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Federal Health Policy 2008

Federal Health Policy 2008. Elena Rios, MD, MSPH President & CEO National Hispanic Medical Association. Congress & Healthcare – 2008 . Health Disparities, Cancer in Clinics, Diversity in the Health Professions (HCOP, COE) SCHIP Reauthorization Medicare Reform Farm Bill and Nutrition

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Federal Health Policy 2008

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  1. Federal Health Policy 2008 Elena Rios, MD, MSPH President & CEO National Hispanic Medical Association

  2. Congress & Healthcare – 2008 • Health Disparities, Cancer in Clinics, Diversity in the Health Professions (HCOP, COE) • SCHIP Reauthorization • Medicare Reform • Farm Bill and Nutrition • Genetic Discrimination Act • Mental Health Parity Act

  3. Minority Health Improvement and Health Disparity Elimination Act (Kennedy/Cochran & Jackson) • Five Sections: • I. Education and Training • II. Care and Access • III. Research • IV. Data Collection • V. Office of Minority Health

  4. Title I: Education and Training • Cultural competency and communication for providers • Healthcare workforce, education and training • Mid-career healthcare scholarship • Cultural competency training

  5. Title II: Care and Access • Demonstration Grants: • U.S. – Mexico Border area: mch, primary care and preventive health, public health and infrastructure, oral health, behavioral health, health services research, environmental, workforce, disease management, health insurance, community health workers; • New Grants for Health Disparity Collaboratives – Cancer and Quality Care Improvement

  6. Title III: Research • Agency for Research and Quality • Genetic variation and health • IOM evaluation • National Center for Minority Health and Health Disparities • TITLE IV: Data Collection

  7. Title V: Leadership, Collaboration and National Action Plan • Office of Minority Health and Health Disparities • DHHS National Plan • Expand access, quality, education • IT, awareness among providers, cultural competence, outcomes, data • Ctr for Linguistic and Cultural Competence • Clinical Trials • State Offices of Minority Health

  8. Health Equity and Accountability Act (HR 3014) Tricaucus Bill - Cancer Prevention and Treatment Demonstration for Ethnic and Racial Minorities • Conduct demonstration projects to: • reduce disparities in cancer treatment and detection • improve clinical outcomes, satisfaction, quality of life, and use of Medicare • eliminate disparities in cancer screening • promote cultural and linguistic competency • Demonstration projects must be cost-effective and reduce health disparities

  9. Cancer bills that didn’t pass • National Cancer Act of 2007, S1056, Feinstein • comprehensive Federal effort relating to early detection of, treatments for, and the prevention of cancer • Comprehensive Cancer Care Improvement Act of 2007, HR1078,Capps • Medicare - comprehensive cancer care planning and care • Grants to improve health professional education & continuing professional education Cervical, Lung, Prostate CA bills

  10. Ovarian and Cervical Cancer Awareness Act of 2007 (HR 2468) • To increase Ovarian and Cervical Cancer awareness and knowledge of health care providers and women • Introduced by Congresswoman Velazquez (NY), Co-sponsors:Jefferson (LA), McNulty (NY), Grijalva (AZ), Serrano (NY), Clay (MO), Berkeley (NV), Sutton (OH), Shea-Porter (NH) and Payne (NJ) • Redes Region: New York

  11. The Velazquez Bill • Expands Johanna’s Law – PSA media campaign from CDC for GYN cancer to promote awareness and early detection • Increases Awareness – through Redes en Accion amendment language: • Activities under the national campaign should be targeted to Hispanic communities and be done in collaboration with Redes en Accion • Appropriations: $ 1 million

  12. Conquer Childhood Cancer Act of 2007signed by President, July 29, 2008 • Introduced by Senator Reed (RI) 65 sponsors in Senate and Congresswoman Pryce (OH) – 229 sponsors in House -Grijalva, Reyes • Promote public awareness of pediatric cancers • Pediatric cancer research and treatment • Pediatric Cancer Research Fellowship • Special programs of research excellence in pediatric cancers • National Childhood Cancer Registry • Authorization of Appropriations • $30 million for each fiscal year 2008 to 2012

  13. National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007, PL 110-8 • Breast and cervical cancer waivers for grants for preventive health measure • Introduced by Senator Mikulski and Senator Hutchison and Congresswoman Baldwin • 229 sponsors in House – Boxer, Clinton, Schumer, Menendez, Hutchison, Ross-Lehtinen, Solis, Napolitano, Eshoo, Waxman, Stark, Capps, Engel, Towns, Maloney,…

  14. National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007 • Use of waiver • To enroll qualified women • To expand screening and follow-up services • To increase the number of women receiving services • Must not adversely affect quality of services

  15. 08 Congress Hearing - Cancer • Lance Armstrong • Elizabeth Edwards, fellow, Center for American Progress • Komen Foundation • Faster Cures, DC • Dana Farber Cancer Institute, Boston • Steve Case, ABC2 – Accelerated Brain CA Cure

  16. CDC Federal Partners Health Disparities Future Agenda • Interagency Plan for Research • Priorities to build resources patterned after the Disabilities Research Institute located at the Department of Education (ADA) • US DHHS Office of Minority Health – lead • CDC Health Disparities Agenda

  17. New Cancer National Activities • National Cancer Fund (Congressman Higgins) • To amend the Internal Revenue Code of 1986 to increase Federal excise taxes on tobacco products, revenues fight cancer • Coalition on Prevention Efforts ---with American Heart Association & American Diabetes Association – meeting was July 9th – DC to develop priorities • New CDC Latino Tobacco Network • Indiana State Hispanic Coalition • Jeannette Noltenius – national coordinator, DC

  18. New Health Disparities Efforts • PhRMA – NHMA, NMA, Black and Hispanic Nurses – coalition effort for 09 • Interest from NHMA contacts – health disparities thought leaders meetings in 09: • Elderly health & security • Medical education issues for future • Hispanic health workforce development – CA & NY

  19. NIH Funding FY2009 • POTUS Budget FY09 • Freezes NIH Funding at FY08 Level • Grant Success Rate Fall to 18% • Senate Appropriations Committee Report • Special Emphasis on Cancer • Increase NCI Funding by $1.5bl Over FY08 • Outlines 12 Cancer-specific Programs for Focus

  20. National Cancer Institute Funding

  21. Health Care Reform 2009 • Senate Meetings – NHMA presented with medical associations: HHS OMH and NHMA Health Reform Summit Recommendations (Access, Prevention of obesity/diabetes, Workforce diversity) • House Meetings – weekly, Conyers – NHMA presented last week • Hearings:June, July 31 on Tax Code Health Benefits • Jennings/McClellan new org • Health Care for All, Divided we fail (AARP) • Next president inherits $482B deficit

  22. NHMA Advocacy • Letter Campaign to Senators and Congressmen Health Disparities Bills at www.nhmamd.org • Meetings with leadership (Pelosi, Reid, Tricaucus, Kennedy) • Health Care Reform Testimony – Kennedy • Health Disparities Congressional Briefings – Oct, Feb, July; • Presidential campaign briefings – DC April, NYAM July • Annual Conference: Mar. 19-22, 2009 – NY Marriott at Brooklyn Bridge

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