Health Resources and Services Administration Office of Regional Operations Update State Offices of Rural Health Regional Partnership Meeting – Region A Annapolis, MD June 16, 2015 Rhonda Jackson Public Health Analyst U.S. Department of Health and Human Services Health Resources and Services Administration Office of Regional Operations – Region III

HRSA Regional Office Locations

U.S. Department of Health and Human Services Regional Offices Presence

About HRSA HRSA is the primary federal agency for improving access to health care services for people who are uninsured, isolated or medically vulnerable. Goal I Improve Access to Quality Care and Services. Goal II Strengthen the Health Workforce. Goal III Build Healthy Communities. Goal IV Improve Health Equity.

90+ Programs Administered by HRSA Community Health Centers National Health Service Corps Workforce Training for Primary Care, Mental and Behavioral Health, Public Health, Medicine, Dentistry, Nursing, and Geriatrics Workforce Diversity Children’s Hospital GME Practitioner Databanks Maternal and Child Health Healthy Start Poison Control Ryan White HIV/AIDS Mental/Behavioral Health and Primary Care Integration Rural Health Policy & Programs Telehealth Health Care for the Homeless Migrant Health Centers Vaccine Injury Compensation Black Lung Clinics Program 340B Drug Pricing Organ Donation & Transplantation And more…

Supported by Bureaus and Offices 15 Bureaus/Offices Seven External-Facing Bureaus/Offices: Bureau of Health Workforce (BHW) Bureau of Primary Health Care (BPHC) Healthcare Systems Bureau (HSB) HIV/AIDS Bureau (HAB) Maternal and Child Health Bureau (MCHB) Federal Office of Rural Health Policy (FORHP) Office of Regional Operations (ORO) Regional Administrator Region I – Jeffrey Beard Regional Administrator Region II – Ronald Moss Regional Administrator Region III – Pamela Kania

Regional Federal Partners U.S. Department of Health and Human Services Office of Intergovernmental and External Affairs (IEA) Regional Director (I): Rachel Kaprielian Regional Director (II): Jackie Cornell-Bechelli Regional Director (III): Joanne Grossi Office of the Assistant Secretary for Health Administration for Children and Families Administration for Community Living Centers for Medicare & Medicaid Services Indian Health Service Substance Abuse and Mental Health Services Administration Housing and Urban Development Environmental Protection Agency Addl HHS Regional Staff: Regional Manager for Civil Rights Regional Chief Counsel Regional Inspectors General Office of the Assistant Secretary for Health (OASH) Regional Health Administrator  Regional Family Planning Consultant  Regional Minority Health Consultant Regional Women's Health Coordinator Assistant Secretary for Preparedness and Response Hospital Preparedness Program   Regional Operating Divisions Office Web Sites: Agency for Toxic Substances and Disease Registry Food and Drug Administration

HRSA National Activities Nearly 22 million patients are served in 1,300 HRSA-funded health centers and 9,200 health care delivery sites Over 500,000 people living with HIV/AIDS receive services through more than 900 HRSA-funded Ryan White Clinics . Two-thirds are members of minority groups. 34 million women, infants, children, and adolescents benefit from HRSA’s maternal and child health programs. 9,200 National Health Service Corps clinicians are working in underserved areas in exchange for loan repayment or scholarships. HRSA preapproved slide

HRSA Office of Regional Operations Strategic Stakeholder Partnerships Engage partners and broker relationships Regional Management Ensure efficacy of HRSA Resources Regional Surveillance Identify and report ground-level information External Affairs & Outreach Agency liaison and Regional leadership Agency liaison and Regional leadership Engage partners and broker relationships Identify and report ground-level information Ensure efficacy of HRSA resources

ORO FY 2015 Essential Topics Affordable Care Act Outreach and Enrollment Rural Health Tribal Affairs Behavioral Health Region Specific Topics: Primary Care and Public Health Integration HIV / AIDS Maternal and Child Health Native Hawaiians / Pacific islanders Transgender Persons Homelessness Veterans Other Regions: Workforce Development, Oral Health, Prevention, Improving Health Disparities, Special Populations (LGBT, Migrant, African Immigrants, Asian, Latinos, Women’s Health, Aging)

HRSA Investments Region I Region II Region III CT,ME,MA, NH, RI,VT $1,032,242,597 in active grants 532 Grants 243 Grantees Region II NY, NJ , PR, VI $1,769,826,961 in active grants 579 Grants 267 Grantees Region III DE, DC, PA, MD, VA, WV $1,642,171,434 in active grants 741 Grants 320 Grantees Source: HRSA Data Warehouse May 2015

HRSA Office of Regional Operations When should you contact ORO? When you have questions about other HRSA or HHS programs, data, policies, or resources – or when you would like to connect with other HRSA or HHS programs When you are looking for a new type of partner or resource (including funding opportunities) When you would like to share information with HRSA that may help make decisions or inform programming When you would like HRSA representation or a HRSA presentation at a meeting or event

HRSA Office of Regional Operations When might ORO contact you? When HRSA has new information about HRSA funding opportunities, policies, resources, or priorities When HRSA is convening HRSA stakeholders When HRSA is brokering introductions When HRSA is collecting information to help inform an issue When HRSA interested in being present at a meeting or event When HRSA is interested in getting to know you better

Collaboration Examples – Region I New England Rural Health Round Table (NHRT) Boston Regional Division participates in the planning committee Has served as a featured speaker during annual conference Information sharing opportunities for both the Regional office and rural stakeholders

Collaboration Examples – Region II Improving Federal Rural Health Grant Awareness Communicating eligibility information for rural health grants to increase application submissions from NJ areas NY State Association of Rural Health Regional Surveillance Connect partners for dissemination of resources across programs and bureaus

Collaboration Examples – Region III PA Community Health Workers Symposium Support PA SORH planning and execution of statewide symposium for community health workers ACA Outreach and Enrollment Partnered with CMS to host a virtual meeting for navigators and in-person assistors serving rural areas to provide information on marketplace plans

Affordable Care Act Outreach and Enrollment

Key Facts Regarding Rural Coverage in the Health Insurance Marketplace Nearly 20% of Americans live in rural areas. Disproportionately older/larger Medicare population. More prevalence of chronic disease. More likely to be on food stamps. Greater proportion lack coverage than urban areas.* Lower income levels.* In states that are expanding Medicaid, rural residents more likely to be eligible for the coverage expansion. By increasing competition, the Marketplace will lower costs in rural areas, where 1 of 5 farmers face medical debt, and on average families pay nearly half of their health care costs out-of-pocket. *source: The Uninsured: An Analysis by Income and Geography,” Barker AR, Londeree JK, McBride TD, Kemper LM, Mueller K, RUPRI Center for Rural Health Policy Analysis, Rural Policy Brief, June 2013. http://cph.uiowa.edu/rupri/publications/policybriefs/2013/Uninsured%20Analysis%202013.pdf

Consumer Assistance Roles Established to Facilitate Marketplace Outreach, Education, and Enrollment Navigators Non-Navigator Assistance Personnel Certified Application Counselors Agents and Brokers

Thinking Ahead to the next Outreach and Enrollment Season Has the framework of consumer assistance established in your State been effective in rural areas? (Navigators, Certified Application Counselors, Health Center outreach and enrollment staff)? How active a role has the SORH been able to take? Have you been able to coordinate with organizations providing consumer assistance in your State: To ensure the interests of hospitals, clinics, and the rural underserved are appropriately addressed? To have an active role in the development of consumer assistance policies and practices? To take part in ongoing changes to O & E policies & practices?

Planning for the next open enrollment season begins now New Partnerships Training and Preparation Local assistor coalitions Ideas for enrollment outreach and activities

Coverage To Care https://marketplace.cms.gov

HRSA Resources HRSA Data Warehouse http://datawarehouse.hrsa.gov

HRSA Resources www.Grants.Gov

Christopher J. Bersani, Psy.D., ABPP George A Pourakis, MD, MPH HRSA Resources Regional Contacts Region I Christopher J. Bersani, Psy.D., ABPP Captain, USPHS Senior Public Health Analyst (617) 565-1470 cbersani@hrsa.gov Region II George A Pourakis, MD, MPH Senior Public Health Analyst, LCDR/USPHS (212) 264-2541 gpourakis@hrsa.gov Region III Rhonda Jackson, MSW Public Health Analyst (215) 861-4407 rjackson@hrsa.gov

HRSA and the Affordable Care Act HRSA Resources HRSA www.hrsa.gov HRSA and the Affordable Care Act www.hrsa.gov/affordablecareact

Thank you!