2012 Legislative Summit Health Sessions

2012 Legislative Summit Health Sessions

Monday | Tuesday | Wednesday | Thursday

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Monday, August 6th

8:30 am -1:00 pm

The Health Care Law: What's Next? (features audio file)
(NCSL Health Reform Implementation Task Force Meeting)

The U.S. Supreme Court decision on the Patient Protection and Affordable Care Act is reverberating throughout the states. Explore what the ramifications of this landmark ruling means for states. This meeting is open to task force members and Legislative Summit participants.

Presiding -  [Co-Chair and Panelist Biographies] (Adobe PDF logoPDF file-3 pages)

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

8:30 am - 10:30 am   After the Court Decision: What is Next for Health Reform and States? 

- Medicaid
- Exchanges
- Insurance Reforms and Essential Health Benefits
- Challenges Beyond the Courts

  • Professor Larry Singer, J.D., Director, Beazley Institute for Law and Policy; Loyola Univ. School of Law, Illinois - "Powerpoint" (Adobe PDF logoPDF file-13 pages)

  • Representative Matt Hudson, Florida House of Representatives; member NCSL Executive Committee - "Powerpoint" (Adobe PDF logoPDF file-4 pages)

  • Cindy Mann, J.D., Director, Center for Medicaid and CHIP Services, Centers for Medicare and Medicaid Services (CMS/HHS),Washington, D.C. - "Powerpoint" Adobe PDF logo(PDF file-6 pages) |  Video highlight by Director Cindy Mann  |  Text of Director Mann's explanation of state flexibility with the voluntary Medicaid expansion.

  • Michael Hash,  Director, HHS Office of Health Reform; Interim Director, Center for Consumer Information and Insurance Oversight (CCIIO), Centers of Medicare and Medicaid (CMS/HHS) - "Powerpoint" (Adobe PDF logoPDF file-1 page)

10:30 am - 1:00 pm  Responses from States and Stakeholders 

  • Reports from member states include Alabama, Alaska, California, Colorado, Florida, Georgia, Illinois, Indiana, Kentucky, Massachusetts, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Oklahoma, Rhode Island, Utah, Vermont, Virginia, Washington, West Virginia and Wyoming.
  • Brian Webb, Manager of Health Policy and Legislation, National Assoc. of Insurance Commissioners (NAIC), Washington, D.C. - "Powerpoint" (Adobe PDF logoPDF file-6 pages)

  • Paul Skowronek, Vice-President, State Affairs, America's Health Insurance Plans (AHIP), Washington, D.C. - "Powerpoint" (Adobe PDF logoPDF file-6 pages)

  • Assemblymember William W. Monning, Chair, Assembly Committee on Health, California - "Presentation & handout" (Adobe PDF logoPDF file-12 pages)

4:00 pm - 5:00 pm

Federal Legislative/Regulatory Update on Health
Hear what’s happening in Washington, D.C., that may affect your state programs and budgets.

  • Senate President Pro Tempore Betty Boyd, Colorado

  • Representative Mark McCullough, Oklahoma


  • Michael Hash, U.S. Department of Health and Human Services (HHS), Washington, D.C.

  • Joy Johnson Wilson, NCSL

  • Cindy Mann, J.D., Deputy Administrator and Director Center for Medicaid and CHIP Services (CMCS), Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services, Washington, D.C.

  • Rachel Morgan, NCSL

4:00 pm - 5:00 pm

Legislative Health Staff Network Roundtable Discussion: Health Reform
Health reform issues and learn from other states’ experiences.


  • Nolan Langweil, Joint Fiscal Office, Vermont General Assembly


  • Michael Hash, U.S. Department of Health and Human Services (HHS), Washington, D.C.

  • Cindy Mann, J.D., Center for Medicaid and State Operations, U.S. Department of Health and Human Services, Washington, D.C.

Tuesday, August 7th

7:00 am -8:45 am

Fresh Food -- A Recipe for Healthy Schools and Communities

(Legislative Health Staff & Education Staff Networks)

Providing schools and communities with fresh, quality food can be a recipe for both good health and a thriving economy. Hear about state efforts to ensure schools and communities offer fresh food and provide health and wellness opportunities. Speaker Biographies (Adobe PDF logo PDF file-1 page)


  • Richard Benavides, Alaska Legislature

  • Jeanette Malafa, Senate Republican Staff - Education and Higher Education Committees, Illinois


  • Erika Allen, Growing Power, Illinois - "Powerpoint" (Adobe PDF logoPDF file-27 pages)

  • Helen Binns, Ann & Robert H. Lurie Children’s Hospital, Illinois - "Powerpoint" (Adobe PDF logoPDF file-8 pages)

  • Rochelle Davis, Healthy Schools Campaign, Illinois - "Powerpoint" (Adobe PDF logoPDF file-10 pages)

  • Tricia Sexton Kovacs, Washington State Department of Agriculture - "Powerpoint" (Adobe PDF logoPDF file-7 pages)

12:00 pm - 1:30 pm

A Penny Saved: Keeping People Healthy, Managing Disease and Controlling Costs (features audio file)
State lawmakers are looking for ways to support healthier lifestyles to reduce the risk for chronic diseases, including addressing conditions where Americans live, learn, work and play. This luncheon session will focus on ways to reduce the impact of chronic conditions in your community and on your state’s pocketbook.

  • Marsheilah Lyons, Research Division - Legislative Counsel Bureau, Nevada Legislature


  • Lee Francis, Erie Family Health Center, Illinois - "Powerpoint" (Adobe PDF logoPDF file-8 pages)

  • James Sheeran, MillerCoors, LLC, Wisconsin - "Powerpoint" (Adobe PDF logoPDF file-9 pages)

3:00 pm - 5:00 pm

Medicaid Redesign: State Innovations
Hear about some recent state efforts to redesign Medicaid programs. You’ll learn about New York’s blueprint to lower Medicaid spending by adopting dozens of recommendations from its Medicaid Redesign Team; the demonstration project in North Carolina to improve services and maximize efficiencies for people dually enrolled in Medicaid and Medicare; Oregon’s new Integrated and Coordinated Health Care Delivery System; and the plan in Texas to seek a Medicaid waiver to allow more flexibility, including eligibility, benefits, health savings accounts and vouchers for consumer-directed long-term care services.

  • Nolan Langweil, Joint Fiscal Office, Vermont General Assembly


  • Bruce Goldberg, Oregon Health Authority

  • Assemblymember Richard N. Gottfried, New York

  • Denise Hewson, Community Care of North Carolina  - "Powerpoint" (Adobe PDF logoPDF file-12 pages)

  • Robin Richardson, Texas Health and Human Services Commission - "Powerpoint" (Adobe PDF logoPDF file-3 pages)

Wednesday, August 8th

9:30 am -10:45 am

Preparing for 2013: Health Insurance Exchange Plans and Options (features audio file)
By November 16, 2012, states that want to run a state-based health insurance exchange will be required to provide a plan to the Department of Health and Human Services. Learn about the approval process and state actions so far to establish an exchange. Find out which states are on track to have an operational exchange by January 2014.


  • Catherine Dupont, Legislative Research, Utah Legislature


  • Senate President Pro Tempore Betty Boyd, Colorado - "Powerpoint" (Adobe PDF logoPDF file-3 pages)

  • Cynthia Crone, Arkansas Insurance Department - "Powerpoint" (Adobe PDF logoPDF file-11 pages)

  • Kenneth Munson, U.S. Department of Health and Human Services, Illinois - "Powerpoint" (Adobe PDF logoPDF file-2 pages)

  • Speaker Kris Steele, Oklahoma

11:00 am - 12:15 pm

Medicaid "Best Buys": Getting the Most From Your State's Medicaid Money (features audio file)
States and health plans can "bend the curve" in the growing costs of Medicaid by strategically using managed care tools, providing intensive care management programs for their highest-risk populations, integrating Medicaid and Medicare services, preventing fraud and abuse and targeting resources where they will add the most value. Discuss the five most successful strategies to improve the effectiveness and efficiency of Medicaid.

  • Representative Mark McCullough, Oklahoma


  • Kavita Choudhry, Pew Charitable Trusts, Washington, D.C. - "Powerpoint" (Adobe PDF logoPDF file-7 pages)

  • Carolyn Ingram, Center For Health Care Strategies, New Jersey - "Powerpoint" (Adobe PDF logoPDF file-11 pages)

  • Carol Steckel, Louisiana Department of Health and Hospitals - "Powerpoint" (Adobe PDF logoPDF file-14 pages)

3:00 pm - 5:00 pm

Legislators' Roundtable
Health Reform: Opportunities and Challenges for States

Join fellow legislators from across the nation in a lively roundtable discussion as they share a variety of viewpoints about state roles and strategies on health reform now that the Supreme Court has spoken.


  • Steve Rauschenberger, Former Illinois legislator, Rauschenberger Partners, LLC, Illinois


  • Assemblyman Herb C. Conaway, Jr., New Jersey State Assembly

  • Senate President Michelle L. Fischbach, Minnesota

  • Representative Michael Fisher, Vermont

  • Representative Elaine D. Harvey, Wyoming

  • Speaker Pro Tempore of the Assembly Debbie Smith, Nevada

  • Representative Greg Wren, Alabama

5:00 pm - 5:45 pm

Small Change Adds Up: Opportunities to Save Medicaid Dollars
(Legislative Health Staff Network)
Learn about simple and effective methods to save Medicaid money from a panel of legislative staff and experts. Hear about opportunities to reduce costs, including hospice and end-of-life care, preterm births, inmates, veterans and end stage renal disease. A reception will follow the program. All legislative staff are welcome to attend.


  • Marsheilah Lyons, Research Division - Legislative Counsel Bureau, Nevada


  • Mark Andrews, Office of Legislative Research and General Counsel, Utah Legislature

  • Raul Burciaga, Legislative Council Service, New Mexico Legislature

  • Miriam Fordham, Health and Welfare Committee, Legislative Research Commission, Kentucky

  • James Sloand, Baxter, Illinois

  • Laura Tobler, NCSL

Thursday, August 9th

2:15 pm -3:30 pm

Pharmaceuticals: What's Ahead?  (features audio file)
From drug shortages and misuse to their life saving benefits and future potential, prescription drug issues make headlines regularly. Federal health reform as enacted requires medicine to be an essential health benefit. But who will pay for which specific drugs and how much? Hear from national experts on the latest developments and options for state lawmakers to consider.


  • Clement Cypra, Deputy Vice President for State Affairs at the Pharmaceutical Research and Manufacturers of America (PhRMA); slides compiled by Scott Gottlieb, American Enterprise Institute, Washington, D.C. - "Powerpoint" (Adobe PDF logoPDF file-10 pages)

  • Stephen Schondelmeyer,  Professor, University of Minnesota; Director, PRIME Institute, School of Pharmacy, Minnesota  - "Powerpoint" (Adobe PDF logoPDF file-18 pages)

Clement Cypra and Steve Schondelmeyer at NCSL, Aug. 9 2012
Clement Cypra, Sen. Elaine Harvey, Prof. Steve  Schondelmeyer


  • Representative Elaine D. Harvey, Wyoming

3:30 pm - 5:00 pm

Oral Health: Opportunities for Cost Savings (features video file)
In 2009, more than 800,000 emergency room visits across the country were related to preventable dental conditions, according to the Pew Children’s Dental Campaign. These visits impose significant costs on already troubled state budgets. Explore a variety of options to improve oral health access, and hear about opportunities for cost savings, state programs and collaboration among stakeholders.

  • Senator Judy Lee, North Dakota


  • Matt Jacob, Pew Center on the States, Washington, D.C. - "Powerpoint" (Adobe PDF logoPDF file-11 pages)

  • Rebecca King, Oral Health Section, North Carolina Department of Health and Human Services - "Powerpoint" (Adobe PDF logoPDF file-19 pages)


  • Representative Don Hill, Kansas

  • House Assistant Democratic Leader Betty Komp, Oregon

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