1. MEDLINEPLUS AND AFFORDABLE CARE ACT RESOURCES FOR PUBLIC LIBRARIES Lydia N. Collins Consumer Health Coordinator National Network of Libraries of Medicine Middle Atlantic Region

2. ACA OVERVIEW AND RESOURCES FOR LIBRARIES

3. Why have the Affordable Care Act (ACA)? In March 23, 2010 ACA health reform was signed into law 129 million Americans with pre-existing conditions lack health insurance 50 million Americans without health insurance Insurance premiums continued to rise Preventive Care and Critical Treatments, not covered by current health insurance policies. Center for Consumer Information and Insurance Oversight http://cciio.cms.gov/

4. Overall Health Insurance Coverage Note: The total does not equal 100% because some people have more than one type of coverage. Source: U.S. Census Bureau, Income Poverty and Health Insurance Coverage in the United States: 2011 http://aspe.hhs.gov/health/reports/2012/uninsuredintheus/ib.shtml

5. Who Are the Uninsured? Source: U.S. Census Bureau, Income Poverty and Health Insurance Coverage in the United States: 2011 http://aspe.hhs.gov/health/reports/2012/uninsuredintheus/ib.shtml

6. State and County Quick Facts (U.S. Census Bureau) http://quickfacts.census.gov/qfd/index.html

7. County Health Rankings & Roadmaps http://www.countyhealthrankings.org/

8. ACA is Making a Difference No more pre-existing condition denials for children No more lifetime dollar limits on coverage Insurance companies can’t drop your coverage when you get sick No more coverage denials without appeal Consumers will have access to information on how to understand their coverage http://www.whitehouse.gov/sites/default/files/uploads/careact.pdf

9. Health Insurance Marketplace Health Insurance Marketplaces Exchanges Simplifies the search for health coverage One place to compare all options based on price and benefits Open enrollment begins October 1, 2013 https://www.healthcare.gov/what-is-the-health-insurance-marketplace/

10. Types of Marketplaces NY: State-based marketplace DE: State partnership marketplace PA and NJ: Federally facilitated marketplace Knowing the type of marketplace determines where consumers go to shop for health plans HealthCare.gov – the place to go to determine what marketplace to use

11. Healthcare.gov State Partnership and Federally Facilitated State-Based

12. CMS.gov: Health Insurance Marketplace http://marketplace.cms.gov/

13. CMS.gov: Health Insurance Marketplace – Get Training

14. CMS.gov: Health Insurance Marketplace – Get Resources Bi-fold brochures Fact sheets Drop in articles Public Service Announcements http://marketplace.cms.gov/getofficialresources/get-official-resources.html

15. CMS.gov: Health Insurance Marketplace – Get Resources Publications & Articles http://marketplace.cms.gov/getofficialresources/publications-and-articles/publications-and-articles.html

16. Healthcare.gov (main page)

17. Healthcare.gov (see your options)

18. Healthcare.gov (Your results)

19. CuidadoDeSalud.gov

20. CuidadoDeSalud.gov (Obtener sus Opciones)

21. CuidadoDeSalud.gov (Sus Resultados)

22. Health Insurance Marketplace Application for Health Coverage (Short Form) http://www.cms.gov/CCIIO/Resources/Forms-Reports-and-Other-Resources/Downloads/AttachmentB_042913.pdf

23. Health Insurance Marketplace Application for Health Coverage (Short Form- Appendix C) http://www.cms.gov/CCIIO/Resources/Forms-Reports-and-Other-Resources/Downloads/AttachmentB_042913.pdf

24. How to Apply for Insurance Easy Convenient Streamlined Source: Health Insurance Marketplace 101 (July 2013) http://marketplace.cms.gov/training/get-training.html

25. In-person assistance options Certified Navigators The federal government awarded grants to organizations that will serve as certified Navigators for health insurance State based Marketplaces have funded their own navigators Health centers have been awarded funding in each state to support ACA outreach and enrollment Certified application counselors Agents and brokers Marketplace call center: 1-800-318-2596; TTY: 1-855-889-4325

26. State by State: Health Reform Information http://www.hhs.gov/healthcare/facts/bystate/statebystate.html

27. State ACA Outreach and Enrollment Assistance http://www.hrsa.gov/about/news/2013tables/outreachandenrollment/

28. Libraries and ACA Source: http://www.webjunction.org/news/webjunction/libraries-lead-way-preparing-for-aca.html First Steps Identify the type of exchange in your state and who your potential community partners are Assess how your staff can meet this patron information need Define a role that best fits your library and resources Remember you have resources from HealthCare.gov, your state exchange, and WebJunction.org

29. MEDLINEPLUS.GOV

30. MedlinePlus: Your Medical Google Free, Reliable & Trusted Health Information for Your Community! http://www.nlm.nih.gov/medlineplus/

31. MedlinePlus.gov Health Insurance Search

32. MedlinePlus: Health Insurance http://www.nlm.nih.gov/medlineplus/healthinsurance.html

33. Health Topic: Health Insurance cont…

34. MedlinePlus: Health Insurance Topic Page Overviews section

35. MedlinePlus: Medicare http://www.nlm.nih.gov/medlineplus/medicare.html

36. MedlinePlus: Medicare cont…

37. MedlinePlus: Health Topics http://www.nlm.nih.gov/medlineplus/healthtopics.html

38. MedlinePlus: Health Systems http://www.nlm.nih.gov/medlineplus/healthsystem.html

39. MedlinePlus: Drugs and Supplements http://www.nlm.nih.gov/medlineplus/druginformation.html

40. MedlinePlus: Drugs (‘A’) http://www.nlm.nih.gov/medlineplus/druginfo/drug_Aa.html

41. MedlinePlus: Drugs - Acetaminophen http://www.nlm.nih.gov/medlineplus/druginfo/meds/a681004.html

42. MedlinePlus: Drugs – Acetaminophen (Warning) http://www.nlm.nih.gov/medlineplus/druginfo/meds/a681004.html

43. MedlinePlus: Drugs – Acetaminophen (overview) http://www.nlm.nih.gov/medlineplus/druginfo/meds/a681004.html

44. MedlinePlus: Herbs & Supplements http://www.nlm.nih.gov/medlineplus/druginfo/herb_All.html

45. MedlinePlus: Herbs & Supplements (‘G’) http://www.nlm.nih.gov/medlineplus/druginfo/herb_All.html#G

46. MedlinePlus: Garlic http://www.nlm.nih.gov/medlineplus/druginfo/natural/300.html

47. NIH-NCCAM: Garlic http://nccam.nih.gov/health/garlic/ataglance.htm

48. MedlinePlus: Videos & Cool Tools http://www.nlm.nih.gov/medlineplus/videosandcooltools.html

49. MedlinePlus: Interactive Tutorials http://www.nlm.nih.gov/medlineplus/tutorial.html

50. MedlinePlus: Anatomy Videos http://www.nlm.nih.gov/medlineplus/anatomyvideos.html

51. MedlinePlus: Surgery Videos http://www.nlm.nih.gov/medlineplus/surgeryvideos.html

52. MedlinePlus: Calculators & Quizzes (Health Check Tools) http://www.nlm.nih.gov/medlineplus/healthchecktools.html

53. Health Check Tools: Example http://www.freemd.com/anxiety/visit-virtual-doctor.htm

54. MedlinePlus: Games http://www.nlm.nih.gov/medlineplus/games.html

55. MedlinePlus: Understanding Medical Words (Tutorial) http://www.nlm.nih.gov/medlineplus/medicalwords.html

56. Evaluating Health Information (MedlinePlus) Surf the Web Safely Consider the source Focus on quality Critical thinking (‘Cyberskeptic’) Look for the evidence Check for currency Beware of Bias Protect your privacy Consult with your health professional http://www.nlm.nih.gov/medlineplus/healthyw ebsurfing.html Evaluate Internet Health Information (Tutorial) http://www.nlm.nih.gov/medlineplus/webev al/webeval.html Evaluating Health Information (MedlinePlus Page) http://www.nlm.nih.gov/medlineplus/evaluat inghealthinformation.html

57. NLM Director Podcasts http://www.nlm.nih.gov/medlineplus/directorscomments.html

58. MedlinePlus: Directories http://www.nlm.nih.gov/medlineplus/directories.html

59. MedlinePlus: Libraries http://www.nlm.nih.gov/medlineplus/libraries.html

60. MedlinePlus: Organizations http://www.nlm.nih.gov/medlineplus/organizations/all_organizations.html

61. MedlinePlus: Medical Encyclopedia http://www.nlm.nih.gov/medlineplus/encyclopedia.html

62. MedlinePlus: Medical Encyclopedia (A) http://www.nlm.nih.gov/medlineplus/ency/encyclopedia_A.htm

63. MedlinePlus: Medical Encyclopedia (Allergies) http://www.nlm.nih.gov/medlineplus/ency/article/000812.htm

64. NN/LM MAR ACA RESOURCES

65. NN/LM MAR ACA Resources Website http://nnlm.gov/mar/consumer/aca.html

66. NN/LM MAR ACA Guide for Public Libraries http://guides.nnlm.gov/mar_aca

67. Public Libraries and ACA

68. Delaware

69. New Jersey

70. New York

71. Pennsylvania

72. ADDITIONAL NLM RESOURCES/NNLM MAR OUTREACH

73. NN/LM MAR Outreach to Public Libraries NN/LM MAR promotes the use and access to reliable health information by Public Library staff in NY, NJ, PA and DE NN/LM MAR supports and encourages libraries in the region to extend their services and expertise to groups, institutions, and individuals beyond their traditional reach. Our goal is to expand partnerships and implement activities with members and other organizations to improve awareness of, and access to health information resources for health professionals, the public health workforce, and members of the public. Learn more about NN/LM MAR Outreach to Public Libraries! http://nnlm.gov/mar/libraries/public.html Request training for library staff in NY, NJ, PA & DE. Access resources for use in your public library. For those outside of NY, NJ, PA & DE locate your NN/LM Regional Medical Library: http://nnlm.gov/

74. NN/LM MAR Membership- Join Today!! http://nnlm.gov/mar/services/#join

75. Stay Informed about ACA Sign up for email updates and be the first to hear about trainings, developments and new resources to assist consumers from the following: Centers for Medicare & Medicaid Services (CMS.gov) – this feature allows you to choose to receive all CMS updates. For those specific to the Marketplace, choose Outreach and Education -> Health Insurance Marketplace (Exchange) https://public-dc2.govdelivery.com/accounts/USCMS/subscriber/new HealthCare.gov OCLC WebJunction http://www.webjunction.org/explore-topics/ehealth/get-involved.html MedlinePlus Health Insurance http://www.nlm.nih.gov/medlineplus/healthinsurance.html NN/LM MAR email list https://list.pitt.edu/mailman/listinfo/mar-l

76. A quarterly publication of the Friends of the National Library of Medicine. Get a free subscription! Organizations can order in bulk Spanish available also http://www.nlm.nih.gov/medlineplus/magazine/index.html http://www.fnlm.org/Program_MLP/MLP_intro.html MedlinePlus Magazine

77. http://nnlm.gov/mar/training/materials.html If you are a NN/LM network member in the Middle Atlantic Region (DE, NJ, NY, or PA), you may order educational and printed materials online. NLM Educational & Printed Materials

78. Questions?

79. Thank You! This project has been funded in whole or in part with Federal funds from the National Library of Medicine, National Institutes of Health, Department of Health and Human Services, under Contract No. HHS-N-276-2011-00003-C with the University of Pittsburgh, Health Sciences Library System. Lydia N. Collins Consumer Health Coordinator lydia@pitt.edu http://nnlm.gov/mar/