2007 Legislative Action and Policy Changes Impacting At Risk Populations - PowerPoint PPT Presentation

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2007 Legislative Action and Policy Changes Impacting At Risk Populations

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  1. 2007 Legislative Action and Policy Changes Impacting At Risk Populations Presented by Jennifer Mahan of the Mental Health Association in North Carolina

  2. Health Policy • Mental Health Parity • High Risk Pool • Child Health Care • State Funded Plan • Federal SCHIP • Smoking Ban in State Facilities

  3. NC Mental Health Parity • HB 973 covers group plans and requires mental health coverage • The law becomes effective July 1, 2008. • 9 diagnoses at full parity – bipolar disorder, major depressive disorder, obsessive compulsive disorder, paranoid and other psychotic disorder, schizoaffective disorder, schizophrenia, PTSD, anorexia nervosa and bulimia.

  4. MH Parity Cont. • other mental illness diagnoses at financial parity – deductibles, coinsurance factors, co-payments, maximum out-of-pocket as well as annual and lifetime limits must be the same as for physical illnesses.    • Mental illness diagnoses not included in the 9 listed may have different durational limits, but the minimum benefit required: • Thirty (30) combined inpatient and outpatient days per year • Thirty (30) office visits per year 

  5. High Risk Pool • For people with pre-existing medical conditions to purchase more affordable insurance • 150-200% of standard plan • Paid for with tax on gross premiums paid by insurance companies • HWTF startup funds • Risk pool commission sets policies to manage eligibility and pool funds


  6. Child Health Plan • Children in families up to 300% of poverty • Waiting for impact of Federal SCHIP changes • Final plan will be developed by DHHS based on available funds (currently 7 million) • Expected to start July 1 2008

  7. 2007-2009 Budget Items • Numerous items (see budget online at www.ncleg.net) Big winners: • County Medicaid relief/optional tax • UNC Cancer Research Fund • NC Health Choice funds • Medicaid for 18-20 yr foster youth • NC Health Net 2.8 million • Pandemic flu planning • School Nurses

  8. Smoking • State facilities now join prisons in smoking ban -HB 24 • Tobacco free schools -SB 1086 • Smoke free UNC -SB 862 • Long term care facilities -HB 1294 • Restaurant/bar/local control smoking ban failed to pass • Zoo instituted voluntary ban under public pressure

  9. Safety • School Violence Prevention/Anti-Bullying - did not pass. • Current version includes enumeration of those typically bullied in school • Anti-bulling programs are available for schools. Contact Adrian Lovelace at MHA-NC, and Billy Lassiter, Dept of Juvenile Justice and Delinquency Prevention • Positive Behavioral Supports – contact Diann Irwin, Dept of Public Instruction

  10. Economic Security/Housing • State Earned Income Tax Credit • Long Term Care Insurance Credit • Child Care subsidy rate increase • Funds 1520 more child care slots • Housing Trust Fund • Housing 400 • DHHS housing/homeless positions

  11. Challenges Ahead • Mental health system • Health disparities • Uninsured/Underinsured • Full coverage for MI and addiction • Healthcare workforce • Boomer population • Child and adult obesity and related illness • Low-income housing

  12. Organizations and Websites • Health Access Coalition/Justice Center www.ncjustice.org • Action for Children www.ncchild.org • Alliance for Health www.rtpnet.org/alliance/ • Covenant w/ NC’s Children • Brian Lewis, ED brian@nccovenant.org • The Coalition (MH/DD/SAS) • Sally Cameron, Chair ncpasally@mindspring.com • NC Legislature: www.ncleg.net

  13. Contact Information Jennifer Mahan Mental Health Association in NC 1331 Sunday Drive Raleigh NC 27607 919-981-0740 x270 jmahan@mha-nc.org www.mha-nc.org