American Recovery and Reinvestment Act: Summary of Health-related Provisions

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American Recovery and Reinvestment Act Summary
of Health-related Provisions

• April 15, 2009

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Funding to Michigan so far from HHS see
hhs.gov/recovery
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• Fund Prevention and Wellness
• Amount 1 billion
• Distribution according to Secretary of HHS and
  Director of CDC. Specific allocations
• 300M for CDC 317 immunization program
• 650M for evidence-based clinical and community
  based prevention and wellness strategies that
  address chronic diseases
• 50 million to states to implement
  healthcare-associated infection (HAI) prevention
  strategies.
• Action Michigan received 6.6 million for the
  immunization program and are awaiting guidance on
  the other programs

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• Fund Healthcare Effectiveness Research
• Amount 1.1 billion
• Purpose to speed development and dissemination
  of research assessing the comparative
  effectiveness of healthcare treatment and
  strategies. Establishes the Federal Coordinating
  Council for Comparative Effectiveness Research
• Distribution
• 300 million for the Agency for Healthcare
  Research and Quality
• 400 million for the National Institutes of
  Health, and
• 400 million for the Office of the Secretary of
  Health and Human Services

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• Fund Community Health Centers
• Amount 2 billion
• Distribution directed to FQHCs for construction,
  modernization, HIT improvements and services
  operations.
• Action
• 2.6 million awarded to Michigan clinics for
  modernization
• Western Wayne Family Health Center - Inkster, MI
• Ingham County Health Department - Lansing, MI
• 8.5 million awarded to 29 MI Community Health
  Centers to expand services to more citizens and
  handle increased demand

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• Fund Training Primary Care Providers
• Amount 500 million
• Distribution
• 300m for the National Health Service Corps
• 200m for primary care medicine, dentistry,
  public health and preventative medicine program,
  scholarship and loan repayment programs and
  cross-state licensing for health specialists

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• Fund Indian Health Service Facilities
• Amount 727 million
• Purpose to modernize hospitals and health
  clinics and make healthcare technology upgrades

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• Fund Health Information Technology
• Amount 19 billion
• Distribution
• 2 billion to the Office of the National
  Coordinator (ONC)
• 17 billion for Medicare and Medicaid EHR
  adoption and meaningful use incentives.
• Action awaiting further guidance from ONC and
  HHS on timelines, guidelines, definitions etc.

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• Fund Health Information Technology
• Amount 19 billion
• Details 2 billion to ONC
• Codify ONCHIT
• Establish HIT Policy Standards Committees
• Award HIT Grants to States
• Establish HIT Regional Extension
  
  Centers
• Establish EHR loan programs within states
• 20 million transferred to NIST

Grants for states
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• Fund Health Information Technology
• Amount 19 billion
• Details 2 billion to ONC Award HIT Grants to
  States nine specific uses
• Enhance a broad and varied participation in the
  authorized and secure nationwide electronic use
  of and exchange of health information
• Promote health information technology/identify
  State or local resources available toward the
  nationwide efforts
• Complement other Federal grants, programs and
  efforts towards the promotion of health
  information technology
• Provide technical assistance for the development
  and dissemination of solutions to barriers to the
  exchange of electronic health information

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• Fund Health Information Technology
• Amount 19 billion
• Details 2 billion to ONC Award HIT Grants to
  States nine specific uses continued
• Encourage Physicians to work with HIT Regional
  Extension centers (as described in ARRA)
• Promote effective strategies to adopt and utilize
  health IT in medically underserved communities
• Assists patients in utilizing health IT
• Support public health agencies authorized use of
  and access to electronic health information
• Promote the use of electronic health records for
  quality improvement including through quality
  measures reporting

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• Fund Health Information Technology
• Amount 19 billion
• Details Medicare and Medicaid incentives
• 17 Billion dedicated for physicians and
  hospitals who purchase and use electronic health
  records (EHR)
• Only for meaningful users of certified EHRs
• For maximum benefit, EHRs will have to be
  purchased and in use by FY 2011
• Medicare providers will see incentives until 2015
  after which penalties will be issued for those
  that have not purchased and use certified EHRs.
• Medicaid providers must meet certain caseload
  volume requirements in order to be eligible

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• Other healthcare provisions
• Enhanced Federal Medical Assistance Percentage
• Temporary Increase for Disproportionate Share
  Hospital Payments
• COBRA Healthcare for the Unemployed
  continuation subsidy
• Broadband expansion
• Telemedicine expansion

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• Resources
• www.recovery.gov
• www.hss.gov/recovery
• www.michigan.gov/recovery