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.
![Page 1: A Federal Policy Agenda for SBHCs Linda Juszczak, Executive Director NASBHC December12, 2009.](https://reader030.fdocuments.us/reader030/viewer/2022032701/56649c985503460f94953cc3/html5/thumbnails/1.jpg)
A Federal Policy Agenda for SBHCsLinda Juszczak, Executive Director
NASBHCDecember12, 2009
![Page 2: A Federal Policy Agenda for SBHCs Linda Juszczak, Executive Director NASBHC December12, 2009.](https://reader030.fdocuments.us/reader030/viewer/2022032701/56649c985503460f94953cc3/html5/thumbnails/2.jpg)
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
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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
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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.
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SBHC HRC PrinciplesSBHC HRC Principles
Inter-Agency Collaboration-Senior department leadership should coordinate relationships with other federal agencies to align related programs.
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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)
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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
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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
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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.
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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
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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
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After Passage…After Passage…
Appropriations:Advocate for $ for SBHC programs
Regulations:Work with HHS to design grant program
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Other OpportunitiesOther Opportunities
The White HouseThe Agencies and Interagency
CollaborationColleague OrganizationsCHIPRA
Coming up:Education Policy
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Challenges we are facingChallenges we are facing
Health care reform processChallenges regarding reproductive
healthMisunderstandings regarding parental
rightsWhere SBHCs fit in the medical home
concept
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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