NALEO National Policy Institute on Health - NALEO Educational Fund

NALEO National Policy Institute on Health


August 8-10, 2014 | San Diego, California

Under the Patient Protection and Affordable Care Act (ACA), millions of previously uninsured Americans became newly eligible for insurance coverage by 2014.  This is especially true for the Latino community.  According to the U.S. Office of Minority Health, Latinos have the highest uninsured rates of any racial or ethnic group in the country.  A research brief issued by the U.S. Department of Health and Human Services forecasts that more than five million uninsured Latinos will be able to gain coverage by 2016 under the ACA.  Yet, there are many challenges to overcome in order for health care reform to positively influence Latino health outcomes.

The NALEO Educational Fund’s National Policy Institute on Health will provide state legislators, county, and municipal officials with an opportunity to enhance their understanding of the implementation of the ACA and the key policy challenges and opportunities that lie ahead. 

The Summit’s program will cover:

  • An Update on Affordable Care Act implementation
  • Medicaid Expansion (or Not): What does it mean for the future?
  • The Role of Technology in Health Care Delivery
  • Long Term Care Services and Support
  • Opportunities that Exist within the ACA and beyond
The Summit will convene state legislators, county, municipal officials, national and state experts, advocates, and other relevant stakeholders. Participants will have an opportunity to discuss and develop strategic collaborations for addressing the key policy challenges and opportunities of healthcare delivery under the ACA.  Policymakers will receive information on the latest research briefs, studies and best practices; exchange legislative policies and ideas; strengthen governance skills that support effective leadership in committee roles; and have the opportunity to network with colleagues and experts from throughout the country.

Meeting the Long-Term Care Needs of the Aging U.S. Population

The NALEO National Policy Institute on Health was preceded by a webinar on July 31, 2014, which introduced participants to the needs of the aging U.S. population. With the support of The SCAN Foundation, NALEO members received an overview of the current and future long-term care landscape. Victoria Ballesteros, director of communications at The SCAN Foundation, and Professor Fernando Torres-Gil, director of the Center for Policy Research on Aging, shared their expertise on how policymakers can better serve and prepare for the growing elderly population in their communities. Participants also learned how key provisions in the Patient Protection and Affordable Care Act (ACA) affect long-term care for older adults. These issues will be discussed in further detail during the National Institute on Health, which will feature two sessions led by key experts from The SCAN Foundation. A recording of the webinar, along with a featured presentation are available below.

Presentation | Webinar


Funding Partner

Investor Sponsor

Lilly USA


2:00 p.m. – 4:00 p.m.

Summit Registration

4:00 p.m. – 4:15 p.m.

Welcome Remarks & Program Overview

4:15 p.m. – 6:00 p.m.

Session I:

An Update on the Affordable Care Act: Where Are We Now?

Under the Patient Protection and Affordable Care Act (ACA), millions of previously uninsured Americans became eligible for health insurance coverage in 2014. The successful implementation of the ACA is dependent on addressing future outreach and enrollment, quality and delivery of care, health equity for minority communities, and the need for a culturally competent workforce, among a myriad of other issues. However, since the passage of the ACA, there have been numerous actions in federal courts to challenge the constitutionality of the legislation and key provisions. Now that the first enrollment period has come to an end, the work is far from done. This session will provide participants with an update on the status of ACA implementation, a summary of recent court decisions on the ACA and their implications, as well as an analysis of current cases moving through the courts.

• MaryBeth Musumeci

• Hector De La Torre

6:00 p.m. – 8:00 p.m.

Opening Reception

Opening Reception Patron

Opening Reception Supporter
Southwest Airlines
9:15 a.m. – 10:30 a.m.

Session II:

Medicaid Expansion (or Not): What Does It Mean for the Future?

Provisions of the ACA expanded Medicaid coverage for millions of low-income Americans by creating a minimum Medicaid income eligibility level across the United States.  However, due to the Supreme Court’s 2012 decision in National Federation of Independent Business (NFIB) v. Sebelius, states can choose not to participate in the ACA’s Medicaid expansion.  For those states that chose to expand Medicaid, and beginning this year, the federal government will fully fund Medicaid coverage for newly eligible adults for three years, and will phase down coverage to 90% by 2020.  According to the Kaiser Family Foundation, in those states that choose not to expand Medicaid, nearly five million low-income adults will fall into the “coverage gap” and will not be eligible for assistance in obtaining health care.  Those in the “coverage gap” who need health services may need to turn to the already resource-stressed local institutions that typically serve the uninsured.  This session will provide Institute participants with a financial and coverage forecast for both the expansion and non-expansion states, as well as recommendations policymakers may want to consider moving forward.

• Sinsi Hernandez-Cancio

• Olga Rodriguez

10:30 a.m. – 12:00 p.m.

Session III:

The Role of Technology in Health Care Delivery

The Health Information Technology for Economic and Clinical Health (HITECH) Act was signed into law in February 2009, bringing with it an unprecedented investment of nearly $30 billion in health IT to improve the quality, safety and efficiency of health care. Health communication and health information technology are central to health care, and public health. An effective use of technology in health care can significantly improve self-management of chronic disease; increase work force efficiency; improve communication and coordination of care between providers, caregivers, and older adults; and reduce the costs of care. This session will highlight effective use of communication and health information technology by health care and public health professionals and the potential role policymakers can play in tackling key policy areas on behalf of their constituents.

• Janet M. Marchibroda

• David A. Lindeman, Ph.D.

12:00 p.m. – 1:00 p.m.

Keynote Luncheon

1:30 p.m. – 2:30 p.m.

Session VI:

Understanding the Aging Latino Population and Long Term Care Needs

The largest generation in American history – baby boomers – has begun to turn 65. Twenty years from now this age group will double, reaching nearly 20 percent of the population. According to the U.S. Department of Health and Human Services, 70 percent of Americans over the age of 65 will need some form of long-term care, on average for three years. As the population ages, policymakers will need to tackle the growing demand for services. This session will provide participants with the opportunity to learn more about the aging Latino U.S. population and how key provisions in the Patient Protection and Affordable Care Act affect long term care for older adults.

• Leo Estrada

• Victoria R. Ballesteros

2:30 p.m. – 3:45 p.m.

Session V:

Developing and Implementing Effective Managed Care Systems

Managed care is used in the United States to describe various techniques intended to reduce the cost of providing health benefits and improve the quality of care for patients. Managed Long Term Services and Supports (MLTSS) refers to the delivery of long term services and supports through capitated Medicaid managed care programs. Increasing numbers of States are using MLTSS as a strategy for expanding home- and community-based services, promoting community inclusion, ensuring quality and increasing efficiency. This session will help participants better understand how these systems work and strategies for states to develop and implement effective manages care systems for long term services and supports.

• Gretchen Alkema, Ph.D

• Amber Cutler

• Brenda Schmitthenner

3:45 p.m. – 4:00 p.m.

Wrap Up & Adjourn for the Day

8:30 a.m. – 9:30 a.m.

Registration & Networking Breakfast

9:30 a.m. – 10:30 a.m.

Session VI:

Opportunities for Leadership within and beyond the ACA

As we look toward the second enrollment period for ACA, we have the opportunity to examine how Latinos fared in gaining access to affordable and quality health care. Most will agree that there is work that still needs to be done to continue to increase enrollment, access, and affordability for Latinos. This session will provide policymakers with the opportunity to engage in a strategic discussion about state policy opportunities that remain to be tackled under the ACA.

11:30 a.m. – 12:00 p.m.

Closing Remarks & Adjournment

Additional Resources:
BB Loan Program Brochure