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Dependent coverage Prohibition on Lifetime Limits Medicaid Expansion Expansion of preventive services without cost-sharing School-Based Health Centers

ters Maintenance of Effort Pre-existing conditions

Adults are allowed to remain on their parents health insurance up to the age of 26 As of June 2011, has benefitted 150,428 young adults in New York

The law bans insurance companies from imposing lifetime dollar limits on health benefits As a result, 1,609,000 children are free from worrying about lifetime limits The law also restricts the use of annual limits and bans them completely in 2014

New York State implemented the Medicaid Expansion in November 2011 This increased income eligibility levels to 138% of the Federal Poverty Level for children ages 0-19 Eliminated stair-step eligibility for families An estimated 70,000 children will enroll onto Medicaid as a result of the expansion

The ACA requires many insurance plans to provide coverage for and eliminate cost-sharing on certain recommended preventive health services Cost-sharing has been shown to be prohibitive for children receiving the care to prevent chronic disease Over 824,000 children in New York State have benefitted from the expansion of preventive services

There are 216 SBHCs in New York, with a total enrollment of nearly 160,000 students Adolescents are more likely to access care at a SBHC, and are more likely to receive screenings for STIs, counseling on birth control and condom use than adolescents who receive care elsewhere Under the ACA, New York has received over $12million to help clinics expand and provide care for more students

Under the ACA, states are not allowed to cut back their Medicaid and CHIP programs beyond the levels they were on March 23, 2010 Must maintain eligibility levels for children in Medicaid and CHIP through 9/30/19 If a state violates MOE, it will lose all Medicaid federal matching funding for its entire Medicaid program until the violation is corrected States will receive two more years of CHP funding

Insurance companies can no longer deny coverage to children who have pre-existing health conditions or offer them a plan that does not cover care for their pre-existing condition In New York, 260,700 children have been protected under this provision

Children will be mandated to have health insurance Foster Care Children Child-specific services Creation of the Center for Medicare and Medicaid Innovation More affordability Childhood obesity demonstration project Child-only coverage option in the Exchange Oral Health

Children in foster care have high rates of acute and chronic illnesses, developmental delays and mental and behavioral health problems In 1999, New York expanded Medicaid eligibility to foster care children up to the age of 21 The ACA allows foster care children to be on Medicaid up to the age of 26

All health plans in the Exchange are required to have an Essential Health Benefits Package The packages must include coverage at no cost for comprehensive screenings and preventative care for children as defined by the Bright Futures standards issued by the American Academy of Pediatrics

These methods are expected to improve the quality of care, and reduce the rate of growth in health care costs for Medicare, Medicaid, and CHIP

In 2014, the law will provide refundable and advanceable premium credits Families with incomes between 133 and 400% of the Federal Poverty Level will be eligible Accessible by purchasing health insurance through the exchange

The ACA gives $25 million to the Centers for Disease Control for a four year project Will build on existing community efforts and will work to identify effective health care and community strategies to support childrens healthy eating and active living and help combat childhood obesity Will target children ages 2-12 enrolled in CHIP

The ACA allows families to purchase child-only insurance packages in the exchanges Who is in a household for income eligibility purposes will be based on tax households This will enable children that are being cared for by grandparents, children with parents whose employers do not offer dependent coverage, and children in mixed immigrant-status households are able to access coverage

The ACA creates an oral health prevention campaign, dental carries disease management, school-based dental sealant programs and cooperative agreements to improve infrastructure and surveillance systems

www.firstfocus.net www.healthcarereform.ny.gov www.cdc.gov www.hcfany.org http://aspe.hhs.gov/ www.communitycatalyst.org http://innovations.cms.gov/

Erin Hoben ehoben@cdfny.org 212.697.2323x205