initiatives across the state to change local attitudes about tobaccouse, increase physical activity and healthy eating, and reduce chronic illness including cardiovascular disease, cancer, diabetes and asthma.The HMPs have enlisted 2,300 volunteer coalition members throughout Maine and provide a foundation for Maine’s emerging public healthinfrastructure.In the 2010 school year 7,121 students were enrolled in School Based Health Centers (SBHCs). There were 13,108 encounters includingacute care, behavioral health, oral health and preventive health visits. More than one third (35%) of students who smoke and were seen ata SBHC reported that they reduced their smoking or quit smoking as a result of their visit. More than half (56%) the SBHC users who haveasthma have an up-to-date asthma plan on file, up from 31% the previous school year.Coordinated school health programs are designed to connect health with education. This coordinated approach to school health improvesstudents health and their capacity to learn through the support of families, communities and schools working together through preventionand intervention. Compiled by the Friends of the Fund for a Healthy Maine, Updated June3, 2011 [ako]
Public Health Infrastructure:Fund for a Healthy Maine funding for Public Health Infrastructure (PHI) funds a system—at the broad community level—that can respond topublic health issues, supporting an emerging public health infrastructure. The goal is to strengthen local public health capacity statewideand assure a more coordinated system of public health and strengthen consistent statewide delivery of essential public health services in allMaine communities. District Coordinating Councils (DCCs) and Healthy Maine Partnerships (HMPs) work within a framework overseen by aState Coordinating Council (SCC) to create Maine’s public health infrastructure, in an effort to create a connected system that effectivelycan respond to pressing and emergency public health needs. Local health officers (LHOs) and municipal health departments are alsoinstrumental parts of this infrastructure. A cut to the already modest funding for this program would directly impact community-levelentities and threaten the sustained development of this infrastructure and implementation of its design.Immunizations:Fund for a Healthy Maine funding for Immunizations funds vaccine administration and preventive services, including influenza andpneumococcal vaccines to reduce the impact of certain infectious diseases on people with tobacco related chronic diseases. Compiled by the Friends of the Fund for a Healthy Maine, Updated June3, 2011 [ako]