1. 2424 Louisiana Blvd NE, Suite 200
How Federal Health Care Reform Legislation Affects Elders and Persons with Disabilities in New Mexico
Nell Graham Sale, Esq
2424 Louisiana Blvd NE, Suite 200
(505)

2. Questions? ?

3. New Legislation “Patient Protection and Affordable Care Act”
“Health Care and Education Affordability Reconciliation Act”
“Affordable Health Care Act (ACA)”

4. Reforms of existing health insurance coverage
Expansion of coverage to those excluded from health insurance coverage
Mandate of health insurance coverage for everyone
Expansion of long term care coverage

5. Reforms of Existing Health Insurance Coverage
Monitoring increases in premiums by health insurance companies
Closing the “donut hole” in Medicare
Small business income tax credits

6. Expansion of Coverage to Those Excluded from Health Insurance Coverage
Health insurers are prohibited from denying coverage to children with pre-existing conditions
Children over the age of 19 who are dependents can be covered under family policies until age 26
Federal Temporary High Risk Pool
Early Retirement Reinsurance Program (EERP)

7. Mandate of Health Insurance Coverage for Everyone
In 2014, everyone in the United States will be required to have health insurance coverage
Employers with more than 50 employees will be penalized if they do not provide health insurance to their employees

8. Exchanges Two types: The American Health Benefit Exchange
The Small Business Health Options Program or “SHOP” exchange
In 2014, individuals in the United States who do not have health insurance coverage will pay an income tax penalty unless exempt

9. Expansion of Long Term Care Coverage
Community Living Assistance and Supporters Act, the CLASS Act
Community First Choice Option
In 2014, Medicaid can provide overall medical services to every New Mexican adult whose income is below 133% of the federal poverty line ($24,360/year for a family of 3)

10. Summary 315,000 New Mexicans currently have no health care coverage
$335 million in medical costs are absorbed by health care providers
More than $87 million spent on indigent health care using county indigent funds