Office of Population Affairs

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Office of Population Affairs

• Evelyn Kappeler
• Acting Director
• August 6, 2007

2
Overview

• HHS Strategic Plan and Priorities
• OPA Structure and Functions
• Programs
• Funding
• Questions

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HHS Mission

• To enhance the health and well-being of Americans
  by providing effective health and human services
  and by fostering sound, sustained advances in the
  sciences underlying medicine, public health, and
  social services.
• Accomplished through more than 300 programs and
  initiatives
• FY 2007 HHS Budget - 698 billion (a quarter of
  all federal expenditures)
• More than 66,000 employees

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HHS Strategic Plan 2007-2012

• Updated every 3 years
• Draft posted on http//www.hhs.gov/strategic_plan/
  
• Describes HHS Operating and Staff Divisions work
  to address health and human services issues
• Focused on a limited set of broad outcomes and
  impacts to demonstrate Departmental progress
• Four Strategic goals

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HHS Strategic Plan 2007-2012

• Four Strategic goal areas
• Health Care Improve the safety, quality,
  affordability and accessibility of health care,
  including behavioral health care and long-term
  care.
• Public Health Promotion and Protection, Disease
  Prevention, and Emergency Preparedness Prevent
  and control disease, injury, illness, and
  disability across the lifespan, and protect the
  public from infectious, occupational,
  environmental, and terrorist threats.
• Human Services Promote the economic and social
  well-being of individuals, families and
  communities.
• Scientific Research and Development Advance
  scientific and biomedical research and
  development related to health and human services.

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HHS Strategic Plan 2007-2012

• Incorporates priorities and concepts from
• Secretarys 500-Day Plan
• Secretarys Ten Health Care Priority Activities
• Departmental Twenty Objectives
• Healthy People 2010 Objectives

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In the Spotlight HHS Plans and Priorities

• Secretarys 500 Day Plan and 250 Day Update
• Secretarys management tool focusing on specific
  strategies
• Key focus areas
• Transform the health care system
• Modernize Medicare and Medicaid
• Advance Medical Research
• Secure the Homeland
• Protect Life, Family, and Human Dignity
• Improve the Human Condition Around the World
• http//www.hhs.gov/secretary/planning/index.html

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HHS Plans and Priorities

• Secretary Leavitt HHS Priorities (May 2007)
• Every American Insured
• Insurance for Children in Need
• Value-Driven Health Care
• Information Technology
• Personalized Health Care
• Health Diplomacy
• Prevention
• Louisiana Health Care System
• Preparedness
• http//www.hhs.gov/secretary/priorities/index.html
  

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HHS Plans and Priorities

• Departmental Objectives (2006)
• Twenty Department - wide objectives
• Updated annually
• Expand on the Secretarys goals from the 500 Day
  Plan and include objectives related to effective
  management
• http//www.hhs.gov/pma/depObj.html

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Department Twenty Objectives

• 1. Accelerate Personalized Healthcare
• 2. Recruit, Develop, Retain, and Strategically
  Manage a World-Class HHS Workforce
• 3. Modernize Medicaid
• 4. Continue our Leadership Role and Success in
  Competitive Sourcing
• 5. Turn Adversity to Advantage for the New
  Orleans Health System
• 6. Improve Financial Performance
• 7. Promote Health Information Technology
• 8. Expand Electronic Government
• 9. Continue to Improve Medicare
• 10. Improve Budget and Performance Integration

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Departmental Twenty Objectives

• 11. Harness the Power of Transparent Healthcare
• 12. Implement the Real Property Asset Management
  Program and Strategically Manage our Real
  Property
• 13. Emphasize Prevention and Healthy Living
• 14. Broaden Health Insurance and Long-Term Care
  Coverage
• 15. Prepare for an Influenza Pandemic
• 16. Promote Quality, Relevance Performance of
  Research and Development Activities
• 17. Enhance Emergency Response and Renew the
  Commissioned Corps
• 18. Improve the Service of Management Functions
  and Administrative Operations for the Support of
  the Departments Mission
• 19. Emphasize Faith Based and Community Solutions
• 20. Eliminate Improper Payments

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Healthy People

• Healthy People 2010
• Comprehensive set of disease prevention and
  health promotion objectives for the Nation
• Overarching goals are to increase quality and
  years of healthy life end eliminate health
  disparities
• 28 focus areas, including focus area 9 Family
  Planning
• http//www.healthypeople.gov/
• Healthy People 2020
• Plans under way
• December 2008 proposed release date

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Healthy People
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U.S. Department of Health and Human Services
(DHHS)
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August 2007
Office of Population Affairs
Vacant Deputy Assistant Secretary for Population
Affairs
Evelyn Kappeler Acting Director
Immediate Office Vacant Susan Dunnell Vacant Progr
am Analyst Management Analyst Special
Assistant Brad Hendrick Evelyn
Kappeler Vacant Policy Analyst Senior Policy
Analyst Information Sys. Mgr. Terresa
Williams Vacant Inyang Isong Staff
Assistant Public Health Analyst Medical Officer
Office of Family Planning Susan Moskosky Director
Office of Adolescent Pregnancy Programs Johanna
Nestor Director
Office of Research Evaluation Patricia
Thompson Director
La Quinta Bruster Jacqueline Crump-McCain Staff
Assistant Program Analyst Jo Anne
Jensen Vacant Medical Education Project
Officer Alicia Richmond-Scott Allison
Roper Program Analyst Project Officer Vacant Les
lie Raneri Project Officer Project Officer
Charmaine Anderson Charon Flowers Staff
Assistant Health Education
Specialist Jule Hallerdin Nurse Consultant
David Johnson Public Health Advisor George
Jones Program Development Elizabeth
Phillips Specialist Program Analyst
Kathleen Woodall Public Health Analyst
Barbara Cohen Statistician Eugenia
Eckard Statistician Vacant Public Health
Analyst
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Office of Population Affairs

• Family Planning Services and Population Research
  Act of 1970 (P.L. 91-572)
• Created the national family planning program as
  Title X of the Public Health Service Act
• Defined purposes of the program
• Established the Office of Population Affairs
  (OPA) and its functions
• Established the position of Deputy Assistant
  Secretary for Population Affairs (DASPA) under
  the direct supervision of the ASH established
  functions and duties of the DASPA

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Office of Population Affairs

• Deputy Assistant Secretary for Population Affairs
  (DASPA) (who is also the Director/OPA)
• Has delegated authority from the Secretary of HHS
  to administer two discretionary grant programs
• Family Planning Program authorized by Title X of
  the Public Health Service Act
• Adolescent Family Life Program authorized by
  Title XX of the Public Health Service Act

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OPA Location and Component Offices

• U.S. Department of Health and Human
  Services
• Office of the Secretary
• Office of Public Health and Science
• Office of Population Affairs
• Office of Adolescent Pregnancy Programs (Supports
  adolescent pregnancy prevention and care grants)
• Office of Family Planning (Supports grants to
  public / private not for profits for family
  planning services)
• Office of Research and Evaluation (Supports a
  focused approach to OPA sponsored research and
  special projects)

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Office of Population AffairsProgram Functions
Family Planning 283 million
Service delivery
Information and Education Training
Research
Adolescent Family Life 30 million
Demonstration Grants Research Prevention
(abstinence education) Care Embryo Donation
and Adoption 1.98 million Public Awareness
Campaign Cooperative agreements
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FY 2008 Appropriations Action

• House adopted July 19, 2007
• H.R. 3043
• House Appropriations Committee Report 110-231
• Title XX 30.3 million/level funding
• EAA 1.98 million/level funding
• Title X 310.9 million/27.7 million

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FY 2008 Appropriations H. Rept. 110-231 page 84

• Family planning The Committee provides
  310,910,000 for the family planning program,
  which is 27,764,000 above the fiscal year 2007
  funding level and 27,807,000 above the budget
  request. The Committee recommends the 27,764,000
  increase as part of its initiative to help reduce
  the number of abortions in America by alleviating
  the economic pressures and other real life
  conditions that can sometimes cause women to
  decide not to carry their pregnancies to term.
  The program currently serves over five million
  low-income women and men at 4,400 clinics
  nationwide. This funding increase will allow the
  program to serve 98,000 new clients. Family
  planning funds in the bill are expected to
  prevent more than one million unintended
  pregnancies. The program provides grants to
  public and private non- profit agencies to
  support a range of family planning and
  reproductive services, as well as related
  preventive health services such as patient
  education and counseling, breast and cervical
  cancer examinations, STD and HIV prevention
  education, counseling and testing and referral,
  and pregnancy diagnosis and counseling. The
  program is the only source of health care for
  many of its clients.

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FY 2008 Appropriations Action

• Senate
• S. 1710
• Senate Appropriations Committee Report 110-107
• Title XX 30.3 million/level funding
• EAA 4 million/2.02 million (allows funds
  to be available to pay medical and
  administrative costs deemed necessary to
  facilitate embryo donation and adoptions)
• Title X 300 million/16.8 million

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FY 2008 Appropriations S. Rept. 110-107 page 62

• Family Planning The Committee provides
  300,000,000 for the title X family planning
  program. The fiscal year 2007 comparable level
  was 283,146,000 and the budget request for
  fiscal year 2008 was 283,103,000. Title X grants
  support primary health care services at more than
  4,400 clinics nationwide. About 85 percent of
  family planning clients are women at or below 150
  percent of poverty level. Title X of the Public
  Health Service Act, which established the family
  planning program, authorizes the provision of a
  broad range of acceptable and effective family
  planning methods and preventive health services
  to individuals, regardless of age or marital
  status. This includes FDA-approved methods of
  contraception. The Committee remains concerned
  that programs receiving title X funds ought to
  have access to these resources as quickly as
  possible. The Committee again instructs the
  Department to distribute to the regional offices
  all of the funds available for family planning
  services no later than 60 days following
  enactment of this bill. The Committee intends
  that the regional offices should retain the
  authority for the review, award and
  administration of family planning funds, in the
  same manner and timeframe as in fiscal year 2006.
  The Committee intends that at least 90 percent of
  funds appropriated for title X activities be for
  clinical services authorized under section 1001
  of the act. The Committee further expects the
  Office of Family Planning to spend any remaining
  year-end funds in section 1001 activities.

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Title XX of the Public Health Service Act

• Adolescent Family Life Act (AFL) Program created
  in 1981 as Title XX of the Public Health Service
  Act
• Administered centrally by the Office of
  Adolescent Pregnancy Programs (OAPP) within OPA
• Providing funds for
• -- Care and Prevention Demonstration Grants
• -- Research Activities

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Mission

• The OAPP demonstrates effective means to
  promote premarital abstinence from sexual
  activity and to ameliorate the adverse
  consequences of adolescent childbearing.
• Under the authority of the Title XX of the
  Public Health Service Act, the OAPP awards and
  administers demonstration and research grants to
  address these issues and disseminates their
  findings.

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AFL in 2007

• 30 million
• 57 Prevention Grants
• 32 Care Grants
• 6 Research Grants

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Prevention Demonstration Projects

• To find effective means, within the context of
  the family, to reach adolescents before they
  become sexually active to encourage them to
  abstain from premarital sexual activity.

• Services and activities must be consistent with
  A-H definition of abstinence education.
• FY 2007 Funding Announcement Applications under
  review
• Evaluation Intensive

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Care Demonstration Projects

• Evaluation of COMPREHENSIVE health, education,
  and social services to help adolescents through
  pregnancy and parenting
• 10 CORE services and 6 supplemental services (see
  hand-out)

• Parental consent
• Independent evaluation (intensive as of 2004)
• Fee for service
• No referral, provision of abortion

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EVALUATION

• Mandated by Statute - 1 to 5 - waived to 20-25
• Viable comparison strategy
• Appropriate follow-up
• Independent Evaluators - local college/
  university
• Qualitative and quantitative methods

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Embryo Donation and/or Adoption Public Awareness
Campaign

• Legislative History
• In fiscal year 2002, for the first time, Congress
  appropriated 1 million which authorized HHS to
  conduct a public awareness campaign to education
  Americans about the existence of frozen embryos
  for adoption.
• Previous program announcements published in
  fiscal years 2002, 2004, 2005, 2006
• Funds a series of embryo donation /or adoption
  public awareness campaign grant projects that
  were specifically directed at education and
  information for potential donor and recipient
  couples, a well as individuals who work in
  assisted reproductive technology clinics or the
  area of adoption

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Embryo Adoption Public Awareness Campaign -
Program Purpose

• To develop and implement public awareness
  campaigns regarding embryo adoption in order to
  educate Americans about the existence of frozen
  embryos available for donation and/or adoption.

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Overview of 2007 EAA Program Announcement

• Total Funding 2 million
• 1 million for new grants
• 1 million for continuation grants
• Number of Expected New Grant Awards 4-5
• Ceiling on Individual Awards 350,000
• (Applications exceeding the award ceiling will
  not be accepted and reviewed)
• Projected Start Date September, 2007
• Project Period 24 months
• Funding Mechanism Cooperative agreement
• Cost Sharing None required

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• Any Questions?