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Federal Health Care Reform and its Impact on Women, Children and Families in Illinois

Federal Health Care Reform and its Impact on Women, Children and Families in Illinois. Presented by Kathy Chan Associate Director Illinois Maternal and Child Health Coalition. Illinois Maternal and Child Health Coalition Resources. Our Projects: Campaign to Save Our Babies

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Federal Health Care Reform and its Impact on Women, Children and Families in Illinois

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  1. Federal Health Care Reform and its Impact on Women, Children and Families in Illinois Presented by Kathy Chan Associate Director Illinois Maternal and Child Health Coalition

  2. Illinois Maternal and Child Health Coalition Resources Our Projects: • Campaign to Save Our Babies • Chicago Area Immunization Campaign • Illinois Coalition for School Health Centers • Illinois Premature Infant Health Network www.ilmaternal.org/ Healthcarereform Become a fan on Facebook! Follow us on Twitter at ILMaternal!

  3. National Health Care Reform Patient Protection and Affordable Care Act (HR 3590) Reconciliation Act (HR 4872)

  4. HelpfulResources • www.healthcare.gov – federal government’s consumer-friendly information page • www.healthreform.gov - federal governor’s website with more technical info about the law • www.familiesusa.org – national consumer advocates with fact sheets and other useful info • www.insurance.illinois.gov – Illinois Department of Insurance • www.healthcarereform.illinois.gov – to be launched website of Illinois with state info on

  5. Grandfathered Plans • Plans that existed on March 23, 2010 • Group vs. Individual Plans • Maintaining Status

  6. Insurance Market Reforms • Pre-existing Conditions • Gender Rating

  7. Insurance Market Reforms (cont) • Rescissions • Annual Limits • Lifetime Limits

  8. Insurance Market Reforms (cont) • Extension of Dependent Coverage • Temporary High Risk Pools: IPXP

  9. Exchanges State Based Farmer’s Market for Insurance

  10. Specific Benefits to the Exchange • Who will the Exchange be for? • How will the Exchange make it easier to acquire insurance?

  11. What’s Covered? • Ambulatory Patient Services • Emergency Services • Hospitalization • Maternity and Newborn Care • Mental Health and Substance Abuse Services (Including Behavioral Health Treatment) • Prescription Drug Coverage • Rehabilitative and Habilitative Services and Devices • Laboratory Services • Preventive and Wellness Services • Chronic Disease Management • Pediatric Services, Including Oral and Vision Care

  12. Affordability • Individual Mandates • Affordability Credits • Free Preventive Services • Tax Credits for Small Businesses and Nonprofits

  13. Medicaid • Expanded to 133% FPL • Improved Provider Rates

  14. The Children’s Health Insurance Program (CHIP) Continues through 2019 Full Federal Funding through 2015

  15. Maintenance of Effort • Illinois cannot scale back eligibility for Medicaid programs

  16. Reproductive Health Care Abortion Care

  17. Public Health and Prevention • Prevention and Public Health Fund • National Prevention, Health Promotion and Public Health Council

  18. Primary Care Services • School Based Health Centers • Community Health Centers • National Health Service Corps

  19. Special Populations: Women Insurance Market Reforms Affordability Provisions Reproductive Health and Access

  20. Special Populations: Pregnant Women • Reasonable Break Time for Nursing Mothers • Postpartum Depression • Pregnancy Assistance Fund • Freestanding Birth Centers

  21. Special Populations

  22. Next Steps • Governor’s Interagency Taskforce on Health Reform • Health Care Justice Implementation Taskforce – SB3047 • Elections • State Budget • Authorizing legislation

  23. Top 5 Provisions Implemented on September 23, 2010 • No More Pre-existing Condition Exclusions for Kids • Free Preventive Care • Kids Can Stay on Your Plan until 26 • No Lifetime Limits • No More Recissions

  24. Questions? Kathy Chan kchan@ilmaternal.org 312-491-8161 www.ilmaternal.org/healthcarereform Become our fan on Facebook! Follow us on Twitter at ILMaternal! Visit HealthCare.gov!

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