f ederal h ealth c are r eform and its i mpact on w omen, c hildren and f amilies in i llinois...
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FEDERAL HEALTH CARE REFORM AND ITS IMPACT
ON WOMEN, CHILDREN AND FAMILIES IN ILLINOIS
Presented by Kathy Chan
Associate Director
Illinois Maternal and Child Health Coalition
ILLINOIS MATERNAL AND CHILD HEALTH
COALITION RESOURCESOur Projects:• Campaign to Save Our
Babies• Chicago Area
Immunization Campaign• Illinois Coalition for
School Health Centers• Illinois Premature Infant
Health Network
www.ilmaternal.org/Healthcarereform
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NATIONAL HEALTH CARE REFORM
Patient Protection and Affordable Care Act (HR 3590)
Reconciliation Act (HR 4872)
HELPFULRESOURCES www.healthcare.gov – federal government’s consumer-
friendly information page www.healthreform.gov - federal governor’s website
with more technical info about the law www.familiesusa.org – national consumer advocates
with fact sheets and other useful info www.insurance.illinois.gov – Illinois Department of
Insurance www.healthcarereform.illinois.gov – to be launched
website of Illinois with state info on
GRANDFATHERED PLANSPlans that
existed on March 23, 2010
Group vs. Individual Plans
Maintaining Status
INSURANCE MARKET REFORMS
Pre-existing Conditions
Gender Rating
INSURANCE MARKET REFORMS (CONT)
RescissionsAnnual
Limits Lifetime
Limits
INSURANCE MARKET REFORMS (CONT)Extension of Dependent
CoverageTemporary High Risk
Pools: IPXP
EXCHANGES
State Based Farmer’s Market for Insurance
SPECIFIC BENEFITS TO THE EXCHANGE
Who will the Exchange be for?
How will the Exchange make it easier to acquire insurance?
WHAT’S COVERED? Ambulatory Patient Services Emergency Services Hospitalization Maternity and Newborn Care Mental Health and Substance Abuse Services
(Including Behavioral Health Treatment) Prescription Drug Coverage Rehabilitative and Habilitative Services and Devices Laboratory Services Preventive and Wellness Services Chronic Disease Management Pediatric Services, Including Oral and Vision Care
AFFORDABILITYIndividual
MandatesAffordability
CreditsFree Preventive
ServicesTax Credits for
Small Businesses and Nonprofits
MEDICAID
Expanded to 133% FPLImproved Provider Rates
THE CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP)Continues
through 2019Full Federal
Funding through 2015
MAINTENANCE OF EFFORT Illinois cannot scale
back eligibility for Medicaid programs
Reproductive Health CareAbortion Care
PUBLIC HEALTH AND PREVENTION
Prevention and Public Health Fund
National Prevention, Health Promotion and Public Health Council
PRIMARY CARE SERVICES
School Based Health Centers
Community Health Centers
National Health Service Corps
SPECIAL POPULATIONS: WOMEN
Insurance Market Reforms
Affordability Provisions
Reproductive Health and Access
SPECIAL POPULATIONS: PREGNANT WOMEN
Reasonable Break Time for Nursing Mothers
Postpartum Depression
Pregnancy Assistance Fund
Freestanding Birth Centers
SPECIAL POPULATIONS
NEXT STEPS Governor’s Interagency Taskforce on Health Reform Health Care Justice Implementation Taskforce – SB3047 Elections State Budget Authorizing legislation
TOP 5 PROVISIONS IMPLEMENTED ON
SEPTEMBER 23, 2010
1. No More Pre-existing Condition Exclusions for Kids
2. Free Preventive Care3. Kids Can Stay on Your
Plan until 264. No Lifetime Limits5. No More Recissions
QUESTIONS?Kathy Chan
www.ilmaternal.org/healthcarereformBecome our fan on Facebook!
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