2. The Issue Many people face difficulties as they attempt to use our health care system which results in inequities in health status, access to care, and the outcomes that persist. Too often, there exists a chasm of knowledge between what professionals know and what consumers and patients understand. Basic health literacy is fundamental to the success of each interaction between health care professionals and patients.

3. The Issue Improving health literacy Definition: the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions Critical to achieving the objectives set forth in Healthy People 2020.

4. The Issue Many high schools in the United States have health education programs, D.A.R.E programs, and sex education programs. But, high school students are not educated on what happens if they get sick. I’m proposing that we need to modify the definition of health literacy by adding insurance literacy to it and to teach students about how healthcare is paid for in the United States. Changes such as the implementation of the Affordable Care Act makes this even more critical.

5. Evidence Four in ten Americans (42 percent) are unaware that the ACA is the law. This share is higher among certain populations the law was specifically designed to help. Six in ten of those in households making less than $30,000 a year are unable to say the law is still in force, as are half of younger Americans.

6. Evidence Two decades of research indicate that today’s health information is presented in a way that isn’t usable by most Americans. Nearly 9 out of 10 adults have difficulty using the everyday health information that is routinely available in our health care facilities, retail outlets, media, and communities.

7. Action Oriented Solution U.S. Department of Health and Human Services Office of Disease Prevention and Disease Promotion National Action Plan to Improve Health Literacy first proposed in 2007

8. Legislation S.2424 — 110th Congress (2007-2008) Read twice and referred to the Committee on Health, Education, Labor, and Pensions. Reintroduce this bill with a modification to the previous addendum

9. Legislation Part A of title IX of the Public Health Service Act (42 U.S.C. 299 et seq.) is amended by adding at the end the following: SEC. 904. HEALTH LITERACY: STRATEGIC PLANNING, RESEARCH AND COORDINATION. Definitions.--In this section: (1) Health literacy.--The term `health literacy' means an individual's ability to obtain, process, and understand basic health information, services, and insurance options needed to make appropriate health care decisions.

10. Venue National Action Plan to Improve Health Literacy--federal level

11. Policy Paramours Thomas Harkin, Junior, D-IA Committee on Health, Education, Labor, and Pensions As a member of the Senate subcommittee that oversees education funding, Senator Harkin has led efforts to improve education. He has worked to reduce class size, to give students better computer and Internet access, expand school counseling and other school safety programs, and improve teacher training. He has earned a reputation for giving a voice to those too often overlooked in Washington: working families, women, people with disabilities, children, students, seniors, family farmers, and small business owners He voted for the Patient Protection and Affordable Care Act in December 2009, and he voted for the Health Care and Education Reconciliation Act of 2010.

12. Policy Paramours Timothy Johnson, Senior, D-SD Chair, Committee on Banking, Housing and Urban Affairs Johnson then underwent a lengthy regimen of physical, occupational, and speech therapy to gain strength and mobility and restore his severely affected speech after suffering from a brain hemorrhage. He also suffered from prostate cancer. Due to his medical history, he understands the importance of insurance literacy. He voted for the Patient Protection and Affordable Care Act in December 2009, and he voted for the Health Care and Education Reconciliation Act of 2010

13. Policy Paramours Amy Klobuchar, Senior, D-MN Klobuchar voted for the Patient Protection and Affordable Care Act in December 2009, and she voted for the Health Care and Education Reconciliation Act of 2010. In December 2012, Klobuchar advocated to "repeal or reduce" the tax on medical devices included in the Affordable Care Act.

14. Stakeholders: Non- governmental

15. Stakeholders-Governmental

16. Marketing/Messaging Changes such as the implementation of the Affordable Care Act makes this even more critical. Increase awareness of the necessity of increasing health literacy through commercials, newspapers, radio, etc. Acronym?—IHL Logo…

17. References http://kff.org/health-reform/poll-finding/kaiser-health- tracking-poll-april-2013/ http://www.health.gov/communication/hlactionplan/pdf/Hea lth_Lit_Action_Plan_Summary.pdf http://www.senate.gov/ http://www.cdc.gov/healthliteracy/planact/index.html