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The Affordable Care Act NASCSP

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The Affordable Care Act NASCSP Powered By Docstoc
					The
Health Care Law
and
     Affordable Care Act


U. S. Department of Health & Human Services
        Pamela Roshell, PhD, MSW
             Regional Director
                 Region IV
              Atlanta, Georgia


                                     2
    U.S. Department of Health and Human
                 Services

                 Mission:
At the Department of Health and Human
      Services (HHS), our mission is to
     improve the health, safety and well
        being of the American people.




                                           3
                     The Problem
• Insurance companies could take advantage of you and
  turn away the 129 million Americans with pre-existing
  conditions.

• Premiums had more than doubled over the last decade,
  while insurance company profits were soaring.

• Tens of millions were underinsured, and many who had
  coverage were afraid of losing it.

• And 50 million Americans had no insurance at all.
           The Health Care Law
In March 2010, President Obama signed into law the
                 Affordable Care Act.
 What the Law Means for You: 4 Things to Know

• Ends the worst insurance company abuses

• Makes health insurance more affordable

• Strengthens Medicare

• Provides better options for coverage
      The Law Stops Insurance Companies
         from Taking Advantage of You

TODAY, it is illegal for insurance companies to:

• Deny coverage to children because of a pre-
  existing condition like asthma or diabetes.

• Put a lifetime cap on how much care they will pay
  for if you get sick.

• Cancel your coverage when you get sick by finding
  a mistake on your paperwork.
• And more…
The Law Makes Health Insurance More Affordable
      In many cases, you can get preventive services for free:

   Cancer screenings such as mammograms & colonoscopies
   Vaccinations such as flu, mumps & measles
   Blood pressure screening
   Cholesterol screening
   Tobacco cessation counseling and interventions
   Birth control
   Depression screening
   And more…

Visit www.healthcare.gov/prevention for a full list.
The Law Makes Health Insurance More Affordable

BEFORE, insurance companies spent as
much as 40 cents of every premium dollar
on overhead, marketing, and CEO salaries.
                                            60% / 40%

TODAY, the new 80/20 rule says
insurance companies must spend at least
80 cents of your premium dollar on your
health care or improvements to care.
                                             80% / 20%
If they don’t, they must repay the money.
The Law Provides Better Options for Getting Coverage


    For millions of Americans who buy their
     own coverage, lose their coverage, or
   have no coverage at all, the law provides
                 better options.
The Law Provides Better Options for Getting Coverage

Young adults under the age of 26 can now stay on their
parents’ health plans.

There are new plans in every state for people who have
been locked out of the insurance market because of a
pre-existing condition like cancer or heart disease.
   For more, visit www.PCIP.gov.
The Law Provides Better Options for Getting Coverage

Starting in 2014:
• Discriminating against people with pre-existing conditions or
  because they are women will be illegal.
• There will be new State-based marketplaces – called Affordable
  Insurance Exchanges – where you’ll have a choice of private
  plans.
• Tax credits will make buying insurance more affordable.
• So no matter what happens, you’ll have access to affordable
  health insurance.
        The Law Increases Access to Care
   There are thousands of new doctors and nurses in
communities around the country and millions more patients
                     getting care.
       4 Things to Remember About the Law

• Ends the worst insurance company abuses

• Makes health insurance more affordable

• Strengthens Medicare

• Provides better options for coverage
                    Learn More

http://www.healthcare.gov/
                   Contact Info:

                    Natalia Cales
               Regional Outreach Specialist
U.S. Department of Health and Human Services (Region IV)
                     61 Forsyth St., SW
                  Atlanta, GA 30303-8909
       Region IV - AL, FL, GA, KY, MS, NC, SC, TN
                   Office: (404) 562-7888
                    Fax: (404) 562-7899
               Email: Natalia.Cales@hhs.gov
           Follow us on Twitter: @HHSRegion4
            Affordable Care Act
(Overview of the Administration for Children & Families)



      U. S. Department of Health & Human Services
          Administration for Children & Families,
                        Region IV
                     Atlanta, Georgia




                                             18
                Presenter


          Carlis Williams

       Southeast Regional Administrator
   Administration for Children and Families
U.S. Department of Health and Human Services
               Atlanta, Georgia




                                     19
THE ADMINISTRATION FOR CHILDREN AND
              FAMILIES
  The Administration for Children and
  Families (ACF), located within the
  Department of Health and Human
  Services, provides national leadership
  and direction for the administration of
  comprehensive and supportive
  programs for vulnerable children and
  families.
                               20
  WHAT ARE THE PROGRAM SERVICES?
• ACF brings together a broad range of over 60 Federal
  programs that promote the economic and social well being
  of families, children, individuals and communities. Major
  program services include:
   – TANF (Temporary Assistance to Needy Families)
   – Child Care and Development Fund (CCDF)
   – Child Support Enforcement
   – Child Welfare
   – Developmental Disabilities
   – Runaway and Homeless Youth

   – Head Start
   – Community Services Block Grant
                                               21
TANF (TEMPORARY ASSISTANCE TO
NEEDY FAMILIES) and the AFC
• TANF provides time-
  limited assistance to
  needy families with
  children to:
  – promote work

  – responsibility

  – self-sufficiency




                          22
 CHILD CARE AND DEVELOPMENT FUND
 (CCDF)
• Child Care and Development
  Fund (CCDF) assists low-
  income families, families
  receiving temporary public
  assistance, and those
  transitioning from public
  assistance, in obtaining
  child care so they can work
  or attend educational
  training.




                                23
CHILD SUPPORT ENFORCEMENT
• Child Support Enforcement
  program seeks to ensure that
  parents provide emotional and
  financial support for their
  children. Services provided
  include:
   – Locating non-custodial
     parents
   – Establishing paternity and
     child support orders

   – Establishing and enforcing
     medical support orders
   – Securing/distributing regular
     and timely child support
     payments


                                     24
 CHILD WELFARE
• Child Welfare focuses on
  the national goals of
  safety, permanency and
  the well being of children:
   – Foster care/Adoption
     Assistance

   – Independent Living
     Program
   – Family Preservation and
     Family Support Services
   – Child Abuse and Neglect
     Prevention and Treatment
   – Promoting Safe and Stable
     Families
                                 25
RUNAWAY AND HOMELESS YOUTH

 • Runaway and Homeless Youth Program (RHY)
   began in 1974, in response to concern about
   increasing numbers of runaway youth who were
   exposed to exploitation and the dangers of street
   life. It has subsequently been expanded to:
    – assist homeless youth on short-term basis
    – assist homeless youth in making the transition to independent
      living
    – assist homeless youth with drug education and prevention
      services




                                                      26
DEVELOPMENTAL DISABILTIES
• Developmental Disabilities Program assists
  individuals with developmental disabilities to
  reach maximum potential through increased
  independence, productivity and community
  integration.

• Funding to support these services is provided to
  State Developmental Disabilities Councils,
  Protection and Advocacy Programs, University
  Center for Excellence in Developmental
  Disabilities and to Projects of National
  Significance.
                                     27
                  HEAD START
• Head Start is a national program which provides
  comprehensive developmental services for America’s
  low-income, preschool children ages three to five and
  social services for their families.

• The Head Start Act Amendments of 1994 established
  the Early Head Start program, which expands the
  benefits of early childhood development to low
  income families with children under three and to
  pregnant women.




                                         28
 Tribal Maternal, Infant, ad Early Childhood
           Home Visiting Program
• The Maternal, Infant, and Early Childhood Home Visiting
  Programs are authorized by Section 511 of Title V, as added by
  the Affordable Care Act,.
• Authorizes the award grants to Indian Tribes, Tribal Organizations
  or Urban Indian Organizations to operate evidence-based home
  visiting programs in at-risk Tribal communities.
• Home visiting services provided under this grant are meant to
  improve child and family outcomes focusing on areas such as
  prenatal, maternal, and infant health, child health and
  development, parenting skills, school readiness, and family socio-
  economic status, and reduce incidence of child abuse and
  neglect, injuries, crime, and domestic violence.

                                                  29
                 ACF Program Initiatives

• ASSETS.
• Positive Youth Development
• Healthy Marriage (AAHMI, Hispanic, Asian Pacific and Native
  American).
• Responsible Fatherhood
• Faith-Based and Neighborhood Partnerships
• Human Trafficking




                                               30
  For More Information about the
Administration for Children & Families:

          Visit our Website at:
            www.acf.hhs.gov




                             31
      Improving Racial and Ethnic Minority Health Status
              (Provisions of the Affordable Care Act)




National Association for State Community Service Programs - September 13, 2012


                                             Dr. Arlene Lester
                                    Regional Minority Health Consultant
                                US Department of Health and Human Services
                                          Region IV – Atlanta, GA
The Affordable Care Act
(ACA) and the Disparities
Provisions

 Improve access, affordability and quality of
  care
 Focus on prevention and wellness
 Lays a strong foundation for reducing health
  disparities
 Includes specific provisions related to
  disparities reduction and health equity

            http://www.healthcare.gov

                                            35
ACA Provisions Impacting Health Disparities




           Source: Joint Center for Political and Economic Studies
                                                        36
“For the first time, the United States has a coordinated road map designed
    to give everyone the chance to live a healthy life.” - HHS Secretary
                              Kathleen Sebelius




                                                                 37
NPA Purpose: To mobilize a nationwide, comprehensive, and
community-driven approach to combating health disparities.
Five Goals of the NPA:
 • Awareness
 • Leadership
 • Health System and Life Experience
 • Cultural and Linguistic Competency
 • Data, Research, and Evaluation


                     http://www.minorityhealth.hhs.gov/npa/


                                                              38
                                      NPA GOALS
                         Function                              Goal
AWARENESS: Increase awareness and understanding of the         Lay the foundation for responsive
  major health problems and needs of racial and ethnic         policy and program action
 minorities and the nature and extent of health disparities

 DATA: Promote the collection of health data by racial and     Provide a sound basis for decision-
 ethnic categories and strengthen infrastructures for data     making
                         collection
PARTNERSHIPS AND NETWORKS: Establish and strengthen            Identify and solve problems and
        partnerships, networks, and coalitions                 concerns affecting the health of racial
                                                               and ethnic minorities
 POLICIES, PROGRAMS, AND PRACTICES: Review, analysis,          Affect policies, programs, and practices
    comment, and active involvement in existing policy         to address the health of racial and
   development, as well as the initiation, development,        ethnic minorities and to eliminate
 coordination, and implementation of new initiatives and       health disparities
                        activities
 RESEARCH, DEMONSTRATIONS, AND EVALUATION: Foster              Determine model approaches, best
  research, demonstrations, scientific investigations, and     practices, and program and
evaluation of interventions aimed at improving the health of   intervention effectiveness
                 racial and ethnic minorities



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             National Stakeholder Strategy
             (NSS) for Achieving Health
             Equity: A product of the NPA that
             offers 20 specific strategies for
             reaching NPA goals and assists
             federal, regional, tribal, state, and
             local stakeholders in adopting
             effective strategies for their
             communities.




http://www.minorityhealth.hhs.gov/npa/



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  ARLENE.LESTER@HHS.GOV
WWW.MINORITYHEALTH.HHS.GOV

				
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