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MEDICAID BUDGET & MEDICAID REFORMS

Social Services Appropriations Committee on 10/20 to frame decisions in 2012 General Session  
You will want to make every effort to attend Thursday’s special all-day, off-site (Davis County) sessions scheduled for this committee, starting at 8:00 AM, with a break for lunch, and picking up again at 1:00 pm at the DWS office in Clearfield.  Get both packed agendas here.   It’s no mystery why the SSA Committee is assessing the strength of the safety net at this time:  some members are looking ahead to a still shaky revenue outlook for the 2012 session and want to learn more precisely where they might shrink the role of government in addressing human needs.  Read more about this important meeting HERE.
 
Accountable Care Intensive Workshop
Check out the Proceedings from our recent intensive workshop on accountable care (ACOs are groups of health care providers who agree to be held accountable for improving health care quality while lowering costs). The purpose of the workshop was to strategize (via common vocabulary, shared concepts, lessons from Utah and elsewhere) how to pivot from the waiver to a meaningful transition to accountable care & payment/delivery system reform. (Read more here.)
 

MAKING THE MOST OF THE OCTOBER INTERIM SESSION
(Review details for all interim meetings HERE.)
 
Eexecutive Appropriations (Leadership)
Meets Tuesday, October 18 1:00 PM in room 445 State Capitol. 
For more information click here.
 
Health + Human Services (HHS) Interim
Meets at 9:00 am on Wednesday, October 19 in Room 20 of the House (West) Building. The committee will be discussing Medicaid provider cost control and results from the Medicaid/CHIP eligibility determination study that was required by HB174

Health System Reform Task ForceALTH SYSTEM REFORM TASK FORCE
Meets Wednesday, October 19, 2-5 PM in Capitol Bldg, Room 450. The Task Force will be discussing Utah’s response to federal rulemaking and Health Exchange governance.  You can learn more about governance below. For more information click here.
 

ON THE FEDERAL FRONT
 
Essential Health Benefits
The Affordable Care Act (ACA) will expand health coverage to millions of uninsured people—beginning in 2014 many will get insurance through health insurance marketplaces (called “exchanges”).  The law requires that insurance plans sold in the health insurance exchanges have a minimum, or essential, set of benefits so consumers will be able to have confidence that they are buying a quality health insurance plan.  (Read more HERE.)

Keeping Score on Federal Health Reform Challenges
Since the Affordable Care Act (ACA) was passed into law in March 2010 there have been many lawsuits filed challenging the constitutionality of various pieces of the law.   Many of these lawsuits have been dismissed; 3 have upheld the constitutionality of the mandate; and 3 have found it unconstitutional.  Three of these cases have now been heard in appeals courts with decisions remaining split.  (Read more HERE.)
 

ON THE STATE FRONT
 
Good Governance: who is keeping an eye out for you?
Who is watching out for consumers as Utah’s policymakers begin to make the foundational decisions about the American Health Benefits Exchange (the insurance market place for people don’t have employer sponsored insurance)?  The most important thing that can (and should) be done first is to establish a governing structure that includes strong consumer input and keeps big money interests out.   (Read more HERE.)  

 
ON THE QUALITY/EQUALITY FRONT
 
myCase (Consumer's Interface with Utah's Electronic Eligibility Systems) Training
UHPP, along with partners United Way and Utahns Against Hunger, recently hosted a MyCase training and feedback discussion with DWS.  DWS presented MyCase in its current form and engaged with advocates in discussion about the next steps in an ongoing process to make it more consumer friendly and integrate it into how DWS and consumers do business.  (Read more HERE.)
 

ANNOUNCEMENTS
(Review details HERE.)
 
UMP Meeting TODAY,  Tuesday October 18th 11:00 to 12:30
(USHARE will not be meeting on 10/18—stay tuned for further info on next meeting)
 
EN ESPAÑOL: La Ley de Salud Economica: Qué beneficios hay para los Inmigrantes de Utah?(Affordable Care Act: How are Immigrants in Utah Impacted?)
Ve nuestra nueva información acerca del impacto de la Nueva Ley de Reforma de Utah en los Inmigrantes de Utah.   Check out our new fact sheet on the impact of the New Utah Reform Law on Utah's Immigrants.
 
 
To Your Health!
 
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