Implementation of the Affordable Care Act: Next Steps for Tobacco Control American Lung Association December 2012. Agenda. Health Insurance – today and the future Affordable Care Act Employer-sponsored Insurance Medicaid State Exchanges Prevention & Public Health Fund What you can do.
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SOURCE: KCMU/Urban Institute analysis of the 2012 ASEC supplement to the CPS.
Medicaid/Other Public, 18%
Employer-Sponsored Insurance, 49%
Private Non-Group, 5%
Total = 307.9 million
FPL= Federal Poverty Level. The FPL was $22,050 for a family of four in 2010.
Data may not total 100% due to rounding.
SOURCE: KCMU/Urban Institute analysis of 2011 ASEC Supplement to the CPS.
Encourage private insurance companies to interpret the USPSTF requirement comprehensively
Integrate quitline and other cessation services with health plans
Submit comments to HHS if the opportunity arises
Find out details of your state’s Medicaid coverage (utilization)
Connect Health Department with Medicaid Department
Advocate for better coverage
Keep track of your state’s progress toward 2014 Medicaid expansion
Advocate for the expansion (if necessary)
Advocate for an EHB benchmark plan that includes tobacco cessation
December 16th Bulletin: http://cciio.cms.gov/resources/files/Files2/12162011/essential_health_benefits_bulletin.pdf
Proposed rule: http://www.gpo.gov/fdsys/pkg/FR-2012-11-26/pdf/2012-28362.pdf
Bad news: A LOT of flexibility is allowed for individual plans.
Good news: USPSTF A’s and B’s must be covered
default is largest small group plan in
Benchmark plan to be confirmed by December 26, 2012
2013: determine which plans are in the exchange, set up technical & consumer aspects
Jan. 1, 2014: start date
Started at $500 million in 2010. Increases incrementally to $2 billion in 2015.
Purpose: provide vital funds for public health and wellness programs
In constant danger of being raided
Cut by $6.25 billion in the Middle Class Tax Relief and Job Creation Act in 2012.
Community Transformation Grants
Find out quitline numbers
Promote success stories
Share “Tips” ads & materials
Reach out to the media
Find CTG projects in your state
Find out how your Members of Congress voted
Advocate for protecting the Prevention Fund