Revised 9/30/99
NORTH DAKOTA LEGISLATIVE COUNCIL
Tentative Agenda
BUDGET COMMITTEE ON HEALTH CARE
Monday and Tuesday, October 18-19, 1999
Roughrider Room, State Capitol
Bismarck, North Dakota
Monday, October 18, 1999 |
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| 1:00 p.m. | Call to order Roll call Consideration of minutes of the July 7, 1999, meeting |
COMMUNITY HEALTH GRANT PROGRAM |
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| 1:05 p.m. | Presentation by representatives of the State Department of Health on the community health trust fund (10 percent of the moneys in the tobacco settlement trust fund), including:
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| 1:30 p.m. | Comments by interested persons regarding the community health grant program study |
| 1:40 p.m. | Committee comments regarding the study of the State Department of Health's comprehensive plan for a community health grant program |
RURAL COMMUNITY INCENTIVE PACKAGE STUDY |
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| 1:50 p.m. | Presentation by a representative of the Task Force on Long-Term Care Planning regarding the task force's work on the development of an incentive package for the reduction of long-term care beds |
| 2:10 p.m. | Presentation by a representative of the North Dakota Long Term Care Association on the joint health and long-term care project among the three long-term and health care facilities in New Rockford and Carrington |
| 2:40 p.m. | Presentation by a representative of the State Department of Health regarding the location, capacity, occupancy rate, and level of care provided at all long-term care facilities in the state |
| 3:00 p.m. | Comments by interested persons regarding the study relating to the creation of an incentive package to assist rural communities and nursing facilities in closing or significantly reducing bed capacity and providing alternative long-term care services |
| 3:20 p.m. | Committee comments regarding the study of creating an incentive package to assist rural communities and nursing facilities in closing or significantly reducing bed capacity and providing alternative long-term care services |
CHILDREN'S HEALTH INSURANCE PROGRAM STATE PLAN |
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| 3:40 p.m. | Presentation by a representative of the Department of Human Services regarding background information on the children's health insurance program |
| 4:10 p.m. | Presentation by a representative of the Department of Human Services regarding the implementation status of the children's health insurance program and information on the number of denials of applicants to the children's health insurance program and the status of the denials in regard to the individuals being referred to another provider or another state or federal program |
| 4:30 p.m. | Comments by interested persons regarding the children's health insurance program state plan |
| 4:45 p.m. | Committee comments on the children's health insurance program state plan |
| 5:00 p.m. | Recess |
Tuesday, October 19, 1999 |
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HEALTH CARE STUDY |
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| 9:00 a.m. | Presentation by Mr. Terry Hoff, Trinity Health, and Mr. Lowell Herfindahl, Tioga Community Hospital, regarding the Balanced Budget Act and its impact on health care services, health care funding, and the funding of medical education |
| 10:00 a.m. | Presentation by a representative of the State Department of Health on the status of the critical access hospital designation for rural hospitals within North Dakota and on critical access hospital quality indicators and outcomes |
| 10:10 a.m. | Presentation by Ms. Donna Bosch, Executive Director, Home Medical Resources, Medcenter One, and Past President, North Dakota Home Care Association, on the impact of the Balanced Budget Act on home health care services |
| 10:30 a.m. | Comments by interested agencies and persons |
| 11:00 a.m. | Presentation by a representative of the State Department of Health on insurance coverage limitations and on when these limitations begin to impact the quality of care provided by health care professionals and health care facilities |
| 11:20 a.m. | Presentation by a representative of Blue Cross Blue Shield regarding historical profit and loss trends, fee schedule changes, and cost changes for health care services |
| 11:40 a.m. | Presentation by a representative of the State Department of Health on the impact of increased regulations on health care costs |
| 12:00 noon | Luncheon recess |
| 1:00 p.m. | Presentation by a representative of Blue Cross Blue Shield regarding changes in utilization, reimbursement, and cost of services |
| 1:20 p.m. | Presentation by representatives of the State Department of Health and the Department of Human Services regarding cost and reimbursement changes for HMOs and Medicaid |
| 1:40 p.m. | Presentation by a representative of the State Department of Health on total health care expenditures by major diagnostic group to see where there are increases and decreases in health care costs |
| 2:00 p.m. | Presentation by a representative of the State Department of Health regarding the impact of mandated benefits on premiums, the economy's impact on health care, and the impact of decreased utilization on the cost of health care |
| 2:20 p.m. | Presentation by a representative of the State Department of Health on the cost shift occurring from Medicare and Medicaid to private insurers and private pay individuals because of Medicare and Medicaid reimbursement policies |
| 2:40 p.m. | Presentation by a representative of Blue Cross Blue Shield of a comparison of Blue Cross Blue Shield of North Dakota to the national Blue Cross Blue Shield regarding trends in the utilization of services, age of subscribers, premium costs, and reimbursements to providers |
| 3:00 p.m. | Presentation by a representative of the State Department of Health on the location of hospitals in the state and what services are provided at each hospital |
| 3:20 p.m. | Presentation by a representative of the Department of Human Services regarding Medicaid policies relating to reimbursement of nurse practitioners and physician assistants along with information on the location of nurse practitioners in the state |
| 3:40 p.m. | Presentations by representatives of the State Department of Health and the Department of Human Services on the licensing and reimbursement regulations relating to health care facilities and whether or not the regulations are being applied fairly |
| 4:00 p.m. | Comments by interested persons regarding the health care study |
| 4:20 p.m. | Committee comments on the health care study |
| 4:30 p.m. | Committee discussion |
| 5:00 p.m. | Adjourn |
