2019 Day at the StatehouseAdvocate Policy & Logistics Webinar

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LogisticsWho? What? When? Where?

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7:45 am - 8:00 am >>> Check-In, Breakfast | The Athletic Club of Columbus – The Crystal Room (NEW LOCATION)

7:45 - 5:00 >>> Crystal Room Open | Snacks, beverages and charging station will be available, OACHC staff onsite

8:00 - 8:30 am >>> Schedules Released & Pick-Up Legislator Packets; Last-Minute Policy Updates

9:00 - 5:00 >>> Legislative Meetings

Lunch is on your own

Check out event page for directions, parking, and hotels www.ohiochc.org/events

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May 1 Agenda

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Look up your House and Senate member(s) and attend those meetings Read legislators’ bios and key committee assignments ahead of time

(All can be found here: https://www.legislature.ohio.gov/) Attendees will receive:

Schedule Navigational tip sheet OACHC swag scarf

OACHC Folder Contents: Statewide Map of CHC locations Statewide Infographics Policy Paper with “Asks” Press Release RE: Medicaid Savings PCMH Recognitions Bring your CHC educational materials to add!

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Day-Of Operations

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OACHC Support Squad

Randy Runyon Julie DiRossi-King Ted Wymyslo

Steve Buehrer Teresa Rios-BishopKelly Carey

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Security – travel light! House – will need to check in at security desk on street level to

receive a visitor badge to get through to House offices - good for whole day

Senate – no badge needed, but must go through metal detectors

ALLOW EXTRA15-30 mins if possible

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Security

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Educate about the current CHC legislative priorities Establish a relationship or build a stronger rapport Inform legislators that they can call on you and/or OACHC

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Purpose of Our Meetings

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Let them know you’re a constituent Talk about legislative priorities that directly affect your health center Invite them to tour your health center Say thank you!

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When You Meet with Your Legislator – DO:

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Talk about legislation not pertaining to your work Criticize any state or federal agency, legislator, political party, etc. Imply that OACHC support of the legislator is contingent upon

his/her support of the issues

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When you Meet with Your Legislator: DON’T

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Introduced March 26 House puts thumbprint on the budget, and will introduce

Substitute HB 166 (expected April 30 or May 1) Omnibus Amendment expected within week of Sub Bill HB 166 slated to be on the House Floor thereafter Senate has already begun informal hearings and will repeat

above House process, likely wrapping up by 1st or 2nd week of June

Conference Committee b/w Gov, House and Senate - remainder of June

Governor *must* sign budget into law no later than June 30!

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HB 166– state operating budget for SFY20-21process check

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OPCWI (Ohio Primary Care Workforce Initiative) Preservation of Health Care Coverage (Group VIII) Infant Vitality SBHC/School Wellness and Success Funding Telehealth Comprehensive Primary Care (CPC) 340B Substance Use Disorder/MAT

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OACHC Policy Priorities - Overview

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Your Community Health Center 101 OPCWI (Ohio Primary Care Workforce Initiative)Pick 1 – 2 of the Following**:

Telehealth

SBHC/School Wellness and Success Funding

Infant Vitality

Comprehensive Primary Care (CPC)

** Preservation of Health Care Coverage

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Menu of Advocacy Options

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First, gauge Legislator/staff’s CHC KnowledgeAccess Largest primary care network in the country – in Ohio: health

care home for 800,000 Ohioans (your patient count) Care is directed by a locally-governed Board – the majority

are patients! # of health care delivery sites (show growth) Ohio CHCs employ more than 5,400 FTE – (your JOBS) Extended hours of operation, etc.

Health Care Home: Primary, Preventive & Enabling Services Integrated services onsite – BH/SUD (opioid epidemic)! 340B

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Your CHC 101

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As Introduced: OPCWI received no funding Primary Care Workforce Initiative (PCWI) is Ohio’s only primary care

workforce strategy that exclusively targets FQHCs and underserved populations

Imperative we grow the pipeline of our front-line providers needed to combat challenges

ASK: Restore funding for PCWI back to 2016 funding levels ($2.68M per FY)

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Restore OPCWI

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As Introduced: coverage for telemedicine services on the same basis and to same extent commercial payers provide coverage for in-person health care services

Note: applicable to commercial payers only ASK: apply to Medicaid payers as well

NOTE: OACHC is very engaged with ODM around telehealth in the rule making process

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Telehealth

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As Introduced: requires school districts and schools to spend student wellness and success funds ($550M allocated over biennium) for certain initiatives including Mental health services

Physical health care services

HB 166 also requires districts and schools to partner with local orgs CHCs are eligible partners

SWSF can be used for capital expenses

ASK: Maintain this investment so we can connect more school-age children and families to comprehensive care

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SBHC/School Wellness and Success Funds

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As Introduced: Request CMS approval to allow Medicaid pregnant women to have 12

months of continuous eligibility following delivery; Continue (and expand as appropriate) Infant Mortality grants to nine

targeted communities; Design/create Medicaid reimbursement around home visiting for

healthy moms and babies; Improve care for pregnant women with opioid use disorder; ASK: Maintain these investments and request an additional $10M to

support practices and models across Ohio to reduce infant mortality, including: CHWs group prenatal care (Centering Pregnancy) behavioral health support home visitation smoking cessation

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Infant Vitality

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As Introduced: maintains funding for ODM’s Comprehensive Primary Care Program

CPC elevates primary care infrastructure to improve quality of care while lowering costs

30 CHCs in CPC today, comprising 121/ 250 participating sites

Also invests additional dollars ($12M over biennium of which $3.6M is state share) to target Wellness for Kids through Comprehensive Primary Care

ASK: Maintain investment for the Ohio CPC Program, with expanded emphasis on Wellness for Kids through CPC

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Comprehensive Primary Care (CPC)

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Invite your Legislators to Tour Your CHC

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