Medicaid Restoration Plan Restores Arizona Law. It is NOT ObamaCare.
s Medicaid plan is designed to comply with Proposition 204, a mandate overwhelminglyapproved by
that requires AHCCCS to provide healthcare coverage to Arizona childlessadults up to 100% of poverty.
Governor Brewer’s plan is NOT
Below is a side-by-sidecomparison of some of the key components of ObamaCare versus what
Governor Brewer’s plan entails:
Establishes an Individual Mandate.
This changeleads to new mandates aimed at increasingaccess to affordable healthcare coverage. Only some of these are highlighted below.
Changes to Commercial Insurance Market
Establishes the Exchange or HealthInsurance Marketplace; enrollmentbegins 10/1/13.-
Adds new benefit requirements forcommercial policies on and off theExchange/Marketplace.-
Adds new cost sharing restrictions forMarketplace policies.-
Extends coverage for young adults in
their parents’ plan until they turn 26
Establishes guaranteed issue.-
Prohibits insurance companies fromdenying coverage to children under 19years due to a pre-existing condition.-
Prohibits insurance companies fromrefusing to sell coverage or renewpolicies because of a pre-existingcondition.-
Establishes community rating.-
Eliminates the ability of insurancecompanies to charge higher rates dueto gender or health status.-
Provides tax credits for middle and low-income families to help cover some of the costs of Marketplace coverage.-
Provides tax credits for small businessesto help provide insurance benefits fortheir workers.-
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Honors the will of Arizona voters
Restores coverage of Prop. 204 childlessadults (0-100% FPL) as passed by Arizona voters in 2000, impactingestimated 240,000 Arizonans.
Covers an additional 57,000 adults from100-133% FPL so that Arizona canaccess enhanced federal funds for Prop.204 coverage.
Includes a hospital assessment to pay for the
share of the cost of care for the Prop. 204 population.
With use of hospital assessment,reduces Medicaid pressure on State
budget … making more dollars availab
le for critical services like education and public safety.
Features circuit breaker that automatically ends the assessment and Medicaid expansion if federal matchingdollars are reduced below an amount established in the legislation.