1. Health Reform Lesson 5 HQSI-Proprietary

2. Lesson Overview HQSI-Proprietary

3. Lesson Objectives At the end of this lesson, you will be able to 1. Discuss the current issues surrounding health care reform 2. Identify state level initiatives 3. Discuss future plans and controversies HQSI-Proprietary

4. Health Reform Current Events Patient Protection and Affordable Care Act (PPACA) enacted Amended by the Health Care and Education Reconciliation Act of 2010 (HCERA) AKA Affordable Care Act (ACA) ACA Launches an extended period during which changes to the healthcare system will take effect HQSI-Proprietary

5. Health Reform Change takes place in increments Between 2010 and 2018 Largest parts of this reform Individual mandate Employer play-or-pay Both take effect in 2014 HQSI-Proprietary

6. Health Reform-The Individual Mandate Penalties to be incurred if an individual or family has no coverage HQSI-Proprietary

7. Health Reform-The Employer Mandate Employer must offer insurance if they have 50 or more employees or pay a fine of $2000 per employee HQSI-Proprietary

8. State Initiatives New Jersey Initiatives Purpose:ensure that all residents receive affordable healthcare coverage Children are able to access healthcare More accessible to low income families Hospital care for patients under 19 in an emergency Ongoing Medicaid enrollment More affordable health plans for individuals and small businesses HQSI-Proprietary

9. Future and Controversies Fair Labor Standards Act (FLSA) A reasonable break is to be provided for employees to express breast milk for a nursing child for 1 year after the birth Does not apply to employers with less than 50 employees Does not include payment for this time HQSI-Proprietary

10. Unit Summary Definition of health care Health care concerns Role of the Government Payment systems Professional roles in health care Health Reform HQSI-Proprietary