National Health Reform: What it means for NH Consumers & Small Businesses Lisa Kaplan Howe North Country Health Consortium Rural Health Reform Conference June 11, 2010 About NH Voices for Health • A network of advocacy organizations, consumers & small businesses committed to expanding access to quality, affordable health care • Representing 200,000 consumers statewide • Our activities: • Convening stakeholders • Sharing information and promoting a public dialog • Expanding the state’s advocacy capacity • Advancing savvy and meaningful policy changes on the state and federal level Patient Protection & Affordable Care Act: A Historic Milestone • A century in the making • Builds on & strengthens our current health care system • • • • Strengthens and expands coverage options Makes coverage more affordable Makes coverage more stable & higher quality Invests in health care cost control, quality, workforce, public health & equity Strengthening and Expanding Coverage Options • Strengthens public programs • Medicaid – Federal funding for expanded eligibility and improved reimbursement • Medicare – Improved preventive care, closing the donut hole and extending the solvency of the trust fund • CHIP / Healthy Kids Silver – Extended & increased federal funding • Streamlined enrollment • Expands access to private coverage • • • • Can keep the coverage you have Access regardless of health status / history Extended family coverage for young adults Improved access / choice through the Exchange Making Coverage More Affordable • Reigns in excessive and wasteful costs – Promotes preventive care & efficiency – Strengths premium rate review – Limits administrative spending • Makes premium charges more equitable • Provides assistance for working families and small businesses – Individual premium subsidies & cost-sharing assistance – Small business tax credits & grants Making Coverage More Stable & Higher Quality • • • • • No benefit limits No rescissions Waiting periods limited “Essential health benefits” package Cost-sharing limited & no cost-sharing for preventive services • Transparency of information Shared Responsibility • Based on the notions that: – The system works best when everyone is in it – We have an employer-based coverage system • Must purchase coverage if it’s affordable to you – Various exemptions and waivers • Expectation that employers provide coverage – Does not apply to small employers Other Investments • • • • • Health care cost control Health care quality Health care equity Public health Health care workforce Next Steps: Staying Involved as the Work Continues • Protecting against repeal • Implementation –Federal –State • Educating the public For More Information… • NH Voices for Health: www.nhvoicesforhealth.org join our mailing lists for updates and information about our public meetings • HealthReform.gov • Kaiser Health Reform Gateway: www.healthreform.kff.org