1. Impact of Public Policy on Health Education: Past, Present, & Future Tom Netting – Executive Director 9 th Annual National Conference on Allied Health Education February 23, 2012

2. Past – A Brief Look Back Present – The Here and Now Future – What Tomorrow May Bring 3 2 1 Agenda

3. Past – A Brief Look Back June 2010 July 2010 Sept. 2010 Oct. 2010 Jan. 2011 Program Integrity NPRM Published Gainful Employment (GE) NPRM Published GE Rule Partially Delayed Program Integrity Final Rules Published APSCU Challenges Key Program Integrity Rules in Federal Court

4. Past – A Brief Look Back Feb. 2011 May 2011 July 2011 House Passes Kline Amendment to Block GE Lawsuit Attacks GAO Report Relied Upon by Harkin Committee In Rare Move, U.S. Joins Whistleblower Case Attorneys General in 10 States Mount Investigations May 2011 June 2011 GE Metrics Final Rule Published Lawsuit Ruling Blocks Part of State Authorization Rule, But No Other Relief

5. Past – A Brief Look Back July 1, 2011 Sept. 27, 2011 Sept. 29, 2011 Oct. 28, 2011 Effective Date of Program Integrity Rules GE: Application and Approval Process for New Programs NPRM Published GE: Disclosures by Educational Programs E-Announcement Published 2009 3-Year CDR “Cutoff” Date Sept. 30, 2011 Oct. 1, 2011 GE: Disclosures & Reporting 2012 Federal Negotiated Rulemaking Announced

6. Past – A Brief Look Back Nov. 14, 2011 Nov. 15, 2011 Nov. 28, 2011 GE: Application and Approval Process for New Programs NPRM Response Deadline Extended 2010-2011 GE: Disclosure & Reporting Deadline Student Loan Negotiated Rulemaking Nominations Experimental Sites Applications Dec. 12, 2011 Jan. 1, 2012 Obama Student Loan Debt Proposal Begins

7. HEAL SUCCESSES ICD-10 Title V - PAHC Post 9/11 G.I. Bill Past – A Brief Look Back

8. Allied Health LegislationDOD/Veterans Legislation Higher Education Legislation President’s FY13 Budget Present – The Here & Now

9. Allied Health Legislation: Nursing o H.R. 1929 – Emergency Nursing Supply Relief Act o H.R. 1119 – The National Nurse Act of 2011 (Rep. McCarthy (NY)) o H.R. 2679 – The National Nurse Act of 2011 (Rep. Johnson (TX-30)) o H.R. 876 – The Registered Nurse Staffing Act of 2011 o S. 58 – The Registered Nurse Safe Staffing Act of 2011 o H.R. 2187 – The Nurse Staffing Standards for Patient Safety & Quality Care Act of 2011 o S. 992 – The National Nursing Shortage Reform and Patient Advocacy Act o S. 53 – The Doctor of Nursing Practice and Doctor of Pharmacy Dual Degree Present – The Here & Now

10. Allied Health Legislation: Jobs/Workforce & New Opportunities o H.R. 72 – New Jobs for America Act of 2011* o H.R. 762 – Public Housing Reinvestment and Tenant Protection Act of 2011 o H.R. 1578 – Violence Against Women Health Initiative Act of 2011 o H.R. 2104 – Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 o H.R. 2341 – The Direct Care Job Quality Improvement Act of 2011 o S. 1273 – The Direct Care Job Quality Improvement Act of 2011 o H.R. 2141 – Maximizing Optimal Maternity Services for the 21 Century (MOMS) o H.R. 2954 – The Health Equity and Accountability Act of 2011 Present – The Here & Now

11. DOD/Veterans Legislation: Enacted o Title II -- VOW to Hire Heroes o Title II – Enhancement of Demonstration Program on Licensure & Credentialing o Title II – Inclusion of Performance Measures of DOL Counseling, Training, & Placement Present – The Here & Now

12. DOD/Veterans Legislation: Enacted Present – The Here & Now VOW to Hire Heroes – Public Law 112-56 – November 21, 2011 Provides 99,000 unemployed veterans with up to 12 months of retraining assistance for full-time pursuit of education leading to an associate's degree or certificate in high-demand occupations as determined by the Commissioner of Labor Statistics between July 1, 2012 and March 31, 2014.

13. DOD/Veterans Legislation: Allied Health o H.R. 2853 – The Emergency Medical Transition Act of 2011 o H.R. 2002 – Untitled (Post 9/11 Educational Assistance Benefits) o H.R. 2433 – The Veteran Opportunity to Work Act of 2011 Present – The Here & Now

14. DOD/Veterans Legislation: For-Profit Eligibility o H.R. 3447 – The Veterans’ Education Protection Act o S. 2032 – The Protecting Our Students and Taxpayers (POST) Act o H.R. 4055 – The Military and Veterans Education Protection Act o S. 2116 – The Military and Veterans Education Protection Act Present – The Here & Now

15. Higher Education Legislation: Regulatory Reform o H.R. 2117 – The Protecting Academic Freedom in Higher Education Act - State Authorization - Definition of a Credit Hour - Clock-to-Credit Hour Conversion Present – The Here & Now

16. Higher Education Legislation: Student Access o H.R. 3826 – Untitled (FDSL Interest Rate Extension) o S. 2051 – Untitled (FDSL Interest Rate Extension) Present – The Here & Now

17. President’s FY13 Budget o $8 Billion Promote Job Training @ Community Colleges o Student Loan Interest Rate Freeze (1-year) o Campus-based Aid Modifications o Preservation of Federal Pell Grant Maximum (1-year) o College Scorecard Present – The Here & Now

18. More of Everything… o House & Senate Legislation o House & Senate Hearings & Mark-Ups o Regulatory Reporting and Compliance Future – What Tomorrow May Bring

19. 2013 July 1, 2013 2012 Federal Negotiated Rulemaking Special Debt Consolidation Loan Window Closes Reauthorization of the Higher Education Act (HEA) May Begin Anew Oct. 1, 2013 Sept. 2014 GE: 1-Year Transition Period Ends Jan. – March 2012 June 30, 2012 2009-2011 3-Year CDRs Final ICD-10 Implementation Deadline*

20. Future – What Tomorrow May Bring July 1, 2012 Sunset of Student Loan Interest Rate Reduction Elimination of ATB Student Eligibility Definition of a Credit Hour & Clock-to-Credit Hour Conversion Deadline Gainful Employment Disclosures Template* Gainful Employment Metrics (Institutional Information)

21. House & Senate Legislation: o Student Access & Eligibility o Final For-profit Investigation Report/Proposals o Accreditation Future – What Tomorrow May Bring

22. House & Senate Hearings & Mark-Ups o College Affordability o DOD/Veterans For-Profit Eligibility o Student Access & Eligibility Future – What Tomorrow May Bring

23. Regulatory Reporting and Compliance o Gainful Employment Disclosures o Gainful Employment Reporting o Student Loan Issues Neg Reg – IBR and ICR Future – What Tomorrow May Bring

24. 2013 o HEA Reauthorization o Pell Grant Cliff (Potentially Postponed by FY12 Approps & FY13 Budget) o ICD-10 (Postponed by Department of HHS) Future – What Tomorrow May Bring

25. July 1, 2012 o Doubling of Student Loan Interest Rate o Clock-to-Credit Hour Conversion Enforcement o Elimination of ATB Student Eligibility o Gainful Employment Disclosure Monitoring on Websites Future – What Tomorrow WILL Bring

26. o Yesterday – Health Care Challenges Facing PA Workers & Employers o 2/28 – “Pathway to Health Care Careers: From Two-year to Four-year Colleges and Beyond” o 3/1 – Funding Public Higher Education Post Stimulus o Next Week – H.R. 2117 – House Floor Consideration Following House Recess Future – Shh…You Heard It Here First

27. Contact Tom E. Netting, Executive Director Higher Education Allied Health Leaders Coalition 750 9 th Street, NW Washington, DC 20004 (202) 824-1724 Tom.Netting@Akerman.com

28. Questions?