1 / 15

Perspectives in California Examining State and Federal Policy Issues and Advocacy in LTSS

Explore the challenges and opportunities in Long-Term Services and Supports (LTSS) in California, including system fragmentation, workforce shortages, and financing issues. Discuss potential policy changes and the impact of the Affordable Care Act repeal/repair on LTSS. Learn about the importance of care coordination and the role of advocacy in advancing a coordinated and easily navigated system of high-quality services for older adults in California.

darricka
Download Presentation

Perspectives in California Examining State and Federal Policy Issues and Advocacy in LTSS

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. CFILC Statewide Conference February 27, 2017 Perspectives in CaliforniaExamining State and Federal PolicyIssues and Advocacy in LTSS Sarah Steenhausen Senior Policy Advisor

  2. System Challenges Fragmentation Infrastructure/capacity Workforce shortages Financing Legislative and state leadership …If the problems were easy to solve, they wouldn’t be problems

  3. System Change Developing Integrated Systems of Care Coordinated Care Initiative Medi-Cal 2020 Themes Importance of social determinants Care coordination is key to success

  4. Emerging Considerations: Federal Policy Climate Potential Policy Change: Affordable Care Act repeal/repair: Impact on Long-Term Services and Supports (LTSS) Medicaid block grants Medicaid per capita cap

  5. ACA: LTSS Provisions Home and community-based services Care coordination Workforce Investment LTC financing (CLASS)- already repealed

  6. ACA: Potential for Repeal/Repair President Trump’s Executive Order Likely process: Budget reconciliation Timing?

  7. Medicaid Block Grant Fixed amount of Medicaid funding to states Caps federal spending Increased state flexibility

  8. Per Capita Cap • Fixed amount of Medicaid funding per enrollee • Payments to states based on Medicaid enrollment • Increased state flexibility

  9. Emerging Considerations: State Policy Climate and LTSS Governor anticipates budget deficit Changes to the Coordinated Care Initiative Other funding reductions

  10. Focus on: Coordinated Care Initiative (CCI) Background and purpose Budget actions on CCI IHSS implications Impact on care coordination Considerations for the future of integrated service delivery in California

  11. LTSS: Unresolved Issues State and system planning LTC Financing HCBS Infrastructure Others

  12. Cross-Cutting Issues Competing priorities Relationship between feds, state administration, and legislature How to focus an LTSS agenda

  13. Advocacy’s Important Role Collaboration across disability and aging (California Collaborative and Regional Coalitions) Identifying common priorities Developing strategy for local, state and federal level advocacy

  14. Questions/Comments? Thank you!

  15. Sign up to receive email alerts at www.TheSCANFoundation.org Follow us on Twitter @TheSCANFndtn Find us on Facebook The SCAN Foundation Our Vision: A society where older adults can access health and supportive services of their choosing to meet their needs. Our Mission: To advance a coordinated and easily navigated system of high-quality services for older adults that preserve dignity and independence.

More Related