According to the US Bureau of Labor Statistics, the nation’s current unemployment rate sits at an uninspiring 9%. And with today’s economy ripe for continued hard times, this issue is often alarmingly compounded by an associated lack of domestic skilled workers available to fill necessary positions.

Ever since last November, when Republicans retook the majority in the U.S. House of Representatives, the G.O.P. has successfully focused the national policy agenda almost entirely on debt and deficits.

There are all kinds of disasters that require emergency response. Some of them occur naturally like pandemic influenza and hurricanes. Others are man-made disasters such as exploding bombs and other terrorist attacks. No matter the cause, health care providers play an essential role in the aftermath of these events, caring for the sick and wounded. In addition, health care entities play a major role in preventing certain catastrophes like the spread of infectious diseases. States and other regulatory agencies require hospitals and other health care organizations to be prepared for and able to respond to such emergencies.

The education funding landscape continues to evolve, especially at the Federal level where the final 2011 budget deal resulted in the elimination of many highly-anticipated grant programs. Popular programs such as Smaller Learning Communities, Enhancing Education Through Technology, Improving Literacy Through School Libraries, and Readiness and Emergency Management for Schools will not be offered this year. Other programs, such as the Teaching American History Grant, will only be available for continuation awards (meaning no new grant applications will be funded).

Goodbye, Homeland Security Advisory System (HSAS). Hello, National Terrorism Advisory System (NTAS). The HSAS, first implemented in response to the September 11th attacks, was designed to “inform all levels of government and local authority, as well as the public, to the current risk of terrorist acts.” As many of us know, the previous system was built on a five-level, color-coded threat condition indicator that attempted to assign a color according to the current threat level. Latent with unrealized benefits, this colorful experiment has officially ended as of April 2011. In its place we find DHS writing a new chapter of homeland security preparedness.

In the health sector, money continues to flow from the Prevention and Public Health Fund (PPHF), originally created in the health reform legislation passed in FY 2010 (Patient Protection and Affordable Care Act). The PPHF was created in the same vein as its predecessor from the American Recovery and Reinvestment Act of 2009, the Prevention and Wellness Fund (PWF). However, while PWF represented a one-time appropriation with limited impact, the PPHF has real dollars committed to it for the next 10 years. In total, the PPHF represents a $15 billion investment over the next decade in community-wide efforts to prevent disease and manage chronic conditions by detecting and controlling them before they become severe and require costly interventions.

By Vince Siragusa
May 2011

As an indication that federal lawmakers are increasingly committed to deficit reduction and reining in spending, the recent congressional compromise trims $38.5 billion over the remainder of federal fiscal year 2011. Inevitably, those asked to do more with less will continue to be called upon to follow up on this daunting assignment. While thrifty public and private organizations have long ago trimmed the proverbial fat from their operational costs, many homeland security grant programs, no longer exempt from the broader discretionary spending freezes, will now be required to meet the same task. Let us take some look at what we can expect in Department of Homeland Security spending in 2011.

The "Arab Spring" of revolutions and demonstrations across the Middle East began December 17, 2010 when street vendor Mohamed Bouazizi lit himself on fire in protest of political oppression. Since Bouazizi's self-immolation, two long-standing dictators, Zine El Abidine Ben Ali of Tunsia, and Hosni Mubarak of Egypt have been ousted, a civil war compelling international involvement has erupted in Libya, and brutal crackdowns continue across the increasingly volatile region.

On May 9, 2011, the U.S. Department of Transportation, led by Secretary Ray LaHood, announced the reallocation of $2 billion in high-speed rail grants. The re-awarding of $2 billion came as the result of Florida rejecting initial high-speed rail funding that had been awarded under the previous governor, Gov. Charlie Crist (R-FL).

Anyone paying attention to the health sector grant funding landscape is certain to see several opportunities each year specifically designed for rural health networks. Under these programs, the Health Resources and Services Administration (HRSA) distributes the majority of federal dollars available to formally organized rural health networks, which usually requires a pre-existing relationship (prior to grant announcement), while some is reserved for entities in the planning stages of network development. In Fiscal Year 2012 alone, HRSA has committed $17.2 million in funding for rural health networks. Since most of the commitments are for multi-year projects, the real funding total over the next three years will exceed $50 million.