Health Care Reform & Exchanges
OK Republicans Implement "ObamaCare"
The maps list the names and locations of the Hospitals and Behavioral Health Service Centers in OK that have taken vouchers to offset the cost of signing up with a certified health information organization (HIO). In other words, these are the locations that are participating in the ObamaCare compliant health information exchange networks.
Soon these separate HIO networks will be linked together, creating the network of networks envisioned in the reformed federal health care system. Health information will be shared electronically via these networks, transmitting health information both instate and with the developing federal health information systems.
At this time, there are only three certified HIOs in OK:
From the OFMQ website:
For a limited time, rural providers and hospitals can apply to receive federal vouchers ranging from $600$17,000 to connect to a certified health information organization (HIO). The voucher program funds are provided through the Oklahoma Health Information Exchange Trust (OHIET).
Those federal vouchers are being paid out of Stimulus money which this state secured through the SHIECAP grant.
Everything that OKSAFE warned about in their presentation on health care reform (Health Care Reform Security and Privcacy Concerns) is coming to fruition in OK, largely due to the efforts of the OHIET (Oklahoma Health Information Exchange Trust).
The OHIET is a publicbeneficiary trust created in 2010 with the passage of SB 1373, a bill authored by Sen. Brian Crain and Rep. Colby Schwartz. An effort the repeal SB 1373 in 2012 was nixed by leadership in the Republicanled Senate.
The Illegal IRS Rule to Expand Tax Credits Under the PPACA by Jonathan H. Adler (Case Western Reserve University School of Law) and Michael F. Cannon (Cato Institute)
The American Recovery and Reinvestment Act of 2009 (aka The Stimulus Bill), Public Law 1115. The real health care reform law.
OK-SAFE Presentation to Joint Committee on Health Care Reform Law - 11-03-2011 - PowerPoint Download and Video
These items show the legislative progression toward implementing "health care reform" in Oklahoma, that is really helping to establish the seamless flow of health care information to the department of homeland security, to develop a federal data hub, aka total information awareness.
2006 - HB 2842 Enrolled Version - By Steele/Adelson – Oklahoma Medicaid Reform Act of 2006
Senate Votes on HB 2842 5/25/06
House Votes on HB 2842 5/25/06
2008 - SB 1420 by Cox/Sparks - Creating the Oklahoma Health Information Exchange Act
Senate Votes on SB 1420 5/22/08
House Votes on SB 1420 5/23/08
2008 E.O. 20084 Issued by Gov. Brad Henry Creation of the Oklahoma Health Information Security and Privacy Council (OKHISPC)
2009 - SB 757 by Steele/Burrage - Creating the Oklahoma Health Information Infrastructure Advisory Board (OHIIAB)
Senate Votes on SB 757 5/13/09
House Votes on SB 757 5/15/09
2010 - SB 1373 by Crain/Schwartz - Creating the Oklahoma Health Information Exchange Trust. Started out as a COPD bill
Senate Votes on SB 1373 5/25/10
House Votes on SB 1373 5/27/10
2011 - HB 2130 By Steele/Jolley – Making the Secretary of Health and Human Services (Terry Cline)
House Votes on SB 2130 3/17/11
The Oklahoma Health Information Exchange Trust (OHIET) trust indenture. Filed with the OK Secretary of State on Sept. 20, 2010.
OK-SAFE Reports: Notes on 1st Joint Committee Meeting on Healthcare Reform & Exchanges - 09-14-11
Buffy Heater (OHCA) presentation – “Now we’re going to talk about the technical aspects of information systems changes. So I think I’ll start off by addressing the question that was brought up earlier in the session about the federal data hub or the federal data exchanges that are being established as part of the ACA through both the exchange set-up as well as for the Medicaid income verification pieces. So basically, the federal government is creating a data hub, or a data cloud, as it be, in that there will be sources from federal agencies, the IRS, the Social Security Administration, and the Department of Homeland Security, where there will be member level or individual level information that is fed up to this data cloud.
The following are the presentations shown at the first Joint Committee on the Federal Health Care Law, held in Oklahoma City, OK in the House Chambers on Wednesday, September 14, 2011.
Health Outcomes: Oklahoma Department of Health by Julie Cox-Kain
Oklahoma SoonerCare: OHCA by Mike Fogarty CEO on 09-13-11
Summary of PPACA: Oklahoma Department of Health by Julie Cox-Kain
ACA Medicaid: OHCA by Heater and Roberts
Health Reform Task Force Medicaid: OCPA by Jason Sutton
Video of this meeting is available on the OK Legislature website – click on House Video.
Oklahoma Health Care Act Lawsuit
Pruitt Applauds Ruling on Federal Health Care Law
OKLAHOMA CITY – 8/12/2011 – Attorney General Scott Pruitt released a statement in support of the ruling by the U.S. appeals court: “I am pleased the 11th circuit ruled today that the federal government cannot force Americans to buy health insurance. “Indeed, the ruling affirms and strengthens Oklahoma’s…more
"On August 12, 2011, the 11th Circuit Court of Appeals issued an opinion in appeal State of Florida v. U.S. Dept. of HHS (11-11021-HH). ("Obama Care"). The Court determined that the 'individual mandate' was unconstitutional, and severable. This decision is a tremendous boost to all those who stood firmly opposed to the implementation of this egregious bill."
Michael F. Cannon is Director of health policy studies at the Cato Institute
Obamacare Can't Be Fixed, and Now Is the Time to Dismantle It
America in the Balance interviews Michael Cannon of the Cato Institute on his article “ObamaCare Can’t Be Fixed and Now is the Time to Dismantle It”
America in the Balance – Interviews Mark Croucher on Oklahoma’s implementation of Obamacare
Cooperative Agreements to Support Innovative Exchange Information Technology Systems
Oklahoma ObamaCare Health Benefit Overview Logical Model
Oklahoma Health Information Exchange Executive Order 2008-4
State Planning and Establishment Grants for the Affordable Care Act’s Exchanges
Grant 10683729 Grants Gov Submission Validation Receipt for Application
Oklahoma EI Grant Terms and Conditions
CFR 155 Proposed Rule Dept of Health 2011
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