Letter from ANNA and other organizations to the Chair of the House Subcommittee on Labor, HHS, Education and Related Agencies requesting a programmatic increase of $7,000,000 for telehealth programs and activities in FY 2007

June 1, 2006

The Honorable Ralph Regula

Chairman

Labor-HHS-Education Appropriations

2358 Rayburn House Office Building

Washington, DC 20515

The Honorable David R. Obey

Ranking Member

Labor-HHS-Education Appropriations

1016 Longworth House Office Building

Washington, DC 20515

Dear Chairman Regula and Ranking Member Obey:

On behalf of the more than 200 individuals and telehealth organizations listed below and the communities that we represent, we are writing to urge you to support a programmatic increase of $7,000,000 for telehealth programs and activities, including:

Telehealth resource centers, which provide assistance with respect to technical, legal, regulatory, and service delivery or other related barriers to the deployment of telehealth technologies;

Telehomecare pilot projects and network grants that demonstrate how telehealth technologies can be used to expand access to healthcare services, improve training of healthcare providers, and expand the quality of available health information; and

Grants to state health licensing boards to develop and implement cooperative policies that reduce statutory and regulatory barriers to telehealth.

We applaud the past support that Congress has expressed for telehealth services, which offer underserved and hard to reach communities increased access to quality health care services. This includes passage of the Health Care Safety Net Amendments of 2002 (P.L. 107-251), which authorized the telehealth activities described above, and passage of the fiscal year (FY) 2006 Labor, Health and Human Services, and Education Appropriations bill (P.L. 109-149), which provided an additional $3,000,000 to the Office for the Advancement of Telehealth (OAT) to carry out these programs.

Increasing funding for telehealth grants by $7,000,000 above the President’s request in the FY 2007 Labor, Health and Human Services, and Education Appropriations bill is essential to the long-term sustainability of telehealth projects, improving access in underserved areas of the country, and addressing critical clinical shortages that are occurring throughout the U.S., particularly in rural areas. This level of support is consistent with the funding level approved by the Senate during last year’s appropriations deliberations.

While $7 million represents a relatively small amount of money for this very important purpose, without this support, the ability to provide telehealth services in this country will be severely compromised. The increased support for these telehealth programs will help to ensure that underserved Americans have access to primary and specialty health care when and where they need it.

Thank you for your support of this important issue. Should you have any questions or need more information about the telehealth services provided throughout the country or in your state, please do not hesitate to contact any of the individuals or organizations listed below.

Sincerely,

Jackie Eder-Van Hook

Executive Director

Center for Telehealth & E-Health Law (CTeL)

The undersigned support an increase in programmatic funding for the Office for the Advancement of Telehealth:

Bob Waters

Executive Director

Home Care Technology Association of America

Washington, DC

Jeremy Bonfini

Intel Corporation

Consumer Health Access Through Technology Coalition

Washington, DC

Val J. Halamandaris

President

National Association for Home Care and Hospice

Washington, DC

Jonathon Linkous

Executive Director

American Telemedicine Association

Washington, DC

Laura J. Redoutey

President

Nebraska Hospital Association

Lincoln, NE

Joseph D’Iorio

Manager TeleHealth Solutions

TANDBERG

Peabody, MA

Dr. Denise Henry

Director

Telemedicine & Telehealth Technologies

Southfield, MI

Scott Echerer

Director

Rural Telemedicine Cooperative, Inc.

Lexington, SC

Sally Davis

Program Director/Telehealth

Marquette General Health System

Marquette, MI

Ann Bynum, EdD

Director, UAMS Rural Hospital Telehealth Program

University of Arkansas for Medical Sciences

Little Rock, AR

Loretta Schlachta-Fairchild, RN, PhD, CHE

President & CEO

iTelehealth Inc.

Frederick, MD

Joseph L. Ternullo, CPA, JD

Associate Director, Telemedicine

Partners Healthcare System

Lynnfield, MA

Donna K. Hammack

Chief Development Officer

Saint Elizabeth Health Systems

Lincoln, NE

American Speech-Language-Hearing Association

Rockville, MD

J.R.B. Hutchinson, MD

CEO

Hutchline

Atlanta, GA

Karen Edison, MD

The University of Missouri

Columbia, MO

Craig D. Frazier

Vice President, General Manager – Extended Care

Solutions Group

McKesson Corporation

Springfield, MO

Cindy Clark

Chief Information Officer

Quality Improvement Coordinator

Visiting Nursing Association, Western Pennsylvania

Butler, PA

Raymond E. Helms, MPH

Administrator

ComfortCare Home Health & Hospice

Chesapeake, VA

Imelda Angat, RN

Director of Patient Services

ComfortCare Home Health & Hospice

Chesapeake, VA

Gary Bowers

Executive Director

Western North Carolina Health Network

Asheville, NC

Steven C. Trout

Executive Director

Southern Consortium for Children

Athens, OH

Stuart M. Speedie, PhD

Professor and Director – Fairview University of Minnesota Telemedicine Network

University of Minnesota

Minneapolis, MN

Robin Keith

President

Nevada Rural Hospital Partners

Reno, NV

Mary DeVany

Manager

Avera McKennan Telehealth Network

Sioux Falls, SD

Sylvia Temlitz, MA, RN, CHPN

Home Care/Hospice Director

Lakeview Medical Center

Rice Lake, WI

Jay Tkachuck

IS Manager

Allina Hospitals and Clinics

Minneapolis, MN

Kristin Hellquist

Director of Policy and Government Relations

National Council of State Boards of Nursing

Chicago, IL

Jana Lindsey, RN

Telemedician Coordinator

Shriners Hospitals for Children

Honolulu, HI

John Heard, PhD

Vice President

A.T. Still University

Kirksville, MO

Kay Thiel

Business Administrator

High Plains Rural Health Network

Brush, CO

Teresa A. Dolan, DDS, MPH

Professor and Dean – College of Dentistry

University of Florida

Gainesville, FL

Dale C. Alverson, MD

Medical Director, Center for Telehealth and Cybermedicine Research

University of New Mexico Center for Telehealth

Albuquerque, NM

Jana Katz-Bell, MPH

Board Member – Center for Health & Technology

University of California-Davis Health System

Sacramento, CA

Kathy J. Chorba

Telemedicine Program Operations Manager

University of California, Davis

Center for Health and Technology

Sacramento, CA

Fred Eastman

Project, Programming & Administrative Services Director

Midwest Rural Telemedicine Consortium

Des Moines, IA

Marta J. Petersen, MD

Director

Utah Telehealth Network

Salt Lake City, UT

Jack King

Executive Director

Northcentral Montana Healthcare Alliance

Great Falls, MT

Lisa Cone

Managing Director

Cerner Corporation

Overland Park, KS

Rob Sprang

Director

Kentucky TeleCare

Lexington, KY

Ryan J. Spaulding, PhD

Director

Center for Telemedicin & Telehealth

University of Kansas Medical Center

Kansas City, KS

Cindy Uselman

RN Manager, Grants and Program Development

Tri-County Hospital

Wadena, MN

Daniel R. Plotkin

eHealth Program Administrator

Childrens Hospital Los Angeles

Los Angeles, CA

Jose C. Polido, DDS, MS

Division Head, Dentistry

Childrens Hospital Los Angeles

Los Angeles, CA

Nancy J. Sharp, MSN, RN, FAAN

Telehealth Issues Consultant

American College of Nurse Practitioners

Bethesda, MD

Carl W. Taylor

Director

University of South Alabama

Mobile, AL

Carolyn Neiswender

Director

Memorial Home Care Services

Yakima, WA

Meryl Weinberg

Executive Director

New York City Health & Hospital Corporation: Health and Home Care

New York, NY

Gail Jurasek

Chief Executive Officer

North Country Home Health & Hospice

Littleton, NH

Carolyn Hutcherson

Executive Director

American College of Nurse Practitioners

Washington, DC

Francine Wheelock, PT, MPA

Director, Program Development and Rehabilitation Services

HealthReach HomeCare & Hospice

Waterville, ME

Pamela A. Steding

President/CEO

CHRISTUS HomeCare

San Antonio, TX

Greg Beck, MHA

Founding Partner

Beck N’ Call Health Services

Indianapolis, IN

Paula Knoll

Director of Clinical Services

Fulton County Nursing Service

Gloversville, NY

Laurie Chichester

Vice President – Home Care

Metropolitan Jewish Home Care

New York, NY

Nat Gist

Business Deveolopment

Phonoscope Health Network

Richmond, TX

Julia J. Hopple

VNA President/WellSpan Vice President

VNA Home Health – WellSpan

York, PA

Linda Winter

Business Development

Phonoscope Health Network

Houston, TX

Niké Luqman

Business Development

Phonoscope Health Network

Houston, TX

Ted Viens

Special Projects Engineer

Phonoscope Health Network

Houston, TX

Andrea L. Devoti

Vice President and Chief Operating Officer

Neighborhood Health Agencies, Inc.

West Chester, PA

Dan Van Roekel

Sioux Valley Telehealth

Sioux Falls, SD

Donna Grimm

President/CEO

Community Health Professionals

Van Wert, OH

Joseph A. Tracy

Chairman

Center for Telehealth & eHealth Law

Washington, DC

Karen Rheuban, MD

Board Member

Center for Telemedicine Law

Washington, DC

Dr. Dev A. Brar

President

Nightingale Home Health Care

Carmel, IN

Christine Sakuda

Information Officer

Hawaii Primary Care Association

Honolulu, HI

Laurie Neander, MS RN

Executive Director

At Home Care, Inc.

Oneonta, NY

Laura Zwiefel

CEO/Administrator

Hancock County Memorial Hospital

Greenfield, IN

Darrell E. Vondrak

CEO

Decatur County Hospital

Leon, IA

Sylvia Getman

CEO

Mitchell County Regional Health Center

Osage, IA

Clint J. Christianson

President and CEO

Mercy Medical Center

Centerville, IA

Rhonda Chetney, RN, MS

Director of Clinical Operations

Sentara Home Care Services

Chesapeake, VA

Michael Lemnitzer

Vice President

ViTel Net

McLean, VA

Mitch Opalski

Chief Operating Officer

National Association of Home Care & Hospice

Washington, DC

Thomas D. Faulkner

Vice President – Sales

Polymap Wireless, LLC

Tucson, AZ

Bert Vining

President

HeartScreen America, Inc.

Andover, MA

Robert Cox, MD

Hays Medical Center

Hays, KS

Karen Steffen, RN, MSN

Administrator

Caroldelet Home Care Services

Overland Park, KS

Ruth L. Constant, EdD, MSN, CHCE, FHHC

Chief Executive Officer

Beaumont HomeHealth Service

Victoria, TX

Stephen Matchett, MD

Medical Director, Telehealth Services

Lehigh Valley Hospital and Health Network

Allentown, PA

David Rosswog, LPC

Director of Operations

Safe Harbor Behavioral Health

Erie, PA

Elizabeth Gievsting

Chief Executive Officer

Hawaii Primary Care Association

Honolulu, HI

Kim Boyd, RN, DRS

Sentara Home Care

Chesapeake, VA

Elaine Rosen

Vice President

First to Care Home Care

Brooklyn, NY

Sheila Perry, RN, DRS

Sentara Home Care

Chesapeake, VA

Leslie Lacy

Administrator

Cheyenne County Hospital

St. Francis, KS

Richard Miro

Business Development Manager

Air Products Healthcare

Allentown, PA

Thomas G. Smith

Administrator

Audubon County Memorial Hospital

Audubon, IA

Connie L. Duncan

Scheduling Coordinator

Sentara Home Care

Chesapeake, VA

Eric Thomas

Health Watch Coordinator

Sentara Home Care

Chesapeake, VA

Faith Lowery

Office Manager

Sentara Home Care

Chesapeake, VA

Marsha Sherman, LPN

Skilled Scheduler

Sentara Home Care

Chesapeake, VA

Deborah Reese, RN

Clinical Manager

Sentara Home Care

Chesapeake, VA

Pat Strickland, RN

Clinical Manager

Sentara Home Care

Chesapeake, VA

Linda Jordan, RN

Clinical Manager

Sentara Home Care

Chesapeake, VA

Liza Fiqueroa

Adminstrative Clerk

Sentara Home Care

Chesapeake, VA

Dorothy Weelds, RN

Supervisor

Sentara Home Care

Chesapeake, VA

Melanie McLatos, RN

Clerical Manager

Sentara Home Care

Chesapeake, VA

Nancy Harman, RN

Sentara Home Care

Chesapeake, VA

Eva M. Saul, RN

Clinical Manager

Sentara Home Care

Chesapeake, VA

Debbie Tillman, LPN

Administrative Assistant

Sentara Home Care

Chesapeake, VA

Marolyn Hurt, RN

Sentara Home Care

Chesapeake, VA

Laura Kims

Senior Office Manager

Sentara Home Care

Chesapeake, VA

Christine M. Benns, RN, BSN, COS-C

Sentara Home Care

Chesapeake, VA

Frances Chidester, LPN

Sentara Home Care

Chesapeake, VA

Carla Lybarger, RN

Sentara Home Care

Chesapeake, VA

Linda Jinright, DRS

Sentara Home Care

Chesapeake, VA

Enith V. Mercer, RN

Sentara Home Care

Chesapeake, VA

Betty Mahon, RN, BSN, HCS-D, COS-C

Sentara Home Care

Chesapeake, VA

Joan Fite, RN, DRS

Sentara Home Care

Chesapeake, VA

Kattie Payne, PhD, MSN, RN

Telemedicine Coordinator

Saint Alphonsus Regional Medical Center

Boise, ID

Keith Heuser

Chief Executive Officer

Clarinda Regional Health Center

Clarinda, IA

Vanessa McLaughlin

Providea

Carmarillo, CA

Jennifer R. Lee

Continuum Compliance Officer

Kaiser Foundation Health Plan

Oakland, CA

Maureen Ideker, RN

Director of Patient Care Services

Tri-County Hospital

Wadena, MN

Theresa M. Forster

Vice President for Policy

National Association for Home Care and Hospice

Washington, DC

Andrea Deickman, RN

iTelehealth, Inc.

Frederick, MD

David Baker

Chief Executive Officer

Banner Home Care

Gilbert, AZ

Jennifer Friedman

Vice President, Government Affairs and Policy

National Rural Health Association

Alexandria, VA

Francesca Dianne Soria

Staff Development/Patient Educator

Salinas Valley Memorial Healthcare System

Salinas, CA

Steve Feldstein

Senior Director

TANDBERG

Reston, VA

Jennifer S. Mensek, PhD, MBA, RN

Regional Director Home Care Services

Banner Home Care

Gilbert, AZ

Rick Snyder

President

TANDBERG

Reston, VA

John Lubarsky

Sales Vice President

TANDBERG

New York, NY

Susan Makela

Director of Telehealth

Marquette General Health System, UPTN

Marquette, MI

James Jaskovsky

Senior Grants Manager

TANDBERG

Woodinville, WA

Margaret Warden

President and Chief Executive Officer

Visiting Nurse Association of Utica and Oneida Counties, Inc.

Utica, NY

Shari Wildman

Channel Manager

TANDBERG

New York, NY

Casey Rossetti

Regional Grants Manager

TANDBERG

Dallas, TX

Barbara Catenaci

Grants Manager – SE Region

TANDBERG

Hilton Head Island, SC

Mick Okas

Sales

TANDBERG

Irvine, CA

Veronica Garcia

Regional Grants Manager

TANDBERG

Dallas, TX

Terra Orr

Office Manager

TANDBERG

Dallas, TX

Stacy Kope

Contracts Administrator

TANDBERG

Reston, VA

Roger Lee

Accountant

TANDBERG

Reston, VA

Parker Emery

Director, SE Region Sales

TANDBERG

Atlanta, GA

Ken Reeves

Accountant

TANDBERG

Atlanta, GA

Alex English

Partner Development Representative

TANDBERG

Atlanta, GA

Michael Maetz

Sales

TANDBERG

Atlanta, GA

James G. FitzPatrick

President and Chief Executive Officer

Mercy Medical Center – North Iowa

Mason City, IA

Amanda Walnisky

Sales Operations Support

TANDBERG

Dallas, TX

Sara Drobnick

Vice President

Mercy Medical Center - Des Moines

Des Moines, IA

Ann Cox

Executive Director

American Association of Occupational Health Nurses, Inc.

Atlanta, GA

Dawn P. Hicks

Manger, Telemedicine Program

University of South Alabama

Mobile, AL

Celia Hagan

Telehealth Project Coordinator

Northeast Missouri Telehealth Network

Kirksville, MO

John Borehard

Director of Program Development

Southern Consortium for Children

Athens, OH

Susan MacDonald

Soulutions Marketing Manager

TANDBERG

Reston, VA

Barbara Johnston

Executive Director

California Medicine and eHealth Center

Sacramento, CA

Deborah Herzberg

Chief Executive Officer

Davis County Hospital

Bloomfield, IA

Jennifer R. Martin

Director of Public Policy

American Telemedicine Association

Washington, DC

Deb LaMarche

Program Manager

Utah Telehealth Network

Salt Lake City, UT

Walter Wilson

Senior Account Manager

TANDBERG

Kansas City, KS

Stuart C. Kaplan

Chief Executive Officer

Selfhelp Community Services, Inc.

New York, NY

Speranza Avram

Executive Director

Northern Sierra Rural Health Network

Nevada City, CA

Cindy K. Leenknecht

Clinical Research Coordinator

Partners in Health Telemedicine Network

Billings, MT

Mary St. Pierre

Vice President, Regulatory Affairs

National Association for Home Care and Hospice

Washington, DC

Mary Houle, RN

Outreach Services

Tri-County Hospital

Wadena, MN

Lynae Maki

LPM

Tri-County Hospital

Wadena, MN

Robin Klemek, RN

Outreach Services Manager

Tri-County Hospital

Wadena, MN

David Rosswog, MA, NCP, LPC

Director of Operations

Northwest Beacon Group, LLC

Erie, PA

Kristy Wright

President and Chief Executive Officer

Visiting Nurses Association, Western Pennsylvania

Butler, PA

Maggie Schwarck

Education Coordinator

Marshalltown Medical & Surgical Center

Marshalltown, IA

Kathryn J. Kaylor

Director, Office of Research Affairs

The Pennsylvania State University

College of Medicine

Hershey, PA

Teresa Chavis

Director

Rural Telemedicine Cooperative

Lexington, SC

Rebekah A. Bennett

Telemedicine Coordinator

Mountain Health & Community Services

Campo, CA

Bryan M. Nation

Tele-Health Consultant Integrator

Banner Health

Greeley, CO

Robert Christian

Strategic Account Manager

TANDBERG

Chicago, IL

John Holland

President and Chief Executive Officer

LifeLink Monitoring, Inc.

Lake Katine, NY

Kurt Grossman

Chief Executive Officer

Doctors Telehealth Network, Inc.

Newport Beach, CA

Kathe Boucha

Executive Director

Kosova Foundation for Medical Development

Anchorage, AL

Judith Shaplin

President and Chief Executive Officer

Mountain Health & Community Services, Inc.

Campo, CA

James Jarmusch

Director of Sales

Topcon Medical Systems

Paramus, NJ

Patrick Judd

Superintendent

Mountain Empire Unified School District

Pine Valley, CA

Sean Tyrrell

TANDBERG

Boston, MA

Chris Phair

TANDBERG

Boston, MA

Sean Spires

TANDBERG

Boston, MA

Josh Levy

TANDBERG

New York, NY

Pat McCarthy

TANDBERG

New York, NY

Laurie Gotlinger

TANDBERG

New York, NY

Rob Wall

TANDBERG

New York, NY

Bethany Hands

TANDBERG

New York, NY

David Moss

TANDBERG

New York, NY

Bob Simon

TANDBERG

New York, NY

John Latini

TANDBERG

New York, NY

Michael Hull

TANDBERG

New York, NY

Gordon Alessio

TANDBERG

New York, NY

Bill Duffill

TANDBERG

New York, NY

John Lubarsky

TANDBERG

New York, NY

Scott Simmons

Assistant Director

ECU Telemedicine Center

Greenville, NC

Myrna Erb-Gundel

Chief Executive Officer

Adair County Health System

Greenfield, IA

Elaine D. Stephens

President and Chief Executive Officer

Visiting Nurse Service or Greater Rhode Island

Lincoln, RI

Tom Brewer

Director of Operations

Partners in Health Telemedicine/St. Vincent Healthcare

Billings, MT

Dale E. Moyen

eTelehealth Manager

Hawaii Pacific Health

Honolulu, HI

Shawnee Johnson

Executive Director

St. Helena Hospital Home Care Services, Adventist Health

St. Helena, CA

Kathy Froerer

Executive Director

Utah Association of Local Health Departments

Provo, UT

Steven W. Mecklenburg

Telehealth Coordinator

Poudre Valley Health Systems

Fort Collins, CO

Jane Kinney

Chief Operating Officer

The Greater Bristol Visiting Nurses Association

Bristol, CT

Thelma McClosky Armstrong

Director

Eastern Montana Telemedicine Network

Billings, MT

JoAnne Gilmore

President

American Nephrology Nurses’ Association

Pitman, NJ

Reese Omizo, MD

Clinical Informatics Coordinator

Veterans Health Administration (VAPIHCS)

Honolulu, HI

Sondra Olson

Director of Research & Development

Asante Health Systems

Medford, OR

Catherine S. Britain

Secretary

Telehealth Alliance of Oregon

Medford, OR

Jaclyn M. Griffin

Nurse Practitioner (Telehealth and surgery clinics)

Department of Veteran’s Affairs

Pacific Island Healthcare System

Honolulu, HI

Alexander Nason

Director, Johns Hopkins Medicine – Interactive

Johns Hopkins Medicine

Baltimore, MD

Link Shadley

President

Anki Solutions, LLC

The Dalles, OR

Heidi Moore, PhD

Research Scientist

Healthcare Technology Systems

Madison, WI

Michael F. Green, BA, RHIT

Director, Health Information/Quality Coordinator

Holy Redeemer Home Care, New Jersey Shore

Swainton, NJ

Brenda Porter

Vice President of Business & Development

Community Nurses, Inc.

St. Marys, PA

Elaine Skalabrin, MD

Director of University of Utah Stroke Center

University of Utah

Salt Lake City, UT

Sharon L. Turner, BSN, RN, PHN

Director of Home Care

Sierra Nevada Home Care

Grass Valley, CA