There will be a lot of chatter about the impact of
the recent Supreme Court ruling, which upheld the
individual mandate provision of the Patient Protection
and Affordable Care Act of 2010 (PPACA).
The next big hurdle for PPACA are the November elections.
Obviosuly we will be tracking this closely.....
Please call if you wish to discuss further. Below
are some key points to consider....
Republican House leaders say they
will quickly force a vote to repeal the law. House
Democrats are carrying "pocket cards"
(talking points) detailing how the reform law has
already helped people (e.g., 86 million have received
free preventive care).
The administration will have to
continue to provide much-needed - and overdue -
guidance for states, employers and insurance companies,
among others, to answer the many outstanding questions
that are holding up implementation of the law.
There will be a chorus of voices
advising everyone to wait until after the fall elections
before taking further action.
There will be more court cases
challenging other provisions of PPACA.
Full-scale implementation of PPACA
will continue unabated.
All insurance reform provisions
will remain in effect.
Many of the hesitant states will
move to build exchanges while some will continue
to refuse compliance.
Many state exchanges will not be
operational until 2015 and they will have to engage
in a partnership exchange or a federally facilitated
exchange at least for the first few years.
The premium subsidy for qualified
people buying coverage through the exchanges will
move forward uninhibited.
The Medicaid program will largely
remain as envisioned by PPACA. States will continue
to push for flexibility on the maintenance-of-effort
provisions due to increasing state budget pressures;
in response, the administration will grant 1115
Waivers, but with reform elements.
Delivery reform will continue at
the current pace, with some provisions being shelved
due to budgetary constraints and HHS capacity.
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