Transcript Document
REALIGNING THE HEALTH CARE SAFETY NET Health Action 2014: Making the Promise Real Presented by: DaShawn Groves, MPH Assistant Director of State Affairs National Association of Community Health Centers January 23, 2013 America’s Voice for Community Health Care The NACHC Mission To promote the provision of high quality, comprehensive and affordable health care that is coordinated, culturally and linguistically competent, and community directed for all medically underserved people. TODAY’S AGENDA • Health Centers Today • ACA Implementation –Health Center Funding –Medicaid –Marketplaces –Outreach and Enrollment • How you as advocates can help? Health Center Funding Health Center Funding Under Current Law Community Health Center Funding: FY 2010 – FY 2016 The Health Center FY2014 Request Total Funding of $3.8 billion, breaks down to: ~$1.6 billion in discretionary funding ~$2.2 billion in mandatory ACA Funding __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ = increase of $700 million– No new appropriations needed (Level discretionary + already-appropriated ACA dollars) What $700 Million can do. . . $95 million in Base Grant Adjustments $245 million for NAPs= 2.1 million new patients $260 million for service expansions and expanded medical capacity grants for existing health centers. $100 million for quality improvement, networks, other activities. The Health Center Grant What purpose does the grant serve today? Enables CHCs to: • Locate in underserved areas where market won’t support other providers; • Remain open to all: uninsured, underinsured, patients others can’t or won’t see; • Provide comprehensive services which improve health and lower system costs. What role does the grant have in the future? The exact same. Medicaid To Expand or Not to Expand? SGR “Doc Fix” Defund ACA FY2014 Approps Sequester Immigration Reform Debt Ceiling A Tale of Two Cities • Massachusetts Experience –LOTS more patients; existing patients voting with their feet (and staying); continued high #’s of uninsured • Business as Usual –Disparities amongst health centers Marketplaces Health Centers in Marketplaces • Contracting issues • Essential Community Providers (ECP) –“Menendez” amendment; –“all products” clauses Outreach and Enrollment Anticipated Additional Outreach and Enrollment Staff Hired through Supplemental HRSA Funding 14 NH 91 WA 6 ND 49 OR 25 ID 411 CA 9 NV 5 WY 40 WI 10 SD 24 UT 45 AZ 132 IL 65 CO 32 KS 38 OK 47 NM 193 TX 25 AK 69 MI 76 PA 75 OH 47 IN 59 MO 52 KY 53 WV 30 AR 50 AL 62 GA 69 NJ 45 SC 28 MD DC 59 LA 3 GU 163 FL 21 HI Source: www.hrsa.gov/about/news/2013tables/outreachandenrollment/ 0 to 21 21 to 30 30 to 50 50 to 69 69 to 412 21 RI 28 CT 7 DE 51 VA 87 NC 69 TN 50 MS 61 MA 133 NY 26 IA 13 NE 25 ME 11 VT 29 MN 9 27 MT 50 PR 4 VI Estimated Number of Individuals Health Centers will Assist This Year 12,097 NH 140,817 WA 14,341 MT 71,493 OR 13,184 ID 575,863 CA 10,600 NV 4,160 WY 2,582 ND 17,144 UT 61,638 AZ 181,909 CO 58,525 NM 25,088 KS 43,908 OK 369,195 TX 27,476 AK 21,516 HI Source: www.hrsa.gov/about/news/2013tables/outreachandenrollment/ 110,754 MA 137,637 NY 26,474 WI 8,699 SD 23,115 NE 18,421 ME 17,939 VT 21,334 MN 98,062 MI 74,886 PA 37,030 IA 84,439 OH 87,995 195,745 61,264 IN IL WV 29,313 62,102 61,539 VA MO KY 48,465 70,434 NC TN 40,731 41,050 AR SC 100,268 44,368 70,066 GA AL MS 93,385 LA 0 to 17,144 17,144 to 29,313 29,313 to 61,539 61,539 to 98,062 98,062 to 575,864 19,650 RI 23,167 CT 73,201 NJ 9,890 DE 42,424 MD 5,729 DC 416 GU 158,160 FL 40,376 PR 11,500 VI 202-457-6267 Outlook We will continue to SUCCEED and GROW Value in the quality care we deliver Value in expanding access and improving health Value in delivering cost savings PLUS some $20 billion dollars in jobs and economic activity for communities. Where Can I Get More Information? • Our Website: – NACHC.org • Blog: – Health Centers on the Hill – NACHC Policy Shop • Washington Update: – Sign up to be a Health Center Advocate Join the Campaign for America’s Health Centers today! Thank You! Any Questions?