Welcome to the PAEA Faculty Development Institute Health Care Reform Webinar What’s in Store for Your Program, PAs, and the Nation?

Our Goals Today Are To: Share information on the AAPA’s & PAEA’s Joint Priorities for Health Care Reform Examine the Federal Funding Stream for PA Educational Programs Review the Obama-Biden Administration first few weeks Provide a lay of the land for Health Care Reform

The AAPA’s Legislative Agenda for the 111th Congress Access to care Access and continuity of care for Medicare beneficiaries Update the Federal Workers’ Compensation Program Wellness Stem cell research Role of federally employed PAs

Principles for Health Care Reform AAPA Quality, affordable cost- effective health care Use of evidence-based medicine Physician-directed teams Optimal utilization of primary care Health promotion and disease prevention Comparative- effectiveness information PAEA Production of a workforce to meet the current/projected health care needs of the nation. Securing adequate funding streams for the education of health professionals. Adequate supply of affordable clinical training sites Diverse health care workforce Utilization of technology

Goals Shared by AAPA and PAEA Health Care System Reform Health Care Workforce that: –recognizes the value of PAs –increases support for PA students –Increases support for PA educational programs

Great! Our organizational principles are complimentary. We share similar goals on the role of PAs in the health care workforce. Let’s work together!

Our Premise… PAs are key to the health care workforce shortage PAs are key to health care reform

Does a Federal Commitment for PA Education Exist Now? Sort of – Title VII Cluster on Primary Care Medicine & Dentistry Funding support for the Title VII programs, including that for PA educational programs, is becoming smaller (check out the graph...)

Title VII Support for PA Education

How Do Our Goals Fit with the Priorities of the Obama-Biden Administration? Administration’s goals: –stabilizing the economy –making health care affordable AAPA’s & PAEA’s goals can be addressed in the context of health care reform

What have Congress and the Administration done already? Regulatory changes –Global Gag Rule –Review of “Midnight” Regulations Children’s Health Insurance Program –Extends the program for 4 ½ years –Expands coverage to 11 million children Stimulus Package –Expands Medicaid and Cobra Coverage –Includes $500 million for training primary health care providers

“Hey, the market went up three points today, so the stimulus package is working. Yeah! It’s a miracle!”

Next Step: Health Care Reform Legislation We want it now! Setbacks: –Health Czar & HHS Designate Derailment New Timeline: –Summer – Fall

Likely Key Components in Health Care Reform Legislation Coverage Financing System Reform: –Comparative Effectiveness –Health Information Technology (HIT) –Workforce Issues –Benefits

Health Care Reform: the Legislative Vehicle Reauthorization of the Title VII Program Health Professions & Primary Care Reinvestment Act of 2008 (Clinton/DeGette) –15% Carve Out for PA Education –Added Funding Opportunities for PA Education Medicare GME Funding

Opportunities? Increased Funding for PA Educational Programs & Students Increased Access to Medical Care Provided by PAs

Challenges? Inattention to PA Educational Program Needs & the Needs of PA Students Unintended Barriers to Medical Care Provided by PAs –(Examples: Medical Home & Chronic Care Coordination)

Advocacy is Key Maximize opportunity Overcome challenges

Know the Primary Players in Congress Senate HELP Committee Senate Finance Committee Sen. Edward Kennedy (D-MA), Chair Sen. Mike Enzi, (R-WY), Ranking Member Sen. Max Baucus, (D-MT), Chair Sen. Chuck Grassley (R-IA), Ranking Member

Primary Players in Congress House Energy and Commerce Committee Rep. Henry Waxman (D-CA), Chair Rep. Joe Barton, (R-TX) Ranking Member Rep. Frank Pallone (D-NJ), Chair Health Subcommittee Rep. Nathan Deal (R-GA) Ranking Member, Health Subcommittee

Primary Players in Congress House Ways & Means Committee Rep. Charlie Rangel (D-NY), Chair Rep. Pete Stark (D-CA), Chair Health Subcommittee Rep. Dave Camp (R-MI), Ranking Member Rep. Wally Herger (R-CA) Ranking Member, Health Subcommittee

AAPA & PAEA Need You!

AAPA’s Three Advocacy Tools = Momentum AAPA Political Action Committee AAPA Legislative Action Center AAPA Congressional Visit Program

AAPA PAC Fundraising = successful campaign Fundraisers = Access $$ to Candidates Must Come from AAPA members

AAPA Legislative Action Center User-friendly tool to contact Senators and Representative Visit often

AAPA Congressional Visit Program Targets PA constituent visits with key legislators 100% AAPA Support Interested?

Questions????

Thank you very much!