tonight’s talk Background Hospital impact Human impact Economic impact Final thoughts
patient protection & affordable care act On March, 23, 2010, the Patient Protection and Affordable Care Act was signed into law
supreme court Ruled 5-4 on June 28, 2012 to uphold law Individual mandate, exchanges, insurance rules and other programs still stand Medicaid expansion is now optional for each state Subsidies are available to individuals from 100% FPL and above if a state does not opt in
some background January 1966. Only six states originally participated when the program launched: Hawaii, Illinois, Minnesota, North Dakota, Oklahoma, Pennsylvania 20 states signed on later that year 11 states joined in 1967 13 more states (southern) joined in 1968-1972 Arizona last to join in 1982 Eventually all states participated in basic program and SCHIP (enacted in 1997)
the new coverage gap Families of four making as much as $94,000 a year will receive subsidies to help buy health insurance Many poor, uninsured South Carolinians would receive no coverage assistance through ACA if SC opts out of the Medicaid expansion Parents in low income families of four making between $11,500 and $23,000 a year Childless adults making under $11,000 a year 65,000 uninsured citizens age 50-64
USC economic impact report SCDHHS estimates $11.2 billion in new federal funding will be generated between 2014 and 2020 due to newly eligible enrollees. By 2020, the annual economic impact will total $3.3 billion in annual economic output, nearly 44,000 jobs, and approximately $1.5 billion in labor income. This will translate into additional spending, leading to increases in SC general funds totaling $105.6 million by 2020.
USC economic impact report This increased tax revenue will completely offset the required state costs over the first seven years and generate a $9 million net surplus. From 2020 forward after the federal match rate caps at $9 federal to every $1 state, new tax dollars will generate enough to cover 53% of the state required Medicaid match.
despite the concerns, these facts remain: SC hospitals will continue to care for uninsured patients; federal law requires them to do so. The cost of that care must be paid by someone, and there are two options: We can let the other states help pay 90% of it (they are offering to do so through Medicaid), or We can absorb 100% of the costs within our borders. Which strategy will make SC more competitive?