SBHC Legislative Updates and Strategy Session

Overview of this session Review the role of the Network in developing policy priorities for SBHCs Update on State and Federal Policy and SBHCs Strategy Session

The Network’s role in policy making Our Mission: The Oregon School-Based Health Care Network advance access to quality health care for children and youth. Our Vision: School-based health care will be available, accessible and stable in order to promote the health, well-being and success of all of Oregon’s children.

State Legislative Review Setting the context—worst economic crisis Economic Crisis $4.2 billion revenue shortfall (May 15) Federal Stimulus$ 2 billion (approx) $ to Oregon Tax Increases$750 million (approx) Budget Cuts$1.3 billion (approx)

Despite the Crisis: Major Health Care Victories Passage of Healthy Kids Plan: HB ,000 additional children and 30,000 adults have access to no cost, low cost or affordable health insurance SBHC Funding $1.38 million in for new and existing centers Safety Net Grants $5 million for serving vulnerable youth

State Funding for SBHCs : $2.1 million general fund budget $500,000 general fund increase : $2 million general fund increase : $1.38 million increase from provider tax Total budget: $5,839,000 to support 54 certified SBHCs and 14 planning sites in the biennium.

Increasing the number of sites : Growth from 9 to : Growth to : Growth to : 14 planning grants have been awarded

Improving the funding formula Old Funding Formula: 1-2 SBHC: $60, SBHC: $120, SBHC:$180, SBHC:$240,000 New Funding Formula: Funds distributed to local health departments are more equitable and reduce hardship related to growth Counties with only one certified SBHC receive $60,000/yr Counties with > 1 certified SBHC receive $41,000/yr for each center.

Other state policy work School nurse bill State health care reform Certification changes Progress with MCO/MHO/DCO contracts Investigation of billing and reimbursement

Federal Success The best year ever!

SBHCs and Federal Health Care Reform H OUSE C OMMITTEE B ILLS “T RI -C OMMITTEE B ILL ” (H.R. 3200) AuthorizationCost-Based Reimbursement Short-term Appropriation Health Plan Reimbursement Energy and Commerce Education and Labor Ways and Means S ENATE C OMMITTEE B ILLS W ILL BE COMBINED INTO A SINGLE BILL Senate Finance Committee Senate H.E.L.P. Committee

Strategy Session Network Vision Statement: School-based health care will be available, accessible and stable in order to promote the health, well-being, and success of all of Oregon’s children. Small group: What are the barriers to achieving our vision? Report out Large group: What are the top 3 emergent issues? Small group: What strategies (legislation, cooperative agreements, training opportunities, etc.) should we use to achieve our vision Report out Large group: Is anything missing?