States are and will continue to play a complex and important role in the implementation of the Patient Protection and Affordable Care Act (PPACA). For many states, this means integrating new requirements with prior health reform efforts. The expansion of Medicaid and establishment of new health insurance exchanges are just two of the major undertakings states face in the coming years that will have a direct impact on health centers and their patients.
Patient Protection and Affordable Care Act (PPACA) Implementation
Issues for Health Centers
Three Critical Coverage Provisions Taking Effect in Year One - Spotlight on the States #1 (NACHC), May 2010. Covers Medicaid/CHIP Maintenance of Effort (MOE) requirements, Medicaid early expansion option for states and temporary high-risk pool program establishment.
Health Insurance Exchanges: Powers and Issues, Spotlight on the States #2, NACHC 2010
Spotlight on the States #3: Summary of Initial CMS Guidance on the State Option to Provide Health Homes for Enrollees With Chronic Conditions - February 2011
Regulations and Guidance
SMDL #10-024 re: Health Homes for Enrollees with Chronic Conditions - November 16, 2010
HHS announces new tools and resources from the Affordable Care Act to prevent fraud and strengthen Medicare, Medicaid and CHIP - September 20, 2010
Medicaid Program; Review and Approval Process for Section 1115 Demonstrations - Proposed Rule, September 17, 2010
SMDL #10-014 re: Extended Period for Collection of Provider Overpayments 7/13/2010
SMDL #10-006 re: Medicaid Prescription Drug Rebates 4/22/2010
SMDL #10-005 re: New Option for Coverage of Individuals Under Medicaid 4/9/2010
Research and Analysis
Impact on States
State Legislators’ Check List for Health Reform Implementation FY 2010 - National Conference of State Legislatures, July 2010
Summary of State Grant Opportunities in the Patient Protection and Affordable Care Act - National Conference of State Legislators, May 2010
State Policymakers’ Priorities for Successful Implementation of Health Reform - National Academy for State Health Policy, May 2010
The Role of States in National Health Care Reform - publication series from the National Academy for State Health Policy
What Is the Evidence on Health Reform in Massachusetts and How Might the Lessons from Massachusetts Apply to National Health Reform? - Urban Institute
What is the Impact of the Patient Protection and Affordable Care Act on the States? - Urban Institute
Medicaid/CHIP
Summary of Medicaid and CHIP Provisions - National Conference of State Legislatures
Childless Adults Who Become Eligible for Medicaid in 2014 Should Receive Standard Benefits Package - Center on Budget and Policy Priorities, July 2010
Federal Government Will Pick Up Nearly All Costs of Health Reform’s Medicaid Expansion - Center on Budget and Policy Priorities, June 2010
Medicaid Coverage and Spending in Health Reform: National and State-By-State Results for Adults at or Below 133% FPL - Kaiser Family Foundation
Financing New Medicaid Coverage Under Health Reform: The Role of the Federal Government and States - Kaiser Family Foundation, May 2010
Optimizing Medicaid Enrollment: Perspectives on Strengthening Medicaid's Reach Under Health Care Reform - Kaiser Family Foundation, April 2010
The New Health Reform Law and Medicaid - Kaiser Family Foundation, April 2010 (webcast)
Health Insurance Exchanges
Health Insurance Exchanges: New Coverage Options for Children and Families - Georgetown University Center for Children and Families, August 2010
Health Insurance Exchanges and the Affordable Care Act: Key Policy Issues - The Commonwealth Fund, July 2010
Making Health Care More Affordable: The New Premium and Cost-Sharing Credits - Center on Budget and Policy Priorities, May 2010
Explaining Health Care Reform: Questions About Health Insurance Exchanges - Kaiser Family Foundation, April 2010
High Risk Pool Program
Fact Sheet: Temporary High Risk Pool Program - U.S. Department of Health and Human Services
EXPLAINING HEALTH REFORM: Questions About the Temporary High-Risk Pool - Kaiser Family Foundation, July 2010
State Health Care Reform Efforts Prior to Federal Health Care Reform Enactment
State of the States 2010 - a publication of State Coverage Initiatives (CSI), a national program of the Robert Wood Johnson Foundation administered by Academy Health.
Reform on the Horizon: A Compilation of Primary Care Association Reports on the Status of Health Care Reform in the States - NACHC State Policy Report #16, July 2007.
States Moving Toward Comprehensive Health Care Reform - a current summary of health care reform initiatives by the Kaiser Commission for Medicaid and the Uninsured.
Politics and Policy in State Health Reform - by Walter Zelman, Ph.D. and Alex Melamed M.P.H. June 2009
State-specific Reports
How Is The Primary Care Safety Net Faring In Massachusetts? Community Health Centers in The Midst of Health Reform - a study by the Kaiser Commission on Medicaid and the Uninsured and The George Washington University, March 2009.
Primary and Preventive Healthcare: A Critical Path to Health Reform in Florida, the Role of Florida FQHCs - a study by The George Washington University, January 2009.
Swimming Upstream: The Hard Politics of Health Reform in California - by Walter Zelman, Ph.D. June 2009
Nevada's J-1 Visa Waiver Program: Problems and Solutions for a Critical Source of Primary Care Physicians - NACHC, 2010
