Health ReformLesson 5

HQSI-Proprietary

Lesson Overview

HQSI-Proprietary

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

HQSI-Proprietary

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

HQSI-Proprietary

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

HQSI-Proprietary

Health Reform-The Individual Mandate

Penalties to be incurred if an

individual or family has no coverage

HQSI-Proprietary

Health Reform-The Employer Mandate

Employer must offer insurance if they have 50 or more employees or pay a fine of $2000

per employee

HQSI-Proprietary

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

HQSI-Proprietary

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

HQSI-Proprietary

Unit SummaryDefinition of health careHealth care concernsRole of the GovernmentPayment systemsProfessional roles in health careHealth Reform

HQSI-Proprietary