Puller-Surovell Healthcare Town Hall With Secretary Bill Hazel 3-22-14

8/12/2019 Puller-Surovell Healthcare Town Hall With Secretary Bill Hazel 3-22-14

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ClosingtheCoverageGap

Insurance StatusinVirginia Closing theCoverageGap

VirginiaPopulation 8,260,405

Insured:

Medicare,65andover(13%) 1,073,853

CurrentMedicaidEnrollment(FY2014) 1,147,800

Allotherinsured 5,008,752

Uninsured64

and

under 1,030,000

TOTALPopulation 8,260,405Uninsured Breakdown

Uninsured(above) 1,030,000

Inprivateexchange 470,700

EligibleforCoverageGap(estimated) 400,000(Remaininguninsuredindividualsmaynotbeeligibleforcoverageduetoa

numberof

reasons

such

as

immigration

status)


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Whereare

Virginias

Uninsured?

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4

The

vast

majority

(71.3%)arepartofworkingfamilies

Themajority(80%)are

UScitizens

Mostoftheuninsured(46%)areWhite,nonHispanic

Black/AfricanAmericanmakeup24%

andHispanic20%ofuninsured

Whoare

Virginias

Uninsured?


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ClosingtheVirginiaCoverageGap:

Whowould

be

eligible?

0%

20%

40%

60%

80%

100%

120%

Pregnant

Women

Children05 Children618 Elderly%

Disabled

Parents ChildlessAdults

FPL%

Optional400,000+Virginians

CurrentlyMedicaidEligible

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TheACAgivesVirginiatheoptiontoreceivefederalfundingtocoveran

estimated400,000eligibleindividualswithincomesunder133%FPL.

Basedonhistoricalaverages,anestimated248,000additionalVirginians

wouldenrollandreceivehealthcoverage. Statesthatexpandcoverage,

mustexpand

coverage

to

133%

FPL.


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6

2014Federal

Poverty

Level

(FPL)

Guidelines

Family Size

Annual Family Income

100% FPL 133% FPL 185% FPL 200% FPL

1 $11,670 $15,521 $21,589 $23,340

2 $15,730 $20,920 $29,100 $31,460

3 $19,790 $26,320 $36,611 $39,580

4 $23,850 $31,720 $44,122 $47,700

5 $27,910 $37,120 $51,663 $55,820

Source: 2014 Federal Poverty Guidelines, U.S. Dept. of Health and Human Services6


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HowwouldVirginiapaytocoverour

uninsured?

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Cost Breakdown

YearVirginia Federal

2014 - 2016 0% 100%

2017 5% 95%

2018 6% 94%

2019 7% 93%

2020 - Future Up to 10% At least 90%

TocovertheuninsuredinVirginia,thefederalgovernmentwouldpay100%of

thecostforthenewlyeligibleMedicaidenrolleesuntilJanuary2017,when

Virginiawouldbeginassumingaportionofthecosts.


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Closingthe

Coverage

Gap

and

the

ACA

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HowistheAffordableCareActfunded?

Howisthisfundingalready

affectingVirginia?

Isit

optional

for

Virginia

to

participateinfundingthe

AffordableCareAct?

NO.We

are

already

payingforitwithout

receivingthebenefits!


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TheAffordable

Care

Act

Funds

Itself

ThenonpartisanCongressionalBudgetOfficerecently

confirmedyet

again

that

federal

healthcare

reform

on

balancefundsitself.

Fundingsources:

1. Spendingreductions

on

public

health

programs

2. Taxrevenues

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Spending

Reductions

NewTax

Revenues

ACAFunding

for

State

Programs


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FundingSource#1:

Reductionsto

Medicare

Payments

ThelargestspendingreductionisinpaymentstohospitalsforMedicarepatients($196Bfrom20102019).

WhatdoesthismeanforVirginia? Financial

hit

to

Virginias

hospitals:

lossofover$1.5Billionfrom20142018

Jobloss

for

Virginia

citizens:

Nearly1,000jobshavealreadybeenlostoraffectedinVirginia.

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FundingSource#2:

Increasein

Federal

Taxes

ThelargestrevenuesourcefortheACAis$200Billionthatcomesfromunavoidabletaxincreases.

Federalpayrolltaxincreaseof0.9%andinvestmentincometaxincreaseof3.8%forhighincomeindividualsandfamilies($200,000&$250,000,respectively)

WhatdoesthismeanforVirginia?Each

year,

regardless

of

whether

or

not

we

cover

the

uninsured,Virginianswillpayout$2BillionintaxesandfeestosupporttheACA.

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Outflowof

Virginia

Dollars

NOTE:ThetaxanalysisisbasedondatafromtheJuly24,2012CBOletterreporttoSpeakeroftheHouseJohnBoehner.

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Thismoney

couldbe

used

rightherein

Virginiato

coverour

uninsured.$5Million

EveryDay

$2Billion

Every

Year

$10Billion

est.

over

5years


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Failingto

Close

the

Coverage

Gap

Ifwedonotclosethecoveragegap,effectivelyreinvestingthis

money

back

in

Virginia,

our

families

andbusinesseswillsendhardearnedtaxdollarsto

Washingtonwithoutthebenefits,jobs,orrevenue

returnedtoVirginia.

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$2BilliontoFederalGovernment

$0BacktoVirginia


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SystemicEffects

of

Coverage

Theeffectsofcoveringtheuninsuredcanbefeltbeyond

economicsandindividualandpublichealth.

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Coveringthe

Uninsured

MentalHealth

Education

BusinessPublicSafety

VeteransAffairs


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MentalHealthAnestimated77,000adultsinVirginiahavementalillnessesandnoinsurancetopayfortreatmentormedication.

PublicSafetyGainingaccesstotreatmentformentalhealthandsubstanceabusemayeasetheburdenonVirginiaslawenforcementcommunity.

EducationParentswhohavecoveragearemorelikelytogaincoveragefor

theirchildren.

Healthy

parents

equal

healthy

students.

BusinessVirginiasbusinessespayhigherpremiumsforemployeestocompensatefortheuninsured.Newbusinessesmaybelessinclinedto

cometoVirginia,createjobs,andinfuseoureconomy.

VeteransAffairsOfthemorethan30,000uninsuredveteransandtheirspouseswholiveinVirginia,nearly10,000uninsuredveteransandnearly

3,000oftheirspouseswillbeeligibleforcoverage.

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SystemicEffects

of

Coverage


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Whatare

other

states

doing?

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Highlights

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Whileanewprogramtocovertheuninsuredis

optional,the

new

taxes

to

cover

the

costs

of

funding

theACAarenot.

Virginiawilllose$2Billionannuallywithoutcreating

anew

program.

Medicaidisundergoingaseriesofreformsdesigned

tocontrolcostsandstreamlinecare.

Coveringthe

uninsured

in

Virginia

will

not

only

providehealthcoveragetoindividualsinthegap,itwill

havepositiveimpactsinpublicsafety,commerce,

education,and

mental

health.


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Medicaidin

the

44th District

Mt.Vernon&LeeCommunity

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CurrentMedicaidPopulation 12,532Medicaid/FAMISPopulation

16%of

44th District

Residents

Whoisthatpopulation?

748Adults

482Aged

432Other

633PregnantMothers

9,371Children

1in3Childreninthe44th District

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CostofCurrent44th DistrictPopulation

OverallCost$42,738,651

$6,634,997Acute

Care

$19,693,493 MCOPayments(ManagedCare)

$6,215,443 LongTermCarePayments

$9,628,692 PrimaryCarePayments

$540,001 Pharmacy

$237,417 Dental

Payments

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WhyisUninsuredCarein44th a

Problem?

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WhyIs

Uninsured

in

44

th

AProblem?

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FairfaxCountyEmergencyRoomLowAcuityVisitsByZip(Enlarged)

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MostUtilizedProvidersHospitals

INOVAFairfax

TheAlexandriaHospital

INOVAAlexandria

VAHospital

Center

Mt.VernonHospital

NursingFacilities Manor

Care

of

Alexandria,VirginiaLLC

Mt.VernonNursing

Center WoodbineRehabilitation

HealthCenterLLC

Leewood Health

Center ManassasHealth&

RehabilitationCenter

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WhatDoesClosingtheGapMeanforthe44th District?

UsingtheMedicaidChildPopulationasa

Proxy

44th Districthas1.33%ofallMedicaidchildrenin

VA

$24,349,859New

Spending

400NewJobs

5,337New

People

Provided

Health

Insurance

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VirginiaGeneralFundSavings MedicaidExpansionFreesup$280MillionThisBiennium DepartmentofCorrections

IndigentCareatStateTeachingHospitals

Community

Services

Boards FreeClinics

PregnantWomen

BreastCancer

FamilyPlanning

Howcouldthesesavingsbereappropriated? LawEnforcement HigherEducation

SecondaryEducation:

$27,636,012forFairfaxCounty $154.61perstudent 502NewTeachersat($55K/position)

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BOTTOMLINES ExpansionWouldSaveVATaxpayersHundredsofMillions WouldFreeUpGeneralFundMoneyforOtherPurposes WouldProvideLastUninsuredwithDignityofHealthInsurance WillCreate30,000VirginiaJobs WillBringVAFederalTaxDollarsBacktoVirginiaandStopVA

SubsidizingOtherStates WillControlExplodingPrivateMedicalInsuranceCosts

IsSupportedby: HealthCareIndustry VirginiaChamberofCommerce FairfaxCountyChamberofCommerce SenateofVirginia GovernorTerryMcAuliffe

IsOpposedby: VirginiaHouseRepublicanCaucus

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Puller-Surovell Healthcare Town Hall With Secretary Bill Hazel 3-22-14

Documents

Transcript of Puller-Surovell Healthcare Town Hall With Secretary Bill Hazel 3-22-14