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FRIC meeting notes
March 01, 2013
Funded Retirement and Insurance Committee Minutes from March 1, 2013
Meeting was called to order at 11:30am in 302 USB.
Members in attendance: Steve Bernholtz, Nancy Davin, Jon Garfinkel, Matthew Glasson, Sheldon Kurtz, Heather Schnoebelen, Victoria Sharp, Katherine Tachau, Anand Vijh, Michael Wichman
Members absent: Katherine Dudley, Mary Greer, Daniel Katz, Bernard Sorofman
Administrative Officers present: Sue Buckley, Richard Saunders
Guests present: Rick Borchard, William Buss, Terri Hein, Suzanne Hilleman, Debra Hughes, Katie Imborek, Nicole Nisly, Joni Troester, Dianne Wasson
- Introductions were done.
- Minutes from the December, 2012 meeting were approved.
- Two presentations on transgender care and coverage were made by Katie Imborek, MD and Nicole Nisly, MD. The purpose was to initiate discussions regarding a proposal to cover transgender care in UIChoice. Discussion ensued regarding both the expected benefits and expected costs of coverage. Notably, the AMA, APA and Institute of Medicine cite significant benefits to coverage (including potential long-run cost savings from both an individual medical standpoint and a societal standpoint). An example of costs (based on San Francisco data) suggests less than $4,000 per claim with fewer than 100 claims over the entirety of the coverage program (5 years). Most of the medicines for transgender care are generic (further limiting costs).
The committee made particular note of the AMA’s view that transgender care is medically necessary. The UI has covered other medically necessary care that is unavailable at UI (but provided elsewhere) in the past. The UI also now has a transgender clinic that offers care (since October 2012).
Two key points were emphasized as the committee progressed towards a formal motion. First, given the medical necessity of such care, coverage should be the same as that for any other medically necessary care. Second, coverage of transgender care is consistent with the UI’s human rights policy.
The committee made a formal motion (Katherine Tachau seconded by Sheldon Kurtz) to extend UI coverage to cover medically necessary transgender care. The motion passed unanimously on voice vote.
- The next order of business was a return to discussions from the December 2012 meeting (regarding the provision of patient information by the UIHC to the UI Foundation). Sheldon Kurtz noted that he and co-chair Davin spoke with VP Robillard and Lynette Marshall. FRIC’s concerns with this were communicated. Kurtz then noted that the federal government has changed HIPAA to allow hospitals to release to their foundations the following information (patient name, date of visit, clinic visited, doctor who provided care, care provided and outcome of care).
The committee (Katherine Tachau seconded by Matthew Glasson) moved to reaffirm FRIC’s opposition to the provision of patient information to the UI Foundation, regardless of whether federal law allows it. The motion passed unanimously on voice vote.
The meeting was adjourned at 1 pm
Recorder: Jon Garfinkel