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Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
001. letter
SUBJECTrriTLE
DATE
To Carol -Rasco from DavidS. Carman (partial) (1 page)
12/20/94
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
Domestic Policy Council
Carol Rasco (Regrets/Invitations)
ONBox Number: 5105
FOLDER TITLE:
CHR Regret & Done Folder 1/95 & 2/95 [12]
20 I 0-0 198-S
1057
RESTRICTION CODES
Presidential Records Act- 144 U.S.C. 2204(a)l
PI
P2
P3
P4
National Security Classified Information [(a)(l) of the PRA)
Relating to the appointment to Federal office [(a)(2) of the PRAI
Release would violate a Federal statute [(a)(3) of the PRAI
Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRAI
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(5) of the PRAI
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRAI
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
.Freedom of Information Act -15 U.S.C. 552(b))
b(l) National security classified information [(b)(l) of the FOIAI
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIAI
b(3) Release would violate a Federal statute [(b)(3) of the FOIAI
b(4) Release would disclose trad~ secrets or confidential or financial
information [(b)(4) of the FOIA)
b(6) .Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIAI
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would.disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIAI
�MEETING REQUESTffRACKING
Carol H. Rasco
Domestic Policy
Date of Request:
2/2 '2- f Ci i
Nature of Request:_~_e__::c...:....:-e>......+-r"""""\-"""'"r=c_,_n--;_!"\,____\......:....><..'-'n_,.o:...;..""-~=-..,.--+-h e_..:....t....:e=--y+---"es:..'-+_o_'"'<?-=----__
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MEETING CHECKLIST (Once Accepted)
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Robert W. Craig, President
The Keystone Center
Ed Gabriel, Chairman
Keystone Capital Campaign
Cordially invite you to a reception
·in honor of the 1995 Keystone A ward Winners
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Senator Pete Domenici (R-NM)
Laurance Fuller, Chairman and CEO
.
Amoco Corporation
Florence Robinson, Director
North Baton Rouge Environmental Council
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Tuesday, March 7, 1995
6:30 pm- 9:00 pm
At the home of Barbara and Tom Boggs
6 East Kirke Street
Chevy Chase .
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Valet Parking
RSVP (202) 955-1360
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PHOTOCOPY
PRESERVATION
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Domestic Policy
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Sarah and James Brady
and
The Center to Prevent Handgun Violence
invite you to a screening and discussion of
5 AMERICA.N
HAND~UNS'
5 AMERICAN KIDS
'
A New HBO America Undercover Documentary Special
Monday, March 6, 1995
6:00 PM Cocktails
6:30 PM Screening
7:30 PM Discussion ·
Buffet Dinner to follow
National Press Club
14th and F Streets, NW
Washington, D.C.
R.S.V.P. (202)326-1764
PHOTOCOPY'
PRESERVATION
�Following the film, there will·be brief comments from:
l
Sarah &Jim Brady
Beau Bridges
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�Community Anti-Drug Coalitions of America
701
NoRTH FAIRFAX STREET
22314-2045
(703) 706-0560. FAX (703) 706-0565
ALEXANDRIA, ViRGINIA
BOARD of DIRECTORS
MARNI VLIET. CHAIR
Senior Vice President
Kansas Health Foundation
January 18, 19Q5
'··~
'
ALVAH H. CHAPMAN, JR .. FOUNDING CHAIR
Director and Chairman of the Executive Committee
Knight Ridder. Inc.
BRAD
L.
GATES. ViCE-CHAIR
Sherifi/Coroner. Orange County
Founder. Drug Use Is Life Abuse
ROBERT M. BEGGAN .
Senior Vrce President
United Way of Ame.rica
LESLIE MIHATA BLOOM
Special Projects Director
Maricopa County Demand Reduction Program
RICHARD D. BONNETTE
President
\
Partnership for a Drug-Free America
ALVIN L. BROOKS
President
Ad Hoc Group Against Crime
JAMES E. COPPLE
National D~rector
Community Anti-Drug Coalitons of America
JOHN P. DRISCOLL, JR.
Chair
ABA Special Committee on the Drug Crisis
EDWARD T. FOOTE Ill
President
University of Miami
DouGLAS FRASER
Past Prestdent
International United Autoworkers
PAuL FuLTON
President (ret.)
Sara Lee Corporation
JANICE FORD GRIFFIN
Deputy Director
Join Together
Joy HARRELL
Chair
CADCA Youth AdviSory Comm1ttee
RuBY P. HEARN. PH.D.
Vice President
Robert Wood Johnson Foundat1on
Ms. Carol Rasco
Assistant t6 the President
Domestic Policy Council
Executive Office of the President
1600 Pennsylvania, Ave. N.W.
Washington, D.C. 20506
Dear Ms. Rasco:
I am writing to explore the possibility of meeting with you to discuss issues
related to the Administratio11's position on the prevention and treatment
programs found in the Crime Bill. As you might well imagine, the 2500
members ofCADCA are very concerned abOut the direction being taken by
the 104th Congress related to funding and support of both subs1:fmce abuse
and violence prevention and treatment. The prospect of moving every
prevention and treatment program into some fohn ofBlockGrant and
eliminating demonstration and discretionary grants does not set well with
our field.
{ierui~ th~ mOOd of this Congress and the apparent mood of the American
people, but I am not certain that this is a direction that will in the end reverse
Our ·
Irieinrership'Stands ready to work with the Administration in whatever way
is appropriate arid in the end serves to reduce the use and abuse of illicit
drugs and drug related violence in our country. We would welcome the
opportunity to visit with you about alternative strategies our organization
can support related to substance abuse prevention and treatment in this
country. Our members are ready to work to protect what they worked so
hard to gain in the Crime Act of 1994;
c~~ent increases in substance abuse and drug-related violence.
RICHARD A. HERNDOBLER
Director. Drug Awareness Programs
Benevolent and Protective Order of Elks
REVEREND WESLEY JAMES
Chair
Coalition for a Drug Free Mobile County
I would like to call your office within the next several days to arrange a time
where we .can visit to discuss some of our concerns. I know your schedule
is extremely busy, but we feel time is rapidly running out.
ElAINE M. JOHNSON, PH.D
Acting Administrator
Substance Abuse and Mental Health
Services Administratrons
SHERWOOD B. KoRSSJDEN
President
The Sherwood Group
ToM LANDRY
Retired Coach
Dallas Cowboys
ANTONIA NovELLO. M.D.
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Immediate Past U.S. Surgeon General
President/CEO
San Bernardino Community Against Drugs
B. FRANKLIN SKINNER
ROSALIND G. STARK
Senior Vice President and Dnector
Newspaper Assn. ol America Foundation
MATTHEW STUFFLEBEME
Secretary/Treasurer
CADCA Youth Advisory Committee
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Chair & CEO (ret)
BeiiSouth Telecommunications Inc.
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Assistant to the President
Domestic Policy Council
Executive Office of the President
1600 Pemnsylvania Ave. , N. W.
Washington, D.C. 20506
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THE WHITE HOUSE
OFFICE OF DOMESTIC POLICY
:f.
CAROL H. RASCO
Assistant to the President for Domestic Policy
~~=·~
To:
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Draft response for POTUS ·
and forward to CHR by: - - - - - - - - - ' - - - - . - - - - - - \ - f - Draft response for CHR by: ------4\-----14------.--d--l-Piease reply directly to the writer
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Reply using form code: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
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THE WHITE HOUSE
OFFICE OF DOMESTIC POLICY
CAROL H. RASCO
w : i s t a n t to the President for Domestic Policy
To:~
Draft response for POTUS
and forward to CHR b y : - - - - - - - - - - - - - - - - Draft response for CHR by: - - - - - - - - - - - - - - - - Please reply directly to the writer
(copy to CHR) b y : - - - - - - - - - - - - - - - - - Please advise b y : - - - - - - - - - - - - ' - - - - - - - - Let's discuss: - - - - - - - - - - - - - - - - - - - - For your information: - - - - - - - - - - - - - - - - - - ' - - - Reply using form code: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
File: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Send copy to (original to CHR): - - - - - - - - - - - - - - Schedule?:
0Accept
0 Pending
0 Regret
�.-----~~~~~~~~~~~-~~--~~~~~~~~~~~~-,-----~~~~~~~----------------.
THE WHITE HOUSE
'·.
.,
WASHINGTON
October 27, 1994
Alan M. Dinsmore
Senior Governmental Relations Representative
American Foundation for the Blind
15 West 16th street
New York, NY 10011
Dear Mr. Dinsmore:
Your invitation for Carol Rasco to address the Josephine L.
Taylor Leadership Institute on March 16, 1995 has been received.
Because it is difficult to schedule more than a few weeks in
advance, we will hold your letter and invite you to call us after
the first of the year.
Thank you for considering Ms. Rasco and we look forward to
hearing from you in the future.
s · cerely, ·
()J/JiAnJ}~
Rosai~q{A. Miller
Executive Assistant
for Domestic Policy
�THE "WAll [HOUSE
(\
OFFICE OF DOMESTIC POLICY
CAROL H. RASCO
Assistant to the President for Domestic Policy
rci:
Draft response for POTUS
and forward to CHR b y : - - - - - - - - - - - - - - - -
i(
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!
Draft respon.se for CHR by: - - - - - - - - - - - - - - - Please reply directly to the writer
(copy to CHR) b y : - - - - - - - - - - - - - - , - - - - - Please advise by: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Let's discuss: - - - - - - ' - - - - - - - - - - - - - - - -
I
For your i n f o r m a t i o n : - - - - - - - - - - - - - - - - - -
I
File: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
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Reply using form code: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Send copy to (original to CHR): - - - - - - - - - - - - - Schedule?:
OAccept
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.
Oct 26.94 15:02 No.010 P.01
TEL: 202-457-1492
.,
Amerlcaa Foaadatloa lor tbe BUad
CoY~nuaeataJ Re1atloDI Departmeat
i6lS M Street, N.W., Suite ISO
Wublactoa, DC ZOOJ6
201·457·1487
PAX 101·4S7·l49Z ·
OCT 2 6 1994
~··
From a
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Total aumber ol paces lacludlac tbll coYer •beet L
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II tbere Is a problem wltb tbls trasumlaloa eoatact Alaa
DIDIIDOre at 201·457·1495·
�AmFdFITBlindERCIGRD
TEL: 202-457-1492
Oct 26.94 15:02 No.010 P.02
October 26, 1994
Dear Rosalyn:
I understand that you handle Carol Rasco's schedule. I would
like to know the procedure for issuing a formal invitation to her
to deliver the keynote address to the Josephine L. Taylor
Leadership Institute on March 16, 1994\ to be held here in
Washington D.C. I have enclosed a newsle~er which describes the
activities related the the Institute.
Each year the Institute convenes 150 leaders, both consumers
and professionals, from the field of blindness and vision
impairment to discuss and come to closure on selected policy
issues. We expect 1995 will be a year of challenge for health care
reform, special education, and information technology.
We know
these topics will be on the domestic policy agenda for the White
House and so Carol Rasco's comments will be especially helpful.
Please let me know if this date looks like a possibility and
how I should go about issuing a formal letter of invitation.
Sincerely,
Alan M. Dinsmore
Senior Governmental
Relations Representative
202 457-1487
FAX 202-457-1492
�RmFdFITBlindERCIGRD
American
,
.
Foundation
• •• • ·
lor the Blind
AFB
• •
Oct 26,94 15:02 No.010 P.03
lncorporaled
in 1921
TEL: 202-457-1492
15 West 16th S£reet
Ne"· York, NY 10011
Tel: 212.620.2000
IDD:212.o20.2158
October 1994
THE JTLI BULLETIN
AFB'S JOSEPHINE L TAYLOR LEADERSHIP INSTITUTE (JTLI)
FOLLOW-UP ACCOMPLISHMENTS AND PLANS
THE JTLI BULLETIN keeps you up-to-date on the "Wide range of continuing activities
launched at the Jo Taylor Leadership Institute and keeps you informed about the 199S
rn.J.
.
HOLD THESE DATES!!!
The 1995 Josephine L Taylor Leadership Institute
A Platform for Action: Assuring the Future·
of Specialized Services, Part 2
March 16-18, 1995
Washington, D.C. . .
(site detai~s to follow)
The 199S JTLI theme will carry forward the momentum established to examin~. issues
related to general vs. specialized services. and develop a plan for action to assure. the
continuation of appropriate specialized services.
,.
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We are pleased to announce the following pre· and post-conference activities:
Tell It to Washington: the Sequel
Focusing on Reauthorization or the
Individuals with Disabilities Education Ad (IDEA)
March 15-16, 1995
·
"Tell it to Washington" will begin at noon ~n Wednesday, March lS with a briefing on
IDEA, followed by hill visits from 2:00 to 6:00 pm. Thursday morning March 16 will
include a breakfast debriefing followed by a session on lobbying at the state levef. Separate
·
registration fee: $50.00 as last year.
.
.
Mint White House Conference. on. Agina and Vision
�·.
Finalizing Polley Recommendations for Sub.ialssion to the
··., ··May 1995 Wblte·luouS'¥1=ollTe~n~e on Ailng -·
··· ·
March ts,' i995 1:0() •. ~;00 pm
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. Members :of the National Coalition· o~· Agina ··a~d Visien are ~~ged to ·~~n~ AD
participants intereSted in aging are Invited. · · ·· · · . · ~· · ·
.· · .· · .·. ·.·. : : .
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The National Association of Parents of the Visually Impaired (NAPVI) will hold a post·
conference meeting.
·
·
·
To auaup a pre- or poskon{erenee affiliated meetig. please
Chafr, at 21P62o.2034.
.. . .
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Oir, .~
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�RmFdFITBlindERCIGRD
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TEL: 202-457-1492
Oct 26.94 15:02 No.010 P.04
Preliminary program information and registration materials will be avallable in Janua:ry 199S.
We hope the advanced notice of the J11..1 dates, announced last year, is helpful to aU
professionals, especially those who work in the public rehabilitation sector.
The 1993 theme, •shaping the Future of Specialized Services,• and 1994's, •Assurlna the Future
of Specialized Semces• demanded widespread action on many levels. Since the 1993 .JTLI, AFB
has committed itself to facilitating follow-through of critical activities identified by the work
poups.
WORK GROUP UPDATES
NATIONAL COAI41TION ON AGING AND VISION
(Formerly the IDdependent Living Work Group)
Uaison:
Lorraine Lidoff, Acting Director
AFB East
161S M Street, NW, Suite 250
Washington, D.C. 20036
(202)457·1494
The National Coalition on Aging and Vision is now approximately 90 people strong. National
Coalition activities are being carried out by three task forces.
+Health Care Reform Task Force
This Task Force merged with another interorganizational group focusing on third party
reimbursement convened by the National Council of Private Agencies for the Blind (NCPAB).
Oliver St Pe and Lorraine lJdoff are now co-coordinators.
LglsJadB Adyoqa
Task Force members have contacted their Senators and Representatives to urge Inclusion of
vlsi~n-related rehabilitation iD health care reform legislation.
Medlqre Coverage
AFB bas continued discussions with the Health Care Financing Administration (HCFA)--Jaunched
by Faye Baggiano's presentation at Jo Taylor last year--about expanding Medicare coverage and
providing public education regarding vision-related rehabilitation.
SYinooslum on Health Care Reform
\
AFB hosted a symposium on health care reform in Washington, D.C., July 30-31, 1994. The
purpose was to develop consensus within the blindness field regarding participation in the health
care system, and to begin consideration of changes iD service delivery, personnel preparation, and
eredentialing that would entail. Symposium participants were drawn from the TaSk Force. 1be
product is a consensus paper, entitled "Expand In& Access· to V1slon·related Rehabilitation through
the Hea•th Care System,• which is being widely discussed. The paper is ~ently out for
comment A follow-up meeting will take place on October 22·23 in New York to discuSs reactions
�tD the cousensus paper and to develop .a plan. of action.
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a
-aatortna Independent' Livtna 'Skills for Older Persons Who Bllncl or VIsually Impaired:
procluet of tbe 1993 Jo Taylor Independent LivinS group, has been widely diswidD&ted. It was
allo reprinted iD penpec;ttves on A&tna, a publication sent to the 7000 members of. the National
~: .. ·Coucil on Aging and all members of Congress. The fact sheet .has also b~li ~ted into
AFB's DeWest material on aging. BulldiDI Bridges; A Resou[ee Packet fOr SmJng Older YJaBIJy
Impaired
Pmons.
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TEL: 202-457-1492
Oct 26,94 15:02 No.010 P.05
. t A&lne Network Task Force
The Aging Network Task Force is working toward having an impact on the May 1995 White
House Conference on Aging (WHCOA). Bob Blancato, Executive Director of WHCOA, met
with Coalition members at a pre-1994 J1LI meeting. AFB then subinitted a reques~ to WHCOA
to hold an officially designated, four-component Mini White House Conreren~e on Aglna and
VIsion. The goal of the Mini White House Conference on Aging and Vision is to develop and
submit policy recommendations related to older persons who are blind or visually impaired for
inclusion in the May 1995 WHCOA's final set of recommendations. 1\vo AFB-sponsored mini
White House Conference on Aging and Vision events have taken place;
•
•
a post conference to the Apri11994 International Conference on Aging and Vision
in Atlanta, and
a meeting of the National Coalition at the International AER meeting in July in
Dallas.
Two additional AFB-sponsored Mini conference events include:
•
•
one in California in association with the California Agencies for the Blind and
Visually Impaired (CABVI), and
a final Mini conference as a pre-conference to the Jo Taylor meeting in March 1995.
More details to follow.
AFB will be communicating with the Aging Network Task Foree about recommendations for the
•
Older Americans Act 1995 reauthorization.
·
t Dtle YII Chapter 2 Task Force
AF'B bas been working to get information about the Title VII Chapter 2 programs into the hands
of members of the aging network··the state unJts on aging and the area agencies on aging (AAAs).
A factsheet on Chapter 2 prepared by AFB is being distn"buted to aU state units on aging
accompanied by a memorandum from the Assistant Secretal)', Fernando Torres-Gll. This
communication will not only inform state units about Chapter 2, but will enable them to Yiew and
utilize this program as a resource.
An Action Alert was sent to Task Foree members and othen (state directors and Chapter 2
project directors) to encourage their advocacy regarding the Chapter 2 appropriation. The
program has just received a 10% increase for FY 1995 to $8.9 million. This is particularly
significant since Congress cut most discretional)' programs for FY 1995.
VOCATIONAL REHABILITATION
Liaison:
\
Gil Johnson, Director
AFB West
111 Pine Street, Suite 725
San Francisco, CA 94111
(415) 392-4845
The primal)' activity which emerged from the VR work group is the establishment of the
Information Tedmology Access Croup (ITAG), an ad hoc committee concerned with the impact
that electronically stored and displayed information will have on employment and other aspects
,..I 1;1.
,,... ; .. ,.:~;...;,.:~ ...1.. UJ1.,.. .... 1..1;",4 ""' vlcrn•11v ;""n!liT,.A
�------------
-----
--------------------------------------..
--.-- ·-· -- . ·----:-- ··-- -·- --- -- ·----J -r-·· .. -·
JTAG convened a meeting concurrent with this year's National Council of State Agencies fat the
Blihd (NCSAB)/National Council of Private Agencies for the Blind (NCPAB) meeting in
Alaandria, VA, and five teleconferences, to work on the following objectives:
•
.•
to educate ·itself and others about the scope and potential impact of the ever. increasing trend to display information electronically, thereby making accessibility
extremely difficult for persons with little or no vision, · · ·~ . .
to serve as a communication bridge· between and among individuals and groups
including software and hardware manufacturers. governmental policy makers.
legislators, ~nsumen, and others. and
.
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�Oct 26,94 15:.02 No.010 P.06
TEL: 202-457-1492
~mFdFtTElindERCIGRD
to acquire materials already developed on these issues.
•
The group developed an issues paper, Access to ]'ecbnolou for People Who are Blind or Vlsuall!
Jmpalrec)Jr, Wby I Can't Go to an ATM and Independently Withdraw Funds or Set a ,New
fdlCJ"''!B!' Qyen.
EDUCATION
Liaison:
Mary Ann Siller, National Program Associate
AFB Southwest
260 Treadway Plaza, Exchange Park
(214) 352-7222
Dallas, TX 15235
'
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In keeping with the theme and spirit of the recently passed federal legislation Goals 2000: Educate
America Act, discussions at the 1994 JTIJ Education Work Group focused on initiating Ibl
National A&enda for the Education of Children and Youth with VIsual lmpalnoents. Jncludlnl
Those wltb Multiple Disabilities; Goals for the \'ear 2000. JlLI participants provided Input for
the agenda goal statements. Five committees of JTI.I participants assisted AFB's National Agenda
Steering Committee in finalizing the goal statements.
Development of the National Agenda is chaired by Dr. Aline Corn. Peabody College of Education
at Vanderbilt University. The steering committee ·is comprised of Dr. Philip Hatlen,
Superintendent, Texas School for the Blind and Vjsu'Uy Impaired; Dr. Kathleen Huebner, Chair,
Department of Graduate Studies in Vision Impairment, Pennsylvani~ .College of Optametxy; and
Frank Ryan and Mary Ann Siller, National Program Associates In EducatioD, AFB. · · ···
With input from committee participants and colleagues throupout
Steering Committee carried out the following. activities:~. .
•
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developed goal statements and conducted i nation81 sU~ Of the. likelihoOd of their
Impact.
·
.·· ·· .· · . . . . ··
· · · ·: ·.
. . ·· · ·
.
analyzed more than 500 responses fr~ 44 states.
identified eight goals with the greates~ Ukelihood for impaCt and achievement of
services.
· ··· ·
··· • · .:· . <· ·; ·; :
presented the concept of the doeliment at the Association for ·Bducadoi) ud
Rehabilitation of the Blind and ViSually Impaired (AER) International Conference
in Dallas, Texas.
· ·· ··
.. · ·
on
The Committee is compiling material on strategies that will lead to acbiev~ment of the goals and
is obtaining endorsements for the final docum~nt from indiViduals,. education programs.
professional organizations. parents, consumer groups.· and ageJici~ This doaunent will serve as
a framework for assuring the provision of and access ~ appropriate programs and SUppOrt services
to meet the educational needs of children and youth who are blind or visually Impaired, including
those with multiple disabilities.
··. . ·
.. ·
.l
An lttS ACCISS A
WADS: Call for NoalaattoDa
\
Once again, AFB Access Awards will be p~esented at .a reception 'at AFB's .1995 J'*phine
L Taylor Leadership InstitUte. Nominations for .-e.cipie.Iits must be rece~d by the. 199S. ~ss
�,!..,
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620-2029). Awardees will be individuals or orga~tioDI that clem~te an innavative ud/or
... C?Dgoing effort that bas improved the lives of people. whq.are. b~d. ()r. ~· ~pafJed by
· .- · erilumcfng access to information, to services, or tO t,he ·e.~~1. · .:. >..:· ·. . :: . . ·· .......
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.For information about the 1995 nu, pi~ cOJ1bict the '1995 nu ~Cbahl: · .·· .
.
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(212) 620-2034 .· ' '
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Mark youi•·.Cateiicfait:: ·,: :':~.:<.··. :~: t >..:
. '· ·. · .-Watch for more details!
·: . :: .
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THE JTLI .BULLETIN u ~· .tii.'bridrie,: ·~:~::~:dis~,CII~~ ·
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THE
WEXLER GROUP
1317FSuc:c:l, ~.W.
Suitc600
Wa~h1n1trc>n
D.C. 20004
102·638·2121
MEMORANDUM
TO:
Julie Demeo
FROM:
Betsey Wright
RE:
Reque~t
DATE:
J~uary
202-638-704; Tclccopy
'
Cor Meeting.
19, 1995
TRANSMITTED BY FACSIMILE
I am writing to request a meeting with C<~ml H. ~a~c.o for the newly elected national
Jead~r of the American Dietetic Association, Doris Derelian. As ADA President. Ms.
li>erelian represent~ over 65,000 highly trained nutrition professionals who work in health
care settings, school systems, and communitY based programs. The purpose of this meeting
is to introduce ADA's new lc&lcrsh.ip am1 Lu uiscw~ ADA':i J.N:ii.tiou ou health care t·cfunu
anc.l ulhcr in.iliali v~s affecting nutrition.
·
Ms. Dcrclian will be Washington, DC the week of JW1uary 30th: · She is ova.ila.ble to
. meet Tuesdny morning, Wednesday and Thursday s:ftemooils~ and all day Friday/ I hope
that you will be able to schedule a meeting of 30 minutes or less during one of these times.
Please call Sena Fitzmaurice at 202-662-3758 in my oftice to malce meeting
arrangements. If you have ::~ny qne~tinns, plea.qe feel free tn call me at 202-662-3723.
I
100'3Sit:ld
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Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
00 I. letter
DATE
SUBJECTffiTLE
To Carol Rasco from DavidS. Carman (partial) (1 page)
12/20/94
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
Domestic Policy Council
Carol Rasco (Regrets/Invitations)
ONBox Number: 5105
FOLDER TITLE:
CHR Regret & Done Folder 1/95 & 2/95 [12]
20 I 0-0 198-S
1057
RESTRICTION CODES
Presidential Records Act- )44 U.S.C. 2204(a))
Freedom of Information Act- [5 U.S.C. 552(b)J
PI
P2
P3
P4
b(l) National security classified information [(b)(l) of the FOIAJ
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) ofthe FOIAJ
b(3) Release would violate a Federal statute [(b)(3) of the FOIAJ
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIAJ
,
b(7) Release would disclose information compiled for law enforcement
purposes J(b)(7) of the FOIAJ
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIAJ
b(9) Release would disclose geological or geophysical information
concerning wells J(b)(9) of the FOIAJ
National Security Classified Information [(a)(l) of the PRA)
Relating to the appointment to Federal office [(a)(2) of the PRAJ
Release would violate a Federal statute [(a)(3) of the PRAJ
Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRAJ
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRAJ
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
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hecansli·nfthc gel1·t:n)tis t()'ur·L~st yc~1r.
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hdvKc~ mici.. I hi'lpt:d. stfppc5(fd l'(~,~i 1Jl<:jnths.agU .,vhcJ.}· tli~ )1eilth l:·are;p·a(:l~agc ·
'\vas hc;1ded do\vn 1l1c CulYcs.
i \'-'oted l(w him ancJ ~~till :snp.r'>dl't·\,)ll6t F,e dcit.s.
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c(n1sidt·rhim a go;;(t rilaJL and. J ~:till consider \Vba1 t'Jilary hi1s tr1ecLt() . .
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the neglect tbr pebr1le nfH1.e J.(eagan-Bush years wus \Vaslet\d. cos'tly JJJth~: lon.g_
run. un-:-Ch.risti;JIL and un-,i\111\;\ric~-111 in 0 historiqal S()J1S8. IJ must behardtp .
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~m :1\')pdly by~l! of tts,. ili·id all tho te:Jclrcpsti.III(ed f}i;ou Ftl'lc.Jcttcf]lar>.pit\i ... ··s·hc .
·sc111 n1e.(~1nd I ;is~rtme'I11i:;1:1y·}:)rheJ:S)<l.ni'cc··.l-lll.t)!o:•;tnsJcni·c( J.:\Ve .do. ali h;c?pc·:
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THE WHITE HOUSE
OFFICE OF DOMESTIC POLICY
.
~·
.
CAROL H. RASCO
.Assi~,tilfit to the President for Domestic Policy
;
..·
To:
se s;;pgTUS
Schedule?:
0
Accept
0
Pending
0
Regret
�•·
.NOV I 0 1994
EXECUTIVE'
0 F F ICE
0 F
THE
P R E S I D E N T
10-Nov-1994 !0:54am
TO:
TO:
Carol H. Rasco
Rosalyn A. Miller
FROM:
Marilyn Yager
Office of Public Liaison
CC:
Christopher
SUBJECT:
FHP and Bruce fried
c. Jennings
Regarding the meeting request from Bruce Fried on behalf of FHP, I
have already had a/conversation with Bruce. I have indicated that
there weren't many '-.'i·mrking days left in November with Thanksgiving
and all, but that we would be happy to try to schedule something
as soon as possible in December.
I will keep their request in my pending folder and will encourage
Roz to schedule when appropriate in December. However,~
acknowledge receipt of letter.
7-\~/
�---------------------THE WHJTE HQUSE
OFFICE OF DOMESTIC POLICY
CAROL H. RASCO
Draft response for POTU$
and forward to CHR b y : - - - - - - - - - - - - - - - - Draft response for CHR by: - - - - - - - - - - - - - - - - Please reply directly to the writer
(copy to CHR) b y : . . - - - - ; - - - - - - - - - - - - - - Piease advise by:
_..._£1-+--'a'-'>J/}{!_,-:f-'.""----------------
Let's discuss: - - - - - - - - - - - - - - - - - - - - For your i n f o r m a t i o n : - - - - - - - - - - - - - - - - - - Reply using form code:. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
File: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Send copy to (original to CHR): - - - - - - - - - - - - - - Schedule?:
0Accept
0 Pending
0 Regret
Designee to attend: ---.A---,.~--;i?ri'------------Remarks:=
()
C{£: {Jli"6.
~
�NOV - 9 1994
Fl-IP®
FH I' International Corp.
1401 Eye Street, N.W., Suite 210
HEALTH CARE
Washington, D.C. 20005
202.408.7620
Fax 202.408.7628
November 8, 1994
Carol Rasco
Assistant to the President
for Domestic Policy
The White House
Washington, DC 20500
Dear Ms. Rasco:
We were pleased to learn that you and Robert·Rubin will be leading the process to·
develop the Administration's health car.e policy proposals.
In that context, I would appreciate an opportunity for FHP's senior executives to
meet with you in the near future to discuss FHP's health care policy ideas and concerns.
As you may know, FHP operates the nation's third largest HMO, serving almost two
million members in eleven states and Guam. Also, FHP is the largest Medicare risk
contractor, serving 350,000 Medicare beneficiaries. I have enclosed a fact sheet and our
most recent annual report for your review.
I will be in touch with your office shortly to schedule a mutually convenient time to
meet.
Thank you for your consideration and willingness to consider our views.
Sincerely yours
Bruce Merlin Fried
Vice President, Federal Affairs
cc:
Chris Jennings
Marilyn Yeager
Nick Franklin
�FACT SHEET
FHP International Corp.
. 9900 Talbert Avenue
Fountain Valley, CA 92708
(714) 963-7233
Washington Office
1401 I Street, NW, Ste. 210
Washington, DC 20005
(202) 408-7620
BACKGROUND:
o
FHP International Corporation was founded in 1961; it is a federally qualified
health maintenance organization based in Fountain Valley, California. With
its subsidiaries, FHP serves more than 1.7 million members in Arizona,
California, Colorado, Illinois, Indiana, Kentucky, Nevada, New Mexico, Ohio,
Texas, Utah and Guam. FHP is the third largest HMO in the nation, and one
of the largest providers of prepaid Medicare services.
o
FHP is both a staff model and individual practice association model (IPA)
HMO; it provides health care services through salaried physicians and allied
professionals in 64 medical and dental centers throughout its regions.
0
FHP operates two acute-care hospitals and two skilled nursing facilities in
Southern California. FHP also operates a hospital in Salt Lake City, Utah.
The company employs more than 14,000 full- ·and part-time employees,
including 800 physicians, 6,000 nurses, and 200 dentists. In addition, FHP has
outside contracts with 41,000 physicians and 500 hospitals.
o
FHP was Jhe first Medicare risk contractor on the West Coast and is now the
largest Medicare risk contractor in the United States. FHP provides health
care services to nearly 350,000 Medicare beneficiaries in Arizona, California,
Colorado, Nevada, New Mexico and Utah.
o
FHP's Senior Plan provides more comprehensive benefits to Medicare
beneficiaries than traditional fee-for-service Medicare~ This includes routine
physicals, dental care, vision care, and prescription drugs.
o
In addition to furnishing health care services to commercial employer groups
and Medicare beneficiaries, FHP .provides health care services to federal
employees, retirees and their dependents.
o
FHP also operates a health and life indemnity insurer and a workers'
compensation insurer.
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Fl-IP®
HEALTH CARE
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1401 Eye Street, N~W.
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Washington, D.C. 20005
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Carol Rasco
to the President
for Domestiic Policy
The White Horise
Washington, p.c.
20500
Assist~nt
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�THE WHITE HOUSE
To:
.Draft response for POTUS
and forward to CHR by:
Draft response for CHR by:
----------~:sL....:~
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THE WHITE HOUSE
WASHINGTON
')
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January 31, 1995
~·
Mr. Nick Franklin
Senior Vice President
.Public Affairs
FHP International Corporation
9900 Talbert Avenue
Fountain Valley, California 92708
Dear Nick:
Thank you for writing to me about FHP's Medicare
program. I enjoyed meeting you at.the recent
breakfast at the White House, and I appreciate
your following up on our discussion. I've asked
Carol Rasco.to look into the issues you raised and
have passed along your invitation to my scheduler
for consideration.
As we continue working to improve our health care
system, I am grateful for your support. I hop~
you'll stay involved.
Sincerely,
ec
i
l\~H~i;i;i~i:1i!H!if;;1~~Bmi:h!'!:'li:·
�Fl-IP.
HEALTH CARE
FHP International Corporation
Public Affairs Department
9900 Talbert Avenue
Fountain Valley, CA 92708
714.378.5767
January 12, 1995
William Jefferson Clinton ,
· President of the United States
· The White House
Washington, DC
Dear Mr. President:
I enjoyed the opportunity to meet you at the breakfast you hosted. for members of the
Democratic Leadership Councils at the White House on December 7~ 1994..
You asked me to write to you and let you know how FHP is able to save Medicare
beneficiaries and the federal government money under FHP' s Medicare risk contract. with the
Health Care Financing Administration (HCFA), while providing beneficiaries with a broader
rai:J.ge of ~nefits, including prescription drug coverage. I trust the following provides the
information you requested. ·
·
I should begin with a brief background of the Company and its Medicare business. FHP
.International Corporation is a federally qualified health maintenance organization which
began 33 years ago in Long Beach, California. Over the years~ the Company has expanded
and now serves people in 11 states and the Pacific.Islands of Guam and Saipan. Over 1.7
··million individuals toda ·
· all of their health care from FHP. Our custOmers, or ·
· elude the employees of over 5,000 small, medium, an large corporations; .
edicaid rec· ients;
tali. epen ents; ederal, state~ county, and city employees; and
early 350,0Q0 Medicare beneficiaries.
·
FHP receives a capitated payment, a fixed amount of money every month,
for each of its
members and in return contracts' to provide all of that member's health care .needs
irrespective of the .cost or intensity of care; Approximately 20% of our members receive
eir care through our. staff-model network of over 60 company-operated medical centers and
lVe ~ospi~s. The balance of our members receive their care through private physicians and
·
· · .·
. ospttals wtth whom FHP has contracted.
l
�Unde.r_our Me<!i£are contract with the federal government, HCFA pays FHP an amount equal
~ to 95% of what HCFA would othetwise pay to the fee-for-service physicians and hospitals in
~that geographical area .. _
.FHP in turn. provides all of the benefits required under Medicare.
{ In addition. FHP provides outpatient prescription drugs and other benefits not covered Qy
\- Medicare, incJuding...coy¢riog hospital and physician deductibles. For this FHP charges $5
for a prescription, $5 for an office visit, and charges no premium. · The results are
·
impressive. For example, the 5% savings to the federal govelnment for our 350,000
Medicare members amounts to more than $60 million J)er_year. Because FHP charges no
premium and adds benefits over and above the standard Medicare benefits, we save each of
our 350,000 Medicare members an average of more than $1,200 a year. These direct
savings to our Medicare memeeFS tetftl mere than $348 millio11 a year.
Through these efficiencies, FHP is removing over $400 million a year ofmmecessary.and
wasteful health care costs from the health care system for Ol1r Medicare members alone. As
vidence of the senior population's acceptance of this program, our Medicare membership
rew on average 21% each year over the last five years.
E
.
==
We are able to accomplish these results by applying a series of basic principles which we
.
have learned over the years,· and which are readily applicable to the nation as a whole as we
seek to provide health care to all Americans in a cost-effective way:
·
I.
We remove the fmancial barriers to seeking early care. We know that if there are
limited benefits. pre-existing condition exclusions or deductjbles. many people will
defer seeing the doctor until the disease or problem becomes unbearable. By the time
they see the· doctor, it is likely that more expensive procedures and possible
hospitalization will be required. We know that if we remove the fmancial barriers to
seeking early care we are often able to stabilize or correct the problem .before it gets
out of hand, and thereby avoid more expensive treatment later on. Not only does this
save money, but it is a higher quality of medical care since no one wants to be sick or
in the hospital if he or she can avoid it.· The use of a hospital is the most expensive
part of medical care, and FHP's use of hospital bed days is _one of the lowest In the.
country.
II.
Access to an individual's primacy care physician on weekends and in the evenings is
vecy importanrto the control of health care costs. If their doctor is not available, then
typically, the patient will wind up in the emergency room of a hospital. Emergency
room care is very expensive and is used by hospitals as a major source of admissions.
Many of FHP's medical centers are open in the evenings and on the weekends. The
centers are full-service medical centers which include both primary care doctors and
specialists, a pharmacy, minor surgery, laboratory, x-ray, physical therapy, and even
child care while the patient is receiving medical care.
III.
Under the HMO Act, every federally qualified health maintenance organization must
provide a minimum level of benefits as prescribed in the act. Except for outpatient
drugs, this benefit hwel is all inclusive; but FHP adds prescription drugs to evecy one
' 2
/
�of its benefit packages. This is particularly important for Medicare beneficiaries since
·many do not have the funds to fill a prescription. Without a drug benefit, the
prescription would likely either not be filled or would be filled and spread over a
longer period of time than is therapeutically required to cure the illness. From
experience we know that the additional cost of a drug benefit is more than offset by
lower hospital use and lower utilization of health care.
IV.
The incentive for the physicians must be aligned with the liMO's and the nation's
incentives to reduce costs while simultaneously improving quality. Under the fee-forservice system, providers are paid based on services performed. This incentive has
lead to abuses and over utilization. At FHP, our staff and contract physicians have
incentives to provide members with rapid access and to deliyer high quality care.
These .incentives not onl control costs, but also enhance quality-to do otheiWise
would t:esult in lawsuits and loss of mem rs. . olding ac on appropriate utilization
would also, as discussed earlier, actually result in eventual higher health care costs.
Our efforts to control costs while delivering high-quality care have had impressive
results. Over the past months, our efforts to assure the highest standards of quality
have been recognized by a number of organizations. The .National Committee for
Quality Assurance has awarded our plans in Arizona, New Mexico, Southern
· California, and Utah with unqualified certifications of quality care. The American
College of Surgeons recognized FHP's exceptional quality of care in treating our
·\ members who have cancer.
·
.
·
V..
FHP' s Medicare program is community rated. This is an essential part of the
program's success. Under a community rating system, HCFA pays FHP the same
monthly amount, adjusted for age, for each member in each geographical area served
by FHP, irrespective of the Medicare member's health. At any time, some of our
Medicare members will be sick and some will be well. The key is that we have
enrolled a large number of Medicare beneficiaries so that. the _cost of caring for the ill
members can be spread over our entire· 350,000 Medicare population, making health
care on average affordable for any one individual.
.
t
VI.
Physician choice is important. but not in the \Vay most peqple think of it. Having the
absolute, unchecked freedom to seek the services of any doctor, including expensive
specialists, at any time and at any frequency, is not a prerequisite to receiving quality
health care. One of the reasons FHP is so popular with its Medicare members is that
·
we have carefully screened, credentialed andre larl recredential each o
. house an ·contracted physicians. We inquire into their. malpractice history, .their
technical competence, where they went to school, where they trained, the amount of
their training and experience, and the status of their licensure. When an FHP
member selects one of our physicians, the member can ·have confidence in the level of
care they will receive. This is not necessarily the case in the unmanaged, fee-forservice system.
3
�Mr. President, my colleagues at FHP and I are convinced that HM:Os offer the best solution
to controlling the growing cost of health care, generally, and Medicare, in particular, while
assuring coordinated high-quality care. The number of Americans in HM:Os has grown
steadily in recent years with more than 25 percent of Americans receiving health care
through a managed care plan. The savings to the private sector have been significant, with
health costs growing at the lowest level in years (indeed, for many employers, costs have
actually declined with no loss in quality). Yet only some ten percent of Medicare
· beneficiaries receive their care through HMOs.
FHP is convinced that the Medicare program and beneficiaries can realize similar cost
savings while assuring coordinated quality 'of care. We have been excited by the recognition ·
managed care has been receiving from Members of the Congress as way to address the
Medicare programs problems. The biggest challenge will be to encourage beneficiaries to try
something which for many of them will be new.
a
Our surveys, like those of the other Medicare HMOs, demonstrate enormous satisfaction by
our Medicare patients with the quality; cost and additional benefits they receive. We are
sure, given the chance, other beneficiaries would be similarly satisfied.
We would be pleased to work with you and others in your Administration to bring the
. beneficial cost and quality results of managed care to a greater number of Medicare ·
beneficiaries. Also, we would be delighted for you to visit our medical and corporate
headquarters campus in Southern California the next time your travels bring you to the West
Coast. I think you will be very impressed with what you see..
Thank you for asking me to provide you with this information and for your leadership on
health care issues. If you have any questions or if I can be of any further assistance, please
do not hesitate to call me directly at: '714-378-5631. ·
Nick Franklin
Senior Vice President,
Public Affairs
cc:
Carol H. Rasco, Assistant to the President for Dom~stic Policy
- . g:lkkin\Whiuhse.bf
4
-
�,.
-=~p·
HEALTH CARE
FHP International Corporation
Public Affairs Department
9900 Talbert Avenue
Fountain Valley, CA 92708
714.378.5767
..)
January 12, 1995
William Jefferson . Clinton
.
President of the Umted States
The White House
Washington, DC
Dear Mr. President:
I enjoyed the opportunity to meet you at the breakfast you hosted for members of the
Democratic 'Leadership Councils at the White. House on December 7, 1994.
You asked me to write to you and. let you know how FHP is able to save Medicare
· beneficiaries and the federal government money under FliP's MediCare risk contract with the
Health Care Financing Administration (HCFA), while providing beneficiaries with a broader
_range of benefits, including prescription drug coverage. I trust the following provides the
infonnation you requested.
I should begin with a brief background of the Company and its Medicare business. FHP
. International Corporation is a federally qualified health maintenance organization which
began 33 years ago in· Long Beach, C~omia. Over the years, the Company has expanded
and now serves people ~ 11 states and the Pacific Islands of Guam and Saipan. Over 1. 7
·million individuals today receive all of their health care from FHP. Our customers, or
members, include the employees of over 5,000 small, medium, and large corporations;
Medicaid recipients; military dependents;- federal, state, cpunty, and city employees; and
nearly 350,000 Medicare ben~ficiaries.
FliP receives a capitated payment, a fixed amount of money every month, for each of its
members and in return contracts to provide all of that member's health care needs
·
irrespective of the cost or intensity of care. Approximately 20% of our members receive
their care through our staff-model network ofover 60 company-operated medical centers and
five hospitals. The balance of our members receive their care through private physicians and
hospitals with whom FHP has contracted.
�Under our Medicare contract with the federal government, HCFA pays FHP an amount equal
to 95% of what HCFA would otherwise pay to the fee-for-service physicians and hospitals in
that geographical area. FHP in tum provides all of the benefits required .under Medicare.
In addition, FHP provides outpatient prescription drugs and other benefits not covered by ·
Medicare, including covering hospital and physician deductibles. For this FHP charges $5
for a prescription, $5 for an office visit, and charges no premium. The results are
~pressive. · For example, the 5% savings to the federal government for our 350,000
Medicare members amqunts to more than $60 million per year. Because FHP charges no
premium and adds benefits over and above the standard Medicare benefits, we save each of
our 350,000 Medicare members an average of more than $1,200 a year. These direct.
savings to our Medicare members total more than $348 million a year. ,
Through these efficiencies, FHP is removing over $400 million a year of unnecessary and
wasteful health care costs from the health·.care system for our Medicare members alone. As
evidence of the senior population's acceptance of this program, our Medicare membership
grew on average 21% each year over the last five years.
We are able to accomplish these results by applying a series· of basic principles which we
have learned over the years, and which are readily. applicable to the nation as a whole as we
seek to provide health care to all Americans in a cost-effective way:
I.
We remove the fmancial barriers to seeking early care. We know that if there are
limited benefits, pre-existing condition exclusions or deductibles, many people will
defer seeing the doctor until the disease or problem becomes unbearable. By the time
they see the doctor, it is likely that more expensive procedures and possible
hospitalization will be required. We know that if we remove the fmancial barriers to
seeking early care we are often able to stabiliie or correct the problem before it gets
out of hand, and thereby a~oid more expensive treatment later on. Not only does this
·save money, but it is a higher quality of medical care since no one wants ~o be sick or
in the hospital if he or· she can avoid it. The use of a hospital is the most expensive
part of medical care, and FliP's use of hospital bed days is one of the lowest. in the
country.
II.
Access to an individual's primacy care physician on weekends and in the evenings is
very important to the control of health care costs. If their doctor is not available, then
typically, the patient will wind up in the emergency room of a hospital. Emergency
room care is very expensive and is used by hospitals as a major. source of admissions.
Many of FliP's medical centers are open in the evenings and on the weekends. The
centers are full-service medical centers which include both primary care doctors and
specialists, a pharmacy, minor surgery, laboratory, x-ray, physical therapy, and even
child care while the patient is receiving medical care. ,
ill.
Under the HMO Act, every federally qualified health maintenance organization must
provide a minimum level of benefits as prescribed in the act. Except for outpatient
drugs, this benefit level is all inclusive; but FHP adds I?rescription drugs to every one
2.
�of its benefit packages. This is particularly important for Medicare beneficiaries since
many do n~t have the funds to fill a prescription. Without a drug benefit, the
prescription would likely either not be filled or would be filled and spread over a
longer period of time than is therapeutically required to cure the illness. From
experience we know that the additional cost of a drug benefit is more than offset by
lower hospital use and lower utilization of health care.
IV.
. The incentive for the physicians must be aligned with the liMO's and the nation's
·incentives to reduce costs while simultaneously improving quality. Under the fee-forservice system, providers are paid based on services performed. This incentive has
lead to abuses and over utilization. At FHP, our staff and contract physicians have
incentives to provide members with rapid access and to deliver high quality care.
These incentives not-only control costs, but also enhance quality-to do otherwise
would result in lawsuits and loss of members. Holding back on appropriate utilization
.would ~so, as discussed eru;-lier, actually result in eventual higher health care costs.
Our efforts to control costs while delivering high-quality care have had impressive
results. Over the past months, our efforts to assure the highest standards of quality
have been recognized by a number of organizations. The National Committee for
Quality Assurance has awarded our plans in Arizona, New Mexico, Southern ·
. California, and Utah with unqualified certifications of quality care. The Anlerican
College· of Surgeons recognized FHP's exceptional quality of care in treating our
members who have cancer.
V.
FHP' s Medicare program is community rated. This is an essential part of the
program's success. Under a community rating system, HCFA pays FHP the same
monthly amount; adjusted for age, for each member in each geographicai area served
.by FHP, irrespective of the Medicare member's health. A(any·time, some of our
Medicare members will be sick and some will be well. The key is that we have
enrolled a large number of Medicare beneficiaries so that the cost of caring for the ill
members can be spread over our entire 350,000 Medicare population, making health
care on average affordable for any one individual.
VI.
Physician choice is important. but not in the way most people think of it. . Having the
absolute, unchecked freedom to seek the services of any doctor,· including expensive
specialists, at any time and at any frequency, is not a prerequisite to receiving quality
health care. One of the reasons FHP is so popular with its Medicare members is that ·
we have carefully screened, credentialr<f, and regularly recredential each of our inhouse and contracted physicians. We inquire into their malpractice history, their
technical competence, where they went to school, where. they trained, the amount of·
their training and experience, and the status of their licensure. When an FHP
member seleets one of out physicians, the member cari have confidence in the level of
care they will receive; This is not necessarily the case in the unrilanaged, fee-Jorservice system.
3
�Mr. President, my colleagues at FHP and I are convinceq that HM:Os offer the best solution
to controlling the growing cost of health care, generally, and Medicare, in particular, while
assuring coordinated high-quality care. The number of Americans in liMOs has grown
steadily in recent years with more than 25 percent of ~ericans receiving health care
through a managed care plan. The. savings to the private sector have been significant, with
health costs growing at the lowest level in years (indeed, for many employers, costs have
actually declined with no loss in quality). Yet only some ten percent of Medicare
·
benefiCiaries receive their care through liMOs.
FHP is convinced that the Medicare program and beneficiaries can realize similar cost
savings while assuring coordinated quality of care. We have been excited by the recognition
managed care has been receiving from Members of the Congress as a way to address the
Medicare programs problems. The biggest challenge will be to encourage beneficiaries to try
something which for many of them will be new.
Our smveys, like those of the other Medicare liMOs, demonstrate enormous satisfaction by
our Medicare patients with the quality, cost and additional benefits they receive. We are
sure, given the chance, other beneficiaries would be similarly satisfied.
We would be pleased to work with you and others in your Administration to bring the
beneficial cost and quality results of managed care to a greater number of Medicare
beneficiaries .. Also, we would be delighted for you to visit our medical and corporate
headquarters campus in Southern California the next time your travels bring you to the West
·
Coast. I think yo~ will be very impressed with what you see.
Thank you for asking me to provide you with this information and for your leadership on
health care issues. If you have any questions or if I can be of any further assistance, please
do not hesitate to call, me directly at: 714-378-5631.
.~vtSfficercl:_~ . ~
.~
I
.
·~
.
Nick Franklin
Senior Vice President,
Public Affairs
cc: ·
Carol H. Rasco; Assistant to the President for Domestic Policy
g:Wein\wlrilelue.bf
4
\
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Carol Rasco - Regrets and Invitations Series
Creator
An entity primarily responsible for making the resource
Domestic Policy Council
Carol Rasco
Regrets and Invitations Series
Date
A point or period of time associated with an event in the lifecycle of the resource
1993-1997
Is Part Of
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<a href="http://clinton.presidentiallibraries.us/items/show/36308" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/7763318" target="_blank">National Archives Catalog Description</a>
Identifier
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2010-0198-S
Description
An account of the resource
Carol Rasco's Regrets and Invitations Series details the numerous requests for Rasco’s participation in and attendance at various events, parties, and speaking engagements, and her regrets primarily due to scheduling conflicts. The records include memos, letters, schedules, itineraries, calendars, and notes.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
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Clinton Presidential Library & Museum
Extent
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128 folders in 16 boxes
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CHR Regrets & Done Folder 1/95 and 2/95 [12]
Creator
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Domestic Policy Council
Carol Rasco
Regrets and Invitations Series
Identifier
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2010-0198-S
Is Part Of
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Box 179
<a href="http://clintonlibrary.gov/assets/Documents/Finding-Aids/Systematic/2010-0198-S-Regrets-Invitations.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/7763318" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
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Adobe Acrobat Document
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2/14/2014
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2010-0198-Se-chr-regrets-done-folder-1-95-and-2-95-12
7763318