1. Anne Tabor, MPH, RD, LD Public Policy Coordinator Jill Lange, MPH, RD, LD State Public Policy Representative

2.  Iowa in fore front of Health Reform forum and debates  A quick primer  Two senators  Five congressmen ▪ Bruce Braley, first house district ▪ Dave Loesback (D), 2 nd house district ▪ Leonard Boswell (D), 3rd house district ▪ Tom Latham (R), 4 th house district ▪ Steve King (R), 5 th house district

4.  Senator Tom Harkin (D)  Former Chairman of Agriculture, Nutrition Forestry; this summer appointed Chair of Health, Education, Labor, Pension Committee; will continue to serve on Ag Committee and Appropriations (chair of sub committee Labor Health Human Services & Education) & others  Senator Chuck Grassley (R)  Ranking member of Senate Finance Committee; serves Agriculture, Nutrition and Forestry along with Judiciary Committee & others

5.  Bruce Braley  Introduced Healthy Food Choices for Kids Act May 2009  Includes $$ for pilot schools to post nutrition information, implement nutrition education, requires consultation with nutrition experts

6.  Federal Health Care Reform  Iowa Healthy Kids Act Update  Medicaid  Iowa Health Care Reform  ADA strategies and changes

7.  Senate Finance Committee  Chairman Max Baucus (D-MT)  Ranking Member Charles Grassley (R-IA)  America’s Healthy Future Act  Emphasizes prevention and care coordination  564 amendments  Support the wellness and preventive mark

8.  Annual wellness visit in Medicare  Removal of barriers to preventive services in Medicare  Evidence based coverage of preventive services in Medicare  Incentives for Healthy Lifestyles demonstration project in Medicare

9.  Improve access to preventive services in Medicaid  Provides waivers for medical homes in Medicaid  Fund the $25 million Childhood Obesity Demonstration Project  Independence at Home Pilot Project  Workforce Advisory Committee

10.  Announced October 29 th  Combination of bills from 3 house committees  Ways and Means  Energy and Commerce  Education and Labor  Negotiations expected November 3 rd  Hope to pass by November 11 th

11.  Wellness program grants  Medical home pilot program  Coverage and waiver of cost-sharing for preventive services  Qualification of director of food services of a skilled nursing facility or nursing facility  Medicaid & SCHIP preventive services  Strengthen public health workforce

12.  School-based health clinics  CDC grants to promote positive health behaviors  Infant mortality pilot programs  Community-based overweight and obesity prevention program  Comprehensive school health education programs  Prevention

13.  Iowa Senate File 2425 signed into law 2008  Nutritional Content Standards  Foods and beverages sold or provided on school grounds  Nutrition Advisory Panel  Effective July 2010  Dietitians and AEAs

14.  April 30, 2009 meeting with Jennifer Vermeer, Director and Julie Lovelady, Assistant Director of Iowa Medicaid Enterprises  IDA identified disparities  July 10, 2009 Medicaid response letter

15.  House File 2539  Clinicians Advisory Panel  Direct Care Worker Advisory Panel  Electronic Health Information Advisory Council and Executive Committee  Governor’s Council on Physical Fitness and Nutrition/Prevention and Wellness Initiatives  Health and Long-Term Care Access Advisory Council  Patient Autonomy in Healthcare Decisions Pilot Project Advisory Council  Prevention and Chronic Care Management Advisory Council

16.  The purpose of the council is to advise and assist the Iowa Department of Public Health to develop a medical homes system as outlined in HF 2539.  Definition  www.idph.state.ia.us/hcr_committees/medic al_home.asp www.idph.state.ia.us/hcr_committees/medic al_home.asp  Next meeting: December 9, 2009; 10-12 at the Urbandale Public Library

17.  The purpose of this group is to advise and assist the Iowa Department of Public Health to develop a state initiative for prevention and chronic care management as outlined in HF 2539  Study and develop strategies to improve health promotion, prevention, and chronic care management  Six Council Recommendations  www.idph.state.ia.us/hcr_committees/prevention_chro nic_care_mgmt.asp www.idph.state.ia.us/hcr_committees/prevention_chro nic_care_mgmt.asp  Next meeting: December 4, 2009; 10-2 at the West Des Moines Public Library

18.  Aging  Child Nutrition  Food Safety  Health Literacy and Nutrition Advancement  MNT and Medicare/Medicaid Reimbursement  Nutrition Monitoring and Research  Obesity/Overweight and Healthy Weight  http://www.eatright.org/cps/rde/xchg/ada/hs. xsl/advocacy_1538_ENU_HTML.htm

19.  Sue Roberts – ADA Public Policy Consultant  Membership will decide direction  Public policy survey  susan@susan- roberts.net

20.  Iowa Legislative Day  February 16, 2010: 9 am – 4 pm  Jesse Parker Building and State Capitol  Free CEU Opportunity  Meet as a group with legislators  Public Policy Workshop 2010  Opening session March 22, 2010  Party hosts needed

21.  Get Involved with ADA!  Read ADA’s On the Pulse http://www.eatright.org/cps/rde/xchg/ada/hs.xsl/a dvocacy.html http://www.eatright.org/cps/rde/xchg/ada/hs.xsl/a dvocacy.html  Find out who represents you! http://www.legis.state.ia.us/FindLeg/  Respond to ADA’s Action Alerts  Participate in ADA’s Public Policy Workshop

22.  Get involved with IDA!  Join the legislative list serve  Attend a town hall meeting (or 2!)  Write a letter or send an e-mail  Attend the Iowa Legislative Day and PPW  Talk to Anne, Jill, Sue or Teresa to find out more! ▪ anne-tabor@uiowa.edu anne-tabor@uiowa.edu ▪ langejill@hotmail.com langejill@hotmail.com ▪ tan1019@mchsi.com tan1019@mchsi.com