Anne Tabor, MPH, RD, LD Public Policy Coordinator Jill Lange, MPH, RD, LD State Public Policy Representative

 Iowa in fore front of Health Reform forum and debates  A quick primer  Two senators  Five congressmen ▪ Bruce Braley, first house district ▪ Dave Loesback (D), 2 nd house district ▪ Leonard Boswell (D), 3rd house district ▪ Tom Latham (R), 4 th house district ▪ Steve King (R), 5 th house district

 Senator Tom Harkin (D)  Former Chairman of Agriculture, Nutrition Forestry; this summer appointed Chair of Health, Education, Labor, Pension Committee; will continue to serve on Ag Committee and Appropriations (chair of sub committee Labor Health Human Services & Education) & others  Senator Chuck Grassley (R)  Ranking member of Senate Finance Committee; serves Agriculture, Nutrition and Forestry along with Judiciary Committee & others

 Bruce Braley  Introduced Healthy Food Choices for Kids Act May 2009  Includes $$ for pilot schools to post nutrition information, implement nutrition education, requires consultation with nutrition experts

 Federal Health Care Reform  Iowa Healthy Kids Act Update  Medicaid  Iowa Health Care Reform  ADA strategies and changes

 Senate Finance Committee  Chairman Max Baucus (D-MT)  Ranking Member Charles Grassley (R-IA)  America’s Healthy Future Act  Emphasizes prevention and care coordination  564 amendments  Support the wellness and preventive mark

 Annual wellness visit in Medicare  Removal of barriers to preventive services in Medicare  Evidence based coverage of preventive services in Medicare  Incentives for Healthy Lifestyles demonstration project in Medicare

 Improve access to preventive services in Medicaid  Provides waivers for medical homes in Medicaid  Fund the $25 million Childhood Obesity Demonstration Project  Independence at Home Pilot Project  Workforce Advisory Committee

 Announced October 29 th  Combination of bills from 3 house committees  Ways and Means  Energy and Commerce  Education and Labor  Negotiations expected November 3 rd  Hope to pass by November 11 th

 Wellness program grants  Medical home pilot program  Coverage and waiver of cost-sharing for preventive services  Qualification of director of food services of a skilled nursing facility or nursing facility  Medicaid & SCHIP preventive services  Strengthen public health workforce

 School-based health clinics  CDC grants to promote positive health behaviors  Infant mortality pilot programs  Community-based overweight and obesity prevention program  Comprehensive school health education programs  Prevention

 Iowa Senate File 2425 signed into law 2008  Nutritional Content Standards  Foods and beverages sold or provided on school grounds  Nutrition Advisory Panel  Effective July 2010  Dietitians and AEAs

 April 30, 2009 meeting with Jennifer Vermeer, Director and Julie Lovelady, Assistant Director of Iowa Medicaid Enterprises  IDA identified disparities  July 10, 2009 Medicaid response letter

 House File 2539  Clinicians Advisory Panel  Direct Care Worker Advisory Panel  Electronic Health Information Advisory Council and Executive Committee  Governor’s Council on Physical Fitness and Nutrition/Prevention and Wellness Initiatives  Health and Long-Term Care Access Advisory Council  Patient Autonomy in Healthcare Decisions Pilot Project Advisory Council  Prevention and Chronic Care Management Advisory Council

 The purpose of the council is to advise and assist the Iowa Department of Public Health to develop a medical homes system as outlined in HF  Definition  al_home.asp al_home.asp  Next meeting: December 9, 2009; at the Urbandale Public Library

 The purpose of this group is to advise and assist the Iowa Department of Public Health to develop a state initiative for prevention and chronic care management as outlined in HF 2539  Study and develop strategies to improve health promotion, prevention, and chronic care management  Six Council Recommendations  nic_care_mgmt.asp nic_care_mgmt.asp  Next meeting: December 4, 2009; 10-2 at the West Des Moines Public Library

 Aging  Child Nutrition  Food Safety  Health Literacy and Nutrition Advancement  MNT and Medicare/Medicaid Reimbursement  Nutrition Monitoring and Research  Obesity/Overweight and Healthy Weight  xsl/advocacy_1538_ENU_HTML.htm

 Sue Roberts – ADA Public Policy Consultant  Membership will decide direction  Public policy survey  roberts.net

 Iowa Legislative Day  February 16, 2010: 9 am – 4 pm  Jesse Parker Building and State Capitol  Free CEU Opportunity  Meet as a group with legislators  Public Policy Workshop 2010  Opening session March 22, 2010  Party hosts needed

 Get Involved with ADA!  Read ADA’s On the Pulse dvocacy.html dvocacy.html  Find out who represents you!  Respond to ADA’s Action Alerts  Participate in ADA’s Public Policy Workshop

 Get involved with IDA!  Join the legislative list serve  Attend a town hall meeting (or 2!)  Write a letter or send an  Attend the Iowa Legislative Day and PPW  Talk to Anne, Jill, Sue or Teresa to find out more! ▪ ▪ ▪