Santa Cruz Good Times

Thursday
Aug 21st
Text size
  • Increase font size
  • Default font size
  • Decrease font size

Town Hall with Assemblymember Bill Monning

bill MonningHow prepared is California for implementation of the federal Patient Protection and Affordable Care Act, and what does the state have to do before it can comply?

California has been described by others as setting the pace in its implementation of federal healthcare reform, also known as the federal Patient Protection and Affordable Care Act (ACA), as the state was one of the first to establish a healthcare benefit exchange. Starting in late 2013, the California Health Benefit Exchange will make it easier for individuals and small businesses to compare healthcare plans and purchase healthcare insurance in the private marketplace.

The Exchange will enhance competition and provide the same advantages available to large employer groups to small employers and individuals by organizing the private insurance market to make it easier for consumers to compare products; establish a more stable risk pool; provide greater purchasing power to consumers; create competition among insurers; and offer detailed information regarding the price, quality and service of health coverage.  

Additionally, the Exchange will support consumer choice by making comprehensive information about health plans available in an objective, easy-to-understand format, which will include: A website that provides standardized comparison information on qualified health plan benefit plans/options; A calculator for applicants to compare the costs of the various plans offered; A web-based eligibility portal to link individuals to the health coverage options that they qualify for; and, a toll-free consumer assistance hotline.

Since the ACA was passed in 2010, the State of California has enacted more than a dozen laws and budget proposals to implement the ACA, and many Californians are already benefiting from these laws. 

Health plans are now required to allow parents to keep children up to age 26, without job-based health coverage, on their family coverage and, thanks to this provision, as of December 2011, 435,000 young Californians have health insurance coverage.

Millions of people on Medicare in California received free mammograms and colonoscopies—or a free annual wellness visit with their doctor.

More than six million Californians with private health insurance gained preventive service coverage with no cost-sharing. 

Since August, approximately five million California women have guaranteed access to additional preventive care services without cost-sharing.

As of this year, health insurance companies had to spend at least 80 percent of premium dollars on healthcare and quality improvements and could not spend more than 20 percent on overhead expenses, executive salaries or marketing costs. If they do not achieve this spending standard, companies must provide consumers with rebates or reduce premiums, and in 2012 almost two million privately insured Californians have received $73,905,280 in rebates from insurance companies.

Insurance companies are also now banned from imposing lifetime dollar limits on health benefits—freeing cancer patients and individuals suffering from other chronic diseases from having to worry about going without treatment. Annual limits will be banned completely in 2014.

This past April, 8,662 previously uninsured residents of California who were locked out of the health coverage because of a pre-existing condition became insured through a new Pre-Existing Condition Insurance Plan.

And, thanks to the ACA, 354,592 people with Medicare in California received a $250 rebate to help cover the cost of their prescription drugs when they hit the donut hole in 2010, with mandated discounts having resulted in an average $585 per person savings to participants and, by 2020, the donut hole will be completely closed.

However, we still have more work to do.  As I mentioned last month, the biggest federal issues California still needs to tackle are the requirement that all states limit the factors health plans can use to determine premium rates; the elimination of preexisting condition exclusions and making a determination if California’s Medicaid program will be expanded for the lowest income individuals.  I am optimistic that we will address these issues and am working with my legislative colleagues to help as many Californians as we can obtain health insurance coverage.

Comments (0)Add Comment

Write comment
smaller | bigger

busy
 

Share this on your social networks

Bookmark and Share

Share this

Bookmark and Share

 

Trending Now

Whether you live by the Vogue bible or choose to go into your day wearing what you slept in, odds are you wear clothes.

 

The Thought Form of Solution

It’s our last week of Leo before the sun enters Virgo (next Friday/Saturday). The planets this week make complex patterns and relationships (vibrational cadences and rhythms) with the outer planets, mainly Neptune—the planet that veils, obscures, protects and finally refines us. Neptune offers us entrance into a deeply spiritual sense of comfort and solace. Neptune is the personality ruler of Pisces (saviors of the world) and soul ruler of Cancer (world mother). “The fish goddesses who leapt from earth (Virgo) to water (Pisces) unitedly give birth to the Fish God (Christ, the Soul) who introduces the waters of life  (Neptune & Aquarius) into the ocean of substance (matter, mother bringing light to the world. Thus does Neptune work.” (Esoteric Astrology).

 

Final Cut

Cedar Street Video to close after 10 years at downtown location

 

Cultures Collide

No surprises, but lots to savor in foodie film ‘The Hundred-Foot Journey’
Sign up for Good Times weekly newsletter
Get the latest news, events

RSS Feed Burner

 Subscribe in a reader

 

Foodie File: Kauboi

Japanese-Western themed unites sushi with whiskey and beefgrill

 

How should Santa Cruz develop downtown around the San Lorenzo River?

Santa Cruz | Artist/Show Promoter

 

Best of Santa Cruz County

The 2013 Santa Cruz County Readers' Poll and Critics’ Picks It’s our biggest issue of the year, and in it, your votes—more than 6,500 of them—determined the winners of The Best of Santa Cruz County Readers’ Poll. New to the long list of local restaurants, shops and other notables that captured your interest: Best Beer Selection, Best Locally Owned Business, Best Customer Service and Best Marijuana Dispensary. In the meantime, many readers were ever so chatty online about potential new categories. Some of the suggestions that stood out: Best Teen Program and Best Web Design/Designer. But what about: Dog Park, Church, Hotel, Local Farm, Therapist (I second that!) or Sports Bar—not to be confused with Bra. Our favorite suggestion: Best Act of Kindness—one reader noted Café Gratitude and the free meals it offered to the Santa Cruz Police Department in the aftermath of recent crimes. Perhaps some of these can be woven into next year’s ballot, so stay tuned. In the meantime, enjoy the following pages and take note of our Critics’ Picks, too, beginning on page 91. A big thanks for voting—and for reading—and an even bigger congratulations to all of the winners. Enjoy.  -Greg Archer, EditorBest of Santa Cruz County Readers’ Poll INDEX

 

Have Mercy!

Looking for a frisky summer wine at a reasonable price? Look no further than Mercy Vineyards’ 2013 Sauvignon Blanc ($20). Richly textured “with an exotic flavor profile,” the wine reveals aromas of honeydew melon and honeysuckle, with anise appearing as a star attraction. Smidgeons of pineapple and honeycomb add a touch of sexiness to this well-balanced, easy-drinking wine, which pairs well with a variety of cuisine —especially ceviche, calamari and other not-too-heavy foods.