Health Care Advocacy 101 in Florida for community leaders Health Care Expansion Marketplace Enrollment

Overview Healthcare coverage in Florida Obamacare Quiz The Affordable Care Act Medicaid (Health care expansion) Questions and next steps

Healthcare coverage in Florida

The Strobel Family “There's that fear in the middle of the night, what am I going to do when I have something or when she has something? How are we going to handle this? And I kind of just close my eyes”

Paulette Wilson ““I think being a United States citizen, and especially having worked and paid taxes, I think all of us should have some sort of affordable care, where at least it’s discounted”

How many uninsured in Florida? 3.8 million That’s more people than the total population of Wyoming, Vermont, District of Columbia, North Dakota, South Dakota and Alaska Source: Census Bureau Small Area Health Insurance Estimates: ,000 kids 1 in 5 Floridians or 1 in 4 non-elderly adults

Uninsured Children 557,000 Total in 2010 (US Census Bureau Small Area Health Insurance Estimates) Only California and Texas have more uninsured kids Fourth highest rate (13.8%)- Nevada, Texas and South Carolina had higher percentage National rate is 9.7%. One out of every 13 uninsured kids in the US lives in Florida

Obamacare Quiz ?????

Obamacare Quiz Q: The new health law, the Affordable Care Act, means that the government is in charge of your health care. TRUE/FALSE? A: FALSE The ACA helps low and moderate income people who do not receive coverage through their employer purchase private insurance in a health insurance marketplace.

Obamacare Quiz Q: The ACA will require nearly all Americans to have health insurance starting in 2014 or else pay a fine? TRUE/FALSE? A: TRUE Yes. Starting in 2014, most U.S. citizens and legal residents will be required to obtain health coverage, or pay a penalty. Some exemptions will be granted, for example, for those with religious objections or where insurance would cost more than 8% of their income.

Obamacare Quiz Q: The ACA gives states the option of expanding their existing Medicaid program to cover more low-income, uninsured adults. A: TRUE As enacted, the ACA calls for the expansion of state Medicaid programs beginning in 2014 to cover nearly all individuals under age 65 with incomes up to 138% of the federal poverty level ($15,856 for an individual or $26,951 for a family of three in 2013). But now this is an option for states.

The Affordable Care Act signed into law March, 2010

The Affordable Care Act Makes insurance more fair (consumer protections) Can’t be denied for a pre-existing condition or charge more if you have one Can’t charge women more than men Offers coverage to young adults up to age 26 Requires insurers to spend 80% on direct medical care and less on profit and bonuses and more…

Health Insurance Marketplace Compare private health plan options Good benefits and guaranteed coverage Financial help for most families Income between 100% to 400% of the Federal Poverty Level (FPL) ($23,550 – $94,200 for a family of four)

Health Insurance Marketplace Enrollment starts October 1, 2013 Coverage starts January 1, 2014 Healthcare.gov Cuidadodesalud.gov

Medicaid Expansion Up to 138% Federal Poverty Level $26,951 for a Family of 3

Medicaid Expansion 815,000 to 1,295,000 would gain coverage in Florida Low income childless adults Low income working parent (s) Persons with disabilities

Medicaid Expansion- Call to Action

Discussion FloridaCHAIN #FLCHAIN