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Presented to the Review Committee
                  November 18, 2011
Cancer, Cardiovascular Disease and Pulmonary Disease Competitive   1) Grant Program Funding Origins & History
Budget Update Overview



                                                                                            2) Current Year Trend Report

                                                                                            3) Revenue Trends, Reductions & Grant Program
                                                                                               Planning

                                                                                            4) Proposed Calendar for 2012-2013 Grant
                                                                                               Program Planning

                                                                                            5) Proposed Continuation Funding July –
                                                                                               September 2012
Tobacco Taxes for Health-Related Purposes
                 Statutory Distribution of .64 cent tax (A35) Revenue

         3%                          46%                      19%                      16%
Infant Immunization Fund      Health Care Expansion      Primary Care Fund        Tobacco Education,
Supplemental OAP Health            Fund, including                              Prevention & Cessation
  & Medical Care Fund        reinstatement of Medicaid                           Grant Programs Fund
   Local Governments            for legal immigrants



              15%
                                                  16%                        Disease Management
        Health Disparities                 Cancer, CVD, CPD                    Transfer to HCPF
         Grant Program                      Prevention, Early                        $2M
                                          Detection & Treatment
                                                  Fund
          Breast and                                                           Grant Program
   Cervical Cancer Expansion                                                   Administration
           Up to $5M                                                             Up to 5%
                                            CCPD Competitive
       $1.2M Treatment                       Grants Program
          to Medicaid                        Remaining Funds
A35 Tobacco Grant Program Funding History
Cancer, Cardiovascular Disease and Pulmonary Disease Competitive
Funded Projects Through June 30, 2012
                                                                                                              Tobacco Education, Prevention &
                                                                                                             Cessation Grant Program 2011-2012
                                                                                                                 Total Funding: $5,196,358

                                                                                                            $100,000    $100,000


                                                                                                                                        TFCCI (20)

                                                                                                                                        Cessation & Cessation
                                                                                                           $1,985,200                   Promotion (2)
                                                                                                                           $3,011,158   Youth Cessation (1)

                                                                                                                                        Outcome Evaluation (1)
Cancer, Cardiovascular Disease and Pulmonary Disease Competitive
Funded Projects Through June 30, 2012
                                                                                                                  Tobacco Free Colorado Communities
                                                                                                                          Initiatives 2011-2012
                                                                                                                    Total Funding: $3,011,158 (58%)

                                                                                                                      $150,156


                                                                                                             $300,000                         Youth Access (10)

                                                                                                                                              Strengthening CCIAA (4)

                                                                                                           $431,265              $1,496,816   Multi-Unit Housing (4)

                                                                                                                                              Technical Assistance (1)
                                                                                                             $632,920
                                                                                                                                              Public Relations Support (1)
Tobacco Grant Program Fiscal Year 2011-2012 Financial Status



      Grant Program Current Year Financial Trend Report
               July - September 2011 (Q1 - FY12)
                                                           % of Budget
                               Year-to-Date   % of Award     Period
 EXPENDITURES    Awarded        Expended      Expended      Elapsed
24 Grants       $ 5,196,358    $   639,311       12%          25%
                                                % of       % of Budget
                               Year-to-Date   Projected      Period
REVENUES        Projected       Received      Realized      Elapsed
                 $23,400,000   $ 6,679,613      29%           25%
Typical Grant Program Planning Calendar
       JULY – SEPTEMBER                    OCTOBER – DECEMBER                 JANUARY – MARCH                          APRIL – JUNE

ACTIVITIES FOR CURRENT YEAR GRANT PROGRAM

      Award kick-off meeting              Prior year actual                Mid Year Progress Reports
       (July)                               expenditures final;               due (Jan)
      Prior year actual revenues           reversions known (Oct)           Financial Status Report to
       final (August)                      Financial Status Report to        Review Committees for
      Fund balance statement               Review Committees (Oct)           any mid-year adjustments
       (September)
                 Legislative Council Services Updates Revenue Projections Quarterly (March, June, September, December) 

ACTIVITIES FOR NEXT YEAR GRANT PROGRAM

       Governor’s Office of               Financial Status Report to       General Assembly                   General Assembly recesses
       Planning & Budgeting                 Review Committees for             Convenes (Jan)                      (May)
       begins fund balance                  funding decisions (Oct)*         Applications Due (Feb)             BOH Review/Approval (April/
       analysis (August)                   RFA Planning (Oct-Nov)           Application Evaluation              May)
      Funding priorities/RFA              Governor publishes                (Feb/March)                        Awards/contracting for July 1
       planning                             proposed budget (Nov)            Announcement of intent              effective date
                                           RFA Publication                   to award contingent upon
                                            announcing funds                  BOH approval & fund
                                            available (Nov-Dec)               availability (March)
*RFA publishes projected funding availability nine months prior to start of award period and fourteen months prior to when actual revenue is
realized for that grant period. Projected variables becoming actuals noted in red font.
Projected Revenue Vs. Actual Revenue Retrospective

$27,000,000

$26,000,000
                              Projected Revenue @
$25,000,000                   Planning
                              Actual Revenue
$24,000,000                   Realized @ Year End


$23,000,000

$22,000,000

                                             Projected
$21,000,000                                                Actual Revenue
                                            Revenue at                        Variance
                                                         Realized at Year End
                                             Planning


                             FY08-09           $26.7M          $25.8 M         $.9M

                             FY09-10           $26.6M          $24.1M          $2.5M

                             FY10-11           $24.3M          $23.3M           $1M

                             FY11-12           $23.4M
Tobacco Grant Program Fiscal Year 2011-2012 Financial Status



  •Due to revenues trending downward, a potential cash
  shortfall has been identified at fiscal year end (June
  30, 2012).

  •CDPHE is identifying remedies through budget savings
  in the fund to avoid further reductions to grantees.

  •Savings have been identified in
  personnel, operating, indirect.
FY2012-2013 Grant Program Planning Calendar



           Activity              Oct-Dec 2011 Jan - Mar 2012 April-Jun 2012 July-Sept 2012 Oct-Dec 2012
Strategic Planning
Establish Funding Priorities
Finalize Grant Program Budget                                      $
Issue Jul-Oct Award Extensions
Publish RFA for Oct. 1 Start
Review Grants & Present Funding Recommendations
Budget Adjustments & Contracting                                                  $
Grant Program Kick-off Meeting
Tobacco Education, Prevention & Cessation




                                                 Cancer, Cardiovascular Disease and Pulmonary Disease Competitive
Proposed Continuation Funding July – Sept 2012                                                                                      Grant Program 2011-2012
                                                                                                                                    Total Funding: $5,196,358


                                                                                                                           $100,000    $100,000


                                                                                                                                                       TFCCI (20)

                                                                                                                                                       Cessation & Cessation
                                                                                                                          $1,985,200                   Promotion (2)
                                                                                                                                          $3,011,158
                                                                                                                                                       Youth Cessation (1)

                                                                                                                                                       Outcome Evaluation (1)




                                                                                                                    PROPOSAL FOR NON-COMPETITIVE CONTINUATION
                                                                                                                             FUNDING INTO FY2012-2013
                                                                                                                    • Continue all current grantees at current funding
                                                                                                                      level prorated for three months: July 1 –
                                                                                                                      September 30, 2012.
                                                                                                                    • Total FY12-13 Budget Impact: $1,299,090

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Tobacco budget update nov 2011a

  • 1. Presented to the Review Committee November 18, 2011
  • 2. Cancer, Cardiovascular Disease and Pulmonary Disease Competitive 1) Grant Program Funding Origins & History Budget Update Overview 2) Current Year Trend Report 3) Revenue Trends, Reductions & Grant Program Planning 4) Proposed Calendar for 2012-2013 Grant Program Planning 5) Proposed Continuation Funding July – September 2012
  • 3. Tobacco Taxes for Health-Related Purposes Statutory Distribution of .64 cent tax (A35) Revenue 3% 46% 19% 16% Infant Immunization Fund Health Care Expansion Primary Care Fund Tobacco Education, Supplemental OAP Health Fund, including Prevention & Cessation & Medical Care Fund reinstatement of Medicaid Grant Programs Fund Local Governments for legal immigrants 15% 16% Disease Management Health Disparities Cancer, CVD, CPD Transfer to HCPF Grant Program Prevention, Early $2M Detection & Treatment Fund Breast and Grant Program Cervical Cancer Expansion Administration Up to $5M Up to 5% CCPD Competitive $1.2M Treatment Grants Program to Medicaid Remaining Funds
  • 4. A35 Tobacco Grant Program Funding History
  • 5. Cancer, Cardiovascular Disease and Pulmonary Disease Competitive Funded Projects Through June 30, 2012 Tobacco Education, Prevention & Cessation Grant Program 2011-2012 Total Funding: $5,196,358 $100,000 $100,000 TFCCI (20) Cessation & Cessation $1,985,200 Promotion (2) $3,011,158 Youth Cessation (1) Outcome Evaluation (1)
  • 6. Cancer, Cardiovascular Disease and Pulmonary Disease Competitive Funded Projects Through June 30, 2012 Tobacco Free Colorado Communities Initiatives 2011-2012 Total Funding: $3,011,158 (58%) $150,156 $300,000 Youth Access (10) Strengthening CCIAA (4) $431,265 $1,496,816 Multi-Unit Housing (4) Technical Assistance (1) $632,920 Public Relations Support (1)
  • 7. Tobacco Grant Program Fiscal Year 2011-2012 Financial Status Grant Program Current Year Financial Trend Report July - September 2011 (Q1 - FY12) % of Budget Year-to-Date % of Award Period EXPENDITURES Awarded Expended Expended Elapsed 24 Grants $ 5,196,358 $ 639,311 12% 25% % of % of Budget Year-to-Date Projected Period REVENUES Projected Received Realized Elapsed $23,400,000 $ 6,679,613 29% 25%
  • 8. Typical Grant Program Planning Calendar JULY – SEPTEMBER OCTOBER – DECEMBER JANUARY – MARCH APRIL – JUNE ACTIVITIES FOR CURRENT YEAR GRANT PROGRAM  Award kick-off meeting  Prior year actual  Mid Year Progress Reports (July) expenditures final; due (Jan)  Prior year actual revenues reversions known (Oct)  Financial Status Report to final (August)  Financial Status Report to Review Committees for  Fund balance statement Review Committees (Oct) any mid-year adjustments (September) Legislative Council Services Updates Revenue Projections Quarterly (March, June, September, December)  ACTIVITIES FOR NEXT YEAR GRANT PROGRAM  Governor’s Office of  Financial Status Report to  General Assembly  General Assembly recesses Planning & Budgeting Review Committees for Convenes (Jan) (May) begins fund balance funding decisions (Oct)*  Applications Due (Feb)  BOH Review/Approval (April/ analysis (August)  RFA Planning (Oct-Nov)  Application Evaluation May)  Funding priorities/RFA  Governor publishes (Feb/March)  Awards/contracting for July 1 planning proposed budget (Nov)  Announcement of intent effective date  RFA Publication to award contingent upon announcing funds BOH approval & fund available (Nov-Dec) availability (March) *RFA publishes projected funding availability nine months prior to start of award period and fourteen months prior to when actual revenue is realized for that grant period. Projected variables becoming actuals noted in red font.
  • 9. Projected Revenue Vs. Actual Revenue Retrospective $27,000,000 $26,000,000 Projected Revenue @ $25,000,000 Planning Actual Revenue $24,000,000 Realized @ Year End $23,000,000 $22,000,000 Projected $21,000,000 Actual Revenue Revenue at Variance Realized at Year End Planning FY08-09 $26.7M $25.8 M $.9M FY09-10 $26.6M $24.1M $2.5M FY10-11 $24.3M $23.3M $1M FY11-12 $23.4M
  • 10. Tobacco Grant Program Fiscal Year 2011-2012 Financial Status •Due to revenues trending downward, a potential cash shortfall has been identified at fiscal year end (June 30, 2012). •CDPHE is identifying remedies through budget savings in the fund to avoid further reductions to grantees. •Savings have been identified in personnel, operating, indirect.
  • 11. FY2012-2013 Grant Program Planning Calendar Activity Oct-Dec 2011 Jan - Mar 2012 April-Jun 2012 July-Sept 2012 Oct-Dec 2012 Strategic Planning Establish Funding Priorities Finalize Grant Program Budget $ Issue Jul-Oct Award Extensions Publish RFA for Oct. 1 Start Review Grants & Present Funding Recommendations Budget Adjustments & Contracting $ Grant Program Kick-off Meeting
  • 12. Tobacco Education, Prevention & Cessation Cancer, Cardiovascular Disease and Pulmonary Disease Competitive Proposed Continuation Funding July – Sept 2012 Grant Program 2011-2012 Total Funding: $5,196,358 $100,000 $100,000 TFCCI (20) Cessation & Cessation $1,985,200 Promotion (2) $3,011,158 Youth Cessation (1) Outcome Evaluation (1) PROPOSAL FOR NON-COMPETITIVE CONTINUATION FUNDING INTO FY2012-2013 • Continue all current grantees at current funding level prorated for three months: July 1 – September 30, 2012. • Total FY12-13 Budget Impact: $1,299,090