Children s Hospital Association of Texas An Association for the Advancement of Children s Healthcare in Texas

Size: px
Start display at page:

Download "Children s Hospital Association of Texas An Association for the Advancement of Children s Healthcare in Texas"

Transcription

1 Children s Hospital Association of Texas An Association for the Advancement of Children s Healthcare in Texas CHAT Nursing Conference, November 6, 2010, Austin, Texas Ed Berger, VP, Advocacy & Government Relations, Seton Family of Hospitals Kathy Eckstein, Director of Public Policy, CHAT

2

3 CHAT s Mission Advocate the development of an effective, comprehensive, high quality and appropriately funded children s health care delivery system in Texas.

4 What We ll Cover Today Federal healthcare reform and its impact on pediatric health delivery CHAT s legislative priorities for the 82 nd Texas Legislative session Importance of hands on legislative advocacy by providers and care givers

5 The once and future debate about health reform Brace yourselves for a whole lotta ugly comin' at you from a never ending parade of stupid. Motor mouth Maybelle, Hairspray (2007)

6 What Reform is... Mostly about insurance, both public and private Expanded coverage Increased access New restrictions on insurance companies Changes to Medicare, Medicaid Some cost control reduces federal deficit by $143B to 2019, according to CBO Effective dates Some things were retroactive to January 2010 Some don t take effect until 2019

7 What Reform is not No consensus With 535 egos, there are at least 750 different opinions on how to do anything Many Republican ideas included but no R s supported Democrats and Republicans disagree among themselves Not entirely different system No fully public option (e.g., Medicare for all ) favored by some Not a totally free market favored by others

8 We know change is coming

9 And things won t be the same in Kansas (or Texas) any more

10 High Altitude Overview of Kansas, Texas, and rest of the Nation Much of reform deals with Medicare, Medicaid reimbursement and programs That s where Congress can have biggest cost impact Medicaid is vehicle for biggest expansion of coverage to uninsured Private insurance often takes its lead from govt. programs As Medicare begins to bundle payments, look for that trend in Medicaid and private market as well Significant changes in private market, too Annual and lifetime limits, preexisting conditions gone or will be eliminated Incentives and mandates for businesses and individuals to offer, carry coverage

11 Insurance Reforms that Impact Kids Provides up to 35% tax credit to small businesses (max 25 employees, $50K avg. wage) that offer insurance January 2010 Prohibits pre existing condition limit in covering children, allows adult children up to age 26 on parents policy (many plans renewing after ) Bans policy rescissions, lifetime limits, imposes restrictions on annual limits (many plans renewing after ) Establishes interim high risk pool for uninsured (July 2010)

12 Insurance Reforms that Impact Kids (cont.) Preventive care, screenings, immunizations must be provided without cost sharing (plans after ) State based insurance exchanges for individual, small business plans ( ) CHIP kids can get coverage through comparable plans on exchanges Mandate (with penalties) for individuals to have and keep insurance, and for businesses to offer insurance (some exceptions to both) Insurance reforms (no preexisting, no annual or lifetime limits) depend on mandate to keep costs down Minimum required benefit package will include mental health coverage

13 Medicaid/CHIP Reforms that Impact Kids Requires states to maintain existing Medicaid & CHIP eligibility, methodologies, and procedures Raises Medicaid eligibility to 133% of Federal Poverty Level, FPL, or $14,400 for single individual (1 1 14) Texas caps kids over 6 at 100% for Medicaid Adult coverage in Texas is limited to pregnant moms at 185%, disabled adults at 78% and parents at 14% FPL Federal government pays for 100% of expansion cost , then declines to 90% of expansion cost by 2019 Authorizes CHIP to 2015 (up to 200% FPL in Texas) Kids up to 133% will move to Medicaid in 2014

14 Medicaid/CHIP Reforms that Impact Kids (cont.) Some 500,000 kids are eligible but not enrolled in either program; large share of Texas projected reform costs relates to this population to be covered without extra federal dollars Reform increases Medicaid payments for primary care provided by primary care physicians in 2013 and 2014 Hospitals, with HHS guidance, able to determine presumptive eligibility for Medicaid temp coverage while final eligibility determined ( ) Gradual reductions in DSH payments as number of uninsured decline

15 Workforce Changes that Impact Kids Workforce Expands health profession loan repayment programs Establishes National Health Care Workforce Commission to recommend alignment of health workforce resources Increases training support for primary care, nursing and public health workforce Redistributes unused residency slots 75% of redistributed slots must be for general surgery or primary care (current cap 100,000 nationally, Texas unlikely to meet resident to population ratio criteria)

16 Quality/Delivery System Changes that Impact Kids Quality Payment reductions to hospitals with higher thanexpected readmission rates for specific conditions Medicare now, Medicaid possibly later NO Medicaid payment for care associated with hospitalacquired conditions ( ) Allows Medicare providers to create Accountable Care Organizations (ACOs) to share in cost savings achieved through care coordination, quality initiatives; creates 5 year ACO pilot for pediatric providers in Medicaid (1 1 12)

17 Quality/Delivery System Changes that Impact Kids Delivery System Establishes Patient Centered Outcomes Research Institute to conduct comparative effectiveness research Creates Medicaid bundled payment demos in 8 states Creates Innovation Center within CMS to test, evaluate payment structures and methodologies, enhance quality, coordination and efficiency

18 Coverage Among the Nonelderly Pre and Post Health Reform 50 million uninsured 2010 uninsured % 10% 15% Medicaid/ CHIP Employer Nongroup and other Uninsured 56% 56% Exchanges 23 million 9% 8% 9% 18% n=267 million n=282 million Note: Nongroup and other includes Medicare Source: CBO scoring of combined effects of HR 3590 and HR 4872 in letter to Speaker Pelosi, March 20, 2010.

19 The Great and Powerful Oz may have matters well in hand, but does anyone else?

20 It will require some assembly

21 And it is already resulting in lots of Draft regulations, Proposed regulations, and Final Regulations

22 Our Assessment Is it perfect? Far from it. Congress, no matter which party is in control, rarely gets anything right the first time Many well intended provisions not well thought out some are clunky There will be bumps and hiccups along the way Significant challenge for providers, consumers, businesses and government: manage, control costs Implementation will be an interesting journey Is it better than doing nothing? Yes. Much easier to fix something than nothing for things that don t work well, or those unintended consequences, we will have a target

23 Our Assessment (cont.) Repeal? Lots of talk, but unlikely; some changes now in effect House may have votes, but Senate not likely to agree Presidential veto Replace? Republican Agenda for America health care section includes things already in reform law How to keep popular things (insurance reform) and pay for them (individual mandate) Starve the beast! Reform is authorized, but it is not all funded; gridlock in Washington may mean no money to implement certain items

24 Reform s Impact on Texas Texas Health & Human Services Commission estimates state cost for Medicaid & CHIP at $9.2B from , incl. $76B in federal funds Comptroller estimates federal health insurance subsidies over the 10 years will bring in $44 billion and credits for small employers will total $2 billion No wrong door /streamlined eligibility for insurance subsidies, as well as Medicaid and CHIP, will be a challenge State agencies preparing for changes, some legislation will be required Implementation may hit budget roadblocks and/or political opposition

25 What the Session will be About Election results who s running the show Redistricting the most important issue for way too many Immigration someone to blame Budget no new taxes and spending cuts Budget smoke and mirrors and revenue enhancers Budget Rainy Day fund and there s still a BIG gap Budget special session(s)?

26 Texas Fiscal Issues Revenue outlook not pretty Sales taxes running FAR below projections New franchise tax not generating as much revenue as expected Property values (and taxes) are declining Federal stimulus dollars must be replaced, not likely to see any more coming State leadership committed to no new taxes

27 Texas Fiscal Issues (cont.) Budget shortfall even uglier Could be $4B gap in current budget to backfill when Legislature arrives in January Gap in budget needed to maintain current services in could be as high as $25B Rainy Day Fund (if used) could provide up to $9B Agencies required to submit proposals for 10% reductions in

28 Texas Fiscal Issues (cont.) Health & Human Services To maintain current programs and address caseload and cost increases in , agencies need $7.7B more than budgeted in $1.4B needed to maintain Medicaid and CHIP cost trends $102 million to continue eligibility system improvements in Medicaid and CHIP Medicaid maintenance of effort requirements limit options for controlling costs

29 Texas Fiscal Issues (cont.) Health & Human Services (cont.) Options for 10% budget reduction total over $500 million include but are not limited to: Fewer children with special health care needs served Decreased funds for immunizations, primary care, mental health and dental care Less money to hospitals for trauma care Deeper cuts to Medicaid reimbursement anticipated

30 CHAT s 82 nd Legislative Priorities Keep kids healthy Smoke free environments, tobacco prevention Support for obesity prevention programs Grants to school districts and community programs Health education as a requirement for high school graduation Policies to encourage physical activity Immunizations

31 CHAT s 82 nd Legislative Priorities (cont.) Covering kids Sustain and continue to improve CHIP and Medicaid eligibility systems Continue to serve Children with Special Health Care Needs

32 CHAT s 82 nd Legislative Priorities (cont.) Build a high quality pediatric program Maintain Medicaid hospital reimbursement With large percentage of Medicaid patients, children s hospitals cannot shoulder rate reductions Maintain Medicaid physician reimbursement Additional cuts will further jeopardize access to care Medical Child Abuse Resources and Education System Protect funding for MEDCARES to improve identification, diagnosis and treatment of child abuse

33 CHAT s 82 nd Legislative Priorities (cont.) Build a high quality pediatric program (cont.) Trauma Care Maintain and improve funding for uncompensated care at designated trauma facilities Invest in Graduate Medical Education Maintain and improve funding for GME to improve access to care

34 The Importance of being Involved As a state representative and a former registered nurse, I can say that letting your elected representatives know what you think about healthrelated issues is both important and credible. Elected officials look to experts to help us craft legislation in the health arena that is good for patients, makes sense for providers, and is sound public policy for Texas. Please help us by being involved. Thank you for what you do. Rep. Donna Howard, District 48, Texas House of Representatives

35 How You Can be Involved Follow issues through your professional organizations and work place nurses day at capitol Get to know your elected reps through public meetings, visits to office Use your personal relationships who do you know who knows officials, key staff, etc? Let your elected reps know how you feel about important issues

36 How You Can be Involved (cont.) Please keep your hospital GR person informed of any contacts you make or receive: Ed Berger, Austin, Shane Casady, Corpus Christi, Regina Montoya, Dallas, Bob Feather, Fort Worth, Rosie McStay or Rebekah Schroeder, Houston, or Gwen Stafford, Lubbock, Vicki Perkins, San Antonio,

37 How You Can be Involved (cont.) Who represents me web site Action alert systems (CHAT, TNA, TPS, others) CHATvocacy User friendly action system, 820+ subscribers, 20,000+ s since 2003 Sign up at

38 Resources CHAT web site: Kathy Eckstein: Kaiser Family Foundation Health Reform web site: Your hospital s Government Relations person(s)

39 Final Thought: NON SEQUITUR BY WILEY

40 Final Thought: NON SEQUITUR BY WILEY

41 Final Thought: NON SEQUITUR BY WILEY

42 Questions?

Health Reform and the AAP: What the New Law Means for Children and Pediatricians

Health Reform and the AAP: What the New Law Means for Children and Pediatricians Health Reform and the AAP: What the New Law Means for Children and Pediatricians Throughout the health reform process, the American Academy of Pediatrics has focused on three fundamental priorities for

More information

The Affordable Care Act

The Affordable Care Act The Affordable Care Act What does it mean for internists? Joshua Becker MD 10/14/2015 VII. 2015 Reforms and Beyond Payment Penalties under Medicare s Pay-for-Reporting Program Value-Based Payment Modifier

More information

Healthcare Reform (ACA) Update Greater Magnolia Chamber of Commerce

Healthcare Reform (ACA) Update Greater Magnolia Chamber of Commerce Healthcare Reform (ACA) Update Greater Magnolia Chamber of Commerce FREDDY WARNER System Executive, Public Policy & Government Relations Memorial Hermann Health System March 27, 2014 PRESENTATION OUTLINE

More information

Strengthening Community Health Centers. Provides funds to build new and expand existing community health centers. Effective Fiscal Year 2011.

Strengthening Community Health Centers. Provides funds to build new and expand existing community health centers. Effective Fiscal Year 2011. Implementation Timeline Reflecting the Affordable Care Act 2010 Access to Insurance for Uninsured Americans with a Pre-Existing Condition. Provides uninsured Americans with pre-existing conditions access

More information

IMPLEMENTATION OF THE AFFORDABLE CARE ACT IN TEXAS. Kathy Eckstein Director of Public Policy Children s Hospital Association of Texas February 2014

IMPLEMENTATION OF THE AFFORDABLE CARE ACT IN TEXAS. Kathy Eckstein Director of Public Policy Children s Hospital Association of Texas February 2014 IMPLEMENTATION OF THE AFFORDABLE CARE ACT IN TEXAS Kathy Eckstein Director of Public Policy Children s Hospital Association of Texas February 2014 CHAT Mission and Members The mission of CHAT is to support

More information

The Patient Protection and Affordable Care Act. Implementation Timeline

The Patient Protection and Affordable Care Act. Implementation Timeline The Patient Protection and Affordable Care Act Implementation Timeline 2009 Credit to Encourage Investment in New Therapies: A two year temporary credit subject to an overall cap of $1 billion to encourage

More information

Timeline for Health Care Reform

Timeline for Health Care Reform Patient Protection and Affordable Care Act (H.R. 3590) and the Reconciliation Bill (H.R. 4872) March 24, 2010 Color Code: Hospitals Insurance Coverage Other/Workforce Delivery System 2010 Expands the RAC

More information

The Affordable Care Act and People with Disabilities

The Affordable Care Act and People with Disabilities The Affordable Care Act and People with Disabilities The Arc of Texas envisions a world where people with disabilities are included in their communities and neighborhoods and where quality supports and

More information

State and Federal Health Care Reform Update. Universal Health Care Foundation of Connecticut

State and Federal Health Care Reform Update. Universal Health Care Foundation of Connecticut State and Federal Health Care Reform Update Universal Health Care Foundation of Connecticut Linda Dahlmeyer, CPA Vice President for Finance and Administration ldahlmeyer@universalhealthct.org Jill Zorn,

More information

The Patient Protection & Affordable Care Act: Next Steps in Maine. February 8, 2013 1

The Patient Protection & Affordable Care Act: Next Steps in Maine. February 8, 2013 1 The Patient Protection & Affordable Care Act: Next Steps in Maine February 8, 2013 1 Maine Medical Association Voluntary membership association of over 3,600 Maine physicians, residents, and medical students

More information

The Alliance Roundtable with U.S. Rep. Tammy Baldwin An Insider s View of Congressional Efforts to Reform Health Care

The Alliance Roundtable with U.S. Rep. Tammy Baldwin An Insider s View of Congressional Efforts to Reform Health Care The Alliance Roundtable with U.S. Rep. Tammy Baldwin An Insider s View of Congressional Efforts to Reform Health Care The Alliance hosted a roundtable discussion on November 13 with U.S. Rep. Tammy Baldwin,

More information

Health Care Reform: Policy Implications for the Future

Health Care Reform: Policy Implications for the Future Health Care Reform: Policy Implications for the Future Michigan Primary Care Association Douglas M. Paterson, MPA Director of State Policy Promoting, supporting, and developing comprehensive, accessible,

More information

TIMELINE FOR IMPLEMENTATION OF THE AFFORDABLE CARE ACT

TIMELINE FOR IMPLEMENTATION OF THE AFFORDABLE CARE ACT TIMELINE FOR IMPLEMENTATION OF THE AFFORDABLE CARE ACT 2010: NEW CONSUMER PROTECTIONS Eliminated pre-existing coverage exclusions for children: under age 19. Prohibited insurers from dropping coverage:

More information

Summary of Major Provisions in Final House Reform Package

Summary of Major Provisions in Final House Reform Package SPECIAL BULLETIN Monday, March 22, 2010 This summary is five pages. Summary of Major Provisions in Final House Reform Package The U.S. House of Representatives late yesterday voted to pass landmark health

More information

SOME ASSEMBLY REQUIRED HEALTH REFORM AND COLORADO"

SOME ASSEMBLY REQUIRED HEALTH REFORM AND COLORADO SOME ASSEMBLY REQUIRED HEALTH REFORM AND COLORADO" Colorado Consumer Health Initiative! www.cohealthinitiative.org! Barrier-free access to quality, affordable, health care" Making sense of Health Reform!

More information

Health Insurance Reform at a Glance Implementation Timeline

Health Insurance Reform at a Glance Implementation Timeline Health Insurance Reform at a Glance Implementation Timeline 2010 Access to Insurance for Uninsured Americans with a Pre-Existing Condition. Provides uninsured Americans with pre-existing conditions access

More information

3.5. Legislative Update What s Ahead for Texas Children and Pediatricians in 2015 Ryan Van Ramshorst, MD and James Lukefahr, MD

3.5. Legislative Update What s Ahead for Texas Children and Pediatricians in 2015 Ryan Van Ramshorst, MD and James Lukefahr, MD Texas Legislative Update: A Review of the 84 th Legislature and Impact on Children JULY 10, 2015 UTHSCSA PEDIATRIC GRAND ROUNDS Disclosure (I) Ryan D. Van Ramshorst, MD, has no relationships with commercial

More information

National Healthcare Reform: Implications for Nursing Education and Practice

National Healthcare Reform: Implications for Nursing Education and Practice National Healthcare Reform: Implications for Nursing Education and Practice UMass Graduate School of Nursing Alumni Association Program June 4, 2010 Katharine London 2 Goals for Today s Presentation Explain

More information

Health Care Reform and Its Impact on Nursing Practice

Health Care Reform and Its Impact on Nursing Practice Health Care Reform and Its Impact on Nursing Practice UNAC-UHCP Convention Las Vegas, NV November 9, 2010 Katherine Cox AFSCME International What Have Your Heard? What Do You Think? How do you think the

More information

Summary of the Major Provisions in the Patient Protection and Affordable Health Care Act

Summary of the Major Provisions in the Patient Protection and Affordable Health Care Act Summary of the Major Provisions in the Patient Protection and Affordable Care Act Updated 10/22/10 On March 23, 2010, President Barack Obama signed into law comprehensive health care reform legislation,

More information

HEALTH REFORM and VACCINES: Review of Federal Legislation

HEALTH REFORM and VACCINES: Review of Federal Legislation HEALTH REFORM and VACCINES: Review of Federal Legislation The Patient Protection and Affordable Care Act (PPACA) And The Health Care and Education Reconciliation Act Alexandra Stewart June 2, 2012 1 Presentation

More information

ANA s Belief. Quality, affordable health care is not a privilege, but a basic human right. 9/22/2011

ANA s Belief. Quality, affordable health care is not a privilege, but a basic human right. 9/22/2011 Health Care Reform Yesterday, Today and Tomorrow The Nursing Perspective ANA s Belief Quality, affordable health care is not a privilege, but a basic human right. ANA s Four Pillars of Health Care Reform

More information

3/28/2014. Spencer Berthelsen, M.D. Texas Club of Internists

3/28/2014. Spencer Berthelsen, M.D. Texas Club of Internists Spencer Berthelsen, M.D. Texas Club of Internists April 4, 2014 Cost The US spends twice as much per capita as the average of other industrialized nations Institute of Medicine 30% of healthcare dollars

More information

Federal Health Care Reform: Implications for New York

Federal Health Care Reform: Implications for New York Federal Health Care Reform: Implications for New York Division of Coverage and Enrollment Office of Health Insurance Programs Health Bureau Insurance Department June 2010 Federal Health Care Reform: Where

More information

Timeline: Key Feature Implementations of the Affordable Care Act

Timeline: Key Feature Implementations of the Affordable Care Act Timeline: Key Feature Implementations of the Affordable Care Act The Affordable Care Act, signed on March 23, 2010, puts in place health insurance reforms that will roll out incrementally over the next

More information

Health Care Reform Overview How Will People with Hepatitis Benefit?

Health Care Reform Overview How Will People with Hepatitis Benefit? Health Care Reform Overview How Will People with Hepatitis Benefit? A N N E D O N N E L L Y, H E A L T H C A R E P O L I C Y, P R O J E C T I N F O R M R A C H E L M C L E A N, A D U L T V I R A L H E

More information

An Internist s Practical Guide to Understanding Health System Reform

An Internist s Practical Guide to Understanding Health System Reform An Internist s Practical Guide to Understanding Health System Reform Prepared by: ACP s Division of Governmental Affairs and Public Policy Updated October 2013 How to cite this guide: American College

More information

Baucus Framework Senate HELP Bill House Tri-Committee Bill President Obama

Baucus Framework Senate HELP Bill House Tri-Committee Bill President Obama SJR 35: HEALTH CARE Comparison of Selected Elements of the Major Federal Health Care Reform Proposals Prepared for the Children, Families, Health, and Human Services Interim Committee Sept. 11, 2009 Baucus

More information

ANA ISSUE BRIEF Information and analysis on topics affecting nurses, the profession and health care.

ANA ISSUE BRIEF Information and analysis on topics affecting nurses, the profession and health care. ANA ISSUE BRIEF Information and analysis on topics affecting nurses, the profession and health care. Health System Reform: Nursing s Goal of High Quality, Affordable Care for All Key Points Nursing has

More information

PHYSICIANS. 202.420.7896 888 16 th St. NW, Suite 800, Washington DC 20006 www.npalliance.org

PHYSICIANS. 202.420.7896 888 16 th St. NW, Suite 800, Washington DC 20006 www.npalliance.org N A T I O N A L PHYSICIANS A L L I A N C E My name is Dr. Valerie Arkoosh. I am an Anesthesiologist at the University of Pennsylvania School of Medicine and the President of the National Physicians Alliance.

More information

The Potential Impact of Health Care Reform in Los Angeles County

The Potential Impact of Health Care Reform in Los Angeles County The Potential Impact of Health Care Reform in Los Angeles County Beyond Health Care Reform: A Vision of the Future SEIU Local 721, September 25, 2010 Dylan H. Roby, PhD Assistant Professor & Associate

More information

When CHIP was created, it represented a new federal commitment

When CHIP was created, it represented a new federal commitment Children s Health Insurance Program CHIPRA 101: Overview of the CHIP Reauthorization Legislation The Children s Health Insurance Program (CHIP) was created in 1997 to provide affordable health coverage

More information

Texas Affordable Care Act Implementation: Challenges and Opportunities

Texas Affordable Care Act Implementation: Challenges and Opportunities Texas Affordable Care Act Implementation: Challenges and Opportunities Texas Robert Greenwald Clinical Professor of Law Director, Center for Health Law and Policy Innovation of Harvard Law School January

More information

medicaid and the uninsured June 2011 Health Coverage for the Unemployed By Karyn Schwartz and Sonya Streeter

medicaid and the uninsured June 2011 Health Coverage for the Unemployed By Karyn Schwartz and Sonya Streeter I S S U E kaiser commission on medicaid and the uninsured June 2011 P A P E R Health Coverage for the Unemployed By Karyn Schwartz and Sonya Streeter In May 2011, 13.9 million people in the U.S. were unemployed,

More information

Insure Tennessee. What is Insure Tennessee?

Insure Tennessee. What is Insure Tennessee? Coverage for Tennessee s uninsured that is market-based, promotes personal responsibility, addresses cost, and is a big step towards real healthcare reform in Tennessee. What is Insure Tennessee? 2 What

More information

An Overview of Children s Health Issues in Michigan

An Overview of Children s Health Issues in Michigan An Overview of Children s Health Issues in Michigan Sponsors Michigan Chapter American Academy of Pediatrics Michigan Council for Maternal and Child Health School - Community Health Alliance of Michigan

More information

What the Health Care Reform Bill Means to Employers

What the Health Care Reform Bill Means to Employers What the Health Care Reform Bill Means to Employers No doubt you have heard the news that on Tuesday, March 23, 2010, President Obama signed into law sweeping health care overhaul legislation. This followed

More information

How Health Reform Will Help Children with Mental Health Needs

How Health Reform Will Help Children with Mental Health Needs How Health Reform Will Help Children with Mental Health Needs The new health care reform law, called the Affordable Care Act (or ACA), will give children who have mental health needs better access to the

More information

March 19, 2009. 820 First Street NE, Suite 510 Washington, DC 20002. Tel: 202-408-1080 Fax: 202-408-1056. center@cbpp.org www.cbpp.

March 19, 2009. 820 First Street NE, Suite 510 Washington, DC 20002. Tel: 202-408-1080 Fax: 202-408-1056. center@cbpp.org www.cbpp. 820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org March 19, 2009 HEALTH REFORM PACKAGE REPRESENTS HISTORIC CHANCE TO EXPAND COVERAGE,

More information

Key Features of the Affordable Care Act, By Year

Key Features of the Affordable Care Act, By Year Page 1 of 10 Key Features of the Affordable Care Act, By Year On March 23, 2010, President Obama signed the Affordable Care Act. The law puts in place comprehensive health insurance reforms that will roll

More information

Kansas Insurance Department

Kansas Insurance Department Kansas Insurance Department The Affordable Care Act What Happens Now? Kansas Society of CPAs June 5, 2013 Linda J. Sheppard, Special Counsel & Director of Health Care Policy and Analysis 2010 Affordable

More information

Health Care Reform: What s in the Law

Health Care Reform: What s in the Law Health Care Reform: What s in the Law Professor Sidney D. Watson March 2013 On June 28, 2012, the United States Supreme Court upheld the Affordable Care Act, also known as ObamaCare. The Supreme Court

More information

Effective January 1, 2014, expansion to cover all non-elderly individuals at or below 133% FPL. o

Effective January 1, 2014, expansion to cover all non-elderly individuals at or below 133% FPL. o Federal Health Care Reform side-by-side with Vermont Implications Draft Reflects known changes as of 10/22/09 [Note: Most of the bill information comes from the NGA side-by-side as of 10/13/09) * Red Reflects

More information

The meeting was called to order at 5:27 by the Chairman of the Executive Committee, Joseph Szot, M.D.

The meeting was called to order at 5:27 by the Chairman of the Executive Committee, Joseph Szot, M.D. Minutes Carver College of Medicine Fall Faculty Forum: Health Care Reform Legislation - Its Implementation and Impact on UI Health Care Tuesday, October 26, 2010 Presenters: Vice-President Jean Robillard,

More information

The Affordable Care Act in Texas: Five Years and Counting

The Affordable Care Act in Texas: Five Years and Counting The Affordable Care Act in Texas: Five Years and Counting David W. Hilgers October 21, 2014 ACA Timeline Bill Passed 3/23/2010 2010 Eliminated pre-existing conditions for children Limited cancellation

More information

Summary of Federal SCHIP Reauthorization, Economic Stimulus, and Health Care Reform Bills and Proposals

Summary of Federal SCHIP Reauthorization, Economic Stimulus, and Health Care Reform Bills and Proposals Summary of Federal SCHIP Reauthorization, Economic Stimulus, and Health Care Reform Bills and Proposals I. Children s Health Insurance Program (CHIP) Reauthorization Act of 2009 A. Funding for CHIP. The

More information

Federal Health Care Reform A Snapshot November 2009

Federal Health Care Reform A Snapshot November 2009 Federal Health Care Reform A Snapshot Ruth Ehresman Director of Health and Budget Policy rehresman@mobudget.org www.mobudget.org Missouri Association for Social Welfare November 6, 2009 Where are we today?

More information

ACA Implementation Timeline

ACA Implementation Timeline ACA Implementation Timeline Published: March 5, 2013 Updated: July 5, 2013 Producer: Sophie Novack Director: Jessica Guzik National Journal Presentation Credits Most ACA Reforms Implemented 2013-2014 Jan.

More information

THE FUTURE OF EMPLOYER BASED HEALTH INSURANCE FOLLOWING HEALTH REFORM

THE FUTURE OF EMPLOYER BASED HEALTH INSURANCE FOLLOWING HEALTH REFORM THE FUTURE OF EMPLOYER BASED HEALTH INSURANCE FOLLOWING HEALTH REFORM National Congress on Health Insurance Reform Washington, D.C., January 20, 2011 Elise Gould, PhD Health Policy Research Director Economic

More information

ACA Boot Camp. 2013 Legislative Session. Cheasty Anderson, CPPP anderson@cppp.org

ACA Boot Camp. 2013 Legislative Session. Cheasty Anderson, CPPP anderson@cppp.org A statewide, grassroots campaign to improve the health and wellbeing of Texans ACA Boot Camp 2013 Legislative Session Cheasty Anderson, CPPP anderson@cppp.org Texas Well and Healthy Collaborative campaign

More information

What s in Healthcare Reform for Women-Owned Small Businesses?

What s in Healthcare Reform for Women-Owned Small Businesses? What s in Healthcare Reform for Women-Owned Small Businesses? In March 2010, Congress passed legislation that will fix the serious problems that all small business owners, including those owned by women,

More information

Comparison of Health Care Reform Proposals

Comparison of Health Care Reform Proposals Comparison of Health Care Reform Proposals Individuals Covered Every Californian will have improved access with more healthcare options and services that are more affordable and costefficient. Reallocates

More information

Why the Affordable Care Act Matters. Mindy Owen RN, CRRN, CCM Phoenix HealthCare Assoc. LLC Coral Springs Florida

Why the Affordable Care Act Matters. Mindy Owen RN, CRRN, CCM Phoenix HealthCare Assoc. LLC Coral Springs Florida Why the Affordable Care Act Matters Mindy Owen RN, CRRN, CCM Phoenix HealthCare Assoc. LLC Coral Springs Florida Objectives The participant will be able to define the relationship between the ACA and the

More information

About MGMA. Our mission To continually improve the performance of medical group practice professionals and the organizations they represent

About MGMA. Our mission To continually improve the performance of medical group practice professionals and the organizations they represent About MGMA Our mission To continually improve the performance of medical group practice professionals and the organizations they represent Impact of Healthcare Reform on Pediatric Practices William F.

More information

Hospitals and the Affordable Care Act (ACA)

Hospitals and the Affordable Care Act (ACA) Hospitals and the Affordable Care Act (ACA) General Housekeeping If you experience any technical difficulties during the webinar, please contact GoToMeeting.com Corporate Account Customer Support at: 1-888-259-8414

More information

Health Care Reform Update January 2012 MG76120 0212 LILLY USA, LLC. ALL RIGHTS RESERVED

Health Care Reform Update January 2012 MG76120 0212 LILLY USA, LLC. ALL RIGHTS RESERVED Health Care Reform Update January 2012 Disclaimer This presentation is for educational purposes only. It is not a complete analysis of the material contained herein. Before taking any action on the issues

More information

Quick Information about Federal Health Reform 3 23 2010

Quick Information about Federal Health Reform 3 23 2010 Quick Information about Federal Health Reform 3 23 2010 For detailed information about health reform, go to http://healthreform.kff.or g / A description of federal health reform s impact on the health

More information

Managing Health Care Reform Benefit Changes within your Own Organization

Managing Health Care Reform Benefit Changes within your Own Organization ICCMHC Winter Conference February 17, 2011 Managing Health Care Reform Benefit Changes within your Own Organization John F. Gause, President jgause@apexbg.com Overview Health Care Reform - Short Term Impact

More information

Ohio Health Plans. Maximizing best practices & leading reform efforts. Search. Ohio Association of Health Plans

Ohio Health Plans. Maximizing best practices & leading reform efforts. Search. Ohio Association of Health Plans Ohio Association of Health Plans File Edit View History Bookmarks Tools Window Help http://www.oahp.com Ohio Health Plans Search Maximizing best practices & leading reform efforts HELPING OHIOANS GET NEEDED

More information

Obama Administration Record on Health Care

Obama Administration Record on Health Care Obama Administration Record on Health Care Today, two years after we passed health care reform, more young adults have insurance, more seniors are saving money on their prescription drugs, and more Americans

More information

WHAT S IN THE WIND AT THE STATE EDUCATORS AND FEDERAL LEVEL FOR DIABETES PRESENTED BY: JAMES E. SPECKER, MBA MIS

WHAT S IN THE WIND AT THE STATE EDUCATORS AND FEDERAL LEVEL FOR DIABETES PRESENTED BY: JAMES E. SPECKER, MBA MIS WHAT S IN THE WIND AT THE STATE AND FEDERAL LEVEL FOR DIABETES EDUCATORS PRESENTED BY: JAMES E. SPECKER, MBA MIS STRENGTHENING THE IMPACT OF AADE MEMBERS AND DIABETES SELF-MANAGEMENT EDUCATION IN IDAHO

More information

Senate Finance Committee Health Care Reform Bill

Senate Finance Committee Health Care Reform Bill Senate Finance Committee Health Care Reform Bill Below is a review of those measures contained in the Senate Finance Committee s draft on health care reform that correspond to issues contained in the NLN

More information

National Training Program

National Training Program National Training Program Module 12 Medicaid and the Children s Health Insurance Program Session Objectives This session will help you Describe eligibility, benefits, and administration of Medicaid Define

More information

Senate-Passed Bill (Patient Protection and Affordable Care Act H.R. 3590)**

Senate-Passed Bill (Patient Protection and Affordable Care Act H.R. 3590)** Prevention and Screening Services Cost-sharing Eliminates cost sharing requirements for requirements for all preventive services (including prevention and colorectal cancer screening) that have a screening

More information

FAQ New Health Insurance Law

FAQ New Health Insurance Law FAQ New Health Insurance Law (Enacted on March 21, signed into law on March 23, and amended on March 25) On March 23, 2010 President Barack Obama signed the Patient Protection & Affordable Care Act (H.R.

More information

Christy Tinnes, Brigen Winters and Christine Keller, Groom Law Group, Chartered

Christy Tinnes, Brigen Winters and Christine Keller, Groom Law Group, Chartered Preparing for Health Care Reform A Chronological Guide for Employers This Article provides an overview of the major provisions of health care reform legislation affecting employers and explains the requirements

More information

Community Clinics and Health Centers under the Patient Protection and Affordable Care Act

Community Clinics and Health Centers under the Patient Protection and Affordable Care Act Community Clinics and Health Centers under the Patient Protection and Affordable Care Act Background On March 23, 2010, President Barack Obama signed into law a comprehensive health care reform bill, the

More information

How the New Health Care Law Benefits You

How the New Health Care Law Benefits You How the New Health Care Law Benefits You Congress enacted a new health care law which brings a number of benefits to all Americans, including people over 50. Some of these changes you will see this year.

More information

Anticipating the Health Insurance Marketplace in Texas

Anticipating the Health Insurance Marketplace in Texas Anticipating the Health Insurance Marketplace in Texas HFMA Lone Star Chapter Fall Institute September 16, 2013 1 About Community Health Choice Non-profit Health Maintenance Organization licensed by the

More information

Implementation Timeline Reflecting the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act

Implementation Timeline Reflecting the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act Implementation Timeline Reflecting the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act 2010 Immediate Access to Insurance for Uninsured Individuals with

More information

North Carolina Medicaid for Children/SCHIP Eligibility Expansion

North Carolina Medicaid for Children/SCHIP Eligibility Expansion North Carolina Medicaid for Children/SCHIP Eligibility Expansion Summary On July 31, 2007, Governor Mike Easley signed into law NC Kids Care. NC Kids Care is a new publicly subsidized insurance program

More information

When Reform Will Affect You

When Reform Will Affect You When Reform Will Affect You N AV I G AT I N G T H R O U G H T H E N E W F E D E R A L H E A LT H C A R E L A W Dear Colleague, In March, the Patient Protection and Affordable Care Act (PPACA) was signed

More information

Health Care Implementation Timeline

Health Care Implementation Timeline Health Care Implementation Timeline The massive healthcare (H.R. 3590) and its companion reconciliation bill (H.R. 4872) passed by the Senate and House in early 2010 will go into effect over several years.

More information

Updated Estimates for the Insurance Coverage Provisions of the Affordable Care Act

Updated Estimates for the Insurance Coverage Provisions of the Affordable Care Act MARCH 2012 Updated Estimates for the Insurance Coverage Provisions of the Affordable Care Act In preparing the March 2012 baseline budget projections, the Congressional Budget Office (CBO) and the staff

More information

Insurance Coverage Provisions of the Affordable Care Act CBO s February 2014 Baseline

Insurance Coverage Provisions of the Affordable Care Act CBO s February 2014 Baseline Insurance Coverage Provisions of the Affordable Care Act CBO s February 2014 Baseline Table 1. Effects on the Deficit of the Insurance Coverage Provisions of the Affordable Care Act Table 2. Effects of

More information

THE IMPACT OF HEALTH CARE REFORM ON NONPROFIT ORGANIZATIONS. By Tom Webber

THE IMPACT OF HEALTH CARE REFORM ON NONPROFIT ORGANIZATIONS. By Tom Webber THE IMPACT OF HEALTH CARE REFORM ON NONPROFIT ORGANIZATIONS By Tom Webber Agenda Why Reform? Tax Subsidies for Nonprofit Organizations Timeline of Changes MNA Resources Why Reform? The Uninsured More than

More information

The Impact of Healthcare Reform on Pharmacy Practice. Disclosure

The Impact of Healthcare Reform on Pharmacy Practice. Disclosure The Impact of Healthcare Reform on Pharmacy Practice Thomas Buckley, MPH, RPh Assistant Clinical Professor University of Connecticut School of Pharmacy Disclosure Thomas Buckley has nothing to disclose

More information

ACA Impact on Premium Rates in the Individual and Small Group Markets

ACA Impact on Premium Rates in the Individual and Small Group Markets ACA Impact on Premium Rates in the Individual and Small Group Markets Paul R. Houchens, FSA, MAAA BACKGROUND The Patient Protection and Affordable Care Act (ACA) introduces significant changes in covered

More information

Pre-existing condition coverage post-health reform

Pre-existing condition coverage post-health reform Pre-existing condition coverage post-health reform Country: USA Partner Institute: Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management Survey no: (16)2010 Author(s):

More information

Latest House Republican Budget Threatens Medicare and Shreds the Safety Net

Latest House Republican Budget Threatens Medicare and Shreds the Safety Net Latest House Republican Budget Threatens Medicare and Shreds the Safety Net Instead of Reducing Health Care Costs, Blueprint Shifts Costs to Seniors, Providers, Businesses, and States Topher Spiro March

More information

Health Care Reform Frequently Asked Questions (FAQ) Consumers Employers

Health Care Reform Frequently Asked Questions (FAQ) Consumers Employers This page provides answers to frequently asked questions (FAQ) regarding The Patient Protection and Affordable Care Act (PPACA; P.L. 111-148) and the Health Care and Education Reconciliation Act of 2010

More information

The Health Care Law and You

The Health Care Law and You The Health Care Law and You The health care law enacted in 2010 brings a number of benefits to all Americans, including people over 50. Some of these benefits you can get right now. Others phase in over

More information

Romneycare Versus Obamacare

Romneycare Versus Obamacare Romneycare Versus Obamacare Two Names; Same Model Maura Calsyn July 2012 Introduction Mitt Romney, the Republican Party candidate for president, says he abhors Obamacare. The Center for American Progress

More information

Implementing Health Care Reform:

Implementing Health Care Reform: The Illinois Hospital Association Task Force on Health Care Reform Implementing Health Care Reform: Challenges and Opportunities for Illinois Hospitals August 2010 Historic Change The Patient Protection

More information

Health Reform. Health Reform

Health Reform. Health Reform FOCUS on on HEALTH REFORM IMPLEMENTATION TIMELINE On March 23, 2010, President Obama signed comprehensive health reform, the Patient Protection and Affordable Care Act, into law. The following timeline

More information

+ An Overview of the. Affordable Care Act. How Illinois Nurses can Educate and Guide Patients, Family, & Friends About Provisions of the Law

+ An Overview of the. Affordable Care Act. How Illinois Nurses can Educate and Guide Patients, Family, & Friends About Provisions of the Law + An Overview of the Affordable Care Act How Illinois Nurses can Educate and Guide Patients, Family, & Friends About Provisions of the Law An Overview of the ACA: How Illinois Nurses can Educate & Guide

More information

November 18, 2009. Honorable Harry Reid Majority Leader United States Senate Washington, DC 20510. Dear Mr. Leader:

November 18, 2009. Honorable Harry Reid Majority Leader United States Senate Washington, DC 20510. Dear Mr. Leader: CONGRESSIONAL BUDGET OFFICE U.S. Congress Washington, DC 20515 Douglas W. Elmendorf, Director November 18, 2009 Honorable Harry Reid Majority Leader United States Senate Washington, DC 20510 Dear Mr. Leader:

More information

Federal Health Care Reform: Implications for Hospital and Physician partnerships. Walter Kopp Medical Management Services

Federal Health Care Reform: Implications for Hospital and Physician partnerships. Walter Kopp Medical Management Services Federal Health Care Reform: Implications for Hospital and Physician partnerships Walter Kopp Medical Management Services Outline Overview of federal health reform legislation Implications for Care delivery

More information

Health Insurance Enrollment

Health Insurance Enrollment Health Insurance Enrollment September 19, 2013 1 Webinar Recording and Evaluation Survey This webinar is being recorded and will be made available online to view later Recording will also be available

More information

Private Health Insurance: Changes Made by the Reconciliation Act of 2010 to Senate-Passed H.R. 3590

Private Health Insurance: Changes Made by the Reconciliation Act of 2010 to Senate-Passed H.R. 3590 Private Health Insurance: Changes Made by the Reconciliation Act of 2010 to Senate-Passed H.R. 3590 Hinda Chaikind Specialist in Health Care Financing Bernadette Fernandez Analyst in Health Care Financing

More information

Overview & Update. Alaska Health Care Commission Meeting Deborah Erickson Alaska Health Care Commission UPDATED 02-25-15

Overview & Update. Alaska Health Care Commission Meeting Deborah Erickson Alaska Health Care Commission UPDATED 02-25-15 Overview & Update Alaska Health Care Commission Meeting Deborah Erickson Alaska Health Care Commission UPDATED 02-25-15 1 Patient Protection & Affordable Care Act (P.L. 111-148) enacted March 2010, as

More information

Section 2: INDIVIDUALS WHO CURRENTLY HAVE

Section 2: INDIVIDUALS WHO CURRENTLY HAVE Section 2: INDIVIDUALS WHO CURRENTLY HAVE COVERAGE OR AN OFFER OF COVERAGE FROM THEIR EMPLOYER Section 2 covers enrollment issues for individuals who have coverage or an offer of coverage whether through

More information

July 2, 2009. Honorable Edward M. Kennedy Chairman Committee on Health, Education, Labor, and Pensions United States Senate Washington, DC 20510

July 2, 2009. Honorable Edward M. Kennedy Chairman Committee on Health, Education, Labor, and Pensions United States Senate Washington, DC 20510 CONGRESSIONAL BUDGET OFFICE U.S. Congress Washington, DC 20515 Douglas W. Elmendorf, Director July 2, 2009 Honorable Edward M. Kennedy Chairman Committee on Health, Education, Labor, and Pensions United

More information

Potential Effects of the Affordable Care Act on Dentistry April 2013

Potential Effects of the Affordable Care Act on Dentistry April 2013 Potential Effects of the Affordable Care Act on Dentistry April 2013 The Patient Protection and Affordable Care Act (commonly called the Affordable Care Act (ACA) or Obama care) was signed into law on

More information

25ASIAN & PACIFIC ISLANDER

25ASIAN & PACIFIC ISLANDER APIA 25ASIAN & PACIFIC ISLANDER 1986-2011 AMERICAN HEALTH FORUM advocates guide to health care reform implementation in utah april 2011 Advocates for health justice The Asian & Pacific Islander American

More information

What is Healthcare Reform? Get a view of the future health care system in the US; learn. success factors for healthcare administrators?

What is Healthcare Reform? Get a view of the future health care system in the US; learn. success factors for healthcare administrators? What is Healthcare Reform? Get a view of the future health care system in the US; learn about primary resources and tools for the healthcare administrator, and what are the success factors for healthcare

More information

Health Care Reform. Employer Action Overview

Health Care Reform. Employer Action Overview Health Care Reform Page 1 of 6 Health Care Reform Immediatemmediate Employer Action Required Notes Employers must provide a reasonable break time for employees who are nursing mothers to express breast

More information

The Affordable Care Act: What Does it Mean for Your Small Business?

The Affordable Care Act: What Does it Mean for Your Small Business? The Affordable Care Act: What Does it Mean for Your Small Business? Georgia Health Policy Center Integrating research, policy, and programs to advance health and well being A research center within the

More information

Affordable Care Act (ACA) Health Insurance Exchanges and Medicaid Expansion

Affordable Care Act (ACA) Health Insurance Exchanges and Medicaid Expansion Affordable Care Act (ACA) Health Insurance Exchanges and Medicaid Expansion Table of Contents Expanded Coverage... 2 Health Insurance Exchanges... 3 Medicaid Expansion... 8 Novartis Pharmaceuticals Corporation

More information

President Bush s Health Care Tax Deduction Proposal: Coverage, Cost and Distributional Impacts. John Sheils and Randy Haught

President Bush s Health Care Tax Deduction Proposal: Coverage, Cost and Distributional Impacts. John Sheils and Randy Haught www.lewin.com President Bush s Health Care Tax Deduction Proposal: Coverage, Cost and Distributional Impacts John Sheils and Randy Haught President Bush proposes to replace the existing tax exemption for

More information