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 ReviewSetting 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 211680,000 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 SBHCs2003-2011

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. 

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

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.

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 SuccessThe best year ever!

SBHCs and Federal Health Care Reform

HOUSE COMMITTEE BILLS “TRI-

COMMITTEE BILL”(H.R. 3200)

Authorization Cost-Based Reimbursement

Short-term Appropriation

Health Plan Reimbursement

Energy and Commerce

Education and Labor

Ways and Means

SENATE COMMITTEE BILLS

WILL 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?