Public Spending for Selected Health and Social Programs in Michigan. By County, FY2004. August 2005

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1 Tax Dollars at Work Public Spending for Selected Health and Social Programs in Michigan By County, FY2004 August 2005 Michigan League FOR Human Services 1115 S. Pennsylvania Avenue, Suite 202, Lansing, MI (517) Fax: (517)

2 T Tax Dollars at Work Public Spending for Selected Health and Social Programs in Michigan By County, FY2004 his report includes spending and recipients for a number of programs administered by the Departments of Human Services, Community Health, Education, and Labor and Economic Growth. The current debate over spending reductions or revenue increases for public programs heightens the importance of understanding both the human impact of these programs and the dollar value of these programs as an economic stimulus in Michigan communities. These programs provide vital services to the poor, ranging from the young through the elderly, and from families to individuals. Program reductions, discussed in aggregate at the state level, may not seem drastic, but are often devastating to deal with at the individual or the community level. For example, proposals in the FY2006 budget to close individual prisons have generated much debate as the local economic impacts have been identified. So it is with the programs included in this report. Therefore, it is critical to understand potential local impacts on both the citizenry and the local economy when program reductions are discussed at the state level. Studies continue to confirm the benefits of public spending to maintain public services and to promote economic and job growth. Not only do many public programs garner federal funds that match or exceed the state funds invested, but these public program expenditures also create demand for other goods and services and expenditures within local communities. For example, a Family Independence Program payment to a recipient will generate income to a landlord or utility company who will, in turn, use the funds to purchase goods or services or pay employees. A Medicaid provider payment will generate income to the provider that will, in turn, be used to pay employee salaries and purchase other goods or services. In addition, strong public services and infrastructure provide the support that businesses seek when determining where to locate. Low taxes and business incentives are not the only factors that attract businesses. Recently, Toyota Motor Company left $200 million of tax breaks and incentives on the table in Alabama, and decided to build their plant in Ontario, Canada with an offer of half of the tax breaks, but a better educated and more skilled workforce. Public investment won out over tax breaks. Individual county profiles for Tax Dollars at Work are available that identify not only the amount of revenue flowing into the community for various programs, but also the number of people impacted by selected programs and services. Individual county profiles can be found on the Michigan League for Human Services website at We hope the data in this report will be helpful to you. H. Lynn Jondahl, Board Chair Ann Marston, President and CEO Michigan League for Human Services Michigan League for Human Services Michigan League FOR Human Services Page 2

3 Michigan Highlights While FY2004 spending for the selected programs included in this report increased by about $745 million over FY2003 spending, over $500 million of the increase is federal funds that provided economic stimulus to local communities. Summary of safety net spending, by category, statewide: Total Public Spending for Selected Programs $11.5 billion Health Care $7.5 billion (65.0%) Income $1.6 billion (13.5%) $1.14 billion is Supplemental Security Income Nutrition Services $1.2 billion (10.5%) Work Support $603.0 million (5.2%) Children s Services $547.2 million (4.8%) Emergency Services $110.9 million (1.0%) Tax Dollars at Work: Public Spending for Selected Health and Social Programs FY2004 Medical 65.0% Work Support 5.2% Children's Services 4.8% Income 13.5% Nutrition Services 10.5% Emergency Services 1.0% Family Independence Program 3.4% State Disability 0.3% Supplemental Security Income 9.9% At the state level, medical services and supports represent nearly two thirds of the safety net spending at $7.5 billion, assisting not only low-income adults and children with needed medical care, but also providing significant economic opportunity and jobs within the community. The next largest individual program of safety net spending is the Supplemental Security Income program, providing $1.14 billion in federal and state funded cash assistance to aged, blind, and disabled recipients. Of the $1.14 billion, about $57 million are state funds, the balance is federal funds. Other cash assistance programs (Family Independence Program and State Disability ) total about $420 million. Spending for Work Support programs, which include the Child Day Care Program and Work First/Welfare to Work Programs, provides over $600 million of services to families and individuals, and infuses a like amount of revenue into communities. More than 85 percent of safety net spending goes directly to service providers in local communities, assisting not only the individuals and families, but also the economies of the local communities. While health care is the major component of safety net spending, the percentage of total public social and health expenditures that relate to health care spending varies considerably among counties from lows in Genesee (57.2%) and Wayne (58.8%), to a high in Iron County of 81.9%. Total state spending to support Day Care Services exceeds Family Independence Program cash assistance spending by nearly $100 million. Nearly every program included in this analysis brings federal dollars to the State of Michigan and provides a return to Michigan of the tax dollars paid to the federal government. Michigan League FOR Human Services Page 3

4 Public Spending for Selected Health and Social Programs in Michigan Income Nutrition Services COUNTY Family Independence Program State Disability Supplemental Security Income ~ Estimated Food Program School Lunch & Breakfast Programs Summer Food Programs Women, Infants & Children Program State Totals $391,262,056 $29,316,202 $1,135,091,100 $901,024,626 $166,504,546 $3,742,188 $137,625,365 Alcona 201,797 31,179 1,331, , , ,581 Alger 112,838 16, , , , ,580 Allegan 1,715, ,581 7,740,400 6,883,517 1,762,957 33,786 1,172,494 Alpena 870, ,355 4,564,600 3,397, , ,939 Antrim 310,157 65,228 1,944,300 1,294, ,965 24, ,774 Arenac 484,161 81,149 2,389,700 2,045, , ,983 Baraga 271,034 23, , , , ,911 Barry 1,187, ,716 3,437,900 3,779, , ,722 Bay 3,687, ,419 12,236,900 10,912,879 1,881, ,569,573 Benzie 215,021 40,588 1,425,500 1,027, , ,494 Berrien 6,764, ,918 24,437,100 18,305,071 3,601, ,713 2,442,442 Branch 1,296, ,367 4,024,800 3,508, , ,409 Calhoun 6,626, ,749 20,936,400 16,133,810 2,666,406 98,271 2,311,949 Cass 1,489, ,937 5,025,800 4,916, ,322 45, ,002 Charlevoix * * * * 477, ,907 Cheboygan 546,834 77,279 2,903,300 2,582, , ,275 Chippewa 843, ,805 3,899,000 3,030, ,210 5, ,705 Clare 1,365, ,002 5,754,200 4,546, ,089 20, ,751 Clinton 611,711 49,398 2,992,400 2,684, , ,381 Crawford 382,288 42,221 1,698,000 1,488, ,473 6, ,154 Delta 749, ,737 4,444,100 3,636, , ,311 Dickinson 334,335 66,877 2,400,200 1,741, ,451 2, ,007 Eaton 1,795, ,668 6,189,200 6,016,827 1,567, ,171 Emmet 510, ,042 4,166,300 2,909, , ,304 Genesee 34,820,950 1,786,981 68,133,600 62,139,511 8,962, ,502 6,601,768 Gladwin 597,820 94,965 3,249,200 2,681, ,180 7, ,597 Gogebic 566,641 41,189 2,038,600 1,635, , ,500 Gr. Traverse 954, ,886 6,084,400 5,376,460 1,375,230 25, ,609 Gratiot 1,087,961 67,520 4,727,100 3,319, , ,508 Hillsdale 861, ,136 5,141,100 3,535, , ,336 Houghton 449, ,760 3,799,500 2,619, ,249 2, ,346 Huron 521, ,797 3,935,700 3,007, , ,649 Ingham 8,758, ,589 30,647,300 25,529,290 4,606, ,178 3,606,551 Ionia 1,329, ,870 5,230,200 4,889,826 1,093,908 22, ,990 Iosco 720,451 86,133 3,296,400 3,485, ,635 3, ,989 Iron 330,596 88,130 1,509, , , ,804 Isabella 1,288, ,391 5,921,900 4,575, , ,499,103 Jackson 5,641, ,653 17,886,300 14,513,960 2,961, ,150 2,456,931 Kalamazoo 9,383, ,240 24,751,500 21,566,192 3,636, ,541 3,120,665 Kalkaska 365,048 83,948 1,986,200 1,700, , ,090 *See notes on back page. Page Michigan League FOR Human Services

5 Public Spending for Selected Health and Social Programs in Michigan Work Support Emergency Services COUNTY Child Day Care Work First & Welfare to Work ~ Estimated State Emergency Relief (Excludes Burials) State Emergency Relief: Burials Energy State Totals $488,391,521 $114,561,100 $11,563,841 $5,500,572 $93,809,489 Alcona 244,260 75,000 8,463 3, ,108 Alger 215,948 71,400 6,268 1, ,917 Allegan 2,388, ,200 51,585 22, ,326 Alpena 1,210, ,900 18,371 14, ,497 Antrim 637, ,900 21,402 9, ,953 Arenac 439, ,700 13,638 6, ,889 Baraga 157, ,500 12,182 5, ,395 Barry 1,295, ,600 93,214 27, ,536 Bay 5,877,545 1,243, ,043 63,139 1,034,879 Benzie 609,290 98,800 20,694 5, ,204 Berrien 9,955,368 2,450, ,815 96,358 1,466,953 Branch 1,431, ,000 63,880 15, ,624 Calhoun 7,121,305 2,324, ,626 70,061 1,384,261 Cass 1,928, ,600 62,925 20, ,871 Charlevoix * 50,100 * * * Cheboygan 1,031, ,300 30,659 17, ,043 Chippewa 1,201, ,700 34,164 9, ,826 Clare 999, ,600 66,010 13, ,050 Clinton 1,361, ,900 49,751 5, ,709 Crawford 509, ,100 17,226 5, ,515 Delta 1,215, ,400 61,516 19, ,324 Dickinson 457, ,900 5,513 4, ,571 Eaton 3,786, , ,534 12, ,067 Emmet 1,507,392 62,300 22,464 27, ,361 Genesee 45,100,218 11,375,800 1,213, ,512 5,894,271 Gladwin 612, ,000 26,355 9, ,219 Gogebic 341, ,300 52,120 10, ,239 Gr. Traverse 2,984, ,700 63,968 9, ,431 Gratiot 1,289, ,400 19,503 9, ,555 Hillsdale 1,175, ,200 49,644 19, ,611 Houghton 434, ,800 36,605 17, ,345 Huron 762, ,600 12,206 6, ,018 Ingham 15,378,210 3,066, , ,166 2,315,820 Ionia 1,514, ,000 96,802 20, ,141 Iosco 1,135, ,700 46,390 8, ,907 Iron 183, ,800 7,827 3, ,139 Isabella 1,752, ,500 70,442 10, ,121 Jackson 6,223,070 1,808, ,789 59,728 1,660,571 Kalamazoo 10,930,215 2,788, , ,495 1,834,816 Kalkaska 721, ,900 24,689 7, ,383 *See Notes on Back Page Michigan League FOR Human Services Page 5

6 Public Spending for Selected Health and Social Programs in Michigan Health Care Children s Services COUNTY MIChild Home Help Services Medical ~ Estimated Child Care Fund Foster Care (Title IV-E and State Ward Board & Care) GRAND TOTAL State Totals $39,861,349 $176,883,180 $7,270,579,000 $338,189,621 $208,977,598 $11,512,883,354 Alcona 76, ,502 10,139,100 89,765 90,123 13,865,566 Alger 51,668 97,944 7,589,000 15,596 42,092 10,162,582 Allegan 384, ,082 65,544,000 4,083, ,376 95,255,434 Alpena 153, ,915 29,288, , ,664 43,299,502 Antrim 142, ,340 18,275, , ,894 25,100,650 Arenac 76, ,805 16,586,400 31, ,584 24,161,746 Baraga 40, ,824 8,843,800 11, ,847 12,235,082 Barry 222, ,178 28,094, , ,837 42,445,700 Bay 460,704 2,090,181 88,294,900 1,637,158 1,444, ,975,996 Benzie 165, ,845 14,272, ,105 69,441 19,294,783 Berrien 762,267 2,617, ,399,700 3,584,891 3,664, ,296,563 Branch 218, ,821 36,176, , ,080 51,210,071 Calhoun 642,070 2,389, ,194,700 4,872,531 2,927, ,507,513 Cass 217, ,342 34,328, ,614 2,363,849 54,451,751 Charlevoix 159,218 * 18,452, ,160 * 20,134,021 Cheboygan 242, ,799 22,230, , ,708 33,360,824 Chippewa 194, ,837 29,842, ,816 1,225,479 43,433,631 Clare 189, ,490 32,409, , ,307 49,522,288 Clinton 200, ,104 28,128, , ,853 39,571,261 Crawford 74, ,702 12,811, , ,228 18,839,770 Delta 281, ,097 37,161, , ,567 51,678,957 Dickinson 141, ,371 24,357, , ,605 32,058,162 Eaton 390,162 1,290,208 50,653,700 2,507, ,055 77,161,655 Emmet 241,035 1,015,807 25,492, , ,367 38,948,251 Genesee 2,082,996 11,563, ,769,700 10,191,023 16,936, ,343,109 Gladwin 159, ,430 24,761,700 22, ,444 34,432,532 Gogebic 79, ,578 22,278,300 18, ,554 29,085,145 Gr. Traverse 525,929 1,036,871 56,781,600 1,155,453 2,046,936 80,558,029 Gratiot 159, ,535 40,458, , ,409 55,234,588 Hillsdale 221, ,021 35,753, , ,396 51,460,943 Houghton 157, ,934 39,358, , ,668 50,348,457 Huron 186, ,708 33,385, ,470 1,106,357 45,710,275 Ingham 1,128,161 4,873, ,870,000 9,738,576 9,367, ,665,486 Ionia 312, ,115 37,687, , ,434 56,280,847 Iosco 150, ,710 25,333, , ,342 37,255,451 Iron 112, ,638 19,213,400 78, ,405 24,011,797 Isabella 163,694 1,267,098 70,333,200 1,816,205 1,004,860 93,430,349 Jackson 800,251 2,368, ,362,800 3,678,686 3,965, ,034,174 Kalamazoo 731,492 4,370, ,439,700 6,867,825 7,175, ,157,976 Kalkaska 148, ,823 16,622, , ,581 23,765,616 *See Notes on Back Page Page Michigan League FOR Human Services

7 Public Spending for Selected Health and Social Programs in Michigan Income Nutrition Services COUNTY Family Independence Program State Disability Supplemental Security Income ~ Estimated Food Program School Lunch & Breakfast Programs Summer Food Programs Women, Infants & Children Program State Totals $391,262,056 $29,316,202 $1,135,091,100 $901,024,626 $166,504,546 $3,742,188 $137,625,365 Kent 22,112,799 1,622,559 59,932,000 49,779,676 10,234, ,736 10,066,396 Keweenaw 23,205 18, , , Lake 710,693 97,207 3,023,800 1,930, ,667 8, ,257 Lapeer 1,333, ,209 4,674,700 4,392,341 1,534,705 27,050 1,108,029 Leelanau * * * * 229, ,777 Lenawee 1,725, ,469 8,500,300 6,007,954 1,845,328 15, ,055 Livingston 677, ,998 3,867,600 3,395,251 1,776,515 34, ,765 Luce 200,767 24,208 1,441, , , ,466 Mackinac 105,036 17, , , , ,077 Macomb 11,671,580 1,359,274 51,499,800 40,673,457 8,691,317 48,472 4,949,191 Manistee 577,753 86,259 2,730,400 2,179, ,215 5, ,039 Marquette 1,189, ,420 5,162,000 4,473, ,825 39, ,114 Mason 902,489 61,826 3,238,700 2,775, ,272 17, ,317 Mecosta 974, ,670 4,522,700 4,693, , ,377 Menominee 395, ,921 2,153,900 1,951, , ,259 Midland 1,530, ,011 6,508,900 5,601,498 1,053,908 14, ,752 Missaukee * * * * 292, ,891 Monroe 2,897, ,800 10,774,800 8,119,421 2,077,562 5,503 1,455,489 Montcalm 1,382, ,481 7,069,600 5,453,138 1,526, ,795 Montmorency 240,359 50,193 1,378,300 1,075, , ,625 Muskegon 12,971, ,522 27,198,900 24,170,700 4,028, ,354 3,401,835 Newaygo 1,323, ,952 5,974,300 5,032,018 1,006,559 25, ,027 Oakland 16,214,713 1,600,133 79,133,700 44,324,062 13,651, ,989 7,452,214 Oceana 1,516,959 85,326 3,432,600 3,539, ,529 70, ,767 Ogemaw 681, ,111 3,422,100 2,964, , ,601 Ontonagon 168,930 7, , , , ,829 Osceola 750, ,843 3,343,500 2,864, , ,055 Oscoda 256,738 59,116 1,341,600 1,096, , ,530 Otsego 354,182 44,122 2,138,200 1,932, , ,621 Ottawa 2,193, ,231 9,632,300 9,868,153 3,279,630 96,797 2,472,259 Presque Isle 140,591 36,572 1,567, , , ,144 Roscommon 801, ,133 3,448,300 3,401, , ,478 Saginaw 15,393, ,754 36,731,600 27,807,595 4,566,612 69,666 1,119,586 St. Clair 5,544, ,003 13,264,100 13,752,112 2,492,373 18,797 2,067,807 St. Joseph 1,663, ,952 5,953,400 6,045,105 1,395,252 58,317 1,146,006 Sanilac 1,235, ,124 4,250,200 4,682,293 1,096, ,263 Schoolcraft 263,475 22,009 1,284, , ,127 1, ,098 Shiawassee 1,452,479 88,815 6,508,900 5,911,774 1,365, ,003,463 Tuscola 1,124, ,823 5,618,000 4,419,685 1,410,624 35, ,752 Van Buren 3,053, ,839 10,193,000 9,072,399 2,395, ,766 1,141,428 Washtenaw 5,981, ,930 19,526,600 14,696,745 3,696,829 85,518 2,568,889 Wayne 167,996,359 9,021, ,775, ,502,654 38,425,112 1,115,568 45,016,362 Wexford 1,473, ,860 5,691,300 5,087, , ,437 *See Notes on Back Page Michigan League FOR Human Services Page 7

8 Public Spending for Selected Health and Social Programs in Michigan Work Support Emergency Services COUNTY Child Day Care Work First & Welfare to Work ~ Estimated State Emergency Relief (Excludes Burials) State Emergency Relief: Burials Energy Page 8 State Totals $488,391,521 $114,561,100 $11,563,841 $5,500,572 $93,809,489 Kent 29,424,904 6,788,100 1,130, ,608 4,069,014 Keweenaw 13,045 13,600 3,013 2,553 64,188 Lake 513, ,500 25,488 8, ,990 Lapeer 1,701, ,500 38,510 12, ,322 Leelanau * 28,600 * * * Lenawee 3,438, ,000 72,793 25, ,293 Livingston 1,450, ,300 18,248 13, ,976 Luce 219,891 73,800 8,419 1, ,965 Mackinac 230,439 89,200 5,031 7, ,795 Macomb 16,103,110 2,571, , ,477 3,438,307 Manistee 557, ,300 25,911 14, ,236 Marquette 1,420, ,100 55,438 18, ,681 Mason 1,223, ,200 52,855 12, ,325 Mecosta 1,197, ,300 54,356 12, ,070 Menominee 516, ,100 14,976 5, ,070 Midland 2,209, ,900 72,924 24, ,087 Missaukee * 128,200 * * * Monroe 3,437,022 1,079,400 78,783 33, ,672 Montcalm 1,211, ,800 62,856 27, ,423 Montmorency 268,193 85,600 16,343 3, ,519 Muskegon 9,675,577 3,797, , ,722 2,135,783 Newaygo 1,360, ,700 54,310 18, ,064 Oakland 26,072,029 4,637, , ,495 3,651,157 Oceana 1,604, ,500 69,114 10, ,834 Ogemaw 985, ,000 66,367 17, ,466 Ontonagon 136,275 70,500 21,872 1, ,930 Osceola 764, ,500 35,432 8, ,610 Oscoda 248,186 85,600 18,511 3, ,511 Otsego 1,487, ,600 24,909 13, ,630 Ottawa 4,444, ,100 53,470 25, ,862 Presque Isle 225,401 85,600 8,579 5, ,443 Roscommon 1,244, ,300 94,743 26, ,871 Saginaw 19,273,000 4,537, , ,437 3,276,564 St. Clair 6,299,060 1,599, ,848 62,568 1,379,291 St. Joseph 2,109, , ,829 26, ,282 Sanilac 1,396, , ,998 15, ,905 Schoolcraft 241, ,800 4,332 5, ,864 Shiawassee 2,079, ,500 74,389 22, ,751 Tuscola 1,395, ,300 45,536 20, ,428 Van Buren 3,515,366 1,170, ,943 44, ,790 Washtenaw 9,384,591 1,681, ,486 59,940 1,184,596 Wayne 191,323,733 41,949,600 2,091,438 2,534,148 30,967,290 Wexford 1,864, ,600 81,503 23, ,177 *See Notes on Back Page Michigan League FOR Human Services

9 Public Spending for Selected Health and Social Programs in Michigan Health Care Children s Services COUNTY MIChild Home Help Services Medical ~ Estimated Child Care Fund Foster Care (Title IV-E and State Ward Board & Care GRAND TOTAL State Totals $39,861,349 $176,883,180 $7,270,579,000 $338,189,621 $208,977,598 $11,512,883,354 Kent 2,188,289 6,848, ,845,600 22,948,321 9,645, ,067,642 Keweenaw 8,659 69,011 2,580,000 16,370 32,308 3,333,835 Lake 30, ,952 12,321, , ,008 20,907,478 Lapeer 415, ,682 49,588, , ,574 67,430,796 Leelanau 154,203 * 11,784, ,967 * 12,767,218 Lenawee 356,262 1,137,221 60,542,400 2,476,209 1,183,565 89,786,326 Livingston 498,748 1,223,169 53,836,600 1,087,232 1,271,105 70,600,217 Luce 33, ,515 8,240,900 7, ,372 11,839,222 Mackinac 92, ,438 10,131, , ,494 12,956,460 Macomb 3,342,435 10,754, ,893,500 13,920,149 10,926, ,580,273 Manistee 121, ,752 27,023, , ,774 36,243,378 Marquette 180,060 1,238,455 56,186,300 1,512, ,498 75,216,983 Mason 138, ,083 24,357, , ,433 35,363,790 Mecosta 155, ,404 31,320, , ,918 46,902,744 Menominee 114, ,726 19,854,700 6, ,308 27,651,205 Midland 388,727 2,783,157 56,985,800 2,838,468 1,245,609 83,689,179 Missaukee 90,343 * 3,092, ,910 * 4,051,865 Monroe 464,551 1,219,000 78,163,700 2,517,855 1,569, ,099,318 Montcalm 387,376 1,123,895 37,812, , ,202 59,617,558 Montmorency 56, ,384 10,730, , ,859 15,136,692 Muskegon 702,541 3,001, ,768,900 4,543,568 2,951, ,611,562 Newaygo 252,985 1,119,326 35,611, , ,995 55,154,994 Oakland 3,963,978 11,628, ,644,300 20,855,266 12,437, ,136,716 Oceana 158, ,470 25,196, , ,817 39,230,163 Ogemaw 117,882 1,348,024 19,984, , ,691 32,545,510 Ontonagon 48, ,994 8,643,700 11,206 87,539 11,277,944 Osceola 120, ,027 20,001, , ,066 30,777,618 Oscoda 42, ,337 8,374, ,470 73,005 12,498,774 Otsego 190, ,506 17,736, , ,084 26,885,350 Ottawa 709,825 1,316, ,867,400 4,554,348 1,639, ,826,767 Presque Isle 100, ,054 12,873, , ,156 17,050,981 Roscommon 147, ,772 22,077, , ,420 34,493,513 Saginaw 782,815 4,953, ,063,400 2,761,243 5,870, ,616,179 St. Clair 769,762 2,306, ,293,400 4,052,231 3,315, ,215,165 St. Joseph 305, ,794 48,462, ,834 1,321,766 70,969,238 Sanilac 292, ,427 43,716, , ,947 60,334,044 Schoolcraft 59, ,790 11,005,300 44, ,994 14,860,433 Shiawassee 415, ,123 50,714, , ,367 73,486,807 Tuscola 333, ,187 43,619, , ,637 62,405,234 Van Buren 349,886 1,469,451 63,221,900 1,431,247 2,369, ,919,304 Washtenaw 687,157 4,389, ,114,500 6,132,160 2,800, ,671,234 Wayne 7,081,775 58,297,187 2,035,710, ,689,936 72,671,615 3,573,169,297 Wexford 162, ,590 35,607, ,226 1,098,777 54,758,124 *See Notes on Back Page Michigan League FOR Human Services Page 9

10 Recipients of Public Spending for Selected Health and Social Programs in Michigan Children s Income Nutrition Services Work Support Emergency Services Health Care Services Supple- State State Foster Care Family State mental School Emergency Emer- Medical (Title IV-E & Indepen- Disability Security Food Lunch & Child Work Relief gency Assis- State Ward dence Assis- Income Breakfast Day First (Excludes Relief: Energy MIChild tance Board COUNTY Program tance ~Estimated Program Programs Care ~Estimated Burials) Burials ~Estimated ~Estimated & Care) Entire State 211,569 10, , , , , ,100 62,738 6, ,005 34,619 1,796,449 10,395 Alcona , , ,271 1 Alger , ,534 1 Allegan ,477 7,555 4, , , Alpena ,742 1, , , Antrim ,505 1, , , Arenac ,182 1, , , Baraga , , Barry ,027 1, , , Bay 1, ,335 11,876 5,824 1,679 1,600 1, , , Benzie ,141 1, , ,029 3 Berrien 3, ,663 18,787 12,391 2,738 2,000 1, , , Branch ,938 2, , , , Calhoun 3, ,995 16,860 9,328 1,884 4,100 1, , , Cass ,172 3, , , Charlevoix * * * * 1,419 * 100 * * * 130 4,098 * Cheboygan ,889 1, , , Chippewa ,277 2, , , Clare ,098 4,854 2, , , Clinton ,887 1, , , Crawford ,746 1, , , Delta ,004 2, , , Dickinson ,974 1, , , Eaton ,181 6,543 3, , , Emmet ,406 1, , , Genesee 17, ,001 62,483 33,233 9,750 11,800 7, ,910 1, , Gladwin ,005 1, , ,981 9 Gogebic ,812 1, , , Gr. Traverse ,161 5,904 3, , , Gratiot ,734 2, , , Hillsdale ,002 2, , , Houghton ,908 2, , , Huron ,179 2, , , Ingham 4, ,848 26,385 17,058 3,457 3,300 5, , , Ionia ,244 3, , , Iosco ,655 3, , , Iron , , , Isabella ,130 4,810 1, , , Jackson 3, ,413 15,163 9,888 1,690 1,900 1, , , Kalamazoo 4, ,723 22,361 11,922 2,855 3,600 2, , , Kalkaska ,931 1, , , *See notes on back page. Page Michigan League FOR Human Services

11 Recipients of Public Spending for Selected Health and Social Programs in Michigan Children s Income Nutrition Services Work Support Emergency Services Health Care Services Supple- State State Foster Care Family State mental School Emergency Emer- Medical (Title IV-E & Indepen- Disability Security Food Lunch & Child Relief gency Assis- State Ward dence Assis- Income Breakfast Day Work (Excludes Relief: Energy MIChild tance Board COUNTY Program tance ~Estimated Program Programs Care First Burials) Burials ~Estimated ~Estimated & Care) Entire State 211,569 10, , , , , ,100 62,738 6, ,005 34,619 1,796,449 10,395 Kent 11, ,436 52,435 36,494 7,252 7,000 5, ,829 1, , Keweenaw Lake , , , Lapeer ,799 3, , , Leelanau * * * * 722 * 0 * * * 131 2,176 * Lenawee ,622 6,713 5, , , Livingston ,652 2, , , Luce , , Mackinac , , Macomb 5, ,827 42,447 31,209 3,739 3,600 2, ,886 2,980 93, Manistee ,416 1, , , Marquette ,722 2, , , Mason ,190 2, , , Mecosta ,954 3, , , Menominee ,071 1, , , Midland ,242 6,077 3, , , Missaukee * * * * 1,089 * 200 * * * 84 1,528 * Monroe 1, ,056 8,715 5, , , Montcalm ,349 5,933 5, , , Montmorency , , ,388 9 Muskegon 7, ,190 25,217 15,995 2,840 4,600 2, , , Newaygo ,140 5,566 4, , , Oakland 8, ,100 47,653 35,861 5,609 5,000 1, ,372 3, , Oceana ,030 2, , , Ogemaw ,245 1, , , Ontonagon , ,457 5 Osceola ,093 2, , , Oscoda , , ,273 6 Otsego ,293 1, , , Ottawa 1, ,838 10,692 9,276 1, , , Presque Isle , ,395 7 Roscommon ,584 1, , , Saginaw 8, ,009 29,803 16,711 5,105 5,900 3, , , St. Clair 2, ,531 14,280 7,863 1,581 2,300 1, , , St. Joseph ,136 6,386 4, , , Sanilac ,982 3, , , Schoolcraft , , ,087 7 Shiawassee ,242 6,356 3, , , Tuscola ,072 4,946 4, , , Van Buren 1, ,945 9,837 7, , , , Washtenaw 3, ,726 15,255 10,441 1,955 2, , , Wayne 96,409 3,347 74, , ,855 44,625 27,100 10,813 2, ,093 6, ,797 3,733 Wexford ,086 5,579 2, , , *See notes on back page. Michigan League FOR Human Services Page. 11

12 Program descriptions, revenue sources & data Family Independence Program Provides cash assistance to families with children and pregnant women who meet income and asset requirements. Federal and state funded program. [FY2004 Department of Human Services (DHS) Publication 170, Tables 6 and 7] State Disability Provides cash assistance to disabled adults without children who meet income, asset, and disability criteria. State funded program. [FY2004 DHS Publication 170, Tables 33 and 34] Supplemental Security Income Provides cash assistance to aged, disabled, or blind persons who meet income, asset, and long-term disability criteria. Primarily federally funded program, with supplements provided by the State. [Estimated expenditures for state and federal spending. See Notes for estimation methodology.] Food Program (Formerly Food Stamp Program) Provides supplemental food purchasing funding for low-income families and individuals who meet income/ related program criteria. Federally funded program. [FY2004 DHS Publication 170, Tables 45 and 48] School Lunch and Breakfast Program Food service programs provided in public schools during the school year. Meals/snacks funded by federal government, student payments, and state funds. [ Food Service Year End Report Compilation, for Public Schools only. Total Lunch plus Total Breakfast Costs for Public Schools, Michigan Department of Education Website] Summer Food Programs Provides meals/snacks to children in low-income areas where supervised summer activities are available. Federally funded program. [FY2004 Summer Food Service Program, Michigan Department of Education] Women, Infants and Children (WIC) Program Provides food coupons for specific products to promote good nutrition and health for mothers, infants, and young children who meet income guidelines. Primarily federally funded. [WIC food expenditures provided by the Department of Community Health.] State Emergency Relief Provides immediate assistance to individuals and families facing emergencies that threaten health and safety who meet income and asset requirements. Also provides shelter beds to families/individuals who are homeless. State and federally funded program. [FY2004 DHS Publication 170, Tables 36, 37 and 38] Page Michigan League FOR Human Services

13 State Emergency Relief Burials Provides assistance with burial costs when the deceased person s estate is insufficient to pay for burial and related costs. Primarily a state funded program. [FY2004 DHS Publication 170, Table 39] Energy Provides assistance to low-income families and individuals with their energy costs. Includes emergency and monthly energy payments for FIP recipients, Home Heating Tax Credit payments for tax year 2003, and supplemental energy payments. Federally funded program. [FY2004 DHS Publication 170, Table 76] Child Day Care Provides assistance to low-income families with the cost of child care while the parent(s) is working or participating in other DHS defined/approved activities. Federal and state funded program. [FY2004 DHS Publication 170, Tables 59 and 60] Work First and Welfare to Work Provide job search services, education and training programs, and employment-related supportive services to eligible individuals. Federal and state funded programs. [FY2004 Allocations for Work First and Welfare to Work and FY2004 Work First Participants, Department of Labor and Economic Growth] MIChild Program Provides health insurance coverage, including dental and mental health/substance abuse services, for uninsured children in families with incomes between 150 percent and 200 percent of the federal poverty level. MIChild services are provided by many HMO s and other health care plans throughout Michigan. Federal and state funded program. [Expenditures provided by the Department of Community Health (from Maximus), recipients are enrollees as of August 2004.] Home Help Program Provides assistance with activities of daily living to low-income individuals who also meet specific nonfinancial criteria. Federal and state funded program. [FY2004 DHS Publication 170, Tables 66 cases, not published in this report, and 69 expenditures] Medical Health care coverage for individuals and families who meet category-specific income and asset criteria. Requirements vary by category. Federal and state funded programs. [Total expenditures provided by the Department of Community Health. See Notes for county estimation methodology.] Child Care Fund Reimburses local governments for programs that serve abused, neglected, or delinquent youth. County, state, and federal funded. [FY2004 DHS Publication 292, Table 16, Total Expenditures (includes spending from all sources)] Foster Care Provides payment for placement and supervision of children removed from their homes due to abuse, neglect, or delinquency. Foster care payments are federal/state (if specific criteria are met) or state/county (if criteria for federal participation are not met). [FY2004 DHS Publication 170, Tables 72, 73, 74 and 75] Michigan League FOR Human Services Page 13

14 Notes For the Department of Human Services (DHS) programs, Missaukee and Wexford Counties are combined and all data are reported under Wexford County. For DHS programs, Grand Traverse County and Leelanau County are combined and all data are reported under Grand Traverse County. For DHS programs, Emmet and Charlevoix Counties are combined and all data are reported under Emmet County. For the Supplemental Security Income Program, the statewide estimate is based on actual expenditures, as reported by Social Security Administration, for calendar year 2003, updated by a 2.1% inflation factor for 9 months to estimate fiscal year 2004 expenditures. County distributions are based on each county s share of SSI eligibles reported in DHS Publication 170, Table 57. The Medical estimates include statewide spending for regular Medicaid payments, disproportionate share hospital payments, Title XIX funded mental health, the Title XIX component of Children s Special Health Care Services, Home Help and Personal Care Services Payments, and the Adult Benefits Waiver (which replaced the State Medical Program). The distribution by county is based on FY2003 distributions. The estimated recipients are the unduplicated numbers of Medicaid enrollees for the fiscal year, by county. FY2004 Work First and Welfare To Work program allocations have been distributed to individual counties, from Michigan Works! Agency totals, by calculating each county s percentage of Work First participants for each multi-county Michigan Works! Agency, and then applying the county s participant percentage to the Agency dollar allocation. A listing of Michigan Works! Agencies and the counties covered by each agency is available on the Michigan Works! Association website which can be found at T he Michigan League for Human Services seeks to ensure that lowincome individuals and families across the state achieve economic security through a range of public and private supports including public assistance, work and family supports, job training, and education. Through research, analysis, public education and advocacy efforts, the League brings credible and accessible information to the public policy discussion of the critical issues that affect the lives of low-income people. The Michigan League for Human Services is a United Way agency.