disclosures: 06892e8cc7cf23b3867dd02bdcc1dfca081de277c3da42e2653c33423c46e1e5
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| 06892e8cc7cf23b3867dd02bdcc1dfca081de277c3da42e2653c33423c46e1e5 | 2016/WelchJames12.1.16.pdf | 2016 | James T. Welch | Senate | DISCLOSURE BY ELECTED PUBLIC EMPLOYEE OF TRAVEL EXPENSES SERVING A SION AS REQUIRED BY 930 ELECTED PUBLIC EMPLOYEE INFORMATION DEC PM 2: 13 Name of elected James T. Welch public employee: Title/ Position State Senator Agency/ Department Senate Agency address: State House, Room 309 Boston, MA 02133 Office phone: 617-722-1660 Office e-mail: james.welch@masenate.gov Write an X to confirm I am filing this disclosure because: each statement. I am going to engage in an activity that serves a legitimate public purpose, i.e., it is intended to promote the interests of the Commonwealth, a county or a municipality; and A non-public entity (but not a lobbyist) has offered to reimburse, waive or pay travel expenses and costs worth more than $50. ACTIVITY THAT SERVES A LEGITIMATE PUBLIC PURPOSE Describe the activity The Reforming States Group is a bipartisan group of heath care policy experts from which is the reason for the executive and legislative branches of several states. The group is convening for a traveling. meeting in Miami to share information and discuss problems and solutions in health care policy. Describe your I will participate in meetings and discussions regarding health care policy. participation in the activity. Date, time and location December 5-7, 2016 of activity. Sonesta Coconut Grove Hotel 2889 McFarlane Road Miami, FL Please explain how the This meeting will inform my work as the Senate Chair of the Joint Committee on activity will promote the Health Care Financing. interests of the Commonwealth, a county or a municipality. TRAVEL EXPENSES Identify the person or Milbank Memorial Fund organization that offered to reimburse, waive or pay your travel expenses. Address of person or 645 Madison Avenue, 15th Floor organization. New York, NY 10022 Provide information in as much detail as Itemization and explanation of amounts offered: possible: $196.20 round-trip flight Transportation: $182/night for 2 nights + tax Lodging: $300 total for 3 days Meals: Admission: Other (please list): Total: $590.20 Write an X beside any I have attached the relevant itinerary. relevant statement. I have attached the relevant agenda. Having disclosed the facts above, I determine that: For the exemption X Acceptance of the reimbursement, waiver or payment of travel expenses will serve a to apply, legitimate public purpose i.e., it will promote the interests of the Commonwealth, a county check off or a municipality; AND both statements. Such public purpose outweighs any special non-work related benefit to me or to the person providing the reimbursement, waiver or payment. Employee signature: Janes T. wela Date: 12/1/16 Attach additional pages if necessary. Elected state or county employees - file with the State Ethics Commission. Members of the General Court - file with the House or Senate clerk or the State Ethics Commission. Elected municipal employee - file with the City Clerk or Town Clerk. Elected regional school committee member - file with the clerk or secretary of the committee. Form revised February, 2012 The Reforming Milbank/Memorial Fund States Group Leaders in Health Reform from the States Reforming States Group (RSG) Miami Pre-Conference How Can States Improve Care for Older Adults with Complex Needs? State Policy Priorities for Improving Care Sponsored by the Reforming States Group in Collaboration with the Milbank Memorial Fund Sonesta Coconut Grove, Miami, Florida December 5, 2016 AGENDA Monday, December 5 12:00 P.M. Buffet Lunch - Biscayne Ballroom 12:30 Welcome and Introduction of Session Nick Macchione, Vice Chair, RSG Steering Committee Director and Deputy Chief Administrative Officer, County of San Diego Almost 5 million Medicaid beneficiaries use long-term services and supports (LTSS) and more than 10 million Americans are dually eligible for both Medicaid and Medicare benefits. To support a growing population of aging adults as well as adults with disabilities, states are looking for solutions to provide high quality and cost-effective health care options. Two policy issues of major importance to the aging population drive many policy activities: rebalancing LTSS spending to community-based care and integrating Medicare and Medicaid for individuals covered under both programs. Federal Medicaid law requires states to provide institutional LTSS (long-term or custodial nursing home placement) for individuals over age 21, whereas most home and community-based services are optional, creating a bias for providing services in an institutional setting. Per capita costs for nursing facility services are often more expensive and are rarely the preferred setting for beneficiaries, which can have an adverse impact on their quality of life. However, states have shifted the balance of LTSS expenditures from only 18 percent for home and community- based services in 1995 to 51.3 percent in 2013 - just over half. Individuals dually eligible for Medicare and Medicaid are among the highest-cost enrollees in either program. The lack of coordination between these two programs creates challenges for beneficiaries who must navigate fragmented | 2016/WelchJames12.1.16.pdf |