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Policy Advisory Group AGENDA Monday, February 12Th, 2018 9:30Am-12:00Noon CCALAC, 700 S

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Policy Advisory Group AGENDA Monday, February 12Th, 2018 9:30Am-12:00Noon CCALAC, 700 S Policy Advisory Group AGENDA Monday, February 12th, 2018 9:30am-12:00noon CCALAC, 700 S. Flower Street, Suite 3150 (Conf. Room A) Los Angeles, CA 90017 Call-in: (888) 585-9008 Conference Room #: 529-954-253 Time Item – Presenter Action* Corresponding Document** 9:30am Call to Order and Introductions – Tamra King A 9:35am Agenda and January Minutes – Tamra King A • January 8th Minutes (2) 9:45am Federal Issues –Courtney Powers, Sara Watson A. Federal Budget & Health Centers Funding I/D • Federal Updates Memo** (4) B. Immigration I/D • Immigration Memo** (7) • Protecting Immigrant Families Coalition: Public C. NACHC Policy & Issues Forum (P&I) I/D Charge Fact Sheet (10) • P&I Memo (12) • P&I List of Members in Districts (13) 10:30am State Issues –Becky Lee A. Governor’s Budget Analysis I/D • CPCA Budget Analysis (18) B. State Legislation I/D • CPCA State Legislation Memo (21) • Day at the Capitol Memo (25) C. Day at the Capitol (DAC) I/D • DAC List of Clinics in Districts (26) D. CPCA State Initiatives I • State Initiatives Memo**(34) 11:00am County Issues – Louise McCarthy, Courtney Powers, Becky Lee, Sara Watson A. My Health LA I/D • My Health LA Memo** (36) B. LA County Initiatives I/D • MHLA Letter to HRSA - Sept. 2014 (40) • MHLA PIN 18-01 Dental Changes**(43) 1. Whole Person Care • MHLA December Renewal Report (44) 2. Homelessness • LA County Initiatives Memo** (45) C. Behavioral Health I/D • Behavioral Health Memo**(47) 1. Behavioral Health Task Force • Managed Care Memo** (48) 2. DMH Indigent Services Contracting • L.A. Care Health Plan Update** (50) D. LADPH Service Planning Area (SPA) Meetings D E. Managed Care I/D 11:40am Other Business –Elaiza Torralba, Sara Watson A. Policy Café D B. LA County Board of Supervisors Quarterly Health D Deputy Meetings 12:00pm Adjournment – Tamra King A Next Policy Advisory Group Meeting – Monday, March 5th via CONFERENCE CALL/WEBINAR ONLY 1 A = *Action D = Discussion (no materials) I = Information (no discussion) ** handout provided in complete packet of materials Policy Advisory Group Meeting Minutes January 8th 2018 9:30am – 12:00pm CCALAC Conference Room A&B Attendees: Alicia Mardini, Tamra King, Nik Gupta, John Nyguen, Karen Lauterbach, Corrine Sanchez, Katja Nelson, Patti Wagonhurst, Jann Hamilton Lee, Chona de Leon, Warren Brodine, Clifford Shiep, Richard Veloz, Ana Grande, Mario Chavez Teleconference: Elisa Nicholas, Jina Lawler, Kim Wyard, Audrey Simons, Lisa Abdishoo, Eduardo Gonzalez, Franklin Gonzalez, Maria Dia, Julie Hudman, Adel Syed, Carmen Ibarra, Margie Martinez, Bettina Lewis , Kazue Shibata Staff: Louise McCarthy, Courtney Powers, Nina Vaccaro, Joanne Preece, Becky Lee, Elaiza Torralba, Candace Metoyer, Sara Watson TOPIC / PERSON DISCUSSION ACTION Welcome and Al Ballasteros, Co-Chair, called the meeting to order at 9:35am. Louise introduced CCALAC’s new Al called to order. Introductions Director of Gov and Ext Affairs, Courtney Powers, Esq. Approval of Agenda Al asked for motions to approve the agenda and past meeting minutes. Motion: Corinne Sanchez, and Minutes Second: Richard Veloz. Motion carries. No opposition. Federal Issues A. Federal Budget & Appropriations No actions. 1. Health Centers Funding Cliff – Update on status of health centers funding. No funding included in CR. Discussion ensued regarding advocacy strategy. 2. Tax Reform – Updates on tax reform bill per memo. B. Immigration - Discussion regarding an FAQ available for employers regarding employees who lose DACA and TPS status. C. P&I – Discussion re P&I Prep re memo. State Issues A. 2018 State Budget/Landscape – Staff provided overview of legislative landscape and possible No actions. CPCA sponsored bills for 2018. B. Dental Transformation Initiative: Domain 4 - Staff discussed grantees, and programs. C. Medi-Cal Changes Effective 2018 and Beyond – Discussion per memo. Question raised re chiropractic coverage. Staff will follow up. 1 2 D. CPCA State Initiatives – Overview per memo. Members encouraged to participate as process slated to wrap up by March 31. E. Covered California - Joanne discussed implication sof tax reform bill and individual mandate repeal. No changes for 2018, changes to start 2018. County Issues A. LA County Initiatives – Discussion of Whole Person care and Homeless initiatives. Members asked No actions. about Health Homes. First phase to commence July 20, 2018, LA slated to start in July 2019. Possibly will be delayed further. B. Behavioral Health –Discussed of Integration Summit, and update on DMH contracting. C. LADPH Service Planning Area (SPA) Meetings – Update on SPA meetings, upcoming meeting dates and highlights of past meetings. D. Managed Care – Discussion of upcoming meeting with RAC in Sacramento. Reminder of new Managed Care Advisory Workgroup, asked people who want to participate to contact Joanne. E. My Health LA (MHLA) – Discussion regarding My Health LA Annual Report. Other Business A. New PAG Co-Chair – Tamra King nominated and approved as new PAG Co-Chair. ACTION: (Richard Veloz B. Meeting Evaluation– Members asked to complete evaluation. nominated Tamra. Tamra accepted nomination. Corrine Sanchez moved. Ana Grande seconded. Motion carried. No opposition.) Adjournment There being no further business, the meeting ended at 11:25 a.m.(early) Meeting adjourned by Chair. 2 3 Member Driven. Patient Focused. Date: February 12, 2018 To: Policy Advisory Group, CCALAC From: Joanne Preece, Assistant Director of Policy Re: Federal Updates - REVISED (Information/Discussion) This memo provides information and updates related to health center funding, and the federal budget and appropriations process for fiscal years (FY) 2018 and 2019. Health Centers Funding Cliff Fixed! In the very early hours of Friday morning, Congress passed a continuing resolution (CR) through March 23, which includes two-years of funding for community health centers, the National Health Service Corp (NHSC) and the Teaching Health Center (THC) program, and funding for a number of other health programs and high priority areas. The cliff fix comes over four months after mandatory funding for the health centers program expired on September 30, 2017. During those months Congress passed a series of CRs that did not include health centers, including the one passed on January 22 that provided funding for the Children’s Health Insurance Program (CHIP), but not health centers, effectively severing health centers and CHIP, programs that had been on the same funding timeline for many years. It remains to be seen how this will impact our advocacy efforts the next time we need a cliff fix, which will be less than two years from now, September 30, 2019. Federal Budget and Appropriations FY2019 starts on Oct. 1, 2018. For at least the next six weeks, the FY2018 and FY2019 budget processes will be underway simultaneously. FY2018 Budget: Possible Omnibus in Late March Congress now has until March 23 to pass another FY2018 government spending measure. The budget deal included in the February 9 CR increases the defense and nondefense discretionary spending caps for two years and suspends the debt ceiling for one year. The deal also includes a number of other priorities for both parties, including nearly $90 billion for disaster relief, $6 billion to address the opioid crisis, an additional four-year extension of funding for CHIP, and funding for most of the other so-called health extenders. The deal, however, did not include a fix for the Deferred Action for Childhood Arrivals (DACA) program, setting up an immigration fight in the coming days and weeks. The inclusion of the most contentious items in the CR will possibly clear the way for an omnibus bill in late March to see out the remainder of FY2018. Increasing the non-defense spending limit reduces the threat of large cuts to domestic programs for strictly budgetary reasons. CCALAC will continue to monitor the FY2018 budget process to see how health centers and other critical programs fare on the discretionary side. Budget Resolution or No Budget Resolution? 700 South Flower Street, Suite 3150, Los Angeles, CA 90017 T (213) 201-6500. F (213) 553-9324. www.ccalac.org 4 It is unclear if Congress will take the step of adopting a FY2018 Budget Resolution since the recent budget deal included FY2018 and 2019 spending levels. The Budget Resolution is also the vehicle that can contain Budget Reconciliation instructions; this is the vehicle whereby the Senate can pass budget-related measures with only a simple majority vote (this was the vehicle used to try to repeal the Affordable Care Act last year). If there is no FY2018 Budget Resolution, there will be no Budget Reconciliation, thus no opportunity to push partisan proposals through the Senate with only Republican votes. Without the Budget Reconciliation vehicle, the threat of a large scale, structural Medicaid overhaul would be reduced. FY2019 Budget: President’s Budget Expected February 12 On Monday, February 12, President Trump is expected to release his budget proposal for FY2019. The President’s budget is non-binding and essentially a statement of the White House’s priorities for the year. The President’s budget release launches the FY2019 appropriations process in Congress. The bipartisan budget deal increases the FY2019 defense and nondefense discretionary spending caps (by $85 billion and $68 billion respectively). Since the Administration has been working on the President’s budget request for months, it will adhere to the old spending caps. An addendum is expected to accompany the Budget release on Monday,
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