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F EDERAL H EALTH C ARE R EFORM AND ITS I MPACT ON W OMEN, C HILDREN AND F AMILIES IN I LLINOIS Presented by Kathy Chan Associate Director Illinois Maternal.

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Presentation on theme: "F EDERAL H EALTH C ARE R EFORM AND ITS I MPACT ON W OMEN, C HILDREN AND F AMILIES IN I LLINOIS Presented by Kathy Chan Associate Director Illinois Maternal."— Presentation transcript:

1 F EDERAL H EALTH C ARE R EFORM AND ITS I MPACT ON W OMEN, C HILDREN AND F AMILIES IN I LLINOIS Presented by Kathy Chan Associate Director Illinois Maternal and Child Health Coalition

2 I LLINOIS M ATERNAL AND C HILD H EALTH C OALITION R ESOURCES Our Projects: Campaign to Save Our Babies Chicago Area Immunization Campaign Illinois Coalition for School Health Centers Illinois Premature Infant Health Network Healthcarereform Become a fan on Facebook! Follow us on Twitter at ILMaternal!

3 N ATIONAL H EALTH C ARE R EFORM Patient Protection and Affordable Care Act (HR 3590) Reconciliation Act (HR 4872)

4 H ELPFUL R ESOURCES – federal government’s consumer- friendly information page - federal governor’s website with more technical info about the law – national consumer advocates with fact sheets and other useful info – Illinois Department of Insurance – to be launched website of Illinois with state info on

5 G RANDFATHERED P LANS Plans that existed on March 23, 2010 Group vs. Individual Plans Maintaining Status

6 I NSURANCE M ARKET R EFORMS Pre-existing Conditions Gender Rating

7 I NSURANCE M ARKET R EFORMS ( CONT ) Rescissions Annual Limits Lifetime Limits

8 I NSURANCE M ARKET R EFORMS ( CONT ) Extension of Dependent Coverage Temporary High Risk Pools: IPXP

9 E XCHANGES State Based Farmer’s Market for Insurance

10 S PECIFIC B ENEFITS TO THE E XCHANGE Who will the Exchange be for? How will the Exchange make it easier to acquire insurance?

11 W HAT ’ S C OVERED ? 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

12 A FFORDABILITY Individual Mandates Affordability Credits Free Preventive Services Tax Credits for Small Businesses and Nonprofits

13 M EDICAID Expanded to 133% FPL Improved Provider Rates

14 T HE C HILDREN ’ S H EALTH I NSURANCE P ROGRAM (CHIP) Continues through 2019 Full Federal Funding through 2015

15 M AINTENANCE OF E FFORT Illinois cannot scale back eligibility for Medicaid programs

16 Reproductive Health Care Abortion Care

17 P UBLIC H EALTH AND P REVENTION Prevention and Public Health Fund National Prevention, Health Promotion and Public Health Council

18 P RIMARY C ARE S ERVICES School Based Health Centers Community Health Centers National Health Service Corps

19 S PECIAL P OPULATIONS : W OMEN Insurance Market Reforms Affordability Provisions Reproductive Health and Access

20 S PECIAL P OPULATIONS : P REGNANT W OMEN Reasonable Break Time for Nursing Mothers Postpartum Depression Pregnancy Assistance Fund Freestanding Birth Centers

21 S PECIAL P OPULATIONS

22 N EXT S TEPS Governor’s Interagency Taskforce on Health Reform Health Care Justice Implementation Taskforce – SB3047 Elections State Budget Authorizing legislation

23 T OP 5 P ROVISIONS I MPLEMENTED ON S EPTEMBER 23, No More Pre-existing Condition Exclusions for Kids 2. Free Preventive Care 3. Kids Can Stay on Your Plan until No Lifetime Limits 5. No More Recissions

24 Q UESTIONS ? Kathy Chan Become our fan on Facebook! Follow us on Twitter at ILMaternal! Visit HealthCare.gov!


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