1. Overview of the Affordable Care Act Mike Wytychak Wytychak Elder Law, PLLC

2. Introduction • PPACA + HCERA = ACA • Goals: • Improve Access to Quality, Affordable Health Care • Control Costs of Health Care

3. Medicare • Payment Reforms • Delivery Reforms • Prevention and Wellness • Medicare Advantage Plans • Prescription Drug Plans • Low Income Medicare Beneficiaries • High Income Medicare Beneficiaries

4. Medicaid • Issue • Medicaid Coverage for Long Term Care • Incentives to States

5. CLASS Act • Issue • CLASS Act experiment • Program Features

6. “Death Panels” • Political Firestorm • End of Life Provisions

7. Elder Justice Act • Social Issue • Legislative Background • Provisions

8. Private Health Insurance • Expansion of Coverage • Subsidization of Coverage • Penalties for Noncompliance • New Taxes • Reporting Requirements