Growing pressures for public accountability have prompted federal agencies to show that funding priorities are evidence based. A July 29, 2010 memo from the Office of Management and Budget (OMB) (Memo M-10-32), instructed agencies to provide plans for how both project and program evaluations demonstrate or validate impact and are used to support budget priorities (www.whitehouse.gov/sites/default/files/omb/
). The OMB directive to develop and conduct "rigorous, independent program evaluations" will correct problems that kept previous assessment systems from creating real improvement in government performance. These targeted project and program evaluation data promise to generate facts that will be meaningful in defending important nursing programs, such as the Title VIII — Nursing Workforce Development and Title VII — Health Professions programs at the Health Resources and Services Administration (HRSA).
In the past six months, HRSA's Bureau of Health Professions (BHPr) has published two clearance requests seeking approval from OMB for performance data collection of its 2011-2012 Titles VIII and VII grantees. Specifically, the October 14, 2011 Federal Register
notice proposes revisions to the BHPr Performance Report for Grants and Cooperative Agreements (PRGCA) (www.gpo.gov/fdsys/pkg/FR-2011-10-14/pdf/2011-26591.pdf
Grantees are familiar with the PRGCA, a data management tool used to ensure compliance with legislative requirements and to report to OMB and other decision makers on grantee success in achieving project objectives and cross-cutting programmatic goals. The BHPr performance measurement system reflects the goal of strengthening the health care workforce. The proposed 2011-2012 PRGCA outlines the following BHPr performance goals:
- Develop diverse well trained health care practitioners - Supply
- Enhance the quality of training - Quality
- Diversify the health professions pipeline - Diversity
- Influence practice location of health practitioners - Distribution
- Build capacity with training infrastructure support - Infrastructure
The new requested BHPr performance measurement system includes three levels of measurement: individual trainee, program, and program cluster. The individual trainee-level data collection is a novel element in the 2011-2012 PRGCA, supporting the goal of assessing workforce recruitment, training activities, retention, intended practice location, and trainee characteristics, such as disadvantaged background, and race and ethnic diversity. The program-level measures will provide information unique to the grant objectives for new and ongoing programs. The program cluster-level measures will help determine progress towards meeting BHPr goals by assessing programs that offer similar activities and have similar performance outcome measures. As with previous PRGCAs, the manual will detail what data each Title VIII and Title VII program grantee is required to submit and how to submit the performance data.
It is anticipated that OMB approval will occur within the next few months. In the near future, HRSA BHPr grantees will receive a notice for a conference call covering the 2011-2012 final reporting requirements. The NLN's Public Policy Committee has been following the HRSA BHPr data collection revision effort.
For more details, individuals may email firstname.lastname@example.org
to request copies of the HRSA BHPr information collection instruments, supporting statements, and supplemental documents, referred to as "OMB No. 0915-0061."
Prepared by Terri L. Nally, Senior Public Policy Specialist, NLN
The US Supreme Court will hear a challenge to the Patient Protection and Affordable Care Act (PPACA) and review a decision from the US Court of Appeals for the Eleventh Circuit that struck down a key provision of the federal health reform law (National Federation of Independent Business v. Sebelius, US). The court had three petitions for review of the case: one filed by a group representing small businesses, the National Federation of Independent Business; one filed by the 26 state plaintiffs, including Florida; and one filed by the Obama administration.
Upcoming Congressional Retirements
The administration asked the court to review the Eleventh Circuit's ruling that Congress exceeded its powers under the Constitution when it enacted the individual mandate. The mandate, a provision of PACA that would require virtually all citizens to purchase health insurance or pay a penalty, is scheduled to go into effect in 2014. The Supreme Court will consider the question, along with the issue of whether the lawsuit challenging the mandate is barred by the tax anti-injunction act (AIA). Two hours will be allotted to the question of the mandate's constitutionality, with an additional hour for the AIA argument, the court said.
Additionally, the court will consider the issue raised by the NFIB and the states regarding the severability of the individual mandate from the remainder of PPACA. The Eleventh Circuit held that the individual mandate could be decoupled from the rest of the law. The high court consolidated the cases for a 90-minute oral argument on this point. Also, the court granted review of a second question raised by the states regarding the validity of PPACA's Medicaid expansion provision. The Eleventh Circuit rejected the states' argument that the provision, which requires states to expand Medicaid coverage or forfeit their Medicaid funding, was unduly coercive.
The oral argument date has not yet been set.
Representatives Dennis Cardoza (D-CA) and John Olver (D-MA) recently announced that they will be retiring in 2012 at the end of the current Congress. Representative Cardoza serves on the House Agriculture and Foreign Affairs Committees. Representative Olver is a member of the House Appropriations Committee.