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ProSense

(116,464 posts)
65. This is not the final rule, and
Sun Feb 3, 2013, 10:11 AM
Feb 2013

it likely needs to be clarified.

Fact Sheet on Proposed Affordable Care Act Regulations
http://www.democraticunderground.com/10022291387

Still, the NY Times article and other reports appear to be making incomplete assumptions

In 2012, according to an annual survey by the Kaiser Family Foundation, total premiums for employer-sponsored health insurance averaged $5,615 a year for single coverage and $15,745 for family coverage. The employee’s share of the premium averaged $951 for individual coverage and more than four times as much, $4,316, for family coverage.

Under the I.R.S. rule, such costs would be considered affordable for a family making $35,000 a year, even though the family would have to spend 12 percent of its income for full coverage under the employer’s plan.

Is this a single-income family? If this is based on two incomes, what would prevent either parent from covering both kids (assuming neither parent earns more than $26,000)?

The Medicaid subsidies are up to 400 percent of FPL (about $90,000 for a family of four), and a family of three qualifies for full Medicaid up to $26,344.

A key element of the Affordable Care Act (ACA) is the expansion of Medicaid to nearly all individuals with incomes up to 138 percent of the federal poverty level (FPL) ($15,415 for an individual; $26,344 for a family of three in 2012) in 2014. Medicaid currently provides health coverage for over 60 million individuals, including 1 in 4 children, but low parent eligibility levels and restrictions in eligibility for other adults mean that many low income individuals remain uninsured. The ACA expands coverage by setting a national Medicaid eligibility floor for nearly all groups. By 2016, Medicaid, along with the Children’s Health Insurance Program (CHIP), will cover an additional 17 million individuals, mostly low-income adults, leading to a significant reduction in the number of uninsured people.

http://www.democraticunderground.com/10022159929

The assumptions about children are also wrong:

<...>

Who qualifies for CHIP?

Every state operates a CHIP, although most states have unique names for their programs like Child Health Plus (New York), Healthy Families (California), and Hoosier Healthwise (Indiana). In several states, CHIP and Medicaid are combined into one program.

Here are some CHIP basics:

  • Basic eligibility for CHIP: Children up to age 19 in families with incomes up to $45,000 per year (for a family of four) are likely to be eligible for coverage. In many states, children in families with higher incomes can also qualify.

  • Eligibility and pregnancy: Pregnant women may be eligible for CHIP. Coverage for expectant mothers generally includes lab testing and labor and delivery costs, and at least 60 days of care after delivery.

  • Citizenship and immigration status: CHIP covers U.S. citizens and certain legal immigrants. States have the option of covering children and pregnant women who are lawfully residing in the United States. Undocumented immigrants aren’t eligible for CHIP.
http://www.healthcare.gov/using-insurance/low-cost-care/childrens-insurance-program/index.html


http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Childrens-Health-Insurance-Program-CHIP/Childrens-Health-Insurance-Program-CHIP.html

Also, what would prevent the other family members (spouse and children) from securing health care on the exchange?

Recommendations

0 members have recommended this reply (displayed in chronological order):

Just a question ... 1StrongBlackMan Jan 2013 #1
It's a big wide board. I suggest you focus on your own positive posts and leave off the personal Luminous Animal Jan 2013 #2
I have a couple suggestions for you ... 1StrongBlackMan Jan 2013 #3
What do you think about a worker's kid's unable to get coverage? Luminous Animal Jan 2013 #5
It's terrible for that subset of the population ... 1StrongBlackMan Jan 2013 #11
My focus is on the least amongst us. Luminous Animal Jan 2013 #17
The least among us won't be affected. JaneyVee Jan 2013 #47
That's a bogus figure Demo_Chris Jan 2013 #28
No, only 6% will be "forced" by law to purchase insurance. JaneyVee Jan 2013 #48
Today, perhaps. And the Patriot act will never be used for anything but catching terrorists. Demo_Chris Jan 2013 #50
Really, equating the Patriot Act with a bill that will save lives? George Bush probably thanks you. JaneyVee Jan 2013 #51
aren't kids going to be able to get SCHIP? hfojvt Jan 2013 #24
it doesnt say they cant get coverage veganlush Jan 2013 #27
Literally, you don't. Luminous Animal Jan 2013 #6
+1 leftstreet Jan 2013 #4
How is asking whether someone has ever posted anything positive 1StrongBlackMan Jan 2013 #9
Why did you ask the question instead of addressing the point? Luminous Animal Jan 2013 #10
Because I wanted ... 1StrongBlackMan Jan 2013 #14
Suspect? Oooo... Luminous Animal Jan 2013 #19
see, you're SUSPICIOUS, LA Skittles Jan 2013 #35
"I have in my hand a list of 205 names of those who are suspect. . ." MadHound Jan 2013 #42
What's it got to do with the article? leftstreet Jan 2013 #13
Thanks for the guidance ... 1StrongBlackMan Jan 2013 #15
CORRECT Skittles Jan 2013 #36
I have hfojvt Jan 2013 #25
Address the issue, Le Taz Hot Jan 2013 #30
Do you ever address the issue when somebody criticizes presidential policy? MadHound Jan 2013 #39
DURec leftstreet Jan 2013 #7
And the alternative ... 1StrongBlackMan Jan 2013 #16
The alternative is that I don't have to pay Le Taz Hot Jan 2013 #32
That's not the alternative ... 1StrongBlackMan Feb 2013 #58
No, the current state Le Taz Hot Feb 2013 #60
Question ... 1StrongBlackMan Feb 2013 #64
They can fix it later. forestpath Jan 2013 #8
Yes ... 1StrongBlackMan Jan 2013 #12
Will they?? Angry Dragon Jan 2013 #18
They fixed NAFTA. Hahahahaha! Luminous Animal Jan 2013 #20
Yes they did Angry Dragon Jan 2013 #21
well as someone who pays $925 in insurance every month, THEY BETTER FIX IT FAST! liberal_at_heart Jan 2013 #23
It's a Heritage Foundation idea. A republican law. MrSlayer Jan 2013 #22
+1000 dreamnightwind Jan 2013 #29
Agreed. MrSlayer Jan 2013 #31
For a few it's deliberate bellyaching; plenty of others are knee jerk... JHB Jan 2013 #38
Oh, my. Summer Hathaway Jan 2013 #26
That kind of snark serves no purpose. Comrade Grumpy Jan 2013 #34
Once again, failure to address the issue. Why is that? MadHound Jan 2013 #40
I believe I have addressed the issue Summer Hathaway Jan 2013 #43
No, you have addressed what you would like the issue to be while ignoring the problem. n/t Egalitarian Thug Jan 2013 #52
No, that's what you wish the issue would be, MadHound Jan 2013 #53
Sorry, but Summer Hathaway Jan 2013 #54
Again, this is your wishful thinking, MadHound Jan 2013 #55
... Summer Hathaway Jan 2013 #56
Ah, yes, the Devil is indeed in the details Summer Hathaway Feb 2013 #57
and there you have it. dionysus Feb 2013 #62
Millions of Americans... awoke_in_2003 Jan 2013 #33
and they are acting like this was a "glitch" Skittles Jan 2013 #37
Makes one wonder how many more "glitches" are going to be revealed in the upcoming months, MadHound Jan 2013 #41
any new program, especially of this magnitude, will have glitches Skittles Jan 2013 #45
The ACA is another boondoggle that we must now eliminate by taking Zorra Jan 2013 #44
Smokers are already charged more Recursion Jan 2013 #46
Gee, if only someone had warned us about where this would go... Egalitarian Thug Jan 2013 #49
That's insurance finance reform for you. Autumn Feb 2013 #59
K&R woo me with science Feb 2013 #61
kick woo me with science Feb 2013 #63
This is not the final rule, and ProSense Feb 2013 #65
Latest Discussions»General Discussion»The devil, is as always, ...»Reply #65