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HHS Exhibits 1-6

HHS Exhibits 1-6

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Published by Cause of Action
Exhibits to a request for investigation to the HHS IG.
Exhibits to a request for investigation to the HHS IG.

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Published by: Cause of Action on Apr 11, 2014
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08/30/2014

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EXHIBIT 1

Mcbride, Mary E
From: Sent: To: Miodek, Katrina Thursday, January 31, 2013 9:55 AM Basgal, Ophelia B; Brezina, Mark J; Fields, Barbara G; Garcia, Rick M; Jennings Jr, Edward L; Mcbride, Mary E; Orriols, Mirza; Porter, Theresa; Riley, Antonio R; Vincent, Jane Hoban-Moore, Patricia A; Fleischer, laura A; Garrigan, Virginia L; Gray, Shelia M; Hernandez, Denise Z; Rodriguez, Margarita; Schooley, Diane; Urbina, Angelique M; Willlams, Tanetta; Wooten, Donald E FW: ACA Outreach Strategy ACA Outreach - Senior Team Presentation 1-29-13. pdf

Cc:
Subject: Attachments:

AllThanks for letting me know if you can join today's Spm call. Here is background information on the Affordable Care Act (ACA). Thank you, Katrina Katrina Miodek Special Assistant to the Director Office of Field Policy & Management U.S. Department of Housing and Urban Development 202.402.3744 katrina.miodek@hud.gov
From: Motherslll, Shaneke T On Behalf Of Kollurl, Lopa P Sent: Thursday, January 31, 2013 9:55 AM To: Jenkins, Nate; Blatchford, Laurel A; Bryon, Jemine A; Newton Cole, Karen A; Galante, carol J; Harwltz, Jonathan M; Henriquez, Sandra B; Hoban-Moore, Patricia A; Kanevsky, Helen R; Poticha, Shelley R; Richman, Estelle B; Tombar ill, Frederick; Tozer, Theodore W; Trasvlna, John D; Wiiiiams, Jeny E; Sldarl, David P; Youngberg, Francey L; Kollurl, Lopa P; Hernandez, Deborah A; Barker, Larkin E; Kinney, Mary K; Shuback, Susan J; Danzig, Lisa E; Poethig, Erika C; Basgal, Ophelia B; Jennings Jr, Edward L; Mcbride, Mary E; Riley, Antonio R; Vincent, Jane; Garcia, Rick M; Jones, Maurice A; Fields, Barbara G; Johnston, Mark; Orrlols, Mirza; Brezina, Mark J; Anderson, Michael A; Elliott, Barbara A; Berman, Michael D; Mincberg, Elliot M; Sarkozy·Banoczy, Stewart G; Argllagos, Ana Marie; Richardson, Todd M Cc: Kefalas, Ioanna T; Kovar, Peter; Cherry {Ctr), Greta M; Smith (Ctr), carllse G.; Cue, Christina M; Bruns, Melissa S; Thrower, Laura A; carter, Stevens J; Rodriguez, Alda N; Snipes, Amy E; Wint, candace R; Leavy-Sperounis, Marianna B Subject: ACA Outreach Strategy

Dear Folks,
I wanted to follow up on our Senior Team discussion on ways in which HUD can support the White House/HHS push for education around enrollment of uninsured individuals in health insurance exchanges and expanded Medicaid programs.

The Secretary is committed to engaging as intensively as we can on this initiative. Members of your staff have worked with our office over the last couple of weeks to generate a llst of possible areas in which HUD can engage -- Please review the attached PowerPoint and let me know by noon tomorrow any comments questions that you have about the proposed areas of engagement (Carol, we noted your suggestion about activating an OFA or Americorps-like volunteer base around enrollment, as well as lessons from EITC Sites, and will relay that to the WH.} Thanks much, Lo pa
1

Affordable Care Act Rollout
· Outreach, Education and Enrollment

The Affordable Care Act
• On March 23rd, 2010, President Obama signed the Patient Protection and Affordable Care Act into law. Key Provisions include:
Individual Mandate - State-level Health Insurance Exchanges

• On June 28, 2012, the Supreme Court upheld the Act, but allowed states to opt out of a provision requiring the expansion of Medicaid to serve individuals under 65 with income below 133 percent of the federal poverty level.
In states that do expand their Medicaid programs, it will represent the first time in which low-income adults without children will be guaranteed coverage without the need for a waiver.

Potential Impact for HUD Programs and Residents
• Insurance enrollment status of HUD residents is not known • The Center for Budget and Policy Priorities (CBPP) reports that HUD has the potential to save $100 million in rental subsidy costs when elderly and disabled HUD residents enroll in insurance programs like the Medicare Savings Program (MSP)
MSP reduces out-of-pocket costs for Medicare insurance premiums, deductibles, and copayments.

• CBPP reports that approximately 700,000 assisted households claimed $1.4 billion in such expenses in 2010
- This increased HUD rental subsidy costs by more than $400 million that year.

Geographic and
Demographic Targeting
• Top 10 states:
- Texas, Florida, Illinois, Missouri, Georgia, North Carolina, Pennsylvania, New Jersey, Ohio & Michigan

• Top 8 cities:
- Dallas/Ft. Worth, Houston, Miami, Chicago, Atlanta, Phoenix/Tucson MSA, Philadelphia & Washington, DC

• Priority demographic is "young and healthy"
- "Sick and worried" will require less intensive outreach - "Passive and unengaged" will be more difficult to reach

ACA Rollout Phases
• Phase 1: Outreach and Education (January-June)
- Agencies conduct outreach to uninsured individuals, specifically the "young and healthy" - Provide high level me. ssaging/education on health insurance literacy and the value of insurance
• Use of social media, online communication, cell phones

- On January 16th, CMS re-launched its healthcare.gov site as consumer-facing site
• Will help individuals learn about insurance and begin to understand their options.

ACA Rollout Phases
• Phase 2: Training of Application Assisters (starts in June)
- Healthcare.gov will re-launch as the place for enrollment - Navigators (30-40 hour training) and ~ertified Application Assisters (4-5 hour training) will train to be able to enroll others - Call Center will launch for people to get more info (24 hours/day; 150 languages) - Outreach and education continues

• Phase 3: Enrollment {starting October 1st)

Low to Medium Level of Engagement
1. Include messaging in Senior Team talking points

2. Social media amplification via Twitter and Facebook and biogs 3. Provide information and encourage participation in training (as appropriate) via listservs:
Continuums of care Public housing directors Multifamily service coordinators Neighborhood networks coordinators Multifamily housing owners and management agents Housing counselors Public engagement specialized stakeholders Neighborhood Networks Public Housing portal and Resident Newsletter Homelessness Resource Exchange

4. Post information on program websites

Medium Level of Engagement
5. Encourage industry groups and other stakeholders to contact inform their members; offer to provide information at conferences/public events:
Council of Large Public Housing Authorities (CLAPHA) Public Housing Authorities Directors Association (PHADA) U.S. lnteragency Council on Homelessness (USICH) Community Solutions/lOOK Homes Campaign National Affordable Housing Management Association (NAHMA) American Association of Service Coordinators (AASC) New England Resident Service Coordinators (NERSC) Stewards of Affordable Housing for the Future (SAHF) Housing Partnership Network (HPN} Neighborworks (NW) National Council of State Housing Agencies (NCSHA) National Alliance to End Homelessness (NAEH) Corporation for Supportive Housing (CSH}

High Level of Engagement
6. Encourage staff who work with residents to participate in Certified Application Assistance training so that they can provide in-person enrollment assistance starting October 1st:
Public Housing FSS and ROSS Coordinators Voucher program FSS Coordinators Multifamily Service Coordinators Neighborhood Network Coordinators (MFH) Homeless service providers (CoC- and ESG-funded) Participants of With Every Heartbeat is Life (WEHL-PIH} program

7. Incorporate outreach and possibly enrollment into ongoing activities with residents:
Public housing resident income certification Section 811 program activities Continuum of Care centralized or coordinated assessment system Point-in-Time Counts Annual eligibility certification process for multifamily housing residents Father's Day activities (June 1gth) With Every Heartbeat is Life (WEHL-PIH) health programming

Discussion

Questions? Comments? . Challenges? Opportunities?

EXHIBIT 2

EXHIBIT 3

31 USCS § 1301
Current through PL 113-74, with a gap of PL 113-73, approved 1/16/2014

§ 1301. Application

(a) Appropriations shall be applied only to the objects for which the appropriations were made except as otherwise provided by law. (b) The reappropriation and diversion of the unexpended balance of an appropriation for a purpose other than that for which the appropriation originally was made shall be construed and accounted for as a new appropriation. The unexpended balance shall be reduced by the amount to be diverted. (c) An appropriation in a regular, annual appropriation law may be construed to be permanent or available continuously only if the appropriation-(1) is for rivers and harbors, lighthouses, public buildings, or the pay of the Navy and Marine Corps; or (2) expressly provides that it is available after the fiscal year covered by the law in which it appears. (d) A law may be construed to make an appropriation out of the Treasury or to authorize making a contract for the payment of money in excess of an appropriation only if the law specifically states that an appropriation is made or that such a contract may be made.
History

(Sept. 13, 1982,P.L. 97-258, § 1, 96 Stat. 917.)

EXHIBIT 4

EXHIBIT 5

31 USCS § 1341
Current through PL 113-74, with a gap of PL 113-73, approved 1/16/2014

§ 1341. Limitations on expending and obligating amounts

(a) (1) An officer or employee of the United States Government or of the District of Columbia government may not-(A) make or authorize an expenditure or obligation exceeding an amount available in an appropriation or fund for the expenditure or obligation; (B) involve either government in a contract or obligation for the payment of money before an appropriation is made unless authorized by law; (C) make or authorize an expenditure or obligation of funds required to be sequestered under section 252 of the Balanced Budget and Emergency Deficit Control Act of 1985 [2 USCS § 902]; or (D) involve either government in a contract or obligation for the payment of money required to be sequestered under section 252 of the Balanced Budget and Emergency Deficit Control Act of 1985 [2 USCS § 902]. (2) This subsection does not apply to a corporation getting amounts to make loans (except paid in capital amounts) without legal liability of the United States Government. (b) An article to be used by an executive department in the District of Columbia that could be bought out of an appropriation made to a regular contingent fund of the department may not be bought out of another amount available for obligation.
History

(Sept. 13, 1982,P.L. 97-258, § 1, 96 Stat. 923; Nov. 5, 1990, P.L. 101-508, Title XIII, Subtitle B, § 13213(a), 104 Stat. 1388-621.)

EXHIBIT 6

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