American Recovery and Reinvestment Act: Summary of Health-related Provisions April 15, 2009

Funding to Michigan so far from HHS – see hhs.gov/recovery

Fund: Prevention and Wellness Amount: $1 billion Distribution: according to Secretary of HHS and Director of CDC. Specific allocations –$300M for CDC 317 immunization program –$650M for evidence-based clinical and community based prevention and wellness strategies that address chronic diseases –$50 million to states to implement healthcare-associated infection (HAI) prevention strategies. Action: Michigan received $6.6 million for the immunization program and are awaiting guidance on the other programs

Fund: Healthcare Effectiveness Research Amount: $1.1 billion Purpose: to speed development and dissemination of research assessing the comparative effectiveness of healthcare treatment and strategies. Establishes the Federal Coordinating Council for Comparative Effectiveness Research Distribution: –$300 million for the Agency for Healthcare Research and Quality –$400 million for the National Institutes of Health, and –$400 million for the Office of the Secretary of Health and Human Services

Fund: Community Health Centers Amount: $2 billion Distribution: directed to FQHCs for construction, modernization, HIT improvements and services & operations. Action: –$2.6 million awarded to Michigan clinics for modernization: Western Wayne Family Health Center - Inkster, MI Ingham County Health Department - Lansing, MI –$8.5 million awarded to 29 MI Community Health Centers to expand services to more citizens and handle increased demand

Fund: Training Primary Care Providers Amount: $500 million Distribution: –$300m for the National Health Service Corps –$200m for primary care medicine, dentistry, public health and preventative medicine program, scholarship and loan repayment programs and cross-state licensing for health specialists

Fund: Indian Health Service Facilities Amount: $727 million Purpose: to modernize hospitals and health clinics and make healthcare technology upgrades

Fund: Health Information Technology Amount: $19 billion Distribution: –$2 billion to the Office of the National Coordinator (ONC) –$17 billion for Medicare and Medicaid EHR adoption and meaningful use incentives. Action: awaiting further guidance from ONC and HHS on timelines, guidelines, definitions etc.

Fund: Health Information Technology Amount: $19 billion Details: $2 billion to ONC: Codify ONCHIT Establish HIT Policy & Standards Committees Award HIT Grants to States Establish HIT Regional Extension Centers Establish EHR loan programs within states $20 million transferred to NIST Grants for states

Fund: Health Information Technology Amount: $19 billion Details: $2 billion to ONC: Award HIT Grants to States nine specific uses: –Enhance a broad and varied participation in the authorized and secure nationwide electronic use of and exchange of health information –Promote health information technology/identify State or local resources available toward the nationwide efforts –Complement other Federal grants, programs and efforts towards the promotion of health information technology –Provide technical assistance for the development and dissemination of solutions to barriers to the exchange of electronic health information

Fund: Health Information Technology Amount: $19 billion Details: $2 billion to ONC: Award HIT Grants to States nine specific uses continued: –Encourage Physicians to work with HIT Regional Extension centers (as described in ARRA) –Promote effective strategies to adopt and utilize health IT in medically underserved communities –Assists patients in utilizing health IT –Support public health agencies authorized use of and access to electronic health information –Promote the use of electronic health records for quality improvement including through quality measures reporting

Fund: Health Information Technology Amount: $19 billion Details: Medicare and Medicaid incentives –$ 17 Billion dedicated for physicians and hospitals who purchase and use electronic health records (EHR) –Only for “meaningful users” of certified EHRs –For maximum benefit, EHRs will have to be purchased and in use by FY 2011 –Medicare providers will see incentives until 2015 after which penalties will be issued for those that have not purchased and use certified EHRs. –Medicaid providers must meet certain caseload volume requirements in order to be eligible

Other healthcare provisions: –Enhanced Federal Medical Assistance Percentage –Temporary Increase for Disproportionate Share Hospital Payments –COBRA Healthcare for the Unemployed – continuation subsidy –Broadband expansion –Telemedicine expansion

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