SBHC Legislative Updates and Strategy Session
Overview of this session • Review the role of the Network in developing policy priorities for SBHCs • Update on State and Federal Policy and SBHCs • Strategy Session
The Network’s role in policy making Our Mission: The Oregon School-Based Health Care Network advance access to quality health care for children and youth. Our Vision: School-based health care will be available, accessible and stable in order to promote the health, well-being and success of all of Oregon’s children.
State Legislative Review Setting the context—worst economic crisis Economic Crisis $4. 2 billion revenue shortfall (May 15) Federal Stimulus $ to Oregon $ 2 billion (approx) Tax Increases $750 million (approx) Budget Cuts $1. 3 billion (approx)
Despite the Crisis: Major Health Care Victories Passage of Healthy Kids Plan: HB 2116 80, 000 additional children and 30, 000 adults have access to no cost, low cost or affordable health insurance SBHC Funding $1. 38 million in for new and existing centers Safety Net Grants $5 million for serving vulnerable youth
State Funding for SBHCs 2003 -2011 2003 -2005: $2. 1 million general fund budget 2005 -2007 $500, 000 general fund increase 2007 -2009: $2 million general fund increase 2009 -2011: $1. 38 million increase from provider tax Total budget: $5, 839, 000 to support 54 certified SBHCs and 14 planning sites in the 2009 -2011 biennium.
Increasing the number of sites 1987 -1995: Growth from 9 to 29 1995 -2007: Growth to 44 2007 -2009: Growth to 55 2009 -2011: 14 planning grants have been awarded
Improving the funding formula Old Funding Formula: • • 1 -2 SBHC: 3 -5 SBHC: 6 -9 SBHC: 10+ SBHC: $60, 00 $120, 000 $180, 000 $240, 000 New Funding Formula: Funds distributed to local health departments are more equitable and reduce hardship related to growth • Counties with only one certified SBHC receive $60, 000/yr • Counties with > 1 certified SBHC receive $41, 000/yr for each center.
Other state policy work • School nurse bill • State health care reform • Certification changes • Progress with MCO/MHO/DCO contracts • Investigation of billing and reimbursement
Federal Success The best year ever!
SBHCs and Federal Health Care Reform HOUSE COMMITTEE Authorization Cost-Based Short-term Health Plan BILLS “TRIReimbursement Appropriation Reimbursement COMMITTEE BILL” (H. R. 3200) Energy and Commerce Education and Labor Ways and Means SENATE COMMITTEE BILLS WILL BE COMBINED INTO A SINGLE BILL Senate Finance Committee Senate H. E. L. P. Committee
Strategy Session Small group: What are the barriers to achieving our vision? Report out Large group: What are the top 3 emergent issues? Small group: What strategies (legislation, cooperative agreements, training opportunities, etc. ) should we use to achieve our vision Report out Large group: Is anything missing? Network Vision Statement: School-based health care will be available, accessible and stable in order to promote the health, well-being, and success of all of Oregon’s children.
Скачать презентацию SBHC Legislative Updates and Strategy Session Overview
6506e3a69b6ad19a7c3fceb0a58dbf69.ppt