Affordable Care Act

Essential Health Benefits Overview

Introduced by the Affordable Care Act, Essential Health Benefits (EHB) are a set of ten health care service categories that certain health plans must cover. In February 2015, the U.S. Department of Health and Human Services issued a Final Rule, which finalized changes to the EHB standard. This month’s National Health Law Program Health Advocate […]

Florida Leads Obamacare Enrollment

By Gray Rohrer, The Orlando Sentinel Nearly 944,000 people signed up for health care through federal exchanges during the latest enrollment period, which ran from Feb. 23 to June 30, with the largest number coming from Florida, according to data released Friday by the Center for Medicare and Medicaid Services. Sunshine State residents accounted for […]

Essential Health Benefits Update and Advocacy Opportunities

On February 20, 2015, the U.S. Department of Health and Human Services issued regulations that finalized changes to the Essential Health Benefits (EHB) standard of the Affordable Care Act. The National Health Law Program’s fact sheet provides an overview of the original rules, changes being made to EHB standards by way of this rule, and an overview of […]

Health Care Wins at the Supreme Court!

Following a 2-year distraction from the essential task of covering all Americans with high quality, affordable health insurance, in its King v Burwell decision the Supreme Court resoundingly upheld the Affordable Care Act’s premium tax subsidies availability in all states.  This is the second time the Supreme Court has upheld the ACA over unfounded challenges […]

Happy to have “real” insurance now

Marty Riordian saw an ad in the newspaper that a Navigator for the Health Insurance Marketplace would be holding an enrollment event at a local library. He jumped at the chance to meet with a Navigator to discuss the possibility of getting a new health insurance plan. “I have a catastrophic plan and I wanted […]

Special Olympics Gold Medalist Left Uninsured

As a child, Matt Ross won medals in the Special Olympics. Today, he is a 23 year old part-time worker who has been denied Medicaid as it stands in Florida. Matt is living with autism. Even though he has a developmental disability, he has been denied Medicaid because he is considered fully functional. Matt works […]

Teach Others about the Health Care Law

There is still mass confusion about what’s in the health care law. Opponents are continuing to spread lies and misinformation. This is nothing new, but it is dangerous. A senior who is confused by the lies is a lot less likely, for example, to take advantage of that free, important preventive care made available by the health […]

CMS: 20% of 1095-A forms are Incorrect

The Centers for Medicare & Medicaid Services, CMS, has reported that as many as 800,000 taxpayers may have gotten incorrect information on their 1095A tax forms. CMS is notifying affected individuals by phone and email and will send corrected forms by early March. It’s estimated that about 50,000 of them have already filed their taxes […]

Some Floridians Getting Another Week to Buy Health Insurance

Associated Press, February 17, 2015 MIAMI — Federal health officials are granting a special enrollment period for consumers who unsuccessfully tried to buy health insurance before Sunday’s deadline and were sidelined by long wait times or computer glitches. Some consumers who tried to pick a health plan through healthcare.gov or its call centers were unable […]

Special Enrollment Period for Consumers “In Line” on February 15, 2015

The law and regulations provide for special enrollment periods (SEPs), triggered by certain events that are described at 45 CFR 155.420(d) and include life changes and errors in enrollment. SEPs permit individuals to enroll in a qualified health plan outside of open enrollment. This guidance describes a SEP for consumers who have been unable to […]