Financial Assistance Programs Introduction In Indiana’s largest city, the number one complaint received by the Mayor's Action Center is regarding dogs and cats, with more than 18,000 calls received each year.1 In 2012, Indianapolis Animal Care and Control processed 15,614 animals. Approximately 8,000 animals were destroyed at Indianapolis’ two large animal shelters. This scenario is repeated in cities and towns across Indiana. Because most animal care and control agencies are not required to keep statistics on the number of animals taken in, adopted, euthanized or returned to their owner, statewide statistics are difficult to determine.2 Poverty is statistically associated with high shelter intake rates, as poverty is linked to high pet relinquishment and low spay/neuter rates.3,4 Financial Assistance Programs offer affordable spay/neuter options to pet owners who live at or near the poverty level. Cost is a primary barrier to having surgeries performed, even in instances where pet owners have access to low-cost spay/neuter clinics.5 Effective Financial Assistance Programs provide surgeries at a cost of $20 or less and ensure that discounted services are only provided to pet owners meeting income qualifications.6,7 By partnering with private-practice veterinarians and low-cost clinics to perform the surgeries, non-profit animal welfare organizations can build a Financial Assistance Program with a network of surgery locations. A multitude of locations helps overcome the barrier of transportation, which is a secondary obstacle to pet owners at or near the poverty level.8 Financial Assistance Programs are under-represented in the world of animal welfare. These powerful programs provide cost-effective solutions to animal overpopulation and can achieve dramatic results in reducing shelter intake and euthanasia rates. Income-targeted Financial Assistance Programs are proven to be a core component of any effective strategy to combat overpopulation.9 How a Financial Assistance Program Operates A Financial Assistance Program is a collaborative effort involving a non-profit animal welfare organization, private practice veterinary clinics, and low-cost clinics. Participating veterinary clinics agree to offer spay/neuter services at a reduced fee, as specified by contract. Pet owners who meet income qualifications are allowed to utilize the low-cost service and pay a nominal portion of the surgery cost. The animal welfare organization pays the balance. As the only statewide organization providing financial assistance to perform spay-neuter surgeries, SpayNeuter Services of Indiana (SNSI) partners with more than 100 veterinarians. Participating vets agree to perform low-cost surgeries for pet owners meeting the criteria specified in the Spay-Neuter Assistance Program (SNAP). The SNAP program serves pet owners who receive certain types of public assistance and/or who live at or below 200% of the federal poverty level. Pet owners pay just $20 per surgery. SNSI’s average reimbursement rate to participating vets is $76, as detailed in the table below. Clients pay $20 towards the cost, and SNSI pays the balance. SNSI’s Veterinary Reimbursement Schedule CATS DOGS (no weight limit) Spay $60 Spay $80 Spay, pregnant / in heat $80 Spay, pregnant / in heat $100 Neuter $45 Neuter $60 Feral: Male/Female Includes Rabies vaccine & Ear Tip $80 Special Circumstances: SNSI will reimburse for Cryptorchid and Pyrometra at the clinic’s published rate. Feral: Female Pregnant Includes Rabies vaccine & Ear Tip $100 Average Reimbursement $76 Average Cost to SNSI $56 ($76 minus $20 pet owner co-pay = $56) Success of Financial Assistance Programs As demonstrated in cities and states across the US, Financial Assistance Programs can achieve staggering results in a relatively short time period. Consider the following examples: Jacksonville, FL—Since launching the SpayJax program in 2002, the euthanasia rate in Jacksonville’s shelters has dropped by 75%.10 Tampa, FL—The city achieved a 50% drop in euthanasia between years 2003 – 2011.11 Delaware—Within four years of launching its program (2006-2010), Delaware achieved a 48% drop in euthanasia rates.12 New Hampshire—The state experienced a 30% euthanasia reduction in just one year (1994-1995), and a 75% reduction in the first six years of its low-income pet sterilization subsidy program.13 What’s Needed to Guarantee a Successful Financial Assistance Program? The most successful Financial Assistance Programs have five necessary components.14 SNSI’s SNAP program meets each of these criteria. 1. They assist only pet owners and caretakers who genuinely need help with surgery costs. Income targeting of pet owners is the most accurate and cost-effective means of serving pet owners in need and decreasing shelter admission rates.15 The importance of properly qualifying pet owners in need cannot be understated. The SpayJax program estimates that one targeted surgery can have as much impact on shelter overpopulation as 50 to 60 untargeted surgeries.16 Geographic targeting is an indirect method of income targeting. Rather than qualifying applicants directly based on income levels, geographic targeting focuses on areas with high poverty rates. But rarely does the percentage of residents who live in poverty exceed 25 percent. The result is that the majority of financial assistance goes to people who do not need it. The cost to run geographically targeted programs is much higher than that of a true income-targeted program.17 Medicaid and similar government assistance programs are examples of simple and reliable indicators of financial need. Recipients only need show a card to prove they are qualified. Income verification is another method of qualifying pet owners in need and has the added benefit of including pet owners who are working but who live on inadequate incomes and struggle to make ends meet. 2. They are affordable to low-income pet owners Pet owners who are asked to pay more than a nominal fee of $10 or $20 to have their pet sterilized are frequently unable to afford it.18 Even the reduced spay/neuter rates offered by low-cost clinics are often too SNAP serves pet expensive for pet owners seeking to utilize these services. owners who Several Indiana low-cost clinics, including FACE, Low-Cost receive one of Spay-Neuter Clinic (Noblesville), SPOT (Cloverdale) and eight types of Pets Alive (Bloomington) routinely discount their surgery public assistance prices to meet the needs of pet owners who would and/or who live at otherwise turn away and not have their pet altered. or below 200% of the federal poverty A national study concluded that income was the strongest line. single predictor of whether cats were spayed/neutered. Only 51% of cats living in low-income households were Download the SNAP application at: altered, compared to 90% of cats in middle-income www.GetThemFixed.org households.19 The result of having unaltered cats has a big impact on shelter intake numbers. New Hampshire reported that almost half of the kittens surrendered to the shelter came from low-income households, even though only 12% of families lived at this income level.20 Studies confirm that dogs living in low-income households are less likely to be sterilized than their middle-income counterparts, but that they were sterilized at a much higher rate than cats. A 2008 survey conducted by the American Pet Products Association found that pet owners with annual incomes less than $12,500 per year had sterilized only 54% of their dogs.21 Whether cat or dog, unaltered pets are more likely to be relinquished at shelters than their spayed/neutered counterparts.22 Unaltered cats are more likely to migrate into feral colonies and increase their numbers.23 3. They have adequate funding to sterilize a baseline number of animals for several years The primary challenge of most Financial Assistance Programs is the ability to find adequate funding to sterilize the number of pets needed to make a positive impact on animal overpopulation figures. SNSI will facilitate more than 11,200 surgeries in 2014, with 7,780 designated for limited-income pet owners. Although SNSI has provided an increased number of surgery certificates each year, the demand is far outpacing SNSI’s financial capacity. SNSI could easily facilitate 20,000 surgeries for pets of limitedincome Hoosiers. In addition to providing surgeries for limited-income pet owners, SNSI also funds surgeries for 501(c) (3) animal welfare organizations and municipal shelters. Many of these organizations operate on shoestring budgets and/or rely on the generosity of volunteers who donate both their time and financial resources to help animals in immediate need. For these organizations, covering the cost of spay/neuter surgeries is often cost prohibitive. The demand for SNSI surgery certificates from this audience far outpaces SNSI’s financial capacity. The Pet Friendly license plate is the 8th best-selling 4. They are accessible to low-income specialty plate in Indiana, generating revenue in excess pet owners and caretakers of $300,000 per year. SNSI’s vet network is extensive, with more than 100 clinics participating in Indiana. Pet owners utilizing the Spay-Neuter Assistance Program (SNAP) can make their appointments with any participating vet, minimizing the need to travel. 5. They have adequate surgical capacity to meet demand With more than 100 participating vets, SNSI’s Spay-Neuter Assistance Program has adequate capacity to meet demand. Cost-Effectiveness of Financial Assistance Programs In addition to the benefits discussed above, Financial Assistance Programs are economical to operate due to the low overhead costs. Programs can be run remotely, with staff working in various locations to process paperwork and mail certificates. This structure “Suggesting that we double the amount of minimizes overhead by eliminating the need for money we spend on preventive programs added expenses such as paying rent and utilities on may seem radical. It’s not. Continuing to large buildings. spend almost fourteen times more to shelter and place homeless cats and dogs than we do to prevent them from becoming homeless in the first place is what’s radical.” Financial Assistance Programs cost much less per animal to achieve results than other types of programs, including those related to shelter /adoption solutions. While both types of programs drive down euthanasia rates, the difference is the cost-effectiveness. A 1998 national survey of 186 Peter Marsh, Getting to Zero: A Roadmap animal shelters revealed that these shelters spent to Ending Shelter Overpopulation in the an average of $176 for each animal they United States impounded. With a mere 39% of the impounded animals being returned to their home or adopted into a new home, the average expense for each 24 animal placed exceeded $450. Financial Assistance Programs have been shown to reduce both intake and euthanasia rates at a cost of $50-$60 per animal.25 The New Hampshire Financial Assistance Program mentioned above resulted in a $3.2 million decrease in impoundment expenses, while only spending $1 million on sterilization subsidies.26 Because sterilization programs help homeless animals, shelter animals, and household pets who may become homeless in the future, these programs are also much more effective at ending homelessness than adoption programs, which only help shelter animals.27 To most effectively address shelter overpopulation and euthanasia rates, a comprehensive approach must contain several layers of targeted spay/neuter programs at its base, as illustrated in the Program Pyramid. From there, additional programs can be added. If the base is weakened, additional programs will lose their effectiveness.28 1 The Indy Channel, http://www.theindychannel.com/news/city-without-solution-for-horrible-animal-problem 2 American Humane Association, http://www.americanhumane.org/animals/stop-animal-abuse/fact-sheets/animal-sheltereuthanasia.html 3 Peter Marsh, Replacing Myth with Math: Using Evidence-Based Programs to Eradicate Shelter Overpopulation (Concord: Town and Country Reprographics, 2010) 9-10. 4 (Frank, Cross program statistical analysis of Maddie’s Fund programs, 8.) 5 Peter Marsh, Getting to Zero: A Roadmap to Ending Shelter Overpopulation in the United States (Concord: Town and Country Reprographics, 2012) 48. 6 Ibid., 52. 7 Ibid., 50. 8 Ibid., 52-53. 9 Handy, Animal Control Management, 38. 10 Target Zero Institute, http://www.targetzeroinstitute.org/#/faq/5057d106037c0d41c20001e5 11 Peter Marsh, Getting to Zero: A Roadmap to Ending Shelter Overpopulation in the United States (Concord: Town and Country Reprographics, 2012) 50. 12 Ibid. 13 Peter Marsh, Replacing Myth with Math: Using Evidence-Based Programs to Eradicate Shelter Overpopulation (Concord: Town and Country Reprographics, 2010) 23. 14 Peter Marsh, Getting to Zero: A Roadmap to Ending Shelter Overpopulation in the United States (Concord: Town and Country Reprographics, 2012) 50-53. 15 Target Zero Institute, http://www.targetzeroinstitute.org/#/faq/5057d106037c0d41c20001e5 16 Target Zero Institute, http://www.targetzeroinstitute.org/#/faq/5057d106037c0d41c20001e5 17 Peter Marsh, Getting to Zero: A Roadmap to Ending Shelter Overpopulation in the United States (Concord: Town and Country Reprographics, 2012) 50. 18 Target Zero Institute, http://www.targetzeroinstitute.org/#/faq/5057d106037c0d41c20001e5 19 J. Am. Vet. Med. Assoc. 234 (8): 1023-1030 Peter Marsh, Getting to Zero: A Roadmap to Ending Shelter Overpopulation in the United States (Concord: Town and Country Reprographics, 2012) 12. 20 21 Data collected for the 2009-2010 National Pet Owners Survey (APPA) but not included in the report. 22 Peter Marsh, Getting to Zero: A Roadmap to Ending Shelter Overpopulation in the United States (Concord: Town and Country Reprographics, 2012) 34. 23 Ibid., 19-20. 24 Peter Marsh, Getting to Zero: A Roadmap to Ending Shelter Overpopulation in the United States (Concord: Town and Country Reprographics, 2012) 27. 25 Target Zero Institute, http://targetzeroinstitute.org/#/faq 26 Handy, Animal Control Management, 38. 27 Peter Marsh, Getting to Zero: A Roadmap to Ending Shelter Overpopulation in the United States (Concord: Town and Country Reprographics, 2012) 29. 28 Target Zero Institute, http://www.targetzeroinstitute.org/#/faq/5057d106037c0d41c20001e5