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The Uninsured: What Do the New Numbers Mean for Health Reform?. Alliance for Health Reform John M. Colmers, Secretary Maryland Department of Health and Mental Hygiene September 18, 2009. Maryland’s Coverage Rate Trends. Percent Uninsured - Under 64 2007 - 2008 14.4%

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The uninsured what do the new numbers mean for health reform

The Uninsured: What Do the New Numbers Mean for Health Reform?

Alliance for Health Reform

John M. Colmers, Secretary

Maryland Department of Health and Mental Hygiene

September 18, 2009


Maryland s coverage rate trends
Maryland’s Coverage Rate Trends Reform?

  • Percent Uninsured - Under 64

    • 2007 - 2008 14.4%

    • 2005 - 2006 15.6%

    • 2000 - 2001 12.0 %*

  • % Medicaid - Under 65

    • 2007 - 2008 10.2%

    • 2005 - 2006 9.1%

    • 2000 - 2001 6.0%

  • Privately Insured - Under 65

    • 2007 - 2008 76.0%

    • 2005 - 2007 76.0%

    • 2000 - 2001 83.0%


Recent reforms working families and small business health coverage act 2007
Recent Reforms: Working Families and Small Business Health Coverage Act (2007)

  • Medicaid Expansion:

    Expansion of Benefits for Families – Began July 2008

    • Income eligibility level increased from approximately 30% of FPL to 116% of FPL

    • Raised income eligibility level from less than $6,000 in annual income for a family of three to about $20,000 annually

    • Moved Maryland from near the bottom of states to above average

    • Over 47,000 parents and caretaker relatives enrolled

      Expansion of Benefits for Childless Adults (contingent on funding)

    • Primary Adult Care (PAC) Program

    • Phased in over three years

    • May cap benefits and enrollment


Enrollment – Medicaid & MCHP Coverage Act (2007)

Excluding Expansion Parents


Working families and small business health coverage act 2007 continued
Working Families and Small Business Health Coverage Act (2007) (continued)

  • Small Business Subsidy Program

    Health Insurance Partnership – Began October 2008

    • Subsidy of up to 50% cost of premium for business with 2-9 FTEs, $50,000 average wage, and not offering coverage for 12 months

    • Wellness benefits and Section 125 Plan requirements

    • State administers the program through insurance carriers, offering employers a choice of carrier and plan

    • Over 200 businesses and 1,000 individuals have enrolled

  • Additional Reforms

    Kids First Act (2008) changed tax form for 2008 and 2009 to allow taxpayers to indicate whether dependent children have insurance.

    Simultaneously streamlined enrollment process


Concluding thoughts
Concluding Thoughts (2007) (continued)

  • While Maryland has made important strides much remains to be done.

  • The economy, expanded access and an emphasis on outreach are leading to a surge in enrollment in public programs.

    • Significant reform at federal level is essential

  • Maintaining status quo cannot be an option

    • High costs, more uninsured, States’ employers, taxpayers and economy suffer


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