2
TB Funding Awards
• Objective: reduce tuberculosis in California– match funding to disease burden– match funding to disease complexity– provide funding for statewide initiatives that
benefit all LHJ
• CTCA request: support currently unfunded LHJ– funding– other support
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What Other Support Does TBCB Provide?
• Technical assistance– clinical– CI/outbreak
• Laboratory support– MGIT by mail– molecular beacons– DST– NAAT?
• Special needs funds• Case conferences• Training
4
Current Local Assistance Funding Categories
• Base Award – federal/state– formula (20+ cases)– fixed award (6-19 cases)
• Housing/FSIE – state– housing personnel award– FSIE allotment– allocated based on applications submitted in 1997
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Funding BreakdownHousing,
Personnel, $1,207,611
FSIE, $758,398Federal Base, $3,581,176
State Base, $3,996,246
37%
13%
8%
42%
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Current Housing/FSIE Distribution
• Range $0-5400/case (median =$520)
• 18 LHJ with >0 cases/year received $0
• Unfunded LHJ had 0.5-64 cases/year (median = 1.5 cases)
• 7 LHJ receive only housing/FSIE
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Proposal
• Redistribute housing/FSIE distribution based on average case count• Expand formula to include all LHJ with 10+ cases• For LHJ with 10+ case, allocate housing/FSIE based on formula• Allocate proportion of all funds (base and housing/FSIE) to LHJ with <10
cases/year– 3.5% of cases– $318,000– $2500/case
• Reserve $83,000– training for RSHJ– laboratory support
MGIT by mail (benefits RSHJ) DST NAAT
– special needs
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Change
• 21 LHJ with 1-9 cases/year– 5 decrease (all 5 decrease >10%)– 16 increase – net $14,000 increase– 7 previously unfunded LHJs would receive funds (1-4
cases/year)• 24 LHJ with 10+ cases/year
– 14 decrease (7 decrease >10%)– 10 increase – net $96,000 decrease
Funding Comparison:Total Dollars per Case
Current• 1-10 Cases
– mean: $1800– median: $1200– range: $0-7500
• 10+ cases– mean: $4700– median: $4600– range: $2900-5600
Proposed• 1-10 Cases
– mean: $2500– median: $2500
• 10+ cases– mean: $4500– median: $4400– range: $3500-5500
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Summary
• TBCB provides both financial and technical support
• Current housing funding based on outdated allocation
• Revision of allocation could enable– funding for LHJs with fewer cases– more equitable distribution of funds – new technical support resources
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Questions?
Discussion after lunch•Thoughts on the concept (reallocation of housing funds)•Thoughts on the proposal
– funding for LHJs with 0 cases– funding for LHJs with 1-10 cases– funding for LHJs with 10+ cases– funding for NAAT and emergency funds
•Next steps?13
Current Funding ($) per Case
• 1-10 Cases– mean: $1800
– median: $1200
– range: $0-7500
• 10+ cases– mean: $4700
– median: $4600
– range: $2900-5600
14<10 cases 10+ cases
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