April 17, 2007
 

 
Children’s Health Care Moves Forward On Federal Level
 
Great news for children’s health care from Washington, D.C. – both the House and Senate passed their budget resolutions, which includes $50 billion for the State Children’s Health Insurance Program (SCHIP).
 
This very important federal program is the backbone for state insurance plans that cover children whose families make too much money to qualify for Medicaid yet cannot afford insurance. SCHIP helps fund Florida KidCare.
 
Child advocates and policymakers around the country have watched discussions in Washington about SCHIP, since the successful program faces reauthorization this year.
 
The $50 billion, five-year commitment from Congress indicates that it plans to make the reauthorization a high priority. But the debate is far from over.
 
According to Families USA, the U.S. Senate considered several measures, including one that would have undermined Medicaid's guarantee of EPSDT (Early and Periodic Screening, Diagnosis, and Treatment) for children. Another would have restricted states’ ability to cover parents and childless adults. Yet another amendment would have limited eligibility to children with incomes above 200 percent of the federal poverty level.

The measures were defeated.
 
For more information about SCHIP, please visit www.familiesusa.org/resources/medicaid-action-center.
 
Look for an important update and ACTION ALERT on Florida's KidCare bills from Florida CHAIN later this week!

Medicaid HMOs Under Close Watch
 
Florida HMOs that enroll Medicaid beneficiaries are under intense scrutiny after recent publicity about company earnings and efforts to get more money from the state.
 
A March 12 analysis by CIBC World Markets shows that WellCare, along with several other Medicaid plans, “generates a nearly double-digit margin” largely due to the business of enrolling Florida Medicaid beneficiaries.
 
The analysis, however, gives this warning to potential investors: 
“From an outsider’s perspective, this analysis suggests that Florida appears to be overpaying its Medicaid plans, and it would seem to be only a matter of time before the state figures this out, and adjusts rate increases accordingly. Florida clearly didn’t have a problem with the profitability of Medicaid plans in the state last year, as the state awarded WellCare a 5.4% increase on July 1, 2006, while AMERIGROUP received a 7.6% increase on the same date.”
The Tampa Tribune used that information for its recent story that highlighted efforts by Medicaid HMOs to secure legislation that would financially benefit them. The newspaper states that WellCare was behind some of the legislation.
 
Meanwhile, Imtiaz Sattaur, president of WellCare's Florida operations, abruptly resigned April 6 "to pursue other opportunities," according to the newspaper.
 
WellCare’s stock dropped following the spate of publicity. Apparently, investors were “spooked by a rumor that WellCare was under investigation, a rumor that turned out to be false,” the Tampa Tribune article states, quoting a spokesperson from the New York Stock Exchange. The rumor came from a “misreading” of the Tampa Tribune’s article about Florida's Medicaid HMO payments, the spokesperson said.
 
The article outlined efforts by Medicaid managed care companies to secure legislation that would directly affect their profits:
  • SB 1830 would amend the existing rules by the Agency for Health Care Administration and raise the per member payments to HMO's by nearly 4 percentage points, costing the state $34 million, which would go to HMOs statewide, according to a bill analysis.
  • SB 1828 would give a pay adjustment to HMOs in counties in which Medicaid reform has been launched (Baker, Broward, Clay, Duval and Nassau).

Both of these bills are sponsored by Sen. Mike Fasano, R-New Port Richey. He told the Tampa Tribune he filed them at the request of the Florida Association of Health Plans and WellCare. “They convinced him the bills would attract more companies into the Medicaid market and give patients more choices, Fasano said,” according to the article.

Another bill would give HMOs a distinct advantage over provider service networks (PSNs) in enrolling Medicaid patients.

HB 899 would require groups seeking an HMO certificate to have savings of $5 million, instead of  $1.5 million, beginning July 1. It applies only to groups that are not backed by a hospital. The bill would allow certificates only to those plans with three years of experience in insurance coverage, either in Florida or elsewhere, and would eliminate contracts in areas where plans are assigned less than 35,000 Medicaid participants.
 
HB 899 is co-sponsored by Rep. Baxter Troutman, R-Winter Haven, and Adam Hasner, R-Delray Beach.
 
"We really believe this is a good consumer protection bill," Bob Wychulis, lobbyist for the Florida Association of Health Plans, told the Tampa Tribune.
 
The article continues:
 “That view is not shared by doctor groups and clinics that have served Medicaid patients for many years and are forming provider service networks to compete with HMOs. They say they want to maintain the support services they have developed for the chronically ill and ensure that their patients have non-HMO choices - issues that were key concerns in the legislative debate on Medicaid reform the past two years.
 
"The House Committee on Health Innovation approved the bill with a 6-2 vote this week, even though a staff analysis states it "may prevent new entities from entering the Medicaid marketplace and may cause smaller existing managed care providers to withdraw. This may in turn reduce or curtail the. . .  choices available to Medicaid recipients, especially in rural areas."
HMOs and Medicaid Reform
 
These same HMOs pushing this legislation are enrolling Medicaid beneficiaries in their new health care plans as part of a Medicaid reform experiment in Broward and Duval counties. In fact, AHCA authorizes these HMOs to limit the “amount, duration and scope” of health care services they offer their new enrollees.
 
What’ troubles many advocates is that the companies that will benefit are also cutting needed health care services from Medicaid beneficiaries as a way to boost profits.
 
Seven months into this Medicaid experiment, we have reports that HMOs, true to the model of managed care, are denying certain medicines and services to chronically ill individuals, particularly home health care causing further decline and eventual hospitalizations.
 
Managed care companies and their supporters in the Legislature are also seeking to apply similar reform models to other areas of health care. For example, the HMO industry would also benefit from another Medicaid reform experiment being proposed called Florida Senior Care, which would move seniors in Miami-Dade and Central Florida into managed care plans.

Florida's Anti-Tobacco Marketing Headed Toward Restoration
 
Fed up with legislative cuts to state-funded anti-tobacco marketing programs, Florida voters five months ago approved a constitutional amendment that forces the Legislature to reinstate those efforts. Bills making their way to floor votes will do just that.
 
SB 1126 and HB 7045 would require the Florida Department of Health to conduct a comprehensive, statewide tobacco education and prevention program. Both bills call for using 15 percent of the state’s tobacco settlement monies for the program, as required by the 2006 constitutional amendment. The funding would be adjusted annually for inflation.
 
The bills would also create an advisory group to advise the Department of Health secretary on anti-smoking activities. The Senate bill would give the panel the authority to make budget recommendations but the House bill would not.
 
The true difference is how the anti-tobacco programs will operate. The Senate bill by Sen. Durell Peaden calls for the anti-tobacco programs to operate through the Department of Health under contract with Area Health Education Center (AHEC) network. The programs would operate out of each county health department and would disseminate information about smoking cessation and how smoking is harmful to unborn children, leads to obesity and other diseases.
 
The bill specifically calls for an advertising campaign with a website for accessing information at each level of public and private schools, universities and colleges.
 
The House bill by the House Healthcare Council and Rep. Gayle Harrell creates a competitive grant process. Grants and contracts will be awarded to private sector groups by the Secretary of Health, in consultation with the council, on the basis of merit through a competitive, peer review process, according to a legislative analysis.
 
Lawmakers are expected to approve the bills and work out the differences to come up with a final version to send to the governor for his signature into law. 
 

TAKE ACTION NOW: Disabled Young Adults Health Care Bill in Florida Senate

The Florida Developmental Disabilities Council asks you to contact the members of the Health and Human Services Appropriations Committee NOW, to ask them to please place SB 394 on their agenda, and then VOTE YES!

This Health Care Transition Bill would fill the gap to provide essential health care services to disabled young adults.

It is most critical to contact the chair, Sen. Peaden, but ALL are important to this effort! Click to send emails, and please call as well:
Chair: Sen. Durell Peaden, Jr., (850)487-5000
Vice Chair: Sen. Nan Rich, (850)487-5103
Sen. Don Gaetz, (850)487-5009
Sen. Burt L. Saunders, (850)487-5124
Sen. Frederica S. Wilson, (850)487-5116


TAKE ACTION: Developmental Disability Press Budget Cuts Press Conference and ALERT

 

This week the Florida Legislature’s House of Representatives and Senate passed their budgets which will result in the loss of services for thousands of individuals with developmental disabilities by forcing them to lower service options without regards to their individual needs.

 

IT’S TIME FOR ACTION! A “RAINY DAY” PRESS CONFERENCE. . .

 

Thursday, April 19th at 11:45 AM at the State Capitol Senate Portico.

 

NEEDED: Individuals with developmental disabilities, families and advocates need to come to Tallahassee for the press conference and to talk with the legislators about how the loss of services will affect you and your family. Bring your umbrella to let the legislature see that it’s a “Rainy Day!”

 

Press Conference Messages:

  • People with developmental disabilities are facing a catastrophic storm of circumstances.
  • A gaping budget deficit and proposed cuts to critical and vital services are creating the worst possible scenario for some of the state’s most vulnerable citizens. 
  • To avert this crisis, Governor Crist, Senators and Representatives are being asked to use at least $75 million of Rainy Day funds to keep our developmental disabilities services in place and to avoid disaster in the lives of people with developmental disabilities and their families.

IF YOU CAN’T COME TO TALLAHASSEE. . .

 

PLEASE email and/or telephone:

President of the Senate Ken Pruitt (850)487-5088 

Speaker of the House Marco Rubio (850)488-1450

Florida Governor Charlie Crist (850)488-7146 

 

The Message:

Please provide at least $75 million from the state’s rainy day fund to cover the deficit and give APD more time to correctly fix past management issues.

 

If you would also like to send an email with your local legislators or contact them all at once, their email addresses are in the MS Word Documents: House of Representatives Members Email Addresses    Senate Members Email Addresses

 


Florida Budget - High Stakes for Health Care

Much is at stake for health care access in the Florida budget currently being deliberated in the House and Senate. Below is an update on two of these issues: Florida Senior Care and health care for people with developmental disabilities.
 
The Senate budget contains about $1.5 billion more in spending then in the House plan.  The gap reflects a difference in spending philosophy.  The House saves that money for future downturns in the economy and tax cuts.  The Senate on the other hand, spends it this year, mostly on transportation infrastructure.  The House and Senate leadership are deciding how much to spend and what will be put in savings and tax cuts.  Once Committee chairs get their spending allocations, the various conference committees will hammer out how the money is spent.
 
Florida Senior Care
 
Last week the House passed HB 7065 modifying the Florida Senior Care plan.  It requires the Agency for Health Care Administration to implement Florida Senior Care as voluntary pilots in two areas, Miami-Dade and the Orlando area. The bill was expanded to include beneficiaries in the pilot areas that are dually eligible for both Medicare and Medicaid in addition to the Medicaid beneficiaries over 60 years of age.  
 
Medicaid recipients over 60 would have to opt into the pilot.  If not they could continue to receive services from their existing Long Term Care waiver programs.  The Senate did not include it in its Budget and it is uncertain if they will accept the House language.  If the legislature does not enact the House language, the Senior Care program will die without ever being implemented. 
 
Persons with Developmental Disabilities Related Actions  
 
The House Budget also contains a capitated payment pilot program for the developmentally disabled population.  The plan mirrors the early version of Senior Care and would essentially place DD clients in a managed care type system in the Panhandle and one other urban part of the state.  This plan attracted opposition in the committees but the leadership decided to place it in the budget. 
 
The House budget also includes reductions in the Agency for Persons with Disabilities' with non-residential support services limited to persons who are 18 years of age unless they are in public school in which case they may continue receiving services until age 22; supported living coaching services shall not exceed 20 hours per month for person receiving in-home services; personal care assistance services shall be limited to no more than 180 hours per calendar month; chore, companion and homemaker services shall be eliminated.  The agency shall serve additional clients on the Home and Community based Services Waiver only if they are in crisis and sufficient funding is made available through attrition.

TAKE ACTION TODAY!

on Medicare Prescription Drug Price Negotiation

 

Call Senators Martinez and Nelson TODAY!

Call 1-800-828-0498

Ask them to vote YES on the
Medicare Prescription Drug Price Negotiation Act

 

This week, the Senate will vote to decide if our government should have the option to negotiate lower drug prices for seniors. And the opposition is paying millions to defeat this bill.


What should you say?

  • Vote YES on the Medicare Prescription Drug Price Negotiation bill.
  • Many seniors in our state cannot afford the high price of prescription drugs. 
  • 86% of Americans agree: Medicare should use the bargaining power of millions of seniors to negotiate lower drug prices. 

Why now?

Currently, the government is prohibited from using the bargaining power of 43 million Americans in Medicare to negotiate with pharmaceutical companies for lower drug prices. Earlier this year, the House of Representatives passed a bill to give the government the option to do just that. Now, it’s the Senate’s turn to just say NO to the drug companies.
 
 

Thanks to FamiliesUSA’s Minority Health Initiatives for this alert.

Florida Dept. of Health (DOH) Calls for Consumer Board Members
 
The Florida Department of Health (DOH) is seeking individuals to serve as consumer members for various health care boards. DOH promotes and protects health by regulating health care practitioners through regulatory boards appointed by the Governor and confirmed by the Senate.
 
To achieve this goal, each board must have consumer members. These members set policies, license practitioners and preside over disciplinary actions. Consumer members are lay persons who are currently not and who have never been practitioners of that particular board’s health care profession.
 
Boards meet quarterly, usually a one to two-day meeting in various locations throughout the state. They meet through teleconferencing or other technological means as often as necessary. Depending on location, members either fly or drive to meetings. Members are non-paid volunteers; however, the state reimburses travel expenses and members receive $50 per day for each day in attendance.
 
To apply for membership, request a gubernatorial questionnaire from the Governor’s Executive Office through its 2007 Board and Commission Vacancies Web page. To find the page:
Go to www.myflorida.com
Choose Governor’s Web Site
Click on The Crist Team
Click on Gubernatorial Appointments
Click on Board and Commission Vacancies
Click on Gubernatorial Appointments Questionnaire
 
You may also obtain a form by calling the Governor’s Appointments Office at 850/488-2183.
 
Florida STILL needs a Medical Care Advisory Committee made largely of Medicaid beneficiaries and health care advocates, as required by law. This is especially needed because of the sweeping changes Florida has been undertaking that affect Medicaid beneficiaries.  Look for an ACTION ALERT from Florida CHAIN on this issue later this week.

Medicaid Consumers Voice Opinions and Concerns at Broward Event
 
In an often emotionally charged setting, a dozen Broward Medicaid Reform consumers shared their views on new enrollment materials in a focus group session with the Agency for Health Care Administration (AHCA) and addressed issues of health care access in a roundtable discussion hosted by Florida CHAIN and the Medicaid Reform Advocates Coalition (MRAC) immediately thereafter. Read more

Against the Ropes Trying to Pay for Child’s Health Care 
 
When it comes to health care, the market is regulating millions of Americans right out of coverage. According to a study by the Access Project, paying bills related to health care is among the major reasons for indebtedness among working Americans. The whole definition of “middle class” is being revisited as a result of the ballooning costs of health care in our country. A mother increased her working hours to find her child's KidCare premium increase out of reach. Read more
 



 Medicaid Consumers Voice Opinions and Concerns at Broward Event

  April 17, 2007 

 

In an often emotionally charged setting, a dozen Medicaid Reform consumers shared their views on new enrollment materials in a focus group session with the Agency for Health Care Administration (AHCA) and addressed issues of health care access in a roundtable discussion hosted by Florida CHAIN and the Medicaid Reform Advocates Coalition (MRAC) immediately thereafter.

 

Diedra Abbott, right, of AHCA

AHCA is poised to begin mailing the new reform packets to Medicaid reform enrollees in June.

 

The second part of the event allowed participants to discuss their experiences with health care access barriers under Medicaid reform directly with AHCA and ACS (the company that manages Choice Counseling) officials.  Some of the issues raised have been recurrent and reflect elements of Medicaid reform many consumers, advocates and providers want resolved before the Legislature considers expanding Medicaid reform beyond the pilot counties.

 

One consumer described the intransigence of a plan in overriding physician prescribed diabetes medications by denying approvals and curtailing amounts. This resulted in her hospitalization and complications that ended up costing thousands more than the original $500 it would have cost to cover the right insulin.   In addition, her physician could find no medical expert when he tried to discuss the matter with the plan.

 

Scott Ettaro, left, of ACS

Another consumer described having to travel over 100 miles to access the dental provider included in his plan. Yet another was upset that she could not switch her foster child to the same plan and provider serving her natural child, thus having to take the children to separate doctors at separate times and locations.

 

Although many of the comments regarding the Choice Counselors were positive, one overriding problem continues: Choice Counselors have no access to the plans’ preferred drug lists (PDL’s) thus preventing consumers who rely on their medications to function and survive from making educated choices when choosing a plan.

 

The work of AHCA Area officials and ACS field counselors notwithstanding, many consumers appear to still be gripped by fear and uncertainty in how to approach Medicaid reform and make choices appropriate to their circumstances.  Florida CHAIN will provide a complete report on consumers’ feedback at this roundtable soon, as well as a synopsis online.

 

The Medicaid Reform Consumers Roundtable series is sponsored by the Community Foundation of Broward and the Health Foundation of South Florida

 

Click here for information on choice counseling materials gleaned from an earlier Medicaid Reform consumers' focus group hosted by AHCA.

 

 

 

 

 



Against the Ropes Trying to Pay for
Child’s Health Care
 

April 17, 2007

The idea of quality, affordable health care for all appears to be gaining traction across the nation, especially as we enter the thick of presidential election politics. Governors from both parties are laying out plans that would provide for some version of universal health care in their states. Why? Why not continue to allow the market to regulate the cost of health care in America?
 
When it comes to health care, the market is regulating millions of Americans right out of coverage. According to a study by the Access Project, paying bills related to health care is among the major reasons for indebtedness among working Americans. The whole definition of “middle class” is being revisited as a result of the ballooning costs of health care in our country.
 
The choices individuals and families face every day run the gamut of essentials vs. health care; career advancement vs. continued coverage; medical home vs. emergency room care for non-emergencies; playing Russian roulette with health care and hope nothing will happen or going in the red to pay for it.
 
Consider the following letter sent to CHAIN Reaction by a single, working mom in the Tampa Bay Area, who thought she was doing the right thing by her and her family by moving forward with her career only to find  that the State punishes with one hand the sort of responsible behavior it encourages with the other.
 
“I am a single mom-not able to collect child support- and working in the human services field. I am strapped by the high cost of my son's KidCare coverage.  When I was working part-time, I was making annually about $15,000 and coverage was very reasonable, costing about $15 per month. But when I became employed full time, earning $29,000 a year, my insurance cost went to $120.00 a month!  This is an eight-fold cost increase, even though my income only increased by 50%. My mortgage is almost half my monthly income due to the tax and insurance increases on the Florida Suncoast.
 
"With increasing food and gas prices, I am so squeezed that I have not re-applied for coverage for my son this year. Now I am always worried he will get sick or break a bone, and I will be in more debt than I already am!  I feel badly that he has no coverage, but I am really having trouble coming up with the $120.00 a month to keep him insured.  If I go with my employer’s plan for one dependent, it will be even more costly!
 
"Last year, my son broke both of his ankles. Thank goodness I had KidCare at that time. He got kind and professional treatment, for which I am very grateful, but now I am really wondering how I can cover all the rising costs on my current salary of $31,000.  I realize I am making more than so many other people, and yet it is still really hard for me to provide any enrichment activities for my son.  Thank goodness we have a YMCA scholarship.  I have to pay for aftercare, so he is safe after school.”
 
The letter writer goes on to mention that one way for her to be able to afford the current cost of KidCare for her son might be for her to forego her own health insurance from work. Yet another choice millions of Floridians and Americans make every day. Yet one more argument for a health care system that covers all, a system with costs more fairly balanced.  

Florida CHAIN Seeks Stories

Florida CHAIN welcomes contributions from health care consumers who are interested in sharing their experiences with readers of CHAIN Reaction. If you have a story to share, please contact Andrew Leone at 954/684-9895 or andrewl@floridachain.org



 

RECENT HEALTH ARTICLES

April 17, 2007 

 

Florida News

    KidCare, SCHIP, Healthy Start

    Medicare and Medicaid

        Medicare Drug Coverage, Drug Costs

        Other Medicare, Medicaid

    Health Insurance and Costs

    Other Health Issues

National News  

     Medicare, Medicaid, SCHIP

        Medicare Drug Coverage, Drug Costs

        Other Medicare, Medicaid, SCHIP

     Health Insurance and Costs

     Other National Health Issues


FLORIDA NEWS & OPINIONS

 

KidCare, SCHIP, Healthy Start

 

EDITORIAL: Children's insurance: So far, so good

Reforming health insurance for Florida's most vulnerable is off to an encouraging start. Gov. Charlie Crist proposed a $44 million increase to KidCare, a program that provides reduced rate health coverage to children of low-income families. (4/12/07, Florida Times-Union)

 

OPINION: Protecting the health of children: Partisan politics has no place in debate over insurance for all kids

by Tamara Yntema, guest columnist
We all benefit when children get the care they need to grow up into healthy, productive citizens. That's why there is growing momentum to solve the problem of the 9 million uninsured children in the United States, including the more than 733,000 children who lack coverage in Florida and more than 12,000 in Brevard County. (4/8/07, Florida Today)

 

Children left unprotected
Families earning $40,000 or less qualify, so long as they can prove U.S. citizenship and Florida residency. Incredibly, 700,000 children in Florida qualify for KidCare and are not enrolled. "There are a lot of children, particularly in the Tampa Bay Area," explained child advocate Chris Card. "That qualify and could use this health care coverage, and we've just put up too many barriers." Those barriers include budget politics and loads of paperwork that are unnecessary red tape according to Congresswoman Kathy Castor, who is pushing a bill to eliminate it. (4/3/07, MyFox Tampa Bay)

 

State lawmakers consider health care for legal immigrant children

The debate over immigration is primarily a federal one, but Florida's large immigrant population ensures that state lawmakers wrestle with issues every year, including:  Should Florida help the families of recent legal immigrants pay for their children's health care, which isn't currently covered by the state's low-cost health insurance program for children?  Halfway through the annual 60-day legislative session, there's broad hope among advocates that Florida this year could provide subsidized health coverage for legal immigrants' children. (4/7/07, Florida Times-Union)

 


Medicare and Medicaid

 

Medicare Drug Coverage, Drug Cost

 


Other Medicare, Medicaid


OPINION: Medicaid Reform efforts decreased services
by Sarah R. Sullivan, senior staff attorney, Medicaid Reform Project, Jacksonville Area Legal Aid
The recent editorial titled "Medicaid: Touching it up" expressed unjustified optimism regarding the Medicaid reform experiment. Saying the pilot program, under way in Broward and Duval counties, "has not always gone smoothly" is an understatement. As a result of reform, Medicaid recipients were denied critical medications resulting in hospitalizations. Some recipients almost died, and, tragically, there was at least one death of a baby whose mother was unable to access prenatal services. Medicaid reform is touted as "beneficial" to consumers by creating a "marketplace" where competition allegedly improves health care. The evidence is contrary. (4/7/07, Florida Times-Union)

 

Medicaid HMO Payments Too High, Analysts Say
Just as the Florida Legislature begins consideration of an 11.7-percent increase in Medicaid HMO rates, two leading Wall Street analysts have issued written warnings that the state's payments already are too high. They say overpayments help explain the meteoric rise of WellCare Health Plans Inc., which has two Florida HMOs that account for about half of the state's Medicaid managed-care enrollment. Its $90-a-share stock price has doubled in the past year. (4/11/07, Tampa Tribune)

 

Medicaid HMO Bills Up Their Pay

Florida's Medicaid HMOs are pushing a raft of bills in the state Legislature that would increase their pay by $80 million next year and make it more difficult for managed-care groups, particularly nonprofit groups, to enter the market. (4/7/07, Tampa Tribune)

 

U.S. pays big bucks to private Medicare: Seniors like the lower costs, but some health officials say the plans can't last much longer

Audrey Nazworth joined WellCare Health Plans because it refunded the Part B premium that regular Medicare recipients must pay each month to cover their doctor visits. The plan that cost her nothing covered everything conventional Medicare did, with a zero-premium prescription-drug benefit to boot. When WellCare informed her this year that it would no longer refund the Part B premium, Nazworth switched to a plan that would. She expects to be equally happy -- as long as she doesn't have to pay the $93.50 monthly premium for her government-backed health insurance. Nazworth is among a growing number of seniors who are once again opting out of government-run Medicare. Enrollment is even higher than it was in the 1990s, when the nation's elderly flocked to Medicare health-maintenance organizations because they offered such then-unheard-of extras as prescription-drug benefits. But seniors' advocacy group AARP argues that those better benefits come with a price. "Those in traditional Medicare are subsidizing those extra benefits but not getting access to the benefits themselves. Congress intended these [Medicare Advantage] plans to offer benefits for less money." (4/15/07, Orlando Sentinel)


State fires back at Universal Health Care
Office of Insurance Regulation calls insurer's accusations 'absurd'
Attorneys for the state Office of Insurance Regulation fired back at Universal Health Care, calling it "absurd" that the agency conspired against the Medicare insurer and asking a judge to clear the way for liquidating the company's "Any, Any, Any" plan. Court papers, filed late Thursday, are the state's first response to charges in an eleventh-hour court filing that stalled the liquidation. Regulators say the subsidiary of St. Petersburg-based Universal grew too quickly, and signed up too many members without the necessary financial reserves. (4/7/07, SW Florida Herald-Tribune)

 

About 25000 Bail Out Of Any, Any, Any Plan

Universal Health Care officials estimate they lost as many as 25,000 members, one-third of the total, from their Any, Any, Any plan during March. (4/12/2007, Tampa Tribune)
 

Seniors have waited a year, and still no Medicare refunds in sight

Like thousands of other Medicare recipients in South Florida, Sunrise widow Janet Skurnick is steamed that the government has been sitting on a $1,050 refund she is owed. Seniors who belonged to certain HMOs last year have waited as long as 15 months for Medicare to pay refunds that are due to them, because of computer problems. Even after so long a delay, no one can say when the money might arrive. (4/12/07, South Florida Sun-Sentinel)


Health Insurance and Costs


Universal health care's dirty little secrets
Simply saying that people have health insurance is meaningless. Many countries provide universal insurance but deny critical procedures to patients who need them. Britain's Department of Health reported in 2006 that at any given time, nearly 900,000 Britons are waiting for admission to National Health Service hospitals, and shortages force the cancellation of more than 50,000 operations each year. In Sweden, the wait for heart surgery can be as long as 25 weeks, and the average wait for hip replacement surgery is more than a year. Many of these individuals suffer chronic pain, and judging by the numbers, some will probably die awaiting treatment (4/10/07, Orlando Sentinel)

 

OPINION: Affordable health coverage an option
by Kim Cummins, specialist in individual life and health, and employee benefit plans
There are all kinds of options available to consumers looking for some form of health insurance. If you want first-dollar coverage with co-pays for doctor's office visits, hospital stays and prescription drugs, all of these are available but for a relatively high premium price. On the other end of the spectrum are the high-deductible plans with coinsurance. These catastrophic plans cover only the big expenses after you pay a $2,500 or other high deductible and possibly a co-share of the remaining costs. (4/5/07, Bradenton Herald)


Other Health Issues 

 

A Florida injustice: Lockup in lieu of treatment for mentally ill inmates

Here's a dose of grim reality: One of the nation's largest psychiatric facilities is in South Florida -- and it's not a hospital. It's the Miami-Dade County Jail. Florida law-enforcement agencies arrest more than 70,000 mentally ill people each year, and house most in jails and prisons. The cost of housing them is significant -- upwards of $300 a day per inmate by one estimate. Of far greater importance is the injustice of imprisoning people for crimes they might not understand, in conditions that are almost certain to exacerbate their illness. In a Clearwater jail, a mentally ill inmate gouged out his eyes while awaiting transfer to a state forensic hospital. In Escambia County, two inmates died. (4/10/07, Daytona Beach News-Journal)

 

Justice picks special adviser to help with mentally ill inmates

The chief justice of the Florida Supreme Court has appointed a Miami-Dade County judge as a special adviser on how to keep mentally ill people out of the criminal justice system and ensure proper treatment for those in jail. (4/5/07, Bradenton Herald)

 

Editorial: Mental illness costly for jails

http://www.tcpalm.com/tcp/editorials/article/0,,TCP_24460_5459092,00.html
Florida's failure to address the growing problem of housing the mentally ill has forced counties to build more jail cells and to pay for medications. (4/3/07, Stuart News)


Unhealthy delay
At least $30 million earmarked to help build a new hospital near Belle Glade and take care of the county's residents without health insurance remains locked in the bank account of a Pennsylvania-based hospital chain that used to own Good Samaritan and St. Mary's medical centers. The money was set aside after Catholic Health East sold the West Palm Beach hospitals in June 2001, in case any unexpected expenses appeared after the $244 million deal was closed. But as the six-year anniversary of the sale approaches - and calls for the $30 million to be returned grow louder - nonprofit Catholic Health East says it will be late 2008 "at the earliest" that the money will be available. That's because it is still "winding down" operations of its subsidiary, Intracoastal Health Systems, which had run the hospitals.(4/15/07, Palm Beach Post)


ERs filled; ambulances turned away
A patient from Levy County sat in the North Florida Regional Medical Center emergency room and waited seven hours before she was seen recently. Lori Bruckner is among the people who wait and wait, because local emergency rooms are overcrowded. She said a little boy waiting there at the same time that she was in the ER had a broken arm, and he was not seen for six hours. Spending hours waiting in Gainesville emergency rooms is not unusual, according to reports patients have been giving to the Chiefland Citizen in the past several months. (4/06/07, Chiefland Citizen)



NATIONAL NEWS & OPINIONS

 

Medicare, Medicaid, SCHIP

  

Medicare Drug Coverage, Drug Cost

 

AARP Launches Ad Campaign Urging Lawmakers To Allow Medicare Prescription Drug Price Negotiations

AARP is launching a newspaper and radio advertisement campaign in 10 states and Washington, D.C., urging the Senate to approve legislation (S 250) that would allow the federal government to negotiate Medicare prescription drug prices with pharmaceutical companies. A provision in the 2003 Medicare law specifically bars the government from negotiating prices under the drug benefit. The House in January approved a bill similar to the Senate proposal. (3/26/07, USA Today)

 

Senate Finance Committee Set To Act On Medicare Prescription Drug Negotiation Legislation Soon After Spring Recess
The Senate Finance Committee plans to consider legislation that would allow the federal government to negotiate prices directly with pharmaceutical companies under the Medicare prescription drug benefit -- a practice prohibited by the 2003 Medicare law -- "as soon as possible" after the spring recess, according to a Democratic committee aide, CongressDaily reports. According to CongressDaily, other sources said that the bill produced by the committee "will be less stringent" than similar legislation approved by the House. (3/29/07, CongressDaily)

 

Medicare Drug Negotiation Could Save Billions, Study Says

A new study by two left-leaning groups says the government could save as much as $30 billion a year if Medicare were allowed to negotiate drug prices, though the Congressional Budget Office issued a letter earlier this year saying savings would be nominal. (4/4/07, CQ HealthBeat)

 

Congress Seeks Compromise on Generic Drugs
Prospects have improved for a bill to give consumers access to lower-cost copies of biotechnology drugs. (4/8/07, New York Times)

 


Other Medicare, Medicaid, SCHIP News  

OPINION: Cut Medicare Subsidies to Pay for SCHIP Expansion
According to columnist Paul Krugman, the nation must make a choice: "health care for children, or subsidies for insurance companies." (4/6/07, New York Times)

 

Bush and Congress Headed for Fight Over SCHIP Funding and Goals
The Bush administration plans to "strenuously resist" efforts by Democrats to expand the State Children’s Health Insurance Program (SCHIP). (3/31/07, New York Times)

 

Life in Medicare’s Waiting Period

Each year, tens of thousands of Americans find themselves disabled and unable to work. After going through the process to get Social Security disability income, most are shocked to discover that they have to wait two more years to be eligible for Medicare. (4/11/07, USA Today)

 

Dingell Introduced Child Dental Bill

Legislation designed to help deliver dental services to low-income children under Medicaid and the State Children's Health Insurance Program (SCHIP) was introduced last week by House Energy and Commerce Committee Chairman John D. Dingell, D-Mich. The bill (HR 1781) would expand dental coverage to additional children, provide access to qualified dentists, and allow for better reporting and tracking of dental disease among children. The bill would require dental coverage for any SCHIP benefit package."Dental disease is the most common childhood disease—more prevalent than asthma, diabetes, and hay fever. It is also the easiest to prevent," noted Dingell in a statement. He cited the recent deaths of two young children, in Maryland and Mississippi, as a reason to focus more attention on early access to dental care. (4/9/07, CQ HealthBeat)

 

Medicaid Reimbursements For Dental Care Too Low, Witnesses Testify
Witnesses testifying before the House Energy and Commerce Health Subcommittee on Tuesday said that insufficient Medicaid reimbursements and onerous paperwork for dental care have led many dentists to decline to treat beneficiaries, reports. According to witnesses, these inefficiencies are putting children in the program at risk of not receiving preventive dental care that could stave off more serious medical problems. (3/27/07, CQ HealthBeat)


Health Insurance and Costs

 

Businesses Seek National Solution to Health Care Woes

Large employers facing health care costs that are soaring much faster than inflation are calling for a broad, national solution to the problem. (4/6/07, New York Times)

 

Effect of Pay-or-Play State Initiatives on Small Businesses
The success of state initiatives trying to curtail the number of uninsured hinges on the impact on small businesses. (4/9/07, Wall Street Journal)

 

OPINION: "Universal Coverage" May Not Lead to a Healthier Nation
"Universal coverage" does not guarantee better access to health care or better health, according to an op-ed by Michael Tanner and Michael Cannon, both of the conservative Cato Institute; (4/5/07, Los Angeles Times)


New Urgency in Debating Health Care
Many executives of large companies are starting to call for a national approach to fixing health care, warning that an employer-subsidized health system is unsustainable. (4/6/07, New York Times)

 

Uninsured Cancer Patients Stall Treatment Due to High Medical Bills
An estimated 112,000 Americans with cancer have no health insurance and are less likely to receive optimum care. (4/3/07, AP)

 

New Proposals Would Share Responsibility for Insurance Coverage

Over the last year, state health coverage initiatives have been gathering momentum, spreading from Maine to California and inspiring other states along the way. Several pending congressional bills on health care reform, a proposal from the Bush administration, and growing attention to health insurance on the 2008 campaign trail all suggest that health care coverage is becoming a national priority as well. The issue is clearly on the minds of the voters: A recent New York Times/CBS News Poll found that a majority of Americans says the federal government should guarantee health insurance to every American. And people are willing to make tradeoffs for a better health care system, including paying more in taxes. (April 2007, Commonwealth Fund)

 

Census Bureau Lowers Estimate of Uninsured

The U.S. Census Bureau has lowered its estimate of the number of Americans without health insurance to 44.8 million, down from 46.6 million. The bureau blamed the incorrect higher estimate released last August on some household members being tabulated as uninsured when in fact they reported being covered. (4/2/07, CQ HealthBeat)

 

Federal Inaction Leads States to Forge Ahead on Expanding Coverage
Lack of federal action on health care coverage has prompted states to take the initiative, reports the Associated Press in an article describing some of the "bold steps" governors have been taking to achieve "universal" or "near-universal coverage." (4/1/07, AP)

 

New York State to Cover Many More Middle-Class Children
New York state's newly approved budget includes a major expansion of state-subsidized health coverage, featuring the nation's highest income ceiling to qualify children, the (4/2/07, New York Times)

 

Business Leaders and Liberals are Uniting in Support of Expanding Coverage
Establishing universal health insurance may be the result of an unusual alliance between the left and big business. (4/1/07, New York Times Magazine)

 

Uninsured Young Adults 
featured an article on those the insurance industry calls the "young invincibles"—young adults in their 20s who are the fastest growing segment of the uninsured population and, when things go wrong, end up with piles of debt and unnecessary illness. (3/29/07, New York Magazine)

 

Associations Offer Fewer Health Plans, Contributing to Surge in Uninsured
Thousands of contractors, freelancers and the self-employed are becoming uninsured as health plans offered by professional associations disappear, reports the (3/27/07, Los Angeles Times)

 

Democratic Presidential Candidates All Say They Support Universal Health Coverage 
Seven Democratic presidential candidates appearing at a forum promised to work toward universal health care if elected. All seven candidates generally agreed that health care coverage should be universal; more of an investment is needed in prevention and management of chronic illnesses; the government should create insurance pools with the purpose of sharing risk and reducing overall costs; and health records should be electronic. They differed on how they would implement universal coverage and whether they might require additional tax revenue. (3/25/07, Chicago Tribune)

 

EDITORIAL: Fairness for Mental Health
After a decade of small-bore measures and frustrating stalemates, it looks as if Congress may be ready to require that insurance coverage for mental illness and substance abuse be provided on the same terms as coverage for physical ailments. (3/24/07, New York Times)


Other Health Issues

 

Some Hospitals Call 911 to Save Their Patients
A recent case has raised questions about the ability of small hospitals to care for patients who suffer complications. (4/2/07, New York Times) 



 HEALTH ADVOCACY RESOURCES

April 17, 2007

Florida CHAIN Website Resources

Grants and Fellowships

Organizations and Services

Manuals, Guides and Toolkits

Technology and Audio Visual Materials

     Audioconferences and Webcasts

     Media Programming

     Web Sites, Web Features

     Videos

Periodicals and Books

Reports and Studies

     New Listings

        New Listings: Medicare, Medicaid, SCHIP   

        New Listings: Federal Budget

        New: Health Insurance, Health Care Costs

        New: Health Equity Issues

        New: Other Health Issues

     Florida Reports

     Medicare, Medicaid and SCHIPS

     Federal Budget/Health Care

     Health Insurance, Health Costs, Health Care Reform

     Health Equity Issues

     Other Health Issues

 


FLORIDA CHAIN WEB SITE RESOURCE UPDATE


Florida CHAIN has advocacy tools available online.

 

Expanding Medicaid Eligibility for Pregnant Women

(By Carol Brady of Florida Association of Healthy Start Coalitions)
This one-page report responds to these questions: Why is health care coverage important during pregnancy?How does Medicaid impact health care coverage for pregnant women? Why do we need to expand Medicaid eligibility for pregnant women? How can Florida expand coverage for pregnant women? Expanded eligibility would leverage federal funding for the uninsured, increasing access to prenatal care for at-risk women and matching SCHIP Medicaid eligibility for infants through age one. Expanding Medicaid coverage for uninsured women up to 200% of the federal poverty level would provide needed support to the working, uninsured families for whom pregnancy-related health care is a significant burden.

 

Florida Medicaid Reform PowerPoint Presentation

Educate your colleagues and/or employees on Florida Medicaid Reform basics. with Florida CHAIN's PowerPoint presentation for public use. Feel free to call Florida CHAIN for more information about Medicaid reform or about the PowerPoint: 954/791-7314.

 

The Florida CHAIN web site now includes resource information in Spanish.


GRANTS AND FELLOWSHIPS

 

New listings

  


Continuing listings, in order of submission deadlines

 

Racial and Ethnic Approaches to Community Health Across the US (REACH US)
Deadline: May 7
The National Center for Chronic Disease Prevention and Health Promotion, at the Centers for Disease Control and Prevention, announces the availability of fiscal year 2007 funds for cooperative agreements to advance evidence- and practice-based programs and culturally based community practices to eliminate racial and ethnic health disparities through implementation, evaluation, and dissemination of state of the art knowledge. 

 

CDC Foundation Hero Award Call for Nominations
Deadline: May 15
The Centers for Disease Control and Prevention (CDC) Foundation Hero Award was established in 2005 to coincide with the foundation's tenth anniversary celebrating "A Decade of Heroes." The award recognizes an individual or organization that has made a significant contribution to improving the public's health through exemplary work in advancing CDC's mission of promoting health and quality of life by preventing and controlling disease, injury and disability.

 

New Routes to Community Health

Deadline for brief online proposals: May 17
The mission of Robert Wood Johnson's New Routes to Community Health, anchored in community partnerships, is to increase the health of new immigrants to the United States using local media. Our definition of health is broad and includes the building or shoring-up of the infrastructures that support good health. Register now to learn more about this new grant program.


Finding Answers: Disparities Research for Change
Deadline: May 17
This Robert Wood Johnson Foundation initiative provides funds to healthcare organizations implementing interventions aimed at reducing disparities. The funds are used to evaluate the interventions and their potential for broad dissemination. With this pool of funds, project leaders hope that health plans, hospitals, and community clinics will be encouraged to focus on racial and ethnic disparities as a priority in their quality improvement agendas.

 
NIH: Community Participation in Research
Deadline:  May 18

The goal of this funding opportunity announcement is to support research on health promotion, disease prevention and health disparities that is jointly conducted by communities and researchers. This funding opportunity announcement will utilize the National Institutes of Health research project grant (R01) award mechanism and runs in parallel with an announcement of identical scientific scope, PAR-06-247, that solicits applications under the exploratory/Developmental Grant (R21) award mechanism. 

 

Supporting Innovation in Health and Health Care
Deadline:  July 10
The Local Initiative Funding Partners Program (LIFP) is a partnership program between the Robert Wood Johnson Foundation (RWJF) and local grant-makers to fund promising, original projects to significantly improve the health of vulnerable people in their communities.

 

$115 Million Commitment to Improve Quality of Health Care in Communities
Robert Wood Johnson Foundation will expand regional quality strategy, and will focus on patients and reducing racial and ethnic health care disparities. The philanthropy, which works to improve the health and health care of all Americans, will expand its strategy to improve the quality of care for patients with chronic illnesses by focusing more intensively at the local level. RWJF will also remain active in national efforts to standardize performance measures and public reporting on quality.  


The Effect of Racial and Ethnic Discrimination/Bias on Healthcare Delivery
Deadline: variable
The purposes of this Funding Opportunity Announcement are: (1) to improve the measurement of  racial/ethnic discrimination in healthcare delivery systems; (2) to enhance understanding of the influence of racial/ethnic discrimination in healthcare delivery and its association with disparities; and (3) to reduce the prevalence of racial/ethnic health disparities.
 
United Healthcare Children's Foundation Helps Underinsured Children
The Foundation offers support for children nationwide with assistance grants for medical services not fully covered by health insurance. Parents and caretakers can apply for up to $5,000.00 for health care services that will help improve their children's health and quality of life.  Eligible children must be 16 or younger. Families must meet economic guidelines, live in the U.S. and be covered by a commercial health insurance plan.  Examples of the types of medical services covered by include speech therapy; physical therapy and psychotherapy; medical equipment such as wheelchairs, braces, hearing aids and eye-glasses, and orthodontic and dental treatments. The Foundation has helped more than 375 families and provided nearly $1 million in financial assistance

 

NIH: Social and Cultural Dimensions of Health
Application deadline: variable
The ultimate goal of this program announcement is to encourage the development of health research that integrates knowledge from the biomedical and social sciences. This announcement invites applications to (a) elucidate basic social and cultural constructs and processes used in health research, (b) clarify social and cultural factors in the etiology and consequences of health and illness, (c) link basic research to practice for improving prevention, treatment, health services, and dissemination, and (d) explore ethical issues in social and cultural research related to health.

 

Changes in Health Care Financing and Organization 
Application Deadline: Open
This Robert Wood Johnson Foundation program supports policy analysis, research, evaluation and demonstration projects that provide policy leaders timely information on health care policy and financing issues. This Call for Proposals is intended to support projects that: 1) examine significant issues and interventions related to health care financing and organization and their effects on health care costs, quality and access; and 2) explore or test major new ways to finance and organize health care that have the potential to improve access to more affordable and higher quality health services.  

 

Funding for Community-Based Approaches to Improve Care for Vulnerable Populations
Deadline: Rolling
The Robert Wood Johnson Foundation is accepting applications for its Fresh Ideas: Community-Based Approaches to Improve Care for Vulnerable Populations grant program. The purpose of this program is to promote community-based approaches to health and health care problems that interact with social problems. Examples include inadequate housing, poor education and poverty. Priority is given to projects that focus on hard-to-reach populations such as new immigrants and refugees and at-risk adolescents.

 

Research Proposals on Disparities Issues

Proposals will be reviewed on a rolling basis. 

Robert Wood Johnson Foundation seeks to reduce racial and ethnic disparities in the care of patients with cardiovascular disease, diabetes mellitus type 2 and/or depression. To that end, RWJF invites research proposals that offer solutions towards reducing health care disparities. RWJF encourages researchers to include data and analyses in their proposals to help us better understand these disparities related to: sub-ethnic and other marginalized groups (e.g., Mexican, Puerto Rican, Vietnamese and American Indian); and  acculturation factors (e.g., generation, years in US, age of migration and language proficiency).  RWJF will consider projects of up to $75,000 with a one-year time frame.    

State Coverage Initiatives
Through funding from Robert Wood Johnson Foundation, State Coverage Initiatives offers both policy planning and demonstration grants. SCI grants are designed to support states in the early stages of planning coverage expansions and those states that have decided on a new coverage expansion mechanism and seek assistance designing and implementing the program. Specific new grant opportunities are announced on the Web site and through the e-newsletter, St@teside; however, states may submit project ideas at any time. For specific info, contact isabel.friedenzohn@academyhealth.org or 202/292-6726  

Donors Forum of South Florida on-line database
The new online searchable Donors Forum of South Florida database has up-to-date information about funders in South Florida. This resource— which is also available in hard copy — presents continuously updated information about the giving interests and procedures of funders with a track record of investing in the South Florida area and working collaboratively with others. To order, email leot@donorsforumsf.org or call 305/371-7944. 

 

Directory Of Health Policy Fellowships

This Kaiser directory contains new listings for undergraduates, graduate students and professionals searching for summer, school-year, or post-doctoral positions.


 

ORGANZATIONS AND SERVICES

 

Newly posted resources are at the top of the list.

   

Medicare Rights Center (MRC) has an Rx Hotline for Nonprofit Professionals as one component of its comprehensive independent source of health care information and assistance for older adults and people with disabilities. It helps with understanding or explaining the Medicare prescription drug benefit to clients. Call RxHelp, a national hotline dedicated for nonprofit professionals serving the Medicare population, operated from 10 am to 6 pm EDT. Dial 877/RXHELP-0 (877/794-3570).Other services include: a telephone hotline; a database of case advice; education and training; public policy work; electronic newsletters; and communications with local and national media outlets. To help you understand your Medicare health plan choices, the Medicare Rights Center offers Medicare Interactive (MI), a web-based Medicare counseling tool.

 

Training Alliance for Communities of Color
This website is from National Health Policy Training Alliance for Communities of Color, a partnership between Families USA, the Joint Center Health Policy Institute (HPI), the National Association of Latino Elected and Appointed Officials (NALEO) Educational Fund, and the National Medical Association (NMA). Their mission is to empower community leaders, elected officials, and journalists from communities of color with pertinent information about health policy developments in order to: expand their capacity to address and catalyze action on crucial health and health care issues; bolster the skills of leaders from communities of color to play a more influential role in shaping and creating health policies that are of relevance to their respective communities; and engage diverse leaders in national health policy development. 

 

Access to Benefits Coalition

The nonprofit ABC is dedicated to ensuring that Medicare beneficiaries with limited incomes know about and make the best use of all available resources for accessing prescription drugs and reducing their costs. ABC is working through local community coalitions to inform beneficiaries and their families, as well as the professionals who serve them, about Medicare Part-D. Extra Help is provided online or in person; find out if you or someone qualifies by going to BenefitsCheckUpRx?. Publications include: Applying for the Low-Income Subsidy: A Tool Kit for Advocates; and Pathways to Success: Meeting the Challenge of Enrolling Medicare Beneficiaries with Limited Incomes

 

The National Hispanic Resource Help-Line 1/800-473-3003 provides support for Latinos throughout the nation who need information about educational, health and human service providers. To become part of their database, click here.

 

Southeast Florida Cancer Control Collaborative (SFCCC) 

SFCCC works to reduce the cancer burden and cancer disparities in Southeast Florida, including Broward, Indian River, Martin, Miami-Dade, Monroe, Okeechobee, Palm Beach and St. Lucie counties. The SFCCC includes representatives from more than 60 public and private organizations, agencies and health care providers, as well as cancer survivor and advocacy groups. SFCCC aims to increase awareness about cancer prevention, early detection, and treatment among populations at high risk. The Collaborative meets quarterly at various locations in the region.


MANUALS, GUIDES, TOOLKITS

 

Newly posted resources are at the top of the list.

 

The Basics of Medicare and Medicaid
The primers help explain Medicaid and Medicare, including an overview, how they work, who they serve and how they are funded. The Medicare primer is new, and the Medicaid primer has been updated with the most current information (Kaiser Family Foundation, "The Basics of Medicare and Medicaid," (3/19/07, Kaiser Family Foundation)

 

Medicare Rights Center Part D appeals manual
This free, comprehensive, easy-to-understand guide is for advocates who help people with Medicare get the drugs they need.This 25-page manual offers a complete overview of the entire appeals process, real-life case examples from MRC's Client Services department, a glossary of important Part D appeals terms, a sample appeals protocol for advocates, and links to important resources and documents. All in consumer-friendly language.

 

 

Free Cover the Uninsured Week 2007 Planning Materials Available
Start planning and promoting activities now—with help from newly updated planning guides! This year, Cover the Uninsured Week comes at a critical juncture in the health coverage debate: After 10 years, the State Children's Health Insurance Program (SCHIP) is up for reauthorization in Congress. Our nation's leaders have the opportunity to provide funding to cover the children currently enrolled in SCHIP and expand the program to cover millions more children in need of health coverage. As a result, Cover the Uninsured Week 2007 will focus on the importance of children's health coverage and the success of SCHIP. To help you promote the importance and availability of SCHIP, these guides are now available:   Health and Enrollment Fair Planning; Working with the Media; Editorial Placement; Campus Event Planning. Additional Cover the Uninsured Week 2007 materials will be posted.

 

Five Guidelines for Developing Customer-Friendly Websites
This new Covering Kids & Families publication is intended to help state agencies and other organizations do a

better job of helping people find information on the Web about Medicaid, SCHIP and other government services by producing a customer-friendly site.


Amigos en Salud Online Disparities Toolkit
Pfizer has created a free toolkit to help community health centers reduce racial health disparities. The program, called Amigos en Salud/Friends in Health, involves training community health workers to be a bridge between minority communities and the healthcare system. 

 

Reducing Racial and Ethnic Disparities: A Quality Improvement Initiative in Medicaid Managed Care ToolkitCenter for Health Care Strategies
The toolkit examines the experiences of a workgroup - comprising 10 Medicaid health plans and a state primary care case management association - that adopted strategies to identify and address racial and ethnic health disparities in birth outcomes and immunizations, asthma care and diabetes care. (January 2007)

 

New/Updated Resources Medicare Drug Plan Resources
In advance of the 2007 Medicare drug plans open enrollment period beginning Nov. 15, Kaiser Family Foundation has issued a series of new and updated resources based on ongoing research including consumer surveys:

Updated fact sheet providing state-specific data about Medicare drug plan options for 2007, including stand-alone drug plans and Medicare Advantage plans, and information on premiums, gap coverage, and availability to beneficiaries who qualify for full low-income assistance.

Updated Medicare Prescription Drug Benefit fact sheet, with a revised estimate that 4 million people will be affected by the coverage gap in 2006, as well as current enrollment and low-income subsidy participation and updated Medicare per capita drug spending.

Updated Talking About Medicare online consumer guide, reflecting 2007 benefit changes, to help people with Medicare and their families understand options and make decisions based on their personal situations; includes information about financial assistance for those with limited incomes, supplemental insurance options, and Medicare Advantage.

Fact Sheets and Primer on the Uninsured
The Kaiser Family Foundation has collected links to some resources on the topics of health coverage and the nation’s uninsured population to assist you in your work related to these issues:

The Uninsured and Their Access to Care

Covering the Uninsured: Growing Need, Strained Resources

Massachusetts’ New Law to Cover the Uninsured

Women's Health Insurance Coverage

The Uninsured: A Primer

 

Families USA is offering Making Public Programs Work for Communities of Color: An Action Kit for Community Leaders, from its Minority Health Initiatives Department. The kit provides community leaders with information, tools, and resources to engage in health advocacy and improve the health and well being of their communities. Emphasizing the importance of public programs in reducing racial and ethnic health disparities, the kit contains: a summary and statistics of racial and ethnic health disparities and the role public programs can play in reducing them; an overview of Medicaid (and SCHIP) and Medicare, including their relationships to communities of color; fact sheets on improving health coverage for racial and ethnic minority groups; state and local case studies on health advocacy; advocacy tools including a powerpoint presentation, and lists of organizations and publications. Contact: 202/628-3030 or rpanares@familiesusa.org.

 

The Medicaid Matters web site is a resource for people working across the country to protect Medicaid, the health insurance that 50 million rely on. It stores a ready-to-use toolkit of messages, materials and dissemination ideas. Users are able to download, at no cost, tested messages emphasizing the importance of Medicaid and the threat now facing the program. Messages are enhanced by high quality, full color photography. One set of materials is designed to be ready to print. Once downloaded, they can be forwarded to any print house or copy shop without any further formatting. The second set of materials is designed so that components of the product can be adapted to suit the needs of that organization or constituency that wishes to use them.

 


TECHNOLOGY AND AUDIO/VIDEO RESOURCES

 

Audio Conferences and Webcasts

 

Dated events listed chronologically; standing webcasts listed last 


Today's Topics In Health Disparities - Is the U.S. Making Progress in Reducing Disparities in Health Care Access and Quality?
This discussion provides an overview of key findings in the 2006 National Healthcare Disparities Report. Panelists focus on evidence showing the areas in which racial and ethnic disparities in health care have narrowed and discuss interventions that may explain some of the gains achieved. In Video   Podcast  Transcript (3/2/2007, Kaiser Family Foundation Broadcast Studio)


Archived Webcast of SCHIP Enrollment and Retention Briefing
Nearly three-fourths of America's nine million uninsured children are eligible for either State Children's Health Insurance Program (SCHIP) or Medicaid. As Congress begins debating the reauthorization of the program, policy analysts are examining what keeps these children from enrolling. To address these issues, the Alliance for Health Reform and the Robert Wood Johnson Foundation (RWJF) sponsored a briefing Feb. 26 at the Columbus Club, Union Station. Sens. Edward Kennedy and Orrin Hatch, among others, were featured guests.

Health Action 2007 National Grassroots Meeting
You can view the webcasts of plenary speakers (Sen. Barack Obama, Uwe Reinhardt, Sen. Edward Kennedy, and more); peruse the tool kit; meet the consumer health advocates of the year; check out the materials from many of the plenaries and workshops; and browse the many photos that were taken. The slide presentation Resuming the Path to Health Coverage for Children and Parents consists primarily of charts showing the state of health insurance access for families. States have shown renewed enthusiasm for covering the uninsured, especially children, but the Deficit Reduction Act (DRA) has also caused some setbacks.

Bridging the Divide: Medicare's Role in Reducing Racial and Ethnic Disparities
This Jan. 29, 2007 event examined a growing body of evidence indicating disparities in quality of care among Medicare beneficiaries of different racial and ethnic backgrounds. Panelists also discussed whether and how the Medicare program should use its clout as a health care payer and player to move toward eliminating racial and ethnic disparities. Webcast available through Kaiser Network.

National Town Hall Meeting on Children’s Health Coverage
During Campaign for Children's Health Care's town hall meeting, Senators Max Baucus (D-MT), Orrin Hatch (R-UT), Jay Rockefeller (D-WV), and Gordon Smith (R-OR) expressed their bipartisan support for expanding children’s health coverage. This bodes well for efforts to achieve health coverage for all kids. An archived Web cast of the 35-minute national town hall meeting is available on the campaign’s Web site.


Media Programming

 

Hold Your Breath

This new documentary, supported in part by The Commonwealth Fund, will air on select public television stations this month. Directed by award-winning filmmaker and physician Maren Grainger-Monsen, the film reveals the clash between ancient Islamic traditions and contemporary Western medicine. It follows a deeply religious Muslim immigrant from Afghanistan with cancer, and his Western medical doctor, as they try to find a common language while there is still time to provide potentially life-saving treatment. For more information and for broadcast times, visit the Stanford Center for Biomedical Ethics Web site.


Web Sites, Web Features & Databases

 

Newest postings are listed at the top of State and National Web Resources sections below

 

State Web Resources

 

Florida Health Insurance Coverage of Children 0-18 (2004-2005)
Kaiser Family Foundation has released information about this on-line resource.

 

Statehealthfacts.org Updates Data on Medicaid & SCHIP Coverage for Children
Statehealthfacts.org has updated information on eligibility levels for children in Medicaid and SCHIP and parents and pregnant women in Medicaid using survey data from the Kaiser Commission on Medicaid and the Uninsured (KCMU). The latest information on Medicaid and SCHIP enrollment practices for pregnant women and children and renewal practices is also now available. Overall SCHIP spending for FY 2006 and Federal SCHIP spending data from FY 1998 through FY 2006 are also now available. Recent additions to the site include new information on children's demographics and health insurance status from analysis of the Census Bureau's March 2005 and 2006 Current Population Surveys. These additions include the distribution of children by race/ethnicity, the distribution of children by citizenship status, and health insurance coverage among low-income children living near poverty.

 

Florida Association of Community Health Centers (FACHC)

The following resources have recently been added to the FACHC web site:

Short Assessment of Health Literacy for Spanish-speaking Adults (SAHLSA-50) A new health literacy test than can be used to screen for low health literacy among Spanish speakers. 

Health Coverage and Access to Care for Hispanics in "New Growth Communities" and "Major Hispanic Centers" A 2006 Report from the Kaiser Commission on Medicaid and the Uninsured 

Spanish Language Mental Health Manual for Health Promoters Developed by the California- Mexico Bi-National Health Initiative. 

 

Florida Health Care Website for Consumers
A new Web site for Florida health-care consumers officially launches today, courtesy of the Florida Hospital Association. The site offers links to information on doctors, hospitals and health-care plans as well as checklists to help consumers ask the right questions. It is intended largely as a portal to other, established sites. There are links to sites for Florida's Agency for Health Care Administration, the Centers for Medicare & Medicaid Services, and the Joint Commission on Accreditation of Healthcare Organizations, among others.

 

"2006 Kids Count” Report

The annual report measures each state in terms of 10 statistics, including infant mortality, teen birth rate and infants born with low birthweights. The report finds no change in U.S. infant mortality since 2000, less than a percentage point increase to 7.9% in 2003 in the percentage of infants born weighing less than 5.5 pounds and a decrease in the teen birth rate from 48 births per 1,000 girls in 2000 to 42 births per 1,000 in 2003. (6/27/06, Annie E. Casey Foundation)

 

State of Florida Health Care Consumer Websites
The recently expanded FloridaCompareCare.gov aims to improve care and reduce costs by giving citizens the tools to compare outcomes and prices between health care providers and medical services.  Through this website one can see data on certain conditions and procedures related to quality of care, pricing and performance at the state’s hospitals and ambulatory (outpatient) surgery centers. In 2005, Florida became the first state to publicly report infection and mortality rates in each hospital.  In July 2006, Florida became the first state to publicly report separate pediatric quality of care data. In addition, adult data can now be broken out specific to ages 65 and over. Additional new breakdowns include types of facilities.
FloridaHealthStat.com provides health care information to assist consumers, health care professionals, and researchers in making well-informed health care decisions and in researching the status of health care in Florida. MyFloridaRx.com provides consumers with the retail prices of the most commonly used prescribed drugs by pharmacy across Florida. For questions or comments regarding any of Florida’s consumer websites, contact 850/922-7036.

 

Medicaid Applications Online 24/7 and in Neighborhoods
Local partners can direct families to their area sites or online to apply for Medicaid and other benefits. The Web Application is generally preferable as the data makes it into the Florida system more quickly and there is a reduced chance of data entry errors.

 

Florida KidCare Applications can be completed online

 

Website Offers Free 24 Hour Health Information to Floridians to address concerns and inquiries 

The Florida Department of Health (DOH) Secretary encourages health care consumers to visit www.FLHealthSource.com whenever they need information about a licensed health care professional. DOH’s Division of Medical Quality Assurance (MQA) maintains FLHealthSource.com. The site provides health care consumers with a host of information, including license status, office address, and disciplinary information for all health care professionals licensed in Florida. The site also provides additional information for the five profiled professions –medical doctors, osteopathic physicians, chiropractic physicians, podiatric physicians and advanced registered nurse practitioners (ARNPs).

 

Statehealthfacts.org provides free, up-to-date, and easy-to-use health data on all 50 states, covering more than 500 health topics. 

 

Florida Progressive Information Network (FLPIN)

offers a nonpartisan communication system designed to link progressive organizers with progressive activists.  Individuals may sign up free of charge to receive alerts on a variety of progressive issues from other organizations participating in the Network. In order to make FLPIN work, it must be used on a regular basis. The more information put in, the more valuable it is as a tool. Link FLPIN to organization websites. A training manual is at www.flpin.net/alert.pdf.  For more information or assistance, contact jen@floridahumanist.org

 


National Web Resources


Factline: Tracking Health in Underserved Communities
This website is sponsored by the National Library of Medicine and Meharry Medical College that highlights health disparities in underserved communities. Factline presents information about health disparities faced by women, members of minority groups, the elderly and others.  The focus of the website is two-fold: presenting significant findings from scholarly research in public health on the subject of health disparities and providing bibliographic references to the literature in which these findings are established.  The framework for the research is Healthy People 2010.

 

New Database for Medical Language Access
The Medical Leadership Council on Cultural Proficiency has unveiled a first-of-its-kind database designed to assist physicians and others in providing improved language access and culturally competent health care. With more than 350 initial entries, the searchable, internet-based, free-to-the-public database includes contact information for interpreters, nonprofit organizations, hospitals, public health departments and others that provide health information and services in languages other than English. Users, including physicians, nurses, social service workers, patients and the general public, can search for listings by county, by language, or by type of service.

 

Fact Sheets on Medicare, Long-Term Care Spending; Medicaid; Long-Term Spending Data
Fact sheets, Georgetown University Long-Term Care Financing Project: The Georgetown University Long-Term Care Financing Project has released two new fact sheets on Medicare and long-term care and Medicaid policy that aims to protect the incomes and resources of spouses of nursing home residents who are trying to enroll in Medicaid. The project also has updated its 2005 national long-term care spending estimates.  (February 2007, Georgetown University Long-Term Care Financing Project)

 

2007 Federal Poverty Guidelines Now Available
The Southern Institute on Children and Families has made available the 2007 Federal Poverty Guidelines. Compiled from the 2007 HHS Poverty Guidelines, these guidelines provide income levels for families at 50%, 100%, 125%, 133%, 150%, 185% and 200% of the Federal Poverty Level. Information is provided for the continental United States and separately for Alaska and Hawaii.

 

Women's Health Insurance Coverage Fact Sheet
As the cost of health insurance continues to rise, women in particular may face difficult challenges affording coverage because they are disproportionately low-income and can have poorer access to employer-based insurance. This fact sheet describes the major sources of health insurance coverage for women ages 18-64, including employer-sponsored insurance and Medicaid. It provides information on the more than 17 million women who are uninsured and summarizes the major policy challenges facing women in the health insurance sector. (Feb 2007, Kaiser Family Foundation)


Update on State Pharmacy Programs 
State Pharmaceutical Assistance Programs: A Chartbook--Updated and Revised, presents a wealth of data on state drug assistance programs throughout the country. In addition to eligibility requirements, benefit design, and program administration, the chartbook provides details on the most recent annual enrollment, utilization, and program expenditures for these programs. It also serves as a baseline for comparing and contrasting program offerings with the new Medicare Part D prescription drug benefit. You can also download the charts to create a PowerPoint presentation. (Jan. 2007, Commonwealth Fund)


Data Resource Center for Child and Adolescent Health
The Child and Adolescent Health Measurement Initiative (CAHMI) presents the Data Resource Center for Child and Adolescent Health. This resource is a no-cost, easy-to-use website that puts national, state, and regional survey findings right at your fingertips. You'll find: interactive data search tools; personalized technical help by email or telephone and information and examples to help you use data more effectively.

 

Metropolitan Quality of Life Data
Diversitydata.org allows visitors to explore how metropolitan areas throughout the U.S. perform on a diverse range of social measures via a dataset of socioeconomic indicators in the form of tables, thematic maps, and customizable reports. The data cover various racial/ethnic, income and nativity groups. Multiple data sources have been used to show data for numerous domains such as housing opportunities, economic opportunities, residential integration, and health.

New HHS Web Site Promoting Long-Term Care Planning
The National Clearinghouse for Long-Term Care Information Web site provides comprehensive information about long-term care planning, services and financing options, along with tools to help people begin the planning process. The clearinghouse Web site is designed to increase public awareness about the risks and costs of long-term care and the potential need for services, and to provide objective information to help people plan for the future. The new Web site also supports the "Own Your Future" education campaign, a joint federal-state initiative designed to increase consumer awareness about planning for long-term care. 

New Online Medical Dictionary Reference Tool

MediLexicon International Limited, corporate owners of Medical News Today, was pleased to announce on Nov. 11 the launch of a new medical dictionary tool. This dictionary search is a joint collaboration between MediLexicon and Lippincott Williams and Wilkins, who have provided the data.

 

Online Interactive Medicare Advantage Comparison Tools
Before making the switch to Medicare Advantage, beneficiaries can compare plans to determine their needs.
Then they can review each plan using the Guidelines for Considering Medicare Advantage  from the Center for Medicare Advocacy. More information about Medicare Advantage managed care plans is online at Medicare.gov. More recent FAQs on private fee-for-service plans is available through CMS.

 

Online Parent SCHIP Information
To assist in the growing problem of America's uninsured children, medical insurance hub HealthInsuranceFinders has added information to assist parents in finding and understanding all of their health insurance options: a State Children's Health Insurance Program (SCHIP) section with an overview of State Children Health Insurance Programs for each state.


State By State National Survey of Children’s Health Data Resource Center Dataset
The DRC Child Health Indicators version of the 2003 NSCH Dataset is now available. Added to the data sets are the 65 Child Health Indicators for the DRC online data query and the National Chartbook. Also included are Healthy People 2010 relevant indicators and key socio-demographic variables.

 

Comprehensive source of Hispanic data
Recent release from the Census Bureau with data and linkage to sources covering many areas.

 

Rural Communities Statistics and Information
The Rural Assistance Center has added to its Web site a new resource providing continuously updated demographics and statistics, documents and resources and contacts for all 50 states. RAC said the federally funded "State Resources" addition is designed to help health care providers and human services representatives in rural communities with activities such as locating and competing for funding opportunities and networking.

 

American Community Census Data Online
The new poverty, income, and health insurance data from the U.S. Census Bureau released on August 29, 2006 is available online. This year, it has more state and local data than in previous annual surveys.

     

State Level Data on Health Coverage & the Uninsured

Kaiser Family Foundation's interactive web tool includes the health insurance status of the state’s population (those with various types of health coverage or who are uninsured), and demographic information (such as income, race/ethnicity, age, gender) for those who are uninsured, have employer-based insurance, or Medicaid. Information about Medicaid and Medicare beneficiaries can be found in those respective categories. Find data from other categories on the website that relate to Health Coverage & Uninsured.

 

The Johns Hopkins INFO Project's New OneSource Database

This provides one-stop access to over 360,000 resources and six separate databases with a single mouse click or search term. OneSource users can quickly search for reports, articles, documents, posters and pamphlets, photos, web sites, Q&As and news articles through a single interface. An enhanced search and browse capability makes finding global family planning, reproductive health and population information faster and more simple than ever.  Enter your terms in the search box. Select the resource type you want to look for, or search all six databases at once, and click Search.

 

Uninsured Tutorial, Module, and Reference Library

This KaiserEDU.org page contains comprehensive resources including links to key research, policy analysis, and the latest data and statistics on the uninsured. 

  

Health Care Coverage in America: Understanding the Issues and Proposed Solutions includes a corresponding PowerPoint presentation.  (Cover the Uninsured)

 

Immigrant Health Policy Reference Library
This new compendium summarizes data and research on immigrants’ health coverage and access to care. The library also includes a list of organizations that conduct analysis on the impact of major health policies on immigrants and presents research on specific populations, including Latino, African and Asian immigrants.

  

Medicaid Fact Sheets Tool

Compare your state's Medicaid program and the population it serves to other states and the nation by visiting Kaiser's new interactive online State Medicaid Fact Sheets tool.

 

Interactive Tools on Medicaid

The Kaiser Commission on Medicaid and the Uninsured presents the State Medicaid Fact Sheets and the Medicaid Benefits Online Database, two interactive tools featuring the latest key data, information and services provided for each state’s Medicaid program. Both tools allow for easy access to the data which can then be printed, saved and emailed.

 

Healthcare Coverage Options Database: Assistance for Obtaining Health Coverage

This Web site provides information on health insurance options for low-income U.S. residents. The site includes comprehensive information on large-scale programs like Medicaid, the State Children's Health Insurance Program (SCHIP), and the federal Health Care Tax Credit Program, as well as hundreds of smaller state, federal, and private programs.

 


 

Videos

 

Collateral Damage: Bad Medicine in Tennessee
In 2005, when Governor Phil Bredesen of Tennessee announced he would reform his state’s Medicaid program,

people took him at his word. Little did they know that Bredesen’s idea of reform meant cutting 190,000 people off the program almost overnight. The size and speed of the cuts were unprecedented; the suffering they caused was immeasurable. The sickest, neediest people were denied medical care while the nation sat by and watched, and the Governor boasted to other heads of states about his success reigning in the rising cost of health care. This intense, moving film exposes the injustice that occurred in Tennessee and its implications for Medicaid cuts nationwide. In the richest nation in the world, where people die every day because they lack access to health care, the disparities revealed in this film are chilling.

 

Covering Kids & Families Video
Parents' Action for Children, a 2006 national supporter, has created a flash animation video in partnership with Covering Kids & Families that promotes the availability of low-cost and free health care coverage for eligible families. Parents’ Action for Children plans to promote the video to their membership of more than 35,000 parents across the country who are working to improve the lives of children and families in their communities. View the video today!
For more information, contact 202/338-7227 or coveringkidsandfamilies@gmmb.com

 

Problems with the Medicare Drug Program and How to Fix Them: Video

This 14-minute video produced by Families USA features trusted newsman Walter Cronkite discussing the problems within the new Medicare prescription drug benefit and offering solutions for the Part D program. The video offers an authoritative look at Medicare’s prescription coverage. First-hand experiences come from retirees from across the country, who offer an up-close look at the troubles the new drug benefit has generated, from the headaches of sorting through dozens of plans to the financial tolls the program will take on so-called beneficiaries. A dedicated community pharmacist shares his insights on the roll-out of Part D and knowledgeable consumer advocates analyze the politics at the core of the creation of the Medicare drug program. Watch the Video Online or Request a Copy

  


 

PERIODICALS AND BOOKS

 

When an Apple a Day Isn’t Enough – Students Speak Out about Health Care

Click here to preview the publication of national essay winners. Hard copies are available for purchase. Click here to order. In addition to the full publication, state-specific booklets are available free online!

We welcome you to link to the publications on your website, distribute them to state policymakers, media, and coalition partners. If you have any questions, contact info@childrenshealthcampaign.org.

 

Sick: The Untold Story of America's Health Care Crisis--and the People Who Pay the Price 

Cohn, a senior editor at The New Republic, researched and wrote the book as part of his 2002 Kaiser Media Fellowship. The book weaves a series of originally reported narrative stories with a history of health insurance and a close-up look at the business of medicine in America. It ends by examining proposals for reform and comparing America’s health care system to some systems abroad. Susan Dentzer, senior health correspondent at the NewsHour with Jim Lehrer, will moderate a discussion of the issues raised in the book with Cohn, and Michael Cannon, director of Health Policy Studies at the Cato Institute.

 

Pocket Guide on Cultural Competence
The Intercultural Cancer Council recently unveiled the latest 121-page edition of the “Pocket Guide,” Cultural Competence in Cancer Care: A Health Care Professional’s Passport, giving health care professionals a systematic approach for interacting with multicultural and economically disadvantaged cancer patients and their families. It highlights the influences of culture, geography, socioeconomic status and geography on the health behaviors of the rural poor and the five largest racial/ethnic groups in the U.S.: African Americans, Latinos/Hispanics, American Indians and Alaskan Natives, Asians and Asian Americans, and Native Hawaiian and other Pacific Island Populations. To improve the cultural competency of physicians and other health professionals, the guide provides a primer on the culturally appropriate behaviors and attitudes toward cancer prevention and control that differ by multicultural and socio-economic status of patients. This includes common verbal and nonverbal communications, such as shaking hands, looking the patient in the eye, how far to sit or stand from the patient and the use of touch. The guide can be purchased for $6.00 per copy plus shipping charges by contacting 1.877.243.6642 or downloading the order form.

 

Florida Health News, free non-profit news service, now online
The Florida Health Policy Center has announced the launch of an independent, free, non-profit news service:  Florida Health News Inc. FHN will post health-related stories reported around the state, highlight the Florida impact of national stories, and track state health legislation.  The news service also will feature original coverage of major health policy developments and a free Monday-through-Friday news service.  You can visit the site and subscribe to the e-mail news service by clicking on the link: www.FloridaHealthNews.org. To send your comments, story tips and news of conferences and other events, or get more information, contact pat.curtis@floridahealthnews.org or 850/556-1668.

Kaiser Health Disparities Report: A Weekly Look at Race, Ethnicity and Health
This free, weekly report from kaisernetwork.org and the Kaiser Family Foundation, synthesizes news coverage from hundreds of print and broadcast news sources related to health and health care issues that effect racial and ethnic communities. The report also highlights new studies and journal articles, initiatives, developments in the field, and upcoming events.


REPORTS AND STUDIES

New Listings

New Listings: Medicare, Medicaid, SCHIP

Too Sick to Work, Too Soon for Medicare: The Human Cost of the Two-Year Medicare Waiting Period for Americans with Disabilities

Americans under age 65 who have severe and permanent disabilities can qualify for Medicare coverage. But there's a catch: before these individuals can enroll, they must wait two years after receiving their first disability benefit check. As a result, there are as many as 1.5 million men and women too disabled to return to work who are waiting to receive Medicare coverage for the health care they need. Researchers tell the real-life stories of 21 adults who are struggling through the waiting period and the financial hardship, pain, and suffering it causes. As the stories reveal, many in the waiting period are left with enormous debt, compromised health, and devastated personal lives. Many are forced to sell their homes or go bankrupt. Others do not make it through the waiting period, dying before their Medicare coverage ever begins. For many of those who finally become eligible, a lack of needed care in the interim has led to a sharp deterioration in their health.  (April 2007, Commonwealth Fund and Medicare Rights Center)

 

Physician Pay-for-Performance in Medicaid: A Guide for States
Many health care purchasers are trying to link health care spending to quality and efficiency through pay-for-performance (P4P) programs. This report examines the current and planned P4P activities of state Medicaid programs, based on a survey and follow-up interviews with state Medicaid directors and their staffs as well as review of related documents. The authors found that more than half of states currently operate one or more pay-for-performance programs and nearly 85 percent expect to do so within the next five years. (April 2007, Commonwealth Fund)

 

In preparation for the SCHIP policy debates during reauthorization, FamiliesUSA has published a series of briefs outlining the major issues.

SCHIP 101: What Is the State Children's Health Insurance Program, and How Does It Work? explains the basics about SCHIP, including who qualifies for SCHIP, how SCHIP is financed, and whether eligible children are getting enrolled.

SCHIP and Children's Health Coverage: Fitting the Pieces Together examines where children, including low-income children, get their health coverage, as well as how SCHIP and Medicaid have reduced the number of uninsured children.

SCHIP and Children's Health Coverage: Leveling the Playing Field for Minority Children the important role that SCHIP plays in reducing disparities in access to care, as well as how the SCHIP reauthorization process can be used to further this effort.

When One Size Doesn't Fit All: The Importance of State Flexibility in SCHIP Eligibility explains why the flexibility to provide health coverage to children in families with incomes above 200 percent of the federal poverty level was built into the SCHIP program—and why it makes sense to keep it.

The Great Divide: When Kids Get Sick, Insurance Matters, for ground-breaking data that show that children without health insurance receive less and inferior care, and, for those uninsured children with severe illnesses or injuries, this can lead to most severe and tragic consequences.

Health Opportunity Accounts: What Are They, and Why Should State Advocates Care?  discusses the HOA provisions contained in the Deficit Reduction Act of 2005 (DRA) and why you should be concerned if you see HOAs proposed in your state.


New Listings: Federal Budget


New Listings: Health Insurance, Health Costs

 

Kaiser Health Tracking Poll: Election 2008

Health care ranked as the second most important issue to voters, after the war in Iraq, in the 2008 presidential election, according to a recent Kaiser Family Foundation poll. Fifty-two percent of respondents said they would like to see a health care reform proposal from a candidate “that would make a major effort to provide insurance for nearly all of the uninsured and would involve a substantial increase in spending. (March 2007, Kaiser Family Foundation)

 

FamiliesUSA has added three new pieces documenting the risks of Health Savings Accounts (HSAs).

Six Reasons to Be Wary of High-Deductible HSA Plans

Stop Bad Ideas—How HSAs Can Drain Your Wallet and Harm Your Health

Stop Bad Ideas—HSAs: Missing the Target

A Pound of Flesh: Hospital Billing, Debt Collection, and Patients’ Rights outlines what several states are doing to protect uninsured and underinsured consumers from medical debt.

Understanding How Health Insurance Premiums are Regulated outlines how states and the federal government regulate health insurance premiums to assist consumers with affordability.

 


 New Listings: Health Equity Issues 

 

Language Proficiency and Adverse Events in U.S. Hospitals: A Pilot Study

Commonwealth Fund–supported researchers from the Joint Commission report on the type and frequency of adverse events experienced by LEP and English-speaking patients in six U.S. hospitals. Their findings are startling: LEP hospital patients are more likely than their English-speaking counterparts to experience adverse events that result in harm, and the severity of that harm is often greater. The availability of language translation services, provided by trained medical interpreters, is crucial for ensuring the safety and quality of care that LEP patients receive, the authors say. They also recommend that hospitals indicate patients' native language and communication needs in their record and document the language services provided during medical encounters. (April 2007, International Journal for Quality in Health Care)


New Listings: Other Health Issues
 
 

Florida Reports 

 

Expanding Medicaid Eligibility for Pregnant Women

(By Carol Brady of Florida Association of Healthy Start Coalitions)
This one-page report responds to these questions: Why is health care coverage important during pregnancy?How does Medicaid impact health care coverage for pregnant women? Why do we need to expand Medicaid eligibility for pregnant women? How can Florida expand coverage for pregnant women? Expanded eligibility would leverage federal funding for the uninsured, increasing access to prenatal care for at-risk women and matching SCHIP Medicaid eligibility for infants through age one. Expanding Medicaid coverage for uninsured women up to 200% of the federal poverty level would provide needed support to the working, uninsured families for whom pregnancy-related health care is a significant burden. 

 

Florida Children’s Action Agenda 2007/2008 Available Online
Florida state Senators Nan Rich and Durell Peaden and Representatives Loranne Ausley and J.C. Planas have released the final recommendations of the 2006 Florida Children’s Summit.  The Summit participants learned a lot, and the next Summit in Fall 2008 will reflect that.  In 2008 they will spend substantially more time in workshops hashing out recommendations and will secure experienced workshop facilitators who are knowledgeable about the topics they are facilitating.  Also, they will institute a process to ensure that when leaving the 2008 Summit - or very shortly thereafter - all will know the Summit recommendations. 

 

Miami-Dade and Monroe County 2006 Health Profiles
Health Council of South Florida has released downloadable Health Profiles that provide answers to 10 commonly asked questions about county demographics, health needs, and resources.

 

Florida Health Insurance Coverage of Children 0-18 (2004-2005)
Kaiser Family Foundation has released information about this on-line resource. 

 

Medicaid Changes: What will they mean for Broward and Duval counties, and beyond?
This document is Briefing #1 by researchers at Georgetown University’s Health Policy Institute engaged in a two-year evaluation of the Medicaid reform pilot counties for both Florida counties. The evaluation is assessing how these changes affect Medicaid beneficiaries’ ability to access needed care as well as the impact on community health providers.(September 2006, Georgetown University Health Policy Institute)

 

Report looks at uninsured in Florida
This report from the Research Institute on Social and
Economic Policy at FIU documents and breaks down Florida's uninsured figures, finding 18.5% of the total Florida population uninsured. The report looks at employment and industry data related to lack of coverage, and proposes a partial solution.

 


Medicare, Medicaid and SCHIP

How Stable Is Medicaid Coverage for Children?
The researchers find that while the program provides a "long-term continuous source of coverage for millions of
children," it also creates "a revolving door for others." Many children are covered for reasonably long periods, but many others experience short gaps—from two to four months—in coverage. The authors note that "[e]ven brief gaps are likely to cause disruption in care management and possibly in heath care itself." (March/April 2007, Health Affairs)

Transforming the U.S. Child Health System
Researchers look at the current child health system--fragmented, underperforming, and fraught with inefficiencies--and propose an agenda for radical system change. Instead of the current patchwork system of programs and funding streams. They recommend integrated care that takes "a more comprehensive and holistic approach to optimizing health development." (March/April 2007, Health Affairs) 

 

IMPROVING CHILDREN'S HEALTH: A Chartbook about the Roles of Medicaid and SCHIP
This publication provides 30 graphs summarizing current information about health insurance coverage and the health needs of low-income children, as well as the effects of Medicaid and SCHIP coverage on children's health. (2007 Edition, Center on Budget and Policy Priorities)

 

Low Income Uninsured Children with Special Health Care Needs: Why Aren’t They Enrolled in Public Health Insurance Programs?
Many eligible children are not enrolled in public insurance programs. This Urban Institute report concludes that
parents’ lack of information about the programs and negative perceptions of the application process are two primary reasons why eligible children are not being enrolled. (Jan. 2007, Pediatrics)

 

The Kaiser Family Foundation has posted several new resources related to children’s coverage and the reauthorization of SCHIP. Selected resources include the following (Feb. 2007):
Interactive Children’s Health Insurance Coverage Timeline
Characteristics of the Uninsured: Who Is Eligible for Public Coverage and Who Needs Help Affording Coverage?

 

Aging out of Early and Periodic Screening, Diagnostic and Treatment (EPSDT): Issues for Young Adults with Disabilities
This report discusses the challenges and implications for young people with disabilities when they become
adults and lose their EPSDT benefits. It also examines the effects of recent changes to the Deficit Reduction Act that increase states’ power to aid individuals with disabilities. (1/18/07, Kaiser Family Foundation)

 

Toward Real Medicaid Reform
In this paper the authors describe and develop several options for Medicaid reform that would expand coverage, provide fiscal relief to states, shift responsibility for some or all of the care of dual eligibles to the federal government, and eliminate or restructure disproportionate-share hospital (DSH) payments. (2/23/07, Health Affairs)

Next Steps: Strategies to Improve the Medicare Part D Low-Income Subsidy
Dept of HHS has estimated that at least 75 percent of the Medicare beneficiaries who do not have any
prescription drug coverage are eligible for the Low-Income Subsidy. This report identifies recommended legislative, administrative, and regulatory reforms that should be made to the Low-Income Subsidy to improve access to the program for seniors and people with disabilities with limited means. (Jan. 2007, Access to Benefits Coalition and National Council on Aging)

Congress Has a Number of Options to Pay for Extending Health Coverage to More Low-Income Children
There is growing consensus that SCHIP reauthorization should make substantial progress toward covering all uninsured low-income children.  The cost, however, will be substantial.  Immediately enrolling the roughly 6 million children who are eligible for publicly funded coverage but are unenrolled would cost the federal government more than $50 billion over five years. In the House and, most likely, in the Senate as well, SCHIP reauthorization legislation will be subject to “pay-as-you-go” rules, which require that the cost of increases in mandatory programs (such as SCHIP) be fully offset through entitlement reductions and/or revenue increases.  Some have argued that the goal of reaching many of the eligible uninsured children should be shelved because the cost cannot be “paid for.” In fact, however, ample offsets exist on both the spending and revenue sides of the budget to cover the costs several times over — if there is political will to pursue them. (3/8/07, Center on Budget and Policy Priorities) 

Medicaid: Health Promotion and Disease Prevention for School Readiness
Medicaid’s child health program, Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), emphasizes health promotion and disease prevention as vehicles to ensure that children are ready for school and able to succeed in life. Required components of preventive care can be mapped to specific health outcomes that are important attributes of school readiness and prerequisites for educational success. The federal government and states can take specific action to assure that children receive all of the health care services, including preventive services, necessary to promote their optimal health and development and, thus, to maximize their future productivity. (March/April 2007, Health Affairs)

Uninsured Children Are Eligible for the State Coverage
The decade-old State Children's Health Insurance Program (SCHIP) has signed up close to 70 percent of its target population, a new Urban Institute report estimated, but 1.8 million eligible children nationwide are yet to be enrolled. Federal funding, about $5 billion this year, will have to increase substantially if these children are to join the approximately 3.9 million children now with SCHIP coverage. (2/9/07, Robert Wood Johnson Foundation)

The State Children's Health Insurance Program: Past, Present, and Future
At the end of the 2007 fiscal year, congressional authorization for the State Children's Health Insurance Program (SCHIP) is set to expire. For SCHIP, the reauthorization process--historically a chance to review, refine, and revamp programs--will take place at a time when the uninsured rate for children is once again on the rise. This new report examines the array of policy options that Congress is likely to consider for SCHIP, a program widely hailed for assisting children whose families have too much income to qualify for Medicaid but too little to afford private insurance. In addition to reviewing the program's history, goals, and performance, it describes how eligibility, benefits, and financing might be modified during reauthorization; it also discusses the policy and political implications of change.


Federal Budget/Health Care
 
President's Budget Would Cut Deeply into Important Public Services and Adversely Affect States
This new analysis finds that: The President’s budget would reduce funding for most parts of the domestic discretionary budget below the 2007 funding levels, adjusted for inflation. The cuts would start in 2008 and grow deeper in each of the four succeeding years; The proposed reductions would effectively shift billions of dollars in costs on to states, requiring them to scale back key public services or raise taxes to plug the holes left by the federal cuts; The reductions would come from a wide range of areas, including education, environmental protection, community development, and key supports for low-income families; At the same time, the budget would permanently extend virtually all of the 2001 and 2003 tax cuts. Extending the tax cuts would cost much more each year than all of the proposed discretionary program cuts would save. (2/21/07, Center on Budget and Policy Priorities)

President's Budget Would Provide Less than Half the Funds States Need to Maintain SCHIP Enrollment
Under the President's budget, federal SCHIP funds would fall a total of $7 billion short of what will be needed to sustain states’ current programs. The likely result of this shortfall would be fewer individuals covered through SCHIP and more people who are uninsured. While the President’s budget for SCHIP reauthorization acknowledges the need for additional funding above the levels assumed in the budget baseline: it does not provide sufficient funding for states simply to sustain their existing programs; it erects fiscal incentives for states to cease providing SCHIP coverage to children with modest incomes and low-income parents; and it does not encourage states to continue making progress toward covering more uninsured children. (2/22/07, Center for Budget and Policy Priorities)

Health Insurance, Health Costs

 

The Illusion of Coverage: How Health Insurance Fails People When They Get Sick
This report tells the personal, emotional, and physical hardships of the millions of hard-working, insured Americans who are struggling with medical debt.With stories of dozens of insured individuals and families from seven states, the report demonstrates how private insurance companies fail to protect health consumers from substantial financial losses. Some of key findings: Shifting more costs of care onto patients -- through high deductibles, co-insurance, and less comprehensive coverage -- has significant consequences for both health and financial well-being; Insurance company policies and procedures leave patients confused, in debt, reluctant to seek health care, and vulnerable to predatory scam products; When it comes to health insurance, you can’t measure "affordability" by looking only at premiums: You also have to consider the costs that people will face when they get sick.  As this report shows, more and more insured people face staggering out-of-pocket medical bills that leave them asking whether it was worth having insurance at all. (Mar. 2007, The Access Project)

 

Uninsured Receive Less Care and Experience Worse Outcome
A new study commissioned by the Kaiser Family Foundation and authored by The Urban Institute documents that people who are uninsured receive less care and have worse outcomes following an accident or the onset of new chronic condition than those with insurance.The study finds that following an accidental injury, the uninsured were less likely than the insured to receive any medical care. Similarly, the uninsured with a new chronic condition were also less likely to receive care. In addition, the uninsured with an injury were about twice as likely not to have received any recommended follow-up care, as was also the case with new chronic conditions. Ultimately, the study indicates that the uninsured were more likely to report not fully recovering and no longer being treated following an accident and roughly seven months after the initial health shock, the uninsured with new chronic conditions reported worse health status than the insured with similar conditions. (3/14/07, JAMA)

 

Access Denied: A Look at America's Medically Disenfranchised
This study  examines access to basic health care among U.S. residents of all races and ethnicities, income levels and insurance statuses. According to the study, 56 million residents, or nearly one in five, do not have a medical home," and a shortage of local primary care physicians is one reason people lack access to basic medical care (March 2007, National Association of Community Health Centers)

 

State of the States: Building Hope and Raising Expectations
State leaders are increasingly willing to address the rising number of uninsured Americans and are investing in efforts to expand coverage. It outlines the specific developments in a few key states, and it identifies trends that many new state plans have in common. (Jan. 2007, Robert Wood Johnson Foundation)

 

Health Insurance Coverage of Women Ages 18 to 64, by State, 2004-2005
provides statistics on insurance for all women, including low-income women. In addition, Women’s Health Insurance Coverage describes the various sources of insurance for women and examines how being uninsured affects women. (Feb. 2007, Kaiser Family Foundation)

 

Insurance Premium Cost-Sharing and Coverage Take-up
One of the many reasons an individual may be uninsured is that she or he decides that an employer’s offer of health insurance is too expensive.This report looks at how the take-up rate for workers within firms varies with the level of premium contributions in those firms. (Feb. 2007, Kaiser Family Foundation)

 

Immigrants and Employer-Sponsored Health Insurance
This report examines why foreign-born workers are less likely to have employer-sponsored health insurance coverage. The authors conclude that immigrants have a higher probability of working in a firm that does not offer insurance.  (Feb. 2007, Health Services Research)

 

Covering the Uninsured: Growing Need, Strained Resources
This report explains the continued increase in the number of uninsured Americans and examines how federal programs have struggled to stem these increases.(Jan. 2007, Kaiser Family Foundation)

 

National Health Spending in 2005: The Slowdown Continues
This report outlines the growth of health care spending in relation to the gross domestic product (GDP). It concludes that prescription drug expenditures drove the increase in spending in 2005 because hospital, physician, and clinical services grew at similar rates as they did in 2004. (Health Affairs, 26, no. 1, 2007)

 

An Analysis of Leading Congressional Health Care Bills, 2005-2007: Part I Insurance Coverage
Many of the health care proposals pending on Capitol Hill could significantly reduce the number of uninsured Americans and decrease health care costs. The report analyzed 10 health plans introduced in the 109th and 110th Congresses as well as President Bush's proposal to give tax deductions of $7,500 to individuals and $15,000 to families for purchasing health insurance, no matter what the cost or type of insurance or whether it is purchased through an employer. (March 2007, The Commonwealth Fund)


Fundamental Reform of Payment for Adult Primary Care: Comprehensive Payment for Comprehensive Care
A team of physicians led by The Commonwealth Fund explain how their proposed system would avoid the problems of previous capitation systems, which merely bundled together inadequate fee-for-service payments. The authors call for a new social contract: substantially increasing payments for primary care in return for greater accessibility, quality, safety, and efficiency. (Mar. 2007, Journal of General Internal Medicine)

 

Paying for Care Episodes and Care Coordination

Commonwealth Fund president Karen Davis explores alternatives to the current fee-for-service payment system, which she says is a barrier to effective, coordinated, and efficient care. Davis examines new approaches that base payment on the total care a patient receives during an episode of illness or a defined period. Creating a global fee for "care episodes," she says, would properly reward providers who provide effective, lower-cost care. She also discusses how physician payments could be tied to care provided within a patient's "medical home," rewarding coordination and efficiency and slowing the escalating costs of health care. (Mar. 2007, New England Journal of Medicine)

 

The Uninsured Experience Worse Outcomes
A new study commissioned by the Kaiser Family Foundation and authored by Dr. Jack Hadley of The Urban Institute documents that people who are uninsured receive less care and have worse outcomes following an accident or the onset of a new chronic condition than those with insurance. The study -- based on analysis of eight years of data and over 30,000 observations -- finds that following an accidental injury, the uninsured were less likely than the insured to receive any medical care. (3/14/07, Kaiser Family Foundation)

 

Whose Kids Are Covered? A State-by-State Look at Uninsured Children
New research data shows lower-income families are often doubly squeezed: They are less likely to be offered health coverage by their employers, and less able to afford it on their own. View the entire report or the press release. (March 2007, Robert Wood Johnson Foundation)

Cumulative Social Disadvantage and Child Health
The accumulation of social disadvantage among children was strongly associated with poorer child health and having insurance did not reduce the observed health disparities. (Pediatrics, vol 117, No. 4)

 


Health Equity Issues

Heart Attack Patients With Financial Barriers To Health Care Have Poorer Recovery
About one in five heart attack patients report having financial barriers to health care services, and these patients are more likely to have a lower quality of life and increased rate of rehospitalization, according to a study in the March 14 issue of JAMA, a theme issue on access to care. According to background information in the article more than 16 million Americans avoid health care due to cost or have trouble affording their medications despite having health insurance. Patients who have difficulty affording health care may have an increased risk for poor health outcomes, though few studies have directly investigated this. (3/14/07, JAMA)

Black-White Life Expectancy Gap Narrows, But Remains Substantial
Reductions in the death rate from homicide, HIV disease, unintentional injuries and among women, heart disease - have contributed to narrowing the life expectancy gap between blacks and whites in the United States, although substantial inequalities and challenges remain. (3/14/07, JAMA)

Key Facts: Race, Ethnicity and Medical Care, 2007 Update

This updated quick reference source on health disparities presents the best available data and analysis, ncluding data on the uninsured and access to care by race/ethnicity as well as information about the isproportionate effect that specific conditions such as diabetes, HIV/AIDS, and asthma have on racial and thnic minority populations in the U.S. New in the 2007 Key Facts are demographic data on the racial/ethnic minority population in each state and the U.S. territories. This edition of Key Facts also includes data from the National Healthcare Disparities Report, examining changes in health care disparities over time.  (Jan 2007,

Kaiser Family Foundation)

 

America's Health Rankings: A Call to Action for People and their Communities
The United Health Foundation, the American Public Health Association and Partnership for Prevention?, have released this 2006 edition, to stimulate public conversation concerning health in our states, as well as provide information to facilitate citizen participation. Participation in all elements is encouraged: personal behaviors, community environment, clinical care and public and health policies. Florida's rank among states went from 40 in 2005 to 41 in 2006.


 

Other Health Issues 

 

Health, United States, 2006
This 30th report on the health status of the nation is submitted by the Secretary of the Department of Health and Human Services to the President and Congress of the United States in compliance with Section 308 of the Public Health Service Act. The 559-page report was compiled by the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC). The National Committee on Vital and Health Statistics served in a review capacity. The Health, United States series presents national trends in health statistics. Each report includes an executive summary, highlights, a chartbook, trend tables, extensive appendixes, and an index. Contents include:  Fertility, Natality, Life Expectancy and Mortality; Health Behaviors, Status, Risk Factors, Determinants and Measures; Health Care Access, Utilization, System Influences, Expenditures, Resources and Personnel; Health Insurance Coverage and Payors; Uninsured Population; Age, Race and Ethnicity and Poverty; Alcohol and Drug Use; Physical Activity and Limitations; Dental Care and Access; and a Special Section on Pain. (November 2006, HHS, CDC, NHCS)



 
STATE HEALTH EVENTS AND NOTICES
April 17, 2007

 

NORTH FLORIDA  

 

"Rainy Day" Press Conference on Developmental Disabilities Budget Cuts

April 19   11:45 am   State Capitol Senate Portico

Individuals with developmental disabilities, families and advocates need to come to Tallahassee for the press conference and to talk with the legislators about how the loss of services will affect you and your family. Bring your umbrella to let the legislature see that it’s a “Rainy Day!”


CENTRAL FLORIDA

2007 AcademyHealth Annual Research Meeting
June 3-5  Orlando
Presentation of cutting-edge health services research is the cornerstone of this meeting, offering opportunities for researchers to share important findings with policymakers and providers who can move the research into action. This year's ARM is organized around 21 themes, including Gender & Health.
  
 

MEETING OF THE MINDS: Strategic Initiatives for Implementation

August 6-8    Orlando

Florida Center for Universal Research’s Second Annual Summit.


WEST CENTRAL FLORIDA 

2007 Governor's Conference on Women's Health: Putting the Pieces Together: Working to Improve Women's Health in Florida
May 15-16  Tampa Convention Center
The conference is strategically scheduled during National Women's Health week each year.  The purpose of the Governor's Conference on Women's Health  is to provide an educational forum for women's health stakeholders to discuss the major issues affecting women and to identify solutions in the areas of research, awareness and education to improve the overall health status of Florida women. The intended audience includes, but is not limited to, healthcare providers, public health leaders, public policymakers, private employers, state agency officials, community partners and advocates who shape, implement and assess women's health policies, programs and practices in Florida. All women are encouraged to attend.

 

Office of Minority Health Disparities Summit: Addressing Health Disparities: Moving Beyond Hope to Action
May 17-18
  Tampa Convention Center
The summit will focus on the 2007 initiative from the U.S. Department of Health and Human Services' Office of Minority Health that empowers communities to take action and develop a common agenda to end health disparities.

 

2007 Summer Conference on Florida's Young Children
July 18-20   Tampa
The One Goal: Building the Future Together "Putting Families and Children First" Conference brings together early education and care providers and leaders from around the state.  It is designed to share innovative programs, practices and techniques for improving services and outcomes for all Florida’s children.” The previous conference “Providing Childcare For Children With Disabilities And Special Health Care Needs” coordinated by the Florida Inclusion Advisory Council is now fully integrated with this event. Registration fee $45,  waived for  primary presenter. Cosponsors include health organizations. 850/893-6270,
frankieallen_2000@yahoo.com.


SOUTHWEST FLORIDA
 

SOUTHEAST FLORIDA

  

Events

  
Broward County Youth Summit of Community Advocates
April 18
  8:30am-all day  Broward County Convention Center
Presented by the Board of Commissioners of Broward County and the Children’s Services Council of Broward County, the Youth Summit will bring together community advocates to further the significant progress made this decade on behalf of the children of Broward County.
 

Success Times Seven: The 2007 Nonprofit Marketing Symposium
April 19  9:00 am-4:00 pm  Sheraton Suites Cypress Creek, Ft. Lauderdale

Florida Association of Nonprofit Organizations joins forces with Florida Direct Marketing Association, American Marketing Association and SensationalNetworking.com for the only such conference this region has seen, with national speakers. This event is designed to provide: marketing industry best-practices information; exposure to local marketing professionals and resources; connection opportunities for nonprofit organizations to share information with each other. It is designed for: Nonprofits; People who do business with nonprofits; Board Members of nonprofits; Those looking to get into the nonprofit world; All marketers that can apply the lessons learned. Click Here to Register. Registration: $99 org. members, $149 non-members.

 

Relevo Por La Vida - a beneficio de la Asociacion Americana del Cancer
20 y 21 de Abril   Forest Hill High School, WPB
5:30 pm hasta el siguiente dia a las 12 pm
por que? porque necesitamos que nuestra gente participe y ayude en llegar a nuestro gol de $35.000 para que se siga buscando la cura al Cancer!Porque todos conocemos a un amigo, vecino, madre, padre, hermano, que ha pasado, que paso o que fallecio por esta enfermedad...no ignores lo que no se puede ni debe ignorar!

 
Town Hall Meeting: It’s Time for Healthcare Reform!
April 21 10:00 am-1:00 pm    Miami Lakes Community Center West
Our nation’s health care is in crisis. Join us to discuss how best we can fix it. For more information, call 305/576-5001 x 20. 
 

Southeast Florida Cancer Control Collaborative

May 2   9:30 am - 2:30 pm   Nova Southeastern University

SFCCC meeting includes breakfast and lunch.  Please RSVP by reply email by Friday, April 27.  Click here for directions.

 

Summit to Address Barriers to Health Services
May 4-5 
Greater Bethel AME Church, 245 NW 8 St, Miami

The Human Services Coalition (HSC) will host a two-day conference,  The Access through Action Healthcare Access Summit II: CHARITY or JUSTICE, Overcoming Health Care Access Barriers WHAT WE LEARNED FROM THE FIELD AND WHERE DO WE GO FROM HERE? to address how to improve access to healthcare programs and services in Miami-Dade County. HSC will unveil proposals drafted by healthcare discussion groups and draft a plan to turn put their ideas into action.   RSVP by April 30 to ashal@hscdade.org or 305/576-5001 x42

 

Ask the Expert: Genetic Testing

May 8  Gilda’s Club, Ft. Lauderdale

Talk with Dr. Elizabeth Tan-Chiu, Medical and Research Director, Florida Cancer Care Research Institute. Free program open to all; dinner served. RSVP sue@gildasclubsouthflorida.org or 954/763-6776.

 

Building Our Future 7th Annual Infant Mental Health Conference
Registration deadline: April 30

May 17-18    Bahia Mar Beach Resort and Yachting Center, Ft. Lauderdale
Pre-Conference Institutes: May 16

This annual conference features the latest research and best practices in infant mental health. National experts will provide cutting-edge knowledge in prevention and treatment for young children exposed to stress and trauma. Local communities will showcase implementation of Florida's Strategic Plan toward creating a birth-to-five mental health system. The event will bring together early educators and caregivers, physicians, nurses, mental health professionals, college professors, law enforcement personnel, social workers, therapists from many different disciplines, child advocates, psychologists, program administrators, and policy makers who are in a position to implement a mental health strategic  plan in Florida and in other states or countries.  For more information contact 305/592-3638 or lzeefe@mdahec.org.

 

August 13 -16  Miami InterContinental Hotel

 

Notices

 

FLORIDA AUDIO CONFERENCES AND WEBCASTS


STATEWIDE NOTICES

FLORIDA DEPARTMENT OF HEALTH (DOH) CALLS FOR CONSUMER BOARD MEMBERS: Non-Medical Practitioners are Invited to Apply for Membership

The Florida Department of Health (DOH) is seeking individuals to serve as consumer members for various health care boards.  DOH promotes and protects health by regulating health care practitioners through regulatory boards appointed by the Governor and confirmed by the Senate. To achieve this goal, each board must have consumer members. These members set policies, license practitioners and preside over disciplinary actions. Consumer members are lay persons who are currently not and who have never been practitioners of that particular board’s health care profession. Boards meet quarterly, usually a one to two-day meeting in various locations throughout the state. They meet through teleconferencing or other technological means as often as necessary. Depending on location, members either fly or drive to meetings. Members are non-paid volunteers; however, the state reimburses travel expenses and members receive $50 per day for each day in attendance. To apply for membership, request a gubernatorial questionnaire from the Governor’s Executive Office through its 2007 Board and Commission Vacancies Web page. To find the page:

Go to www.myflorida.com

Choose Governor’s Web Site

Click on The Crist Team

Click on Gubernatorial Appointments

Click on Board and Commission Vacancies

Click on Gubernatorial Appointments Questionnaire

You may also obtain a form by calling the Governor’s Appointments Office at 850/488-2183.

Florida Health News, free non-profit news service, now online
The Florida Health Policy Center has announced the launch of an independent, free, non-profit news service:  Florida Health News Inc. FHN will post health-related stories reported around the state, highlight the Florida impact of national stories, and track state health legislation.  The news service also will feature original coverage of major health policy developments and a free Monday-through-Friday news service.  You can visit the site and subscribe to the e-mail news service by clicking on the link: www.FloridaHealthNews.org. To send your comments, story tips and news of conferences and other events, or get more information, contact pat.curtis@floridahealthnews.org or 850/556-1668.



NATIONAL EVENTS AND NOTICES

April 17, 2007

CONFERENCES AND EVENTS

  

7th Annual Diversity Challenge at Boston College: Race and Culture Intersections in Scientific Research and Mental Health Service Delivery for Children, Adolescents, and Families
Proposal submission deadline: April 21
October 2007
Presentations should focus on developments in research, professional practice, education or social justice initiatives as they pertain to promoting the mental health and redressing the mental health disparities for racial and ethnic minority children, adolescents, and families. Researchers, practitioners, educators, medical service providers, employee assistance personnel, government agencies, spiritual healers, and providers of community services are encouraged to submit proposals. 

 

Improving Quality of Care
April 23-24   Washington, DC
The 4th Annual Leadership Summit on Health Disparities will assemble clinicians, members of congress, patient advocacy groups, government healthcare experts, and community activists to bring focus and to seek solutions to healthcare disparities.  The summit consists of accredited clinical sessions, community, and policy sessions:  Focus is CVD, diabetes, infectious and respiratory disease, renal disease, cancer and mental illness. 

 

Community Benefit 101: The Nuts and Bolts of Planning and Reporting Community Benefit
April 24
   San Francisco
For today's tax-exempt health care organizations, planning and reporting community benefit are critically important functions.  Catholic Health Association, the leader in the community benefit field for 20 years, is offering a seminar that covers the basics of community benefit in not-for-profit health care, a valuable introduction for persons new to the topic and a useful review for those who are already doing the work of community benefit planning and reporting.  Attend with your org's community benefit team and plan an integrated, practical approach to community benefit programming that your group can initiate on your first day back in the office. 

 

2007 NNPHI Annual Conference
May 21-23
   New Orleans
The National Network of Public Health Institutes hosts an annual educational conference for its members and leaders from federal agencies, nonprofit organizations, foundations, and academia.

 

Advancing Science-Based Prevention: Creating Real World Solutions 
May 30 - June 1  Washington, D.C.
All participants are encouraged to submit abstracts for individual paper and poster presentations, organized paper symposium, poster forums, roundtable discussions/scientific dialogues and technology demonstrations for the Society for Prevention Research 15th Annual Meeting.

 

2007 AcademyHealth Annual Research Meeting
June 3-5  Orlando
Presentation of cutting-edge health services research is the cornerstone of this meeting, offering opportunities for researchers to share important findings with policymakers and providers who can move the research into action. This year's ARM is organized around 21 themes, including Gender & Health. 

 

The Changing Face of Health Education and Health Promotion
June 7-9   Seattle
This national health education and health promotion conference is cosponsored by the Directors of Health Promotion and Education, the Society for Public Health Education (SOPHE) and the Centers for Disease Control and Prevention (CDC). Proposals are encouraged for concurrent sessions, pre or post-conference workshops, or poster presentations at the 2007 National Health Education Conference & SOPHE's 2007 Midyear Scientific Conference. 

 

Crossroads II: Community-Based Collaborative Research for Social Justice
June 7-9
Hartford, CT
The Institute for Community Research (ICR) is convening its 2nd international conference on community-based collaborative research (CBCR), focusing on the promise, pitfalls, and "best practices" of CBCR to address disparities and inequities in the arenas of health, education, artistic and cultural representation, development, and the environment.

 

Race and Class Inequalities in Health
June 19-22   Boston
Conceptual and data-based papers are requested for presentation at the annual Society for Epidemiologic Research (SER) meeting in 2007. There will be a contributed paper session on Race and Class Inequalities in Health and those working in this area are encouraged to submit abstracts of their work.  Accepted abstracts will be distributed at the June meeting and will also be published in a Supplement issue of the American Journal of Epidemiology.  

 

2007 CSTE Annual Conference: Eliminating Health Disparities: Data to Action
June 24-28
   Atlantic City, NJ
Abstract proposals are being sought by the Program Planning Committee for the 2007 Council of State and Territorial Epidemiologists Annual Conference.

 

Health Equity and Environmental Public Health - From Local to Global
July 11-13   Columbus, OH
The NACCHO Annual 2007 Conference will be the year's largest gathering of local public health officials in the United States. This conference will provide a vital and central venue for local health officials and their public health partners to examine strategies, share ideas, and plan actions designed to address issues of health inequity and environmental public health from local to global perspectives. 

 

Global Primary Health Care Strategies
July 21 - Aug 11

The Dept of Health Policy and Management of the Univ. of South Florida College of Public Health, with  Jamaican Southern Regional Health Authority offers this graduate field course in Treasure Beach Jamaica. The course will cover strategies for providing access to health care services for disadvantaged rural populations as a part of its focus. The 3 credit course will be coupled with an hour of field practicum credit for a total of 4 semester hours of credit. Mornings will be spent in the field in the Black River Health District on projects that will feed into afternoon class sessions. The 4 credit program, including tuition, lodging, field travel, course materials, pickup and return to Montego Bay airport and 12 dinners will cost $3500 for both Florida and out of state participants. Airfare is extra.

 

Women of Color: Addressing Disparities, Affirming Resilience, and Developing Strategies for Success -- Minority Women's Health Summit
August 23-26   Washington DC  

 

SOPHE 58th Annual Meeting - Partnerships to Achieve Health Equity  
Oct 31–Nov 3
   Alexandria, VA
Abstracts are now being accepted online for workshops, symposia, oral presentations, and posters for Society for Public Health Education's 58th Annual Meeting. SOPHE is pleased to be partnering with CDC's Racial and Ethnic Approaches to Community Health (REACH) program and Eta Sigma Gamma for its 40th Annual Meeting.  Sub-themes include health systems change; social determinants of health and transdisciplinary approaches to health education; health communications, health literacy and technology; cultural competence in bridging differences, and; evaluation and dissemination of evidence-based approaches. For more information, contact lvillejo@mdanderson.org


AUDIO AND WEB EVENTS 


NOTICES

JAMA Theme Issue: Interventions to Improve Health among the Poor
Call for Papers Manuscripts Deadline: May 1
Poverty is an inveterate consequence and cause of ill health.  Without financial resources, people cannot pay for basic human needs: food, water, sanitation, housing, and health care services. To help disseminate research into interventions that specifically address the needs of the poor, JAMA will publish a theme issue on poverty and human development in October 2007. JAMA will consider manuscripts that report original research of interventions targeted to address poverty, hunger, access to care, and prevention of disease that are based on careful consideration and analysis of local context, evidence, and environments and that are directly targeted to serve the poor.

 


CAMPAIGNS AND INITIATIVES

 

This Mother's Day Show Someone How Much You Care

Social Security Administration's Mother's Day campaign includes an attractive brochure that explains how to help someone on Medicare with low-income apply for Extra Help with prescription costs.

 

 

Free Cover the Uninsured Week 2007 Planning Materials Available
Start planning and promoting activities now—with help from newly updated planning guides! This year, Cover the Uninsured Week comes at a critical juncture in the health coverage debate: After 10 years, the State Children's Health Insurance Program (SCHIP) is up for reauthorization in Congress. Our nation's leaders have the opportunity to provide funding to cover the children currently enrolled in SCHIP and expand the program to cover millions more children in need of health coverage. As a result, Cover the Uninsured Week 2007 will focus on the importance of children's health coverage and the success of SCHIP. To help you promote the importance and availability of SCHIP, these guides are now available:   Health and Enrollment Fair Planning; Working with the Media; Editorial Placement; Campus Event Planning. Additional Cover the Uninsured Week 2007 materials will be posted in the coming weeks. Let's get America's kids covered! Cover the Uninsured has released 2 television commercials highlighting SCHIP reauthorization -- check them out at and share.

 

Health Care for America
The Economic Policy Institute has released a progressive Health Care for America plan, a proposal for guaranteed, affordable health care for all Americans building on Medicare and employment-based insurance.  Institute for America has announced a nationwide effort to discuss and debate how to get good health care coverage for all Americans while controlling spiraling health care costs.  The Institute is collaborating with the Medicare Rights Center and a network of citizen action groups to foster public forums and internet discussion groups designed to create a groundswell of public support for action on health care for all.  Many of these groups were active in the successful grassroots movement to stop President Bush’s plan to privatize Social Others are working to pass innovative state health care coverage plans.

April

National Minority Cancer Awareness Week: April 15-21
Each year, during the third week of April, the nation spotlights the impact of cancer on minority populations.  The Moffitt Cancer Center is also taking the opportunity to highlight information related to cancer disparities in minority populations.  As Moffitt increases its contribution to the reduction of cancer health disparities, efforts will focus on education, research, policy, and advocacy. Resources:
Centers for Disease Control and Prevention – Health Disparities
National Cancer Institute – Center to Reduce Cancer Health Disparities
U.S. Department of Health and Human Services – Closing the Health Gap Campaign
U.S. Department of Health and Human Services – Office of Minority Health

Foot Health Awareness Month: April
American Podiatric Medical Association
(301) 581-9227
   www.apma.org

National Child Abuse Prevention Month: April
Children's Bureau, Administration for Children and Families
(800) 394-3366  info@childwelfare.gov   www.childwelfare.gov/preventing

National Infant Immunization Week: April 21-28
National Center for Immunization and Respiratory Diseases
Centers for Disease Control and Prevention
(800) CDC-INFO (232-4636) English/Spanish
nipinfo@cdc.gov  www.cdc.gov/nip/events/niiw/

Cover the Uninsured Week: April 23-29
Robert Wood Johnson Foundation
(202) 572-2928  info@covertheuninsured.org www.covertheuninsured.org

2007 WalkAmerica: April 27-29
March of Dimes Birth Defects Foundation
(888) MODIMES (663-4637)  (800) 525-WALK (9255)
walkamerica@modimes.org  www.walkamerica.org

May

American Stroke Month: May
American Heart Association
(800) 242-8721  inquire@americanheart.org  www.americanheart.org

Asthma and Allergy Awareness Month: May
Asthma and Allergy Foundation of America
(800) 7-ASTHMA  info@aafa.org  www.aafa.org

Hepatitis Awareness Month: May
Hepatitis Foundation International
(800) 891-0707  hfi@comcast.net  www.hepfi.org

Melanoma/Skin Cancer Detection and Prevention Month: May
American Academy of Dermatology
(888) 462-DERM (3376)
mediarelations@aad.org  www.aad.org

Mental Health Month: May
National Mental Health Association
(800) 969-6642  www.nmha.org

National High Blood Pressure Education Month: May
National Heart, Lung, and Blood Institute Health Information Center
(301) 592-8573  (240) 629-3255 TTY
nhlbiinfo@nhlbi.nih.gov  http://hin.nhlbi.nih.gov/nhbpep_kit/

National Osteoporosis Awareness and Prevention Month: May
National Osteoporosis Foundation
(202) 223-2226
communications@nof.org   www.nof.org

Melanoma Monday: May 1
American Academy of Dermatology
(888) 462-DERM (3376)
mediarelations@aad.org  www.aad.org

High Blood Pressure Sunday: May 6
International Society on Hypertension in Blacks
(404) 880-0343 ishib@ishib.org  www.ishib.org

National Alcohol- and Other Drug-Related Birth Defects Week: May 13-19
National Council on Alcoholism and Drug Dependence, Inc.
(800) NCA-CALL (622-2255)
national@ncadd.org  www.ncadd.org

National Women's Health Week: May 13-19
Office on Women's Health
U.S. Department of HHS
(202) 690-7651
sharon.ricks@hhs.gov  www.womenshealth.gov/whw

National Women's Check-up Day: May 14
Office on Women's Health
U.S. Department of HHS
(202) 690-7651
sharon.ricks@hhs.gov   www.womenshealth.gov

World No Tobacco Day: May 31
WHO Regional Office
(202) 974-3890 
http://www.who.int/tobacco/wntd/en/

June

National Headache Awareness Week: June 3-9
National Headache Foundation
(888) NHF-5552
info@headaches.org  www.headaches.org

Sun Safety Week: June 3-9
Sun Safety Alliance
(703) 837-4202  pschneider@sunsafetyalliance.org
www.sunsafetyalliance.org
 
National Cancer Survivors Day: June 3
National Cancer Survivors Day Foundation
(615) 794-3006  info@ncsdf.org  www.ncsdf.org

National Men's Health Week: June 11-17
Men’s Health Network
(888) MEN-2-MEN (636-2636) Men's Healthline
info@menshealthweek.org  www.menshealthweek.org

August

Cataract Awareness Month: August
American Academy of Ophthalmology
(415) 447-0213
eyemd@aao.org   www.aao.org/eyemd

National Immunization Awareness Month: August
Centers for Disease Control and Prevention
(800) 232-2522
npiinfo@hmhb.gov   www.cdc.gov/nip/

September

National Alcohol and Drug Addiction Recovery Month: September
Substance Abuse and Mental Health Services Administration
(800) 729-6686
info@samhsa.gov   www.recoverymonth.gov

National Cholesterol Education Month: September
National Heart, Lung, and Blood Institute Health Information Center
(301) 592-8573
nhlbiinfo@nhlbi.nih.gov   hin.nhlbi.nih.gov/cholmonth

National Sickle Cell Month: September
Sickle Cell Disease Association of America, Inc.
(800) 421-8453
scdaa@sicklecelldisease.org  www.sicklecelldisease.org

Ovarian Cancer Awareness Month: September
National Ovarian Cancer Coalition
(888) OVARIAN (682-7426)
nocc@ovarian.org   www.ovarian.org

Prostate Cancer Awareness Month: September
National Prostate Cancer Coalition
(888) 245-9455
info@fightprostatecancer.org   www.fightprostatecancer.org

National Suicide Prevention Week: September
American Association of Suicidology
(202) 237-2280
info@suicidology.org  www.suicidology.org

STOP A Suicide Today Day: September 10
Screening for Mental Health, Inc.
(781) 239-0071
AKeliher@MentalHealthScreening.org  www.stopasuicide.org

National Farm Safety & Health Week: September 16-22
National Education Center for Agricultural Safety
(888) 844-6322
halversc@nicc.edu  www.nsc.org/necas

Reye's Syndrome Awareness Week: September 16-22
National Reye's Syndrome Foundation
(800) 233-7393
nrsf@reyessyndrome.org  www.reyessyndrome.org

Take a Loved One for a Check-up Day: September 18
Office of Minority Health
U.S. Department of Health and Human Services
(800) 444-6472
info@omhrc.gov  www.healthgap.omhrc.gov

Hearing Aid Awareness Week: September 30 - October 6
International Hearing Society
(734) 522-7200
acmarkey@ihsinfo.org  www.ihsinfo.org

October 
 
"Talk About Prescriptions" Month: October
National Council on Patient Information and Education
(301) 656-8565
ncpie@ncpie.info   www.talkaboutrx.org

Healthy Lung Month: October
American Lung Association
(800) LUNG-USA (586-4872)
info@lungusa.org   www.lungusa.org

Let's Talk Month: October
Advocates for Youth
(202) 419-3420
tom@advocatesforyouth.org   www.advocatesforyouth.org

National Breast Cancer Awareness Month: October
National Breast Cancer Awareness Month Board of Sponsors
nbcamquestions@yahoo.com  www.nbcam.org

National Family Sexuality Education Month/Let's Talk: October
Planned Parenthood Federation of America
(212) 541-7800
ducation@ppfa.org   www.plannedparenthood.org

National Child Health Day: October
U.S. Department of Health and Human Services
Maternal and Child Health Bureau
(301) 443-2170
www.mchb.hrsa.gov

NDSD Mental Health Screening TM: October 11
Screening for Mental Health, Inc.
(781) 239-0071
ndsd@mentalhealthscreening.org  www.mentalhealthscreening.org

National Mammography Day: October 19
American Cancer Society
(800) ACS-2345   www.cancer.org
 
Respiratory Care Week: October 11
American Association for Respiratory Care
(972) 243-2272
marketing@aarc.org   www.aarc.org/resources/rc_week/


November 
 
American Diabetes Month: November
American Diabetes Association
(800) DIABETES (342-2383)
askada@diabetes.org   www.diabetes.org

Diabetic Eye Disease Month: November
Prevent Blindness America
(800) 331-2020
info@preventblindness.org   www.preventblindness.org

Lung Cancer Awareness Month: November
Lung Cancer Alliance
(800) 298-2436
info@lungcanceralliance.org   www.lungcanceralliance.org

National Alzheimer's Disease Awareness Month: November
Alzheimer's Association
(800) 272-3900
info@alz.org  www.alz.org

National Family Caregivers Month: November
National Family Caregivers Association
(800) 896-3650
info@thefamilycaregiver.org  www.thefamilycaregiver.org

National Healthy Skin Month: November
American Academy of Dermatology
(888) 462-DERM (3376)
mediarealtions@aad.org   www.aad.org

National Hospice Palliative Care Month: November
National Hospice and Palliative Care Organization
(703) 837-1500
jradulovic@nhpco.org   www.nhpco.org

Pancreatic Cancer Awareness Month: November
(877) 272-6226
information@pancan.org  www.pancan.org

Prematurity Awareness Month: November
March of Dimes Birth Defects Foundation
(888) MODIMES (663-4637)
askus@marchofdimes.com  www.marchofdimes.com

Prematurity Awareness Day: November 13
March of Dimes Birth Defects Foundation
(888) MODIMES (663-4637)
askus@marchofdimes.com  www.marchofdimes.com

Great American Smokeout: November 15
American Cancer Society
(800) ACS-2345
www.cancer.org

Gastroesophageal Reflux Disease Awareness Week: November 18-24
(888) 964-2001
iffgd@iffgd.org  www.aboutgerd.org

 
December

World AIDS Day: December 1
Joint United Nations Programme on HIV/AIDS
unaids@unaids.org   www.unaids.org/en/default.asp


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