Anne Tabor, MPH, RD, LD Public Policy CoordinatorJill Lange, MPH, RD, LD State Public Policy Representative

Iowa in fore front of Health Reform forum and debates

A quick primer Two senators Five congressmen▪ Bruce Braley, first house district▪ Dave Loesback (D), 2nd house district▪ Leonard Boswell (D), 3rd house district▪ Tom Latham (R), 4th house district▪ Steve King (R), 5th house district

Senator Tom Harkin (D) Former Chairman of Agriculture, Nutrition

Forestry; this summer appointed Chair of Health, Education, Labor, Pension Committee; will continue to serve on Ag Committee and Appropriations (chair of sub committee Labor Health Human Services & Education) & others

Senator Chuck Grassley (R) Ranking member of Senate Finance

Committee; serves Agriculture , Nutrition and Forestry along with Judiciary Committee & others

Bruce Braley Introduced Healthy Food Choices for Kids

Act May 2009 Includes $$ for pilot schools to post

nutrition information, implement nutrition education , requires consultation with nutrition experts

Federal Health Care Reform

Iowa Healthy Kids Act Update

Medicaid Iowa Health Care

Reform ADA strategies

and changes

Senate Finance Committee Chairman Max Baucus (D-MT) Ranking Member Charles Grassley (R-IA) America’s Healthy Future Act Emphasizes prevention and care

coordination 564 amendments Support the wellness and preventive

mark

Annual wellness visit in MedicareRemoval of barriers to preventive services in Medicare

Evidence based coverage of preventive services in Medicare

Incentives for Healthy Lifestyles demonstration project in Medicare

Improve access to preventive services in Medicaid

Provides waivers for medical homes in Medicaid

Fund the $25 million Childhood Obesity Demonstration Project

Independence at Home Pilot Project

Workforce Advisory Committee

Announced October 29th

Combination of bills from 3 house committees Ways and Means Energy and Commerce Education and Labor

Negotiations expected November 3rd

Hope to pass by November 11th

Wellness program grantsMedical home pilot programCoverage and waiver of cost-sharing

for preventive servicesQualification of director of food

services of a skilled nursing facility or nursing facility

Medicaid & SCHIP preventive servicesStrengthen public health workforce

School-based health clinicsCDC grants to promote positive

health behaviors Infant mortality pilot programsCommunity-based overweight and

obesity prevention programComprehensive school health

education programsPrevention

Iowa Senate File 2425 signed into law 2008

Nutritional Content Standards Foods and beverages sold or provided

on school grounds Nutrition Advisory Panel Effective July 2010

Dietitians and AEAs

April 30, 2009 meeting with Jennifer Vermeer, Director and Julie Lovelady, Assistant Director of Iowa Medicaid Enterprises

IDA identified disparities

July 10, 2009 Medicaid response letter

House File 2539 Clinicians Advisory Panel Direct Care Worker Advisory Panel Electronic Health Information Advisory Council and

Executive Committee Governor’s Council on Physical Fitness and

Nutrition/Prevention and Wellness Initiatives Health and Long-Term Care Access Advisory

Council Patient Autonomy in Healthcare Decisions Pilot

Project Advisory Council Prevention and Chronic Care Management Advisory

Council

The purpose of the council is to advise and assist the Iowa Department of Public Health to develop a medical homes system as outlined in HF 2539.

Definition www.idph.state.ia.us/

hcr_committees/medical_home.asp Next meeting: December 9, 2009; 10-

12 at the Urbandale Public Library

The purpose of this group is to advise and assist the Iowa Department of Public Health to develop a state initiative for prevention and chronic care management as outlined in HF 2539

Study and develop strategies to improve health promotion, prevention, and chronic care management

Six Council Recommendations www.idph.state.ia.us/hcr_committees/

prevention_chronic_care_mgmt.asp Next meeting: December 4, 2009; 10-2 at the

West Des Moines Public Library

Aging Child Nutrition Food Safety Health Literacy and Nutrition Advancement MNT and Medicare/Medicaid

Reimbursement Nutrition Monitoring and Research Obesity/Overweight and Healthy Weight

http://www.eatright.org/cps/rde/xchg/ada/hs.xsl/advocacy_1538_ENU_HTML.htm

Sue Roberts – ADA Public Policy Consultant

Membership will decide direction

Public policy survey

susan@susan-roberts.net

Iowa Legislative Day February 16, 2010: 9 am – 4 pm Jesse Parker Building and State Capitol Free CEU Opportunity Meet as a group with legislators

Public Policy Workshop 2010 Opening session March 22, 2010 Party hosts needed

Get Involved with ADA! Read ADA’s On the Pulse

http://www.eatright.org/cps/rde/xchg/ada/hs.xsl/advocacy.html

Find out who represents you! http://www.legis.state.ia.us/FindLeg/

Respond to ADA’s Action Alerts Participate in ADA’s Public Policy

Workshop

Get involved with IDA! Join the legislative list serve Attend a town hall meeting (or 2!) Write a letter or send an e-mail Attend the Iowa Legislative Day and PPW Talk to Anne, Jill, Sue or Teresa to find out

more!▪ anne-tabor@uiowa.edu▪ langejill@hotmail.com▪ tan1019@mchsi.com