Transcript Ryan Henry AVP for Federal and State

Ryan Henry
AVP for Federal and State Relations
TTUHSC
Legislative and Congressional Update
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TTUHSC Message for Legislative and Congressional Offices:
Food, Fuel and Fiber
•
TTUHSC met with Texas Congressional delegation in DC in March and
with State Legislators in February.
•
Message: West Texas is an economic engine for Texas and the World.
o TTUHSC service area comprised 108 counties with a population of 2.7
million people.
o West Texas home to some of the most sparsely populated counties in
America, many classified as Frontier.
o Yet, the US and much of the world depend on these counties for food,
fuel and fiber.
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TTUHSC Service Area
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Food, Fuel and Fiber
• Oil and Gas production and reserves have long been among the
largest in the world.
• Over 20 percent of the nation’s cotton is grown in West Texas.
• Cattle and dairy are major industries
• Viticulture grapes grown in South Plains major source for
growing wineries in Hill Country
• Texas largest wind energy producer in country
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Food, Fuel and Fiber
Health Care for the People of West Texas is
essential to the economic vitality of the
State.
Take care of the people that take care the
rest of the State.
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TTUHSC – EP
• SB 120 and HB 257 introduced by El Paso delegation to
create a free standing Health Sciences Center.
• SB 120 signed by the Governor May 18.
• TTUHSC-El Paso becomes the fourth university within
the Texas Tech University System.
• Focus – border health, hispanic health and the El Paso
urban community
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GME Expansion
• $11,350,000 for GME expansion (The main budget bill, SB 1,
provided $2.1M. HB 2550 sets how this funding is to be spent.
The supplemental appropriations bill, HB 1025, provided $9.25M).
• Of this amount, $1,875,000 is for one-time planning grants. The
remainder goes to filling unfilled accredited residency slots and
increasing the number of slots in accredited GME programs.
• Focus on increasing number of first-year residency positions
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GME Expansion
• The Higher Education Coordinating Board to issue planning and
expansion grant rules, including application deadlines.
• THECB Family Practice Advisory Committee meets June 19.
Thirty day comment period expected.
• Bottom line: be ready to quickly apply for both planning and
expansion grants.
• For already accredited programs, be aggressive. Demand for grant
programs could determine future success in next legislative
session.
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Federal Funding Update
•
FY14 Departments of Labor, Health and Human Services and Education
Appropriations Act will most likely be the last of 12 annual appropriation
bills to be considered.
•
This bill funds Health Resource and Services Administration (HRSA) which
provides most federal discretionary rural health care programs.
•
This bill also provides funding supporting the implementation of the
Affordable Care Act, including health insurance exchanges.
•
HHS FY14 funding will likely be approved as another continuing resolution.
Programs could be funded at FY13 levels (FY12 levels).
•
HHS FY14 funding could also be included in a final omnibus appropriation
bill.
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Affordable Care Act Funding
• HHS has funding previously appropriated which could be used to
help set up the health insurance marketplaces.
• However, the Congressional Research Service has noted HHS will
need additional funding for the implementation of the
marketplaces and other administrative costs associated with the
Affordable Care Act.
• Republican Members, especially in the House, do not want to be
on record voting for appropriations which would support ACA.
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AHEC
• President’s FY14 budget request does not request continued
funding of AHEC.
• Funding restored by Congress in FY13. $27,220,000, same as FY12
level.
• Likelihood of FY14 Department of Labor, Health and Human
Services and Education Appropriation bill?
• AHEC funded at FY12 and FY13 level?
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HITREC
• Program funded through ARRA.
• Awardees must spend funds by end of year 2013.
• Office of National Coordinator, HRSA, wants HITRECs to have
sustainability plans.
• Support to allow HITRECs to keep reserve balances beyond 2013
to continue to provide services.
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Sequestration
• Budget Control Act of 2011 sets discretionary spending caps
through 2021.
• 2013 Sequester (Fiscal Cliff) took effect March 1. 2% cut for
Medicare. Compounds impact for rural health providers.
• If a deal is not reached in FY14, possibility sequester rounds could
continue in FY15 leading up to next Presidential election.
• Politically, budget hawks are getting the spending reductions they
want.
• Some Republicans concerned the military harm caused by
sequestration will lead to a deal.
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Questions?
Ryan Henry
806.743.6000 ext 240
[email protected]
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