Transcript Federal Health Policy 2006

Federal Health
Policy 2008
Elena Rios, MD, MSPH
President & CEO
National Hispanic Medical
Association
Congress & Healthcare – 2008
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Health Disparities, Cancer in Clinics, Diversity in
the Health Professions (HCOP, COE)
SCHIP Reauthorization
Medicare Reform
Farm Bill and Nutrition
Genetic Discrimination Act
Mental Health Parity Act
Minority Health Improvement and
Health Disparity Elimination Act
(Kennedy/Cochran & Jackson)
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Five Sections:
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Education and Training
 II. Care and Access
 III. Research
 IV. Data Collection
 V. Office of Minority Health
Title I: Education and Training
Cultural competency and communication
for providers
 Healthcare workforce, education and
training
 Mid-career healthcare scholarship
 Cultural competency training
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Title II: Care and Access
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Demonstration Grants:
– Mexico Border area: mch, primary care and
preventive health, public health and infrastructure,
oral health, behavioral health, health services
research, environmental, workforce, disease
management, health insurance, community health
workers;
 U.S.
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New Grants for Health Disparity Collaboratives –
Cancer and Quality Care Improvement
Title III: Research
Agency for Research and Quality
 Genetic variation and health
 IOM evaluation
 National Center for Minority Health and
Health Disparities
 TITLE IV: Data Collection
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Title V: Leadership, Collaboration
and National Action Plan
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Office of Minority Health and Health
Disparities
 DHHS
National Plan
 Expand access, quality, education
 IT, awareness among providers, cultural
competence, outcomes, data
 Ctr for Linguistic and Cultural Competence
 Clinical Trials
 State Offices of Minority Health
Health Equity and Accountability Act (HR 3014)
Tricaucus Bill - Cancer Prevention and Treatment
Demonstration for Ethnic and Racial Minorities
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Conduct demonstration projects to:
 reduce
disparities in cancer treatment and detection
 improve clinical outcomes, satisfaction, quality of life,
and use of Medicare
 eliminate disparities in cancer screening
 promote cultural and linguistic competency
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Demonstration projects must be cost-effective
and reduce health disparities
Cancer bills that didn’t pass
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National Cancer Act of 2007, S1056, Feinstein
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comprehensive Federal effort relating to early detection of,
treatments for, and the prevention of cancer
Comprehensive Cancer Care Improvement Act of 2007,
HR1078,Capps
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Medicare - comprehensive cancer care planning and care
Grants to improve health professional education &
continuing professional education
Cervical, Lung, Prostate CA bills
Ovarian and Cervical Cancer Awareness Act
of 2007 (HR 2468)
To increase Ovarian and Cervical Cancer
awareness and knowledge of health care
providers and women
 Introduced by Congresswoman Velazquez
(NY), Co-sponsors:Jefferson (LA), McNulty
(NY), Grijalva (AZ), Serrano (NY), Clay (MO),
Berkeley (NV), Sutton (OH), Shea-Porter (NH)
and Payne (NJ)
 Redes Region: New York
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The Velazquez Bill
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Expands Johanna’s Law – PSA media campaign
from CDC for GYN cancer to promote
awareness and early detection
Increases Awareness – through Redes en
Accion amendment language:
 Activities
under the national campaign should be
targeted to Hispanic communities and be done in
collaboration with Redes en Accion
 Appropriations: $ 1 million
Conquer Childhood Cancer Act of 2007
signed by President, July 29, 2008
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Introduced by Senator Reed (RI) 65 sponsors in
Senate and Congresswoman Pryce (OH) – 229
sponsors in House -Grijalva, Reyes
Promote public awareness of pediatric cancers
Pediatric cancer research and treatment
Pediatric Cancer Research Fellowship
Special programs of research excellence in
pediatric cancers
National Childhood Cancer Registry
Authorization of Appropriations
 $30
million for each fiscal year 2008 to 2012
National Breast and Cervical Cancer Early
Detection Program Reauthorization Act of 2007,
PL 110-8
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Breast and cervical cancer waivers for grants for
preventive health measure
Introduced by Senator Mikulski and Senator
Hutchison and Congresswoman Baldwin
229 sponsors in House – Boxer, Clinton,
Schumer, Menendez, Hutchison, Ross-Lehtinen,
Solis, Napolitano, Eshoo, Waxman, Stark,
Capps, Engel, Towns, Maloney,…
National Breast and Cervical Cancer Early
Detection Program Reauthorization Act of 2007
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Use of waiver
 To enroll qualified women
 To expand screening and follow-up services
 To increase the number of women receiving
services
 Must not adversely affect quality of services
08 Congress Hearing - Cancer
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Lance Armstrong
Elizabeth Edwards, fellow, Center for American
Progress
Komen Foundation
Faster Cures, DC
Dana Farber Cancer Institute, Boston
Steve Case, ABC2 – Accelerated Brain CA Cure
CDC Federal Partners Health
Disparities Future Agenda
Interagency Plan for Research
 Priorities to build resources patterned after
the Disabilities Research Institute located
at the Department of Education (ADA)
 US DHHS Office of Minority Health – lead
 CDC Health Disparities Agenda
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New Cancer National Activities
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National Cancer Fund (Congressman Higgins)
To amend the Internal Revenue Code of 1986 to increase
Federal excise taxes on tobacco products, revenues fight cancer
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Coalition on Prevention Efforts ---with American Heart
Association & American Diabetes Association – meeting
was July 9th – DC to develop priorities
New CDC Latino Tobacco Network
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Indiana State Hispanic Coalition
Jeannette Noltenius – national coordinator, DC
New Health Disparities Efforts
PhRMA – NHMA, NMA, Black and
Hispanic Nurses – coalition effort for 09
 Interest from NHMA contacts – health
disparities thought leaders meetings in 09:
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 Elderly
health & security
 Medical education issues for future
 Hispanic health workforce development – CA
& NY
NIH Funding FY2009
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POTUS Budget FY09
 Freezes
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NIH Funding at FY08 Level
Grant Success Rate Fall to 18%
Senate Appropriations Committee Report
 Special
Emphasis on Cancer
Increase NCI Funding by $1.5bl Over FY08
 Outlines 12 Cancer-specific Programs for Focus
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National Cancer Institute Funding
Appropriations
2008
Budget Estimate
2009
Senate Appropriations
Recommendation
2009
$4,805,088,000
$4,809,819,000
$4,958,594,000
Health Care Reform 2009
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Senate Meetings – NHMA presented with medical
associations: HHS OMH and NHMA Health Reform
Summit Recommendations (Access, Prevention of
obesity/diabetes, Workforce diversity)
House Meetings – weekly, Conyers – NHMA presented
last week
Hearings:June, July 31 on Tax Code Health Benefits
Jennings/McClellan new org
Health Care for All, Divided we fail (AARP)
Next president inherits $482B deficit
NHMA Advocacy
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Letter Campaign to Senators and Congressmen Health
Disparities Bills at www.nhmamd.org
Meetings with leadership (Pelosi, Reid, Tricaucus,
Kennedy)
Health Care Reform Testimony – Kennedy
Health Disparities Congressional Briefings – Oct, Feb,
July;
Presidential campaign briefings – DC April, NYAM July
Annual Conference: Mar. 19-22, 2009 – NY Marriott at
Brooklyn Bridge