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4 <br />Health Benefits Exchange (HBE) <br />-"No wrong door approach" between <br />Medicaid and HBE (sec 1311, 1411, 1413) <br />• Individuals who ap ply for health insurance throw gh <br />the HBE will have their eligbbi ity determined for <br />Medicaid; those who apply for Medicaid will have <br />their eligibility determined for HBE subsidies <br />- Patierit_:navigators to help link individuals to <br />Medicaid or private insurance through HBEs <br />Safety Net Overview <br />- Federally qualified health centers: Appropriate a <br />total of $96 over five years for operations, $1.56 for <br />construction and renovation (FY 2011-2015) (sec. <br />10503, Sec. 2303 of Retorxiliatlon) <br />- School based health centers: Appropriates $50M in <br />each.. FY 2010-2013 (sec. a1a1,1o4oi> <br />- Funding authorized, but not appropriated for other <br />sa1'ety,;nek,organizations <br />---New_rec~uirements for charitable 501(c)(3) hospitals: <br />• Must conduct a community needs assessment and identify an <br />z. imp)ementation strategy (cave a flnandal assistance policy provide <br />emer2jency services• aril hmtt charges to people eligible for assistance <br />to amounts generally billed <br />Prevention and Wellness: <br />Overview <br />- Federal government providing more funding to <br />support prevention efforts at national, state and <br />local levels <br />• Grant funds will be made available for prevention, wellness <br />aRd public heaRtl activities <br />• Some of the focus areas include: healthy lifestyle changes, <br />reduction and control of chronic diseases, health disparities, <br />nuh!ic health infrastructure, obesity and tobacco reduction, <br />m~proSed oral health, immunizations, maternal and child <br />health, worksite wellness <br />Income Eligibility for <br />Subsidized Insurance (2010, 2014) <br />Annual income elgibility based on famly size of four <br />(based on 2010 federal poverty levels) <br />Elly for E~lig bilily for E~ligi~bility for <br />Medicaid or NC Medicaid or NC Subsidy in the <br />Health Choice Heakh Choice Health aenent <br />(2010) (2014) Exchange <br />(zola) <br />rnlla s;aa,loo s;•w,1oo ;4a,1oo- <br />;sa,zoo <br />'Paren[a!'- ~~ 5;11,246 Sf29,327 ;29,327- <br />dependeM clilld ;88,200 <br />/Ul other adults Not eligible 5;29,327 Q29,327- <br />,_„(non-disabled, X8,200 <br />rion-elderry) <br />u <br />Long-Term Care <br />- Establishes a national voluntary insurance <br />program to purchase community living <br />assistance services and supports (CLASS) <br />financed through payroll deduction. tsx.eooreooz, <br />- New Medicaid state options to expand home <br />and ,community-based services <br />ie <br />Prevention and Public Health <br />Fund <br />- National Prevention, Health Promotion and Public <br />Health Council ,sK.,~~, <br />- Prevention and Public Health Fund to invest in <br />prevention, wellness, and public health activities csx. <br />4ooz) <br />~:=dppropriates;500 million In FY 2010,;750 million in FY <br />F;20t°r~.;1 billion in FY 2012,;1.25 billion in FY 2013, <br />~i.$. billion in i°lf 2014, and ;2 billion in PY 2015 and <br />each fiscal year thereafter <br />• taay be used to fund programs authorized by the Public Health <br />~~rvice Act and for prevention, wellness, and public health <br />ai-tivttes <br />• Half of this funding will be used for health professional <br />workforce training „ <br />3 <br />