Comments on: In House Health Bill, Kids Play ‘Lottery of Geography’ http://washingtonindependent.com/66874/in-house-health-bill-kids-play-%e2%80%98lottery-of-geography%e2%80%99 National News in Context Tue, 31 Jan 2012 02:40:51 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: Discount Louis Vuitton http://washingtonindependent.com/66874/in-house-health-bill-kids-play-%e2%80%98lottery-of-geography%e2%80%99/comment-page-1#comment-191052 Discount Louis Vuitton Fri, 20 Aug 2010 08:12:15 +0000 http://washingtonindependent.com/?p=66874#comment-191052 Seems to me that is an apples to oranges thing. Seems to me that is an apples to oranges thing.

]]> By: Arfah http://washingtonindependent.com/66874/in-house-health-bill-kids-play-%e2%80%98lottery-of-geography%e2%80%99/comment-page-1#comment-140417 Arfah Sun, 21 Mar 2010 22:37:06 +0000 http://washingtonindependent.com/?p=66874#comment-140417 Great! Great!

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]]> By: uberVU - social comments http://washingtonindependent.com/66874/in-house-health-bill-kids-play-%e2%80%98lottery-of-geography%e2%80%99/comment-page-1#comment-104613 uberVU - social comments Sun, 08 Nov 2009 01:18:43 +0000 http://washingtonindependent.com/?p=66874#comment-104613 <strong>Social comments and analytics for this post...</strong> This post was mentioned on Twitter by tweet_off: In House Health Bill, Kids Play 'Lottery of Geography' http://bit.ly/xNHv9... Social comments and analytics for this post…

This post was mentioned on Twitter by tweet_off: In House Health Bill, Kids Play ‘Lottery of Geography’ http://bit.ly/xNHv9...

]]> By: bruce_webb http://washingtonindependent.com/66874/in-house-health-bill-kids-play-%e2%80%98lottery-of-geography%e2%80%99/comment-page-1#comment-104155 bruce_webb Fri, 06 Nov 2009 21:36:28 +0000 http://washingtonindependent.com/?p=66874#comment-104155 Well this article is missing a few considerations. First comparing a family contribution under CHIP to one under the Exchange ignores the fact that you are now covering one or two adults rather than just children. Seems to me that is an apples to oranges thing.<br><br>Second under the House Bill certain categories of care are exempt from any cost-sharing:<br>222 (c) REQUIREMENTS RELATING TO COST-SHARING AND MINIMUM ACTUARIAL VALUE.— <br><br>(1) NO COST-SHARING FOR PREVENTIVE SERVICES.—There shall be no cost-sharing under the essential benefits package for— <br>(A) preventive items and services recommended with a grade of A or B by the Task Force on Clinical Preventive Services and those vaccines recommended for use by the Director of the Centers for Disease Control and Prevention; or <br><br>(B) well-baby and well-child care.<br><br>So not only are preventive and well-child care mandated as essential benefits they come with no out-of-pocket expense to the family. I don't see why this wouldn't cover those offered through EPSDT. Plus under the House Plan this also applies to children from families earning about the various qualifying income levels in that all health care plans need to meet this standard by at latest 2019.<br><br>The language covering preventive care requirements in Medicaid under Sec 1711 is a little different in that includes (A) while not explicitly including (B) but I would suggest that the intent is there to fold EPSDT into the "Adequate Benefits Package". It doesn't make much sense to mandate free coverage of these services for people in the Individual and Group market and exclude it from Medicaid and I would question whether that is the intent of the bill. Well this article is missing a few considerations. First comparing a family contribution under CHIP to one under the Exchange ignores the fact that you are now covering one or two adults rather than just children. Seems to me that is an apples to oranges thing.

Second under the House Bill certain categories of care are exempt from any cost-sharing:
222 (c) REQUIREMENTS RELATING TO COST-SHARING AND MINIMUM ACTUARIAL VALUE.—

(1) NO COST-SHARING FOR PREVENTIVE SERVICES.—There shall be no cost-sharing under the essential benefits package for—
(A) preventive items and services recommended with a grade of A or B by the Task Force on Clinical Preventive Services and those vaccines recommended for use by the Director of the Centers for Disease Control and Prevention; or

(B) well-baby and well-child care.

So not only are preventive and well-child care mandated as essential benefits they come with no out-of-pocket expense to the family. I don't see why this wouldn't cover those offered through EPSDT. Plus under the House Plan this also applies to children from families earning about the various qualifying income levels in that all health care plans need to meet this standard by at latest 2019.

The language covering preventive care requirements in Medicaid under Sec 1711 is a little different in that includes (A) while not explicitly including (B) but I would suggest that the intent is there to fold EPSDT into the “Adequate Benefits Package”. It doesn't make much sense to mandate free coverage of these services for people in the Individual and Group market and exclude it from Medicaid and I would question whether that is the intent of the bill.

]]> By: Tweets that mention In House Health Bill, Kids Play ‘Lottery of Geography’ « The Washington Independent -- Topsy.com http://washingtonindependent.com/66874/in-house-health-bill-kids-play-%e2%80%98lottery-of-geography%e2%80%99/comment-page-1#comment-103846 Tweets that mention In House Health Bill, Kids Play ‘Lottery of Geography’ « The Washington Independent -- Topsy.com Fri, 06 Nov 2009 13:03:47 +0000 http://washingtonindependent.com/?p=66874#comment-103846 [...] This post was mentioned on Twitter by TWEETOFF Donation, TMC Member Feed. TMC Member Feed said: Wash. Independent: In House Health Bill, Kids Play ‘Lottery of Geography’: How effectively .. http://bit.ly/sMAtS [...] [...] This post was mentioned on Twitter by TWEETOFF Donation, TMC Member Feed. TMC Member Feed said: Wash. Independent: In House Health Bill, Kids Play ‘Lottery of Geography’: How effectively .. http://bit.ly/sMAtS [...]

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