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Starting Strong for Community Health! The Affordable Care Act and Medicaid Expansion

Starting Strong for Community Health! Land of Lincoln Health: Illinois’ Consumer Operated and Oriented Plan. Starting Strong for Community Health! The Affordable Care Act and Medicaid Expansion. Illinois Maternal & Child Health Coalition.

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Starting Strong for Community Health! The Affordable Care Act and Medicaid Expansion

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  1. Starting Strong for Community Health!Land of Lincoln Health: Illinois’ Consumer Operated and Oriented Plan Starting Strong for Community Health!The Affordable Care Act and Medicaid Expansion Illinois Maternal & Child Health Coalition Kathy Chan, Illinois Maternal and Child Health Coalition Stephanie Altman, Health & Disability Advocates Jason Montrie, Land on Lincoln Health, Inc Tuesday, April 23, 2013 For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  2. About IMCHC www.ilmaternal.org/ Healthcarereform Become a fan on Facebook! Follow us on Twitter at ILMaternal! Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com Our Projects and Initiatives: Campaign to Save Our Mothers and Babies Chicago Area Immunization Campaign Cooking Matters, a program of Share Our Strength’s No Kid Hungry Campaign Illinois Coalition for School Health Centers Illinois Premature Infant Health Network text4baby

  3. Webinar Overview • New Non-Citizen uninsured data • Learn more about Consumer Operated and Oriented Plans (CO-OPs) and how they differ from traditional private insurance plans; • Hear from staff from Land of Lincoln Health, Inc. about coverage areas, benefits, and other plan details; • Receive updates on ACA implementation efforts. Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  4. Non-Citizen Medicaid Eligibility • Current Medicaid non-citizen eligibility restrictions are maintained in 2014 including the five year waiting period (the “five year bar”) for most lawfully residing low-income immigrant adults. • The Children’s Health Insurance Program allows lawfully residing children and pregnant women regardless of their date of entry (no five year bar) by state option. • Illinois’ All Kids program currently covers children with family income under 300% FPL, regardless of immigration status • Illinois’ Moms and Babies program covers pregnant women with family income below 200% FPL, regardless of immigration status Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  5. Non-Citizen Marketplace Eligibility • Naturalized Citizens: • Same access and requirements as U.S. born citizens. • Lawfully Present: • IS Eligible to Purchase Insurance from the State Health Insurance Marketplace • IS eligible for premium tax credits • IS (or is reasonably expected) to be lawfully present during entire period of enrollment • IS subject to individual mandate. Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  6. 2010-11 Non-Citizen Data • 823,750 Non Citizens in Illinois. • 430,141 (52%) are Uninsured • Total Non-Citizen Number includes: • Legal Permanent Residents (LPRs) (eligible and ineligible for Medicaid) • Lawfully Present • Undocumented • New version of Visualizing Health Reform (www.illinoishealthmatters.org) will have some citizenship data Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  7. Paths to Coverage for Non-Citizens in 2014 • 149,283 uninsured Legal Permanent Residents in Illinois • Those who have been in the US less than 5 years may not be eligible for Medicaid but could be eligible for premium tax credits in the marketplace in 2014. • 280,858 uninsured undocumented persons in Illinois • No new path to coverage in 2014. Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  8. Outreach and Enrollment Issues • Reaching non-citizens will be difficult for several reasons including limited English speakers; confusion on eligibility; mixed status families; fear of immigration issues. • Undocumented non-citizens will continue to need access through county hospitals; public health departments; free and charitable clinics; federally qualified health centers. • LPRs may experience disruption in coverage moving from marketplace to Medicaid after 5 years. Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  9. What is a CO-OP Plan? • Consumer Operated and Oriented Plan (CO-OP) • Increase competition among individual and small group plans • Improve consumer choice in this smaller market • Key Characteristic: consumer run governance • Policy and direction of CO-Ops are set by a board of directors elected by a majority of membership (plan holders) Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  10. CO-OPs in ACA • CO-Ops will offer health coverage—and possibly care networks—through the Marketplaces under the same regulatory requirements imposed on private insurance companies at the state and federal level. • CO-Ops will offer small group/individual coverage and must be ready for open enrollment beginning on October 1, 2013 Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  11. CO-OPs: Key Features/Terms • Sponsors: “persons applying to become qualified nonprofit health insurance issuers” • Include consumer groups, community organizations, medical provider organizations, unions, business coalitions, and other stakeholder groups. • Sponsors must provide at least 40% of CO-OP funding • Member governed and operate with strong consumer focus • Must be a nonprofit corporation • Must offer at least 2/3 of policies on Marketplace • Must comply with state insurance laws and regulation Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  12. CO-Ops vs Private Insurance • CO-OPs are nonprofit corporations • All surplus revenue must be used to reduce premiums, improve benefits, or improve quality of care for its members • Consumer run governance • The policy and direction of CO-Ops are set by a board of directors elected by a majority of the membership. • Allow consumers to have strong voice in their health insurance options • Included in ACA to bring competition and choice to health insurance marketplaces Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  13. Land of Lincoln Health, Inc Jason Montrie Vice President of Network and Channel Development Land of Lincoln Health, Inc www.landoflincolnhealth.org Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  14. Medicaid Expansionin Illinois • In 98th GA, SB26 (Sen. Steans) and HB106 (Rep. Feigenholtz) • SB26 passed the full Senate in February; now awaits House action • Download a fact sheet with the list of supporters at: http://www.ilmaternal.org/docs/factsheets/MedicaidExpansionfactsheetwithsupporters1-15-13.pdf • Contact Kathy Chan at kchan@ilmaternal.org to add your organization’s name • Make phone calls and send emails to your Representative! • See how SB26 affects YOUR district: # of new eligibles per district available on www.illinoishealthmatters.org Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  15. Additional Pending Policy Decisions • Establishment of a state-based competitive health insurance marketplace • SB1194/HB2608 – “Bad” Navigator Bill • Fact sheet posted at http://ilmaternal.org/docs/factsheets/OPPOSE_SB1194-HB2608Factsheet_03-13-2013.pdf • Contact Kathy Chan at kchan@ilmaternal.org to add your organization’s name • Implementation of Medicaid reform legislation • State budget challenges - ongoing need to preserve Medicaid and related programs Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  16. Advocacy Opportunities • Governor’s Health Reform Implementation Council Meetings: www.healthcarereform.illinois.gov • Medicaid Advisory Council and subcommittees: http://www2.illinois.gov/hfs/PublicInvolvement/BoardsandCommisions/MAC/Pages/default.aspx Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  17. What You Can Do! • Spread the word! • Subscribe to IMCHC’s newsletter and action alert, Facebook, Twitter (@ILMaternal) • Download and share our factsheets and toolkit • Subscribe to our podcast • Invite us to present and suggest future topics • Bookmark www.illinoishealthmatters.org Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  18. IMCHC’sACA Ambassadors • Get paid to learn about health reform! • Affordable Care Act (ACA) Ambassadors.ACA Ambassadors will serve as an extension of IMCHC as we work to help communities understand health reform and the impact on families, individuals, and businesses. • ACA Ambassadors should live in the Chicagoland area, including suburbs and collar counties  • ACA Ambassadors will receive a stipend of $600 if they successfully meet the established goals. • Learn more and submit application online. Application deadline is May 10. http://www.ilmaternal.org/acaambassadors.html Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  19. Next Webinar: May 21 Register now for the next Starting Strong Webinar on May 21 from 2-3pm Connecting Consumers to Coverage: Navigators, In Person Assistors, and Certified Application Counselors https://www3.gotomeeting.com/register/576702254 Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  20. Questions? Stephanie Altman saltman@hdadvocates.org www.hdadvocates.org www.illinoshealthmatters.org Kathy Chan kchan@ilmaternal.org 312-491-8161x24 www.ilmaternal.org Illinois Maternal & Child Health Coalition For webinar technical support, please call 800-263-6317 and press options 2, 1, 1or visit http://support.gotomeeting.com

  21. Resources Illinois Maternal & Child Health Coalition

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