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–Presen=
tation
to
–The Me=
dicaid
Leadership Group
–
–David Carvalho
–Deputy Director
–Office of Policy, Planning &
Statistics,
–Illinois Department of Public Health&=
#13;
–November 3, 2005
–
![](3D"slide0002_image003.jpg")
![](3D"slide0002_image004.jpg")
•O=
utline
§<=
/span>The Problem
§<=
/span>The Health Care Justice Act (HCJA)
§The Task Force and the Health Care Access Plan
=
;
§<=
/span>The Final Report
§<=
/span>Task Force Highlights and Timeline
§<=
/span>Next Steps
§<=
/span>How to Get Involved
§<=
/span>Questions
![](3D"slide0025_image005.jpg")
![](3D"slide0025_image006.jpg")
•The Problem
§A
person’s ability to access the health care system
influences his or her treatment, outcomes, and health
status.
§A=
ccess
to health care is most affected by the ability of those seeking c=
are
to afford the services that they need.
•The uninsured, working
poor, racial and ethnic minorities, and undocumented immigr=
ants
in the Illinois are least likely to be able to afford to pay out-of-pocket
for many health care services.
![](3D"slide0022_image007.jpg")
![](3D"slide0022_image008.jpg")
•T=
he
Problem (cont.)
§Many Illinoisans lack access to the health care sy=
stem because they lack health insurance.
•Approximately 1.8 million Illinoisans are
uninsured.
•A growing number are under-insured.
•The consumer's share of the cost of health insuran=
ce is growing.
§<=
/span>While Illinois has many “safety net”
providers, many unins=
ured
Illinoisans lack access to a usual source of preventative and comprehensive care.
•Public and private clinics, public hospitals, and charity care administered by private hospitals
![](3D"slide0023_image009.jpg")
![](3D"slide0023_image010.jpg")
•T=
he
Health Care Justice Act
§<=
/span>Sponsored by Illinois Senator Barack Obama
§<=
/span>Signed into law by Governor Blagojevich in August =
2004
§<=
/span>Goal is to Ensure Access to Quality and Affordable=
Health Care for All Illinoisans
=
§<=
/span>Created the Adequate Health Care Task Force
§<=
/span>Not funded in FY05, but $1M was appropriated in th=
e FY06 Budget
§<=
/span>Task Force appointed in Summer 2005
![](3D"slide0021_image011.jpg")
![](3D"slide0021_image012.jpg")
&#=
8226;29-Member
Task Force
§Governor appointed 5
<=
/span>
§President of the Senate
appointed 6
§Minority Leader of the Sen=
ate
appointed 6
§Speaker of the House appoi=
nted
6
§Minority Leader of the Hou=
se
appointed 6
![](3D"slide0003_image013.jpg")
![](3D"slide0003_image014.jpg")
•Illinois Department of
Public Health is the lead state agency, working cooperati=
vely
with representatives from:
§D=
epartment
on Aging
§D=
epartment
of Healthcare and Family Services (formerly Public Aid)
<=
/span>
§D=
epartment
of Human Services
§D=
ivision
of Insurance
![](3D"slide0012_image015.jpg")
![](3D"slide0012_image016.jpg")
•=
Charge
of the Task Force – To develop
a comprehensive health care access
plan for Illinois
§Must provide for
access to a full-range of preventive, acute, and long-term hea=
lth
care services to all Illinois residents
![](3D"slide0004_image017.jpg")
![](3D"slide0004_image018.jpg")
•=
Recommendations
are to be submitted to the
General Assembly
§General Assembly =
is
strongly encouraged to enact the plan by December 31, 2006&=
#13;
§The Plan is to be implemen=
ted
by July 1, 2007
![](3D"slide0013_image019.jpg")
![](3D"slide0013_image020.jpg")
![](3D"slide0015_image021.jpg")
![](3D"slide0015_image022.jpg")
•Criteria for He=
alth
Care Access Plan:
1)provides access to a full range of preventive, acute, and long-term
health care services;
2)maintains and improves the quality of health =
care services offer=
ed to
Illinois residents;
3)provides portability of coverage, regardless of employment status; =
4)provides core benefits for all Illinois residents;
•Criteria for Health Care Access Plan (cont.):&=
#13;
5)encourages regional and local consumer participation;
=
;
6)contains cost-containment measures;
7)provides a mechanism for reviewing and implementing multip=
le
approaches to preventive medicine based on new technologies; and
8)promotes affordable coverage options for the =
small business mark=
et.
![](3D"slide0016_image023.jpg")
![](3D"slide0016_image024.jpg")
•Other Items to Note –
§1=
9 or
More Public Hearings (at least one in each Congressional distri=
ct)
to Collect Public Input
§H=
ealth
Care Justice Act and Adequate Health Care Task Force Website
–
§
www.idph.state.il.us/hcja/index.htm
![](3D"slide0005_image025.jpg")
![](3D"slide0005_image026.jpg")
Other
Items to Note –
§Research Entity
&=
#8226;To
be contracted by IDPH
•At
the Task Force’s disposal (given available funds)
to assess health care reforms, health care financing, and health care
delivery models
&#=
8226;Can
be called by consensus of 8 members of the Task Force
![](3D"slide0014_image027.jpg")
![](3D"slide0014_image028.jpg")
• Final Report must make recommendations for a health care <=
span
style=3D'position:absolute;top:47.25%;left:9.73%;width:84.45%;height:7.75%=
'>access plan or plans that would provide access to a full range of <=
span
style=3D'position:absolute;top:63.24%;left:9.73%;width:86.14%;height:7.75%=
'>preventive, acute, and long-term health care services to residents of the State of Illinois by July 1, 2007
![](3D"slide0017_image029.jpg")
![](3D"slide0017_image030.jpg")
•Recommended Plan(s) Must Include:
1)an integrated system or systems of health care delivery;
=
2)incentives to be used to contain costs;
3)core benefits that would be provided under each type of plan;
=
4)reimbursement mechanisms for health care providers;
![](3D"slide0018_image031.jpg")
![](3D"slide0018_image032.jpg")
•Recommended Plan(s) Must Include (cont.):
=
=
5)administrative efficiencies;
6)mechanisms for generating spending priorities based on multidisciplinary standards of care established by verifiable replicated research stud=
ies demonstrating quality and cost effectiveness of interventions, providers, and facilities;
7)methods for reducing the cost of prescription drug=
s both as part of, and as separate from, the health =
care access plan;
![](3D"slide0020_image033.jpg")
![](3D"slide0020_image034.jpg")
•Recommended Plan(s) Must Include (cont.):
=
8)appropriate reallocation of existing health care <=
/span>resources;
9)equitable financing of each proposal; and
10)recommendations concerning the delivery of long-term care services.
![](3D"slide0019_image035.jpg")
![](3D"slide0019_image036.jpg")
![](3D"slide0006_image037.jpg")
![](3D"slide0006_image038.jpg")
•Adequate Health =
Care
Task Force Highlights
§Elected Chair,
Vice-Chair, and Steering Committee (each from different appointing authorities per the Task Force
Bylaws)
•<=
/span>Wayne Lerner, Chair
–<=
/span>Appointed by Minority Leader of the Senate
•<=
/span>David Koehler, Vice-Chair
–<=
/span>Appointed by Speaker of the House
•<=
/span>Joe Roberts, Steering Committee Member
=
–<=
/span>Appointed by Minority Leader of the House
•<=
/span>Ruth Rothstein, Steering Committee Member
–<=
/span>Appointed by the Governor
•<=
/span>Quentin Young, Steering Committee Member
–<=
/span>Appointed by the President of the Senate
•
![](3D"slide0008_image039.jpg")
![](3D"slide0008_image040.jpg")
Adequate Health Care Task Force Highlights
§Adopted Bylaws
=
•Absent
Task Force members may be represented by surrogates, but these
surrogates cannot vote;
•Task Force decisions will be made by majority vote;
and
&#=
8226;Amending
bylaws requires a 2/3 vote of present Task Force members.
<=
/span>
Task
Force Timeline
§Engage in Deliberative Pro=
cess
from August 2005 through September 2006
§Complete 21 Public Hearing=
s by
April 2006
§One in each Congressional
District (19)
§One in Collinsville
§One in Springfield
§Complete Final Report betw=
een
July 1, 2006 and October 1, 2006
![](3D"slide0009_image041.jpg")
![](3D"slide0009_image042.jpg")
•What’s Next?
§Substantive
Presentations before Task Force
§Leading Health
Policy Experts from Illinois and across the United States
§State Coverage
Initiatives Illinois Health Forum – Wednesday, December 7th
=
;
§Future Public
Hearings (4 pm – 7 pm):
§Wednesday, No=
vember
9th in Homewood (2d<=
/span> District)
§Wednesday, No=
vember
16th in Bourbonnais (11th=
District)
§Tuesday, Dece=
mber
13th in Naperville (13th=
District)
§Wednesday, De=
cember
14th in Aurora (14th=
District)
§Contracting w=
ith a
Research Entity
![](3D"slide0011_image043.jpg")
![](3D"slide0011_image044.jpg")
How
to Inform and Influence the Process
§Attend Task Force and Stee=
ring
Committee Meetings to observe Task Force Proceedings
<=
/span>
§Participate in Task Force
Public Hearings
§Contact Members of the Task
Force to express your views
§Watch the Website:
§www.idph.state.il.us/h=
cja/index.htm
![](3D"slide0007_image045.jpg")
![](3D"slide0007_image046.jpg")
![](3D"slide0010_image047.jpg")
![](3D"slide0010_image048.jpg")
• If you have more questions a=
bout
the HCJA or the Task Force, pl=
ease
contact –
•Ashley Walter, MBA, MPH&=
#13;
•Policy Analyst, Division=
of
Health Policy
•Illinois Department of P=
ublic
Health
•100 West Randolph Street,
Suite 6-600
•Chicago, IL 60601
•Phone: (312)814-4730
=
;
•Fax: (312)814-1503
<=
/span>
•Email:
awalter@idph.state.il.us
<=
span
style=3D'font-size:63%;visibility:hidden'>•
![](3D"slide0024_image049.jpg")
![](3D"slide0024_image050.jpg")
•Questions?
<=
/div>
<=
span
style=3D'font-size:125%;visibility:hidden'>•
' + ENDSHOW_MESG + '
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tes![](3D"buttons.gif")
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