CURRENT ISSUES IN HEALTH CARE LAW
Currently, Congress is addressing possible changes to, or a full repeal of, the Affordable Care Act. For more information about this very important issue, here are some resources, which we will continue to update week by week during this important process:
The Henry J Kaiser Family Foundation: Maps out Health Reform and provides up-to-date reporting on this important issue.
KCMS has partnered with Seattle University Law School to present: The Current Status of the ACA and Healthcare: Medical and Legal Perspectives on April 21, from 12:00 – 2:00 p.m. Available by webcast. Details below:
The Current Status of the ACA and Healthcare: Medical and Legal Perspectives
April 21, 2017 • 12:00 (noon) to 2:00 p.m. • 2 Law and Legal CLE Credits pending
Please join us for an important panel discussion on both policy and practice issues with: Sallie Thieme Sanford, Associate Adjunct Professor, University of Washington School of Public Health and Associate Professor U.W. School of Law; Robert Crittenden, MD, MPH, Special Assistant to Governor Jay Inslee; Teresa Mosqueda, Political and Strategic Campaign Director WA State Labor Council, AFL-CIO; Brian Peyton, Director of Legal Services, Washington Health Benefit Exchange; Ashley Greenberg, Staff Attorney with the Washington Medical-Legal Partnership.
Tuition: General Registration – Attorney – $49; SU School of Law Alumni – $39; General Public – $25; KCMS Member – $15 (2 CME Cat II credits available)
REGISTER NOW (in person and live webcast options)
THE AFFORDABLE CARE ACT
The Affordable Care Act (ACA) has been in place since 2010. It’s key features include:
◊ The Health Insurance Marketplace
Individuals and small businesses can purchase coverage through health benefit exchanges. The Washington Health Benefit Exchange offers comparisons of participating plans, which are required to meet certain benefits and cost standards.
At the Washington Health Plan Finder you can:
- compare and shop for health plans in Washington State;
- calculate your costs; and
- find out if you qualify for help paying your premium.
◊ Requirement for Coverage
The so-called “individual mandate” requires most individuals to obtain health insurance coverage or pay a penalty. The mandate increased the size and diversity of the insured population, including more young and healthy participants to broaden the risk pool, spreading costs.
- Washington State Office of the Insurance Commissioner: Provides details about health plans and rates those both inside and outside the exchange.
- HealthCare.gov: Explains coverage requirements and penalties for not having coverage.
- The Henry J Kaiser Family Foundation: Maps out the coverage requirements for 2014 and beyond.
◊ Medicaid Expansion
Individuals in Washington State between ages 19 and 65 who earn less than 138 percent of the poverty level are eligible to enroll in Medicaid.
- Washington State Health Care Authority: Explains how the Affordable Care Act affects eligibility for Medicaid.
◊ Coverage for Pre-existing Conditions
Insurance companies cannot refuse to sell coverage or renew policies because of an individual’s pre-existing conditions, or to charge higher rates due to gender or health status.
- HealthCare.gov: Looks at getting coverage when you have pre-existing conditions.
◊ Elimination of Annual Limits
New insurance plans and existing group plans cannot impose annual dollar limits on the amount of coverage an individual may receive.
- US Department of Health and Human Services: Explains how the reform law affects lifetime and annual limits.
Health Care Reform Resources
- Washington Health Benefit Exchange
- Public Health – Seattle & King County: Health Reform
- King County Health Plan Finder
- Washington State Health Care Authority: Health Care Reform
- Center on Budget and Policy Priorities: Health Reform Beyond the Basics
- Health Reform: The Henry J. Kaiser Family Foundation
- Kaiser Family Foundation Health Reform Implementation Timeline
- U.S. Department of Health & Human Services: Health Care