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Where Did ObamaCare Come From? (guest speaker)

Terms in this set (13)

advocacy
health care for all:
-Non-profit _____ group working to improve Massachusetts health care system
-Policy coalitions on health reform, children's health, quality, cost...
-Helpline gets 1000+ calls / week
federalism
"... one of the happy accidents of _____ ..."
dukakis, kids
Brief History of Massachusetts Health Reform:
-1988: _____ Universal Health Care Law ("Pay or Play")
-1996: Medicaid expansion law expands eligibility, particularly for ____
Also pre-existing conditions protections
-Both reform waves inspired national policy
male, young, lower, employed, premiums
in 2004:
~500,000 uninsured
-Demographics:
____; ____; _____ income; minority
Vast majority ____ (~75%)
-_____ growing faster than country
-Republican Governor - looking to run for President
medicaid, subsidies, individual, employer
Key components to RomneyCare:
1. ____ expansions
2. _____ for private coverage
3. Marketplace Exchange
4. _____ mandate
5. _____ requirement
+
Insurance reforms already in place - 1990s
masshealth, children, dental, woodwork
1. medicaid (aka ______)
Expanded ______'s eligibility, some more adults
_____ benefits, smoking cessation
"_____ effect" - 80% of new enrollees were always eligible
uninsured, income
2. Commonwealth Care (subsidized care)
Subsidized private coverage for _____ adults
Sliding scale of subsidies based on ____
People below 300% poverty (~$33,500)
Choice of 5 private managed care carriers
26
3. Insurance Market Reforms
Already had
no pre-existing conditions
no gender discrimination
no "medical underwriting"
Premiums may only vary 2:1 on age

New: Young adults can stay on parents' plans up to age ___
18, affordable
4. Individual Mandate
-All residents __+ must obtain health insurance coverage
-If "_____"
-Must be "creditable"
-Tax Penalties
-half of cost of cheapest plan (enforced month-by-month)
-3-month grace periods
-Generous hardship waivers
11, fair
5. Employer Responsibility
-"Fair Share" Contribution
-Employers with __ or more employees must offer -"___ and reasonable" coverage
-If don't, must pay $295 per worker
hispanic
_____ residents are more likely to be uninsured
aca
Mass law was template for Title I of ____:
Medicaid expansion
Sliding scale tax credits for low/moderate income
Exchanges to allow for value shopping
Regulate insurers
Employer requirements for coverage
Individual mandate
state, 400, 50
Template For Title I of ACA:
-Medicaid expansion (Supreme Court said ____ option, so just 32 states have expanded)
-Sliding scale help for low/moderate income(via tax credits, but up to ____% of poverty)
-Exchanges to allow for value shopping(12 states have own, feds or partnership for the rest)
-Regulate insurers(national law)
-Employer requirements for coverage(applies if ___+ workers; delayed until 2015)
-Individual mandate(different penalties)
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