Post on 27-Dec-2015
Health ReformLesson 5
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Lesson Overview
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Lesson ObjectivesAt the end of this lesson, you will be able to
1.Discuss the current issues surrounding health care reform
2.Identify state level initiatives
3.Discuss future plans and controversies
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Health ReformCurrent Events
Patient Protection and Affordable Care Act (PPACA) enacted
Amended by the Health Care and Education Reconciliation Act of 2010 (HCERA) AKA Affordable Care Act (ACA)
ACA Launches an extended period during which changes
to the healthcare system will take effect
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Health ReformChange takes place in increments
Between 2010 and 2018Largest parts of this reform
Individual mandate Employer play-or-pay
Both take effect in 2014
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Health Reform-The Individual Mandate
Penalties to be incurred if an
individual or family has no coverage
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Health Reform-The Employer Mandate
Employer must offer insurance if they have 50 or more employees or pay a fine of $2000
per employee
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State InitiativesNew Jersey Initiatives
Purpose: ensure that all residents receive affordable healthcare coverage
Children are able to access healthcare More accessible to low income families Hospital care for patients under 19 in an emergency Ongoing Medicaid enrollment More affordable health plans for individuals and
small businesses
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Future and ControversiesFair Labor Standards Act (FLSA)
A reasonable break is to be provided for employees to express breast milk for a nursing child for 1 year after the birth
Does not apply to employers with less than 50 employees
Does not include payment for this time
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Unit SummaryDefinition of health careHealth care concernsRole of the GovernmentPayment systemsProfessional roles in health careHealth Reform
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