Archive for the 'health' Category

Social Workers and the Medicare Law


July 30th, 2010

Recently, we were doing some research in the archived editions of the NASW News.  We came across a copy of this telegram sent from NASW to President Kennedy on May 25, 1962:

“The National Association of Social Workers through its Board of Directors meeting today commends the president for your personal leadership in taking the case for health care for the elderly through social security directly to the voters.  We believe the American people will accept your word that the program embodied in the King-Anderson bill is not a sinister effort to bring about socialized medicine but a natural step forward in the physical and social development of this country.  We believe it actually represents the minimal program which should be offered to meet the needs of the ill and aging and support its adoption without further amendment or change.  In many cities social workers have actively participated in the meetings and rallies to encourage its adoption. ” 

Unfortunately, President Kennedy did not live to see the measure enacted.  Over three years later, President Johnson signed the Medicare legislation into law on July 30, 1965. 

Today is the 45th anniversary of this momentous and popular government program.  NASW was there at the beginning and continues today to advocate for a strong and quality Medicare system.

US Army releases report on health promotion


July 30th, 2010

In April of 2009, the Army launched a campaign to promote health, reduce risk, and prevent suicide among its members. Today, they released the results of this fifteen month study.  The study is primarily focused on diagnosing current problems, rather than on solutions.  Still, the report hints at reforms the Army expects to implement.

 

NASW applauds these efforts, and will continue to advocate for progress on health promotion, risk reduction, and suicide prevention for America’s servicemen and women.

News from the Hill - July 2010, Second Edition


July 16th, 2010

Political Climate

We’re approaching a crucial time in any election cycle: the deadline for federal candidates to report their second quarter fundraising figures.  By July 15, everyone running for Congress must tell the Federal Elections Commission how much they’ve raised through June 30.

This is important for a few reasons.  For one, we’ll know how much money individuals have raised on their own, but also in the context of their opponent’s cash on hand figures.  A figure of $700,000 might seem like a lot; it matters whether one’s opponent has $200,000 or $2,000,000 at the same point in time.  Second quarter numbers tend to kick-start the season in which more polling is released.  Whether a candidate has outraised their opponent or not, they all want to prove that either their financial edge is showing in the polls as well, or that in spite of mediocre fundraising they’re still doing well in the eyes of voters.  In addition, more money means more ads on television, radio, and the internet.  This is how issues emerge and races begin to take shape, rather than earlier timeframes when voters are just getting to know candidates. Once the second quarter numbers are available, our ability to analyze the general political landscape as well as specific races will markedly improve.

Obama Appoints Dr. Donald Berwick as CMS Administrator

On Wednesday, July 7, 2010, President Obama bypassed the Senate and appointed Dr. Donald Berwick Administrator of the Centers for Medicare and Medicaid Services (CMS). The President’s action, known as a recess appointment, allowed Berwick to immediately lead CMS and avoids what was expected to become a partisan fight in the Senate over the nominee. NASW had joined with many other national health organizations in endorsing Dr. Berwick’s strong qualifications for the position and in urging the Senate to quickly approve his nomination.

The White House justified the action because of clear signs that Republican senators intended to stall the confirmation process. The White House also argued that Berwick’s rapid installation is necessary to keep on track with implementing the new health reform law. The recess appointment enables Berwick, a well regarded international health care quality expert, to serve through December 2011 without Senate confirmation. He will also be eligible for re-nomination to the position at the end of next year.

In other recent reform news, the Kaiser Family Foundation announced that public support for the new law has begun to climb from 41 percent to 48 percent in the past month, see report here.

New Online Health Care Tool Now Available to Consumers

The U.S. Department of Health and Human Services (HHS) has unveiled a new online tool to help consumers take control of their health care by connecting them to information and resources that will help them access quality, affordable health care coverage. Known as HealthCare.gov, the web site provides consumers with information on both public and private health coverage options tailored to their needs in a single, easy-to-use tool. The site has a central database of health coverage options, combining information about programs ranging from Medicare to the new Pre-Existing Conditions Insurance Plan, including information from more than 1,000 private insurance plans.

HealthCare.gov will expand as components of the new law become effective. In October 2010, price estimates for health insurance plans will be available online and information on preventing disease and illness and improving the quality of health care. Eventually the site will include pricing and plan performance information so that consumers can see, understand and make meaningful choices about their health coverage.

NASW Joins Groups on GINA Letter to EEOC

On June 29, NASW joined several health organizations on a letter to Jacqueline A. Berrien, Chair, U.S. Equal Employment Opportunity Commission (EEOC), urging the EEOC to remain consistent with Title I regulations regarding genetic information and use the same approach other cabinet departments did when they issued their interim final rule about GINA and employment title.

The letter asks the EEOC to ensure that in “addressing the collection of genetic information through ‘health risk assessment’-style questionnaires, the EEOC takes the same approach as the Depts. of Health and Human Services, Labor and Treasury when they issued their interim final rule - namely that answering questions on family history or genetics is entirely optional.

In 2008, the Genetics Information Nondiscrimination Act (GINA) was signed into law.  One of GINA’s most important tenets is that individuals have the right to keep their genetic information private without penalty. The provision of genetic information must be truly voluntary.  The letter states, “if the EEOC regulations were to allow employers to penalize employees who do not divulge genetic information, it would greatly undermine the protections Congress deliberately included in GINA and create an untenable inconsistency with the regulations implementing Title I.

NASW Supports the Seniors’ Bill of Rights

Recently, NASW sent a letter to fellow social worker, Senator Debbie Stabenow (D-MI) thanking her for introducing a resolution supporting the Seniors’ Bill of Rights. The Seniors’ Bill of Rights, S. Res. 553, is an important resolution that urges Congress to uphold the dignity and independence of older Americans by supporting efforts that guarantee financial security; quality and affordable health and long-term care; protection from abuse, scams, and exploitation; a strong economy now and for future generations; and safe and livable communities with adequate housing and transportation options. As stated in the letter, “NASW strongly supports these rights”.  S. Res. 553 is the companion resolution to H. Res. 1342 introduced by Rep. Jan Schakowsky (D-IL).

Advocacy Blog Roundup

NASW supports Recommendations on Achieving the

Millennium Development Goals

Care of Veterans Being Addressed

Alert Roundup

Support Legislation to Ban Corporal Punishment in Schools

Ask President Obama to Push Ratification of CEDAW

Advocacy Listserv Activity

In the month of June, 255 activists sent 378 advocacy messages to Congress through Capwiz. The most active alerts were about the Tax Extenders Bill and the Social Work Reinvestment Act.  Thanks to all of you who took the time to take action!  To see all alerts, go here.

News from the Hill - May 2010, Second Edition


June 1st, 2010

Political Climate

The primary season began in earnest on Tuesday, May 18 and we learned several important lessons that night.  For one, voter turnout was not particularly high, defying the expectations of many observers who believed voter anger would voice itself loudly at the first opportunity.  Second, the night clearly went better for Democrats than it did for Republicans.  The hard fought special election in PA-12 was decisively won by Democrat Mark Critz over Republican Tim Burns.  Rep. Joe Sestak, who polling has shown to be the stronger candidate in a November general election matchup, toppled longtime Sen. Arlen Specter.  In Kentucky, we saw progressive state Attorney General Jack Conway advance to take on staunch conservative Rand Paul in the race to succeed retiring Sen. Jim Bunning (R).  Moderate Sen. Blanche Lincoln (D) will have to confront progressive challenger Lt. Gov. Bill Halter in a runoff, since Lincoln was unable to cross the 50% threshold necessary to win the primary outright.

Less than 24 hours after the conclusion of these primaries, we saw general election foes confronting one another with negative attacks.  Republicans are trying to contain any impression that Tuesday’s results don’t bode well for their long term prospects this year, while Democrats are basing their narrative on the idea that voters evidently still support them.

While we certainly can’t speculate on what this all means for the remaining 5+ months of this year’s election cycle, we can say one thing for sure: this year’s midterm elections will continue to be spirited, intense, and hard fought, right through to November 2.

President Obama Unveils the 2010 National Drug Control Strategy

On May 11, President Obama unveiled the 2010 National Drug Control Strategy.  The strategy was developed by the White House Office of National Drug Control Policy (ONDCP) with input from Federal, State and local partners.  Highlights of the strategy include:

  • Strengthen efforts to prevent drug use in communities including a focus on inhalants, pain killers, “study drugs” and steroids and curtailing drugged driving.
  • Seek early intervention opportunities in health care especially by increasing the knowledge of healthcare providers in screening and brief intervention techniques.
  • Integrate treatment for substance use disorders into health care, and expand support for recovery.
  • Break the cycle of drug use, crime, delinquency and incarceration, including supporting alternatives to incarceration such as drug- and problem-solving courts.
  • Disrupt Domestic Drug Trafficking and production with attention to domestic methamphetamine production and criminal distribution of prescription medications for nonmedicinal purposes
  • Strengthen international partnerships.
  • Improve information systems for analysis, assessment and local management.

For more information on the Strategy, go to http://www.whitehousedrugpolicy.gov/strategy/

DC Voting Rights Act Stalled

The D.C. Voting Rights Act attempts to enfranchise over 550,000 District of Columbia residents through the addition of one House seat for our Nation’s Capitol and another for the Republican-leaning state of Utah, which is the next state scheduled to pick up a seat according to the census count.  However, despite the efforts of NASW as well as its coalition partners, H.R.175 was stalled due to significant alterations to the controversial gun amendment orchestrated by Reps. Childers (D-Miss.) and Souder (R-Ind.).  NASW will continue to pursue enactment of the D.C. Voting Rights Act since social workers seek equality for all.

Congress Struggles over Medicare Rate Legislation

This legislation is active and we will post a blog about any developments later today, May 28, 2010. (more…)

Support Incentive Payments for Clinical Social Workers in Medicare/Medicaid


April 29th, 2010

Take Action Today!

Action Requested

Contact your Representative today about signing on as a cosponsor to H.R. 5040, the “HIT Extension for Behavioral Health Services Act.”

Background

Rep. Patrick Kennedy (D-RI) has introduced bi-partisan legislation along with Rep. Tim Murphy (R-PA), a clinical psychologist, called the Health Information Technology Extension for Behavioral Health Services Act of 2010 (H.R. 5040). The bill, introduced on April 15, 2010, would extend the new Medicare and Medicaid “meaningful use” incentive payments established under the HITECH Act within the American Recovery and Reinvestment Act (ARRA) to clinical social workers and other mental health and substance abuse providers and facilities.

ARRA provides $20 billion in incentives and grants to health care providers and hospitals to establish interoperable electronic health record (EHR) systems throughout the nation. Medicare and Medicaid ARRA payment incentives are available to most physicians, chiropractors, dentists, optometrists, podiatrists and hospitals.  However, Congress excluded from eligibility behavioral health providers, as well as most non-physician practitioners, because of cost concerns when the law was enacted in 2009. Among those providers who would be eligible for the payments under Rep. Kennedy’s H.R. 5040 are clinical social workers, clinical psychologists, psychiatric hospitals, substance use treatment facilities and mental health treatment facilities.

As enacted, ARRA establishes a vast national EHR system that excludes the electronic patient records of clinical social workers’ and other behavioral health providers. If the current law’s deficiency is not corrected, the behavioral health records of many consumers will likely remain in paper form and therefore less accessible to other health care providers. Nevertheless, there is a high risk that excluded providers would be compelled to use electronic health records systems to participate within commercial provider networks and to obtain EHR information from covered physicians and facilities. NASW is a supporter of strong patient privacy protections established within ARRA, and also believes that quality of care will likely be seriously compromised if the records of clinical social workers and other behavioral health providers remain excluded from developing EHR systems.

Details on H.R. 5040

NASW believes it is essential to integrate care delivered by clinical social workers with other behavioral health and medical providers, and this legislation will be an important priority for enactment. The Health Information Technology Extension for Behavioral Health Services Act would:

  • Clarify the definition “health care provider” throughout the HITECH/ARRA Act to include clinical social workers and psychologists, substance abuse professionals, psychiatric hospital, behavioral and mental health clinics, and substance use treatment facilities.
  • Establish grants for those mental health treatment facilities not eligible for meaningful use incentives through the HITECH/ARRA Act. The grants allow for purchasing certified EHRs, training medical staff in the use of EHRs, and improving the exchange of health information between mental health providers and other health care providers.

Extend Medicare and Medicaid payment incentives for meaningful use of EHRs to clinical social workers and psychologists, psychiatric hospitals, mental health treatment facilities, and substance abuse treatment facilities.

April 15 HHS/White House Webchat to Answers Your Health Reform Questions


April 15th, 2010

The Department of Health and Human Services (HHS)  is hosting another program in their webchat series on health insurance reform. Nancy-Ann DeParle, Director of the White House Office of Health Reform will join Secretary Kathleen Sebelius for a discussion on how the new Affordable Care Act will impact you.  Questions addressed will include information about Medicare Part D and the doughnut hole; obtaining affordable health care coverage for young adults and children under age 26; and affordable health care options for people with pre-existing conditions.

Join the conversation at 4 p.m. EDT on Thursday, April 15th at http://www.hhs.gov/live.

Send your questions today to Healthreform@hhs.gov. HHS will also take questions live via Twitter during the webchat.  You can find them on Twitter at @HHSGov.

HHS will answer as many questions as they can during the webchat and will answer more on the “Your Questions Answered” section of our website, Healthreform.gov.

ONAP Report Released


April 12th, 2010

On April 9, the White House Office of National AIDS Policy (ONAP) released its Report of Community Recommendations for the National HIV/AIDS Strategy.  The report highlights community input regarding the National HIV/AIDS Strategy development.  To read the press release and report, go to:

http://www.whitehouse.gov/blog/2010/04/08/onap-releases-report-community-recommendations-national-hivaids-strategy

For more information on how to join the Advocacy listserv, go here.  For more information about NASW efforts on HIV/AIDS, go here.

Update on Medicare “Physician Fee” Payments


March 31st, 2010

March proved yet another tumultuous month for congressional consideration of legislation establishing Medicare payment rates. Physicians, clinical social workers and other health professionals that bill Medicare Part B independently face a scheduled rate cut of 21 percent on April 1. Fortunately, this week the Centers for Medicare and Medicaid Services (CMS) delayed the scheduled formula payment cuts until after Congress reconvenes on April 12. CMS is working with Congress, health care practitioners, and the beneficiary community to avoid disruption in the payment of claims submitted under the Medicare Physician Fee Schedule (MPFS), which is based on a flawed formula known as the Sustainable Growth Rate (SGR).  For a recent history on the SGR formula problems for clinical social workers, see NASW’s website here.

A temporary extension of current practitioner payment levels was enacted on March 2, 2010. This short term remedy held payments at 2009 levels until March 31, 2010, but Congress recessed for two weeks without extending the provision past the March deadline.  CMS announced this week that Congress is working to avoid the payment cuts that will take effect April 1, 2010 and instructed its contractors to hold claims for services paid under the MPFS for the first 10 business days of April. Holding the MPFS claims will only affect those with dates of service April 1, 2010 and later.

CMS expects the hold on claims will have a minimum impact on practitioners’ cash flow bmedicare, physician fee, payments,ecause clean electronic claims are paid no sooner than 14 calendar days (29 for paper claims) after the date of receipt. The Senate has scheduled a vote on the extension legislation for April 12 when they are scheduled to return from recess. Congress has resisted a permanent correction of the SGR formula because any remedy will create budgetary problems. Congress is particularly reluctant to address the formula this year because the economic downturn has depressed Medicare revenues below actuaries’ projections. NASW has joined with physicians and other practitioners in calling for a permanent correction in the SGR payment formula. (more…)

Education Reform Bill Moves with the Health Care Legislation


March 23rd, 2010

On March 18, Congress coupled the Student Aid bill with health reform legislation to advance President Obama’s two major domestic policy issues, the Health Care and Education Affordability Reconciliation Act (H.R. 4872). NASW strongly supports this bill and has tirelessly advocated for the creation of public policies that make health care and higher education more affordable and accessible for all Americans. The higher education provisions are expected to generate significant savings by ending lender subsidies to boost Pell Grant scholarships, keep interest rates on federal loans affordable, increase the number of students who enter and complete college.

The House passed the bill on March 21, and the Senate is expected to vote later this week. While there is generally strong support for the bill among Democrats, it has no Republican support and is considered controversial by some. A few Senators are concerned that banks and some lenders will jeopardize their long term viability by producing fewer loans and many higher education institutions, in anticipation of this legislation, have already increased their direct federal loan lending to students. In spite of these differences, the legislation is expected to pass. NASW believes that this legislation will make obtaining a higher education easier for thousands of social work students by reducing their existing financial debt or reducing their dependence on student loans. For more information about our advocacy efforts on loan forgiveness go to www.socialworkers.org/loanforgiveness

Five Immediate Benefits to Health Care Reform


March 17th, 2010

As the debate for health care reform continues in Congress, there are many resources available from many organizations.  On the NASW Health care reform page, you will find informative documents including a one-pager from Health Care for America Now entitled, Five Immediate Benefits to Health Care Reform.  Go to the resources section of the health care reform page to read more.