Comment Period Now Open for Proposed Federal Rule that Could Limit Access to Birth Control
Last week, the US Department of Health and Human Services (HHS) released plans to implement a proposed federal rule that intends to protect a broad definition of health workers who have religious objections to abortions. However, both critics and supporters think that the rule is written in a manner that would allow for birth control and emergency contraception to be included in the definition of abortion.
Federal funding would be at jeopardy for nearly 600,000 hospitals, clinics, health plans and medical facilities if officials determine that those facilities do not properly accommodate employees who do not want to provide services on moral, personal or religious grounds. The definition of employees would also include volunteers, trainees and workers who clean medical instruments.
Advocates for women’s health and family planning supporters say that the rule “poses a serious threat to women's health care by limiting the rights of patients to receive complete and accurate health information and services," and that women's "ability to manage their own health care is at risk of being compromised by politics and ideology.”
Implementation is expected to cost more than $44 million and the public comment period ends on September 25th. Visit HHS’s website for instructions on submitting comment.
Source: National Partnership for Women and Families - August 22, 2008
Illinois HMO Settles Medicaid Fraud Charges
Amerigroup, formerly an Illinois Medicaid HMO, has agreed to pay $225 million and an additional $9 million in legal fees to settle allegations that they defrauded Illinois’ Medicaid program by denying coverage to pregnant women and other individuals with high health care costs.
The former vice president of government relations at Amerigroup’s Illinois subsidiary filed the original lawsuit and will receive $56.3 million of the settlement under a federal whistle-blower law.
Source: Kaiser Daily Health Policy Report – August 15, 2008
Updates on Massachusetts’ Health Care Reform Plan
Massachusetts Governor Deval Patrick recently signed new legislation that will:
Raise $100 million from fees on private companies to fund Massachusetts’ health insurance law.
Bans certain gifts from drug companies to medical professionals and requires public disclosure for gifts valued at more than $50; also requires the development of a code of conduct for the pharmaceutical industry with a $5,000 fine for each violation.
Allocates $25 million to promote the use of electronic medical records in doctors’ offices.
Directs the University of Massachusetts Medical School to expand and boost its primary care physician graduation numbers.
Gives the state more regulatory strength in reviewing health insurance rates.
Gov. Patrick also proposed a rule that would require business to contribute more to their employees’ health insurance premiums or pay an annual “fair share” penalty. The present law requires that businesses with more than 10 employees offer coverage or pay a penalty of $295/employee. Businesses have the option of paying at least 33% of the premium costs for full-time workers or making sure that at least 25% of these employees are covered by an employer plan.
The proposed rule change would require businesses to comply with both of the current options or be subject to the annual penalty. The rule is expected to generate an estimated $45 million in the current fiscal year and would be used to help pay for other parts of the health care reform legislation.
In Spring 2006, Massachusetts became the first state in the nation to enact comprehensive health insurance reform. A new report shows that an additional 429,000 state residents have been insured since the reforms went into effect. Nearly half of these individuals have purchased private coverage and hospitals and community health centers have reported that uninsured visits decreased by 37% in Summer 2007 compared to the previous year.
Sources: Kaiser Daily Health Policy Report – August 11, August 13, August 21, 2008
Employers’ Health Care Estimated to Grow by 10.6% Next Year
Although it is the smallest increase in six years, employer health care costs are still expected to rise by 10.6% in the next year, which is still higher than the national rate of inflation. Experts say that this rise is due to increased demand for services, an aging population and higher prescription drug and technological costs.
Source: Kaiser Daily Health Policy Report - August 12, 2008
Article and Poll Indicate that Coverage can Influence Relationship Decisions
According to a Kaiser Family Foundation poll that took place earlier this year, 7% of respondents said that someone in their household had married to obtain health insurance. The New York Times published an article on August 12th that profiled several couples who made decisions about marriage, divorce or postponing a divorce based on a spouse’s need for affordable health insurance.
Source: Kaiser Daily Health Policy Report – August 13, 2008
National Publication Examines Debate on Home Births
TIME magazine published an article in their August 18th issue that looked at the controversy surrounding home births, which account for less than 1% of the total births in the United States. Women who choose home births often do so because they want a “natural experience” and an environment free of unnecessary medical interventions.
A number of states, including Illinois, are reviewing legislation to allow for Certified Professional Midwives (CPMs), sometimes referred to as direct-entry midwives, to be licensed and practice. Some provider associations, including the American Medical Association, have actively opposed such legislation.
Some providers are trying to “meet women halfway” through hospital-affiliated birthing centers, which are often near emergency room care and report lower medical interventions and C-section rates.
Source: National Partnership for Women and Families Daily Women’s Health Policy Report – August 13, 2008
More Women Receiving Contraceptive Services
A study by the Guttmacher Institute shows that 41% of women in 2002 reported receiving contraceptive services compared to only 36% in 1995. Additionally, about a quarter of the women who received services say they obtained them at a public clinic. The number receiving all sexual and reproductive services including Pap tests and STI screenings remained the same at 74%.
It is estimated that family planning services save $4.3 billion in public funds each year.
Source: National Partnership for Women and Families Daily Women’s Health Policy Report – August 15, 2008
Most New Jersey Adults Support Teaching Teens about Birth Control
In a survey released by Monmouth University and Gannett New Jersey, over 90% of surveyed New Jersey adults support teaching teenagers about birth control in high school, while three-quarters support the same in middle schools. Additionally, almost 60% of adults disagreed that sex ed encourages teens to have sex.
New Jersey’s teen birth rate increased slightly from 11.9 births/1,000 girls in 2005 to 12.4 births/1,000 girls in 2006.
Source: National Partnership for Women and Families Daily Women’s Health Policy Report – August 19, 2008
“Harry and Louise” Commercial Returns but with a New Message
An updated version of the infamous “Harry and Louise” ad that was used to derail efforts in the 1990s for national health care reform was unveiled on August 19th by a coalition of consumer advocacy groups. The new commercial features the couple discussing their hopes that health care will remain the top domestic priority during the 2008 presidential campaign.
The groups sponsoring the ad campaign include the American Cancer Society Cancer Action Network, the American Hospital Association, the Catholic Health Association, Families USA and the National Federation of Independent Business. The commercial is expected to air during Sunday morning news programs, as well as national cable networks and Comedy Central throughout the national party conventions.
The ad can be viewed at www.harryandlouisereturn.com.
Source: Kaiser Daily Health Policy Report - August 19, 2008
Over 40% of Adults Unable to Pay Medical Bills
The Commonwealth Fund released a new study that found more than 40% of adults had problems paying medical bills or had accumulated medical debt last year. The survey also found that two-thirds of adults between 16 and 64 were uninsured, underinsured or did not get care in 2007 because cost was a major barrier. More than half (53%) of individuals earning less than $20,000/year spent over 10% of their earnings on health care, compared to 26% of the same group in 2005.
Additionally, the study documented that nearly 40% of those with increasing medical bills used their savings and 30% accumulated credit card debit to help pay off these costs.
Source: Kaiser Daily Health Policy Report – August 20, 2008
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