Laura Colbert, the executive director of Georgians for a Healthy Future, said her organization is “very concerned” that Medicaid reductions could be in the offing after the tax bill gets…
GHF is proud to welcome Zach Nikonovich-Kahn to our staff. Zach will serve as GHF’s Communications & Special Projects Manager. In this role, he will manage GHF’s external communications, utilize communications strategies to mobilize Georgians in support of GHF’s mission, and provide research & policy support.
Zach Nikonovich-Kahn is a communications and community engagement professional, specializing in the nonprofit sector. Prior to joining Georgians for a Healthy Future, Zach worked as the Public Policy Advocate for Families First, where he was responsible for leading the agency’s government affairs and advocacy initiatives.
Zach is an extremely proud Atlanta native, and he lives in Midtown. He currently serves on the BeltLine Affordable Housing Advisory Board, as well as the Atlanta BeltLine Young Leaders Council. Zach has also served on the board of the Midtown Neighbors Association, the Board of Ambassadors at the Georgia Museum of Contemporary Art, and the board of the Atlanta chapter of the New Leaders Council.
Zach graduated from the Honors College at the University of Georgia with a B.A. in History, and he has a Master’s degree from Cambridge University.
A subcommittee of the Georgia House of Representatives’ Insurance committee convened last Monday, November 13th to evaluate the use, costs, and effectiveness of the state’s mandated insurance benefits. Before the Affordable Care Act’s ten essential health benefits, states required insurers to cover certain health care services in the health plans sold in and regulated by the state, and many of those benefit coverage mandates remain in effect today. (CMS has a list of Georgia’s coverage mandates.) Because benefit coverage mandates have a principally positive impact on consumers’ access to, cost of, and quality of health coverage, GHF’s Executive Director Laura Colbert testified at the committee hearing.
In her testimony, Laura focused on the benefits of coverage mandates to consumers:
- Protection from insufficient coverage— No one plans on getting in a car crash or being diagnosed with cancer. Even health care services we think of as planned are not; only half of U.S. pregnancies are planned. Coverage mandates help to guarantee that consumers have access to needed care and are financially protected even if they do not accurately predict their health care needs when they enroll in a plan.
- Increased access to care— Studies show that coverage mandates can result in increased use of the mandated health care services, especially those that are expensive. For example, methadone maintenance treatment, the most effective treatment for opioid addiction, costs about $5000 annually. Because most insurance plans are required to cover mental health and substance use services, consumers are able to better access these services. Without that financial help, consumers may forgo this critical service or others like it.
- Financial protection at minimal cost—The Affordable Care Act limits how much consumers have to pay out of pocket for health care each year through what is called an out-of-pocket maximum. This out-of-pocket maximum includes co-pays, deductibles, co-insurance, and any other out-of-pocket costs but does not include premium payments. The out of pocket maximum protections only apply to mandated services. Non-mandated services include adult dental and vision services, infertility treatments, in-home nursing, hospice care, and long-term care, and consumers are often left to pay for the full costs of these.
- Comparison shopping made easier—In the U.S., only about 12% of consumers have proficient health literacy skills, meaning that they are able to calculate their share of health insurance costs for a year. By standardizing insurance plans through coverage mandates, consumers are better able to compare plans based on a more limited number of factors like price and network breadth.
If you want more information on the consumer impacts of coverage mandates, check out the fact sheet we created summarizing GHF’s testimony.
One of GHF core organizational activities is consumer outreach and education. Over the past two weeks, GHF’s Outreach & Communications Coordinator Jamila Young participated in two conferences in Dublin and Albany, Georgia in an effort to reach consumers across the state, provide them with useful tools and resources, and hear about their experiences with health care and coverage. When you are experiencing IBS Symptoms like constipation, and diarrhea, contact IBSClinics.
On October 23 and 24th, Jamila attended the Healthy Mothers Healthy Babies Coalition of Georgia (HMHB) conference in Dublin, GA. HMHB works to improve access to prenatal and preventive healthcare for women, children and families in Georgia through direct service, collaborative advocacy and community education. At this conference, Jamila talked with health care providers and consumers about the importance of Medicaid for pregnant women, children, and new moms. She was also afforded the opportunity to hear from Commissioner Frank Berry of the Georgia Department of Community Health (which oversees Georgia’s Medicaid program) about implementing community based work to advance health care in Georgia.
Last week, Jamila traveled to Albany, GA to attend the Southwest Georgia Project For Community Education’s (SWGA Project) second annual Food, Ag and Equity conference. At the conference, Jamila networked with rural farmers and consumers, and heard stories about their struggles obtaining health insurance, answered questions about Georgia’s Medicaid program, and provided much-anticipated information about the ACA’s current open enrollment period. Despite the conference’s focus on food and agriculture, several speakers spoke to the importance of healthy behaviors and utilizing preventative health care services to stay healthy. Georgians For A Healthy Future is excited to continue its work with the Southwest Georgia Project in 2018 as they work together to close Georgia’s coverage gap and expand Medicaid.
GHF is pleased to welcome Bianca Garcia as a Health Policy Intern. Bianca is a second year Master of Public Health student in health policy and management at the Rollins School of Public Health at Emory University. She earned a bachelor’s degree in biology from Purchase College in New York. Since then, Bianca has worked at different levels of our healthcare system—from clinical research associate training labs to clinics to health departments—which has equipped her with an intimate understanding of its strengths and weaknesses.
Bianca is interested in creating and promoting policy that improves access to care in disadvantaged communities. She is also interested in primary prevention initiatives that focus on education and economic prosperity.
As GHF’s Health Policy Intern, Bianca will be gathering data about Georgia’s Medicaid program and collecting recommendations from many of GHF’s partner organizations about how to improve Georgia’s Medicaid program. This information will be synthesized into a report and recommendations for state policymakers. During her time at GHF, Bianca hopes to learn more about communicating with legislators and how to effectively advocate for consumer interests.
With four open enrollment periods completed and a fifth one beginning in the coming weeks, the Health Insurance Marketplace has become established as the avenue for purchasing coverage for thousands of Georgians who do not have access to have insurance at work. The fourth open enrollment period differed from the first three in several important ways, and understanding these variations will be important in ensuring that the Marketplace continues to serve consumers who seek access to affordable comprehensive health insurance. This report examines the characteristics of the consumers enrolled in the Georgia Marketplace, compares open enrollment 4 to the previous three enrollment periods, and provides a preview for open enrollment 5.
Inside you’ll find:
– Key themes in consumer and assister experiences during the 2017 open enrollment period
– A look forward to open enrollment 5
– Policy opportunities to increase enrollment, ensure access to care, address affordability issues, and facilitate continued consumer education and supports
Earlier today, Senators McConnell, Graham, and Cassidy announced that the U.S. Senate would not vote on the chamber’s most recent attempt to dismantle Medicaid and the Affordable Care Act. We are pleased that, for the time being, millions of Georgians will be able to keep the coverage and protections that they have gained as a result of these programs.
As we look forward, we hope that Georgia’s members of Congress will consider the best interests of their constituents and work in a bipartisan fashion to make the ACA and health care better for all Georgians. The ACA was a significant step forward for health care consumers but we still have some distance to go before all Georgians have the quality, affordable health care they need to be healthy and contribute to the health of their communities. We need to work at the state and federal levels to build on the ACA’s progress by expanding coverage, lowering out-of-pocket costs, addressing health disparities, shoring up our rural health care system, and improving the quality of care.
We expect to see further threats to the rights and protections of health care consumers in the coming months and years. As an organization, GHF will remain vigilant and engaged, and we will continue to elevate the voice of consumers—your voice—to improve health care and coverage for all of us.
Nationwide transgender individuals face significant barriers to accessing health care because of their gender identity; however, little is known about the experiences of the estimated 55,000 transgender individuals in Georgia as they interact with the health care system. Understanding the health care needs, access barriers, and discrimination experiences of transgender individuals in Georgia can inform the work of advocates, stakeholders, and policymakers to reach the shared goal of ensuring health equity for all Georgians, especially transgender Georgians.
To inform the public about these barriers to care, Georgians for a Healthy Future, Georgia Equality, and The Health Initiative are releasing a policy brief, Voices for Equity: How the experiences of transgender Georgians can inform the implementation of nondiscrimination provisions in the Affordable Care Act.
Voices for Equity: How the experiences of transgender Georgians can inform the implementation of the ACA’s nondiscrimination provisions
The passage of the Patient Protection and Affordable Care Act (ACA) was notable not only for increasing access to health insurance coverage for millions of Americans but also for its broad non-discrimination provisions. Section 1557 of the ACA prohibits discrimination on the basis of race, color, national origin, sex, age, or disability in many health programs and activities. The final rule determined that discrimination on the basis of gender identity and sex stereotyping are equally prohibited under Section 1557, and as a result, lesbian, gay, bisexual, transgender, and queer (LGBTQ) Georgians have protections from discrimination in health coverage and care for the first time. To better understand the challenges that transgender Georgians may face when accessing health care, GHF, GE, and THI collected data and information from transgender Georgians that provided compelling narrative of barriers that transgender individuals routinely face when seeking health care and utilizing their health insurance.
The goals of this policy brief are:
- describe the protections for transgender individuals under Section 1557 of the Affordable Care Act.
- discuss the results from a series of transgender focus groups and survey of the LGBTQ community in Georgia, and the 2015 U.S. Transgender Survey to understand transgender individuals’ experiences in health care.
- recommend actions that health care providers, policy makers, and advocates can take to support improved health care access and equity for transgender Georgians.
Resources for LGBT consumers
Thanks to Section 1557 of the Affordable Care Act, LGBT Georgians have protections from discrimination in health coverage and care for the first time. If you believe you have been discriminated against, it is important to file a 1557 complaint with the Office of Civil Rights in the Department of Health and Human Services. GHF and our partners can help you with that! Visit GHF’s LGBT Health Equity page for more information and help to file your complaint.
Members of Congress, who have spent much of August in their home districts while on recess, will reconvene in Washington, D.C. this week with an ambitious agenda and looming deadlines. After July’s failure of the Senate’s health care legislation, health care remains a top agenda item for many members and we expect to see activity that could have big impacts on consumers in Georgia. Group Benefits Broker will offer health plans to anybody who needs it.
During the August recess, the chairman and vice-chair of the Senate’s Health, Education, Labor, and Pensions (HELP) committee scheduled bi-partisan hearings for September 6th & 7th on the stabilization of the Affordable Care Act’s Marketplace. The HELP committee, including Georgia’s own Senator Isakson, will hear testimony from Governors and Insurance Commissioners from a variety of states with a primary focus on private insurance topics. These hearings are an important step in helping to stabilize and strengthen the ACA Marketplaces and we expect to see suggested proposals that include guaranteed funding of cost-sharing reduction payments to insurers, funding for a reinsurance program, strong enforcement of the individual mandate, and others.
Also on Congress’s agenda for September is the reauthorization of the Children’s Health Insurance Program (CHIP), the federal program that funds 100% of Georgia’s PeachCare for Kids insurance program. CHIP covers more than 230,000 Georgia children and has been critical in driving our children’s uninsured rate down to 6.7%. CHIP expires on September 30, 2017 and must be reauthorized by Congress to continue. CHIP enjoys wide bipartisan support in Congress so it is expected to pass, but there is some danger Medicaid cuts or program changes like work requirements and premiums will be attached.
Lastly, the House of Representatives will continue its work on the FY2018 federal budget. The current House budget plan calls for a cut of $1.5 trillion from Medicaid and the Affordable Care Act from 2018-2027, mirroring many of the devastating cuts from the House-passed American Health Care Act. On top of these cuts are proposals for fundamental changes to Medicaid such as a work requirement that would cut the program by another $110 billion. Like all of the leading health care proposals put forth by Congress this year, these cuts to Medicaid would debilitate the program, shift substantial costs to states, and leave 2 million Georgians without the access to health care on which they currently rely. The budget has already passed the House Budget committee and will be taken up by the full House in the coming weeks.
Congress’s work in September could have significant impacts—both positive and negative—on consumers in Georgia and it is vital that they hear from you on these issues. As your elected officials reconvene in Washington, we ask that you to visit this site for more information: oinkmoney.com
|Rep. Buddy Carter||Brunswick Office: 912-265-9010
Savannah office: 912-352-0101
Washington, D.C.: 202-225-5831
|Rep. Sanford Bishop||Albany office: 229-439-8067
Washington, D.C.: 202-225-3631
|Rep. Drew Ferguson||770-683-2033
Washington, D.C.: 202-225-5901
|Rep. Hank Johnson||770-987-2291
Washington, D.C.: 202-225-1605
|Rep. John Lewis||404-659-0116
Washington, D.C.: 202-225-3801
|Rep. Karen Handel||Washington, D.C.: 202-225-4501||Email form|
|Rep. Robert Woodall||770-232-3005
Washington, D.C.: 202-225-4272
|Rep. Austin Scott||Tifton office: 229-396-5175
Warner Robins: 478-971-1776
Washington, D.C.: 202-225-6531
|Rep. Doug Collins||770-297-3388
Washington, D.C.: 202-225-9893
|Rep. Jody Hice||Milledgeville office: 478-457-0007
Monroe office: 770-207-1776
Thomson office: 770-207-1776
Washington, D.C.: 202-225-4101
|Rep. Barry Loudermilk||Cartersville office: 770-429-1776
Woodstock office: 770-429-1776
Galleria office: 770-429-1776
Washington, D.C.: 202-225-2931
|Rep. Rick Allen||Augusta: 706-228-1980
Washington, D.C.: 202-225-2823
|Rep. David Scott||Jonesboro office: 770-210-5073
Smyrna office: 770-432-5405
Washington, D.C.: 202-225-2939
|Rep. Tom Graves||Dalton office: 706-226-5320
Rome office: 706-290-1776
Washington, D.C.: 202-225-5211
GHF is pleased to welcome Jamila Young to our staff. Jamila will serve as GHF’s Outreach and Communications Coordinator. In her role she is responsible for crafting GHF’s external communications, creating public education materials, and building and strengthening GHF’s connections to consumers and community groups across Georgia.
Jamila comes to GHF after practicing law at the Wright Legal Group in Columbus, GA and working as an enrollment assisster during the inaugural open enrollment periods of the Affordable Care Act . She has also worked as a diversity fellow for the Centers for Medicare and Medicaid Services. Jamila is a native of Albany, Georgia. She has a B.A. in English from Kennesaw State University, a J.D. from Florida Agricultural and Mechanical University, a licensed attorney and currently working on her LLM in Health Law and Policy at Hofstra University. She is also a proud mother to her only child, Tre.
Please welcome Jamila!
At the center of Congress’s recent health care debates has been Medicaid, the government health insurance program for low-income children, seniors, people with disabilities, and pregnant women., and significant support for the program from the public and elected officials is one of the primary factors in the demise of several health reform bills in the U.S. Senate. Since its enactment in 1965, Medicaid has provided millions of Americans with critical health care coverage and services, and it is the largest source of federal funding in state budgets.
In Georgia, Medicaid provides critical support for the health, education, family life, ability to work, and aging of people across the state. Our state’s Medicaid program:
- Provides health insurance for half of all Georgia children, including 100% of foster children;
- Ensures almost 40,000 people with disabilities can live and work in their communities rather than in institutions;
- Supports healthy mothers and babies by covering half of all Georgia births;
- Assists more than 70,000 low-income seniors by covering their Medicare co-pays and deductibles;
- Keeps kids in hvac training school san jose by providing needed supports for the 118,000 students with disabilities statewide and funding for school nurses;
- Is the primary payer for 75% of Georgia’s nursing home stays;
- Connects people with substance use disorders to life-saving treatment; and
- Provides health insurance for around 2 million Georgians (20% of the state).
On July 30th, we celebrated the 52nd anniversary of Medicaid (and Medicare), and despite the overwhelming evidence that the program works, its future has been called into jeopardy. Efforts to cut and dismantle Medicaid, wrapped in the cloak of repealing the Affordable Care Act have so far been derailed, but the threat has not yet subsided. Medicaid beneficiaries and supporters alike must continue to oppose any such efforts. If we want to ensure that Medicaid will have another 52 years to contribute to Georgia’s health and prosperity, we have to continue to let our elected officials know we fully support the program and will not accept cuts, caps, block grants or any other proposal that would jeopardize the care of millions and throw our state budget into chaos. We must continue to communicate Medicaid’s importance and put forth evidence-based, patient-centered proposals that strengthen the program and enhance its value for Georgia. We hope you will join us as we work to ensure Georgians can count on Medicaid for another 52 years and more.
For more information about Georgia’s Medicaid program, check out GHF’s Medicaid chart book.