Starting
Strong
for Community
Starting Strong
for Community
Health!
Health!
Land of Lincoln Health:
The Affordable Care Act
Illinois’and
Consumer
Operated
and
Oriented
Medicaid Expansion
Plan
Kathy Chan, Illinois Maternal and Child Health Coalition
Stephanie Altman, Health & Disability Advocates
Jason Montrie, Land on Lincoln Health, Inc
Tuesday, April 23, 2013
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Illinois Maternal &
Child Health Coalition
About IMCHC
Our Projects and Initiatives:
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www.ilmaternal.org/
Healthcarereform
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Become a fan on Facebook!
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Follow us on Twitter at ILMaternal!
•
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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
Illinois Maternal &
Child Health Coalition
Webinar Overview
• New Non-Citizen uninsured data
• Learn more about Consumer Operated and
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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.
For webinar technical support, please call
800-263-6317 and press options 2, 1, 1
or visit http://support.gotomeeting.com
Illinois Maternal &
Child Health Coalition
Non-Citizen Medicaid
Eligibility
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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
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800-263-6317 and press options 2, 1, 1
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Illinois Maternal &
Child Health Coalition
Non-Citizen Marketplace
Eligibility

Naturalized Citizens:
 Same access and requirements as U.S. born
citizens.
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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.
For webinar technical support, please call
800-263-6317 and press options 2, 1, 1
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Illinois Maternal &
Child Health Coalition
2010-11 Non-Citizen Data

823,750 Non Citizens in Illinois.
 430,141 (52%) are Uninsured
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Total Non-Citizen Number includes:
 Legal Permanent Residents (LPRs) (eligible and ineligible
for Medicaid)
 Lawfully Present
 Undocumented
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New version of Visualizing Health Reform
(www.illinoishealthmatters.org) will have some
citizenship data
For webinar technical support, please call
800-263-6317 and press options 2, 1, 1
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Illinois Maternal &
Child Health Coalition
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.
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Illinois Maternal &
Child Health Coalition
Outreach and Enrollment
Issues
 Reaching non-citizens will be difficult for several reasons
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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.
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800-263-6317 and press options 2, 1, 1
or visit http://support.gotomeeting.com
Illinois Maternal &
Child Health Coalition
What is a CO-OP Plan?
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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)
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800-263-6317 and press options 2, 1, 1
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Illinois Maternal &
Child Health Coalition
CO-OPs in ACA
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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
For webinar technical support, please call
800-263-6317 and press options 2, 1, 1
or visit http://support.gotomeeting.com
Illinois Maternal &
Child Health Coalition
CO-OPs: Key Features/Terms
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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
For webinar technical support, please call
800-263-6317 and press options 2, 1, 1
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Illinois Maternal &
Child Health Coalition
CO-Ops vs Private Insurance
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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
For webinar technical support, please call
800-263-6317 and press options 2, 1, 1
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Illinois Maternal &
Child Health Coalition
Land of Lincoln Health, Inc
Jason Montrie
Vice President of Network and Channel
Development
Land of Lincoln Health, Inc
www.landoflincolnhealth.org
For webinar technical support, please call
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Illinois Maternal &
Child Health Coalition
Medicaid Expansion
in Illinois
• In 98th GA, SB26 (Sen. Steans) and HB106 (Rep. Feigenholtz)
• SB26 passed the full Senate in February; now awaits House
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action
Download a fact sheet with the list of supporters at:
http://www.ilmaternal.org/docs/factsheets/MedicaidExpansionf
actsheetwithsupporters1-15-13.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
For webinar technical support, please call
800-263-6317 and press options 2, 1, 1
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Illinois Maternal &
Child Health Coalition
Additional Pending
Policy Decisions
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Establishment of a state-based competitive health insurance
marketplace
SB1194/HB2608 – “Bad” Navigator Bill
– Fact sheet posted at
http://ilmaternal.org/docs/factsheets/OPPOSE_SB1194HB2608Factsheet_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
For webinar technical support, please call
800-263-6317 and press options 2, 1, 1
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Illinois Maternal &
Child Health Coalition
Advocacy Opportunities
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Governor’s Health Reform Implementation
Council Meetings:
www.healthcarereform.illinois.gov
Medicaid Advisory Council and
subcommittees:
http://www2.illinois.gov/hfs/PublicInvolvement/Boardsa
ndCommisions/MAC/Pages/default.aspx
For webinar technical support, please call
800-263-6317 and press options 2, 1, 1
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Illinois Maternal &
Child Health Coalition
What You Can Do!
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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
For webinar technical support, please call
800-263-6317 and press options 2, 1, 1
or visit http://support.gotomeeting.com
Illinois Maternal &
Child Health Coalition
IMCHC’s
ACA 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
For webinar technical support, please call
800-263-6317 and press options 2, 1, 1
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Illinois Maternal &
Child Health Coalition
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
For webinar technical support, please call
800-263-6317 and press options 2, 1, 1
or visit http://support.gotomeeting.com
Illinois Maternal &
Child Health Coalition
Questions?
Stephanie Altman
saltman@hdadvocates.org
www.hdadvocates.org
Kathy Chan
kchan@ilmaternal.org
312-491-8161x24
www.ilmaternal.org
www.illinoshealthmatters.org
For webinar technical support, please call
800-263-6317 and press options 2, 1, 1
or visit http://support.gotomeeting.com
Illinois Maternal &
Child Health Coalition
Resources
Illinois Maternal &
Child Health Coalition