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Know the Ropes: Exchange Development Issues for Kids and Families

Know the Ropes: Exchange Development Issues for Kids and Families. Charting the Way: Progress and Priorities for Child and Family Coverage July 18, 2012.

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Know the Ropes: Exchange Development Issues for Kids and Families

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  1. Know the Ropes: Exchange Development Issues for Kids and Families Charting the Way: Progress and Priorities for Child and Family Coverage July 18, 2012

  2. Source: Genevieve M. Kenney, et al., Improving Coverage For Children Under Health Reform Will Require Maintaining Current Eligibility Standards For Medicaid And CHIP, Health Affairs, December 2011.

  3. Where Do States Stand? WA NH VT MT ME ND OR MN MA ID WI SD NY WY MI RI CT IA PA NV NE NJ OH IL UT IN DE CO CA WV KS VA MD MO KY NC DC TN AZ OK NM AR SC MS AL GA TX LA AK FL HI

  4. Exchange Establishment Grants WA NH VT MT ME ND OR MN MA ID WI SD NY WY MI RI CT IA PA NV NE NJ OH IL UT IN DE CO CA WV KS VA MD MO KY NC DC TN AZ OK NM AR SC MS AL GA TX LA AK FL HI

  5. The Timeline Ahead

  6. Exchange Blueprints

  7. Responders • Sabrina Corlette • Georgetown University Center on Health Insurance Reforms • Anna Strong • Arkansas Advocates for Children and Families • Christina Peters • Children’s Alliance

  8. Guest Speaker • Yvette Fontenot, Deputy Director • HHS Office of Health Reform

  9. Exhibit 1. State Action to Promote the Availability of Child-Only Coverage, as of January 2012 Passed new law regarding child-only market WA NH VT* MT ME* ND OR MN Issued new regulation regarding child-only market MA* ID WI SD NY* WY MI RI CT IA PA NV*** NE NJ* OH Issued sub-regulatory guidance regarding child-only market IL IN UT DE CO CA WV KS VA MD MO KY** NC DC TN Took no official action regarding child-only market AZ OK NM AR SC MS AL GA TX**** LA AK FL HI *Maine, Massachusetts, New Jersey, New York, and Vermont required insurers to provide coverage to individuals on a guaranteed basis prior to the Affordable Care Act and, thus, already prohibited the denial of coverage to children under age 19. **Kentucky issued a regulatory order which is binding on all insurers marketing individual health insurance. ***Nevada issued a temporary regulation which expired. The state currently has no special rules regarding child-only coverage. ****Texas passed a new law allowing the Department of Insurance to adopt rules to “increase the availability of coverage to children younger than 19 years of age” but no new regulations have yet been issued. Source: Authors’ analysis.

  10. Exhibit 2. Essential Health Benefits Benchmark: State Action, as of May 31, 2012 Conducting analysis and seeking public input WA NH VT MT ME ND OR MN Conducting analysis (internal or public) MA ID WI SD NY WY MI RI CT IA PA NV NE NJ OH Made a selection IL IN UT DE CO CA WV KS VA MD MO KY NC DC TN No public action AZ OK NM AR* SC MS AL GA TX LA AK FL HI * The Arkansas Plan Management Advisory Committee has selected the three largest small group plans for benchmarking and referred the final decision regarding which plan to the Insurance Commissioner.

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