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Health Care Reform

On May 4, 2011, DC Mayor Vincent C. Gray announced the creation of the Mayor’s Health Reform Implementation Committee. The committee will advise and make recommendations to the mayor’s office on the implementation of the sweeping health care reform passed by the U.S. Congress in 2010. The panel will be chaired by Wayne Turnage, Director of the DC Department of Health Care Finance and co-chaired by Dr. Mohammad Akhter, Director of the DC Department of Health, and William White, Commissioner of the DC Department of Insurance, Securities, and Banking. Additional committee members will come from related agencies such as the DC Department of Human Services, the DC Department of Mental Health, and the DC Department of Disability Services. The committee will submit its recommendations to Deputy Mayor for Health and Human Services Beatriz “B.B.” Otero so that her office can ensure inter-agency coordination in implementing the committee’s recommendations.

Medicaid Expansion

The District of Columbia was one of the first two jurisdictions in the country to take advantage of the early adoption of Medicaid expansion through federal health reform. By moving several newly Medicaid-eligible DC HealthCare Alliance beneficiaries over, the District saves money and improves the benefits package for District residents. The District was able to expand Medicaid eligibility to 133 percent of the federal poverty level (FPL), and cover those at 134 to 200 percent of the FPL through an 1115 Waiver demonstration project. Of the District’s 600,000 residents, more than 200,000 are currently on Medicaid and more than 23,000 are in the Alliance.

Pre-Existing Condition Insurance Plan

People who have had difficulty finding health coverage or have been turned down for coverage because of a pre-existing condition and feel like they are out of options are not out of luck. They may now be eligible for a new program created by the Affordable Care Act — the Pre-Existing Condition Insurance Plan (PCIP). The PCIP is one way the Affordable Care Act helps uninsured people with pre-existing conditions get high quality care at affordable prices. The PCIP is designed as a bridge to 2014 when the nation transitions to a new marketplace and all Americans — regardless of their health status — will have access to affordable, quality health coverage through a competitive marketplace for health plans called a Health Insurance Exchange. This health coverage program is administered at the state level in 27 states and by the federal government in 23 states and the District of Columbia.

Health Insurance Exchange

The Mayor’s Health Reform Implementation Committee is hosting a series of public meetings to obtain community input on creating a Health Insurance Exchange (HIE) for the District. These meetings are important for District officials to hear from community members and interested stakeholders their thoughts and suggestions on building an HIE that will best serve the District’s residents and businesses. Each public meeting will focus on a different topic and all are important in the planning for the exchange.

HIE Meeting Schedule

Goals and Structure of the Exchange
Wednesday, June 15th, 3:30 – 5:30 pm
Martin Luther King Jr. Memorial Library
901 G Street NW, Room A-5

Governance of the Exchange
Tuesday, June 21st, 3 – 5 pm
Cleveland Park Library
3310 Connecticut Avenue NW

Small Businesses and the Exchange
Wednesday, June 29th, 6 – 8 pm
West End Library
1101 – 24th Street NW

For more information, visit Health Reform.

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