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States Moving 'Assertively' with ACA Provisions

John Commins, for HealthLeaders Media, March 22, 2012

The reforms include:

  • expanding dependent coverage for young adults up to age 26,
  • prohibiting lifetime limits on health benefits,
  • phasing out annual dollar limits on health benefits,
  • prohibiting preexisting condition exclusions for children under age 19,
  • prohibiting rescissions (cancelling insurance, except in cases of fraud or intentional misrepresentation),
  • covering preventive services without cost-sharing,
  • expanding coverage of emergency services,
  • allowing choice of primary care provider,
  • allowing choice of pediatrician, and
  • allowing access to obstetricians and gynecologists without a referral

"Most states have either passed laws, issued regulations, or have taken other measures such as sub-regulatory guidance or exercising policy review to make sure the residents in their states are protected by these new provisions in the law," Collins says. "The fact that 49 states have moved forward to fulfill their role in the implementation of these reforms is pretty significant."

The lone exception is Arizona. "They officially told the researchers in the study that they are not moving forward to enforce the regulations," Collins says. "There is a nuance about some of the stuff the Arizona insurance department itself is taking care of, but the state itself is not moving forward."

"But let's be clear: People are protected by the provisions of the law whether or not their state moves forward with the provisions of the law. If Arizona says it can't pass legislation to implement the rule then obviously the federal government will need to enforce it."

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1 comments on "States Moving 'Assertively' with ACA Provisions"


Alfred Neuman MD (3/22/2012 at 11:01 AM)
This article is a bit slanted and distorted, in what appears to be another media attempt to support this President and his failing Administration. As an experienced physician, healthcare sr. administrator and consultant, i can tell you that very few of the principle elements in "Obamacare" have been acted on by large healthcare systems across the country. They either think it's going to be repealed, reversed in the High Court, or at the vey least seriously modified before any of the onerous requirements actually are mandated to go in place. A recent public opinion survery shows that nearly 2/3 of Americans have a negative view of Obamacare and don't want it to go into place. Healthleaders Media Council seems to have an agenda in favor of this Administration and its often poorly thought out policies.