📣 The #COVID19 relief bill is finally here, and it includes some interesting #ACA-related provisions...
acasignups.net/20/12/21/covid…
1. Detailed monthly #ACA exchange enrollment figures...for the Open Enrollment Period.

Head-scratcher. We already get an annual report & CMS cut OEP down to 6.5 wks anyway. I'd LOVE it to be monthly (off-season data is scarce) but this makes it sound like it only refers to OEP.
2. Looks like the Surprise Bill prohibition also applies to pre-#ACA "grandfathered" plans...which is a good thing, though only a few hundred thousand people are still enrolled in those at this point.
3. $15 million per year in funding for outreach/education etc. for various state-based health insurance programs (?)
4. Extension of Spousal Impoverishment Protections

Let's say your spouse requires long-term nursing home care, which is insanely expensive, leaving you impoverished. In 1988 a law was passed protecting a chunk of your income. This extends that out to the end of 2023.
5. Community Health Centers & NHSC funding!

$4 billion/yr for CHCs thru 2023, and $310 million/year for the National Health Service Corps. (think Northern Exposure, or, less accurately, Doc Hollywood?)
6. BROKER/AGENT COMMISSION DISCLOSURE!

This requires insurance carriers to be extremely up-front in letting enrollees know how much if the premiums are going to brokers/agents for both #ACA plans *and* (more importantly) #ShortAssPlans.

thinkadvisor.com/2020/06/30/som…
I'm sure I missed some; let me know if you find any more:
rules.house.gov/sites/democrat…

(have fun...it's 5,600 pages long...)
📣 UPDATED w/a bunch more healthcare-related provisions (not necessarily ACA-related): acasignups.net/20/12/21/covid…

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More from @charles_gaba

24 Dec
📣 Tonight is Christmas Eve, so here's a thread about a so-called "Christian Health Sharing Ministry" which dives into Inception-level surreality. 1/
"Health Sharing Ministries" (usually offered by "Christian" organizations but occasionally via non-Christian groups) are promoted as an alternative to actual health insurance policies. They've become much more popular since the #ACA became law because they're less expensive. 2/
HOWEVER, there's some REASONS why they're less expensive than #ACA-compliant policies:

"Although HCSMs are not insurance & DO NOT GUARANTEE PAYMENT OF CLAIMS, their features closely mimic traditional insurance products, possibly confusing consumers." 3/

commonwealthfund.org/publications/f…
Read 18 tweets
24 Dec
📣 REMINDER: 2021 #ACA Open Enrollment is STILL HAPPENING in these states! #GetCovered
1/
acasignups.net/20/12/24/updat…
📣 CALIFORNIA:
--Enroll by 12/30 for coverage starting 1/01
--Enroll by 1/15 for coverage starting 2/01
--Enroll by 1/31 for coverage starting 3/01

#GetCovered at CoveredCA.com today!
@CoveredCA
📣 COLORADO:
--Enroll by 1/15 for coverage starting 2/01

#GetCovered at C4HCO.com today!
@C4HCO
Read 25 tweets
24 Dec
Yesterday, @SenSanders stated that "every M4All co-sponsor up for re-election beat their Republican opponent."

This is technically correct, but there's quite a bit more to the story... acasignups.net/20/12/23/sen-s…
The Senate M4All bill has 15 sponsors total. 9 were up for re-election in 2018 or 2020.

8 represent blue states.
1 represents a swing state (Sen. Baldwin).

She openly promotes M4All...but also states she's open to any other healthcare bills if they can find "common ground." 2/
The House M4All bill has 119 sponsors total. 4 left office for one reason or another; 115 were indeed re-elected.

106 represent districts which are D+5 or bluer.

Of the 9 who aren't, only 2 of them (Porter CA-45 and Hayes CT-05) *openly promote* their support of M4All. 3/
Read 4 tweets
24 Dec
Trump just pardoned war criminals and has offered to pay the legal fees for his supporters who beat up protesters. What’s to stop him from openly telling his domestic terrorist base to follow through with their threats, have them charged in federal court and then pardoning them?
He’s still in office for 27 more days thanks to the GOP Senate, Barr just left leaving an even BIGGER Trump sycophant in charge of the DoJ for the next 4 weeks...while the public is distracted by Christmas, New Year’s & a mountain of COVID deaths.
Several have noted that his pardon won’t help with state charges...but some of THEM won’t know that. I suspect that’s why he’s floating pardoning Rittenhouse. He’s been told he can’t—but his base may hear about it and assume he can.
Read 4 tweets
23 Dec
.@SenSanders is technically correct, but there's a bit more to the story...
acasignups.net/20/12/23/sen-s…
I decided to check into this. I found that only 1 Senator (Tammy Baldwin of WI) and 2 House members (Katie Porter of CA-45 and Johana Hayes of CT-05) *represent a swing state/district* AND openly/loudly state their support of "pure" M4All on their campaign websites.
Read 5 tweets
23 Dec
Last night I was willing to give her the benefit of the doubt that she was just making a snarky joke.
But let’s suppose she was correct and but let’s suppose she was correct, and the President really did have the power to institute M4All immediately via XO. In one fell swoop, millions of legal contracts between carriers & providers, carriers & employers become null & void.
Doctors and hospitals, many of which are already on the verge of closing, suddenly see their revenue plummet by ~40% or so. Abortion suddenly has to be paid for 100% out of pocket by every woman in America who wants one.
Read 8 tweets

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