Who We Are  Free clinic  volunteer-based, safety-net health care organizations that provide a range of medical, dental, pharmacy, and/or behavioral health services to economically disadvantaged individuals who are predominately uninsured*  Non-Profit  501(c)(3) tax-exempt organizations

Who We See  Uninsured  Low income  McLean County residents

Eligibility  McLean County Resident  185% Federal Poverty Guidelines  Not currently enrolled in effective 3 rd party insurance

2013 Facts and Figures  12,972 Total Patient Visits  254 New Patients  25,571 Prescriptions Dispensed  Med value $4.8 million  729 Specialty Referrals

ACA Main Elements ACA Main Elements  Insurance Reform  Hospital and Care Reform  Individual Mandate  Medicaid Reform

Individual Mandate  Reality of Implementation  Seasonal Workers  IRS as “enforcer”  Example for Family of 4 living at 150% federal poverty

What ACA doesn’t address  Affordability  Access  Health Literacy limitations

Effects on Healthcare System  Shortage of Providers  Sheer numbers of insured seeking care vs. existing providers  Medicaid providers  Who is left out?  Undocumented individuals  Individuals who don’t file taxes  Various exemptions included in ACA  Individuals who take the penalty

Questions? What is one thing about the ACA you learned today that you did not know? What is one nugget about healthcare at our local level that you can share with someone?