REALIGNING THE HEALTH CARE SAFETY NET Health Action 2014: Making the Promise Real

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 MissionTo 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.

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.

The Health Center Grant

Medicaid

Sequester

Defund ACA

Debt Ceiling

FY2014 Approps

SGR “Doc Fix”

Immigration

Reform

To Expand or Not to Expand?

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

3

GU

4

VI

5

WY

6

ND

7

DE

DC

9

NV

10

SD

11

VT

13

NE

14

NH

21

HI

21

RI

24

UT

25

AK

25

ID

25

ME

26

IA

27

MT

28

CT

28

MD

29

MN

30

AR

32

KS

38

OK

40

WI

45

AZ 45

SC

47

IN

47

NM

49

OR

50

AL

50

MS

50

PR

51

VA52

KY

53

WV

59

LA

59

MO

61

MA

62

GA

65

CO

69

MI

69

NJ

69

TN

75

OH

76

PA

87

NC

91

WA

132

IL

133

NY

163

FL

193

TX

411

CA

0 to 2121 to 3030 to 5050 to 69

69 to 412

9

Source: www.hrsa.gov/about/news/2013tables/outreachandenrollment/

Estimated Number of Individuals Health Centers will Assist This Year

416

GU

2,582

ND

4,160

WY

5,729

DC

8,699

SD

9,890

DE

10,600

NV

11,500

VI

12,097

NH

13,184

ID

14,341

MT

17,144

UT

17,939

VT

18,421

ME

19,650

RI

21,334

MN

21,516

HI

23,115

NE

23,167

CT

25,088

KS

26,474

WI

27,476

AK

29,313

VA

37,030

IA

40,376

PR

40,731

AR

41,050

SC

42,424

MD

43,908

OK

44,368

MS

48,465

NC

58,525

NM

61,264

WV

61,539

KY

61,638

AZ

62,102

MO

70,066

AL

70,434

TN

71,493

OR

73,201

NJ

74,886

PA

84,439

OH

87,995

IN

93,385

LA

98,062

MI

100,268

GA

110,754

MA137,637

NY

140,817

WA

158,160

FL

181,909

CO

195,745

IL

369,195

TX

575,863

CA

0 to 17,14417,144 to 29,31329,313 to 61,53961,539 to 98,06298,062 to 575,864

Source: www.hrsa.gov/about/news/2013tables/outreachandenrollment/

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.

202-457-6267

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?