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The Affordable Care Act (ACA): Activities in New York City (NYC)

The Affordable Care Act (ACA): Activities in New York City (NYC). Sara Bodnar, MPH Health Systems Change Analyst Bureau of Chronic Disease Prevention & Tobacco Control NYC Department of Health and Mental Hygiene. Activities That Promote Cessation In ACA Implementation.

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The Affordable Care Act (ACA): Activities in New York City (NYC)

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  1. The Affordable Care Act (ACA): Activities in New York City (NYC) Sara Bodnar, MPH Health Systems Change Analyst Bureau of Chronic Disease Prevention & Tobacco Control NYC Department of Health and Mental Hygiene

  2. Activities That Promote Cessation In ACA Implementation • Public Commenting at the Federal Level • Informing State Decision Makers • Educating Hospitals and Providers

  3. Public Commenting at the Federal Level • Rationale -Ensure cessation is considered during rule-making • How We Comment -Track regulations through regulations.gov; email alerts from federal agencies and health policy groups • Who Our Comments Are For -Federal agencies like Department of Health and Human Services (HHS)

  4. Public Commenting at the Federal Level Past Activities: Accountable Care Organizations (ACOs); Essential Health Benefits (EHB) -Support measures and coverage relating to cessation Next steps: -Track future commenting opportunities through regulations.gov; also a list of ACA rules open for comment at healthcare.gov/law/resources/regulations

  5. Informing State Decision Makers • Rationale: -Emphasize cessation within ACA implementation • Ways We Inform: -Provide insight on why and how cessation can be promoted through ACA implementation • Decision makers We Collaborate With: -Staff at the state-level who are involved in implementation

  6. Informing State Decision Makers Past Activity: Essential Health Benefits (EHB) -Emphasized mandated coverage of cessation -Described rationale and guidelines for scope of coverage Next steps: -Provide guidance to plans on local cessation resources -Track how other states are covering cessation -Promote coverage in EHB changes

  7. Informing State Decision Makers Past Activity: State-Based Health Benefit Exchange -Recommended cessation measures for quality rating scores Next steps: -Recommend ways the exchange can link tobacco users with the New York State Smokers’ Quitline and other resources

  8. Educating Hospitals and Providers • Rationale: -Inform healthcare systems and providers about the connection between healthcare reform implementation and cessation • Ways We Educate: -Through existing programs and materials, lectures • Who We Educate: -Hospitals and providers the Health Department works with

  9. Educating Hospitals Past/current activity: Community Health Needs Assessments (CHNAs) -Starting in taxable years after March 23rd, 2012, nonprofit hospitals must conduct a CHNA with a public health expert -Encourage hospitals to incorporate cessation in their CHNAs Next steps: -Show how cessation can be addressed within CHNAs

  10. Educating Hospitals and Providers Past/current activities: NYC DOHMH Tobacco Free Hospital Campaign; Professional Organization Lectures -Make the connection between cessation and reform to participants Next steps: -Be on the lookout for future opportunities to educate hospitals and providers

  11. How to Get Involved and Stay Informed….Even with Minimal Time

  12. Ways To Get Involved • Sign onto comments -Trust for America’s Health posts comments to sign onto at healthyamericans.org/health-issues/ • Make the connection between cessation and reform -Some of our ACA work is focused on adapting our cessation “pitch” to include health care reform, rather than creating something new

  13. Other Ways to Get Involved • Be a part of the conversation -Reach out to others in your community who are involved in ACA implementation and health reform (hospitals, state decision makers, etc.) about best practices and cessation resources • Share -Even keeping national groups apprised of updates in your state is helpful

  14. Stay Informed …. • Helpful email alerts: -Kaiserhealthnews.org: Provides daily healthcare reform and policy updates -Healthreformgps.org: Posts updates on health reform implementation and health policy -www.hhs.gov/news/: Sends updates on proposed regulations and other reform developments

  15. Other Ways to Stay Informed • Go to naccho.org/advocacy/healthreform/index.cfm for healthcare reform resources for local health departments • American Public Health Association (APHA) has ACA resources at apha.org/advocacy/Health+Reform/ • Campaign for Tobacco-Free Kids also has information specifically on cessation and healthcare reform at tobaccofreekids.org/what_we_do/federal_issues/health_care_reform/

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