1. SBHC Legislative Updates and Strategy Session

2. 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

3. 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.

4. 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)

5. Despite the Crisis: Major Health Care Victories Passage of Healthy Kids Plan: HB 2116 80,000 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

6. State Funding for SBHCs 2003-2011 2003-2005: $2.1 million general fund budget 2005-2007 $500,000 general fund increase 2007-2009: $2 million general fund increase 2009-2011: $1.38 million increase from provider tax Total budget: $5,839,000 to support 54 certified SBHCs and 14 planning sites in the 2009-2011 biennium.

7. Increasing the number of sites 1987-1995: Growth from 9 to 29 1995-2007: Growth to 44 2007-2009: Growth to 55 2009-2011: 14 planning grants have been awarded

8. Improving the funding formula Old Funding Formula: 1-2 SBHC: $60,00 3-5 SBHC: $120,000 6-9 SBHC:$180,000 10+ 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.

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

10. Federal Success The best year ever!

11. 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

12. 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?