Michelle Winchester
Health and Long-Term Care Policy Analyst
Institute for Health, Law and Ethics
BA, St. Michael's College
JD, Franklin Pierce Law Center
Michelle Winchester has been a health and long–term care policy analyst with the Institute for Health, Law and Ethics (IHLE) since 1998. The focus of her legal and policy analysis is to research, report, comment, and propose recommendations relative to the impacts of federal and state law, including government funding sources, on the integration and provision of quality health and social services to the people of New Hampshire.
Major project topics include: privacy and security of electronic medical records; Medicaid consumer–directed personal care; legal and financial planning for parents of children with severe disabilities; analysis of publicly funded programs supporting people with disabilities (including Medicaid, TANF, Food Stamps, Title V Children with Special Health Care Needs); in–home supports of children with special health care needs; managed care and children with special health care needs; and nursing delegation.
Other notable areas of research and study include: Katie Beckett Medicaid eligibility; New Hampshire Medicaid 209(b) status; and New Hampshire House Bill 691 (2005 Session), a bill revising the Medicaid program.
Member:
- American Health Lawyers Association
- LIFE (Living with Independence, Freedom and
Equality) Account Project Consumer Advisory Committee
- New Hampshire Medical Care Advisory Committee
- New Hampshire Elder Rights Coalition
- New Hampshire Department of Health and Human
Services Direct Care Workforce Development Workgroup (2000–2002)
- New Hampshire Autism Task Force (2000–2002)
- New Hampshire Developmental Disability Policy Group (1998 to present)
Institute for Health, Law and Ethics
Projects
* Health Information Security and Privacy Collaboration [RTI International with the National Governor's Association (US Department of Health and Human Services, National Coordinator for Health Information Technology and the Agency for Healthcare Research and Quality) (2006–2007)].
* Policy Resource Center [U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Real Choice Systems Change Grant (2003–2005)].
* Community–Integrated Personal Assistance Services and Supports [U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Real Choice Systems Change Grant (2003–2005)].
* Family Support Partnership Project [Project of National Significance grant (U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Developmental Disabilities) and a Health Care Fund Community Grant Program grant (New Hampshire Department of Health and Human Services) 2001–2002].
* Reviews of New Hampshire Utilization of Federal Ancillary Resources for Children with Special Health Care Needs: The Title V Special Health Care Needs Program and the SCHIP Program (1999–2000).
* In–Home Supports of New Hampshire Children with Special Health Care Needs [Project of the New Hampshire Developmental Disabilities Council, Community Support Network, Inc., Area Agencies for the Developmentally Disabled, Council for Children & Adolescents with Chronic Health Conditions, New Hampshire Self–Determination Project, and New Hampshire Institute on Disability (1998–2000)].
* The Effect of Managed Care Practices on Children with Special Health Care Needs [University Affiliated Program project (1998)].
* Physician Financial Incentives in Managed Care and their Effect on Children with Special Health Care Needs [University Affiliated Program project (1998)]
* Nurse Delegation and the Nurse Practice Act [Toward a Community Support System for the Elderly, New Hampshire Health Care Transition Fund (1997–1998)]
* Target Market Conduct Examination, Legal Support [New Hampshire Insurance Department (1998–1999).]
Reports and Publications
* Communities as Partners in the Long Term Care Solution, co–authored with Susan Fox, Policy Resource Center (Real Choice Systems Change Grant), Institute for Health Law and Ethics, Franklin Pierce Law Center, Fall 2005, Issue 6.
* Employment and Disability, Policy Resource Center (Real Choice Systems Change Grant), Institute for Health Law and Ethics, Franklin Pierce Law Center, Winter 2005, Issue 5.
* Coordinating Existing Human Service Transportation Resources: Maximizing Resources and Economic Benefits, Policy Resource Center (Real Choice Systems Change Grant), Institute for Health Law and Ethics, Franklin Pierce Law Center, Winter 2004, Issue 4.
* Home and Community–Based Long–Term Care Financing and the Woodwork Effect, Policy Resource Center (Real Choice Systems Change Grant), Institute for Health Law and Ethics, Franklin Pierce Law Center, Summer/Fall 2003, Issue 3.
* Financing Long–Term Care for People with Disabilities, Policy Resource Center (Real Choice Systems Change Grant), Institute for Health Law and Ethics, Franklin Pierce Law Center, Spring 2003, Issue 2.
* The New Freedom Initiative, Community–Based Alternatives for People with Disabilities, Policy Resource Center (Real Choice Systems Change Grant), Institute for Health Law and Ethics, Franklin Pierce Law Center, Winter 2003, Issue 1.
* Family Support Partnership: Legal and Financial Planning (Guide for Attorneys), November 2002.
* The New Hampshire Future Planning Guide, Legal and Financial Planning for a Person with a Disability (Guide for Families), February 2002
* An Examination of In–Home Supports for New Hampshire Children with Special Health Care Needs, Institute for Health, Law and Ethics, Franklin Pierce Law Center, March 2000.
* A Resource Review in Regards to Children with Special Health Care Needs: The Maternal and Child Health Services Block Grant: The New Hampshire Special Health Care Needs Program and The State Children's Health Insurance Program: New Hampshire Healthy Kids, The Institute for Health, Law and Ethics, Franklin Pierce Law Center, September 1999 (DRAFT).
* Children with Special Health Care Needs: Legislative and Administrative Actions to Implement the Bill of Rights (for children with special health care needs in managed care), Institute for Health, Law and Ethics, Franklin Pierce Law Center, June 1998.
* Children with Special Health Care Needs and Physician Financial Incentives (for children with special health care needs in managed care), Institute for Health, Law and Ethics, Franklin Pierce Law Center, June 1998.
* Nurse Delegation and the Nurse Practice Act, Toward a Community Support System For the Elderly, Institute for Health, Law and Ethics, Franklin Pierce Law Center, June 1998.
* Compensation of Family Members for the Provision of Home Care Services, Toward a Community Support System For the Elderly, Institute for Health, Law and Ethics, Franklin Pierce Law Center, June 1998.
* Fiscal Models for Consumer Directed Personal Care Services, Toward a Community Support System For the Elderly, Institute for Health, Law and Ethics, Franklin Pierce Law Center, June 1998.
Presentations
* Legal and Financial Planning and Public Benefits, The Special Needs Trust, Community Partners (2004).
* The Four Medicaid Home and Community Based Care Waivers in New Hampshire, Connecting the Dots: Key Disability Resources, New Hampshire Housing Finance Authority (2005).
* Legal and Financial Planning and Public Benefits, Community Partners (2004).
* New Hampshire Medicaid State Plan & Katie Beckett Eligibility, Medicaid 101, Advanced Leadership program, New Hampshire Institute on Disability (2004).
* Medicaid and Children with Disabilities, The Safety Net: Medicaid and SSI, New Hampshire Bar Association, Continuing Legal Education, The Safety Net: Medicaid and SSI (2004).
* The Special Needs Trust, Estate Planning, New Hampshire Bar Association, Continuing Legal Education (2004).
* Home and Community–Based Long–Term Care Financing and the Woodwork Effect, Home–Based Care: Does Increased Access Equal Increased Cost, Legislative Education Series, Real Choice Systems Change Grant (2003).
* Legal and Financial Planning and Public Benefits, Family Support Partnership Project, Claremont, N.H. (2002).
* Legal and Financial Planning and Public Benefits, Family Support Partnership Project, Portsmouth, N.H. (2002).
* Legal and Financial Planning and Public Benefits, Family Support Partnership Project, Claremont, N.H. (2001).
* Nursing Delegation Law and Policy, New Hampshire School Nurses Association (1999).
* Nursing Delegation Law and Policy, New Hampshire Nurses Association (1998 & 2000).
* Nursing Delegation Law and Policy, New Hampshire Nurses, Evening of Discussion Franklin Pierce Law Center (1997).