Indiana State Nurses Association Blayne Miley, JD –Director of Policy & Advocacy –Adjunct Professor, Indiana State DNP program Indiana State Nurses Association

Healthy Indiana Plan & Maternity HIP 2.0 includes maternity coverage – No POWER account contributions or copayments while pregnant and for 60 days after giving birth – Pregnant women have the option of staying with their HIP 2.0 plan or transferring to HIP Maternity = Medicaid No differences in benefits HIP Plus > HIP Basic Uninsured pregnant women can utilize presumptive eligibility for Medicaid

Baby & Me Program 1 st Initiative of the Healthy Hoosiers Foundation – Created in 2013 to support programs that Reduce infant mortality Increase childhood immunizations Reduce obesity Reduce smoking rates Targets pregnant women who smoke – If they complete the program, they receive a $25 voucher for diapers every smoke-free month after the baby is born – Currently operates in 11 of Indiana’s 92 counties Seeking charitable donations to expand

Safety Pin Grant Program ISDH awards $ to proposals seeking to: – Improve access and coordination for at-risk pregnant women/fathers – Incentivize at-risk pregnant women/fathers to obtain prenatal care and support – Decrease smoking rates among pregnant women/fathers – Promote evidence based home visitation – Incentivize collaboration between providers in providing outreach to at-risk pregnant women/fathers ½ upfront, ½ upon ISDH finding infant mortality reduced among targeted area

Newborn Abandonment Commission on Improving the Status of Children in Indiana to submit recommendations by 1/1/16 on: – New methods/mechanisms for carrying out policies relating to abandoned children – Production and distribution of information and posting of uniform signs regarding locations where children may be voluntarily left with an emergency medical services provider ISDH to submit recommendations by 1/1/16 on: – Standards/protocols for the installation and operation of newborn safety incubators

Greater Access to Clinical Trial Drugs Terminally ill patients allowed access to clinical drugs, biological products, or medical devices that have completed Phase I of FDA approval, but currently are not approved for general use –If patient does not have comparable or satisfactory treatment options that are fully FDA approved Liability protection for manufacturer and all involved healthcare providers HB 1065 Signed into law

Why You Should Be Involved Decisions Affecting You Are Happening –2015 Indiana General Assembly 1,237 bills introduced; 259 become laws –Each year there are 2,500-4,500 new federal administrative rules adopted by the executive branch – Healthcare policy includes workplace policy You Can Shape Your World – You’re the healthcare expert! – Make a difference at the macro level – Few people are engaged, so it’s easier to get noticed

How to Get Involved ISNA is here to help –Members receive our weekly e-newsletter, the ISNAbler –We amplify your advocacy by joining nurses to your cause Advocacy Basics –Start with YOUR legislators –Be concise –Template Current situation Change you want to see/avoid Support

Committee on Public Health, Behavioral Health, and Human Services Department of Insurance accident and sickness insurance or health maintenance organization (HMO) consumer complaint process Accident and sickness health insurance and HMO denials of claims, especially because a procedure was deemed experimental or investigatory

Committee on Public Health, Behavioral Health, and Human Services Needle distribution and collection programs as part of a comprehensive response to reducing disease transmission due to intravenous drug use. The study must include a review of the appropriate criminal penalties for drug offenses and drug paraphernalia related offenses and the use of problem solving courts

Committee on Courts and Judiciary Medical Malpractice Act, including – whether the cap on the damages should be increased, and – any potential changes or improvements to the medical review panel process that may improve and streamline the process

ISNA Annual Meeting September 18 th at Fort Harrison, Indianapolis ANA President Pamela Cipriano Community North CNE Pamela Hunt Rep. Ed Clere, Chair of House Public Health CNE program on staffing Register at indiananurses.org