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ARRA Investments in Oregon

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Learn more about ARRA and Medicaid

Teenage girl at the doctor's office
Human services programs drive Oregon's economic engine largely through increased federal matching funds for Medicaid programs. Here's how it works:

  • Medicaid programs are a partnership between the states and the federal government with the federal government paying the largest portion of costs. However, federal Medicaid funds are like matching dollars — states don't receive federal funds unless they first make an investment in the program. For every dollar the states invest in Medicaid programs the federal government matches with a dollar plus some.
  • The increase in ARRA Medicaid funding, including an additional increase because of the state's high unemployment rate, will help Oregon meet some of the budget shortfalls caused by the increased unemployment rate and skyrocketing demand for assistance programs like food stamps (SNAP), cash assistance and health care for the newly unemployed and their families.
  • An increase in the FMAP rate (Federal Medical Assistance Percentages- the matching rate) has allowed DMAP to continue serving Medicaid patients who otherwise might not receive medical treatment.
    • Components of OHP Plus' dental and optional services were directly maintained for more than 130,000 clients (OHP Plus serves qualifying children, adults over the age of 65, blind or disabled, pregnant women, and individuals receiving TANF or SSI).
    • The Breast and Cervical Cancer Program, serving approximately 400 clients, was maintained.
  • Nationally, ARRA provides an extra $87 billion over the next two years to help states maintain their Medicaid programs. Oregon expects to receive $807 million in funding.
  • A portion of the allocated Medicaid funds will prevent disenrollment of 3,000 recipients of assistance through the Family Health Insurance Program. This program helps families purchase insurance at a reduced cost or maintain insurance after a job loss similar to the COBRA program.

More about directly funded programs

  • DHS clients have received $28.7 million in direct SNAP benefits (food stamps) because of ARRA funding. As of July 30 more than 325,000 Oregon households were receiving food stamp benefits. ARRA increases the amount of available benefit dollars by 13 percent and lifts the three month time limit for unemployed childless adults to receive benefits.
  • Pre-TANF payments for 150 families remained at $970 per month instead of being reduced to $485 per month.
    • The purpose of the TANF program is to assist needy families so that children can be cared for in their own homes; reduce the dependency of needy parents by promoting job preparation, work and marriage; prevent out-of-wedlock pregnancies; and encourage the formation and maintenance of two-parent families. Pre-TANF payments help families meet basic living requirements while assessing eligibility and suitability for the TANF program.
  • The TANF UN program, which provides financial assistance to 1,400 two-parent families each month, was maintained through late 2010.
  • The Family Support and Connections program, designed to reduce the reliance of TANF clients on child care services, was preserved.
  • An ARRA increase in funding for the Child Care and Development Fund helps 12,000 families each month pay for suitable child care.
  • DHS will receive $243,000 to provide services to people with disabilities through Centers for Independent Living.
  • DHS will receive $6.1 million for vocational rehabilitation programs. Already more than 700 individuals have moved from the waiting list to the training program as a result of ARRA funding.
  • The Community Service Employment for Older Americans program will receive $350,000 to foster self-sufficiency in individuals 55 and older through training and job placement in unsubsidized jobs.

More about indirectly funded programs

  • Nearly 15,000 seniors and people with disabilities clients were able to keep their long-term care services because ARRA funding of other programs meant that eligibility requirements did not have to be increased to 100 percent of their Social Security Insurance benefit.
  • Almost 12,000 seniors and people with disabilities whose health insurance was threatened will be able to maintain coverage through OHP Plus.
  • 12,000 families have received $19.5 million in ARRA funds through the TANF Jobs Program or Employment Related Day Care.
  • The TANF Jobs program, which provides opportunities for education, job skills and on-the-job training, was reduced by $10 million rather than an anticipated $20 million for the biennium.
  • The current maximum length of time for TANF benefits (X) was maintained.
  • The Cooperative Incentive Payment for TANF clients following their plan and participating in self-sufficiency activities was maintained for more than 24,000 clients each month.
  • Recognition of SSI benefits as creating eligibility for TANF was maintained, protecting access to TANF services for almost 1,500 households each month.
  • Supportive or remedial daycare for families of children with special needs was maintained for 1,600 children.
  • Anticipated reductions to the Vocational Rehabilitation program were not taken.
    • DHS will receive $6.1 million for vocational rehabilitation services.
    • Reductions to the program would have increased the wait time for services; currently individuals seeking assistance have to wait up to eight months for placement in the program.
  • The System of Care child welfare services program was maintained. Funding for this program allows DHS to create collaborative partnerships to provide services based on the individual needs of children.
  • Nearly 500 beds for placement of special needs children were maintained through funding of Behavioral Rehabilitation Services.
  • Children with multiple mental health issues will continue to receive services through the Targeted Problem Child Residential Care program.