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Archive of Health Care Reform Updates from 2010-2014

 

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Facts about Affordable Care Act Implementation Part XVI

04 Sep 2013

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Some Plans May Delay Aggregate Out of Pocket Cost Sharing Limitations

14 Aug 2013

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New Rules for Wellness Programs

12 Jul 2013

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Notice To Employees Of Health Insurance Marketplace & Related Updates To COBRA Election Notices

11 Jul 2013

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 Delayed Implementation of Employer Mandate

09 Jul 2013

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Responses to Submitted Questions

Again, thank you to all who attended the LIUNA Health Care Conference in March 2013. During the conference, attendees were encouraged to leave with us questions or requests for clarifications, and we promised to address each of them on the Laborers’ Health and Safety Fund of North America’s website. Below are the questions we received and our answers. You should, of course, consult with your health and welfare fund’s counsel and consultants regarding their views on whether and how these answers apply to your particular fund.

01 May 2013

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 Affordable Care Act Implementation FAQs - Set 11

24 Jan 2013

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 FAQ from Centers for Medicare & Medicaid Services

10 Dec 2012

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Proposed PPACA Rules from HHS

26 Nov 2012

28 Nov 2012

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Updated DOL Web Tool Addresses Federal Health Benefit Coverage Requirements for Employers

The Department of Labor’s (DOL) Health Benefits Advisor for Employers provides guidance on federal laws other than the Patient Protection and Affordable Care Act (PPACA). These include:

  • Consolidated Omnibus Budget Reconciliation Act (COBRA) 
  • Health Insurance Portability and Accountability Act (HIPAA) 
  • Mental Health Parity Act (MHPA) and Mental Health Parity and Addiction Equity Act (MHPAEA) 
  • Newborns' and Mothers' Health Protection Act (Newborns' Act) 
  • Women's Health and Cancer Rights Act (WHCRA) 
  • Genetic Information Nondiscrimination Act (GINA) 
  • Michelle's Law

For information on PPACA, visit the DOL's PPACA Webpage.

The Health Benefits Advisor for Employers is one of several DOL advisors on federal employment laws and resources. They can be accessed at www.dol.gov/elaws.

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The Departments of Health and Human Services (HHS), Labor and the Treasury issued new regulations requiring private health plans to publish Summary of Benefits and Coverage documents for plan participants.

Providing Clear and Consistent Information to Consumers about Their Health Care Coverage

17 Aug 2011

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The Departments of Health and Human Services (HHS), Labor, and the Treasury issued new regulations requiring new private health plans to cover evidence-based preventive services and eliminate cost sharing requirements for such services.

Administration Announces Regulations Requiring New Health Insurance Plans to Provide Free Preventive Care
14 Jul 2010

U.S. Department of Health and Human Services Secretary Kathleen Sebelius has announced final rules to help improve Americans' health, increase safety and reduce health care costs through expanded use of electronic health records (EHR).

Secretary Sebelius Announces Final Rules To Support 'Meaningful Use' of Electronic Health Records

The Department of Labor's Employee Benefits Security Administration has posted the following information on the dedicated COBRA web page:

Statement of Assistant Secretary Phyllis C. Borzi on the Availability of the Subsidy After May 31, 2010
COBRA Model General Notice (non-ARRA), in English and Spanish
COBRA Model Election Notice (non-ARRA), in English and Spanish
Health Benefits Laws Compliance Assistance Seminar in Omaha, Nebraska

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The U.S. Department of Health & Human Services has announced that they will begin accepting applications for the Early Retiree Reinsurance Program.

Application for Early Retirement Reinsurance Program Now Being Accepted
29 Jun 2010

The Department of Labor's Employee Benefits Security Administration has posted the following related to preexisting condition exclusions, lifetime and annual limits, rescissions and patient protections under the Affordable Care Act:

Interim Final Regulation

Model Notice on Patient Protections

Model Notice on Lifetime Limits No Longer Applying and Enrollment Opportunity.

Model Notice of Opportunity to Enroll in Connection with Extension of Dependent Coverage to Age 26.

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The Department of Labor's Employee Benefits Security Administration has posted the following related to preexisting condition exclusions, lifetime and annual limits, rescissions and patient protections under the Affordable Care Act: 

Interim Final Regulation

Fact Sheet

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 HHS Affordable Care Act Bulletin [June 19, 2010]

♦ Find updates from administration officials.

 http://www.healthreform.gov/forums/blog/blog.html

♦ Sign up for email updates. https://service.govdelivery.com/service/multi_subscribe.html?code=USHHS&custom_id=1329

♦ Frequently asked Affordable Care Act questions. http://www.healthreform.gov/about/answers.html

♦ Check out our archived web chats. http://www.youtube.com/ushealthreform#p/c/E13B55ACDF862D29

Recent News

June 18: HHS Secretary Kathleen Sebelius Announces New $250 Million Investment to Lay Foundation for Prevention and Public Health

June 16: HHS Secretary Kathleen Sebelius Announces New $250 Million Investment to Strengthen Primary Health Care Workforce

June 15: HHS Secretary Kathleen Sebelius Press Conference Remarks on the Affordable Care Act

June 14: U.S. Departments of Health and Human Services, Labor, and Treasury Issue Regulation on “Grandfathered” Health Plans under the Affordable Care Act

June 11: HHS Secretary Kathleen Sebelius Urges Vermont Governor Douglas to Maintain Current Benefits for Vermont’s Seniors

Recent Health Reform Blog Posts

June 18: Building a Stronger Health Care Workforce, By Dr. Mary Wakefield, Administrator of the Health Resources and Service Administration 

June 17: Bipartisan Advice on Implementing the Affordable Care Act, By Kathleen Sebelius, Secretary of Health and Human Services 

June 15: The Grandfather Regulation – What They’re Saying, By Stephanie Cutter, Assistant to the President for Special Projects 

June 14: Keeping the Plan You Like, By Kathleen Sebelius, Secretary of Health and Human Services

June 14: A New Health Care Survey and the Affordable Care Act, By Stephanie Cutter, Assistant to the President for Special Projects

Affordable Care Act Resources

Temporary High Risk Pool Fact Sheet provides information about the temporary high risk pool program included in the Affordable Care Act and chart outlining potential allocations of high risk pool funds to states.

Beneficiary Information about the $250 Part D Rebate Brochure describes details about the tax-free, one-time check for $250 for people who enter the Part D donut hole and are not eligible for Medicare Extra Help. 

Health Insurance Portal Bulletin provides guidance to state Medicaid Directors about the health insurance portal. 

Medicare and the New Health Law – What it Means for You.  This mailing from CMS outlines key provisions of the Affordable Care Act for people with Medicare as well as members of their families.  The mailing is being sent in both English and Spanish

Young Adult Coverage Fact Sheet. The Affordable Care Act allows young adults to stay on their parents’ health care plan until age 26. 

Web Portal Fact Sheet. The Affordable Care Act establishes an internet portal to help individuals and small businesses identify insurance options in their state. The web portal will help consumers navigate their options in the individual and small business private market and help them determine if they may be eligible for a variety of existing public programs, including existing state high risk pools, new high risk pools, Medicaid, Medicare and the Children’s Health Insurance Program (CHIP).

Early Retiree Reinsurance Program in the Affordable Care Act Fact Sheet. Self-funded and insured plans can apply, including plans sponsored by private entities, state and local governments, nonprofits, religious entities, unions, and other employers.

Information for Your Community