2013 Legislative Summit

Preliminary Agenda and Updated Daily



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Sunday, August 11, 2013

 

12:30 PM to 6:00 PM

Health Summit 2013: Emerging Changes in Medicaid & the Insurance Marketplace

Location:
Omni Hotel At CNN Center Intl Ballroom Level-Intl Ballroom DE
  • NCSL Health & Human Services Committee
  • NCSL Task Force On Federal Health Reform Implementation
Continuing Legal Education

The American health care landscape is shifting in dramatic ways as a result of health reform and state activities. The nation's insurance marketplace will have new options and regulations. Medicaid programs face state decisions and federal guidance on expansion options and other alternatives. Learn the latest on how states, insurers, employers, consumers and -providers are responding to the fast-paced countdown toward the Jan. 1, 2014 deadlines in the health reform law.  (NOTE:  CLE credit is only available for the 3:30 PM - 5:00 PM - "Employer and Consumer Issues" portion of this session.)

Presiding: 

  • Representative Greg Wren, Alabama, Co-Chair, NCSL Task Force on Health Reform Implementation
  • Assemblyman Herb Conaway, J.D., M.D., New Jersey, NCSL Task Force on Health Reform Implementation

12:30 PM -- 1:00 PM
Registration

1:00 PM -- 1:30 PM
Welcome and Introductions

1:30 PM -- 3:00 PM
Health Care "Marketplaces" 

Beginning Oct. 1, 2013, a new set of health insurance options will be offered nationwide, with variations across all 50 states.  These include:  health "marketplaces" or exchanges--either federally facilitated, state-based, or state-federal partnerships; newly created multi-state and CO-OP plans; and additional choices offered through the commercial market.  Come hear the latest on these developments and learn about essential benefits, technology needs, outreach and education efforts and what it means for your state depending on the direction you have chosen. 

Speakers: 

  • Chiquita Brooks-LaSure, Center for Consumer Information and Insurance Oversight, CMS/HHS, Maryland
  • Susan V. McNally, Intergovernmental Affairs, Congressional and Legislative Affairs, U.S. Office of Personnel and Management (OPM), Washington, D.C.
  • Commissioner Sandy Praeger, Kansas Insurance Commission
  • Karen Ignagni, president and CEO, America's Health Insurance Plans, Washington, D.C.

3:00 PM -- 3:30 PM
Break

3:30 PM -- 5:00 PM
Employer and Consumer Issues  (CLE)

Employers, large and small, face new decisions and expectations due to the new law.  We'll review and discuss the requirements and potential penalties, as well as how these changes may affect employers, employees and their families. 

Speakers: 

  • Tim Jost, J.D., Washington and Lee University School of Law, Virginia
  • Geralyn Trujillo, AARP, Washington, D.C.
  • Nancy E. Taylor, J.D., Business Roundtable, Washington, D.C.
  • Cheryl Smith, Health Insurance Exchange, Deloitte Consulting; Former Director, Utah Health Exchange

5:00 PM -- 6:00 PM
Meet the Sponsors

This event will include booths featuring health professional associations and interests.   

Register now for the Health Summit



Monday, August 12, 2013

 

7:30 AM to 12:00 PM

Health Summit 2013: Emerging Changes in Medicaid & the Insurance Marketplace

Location:
Omni Hotel At CNN Center Intl Ballroom Level-Intl Ballroom DE
  • NCSL Health & Human Services Committee
  • NCSL Task Force On Federal Health Reform Implementation
Continuing Legal Education

This program is a continuation of the 2013 Health Summit meeting that begins on Sunday, August 11, 12:30 PM -- 6:00 PM.

The American health care landscape is shifting in dramatic ways as a result of health reform and state activities. The nation's insurance marketplace will have new options and regulations. Medicaid programs face state decisions and federal guidance on expansion options and other alternatives. Learn the latest on how states, insurers, employers, consumers and -providers are responding to the fast-paced countdown toward the Jan. 1, 2014 deadlines in the health reform law. (NOTE:  CLE credit is only available for the 9:30 AM - 11:30 AM - "Medicaid" portion of this session.)

Presiding: 

  • Representative Greg Wren, Alabama, Co-Chair, NCSL Task Force on Health Reform Implementation
  • Assemblyman Herb Conaway, J.D., M.D., New Jersey, Co-Chair, NCSL Task Force on Health Reform Implementation

7:30 AM -- 8:30 AM
Continental Breakfast

8:15 AM -- 9:15 AM
Task Force Roundtable

States vary widely in their actions:  some are leading initiatives to implement the law; others have acted to opt-out or seek to oppose or block state involvement in implementing the new law.  And several states have proposed alternatives through waivers or other variations.  Hear a range of state perspectives as task force members share information about how their individual states are responding to federal health reform. 

9:15 AM -- 11:15 AM 
Medicaid: The Latest Developments  (CLE)

States face new options and requirements, whether or not they opt to expand Medicaid eligibility.  Participate in a discussion on premium assistance, 1115 and state innovation waivers and coverage of special populations. 

Speakers: 

  • Cindy Mann, J.D., Center for Medicaid and CHIP Services, Centers for Medicare and Medicaid Services (CMS), U.S. Department of Health and Human Services, Maryland
  • Representative Mark Biviano, Arkansas
  • Senator Karen Keiser, Washington

11:15 AM -- 12:00 PM
Address by Secretary Sebelius

Kathleen Sebelius, former legislator, governor and insurance commissioner and currently secretary of the U.S. Department of Health and Human Services, will close the Health Summit with an update on the final stages of bringing the health insurance marketplaces to life and ongoing efforts to work with states on implementation issues including the Medicaid expansion and the SHOP marketplaces. 

Presiding/Introduction: 

  • Speaker Terie Norelli, New Hampshire, NCSL President 

Speaker: 

  • Secretary Kathleen Sebelius, U.S. Department of Health and Human Services, Washington, D.C.

Register now for the Health Summit.



 

7:30 AM to 12:30 PM

Building a Lasting Health System in Rural America

Location:
Georgia World Congress Center Level 3-B309

Nearly 20 percent of the nation's population lives in rural areas, but only about 11 percent of the nation's physicians practice in these areas. This half day preconference session will focus on state efforts to build a lasting health care system in rural America. Hear from leading experts on innovative strategies to connect rural people with providers, expanding the use of technology, and creating policies, programs and incentives to recruit and retain a rural health care workforce.

7:30 AM -- 8:00 AM
Breakfast and Networking

8:00 AM -- 8:15 AM
Welcome and Introductions

Speakers: 

  • Joshua Ewing, NCSL
  • Paul Moore, Office of Rural Health Policy, Health Resources and Services Administration, Maryland

8:15 AM -- 9:15 AM
Recruiting and Retaining a Rural Health Care Workforce

There are not enough health care providers in rural areas of the country.  This is due to a number of factors, including declining interest in primary care, an aging health care workforce, and increased demand for services as the rural population grows and more people gain insurance coverage as a result of the Affordable Care Act.  Hear how states and rural communities are overcoming these challenges to recruit and retain a rural health care workforce.   

Speakers: 

  • John Wheat, Rural Scholars Program, University of Alabama
  • Charles F. Owens, Georgia Department of Community Health/Office of Rural Health Services
  • Amy Brock Martin, Department of Health Services Policy and Management, University of South Carolina and South Carolina Rural Health Research Center

9:15 AM -- 10:15 AM
Overcoming Distance -- Innovative Strategies to Connect Rural People with Providers

Compared to urban areas with many provider networks, large hospitals and greater access to technologies, rural areas often have a small number of independent practitioners who cover wide geographics areas and the nearest primary care practitioner, specialist or hospital may be hours away.  For this reason, states and rural communities are experimenting with innovative strategies to overcome distance and build an effective health care system.   

Speakers: 

  • Haley E. Lofink, School-Based Health Alliance, Washington, D.C.
  • Gary Wingrove, Mayo Clinic Medical Transport, Minnesota
  • Matthew Jansen, Georgia Partnership for TeleHealth

10:15 AM -- 11:15 AM
Advances in Health Information Technology

Providers in rural areas may be spread out over great distances and so travel to and from medical appointments can be difficult for patients who need to see multiple providers, have a physical disability that makes travel difficult, or do not drive or have access to a personal vehicle.  Hear how emerging technologies are reducing the distance barrier by allowing providers to share important patient information at the click of a button. 

Speakers: 

  • Scott Manwaring, AT&T - Healthcare Emerging Technology, Georgia
  • Nancy Green, Verizon Connected Healthcare, Texas

11:15 AM -- 12:00 PM
Access to Capital for Rural Health Centers

One of the greatest challenges to improving the rural health care system is financing upgrades to facilities and technology.  Learn about some of the many opportunities for states and rural communities to access capital building a lasting rural health system in rural America.  

Speakers: 

  • Bill Menner, U.S. Department of Agriculture - Rural Development, Iowa
  • Paul Moore, Office of Rural Health Policy, Health Resources and Services Administration, Maryland 

12:00 PM -- 12:30 PM
Interactive Session

Consistently ranked as one of the greatest benefits of attending an NCSL meeting is the ability to collaborate and learn from legislators and staff in other states. In this facilitated discussion, attendees will get the opportunity to ask questions and discuss important rural health issues with their colleagues from around the country, as well as with our expert panelists from the day.   

Speakers: 

  • Laura Tobler, NCSL

12:30 PM
Meeting Adjourns



 

8:30 AM to 1:00 PM

CDC Tour

Location:
Offsite -Offsite
  • NCSL Natural Resources & Infrastructure Committee
Tour the CDC Environmental Health Laboratory where science improves the detection, diagnosis, treatment and prevention of diseases from exposure to environmental chemicals and other diseases that require advanced laboratory measurement for accurate diagnosis. The laboratory plays a leading role in responding to toxic chemical exposures, terrorist threats, and public health emergencies involving chemicals. Learn from the CDC lab director how the agency responds to such emergencies, and explore how state labs can assist in these efforts. Please bring photo ID. Only U.S. Citizens allowed on the tour. Limited space available. Contact Claire.Lewis@ncsl.org to sign up.   


Sponsored By: NCSL gratefully acknowledges the Association of Public Health Laboratories for sponsoring this tour.
 

3:00 PM to 4:00 PM

Health and Human Services Committee Federal Update

Location:
Georgia World Congress Center Level 3-B302/303
  • NCSL Health & Human Services Committee
Hear the latest news from Capitol Hill about health and human services issues of interest to states.

  • Presiding:
  • Representative Matt Hudson, Florida
  • Delegate Don C. Perdue, West Virginia
  • Representative Mary Jane Wallner, New Hampshire
  • Speaker:
  • Joy Johnson Wilson, NCSL
  • Rachel Morgan, NCSL
  • Tamra Spielvogel, NCSL

 

4:00 PM to 5:00 PM

Health and Human Services Committee Business Meeting and Policy Review

Location:
Georgia World Congress Center Level 3-B302/303
  • NCSL Health & Human Services Committee
Review and vote on policies that determine NCSL's positions on federal actions that affect the states.

  • Presiding:
  • Representative Matt Hudson, Florida
  • Delegate Don C. Perdue, West Virginia
  • Representative Mary Jane Wallner, New Hampshire

Tuesday, August 13, 2013

 

10:00 AM to 12:00 PM

Driving Science-Based Innovation to Strengthen the Foundations of Lifelong Learning, Behavior, and Health

Location:
Georgia World Congress Center Level 3-B302/303
  • NCSL Health & Human Services Committee
Recent advances in neuroscience, molecular biology and genomics can help in the design of early childhood policy and practice. You'll hear from Dr. Jack P. Shonkoff, director of the Center on the Developing Child at Harvard University on understanding of the lifelong consequences of adversity early in life and the importance of building special skills for adults who care for young children. The result can be greater health, learning, and economic self-sufficiency.

  • Moderator:
  • Representative Mary Jane Wallner, New Hampshire
  • Speaker:
  • Dr. Jack P. Shonkoff, Center on the Developing Child, Harvard University, Massachusetts
  • Panelist:
  • Commissioner Bobby Cagle, Georgia Department of Human Services
  • First Lady Sandra Deal, Georgia
  • Representative Roger Goodman, Washington
  • Senator Steve Litzow, Washington

 

12:00 PM to 1:30 PM

Investing in Prevention--Luncheon

Location:
Georgia World Congress Center Level 3-B302/303
  • NCSL Health & Human Services Committee
From helping Americans quit smoking and reducing childhood obesity, to responding to health threats at home and around the world, to preventing the spread of disease and infection to save lives globally, Dr. Thomas Frieden is leading the Centers for Disease Control to address the United States' –and the world's—most challenging health threats. Dr. Frieden will speak about strengthening the partnership between the states and the nation's number one public health institution to make America safer and more healthy.

  • Speaker:
  • Thomas Frieden, director, Centers For Disease Control and Prevention, Georgia

Sponsored By: NCSL gratefully acknowledges the American Academy of Pediatrics for sponsoring this luncheon session.
 

1:30 PM to 5:00 PM

State Innovations in Health Access, Workforce and Cost Containment

Location:
Georgia World Congress Center Level 3-B302/303
  • NCSL Health & Human Services Committee

Share information with colleagues about state innovations to improve access to quality health services, to address health workforce shortages, and to improve efficiencies and save costs in state health programs. The afternoon includes presentations, a state legislative panel and an opportunity for group interaction and discussion.

1:30 PM -- 2:30 PM
Improving Access to Health Care

Come listen to legislative colleagues from across the country in a lively talk-show format that highlights a variety of state innovations to improve access to health services, including supporting medical homes, using telemedicine, tapping volunteers, providing premium assistance, expanding Medicaidand requiring employers to provide coverage.

Moderator: 

  • Laura Tobler, NCSL

Panelists: 

  • Representative Elaine D. Harvey, Wyoming
  • Representative David E. Heaton, Iowa
  • Representative Matt Hudson, Florida
  • Senator Delores G. Kelley, Maryland
  • Representative Ryan I. Yamane, Hawaii

2:30 PM -- 3:30 PM
Training the Health Care Workforce to Meet Your State's Needs (and Wants)

As states continue to implement such innovations as medical homes, health homes, accountable care organizations and more to improve the health care delivery system, it becomes increasingly important to train a workforce that can meet the new challenges and demands of a reformed system. Hear a panel of experts discuss how policymakers can understand their state's workforce needs and how they can collaborate with educators to create a curriculum to train the next generation of providers.

Speakers: 

  • Andrew Bazemore, Robert Graham Center, Ohio
  • Dr. James Hotz, Albany Area Primary Health Care, Georgia

3:30 PM -- 4:00 PM
Promising State Strategies to Control Medicaid Costs

Medicaid spending accounts for a substantial share of state budgets. Hear about state strategies to tackle rising Medicaid costs through program efficiencies, payment reforms and efforts to curb fraud and abuse.

Speaker: 

  • Melissa Hansen, NCSL

4:00 PM -- 5:00 PM
Discussion Groups

Join your legislative colleagues to discuss health issues and share your ideas about innovations to address them. Three break-out rooms provide opportunities to focus on access to health care, the health care workforce and Medicaid cost containment, with discussions led by bi-partisan legislative officers from the Health and Human Services Committee.

Improving Access to Care

Co-Facilitator: 

  • Representative Matt Hudson, Florida
  • Rep. Elizabeth Ritter, Connecticut

Medicaid Cost Containment

Co-Facilitators: 

  • Representative Cheri Gerou, Colorado
  • Senator Karen Keiser, Washington

Workforce Development

Co-Facilitators: 

  • Delegate Don Perdue, West Virginia
  • Representative Elaine Harvey, Wyoming

 



 

3:00 PM to 5:00 PM

What Do Everyday Americans Think About Hunger?

Location:
Georgia World Congress Center Level 3-B304
  • NCSL Health & Human Services Committee
  • NCSL Foundation Hunger Partnership
An award-winning national pollster, known for her appearances on Fox and MSNBC, will discuss the latest in opinions about hunger in America, addressing questions such as family priorities in food consumption and government and personal responsibility. Learn how to best discuss hunger and SNAP and related nutrition assistance programs with the public.

  • Moderator:
  • Representative Mary Jane Wallner, New Hampshire
  • Speaker:
  • Margie Omero, Purple Insights, Washington, D.C.
  • Kathryn Wiseman, Walmart, Arkansas

Sponsored By: NCSL gratefully acknowledges Walmart for supporting this session and sponsoring the refreshments.
 

5:00 PM to 6:00 PM

Community Transformation Grants Roundtable

Location:
Georgia World Congress Center Level 3-B302/303
Community Transformation Grants (CTG) fund initiatives to prevent chronic diseases such as cancer, diabetes and heart disease. Hear examples of what is working during a roundtable discussion and explore how CTG can be implemented in your own communities.

  • Facilitator:
  • Shawn McIntosh, American Public Health Association, Washington, D.C.
  • Amy Winterfeld, NCSL
  • Panelist:
  • Teina Phillips, Broward Regional Health Planning Council, Florida
  • Dr. Donald Shell, Maryland Department of Health and Mental Hygiene

Wednesday, August 14, 2013

 

6:30 AM to 8:00 AM

Walk for Wellness

Location:
Offsite -Offsite
  • NCSL Health & Human Services Committee
  • NCSL Legislative Staff Coordinating Committee
  • NCSL Women's Legislative Network Program
Women's Legislative Network

Stretch your legs and join your friends at the Walk for Wellness, a 5k walk (or run) through Centennial Olympic Park, to raise awareness of chronic diseases and health disparities. It's open to all Summit attendees; no preregistration required. Meet at 6:30 a.m. at the Fountain of Rings in Centennial Plaza (the cross street is Andrew Young International Boulevard). Centennial Olympic Park is a short walk from the Summit hotels; bus transportation is not provided.

The Walk is a collaborative effort of the National Asian Pacific American Caucus of State Legislators, the National Black Caucus of State Legislators, the National Caucus of Native American State Legislators, the National Hispanic Caucus of State Legislators, the Women's Legislative Network of NCSL, the Legislative Staff Coordinating Committee, and the NCSL Health Committee.  



 

9:45 AM to 10:45 AM

Taming Health Costs: New Solutions, New Challenges

Location:
Georgia World Congress Center Level 3-B308/309
  • NCSL Health & Human Services Committee
America spends, on average, nearly $9,000 per person on health care each year. The cost to the nation is $2.8 trillion—almost 18 percent of total GDP. How can we keep people healthy and budgets affordable, while improving care and coverage as well as combating waste and abuse? Learn about the latest payment reforms and coverage plans and how to balance the benefits of future advances with our ability to pay for them.

  • Speaker:
  • Susan Dentzer, Robert Wood Johnson Foundation, Maryland
  • Representative James A. Dunnigan, Utah
  • Senator Richard T. Moore, Massachusetts
  • Jim Riesberg, Colorado Division of Insurance (2011-July 2013)
  • Raymond Scheppach, State Health Care Cost Containment Commission, Virginia
  • Respondent:
  • Richard Cauchi, NCSL

 

11:00 AM to 12:15 PM

Can We Talk? Medicaid and the Exchanges

Location:
Georgia World Congress Center Level 2-B206
The Affordable Care Act requires states to develop collaborative relationships between Medicaid and the new insurance exchanges. Learn how states are dealing with the challenges of ensuring benefit and plan continuity and developing the technology systems to interface between Medicaid and the exchanges.

  • Moderator:
  • Senator Debbie Smith, Nevada
  • Panelist:
  • Matthew Buettgens, The Urban Institute, Washington, D.C.
  • Shawna Derousse, Silver State Health Insurance Exchange, Nevada

 

11:00 AM to 12:15 PM

Brain Science and Kids: New Policy Approaches

Location:
Georgia World Congress Center Level 3-B308/309
  • NCSL Health & Human Services Committee
Continuing Legal Education
Kids' brains are different from adults', and a growing body of research on brain development and behavioral science is directing legislators to address policies to tackle risky behavior, prevent youth crime and reduce costs. Learn how states are reforming health care and justice systems and identifying ways to reduce teen pregnancy, drop-out rates, delinquency and crime.

  • Panelist:
  • Reginald Betts, Massachusetts
  • Dr. Elizabeth Cauffman, PhD, University of California
  • Maria Schneider, 17th Judicial Circuit of Florida
  • Representative Wendell Willard, Georgia

Sponsored By: NCSL gratefully acknowledges the John D. & Catherine T. MacArthur Foundation for sponsoring this session.
 

3:15 PM to 4:15 PM

Community Health Centers: Building a Stronger Primary Health Care System in America

Location:
Georgia World Congress Center Level 3-B304
The community health center model of care has a history of success in containing costs, delivering high-quality care and improving the health of our nation's most vulnerable people. Health centers, founded and governed by local communities to meet unique local health problems, were rated one of the most effective federal programs by the Office of Management and Budget (OMB). Learn how community health centers can be an important partner with states in their quest to improve the efficiency and effectiveness of their health system.

  • Moderator:
  • Senator Renee S. Unterman, Georgia
  • Speaker:
  • Steven Miracle, Georgia Mountains Health Service
  • Representative Butch Parrish, Georgia
  • Tom Van Coverden, president and CEO, National Association of Community Health Centers, Washington, D.C.

Thursday, August 15, 2013

 

8:30 AM to 9:45 AM

Looking to the Future: Demographic Shifts and the Future of State Policy

Location:
Georgia World Congress Center Level 4-B401/402
  • NCSL Education Committee
  • NCSL Legislative Effectiveness Committee
  • NCSL Natural Resources & Infrastructure Committee
  • NCSL Foundation Partnership on Jobs and Innovation
  • NCSL Women's Legislative Network Program
  • NCSL Working Families Project
Interactive
Young and New Professionals

As baby boomers age, immigration slows and the Latino population expands, the country is on the verge of a "cultural generation gap" that will affect state policy, from schools to the workforce to health care. Hear an energetic, wide-ranging and forward-looking discussion of what these demographic changes mean for state policymakers.

This session is in cooperation with the National Asian Pacific American Caucus of State Legislators, National Black Caucus of State Legislators, National Caucus of Native American State Legislators and National Hispanic Caucus of State Legislators. 


  • Moderator:
  • Senator Debbie Smith, Nevada
  • Speaker:
  • Paul Taylor, director, Pew Research Center Social and Demographic Trends Project, Washington, D.C.

 

1:45 PM to 4:30 PM

Creating a More Effective and Efficient Preventive Health System

Location:
Georgia World Congress Center Level 3-B305

Speakers will provide updates on some of the latest efforts and lessons learned in planning, testing or implementing new and innovative strategies to improve the effectiveness and efficiency of the health system, particularly in terms of prevention and maximizing use of resources.

2:00 PM -- 3:00 PM
Federal Perspective 

Moderator: 

  • Georgia Moore, Associate Director for Policy, Office for State, Tribal, Local and Territorial Support, CDC, Georgia

Speakers: 

  • Judith Monroe, MD, Director, Office for State, Tribal, Local and Territorial Support, CDC, Georgia
  • James Galloway, MD, Director of the Office of Health System Collaboration, Office of the Associate Director for Policy, CDC, Georgia
  • Lisa Mariani, Regional Administrator, Health and Human Services, U.S. Health Resources and Services Administration, Georgia

3:10 PM -- 4:00 PM
State Perspective

Speakers: 

  • Paul Jarris, MD, Executive Director, Association of State and Territorial Health Officials, Virginia
  • Senator Elizabeth Steiner Hayward, MD, Oregon
  • Ellen Benavides, Assistant Commissioner, Minnesota Department of Health
  • W. David Patton, MD, Executive Director, Utah Department of Health


 

1:45 PM to 3:15 PM

Meeting the Demand: Strategies to Improve Access to Oral Health Services

Location:
Georgia World Congress Center Level 2-B204
The number of children receiving dental care is expected to rise under the Affordable Care Act. More than 16 million low-income children went without dental care in 2009, potentially straining the existing workforce and state budgets. Hear about strategies to ensure an adequate dental health workforce and other innovative ways to improve children's access to oral health services.

  • Moderator:
  • Delegate Don C. Perdue, West Virginia
  • Speaker:
  • Julie Stitzel, The Pew Charitable Trusts, Washington, D.C.
  • Panelist:
  • Christy Fogarty, Children's Dental Services, Minnesota
  • Dr. Sara Goza, District X Chair and Member of the American Academy of Pediatrics Board of Directors
  • Dr. Jane Grover, American Dental Association, Illinois
  • Ann Lynch, American Dental Hygienists' Association, Illinois

Sponsored By: NCSL gratefully acknowledges the Pew Children's Dental Campaign for sponsoring this session.