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Legislative Report Sep 11

Your Representatives

 

No word on who will pay for this.  I bet it will be YOU!  Does it appear that this plan will save money?

 

OBAMACARE TIMELINE

 

2010:  Tax credits for businesses:  Up to 4 million small businesses are eligible for tax credits of up to 35% of their contribution to insurance benefits for workers.

 

June 2010:  Seniors got a $250 rebate to help cover the $3,600 gap in Medicare drug coverage-“doughnut hole”.

 

August 31 2010:  Enrollment opened in Michigan’s high-risk insurance pool, funded with $141 million in federal subsidies.  The pool will operate until 1/1/2014.

 

September 23, 2010:  Several provisions took effect:

  • Young adults can stay on a parent’s health plan until age 26.
  • Insurers can’t deny coverage for anyone under age 19 for pre-existing conditions.
  • Members of new insurance plans cannot be charged for preventive care measures, including immunizations, mammograms and colonoscopies.
  • Insurers can’t rescind or retroactively cancel coverage except for fraud or misrepresentation.
  • Lifetime limits on benefits such as hospitalization and emergency care banned in new plans.

 

January 1, 2011: 

  • Seniors who reach the Medicare drug “doughnut hole” receive a 50% discount on covered brand-name drugs.  The coverage gap ends in 2020.
  • Free preventive care for seniors.
  • Insurers are required generally to spend 80-85% of premiums on health services.

 

October 1, 2011:

  • Community First Choice Option lets states offer home and community-based services through Medicaid, for people with disabilities.

 

January 1, 2012:  Companies must complete 1099 IRS tax forms for each supplier with which they will spend more than $600 this year.  (Recently rescinded by Congress.)

 

March 2012:  Federal health programs must collect and report racial, ethnic and language data.

 

October 1, 2012:

  • Hospitals get financial incentives to improve the quality of care, with performance being publicly reported.
  • Health plans to begin implementing rules for the secure, confidential, electronic exchange of health information.
  • Voluntary long-term care insurance program provides cash benefits to adults who become disabled.

 

January 1, 2013

  • New funding for state Medicaid programs that cover preventive services for patients at little or no cost.
  • A national pilot program of paying providers a flat rate for each episode of care rather than billing each service or test separately to Medicare begins.
  • Medicaid payments for primary care doctors increase to at least 100% of Medicare payments rates for primary care services for 2013-14.

 

October 1, 2014:  States get two years of funding to continue coverage for children not eligible for Medicaid.

 

January 1, 2014:

  • Insurers are banned from refusing to cover individuals with pre-existing conditions.  For individuals and small groups, insurers cannot charge higher rates because of gender or health status.
  • Most individuals must obtain health insurance or pay a fee to help offset the costs of caring for the uninsured, with exemptions for those who can’t afford it.
  • New plans and existing group plans cannot put annual limits on the amount of coverage an individual may receive.
  • Tax credits are provided for people with income up to 400% of the poverty line who are not eligible for other affordable coverage.
  • Health insurance exchanges will offer plans for individuals and small businesses that don’t have employer coverage
  • The small business tax credit increases to a maximum of 50% of an employer’s health-insurance contribution.
  • Increased access to Medicaid for those whose annual incomes are less than 133% of the poverty level (about $29,000 for a family of four).
  • Workers who meet certain requirements and can’t afford their workplace coverage can use the employer’s contribution toward buying a plan through a health insurance exchange.

 

January 1, 2015:  Physician payments from Medicare and Medicaid are to be tied to the quality of care provided.

 

Source:  U.S. Department of Health and Human Services, Detroit News research and Michigan Office of Financial and Insurance Regulation.


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