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Fairness Transparency
No Pre-Existing Condition Exclusions
Young adults stay on parents’ policies
No lifetime/annual limits
80/85 Medical Loss Ratio
Well-women visits
Comprehensive breastfeeding support
Domestic violenceScreening/counseling
All FDA approvedContraceptives
Maternity CoverageMaternity Coverage
Access to GYNsAccess to GYNs
Family PlanningFamily Planning
Reinforces current federal rules
Federal funds only for rape, incest, life of pregnant woman (Hyde limitations)
Does not pre-empt state law
Health Exchange -exchanges may offer current or new plans that include abortion coverage- exchanges must offer at least one plan does not include abortion coverage beyond the Hyde limitations
Parents and singleadults
Up to 138% of FPL$26,300 family/3
125,000 West Virginians◦ Including 63,000 women
Family of 4 at 250% of the FPL (age 40) = $57,625/annually (2012)
Subsidy for policy =$7,416
Subsidy calculator at www.kff.org
All clinically preventive measures◦ Without co-pay, deductible
236,000 West Virginians◦ free preventive services in 2011
Improved prescription drug coverage
◦ $45 million in prescription drug savings◦ Doughnut closes by 2020
It’s not a cut. Medicare spending willIncrease but at a lower rate; from annual
growth of 6.8% to 5.6%
Seniors will not lose any benefits; theygain preventive benefits and better Rx
Medicare trustees say the health care law will extend the solvency of the Medicare Trust Fund
Source: Kaiser Health News 8-23-12
In billions$260 Hospitals$156 Medicare Advantage Plans$ 36 Skilled nursing$ 66 Home health$ 17 Hospice$171 OtherRemember: Providers willhave millions of new payingcustomers to make up for cuts
◦To age 26
◦Does not haveto be dependent
Establish Goals Set Priorities
Once considered largely a man’s disease, there was a time when doctor’s rarely looked for coronary heart disease (CHD) in women. The reality is that CHD is the leading cause of death for both men and women in the United States and in most developed countries around the world. However, over the past 40 years in the U.S., there has been a striking reduction in CHD deaths in men, but reductions in women have lagged behind. More women than men die of CHD every year, which has been the case for the last 25 years. www.cardiosmart.org
Aila Accad, RN, WV Nurses Association Ellen Allen, Covenant House Elena Bailey, National Association of Social Workers Jeannie Clark, Perinatal Programs, Office of Maternal, Child and
Family Health Anne Dacey, RN, WV Perinatal Partnership, WVU National Center
of Excellence in Women’s Health Rachel Huff, WV FREE Sue Julian, WV Coalition Against Domestic Violence Wendy Lewis, Partnership of African American Churches Kira Miskimmin, Planned Parenthood Health Systems Margaret Chapman Pomponio, WV FREE Laura Phillips, The Phillips Group, Inc Kim Barber Tieman, Claude Worthington Benedum Foundation Others to be added
Perry Bryant, Executive [email protected]
Renate Pore, Policy [email protected]
Ashley Adams, Eastern Pan Regional [email protected]
Lisa Diehl, North Central West Virginia [email protected]
Doris Selko, Southern West Virginia Regional [email protected]
www.wvahc.org