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Healthcare Reform Advocacy




www.TheNationalCouncil.org
Healthcare Reform Advocacy and
Essentials for Your Capitol Hill Visits


                           Chuck Ingoglia, Vice
                          President, Public Policy

                               June 3, 2010
Amplify Your Voice:
      Letter-Writing Campaign
      > Bring the voices from your state to Washington!
      > Personal stories are one of the most powerful ways of
        influencing Congress
      > How to Participate:
         1. Download our sample letter form on the Hill Day
             website.
         2. Get as many people as possible to fill it out.
         3. Return completed letters to
             RebeccaF@thenationalcouncil.org.


www.TheNationalCouncil.org
Ideas to Boost Your Community’s
      Engagement
      > Distribute the letter form to staff, board members,
        friends, family, anyone with a story to tell!
      > Leave copies in your waiting room for consumers to
        fill out
      > Don’t have time to print and return the letter? Use our
        easy online response tool at
        http://www.surveymonkey.com/s/L67ZH85
      > Email this link to everyone you know, or post it on
        your website
      > Make sure letter-writers know to enter your
        organization’s name, so you can get the credit!
www.TheNationalCouncil.org
Why Your Stories Matter
      May 20, 2010

      Dear Ms. Lenore Barsness,

      [The Congressman] wanted me to inform you that because of your email
      he decided to cosponsor H.R. 5040, the Health Information Technology
      Extension for Behavior Health Services Act.

      Thank you for your email.

      Sincerely,
      [Staffer’s Name]
      Legislative Director
www.TheNationalCouncil.org
Start by Mentioning…

      > Your name, organization, and city
      > Number of clients your organization serves each year
      > Describe your clients
         • Uninsured/Medicaid
         • Diagnostic profile/disability rates
      > Describe your payer mix
      > Number of employees in your organization




www.TheNationalCouncil.org
Advocacy Issues
      ASK: Please Co-sponsor the Health Information
      Technology Extension for Behavioral Health Services Act
      (H.R. 5040)
      > Current federal HIT funding initiatives (e.g. ARRA) do
        NOT include CBHOs as entities – and many types of
        providers practicing in CBHOs are excluded from the
        list of “eligible providers”
          • People who receive care at CBHOs will not benefit from
            the benefits of HIT usage
          • Limits communication between primary care providers as
            CBHOs

www.TheNationalCouncil.org
HIT Extension Act (cont.)

      > H.R. 5040 extends federal HIT incentive payments to
        CBHOs and certain behavioral health providers
         • Expands the list of eligible professionals to include
           clinical psychologists and clinical social workers
         • Allows mental health and substance abuse treatment
           facilities that have at least 10% their patient volume
           attributable to Medicaid recipients to receive increased
           facility payments
         • Allows private psychiatric hospitals that have at least
           10% their patient volume attributable to Medicaid
           recipients to receive these payments.
www.TheNationalCouncil.org
Advocacy Issues (cont.)
   ASK: Please Support Legislation Creating a Definition of
   Federally Qualified Behavioral Health Centers
   > The coverage expansions under healthcare reform will likely
     lead to:
      • Increased demand in services
      • Greater provider accountability for health outcomes
   > Federally Qualified Behavioral Health Centers will be able to
     meet these expectations
      • Voluntary
      • Meet clearly-defined national standards
      • Receive reimbursement for the cost of providing services –
        increased capacity.
www.TheNationalCouncil.org
FQBHCs (cont.)

      > In addition, the creation of FQBHCs will:
         • Establish federal status for community behavioral
           health organizations (CBHOs).
         • Provide a definition for such an entity that clearly
           identifies treatment objectives and updates the
           minimum core services required.
         • Create nationwide minimum reimbursement for
           community-based mental health care and substance
           abuse services that reflects the cost of actually
           delivering those same services – commonly referred to
           as “cost-based reimbursement”.
www.TheNationalCouncil.org
Before You Leave, Don’t Forget To…

      > Invite your Member of Congress to visit your site the
        next time he/she is in the district
      > Leave your business card
      > Say Thank You!




www.TheNationalCouncil.org
Be sure to bring….

      > Plenty of business cards
      > Shoes you can walk in
      > Temperatures will be hot! We recommend business
        casual for Tuesday’s sessions (light sweaters/jackets
        are recommended for cool indoor temperatures) and
        business attire (suits) for Wednesday’s meetings.




www.TheNationalCouncil.org
Questions?

      > Chuck Ingoglia, chucki@thenationalcouncil.org
         • Policy issues

      > Rebecca Farley, rebeccaf@thenationalcouncil.org
         • Hotels, registration, schedule, other logistics




www.TheNationalCouncil.org

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Healthcare Reform Advocacy Tips

  • 2. Healthcare Reform Advocacy and Essentials for Your Capitol Hill Visits Chuck Ingoglia, Vice President, Public Policy June 3, 2010
  • 3. Amplify Your Voice: Letter-Writing Campaign > Bring the voices from your state to Washington! > Personal stories are one of the most powerful ways of influencing Congress > How to Participate: 1. Download our sample letter form on the Hill Day website. 2. Get as many people as possible to fill it out. 3. Return completed letters to RebeccaF@thenationalcouncil.org. www.TheNationalCouncil.org
  • 4. Ideas to Boost Your Community’s Engagement > Distribute the letter form to staff, board members, friends, family, anyone with a story to tell! > Leave copies in your waiting room for consumers to fill out > Don’t have time to print and return the letter? Use our easy online response tool at http://www.surveymonkey.com/s/L67ZH85 > Email this link to everyone you know, or post it on your website > Make sure letter-writers know to enter your organization’s name, so you can get the credit! www.TheNationalCouncil.org
  • 5. Why Your Stories Matter May 20, 2010 Dear Ms. Lenore Barsness, [The Congressman] wanted me to inform you that because of your email he decided to cosponsor H.R. 5040, the Health Information Technology Extension for Behavior Health Services Act. Thank you for your email. Sincerely, [Staffer’s Name] Legislative Director www.TheNationalCouncil.org
  • 6. Start by Mentioning… > Your name, organization, and city > Number of clients your organization serves each year > Describe your clients • Uninsured/Medicaid • Diagnostic profile/disability rates > Describe your payer mix > Number of employees in your organization www.TheNationalCouncil.org
  • 7. Advocacy Issues ASK: Please Co-sponsor the Health Information Technology Extension for Behavioral Health Services Act (H.R. 5040) > Current federal HIT funding initiatives (e.g. ARRA) do NOT include CBHOs as entities – and many types of providers practicing in CBHOs are excluded from the list of “eligible providers” • People who receive care at CBHOs will not benefit from the benefits of HIT usage • Limits communication between primary care providers as CBHOs www.TheNationalCouncil.org
  • 8. HIT Extension Act (cont.) > H.R. 5040 extends federal HIT incentive payments to CBHOs and certain behavioral health providers • Expands the list of eligible professionals to include clinical psychologists and clinical social workers • Allows mental health and substance abuse treatment facilities that have at least 10% their patient volume attributable to Medicaid recipients to receive increased facility payments • Allows private psychiatric hospitals that have at least 10% their patient volume attributable to Medicaid recipients to receive these payments. www.TheNationalCouncil.org
  • 9. Advocacy Issues (cont.) ASK: Please Support Legislation Creating a Definition of Federally Qualified Behavioral Health Centers > The coverage expansions under healthcare reform will likely lead to: • Increased demand in services • Greater provider accountability for health outcomes > Federally Qualified Behavioral Health Centers will be able to meet these expectations • Voluntary • Meet clearly-defined national standards • Receive reimbursement for the cost of providing services – increased capacity. www.TheNationalCouncil.org
  • 10. FQBHCs (cont.) > In addition, the creation of FQBHCs will: • Establish federal status for community behavioral health organizations (CBHOs). • Provide a definition for such an entity that clearly identifies treatment objectives and updates the minimum core services required. • Create nationwide minimum reimbursement for community-based mental health care and substance abuse services that reflects the cost of actually delivering those same services – commonly referred to as “cost-based reimbursement”. www.TheNationalCouncil.org
  • 11. Before You Leave, Don’t Forget To… > Invite your Member of Congress to visit your site the next time he/she is in the district > Leave your business card > Say Thank You! www.TheNationalCouncil.org
  • 12. Be sure to bring…. > Plenty of business cards > Shoes you can walk in > Temperatures will be hot! We recommend business casual for Tuesday’s sessions (light sweaters/jackets are recommended for cool indoor temperatures) and business attire (suits) for Wednesday’s meetings. www.TheNationalCouncil.org
  • 13. Questions? > Chuck Ingoglia, chucki@thenationalcouncil.org • Policy issues > Rebecca Farley, rebeccaf@thenationalcouncil.org • Hotels, registration, schedule, other logistics www.TheNationalCouncil.org