A Federal Policy Agenda for SBHCs Linda Juszczak, Executive Director NASBHC December12, 2009.
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Transcript of A Federal Policy Agenda for SBHCs Linda Juszczak, Executive Director NASBHC December12, 2009.
A Federal Policy Agenda for SBHCsLinda Juszczak, Executive Director
NASBHCDecember12, 2009
NASBHC’s Federal Policy AgendaNASBHC’s Federal Policy Agenda
Create a federal grant program for SBHCs
Support reimbursement opportunities for SBHCs
Position SBHCs to receive support in federal legislation and in governmental agencies
The History of SBHC LegislationThe History of SBHC Legislation
The Healthy Schools Act of 2007 – 25 cosponsors in 110th Congress
The School-Based Health Clinic Act of 2007 – 49 cosponsors in 110th Congress
SBHC HRC PrinciplesSBHC HRC Principles
Quality of Care-Emphasis on quality care has primarily focused on adult care. There is a need to improve the quality of care for children and adolescents, particularly related to well-child services and care for chronically ill children.
Medical Home- Public health resources must be invested in SBHCs that provide access to patients without a medical home and toward SBHCs delivering ancillary care with the patient’s medical home. SBHCs must be included in the health information technology network.
SBHC HRC PrinciplesSBHC HRC Principles
Inter-Agency Collaboration-Senior department leadership should coordinate relationships with other federal agencies to align related programs.
Health Care Reform ProcessHealth Care Reform Process
House of Representatives “Tri-Committee” Bill developed jointly by
– Education and Labor– Energy and Commerce– Ways and Means
Result – America’s Affordable Health Care Choices Act (H.R. 3200)
Health Care Reform ProcessHealth Care Reform Process
House of RepresentativesAffordable Health Care for America Act (H.R. 3962)Passed on November 7, 2009
Includes: Authorization of federal grant program Reimbursement for services covered under Medicaid
and CHIP Cost-based reimbursement for SBHCs funded under the
new grant program
Health Care Reform ProcessHealth Care Reform Process
Senate Two separate bills
– Health, Education, Labor, and Pensions (H.E.L.P.) Committee
– Finance Committee
Result : The Patient Protection and Affordable Care Act
Health Care Reform ProcessHealth Care Reform ProcessSenatePatient Protection and Affordable Care ActDebate beginning today, vote likely by end of Dec.
Includes: Authorization of federal grant program Short-term appropriation for facilities and equipment Reimbursement NOT in the bill as introduced, but
expected as floor amendment.
Compare the billsCompare the bills
AS OF 11/24/09Authorization of Federal SBHC Grant Program
Reimbursement through
Public Insurance Programs
Cost-Based Reimbursement
Short-term Appropriation
HOUSE BILL
H.R. 3962
SENATE BILL
Bill Number TBA
Not in current bill, but expected to
be introduced as amendment on
Senate floor
Health Care Reform ProcessHealth Care Reform ProcessAfter Senate passage…
…Conference Committee: Representatives from House and Senate Reconcile differences in House and Senate bills
Then, back to each Chamber for passage of same bill.
Finally, President’s signature.
Deadline: State of the Union Address
After Passage…After Passage…
Appropriations:Advocate for $ for SBHC programs
Regulations:Work with HHS to design grant program
Other OpportunitiesOther Opportunities
The White HouseThe Agencies and Interagency
CollaborationColleague OrganizationsCHIPRA
Coming up:Education Policy
Challenges we are facingChallenges we are facing
Health care reform processChallenges regarding reproductive
healthMisunderstandings regarding parental
rightsWhere SBHCs fit in the medical home
concept
WE NEED YOU!!!WE NEED YOU!!!
Write letters, make phone calls, contribute to local media (interviews, op/eds and LTEs)
Get your Reps to a SBHC (again) Communicate with LEAs and principals Join NASBHC and get involved in its work