legislative update 2010
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Legislative Update 2010. Legislative Update. New Bills Passed in North Carolina affecting Health Laws Update of Health Care Reform. Legislative Update. 2010 Short Session convened May 2010 & ended July 2010 778 bills filed 227 laws enacted 2011 Session will convene January 2011. - PowerPoint PPT PresentationTRANSCRIPT
Legislative Update 2010
New Bills Passed in North Carolina affecting Health Laws
Update of Health Care Reform
Legislative Update
2010 Short Session convened May 2010 & ended July 2010
778 bills filed 227 laws enacted 2011 Session will convene January 2011
Legislative Update
Insurance and State Health Plan Cover/Hearing Aids/Autism S.L. 2010-2
Requires health benefit plans and the State Health Plan to cover medically necessary hearing aids and services that are ordered by physician or audiologist
Legislative Update
State Health Plan/Age-Out Dependent: Tobacco Use Testing
Dependent Child enrolled in State Health Plan as of May 1, 2010, remain in plan through the end of the month following the child’s 26th birthday, provided not eligible for other employer-sponsored health benefit coverage
Legislative Update
No Set Fee/Non-Covered Dental Services SL2010-138 prohibits health benefit plans
and insurers from limiting or fixing the fee dentists may charge patients for services unless those services are covered for reimbursement under the plan or insurer contract with the dentist
Legislative Update
SL 2010-185 amends GS108A-63 make it unlawful for any person to solicit or receive remuneration in return for referring any individual to a person for the furnishing of any item or service subject to reimbursement by Medicaid. It also makes it unlawful to offer or pay remuneration for such referrals or purchases, leases or orders.
Legislative Update
Low Profit Limited Liability Company SL 2010-187 recognizes formation of a L3C
and may designate it in bylaws. Must accomplish one or more of the charitable or education purposes within the meaning of Section 170(c)(2)(B) of the Internal Revenue Code
Legislative Update
Patient Protection and Affordable Care Act Passed December 24, 2009 Obama Care
Legislative Update
Every working American must have health insurance by 2014
Penalty for not purchasing health insurance except for certain individuals
Poor people, Native Americans, hardship cases, religious convictions, illegal aliens and people in jail
Legislative Update
Employers with more than 200 full-time employees must automatically enroll new hirees in health plan
May opt out Must notify employees about government
health insurance exchange program and tax credits, employee chooses government exchange employer will not contribute to it.
Legislative Update
Large employers must file report on the health insurance coverage they provide
Must disclose their share of costs of benefits to employees
Legislative Update
Provides tax credits to small employers with 25 or fewer full-time employees and average annual wages of no more than $50,000 that purchase health insurance for their employees
Legislative Update
Cannot exclude for pre-existing condition for children
Provide coverage of certain preventative health services
Eliminate lifetime limits on benefits and restricts on annual limits on benefits
Children to have coverage up to age 26
Legislative Update
Cannot discriminate against any plan carrier or individual that chooses not to cover assisted death in any form
No regulation under bill will bar individual from getting care
No employer can discriminate against employee who is getting federal health insurance assistance
Legislative Update
Guaranteed issue and renewability of coverage
States may form compacts for interstate sale of insurance
Enrollees may select primary care provider -no prior authorization for emergency services and direct access to OB/GYN care
Legislative Update
Medicaid is expanded to all individuals under age 65 with incomes up to 133% of the federal poverty level
Provides 100% federal funding to states for costs of newly eligible individuals for 2014-2016
Primary Care services will be reimbursed at 100% of the Medicare payment rates for 2013 and 2014
Legislative Update
Karen McKeithen Schaede Attorney at Law PLLC
www.shadylaw.net 336-288-4055
Questions