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Health Care Reform is Here.

What Comes Next in Washington State, and How Will it Affect your Clients?

A Continuing Legal Education Program of Northwest Health Law Advocates

Friday, November 15, 2013, 8:30 a.m. to 4:45 p.m.

Riddell Williams, P.S., 1001 Fourth Ave.

Suite 4500

, Seattle, WA

6.25 General CLE Credits

FACULTY BIOGRAPHIES

Jane Beyer is serving as Assistant Secretary for Behavioral Health and Service Integration within the Department of Social and Health Services. She joined the Department in September 2012. Jane served as senior counsel with the Washington State House of Representatives Democratic Caucus from 1988 through 1994, and again from January 1999 to 2012. In that senior position with the House, she handled a variety of health care issues including: Medicaid, access to health care for uninsured people, individual and group health insurance reform, federal health care reform, state purchasing of health care, health care liability and medical malpractice, patient safety, mental health and long-term care. She also handled issues involving human services, child welfare and juvenile justice.

Jane is an active member of the National Academy for State Health Policy and is on the clinical faculty of the University of Washington School of Health Sciences. From 1995 through 1998, Jane was the

Washington State Medicaid director. She began her work in health law as an attorney with the American Bar Association Commission on Legal Problems of the Elderly from 1981 to 1984, and as a legal services attorney in Tacoma from 1984 to 1988. She graduated with honors from the University of North Carolina School Of Law in 1981.

Robert Crittenden, M.D. is Senior Health Policy Advisor to Governor Jay Inslee. Prior to that he was the Executive Director of the Herndon Alliance and a Professor in the Departments of Family Medicine and Community Medicine at the University of Washington.

Bob has practiced as a Family Physician for over thirty years in Central and Southeast Seattle with urban underserved people. He has worked for the state legislature; was a Robert Wood Johnson Health Policy Fellow with Senator George Mitchell, was Special Assistant for Health for Governor Booth Gardner where he wrote and supported passage of bills that expanded coverage for mothers and children, formed the Department of Health, and passed the health reforms of 1993. He has been a Soros Fellow and co-chaired the Primary Care Coalition in Washington.

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2 Ashley Greenberg has been a CLEAR staff attorney with the Northwest Justice Project in Seattle since graduating from University of Washington School of Law in 2008. During law school, Ashley was involved in homelessness, housing, and civil rights issues, helping to found a Constitutional Rights Legal Clinic with Picture the Homeless in New York City and working with the The Defender Association's Racial Disparity Project in Seattle on police accountability and criminalization of homelessness issues. Since 2012, her practice at NJP has focused on public benefits, health care, and implementation of the Affordable Care Act in Washington State. In her free time she loves to cook and spend as much time as possible with her husband and 9 month-old daughter.

Daniel Gross is a Senior Staff attorney at Northwest Health Law Advocates (NoHLA), where he works on a wide array of healthcare-related issues. He serves on the State’s HealthPath Advisory Team, advising the State on its development of an integrated healthcare program for individuals eligible for both Medicaid and Medicare; and he is class counsel in Unthaksinkun v. Porter, a class-action challenging the exclusion of lawfully present immigrants from the State’s Basic Health Plan.

Prior to Joining NoHLA, Daniel was a member in the Public Interest Law Group in Seattle, a staff attorney at the Washington Protection and Advocacy System (now Disability Rights Washington) and a staff attorney at the Defender Association of Seattle/King County. Daniel also received a fellowship from the NYU Public Service Fellowship Fund to advocate for the rights of involuntarily committed psychiatric patients.

Daniel received his JD from N.Y.U. School of Law. He graduated from M.I.T., with a SB in Life Sciences and a SB in Philosophy. Daniel served as a Board member and Treasurer of REACH, a student –run homeless services nonprofit in New York City, and Washington CAN!, Washington State’s largest grassroots community organization.

Susan Johnson was appointed in 2009 by President Barack Obama as Regional Director of Region 10 serving Alaska, Idaho, Oregon and Washington. As HHS Regional Director, she serves as Secretary

Sebelius’ primary representative and liaison to key constituencies in the Region. In this role, Susan works with federal, state, local and tribal officials on a wide range of health and social service issues.

For twelve years prior to this she was Regional Health Administrator and Director of the King County Health Action Plan (KCHAP), a voluntary partnership of over forty organizations convened by Public Health - Seattle & King County to implement innovative collaborative policy development and pilot projects that focus on system change and improvement of worsening health trends affecting vulnerable populations within King County, Washington.

Before that, Susan was a member of the Washington State Health Care Policy Board, appointed by Governor Lowry in 1995, and prior to that was the state Governmental Relations Director for the Service Employees’ International Union, then, the largest health-care union in the AFL-CIO.

Susan served on the Washington State Board for Community and Technical Colleges and the Shoreline Community College Board of Trustees. She graduated from Middlebury College, Vermont and when not working on health policy, Susan skis, plays tennis and golf, enjoys fly fishing, writes and does water colors.

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3 MaryAnne Lindeblad brings a broad health care and administrative background to the position of Medicaid Director at the Health Care Authority, which is home to both the state’s Medicaid program and Public Employees Benefits – the two largest health care purchasers in state government. In addition, MaryAnne, a Registered Nurse, has been an active health care professional as well as a leader in long-term care,

behavioral health care, eldercare and services for people with disabilities. Prior to her appointment as Medicaid Director in March of 2013, MaryAnne served as Director of the Health Care Authority under Governor Christine Gregoire. Prior to that, she served for two years as the Assistant Secretary for Aging and Disability Services Administration in the Department of Social and Health Services. Previously, she was Director of the Health Care Services Division of the Medicaid program. MaryAnne held a variety of

leadership positions over the years, including Assistant Administrator of the Public Employees Benefits Board. During the 1990s, MaryAnne also worked in the private sector, serving as Director of Operations for Unified Physicians of Washington.

In 2010, she also was selected for the inaugural class of the Medicaid Leadership Institute, one of a handful of the most promising Medicaid leaders in the nation. As an active member of the health care community, MaryAnne currently serves as chair of the Medicaid Managed Care Technical Advisory Group. She is a member of the Executive Committee for the National Academy for State Health Policy, and chairs its Long-Term and Chronic Care subcommittee. She currently chairs the board of the Olympia Free Clinic, a position she has held since 2010. MaryAnne holds a Bachelor of Science in Nursing from Eastern Washington University and a Master’s in Public Health from the University of Washington.

Pam MacEwan is the Chief of Staff for the Washington Health Benefit Exchange. Prior to joining the leadership team at HBE, Pam served as Executive Vice President for Public Affairs and Governance for Group Health Cooperative. She directed Medicare and Medicaid program performance and strategy, government relations, public policy, communications, and consumer governance serving on Group Health’s leadership team for 16 years. Previously Pam served as a Commissioner with the Washington Health Services Commission implementing the Health Services Act. She worked with a broad coalition to pass health reform legislation. Pam has served on several health policy initiatives in the public and private sector, chairing the Association of Washington Health Plans, serving on the Washington State Hospital policy committee, the King County Health Action Plan, and the Children’s Health Initiative. She holds an MAT in history from Brown University and a BA in economics from The Evergreen State College.

Karen Merrikin is the Project Director for the Washington State Health Care Authority’s State Innovations Model (SIM) Grant. Before working on the SIM Grant for the State, Karen worked with Group Health Cooperative in several capacities, including Senior Policy Advisor for Strategic Planning and Health Reform Consultant. Karen is a graduate of McGill University and earned her J.D. from the University of

Washington’s School of Law.

Brian Peyton is the Director of Legal Services for the Health Benefit Exchange. He provides legal advice and analysis to the Exchange Board and staff and oversees the Exchange appeals process. Prior to joining the Exchange, he served as Director of the Office of Policy, Legislative and Constituent Relations (PLCR) at the Washington State Department of Health.

Before taking that position, he worked as Director of Regulatory Affairs for the University of Washington Medical Center. Brian was the Assistant Director of PLCR from 1998 until 2003, and was a Health Law Judge for the Department of Health from 1993 until 1998. He has worked as an Assistant Attorney General and a lawyer in private practice. He has a bachelor of arts in political science from Columbia University and a law degree from the University of Michigan.

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4 Terry Price is the Associate Director for the University of Washington School of Law Center for Law, Science and Global Health. He has been a part-time lecturer at the law school since 2003, teaching Mental Health and Law, Beginning of Life: Rights and Choices, Legal Issues at the End of Life, and Family Law. Prior to joining the law school, Terry was Senior Policy Counsel for the Washington House of

Representatives Democratic Caucus, where he advised members about issues related to the House Judiciary, Public Safety and Early Learning/Children's Services committees, such as marriage equality, gun violence, gang prevention, sexually violent predators, and foster youth. Terry also holds a Master’s in Social Work from Smith College.

Sallie Thieme Sanford is an Assistant Professor at the University of Washington School of Law, with an adjunct appointment in the University of Washington School of Public Health. She received her B.A. with honors from Brown University and her J.D., Order of the Coif, from the University of California at Los Angeles.

She began her legal career as a law clerk for The Honorable Robert R. Beezer of the United States Court of Appeals for the Ninth Circuit. She then served as an Assistant Attorney General representing the

University of Washington Medical Center, Harborview Medical Center and the UW’s health sciences schools and research centers. Professor Sanford has been active on the board of the Washington State Society of Healthcare Attorneys and recently served as its president.

Professor Sanford’s research interests focus on health reform, health care delivery systems, health administration law, Medicare and Medicaid, comparative health law, and medical and administrative ethics. Her most recently published articles include: Designing Model Homes for the Changing Medical Neighborhood: A Multi-Payer Pilot Offers Lessons for ACO and PCMH Construction, 42 SETON HALL L. REV. 1519 (2012); Teaching Health Law in Rural Ethiopia: Using a PEPFAR Partnership Framework and India’s Shanbaug Decision to Shape a Course, 9 IND. HEALTH L. REV. 485 (2012); Unexpected Twists in the Affordable Care Act Decision, JURIST, July 13, 2012; and Understanding the Health Care Reform Litigation, JURIST, February 16, 2012.

Annette Schuffenhauer is the Chief Legal Officer of the Health Care Authority and manages the Health Care Authority’s Office of Legal Affairs. She acts as the Appeals Administrator overseeing the various hearings and appeals functions within the agency. Annette has 10 years’ experience working for Washington State’s Medicaid program specializing in areas related to due process and administrative hearings. Beginning in 2011, she started participating as faculty for the Medicaid Integrity Institute in courses related to provider overpayment hearings and communication. She holds a bachelor’s degree in Communication Studies from Eastern Washington University and a Doctor of Jurisprudence from

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Barbara Shickich

heads the Health Care practice group. Barbara has been practicing health care

law since 1980 and provides valuable expertise to hospitals, integrated health systems, health

care providers, health carriers and provider networks dealing with the ever-changing business of

health care. Barbara advises health care clients about formation and operation, nonprofit and tax

exempt status, governance, federal, state and local regulatory and compliance issues, and

business transactions, including joint ventures and mergers and acquisitions. Her practice

includes certificate of need disputes, medical staff and peer review issues and legislation. She is a

frequent speaker on health care legal issues.

Janet Varon

is the founder and Executive Director of Northwest Health Law Advocates. She

coordinates the statewide legal advocates' Medical Assistance Work Group and the Healthy

Washington Coalition’s Low-Income Populations Workgroup. She is a member of the boards of

the National Health Law Program and the Medical- Legal Partnership for Children. She previously

chaired the state’s Medical Assistance Advisory Committee and served on the Governor’s

Certificate of Need Task Force and on the Low-Income Populations Advisory Group to the Joint

Select Committee on Health Care Reform Implementation. Before starting NoHLA, Janet worked

for 13 years as a staff attorney at Evergreen Legal Services. Janet is a graduate of Harvard Law

School.

Vickie Williams

is an Associate Professor of Law and a former Associate Dean for Academic

Affairs at Gonzaga University School of Law, where she has been for 10 years. She teaches and

writes in the areas of Health Care Law, Civil Procedure, and Constitutional Law. Prior to her

employment with Gonzaga, she practiced law for 13 years in Seattle, Washington, first as an

associate at the law firm of Perkins Coie, and then at the law firm of Bennett, Bigelow and

Leedom, where she was an associate and then a shareholder. Her practice focused on health

care regulatory compliance and provider payment issues, including Medicare and Medicaid fraud

and abuse.

Professor Williams is a member and past president of the Washington State Society of Health

Care Attorneys, and is a member of the American Health Law Association, the American Bar

Association, and the Health Law Section of the Washington State Bar Association. She is

admitted to practice in the State of Washington, the Western District of Washington, the Eastern

District of Washington, and the Ninth Circuit Court of Appeals. She has published articles in the

Yale Journal of Health Policy, Law and Ethics, the Nebraska Law Review, the Fordham Urban Law

Journal, Jurimetrics, and the St. Louis University Journal of Health Law and Policy, among others.

Professor Williams received her B.S. from Tufts University in Medford, Massachusetts, and her

J.D. from the New York University School of Law in New York, New York.

References

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