IMCHC’ S 23 F AVORITE ACA P ROVISIONS FOR W OMEN, C HILDREN AND F AMILIES IN I LLINOIS Presented by Sara Howard Illinois Maternal and Child Health Coalition.

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Presentation transcript:

IMCHC’ S 23 F AVORITE ACA P ROVISIONS FOR W OMEN, C HILDREN AND F AMILIES IN I LLINOIS Presented by Sara Howard Illinois Maternal and Child Health Coalition For webinar technical support, please call and press options 2, 1, 1 or visit

IMCHC’ S 23 F AVORITE ACA P ROVISIONS FOR W OMEN, C HILDREN AND F AMILIES IN I LLINOIS Presented by Sara Howard Illinois Maternal and Child Health Coalition For webinar technical support, please call and press options 2, 1, 1 or visit

I LLINOIS M ATERNAL AND C HILD H EALTH C OALITION R ESOURCES Healthcarereform Become a fan on Facebook! Follow us on Twitter at ILMaternal! Our Projects: Campaign to Save Our Babies Chicago Area Immunization Campaign Illinois Coalition for School Health Centers Illinois Premature Infant Health Network For webinar technical support, please call and press options 2, 1, 1 or visit

M EMBERSHIP B ENEFITS Policy and advocacy efforts We are your voice in Illinois! Resource clearinghouse Newsletter & Website Grant announcements & Job opportunities Technical assistance/best practices Webinars Research and Publications Network building Regional, Chapter, and Project meetings Events For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 1. Elimination of Pre-Existing Condition Exclusions Effective January 1, 2014 for adults Effective September 23, 2010 for kids For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 2. Elimination of Gender Rating Effective January 1, 2014 In IL, insurers can currently charge women up to 50-60%more on average due to their gender. For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 3. Elimination of Rescissions Effective September 23, 2010 plans are no longer able to drop people from coverage when they get sick Exception if the insurance application was filled out fraudulently – if there is an intentional misrepresentation of a material fact For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 4. Elimination of Lifetime and Annual Limits Annual limits will be phased out until 2014, when they are banned. No lifetime limits beginning September 23, For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 5. Extension of Dependent Coverage Dependent coverage is extended for kids up to age 26 for all group and individual policies as of September 23, 2010… But until 2014: This provision only applies if the child cannot get coverage from an employer. For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 6. Creation of Temporary High-Risk Pools * U.S. Citizen * Denied Insurance on the private market due to pre-existing condition * Without Insurance for 6 months or more * In Illinois, this pool is called IPXP. More information Can be found at: For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 7. Women can access OB/GYN care without a referral. For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 8. Creation of The New Competitive Marketplace * One-stop shop to compare health coverage options. * Increases transparency and presents selection and information to consumer. * Creates online eligibility determinations for insurance coverage, public subsidies, and programs. For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 9. Basic Health Plans that Cover Maternity and Newborn Care *Less than 1% of private-market insurance plans in Illinois currently cover maternity and newborn care. For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 10. Affordability Credits A family of: Can make up to: $43,320 $58,280 $73,240 $88,200 … and still receive an affordability credit! For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 11. Tax Credits for Small Businesses and Nonprofits * 25 or fewer full-time employees * Average annual compensation of $50,000 or less * Payroll tax credit of up to 35% of employee health coverage expenses For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 12. The Individual Mandate For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 13. Medicaid Expansion Beginning in 2014, Medicaid will be expanded to all people under age 65 with incomes under 135% of the federal poverty level. In Illinois, this expansion is most significant for adults without children in the household. States may begin expanding Medicaid now, without a waiver. For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 14. CHIP Extension CHIP will continue through 2019, with full federal funding through States will be required to maintain existing CHIP & Medicaid eligibility and programs that were in effect on March 23, For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 15. Funding for School-Based Health Centers The Affordable Care Act allows SBHCs to access $200 million in competitive federal funds over the next four years. For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 16. Funding for Community Health Centers Increases funding by $11 billion for Community Health Centers For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 17. The National Health Service Corps For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 18. Funding for Personal Responsibility Education Grants For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 19. Immunizations and Preventive Care Coverage For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 20. Reasonable Break Time for Nursing Mothers Employers must provide a reasonable break time for an employee to express breast milk for her nursing child for one year after the child’s birth. Employers must provide a place, other than a bathroom, that is shielded from view and free from intrusion of coworkers and the public. For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 21. Oral Health Support Requires that insurance plans in the Exchange include oral care for children. Preventive services in Exchange plans must be free of cost, including services for preventive pediatric oral health services. For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 22. Pregnancy Assistance Fund $25 million annually for 10 years to a new Pregnancy Assistance Fund. For webinar technical support, please call and press options 2, 1, 1 or visit

O UR 23 F AVORITE T HINGS A BOUT H EALTH C ARE R EFORM : 23. Public Health and Prevention *Prevention and Public Health Fund * National Prevention, Health Promotion and Public Health Council For webinar technical support, please call and press options 2, 1, 1 or visit

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