Somerville Consulting serves nonprofit and public sector clients by conducting public health/legal research and analysis; developing memoranda, reports and publications; and providing support for community health needs assessment, implementation strategy development, and program evaluation.Recent clients:The Low Income Investment FundMaryland Health Services Cost Review Commission Carroll County Health DepartmentDuke University, Department of Community and Family HealthRecent Projects: Policy brief (co-author): "Partnering for Prevention: Hospital Community Benefit Investments for Community Development" (The Low Income Investment Fund, 2017) https://tinyurl.com/jmfy4l5Review of Maryland hospitals’ FY15 CHNAs and Community Benefit Narratives for Maryland Health Services Cost Review Commission (July 2016) Webinar (AHLA/CDC, 2015): "Implementing the ACA—Community Health Needs Assessments" and related publication: American Health Lawyers' Association (AHLA) Hospitals and Health Systems RX 18:1 (Jan. 2016) "Implementing the Affordable Care Act—Community Health Needs Assessments https://tinyurl.com/gl9gc76Journal article: Hospitals, Collaboration, and Community Health Improvement (J Law Med Ethics 2015 Spring; 43 Suppl 1:56-9) https://tinyurl.com/gu8qn97 Community Health Needs Assessment Requirements for Tax-exempt Hospitals (American Health Lawyers Member Briefing May 2015) https://tinyurl.com/gufuvgd

Director, Hospital Community Benefit Program at UMBC’s Hilltop Institute (Baltimore, Maryland). Supported by grants from the Robert Wood Johnson and Kresge Foundations, the program aimed to advance tax-exempt hospitals’ accountability to their communities through investments and activities responsive to their communities' health needs and priorities. The program provided policy resources for state and local policymakers, stakeholders, communities, and nonprofit hospitals. By authoring issue briefs, developing content for online resources, and presentations at national conferences and webinars, contributed to the national conversation about hospitals’ responsibilities to improve community health. Conference presentations and webinars included: the Institute of Medicine, Academy Health, the American Public Health Association, the Network for Public Health Law, the American Health Lawyers Association, the National Health Policy Forum, and the National Network of Public Health Institutes. Conceived and developed “the Community Benefit State Law Profiles.” Sparked the program's recognition as a valuable source of disinterested, objective analysis of local, state and federal community benefit policy.Authored program publications including:“Community Benefit State Law Profiles A 50-State Survey of State Community Benefit Laws through the Lens of the ACA” (March 2013) http://tinyurl.com/h7roqcq "Hospital Community Benefits after the ACA," series of eight issue briefs (2010-2013) http://tinyurl.com/zq36l8p "What are Hospital Community Benefits?" (2013) http://tinyurl.com/jyoztmq "Community Benefit in Context: Origins and Evolution—ACA §9007” (2012) http://tinyurl.com/gwhvwle Hospital Community Benefit Program newsletters, "Community Benefit Briefing" (2011-2013) http://tinyurl.com/jxr28b8

Leadership: For state Medicaid programs (1996-2012): developed comprehensive program regulation packages. Designed review protocols and led qualifications reviews of Medicaid managed care plans. Special projects: Authored legislative reports, white papers, and briefing documents on topics including: Health Benefit Exchange health plan contracting Medicaid/CHIP “Express Lane” eligibility Competitive procurement of Medicaid managed care plans Health Benefit Exchange-qualified health plan procurement Nonprofit hospital governance requirements and practices Regulatory oversight of private health insurance premiums Medicaid cost sharing Nonprofit hospital conversion Maryland CHIP "private option" advisory group consensus report Graduate Medical Education program assessment & regulationRegulations development: Developed comprehensive regulation packages for state health department programs and Commissions, Maryland's HealthChoice Medicaid managed care program, Employed Individuals with Disabilities public health insurance program.Program evaluation: Program evaluation design and implementation.

Legal representation of health professional licensing boards of the Maryland Department of Health and Mental Hygiene

General and administrative legal representation and advice for institutional health care providers

In the Civil Division (1982-1984) assisted in appellate litigation before Maryland Court of Appeals, Maryland Court of Special Appeals, and the United States Supreme Court. In the Consumer Protection Division (1985) assisted in major litigation against a large Maryland retailer for engaging in unfair and deceptive practices

Researched legal precedents; drafted memoranda; participated in judicial analysis and discussion of pending cases; monitored and summarized oral arguments; reviewed case records; supported development of judicial opinions.