Impacts and Benefits of the Affordable Care Act in Minnesota
Explore the significant impact of the Affordable Care Act on Minnesota, including improvements in healthcare access, coverage expansions, and financial subsidies. Learn how the ACA has enhanced coverage for Minnesotans, ensuring essential benefits and consumer protections. Discover the critical role of the ACA in safeguarding and improving the health of all residents in Minnesota.
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Presentation Transcript
The Affordable Care Act and Minnesota Commissioner Jan Malcolm House HHS Finance Committee | February 13, 2020 PROTECTING, MAINTAINING AND IMPROVING THE HEALTH OF ALL MINNESOTANS
ACA Overview The Affordable Care Act was signed into law on March 23, 2010 10 years ago Huge reductions in the uninsured; insurance matters to health Expansion of individual market and reforms in all markets Significant public health funding provides over $14 million annually to Minnesota Included the permanent reauthorization of the Indian Health Care Improvement Act 2
Impact on Minnesotans Invalidation of the ACA would result in a loss of funding for coverage for 450,000 Minnesotans MinnesotaCare and Medicaid expansion: $2.5 billion Federal tax credits for individual market: $295.8 million per year Federal funding for reinsurance: $85 million per year 3
Impact on Minnesotans Created standards of comprehensive coverage Essential health benefits Standard preventive benefits without cost-sharing Prohibitions on lifetime and annual limits Limits on in-network out of pocket costs Created new eligibility and consumer assistance structure for the individual market via MNsure, and established a simplified eligibility methodology (MAGI) for Medicaid 4
Coverage Financing and Subsidies Individual Market Consumer Subsidies Medicaid and MinnesotaCare Market Subsidies and Stabilizing Mechanisms MNsure Value for Coverage (MLR) Medicare Donut Hole Coverage for American Indians and Alaska Natives 5
Access to Coverage Coverage to Age 26 Guaranteed Issue and Renewability Pre-Existing Conditions Civil Rights Provisions Open Enrollment Medicaid and Individual Market Enrollment Assistance Other Consumer Protections 6
Coverage and Plan Design Essential Health Benefits 100% Coverage for Preventive Services Out of Pocket Limits Plan Structure Changes Transparency of Coverage Children and Youth with Special Needs 7
Program Operations MNsure Operations Eligibility Platforms Rate Review Public Health Care Program s Operations 8
Public Health Public Health Funding Communicable Diseases Family Planning Hospital Quality of Care Hospital Community Benefit State Public Health Lab 9
Prevention Funding ACA funds core public health functions Many pre-date the ACA but are essential to protect Minnesotans health and safety Public health functions depend on both ACA funding and legislative authority 10
Federal Public Health Funding in Minnesota ACA has been key source of federal funding for Minnesota $98 million from 2010- 2018 to MDH and local public health programs and services statewide 11
Prevention Fund Investments in Minnesota Modernize the public health infrastructure Build lab and disease detection response and capacity Enhance skills of the public health workforce Create and expand National Diabetes Prevention Program Increase access to childhood and adult vaccines Reduce tobacco use through the TIPS from Former Smokers Campaign Prevent childhood lead poisoning 12
