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Policy Advisory Group AGENDA Th Monday, January 8 , 2018 9:30Am-12:00Noon CCALAC, 700 S

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Policy Advisory Group AGENDA Th Monday, January 8 , 2018 9:30Am-12:00Noon CCALAC, 700 S Policy Advisory Group AGENDA th Monday, January 8 , 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 – Al Ballesteros A 9:35am Agenda and December Minutes – Al Ballesteros A • December 11th Minutes (2) 9:45am Federal Issues – Louise McCarthy, Joanne Preece, Sara Watson A. Federal Budget & Appropriations I/D • Federal Updates Memo** (4) • Immigration Memo**(7) 1. Health Centers Funding Cliff • P&I Memo(9) 2. Tax Reform • P&I List of Members in Districts**(10) B. Immigration I/D C. NACHC Policy & Issues Forum (P&I) I/D 10:30am State Issues – Louise McCarthy, Joanne Preece, Becky Lee A. 2018 State Budget/Landscape I/D • State Landscape Memo**(14) • DTI Memo**(17) B. Dental Transformation Initiative: Domain 4 I/D • Medi-Cal Changes Effective 2018 and Beyond C. Medi-Cal Changes Effective 2018 and Beyond I/D Memo (21) D. CPCA State Initiatives I/D • State Initiatives Memo (24) 1. APM • Covered California Memo**(26) 2. P4P 3. State Plan Amendment E. Covered California I 11:00am County Issues – Louise McCarthy, Joanne Preece, Becky Lee, Sara Watson A. LA County Initiatives I/D • LA County Initiatives Memo**(27) • LA Safety Net Integration Summit Memo(29) 1. Whole Person Care • LA Safety Net Integration Summit Break Out 2. Homelessness Groups Summary (30) 3. Prevention & Population Health Task Force • LADPH SPA Meetings Memo (34) B. Behavioral Health I/D • Managed Care Memo**(36) 1. Integration Summit Report Out • MHLA Annual Report (link only) 2. Behavioral Health Task Force • MHLA November Renewal Report (39) 3. DMH Indigent Services Contracting C. LADPH Service Planning Area (SPA) Meetings I/D D. Managed Care I/D E. My Health LA - Annual Report I 11:40am Other Business – Louise McCarthy, Elaiza Torralba A. New PAG Co-Chair Elections A • Meeting Evaluation** B. Meeting Evaluation 12:00pm Adjournment – Al Ballesteros A Next Policy Advisory Group Meeting – Monday, February 12th, 2018 * A = Action D = Discussion I = Information ** handout provided in complete packet of materials Policy Advisory Group Meeting Minutes December 11th, 2017 9:30am – 12:00pm CCALAC Conference Room A Attendees: Maria Paz, Katja Nelson, Alex Cotte, Franklin Gonzales, Chona De Leon, Corrinne Sanchez, Tamra King, Al Ballerteros, Lisa Abdishoo, Nik Gupta, Julie Hudman, Patti Wagonhurst, Jann Hamilton Lee, Richard Veloz, Roderick Seamster Teleconference: Tim Pusateri, Kimberly Wyard, Saalija Khan, Carmen Ibarra, Dr. Elisa Nicholas, Eduardo Gonzales, Karen Lauterbach, Maria Dia Staff: Louise McCarthy, Nina Vaccaro, Joanne Preece, Becky Lee, Elaiza Torralba, Candace Metoyer, Sara Watson, Lauren Richard TOPIC / PERSON DISCUSSION ACTION Welcome and Al Ballasteros, Co-Chair, called the meeting to order at 9:34am. Introductions Approval of Agenda Al asked for motions to approve the agenda and past meeting minutes. Motion made by: Nik Gupta and Minutes Seconded by Cliff Sheipe. Motion carries. Federal Issues A. Federal Budget & Appropriations ACTION: (immigration, 1. Health Centers Funding Cliff – Update on status of health centers funding. No funding included in position on bills) Motion: CR. Discussion ensued regarding advocacy strategy. Corinne Sanchez, Second: 2. Tax Reform – Updates on tax reform bill per memo. Richard Veloz. Motion B. Health Related Developments carries. No opposition. 1. HHS Director Nominee – Discussion re new HHS nominee. Concern re he is very experienced in regulatory process, can chip away at ACA. C. Immigration – Recommended members take position on 3 federal immigration bills (per memo). Discussion regarding initial information for employers regarding employees who lose DACA and TPS status, detailed FAQ expected soon from Public Counsel. State Issues A. SB 323 (Mitchell) Implementation – Staff reviewed CPCA FAQ and flow chart. No actions. B. UHW Ballot Initiative – Louise shared information regarding a 2018 ballot initiative that may have clinic implications. No need for position at this time. C. Meeting with Dental Director Report Out – Verbal update regarding Dr. Kumar visit to CCALAC Dental Roundtable. D. CPCA State Initiatives – Joanne discussed CPCA initiatives including APM, SPA, P4P (per memo). 1 2 County Issues A. LA County Initiatives – Discussion of below items per memo. No actions. 1. Whole Person Care 2. Homelessness 3. Meeting with Dr. Ghaly B. Behavioral Health – Becky discussed upcoming Integration Summit, Louise provided update on DMH contracting. 1. BSCF Behavioral Health Task Force 2. Integration Summit 3. DMH Indigent Services Contracting C. Managed Care – CCALAC informed members of new Managed Care Advisory Workgroup, asked people who want to participate to contact Joanne. D. LADPH Service Planning Area (SPA) Meetings – Update on SPA meetings, upcoming meeting dates and highlights of past meetings. Introduced Sara Watson. E. Care Harbor Report Out – Elaiza reviewed memo regarding Care Harbor preliminary data. F. My Health LA (MHLA) – Discussion regarding items in the memo, including enrollment is over 146K – keep enrolling, county using rollover funding from last year. Other Business A. March 2018 PAG Date – Joanne informed members that PAG in March 2018 will be conference call on No actions. Monday, March 5 at 3:00pm. P&I prep webinar to be held separately later that same week. B. NACHC P&I Prep – Discussion of logistics per memo. Clinics by district list will be provided in January. CCALAC staff encouraged members to book hotel ASAP. Adjournment There being no further business, the meeting ended at 12:02 pm. Meeting adjourned by Chair. 2 3 Member Driven. Patient Focused. Date: January 8, 2018 To: Policy Advisory Group, CCALAC From: Joanne Preece, Assistant Director of Policy Re: Federal Updates (Information/Discussion) This memo provides information and updates related to the health center funding cliff, the federal budget and appropriations process and the recently passed tax reform law. Federal Budget and Health Centers Funding On December 7, Congress passed a “Continuing Resolution” (CR) extending government funding through December 22, allowing Congress to avert a government shutdown and theoretically buying time to address a number of unresolved issues. The December 7 CR did NOT include a fix to the health center funding cliff, nor did it include a long-term solution to fund the Children’s Health Insurance Program (CHIP). On December 21, the House and Senate passed another CR (House vote 231-188; Senate vote 66-32), this time funding the government until January 19. The December 21 CR contained short-term “patch” funding for Health Centers ($550 million), CHIP ($2.85 billion), the National Health Service Corps ($65 million) and Teaching Health Centers ($15 million). These figures come from HRSA and are reportedly the minimum necessary to fund each program through March. To fund these programs through March, the bill cuts the Prevention and Public Health Fund by $750 million over three years. What Does Patch Funding Mean for 330 Grantees? According to NACHC, without the “patch” funding in the December 21 CR, grantees with a January start date were slated to get two months of funding, and those with a February start date to get one month. The “patch” in the House CR should give grantees with January, February, and March start dates funding through March. If March 31 passes without new mandatory funding appropriated, HRSA still has the $1.5 billion in discretionary funding for the health centers program. HRSA could theoretically decide to frontload that funding and continue to fund health centers in full using the $1.5 billion until that funding also runs out. This is only speculative, HRSA has not stated what they would do in this situation. What’s Next? Congress has until January 19 to pass another spending bill. It is unclear at this point whether the next bill will be another CR or a larger omnibus package to finish out the 2018 fiscal year. Leaders from both parties in the House and Senate (Sen. Majority Leader Mitch McConnell, Sen. Chuck Schumer, Speaker Paul Ryan and Rep. Nancy Pelosi) met recently with White House officials to discuss how to move forward on reaching a deal to raise the current budget caps and to keep the government open January 19. However, there are no reports of a breakthrough on either a budget deal or any of the major policy issues. 700 South Flower Street, Suite 3150, Los Angeles, CA 90017 T (213) 201-6500. F (213) 553-9324. www.ccalac.org 4 Congressional leaders need to reach agreement in two areas: 1) They need to reach agreement on the overall approach, either another short-term CR to keep the government running beyond January 19 (possibly through mid-February or late March), or a long-term omnibus budget deal that will raise spending caps and fund the government through the end of the fiscal year, September 2018. Prior to the holiday recess it looked like they were working toward an omnibus, but now another CR looks likely. 2) They need to reach agreement on the major policy issues. The December short-term CRs left many of Congress’ most contentious issues unresolved, including a long-term solution for CHIP and health centers, a fix for the Deferred Action for Childhood Arrivals (DACA) program, disaster relief funding, and ACA market stabilization, including Cost Sharing Reduction (CSR) payments for health insurers. Funding Cliff Advocacy NACHC is not engaging the entire advocacy network yet. Health centers are encouraged to continue engaging with their members of Congress and CPCA and NACHC are both providing templates for a potential media strategy. CPCA has also been circulating a petition. CCALAC is having internal conversations regarding our advocacy strategy for the coming weeks. We remain committed to saving our collective advocacy energy and bandwidth for when and where it will be most impactful.
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