Similarly, those who live in districts dependent
on federal reimbursement should learn what they can from more successful districts — the reduction of inefficiencies, etc. — that may be replicable even without additional funding.
I just learned that late last month, the USDA announced the federal reimbursement rates for the 2010 - 2011 school lunch program (for background
on federal reimbursement and how it works, see my School Lunch FAQs).
The spending plan for the 2018 - 19 fiscal year has nearly $ 90 million in last - minute funding including hurricane - related items that are contingent
on federal reimbursements.
Not exact matches
These risks and uncertainties include: Gilead's ability to achieve its anticipated full year 2018 financial results; Gilead's ability to sustain growth in revenues for its antiviral and other programs; the risk that private and public payers may be reluctant to provide, or continue to provide, coverage or
reimbursement for new products, including Vosevi, Yescarta, Epclusa, Harvoni, Genvoya, Odefsey, Descovy, Biktarvy and Vemlidy ®; austerity measures in European countries that may increase the amount of discount required
on Gilead's products; an increase in discounts, chargebacks and rebates due to ongoing contracts and future negotiations with commercial and government payers; a larger than anticipated shift in payer mix to more highly discounted payer segments and geographic regions and decreases in treatment duration; availability of funding for state AIDS Drug Assistance Programs (ADAPs); continued fluctuations in ADAP purchases driven by
federal and state grant cycles which may not mirror patient demand and may cause fluctuations in Gilead's earnings; market share and price erosion caused by the introduction of generic versions of Viread and Truvada, an uncertain global macroeconomic environment; and potential amendments to the Affordable Care Act or other government action that could have the effect of lowering prices or reducing the number of insured patients; the possibility of unfavorable results from clinical trials involving investigational compounds; Gilead's ability to initiate clinical trials in its currently anticipated timeframes; the levels of inventory held by wholesalers and retailers which may cause fluctuations in Gilead's earnings; Kite's ability to develop and commercialize cell therapies utilizing the zinc finger nuclease technology platform and realize the benefits of the Sangamo partnership; Gilead's ability to submit new drug applications for new product candidates in the timelines currently anticipated; Gilead's ability to receive regulatory approvals in a timely manner or at all, for new and current products, including Biktarvy; Gilead's ability to successfully commercialize its products, including Biktarvy; the risk that physicians and patients may not see advantages of these products over other therapies and may therefore be reluctant to prescribe the products; Gilead's ability to successfully develop its hematology / oncology and inflammation / respiratory programs; safety and efficacy data from clinical studies may not warrant further development of Gilead's product candidates, including GS - 9620 and Yescarta in combination with Pfizer's utomilumab; Gilead's ability to pay dividends or complete its share repurchase program due to changes in its stock price, corporate or other market conditions; fluctuations in the foreign exchange rate of the U.S. dollar that may cause an unfavorable foreign currency exchange impact
on Gilead's future revenues and pre-tax earnings; and other risks identified from time to time in Gilead's reports filed with the U.S. Securities and Exchange Commission (the SEC).
The guest must be traveling
on official business and their travel expenses, including the lodging bill, must be paid by the
federal government, either directly, or by
reimbursement.
Moreover, I really want to hear from Mike McGalliard (either here
on TLT where he's commented before or perhaps
on next week's episode) how he plans to «scale up» a Carpinteria - style operation at West Adams using only
federal reimbursement dollars.
[24] Since the
federal reimbursement for a free meal is $ 2.68 (see Table 1), the revenue generated by each paid meal in these districts falls 61 cents short in elementary schools and 27 cents short in high schools,
on average.
[23] When combined with the 27 cent
federal reimbursement for most paid lunches, this means these districts are collecting,
on average, $ 2.07 for each paid lunch in elementary schools and $ 2.41 in high schools.
Not only will The Wellness Impact help you make your case for the positive impact school breakfast has
on student cognition and behavior, it can help you make your «dollars and cents» case as well; BIC often has a dramatic impact
on participation numbers at breakfast, which means leaving fewer
federal reimbursement dollars
on the table.
Because,
on average, the prices charged for paid meals and competitive foods do not cover the cost of providing those foods, as explained above, this system facilitates cross-subsidization of paid meals and competitive food with
federal reimbursements for free and reduced price meals.
The
federal reimbursement for free meals is one measure of how much is intended to be spent
on producing a reimbursable meal.
[31] Once school districts have earned
federal reimbursements through the National School Lunch or School Breakfast Programs by serving reimbursable meals, they may spend the funds
on any nonprofit school food program they operate.
There is no regulatory requirement that
federal reimbursements for free and reduced price meals be spent only
on those meals or that records differentiate between the costs and revenues of the various aspects of the school food program.
In opting out, the school system would miss out
on about $ 900,000 in annual
reimbursements from the
federal government, said Christine Frole, District 214 director of food and nutrition.
I get it that JO has brought more attention to the school food issue, but it is so often the wrong kind of attention, the kind that seeks to blame those lowest
on the food chain — the cafeteria ladies, the local schools, the local nutrition director — for problems which are coming from the top — the criminally low
Federal funding that forces schools to rely
on cheap processed food; the thicket of government regulation which must be followed no matter how senseless, and hoops which must be jumped through to get the pitifully low
reimbursement; the lack of ongoing
Federal funds to pay for equipment repair or kitchen renovation, forcing schools to rely
on preprocessed food instead of scratch cooking, unless they can pass the hat locally to pay for a central kitchen to cook fresh meals.
But when you're serving 250,000 meals a day in Houston (or 700,000 in L.A.)
on limited
federal reimbursement dollars from a central kitchen, I can tell you with some confidence the food is going to look a lot more like the pictures I showed you above than it's going to look like the West Adams culinary students» brightly - hued, scratch - prepared wraps and salads.
Somehow Los Angeles USD and other districts around the country are serving school meals
on the same
federal reimbursement as everyone else and not serving beef with pink slime.
The bill, a priority for the president and first lady Michelle Obama, would boost spending
on child nutrition $ 4.5 billion over 10 years and raise
federal reimbursements for school lunches more than the inflation rate for the first time since 1973.
-LSB-...] It all goes back to a question that's been debated hotly
on this blog for a long time (see «Why I Rained
on Someone's School Food Reform Parade» and the posts linked to it): can a school district ever «get it right» using just the
federal reimbursement rate?
[* Editor's Note: All school districts receive the same
federal meal
reimbursement based
on each participating student's socioeconomic status.
Shows like Jamie Oliver's «Food Revolution,» and school districts like Chef Ann Cooper's former district in Berkeley, CA and current district in Boulder, CO, are often held up as examples of what's possible in school food reform, yet it's seldom ever mentioned that in each of these cases, far more money is being spent
on those meals than the current
federal reimbursement rate — and far more than that rate plus six cents.
Right now, the
federal reimbursements for school meals are so woefully inadequate that food service directors have less than a dollar to spend
on creating a healthy lunch.
School board officials said The Healthy, Hunger - Free Kids Act of 2010 requires them to change pricing because the law states that schools must charge
on average no less for paid student meals than the district receives in
federal free meal
reimbursement.
This funding can come in the form of a state
reimbursement for free and reduced price meals paid
on top of the
Federal reimbursement; for example, the state of California is supposed to give schools an extra.219 for every meal served to a qualifying low income child (in fact, due to the ongoing budget crisis in California, that
reimbursement has not always been paid for every qualifying meal in recent years.)
Tables showing the per meal
federal reimbursement rates for the Afterschool Meal Program and Summer Food Service Program, as well as projected annual program income based
on the number of children served.
Democratic Congressman Brian Higgins said he would back GOP Congressman Chris Collins» plan for the
federal government to hold back
on some healthcare
reimbursement if state leaders continue to take money from counties for Medicaid.
On topic questions included funding for items in the City's SIRR report and whether there is an alternative source for such items, whether the mayor is satisfied with the pace of City spending of federal money for Sandy relief, whether the mayor is confident of reaching his 500 construction starts and 500 reimbursement checks by Labor Day, Comptroller Scott Stringer's report on a lack of oversight on spending by the Department of Homeless Services, whether the City has the «right formula» for Build It Back, the total number of homes damaged by Sandy and when all will reached through Build It Back, how many of the 132 construction starts to date are repairs and how many are rebuilds and whether the mayor has closely examined the City's emergency management system in the context of preparing for a future coastal stor
On topic questions included funding for items in the City's SIRR report and whether there is an alternative source for such items, whether the mayor is satisfied with the pace of City spending of
federal money for Sandy relief, whether the mayor is confident of reaching his 500 construction starts and 500
reimbursement checks by Labor Day, Comptroller Scott Stringer's report
on a lack of oversight on spending by the Department of Homeless Services, whether the City has the «right formula» for Build It Back, the total number of homes damaged by Sandy and when all will reached through Build It Back, how many of the 132 construction starts to date are repairs and how many are rebuilds and whether the mayor has closely examined the City's emergency management system in the context of preparing for a future coastal stor
on a lack of oversight
on spending by the Department of Homeless Services, whether the City has the «right formula» for Build It Back, the total number of homes damaged by Sandy and when all will reached through Build It Back, how many of the 132 construction starts to date are repairs and how many are rebuilds and whether the mayor has closely examined the City's emergency management system in the context of preparing for a future coastal stor
on spending by the Department of Homeless Services, whether the City has the «right formula» for Build It Back, the total number of homes damaged by Sandy and when all will reached through Build It Back, how many of the 132 construction starts to date are repairs and how many are rebuilds and whether the mayor has closely examined the City's emergency management system in the context of preparing for a future coastal storm.
Both hospitals fall under the umbrella of the Greater Hudson Valley Health System, which announced the cuts
on Monday due to substantial reductions in
reimbursement from the
federal and state governments and decreases in revenue caused by healthcare reform.
A longer one, though, could imperil many of the services that we provide to our citizens, as we administer a wide array of
federal programs and rely
on them for
reimbursement of program costs.
Ravitch also wants to take Medicaid out of the political process
on the state level, switching
reimbursement authority from the Legislature, which he says «micromanages rate changes,» to an independent panel similar to the
federal Medicare model.
«I just want to remind Lagosians that prior to my becoming Governor, the
Federal Ministry of Works has been owing Lagos State a total of N51billion as reimbursement for reconstruction that was carried out by the State Government on federal roads in the
Federal Ministry of Works has been owing Lagos State a total of N51billion as
reimbursement for reconstruction that was carried out by the State Government
on federal roads in the
federal roads in the State.
The
Federal Government had, in December 2016, approved the sum of N522.74 bn to be paid to the 36 states of the federation as part of the
reimbursement of the over-deduction
on the Paris Club loan from 1995 to 2002.
Democratic Rep. Brian Higgins said he would back GOP Rep. Chris Collins» plan for the
federal government to hold back
on some healthcare
reimbursement if state leaders continue to take money from counties for Medicaid.
KINGSTON — Republican congressional candidate George Phillips said
on Friday that Kingston Hospital is losing about $ 10 million per year in
federal reimbursements, and he accused Rep. Maurice Hinchey of not correcting the problem.
Brooklyn Assemblyman William Boyland Jr., already under indictment
on federal bribery charges, is now being investigated by Albany County DA David Soares and state Comptroller Tom DiNapoli for allegedly claiming taxpayer - funded
reimbursement of bogus expenses.
At 10:30 a.m., Sen. Chuck Schumer and US DOT Secretary Anthony Foxx will provide an update
on post-Sandy recovery and resiliency work
on the R Train's Montague tunnel between Manhattan and Brooklyn and lay out the
federal reimbursement plan being processed by the FTA, intersection of Montague and Furman streets, Brooklyn.
He says he is not clear if this will all have any impact
on the request for
federal reimbursement of storm costs.
«It's relying
on H+H to achieve expense reductions that it's not been able to do previously,
on MetroPlus
reimbursements and
on federal waivers for Medicaid money, which are highly uncertain.»
The state's 57 counties (and New York City) administer hundreds of
federal and state programs, he noted, «all
on a
reimbursement basis, where the local taxpayer bears 100 percent of the cost up front.»
The only way to change the Medicaid
reimbursement rate is through Congress, and if that does not happen, an administrative waiver that brings back
federal dollars to reduce the costs of care takes
on even greater importance because the island will need to find a way to stretch the dollars it does receive, and reduce the overall expense of the program.
Ravitch recommends a major administration consolidation and says that the state needs to fight for a more equitable
federal reimbursement on Medicaid claims.
The Economic Financial and Crimes Commission has denied a report claiming that the Commission has indicted all the governors of the 36 states of the Federation and the Senate President, Bukola Saraki in the ongoing investigation of the
reimbursement paid to state governments by the
Federal Government for excessive deduction charged to them
on account of the Paris Club and other international loans.
The NYPD spent more than $ 25 million
on what de Blasio called the «unprecedented security challenge» of protecting Trump in the weeks after the election — when he held court in his penthouse apartment
on Fifth Avenue, and where his wife and youngest son still live — and had been seeking
federal reimbursement.
And to comply with
federal requirements
on Medicaid
reimbursement, Cuomo will have to trim the health care portion of the budget, says budget director Robert Megna.
In addition to his tenure at Lilly, he also consulted for various biopharmaceutical and health insurance companies
on federal and state policy, sales, marketing, pricing,
reimbursement, access and distribution.
Stein's amendment, which would have excluded
federal school lunch
reimbursement monies from charter schools» coffers was defeated
on the Senate floor prior to the bill's passage.
According to a US
federal Department of Education survey released
on Tuesday, 94 per cent of public school teachers in the United States reported paying for supplies without
reimbursement in the school year that straddled 2014 and 2015.
According to Kate Baker, the president of NEO, the
reimbursement model has been «a significant burden» for many families.25 Since NEO prioritizes based
on need, 98 percent of homeschooling scholarship families in the first year of the program had a total household income that would have qualified them for the
federal free or reduced - price lunch program (185 percent of the
federal poverty line, or $ 43,568 for a family of four in 2012 - 13), including 77 percent who would have qualified for a «free lunch» (130 percent of the
federal poverty line, or $ 30,615 for a family of four in 2012 - 13).26
With low
federal reimbursement rates for school meals (42 cents for paid meals, $ 2.81 for reduced - price meals and $ 3.21 for free meals), the added cost of healthy food gets passed
on to families that can least afford it.
At Saturday's meeting, the board also discussed its
reimbursements from the
federal government for Internet and telecommunications services, as well as a general update
on the budget.