Health Reform:
B
Benefits
fi for
f
Consumers
Coverage for
Those with
Pre-Existing
Conditions
Pre-Existing Conditions:
What Reform Will Do
9 Stop denials of coverage: in 2010
for kids and in 2014 for everyone
9 Eliminate higher premiums based
on health
h lth status
t t or gender
d iin 2014
9 Create
C t ttemporary coverage
options until 2014
A
ConsumerFriendly
Marketplace
Insurance Exchanges:
What Reform Will Do
9Standardize plans in 2014
9Promote competition
9Make shopping easier
Limits on
Out-ofPocket
C t
Costs
Out-of-Pocket Costs:
What Reform Will Do
9Cap out-of-pocket costs
for all in 2014
9Extend extra help to lowerand
d middle-income
iddl i
people
l
Subsidies for
Middle-Income
Families
Subsidies for Care:
What Reform Will Do
9Provide income-based
subsidies
b idi to
t buy
b insurance
i
in 2014
Coverage
F Young
For
Y
Adults
Help for Young Adults:
What Reform Will Do
9Allow coverage through
parents
parents’ plan until age 26
starting this year
9Offer stable coverage for
recent graduates
Accountability
y
For Insurer
Spending
Insurance Company
Accountability:
What Reform Will Do
9Require set share of spending
on care and quality
quality, not profits
9Give refunds to consumers if
requirements not met
9Ensure premium increases are
appropriate
i t starting
t ti this
thi year
Protections
I Insurance
In
I
Coverage
g
Consumer Protections:
What Reform Will Do
9Stop unfair rescissions of
g starting
g this yyear
coverage
9Prohibit lifetime limits and
restrict annual limits this year
year,
prohibit annual limits in 2014
9C t new appeall rights
9Create
i ht ffor
claims denials this year
Coverage for
L
Low-Income
I
Families
Help for Low-Income Families:
What Reform Will Do
9Expand Medicaid to millions
of Americans in 2014
9Expand eligibility to 133% of
the federal poverty level
9Federal matching funding
available this year for early
expansion
Addresses
H lth
Health
Disparities
p
Addressing Health Disparities:
What Reform Will Do
9Improve data
9I
d t collection
ll ti b
by 2012
9Strengthen and establish
additional federal Office(s) of
Minority Health
Improve language access and
9Improve
cultural competence
9Invest in community-based
prevention initiatives
Strengthens
the Health
Workforce
Health Workforce:
What Reform Will Do
9Improve workforce diversity
9Invest in workforce through
grant funding
9Provide funding for community
health centers starting in 2011
Questions?
Contact us at Families USA!
stateinfo@familiesusa org
[email protected]
202-628-3030
www familiesusa org
www.familiesusa.org
And now
now…
9Medicare improvements
9Help for businesses