Implementing Federal Health Reform in Massachusetts - MassGov实施联邦医疗改革在马萨诸塞州massgov.pptVIP

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Implementing Federal Health Reform in Massachusetts - MassGov实施联邦医疗改革在马萨诸塞州massgov.ppt

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Implementing Federal Health Reform in Massachusetts - MassGov实施联邦医疗改革在马萨诸塞州massgov

* Commonwealth of MassachusettsExecutive Office of Health and Human Services Implementing the Affordable Care Act in Massachusetts2013 Legislative PackageACA Quarterly Stakeholder MeetingMay 17, 2013 2013 ACA Legislative Package On May 3, 2013, Governor Patrick filed “An Act Implementing the Affordable Care Act and Providing Further Access to Affordable Health Care” This legislation will allow Massachusetts to realize the full benefits of the Affordable Care Act, including expanded federal funding to support coverage for low and middle-income families and federal insurance reforms that will secure additional protections for Massachusetts residents The legislation was assigned number H3452 and was referred to the House Ways Means Committee The legislation needs to be enacted by July 1, 2013 to comply with many key provisions of the ACA Items in 2013 ACA Legislative Package Changes to definition of “eligible individual” in Chapter 176J, for those eligible to purchase non-group insurance State law prohibits individuals from purchasing non-group insurance (whether through the Connector or the outside market) if they are eligible for employer sponsored insurance (ESI) that meets certain state standards (Minimum Creditable Coverage, or MCC). The ACA does not include a similar prohibition for purchasing non-group insurance. The proposed legislation removes this prohibition for purchases both inside and outside the Connector (i.e. the Exchange), aligning state law with the ACA (Connector will retain certain other restrictions not applicable outside Exchange). Implementation of a transition period for phase-out of certain small group rating factors under Chapter 176J The ACA allows the use of four rating factors (age, family size, geographic area, and tobacco use). There are five factors Massachusetts allows that will need to be phased out (industry, participation rate, group size, intermediary and group purchasing cooperative) from 2014-2016. This legisla