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Students: Eric Danielson Dawn Frost Cheryl Gimmeson Tom Kurdy Lewis-Clark State College Social Work Program

Students: Eric Danielson Dawn Frost Cheryl Gimmeson Tom Kurdy Lewis-Clark State College Social Work Program. THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) FROM A SOCIAL JUSTICE PERSPECTIVE Pub. L. No. 111-148, 124 Stat. 119 (2010) Pub. L. No. 111-152, 124 Stat. 1029(2010).

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Students: Eric Danielson Dawn Frost Cheryl Gimmeson Tom Kurdy Lewis-Clark State College Social Work Program

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  1. Students: Eric Danielson Dawn Frost Cheryl Gimmeson Tom Kurdy Lewis-Clark State College Social Work Program THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) FROM A SOCIAL JUSTICE PERSPECTIVEPub. L. No. 111-148, 124 Stat. 119 (2010)Pub. L. No. 111-152, 124 Stat. 1029(2010)

  2. Social Justice: • everyone deserves equal economic, political and social rights and opportunities* • access and opportunity for everyone, particularly those in greatest need* • Health Care Perspective: • health care policy that ensures the right to universal access to a continuum of health and mental health care throughout all stages of the life cycle** • participation of social workers on public and private health care policy** • promote and facilitate evaluation and research to contribute to the development of knowledge** National Association of Social workers perspective on social justice and national health care *(Code of Ethics of the National Association of Social Workers, 1996, rev. 2008). **(National Association of Social Workers, Social Work Speaks, Health Care Policy Statement, 2008).

  3. Healthy People 2020 The nation’s 10 year goals for health promotion and disease prevention. • Vision: A society in which all people live long, healthy lives • Mission: • Identify nationwide health improvement priorities • Increase public awareness and understanding • Engage sectors to take actions driven by best evidence and knowledge • Identify critical research, evaluation, and data collection needs • Provide measurable objectives and goals U.S. dept. of Health and Human Servicesperspective on health care • Goals: • Attain High Quality, longer lives • Achieve equity, eliminate disparities, improve health for all groups • Create social and physical environments that promote good health • Promote healthy development throughout all stages of life (U.S. Department of Health and Human Services, Healthy People 2020, News Release and Website Launch, 2010).

  4. PPACA will shift burden from state CAT/Indigent care to Medicaid* • Income eligibility increases to 133% of fed poverty level • No requirement of children in home • Increased number of adult ,non-disabled • Requires individuals to be insured • Pre-existing Condition Insurance Program (PCIP Federal in Idaho) • Idaho premium purchase PPAca, A PERSPECTIVE OF Idaho INDIGENT CARE • Estimated Fed/State Medicaid Share** • Federal Medicaid share 75% • State Medicaid share 25% *Healthcare.gov/law/features, (2012) **Office of the Idaho Department of Health and Welfare, (2012).

  5. Example of estimated Idaho cost savings Idaho residents eligible for Indigent and CAT services 2007 2008 2009 2010 2011 Idaho Catastrophic Care Funding $78M ID DHW Estimates 90% will shift to Medicaid Under PPACA Full Implementation: ID burden would be (10% x $78M) + (25%(90% x $78M)) = $25.35M a 67.5% decrease in ID General Fund funding Federal burden from ID 75%(90% x $78M) = $52.65M Fed burden all 50 states50 X 75%(90% x $78M) = $2.6B Rusche, (2012). & Id. DHW, (2012)

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