Nv Business Health Insurance Small
Nv Business Health Insurance Small document sample
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Community Coalition for Oral Health Community Coalition for Oral Health Minutes – December 17, 2004 UNLV School of Dental Medicine 1001 Shadow Lane Las Vegas, NV 89106 1. The Chair called the meeting to order at 1:05 P.M. 2. Roll call. In attendance were: Bob Anderson, Southern Nevada Dental Society Sunny Ashabranner, GBPCA Maury Astley, Nevada Dental Association Sue Brooks, COW Barbara Buckley, Nevada State Assembly William Busch, Nevada State Board of Dental Examiners Terri Chandler, Nevada State Health Division Patty Craddock, Nevada Dental Association Chris Forsch, State Health Division Kathleen Kelly, Nevada State Board of Dental Examiners Annette Lincicome, Huntridge Teen Clinic Zakiya Moyenda, UNSOM, Pediatric Dental Residency Program Dixie Rogers, 1 DAY Program Michael Sanders, UNLV School of Dental Medicine Jenney Sartin Virginia Smith, Clark County School District Nancy Whitman, Great Basin Primary Care Association Cheri Ward, Miles for Smiles 3. Approve Minutes. The minutes were approved as submitted by a unanimous vote. 4. Guest Speaker – Assemblywoman Barbara Buckely Assemblywoman Buckley has lived in Nevada for 25 years. She graduated from UNLV in 1986 and then went to the University of Arizona for law school. She is a practicing attorney and the Director of Clark County Legal Services. Clark County Legal Services has over 700 attorneys who volunteer to provide pro bono legal services through their program so she is very familiar with the population which the CCOH is trying to help. Assemblywoman Buckley has served in the legislature since 1995. She became Majority Leader three sessions ago. This year there are a lot of new faces in the legislature. They walk in as “blank slates”. The new legislators care about health care issues but do not necessarily have a lot of knowledge about specific issues. The Coalition should introduce itself to the new legislators and let them know about the Coalition’s goals and objectives. Assemblywoman Buckley offered her assistance to the Coalition and she also offered to introduce Coalition members to new legislators. DRAFT Assemblywoman Buckley has submitted a bill draft request (BDR 76) to create a program to provide health care insurance for small business employees. The bill has come out of the recommendations developed by the Legislative Committee on Health Care Subcommittee to Study Health Insurance Expansion Options. The bill targets three populations: employees of small businesses, pregnant women and the medically needy. Currently, employees of small businesses in Nevada have the fourth highest uninsured rate in the nation. There is a direct correlation between the size of a company and insurance coverage. Fewer small companies provide health insurance than do large companies. The same correlation exists between low wages and insurance coverage. Lower wage workers are less likely to have insurance coverage. The bill would allow companies with fewer than 50 employees to purchase existing insurance products. The employer would pay 50 percent of the cost of the coverage. The cost to the employee would be subsidized by giving employees $100 a month to offset the cost of the insurance. For pregnant women, the income level for Medicaid coverage would go from 133 percent of the federal poverty level, to 185 percent of the federal poverty level. Pregnant women would have access to the full slate of Medicaid coverage for pregnant women (which has limited dental). Finally, the bill would also provide individuals with a certain level of medical costs (> $10,000 a year) with some kind of coverage. According to Assemblywoman Buckley no new taxes will be needed to fund the program. The State would apply for a federal Health Insurance Flexibility Act (HIFA) waiver. If granted, the waiver would return approximately $95,000,000 of unused State Child Health Insurance Program (SCHIP) dollars to Nevada. The State would have to match every federal dollar by 35 cents. Half of the match would come from county indigent medical funds and half would come from existing revenues. In addition, even if the HIFA waiver ended, the federal government would still provide a 50 percent match. In order to address concerns from the counties, representatives from University Medical Center in Las Vegas and Washoe Medical Center in Reno were on the subcommittee that developed this legislation. An analysis was done that showed that even if half of the county’s indigent medical fund was used for the match, there would still be enough money to cover the costs of treating the remaining uninsured. Assemblywoman Buckley stated that this legislation is not going to solve all of the problems of the uninsured but it is a step in the right direction. It is anticipated that in the first four years, the program will provide coverage to 15,000 individuals who are currently uninsured. When asked if the program would provide dental coverage, Assemblywoman Buckley stated that small businesses would be able to purchase whatever coverage they wanted. Legislation requiring “bare bones” coverage was passed in 1995. Requiring a minimum set of benefits in this bill was nixed because it was felt that would be too controversial and it had the potential to kill the entire bill. The Chamber of Commerce is looking at a minimum benefits bill and Assemblywoman Buckley suggested the Coalition invite a representative from the Chamber to speak to that bill. When asked how this bill fits in with other bills to expand health care coverage that have been introduced for the 2005 session, Assemblywoman Buckley stated that this bill is different from the others. If the legislature tries to modify it too much, the partners will withdraw their support. And if it gets changed too much, she herself will withdraw the bill. Assemblywoman Buckley told members of the Coalition that if they want to support the bill they should send a spokesperson to testify at the hearings. They should also contact members of the DRAFT Health Committee to express their support (Assemblywoman Sheila Leslie from Reno is the Chair of the Assembly Health and Human Services Committee). In addition, supporters should be vocal in voicing their opposition to a stripped down version of the bill. In closing, Assemblywoman Buckley said that once it is developed, she will share a white paper on the bill with Coalition members. Coalition members who wish to contact her can do so through her main staff person, Alison Combs. In addition, Coalition members who need assistance researching issues can do so by contacting the Legislative Council Bureau either directly or through her office. 5. Verbal Announcement/Participating organization reports Secretary o This was the first month that participating organizations were asked to submit written reports to the secretary for compilation into a report to be distributed prior to the monthly meeting. It was quite successful, especially for being the first month this was tried, with nine organizations submitting written reports o Great Basin Primary Care Association has agreed to host a website for the CCOH. Patricia Durbin is in the process of setting it up. o The State Oral Health Program is continuing in efforts to secure additional funding for the 1DAY program. Treasurer o $1,100 has been collected in dues. $125 has been expended to set up the list serve. Coalition Coordinator o Melanie Azedor from Sunny radio in Las Vegas has indicated an interest in attending a coalition meeting. She would also like to attend the February Give Kids A Smile event so she can report on what happens during the clinic. (This information led to a discussion about forming a Public Relations Committee or Speakers Bureau. It was requested that this item be placed on the agenda for the January meeting). 6. The meeting adjourned at 2:00 p.m. Next Meeting: The next CCOH meeting will be on Friday, January 14, 2005 at 1:00 p.m. at the UNLV School of Dental Medicine campus located at 1001 Shadow Lane in Las Vegas.