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Healthy Kids Las Cruces


Health Care Reform: Federal Funding Opportunities for Obesity Prevention HEALTHY KIDS LAS CRUCES SEMI-ANNUAL MEETING MAY 18, 2010 MELANIE GOODMAN – PowerPoint PPT presentation

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Title: Healthy Kids Las Cruces

Health Care Reform Federal Funding
Opportunities for Obesity Prevention
  • Healthy Kids Las Cruces
  • Semi-Annual Meeting
  • May 18, 2010
  • Melanie Goodman
  • Office of United States Senator Jeff Bingaman
  • 575.523.4775

Patient Protection and Affordable Health Care Act
(PL. 111-148)
  • Provides coverage to 32 million uninsured people
    by 2019
  • Changes insurance rules to protect consumers
  • Builds on existing employer- and
    government-sponsored insurance programs
  • Tests ways to tie payment of hospitals and
    physicians to quality improvement
  • Significantly Reduces the Federal Deficit
  • Benefit Seniors Extends the Life of Medicare

Benefits of Reform 2010
  • Immediate Coverage for Children with Pre-Existing
  • New, Affordable High Risk Pool for Adults with
    Pre-Existing Conditions.
  • Option to Extend Coverage to Dependant Young
  • Small Business Health Insurance Tax Credits
  • Benefits for Seniors Beginning the process of
    closing the Medicare Donut Hole

Benefits of Reform 2010
  • Creates a Program to Assist Employers to Fund
    Early Retiree Health Insurance Programs.
  • End to Insurance Industry Abuses Rescissions,
    Lifetime Limits , Unreasonable Annual limits
  • Free Prevention Wellness Benefits
  • Expanding Improving Community Health Centers
  • Cracking Down on Health Care Fraud, Waste Abuse
  • Increased Medicare Reimbursement for Primary Care

Childhood Obesity Provisions
  • Improved nutrition labeling in fast food
  • Childhood Obesity Demonstration Project
  • Community Transformation Grants

Other Prevention Provisions that have the
potential to impact Obesity
  • Prevention and public health programs that invest
    in broader, population-level obesity intervention
  • Primary care and coordination efforts that
    emphasize prevention, a team-based approach and
    paying for improved health
  • Community-based care that target communities that
    are disproportionately obese and overweight
  • Maternal and child health that promote
    breastfeeding and early-childhood nutrition
  • Provisions focusing on adult obesity that will
    likely impact the behavior of children
  • Better research and data collection to ensure we
    are doing what works to fight obesity

Public Health System Grants
  • Section 4001 Establish National Prevention,
    Health Promotion and Public Health Council
    coordinate federal prevention, wellness, and
    public health activities. Develop national
    strategy to improve nations health. (Strategy
    due 3/26/11).
  • Section 4002 Create Prevention and Public Health
    Fund (expand and sustain existing funding), incl.
    education and outreach campaigns for preventive
    benefits and immunizations. (7B starting
  • Section 4003 Create task force on Preventive
    Services and Community Preventive services
    develop, update, disseminate evidence-based
    recommendations for clinical and community
    prevention services. (effective immediately)

Community Prevention Grants
  • Section 10501 (g) National Diabetes Prevention
  • Section 4303 CDC Grants for Employer Based
    Wellness programs
  • Section 10408 Workplace Wellness Program Grants
  • Section 4206 Demonstration project of an
    individualized wellness plan at neighborhood
    primary care health centers

Primary Care and Coordination
  • Section 3510 Patient Navigator Program
  • Section 10333 Community Based Collaborative Care
  • 3502 Community health teams to support the
    patient-centered medical home

Coverage, Incentives and Payment Reforms
  • Section 1001 - Elimination of co-pays and
    deductibles for preventive services that help to
    address obesity within the current
    fee-for-service system
  • Section 4108 - Paying for new innovative, more
    comprehensive programs that address obesity
    within the current health care delivery system
  • Sections 3021, 2702, 2703, 10333, and 3502 -
    Changing the way health care services are funded
    more broadly to recognize the time involved in
    working with patients on behavioral change issues
    therefore encouraging multidisciplinary and
    team-based approaches and outcome-based care.
  • Center for Medicare and Medicaid Innovation

Community Based Care
  • School Based Health Centers
  • Nurse Managed Clinics
  • Evidence-based Maternal, Infant, and Early
    Childhood Visitation model(s).

  • Guide to Health Insurance Reform
  • Patient Protection and Affordable Care Act P.L.
    111-148 http//
  • Health Reform (DHHS) http//