2018 CANDIDATE PROGRAM Jim Hagedorn (R-MN-01) Current Seat Holder Tim Wall (D) Seat Status Toss-U Looking to follow in his fathers footsteps [his father served in the House, representing the Mum district from 197mm), Jim ran fortne House in 2014 and 201s. lim has a BA. in Government and Politics from George Biographical Sketch Mason University. He has served as Legislative Assistant to MN Republican Congressman Arlan Stangeland, Director at Legislative and Public Atfairsforthe Financial Management System and Congressional Affairs officer for the Bureau of Engraving and Priming. $455,152.00 Disbursements- FEC Filing as of $48,975.00 Cash on Hand: $251,810.29 02/20/2013 Party: Debt: Candidate: Other: Polling Endorsements 1. Economic Growth 2. Agriculture rop Campaign Issues 3. RuralValues A. National Defense Role of Healthcare Jim proposes to repeal and replace Dbarnacare with freeamarket solutions such as expanding health in the Campaign savings accounts, malpractice reform, and purchasing healthcare across state lines. Minnesota's 15! Congressional District extends across southern Minnesota from the South Dakota border to the Wisconsin border and includes 6 pivot counties which voted for Trump 'In 1016 after voting for . Obama in zoos and 2012. mm" mm" Cook's Partisan Voter Index: 2016 Presidential Vote: Trump 53%, Clinton 33% R46 2016 Congressional Vote: Wall 50.3%, Hagedorn 49.6% Campaign Manager David FithimmDrIs Contact Information litt Social Media Updated 2/23/15 Candidate profiles, including race projections, are updated quarterly 1 and thereafter. The latest ch roce projections are available on tire HLC Candidate Program weasite under "Dperr Seats" and ~atner lioces to Watch"respectl'vely. All posted information nos been provided ay tne HLC Regional Director and various saurces including NMIDrm/Jaumal, rne Caak Political Report, tne Federal Electron Committee, the candidate's website, etc. and not directly pmvided by the candidate. Far more information Contan HLC Reginlml Dlreflor Kristal SwimcMM) 832-7153 Phone: Email: 2018 CANDIDATE PROGRAM QUESTIONNAIRE 33A 1,114 I Jim Hagedorn i) . This report is designed as a tool to aid the interview and meeting process. It is not meant to be filled out by the candidate or candidate?s sta?, nor even shown to them. These questions are meant to guide the conversation. At the conclusion of the meeting, the HLC Regional Director completes the report based on the interview and other available information. Candidate: Incumbent: As of: Jim Hagedorn Tim Walz (D) 03/25/2018 Executive Summary Overall Rating Educated on healthcare issues? [3 YES IE NO Looking for help to learn healthcare issues? YES NO Supportive of agenda overall? EQ YES CI NO Elected official or other government background? XI YES NO If so, what? Former LA to Rep.Strange and; Dept of Treasug Has a healthcare background? YES IX NO If so, what? OVERALL HEALTHCARE PHILOSOPHY healthcare Jim Hagedorn believes that the ACA should be repealed and replaced. He shared that internal polling note as the number issue to the residents of the MN-01 congressional district. Hagedorn believes in ?free market healthcare? and supports initiatives such as Part and Medicare Advantage. He is also deeply concerned on the impact on farmers and rural areas noting that he hears many farmers having to choose to not carry insurance and gamble that they do not need it. POSITION AND KNOWLEDGE OF SPECIFIC POLICIES (based on the 2018 HLC Strategic Plan) 3 Below: If a candidate?s position on a specific item is known it will be noted with an $=Support; 0=0pposes or left blank if not known Quality Healthcare Must Be Accessible and Affordable for All Americans 1. The federal government should support the private sector to establish systemwide health information interoperability by 2019. 2. Data-related policies should continue to improve patient and health entity access to federally held health information. 3. The government should prohibit data blocking. 4. Various patient privacy laws and regulations should be harmonized, because the current patchwork of state laws and regulations on patient confidentiality are not well suited for a healthcare system that is increasingly interstate in nature. 5. Congress needs to continue to strengthen security against cyber attacks without adding new layers of burdensome and duplicative bureaucracy to the existing regulatory structure. 6. Medicaid ?best price? policies discourage innovative pricing approaches and must be modernized. 7. Stark physician self-referral and antikickback regulations need to be modernized if healthcare is to become truly integrated and patient-centered. 8. The U.S. Food and Drug Administration (FDA) approval process for drugs and devices needs to continue to be streamlined. FDA should not expand their purview to other areas that are already regulated, such as laboratory developed tests, which could delay patient access to lifesaving treatments. 5 9. Barriers that prevent companies in different healthcare sectors from sharing efficacy and economic information about particular products prior to FDA approval must be removed. 10. The government must support innovative approaches to assist high-need populations integrated care models, independence at home demonstration projects, and focus on social determinants of health.) 11. Providing ?safe harbors? from litigation to healthcare providers who can show they have utilized accepted standards of care in treating their patients will reduce the practice of defensive medicine, lower costs, and improve patient outcomes. We Must Ensure Medicare and Medicaid are Available for Future Generations 17. 18. 19. 20. 21. 22. Version 1 Healthcare Policy Must Create an Environment in which Innovation is Encouraged to Thrive 12. 13 14. 15. 16. Health plans participating in the Health Insurance Marketplace should be afforded greater flexibility in making affordable, high quality coverage accessible to consumers, including using traditional risk adjustment models. Excessive taxes and payment cuts on various healthcare sectors health insurance tax, medical device tax and provider cuts) negatively impact patient access to care and health innovation. Additional governmental support for graduate medical education and residency training positions is needed to address patient demand. The federal government should encourage expanded use of telemedicine and remote patient monitoring to improve access to coordinated care. The value of healthcare interventions and services should be considered across the healthcare continuum and must include the patient perspective. The best way to achieve the lowest prices for Medicare bene?ciaries in the Medicare Part program is through the current process of private sector negotiation and competition. The Medicare Advantage Program utilizes consumer choice and market competition to strengthen program value and sustainability and should be supported. The Independent Payment Advisory Board (IPAB) is likely to impose arbitrary, across-the-board reductions for Medicare providers, which would reduce access to quality care for Medicare beneficiaries. The federal government should ensure payment and delivery structures encourage care coordination and alignment among acute care, post-acute care, and community health and address chronic disease. CMS, through the Center for Medicare and Medicaid Innovation, should test new payment and delivery concepts that can improve care while containing cost growth. The Medicaid program should be structured in a way that encourages development of innovative state Medicaid programs that emphasize improved health outcomes and better efficiency.