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THE CHALLENGE
➢Creating a sustainable flow of
funding to support prevention of noncommunicable disease and injury in California
➢2010: ACA and the Creation of
CALIFORNIA ALLIANCE FOR PREVENTION FUNDING CHEAC Annual Meeting - - PowerPoint PPT Presentation
CALIFORNIA ALLIANCE FOR PREVENTION FUNDING CHEAC Annual Meeting - - PowerPoint PPT Presentation
CALIFORNIA ALLIANCE FOR PREVENTION FUNDING CHEAC Annual Meeting October 21, 2018 THE CHALLENGE Creating a sustainable flow of funding to support prevention of noncommunicable disease and injury in California 2010: ACA and the Creation
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ELEMENTS OF A CALIFORNIA WELLNESS TRUST PROPOSAL
Funding Source Governance Structure Operational Principles Allocation Criteria
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REVENUE SOURCES – TOP CANDIDATES
➢Soda tax ➢Alcohol tax
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➢ 1 ¢ per oz. raises approximately $1.2 billion per annum ➢ 2 ¢ per oz. raises approximately $1.7-2 billion per annum ➢ More if diet drinks covered (minus required funding to schools Prop 98 40%)
How much would a soda tax raise in California? )
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CA has very low taxes on alcohol compared to other states
- Type
Ranking Price/gallon Wine 49th $.20 Spirits 34th $3.30-$6.60 Beer 31st $.20
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Revenue that could be generated from increased sales tax on all alcohol (before education funding)
Percent Tax Revenue generated 1% $280 mil 2% $560 mil 3% $850 mil
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Revenue that could be generated from increased excise tax on alcohol
Type Excise Tax Revenue generated Beer, 12 oz 25 cents $1.7 bil
(possibly >6,000 barrels only)
10 cents $718 mil Wine, 5 oz 25 cents $828 mil 10 cents $357 mil Spirits, 1.5 oz 25 cents $1.14 bil 10 cents $494 mil
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PROPOSED GOVERNANCE STRUCTURE
➢ State wide commission with spending
authority
➢ Members appointed by state elected officials.
Will include, but not be limited to: the state health officer, LHDs, a representative of residents who experience health inequities, and community-based equity and primary prevention advocates and experts.
➢ Small administrative entity to manage the work
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Operational Principles
➢ Support the establishment of a statewide mechanism to assure long term, sustainable funding of local and state initiatives to promote health equity and prevent the leading causes of illness, injury, and premature death in California. ➢ Funding should support policies, systems environmental changes and community programs that work outside of health care settings to make California's communities more conducive to health.
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Operational Principles (cont.)
➢ Funds should be distributed and coordinated among: local health departments; community-based, regional and statewide nonprofit organizations; and state government according to established criteria. ➢ Funds must benefit all Californians and promote greater equity and health, reaching residents from urban to rural areas, young and old, and across California’s diverse races and ethnicities.
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Operational Principles (cont.)
Moneys in the fund shall be used to address social, environmental, economic and behavioral determinants of chronic disease and injury at any phase of the life cycle, and to close gaps in health outcomes and inequities, including, but not limited to strategies that:
- Promote healthy diets, improved access to healthy foods, and
healthy food environments
- Promote physical activity and a safe, physical activity promoting
environment
- Prevent unintentional and intentional injury
- Prevent harmful use of substances including tobacco, alcohol, and
drugs
- Address the social determinants of chronic disease
- Support evidence- based or evidence- informed
practices that are include community priorities and experience.
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ALLOCATIONS
Entity Allocation Strategy & oversight % funds Notes
LHD or designee with optional subcontracts to CBOs.
Fixed floor of $250K. The remainder of funds available to local health departments will be divided among the jurisdictions according to two equally-weighted criteria: the number of people residing in the jurisdiction according to the California Department of Finance, and the number of people residing in the jurisdiction who live in a household earning 100% or less of federal poverty level according to the US Census. 45% New work plan must be submitted every three years. Work plan can be based on recent community health assessments. In counties where there is more than one grantee, must staff an existing, or form a new, coalition to coordinate local efforts.
Local, community- based nonprofits
Competitive grants 30% Prioritize geographic diversity. All local organizations that are awarded funding must participate in their county’s coalition.
Regional and Statewide nonprofits Competitive grants
10%
CDPH
Range 5-10% Media, campaigns, HiAP, statewide policy initiatives and other chronic disease prevention work consistent with the SWT purpose.
Legal Entity Managing the Fund
Range 5-10% Secretariat of Commission. Lead planning and management of SWT, including distributing funds, selecting competitive grants, managing contracts, coordinating evaluation and other administrative duties. Foster alignment of work across grantees in geographic areas.
Additional notes
Unused funding for each type of entity goes back to that type.
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