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?