Hit-U MC ll 1? 2018 CANDIDATE PROGRAM Young Kim (R-CA-39) Current Seat Holder Ed Royce (R) Seat Status TOSS UP Biographical Sketch Young Kim was an immigrant to the United States who began her career as a small business owner and financial analyst. Kim began her political work with Ed Royce, working as his Director of Community Operations. She was then elected to serve as in California?s District 65, becoming the first ever Korean-American woman elected to the State Assembly. She served from 2014 to 2016. Continuing her community involvement, Young Kim has founded and continues to serve on the Board of Directors for numerous local non-profit organizations. She lives with her husband Charles and their four children. Receipts: Individual: Disbursements: FEC Filing as of PAC: Cash on Hand: 00/00/2018 Party: Debt: Candidate: Other: Polling Endorsements Ed Royce, Michelle Steel, Rep. Mimi Walters Top Campaign Issues Role of Healthcare A in the Campaign District Profile California?s 39th Congressional District includes portions of Los Angeles, as well as Orange and San Bernardino counties. 2016 Presidential Vote: Clinton 51%, Trump 43% 2016 Congressional Vote: Royce 57%, Murdock 43% Cook?s Partisan Voter Index: EVEN Campaign Manager Contact Information Social Media Updated 1/10/18 Candidate profiles, including race projections, are updated quarterly until August 1 and thereafter. The latest HLC race projections are available on the HLC Candidate Program website under ?Open Seats? and ?Other Races to Watch? respectively. All posted information has been provided by the HLC Regional Director and various sources including National Journal, The Cook Political Report, the Federal Election Committee, the candidate?s website, etc. and not directly provided by the candidate. For more information contact HLC Regional Director Paul Pearson Phone: 405-488-0541 Email: - 2018 CANDIDATE PROGRAM QUESTIONNAIRE I. I'i?lmlC Young Kim Carl} Ii . 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 staff, 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: Young Kim Ed Royce (R) 02/22/2018 Executive Summary Overall Rating Educated on healthcare issues? YES NO Looking for help to learn healthcare issues? YES I: NO Supportive of agenda overall? YES NO Elected official or other government background? YES NO If so, what? Former California (one term) Has a healthcare background? YES NO If so, what? OVERALL HEALTHCARE PHILOSOPHY Former Kim previously served as an assistant to retiring Congressman Ed Royce. She has very little understanding of the healthcare delivery system, but wants to learn. Her philosophy is similar to overall agenda. She supports the market as the real innovator in healthcare and does not support California?s effort to implement a Medicare for All system. She does not support repealing the ACA, but realizes that it will take a bipartisan effort to make corrections an stabilize the market. Kim is not a supporter of the current Administration. She has been endorsed by Rep. Ed Royce and Rep. Mimi Walters. She is the leading Republican candidate in a toss-up seat, but may not make top two in the ?jungle primary? against several well-funded Democrats. 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=Opposes 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 5 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. 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 4 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 4 accepted standards of care in treating their patients will reduce the practice of defensive medicine, lower costs, and improve patient outcomes. 22. Versionl 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. Must Ensure Medicare and Medicaid are Available for Future Generations The best way to achieve the lowest prices for Medicare beneficiaries 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.