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Judicial Watch • Filipic Jan 4 April 7 2010

Filipic Jan 4 April 7 2010

Filipic Jan 4 April 7 2010

Page 1: Filipic Jan 4 April 7 2010

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Date Uploaded to the Library:February 20, 2014

Tags:Filipic, Jan, obtained, FOIA, 2010


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From: 
To: 
Subject: Date: 

Happy New Year! will meeting today 3:30-the Steering Committee has asked for our recommendations for all the provisions. Most that was completed the meeting 12/14 (the version circulated 12/16), but had left few for consideratioh the steering committee. With this additional guidance, later today we'll send out draft with recommendations for all the provisions, including few additional edits from the earlier versions. Please review and can discuss 3:30. Thanks, and look forward talking all you this afternoon. 
Liz 
-----Original Appointment----From: Planning (HHS/OS) 
Sent: Thursday, December 17, 2009 10: 
To: Richter, Liz (CMS/CMM); Seshamani, Meena (HHS/ASPE); Jones, Wanda (HHS/OPHS); Heffron, 
Dianne (CMS/CMSO); Schreiner, Daniel (CMS/OEA); Sheingold, Steven (HHS/ASPE); Kendrick, Kathleen (AHRQ); Blumenthal, David (HHS/OS); Filipic, Anne (HHS/OS/IGA); Cutler, Matt (HHS/ASFR); 
Palm, Andrea (HHS/ASL); Engel, Elizabeth (HHS/ASL); Cohen, Ken (HHS/OS); Tompkins, Heather (HHS/ASFR); Turner, Melanie (HHS/ASA); Killen, Jack (NIH/NCCAM) [E]; Buntin, Melinda (HHS/ONC); 
Buck, Jeffrey (SAMHSA/DSCSD); Fitzgerald, Erin (HHS/ASL); Sarver, Justine (HHS/IOS); Hunt, Lauren (HHS/IOS); Fraser, Irene (AHRQ); Young, Christen Linke (CDC/OD/CDCW); Mutter, Ryan (AHRQ); Bogasky, Susan (HHS/ASPE); Stange, Paul (CDC/OD/OSI); Cheatham, Tina (HRSA); Planning (HHS/OS) Subject: Delivery System and Payment Reform Committee Conference Call 
When: Monday, January 04, 2010 3:30 PM-4:30 (GMT-05:00) Eastern Time (US Canada). Where: OCIO Conference Room, 537H HHH Building 
When: Occurs every Monday effective 1/4/2010 until 1/25/2010 from 3:30 4:30 (GMT-05:00) Eastern Time (US Canada). 
Where: OCIO Conference Room, 537H HHH Building have extended the reservation for the HHS Chief Information Officer's conference room (537H, HHH building) for the weekly meetings. assume that the committee will most likely continue meet via conference call but the room will available. Committee members located the complex are welcome use the room during the conference calls. will continue use the same conference call bridge for the weekly meetings. The telephone number 877-985-7264. The passscode 2866390. 
Jeff Lovern, 

Office the HHS Chief Information Officer 

From: 
To: 

Subject:  RE: Delivery System and Payment Reform Committee--meeting Monday 12/14  
Date:  Monday, January 04, 2010 12:21:53  
Thank you  

From: Cheatham, Tina (HRSA) 
Sent: Monday, January 04, 2010 11:50 
To: Burton, Gay (CMS/CMM); Smith, Todd (CMS/CMM) Cc: Richter, Liz (CMS/CMM) 
Subject: RE: Delivery System and Payment Reform Committee--meeting Monday 12/14 Gay and Todd, 
Apologies thought sent this message before the holidays, but don't see outbox. 
Can please add Patricia Stroup from HRSA the Trauma Center Grants group? Susan Lumsden will likely 
our HRSA lead the collaborative care network program comes HRSA. 
Also, would recommend that the databanks issue comes out the workgroup since "wholly-owned" 
HRSA. 
Thanks much, 
Tina 
Tina Cheatham Senior Advisor the Administrator 
Health Resources and Services Administration 
U.S. Department Health and Human Services 
301-443-2216 
From: Burton, Gay (CMS) 
Sent: Wednesday, December 16, 2009 6:35 
To: Richter, Liz (CMS); Seshamani, Meena (OS); Jones, Wanda (OS); Lovern, Jeff (OS); Heffron, Dianne (CMS); Schreiner, Daniel (CMS); Sheingold, Steven (OS); Kendrick, Kathleen {AHRQ); Blumenthal, David (OS); Filipic, Anne (OS); Cutler, Matt (OS); Palm, Andrea (OS); Engel, Elizabeth (OS); 
Cohen, Ken (OS); Tompkins, Heather (OS); Turner, Melanie {OS); Killen, Jack (NIH/NCCAM) [E]; 
Buntin, Melinda (OS); Buck, Jeffrey (SAMHSA); Fitzgerald, Erin (OS); Sarver, Justine (OS); Hunt, Lauren (OS); Fraser, Irene (AHRQ); Young, Christen Linke (CDC); Mutter, Ryan (AHRQ); Bogasky, Susan (OS); Stange, Paul (CDC); Cheatham, Tina (HRSA) 
Cc: Sutton, Erin (CMS); Smith, Todd (CMS) 
Subject: RE: Delivery System and Payment Reform Committee--meeting Monday 12/14 
File: DSPR Provision Summary 12-16-09.docx   File: DSPR sub groups 12-16-09.docx  
Below are three items for the members review ... 	The DSPR task for 12/14 was through the Dec deliverable and determine list possible homes for each the provisions (to the extent possible). Attached the updated DSPR document based the 12/14 teleconference (thanks Dan), which includes additional information provided Troy Barsky and Irene Fraser. Please review and provide your edits/comments back Todd and Gay noon, Monday 12/21. 	
Update subgroup membership --Please review for accuracy the attached list subgroup members and provide your edits Todd and Gay. need determine whether Heather Tompkin's comment below the Senior Health Advisor for Fraud was addressed. Please advise whether should drop House Section 2792 suggested. 

From: Tompkins, Heather (HHS/ASRT) 
Sent: Wednesday, December 02, 2009 8:52 
To: Burton, Gay (CMS/CMM); Burton, Gay (CMS/CMM); Smith, Todd (CMS/CMM) 
Cc: Hunt, Lauren (HHS/IOS); Cohen, Ken (HHS/OS) 
Subject: RE: Delivery System and Payment Reform Committee Liz, Gay, and Todd, 
The one comment have regarding the provision appoint senior health advisor for fraud. don't 
think our group can find where this provision exists the current legislation -it was HELP, but was 
dropped the combined Senate bill. couldn't find the current House bill either. The template lists 
House 2792, 755 its location but far can see there Section 2792 House, and 
game, but think there may have been some communication gaps our end terms what 
were expected include. Unless you know where buried the House bill, suggest can drop from the list. 
Thanks, 
Heather Tompkins 
HHS -Office Budget 
202.690.7198 
From: Richter, Liz (CMS/CMM) 
Sent: Wednesday, December 09, 2009 6:59 
To: Burton, Gay (CMS/CMM); Seshamani, Meena (HHS/ASPE); Jones, Wanda (HHS/OPHS); Lovern, Jeff (HHS/ASA); Heffron, Dianne (CMS/CMSO); Schreiner, Daniel (CMS/OEA); Sheingold, Steven (HHS/ASPE); Kendrick, Kathleen (AHRQ); Blumenthal, David (HHS/OS); Filipic, Anne (HHS/OS/IGA); Cutler, Matt (HHS/ASFR); Palm, Andrea (HHS/ASL); Engel, Elizabeth (HHS/ASL); Cohen, Ken (HHS/OS); Tompkins, Heather (HHS/ASFR); Turner, Melanie (HHS/ASA); Killen, Jack (NIH/NCCAM) [E]; Buntin, Melinda (HHS/ONC); Buck, Jeffrey (SAMHSA/DSCSD); Fitzgerald, Erin 
(HHS/ASL); Sarver, Justine (HHS/IOS); Hunt, Lauren (HHS/IOS); Fraser, Irene (AHRQ); Young, Christen Linke (CDC/OD/CDCW); Mutter, Ryan (AHRQ); Bogasky, Susan (HHS/ASPE); Stange, Paul (CDC/OD/OSI); Cheatham, Tina (HRSA) 
Cc: Sutton, Erin (CMS/OA); Smith, Todd (CMS/CMM) 
Subject: Delivery System and Payment Reform Committee--meeting Monday 12/14 

For Monday, Dan Schreiner and talked and believe would most helpful through the Dec deliverable (attached below everything's one place) and determine possible homes for each the provisions the extent we're able to. With luck, the end result will list for the steering committee consider for each provision (or note that don't have any good suggestions yet). mentioned Tuesday, think we've already done that few cases (the HIPDB/NPDB provisions, the manager's amendment the House bill overlapping grant provisions); and think shouldn't most the items listed the payment system design section (that is, house section 233(c), Senate 6005, Senate 1311g and Senate 2717); think could ahead with House 239, since that's study and report Congress about PBM behavior, you all agree. believe that most cases we'll providing list possible leads, rather than single recommendation for lead HHS component. Please come the meeting Monday prepared discuss. Dan will chairing, and Gay Burton and Todd Smith will continue coordinate the production any deliverables. 
Thanks everyone, and have wonderful holiday! Liz 
File: DSPR Provision Summary 12-02-09.docx  

From: 
To: 
Subject: Fw: Briefing Request: Week February 15, 2010 Date: Friday, February 12, 2010 4:58:59 
Our chc folks probably have atlanta material put together but just case 
From: Choucair, Jordana (OS) 
To: Adelman, Rebecca (OS); Backus, Jenny (OS); Baker, Judy (HHS/IGA) ; Barson, Emily (OS); Benjamin, Regina (OS); Blum, Jonathan (CMS); Blumenthal, David (OS); Buchanan, Keagan (AoA); Choe, Ken (OS); Choucair, Jordana (OS); Citron., Jamison (OS); Clancy, Carolyn (AHRQ); Claypool, Henry (OS); Cohen, Rima (OS); Collins, Francis (NIH/OD) (E]; Corr, Bill (OS); Cruz, Gustavo (HHS/IOS) ; Cuevas, Fatima (OS); Davis, Damon (OS); Davis, Daniel (OS); Dioguardi, Paul (OS); Drobac, Krista (CMS); Eisman, Julia (HHS/ASPA) ; Engel, Elizabeth (OS); Filipic, Anne (OS); Fischer, Mariestella (OS); Fitzgerald, Erin (OS); Fluker, Dean (OS); Frank, Richard (OS); Frieden, Thomas (CDC); Granholm, Tim (OS); Greenberg, Mark (ACF); Greenlee, Kathy (AoA); Greenlee, Kathy (AoA); Hall, Amy (CMS}; Hallberg, Berit (OS); Halle, Michael (OS); hamburgl, Margaret ; Hansell, David (ACF); Holland, Ned (OS); Horowitz, David (HHS/OGC) ; Howard, Sally (OS); Hsu, Irene (OS); Hughes, Dora {OS); Hunter, Sarah (ACF); Hyde, Pam (SAMHSA/IOA) ; Jackson, Nat (OS); jmsharfl ; Johnson, Susan (HHS/IGA) ; Kelley, Alexia (OS); Kelley, Jeffrey (ACF); Kidwell, Lauren (OS); Koh, Howard (OS); Kriss, Carolyn (ACF); Kronick, Richard (HHS/ASPE/HP) ; Lambrew, Jeanne (OS); Lapan, Jarel (OS); Lewis, Caya (OS); Lombardi, Joan (ACF); Lurie, Nicole (OS); Mann, Cynthia (CMS); McCall, Jessica (OS); McCauley, Mike (OS); McNearney, Joe (OS); Mitchell, Samuel (OS); Muldoon, Molly (FDA); Monahan, John (OS); Moore, Jesse (ACF); Morales, Esther (ACF); Moulds, Donald (OS); Mulligan, Jaime (CMS); Nazario, Carmen (ACF); Negash, Eskinder (ACF); Nino, Teresa (CMS); Noonan, John (ACF); Nowinski, Juleigh (HHS/OS/OPHS/ASH) ; Padilla, Cindy (AoA/IOAS) ; Palm, Andrea (OS); Papas, Nicholas (OS); Parisi, Julie (OS); Park, Todd (OS); Parrott, Sharon (OS); Petrou, Laura (OS); Petty, Marjorie (HHS/IGA) ; Rivas-Vazquez, Vicki (OS); Rosero, Luis (OS); Roubideaux, Yvette (IHS); Rudisill, Shannon (ACF); Salatti, Acacia (OS); Salcido, Dorl (OS); Sanchez Fuentes, Yvette (ACF); Santillo, Jessica (OS); Sarver, Justine (OS); Seshamani, Meena (OS); Shapiro, Jonathan (OS); Simon, Michael (OS); Smalls, Dawn (OS); Smith, Barbara (OS); Smolonsky, Marc (OS); Springfield, Aprill (OS); Steiger, Douglas (OS); Suvor, Daniel (OS); Tanden, Neera (OS); Taylor, Bridgett (OS); Teater, Duncan (OS); Thomas, Cristal (HHS/IGA/ORD) ; Tobias, Barbara (HHS/IOS) ; Turetsky, Vicki (ACF); Verdugo, Georgina (OS); Wakefield, Mary (HRSA); Weeden, C'Reda (OS); Wolff, Kate (OS); Yu, Wil (OS); Weber, Mark (SAMHSA) 
Sent: Fri Feb 14:30:05 2010 
Subject: Briefing Request: Week February 15, 2010 
Below list briefing materials requested for the week February 15, 2010. have specified 
what template should used for each briefing. The "Scheduling" briefing will emailed directly 
the Briefing POC the morning the briefing deadline. Please let know there different 
briefing POC for the respective meeting they receive the template. Please address any questions the "Exec Sec" template with Michael Simon. 
Please note that the deadline for materials 3:00pm Tuesday, February 15th and 12:00pm 
Friday, February 19th accommodate the Secretary's travel schedule. 
Thank you! 
Jordana 

15.tb.. 
(Note: Monday, February 15th federal holiday) 

 Recovery Act Anniversary Event Carrollton Community Medical Center (Briefing: Vicki RivasVazquez; Template: Scheduling; Remarks: Nat Jackson/Kathryn Ceja) 
 Interview with Sanjay Gupta (Briefing: Vicki Rivas-Vazquez; Template: Scheduling) 
 Remarks the 2010 Public Health Preparedness Summit (Briefing: Vicki Rivas-Vazquez; Template: Scheduling; Remarks: Nat Jackson/Kathryn Ceja) 

 Assistant Secretary for Health (ASH) Secretarial Visit (Briefing: Michael Simon; Template: Exec Sec) 

 Meeting Sustainability (Briefing: Mera Choi via Michael Simon; Template: Exec Sec) 
 
Meeting with John Pinney (Briefing: Juleigh Nowinski via Michael Simon; Template: Exec Sec) 

 Executive Secretary Secretarial Visit (Briefing: Michael Simon; Template: Exec Sec) 
 Meet with German Minister Education and Research, Annette Shavan (Briefing: Aprill Springfield/Mary Lisa Madell via Michael Simon; Template: Exec Sec) 

 requests this time. 

 
NGA Meeting with POTUS (Briefing: Kate Wolff/WH Cabinet Affairs; Template: Scheduling; Remarks: Nat Jackson) Note: This memo will also include information regarding the White 
House Dinner for Governors the States and Territories Sunday (Feb. 21st) evening. 
 
Office General Counsel (OGC) Secretarial Visit (Briefing: Michael Simon; Template: Exec Sec) 
Jordana Choucair Office the Secretary 
U.S. Department Health and Human Services 
200 Independence Avenue, Washington, 20201 Telephone: (202) 690-7000 Fax: (202) 690-7595 

From: To: Cc: 

Subject:  Letter the Governors Regarding Changes the National Practicioner Data Bank and the Healthcare Intergrity  
and Protection Data Bank  
Date:  Friday, February 12, 2010 10:54  
Attachments:  NPDB HIPDB Dear  

FYI, Health and Human Services (HHS) Secretary Kathleen Sebelius and HHS/Health Resources and Services Administration Administrator Mary Wakefield are sending your Governor and state licensing board directors letter regarding important changes the National Practicioner Data Bank and the Healthcare Integrity and Protection Data Bank. Secretary Sebelius and Dr. Wakefield are sending personalized letter each Governor, but copy the language attached. would appreciate your help sharing this letter with the appropriate staff your office. 
Paul Dioguardi Director Intergovernmental Affairs 
U.S. Department Health and Human Services 

DEPARTMENT HEALTH HUMAN SERVICES 

February 12, 2010 

Dear Governor: are writing share important changes the National Practitioner Data Bank and the Healthcare Integrity and Protection Data Bank and ask for your assistance protecting the safety patients across this country. 
For more than decade, the U.S. Department Health and Human Services (HHS) has operated two data banks -the National Practitioner Data Bank and the Healthcare Integrity and Protection Data Bank. These data banks serve flagging systems intended facilitate more comprehensive review health care practitioners, providers and suppliers who have been disciplined named medical malpractice settlement. 
The programs are intended central source information assist addressing patient safety, fraud and abuse our health care delivery systems. The information these national 
data banks only good the information provided State licensing boards and other reporting entities. 
The Administration strong advocate for openness and transparency health care. ensure the provision high quality health care, health care employers should have access comprehensive iDfonnation about the disciplinary actions taken against the providers they employ. that end; effective March 2010, private hospitals and other entities concerned with patient safety and quality will for the first time have access infonnation the Healthcare' Integrity and Protection Data Bank licensing and disciplinary action taken against nurses, pharmacists, and allied health providers through the National Practitioner Data Bank. This action expands the availability information physicians and dentists for well over decade encompass other health care providers well. 
Having learned that our current data systems have some information gaps, are taking immediate steps address any deficiencies and obtain the missing data. are asking each the -States and Territories and their respective health practitioner licensure boards work with the Health Resources and Services Administration (HRSA) assure the accuracy, completeness and timeliness the data the data banks. move forward improve and modernize the data banks, HRSA ing the following actions: 

Dear Governor February 12, 2010 Page 
 	
Forming action team that will work with the State designated representative 
improve data reporting. 

 	
Conducting regular data audits that will provide data back the State licensure boards for verifieation and correction missing data elements. 

 	
Providing technical assistance State licensing boards opportunities expand the use Health Information Technology. 

 	
Providing education and training programs for State licensing board staff maintaining and reporting health practitioner licensure data. 

 
Exploring opportunities make reporting easier. 
 	Establishing process for public reporting entities that fail meet their reporting requirements. are asking the States and Territories and their respective health practitioner licensure boards the following: 
 	Provide HRSA with permission release the data contained the Healthcare Integrity and Protection Data Bank the National Practitioner Data Bank. 
 
Work with HRSA identifying missing data the data banks. 
 	Report missing information when gaps are identified. 
Finally, report will published HHS July 2010, and annually thereafter that identifies governmental agencies failing fulfill Healthcare Integrity and Protection Data Bank reporting requirements. 
These represent actions that can all take now while continue monitor and improve our collective processes move forward. Thank you for your attention this important endeavor. Together, can make real difference protect the health and safety millions patients. 
Sincerely, 
v'( 
Mary Wakefield, Ph.D., R.N. 
Administrator 
Health Resources and Services Administration 

From: sent: 
To: 
Subject: 
Attachments: 

This should the response Jennie. Looks like the letters have gone out the governors and the State licensing boards. 
From: Mason, James (OS) 
To: HHS Intergovernmental Affairs 
Cc: Dioguardi, Paul (OS); Filipic, Anne (OS); Wolff, Kate (OS) 
Subject: Letter the Governors Regarding Changes the National Practicioner Data Bank and the Healthcare Intergrity 
and Protection Data Bank 
Date: Friday, February 12, 2010 6:10:54 
FYI, Health and Human Services (HHS) Secretary Kathleen Sebelius and HHS/Health Resources and Services Administration Administrator Mary Wakefield are sending your Governor and state licensing board directors letter regarding important changes the National Practicioner Data Bank and the Healthcare Integrity and Protection Data Bank. Secretary Sebelius and Dr. Wakefield are sending personalized letter each Governor, but copy the language attached. would appreciate your help sharing this letter with the appropriate staff your office. 
Paul Dioguardi 
Director Intergovernmental Affairs 
U.S. Department Health and Human Services 

February 12, 2010 
Dear Governor: are writing share important changes the National Practitioner Data Bank and the Healthcare Integrity and Protection Data Bank and ask for your assistance protecting the safety patients across this country. 
For more than decade, the U.S. Department Health and Hwnan Services (HHS) has operated  two data banks -the National Practitioner Data Bank and the Healthcare Integrity and Protection Data Bank. These data banks serve flagging systems intended facilitate more comprehensive review health care practitioners, providers and suppliers who have been disciplined named medical malpractice settlement. 
The programs are intended central source information assist addressing patient 
safety, fraud and abuse our health care delivery systems. The information these national data banks only good the information provided State licensing boards and other 
reporting entities. 
The Administration strong advocate for openness and transparency health care. ensure 
the provision high quality health care, health care employers should have access comprehensive information about the disciplinary actions taken against the providers they 
employ. that end; effective March 2010, private hospitals and other entities concerned 
with patient safety and quality will for the first time have access information the Healthcare' 
Integrity and Protection Data Bank licensing and disciplinary action taken against nurses, 
phannacists, and allied health providers through the National Practitioner Data Bank. This 
action expands the availability information physicians and dentists for well over decade encompass other health care providers well. 
Having learned that our current data systems have some information gaps, are talcing 
immediate steps address any deficiencies and obtain the missing data. are asking each 
the states and Territories and their respective health practitioner licensure boards work with 
the Health Resources and Services Administration (HRSA) assure the accuracy, completeness 
and timeliness the data the data banks. move forward improve and modernize the 
data banks, HRSA ing the following actions: 

Dear Governor February 12, 2010 Page2 
 	
Fonning action team that will work with the State designated representative 
improve data reporting. 

 	
Conducting regular data audits that will provide data back the State licensure boards for verification and correction missing data elements. 

 	
Providing technical assistance State licensing boards opportunities expand the use Health lnfonnation Technology. 

 	
Providing education and training programs for State licensing board staff maintaining and reporting health practitioner licensure data. 

 
Exploring opportunities make reporting easier. 
 	Establishing process for public reporting entities that fail meet their reporting requirements. are asking the States and Territories and their respective health practitioner licensure boards the following: 
 	
Provide HRSA with permission release the data contained the Healthcare Integrity and Protection Data Bank the National Practitioner Data Bank. 

 	
Work with HRSA identifying missing data the data banks. 

 	
Report missing infonnation when gaps are identified. 

Finally, report will published HHS July 2010, and annually thereafter that identifies governmental agencies failing fulfill Healthcare Integrity and Protection Data Bank reporting requirements. 
These represent actions that can all take now while continue monitor and improve our collective processes move forward. Thank you for your attention this important endeavor. Together, can make real difference protect the health and safety millions patients. 
Sincerely, 
Mary Wakefield, Ph.D., RN. 
Adrilinistrator 
Health Resources and Services Administration 

Well, Henry Claypool sent email before our first meeting and then never heard from him again. Matt Grove never participated. Andrea Davey was added late when OGC was added each the groups, but didn't have any activity after she was added. understood that Dora and Justine were the work group list track its progress; they didn't actively participate. 
Based that, the group list would the one below: 
HRSA: Diane Espinosa (Chair) 
ASA (ASAM): Toni Harris (Facilitator) CMS: Erin Clapton/Teresa Nino OHR: Caya Lewis ASPE: Don Oellerich CDC: Denise Koo SAMHSA: Robert Stephenson/Fran Randolph/Linda Kaplan IHS: Carl Harper/Frank Martin AHRQ: David Meyers HRSA: Jessica Sitko/Joanne Zurcher ASFR (ASRT): Pete Bernardy/Rene Herbert ASL: Andrea Palm 
Diana Espinosa 
Deputy Associate Administrator 
Bureau Health Professions 
Health Resources and Services Administration 

From: Gillham, Kristin (OS) 
Sent: Tuesday, April 06, 2010 10:32 
To: Espinosa, Diana (HRSA) 
Cc: Weeden, C'Reda (OS) 
Subject: Re: Quick Verification for Workgroup Chairs 

Please remove people your discretion. The recognition will likely thank you note from the 
they didn't participate, let's take them off. Your call. 

Kris 

From: Espinosa, Diana (HRSA) 
To: Gillham, Kristin (HHS/ASA) 
Sent: Tue Apr 09:20:31 2010 

Subject: FW: Quick Verification for Workgroup Chairs 
I've added the additional participants below the workforce group list. This list doesn't distinguish level participation. For example, some the group members never attended meeting participated conference call. 
Thanks. 
Diana Espinosa 
Deputy Associate Administrator 
Bureau Health Professions 
Health Resources and Services Administration 

301-443-5794 

From: Gillham, Kristin (OS) 
Sent: Tuesday, April 06, 2010 8:26 
To: Planning (HHS/OS); Arnold, Sharon (CMS); Backus, Jenny (OS); Carleton, Michael (OS); Chen, Tony (OS); Clancy, Carolyn (AHRQ); Cochran, Norris (OS); Cohen, Rima (OS); Culotta, Anthony (CMS); Delew, Nancy (CMS); Dioguardi, Paul (OS); Espinosa, Diana (HRSA); Forbes, Mary (OS); Frank, Richard (OS); Frizzera, Charlene (CMS); Haddix, Anne (CDC}; Harris, Antonia (OS); Hill, Timothy (CMS); Katz, 
Ruth (OS); Koenig, Lillian (PSC); Lovern, Jeff (OS); McMillen, Cheryl (OS); Messick, Carol (CMS); Neves, Celine (OS); Noonan, Robert (OS); Park, Todd (OS); Pinto, Earl (PSC/OD); Richter, Liz (CMS); Snyder, Michelle (CMS); Steinberg, Gary (OS); Tagalicod, Robert (CMS); Teeter, John (OS); Thompson, Penny (CMS); Tinsley, Melanie (OS); Trudel, Karen (CMS); Turner, Melanie (OS); Weeden, C'Reda (OS); Wolff, Kate (OS); Migliaccio, Gene (PSC) 
Cc: Weeden, C'Reda (OS) 
Subject: Quick Verification for Workgroup Chairs Workgroup Chairs, 
Good morning! Can get (hopefully) quick favor please? The leadership would like show their appreciation for the efforts the work groups. Can you please verify the members your team? Please send any updates Friday, April 
Thanks, Kris 
Activity /Issue Workgroup 	Designee 
High-risk pool 	CMS, ASPE, CMS: Tony Culotta (Chair)/ Ariel Novick OHR ASA (ASAM): Mike Tyllas (Facilitator) 
ASPE: Don Moulds 
OHR: Meena Seshamani/Barbara Smith 
ASFR (ASRT): Curtis Kelley 
ASL: Liz Engel 
OS/ES: Suzanne Hassett 
Early retiree CMS, ASPE, CMS: Timothy Hill (Chair)/Tom Hutchinson reinsurance OHR ASA (ASAM): Gary Steinberg (Facilitator) 
ASPE: Richard Frank/Steve Sheingold 
OHR: Meena Seshamani 
ASFR (ASRT): Ben Lum 
ASL: Liz Engel 
OS/ES: Files 
Insurance market CMS, ASPE, CMS: Sharon Arnold (Chair)/Daniel Schreiner/Abby Block reform !GA, OCR, ASA (ASAM): Gary Steinberg (Facilitator) 
OHR, CDC ASPE: Dara Corrigan 
!GA: Anne Filipic/Paul Dioguardi 
OCR: Luben Montoya 
OHR: Meena Seshamani/Barbara Smith 
CDC: Anne Haddix 
SAMHSA: William Hudock 
ASFR (ASRT): Jodi Robinson 
ASL: Andrea Palm 
Cos: Justine Sarver 
Files 
Prevention, Right CDC, HRSA, CDC: Anne Haddix (Chair) 
Choices program, ASH, OHR, ASA (ASAM): Lillian Koenig (Facilitator) 
wellness, ASPE, CMS, HRSA: Kyu Rhee 
access/ clinics AHRQ, AoA, OPHS/ASH: Anand Parekh 

OCR NIH OHR: Lewis 

Public plan/CO-OP 
CLASS Act 
Quality 
 
CER 

 
Center for 

Health 
Outcomes 
 Misc. other 
provisions 
Administrative simplification/ interop erability standards/ new systems 
CMS, ASPE, 
AHRQ, OHR, 
IGA 
ASPE, CMS, 
ASPA, Office 
Disability, OHR, 
AoA 
AHRQ, ASPE, 
CMS, OD, ONC, 
FDA, NIH, 
OHR, CDC, 
SAMHSA 
CMS, CTO, 
ONC, AHRQ, 
ASPE, OHR, 
IGA, OCR, 
SAMHSA OHR: Barbara Smith 

IGA: Kate Wolff 
OCR: Christina Heide 
SAMHSA: Arlene Stanton 
ASFR (ASRT): Michele Richardson/Laura Jaskierski 
ASL: Andrea Palm/Liz Engel 
Ekaterini Malliou 
CMS: Liz Richter (Chair)/Jon Blum/Dianne Heffron/Daniel 
Schreiner 
ASA (ASAM): Jeff Lovern/Melanie Turner (Facilitators) 
ASPE: Steve Sheingold 
AHRQ: Kathie Kendrick 
ASH: Wanda Jones 
OHR: Meena Seshamani 
ONC: David Blumenthal 
CDC: Catherine Gordon 
IGA: Anne Filipic 
NIH: Josephine Briggs 
SAMHSA: Jeff Buck 
ASFR (ASRT): Matt Cutler/Ben Lum 
ASL: Andrea Palm/Liz Engel 
CoS: Justine Sarver 
OS/ES: Kathleen Cantwell 
HRSA: Diane Espinosa (Chair) 
ASA (ASAM): Toni Harris (Facilitator) 

CMS: Erin Clapton/Teresa Nino 
OHR: Caya Lewis 
ASPE: Don Oellerich 
OD: Henry Claypool 
CDC: Denise Koo 
SAMHSA: Robert Stephenson/Fran Randolph/Linda Kaplan 
IHS: Carl Harper/Frank Martin 
AHRQ: David Meyers 
HRSA: Jessica Sitko/Joanne Zurcher 
OGC: Andrea Davey 
ASFR (ASRT): Pete Bernardy/Rene Herbert 
ASL: Andrea Palm 
Counselor: Dora Hughes 
Cos: Justine Sarver 
OS/ES: Matt Grove 
CMS: Penny Thompson (Chair)/Cynthia Mann/Daniel 
Schreiner/Teresa Decaro/Paul Spitalnic 
ASA (ASAM): Earl Pinto (Facilitator) 
AHRQ: Howard Holland 
ASPE: Dara Corrigan 
ACF: Mark Greenberg 
AOA: Mimi Toomey 
Counselor: Sharon Parrott 
OHR: Barbara Smith 
ONC: Kelly Cronin IGA: Anne Filipic 
SAMHSA Kevin Hennessy 
ASFR (ASRT): Donna Laverdiere/Kate Sharaf 
ASL: Liz Engel 

Cos: Justine Sarver 
Delivery system and payment reform 
Workforce 
Coordination between Exchanges and public programs: 
 Payment/deliver system/quality 
reforms 
 
Consumer 

protection 

 
Beneficiary 

transitions 
between 
exchanges and 
public programs 
 Public program 
CMS, ASPE, 
AHRQ, ASH, 
OHR, ONC, 
CDC, IGA, NIH, 
SAMHSA 
HRSA, CMS, 
OHR, ASPE, 
OD, CDC 
CMS, AHRQ, 
ASPE, ACF, 
AoA, OHR, 
ONC, IGA 

Adding Anne who handling speaking requests. 

Meena Seshamani, MD, PhD 
Director Policy Analysis 
Office Health Reform 
Dept Health and Human Services 

-----Original Message----
From: Wakefield, Mary (HRSA) 

Sent: Tuesday, April 06, 2010 7:00 
To: Cheatham, Tina (HRSA) 
Cc: Seshamani, Meena (HHS/ASPE) 
Subject: RE: Speaker Request April 29th 

Tina, can but we'll have see what can say about those specific topics. 

Meena, guess that you have take this. Since it's coming from the WH, I'm routing directly ask you how this should handled. thx 

From: Cheatham, Tina (HRSA) 

Sent: Tuesday, April 06, 2010 6:19 
To: Wakefield, Mary (HRSA) 
Cc: Brand, Marcia (HRSA); Gazdik, Tanya (HRSA) 
Subject: Fw: Speaker Request April 29th 

Mary think you did this one last year. you want this one again? 

Thanks, 
Tina 

From: Blake, Michael  
To: Cheatham, Tina (HRSA) 
Sent: Tue Apr 16:18:50 2010 

Subject: RE: Speaker Request April 29th 

This for Rural Urban Caucus-apologies for the mistake. 

From: Blake, Michael 

Sent: Tuesday, April 06, 2010 2:16 
To: 'tcheatham@hrsa.gov' 

Subject: Speaker Request April 29th 

Good morning Tina, next Thursday, April 29th Room 430 B/C, White House IGA will hosting the Large Urban 
County Caucus from NACo for their annual fly-in meetings. I'm asking that you identify 
someone/persons from your agency who can speak their specific issues interest listed below and 
then send over vitals this Friday, April 9th for all attending persons from your agency. They have 
specifically requested certain people from your agency, who too, are listed below. 

Also -please specify what times you can NOT between a.m. and p.m. can begin slotting speakers for 15-20 minute slots. 
Rural Health 
Speaker Requested: Dr. Mary Wakefield, Administrator Health Resources and Services Administration, HHS 
Topic: RAC members are interested learning about opportunities for rural counties work with the Administration implementation health care reform. They are especially interested workforce and access provisions the bill. 
Thanks, 

Date: Wednesday, April 07, 2010 11:10:19 all -I'll loop back with the appropriate folks for sign-off and get back you. 

-----Original Message----From: Seshamani, Meena (HHS/ASPE) 
Sent: Tuesday, April 06, 2010 7:23 

To: Wakefield, Mary (HRSA); Cheatham, Tina (HRSA); Filipic, Anne (HHS/OS/IGA) 
Subject: RE: Speaker Request April 29th 

Adding Anne who handling speaking requests. 

Meena Seshamani, MD, PhD 
Director Policy Analysis 
Office Health Reform 

Dept Health and Human Services 

-----Original Message----
From: Wakefield, Mary (HRSA) 

Sent: Tuesday, April 06, 2010 7:00 
To: Cheatham, Tina (HRSA) 

Cc: Seshamani, Meena (HHS/ASPE) 
Subject: RE: Speaker Request April 29th 

Tina, can but we'll have see what can say about those specific topics. 

Meena, guess that you have take this. Since it's coming from the WH, I'm routing directly ask you how this should handled. thx 

From: Cheatham, Tina (HRSA) 
Sent: Tuesday, April 06, 2010 6:19 
To: Wakefield, Mary (HRSA) 
Cc: Brand, Marcia (HRSA); Gazdik, Tanya (HRSA) 
Subject: Fw: Speaker Request April 29th 

Mary think you did this one last year. you want this one again? 

Thanks, 
Tina 

From: Blake, Michael  
To: Cheatham, Tina (HRSA) 

Sent: Tue Apr 16:18:50 2010 
Subject: RE: Speaker Request April 29th 

This for Rural Urban Caucus-apologies for the mistake. 

From: Blake, Michael 

Sent: Tuesday, April 06, 2010 2:16 
To: 'tcheatham@hrsa.gov' 
Subject: Speaker Request April 29th 

Good morning Tina, next Thursday, April 29th Room 430 B/C, White House IGA will hosting the Large Urban County Caucus from NACo for their annual fly-in meetings. I'm asking that you identify someone/persons from your agency who can speak their specific issues interest listed below and then send over vitals this Friday, April 9th for all attending persons from your agency. They have specifically requested certain people from your agency, who too, are listed below. 
Also -please specify what times you can NOT between a.m. and p.m. can begin slotting speakers for 15-20 minute slots. 
Rural Health 
Speaker Requested: Dr. Mary Wakefield, Administrator Health Resources and Services Administration, HHS 
Topic: RAC members are interested learning about opportunities for rural counties work with the Administration implementation health care reform. They are especially interested workforce and access provisions the bill. 
Thanks, 

Date: Wednesday, April 07, 2010 8:34:2S Attachments: Mary
Rima let know that you've adjusted your schedule attend the working session New Orleans with the White House and Mayor-Elect Landrieu and his transition team. Thanks for your willingness adjust your schedule participate -we really think you are the ideal person represent HHS this meeting and the White House thrilled have your participation. believe Rima already provided you with overview the session, but wanted give you update where things stand. Rima, C'Reda, Paul and had call this afternoon with the White House and Mayor-Elect Landrieu's team and got clearer sense what the health care session will look like, based the Landrieu team's priroities. 
Both the Landrieu team and the White House would like major focus the conversation community health care, particularly the role that community health centers can play New Orleans' continued recovery post-Katrina. They'd also like hear about the implications healthcare reform for people living the region. thought you could address these issues your opening statements and discuss HHS's successes date the area community health care. addition, you'll see that there will brief moderated conversations with participants select topics, one about community based care which we'd like you and RADM Weaver lead and two others that would led other HHS representatives. 
I've attached draft overview document which will sending the White House and participating agencies tomorrow. provides overview the issues that will addressed Monday, well draft agenda. 
I've also cut and pasted the draft agenda below for your easy reference. Please let know you have any feedback suggested changes any this. 
I've CC'd Tina here but there's particular staffer you'd like work with final details, let know. 
Thanks again for agreeing participate this such short notice. Please let know there's additional clarity can provide any this. 
Best, Anne 
Health Care Working Session with Mayor-Elect Landrieu's Transition Team April 12, 2010 DRAFT AGENDA: 

12:30 -12:40 -Welcome and Introductions 
Marge Petty, HHS Region Regional Director 
12:40 :00 -Overview Health Care Taskforce and Priorities 
Mayor-Elect Landrieu transition team :00 :20 -Community Health Care Delivery: HHS Successes Date and Developments under Health Care Reform 
Mary Wakefield, Administrator, Health Resources and Services Administration :20 -2:20: Moderated Discussion 
1:20-1 :40: 
Community Based Care HHS Representatives: Mary Wakefield and RADM Don Weaver, HRSA Mayor-Elect Landrieu Representative: 
1:40 -2:00: 
Public Health and Prevention: 
HHS: CDC and RADM Don Weaver, HRSA 
Mayor-Elect Landrieu Representative: 
2:00 -2:20: and Charity Hospital 
FEMA and Representatives 
Mayor-Elect Landrieu Representative: 
2:20 -2:30: Wrap-Up and Final Comments 

Mitch Landrieu's election New Orleans' next mayor potentially important transition point for the city. are moving from the upcoming closure the Gulf Coast Rebuilding Office more steady-state operations and are approaching the fifth anniversary Katrina's landfall. have opportunity demonstrate the Obama Administration's continued commitment the Gulf Coast and engage collaborative planning with Mayor-Elect Landrieu's incoming staff and State Louisiana counterparts. This also opportunity rally and organize the network Federal agencies still involved the Gulf Coast. 
The White House has decided send delegation Federal staff New Orleans engage working session Sunday April and Monday April 12, 2010. HUD Secretary Donovan, Education Deputy Secretary Tony Miller and FEMA Administrator Fugate will lead press event Sunday, and other federal staff will participate working sessions the following day. request your agency identify staff travel New Orleans for that full-day working session. HUD, ED, and OHS are sending principals participate press event, but request that you instead send staff. Specifically headquarters personnel from the Secretary's office who will available work Gulf Coast issues ongoing basis; and someone who currently the ground either New Orleans your agency's regional office who can serve primary point contact for Mayor-elect Landrieu's staff. 
These staff will responsible prepare for closed-press discussion with their city and state counterparts and other relevant federal officials. Between now and May when Landrieu sworn in, these same agency personnel the ground would stand ready assist Landrieu's staff, answering questions, participating conference calls and trouble-shooting issues needed. Following the inauguration, points contact will points contact for these issues for the White House. 

 demonstrate the Administration's continued commitment the Gulf Coast. 

 strengthen relationships between city, state and Federal personnel. 

 nurture network federal staff who will available handle ongoing Gulf Coast issues the Office Gulf Coast Rebuilding winds down. 

 conduct closed-press breakout meetings where local, state, and Federal officials communicate, share priorities and conduct collaborative planning. 

 announce result the Long-Term Disaster Recovery Working Group, how Federal resources will realigned better support communities that face future large-scale disasters. 

The purpose the working session not transactional (to announce new forms assistance) but rather listen the local officials' concerns and discuss ways work more closely together. 

The White House negotiating with Mayor-Elect Landrieu's staff the details the event. The White House will also provide high-level administration talking points and fact sheet about accomplishments the Gulf. 
HUD tasked with coordinating logistics the ground. 
DHS's Office Gulf Coast Rebuilding will provide advice and support participants. 
Each participating agency responsible for funding their travel expenses and for preparing for individual break out working sessions, including their own briefing materials. 
Mayor-Elect Landrieu will host the working sessions and his designees will lead individual sessions 

Sunday 
 	
Press Conference, 

 	
Housing and Community Development working session (led Secretary Donovan) 

Monday 
8:30 -9:15 
9:30 AM-1 1:30 
11:30 AM-12:15PM: 
12:30 PM-2:30 
2:45-3 :30 Breakfast and Opening Comments (closed press) Breakout Sessions (closed press, but with camera sprays) 
 
Ecosystem Recovery (NOAA, Army Corps, EPA and FEMA) 

 
Education (Ed and FEMA) 

Lunch 
Breakout Sessions (closed press, but with camera sprays) 
 
Health Care and Hospital (HHS, VA, and FEMA) 

 
Infrastructure and Public Assistance Claims (FEMA, Army Corps) 

 
Justice and Crime Control (DOJ) 

Closing Session and Read Outs from Working Sessions (closed press) 

Purpose the Session Health Care: 
 hear local officials concerns related health care challenges the greater New Orleans area. 
 provide opportunity for input and identify shared priorities for access quality health care for federal, state, and local leaders. 
 establish and nurture relationships between federal, local and state officials concerned with 
health care. 
Description/Background: 
Five years after Katrina, the health care system New Orleans still faces many challenges providing access quality health care services the region. Since 2007, HHS has supported the health care delivery system through three-year, $100 million Primary Care Access and Stabilization Grant (PCASG) program, designed meet the increasing demand for healthcare sertices the four-parish Greater New Orleans area (Jefferson, Orleans, Plaquemines and St_. Bernard parishes), provide high quality primary and behavioral health care the community level, and decrease reliance emergency rooms for conditions more appropriately treated outpatie.nt setting. The funds help healthcare providers stabilize, improve and expand their services through methods including opening satellite clinics, extending hours operation and hiring additional qualified medical-staff. The participating organizations provide affordable services everyone, without regard ability pay. 
While HHS has already agreed grant no-cost extension forthe PCASG, which would allow nearly 
one-third the original grantees use un.spent funds until March 2012, long-term strategies improve access care and strengthen the New Orleans health care system are essential the community's continued success. HHS has awaded more than $25 million ARRA funding New Orleans health centers upgrade and expand their servics, and has provided $50 million workforce stabilization grants, outsiqe the Retovery Act; help the City recrujt and retain more than 900 health care professionals. addition, work continues tomov forward the construction the new hospital and replacement for Charity Hospital Mid-City, with two important recent decisions -the federal arbitration pahel ruling that FEMA owes the State $474 million for the replacement Charity Hospital and the U.S. District Judge ruling that the fast-tracked planning process for the two hospitals has not violated U.S. environmental law ... 
While clear the community h9s made great strides, continued success will rely strong partnership between federal and local officials, non-profit groups and community organizations. Today's session will provide an_ opportunity discuss new and continued collaborations on: 
 
Community health care delivery; 

 
Wellness and Prevention; and 

 
The and Charity Hospital facilities. 

Structure: The session will led Mary Wakefield, Administrator, Health Resources and Services Administration and TBD-local 
Agenda: DRAFT April 
All meetings will held the Intercontinental Hotel, 444 St. Charles Avenue, NOLA 70130 
12:30 -12:40 -Welcome and Introductions 
Deliberative Pre-decisional Communication --Not Administration Policy --Do Not Release 

Marge Petty, HHS Region Regional Director 

12:40 -1:00 -Overview Health Care Taskforce and Priorities 
--- Mayor-Elect Landrieu transition team 
1:00 -1:20 -Community Health Care Delivery: HHS Successes Date and Developments under Health Care Reform Mary Wakefield, Administrator, Health Resources and Services Administration 
1:20 -2:20: Moderated Discussion 
1:20 -1:40: 
Community Based Care 
HHS Representatives: Mary Wakefield 9nd RADM Don Weaver, HRSA 
Mayor-Elect Landrieu Representative: 
1:40 -2:00: 
Public Health and Prevention: 
HHS: CDC and RADM Don.Weaver, HRSA 
Mayor-Elect Landrieu Representative:
2:00 -2:20: and 
FEMA and l,epresentatJves: 
Mayor-Elect 
2:20 -230: Wrap-Up aQd Fi.nal Cqmments 
Participants: 
Federal 

Local o'fthe Health Care Task Force for the Transition 
Deliberative Pre-decisional Communication --Not Administration Policy --Do Not Release