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Critical Issues Series: Legislative Forum

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Critical Issues Series: Legislative Forum

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What: The Legislative Forum

When: Thursday, December 8, 2022 from 8:30am-10:00am

Why: In a quick 90 minutes, participants got timely updates as well as reflections and predictions on federal and state policies and legislative activities that matter to your business and our community.

Who: Invited speakers include elected officials who represent our community with U.S. Congress and the NC General Assembly and leaders who advocate for a Greater Chapel Hill-Carrboro.

About: The 2022 Critical Issues Series is presented by Chapel Hill Media Group, Durham Tech, Glen Lennox, and Servpro of South Durham and Orange Counties with support from the Small Business and Technology Development Center (SBTDC), which provides free and confidential business counseling.

Contact: For event-related questions, contact McKenzie Steagall at (443) 907-5476 (m). For content-related questions, contact Katie Loovis at (919) 696-0781 (m).

What: The Legislative Forum

When: Thursday, December 8, 2022 from 8:30am-10:00am

Why: In a quick 90 minutes, participants got timely updates as well as reflections and predictions on federal and state policies and legislative activities that matter to your business and our community.

Who: Invited speakers include elected officials who represent our community with U.S. Congress and the NC General Assembly and leaders who advocate for a Greater Chapel Hill-Carrboro.

About: The 2022 Critical Issues Series is presented by Chapel Hill Media Group, Durham Tech, Glen Lennox, and Servpro of South Durham and Orange Counties with support from the Small Business and Technology Development Center (SBTDC), which provides free and confidential business counseling.

Contact: For event-related questions, contact McKenzie Steagall at (443) 907-5476 (m). For content-related questions, contact Katie Loovis at (919) 696-0781 (m).

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Critical Issues Series: Legislative Forum

  1. 1. About the RTA • Voice of the regional business community on transportation • More than 150 members, including 25+ chambers of commerce • Focus on freeways, streets, intersections, transit, air service • Revenue for transportation, and innovations Mission: Deliver business leadership to get our region moving faster. 2022 Critical Issues Series: The Legislative Forum The Chamber For a Greater Chapel Hill-Carrboro – Thursday, December 8, 2022
  2. 2. Accelerated Metropolitan Mobility strategy 2022 Critical Issues Series: The Legislative Forum The Chamber For a Greater Chapel Hill-Carrboro – Thursday, December 8, 2022 1. Identify sustainable funding for RDU Airport 2. Advance enhanced regional transit system 3. Promote rapid relief freeway improvements 4. Support mobility innovations and pilots 5. Modernize revenues for highways and streets
  3. 3. Accelerated Metropolitan Mobility strategy 2022 Critical Issues Series: The Legislative Forum The Chamber For a Greater Chapel Hill-Carrboro – Thursday, December 8, 2022 • Advance enhanced regional transit system • Promote rapid relief freeway improvements Transit priority shoulders BOSS expansion Accelerated, interconnected BRT Freeway And Street-based Transit (FAST) study
  4. 4. Accelerated Metropolitan Mobility strategy 2022 Critical Issues Series: The Legislative Forum The Chamber For a Greater Chapel Hill-Carrboro – Thursday, December 8, 2022 • Support mobility innovations and pilots • Modernize revenues for highways and streets Dedicating transportation $ to transportation Sales tax allocation 2022 Access user fee to replace gas tax Modular roundabouts and Dynamic Left Turn intersections
  5. 5. T HE UN IV E RS IT Y OF N ORT H CA ROL IN A AT CHA P E L HIL L The Chamber For a Greater Chapel Hill - Carrboro Legislative Forum 2022 Kelly Dockham, Director of Federal Affairs Thursday, December 8, 2022
  6. 6. 2
  7. 7. T HE UN IV E RS IT Y OF N ORT H CA ROLIN A AT CHA P E L HIL L 3 2022 Midterm Election Results U.S. HOUSE OF REPRESENTATIVES • NC-08: Dan Bishop (R) • NC-09: Richard Hudson (R) • NC-10: Patrick McHenry (R) • NC-11: Chuck Edwards (R)* • NC-12: Alma Adams (D) • NC-13: Wiley Nickel (D)* • NC-14: Jeff Jackson (D)* UNC FEDERAL AFFAIRS • NC-01: Don Davis (D)* • NC-02: Deborah Ross (D) • NC-03: Greg Murphy (R) • NC-04: Valerie Foushee (D)* • NC-05: Virginia Foxx (R) • NC-06: Kathy Manning (D) • NC-07: David Rouzer (R) *New Member
  8. 8. T HE UN IV E RS IT Y OF N ORT H CA ROLIN A AT CHA P E L HIL L 4 2022 Midterm Election Results U.S. HOUSE OF REPRESENTATIVES North Carolina House Delegation o 7 Democrats o 7 Republicans UNC Alumni: 6 UNC FEDERAL AFFAIRS
  9. 9. T HE UN IV E RS IT Y OF N ORT H CA ROLIN A AT CHA P E L HIL L 5 2022 Midterm Election Results U.S. SENATE  NC Senator-Elect Ted Budd (R) UNC FEDERAL AFFAIRS 51 Democrats 49 Republicans
  10. 10. T HE UN IV E RS IT Y OF N ORT H CA ROLIN A AT CHA P E L HIL L 6 LAME-DUCK CONGRESS – DECEMBER 2022  Fiscal Year 2023 (FY23) Appropriations • Continuing Resolution expires on December 16 • Omnibus?  National Defense Reauthorization Act (NDAA) FY23 UNC FEDERAL AFFAIRS
  11. 11. T HE UN IV E RS IT Y OF N ORT H CA ROLIN A AT CHA P E L HIL L 7 • Consolidated Appropriations Act of 2022 • The CHIPS & Science Act of 2022 • Advanced Research Projects Agency–Health (ARPA–H) • Senate: PREVENT Pandemics Act (S.3799) • House: ARPA-H Act (H.R. 5585) 2022 Key Legislation UNC FEDERAL AFFAIRS
  12. 12. 8 AHEAD | 2023 U N C FE D E R A L A FFA I R S • Slim Republican Majority in the House • New Speaker of the House • Senate Democrats increase majority by 1 Seat • Majority Leader Chuck Schumer (D-NY) • New Committee Leadership in both Chambers - NC Delegation Committee Assignments - Losing senior spot on House Appropriations • Divided Congress will impact legislative actions • Compromise & Bipartisanship will be needed! 118th U.S. CONGRESS Convene: January 3, 2023
  13. 13. 9 AHEAD | 2023 U N C FE D E R A L A FFA I R S • Long Session: January – July *odd years • 2-year Budget • NC Senate: Republican Super Majority • President Pro-Tempore Phil Berger (R) • NC House: Near Republican Super Majority • Speaker of House Tim Moore (R) • NC State Supreme Court Control Flips from D to R • NCGA = Redrawing of Maps! North Carolina General Assembly (Long Session)
  14. 14. UNC Health UNC Health Legislative Priorities at UNC Health 1 Lanier Swann Hodgson Vice President, State and Federal Relations UNC Health and UNC School of Medicine Leah Burns Executive Director of State Government Affairs UNC Health and UNC School of Medicine
  15. 15. UNC Health 2 UNC Health’s mission is to improve the health and well-being of North Carolinians and others whom we serve. Our Mission Defines Our Priorities
  16. 16. UNC Health Protecting and Expanding Access To Care • Medicaid Expansion & The Healthcare Access Stabilization Program (HASP) • Extend or make permanent key COVID Waivers • Sustaining telehealth services above all • Support for COVID long-hauler treatment and research • Additional investments towards pandemic preparedness as a whole • Increased investment into NIH research Safeguarding Those Who Provide It • Workforce support to slow the health care staff shortage • Graduate Medical Education investments are critical • Staffing flexibilities for providers • Medicaid Expansion and preventing Medicare cuts • Workplace violence protections • Sustained and proactive opportunities to ensure rural providers and rural hospitals continue to serve their communities 3 How Can We Meet Our Mission?
  17. 17. UNC Health Our Top Priority: Addressing The Mental Health Crisis In North Carolina’s Children Extreme lack of CAP specialists in North Carolina, one of the country’s fastest growing eastern states Annual CAP suicides in North Carolina have doubled in the last 10 years Limited number of pediatric mental health crisis centers throughout North Carolina
  18. 18. UNC Health The Mental Health Crisis In North Carolina’s Children North Carolina needs an additional 400 IP beds to support existing demand of CAP patients Average ED wait time is 57 hours, with some CAP patients held in the ED up to 3 months waiting for a bed CAP patients lack specialized resources, which are not available on general units
  19. 19. UNC Health The Mental Health Crisis In North Carolina’s Children Commercial and state payors don’t cover CAP Intensive Outpatient Programs Wait times in NC are over three months for an initial CAP outpatient visit COVID exacerbating depression, anxiety, substance abuse issues
  20. 20. UNC Health 7 Happening Across Our Country: We Have An Opportunity To Make A Huge Impact Right Here In North Carolina
  21. 21. UNC Health Our Focus: Large-Scale Solutions To Combat The CAP Crisis Crisis Solutions Solution Details 1. Increase access to CAP services throughout the state Promote greater usage of tele-psych services and ensure children and adolescents in any part of the State have equitable access to CAP services 2. Increase specialty OP services for adolescents Provide PHP/IOP services at eight locations distributed across the state 3. Reduce Number of CAP Patients Having to Board in the ED State would fund a dedicated CAP inpatient facility, with a minimum of 100 beds of incremental capacity, either on an existing UNC Health campus or as a freestanding facility (300,000 sf) 4. Provide Care for CAP Patients in Crisis UNC (with state funding support) to provide additional care to CAP patients in crisis through the construction of four new CAP crisis centers (15,000 sf each)
  22. 22. UNC Health 9 Long Term Solutions: Reduce Strain in Emergency Departments, Ensure Access • Increase Medicaid provider rates by a certain percentage (e.g., 2.5% in CO) and compel insurance companies to cover mental healthcare expenses at parity • Require insurers to cover provider reimbursement for pre-defined IOP/PHP programs • Cover up to three telehealth therapy sessions for all youth • Develop an independent behavioral health ombudsman program to educate and investigate complaints regarding insurance denials • Require insurance carriers to adopt a standardized, state-mandated set of “medical necessity” rules to limit denial of coverage
  23. 23. UNC Health 10 • Develop multiple psychiatric residential treatment facilities (PRTFs) for children and adolescents • Develop a statewide app and 9-8-8 hotline for suicide prevention • Waive education loans to mental health professionals who work in State for a predefined period after completing their training • Support additional residency positions in CAP at state universities • Expand language/cultural training for mental health professionals • Place mental health counselors and/or social workers in every high school Long Term Solutions: Meet Patients Where They Are, Expand Access
  24. 24. UNC Health 11 Questions?

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