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IMCHC’S 23 FAVORITE ACA PROVISIONS FOR WOMEN, CHILDREN AND FAMILIES IN ILLINOIS
Presented by
Sara Howard
Illinois Maternal and Child Health CoalitionFor webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com
IMCHC’S 23 FAVORITE ACA PROVISIONS FOR WOMEN, CHILDREN AND FAMILIES IN ILLINOIS
Presented by
Sara Howard
Illinois Maternal and Child Health Coalition
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com
ILLINOIS MATERNAL AND CHILD HEALTH COALITION RESOURCES
www.ilmaternal.org/Healthcarereform
Become a fan on Facebook!
Follow us on Twitter at ILMaternal!
Our Projects:•Campaign to Save Our Babies
•Chicago Area Immunization Campaign
•Illinois Coalition for School Health Centers
•Illinois Premature Infant Health Network
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
MEMBERSHIP BENEFITS
Policy and advocacy efforts We are your voice in Illinois!
Resource clearinghouse Newsletter & Website Grant announcements & Job opportunities
Technical assistance/best practices Webinars Research and Publications
Network building Regional, Chapter, and Project meetings Events
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
1. Elimination of Pre-Existing Condition Exclusions
•Effective January 1, 2014 for adults
•Effective September 23, 2010 for kids
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
2. Elimination of Gender Rating
•Effective January 1, 2014
•In IL, insurers can currently charge women up to 50-60%more on average due to their gender.
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
3. Elimination of Rescissions
•Effective September 23, 2010 plans are no longer able to drop people from coverage when they get sick
• Exception if the insurance application was filled out fraudulently – if there is an intentional misrepresentation of a material fact
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
4. Elimination of Lifetime and Annual Limits
Annual limits will be phased out until 2014, when they are banned.
No lifetime limits beginning September 23, 2010.
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
5. Extension of Dependent Coverage
Dependent coverage is extended for kids up to age 26 for all group and individual policies as of September 23, 2010…
But until 2014:This provision only applies if the child cannot get coverage from an employer.
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
6. Creation of Temporary High-Risk Pools* U.S. Citizen
* Denied Insurance on the private market due to pre-existing condition
* Without Insurance for 6 months or more
* In Illinois, this pool is called IPXP. More information Can be found at: http://www.insurance.illinois.gov/ipxp/
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
7. Women can access OB/GYN care without a referral.
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
8. Creation of The New Competitive Marketplace* One-stop shop to compare health coverage options.
* Increases transparency and presents selection and information to consumer.
* Creates online eligibility determinations for insurance coverage, public subsidies, and programs.
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
9. Basic Health Plans that Cover Maternity and Newborn Care
*Less than 1% of private-market insurance plans in Illinois currently cover maternity and newborn care.
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
10. Affordability Credits
A family of:1234
Can make up to:$43,320$58,280$73,240$88,200
… and still receive an affordability credit!For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
11. Tax Credits for Small Businesses and Nonprofits
* 25 or fewer full-time employees
* Average annual compensation of $50,000 or less
* Payroll tax credit of up to 35% of employee health coverage expenses For webinar technical support, please call
800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
12. The Individual Mandate
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
13. Medicaid Expansion
Beginning in 2014, Medicaid will be expanded to all people under age 65 with incomes under 135% of the federal poverty level.
In Illinois, this expansion is most significant for adults without children in the household.
States may begin expanding Medicaid now, without a waiver. For webinar technical support, please call
800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
14. CHIP Extension
CHIP will continue through 2019, with full federal funding through 2015.
States will be required to maintain existing CHIP & Medicaid eligibility and programs that were in effect on March 23, 2010.
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
15. Funding for School-Based Health Centers
•The Affordable Care Act allows SBHCs to access $200 million in competitive federal funds over the next four years.
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
16. Funding for Community Health Centers
•Increases funding by $11 billion for Community Health Centers
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
17. The National Health Service Corps
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
18. Funding for Personal Responsibility Education Grants
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
19. Immunizations and Preventive Care Coverage
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
20. Reasonable Break Time for Nursing Mothers
Employers must provide a reasonable break time for an employee to express breast milk for her nursing child for one year after the child’s birth.
Employers must provide a place, other than a bathroom, that is shielded from view and free from intrusion of coworkers and the public.
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
21. Oral Health Support
Requires that insurance plans in the Exchange include oral care for children.
Preventive services in Exchange plans must be free of cost, including services for preventive pediatric oral health services.
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
22. Pregnancy Assistance Fund
$25 million annually for 10 years to a new Pregnancy Assistance Fund.
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
OUR 23 FAVORITE THINGS ABOUT HEALTH CARE REFORM:
23. Public Health and Prevention
*Prevention and Public Health Fund
* National Prevention, Health Promotion and Public Health Council
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.comc
QUESTIONS?
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