1. National Landscape: Where Have We Been, and Where Are We Headed? Jessica Kendall, MPH Director of the Enrollment Assister Network Kara Nester, MPH Field Associate

2. FamiliesUSA.org Federal Landscape

3. FamiliesUSA.org Medicaid Expansion

4. FamiliesUSA.org Alaska Hawaii As of March 23, 2015 Federally- facilitated marketplace Federally- supported state- based marketplace State partnership marketplace State-based marketplace M Medicaid Expansion M M M M M M M M M M M M M M M M M M M M M M M M M M M M DC:M State Health Insurance Marketplaces & Medicaid Expansion

5. FamiliesUSA.org King vs Burwell – How Does It Impact You?

6. FamiliesUSA.org There is no immediate threat to consumer tax credits until a Court ruling in June. They should proceed as normal. Even if the Court rules against the ACA, consumers will not have to pay back any previous tax credits. An Urban Institute Study showed 8.2 million people would be uninsured and premiums would increase by 35%. The ACA was intended to provide affordable health coverage for consumers is every state, not just a few. King vs Burwell – How Does It Impact You? If you want to protect the law, share stories!

7. FamiliesUSA.org YAY, Bipartisanship!!

8. FamiliesUSA.org Authorization of express lane eligibility (ELE) through FFY 2017 23 percentage-point increase to the federal CHIP match, which begins October 1, 2015 (FFY 2016) Extension of CHIP funding for 2 years under current law 2 year extension Funding for community health centers Permanently authorize Transitional Medical Assistance President Obama signs HR 2 into law

9. FamiliesUSA.org Enrollment Overview

10. FamiliesUSA.org LATEST ENROLLMENT: Almost 23 Million! Families 10.USA 2013 QHP Enrollment numbers as of February 22, 2015 (http://aspe.hhs.gov/health/reports/2015/MarketPlaceEnrollment/Mar2015/ib_2015mar_enrollment.pdf)http://aspe.hhs.gov/health/reports/2015/MarketPlaceEnrollment/Mar2015/ib_2015mar_enrollment.pdf Medicaid Enrollment numbers as of January, 2015 (http://medicaid.gov/medicaid-chip-program-information/program- information/downloads/medicaid-and-chip-january-2015-application-eligibility-and-enrollment-data.pdf)http://medicaid.gov/medicaid-chip-program-information/program- information/downloads/medicaid-and-chip-january-2015-application-eligibility-and-enrollment-data.pdf

11. FamiliesUSA.org A Closer Look at Indiana Medicaid Enrollment numbers, including renewals, as of January 2015, since October 2013, (http://www.medicaid.gov/medicaid-chip- program-information/program-information/downloads/medicaid-and-chip-january-2015-application-eligibility-and-enrollment-data.pdf).http://www.medicaid.gov/medicaid-chip- program-information/program-information/downloads/medicaid-and-chip-january-2015-application-eligibility-and-enrollment-data.pdf QHP enrollment data as of February 22, 2015 (http://aspe.hhs.gov/health/reports/2015/MarketPlaceEnrollment/Mar2015/ib_2015mar_enrollment.pdf).http://aspe.hhs.gov/health/reports/2015/MarketPlaceEnrollment/Mar2015/ib_2015mar_enrollment.pdf 277,329 Hoosiers enrolled in Medicaid and CHIP 219,185 Hoosiers enrolled in plans through the Marketplace 87% of enrollees received financial help Average reduction in premiums = 73% 60% of total enrollment is children 7% increase in enrollment

12. FamiliesUSA.org Success in Indiana 11% Source: Gallup’s uninsured estimates from February 25, 2015 (http://www.gallup.com/poll/181664/arkansas-kentucky-improvement- uninsured-rates.aspx)http://www.gallup.com/poll/181664/arkansas-kentucky-improvement- uninsured-rates.aspx

13. FamiliesUSA.org Enrollment Combined QHP enrollment as of February 22 (http://aspe.hhs.gov/health/reports/2015/MarketPlaceEnrollment/Mar2015/ib_2015mar_enrollment.pdf) and Medicaid enrollment as of January 2014 (http://medicaid.gov/medicaid-chip-program-information/program-information/downloads/medicaid-and-chip-january- 2015-application-eligibility-and-enrollment-data.pdf)(http://aspe.hhs.gov/health/reports/2015/MarketPlaceEnrollment/Mar2015/ib_2015mar_enrollment.pdfhttp://medicaid.gov/medicaid-chip-program-information/program-information/downloads/medicaid-and-chip-january- 2015-application-eligibility-and-enrollment-data.pdf *Estimates before OE1 from the Centers for Medicare and Medicaid Services Analysis of 2011 American Community Survey (https://data.cms.gov/dataset/The-Number-of-Estimated-Eligible-Uninsured-People-/pc88-ec56 )https://data.cms.gov/dataset/The-Number-of-Estimated-Eligible-Uninsured-People-/pc88-ec56 Total Enrollments

14. FamiliesUSA.org Enrollment Timeline Families USA 2013 Medicaid and CHIP enrollment OPEN ALL YEAR February 15 th 2015 OPEN ENROLLMENT CLOSED February 15 th -November 1 st Special enrollment periods for people with certain life changes Next open enrollment period November 1 st 2015- January 31 st 2016

15. FamiliesUSA.org Reaching the SEP Population

16. FamiliesUSA.org Special Enrollment periodsOutreach and educationAppealsHelp consumers navigate systemContinuing building relationships Post-Open Enrollment: Now What?

17. FamiliesUSA.org Special Enrollment Periods (SEPs) Tax season Lose minimum essential coverage In non-expansion states: becoming newly eligible for marketplace coverage Marriage Birth, adoption, placement for adoption, or gaining a dependent due to child support or court order Move to a new QHP service area (including leaving incarceration) Losing a hardship exemption For those already enrolled: change in eligibility for cost sharing reductions or premium tax credits Gain lawful immigration status or citizenship Enrollment error or misconduct by the marketplace QHP violated its contract Plan no longer offered Other “exceptional circumstances” as determined by the Marketplace

18. FamiliesUSA.org State Example: Florida

19. FamiliesUSA.org State Example: Utah

20. FamiliesUSA.org Where and how do you find people who…?

21. FamiliesUSA.org Where do you find people who are getting, or just got married? Faith organizations, county offices, wedding venues, bridal shops

22. FamiliesUSA.org How do you find people who lost their job or changed jobs? Employment offices, seasonal workers, job training programs

23. FamiliesUSA.org Where or how do you find people who had a baby or adopted a child? Baby stores, mom blogs, hospitals, adoption agencies

24. FamiliesUSA.org Where or how do you find people who’s immigration status just changed? Immigrant related groups, immigration lawyers

25. FamiliesUSA.org Where or how do you find people just lost their health insurance? Turned 26? Social service agencies, community colleges, providers

26. FamiliesUSA.org Where or how do you find people who are going back and forth between Medicaid and the Marketplace? Your clients?! WIC offices, social service agencies, businesses

27. FamiliesUSA.org SEP Lost coverage Lost job Birth, adoption, placement for adoption Marriage Taxes Citizenship Move Turn 26 Where to find consumers? Company closures Job fairs, unemployment office Hospitals, mom blogs, maternity stores Courthouses, bridal stores, the faith community Free tax sites, tax preparers Naturalization ceremonies U-haul, moving companies Community colleges, coffee shops

28. FamiliesUSA.org Reaching the Medicaid population

29. FamiliesUSA.org State Example: Michigan

30. FamiliesUSA.org Connecting Community Resources Where are your touch points?What are your clients needs? How can you tap into your existing network? How can you target people who will also use your services?

31. 1201 New York Avenue, NW, Suite 1100 Washington, DC 20005 main 202-628-3030 / fax 202-347-2417 Questions? Jessica Kendall Kara Nester jkendall@familiesusa.orgknester@familiesusa.org http://familiesusa.org/initiatives/enrollment-assister-resource-center http://familiesusa.org/health-action-network