sbhc legislative updates and strategy session. overview of this session review the role of the...
TRANSCRIPT
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 ReviewSetting the context—worst economic crisis
Economic Crisis $4.2 billion revenue shortfall (May 15)
Federal Stimulus $ 2 billion (approx)
$ to Oregon
Tax Increases $750 million (approx)
Budget Cuts $1.3 billion (approx)
Despite the Crisis:Major Health Care Victories
Passage of Healthy Kids Plan: HB 211680,000 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 SBHCs2003-2011
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: $60,00• 3-5 SBHC: $120,000• 6-9 SBHC: $180,000• 10+ SBHC: $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
SBHCs and Federal Health Care Reform
HOUSE COMMITTEE BILLS “TRI-
COMMITTEE BILL”(H.R. 3200)
Authorization Cost-Based Reimbursement
Short-term Appropriation
Health Plan Reimbursement
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
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.
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?