ATT E4 NSFG Workshop on ACA

NSFG 2015-2018 OMB Attachment E4 OMB No. 0920-0314

Agenda for NSFG Workshop on the Affordable Care Act

November 21-22, 2013

National Center for Health Statistics, Hyattsville, MD

Room 7407

NSFG Teleconference Line: 1-877-327-1531, password 8967713

Thursday, November 21, 2013

9:00 Call to order, and brief introductions to NSFG team

9:15 Around the table and on the phone

Invited experts and funding agency representatives introduce themselves and their interests in the NSFG and this ACA meeting.

10:00 Presentation by Bill Mosher

Update on the status of the NSFG

Goals of the meeting, including rough timeline for 2015+ NSFG revision process

10:30 BREAK

10:45 Presentation by Anjani Chandra

Health care and ACA-relevant content in the NSFG

Summary of questions to address for the selected topics listed below

11:00 SELECTED TOPICS FOR GROUP DISCUSSION (facilitator noted in parentheses)

Health Insurance Coverage, including young adult coverage (Jo Jones)

11:45 LUNCH (guide to nearby options will be provided in conference folder)

12:45 SELECTED TOPICS (continued)

Provider Types and Payment for Services (Gladys Martinez)

Women’s Preventive Care

• Contraceptive, family planning, and related medical services (Gladys Martinez)

  • Contraceptive use and method choice

  • Breast cancer screening

  • Cervical cancer screening

  • Chlamydia and gonorrhea screening

  • Intimate partner violence screening

2:30 BREAK (or whenever appropriate)

2:45 Women’s Preventive Care (continued)

• Pregnancy and postpartum care (Anjani Chandra)

  • Preconception care (e.g., folic acid supplementation)

  • Screening for pregnant women

  • Breastfeeding counseling

Adults’ (men’s & women’s) Preventive Care (Casey Copen)

• HIV testing

• Testing for other STDs

• STD counseling

• Tobacco use and alcohol abuse counseling

• High cholesterol and high blood pressure screening

4:45 Adjourn for the day

Friday, November 22, 2013

9:00 Further discussion of topics covered on day 1

Any additional ACA-related topics the group wishes to raise.

Possible questions to consider:

• What other provisions of the ACA do you see NSFG providing information on?

• What other descriptive statistics and analytic questions related to the ACA do you think the NSFG is best equipped to produce (as compared with other surveys such as NHIS, NHANES, and MEPS)? What do you see as NSFG’s unique contribution or niche, given our existing survey content and context?

• At what frequency would you need the data to be able to address some of these descriptive and analytic questions related to ACA?

• Are there specific subpopulations the NSFG should target?

For any potential topics you raise, do you know of questions or findings from other surveys that could be used to guide the NSFG’s questionnaire decisions?

11:00 Summary and discussion of action items

12:00 Final remarks around the table and on the phone

12:30 Adjourn

NSFG ACA Workshop, Day 2 Revised (Fri Nov 22)

GENERAL TOPICS

• Inclusion of 1 or more state-based ACA indicators on the public use files; balancing against disclosure risk

  • State has own exchanges or uses federal exchanges

  • Medicaid Family Planning waiver or not

  • Medicaid expansion or not

• Further detail on barriers to getting care

  • Distinguishing between financial versus logistical barriers

  • Timeframe and context for assessing barriers -- Any visit, specific services, reproductive health services

  • Confidentiality concerns for all ages, not just younger people

SERVICE-SPECIFIC ISSUES

• Type of provider for specific services

  • Beyond public/private distinction, what are the key details to capture?

• Forms of payment for specific services

  • How to capture “cost-sharing” (co-pays, co-insurance, deductibles, “out-of-pocket”)

• Followup questions for specific services (or single visits) in the last year:

Did a doctor or other medical care provider talk to you about:

• IPV screening or counseling

• alcohol screening or counseling

• smoking cessation counseling

• other health concerns that may impact contraceptive method choice (e.g, blood pressure)

• other topics?

CONTRACEPTIVE METHOD-SPECIFIC

• Follow-up on where they went to get their contraceptive drug or device, and what they paid for it

• Barriers to getting specific contraceptive methods: “If cost were not a barrier, would you change your method?” Other barriers?

PREGNANCY-SPECIFIC INFORMATION (what is most needed?)

• Gestational diabetes screening (versus actual diagnosis?)

• Gestational weight gain

• Smoking cessation

• Breastfeeding counseling

• Breast pump coverage (since 2012) – for each birth since 2012?

• Other topics?

Participant list

	Thurs Nov 21	Fri Nov 22
Invited Experts
Clare Coleman/Dana Thomas of NFPRHA (alternating)	inperson	inperson
Robin Cohen, NCHS/NHIS	inperson	inperson
Jennifer Frost, Guttmacher	inperson	inperson
Rachel Gold, Guttmacher	inperson	inperson
Leighton Ku, GWU	inperson until 2pm	inperson
Susan Queen, ASPE	inperson	inperson
Funder Representatives
Roz King/Susan Newcomer of NICHD (alternating)	Roz in person	Susan inperson
Tasmeen Weik, OPA	inperson	inperson
Patricia Green. CDC/BDDD	teleconference	teleconference
Jami Leichliter, CDC/DSTDP	inperson	inperson
Liz DiNenno, CDC/DHAP	teleconference	teleconference
Wanda Barfield, CDC/DRH	teleconference	teleconference
Shanna Cox, CDC/DRH	inperson	inperson
Lorrie Gavin, CDC/DRH	teleconference	teleconference
Karen Pazol, CDC/DRH	inperson	inperson
Lee Warner, CDC/DRH	teleconference	teleconference
Analia Stormo, CDC/DCPC	inperson	inperson
Mona Saraiya, CDC/DCPC	teleconference	teleconference
Katrina Trivers, CDC/DCPC	teleconference	teleconference
Adelle Simmons, ASPE	inperson	teleconference
Lisa Trivits, ASPE	inperson	inperson
Seth Chamberlain, ACF/OPRE	teleconference	teleconference
Sharon Newburg-Rinn, ACF/CB	inperson	inperson
Brett Brown, ACF/CB	teleconference	teleconference

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