Legislative Webinar - December 3, 2010

Beyond the Headlines:
Health Care Reform Update and Analysis

The Patient Protection and Affordable Care Act (P.L.111-148)
Generally being referred to as PPACA or the Affordable Care Act (ACA)
Signed into law by President Obama on March 23, 2010
The Health Care and Education Reconciliation Act of 2010 signed March 30, 2010
Requires a phasing-in of changes from 2010 – 2018 with key changes taking place in 2014
Health and Human Services (HHS) Secretary Sebelius and her staff central to the process

Kathleen Sebelius
Donald Berwick
Director-designate, Centers for Medicare and Medicaid Services
Secretary, Department of Health and Human Services
Jay Angoff
David Blumenthal
Director, Office of Consumer Information and Insurance Oversight, HHS Department
National Coordinator for Health Information Technology
Carolyn Clancy
William Corr
Jeanne Lambrew
Director, Health and Human Service’s Agency for Healthcare Research and Quality
Deputy Health and Human Services Director
Director of Health and Human Service’s Office of Health Reform

Understanding the Impact of the Recent Election Results on Health Care Reform
To understand what happened
Where it happened
What it means to your clients
What it means to you

Key Questions
Was this past election a Republican tsunami?
Was it a mandate, or simply a temporary restraining order on the Democrats?

2008 U.S. House of Representatives
Election Results
/
Source: WashingtonPost.com

Election Results

What is the impact of the election on the U.S. House of Representatives?
.

2010 U.S. Senate Election Results
.
.
The Republican Party picked up six U.S. Senate seats.
Source: NYTimes.com

2012 U.S. Senate Election Prospects
On November 2, 2012:
.
Source: RightPundits.com

State Legislative Elections
Source: AmericanThinker.com

GOP Gains
Alabama – House and Senate
Colorado– House
Indiana– House
Iowa– House
Maine – House and Senate
Michigan– House
Minnesota – House and Senate
Montana – House
New Hampshire – House and Senate
NorthCarolina – House and Senate
Ohio – House
Pennsylvania – House
Wisconsin – Assembly and Senate
Undecided: New York - Senate
Source: NCSL.org

State Legislatures Before the Election
Source: NCSL.org

State Legislatures after the Election
Source: NCSL.org

State Echo Effect
Source: ABCnews.com

Election Results
The redistricting process may result in as many as an additional 25 US House seats for the Republicans.
Source: Polidata.org
http://www.polidata.org/census/st009nca.pdf

Long Term effects of new Republican Majorities in State Houses
Redistricting

Republicans took control of at least 19 Democratic-controlled state legislatures, and haven't controlled as many state legislatures in general since 1928. Currently, legislatures in 44 states are responsible for redistricting.

Source: ABCnews.com

State Governorships Before the Election
Prior to the November 2, 2010 Gubernatorial elections, there were 29 Democrat Governors and 21 Republican Governors.
Source: Wikipedia.org

State Governorships After the Election

State Insurance Commissioners
Appointment/Election Process
35 of the 50 State Insurance Commissioners are appointed by their state governors.
11 State Insurance Commissioners hold elected positions.
Four of those were standing for election this year.
New Wave of Insurance Commissioners
Due to this election, there will be an unusually large influx of new Insurance Commissioners (both Republican and Democrats)
Source: InsuranceJournal.com

NAIC Activities Under PPACA
Among other responsibilities, the NAIC has held meetings since March developing the following:
Uniform Explanation of Coverage
Uniform Enrollment Forms
Uniform Definitions
Uniform Group Summary
A Model Act for State Exchanges
Revised Rate Filing Model Act
Medical Loss Ratio Computations
Model Medical Loss Ratio Definitions
Modifications to the Blank Filing Form

The Effect of the Election On The NAIC

Insurance Commissioner Turnover
The Large Turnover had One Serious Implication
for Brokers and General Agents:
The NAIC established a task force to address potential adverse impacts on the role of licensed health insurance agents and brokers resulting from the new federal health care reform law. "With the recent issuance by HHS of the medical loss ratio (MLR) regulations to be imposed on insurers, there is a very real possibility the role of health insurance agents will be impacted in a negative way," said Florida Insurance Commissioner Kevin McCarty. "Health insurance is a complex product and experienced and licensed agents are a valuable resource for consumers. We intend to work with the agent community and our colleagues at HHS to maintain that resource."

The Implementation ChallengePPACA is just One Part of the Health Care Reform Puzzle: Other Sources of Government Oversight

PPA Pressure Points

Many, Many Questions

PPACA Positives
Source: DHHS.gov

Health Care Exchanges

http://www.healthcareexchange.com	758
http://loc.healthcare	4
http://www.bmallandcpay.com	1

Legislative Webinar - December 3, 2010

by BenefitMall on Dec 03, 2010

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Legislative Webinar - December 3, 2010 — Presentation Transcript