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Maryland Primary Care Office (PCO) Advisory Council Meeting. Thursday, April 29, 2010 1:30 p.m. – 3:30 p.m. Office of Health Policy and Planning, Family Health Administration, State of Maryland, Department of Health and Mental Hygiene. Introductions. Chairperson Council Members.
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Maryland Primary Care Office (PCO) Advisory Council Meeting Thursday, April 29, 2010 1:30 p.m. – 3:30 p.m. Office of Health Policy and Planning, Family Health Administration, State of Maryland, Department of Health and Mental Hygiene
Introductions • Chairperson • Council Members
Health Care Reform • E-Mail Attachments/Handouts • Affordable Healthcare for America • Community Health Centers and Health Reform • Health Center Related Provisions In Health Reform Legislation
Health Care Reform: Health Care Workforce • Expands and reinforce the nation’s health workforce by increasing investments in training health care professionals. • Decreases shortages in primary care and workforce by investing in scholarship, loan repayment, and training grant programs.
Primary Care and Workforce Development Benefits • Provides 10% Medicare bonus for primary care services provided by primary care physicians through 2016. • Increases Medicaid reimbursement. • Provides $1.5 billion in mandatory spending for the National Health Service Corps. • Provides $11 billion for building new and expands existing community health centers.
Primary Care and Workforce Development Benefits (Cont’d) • Strengthens grant programs for primary care training, especially programs that prioritize training in patient-centered medical homes. • Redistributes unused Medicare-funded residency slots to programs that agree to train more primary care physicians. • Promotes the training of practitioners in the outpatient setting. http://docs.house.gov/energycommerce/WORKFORCE.pdf
Health Care Reform: Shortage Designation Impact • Establishes a negotiated rulemaking committee for development of methodology and criteria for designating medically underserved populations and health professions shortage. • Expected date for publication of the new rule is no later than July 1, 2010. 124 Stat 119, 677 -679
Health Reform: Community Health Centers • Community Health Centers and National Health Service Corps Trust Fund • Medicaid Expansions • Payment Protections and Improvements • Teaching Health Centers http://www.nachc.com/client/Summary%20of%20Final%20Health%20Reform%20Package.pdf
Establishing Sub-Committees: Categories of Interest • Access • Data • Workforce • Shortage Designations • PCO • Webcast • PCO Project Officer, Melvin Whitfield
Primary Care Practitioners’ Recruitment and Training in Maryland • Medical Education Futures – March 8 Newsletter • National Health Service Corps Regional Information Update Medical Education Futures - March 8 Newsletter http://community.icontact.com/p/medicaleducationfutures/newsletters/mefs08/posts/medical-education-futures-march-8-newsletter
National Health Service Corps Update • In FY 2009 (7/1/08-6/30/09), the PCO reviewed and recommended 26 site applications for the National Health Service Corp (NHSC). • March 2010, part-time health care professionals are able to apply to the National Health Service Corps demonstration program for the Part-time Loan Repayment. Extended to 5/25/10. • Regional Meetings
Shortage Designation Update CY 2009 • 45 areas and facilities have been reviewed; • 20 new designations, • 7 renewals, and • 18 updates.
Shortage Designation Update (Cont’d) CY 2010 (from Jan. to March, 2010) • 18 areas and facilities have been reviewed; • 15 new designations, • 2 renewals, and • 1 update.
Shortage Designation Update (Cont’d) Renewals due in 2010: Primary Care HPSAs • Low Income - West Central Baltimore City • Low Income - East Baltimore City • Lower Park Heights – Baltimore City • Garrett County
Shortage Designation Update (Cont’d) Renewals due in 2010: Dental HPSAs • Low Income - Allegany County • Low Income - West Baltimore City • Charles County • Low Income - Garrett County
Shortage Designation Update (Cont’d) Renewals due in 2010 Mental Health HPSAs: • Baltimore City Detention Center • Metro Transition Center • Maryland Reception and Diagnostic Center • Central Booking and Intake Facility • Garrett County