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What Health Reform Means for Women & Families

What Health Reform Means for Women & Families . http://www.youtube.com/watch?v=MUBnxqEVKlk&feature=player_detailpage. Expand Coverage to Most Americans. Coverage for Women Before & After. Reform Insurance Industry Rules. No Pre-Existing Condition Exclusions

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What Health Reform Means for Women & Families

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  1. What Health Reform Means for Women & Families http://www.youtube.com/watch?v=MUBnxqEVKlk&feature=player_detailpage

  2. Expand Coverage to Most Americans

  3. Coverage for Women Before & After

  4. Reform Insurance Industry Rules • No Pre-Existing Condition Exclusions • Young adults stay on parents’ policies • No lifetime/annual limits • 80/85 Medical Loss Ratio Fairness Transparency

  5. Strengthens Prevention for families“An Ounce of Prevention is worth a pound of cure.”

  6. 2. 2012 Preventive MeasuresSee Appendix A • Well-women visits • Comprehensive breastfeeding support • Domestic violence Screening/counseling • All FDA approved Contraceptives

  7. Preventive Care for KidsSee Appendix A • Bright Futures www.brightfuturesaap.org

  8. Reproductive Health Care –

  9. Reproductive Health Care • Maternity Coverage • Access to GYNs • Family Planning

  10. Abortion Coverage in the Health Insurance Exchange • Reinforces current federal rules • Federal funds only for rape, incest, life of pregnant woman (Hyde limitations) • Does not pre-empt state law • Health Exchange -exchanges may offer current or new plans that include abortion coverage - exchanges must offer at least one plan does not include abortion coverage beyond the Hyde limitations

  11. Expanded Coverage and Equity

  12. Medicaid Expansion • Parents and single adults • Up to 138% of FPL $26,300 family/3 • 125,000 West Virginians • Including 63,000 women

  13. Subsidies in Health Exchange

  14. Example of Subsidy • Family of 4 at 250% of the FPL (age 40) • = $57,625/annually (2012) • Subsidy for policy • =$7,416 • Subsidy calculator at www.kff.org

  15. Changes in Medicare • All clinically preventive measures • Without co-pay, deductible • 236,000 West Virginians • free preventive services in 2011 • Improved prescription drug coverage • $45 million in prescription drug savings • Doughnut closes by 2020

  16. Decoding the $716 billion in Medicare Reductions • It’s not a cut. Medicare spending will Increase but at a lower rate; from annual growth of 6.8% to 5.6% • Seniors will not lose any benefits; they gain preventive benefits and better Rx • Medicare trustees say the health care law will extend the solvency of the Medicare Trust Fund • Source: Kaiser Health News 8-23-12

  17. Where are the reductions? In billions • $260 Hospitals • $156 Medicare Advantage Plans • $ 36 Skilled nursing • $ 66 Home health • $ 17 Hospice • $171 Other Remember: Providers will have millions of new paying customers to make up for cuts

  18. Equity : End to Discrimination: Pre-existing condition

  19. Equity: Young Adults Coverage Keep Parents’ Coverage • To age 26 • Does not have to be dependent

  20. Equity: End of Gender Discrimination

  21. Equity: Federal Office of Women’s Health Once considered largely a man’s disease, there was a time when doctor’s rarely looked for coronary heart disease (CHD) in women. The reality is that CHD is the leading cause of death for both men and women in the United States and in most developed countries around the world. However, over the past 40 years in the U.S., there has been a striking reduction in CHD deaths in men, but reductions in women have lagged behind. More women than men die of CHD every year, which has been the case for the last 25 years. www.cardiosmart.org Establish Goals Set Priorities

  22. Thanks to WV Women’s Health Advisory Committee • Aila Accad, RN, WV Nurses Association • Ellen Allen, Covenant House • Elena Bailey, National Association of Social Workers • Jeannie Clark, Perinatal Programs, Office of Maternal, Child and Family Health • Anne Dacey, RN, WV Perinatal Partnership, WVU National Center of Excellence in Women’s Health • Rachel Huff, WV FREE • Sue Julian, WV Coalition Against Domestic Violence • Wendy Lewis, Partnership of African American Churches • KiraMiskimmin, Planned Parenthood Health Systems • Margaret Chapman Pomponio, WV FREE • Laura Phillips, The Phillips Group, Inc • Kim Barber Tieman, Claude Worthington Benedum Foundation • Others to be added

  23. West Virginians for Affordable Health Care Perry Bryant, Executive Director perrybryant@suddenlink.net Renate Pore, Policy Director renatepore@gmail.com Ashley Adams, Eastern Pan Regional Coordinator Ashley.wvahc@gmail.com Lisa Diehl, North Central West Virginia Coordinator lisadiehl@zoominternet.net Doris Selko, Southern West Virginia Regional Coordinator dselko101@suddenlink.net www.wvahc.org

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