House passes its version of AHCA [H.R. 3962]
Summary Below
October 30, 2009
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| House Democrats on Thursday unveiled the Affordable Health Care for America Act. The 1,990-page legislation is a combination of bills passed by three House committees earlier this year. Key tenets include: | |||||||||
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· New regulations | New insurance industry regulations would prohibit insurers from rejecting customers based on pre-existing conditions. The regulations would also prohibit annual or lifetime caps on benefits. · Insurance exchange | The bill would set up a new national health insurance exchange, a marketplace where individuals who do not have employer-sponsored insurance would be able to shop for plans. The exchange would also be open to small businesses, and more would be able to join each year. Companies with 25 or fewer employees would be able to join in 2013, companies with 50 or fewer employees could join in 2014, and companies with fewer than 100 employees could join by 2015. · Public insurance option | The health insurance exchange would include a government-run public plan. Federal officials would negotiate payment rates with doctors and hospitals that accept the plan. · Employer mandate | Employers with annual payrolls greater than $500,000 would be required to either provide health insurance for their employees, or contribute 8 percent of their payroll to a federal fund to help subsidize employees who purchase coverage through the exchange. Employers with payrolls less than $500,000 would be exempt from the mandate. · Individual mandate | Individuals will be required to purchase health insurance, or pay a penalty fee. Some people would be eligible to apply for a hardship waiver. · Medicaid expansion | Medicaid would be expanded to cover everyone whose income is below 150 percent of the poverty line, or about $33,000 per year for a family of four. · Affordability subsidies | People who earn between 150 percent and 400 percent of the federal poverty level would be eligible for subsidies on a sliding scale to purchase insurance through the exchange. Those subsidies would ensure that people who make 150 percent of the poverty level would not have to pay more than 3 percent of their income in premiums, while those who make 400 percent of the poverty level could pay up to 12 percent of their income in premiums. · Out-of-pocket expenses caps | New regulations would cap yearly out-of-pocket medical expenses for individuals at $5,000 and families at $10,000. Those who earn less than 400 percent of the poverty level would have lower caps, on a sliding scale. · Tax surcharge | The bill would help pay for itself by imposing a 5.4 percent tax surcharge on individuals earning more than $500,000 per year and families earning more than $1 million. · End-of-life counseling | The bill retains a controversial provision that allows Medicare to pay for voluntary end-of-life counseling. |
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Medicaid: State by State Descriptions & Plans |
Medicaid is a federal-state partnership, with state laws, state
regulations, federally approved state waivers, and approved "state
plans" all creating significant variations from state to state.
Listed below are selected links to information about existing
Medicaid plans and reform proposals within individual states. It is
hoped they will be of general use:
1) to residents seeking basic information about their individual
state.
2) to policymakers and researchers interested in comparing
activities in one state to those in another.
Click here for the site
New Assistant Secretary Joins
U.S. Education Department
October 20, 2009
WASHINGTON -- Secretary of Education Arne Duncan congratulated the following individuals for being confirmed by the Senate on Monday, Oct. 5 Alexa E. Posny, assistant secretary for special education and rehabilitative services.
ALEXA E. POSNY, ASSISTANT SECRETARY FOR SPECIAL EDUCATION AND REHABILITATIVE SERVICES
Alexa E. Posny comes to the department from Kansas where she served as commissioner of education for the state. As commissioner, Posny was responsible for helping over 450,000 students meet or exceed high academic standards, licensing over 45,000 teachers and overseeing a state education budget of more than $4.5 billion.
Prior to her work as commissioner, Posny served as the director of the Office of Special Education Programs (OSEP) for the U.S. Department of Education, a position in which she assisted state and local efforts to effectively educate all children and youth with disabilities. Posny has also served as the Kansas deputy commissioner of education, Kansas state director of special education, director of special education for the Shawnee Mission School District, director of the Curriculum and Instruction Specialty Option as part of the Title I Technical Assistance Center (TAC) network of TACs across the United States, and a senior research associate at Research and Training Associates in Overland Park, KS.
Posny earned her bachelor’s degree from the University of Wisconsin at Stevens Point, a master’s degree in behavioral disabilities and a doctorate in educational administration both from the University of Wisconsin in Madison. Posny has also served on the Board of Directors for the Chief State School Officers, the National Council for Learning Disabilities, and chaired the National Assessment Governing Board’s Special Education Task Force. Posny has also been a teacher at the elementary, middle school, high school and university levels.

