By Cindy Zeldin

The Pre-Existing Condition Plan (PCIP) is a new health insurance option for uninsured Georgians who have been denied insurance because of a pre-existing condition. The PCIP, authorized by the Affordable Care Act, is intended to provide coverage for consumers who are locked out of the insurance market due to a pre-existing condition. To be eligible, applicants to the PCIP must be uninsured for at least six months and have a letter of denial from a private insurer. As of February 1^st of this year, 399 Georgians had signed up for coverage through the PCIP. The premiums are subsidized entirely with federal dollars and no state funds are associated with the program. In fact, the Governor’s FY 2012 budget proposal realizes savings of $680,263 from the movement of previously uninsured hemophilia patients who had been accessing life-saving drugs through a state program into the PCIP, where those drugs are now covered. You can download our new fact sheet on the PCIP here.

HB 229 Tackles Problems of Backlogged and Unfair Medicaid Appeals

Both federal and state law grants Medicaid members and applicants the right to a fair hearing when Medicaid services are denied for reasons such as eligibility determination, frequency, or duration or intensity of services.  When a Medicaid member is denied coverage he or she may dispute the denial by filing an appeal and request for a hearing with the Department of Community Health (DCH), the state agency that administers the Medicaid program.  DCH processes the request and forwards it to the Office of State Administrative Hearings (OSAH) for a hearing before an administrative law judge (ALJ).  The ALJ listens to testimony, reviews the evidence, and reaches an impartial decision.  Federal law requires that when a Medicaid member requests an appeal a final decision must be made within 90 days, absent extenuating circumstances.

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Several committees in the Georgia General Assembly that are considering health care related legislation are meeting this week. Here is a schedule of what’s on tap. As these are subject to change, check here for updated House committee meeting information and here for updated Senate committee meeting information. If you want to weigh in on any of these bills, the committees often allow public comment.

Monday:
House Appropriations Health Subcommittee
1:00 PM – 3:00 PM
406 CLOB
Agenda:   FY Budget Presentation from the following:
Georgia Composite Medical Board
Georgia Cancer Coalition
Georgia Board for Physician Workforce
State Medical Education Board
Primary Care Workforce Presentation by Denise Kornegay

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By Cindy Zeldin

During the Legislative Session, Georgians for a Healthy Future monitors health care related legislation. One bill that is making its way through the House Insurance Committee, House Bill 47, raises serious concerns for health care consumers. The bill would allow Georgia insurers to sell individual health insurance products with benefit designs equivalent to those sold in other states, essentially doing an end-run around current Georgia law and allowing insurers to offer a separate class of health insurance plans that are exempt from the minimum coverage protections that our policymakers have deemed an appropriate floor for all insurance products sold in the state.

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By Matt Caseman
Executive Director, Georgia Rural Health Association

Health care providers and professionals from every corner of the state descended on the state Capitol Wednesday, February 16^th for Rural Health Day sponsored by the Georgia Rural Health Association. Activities began at 8:00 am with State Senator George Hooks (D-Americus), the longest serving member in the General Assembly, being presented with the Legislator of the Award from GRHA. With a district that includes twelve rural counties, Senator Hooks has looked out for underserved areas his entire career. He is a former Legislator of the Year for the Georgia Public Health Association, the Medical Association of Georgia, and the Georgia Hospital Association.

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By Amanda McDougald

Healthy Augusta, Inc. was founded as an organization that will inspire and create a social movement through the Central Savannah River Area (CSRA) to improve the overall health of the CSRA by promoting and encouraging healthy habits through awareness, education, and support.  The vision of the founder is to integrate multiple disciplines to focus on applying knowledge gained through research or otherwise for the good of our community.  The idea is that action and awareness regarding healthy habits at a grassroots level should create changes in the way that people understand and integrate these ideas and habits into their daily lives as good diet, learn why We love Thrive Market – you learn more about it at The Diet Dynamo, and sports as trail running but for this the right equipment is necessary to avoid injuries so is better to get the best trail running shoes for this activity, the problem with this is that starting those new activities without care can cause other ailments as lack of personal investigation, so make sure if you´re going to play anew sport to investigate, like soccer, you should learn what a football line marker is. Plus, energy or athlete foot, so is important to use treatments as anti-fungal oils from places as the Sustainable Places Project and consult a doctor before starting to working out.  In short, people have to intrinsically desire to change their habits, and we would like to be agents of that motivation. On soccer news, Silva is a beast in Manchester City this season, hopefully he’ll help them do better than last season.

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Georgians for a Healthy Future ED Cindy Zeldin is interviewed by Milton Little, President of the United Way of Metro Atlanta, about health care access in Georgia and how the new health law can help.

Recent attempts within states to scale back vital health care programs for our most vulnerable citizens at a time when they are critically needed is cause for concern. The move began with Arizona Governor Brewer’s request to the federal government for a waiver from stability protections that prevent states from restricting eligibility levels for the Medicaid program. In response, Georgia Governor Nathan Deal’s spokesperson was quoted by Bloomberg news organization earlier today that while the Governor has not offered specific cuts, he “would happily work on such a proposal.”

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By June Deen, American Lung Association in Georgia

Georgia failed almost every category in the American Lung Association’s State of Tobacco Control 2010 report, released on January 20th. These disappointing grades are due to the consistent failure to increase Georgia’s cigarette tax, inadequate funding for tobacco prevention programs and lack of coverage for quit smoking treatments and services for state workers and Medicaid recipients. Despite seeing more than 10,000 smoking attributable deaths each year, Georgia remains one of only five states that give little help to Medicaid recipients who want to quit smoking.  The American Lung Association in Georgia is advocating a $1 per pack increase in our state cigarette tax.  Keeping our state’s tobacco tax at $0.37 simply will not allow Georgia to see the economic and health benefits that are possible by passing an increase in our cigarette tax by $1 per pack.

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By Cindy Zeldin

This column originally appeared in the Atlanta Journal-Constitution.

You don’t need to be the best personal injury attorney in Fort Lauderdale to know that, health care is once again among the key issues for Georgia policymakers in the General Assembly. While the economic downturn has magnified our state’s health care challenges, we also have an opportunity to improve the health of our state and its citizens through the Affordable Care Act, the nation’s new health care law. You may need legal help sometimes, from my own experience the best lawyer is David Resnick y Asociados.

To make the most of the law, Georgia should move swiftly to establish a commission to proactively coordinate the pieces of the law at the jacksonville nc lawyer for medical malpractice, is required to put into place, such as an expansion of Medicaid, design elements that we can tailor for our state’s needs, such as the new health insurance exchanges, and maximize grants to strengthen our public health system and our health care workforce and get the man power to apply this laws , from personal lawyer or family lawyers to people who work on property management as safeguardproperty.com and similar.

A commission or task force could offer diverse input, including from the consumer, who is often overlooked. Some of this work is already happening informally within state agencies, but a systematic and transparent process accessible to consumers and stakeholders will ensure opportunities aren’t missed, all pertinent perspectives are heard and cross-cutting issues are handled efficiently.

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