SustiNet
Since 2005, the foundation has developed relationships with several key groups that would be instrumental in creating broad change in the health system, including medical societies, hospitals, businesses, labor and clergy.
In January 2009 the foundation unveiled SustiNet, a proposal for a statewide health care plan for Connecticut that would provide residents with their choice of health coverage and care regardless of their employment status, age, or pre-existing conditions. An estimated 1,000 people attended a rally at Union Station (Hartford) for the release of the plan.
SustiNet would emphasize preventive care and the management of chronic illnesses. It would create a large health insurance pool by combining state employees, retirees, and people covered by state assistance programs. The pool would also be open to members of the public without insurance, those with inadequate insurance, and employers, starting with small businesses, nonprofits and municipalities. Eventually, Sustinet would be open to larger employers wishing to insure their employees through the plan.
According to analysis by the nation's leading health economists, SustiNet would reduce the proportion of state residents without health coverage from 12 percent to 2 percent by 2014. In addition, SustiNet would bring about savings in the private sector which would far exceed additional state government expenditures.
In February, the 18,500-member Connecticut Association of Realtors announced its support for the SustiNet health care plan, explaining that as self-employed individuals, realtors bear the total cost of their insurance premiums, and consequently many are priced out of the market. In addition, the independent statewide organization Small Businesses for Health Care Reform endorsed the proposal and encouraged other business owners to review and support it.
In March, the foundation's plan was formally endorsed by the Interfaith Fellowship for Universal Health Care, a group devoted to health reform, and by dozens of other religious leaders representing a wide range of faiths in Connecticut. Fellowship members include Rabbi Stephen Fuchs of Congregation Beth Israel in West Hartford, a co-chairman of the Interfaith Fellowship, and Bilal Ansari, a Muslim chaplain at Saint Francis Hospital & Medical Center in Hartford, where much of his counseling involves helping families cope with not just the stress of a relative's illness, but the worries about how they will pay for it.
SustiNet passed its first hurdle in the General Assembly's joint committees on Thursday, March 26, receiving a favorable report from the Public Health Committee, which voted 22-8 to move the bill forward. Successively, others did likewise: the Human Services Committee, 13-6 on April 22, Labor and Public Employees Committee, 8-3 on the 29th, and Insurance and Real Estate, 13-4 on May 7.
On May 20, 2009, the House of Representatives voted 107-35 for SustiNet, and on the 30th, the Senate did the same, 23-12.
SustiNet was sent to Governor M. Jodi Rell, who vetoed it on July 8.
On July 20 the governor's vetoes were overridden by the Connecticut House of Representatives with a vote of 102 to 40 and then by the Connecticut Senate with a vote of 24-12.
The SustiNet law establishes a nine-member board to recommend to the legislature, by January 1, 2011, the details of and implementation process for a self-insured health care plan called SustiNet. The recommendations must address (1) the phased-in offering of the plan to state employees and retirees, HUSKY A and B beneficiaries, people without employer-sponsored insurance or with unaffordable, small and large employers, and others; (2) establishing an entity that can contract with insurers and health care providers, set reimbursement rates, develop medical homes for patients, and encourage the use of health information technology; (3) a model benefits package; and (4) public outreach and ways to identify uninsured citizens.
The board must establish committees to make recommendations to it about health information technology, medical homes, clinical care and safety guidelines, and preventive care and improved health outcomes. The act also establishes an independent information clearinghouse to inform employers, consumers, and the public about SustiNet and private health care plans and creates task forces to address obesity, tobacco usage, and health care workforce issues. The effective date of the SustiNet law was July 1, 2009 for most provisions.
The work of the nine member SustiNet board began in July 2009 and in September two more position were added to the board. The now 11 member board will guide four committees and three task forces, which will report to the General Assembly in July 2010. Enrollment in the program will begin in July 2012.
Read more about this topic: Universal Health Care Foundation Of Connecticut