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Shelley B

Health Policy Analyst Law Degree

Occupation:

State Government

Location:

Salem, OR

Education Level:

Law Degree

Will Relocate:

YES

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When I was offered the position as Senior Policy Analyst for Oregonís Department of Consumer and business Servicesí Insurance Division I was excited to be moving into a position which would allow me to use my knowledge of the health care system, as well as my training and skills as an attorney to advise the Insurance Commissioner and other Department staff on issues concerning health insurance regulation in Oregon. I have also been privileged to work closely with Governor Kulongoskiís staff and the Office of Oregon Health Policy and Research in developing the Governorís Healthy Kids legislation as well as Oregonís Health Policy Commissionís health care reform legislation which were introduced in this legislative session. I have also drafted legislative language for several of the Departmentís health insurance bills. One bill that I am especially proud to have worked on and tracked through the session is the Departmentís health insurance transparency bill. Today I watched as the Oregon Senate passed House Bill 2213, which requires Insurance Companies to provide their members with out-of-pocket expense estimates prior to the member receiving medical care. This bill puts Oregon in the forefront of stateís requiring such information for consumers. The report was in part a result of the Departmentís 2007 Health Insurance in Oregon report which I co-authored. My time at the time at the Division has given me many opportunities to meet and work with a variety of individuals and to develop many friendships and professional relationships. I work on a daily basis with the executive staff of several state agencies. I also work closely with many of Oregonís Legislators and their staffs. I work with Oregonís insurance company executives and legal staff and I represent the State at the quarterly meetings of the national Association of Insurance Commissioners (NAIC). At the NAIC I work with NAIC staff and Insurance Commissioners from all fifty states, Puerto Rico and Guam to develop national standards for health insurance regulation. Recently, I have worked with Senator Gordon Smithís and Senator Ted Kennedyís staff on a federal mental health parity bill. The federal bill would set tougher national standard for mental health insurance coverage but would supercede Oregonís Senate Bill 1 (Mental Health Parity) that was passed in 2005. Currently, I am working with the Senatorsí staff to ensure that Oregon can continue to offer greater protections to its citizens than those guaranteed under the federal law.

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COMPANY POSITION HELD DATES WORKED

(Confidential) (Confidential) 7/2003 - Present
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SCHOOL MAJOR YEAR DEGREE

Texas Tech University School of Law Law 2001 Law Degree
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Highlights:

Member Oregon State Bar
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ē Work with stakeholders including Governorís staff, Agency Administrators and Directors, Legislators and insurance company executives to negotiate legislation, administrative rules, and advisory bulletins using alternative dispute resolution including mediation and negotiation. Track legislative bills, perform bill analysis, work with legislative committee staff and legislative counsel to draft bill amendments, testify before legislative committees to present Department position on Bill, and provide information to Legislators on Agency mission and impact of legislation. ē Monitor Oregon insurance companiesí compliance with state and federal laws and the Oregon Insurance Code (including legal, financial, and ethical issues). Ensure compliance with state federal statutes including: the Employee Retirement Income Security Act (ERISA), Title VII of the Civil Rights Act of 1964 (Title VII), the Equal Pay Act of 1963 (EPA),Title I and Title V of the Americans with Disabilities Act of 1990 (ADA), the Civil Rights Act of 1991, the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Federal Indian Law, the Sarbanes-Oxley Act of 2002, and federal antitrust law. ē Represent the State of Oregon Insurance Division in actions with other state and federal agencies, Indian tribes and private industry including U.S. Department of Labor; U.S. Treasury Department/IRS and Oregon Employment Department; FCC/FTC; Oregon Department of Human Services and the Centers for Medicare and Medicaid Services; Bureau of Indian Affairs, Grand Ronde and Siletz Indian Tribes, and foreign and domestic insurance companies. ē State of Oregonís liaison to National Association of Insurance Commissioners (NAIC) and NAIC State Insurance Departments Attorney Task Force. Participate on NAIC task forces to draft model laws for state insurance departments including broker disclosure, HIPAA compliance, interstate compact, unauthorized entities and unlawful activities, antitrust and antifraud issues, and uniformity. Staff to Chair of the NAIC Health Insurance and Managed Care (B) Committee and State Innovations Task Force working on national solutions for availability and affordability of health insurance. ē Legal work includes researching, preparing legal memorandum, and ensuring compliance state and federal criminal, environmental, corporate and business, anti-trust, and employment laws and ensuring that Oregon companies and corporations comply with state and federal laws and regulations, and evaluating anti-trust issues between Oregon Hospitals and Oregon Insurance Companies. ē Develop long-term planning goals for health insurance and health policy for the State of Oregon. Organize & facilitate weekly Senior Policy/Management meeting, monthly Health Policy Team, and monthly intra-departmental meetings of consumer advocates and health analysts. Assign and review work of department staff including two direct reports.
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