1. Scott Janssen, M.A.

2.  Part A As many as 600,000 Michigan residents may lose healthcare coverage by December 31, 2015  Part B More precise data is needed to measure the Healthy Michigan Plan’s impact

3.  Part A Inform the public what’s at stake  Part B Request MDHHS begin reporting Healthy Michigan Plan enrollment by zip code

4.  States have option to expand Medicaid  Qualifications Between ages 19 to 64 Income at or below 133% of the Federal Poverty Level  Family of 1: $15,654  Family of 4: $32,737

5.  August 2013 ◦ Michigan’s Senate voted in favor of expanding Medicaid by a vote of 20-18  April 1, 2014 Michigan’s expanded Medicaid program, the Healthy Michigan Plan, began Anticipated enrollment: Between 300,000 – 500,000 Actual Enrollment: 600,000 in one year

6.  History Michigan agreed to expand Medicaid but requested two waiver amendments from the Centers for Medicare & Medicaid Services (CMS)  First Waiver Amendment Michigan requested cost-sharing from Medicaid beneficiaries Cost-sharing ranges from 3% - 5% of annual income Approved by CMS in December of 2013

7.  Second Waiver’s Request After 48 cumulative months, Healthy Michigan Plan beneficiaries must either:  Opt out of the Healthy Michigan Plan and purchase insurance on the Federal Marketplace or  Increase cost-sharing to 7% annually

8.  Challenges Associated with Second Waiver Request CMS caps cost-sharing at 5% Michigan will submit the Second Waiver Amendment to CMS by September 1, 2015 If the Second Waiver Amendment is not approved by December 31, 2015, by state law the Healthy Michigan Plan will end

9.  Part A A public awareness campaign explaining what is at stake Cost: Minimal to nothing Timeframe: Four months  Part B Request MDHHS begin reporting Healthy Michigan Plan data by zip code Cost: Minimal to nothing Timeframe: Minimal

10. Scott Janssen 269.373.5368 spjans@kalcounty.com