1. The Patient Protection and Affordable Care Act Young Adult Outreach and Education

2. Who Doesn’t Have Insurance?  19.8% of residents in Florida lack insurance  34.8% of 18-34 year olds in Florida lack insurance  15.7% of residents in the U.S. lack insurance  26.9% of 18-34 year olds in the US lack insurance

3. Who are Young Invincibles?

4.  How does the ACA affect young adults  Young adult outreach Overview

5.  ACA was signed into law March 23, 2010  Could cover as many as 17 million previously uninsured young Americans  Reforms insurance market  Phased in from 2010-2014 What is the ACA? 2012 2010 2014

6. ACA Provisions Already in Effect that Help Young Adults

7.  Under 26 can stay on parent’s plan  Under 19 – no denial for pre-existing conditions  Free Preventive Care – no co-pays on screenings and check-ups  Must spend 80 or 85% of premiums on health care (depending on plan) What’s Already in Effect? 2012 2010 2014

8.  Student Health Plans  Women’s Health  Contraception  Community Health Centers Most Recent Changes 2012 2010 2014

9.  Previously limited regulations  Now subject to standardized ACA requirements  Must include preventive care benefits  80/20 Ratio by 2014 Student Health Plans

10. Women’s Health Benefits  Well-women visits  Support for breastfeeding  Domestic violence screening and counseling  Mammograms and cancer screenings

11. Contraception  As of Aug 2012, new health insurance plans must cover contraception with no co-pay  Most plans saw change in Jan 2013  Religious institutions exempt  Religiously-affiliated institutions get 1 year delay  After Aug 2013, employees and students get coverage directly from insurance companies

12.  Currently 8,000 CHCs provide care to 20 million individuals  In June 2012 grants went to 219 community health centers around the country  Increased number of patients served by 1.25 million Growth of Community Health Centers (CHCs)

13. What Changes Will Come in 2014?

14.  Medicaid Expansion  Subsidies  Exchanges/Marketplaces  Individual Mandate Changes to Come 2012 2010 2014

15.  Currently eligible:  Low income families with children  Children under 19  Pregnant women  Non-citizens with medical emergencies  Aged and/or disabled individuals not currently receiving Supplemental Security Income (SSI)  Eligible in 2014:  EVERYONE ≤133% of FPL  States can decide whether to expand Florida and Medicaid

16. Potential Benefit to Young Adults in Florida Young Adult 18-34 Population

17.  Those making 133-400 % of the federal poverty level (FPL) will qualify for subsidies (tax credits) to buy insurance on the exchange  133% of FPL for 1 person is $14,900  400% of FPL for 1 person is $44,000 Subsidies/Tax Credits

18. How Much of a Subsidy? FPLIncomePremiumTax CreditActual Cost 133%$1,275$283$244$39 250%$2,397$283$90$193 Four tiers of plans – Bronze, Silver, Gold, and Platinum Subsidies are calculated based on Silver plan Individuals can use subsidy for any plan

19.  Shop for insurance  Each state is different  State-based exchange  Federally-facilitated exchanges (FFEs)  Partnerships  Subsidies applied directly Ex-cha-cha-cha-Changes

20. Exchanges in the States Florida has defaulted to a Federally Facilitated Exchange. Governor Rick Scott and the Legislature will decide this Spring if Medicaid coverage will be expanded. Picture Source: Kaiser Family Foundation

21. How many young people in Florida could get benefits? Uninsured 18-34 year olds in Florida

22. Other important parts of the ACA Picture Source: http://wymancenter.org/the-importance-of-bulking-up-the-muscle-of-perseverance/  Catastrophic plans  Available on exchange, no subsidies apply  Marketed to the young  Targets those with financial hardship  No Annual Limits in 2014 (already phasing out)  Tax Credit for employers (already started)

23.  Individuals must have qualifying health insurance  If not, penalties  $95 the first year  Rises in 2016  Could be $695 or higher  Exemptions Individual Mandate and Penalties Picture Source: http://thepinkleague.com/2012/08/30/so-whats-the-lowdown-the-basics-of-football-part-2/

24. Jessica, 19 years old  Part-time student, part-time job  $10,000/year before taxes ~ 87% of poverty  Without Medicaid expansion, she doesn’t qualify for Medicaid and would not have health insurance

25. Jeff, 21 years old  Part-time student, full-time construction worker  Earns $23,000/year  Takes home: $1,438/month  Total health premium: $283/month  With tax credits he pays: $121/month

26.  Young adults have high rates of uninsurance  The ACA has many provisions that help young adults  Dependent Coverage  Student Health Plans  Contraception and Women’s Health  Changes to come  Expanded Medicaid  Subsidies  Exchanges  Individual Mandate Overview: ACA and Young Adults

27. Outreach and Education for Young Adults in Florida

28.  Health Care Outreach  Mobile Technology  Challenges and Messaging  Social Media  Navigators  Timeline Overview

29.  Traditional Outreach  Tabling  Group presentations  Hosting events  New Outreach Strategies Health Care Outreach

30.  Mobile Website  Text Message Services  QR Codes  Can be scanned and direct users to your website  Your Healthcare Finder  Find doctors in the area  For Android and iPhoneAndroidiPhone Mobile Outreach

31.  Find doctors and Community Health Centers in your area  Search by location with GPS or zip code  Search by name or category  Shows user ratings of doctors in the area Find a Doctor

32.  Explains how to find health insurance for different people (students, chronic conditions, buying your own plan)  Explains the health care law  Defines common health insurance terms Healthcare FAQ

33. Who are we dealing With? http://www.amissingamerica.com/2010/10/03/don-draper-tony-soprano-and-the-lone-gunmans-midlife-crisis-4/

34.  Image-conscious  Interested in self- improvement  Sensitivity to cost and quality Messaging to Young Adults Photo credit: http://www.jonburg.com/future/2007/07/my-that-guy-in-.html This population is:

35.  Consumers want to hear from an independent, non- governmental organization  Experts: Health clinics, Hospitals, and Doctors  Family plays a key role in whether someone will enroll or not  Moms are important What Gets Their Attention? http://praisephilly.com/2089660/kevin-durants-mother-says-her-son-will-go-down- in-history/

36.  One in five Americans reported using social media for health information in recent survey  50% of facebook users are in the 18-34 age group  Social media connects users without access to health care to important health information  Facebook: Create events, send news updates Using Social Media Picture Source: Wikimedia Commons

37. Retweet is the Twitter version of email forwarding Text in bold is the name of the original tweeter You can now share tweets with important updates via email “Favorite” is similar to bookmarking your favorite tweets #Hashtags: Users can identify the content of the tweet. You can start a local or national conversation. Clicking the link will take you to another website. Links are often abbreviated to allow for more room in your tweet. Twitter Anatomy 101

38. Followers can share public health updates by retweeting. Notify followers on where they can get access to care #Hashtags allow entire twitter universe to find your tweet Debunk health myths Friends remind their followers to stay healthy

39. Clear up misinformation about ACA and link to other pages Share accurate public health information Using Social Media to Debunk Health Myths

40. Balance being both fun and informative Using Facebook

41. Going Viral

42. Understanding Navigators and Assisters

43. Navigators & Assisters Type of ExchangeNavigator In-Person Assistance Program State-Based ExchangeState runsOptional Partnership Exchange Fed. Govt. and state decide who runs ? Federally-Facilitated Exchange Fed. Govt. runs

44. Jan – Oct 2013:  Continue to educate young adults about ACA, coverage options, and upcoming Exchanges  Oct 1 st, 2013 – March 31 st, 2014  Open enrollment for exchanges  Ensure young adults are getting subsidies and Medicaid, if possible Timeline: What to Look For

45.  ACA is phasing in, will continue to this year  Outreach and education  Social media and mobile technology  Messaging  Big changes this year  Like us on Facebook  Follow us on Twitter Key Takeaways @YI_Care