Illinois Maternal & Child Health Coalition Starting Strong for Community Health! The Affordable Care...
Transcript of Illinois Maternal & Child Health Coalition Starting Strong for Community Health! The Affordable Care...
Illinois Maternal & Child Health Coalition
Starting Strong for Community Health!
The Affordable Care Act and Medicaid Expansion
Kathy Chan, Illinois Maternal and Child Health CoalitionStephanie Altman, Health & Disability Advocates
Jason Montrie, Land on Lincoln Health, Inc
Tuesday, April 23, 2013
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com
Starting Strong for Community Health!Land of Lincoln Health:
Illinois’ Consumer Operated and Oriented Plan
About IMCHCOur Projects and Initiatives:• Campaign to Save Our
Mothers and Babies• Chicago Area Immunization
Campaign• Cooking Matters, a program
of Share Our Strength’s No Kid Hungry Campaign
• Illinois Coalition for School Health Centers
• Illinois Premature Infant Health Network
• text4baby
www.ilmaternal.org/
Healthcarereform
Become a fan on Facebook!
Follow us on Twitter at ILMaternal!
Illinois Maternal & Child Health Coalition
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com
Webinar Overview
Illinois Maternal & Child Health Coalition
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• New Non-Citizen uninsured data
• Learn more about Consumer Operated and Oriented Plans (CO-OPs) and how they differ from traditional private insurance plans;
• Hear from staff from Land of Lincoln Health, Inc. about coverage areas, benefits, and other plan details;
• Receive updates on ACA implementation efforts.
Non-Citizen Medicaid Eligibility
Illinois Maternal & Child Health Coalition
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Current Medicaid non-citizen eligibility restrictions are maintained in 2014 including the five year waiting period (the “five year bar”) for most lawfully residing low-income immigrant adults.
The Children’s Health Insurance Program allows lawfully residing children and pregnant women regardless of their date of entry (no five year bar) by state option. Illinois’ All Kids program currently covers children with family
income under 300% FPL, regardless of immigration status Illinois’ Moms and Babies program covers pregnant women with
family income below 200% FPL, regardless of immigration status
Non-Citizen Marketplace Eligibility
Illinois Maternal & Child Health Coalition
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Naturalized Citizens: Same access and requirements as U.S. born
citizens.
Lawfully Present: IS Eligible to Purchase Insurance from the State
Health Insurance Marketplace IS eligible for premium tax credits IS (or is reasonably expected) to be lawfully
present during entire period of enrollment IS subject to individual mandate.
2010-11 Non-Citizen Data
Illinois Maternal & Child Health Coalition
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823,750 Non Citizens in Illinois. 430,141 (52%) are Uninsured
Total Non-Citizen Number includes: Legal Permanent Residents (LPRs) (eligible and ineligible
for Medicaid) Lawfully Present Undocumented
New version of Visualizing Health Reform (www.illinoishealthmatters.org) will have some citizenship data
Paths to Coverage for Non-Citizens in 2014
Illinois Maternal & Child Health Coalition
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149,283 uninsured Legal Permanent Residents in Illinois Those who have been in the US less than 5 years may
not be eligible for Medicaid but could be eligible for premium tax credits in the marketplace in 2014.
280,858 uninsured undocumented persons in Illinois No new path to coverage in 2014.
Outreach and Enrollment Issues
Illinois Maternal & Child Health Coalition
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Reaching non-citizens will be difficult for several reasons including limited English speakers; confusion on eligibility; mixed status families; fear of immigration issues.
Undocumented non-citizens will continue to need access through county hospitals; public health departments; free and charitable clinics; federally qualified health centers.
LPRs may experience disruption in coverage moving from marketplace to Medicaid after 5 years.
What is a CO-OP Plan?
Illinois Maternal & Child Health Coalition
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• Consumer Operated and Oriented Plan (CO-OP)– Increase competition among individual and small
group plans– Improve consumer choice in this smaller market
• Key Characteristic: consumer run governance– Policy and direction of CO-Ops are set by a board
of directors elected by a majority of membership (plan holders)
CO-OPs in ACA
Illinois Maternal & Child Health Coalition
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• CO-Ops will offer health coverage—and possibly care networks—through the Marketplaces under the same regulatory requirements imposed on private insurance companies at the state and federal level.• CO-Ops will offer small group/individual
coverage and must be ready for open enrollment beginning on October 1, 2013
CO-OPs: Key Features/Terms
Illinois Maternal & Child Health Coalition
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• Sponsors: “persons applying to become qualified nonprofit health insurance issuers”– Include consumer groups, community organizations,
medical provider organizations, unions, business coalitions, and other stakeholder groups.
– Sponsors must provide at least 40% of CO-OP funding• Member governed and operate with strong consumer focus• Must be a nonprofit corporation• Must offer at least 2/3 of policies on Marketplace• Must comply with state insurance laws and regulation
CO-Ops vs Private Insurance
Illinois Maternal & Child Health Coalition
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• CO-OPs are nonprofit corporations– All surplus revenue must be used to reduce premiums,
improve benefits, or improve quality of care for its members• Consumer run governance
– The policy and direction of CO-Ops are set by a board of directors elected by a majority of the membership.
– Allow consumers to have strong voice in their health insurance options
• Included in ACA to bring competition and choice to health insurance marketplaces
Land of Lincoln Health, Inc
Illinois Maternal & Child Health Coalition
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Jason MontrieVice President of Network and Channel
Development
Land of Lincoln Health, Incwww.landoflincolnhealth.org
Medicaid Expansionin Illinois
• In 98th GA, SB26 (Sen. Steans) and HB106 (Rep. Feigenholtz)• SB26 passed the full Senate in February; now awaits House
action • Download a fact sheet with the list of supporters at:
http://www.ilmaternal.org/docs/factsheets/MedicaidExpansionfactsheetwithsupporters1-15-13.pdf – Contact Kathy Chan at [email protected] to add your
organization’s name• Make phone calls and send emails to your Representative!• See how SB26 affects YOUR district: # of new eligibles per
district available on www.illinoishealthmatters.org
Illinois Maternal & Child Health CoalitionFor webinar technical support, please call
800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com
Additional Pending Policy Decisions
• Establishment of a state-based competitive health insurance marketplace
• SB1194/HB2608 – “Bad” Navigator Bill – Fact sheet posted at
http://ilmaternal.org/docs/factsheets/OPPOSE_SB1194-HB2608Factsheet_03-13-2013.pdf
– Contact Kathy Chan at [email protected] to add your organization’s name
• Implementation of Medicaid reform legislation• State budget challenges - ongoing need to preserve Medicaid and
related programs Illinois Maternal & Child Health CoalitionFor webinar technical support, please call
800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com
Advocacy Opportunities
Illinois Maternal & Child Health Coalition
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• Governor’s Health Reform Implementation Council Meetings: www.healthcarereform.illinois.gov
• Medicaid Advisory Council and subcommittees: http://www2.illinois.gov/hfs/PublicInvolvement/BoardsandCommisions/MAC/Pages/default.aspx
What You Can Do! • Spread the word!• Subscribe to IMCHC’s newsletter and action
alert, Facebook, Twitter (@ILMaternal)• Download and share our factsheets and
toolkit• Subscribe to our podcast• Invite us to present and suggest future topics• Bookmark www.illinoishealthmatters.org
Illinois Maternal & Child Health Coalition
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com
IMCHC’sACA Ambassadors
• Get paid to learn about health reform!• Affordable Care Act (ACA) Ambassadors. ACA Ambassadors will serve
as an extension of IMCHC as we work to help communities understand health reform and the impact on families, individuals, and businesses. – ACA Ambassadors should live in the Chicagoland area, including
suburbs and collar counties • ACA Ambassadors will receive a stipend of $600 if they successfully
meet the established goals. • Learn more and submit application online. Application deadline is May
10. http://www.ilmaternal.org/acaambassadors.html
Illinois Maternal & Child Health Coalition
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com
Next Webinar: May 21
Register now for the next Starting Strong Webinar on May 21 from 2-3pm
Connecting Consumers to Coverage: Navigators, In Person Assistors, and Certified Application
Counselorshttps://www3.gotomeeting.com/register/576702254
Illinois Maternal & Child Health CoalitionFor webinar technical support, please call
800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com
Questions?
Stephanie [email protected]
www.hdadvocates.org
www.illinoshealthmatters.org
Illinois Maternal & Child Health Coalition
Kathy [email protected]
312-491-8161x24www.ilmaternal.org
For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com