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3.1 Health Reform Basics and Next Steps (Bailey)
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3.1 Health Reform Basics and Next Steps (Bailey)


On March 23, President Obama signed a sweeping health care reform bill into law. The law can improve access to support services for people and families experiencing homelessness. Workshop speakers …

On March 23, President Obama signed a sweeping health care reform bill into law. The law can improve access to support services for people and families experiencing homelessness. Workshop speakers will discuss changes to Medicaid, and other provisions in the bill, which affect extremely low income families and individuals. Speakers will also focus on what advocacy will be needed at the state level to maximize the benefits of health care reform.

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  • So I hope this frames the rest of our session. As Claudia explains the basics of the legislation and CMS’ next steps and Mohini highlights provisions very important to us and how to engage as states move toward implementation. You’ll understand how important it is to get involved now and not just let implementation happen without a housing voice.


  • 1. Healthcare Reform: Where Does Permanent Supportive Housing Fit? Peggy Bailey Senior Policy Advisor Corporation for Supportive Housing July 13, 2010
  • 2. Introduction
    • CSH background
    • Setting the stage for our conversation
    • Should we be excited?
    • How can we help achieve the goals of health reform?
  • 3. Introduction to CSH
    • Help states and communities organize to build PSH
    • Provide small loans
    • 14 offices in 12 states and DC (AZ, CA, CT, IL, IN, MI, MN, NJ, NY, OH, RI, TX)
    • We also work regionally
  • 4. Why Should We Be Excited?
    • Almost all people experiencing homelessness will have health insurance
    • Emphasis on coordinated care
    • Recognition of behavioral health as part of overall health
    • All of this is important for our populations
  • 5. Putting on our Health Provider Hat
    • We know Housing is Health Care but how do we help others understand
    • Must speak health language and show we are accomplishing health oriented goals
    • A major one within health reform is providing every American with access to a Medical Home – this is where we can help
  • 6. What is a Medical Home
    • Began in pediatric community
    • Idea that all care should be coordinated through a single entry point (not necessarily delivered by one person or entity)
    • Debate on where that entry point should be but growing conscience that it does not matter
    • Also growing agreement on the integration of behavioral health and maybe the term should be ‘health home’
  • 7. Role of Housing and Service Providers
    • We create a medical home for clients
        • Single site permanent supportive housing with on site clinic and behavioral health services
        • Scattered site with case manager who makes and coordinates appointments, helps client adhere to advice, works out contradictions in care
        • Examples include: most HIV/AIDS housing, Central City Concerns in Oregon, Direct Access to Housing in San Francisco
    • Or we facilitate access to a medical home for clients
  • 8. Why this is important
    • Gets us on the road of including wellness in our evaluation (along with housing stability and cost effectiveness)
    • Helps us show partners how we can help them accomplish their goals
    • As states make decisions, we can be engaged at the beginning (many benefits of reform are state options)
  • 9. My Contact Information
    • Peggy Bailey
    • Corporation for Supportive Housing
    • Senior Policy Advisor
    • [email_address]
    • 202-588-1110