healthcare reform new advisory bodies

National Council DRAFT

Name of Advisory Body Responsibilities/ Statutory Authority

Criteria for Members Timeframe

Advisory Board for State Cooperatives (15 Members appointed by the Comptroller General)

Make recommendations to HHS Sec’y re: loans and grants for creating insurance CO-OPs Sec 1322(b)(3)

To include individuals with “national national recognition for their expertise in health finance and economics, actuarial science, health facility management, health plans and integrated delivery systems, reimbursement of health facilities, allopathic and osteopathic physicians, and other providers of health services, and other related fields, who provide a mix of different professionals, broad geographic representation, and a balance between urban and rural representatives.” Must include: “physicians and other health professionals, experts in the area of pharmaco-economics or prescription drug benefit programs, employers, third–party payers, individuals skilled in the conduct and interpretation of biomedical, health services, and health economics research and expertise in outcomes and effectiveness research and technology assessment . . . representatives of consumers and the elderly.” Majority of commission must not be providers.

Original appointments within 3 months of enactment

Center for Medicare and Medicaid Innovation

“To test innovative payment and service delivery models to reduce” spending while preserving/enhancing quality of care Sec 3021, as modified by Sec 10320

(No councils named, but likely regulatory input opportunities; determining lead for Center)

Up and running by Jan 2011




Independent Payment Advisory Board 15 Members appointed by the President

Makes recommendations to slow the growth of Medicare spending and national health care spending Sec 3403, as modified by Sec 10320

Include individuals with “national recognition for their expertise in health finance and economics, actuarial science, health facility management, health plans and integrated delivery systems, reimbursement of health facilities, allopathic and osteopathic physicians, and other providers of health services, and other related fields, who provide a mix of different professionals, broad geographic representation, and a balance between urban and rural representatives.” Board to include: “physicians and other health professionals, experts in the area of pharmaco-economics or prescription drug benefit programs, employers, third-party payers, individuals skilled in the conduct and interpretation of biomedical, health services, and health economics research and expertise in outcomes and effectiveness research and technology assessment . . . also include representatives of consumers and the elderly.” Majority of Board members must not be providers. Must not have any other vocation.

Initial funding FY2012 Advisory reports start no later than Jan 2014

Consumer Advocacy Council for Independent Payment Advisory Board 10 Consumer Representatives Appointed by the Comptroller General

To advise the Board on the impact of payment policies on consumers Sec 3403(k)

1 representative from among each of the 10 regions established by the Secretary as of the date of enactment of this section Must represent “the interests of consumers and particular communities”

Initial funding FY2012 Advisory reports start no later than Jan. 2014

Advisory Group on Prevention, Health Responsible for Should include “licensed health professionals, First report due July




Promotion, and Integrative and Public Health Up to 25 Members appointed by President Reports into the Surgeon General

developing policy and program recommendations & advise Nat’l Prevention, Health Promotion, & Public Health Council on lifestyle-based chronic disease prevention and management, integrative healthcare practices, and health promotion Sec. 4001(f)

including integrative health practitioners who have expertise in worksite health promotion; community services, including community health centers; preventive medicine; health coaching; public health education; geriatrics; and rehabilitation medicine.”

1, 2010.

Community Preventive Services Task Force CDC Director to convene

Duties include: Developing topic areas for new recommendations and interventions; Review interventions and update recommendations in existed topic areas (at least every 5 years); Improve integration with federal health objectives & target setting; Provide technical assistance in implementation;

“Individuals with appropriate expertise” (not specific, but near term)




Provide annual reports to Congress on gaps in research and areas of priority

Sec 4003(b)

Interagency Pain Research Coordinating Committee Appointed by HHS Secretary 12 nonfederal voting members Up to 7 from federal agencies conducting pain research

Reports to HHS Secretary; to coordinate all efforts within the HHS and other Federal agencies that relate to pain research.

Sec 4305

12 nonfederal voting members: 6 appointed “from among scientists, physicians, and other health professionals” 6 from members “of the general public, who are representatives of leading research, advocacy, and service organizations for individuals with pain-related conditions Can include other nonvoting members

Within 1 year of enactment

National Healthcare Workforce Commission 15 members appointed by the Comptroller General

Serve as a resource for governments Evaluates education and training activities to determine if demand for healthcare workers being met. Identifies & makes recommendations to address barriers to better coordination at federal, state, and local levels.

Members shall include individuals “with national recognition for their expertise in health care labor market analysis, including health care workforce analysis; health care finance and economics; health care facility management; health care plans and integrated delivery systems; health care workforce education and training; health care philanthropy; providers of health care services; and other related fields; and Must represent combination of professional perspectives, broad geographic representation, and a balance between urban, suburban, rural, and frontier representatives.

First report due by October 2011




Encourages innovations to address population needs, constant changes in technology, and other environmental factors. Sec 5101, as modified by Sec 10501

Must include at least one representative of: “the health care workforce and health professionals; employers; third-party payers; individuals skilled in the conduct and interpretation of health care services and health economics research; representatives of consumers; labor unions; State or local workforce investment boards; and educational institutions. Majority must not be providers in education or practice.

Commission on Key National Indicators 8 Members appointed equally by Majority and Minority Leaders in the Senate and Speaker and Minority Leader in the House

Duties include: “comprehensive oversight of a newly established key national indicators system” recommend “how to improve the key national indicators system” “coordinate with Federal Government users and information providers to assure access to relevant and quality data;” and “enter into contracts with” National

“individuals who have shown a dedication to improving civic dialogue and decision-making through the wide use of scientific evidence and factual information”

Cannot include elected government officials

Within 60 days of enactment FY2010 $10M authorization




Academy of Sciences Sec 5605

Board of Governors for Patient-Centered Outcomes Research Institute 17 Members appointed by Comptroller General Note: Center will also have Expert Advisory Panels

Carry out the duties of the Patient-Centered Outcomes Research Institute Sec 6301(f)

3 members representing “patients and health care consumers” 5 members representing “physicians and providers, including at least 1 surgeon, nurse, State-licensed integrative health care practitioner, and representative of a hospital.” 3 members representing “private payers, of whom at least 1 member shall represent health insurance issuers and at least 1 member shall represent employers who self-insure employee benefits” 3 members representing “pharmaceutical, device, and diagnostic manufacturers or developers” 1 member representing “quality improvement or independent health service researchers” 2 members representing “the Federal Government or the States, including at least 1 member representing a Federal health program or agency.” Must represent a “broad range of perspectives” and “collectively have scientific expertise in clinical health sciences research, including epidemiology,

Appointed within 6 months of enactment Initial report due within 18 months of enactment




decisions sciences, health economics, and statistics.”

Methodology Committee for Patient-Centered Outcomes Research Institute 15members appointed by the Comptroller General

“work to develop and improve the science and methods of comparative clinical effectiveness research” Sec 6301(d)(6)

Must be “experts in their scientific field, such as health services research, clinical research, comparative clinical effectiveness research, biostatistics, genomics, and research methodologies.” Stakeholders with such expertise may be appointed to the methodology committee.”

Initial work due no later than 18 months from enactment

Elder Justice Coordinating Council 27 Members appointed by HHS Sec’y Nominations solicited through notice in Federal Register

to create multidisciplinary strategic plans “for the development of the field of elder justice and to make recommendations to the Elder Justice Coordinating Council” Sec 2022

Members of the general public “with experience and expertise in elder abuse, neglect, and exploitation prevention, detection, treatment, intervention, or prosecution.”

Initial report due within 18 months of enactment

CLASS Independence Advisory Council Up to 15 individuals not employed by federal government Appointed by the President

Advise HHS Sec’y on administration of CLASS program and in the formulation of regulations under this title including development of benefit plan, determination of premiums, and financial solvency of the program. Sec 8002 (Sec 3207)

Majority of members must represent “individuals who participate or are likely to participate in the CLASS program, and shall include representatives of older and younger workers, individuals with disabilities, family caregivers of individuals who require services and supports to maintain their independence at home or in another residential setting of their choice in the community, individuals with expertise in long-term care or disability insurance, actuarial science, economics, and other relevant disciplines, as determined by the Secretary.”

Funding starts FY2011




CLASS Independence Fund Board of Trustees 2 Members appointed by the President

Hold and monitor soundness of the CLASS Independence Fund; annual reports to Congress; recommend changes as needed in management of Fund Sec 8002 (Sec 3206)

Secretaries of Treasury, Labor, and HHS along with 2 members of the public of different political parties

Personal Care Attendants Workforce Advisory Panel No number of members specified Appointed by HHS Sec’y

Examine and advise on workforce issues related to personal care attendant workers (adequacy, salaries, benefits, and access to services provided by workers) Sec 8002(c) (Sec 3201)

Members must include: Individuals with disabilities of all ages. Seniors. Representatives of individuals with disabilities. Representatives of seniors. Representatives of workforce and labor organizations. Representatives of home and community-based service providers. Representatives of assisted living providers.

Within 90 days of enactment

Cures Acceleration Network Review Board 24 Members appointed by HHS Sec’y

Advises Director of NIH on activities of Cures Acceleration Network Sec. 10409

At least one member each “eminent in” the following fields :

basic research; medicine; biopharmaceuticals; discovery and delivery of medical products; bioinformatics and gene therapy; medical instrumentation; and regulatory review and approval of medical products.

Not clear




At least 4 who are “recognized leaders in professional venture capital or private equity organizations and have demonstrated experience in private equity investing.” At least 8 who “represent disease advocacy organizations.”

Advisory Committee for Young Women’s Breast Health Awareness Education Campaign No number of members stated Appointed by Director of CDC

Advise HHS Sec’y on creating and conducting an education campaign to increase awareness of young women’s knowledge of breast health Sec. 10413

“Such members as deemed necessary” and shall include “organizations and individuals with expertise in breast cancer, disease prevention, early detection, diagnosis, public health, social marketing, genetic screening and counseling, treatment, rehabilitation, palliative care, and survivorship in young women.”

Within 60 days of enactment

healthcare reform new advisory bodies

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