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Federal - Health Care Reform
Congressional Updates
Currently, Congress is on their August break and at home in their districts, but before they left both chambers were moving towards health care reform in a variety of methods. While we are still waiting on language from the Senate Finance Committee, the Senate Health, Education, Labor and Pensions (HELP) Committee has drafted and passed out of committee “The Affordable Health Choices Act,” which includes many provisions regarding maternal and child health.
The three House committees worked together to craft one bill (HR3200) which was passed out of each committee individually, including Energy and Commerce, which is further than any other health care reform effort has ever come before.
Provisions in the proposed House bills include:
Private Insurance Reforms
- No longer allowing for pregnancy to be considered a preexisting condition by prohibiting all preexisting condition exclusions.
- Guarantee availability AND renewability of health insurance coverage.
- Require coverage of preventative health services, such as immunizations and preventative screenings for children and adolescents.
- Creation of a public insurance option with comprehensive coverage at low cost to the American consumer subject to all private insurance regulations and sold through a health care Exchange program.
Preventive Care
- Require insurers to develop a payment structure that incentivizes preventative care, the medical home model, coordinated care, case management and other cost-saving measures.
- Establishes a federal authorization and grant program for school health centers.
- Creates several councils, funds and campaigns that encourage the use of physical and oral prevention, as well as wellness programs and practices.
Medicaid Expansion
- Medicaid could be expanded to everyone up to 133% FPL, including to childless adults.
- 100% funding of Medicaid by the federal government.
- Creates a floor for provider reimbursements.
- Improve the health care infrastructure through investments in more primary care providers, community health care centers and health IT.
Children’s Health Insurance Program (CHIP) - better known as All Kids in Illinois
- CHIP could be expanded beyond 133% FPL with new requirements for simplified application and re-enrollment processes.
- Children’s advocates are concerned that the legislation would eliminate CHIP after 2013.
Many experts think that offering the public health insurance option as a choice to private plans is the only way to ensure choice and control for consumers, as there is no indication that private insurance companies will reform their practices otherwise. Additionally, The Commonwealth Fund estimates that significant cost savings of $3 trillion over the course of a decade could be achieved by offering the choice of a public health insurance option.
Illinois - State Budget Updates
At the end of July, Governor Quinn used discretionary funding appropriated by the Illinois General Assembly to help fill the budget gaps in FY2010 budgets. As a result, the “doomsday” or “50% budget” did not go into effect. However, the effect of a state budget that did not fully fund human service programs were still felt and resulted in many layoffs, program cuts and even facility closures. Progress Illinois has helped illustrate the statewide effect of these cuts on their website.
A summary of cuts by some statewide programs include:
- Early Childhood Block Grant programs will be cut by 10 percent rather than slashed by one-third, as most recently proposed. About 9,500 youngsters still could lose preschool services.
- Bilingual education will lose 10 percent of its funding, not 25 percent as recently proposed.
- Child care services will not be cut – a major victory for working families.
- State funding for Illinois Children's Mental Health Partnership priorities will be pared by about 15 percent. Some of the Partnership's prevention, early intervention and treatment programs had faced one-third cuts.
- The Healthy Families Illinois and Parents Too Soon home-visiting programs – providing "parent coaching" to the families of at-risk infants and toddlers – will lose 10 percent of their state funding.
- Intensive prenatal case management for at-risk mothers will be cut by about 15 percent.
- Funding for many youth services, including homeless youths, will be reduced by more than 20 percent.
These figures do not reflect an additional $1 billion in cuts that still need to take place OR the more than $3 billion in unpaid bills that have been pushed into future fiscal years through short-term borrowing. Without significant structural reform that halts the band-aid budget solutions, Illinois will continue to face similar fiscal challenges in future fiscal years. This will result in more children, women, at-risk youth and other vulnerable populations who will face program cuts to vital services each year.
To help fix these structural problems, the Campaign for Illinois’ Future will continue with their coalition meetings. The next one will be held on Wednesday, September 2nd at the SEUI Headquarters, 8200 W. Jackson, 8th Floor. Please RSVP to Amisha Patel.
Thanks to Voices for Illinois Children for providing the information about the budget cuts listed above.
“Health is Academic” School Health Center Back-to-School Campaign
Health is Academic State Campaign:
This year, the ICSHC back-to-school campaign is focused on the intersection between school health and education. The message of the Health is Academic campaign is simple: “Want to succeed in school? Visit your school health center!”
We want to support administrators, teachers and families in ensuring that their students are healthy and ready to learn. By helping schools complete compliance rates and working with teachers to keep students focused on academics, school health centers remove barriers to learning. Find out how to participate by going to IMCHC’s website.
National School Health Center Week - National Campaign:
On a federal level, things have never looked better for school health centers (SHCs)! Our two main Congressional priorities include:
- Create a federal authorization program for SHCs; and
- Ensure that SHCs are reimbursed by Medicaid and CHIP. Both of these priorities have been included in Congressional Committee legislation.
The time is NOW to take action to ensure that health care reform passes with the inclusion of SHCs. We need EVERYONE to get involved in this momentous legislative occasion by contacting their Congressional Representatives and asking them to pass a health care reform bill that includes SHCs. Illinois SHCs are being asked to join the 1700 SHCs across the country in scheduling 20-30 minute Virtual DC Meetings with their Congressional offices and sharing the Virtual SHC Tour video during the meeting. Virtual DC Meetings should be scheduled during National School Health Center Week, taking place September 14 - 18.
Find out more on IMCHC’s website or on the National Assembly for School Based Health Care’s website.
Please email Megan Erskine, ICSHC Project Coordinator, for more information.
New IMCHC Chapter – Lake County and Greater Cook
As a result of demand from health care and social service providers in Lake County, IMCHC will now host quarterly meetings for interested individuals and organizations in this area. Our first meeting took place earlier this month and provided a venue for attendees to learn more about health care reform, state legislative updates and share opportunities to collaborate.
The next meeting will take place on Wednesday, December 2nd from 1pm-3pm at the University of Illinois Extension in Lake County, 100 S. Highway 45 in Grayslake. Contact Sara Howard with topics that you would to see discussed at the upcoming meeting.
New Home of Illinois Premature Infant Health Network
IMCHC is proud to announce that we are the newest home of the Illinois Premature Infant Health Network, which involves community organizations, health care providers, faith-based groups and parents to improve access to quality of care and increase awareness about premature infant health issues.
The network will meet on a quarterly basis in Chicago, as well as in other regions of the state depending on interest. If you are interested in participating in upcoming meetings or on a subcommittee (policy, coordination of care or education/materials), please email Kathy Chan or call her at 312-491-8161x24.
Thanks to MedImmune, LLC, for providing a portion of the funding to support the network.
Protect Yourself and Your Loved Ones, Get Your Seasonal Flu Shot This Fall!
The Chicago Department of Public Health (CDPH), in partnership with the Chicago Area Immunization Campaign, will be providing seasonal flu shots at the following locations. If you have a Medicare card, please bring it with you. For information about other CDPH clinic locations, please call 311.
2009 Faith-Based Flu Clinic Schedule
| Sunday, Sept. 27th |
8 AM –
3 PM
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Villa Guadalupe Senior Services, Inc.
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3201 E. 91st St. |
| Sunday, Oct 4th |
9 AM –
3 PM
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St. Pius Church
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1910 S. Ashland Ave. |
| Saturday, Oct 10th |
9 AM –
2 PM
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Church of Jesus Christ Latter-Day Saints
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3235 W. Wrightwood |
| Sunday, Oct 11th |
9 AM –
3 PM
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St. Francis of Assisi Church |
813 W. Roosevelt Rd. |
| Sunday, Oct 18th |
9 AM –
3 PM
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St. Sabina Church |
1210 W. 78th Place |
| Sunday, Oct 18th |
1 – 5 PM |
Greater Galilee M.B. Church |
1308 S. Independence Blvd.
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| Sunday, Oct 25th |
8 AM –
2 PM |
Salem Baptist Church of Chicago |
752 E. 114th St. |
Staff Updates
Blair Harvey, former Project Director with the Illinois Coalition for School Health Centers, recently stepped down from her position to attend graduate school at the University of Chicago, School of Social Service Administration. While we will miss Blair tremendously, she will not be far away and plans to stay on as a part-time consultant with the Administrative Cost-Sharing pilot.
Annie Claggett recently joined IMCHC as a Project Associate for the Chicago Area Immunization Campaign (CAIC). She is working alongside the other CAIC staff to promote safe, effective and timely immunizations for children and adolescents. Annie is a recent graduate of Washington University in St. Louis, where she majored in Anthropology and Public Health. You can contact Annie at aclaggett@ilmaternal.org.
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