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Advocacy and Policy Priorities

2013 Advocacy and Policy Priorities

Ensure access to quality medical homes for all children

Seek support for primary care providers to become high quality medical homes by promoting formal recognition and advocating for appropriate payment and incentives for recognition, care coordination and medical home quality improvement

Ensure appropriate and timely payment for all child health care providers particularly specialists

Increase access to mental health services, with a particular focus on services that are offered in or co-located with primary care, via consultation strategies, telemedicine, training, and provider incentives and support

Ensure that children receive quality medical care from pediatricians (the most qualified physicians to deliver this care) by preventing negative changes to scope of practice laws

Support the addition of congenital heart disease screening to the Illinois Newborn Screening program.

Protect and improve public insurance programs to provide quality care for children and families

Collaborate with the State on the Medicaid/All Kids program by supporting patient and provider enrollment, primary care case management programs, a strong referral and specialty care network, and incentive programs for providing quality care and establishing medical homes

Monitor implementation of the 2011 Medicaid reforms and the move of clients to Medicaid Managed Care organizations to ensure patient care is not disrupted, providers are not burdened by administrative hassles and managed care organizations are held to high standard of care quality.

Work with other advocates to monitor the implementation of the 2012 SMART Act mandating many reforms of the Medicaid program including requiring preauthorization for more than four prescriptions, electronic verification for enrollment and more.

Support the implementation of the Affordable Care Act (ACA) in Illinois

Contribute to the implementation of ACA in Illinois by advising state agencies about pediatric issues related to health benefit exchanges, accountable care organizations and more

Aligning Medicaid and private insurance policies with the ACA-required Bright Futures preventive services, advocating for increased support to providers needed to implement Bright Futures services, and increasing consumer awareness of their rights and expectations for preventive care services

Work with state agencies to increase specific Medicaid codes related to evaluation and management and vaccine administration to Medicare rates as authorized by the ACA.

Support the expansion of Illinois Medicaid to 133% of the poverty level to allow for coverage of adults as authorized by the ACA

Improve care for young children with and at risk for developmental delays and disabilities

Collaborate with state programs (Human Services, Medicaid, Early Intervention) to improve access to therapies and other services, strengthen and automate communication with families and medical home providers, increase access to proper diagnostic and treatment services for autism, and strengthen operational requirements for local intake offices

Encourage the adoption of trauma-informed practices among medical providers, social and human service providers, and community agencies

Increase access to quality home visiting services for at-risk families with young children and ensure such services are coordinated with the primary care medical home

Promote access to immunizations for all children

Support access to free and reduced-cost vaccines for children by expanding the program and encouraging provider participation in Vaccines for Children (VFC) and provider referrals of underinsured children to federally qualified health centers, rural health centers and local health departments. 

Ensure proper reimbursement for vaccine administration by VFC and private insurers

Increase health advocates’ understanding of the high rate of vaccine refusal in Illinois and develop strategies to reduce inappropriate use of the medical and religious exemptions

Ensure better availability and coordination of vaccines by promoting widespread use of I-CARE (the state’s vaccine registry), assisting pharmacies with delivery of quality Tdap and Flu vaccines for patients 10 and up, and other strategies to increase access to immunizations

Advance child health in Illinois schools

Collaborate with state agencies to better align school immunization requirements for varicella, MMR and PCV13 with CDC immunization recommendations and to fully implement Tdap requirements from 6th through 12 grade.

Work with state and partner agencies on implementation of recent school health legislation such as reporting of school immunization rates, Emergency Epinephrine Act and Protecting Our Student Athletes.

Reducing obesity rates in Illinois

Support efforts of the Illinois Alliance to Prevent Obesity including educating legislators and stakeholders on the effects of taxing sugar loaded beverages to lower consumption of sugary drinks

Ensure proper reimbursement for providers for screening and counseling for obesity and related conditions including payment for follow up visits, multi-disciplinary care and weight management programs.

Support state, local and workplace polices that support breastfeeding mothers including expansion of the Baby Friendly hospital designation among Illinois hospital

Reduce rates of injury among Illinois children

Support legislation banning the use of artificial tanning beds by minors under the age of 18 to reduce the incidence of melanoma among young adults

Support policies and legislation that encourage the use of bicycle helmets to reduce closed head injuries and fatalities

Increase awareness of consumer product safety issues by partnering with the Attorney General’s office, providers and others on button batteries, furniture falls, and other issues

Promote safe teen driving and the adoption of legislative and policy improvements to the Illinois graduated license law, its enforcement, and driver education programs

Engage community providers to strengthen the state’s disaster preparedness system and Emergency Medical Services to Children (EMSC) program

Download ICAAP 2013 Advocacy and Policy Priorities (pdf)

Archive:

2012 Advocacy and Policy Priorities

2011 Legislative and Policy Priorities

______________________________________________________________________________________

For more information, questions or comments contact:

Jennie Pinkwater
Illinois Chapter, American Academy of Pediatrics
1400 W. Hubbard, Suite 100
Chicago, IL 60642-8195
Voice 312/733-1026 x 213
Fax 312/733-1791
jpinkwater@illinoisaap.com

 

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Ensure access to quality medical homes for all children

·         Seek support for primary care providers to become high quality medical homes by promoting formal recognition and advocating for appropriate payment and incentives for recognition, care coordination and medical home quality improvement

·         Ensure appropriate and timely payment for all child health care providers particularly specialists

·         Increase access to mental health services, with a particular focus on services that are offered in or co-located with primary care, via consultation strategies, telemedicine, training, and provider incentives and support

·         Ensure that children receive quality medical care from pediatricians (the most qualified physicians to deliver this care) by preventing negative changes to scope of practice laws

·         Support the addition of congenital heart disease screening to the Illinois Newborn Screening program.

 

Protect and improve public insurance programs to provide quality care for children and families

·         Collaborate with the State on the Medicaid/All Kids program by supporting patient and provider enrollment, primary care case management programs, a strong referral and specialty care network, and incentive programs for providing quality care and establishing medical homes

·         Monitor implementation of the 2011 Medicaid reforms and the move of clients to Medicaid Managed Care organizations to ensure patient care is not disrupted, providers are not burdened by administrative hassles and managed care organizations are held to high standard of care quality.

·         Work with other advocates to monitor the implementation of the 2012 SMART Act mandating many reforms of the Medicaid program including requiring preauthorization for more than four prescriptions, electronic verification for enrollment and more.

 

Support the implementation of the Affordable Care Act (ACA) in Illinois

·         Contribute to the implementation of ACA in Illinois by advising state agencies about pediatric issues related to health benefit exchanges, accountable care organizations and more

·         Aligning Medicaid and private insurance policies with the ACA-required Bright Futures preventive services, advocating for increased support to providers needed to implement Bright Futures services, and increasing consumer awareness of their rights and expectations for preventive care services

·         Work with state agencies to increase specific Medicaid codes related to evaluation and management and vaccine administration to Medicare rates as authorized by the ACA.

·         Support the expansion of Illinois Medicaid to 133% of the poverty level to allow for coverage of adults as authorized by the ACA

 

Improve care for young children with and at risk for developmental delays and disabilities

·         Collaborate with state programs (Human Services, Medicaid, Early Intervention) to improve access to therapies and other services, strengthen and automate communication with families and medical home providers, increase access to proper diagnostic and treatment services for autism, and strengthen operational requirements for local intake offices

·         Encourage the adoption of trauma-informed practices among medical providers, social and human service providers, and community agencies

·         Increase access to quality home visiting services for at-risk families with young children and ensure such services are coordinated with the primary care medical home

 

 

 

 

Promote access to immunizations for all children

·         Support access to free and reduced-cost vaccines for children by expanding the program and encouraging provider participation in Vaccines for Children (VFC) and provider referrals of underinsured children to federally qualified health centers, rural health centers and local health departments. 

·         Ensure proper reimbursement for vaccine administration by VFC and private insurers

·         Increase health advocates’ understanding of the high rate of vaccine refusal in Illinois and develop strategies to reduce inappropriate use of the medical and religious exemptions

·         Ensure better availability and coordination of vaccines by promoting widespread use of I-CARE (the state’s vaccine registry), assisting pharmacies with delivery of quality Tdap and Flu vaccines for patients 10 and up, and other strategies to increase access to immunizations

 

Advance child health in Illinois schools

·         Collaborate with state agencies to better align school immunization requirements for varicella, MMR and PCV13 with CDC immunization recommendations and to fully implement Tdap requirements from 6th through 12 grade.

·         Work with state and partner agencies on implementation of recent school health legislation such as reporting of school immunization rates, Emergency Epinephrine Act and Protecting Our Student Athletes.

 

Reducing obesity rates in Illinois

·         Support efforts of the Illinois Alliance to Prevent Obesity including educating legislators and stakeholders on the effects of taxing sugar loaded beverages to lower consumption of sugary drinks

·         Ensure proper reimbursement for providers for screening and counseling for obesity and related conditions including payment for follow up visits, multi-disciplinary care and weight management programs.

·         Support state, local and workplace polices that support breastfeeding mothers including expansion of the Baby Friendly hospital designation among Illinois hospital

 

Reduce rates of injury among Illinois children

·         Support legislation banning the use of artificial tanning beds by minors under the age of 18 to reduce the incidence of melanoma among young adults

·         Support policies and legislation that encourage the use of bicycle helmets to reduce closed head injuries and fatalities

·         Increase awareness of consumer product safety issues by partnering with the Attorney General’s office, providers and others on button batteries, furniture falls, and other issues

·         Promote safe teen driving and the adoption of legislative and policy improvements to the Illinois graduated license law, its enforcement, and driver education programs

·         Engage community providers to strengthen the state’s disaster preparedness system and Emergency Medical Services to Children (EMSC) program

 

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