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Budget and SGR Reforms Advance

Last night the House of Representatives passed the Bipartisan Budget Act of 2013. The Senate is expected to do so today, and the President has indicated he will sign the measure. The vote in the House was 332-62; nine Californians voted against passage. The legislation contains both good news and bad news for California’s hospitals.
Also this week, the House Ways and Means and Senate Finance Committees reported bipartisan legislation to repeal the sustainable growth rate (SGR) for physician Medicare payments. They will continue to work toward a permanent solution during the first quarter of 2014. The financing mechanisms for offsetting the cost of repeal have not been released. Payments to hospitals continue to be vulnerable as the committees look for as much at $150 billion over the next 10 years to pay for the SGR repeal. 
CHA has provided the attached summary of the Bipartisan Budget Act of 2013 with additional information about the hospital-related provisions.

CHA Members Take Hospital Message to Capitol Hill

CHA President/CEO C. Duane Dauner was joined by 10 representatives of CHA member hospitals in Washington, D.C., Dec. 3 for the CHA and American Hospital Association hospital advocacy day. The group met with about half of the California Congressional delegation, including House Minority Leader Nancy Pelosi, House Majority Whip Kevin McCarthy, and Sens. Boxer and Feinstein.

Sheree Lowe

Sheree Lowe has been Vice President of Behavioral Health at CHA since 2002.  In this capacity, she staffs CHA’s Center for Behavioral Health (CBH) Advisory Group and represents the interests of Acute Psychiatric Hospitals (APH), behavioral health units in medical/surgical hospitals, and Chemical Dependency Recovery Hospitals (CDRH) providing both in and outpatient mental health and  substance use disorder services – commonly referred to as behavioral health. Since 2010, she has also advocated on matters relating to behavioral health in our  community hospital emergency departments. She also represents the interests of hospital-based outpatient clinics (HBOC) providing primary care services. Currently, she staffs the Behavioral Health Action Coalition, a CHA/NAMI-CA co-founded coalition made up of over 50 statewide organizations focused on elevating both the hospital and community behavioral health delivery system in California.  

Allison Bradley

Allison Bradley is responsible for identifying, developing, and communicating information to the CHA membership. She has more than 20 years of communications and editorial experience serving local non-profits, including crafting messages, managing publications, and writing for both print and electronic media.

Allison has a bachelor of arts degree in journalism from Sacramento State University.

Duals Demo Timeline Changes Included in Proposed State Budget

Gov. Jerry Brown’s 2013-14 state budget proposal, released Jan. 10, includes a delay in implementing the Coordinated Care Initiative (CCI), which will transition individuals eligible for both Medicare and Medi-Cal —dual-eligibles — into managed care. It will also integrate long-term care services and supports into managed Medi-Cal. CCI implementation is now scheduled for September 2013, rather than June 2013 as originally planned. Under the revised timeline, beneficiaries will receive notice of changes no sooner than June 2013. Beneficiary enrollment schedules have also been modified and will vary among the designated counties: in Los Angeles County, enrollment will be phased in over 18 months; in the County of San Mateo, beneficiaries will be enrolled at once; and in Orange County, County of San Diego, County of San Bernardino, County of Riverside, Alameda County, and the County of Santa Clara, enrollment will be phased in over 12 months.

Delma Giroski

Delma Giroski brings to CHA a wealth of human resources generalist expertise with an emphasis in employee relations and recruitment of high-quality employees. Playing a major role in all aspects of the human resources department, she successfully serves as an advocate to both the association and its employees, resulting in an atmosphere that promotes growth, communication and effective leadership.

Delma has extensive experience in benefits management and immigration as gained through her previous roles with technology and e-business solutions corporations, and professional associations. 

Delma completed the Professional In Human Resources (PHR) Certification in 2007, and is a member of the Society for Human Resource Management and Sacramento Area Human Resource Association.