1. Welcome to the PAEA Faculty Development Institute Health Care Reform Webinar What’s in Store for Your Program, PAs, and the Nation?

3. Our Goals Today Are To: Share information on the AAPA’s & PAEA’s Joint Priorities for Health Care Reform Examine the Federal Funding Stream for PA Educational Programs Review the Obama-Biden Administration first few weeks Provide a lay of the land for Health Care Reform

4. The AAPA’s Legislative Agenda for the 111th Congress Access to care Access and continuity of care for Medicare beneficiaries Update the Federal Workers’ Compensation Program Wellness Stem cell research Role of federally employed PAs

6. Principles for Health Care Reform AAPA Quality, affordable cost- effective health care Use of evidence-based medicine Physician-directed teams Optimal utilization of primary care Health promotion and disease prevention Comparative- effectiveness information PAEA Production of a workforce to meet the current/projected health care needs of the nation. Securing adequate funding streams for the education of health professionals. Adequate supply of affordable clinical training sites Diverse health care workforce Utilization of technology

7. Goals Shared by AAPA and PAEA Health Care System Reform Health Care Workforce that: –recognizes the value of PAs –increases support for PA students –Increases support for PA educational programs

8. Great! Our organizational principles are complimentary. We share similar goals on the role of PAs in the health care workforce. Let’s work together!

9. Our Premise… PAs are key to the health care workforce shortage PAs are key to health care reform

10. Does a Federal Commitment for PA Education Exist Now? Sort of – Title VII Cluster on Primary Care Medicine & Dentistry Funding support for the Title VII programs, including that for PA educational programs, is becoming smaller (check out the graph...)

11. Title VII Support for PA Education

12. How Do Our Goals Fit with the Priorities of the Obama-Biden Administration? Administration’s goals: –stabilizing the economy –making health care affordable AAPA’s & PAEA’s goals can be addressed in the context of health care reform

13. What have Congress and the Administration done already? Regulatory changes –Global Gag Rule –Review of “Midnight” Regulations Children’s Health Insurance Program –Extends the program for 4 ½ years –Expands coverage to 11 million children Stimulus Package –Expands Medicaid and Cobra Coverage –Includes $500 million for training primary health care providers

14. “Hey, the market went up three points today, so the stimulus package is working. Yeah! It’s a miracle!”

15. Next Step: Health Care Reform Legislation We want it now! Setbacks: –Health Czar & HHS Designate Derailment New Timeline: –Summer – Fall

16. Likely Key Components in Health Care Reform Legislation Coverage Financing System Reform: –Comparative Effectiveness –Health Information Technology (HIT) –Workforce Issues –Benefits

17. Health Care Reform: the Legislative Vehicle Reauthorization of the Title VII Program Health Professions & Primary Care Reinvestment Act of 2008 (Clinton/DeGette) –15% Carve Out for PA Education –Added Funding Opportunities for PA Education Medicare GME Funding

18. Opportunities? Increased Funding for PA Educational Programs & Students Increased Access to Medical Care Provided by PAs

19. Challenges? Inattention to PA Educational Program Needs & the Needs of PA Students Unintended Barriers to Medical Care Provided by PAs –(Examples: Medical Home & Chronic Care Coordination)

20. Advocacy is Key Maximize opportunity Overcome challenges

21. Know the Primary Players in Congress Senate HELP Committee Senate Finance Committee Sen. Edward Kennedy (D-MA), Chair Sen. Mike Enzi, (R-WY), Ranking Member Sen. Max Baucus, (D-MT), Chair Sen. Chuck Grassley (R-IA), Ranking Member

22. Primary Players in Congress House Energy and Commerce Committee Rep. Henry Waxman (D-CA), Chair Rep. Joe Barton, (R-TX) Ranking Member Rep. Frank Pallone (D-NJ), Chair Health Subcommittee Rep. Nathan Deal (R-GA) Ranking Member, Health Subcommittee

23. Primary Players in Congress House Ways & Means Committee Rep. Charlie Rangel (D-NY), Chair Rep. Pete Stark (D-CA), Chair Health Subcommittee Rep. Dave Camp (R-MI), Ranking Member Rep. Wally Herger (R-CA) Ranking Member, Health Subcommittee

24. AAPA & PAEA Need You!

25. AAPA’s Three Advocacy Tools = Momentum AAPA Political Action Committee AAPA Legislative Action Center AAPA Congressional Visit Program

26. AAPA PAC Fundraising = successful campaign Fundraisers = Access $$ to Candidates Must Come from AAPA members

27. AAPA Legislative Action Center User-friendly tool to contact Senators and Representative Visit often http://members.aapa.org/vocus/index.htm

28. AAPA Congressional Visit Program Targets PA constituent visits with key legislators 100% AAPA Support Interested? http://www.aapa.org/gandp/cvp.html

30. Questions????

32. Thank you very much!