Overview & Trends

Susan L. Vaughn, MEdNASHIA Director of Public Policy

www.nashia.org

Brain Injury Trust Funds

www.nashia.org

24 States with Trust Funds

• Dedicated Funding– Identifies Revenue Generator

– Defined Purpose; Use of Funds

• Designates State Agency Administration

• Advisory Board/Council

www.nashia.org

State Legislation

• Fines, Surcharges or Fees

• Collected Usually at County Level

• Deposited State Treasury; Non-reverting account

• Appropriated to State Agency

www.nashia.org

Revenue

• Maryland – No Fund Generator

• Montana – Voluntary Donation

• Connecticut Passes Through to CT BIA

• Not All States Refer to as “Trust Fund”

www.nashia.org

Exceptions

• Defines TBI or ABI

• Spinal Cord Injury (8 States)

• Other Qualifying Factors• Age

• Last Resort

• Caps

www.nashia.org

Eligibility

• Public Education

• Prevention

• Registry

• Research

• Array of Services and Supports

• Council/Boardwww.nashia.org

Purpose

Trends

• Revenue Declining (9)

• Staying the Same (7)

• NM Expanded to Non-Traumatic

• MO Pursuing Legislation to Increase Fines

• MA Increased Revenue Available

Trends

• Reprioritizing Services

• Shifting Administration Costs

• Pursuing HCBS Waiver

• Considering Legislation to Increase Revenue