The Role of U.S. Grantmakers in a Changing Region

The Southern Africa Grantmakers Affinity Group

November 10 12, 1999

The Westfields Marriott Hotel

Chantilly, Virginia

AGENDA

November 10

3:30pm on-goingCHECK-IN

6:00pm 8:00pmDINNER RECEPTION: Welcome & Opening Discussion

Jeffersonian VI RoomTopic:“Southern Africa: Challenges and Prospects”

• Amb. James Joseph, U.S. Ambassador to South Africa

November 11 (casual attire)

6:30am 8:30amBREAKFAST

Fairfax Dining Room 1

9:00am 9:15amINTRODUCTORY REMARKS

Grand Dominion VI Room

9:15am 9:40amKEYNOTE ADDRESS “The Role of Private Funders in Southern Africa: Pushing the Envelope or Swimming with the Tide”

• Yolanda Richardson, Senior Vice President, Africare

former Program Officer, Carnegie Corporation of New York

9:40am 11:00amPANEL DISCUSSION: Response from the Region

• Panelists:

• Hope Chigudu, Co-Founder, Zimbabwe Women’s Resource Centre and Network, Zimbabwe
• Sibongile (Bongi) Mkabela, Senior Programmes Manager, Nelson Mandela Children’s Fund, South Africa
• Edgar Pieterse, Executive Director, Isandla Institute, South Africa
• Carlos Fumo, Executive Director, Foundation for Community Development, Mozambique

11:00am 11:15amBREAK

11:15am 12:30pmROUNDTABLE DISCUSSION:

Grand Dominion VI Room “Prospects for Civil Society and the Enabling Environment in Southern Africa”

12:30pm 2:00pmLUNCH

Fairfax Dining Room 1

2:00pm 3:00pmBREAKOUT INTO WORKGROUPS

Workgroup 1:Developing guidelines for effective grantmaking (investment driven grantmaking; indigenous philanthropy, endowments). Adams Room

Workgroup 2: Examining practical recommendations for developing and sustaining partnerships between bi-lateral and international donor organizations, funders, NGOs and government. Grand Dominion VI Room

Workgroup 3:Making the Affinity Group a more Effective Resource. Hamilton Room

3:30pm 5:00pmWORKING GROUPS REPORT BACK AND DISCUSSION

Grand Dominion VI Room

7:00pmDINNER

Grand Dominion VI RoomTopic:“The HIV/AIDS Epidemic: Implications and Responses”

• Dr. Olive Shisana, Executive Director, Family & Community Health, World Health Organization, Geneva

November 12 (casual attire)

7:00am 8:30amBREAKFAST

Fairfax Dining Room 1

8:30am 10:30amROUNDTABLE DISCUSSION:

Grand Dominion VI Room “Practical Ideas, Strategic Realities, and Perceived Priorities”

11:00amCHECK-OUT

“Capping” a Family’s Benefits

Policy makers have long grappled with the complex questions of how to reduce poverty and promote economic self-sufficiency among the poor. Recent efforts have focused on how to influence key behaviors such as the decision to have children outside of marriage. One common legislative proposal has been to eliminate the traditional incremental increase in monthly benefits families typically receive after another child is born. This policy has been dubbed a “family cap” or “child exclusion.” This issue brief reviews federal and state laws related to the family cap and summarizes existing research findings about the impact of these policies on birth rates, abortion, and contraceptive use. It also examines public opinion on the subject.

• Issue Update

This paper is a summary of a 1999 policy conference, The Kaiser Incremental Health Reform Project, which highlighted both the policy and politics of incrementalism. This paper identifies issues and tradeoffs associated with alternative approaches to expanding health insurance coverage-including enactment and implementation of CHIP and further coverage expansions through public programs and tax credits for the purchase of private health insurance.

Proposals that attempt to expand coverage in the private individual insurance market will only work if private insurance is available and affordable. This paper describes how the current individual marketplace will affect the ability of such proposals to assure equitable access to affordable coverage. This paper is part of the Kaiser Incremental Health Reform Project.

• Issue Paper

This report reviews how states have responded to the $500 million federal fund that was created by the federal welfare reform legislation in 1996 to help states maintain Medicaid coverage for individuals affected by welfare reform. State Medicaid officials were asked whether they have drawn down federal funds from the $500 million fund; to describe the factors that influenced their decision; and what activities they are supporting with the additional federal monies. The paper describes the current status of the $500 million fund and highlights how states are using this new funding.

The Difference Different Approaches Make: Comparing Proposals to Expand Health Insurance

This paper estimates and compares the impacts of alternative mechanisms for expanding health insurance coverage. A variety of approaches-expansions of existing public programs, direct subsidies, and tax credits-and target populations-including children, poor adults, parents of Medicaid- or CHIP-covered children, and early retirees-are considered. The impacts of the proposals on coverage, costs and other program outcomes are compared. This paper is part of the Kaiser Incremental Health Reform Project.

• Report

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Americans at the end of their working lives are increasingly facing greater uncertainty regarding health insurance and hence access to health care. This paper describes a proposal that would allow older persons not yet eligible for Medicare (under age 65) to “buy into” Medicare coverage.

This paper is part of the Kaiser Incremental Health Reform Project.

• Issue Brief

Enactment of the Children’s Health Insurance Program has been accompanied by concerns that new coverage will “crowd out” private health insurance coverage. Part of the Kaiser Incremental Health Reform Project, this paper reviews existing empirical literature on the magnitude of crowd-out and discusses implications for CHIP.

• Issue Paper

This paper explores the major policy compromises embodied in the CHIP program. It focuses on two areas: the relative control of the federal and state governments over the program, and the design of the program in relation to the private, employer-based health insurance market.This paper is part of the Kaiser Incremental Health Reform Project.

Issue Brief (.pdf)

Many proposals for incremental expansion of health insurance coverage would provide subsidies for the purchase of nongroup policies. This paper assesses how subsidy options might play out in regulated or unregulated markets and explores the possible trade-off between two distinct policy goals: maximizing the absolute number of families with insurance or maximizing access for the highest-risk families. This paper is part of the Kaiser Incremental Health Reform Project.

• Issue Paper