Health Care Reform: Get It Right for Maryland Leni Preston, Chair leni@mdchcr.org (301) 351-9381 © 2012 Maryland Women’s Coalition For Health Care Reform

© 2012 Maryland Women’s Coalition For Health Care Reform About the Coalition Nonpartisan alliance of individuals and 58 state-wide organizations, including Maryland Nonprofit members: Advocates for Children & Youth; League of Women Voters and YWCA of Annapolis & Anne Arundel County National Partners Raising Women’s Voices National Women’s Law Center © 2012 Maryland Women’s Coalition For Health Care Reform

© 2012 Maryland Women’s Coalition For Health Care Reform Coalition Mission Work collaboratively with our members and partners to seek solutions and advance reforms to ensure that every resident of Maryland has access to affordable, comprehensive & high quality health care that is always there. © 2012 Maryland Women’s Coalition For Health Care Reform

How We Achieve Our Mission Educate our members and supporters, elected officials and the public Reach out to all potential allies of reform Engage our members in the reform issues and debates Advocate and take action, as a Coalition and as individuals, to bring quality, affordable health care to every resident in Maryland.  © 2012 Maryland Women’s Coalition For Health Care Reform

The Patient Protection and Affordable Care Act A 3-Legged Stool: Everyone is “in” Personal responsibility Affordability © 2012 Maryland Women’s Coalition For Health Care Reform

The Health Benefit Exchange: A Health Insurance Supermarket Exchange will describe each plan in a standard format Monthly cost and co-pays Plan performance on quality measures Plan ratings by quality and price Compare Apples to Apples Can’t decide between a Fuji and a Rome? Get help! Website Telephone hotline Navigators © 2012 Maryland Women’s Coalition For Health Care Reform

Maryland: A National Leader Commitment and Leadership Effective Process: Health Care Reform Coordinating Council; Office of Health Care Reform; & Health Benefit Exchange Board Roadmap © 2012 Maryland Women’s Coalition For Health Care Reform

Health Benefit Exchange Timeline Landmark ACA Legislation signed into Law 3/23/2010 by President Obama 4/12/2011 Governor O’Malley Signed Health Benefit Exchange Act into Law 6/3/2011 Exchange Board 1st Meeting 9-11/2011 Advisory Committees Met 1/1/2013 Exchange Must be Certified by Federal Government 10/1/2013 Individuals and Groups Begin Enrolling in Exchange 1/1/2014 Maryland Health Benefit Exchange will be Operational Source: A Report to the Governor and Maryland General Assembly Maryland Health Benefit Exchange, December 23, 2011, p. 1 © 2012 Maryland Women’s Coalition For Health Care Reform

Maryland’s Health Benefit Exchange Act of 2011 Public corporation/independent unit of state government 9-member board Key elements: Reduce number of uninsured Facilitate purchase and sale of Qualified Health Plans Require cultural competency in all operations to ensure all populations can gain access Financially self-sustainable 6 Legislative Studies © 2012 Maryland Women’s Coalition For Health Care Reform

Creating the Exchange: Stakeholder Input Four Advisory Committees Operating Model (Market Rules & Risk Mitigation) SHOP (Small Business Exchange) Navigator Program (Marketing & Public Relations) Financing © 2012 Maryland Women’s Coalition For Health Care Reform

Creating the Exchange: Stakeholder Representation Source: A Report to the Governor and Maryland General Assembly, Maryland Health Benefit Exchange December 23, 2011, p. 2 © 2012 Maryland Women’s Coalition For Health Care Reform

Exchange Board Recommendations Operating Model Market Rules & Risk Mitigation Dental Plans Small Business Health Options (SHOP) Navigator Program Advertising, Marketing & Public Relations Financing Continuity of Care Multi-State & Regional Contracting Plan for Fraud, Waste and Abuse © 2012 Maryland Women’s Coalition For Health Care Reform

What’s Next: 2012 Exchange Legislation Operating Model: Set minimum QHP standards for certification with flexibility to modify in future Navigators: Program models for Individual and SHOP Exchanges & Community Based Organization certification © 2012 Maryland Women’s Coalition For Health Care Reform

© 2012 Maryland Women’s Coalition For Health Care Reform SHOP Recommendations Create separate SHOP exchange. Retain small group size at 50 until 2016. Provide two options: Employers select metal level & employees choose among carriers at that level Employers select one carrier & employees select the metal level that meets their needs Consider additional options in 2016 Analyze partnering options with existing resources to develop the Exchange. © 2012 Maryland Women’s Coalition For Health Care Reform

© 2012 Maryland Women’s Coalition For Health Care Reform Other Issues to Track Essential Health Benefits Package Basic Health Plan – Program for those between 138% to 200% of Federal Poverty Level Communications Plan © 2012 Maryland Women’s Coalition For Health Care Reform

© 2012 Maryland Women’s Coalition For Health Care Reform Resources You Can Use Maryland Health Benefit Exchange www.dhmh.maryland.gov/healthreform/exchange/index.html Department of Health & Mental Hygiene www.dhmh.maryland.gov Maryland Health Insurance Plan (MHIP) www.marylandhealthinsuranceplan.state.md.us Health Care Reform Coordinating Council www.dhmh.maryland.gov/healthreform/index.html Federal Department of Health & Human Services www.healthcare.gov © 2012 Maryland Women’s Coalition For Health Care Reform

Stay Informed & Get Involved Join us at our upcoming educational forums: January 23rd in Annapolis February 22nd in Frederick To register and find out more, visit: MDHealthCareReform.org © 2012 Maryland Women’s Coalition For Health Care Reform

© 2012 Maryland Women’s Coalition For Health Care Reform Leni Preston, Chair Phone: (301) 351-9381 E-mail: leni@mdchcr.org Website: www.MDHealthCareReform.org © 2012 Maryland Women’s Coalition For Health Care Reform