1. Commonwealth Federal Funds in the Health Area and Governor’s Priorities A HEALTHCARE SYSTEM FOR ALL Dr. Jesús Irizarry Mora Governor Health Advisor P.R. Federal Grants and Contracts Training Summit Puerto Rico Convention Center, San Juan February 3 & 4, 2015

2. Puerto Rico Department of Health Regions 2 P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015

3. Health Agencies/Corporations  Puerto Rico Department of Health (DS)  Puerto Rico Health Insurance Administration (ASES)  Office of the Commissioner of Insurance (OCS)  Automobile Accident Compensation Administration (ACAA)  Puerto Rico State Insurance Funds Corporation (CFSE)  Commonwealth of Puerto Rico Medical Services Administration (ASEM)  Mental Health and Anti Addiction Services Administration (ASSMCA)  Puerto Rico Health Information Network (PRHIN) 3 P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015

4. Health Program Action Items  #1: Establish an integrated, regional healthcare system  #2: Create a Regulatory Board to evaluate the new healthcare system  #3: Implement a new health information system  #4: Provide universal access to healthcare  #5: Establish new disease prevention and health promotion programs 4 P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015

5. Health Program Action Items (cont.)  #6: Promote mental health and prevent related conditions targeting young people  #7: Provide quality, managed care for the elderly  #8: Ensure the availability of medications at a reasonable cost  #9: Guarantee continued medical education  #10: Provide the PR Medical Center the necessary resources to optimize its performance  #11: Begin a multisectoral dialogue on medical malpractice 5 P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015

6. Federal Funds According to Goverment Health Program Agenda, 2014 AgencyAction Item# of Programs Funds Total (in Millions) DS (ASEM, ASSMCA, PRHIN*) 1, 2, 3, 4, 5, 6, 1061$419 ASES** 1, 4, 7, 88$2,894 OCS*** 4, 111$2 UPR (Medical Sciences Campus) 9133$47.4 Total203 $3,362.4 ___________ * PRHIN did not receive any funds during 2014. Between 2012-14 received $7.7 millions of which $1.6 millions were returned to the federal government in 2014. ** Includes Medicaid funds for Mi Salud. *** OCS only used $800,000 of the 2 millions assigned due to changes in ACA legislation. 6 P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015

7. Challenges Ahead  Improve health status of the PR population  ACA funds ending by summer 2018  External resources infrastructure at each health sector agency/corporation  Capacity building of the professional workforce  Improve efficiency, effectiveness  Sharing specialists and difficult recruitment personnel  PR Medical Center sustainability  Make more with less! 7 P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015