Section H.202 As Introduced H.202 As Passed the House Changed name of Vermont Health Reform Board to Green Mountain Care Board
|
|
- Jemimah Christal Mason
- 5 years ago
- Views:
Transcription
1 Page 1 of 18 Section H.202 As Introduced H.202 As Passed the House Throughout Changed name of Vermont Health Reform Board to Green Mountain Care Board 1 Principles for health care reform It is the policy of the state of Vermont to ensure universal access to and coverage for essential health services for all Vermonters. Spending growth must be consistent with economic growth. The health care system must be transparent. The health care infrastructure must be supported to ensure access and must be sustainable. Vermonters should choose their primary care provider. Vermonters should understand how much their health services cost. The system must respect the provider-patient relationship. The system must continuously improve and be highquality. The system must contain costs. The financing of health care in Vermont must be sufficient, fair, sustainable, and shared equitably. State government must ensure that the health care system satisfies the principles in this section. Changed the term single-payer to universal throughout Moved to Sec. 3 and merged with principles for the Green Mountain Care Board Roadmap to a Universal and Unified Health System
2 2 Strategic Plan for a Single-Payer and Unified Health System Upon receipt of necessary waivers, all Vermonters are eligible for Green Mountain Care (GMC) o Includes Medicaid and Medicare, employers who choose to participate, and state and local employees Vermont Health Reform Board is created to establish cost-containment mechanisms, budgets, and payment reform. Secretary of Administration or designee shall seek all necessary waivers Secretary of Administration or designee shall implement following: o November 1, 2013: exchange enrolls individuals and employer groups <100 o November 1, 2016: exchange enrolls employer groups >100 o January 1, 2014: BISHCA requires that all individual and small group insurance products are sold through the exchange o January 1, 2014: BISHCA requires all large group health insurance to align with that which is offered in the exchange Report-backs (See Secs. Below for additional details) o Integration plan (Sec. 8) How to fully integrate or align coverage for Medicaid, Medicare, private insurance, state employees, municipal employees in exchange o Financing plan (Sec. 9) How to finance care for full coverage through exchange and Page 2 of 18 Removed reference to small group size deferred decision to next year after a report from BISHCA. Moved Medical Malpractice language from Sec. 14 to Sec. 2 o Secretary of administration to submit a medical malpractice proposal o Proposal to address defensive medicine, reduce health care costs, adequate protections for patients and consideration of a no fault system o Designed to take effect on or before implementation of GMC
3 through GMC -- and other needed initiatives o Health Information Technology Assessment (Sec. 10) o Health System Planning, Regulation, Public Health (Sec. 11) o Payment Reform; Regulatory Process (Sec. 12) o Workforce Issues (Sec. 13) o Medical Malpractice Study (Sec. 14) Page 3 of 18 Cost Containment, Budgeting, and Payment Reform 3 Vermont Health Reform Board, 18 V.S.A. Chapter 220, 9371 et seq. Green Mountain Care Board, 18 V.S.A. Chapter 220, subchapter Principals Principals from Sec. 1 codified and revised. It is the policy of the state of Vermont to ensure universal access to and coverage for health services for all Vermonters. Overall health care costs must be contained and spending growth should be consistent with economic growth. The health care system must be transparent. Primary care must be preserved and enhanced. The health care infrastructure must be supported to ensure access and must be sustainable. Vermonters should choose their primary care provider. Vermonters should be aware of how much their health services cost. Individuals have a personal responsibility to maintain their own health and to use health resources wisely. The system must recognize the primacy of the
4 Page 4 of 18 provider-patient relationship. The system must continuously improve and be highquality. The system must contain costs. The financing of health care in Vermont must be sufficient, fair, sustainable, and shared equitably. The system must consider the effects of payment reform on individuals and health care professionals. Vermont s system must operate as a partnership between consumers, employers, health care professionals, hospitals, and the state and federal government. State government must ensure that the health care system satisfies the principles in this section Purpose Definitions Purpose Added language that the board looks at the public good Definitions Clarifying changes Board Membership Appointed by Governor with the advice & consent of the Senate, six-year terms (staggered), chair is paid full-time and others are paid half-time 5 Members: expert in health policy; practicing health care professional; hospital rep; health insurance purchaser; consumer rep Board Membership 5 members (full-time chair; part-time members) Appointed by the Governor with advice and consent of the Senate --- after a new nominating committee process in section 9390 (see below similar to judicial nominating board); 6 year terms are staggered, with initial term of the chair being 7 years and all members serving for first 3 years Conflict of interest language added Board shall establish an advisory board & shall also
5 9374. Duties: Objectives Triple Aim : access, quality & cost. Additional considerations relevant to planning & impacts of changes on patients and providers October 1, 2011 On cost: o Establish cost containment targets and budgets for each sector of the health care system review BISHCA regulatory structures and suggest improvements (CON; Hospital Budgets) o Develop global budget o Review BISHCA decisions on insurance rates o Develop and implement payment reform pilots July 1, 2013 On cost: o Review and approve global budgets and capitated payments o Review and approve fee-for-service payments o Provide guidance to exchange re: rates paid to insurers On quality: o Evaluate system-wide performance On payment methodologies: o Eliminate cost shifting o Negotiate consistent provider reimbursement across payers o Identify innovative payment methodologies Upon implementation of Green Mountain care o Approve benefit package o Approve budget Page 5 of 18 consult with the health care ombudsman Duties Clarified and consolidated duties Changes to cost & payment methodology duties o Required rule-making for payment methods and cost-containment mechanisms o Adds review and approval of insurance rates, CON and hospital budget process On quality same Adds duties related to other health reform: o Adds review and approval of HIT plan o Adds development of health care workforce strategic plan o Adds monitoring of health care related migration, if any, and any impacts Modifications relating to GMC: o Provides for a 3 year budget with annual adjustments Adds reports to General Assembly on: o proposed methodologies o benefit packages o Annual Report on all duties
6 o Provide applicable budgeting and funding estimates to the general assembly Payment Amounts & Methods Intent to provide fair and equitable payment regardless of funding source Negotiate payment amounts with health care professionals, provider groups, and accountable care organizations Establish payment methods consistent with payment reform Payment reform pilots: Develop pilot projects to: manage total health care costs, improve health care outcomes, provide a positive health care experience for patients and providers, align with the Blueprint for Health strategic plan Requires insurer participation, provides for enforcement, and appeal process. Establishes mechanism for state supervision over the process to avoid anti-trust issues. The first pilot - no later than January 1, 2012, and two or more additional pilot projects - no later than July 1, Agency Cooperation must provide information requested by the Board Rules authority to establish rules under the Administrative Procedures Act Page 6 of Payment Amounts & Methods Broadens intent language Cross references existing law regarding provider bargaining groups Adds language to ensure antitrust protection for health care professionals Payment reform pilots: Clarifies the board s role with DVHA s role Cross-references codified principles Strengthens language providing antitrust protections for health care professionals and insurers Public Process Adds a process for soliciting public input prior to establishing the Green Mountain Care benefits Agency Cooperation - same Rules - same Appeals Directs the Board to establish procedures for an administrative appeal and allows for an appeal to the Supreme Court. Subchapter 2. GMC Nominating Committee Creates an 11 member nominating committee to provide recommendations to the Governor for the Green Mountain
7 Page 7 of 18 Care board appointments based on criteria for qualifications. Membership includes: 2 members appointed by the Governor 2 members appointed by the Speaker of the House 2 members appointed by the Senate Committee on Committees 1 member appointed by VAHHS (in consultation with all hospitals) 1 member appointed by Vt Medical Society 3a 8 V.S.A. 4089w Adds references to the Health Care Ombudsman (HCO) monitoring policies developed by the Green Mountain Care board to the statute creating the HCO 3b Green Mountain Care Board and Exchange Positions Adds language establishing GMC Board s positions and transferring 10 positions from the HCA in BISHCA. Creates the deputy commissioner for the health benefit exchange position (this is not funded from federal exchange funds, once available) 3c 18 V.S.A. 4631a Applies the ban on gifts and limits on expenditures from pharmaceutical manufacturers to the GMC Board members 3d 18 VSA 4632 Applies provisions re: disclosure of any allowable expenditures to GMC board members under existing process Vermont Health Benefit Exchange 4 Vermont Health Benefit Exchange 33 V.S.A. chapter 18, subchapter Purpose a step toward single payer; facilitate the purchase of affordable, qualified health Vermont Health Benefit Exchange 33 V.S.A. chapter 18, subchapter Purpose Minor wording changes
8 plans o reduce the number of uninsured and underinsured; o reduce disruption when individuals lose employer-based insurance; o reduce administrative costs in the insurance market; o promote health, prevention, and healthy lifestyles by individuals; o improve quality of health care Definitions Department = Dept of Vermont health access Qualified employer o Up to 100 employees o Vermont business all employees regardless of residence o Vermont employees of out-of-state business Qualified individual o Vermont resident o Not incarcerated (federal) o Citizen, national, or lawfully present immigrant (federal) Vermont Health Benefit Exchange One exchange for individuals and businesses - contracts selectively with insurer(s) o If must contract with multiple insurers, can create a single channel for claims processing and benefit management Prior to qualifying a plan, reviews historic rate increases by the insurer (federal) May offer plans to additional populations if allowed under federal law o Medicaid Page 8 of Definitions Adds definitions of qualified entity to incorporate federal limitations Vermont Health Benefit Exchange Changes references from deputy commissioner to commissioner & other clarifying changes
9 o Medicare o State and municipal employees May offer plans in lieu of workers compensation Unless PPACA waiver is obtained, Exchange also provides access to two federal plans Qualified Employers Uses current law on how to calculate number of employees 50% of work days in preceding quarter employ 100 or less; don t count employees working less than 30 hours week. Employer can continue to purchase if they grow beyond 100 employees Duties those required by federal law Determines eligibility for Medicaid or other state/federal health insurance programs (Sec. 5 & 6 moves eligibility from DCF to DVHA) Negotiates and collects premiums Qualified health benefit plans Sets requirements for plans sold by the exchange Determines if plan is in the best interest of Vermonters Essential benefits as defined by HHS + additional benefits by rule At least silver level plan or higher, meeting costsharing requirements of the federal law plus additional restrictions on cost-sharing by rule Minimum quality and wellness standards Participate in the Blueprint for Health Uniform forms/benefit explanations Must office at least one silver and one gold plan Must meet rate review requirements in BISHCA Page 9 of Qualified Employers Reserves this section & removes text. The House adds a study on whether small employer should be defined as 50 employees or less until 2016 (federal law requires small employer to be 100 employees or less at that time, but allows the state to change the definition before then) Duties Clarifying changes Qualified health benefit plans Clarifying changes
10 Must charge same premium for same produce in & out of the exchange Navigators assist individuals and employers in enrolling in a qualified health benefit plan exchange selects individuals and entities qualified to serve as navigators and awards grants to navigators Duties include: o Conduct public education activities o Distribute fair and impartial information re: qualified health plans, premium tax credits and cost-sharing reductions; o Facilitate enrollment in qualified health plans, Medicaid, Dr. Dynasaur, VPharm, and VermontRx; o referrals to the office of health care ombudsman and any other appropriate agency o Provide information in a manner that is culturally and linguistically appropriate o Distribute information to health care professionals, community organizations, and others to facilitate the enrollment of individuals who are eligible for Medicaid, Dr. Dynasaur, VPharm, VermontRx, or the Vermont health benefit exchange Financial Integrity - Keep accurate records & cooperate with federal audits; some restrictions on use of funds (e.g. staff retreats) Publication of Costs must publish any fees and exchange administration costs Navigators Clarifying changes Financial Integrity Clarifying changes Page 10 of Publication of Costs and Satisfaction Surveys Adds requirement to publicize de-identified results of the
11 1810. Rules gives agency rule-making authority satisfaction surveys and other evaluations Page 11 of 18 4 Green Mountain Health 33 V.S.A. chapter 18, subchapter Purpose provide comprehensive, affordable, high-quality health care coverage for all Vermont residents regardless of income, assets, health status, or availability of other health insurance contain costs: by providing incentives to residents to avoid preventable health conditions, promote health, and avoid unnecessary emergency room visits; by innovative payment mechanisms to health care professionals, such as global payments; and by encouraging the management of health services through the Blueprint for Health Definitions Primary care includes mental health Smart Card: enables health care professionals to access patients health records and facilitates payment Vermont resident: standard legal definition intent to maintain a principal dwelling place in Vermont. Agency establishes standards for verification Eligibility All Vermont residents regardless of whether employer offers insurance. Back-end eligibility for federal programs if required. Temporary absence from Vermont doesn t terminate eligibility Nonresidents (or their insurers) are billed for services Rules Clarifying changes Green Mountain Health 33 V.S.A. chapter 18, subchapter Purpose Adds public good references Definitions Clarifying changes Removes definition of smart card Modifies definition of GMC to describe a single-payer Vermont resident adds that individuals claimed as a dependent on an out of state resident s tax return are not considered a resident Eligibility Adds a penalty for falsely claiming residency & for failure to report a change in residency; requires notice of the penalties on the application Requires rules on temporary absence
12 Employers may choose to offer retiree benefits or may keep them as is. Must maintain a robust provider network Health Benefits Broad outlines of benefit package (primary care, preventive care, chronic care, acute episodic care, & hospital services) If funds, basic dental and vision Vermont health care reform board establishes benefit details o Includes waiver of cost-sharing for preventive care & primary care (like Catamount Health) Medicaid remains the same as 1/1/14, EPSDT included Medicare remains the same as 1/1/ Blueprint for Health Individuals have a primary care professional involved in the Blueprint agency to set up a process for approving a specialist as a primary care provider (i.e. some individuals would want their mental health provider to be their primary care) Administration may contract out certain elements of GMC (for example claims processing) Provides for supplemental insurance market Prohibits balance billing Requests to be Medicare administrator GMC is secondary payer to other federal payers if state does not get permission to include them (for example, VA) Moves subsections on retiree benefits and on provider networks to administrative section Page 12 of Health Benefits Benefit package will be the covered services provided for by Catamount Health Blue on Jan 1, 2011 Includes intent that the cost-sharing be actuarially equivalent to 87% of full value (Catamount Blue is 82%) GMC Bd considers whether to include dental, vision, and hearing benefits GMC Bd approved benefit package and presents to the general assembly as part of the benefit package Medicaid and Medicare - clarifying changes Blueprint for Health Clarifies that individuals may have primary care professional who does not participate in the Blueprint Administration Clarifying language re: bidding and contracting components of the program Adds a conflict of interest provision & a preference for Vermont businesses Moves retiree benefits language re: GMC as secondary payer to this section Moves provider network language here & clarifies that
13 Part of the pharmacy program/statewide drug formulary Appeal rights Budget Proposal Agency proposes budget to general assembly for appropriations Based on approved payment amounts & methods from the Vermont health reform board Green Mountain Care Fund Establishes a fund for appropriations to Green Mountain Care Implementation Green Mountain Care is implemented upon receipt of a waiver under Sec of the ACA. Page 13 of 18 GMC should allow for appropriate portability outside of the state Budget Proposal Requires 3 year budget proposal, to be annually adjusted Green Mountain Care Fund Clarifying changes Implementation GMC is implemented 90 days following the last of the waiver, enactment of the financing, the approval of the benefit package by the GMC Bd, and receipt of the waiver 5 & 6 Composition of DHVA; Transfer of positions Moves positions that determine health care eligibility from Dept for Children and Families to DVHA 7 & 33(a) Consumer and Health Care Professional Advisory Board 33 V.S.A. 402 In 2014, creates a new advisory board to provide information and policy advice to the Commissioner of DVHA related to Medicaid and the Exchange Replaces the Medicaid advisory board (in 2014 MAB stays the same until then) Collective Bargaining Rights Adds a provision clarifying that GMC does not limit collective bargaining negotiations for employer-sponsored health care plans. Composition of DHVA; Transfer of positions Actual move of the positions delayed (after March 15, 2012 but no later than July 1, 2013); adds report to general assembly Medicaid and Exchange Advisory Board 33 V.S.A. 402 Name change Effective date moved from 2014 to July 1, 2012 Membership is ¼ Medicaid recipients; ¼ enrollees in the Exchange; ¼ providers; and ¼ consumer groups Expands per diem to all members, unless they are paid by their employer to attend Allows 1/3 or more of the members to call up to 4
14 Page 14 of 18 meetings Expands number of meetings to 10 (+4 above) Planning Initiatives 8 Integration plan Integration plan How to fully integrate or align Medicaid, Medicare, private insurance, state employees, municipal employees in exchange Whether to establish Basic Health Plan option to Clarifying changes to Basic HP language ensure affordable coverage for low-income Vermonters Specific changes needed to integrate private Adds analysis re: defining small group as up to 50 or up to 100 insurance and whether to continue to allow employees associations Create a common benefit package in the exchange, Adds studies of: including analysis of current insurance mandates drug purchasing and affordability of cost-sharing supplemental coverage inside or outside of GMC how to monitor health care related migration into and out of the state how to coverage young adults up to age 26 who live out of state, but whose parents are Vermont residents Whether to have a financial reserve requirement or reinsurance for GMC Feasibility of including workers compensation in GMC 9 Financing Plans 2 financing plans provided Jan 15, 2013 For How to finance care for full coverage through exchange, how to ensure adequate primary care workforce, and other initiatives After implementation of Green Mountain Care Adds provision that nothing in this section limits collective bargaining rights. Financing Plans Cross references principles in 18 VSA 9371 Adds studies of funding needed to: Address shortages of specialty providers, as well as primary care providers address Medicare eligibility
15 how to finance universal coverage through a public financing system provide incentives for health lifestyles impacts related to retiree benefits Page 15 of Health Information Technology Assessment Reassess HIT progress in light of new goals o Overall infrastructure o Smart card o VHCURES May be done through an outside contractor or internally 11 Health System Planning, Regulation, Public Health Recommend modifications to unify existing systems engaging in planning, public health and quality 12 Payment Reform; Regulatory Process Reviews current regulation that may apply to payment reform pilots to determine if it is in alignment with goals 13 Workforce Issues How to optimize licensing and scope of practice for current primary care workforce Create a plan for workforce retraining to address dislocation due to administrative simplification when Green Mountain Care is implemented Adds a public engagement process with a report on the findings and recommendations due January 15, 2012 to committees of jurisdiction Health Information Technology Assessment Removes smart card Health System Planning, Regulation, Public Health Adds study of reorganizing health care functions in state government Adds report on how to modify CON & hospital budget statutes with the GMC Bd duties Payment Reform; Regulatory Process Moved date to March 15 to reflect new nomination process for the Board Workforce Issues Adds study by the GMC board to include shortages of specialty providers Adds study due Jan 15, 2013 by sec of administration on ensuring all Vermonters have a medical home through the Blueprint Adds monitoring of health care professional migration to general workforce study Adds study of exempting doctors from prior
16 Page 16 of 18 authorization requirements if their requests are usually approved 14 Medical Malpractice Study Med Malpractice moved to Sec. 2 Broad review of medical malpractice reforms Secretary of administration to submit a medical o No fault malpractice proposal o What other states have done Proposal to address defensive medicine, reduce health o Opportunities for captives care costs, adequate protections for patients and o SorryWorks consideration of a no fault system Impacts on health care professionals and patients Designed to take effect on or before implementation of GMC New Sec. 14 Cost Estimates Requires JFO and BISHCA to provide a draft cost estimate of the current health care system compared to a reformed health care system no later than April 21, 2011, with the final estimates due November 1, 2011 Immediate Initiatives 15 15d. Insurance Rate Review 8 VSA 4062 Insurance Rate Review 8 VSA 4062 Provides for final review of rate increases by the Clarifying changes Vermont Health Reform Board Broadens rate review criteria to include affordability, quality, and access Adds that insurers would file a plain language summary for any rate increases over 5% using the forms required by the PPACA Provides for a public comment period on rate increases starting January 1, 2012 Applies language to BC/BS and HMOs 16 Employer Health Benefit Information 21 V.S.A Requires employers to provide employees with an annual statement of total premium costs for health benefits to inform employees of total premium costs Employer Health Benefit Information 21 V.S.A Adds that the annual statement will include the total monthly premium cost, the employer and the emp0loyee s shares of the monthly premium, and any other amount contributed by the employer.
17 Page 17 of 18 Exempts employers who reports the costs of coverage as provided for under the PPACA 17 Sec. 17. Review of Ban on Discretionary Clauses Requires BISHCA to report on the advantages and disadvantages of adopting the NAIC model bill on discretionary clauses. Report due Jan 15, Statewide Preferred Drug List, 18 V.S.A Directs the Drug Utilization Review Board to create a statewide preferred drug list to be used by Medicaid, insurers, and state and municipal employees Allows self-insured employers to elect to use the PDL Provides for variants from the PDL for Medicaid where supplemental rebates are cost-effective Conforming amendments to existing law establishing Medicaid PDL and rebates Sec. 18. Statewide Preferred Drug List, 18 V.S.A Replaces PDL authorizing language with a report from DVHA on how to implement a PDL, including purchasing drugs at the Medicaid or 340B price. Also adds a study of single method for negotiating rebates & creating uniformity in drug benefit management. 30(b) Repeals the Public Oversight Commission Reduces administrative burden for certificate of need requests Needs additional conforming amendments to CON statutes Same. Conforming Amendments 25 Secretary of Administration 3 V.S.A. 2222a Revises current statute directing Sec. of Administration to coordinate heath reform to reflect new and changed initiatives Clarifying changes.
18 26 Department of Health 18 V.S.A. 5 Updates and revises duties to include a state health improvement plan 27 VHCURES 18 V.S.A. 9410(a)(1) Ensures Vermont Health Reform Board has use of VHCURES data 28 PPACA Grants Extends date from July 1, 2011 to July 1, 2014 Allows agencies to apply for federal grants Clarifying changes. Conforming changes. Same. Page 18 of Primary Care Workforce Committee Same. Amends Act 128 committee to allow additional year of work o New recommendations due in March Repeals Medical Care Advisory Board 2014 Repeals MAB on July 1, 2012 when new Medicaid and Exchange Advisory Bd begins. POC July 1, Effective Dates Conforming changes
No An act relating to health care financing and universal access to health care in Vermont. (S.88)
No. 128. An act relating to health care financing and universal access to health care in Vermont. (S.88) It is hereby enacted by the General Assembly of the State of Vermont: Sec. 1. FINDINGS * * * HEALTH
More informationStepping Toward Single Payer in Vermont
MASSACHUSETTS HEALTH POLICY FORUM Stepping Toward Single Payer in Vermont Anya Rader Wallack, Ph.D. Special Assistant to Governor Shumlin June 20, 2011 Highlights of Vermont s health reform history Expansion
More informationAMERICAN HEALTH BENEFIT EXCHANGE MODEL ACT
Draft: 11/15/10 A new model As adopted by the Exchanges (B) Subgroup, Nov. 15, 2010 Underlining and overstrikes show changes from the previous Nov. 11 draft. Comments are being requested on this draft
More informationCost Estimates for Universal Primary Care In accordance with Act 54 of 2015, Sections 16-19
State of Vermont Agency of Administration Health Care Reform 109 State Street Montpelier, Vermont 05609 REPORT TO THE VERMONT LEGISLATURE Cost Estimates for Universal Primary Care In accordance with Act
More informationOverview of New Reform Law. Federal Healthcare Reform: Impacts on Employer-Sponsored Plans. Agenda
: Impacts on Employer-Sponsored Plans June 3, 2010 Employee Benefits Planning Association Jack McRae SVP, Congressional and Legislative Affairs Premera Blue Cross Jim Grazko VP and General Manager, Underwriting
More information(Senate Bill 387) Health Insurance Health Care Access Program Establishment Individual Market Stabilization (Maryland Health Care Access Act of 2018)
Chapter 38 (Senate Bill 387) AN ACT concerning Health Insurance Health Care Access Program Establishment Individual Market Stabilization (Maryland Health Care Access Act of 2018) FOR the purpose of requiring
More informationPennsylvania Association of Health Underwriters Advisors and Advocates for Employers, Employees and Health Care Consumers
Pennsylvania Association of Health Underwriters Advisors and Advocates for Employers, Employees and Health Care Consumers Timeline for Health Care Reform March 26, 2010 The Patient Protection and Affordable
More informationPatient Protection and Affordable Care Act
September 27, 2010 Patient Protection and Affordable Care Act 1 9020 Stony Point Parkway Suite 200 Richmond, VA 23235 804-267-3100 Agenda Overview Employer Feedback Terms Components of Health Care Reform
More informationNo An act relating to health care reform implementation. (H.559) It is hereby enacted by the General Assembly of the State of Vermont: * * *
No. 171. An act relating to health care reform implementation. (H.559) It is hereby enacted by the General Assembly of the State of Vermont: Sec. 1. 33 V.S.A. 1802 is amended to read: 1802. DEFINITIONS
More informationFlorida Health Insurance Advisory Board Patient Protection and Affordable Health Care Act
Florida Health Insurance Advisory Board Patient Protection and Affordable Health Care Act Mary Beth Senkewicz Deputy Commissioner Life & Health May 4, 2010 1 Health Care Reform Enacted On March 23, 2010,
More information79th OREGON LEGISLATIVE ASSEMBLY Regular Session. Enrolled. Senate Bill 934 CHAPTER... AN ACT
79th OREGON LEGISLATIVE ASSEMBLY--2017 Regular Session Enrolled Senate Bill 934 Sponsored by Senator STEINER HAYWARD, Representative BUEHLER CHAPTER... AN ACT Relating to payments for primary care; creating
More informationDiscussion of Key Health Care Reform Provisions Affecting Commercial Health Plans
Discussion of Key Health Care Reform Provisions Affecting Commercial Health Plans Presented by Stuart Rachlin, Alex Cires Milliman Tampa, FL 813-282-9262 SEAC June 2010 Meeting West Palm Beach, FL June
More informationThe 2011 Legislative Session: Implementation of the federal Affordable Care Act (ACA) and Vermont s Health Care Reform Initiatives November 8, 2010
STATE OF VERMONT LEGISLATIVE JOINT FISCAL OFFICE LEGISLATIVE COUNCIL COMMISSION ON HEALTH CARE REFORM DEPARTMENT OF VERMONT HEALTH ACCESS DEPARTMENT OF BANKING, INSURANCE, SECURITIES & HEALTH CARE ADMINISTRATION
More informationFrequently Asked Questions on Exchanges, Market Reforms and Medicaid
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop C2-21-15 Baltimore, Maryland 21244-1850 Date: December 10, 2012 Subject: Frequently Asked
More informationPRIVATE HEALTH INSURANCE MARKET REFORMS. Presented to AICP, Western Chapter By Kenneth Schnoll May 6, 2010
PRIVATE HEALTH INSURANCE MARKET REFORMS Presented to AICP, Western Chapter By Kenneth Schnoll May 6, 2010 1 OVERVIEW On March 25, 2010 both chambers of Congress passed H.R. 4872, the Health Care Education
More informationSummary of the Impact of Health Care Reform on Employers
Summary of the Impact of Health Care Reform on Employers How to Use this Summary This summary identifies the main provisions of the Patient Protection and Affordable Care Act (Act), as amended by the Health
More informationIn accordance with Act 124 of 2018 (H.914)
State of Vermont Green Mountain Care Board 144 State Street Montpelier VT 05620 Report to the Legislature REPORT ON THE GREEN MOUNTAIN CARE BOARD S PROGRESS IN MEETING ALL-PAYER ACO MODEL IMPLEMENTATION
More informationSENATE, No. 551 STATE OF NEW JERSEY. 215th LEGISLATURE PRE-FILED FOR INTRODUCTION IN THE 2012 SESSION
SENATE, No. STATE OF NEW JERSEY th LEGISLATURE PRE-FILED FOR INTRODUCTION IN THE 0 SESSION Sponsored by: Senator NIA H. GILL District (Essex and Passaic) Senator JOSEPH F. VITALE District (Middlesex) SYNOPSIS
More informationExecutive Summary for Benefit Planning
Executive Summary for Benefit Planning Insuring People and Business Since 1868 3 Executive Summary for Benefit Planning 2010 Overview On March 23, 2010, President Obama signed into law the health care
More informationBudget Brief August 2012
Budget Brief August 2012 and Health Reform Funding in the General Appropriations Act On June 28, 2012, the legislative Conference Committee charged with reconciling the House and Senate budget proposals
More informationHealth Reform Employer Perspective
Health Reform Employer Perspective Copyright 2008 McGraw Wentworth, Inc. All rights reserved. 1 Government Requirements Expanding Federal requirements effecting employers expanded significantly in 2009
More informationEXPERT UPDATE. Compliance Headlines from Henderson Brothers:.
EXPERT UPDATE Compliance Headlines from Henderson Brothers:. Health Care Reform Timeline Health Care Reform Timeline This Henderson Brothers Summary provides a timeline of the of key reform provisions
More informationThe Politics and Impact of PPACA on Brokers and Employers
The Politics and Impact of PPACA on Brokers and Employers By Janet Trautwein, CEO National Association of Health Underwriters The Unintended Consequences Dependents to Age 26 and lifetime and annual limits
More informationPlans; Exchange Standards for Employers, 77 Fed. Reg (March 27, 2012) (to be codified at 45 C.F.R. pts. 155, 156, and 157).
May l8, 2012 Establishment of Exchanges and Qualified Health Plans and Exchange Standards for Employers The New England Council James T. Brett President & CEO Healthcare Committee Chairs Frank McDougall
More informationRe: Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans. File Code CMS 9989 P
October 24, 2011 Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-9989-P P.O. Box 8010 Baltimore, MD 21244-8010 Re: Patient Protection and Affordable Care
More informationUtah s Health Reform Approach
Utah s Health Reform Approach This material was prepared by HealthInsight as part of our work as the Beacon Community, under Cooperative Agreement #90BC00006 from the Office of the National Coordinator,
More informationTITLE I QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS Subtitle A Immediate Improvements in Health Care Coverage for All Americans
H. R. 3590 12 Sec. 10502. Infrastructure to Expand Access to Care. Sec. 10503. Community Health Centers and the National Health Service Corps Fund. Sec. 10504. Demonstration project to provide access to
More informationInsurance Impacts Improving existing insurance coverage Expanding coverage
Demystifying Health Care Reform Camille Dobson, MPA, CPHQ, Technical Director, Managed Care Policy Barbara Dailey, RN, BSN, MS, CPHQ, Director, Division of Quality, Evaluation, and Health Outcomes Center
More informationNorth Carolina Medical Society 2015 Medicaid Reform Analysis Updated 07/15/15
Section 2: (5) Provider-led entity. Any of the following: a. A provider. b. An entity with the primary purpose of owning or operating one or more providers. c. A business entity in which providers hold
More informationComparison of the House and Senate Repeal and Replace Legislation
Comparison of the House and Senate Repeal and Replace Legislation Key topic INSURANCE CHANGES ACA Insurance Subsidies ACA Cost-Sharing Subsidies Health Savings Accounts (HSA) Eliminates the ACA s income-based
More informationThe Affordable Care Act and the Essential Health Benefits Package
October 24, 2011 The Affordable Care Act and the Essential Health Benefits Package A. Background Under the Affordable Care Act (the ACA or the Act ), and starting in 2014, certain low to moderate income
More informationPart I SECTION The first three sections of this initiative focuses on its key objectives, and defines the terminology found throughout Part I.
Part I SECTION 101-103 The first three sections of this initiative focuses on its key objectives, and defines the terminology found throughout Part I. 101 UNIVERSAL COVERAGE PROTECTING HEALTH CARE CHOICES
More informationPATIENT PROTECTION AND AFFORDABLE CARE ACT, AS RECONCILED
PATIENT PROTECTION AND AFFORDABLE CARE ACT, AS RECONCILED A SURVEY OF THE INSURANCE SLICE BRUNINI, GRANTHAM, GROWER & HEWES, PLLC WWW.BRUNINI.COM 00980638 PATIENT PROTECTION AND AFFORDABLE CARE ACT, RECONCILED
More informationMVP Insurance Agency October 2013 Newsletter - Your Health Care Reform Partner
MVP Insurance October 2013 Newsletter - Your Health Care Reform Partner Are you in compliance with health care reform regulations? We can help you stay on top of health care reform to avoid penalties from
More informationSingle Payer (Medicare-for-All) Public Plan Option (Federal/Medicare) Medicare Buy-In for Older Adults Medicaid Buy-In
Updated as of 10/11/2018 Side-by-Side Comparison of Medicare-for-All and Public Plan Proposals Title & Bill Number S. 1804, Medicare for all Act of 2017 H.R. 676, Expanded and Improved Medicare for All
More informationAvik Roy: Universal Tax Credit Plan Summary
Avik Roy: Universal Tax Credit Plan Summary Overview o Repeals the ACA individual and employer mandates and tax hikes o Replaces the Cadillac Tax o Reduces costs of care via regulatory reform o Combats
More informationOverview of Health Care Reform
Overview of Health Care Reform Groom Law Group Dial-In January 13, 2010 Overview Landscape Today The Exchange, Multi-State Plans, & CO-OPs Insurance Market Reforms & "Essential" Benefits Employer & Individual
More informationThe Patient Protection and Affordable Care Act. An In-Depth Analysis of Provisions Directly or Indirectly Affecting Group Health Plans
The Patient Protection and Affordable Care Act An In-Depth Analysis of Provisions Directly or Indirectly Affecting Group Health Plans Table of Contents Section 1 Insurance Plan Provisions Prohibition on
More informationACA in Brief 2/18/2014. It Takes Three Branches... Overview of the Affordable Care Act. Health Insurance Coverage, USA, % 16% 55% 15% 10%
Health Insurance Coverage, USA, 2011 16% Uninsured Overview of the Affordable Care Act 55% 16% Medicaid Medicare Private Non-Group Philip R. Lee Institute for Health Policy Studies Janet Coffman, MPP,
More informationInitiative Measure No. 1600, filed January 23, 2018
Initiative Measure No. 1600, filed January 23, 2018 BILL REQUEST - CODE REVISER'S OFFICE BILL REQ. #: ATTY/TYPIST: I-3474.1/18 KB:amh BRIEF DESCRIPTION: AN ACT Relating to health care financing and development
More informationSection-By-Section Summary
Sec. 1 Short title; table of contents Section-By-Section Summary TITLE I REPEAL OF OBAMACARE Sec. 101 Repeal of PPACA and health care-related provisions in the Health Care and Education Reconciliation
More informationH.F. 3. Overview. Summary. Bill Summary. First engrossment. Liebling and others. Date March 11, 2019
Bill Summary Subject Authors Analyst OneCare Buy-In Liebling and others Randall Chun Date March 11, 2019 Overview This bill directs the commissioner of human services to make various changes in the delivery
More informationAn Employer s Guide to Health Care Reform
An Employer s Guide to Health Care Reform Background On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (PPACA). Less than a week later, Congress passed the
More informationHEALTH CARE REFORM A FINANCIAL PERSPECTIVE SEPTEMBER 21, 2011
HEALTH CARE REFORM A FINANCIAL PERSPECTIVE SEPTEMBER 21, 2011 Elsa Hsu Ching, Mike Sinkeldam, Bill Scott Los Angeles, CA Agenda Health care reform overview and update Health care reform: high employer
More informationRulemaking implementing the Exchange provisions, summarized in a separate HPA document.
Patient Protection and Affordable Care Act: Standards Related to Reinsurance, Risk Corridors and Risk Adjustment Summary of Proposed Rule July 15, 2011 On July 15, 2011, the Department of Health and Human
More information- It s Time for a Legislative Update -
- It s Time for a Legislative Update - AGENDA FEDERAL LEGISLATION UPDATE CALIFORNIA LEGISLATION UPDATE B&P NEWS CARRIER NEWS CONSTANT CHANGES Both federal and state legislation efforts are constantly changing.
More informationConnecticut Health Reform in the Wake of Federal Action:
Connecticut Health Reform in the Wake of Federal Action: Federal Reforms & SustiNet Vicki Veltri Office of the Healthcare Advocate September 28, 2010 Overview of the Patient Protection and Affordable Care
More information5GBenefits, LLC Your Health Care Reform Partner
5GBenefits, LLC Your Health Care Reform Partner Are you in compliance with health care reform regulations? We can help you stay on top of health care reform in order to avoid penalties from legislative
More informationFOCUS. Health Reform SUMMARY OF THE AFFORDABLE CARE ACT
FOCUS on Health Reform SUMMARY OF THE AFFORDABLE CARE ACT On March 23, 2010, President Obama signed comprehensive health reform, the Patient Protection and Affordable Care Act, into law. The following
More informationNorth Carolina Medicaid Reform Status Briefing
North Carolina Medicaid Reform Status Briefing Overview Medicaid reform was signed into law by Gov. McCrory in September 2015, after extensive engagement with the General Assembly, providers, beneficiaries
More informationHealth Care Reform: What s In Store for Employer Health Plans?
Health Care Reform: What s In Store for Employer Health Plans? April 21, 2010 Presented by: Sue O. Conway sconway@wnj.com (616) 752-2153 Norbert F. Kugele nkugele@wnj.com (616) 752-2186 Copyright 2010
More informationHealth Care Reform Proposals Key Terms
Acceptable Coverage Affordability Credit Affordability Cost- Sharing Credit Affordability Premium Credit American Health Benefit Exchange Annual Limits Basic Plan Qualified health benefits plans, grandfathered
More informationCh. 358, Art. 4 LAWS of MINNESOTA for
Ch. 358, Art. 4 LAWS of MINNESOTA for 2008 14 paragraphs (c) and (d), whichever is later. The commissioner of human services shall notify the revisor of statutes when federal approval is obtained. ARTICLE
More informationSUMMARY OF 2003 INSURANCE LEGISLATION SIGNED INTO LAW BY GOVERNOR ROBERT L. EHRLICH, JR.
ROBERT L. EHRLICH, JR. GOVERNOR STEVEN B. LARSEN COMMISSIONER MICHAEL S. STEELE LIEUTENANT GOVERNOR DONNA B. IMHOFF DEPUTY COMMISSIONER STATE OF MARYLAND MARYLAND INSURANCE ADMINISTRATION 525 St. Paul
More informationHealth Reform Update. April 1, Presented by: Chip Kerby Liberté Group LLC (202)
Health Reform Update April 1, 2010 Presented by: Chip Kerby Liberté Group LLC chip@libertegroup.com (202) 756-2459 Agenda Background Key elements Impact on stakeholders 1 Background Sources of Coverage
More informationWisconsin State Health Exchange Policy Paper
Wisconsin State Health Exchange Policy Paper June, 2011 Overview Wisconsin has maintained a very low uninsured rate for many years and annually ranks at or near the top nationally in health care quality.
More informationState of Minnesota HOUSE OF REPRESENTATIVES
This Document can be made available in alternative formats upon request 02/20/2017 State of Minnesota HOUSE OF REPRESENTATIVES 1401 NINETIETH SESSION H. F. No. Authored by Halverson, Rosenthal, Hoppe,
More informationCrosses the Finish Line. A presentation for the Manufacturer & Business Association
Health Care Reform Crosses the Finish Line A presentation for the Manufacturer & Business Association Background Statement of the problem 50,000,000 uninsured Healthcare costs rising at 2x 4x annual rate
More informationKey Elements of Health Care Reform for Employers
Key Elements of Health Care Reform for Employers Change in tax treatment for over-age 2010 dependent coverage Early retiree medical reinsurance Accounting impact of change in Medicare retiree drug subsidy
More informationGrandfathered Health Plans Under the Patient Protection and Affordable Care Act (PPACA)
Grandfathered Health Plans Under the Patient Protection and Affordable Care Act (PPACA) Bernadette Fernandez Specialist in Health Care Financing January 3, 2011 Congressional Research Service CRS Report
More informationHealth Care Reform Health Plans Overview
Health Care Reform Health Plans Overview Topics Status of health care reform Grandfathered plans Timeline for compliance Health Care Reform What is It? Patient Protection and Affordable Care Act (PPACA)
More informationAMA vision for health system reform
AMA vision for health system reform Earlier this year, the American Medical Association put forward our vision for health system reform consisting of a number of key objectives reflecting AMA policy. Throughout
More informationFederal Health Care Reform
Federal Health Care Reform Presentation to Behavioral Health Collaborative Katie Falls, HSD Secretary May 26, 2010 1 Health Care Reform Areas of Impact Insurance Reforms Medicare Medicaid Quality Improvement
More informationHealth Care Reform after the Supreme Court Decision. Sharon Cohen, Mary Harrison, Tami Simon, and Rich Stover July 11, 2012
Health Care Reform after the Supreme Court Decision Sharon Cohen, Mary Harrison, Tami Simon, and Rich Stover July 11, 2012 Introductions Sharon Cohen is a principal in our Knowledge Resources group and
More informationHealth Care Reform Laws and their Impact on Individuals with Disabilities (Part one)
Health Care Reform Laws and their Impact on Individuals with Disabilities (Part one) ONE STRONG VOICE Disabilities Leadership Coalition Of Alabama Montgomery, Alabama December 8, 2010 Allan I. Bergman
More informationHealtH Care reform 2012 and beyond
HealtH Care reform 2012 and beyond A guide to the major provisions of health care reform legislation affecting employers in 2012 and 2013 and a timeline of the reforms to be introduced through 2018. Employers
More informationActuarial equivalence will be confirmed via an actuary s letter from the health insurance issuer to the State
Essential Health Benefits Draft proposed rules on November 20, 2012 outlining the EHBs that qualified health plans must cover Based on section 1302 of the Affordable Care Act 10 EHB categories (emergency,
More informationSenate Substitute for HOUSE BILL No. 2026
Senate Substitute for HOUSE BILL No. 2026 AN ACT concerning the Kansas program of medical assistance; process and contract requirements; claims appeals. Be it enacted by the Legislature of the State of
More informationGENERAL ASSEMBLY OF NORTH CAROLINA SESSION
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 0 H HOUSE BILL 1 Committee Substitute Favorable /0/ Committee Substitute # Favorable // Fourth Edition Engrossed // Short Title: North Carolina Health Benefit
More informationA Bill First Extraordinary Session, 2017 SENATE BILL 3
Stricken language would be deleted from and underlined language would be added to present law. 0 State of Arkansas Call Item st General Assembly A Bill First Extraordinary Session, SENATE BILL By: Senator
More informationH E A L T H C A R E R E F O R M T I M E L I N E
H E A L T H C A R E R E F O R M T I M E L I N E On March 23, 2010, President Obama signed the health care reform bill, or Affordable Care Act (ACA), into law. The ACA makes sweeping changes to the U.S.
More informationSimple answers to health reform s complex issues facing every employer, and what you can do now to protect your business and your future.
Simple answers to health reform s complex issues facing every employer, and what you can do now to protect your business and your future. If you have any questions, please contact: Health Reform: A Guide
More informationHealth Care Access Law: Frequently Asked Questions. The Individual Mandate
Health Care Access Law: Frequently Asked Questions The Individual Mandate What is the individual mandate going to mean for me? How much will I have to pay? Residents of Massachusetts will be required to
More informationPatient Protection and Affordable Care Act (PPACA): A Summary of Key Provisions and Implementation Planning in SC March 23, 2011
Patient Protection and Affordable Care Act (PPACA): A Summary of Key Provisions and Implementation Planning in SC March 23, 2011 South Carolina Public Health Institute Mission To promote evidence-based
More informationCOORDINATION OF BENEFITS STUDY
This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp COORDINATION OF BENEFITS
More informationHealthcare Reform 2010 Major Insurance Market Reform
Healthcare Reform 2010 Major Insurance Market Reform An Independent Licensee of the Blue Cross and Blue Shield Association 2010 Major Insurance Market Reform Table of Contents Pre-Ex Exclusion Periods...
More informationHealth Care Reform. Employer Action Overview
Health Care Reform Page 2 of 10 Health Care Reform Immediatemmediate Employer Action Required Notes Nursing Mothers Employers must provide a reasonable break time for employees who are nursing mothers
More informationHealth Care Reform Template Language for Employers
Health Care Reform Template Language for Employers The health care reform law requires health insurance issuers and sponsors to provide certain notices to employees, either as a separate notice or as part
More informationHEALTH CARE REFORM Focus on Group Coverage Blue Cross and Blue Shield of Minnesota. All rights reserved.
HEALTH CARE REFORM Focus on Group Coverage 2011 Blue Cross and Blue Shield of Minnesota. All rights reserved. Current Insurance Coverage Environment Minnesota United States Uninsured 9% Ot her Public 1%
More informationThe Academy and Health Reform
The Academy and Health Reform Cori E. Uccello, FSA, MAAA, MPP Senior Health Fellow American Academy of Actuaries CAS Annual Meeting, Session C-25 November 10, 2010 Washington, DC Overview Key provisions
More informationKeeping up with the new health care reform law 14376VAEENBVA Rev. 9/10 anthem.com
Keeping up with the new health care reform law Helping you better understand what to expect and when to expect it. 14376VAEENBVA Rev. 9/10 anthem.com 1 Staying up to date Here s a timeline of what you
More informationNational Association of Health Underwriters Comparison of the Democratic Comprehensive Health Reform Measures March 19, 2010
National Association of Health Underwriters Comparison of the Democratic Measures March 19, Senate Democratic Legislation, of Market Reforms Would require all individual health insurance policies and all
More informationHealth Care Reform Timeline
Health Care Reform Timeline April 7, 2010 Dear Valued Client, As your employee benefits advisor, we understand that you may have many questions and concerns regarding the recent historic health care reform
More informationOVERVIEW OF THE AFFORDABLE CARE ACT. September 23, 2013
OVERVIEW OF THE AFFORDABLE CARE ACT September 23, 2013 Outline The New Continuum of Coverage Medicaid and CHIP Are Changing The New Marketplaces Insurance Affordability Programs Shared Responsibility Requirement
More informationHIGHLIGHTS OF THE HEALTH REFORM RECONCILIATION BILL AS OF 3/15/2010
HIGHLIGHTS OF THE HEALTH REFORM RECONCILIATION BILL AS OF 3/15/2010 Health Insurance Expansion Makes the tax credits for health insurance premiums more generous for individuals and families with incomes
More informationHealth Care Reform. Navigating The Maze Of. What s Inside
Navigating The Maze Of Health Care Reform What s Inside Questions and Answers on Health Care Reform Health Care Reform Timeline Health Care Reform Glossary Questions and Answers on Health Care Reform I
More informationFrequently Asked Questions about Health Care Reform and the Affordable Care Act
Frequently Asked Questions about Health Care Reform and the Affordable Care Act HEALTH CARE REFORM OVERVIEW Q 1: What ACA changes are already in place? There are no lifetime dollar limits on essential
More informationPriority Employer Issues for Senate Consideration of the Patient Protection and Affordable Care Act
November 30, 2009 Priority Employer Issues for Senate Consideration of the Patient Protection and Affordable Care Act PRIORITY HEALTH REFORM PROVISIONS I. ERISA (Retain exclusive federal regulation of
More informationHealthcare Reform. Greg Collins. Health Care Reform: Implications for Employers. President & CEO Parker, Smith & Feek.
Healthcare Reform Greg Collins President & CEO Parker, Smith & Feek Health Care Reform: Implications for Employers Presented by: Melanie K. Curtice Stoel Rives LLP May 5, 2010 3 1 Health Care Reform Legislation
More informationThe Affordable Care Act Update
The Affordable Care Act Update Presented by: The Union Labor Life Insurance Company SOLUTIONS FOR THE UNION WORKPLACE SPECIALTY INSURANCE INVESTMENTS Overview of Presentation 1. 2010 2014 Provisions overview
More informationFederal and State Legislation
Federal and State Legislation Materials prepared for Employee Benefits Planning Association April 2008 Education Session April 3, 2008 Jack C. McRae Senior Vice President Congressional/Legislative Affairs
More informationPPACA and Health Care Reform. A Chronological Guide to Changes and Provisions Affecting Employee Benefits Plans and HR Administration
PPACA and Health Care Reform A Chronological Guide to Changes and Provisions Affecting Employee Benefits Plans and HR Administration AS OF 8/27/2013 Provisions Organized by Effective Date The Affordable
More information2016 Medicaid Managed Care Final Rule 1 Summary
2016 Medicaid Managed Care Final Rule 1 Summary The final Medicaid Managed Care rule retains nearly all of the requirements of the proposed rule and does not make substantial changes to it. In particular,
More informationAmerica s Affordable Health Choices Act Implementation Timeline
INSURANCE MARKET REFORMS America s Affordable Health Choices Act Implementation Timeline 2010 ENDS HEALTH INSURANCE RESCISSIONS: Prohibits abusive practices whereby health insurance companies rescind existing
More informationPublic Employees Benefits Program Legislative Session Bill Tracking Updated: 3/27/2017
Public Employees Benefits Program Legislative Session Bill Tracking Updated: 3/27/2017 Bill Number & Description Impact to PEBP & Bill Status AB249 (BDR 38-858) Requires the State Plan for Medicaid and
More informationThe New Responsibility to Secure Coverage: Frequently Asked Questions
The New Responsibility to Secure Coverage: Frequently Asked Questions Introduction The Patient Protection and Affordable Care Act (PPACA) includes a much-discussed requirement that people secure health
More informationHealth Care Reform Overview
Published on : December 06, 2010 Health Care Reform Overview President Obama signed the Patient Protection and Affordable Care Act into law on March 23, 2010. The law was almost immediately amended by
More informationDRAFT Premium Adjustment Percentage
Washington Health Benefit Exchange Comments: Proposed Federal Rule Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2020 The Washington State Health Benefit
More informationWhat is The Affordable Care Act and how does it affect me?
What is The Affordable Care Act and how does it affect me? November 2013 Patient Protection and Affordable Care Act (PPACA) Overview The federal Patient Protection and Affordable Care Act signed by President
More informationImpact on the State Health Insurance Program of the Patient Protection and Affordable Care Act
Impact on the State Health Insurance Program of the Patient Protection and Affordable Care Act Adopted August 20, 2012 by the Self-Insurance Estimating Conference Prepared by: Florida Department of Management
More information