April 10, 2010 PNHP Los Angeles Chapter Meeting April 10, 2010
Jan 20, 2016
April 10, 2010
PNHP Los AngelesChapter Meeting
April 10, 2010
Agenda
✤ 1. Review of the 2010 health reform bill
✤ 2. PNHP California Report
✤ 3. PNHP Los Angeles Membership
✤ 4. Service- Boron workers, Remote Area Medical
✤ 5. Operation Single Payer training
Review of the 2010 Reform Bill
✤ 1) Immediate effects are here: http://docs.house.gov/energycommerce/IMMEDIATE_PROVISIONS.pdf
✤ 2) Timeline is at: http://docs.house.gov/energycommerce/TIMELINE.pdf
Review of the 2010 Reform Bill
✤ PNHP Response:
✤ http://www.pnhp.org/news/2010/march/pro-single-payer-doctors-health-bill-leaves-23-million-uninsured
✤ PNHP Chart Comparison:
✤ http://www.pnhp.org/sites/default/files/docs/2010/Single-Payer-Reconciliation-Comparison-Table.pdf
2010 Reform Bill
✤ Obama’s Goals
✤ Affordable
✤ Accessible
✤ Quality
2010 Reform Bill
✤ Insurance Reform
✤ 2010- Add Kids, Kids with preexisting conditions, No rescissions
✤ 2014- Preexist. conditions (All), No more caps, health ins. exchange
✤ Public Subsidies
✤ 2014- Medicaid Expansion (incl. higher pay), Health Insurance Exchange Subsidies
✤ Delivery Reform
✤ 2011- Increasing reimbursement for primary care
✤ 2012- Encouraging integrated health systems
✤ 2013- Bundling; 2014- Quality Reporting; 2015- Payment Advisory Board
Review of the 2010 Reform Bill
✤ Highlights
✤ Expanded Medicaid and Subsidies don’t start until 2014.
✤ CBO expects essentially no change in rising premiums.
✤ 447 billion transfer of public money to the private insurance industry over 10 years.
✤ Primary insecurity of system not removed- employer based insurance.
✤ Cannot control cost with the for profit private insurance model.
✤ Prior state attempts (Tennesee, Maine, Massachusetts, Washington, Vermont) at similar reform (mandates of private insurance) failed due to cost overruns.
PNHP California
✤ Seven Point Plan- http://pnhpcalifornia.org/wp-content/uploads/2010/04/Single-Payer-Can-Happen-2010.pdf
✤ PNHPCalifornia.org- http://pnhpcalifornia.org/
Membership
� Chapter membership 929� 7 new members Jan-Mar ’10� Outreach results – emails, telephone calls� Draft membership recruitment sheet – Bruce Hector MD� Member activities
Remote Area Medical
✤ Where: Los Angeles Forum
✤ When: April 27-May 3
✤ PNHP Contact: Jerry Helman, MD ([email protected])
✤ Register at www.ramfreeclinic.org
Operation Single Payer
✤ A political advocacy tool for the California single payer movement.
✤ 1) Connecting political strategy with local action.
✤ 2) Infrastructure to enhance local team building.
✤ http://pnhpcalifornia.org/2010/03/operating-room/
Operation Single Payer
✤ Step 1- Strategic Leadership develops Action Alerts:
✤ PNHP National, PNHP California, State Strategy Group (Cal.) and Leadership Conference for Guaranteed Healthcare (Nat’l)
✤ Meet monthly, develop strategic political goals.
✤ Example: Visit legislators to inform them of new research on uninsured deaths.
✤ http://pnhpcalifornia.org/2010/03/operating-room/
Operation Single Payer
✤ Step 2- Communicate Action Alerts to the grassroots:
✤ monthly conference calls
✤ email blasts
✤ website postings
✤ http://pnhpcalifornia.org/2010/03/operating-room/
Operation Single Payer
✤ Step 3- Grassroots performs the action:
✤ District Leader gathers the district team members
✤ schedules the visit with the legislator’s office
✤ prepares: role play, handout, timeline
✤ meets legislator or chief of staff
✤ http://pnhpcalifornia.org/2010/03/operating-room/
Operation Single Payer
✤ Questions
✤ What district am I in?
✤ How many hours will this take?
✤ Do I need to understand the political system?
✤ Who is on my team?
✤ Isn’t this already being done?
✤ http://pnhpcalifornia.org/2010/03/operating-room/
Operation Single Payer
✤ A political advocacy tool for the California single payer movement.
✤ 1) Connecting political strategy with local action.
✤ 2) Infrastructure to enhance local coalition building.
✤ http://pnhpcalifornia.org/2010/03/operating-room/