1. Oregon Health Fund Board SCI National Meeting February 7, 2008 Barney Speight, OHFB Director

2. 2 What is the OHFB? Created by 2007 Legislature SB 329, Chapter 697 OR Laws 2007 “Healthy Oregon Act” 7 members appointed by the Governor Majority (4) not associated with health care finance or delivery Appointed mid-Aug, ‘07 Confirmed by Senate mid-Sep, ‘07 Organizational Meeting Oct 2, ‘07

3. 3 Statutory Charter of OHFB “The intent of the Healthy Oregon Act is to develop a…comprehensive plan, based upon the principles…of this…Act, that meets the…goals of the program.” The Board “shall develop a comprehensive plan to achieve the Oregon Health Fund program goals.”

4. 4 Goals of Healthy Oregon Act Cover the uninsured Reform delivery system Ensure timely access to care Finance coverage of essential health services Encourage participation Encourage public- private partnerships Control costs Improved end-of-life care Fair provider payments Establish a high quality, transparent delivery system Equitable & affordable funding Limit cost growth to CPI

5. 5 Uninsured, 1990-2006

6. 6 Statutory Deadlines Progress reports to Feb ’08 Special Legislative Session Finalized comprehensive plan shall be presented to the Governor and legislative leadership no later than Oct 1, 2008.

7. 7 Framework for Reform, Part I Oregon Health Policy Commission “Roadmap for Health Care Reform” Universal coverage for kids Individual mandate Public subsidies to ensure affordability Insurance exchange Improve quality, safety & efficiency Support community collaboratives Sustainable & equitable funding

8. 8 Framework for Reform, Part II Oregon Business Council ’07 Oregon Business Report (Health Care) Employers & public sector utilize value-based purchasing Encourage investment in health care information infrastructure Expand & improve Medicaid Improve access to coverage for individuals & small business

9. 9 Board Committees Committee chairs serve as ex-officio, non-voting members of the Board Hospital Administrator Health Insurance Executive Nurse Leader Advocate Physician Ethicist

10. 10 Board Committees (cont.) Finance Strategic financing options & insurance exchange Delivery System Transparency, primary care, HIT Benefits Covered services, cost sharing Eligibility Standards, outreach, enrollment Health Equities Improve access & appropriateness of care Federal Laws Federal policy that inhibits state reforms

11. 11 2008-09 Milestones Committee Reports to Board April – May Board Develops Draft Reform Plan May – Jun Public Outreach, Meetings & Comment Period Jul – Sep Final Report & Legislative Proposals Oct Oregon Legislative Assembly January, 2009

12. 12 2007-’08 vs. 1989-’93 Similarities Rising costs and # of uninsured Broad stakeholder interest Legislative leadership One party control Differences Greater interest among some business leaders Presidential campaign year Less time & resources for public meetings State politics more partisan Skepticism (“wisdom” of experience?)

13. 13 Reference Information SB 329: http://www.leg.state.or.us/07reg/measpdf/sb0300.di r/sb0329.en.pdf http://www.leg.state.or.us/07reg/measpdf/sb0300.di r/sb0329.en.pdf Web: Healthfundboard.oregon.gov General Email: OHFB.Info@state.or.usOHFB.Info@state.or.us OR Health Policy Commission Report: http://www.oregon.gov/OHPPR/HPC/OHPCReformRo adMapFINAL.pdf http://www.oregon.gov/OHPPR/HPC/OHPCReformRo adMapFINAL.pdf Oregon Business Council Report: http://www.oregonbusinessplan.org/pdf/OBP%20POL ICY%20PLAYBOOK%202.5%20_FINAL_.pdf http://www.oregonbusinessplan.org/pdf/OBP%20POL ICY%20PLAYBOOK%202.5%20_FINAL_.pdf Contact Email: barney.speight@state.or.usbarney.speight@state.or.us