F EDERAL H EALTH C ARE R EFORM AND ITS I MPACT ON W OMEN, C HILDREN AND F AMILIES IN I LLINOIS Presented by Kathy Chan Associate Director Illinois Maternal.

FEDERAL HEALTH CARE REFORM AND ITS IMPACT

ON WOMEN, CHILDREN AND FAMILIES IN ILLINOIS

Presented by Kathy Chan

Associate Director

Illinois Maternal and Child Health Coalition

ILLINOIS MATERNAL AND CHILD HEALTH

COALITION RESOURCESOur Projects:• Campaign to Save Our

Babies• Chicago Area

Immunization Campaign• Illinois Coalition for

School Health Centers• Illinois Premature Infant

Health Network

www.ilmaternal.org/Healthcarereform

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NATIONAL HEALTH CARE REFORM

Patient Protection and Affordable Care Act (HR 3590)

Reconciliation Act (HR 4872)

HELPFULRESOURCES www.healthcare.gov – federal government’s consumer-

friendly information page www.healthreform.gov - federal governor’s website

with more technical info about the law www.familiesusa.org – national consumer advocates

with fact sheets and other useful info www.insurance.illinois.gov – Illinois Department of

Insurance www.healthcarereform.illinois.gov – to be launched

website of Illinois with state info on

GRANDFATHERED PLANSPlans that

existed on March 23, 2010

Group vs. Individual Plans

Maintaining Status

INSURANCE MARKET REFORMS

Pre-existing Conditions

Gender Rating

INSURANCE MARKET REFORMS (CONT)

RescissionsAnnual

Limits Lifetime

Limits

INSURANCE MARKET REFORMS (CONT)Extension of Dependent

CoverageTemporary High Risk

Pools: IPXP

EXCHANGES

State Based Farmer’s Market for Insurance

SPECIFIC BENEFITS TO THE EXCHANGE

Who will the Exchange be for?

How will the Exchange make it easier to acquire insurance?

WHAT’S COVERED? Ambulatory Patient Services Emergency Services Hospitalization Maternity and Newborn Care Mental Health and Substance Abuse Services

(Including Behavioral Health Treatment) Prescription Drug Coverage Rehabilitative and Habilitative Services and Devices Laboratory Services Preventive and Wellness Services Chronic Disease Management Pediatric Services, Including Oral and Vision Care

AFFORDABILITYIndividual

MandatesAffordability

CreditsFree Preventive

ServicesTax Credits for

Small Businesses and Nonprofits

MEDICAID

Expanded to 133% FPLImproved Provider Rates

THE CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP)Continues

through 2019Full Federal

Funding through 2015

MAINTENANCE OF EFFORT Illinois cannot scale

back eligibility for Medicaid programs

Reproductive Health CareAbortion Care

PUBLIC HEALTH AND PREVENTION

Prevention and Public Health Fund

National Prevention, Health Promotion and Public Health Council

PRIMARY CARE SERVICES

School Based Health Centers

Community Health Centers

National Health Service Corps

SPECIAL POPULATIONS: WOMEN

Insurance Market Reforms

Affordability Provisions

Reproductive Health and Access

SPECIAL POPULATIONS: PREGNANT WOMEN

Reasonable Break Time for Nursing Mothers

Postpartum Depression

Pregnancy Assistance Fund

Freestanding Birth Centers

SPECIAL POPULATIONS

NEXT STEPS Governor’s Interagency Taskforce on Health Reform Health Care Justice Implementation Taskforce – SB3047 Elections State Budget Authorizing legislation

TOP 5 PROVISIONS IMPLEMENTED ON

SEPTEMBER 23, 2010

1. No More Pre-existing Condition Exclusions for Kids

2. Free Preventive Care3. Kids Can Stay on Your

Plan until 264. No Lifetime Limits5. No More Recissions

QUESTIONS?Kathy Chan

[email protected]

www.ilmaternal.org/healthcarereformBecome our fan on Facebook!

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