Massachusetts Health Care Reform Overview
Massachusetts has a rich history of health care reform dating back to the 1990s, culminating in the establishment of the Health Policy Commission (HPC) in 2012. This commission focuses on controlling costs, promoting transparency, and improving the quality of health care services in the state. Key responsibilities of the HPC include setting cost growth benchmarks, analyzing cost drivers, monitoring provider organizations, and promoting new delivery system models like patient-centered medical homes and accountable care organizations.
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Breakfast After the Bell (BAtB) Laura Allran Child Nutrition Specialist/Grant Manager Laura.allran@ode.oregon.gov Oregon Department of Education 1
Regulations for Breakfast After Bell (BAtB) Student Success Act (SSA) OAR 581-051-0600 - BAtB Requirements and Exemption Process OAR 581-022-0102 Standard for Public Elementary and Secondary Schools ORS 327.535 Participation in School Breakfast Program OAR 581-051-0605 BAtB Equipment Grant Oregon Department of Education 2
Goals for this Presentation 1. Basic Knowledge of Breakfast After the Bell (BAtB) 2. The Basics for BAtB Equipment Grant 3. Eligibility Criteria 4. Qualified Equipment 5. The Process Steps for BAtB Equipment Grant 6. Timeline for Claim for BAtB Equipment Grant 7. Procurement Information 8. Claim Submission 9. Common Questions and Answers Oregon Department of Education 3
1. The Basics of Breakfast After the Bell What is Breakfast After the Bell? When must serve Breakfast After the Bell? Which schools are required to implement Breakfast After the Bell? Exemption from Breakfast After the Bell Requirement Implementation Methods Instructional Time Oregon Department of Education 4
1. The Basics of BAtB Equipment Grant Purpose of BAtB Equipment Grant Funding Allocation for the BAtB Equipment Grant May not deposit in Nonprofit Food Service account and must separately account for grant funds. How often are the grants funds allocated How do you determine which sites qualify for the equipment grant? Required Sites Sites that qualify for the exemption Oregon Department of Education 5
2. Eligibility Recipients must meet the following requirements: School district, public charter schools, and education service districts School Breakfast Program (SBP) Students on campus Student population must be 70% Federal Free and Reduced eligible Must make breakfast accessible after the beginning of the school day Sponsor did not elect the BATB exemption for the site. Oregon Department of Education 6
3. Qualified Equipment Qualified Equipment, installation and ancillary costs Equipment Definition Useable for 1 year or more Purchase, repair, renovate, or upgrade equipment Not qualified as equipment Disposable Items and items usability of less than 1 year Meal Management software systems Indirect cost and Administrative Cost Structural Repair Oregon Department of Education 7
4. Process Steps 1. Sponsor will receive an BAtB Agreement from ODE Procurement 2. Sponsor signs and submits the agreement. 3. Procurement approves the agreement and sends the Executed agreement to sponsor. 4. ODE CNP enters the sub-grants into EGMS and notifies sponsor when available. 5. Sponsor purchases or coordinated repairs for equipment 6. Sponsor submits their claim(s) Oregon Department of Education 8
6a. Claim Submission Process 1. Sponsor notification of grant funding available with instructions. 2. Purchase, repair, renovate, or upgrade the necessary equipment by June 30, 2024. 3. Email the completed BAtB Equipment Assistance Grant Reimbursement form and invoice for each site. 4. ODE CNP will review your Reimbursement form and compare this with the invoice. 5. After ODE CNP approval, enter claims through the Electronic Grants Management System (EGMS) Oregon Department of Education 9
6b. Claim Submission Must: Ensure each site has a separate reimbursement form. Identify on the invoice(s) of which equipment pertains to each site claim reimbursement form. Receive approval prior to EGMS Submission. Tips: If have multiple sites and submissions. Provide a summary of your claims per each site. Submit your claim reimbursement forms and invoices together in one email. If the file is too large, then zip and send secure file transfer. Keep CNPweb contact current so you will not miss any notifications. Don t wait to last minute to claim. Oregon Department of Education 10
7. Procurement Comply with federal, state, and local procurement laws and procedures Funding Sources General Funds Account ORS 279B Nonprofit Food Service Account 2CFR 200-318 through 200.327 If exceeds $5,000 and not on ODE CNP Capital Equipment pre-approved list, follow 2 CFR 200.439 Combination of federal and non-federal funds (Use most Restrictive) ODE CNP Procurement Resource webpage or Richard.Williams@ode.oregon.gov Oregon Department of Education 11
8. Common Questions and Answers What if the equipment is over the amount of the grant? Can I submit multiple grant reimbursement requests for the same site? What if I don t need to use this grant? What if I wish to purchase a breakfast cart that is over the amount but will be used for multiple sites? What if I wish to apply for the BAtB exemption, am I still eligible for the equipment grant. Why doesn t one of my sites show up in the agreement? Oregon Department of Education 12
9. Resources Student Success Act: https://www.oregon.gov/ode/students-and- family/childnutrition/SNP/Pages/Student-Success-.aspx Meal Pattern and Nutritional Quality webpage for Breakfast After the Bell Accordion: https://www.oregon.gov/ode/students-and-family/childnutrition/SNP/Pages/Meal- Pattern-and-Nutritional-Quality.aspx#MCQ Nutrition Procurement Resources: https://www.oregon.gov/ode/students-and- family/childnutrition/Pages/Procurement.aspx Budget and Analysis Webpage for EGMS: https://www.oregon.gov/ode/schools-and- districts/finance/pages/budget-and-analysis.aspx Contacts: Basic BAtB Equipment Grant Questions: Laura.Allran@ode.oregon.gov Grant Agreement Questions: ode.procurement@ode.oregon.gov Procurement Questions: Richard.Williams@ode.oregon.gov Oregon Department of Education 13
10. Civil Rights Nondiscrimination Statement In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity. Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA's TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/ad-3027.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant's name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by: 1. mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; or 2. fax: (833) 256-1665 or (202) 690-7442; or 3. email: Program.Intake@usda.gov This institution is an equal opportunity provider. Oregon Department of Education 14