Category Archives: Public View

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Public View

State Fact Sheets

Please check back often as information is being added to this page continuously. Members are encouraged to share State-specific information with Policy Staff for posting.

Alabama

Alabama State Overview

Alaska

Alaska State Overview

Arizona

Arizona State Overview

Arkansas

Arkansas State Overview

California

California State Overview

Colorado

Colorado State Overview

Connecticut

Connecticut State Overview

Delaware

Delaware State Overview

District of Columbia

District of Columbia Overview

Florida

Florida State Overview

Georgia

Georgia State Overview

Hawaii

Hawaii State Overview

Idaho

Idaho State Overview

Illinois

Illinois State Overview

Indiana

Indiana State Overview

Iowa

Iowa State Overview

Kansas

Kansas State Overview

Kentucky

Kentucky State Overview

Louisiana

Louisiana State Overview

Maine

Maine State Overview

Maryland

Maryland State Overview

Massachusetts

Massachusetts State Overview

Michigan

Michigan State Overview

Minnesota

Minnesota State Overview

Mississippi

Mississippi State Overview

Missouri

Missouri State Overview

Montana

Montana State Overview

Nebraska

Nebraska State Overview

Nevada

Nevada State Overview

New Hampshire

New Hampshire Overview

New Jersey

New Jersey Overview

New Mexico

New Mexico Overview

New York

New York State Overview

North Carolina

North Carolina Overview

North Dakota

North Dakota Overview

Ohio

Ohio State Overview

Oklahoma

Oklahoma State Overview

Oregon

Oregon State Overview

Pennsylvania

Pennsylvania State Overview

Rhode Island

Rhode Island State Overview

South Carolina

South Carolina State Overview

South Dakota

South Dakota State Overview

Tennessee

Tennessee State Overview

Texas

Texas State Overview

Utah

Utah State Overview

Vermont

Vermont State Overview

Virginia

Virginia State Overview

Washington

Washington State Overview

West Virginia

West Virginia State Overview

Wisconsin

Wisconsin State Overview

Wyoming

Wyoming State Overview

Public View

Health Reform Information

Health Reform Information

 

Patient Protection and Affordable Care Act Implementation Deadlines and Regulations/Guidance as of May 20, 2013

Key Provisions Implementation Summary Deadlines
Essential Health Benefits (EHB) Benchmark Plan in Individual and Small Group Markets States must select one plan from ten benchmark options in the existing insurance market to serve as the reference point for EHB services (benchmark options include 3 largest small employer plans by enrollment, 3 largest state employee plans, 3 largest federal employee plans, or the largest commercial, non-Medicaid HMO in the State).If a State failed to select a benchmark plan by September 30, 2012,  the EHB benchmark defaulted to the largest small-group plan in the State. September 30, 2012 (see HHS Final Rule on Standards Related to EHB, Actuarial Value, and Accreditation, CCIIO Bulletin on EHB Rulemaking Process, CCIIO Illustrative List of Three Largest Small Group Plans by State, FAQs on HHS Approach to Defining EHBs)NASADAD Comments on EHB Bulletin
Health Insurance Marketplaces The law calls for the creation of Health Insurance Marketplaces in each State to enable all Americans to purchase more affordable private insurance. Plans offered in the Marketplace must provide at least a basic level of essential health benefits and services. January 1, 2014 (see HHS Final Rule on the Establishment of Marketplaces and Qualified Health Plans; Exchange Standards for Employers)NASADAD Comments on the Development of State Exchanges
State Notification Regarding Health Insurance Marketplaces States must indicate to the Secretary of the Department of Health and Human Services (HHS) if they wish to operate a State-based Marketplace or a Partnership Marketplace and develop a Marketplace Blueprint. Submit by December 14, 2012 for State-Based Marketplace Letter of Intent and Blueprint; Submit by February 15th, 2013 for Partnership Marketplace Letter of Intent and Blueprint (see Letter from Secretary Sebelius Extending Marketplace Deadlines, HHS Blueprint, HHS Final Rule on the Establishment of Marketplaces and Qualified Health Plans; Exchange Standards for Employers)
Navigators and In-Person Assistance (IPA) Programs The law requires that all Federal and State-based exchanges have a navigator program. Navigators will assist consumers and small employers with the enrollment process in the exchanges through education efforts, assistance in applying for and enrolling in coverage through the exchanges, and providing referrals.  The law also proposes an optional In-Person Assistance (IPA) program that is intended to provide additional assistance options to states and to fill in the gaps in Navigator programs during the first open enrollment period. Navigators and IPA program providers are expected to be highly trained and in some states, certified. The role of Navigators and IPA programs differ across states, and some States require that each targets specific populations in order to reach a wider group of eligible consumers. Award Announcements- Applications Due by June 7th, 2013Awards were announced August 15, 2013 (See CMS List of Navigator Awardees and Information about In-Person Assistance in the Health Insurance Marketplace)To read the FOA, visit http://www.grants.gov/ and search for CFDA number 93.750(See HHS Proposed Rule on Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel)
Medicaid Expansion Americans who earn less than 133 percent of poverty (approximately $14,000 for an individual and $29,000 for a family of four) will be eligible to enroll in Medicaid in States that chose to accept Federal funds to expand their Medicaid Program. States that opt-in to the expansion will receive 100 percent federal funding for the first three years to support this expanded coverage, phasing to 90 percent federal funding in subsequent years. States can also apply for waivers to expand their program before January 1, 2014. (the expansion is no longer mandatory due to the Supreme Court’s decision that a mandatory expansion of Medicaid is unconstitutional, see National Federation of Independent Business et al. v. Sebelius) January 1, 2014 (see CMS Final Rule on Medicaid Eligibility Under the Affordable Care Act)NASADAD Comments on Medicaid Expansion
Essential Health Benefits (EHB) in Medicaid Alternative Benefit Plans State Medicaid programs have the option of extending coverage through Social Security Act Section 1937 Medicaid benchmark or benchmark equivalent plans (known as Alternative Benefit Plans). In accordance with the ACA, any Alternative Benefit Plan must cover EHB. The four Alternative Benefit Plan options include the Standard Blue Cross Blue Shield Federal Employee Health Benefit Plan (FEHBP), State Employee Coverage plan, the commercial HMO with the largest insured commercial, non-Medicaid enrollment in the State, or a Secretary approved alternative (may include traditional Medicaid plan). January 1, 2014 (see CMS Final Rule on Essential Health Benefits in Medicaid Alternative Benefit Plans, CMS Proposed Rule on Essential Health Benefits in Medicaid Alternative Benefit Plans, CMS Letter to Medicaid State Directors on EHB and Alternative Benefit Plans)
Medicare Value-Based Purchasing Establishes a hospital value-based purchasing program in Medicare to pay hospitals based on performance on quality measures and requires plans to be developed to implement value-based purchasing programs for skilled nursing facilities, home health agencies, and ambulatory surgical centers. October 1, 2012 (see CMS Final Rule)
Medicaid Payments for Primary Care In 2013 and 2014, Medicaid payment rates for primary care doctors will be increased to equal Medicare reimbursement rates. States will receive 100 percent federal financing to pay for the increase. January 1, 2013-January 1, 2015 (see CMS News Release)
Electronic Health Records Health insurance plans must implement uniform standards for electronic exchange of health information. January 1, 2013
Public Reporting on Physician Performance Begins public reporting of physician performance information, based in part on patient feedback. January 1, 2013
Medicare Bundled Payment Pilot Program Establishes a national Medicare pilot program to develop and evaluate making bundled payments for acute, inpatient hospital services, physician services, outpatient hospital services, and post-acute care services for an episode of care. January 1, 2013 (see CMS Notice)
Individual Mandate Requires U.S. citizens and legal residents to have qualifying health coverage or face a tax, with certain exemptions (including religious and hardship exemptions). January 1, 2014
Health Insurance Premium and Cost-Sharing Subsidies Provides refundable tax credits and cost sharing subsidies to eligible individuals. Premium subsidies are available to families with incomes between 133-400 percent of the federal poverty level to purchase insurance through the Exchanges, while cost sharing subsidies are available to those with incomes up to 250 percent of the federal poverty level. January 1, 2014 (see IRS Final Rule on Health Insurance Premium Tax Credits)
Guaranteed Availability of Insurance Requires guarantee issue and renewability of health insurance regardless of health status and allows rating variation based only on age (limited to a 3 to 1 ratio), geographic area, family composition, and tobacco use (limited to 1.5. to 1 ratio) in the individual and the small group market and the Exchanges. January 1, 2014
No Annual Limits on Coverage Prohibits annual limits on the dollar value of coverage. January 1, 2014
Multi-State Health Plans Requires the Office of Personnel Management to contract with insurers to offer at least two multi-state plans in each Exchange. At least one plan must be offered by a non-profit entity and at least one plan must not provide coverage for abortions beyond those permitted by federal law. January 1, 2014
Basic Health Plan Permits States the option to create a Basic Health Plan for uninsured individuals with incomes between 133-200 percent of the federal poverty level who would otherwise be eligible to receive premium subsidies in the Exchange. January 1, 2014 (see CMS Request for Information Regarding State Flexibility to Establish BHP)
Health Care Choice Compacts States may form health care choice compacts that allow insurers to sell policies across state lines, in any State participating in the compact. January 1, 2016
CO-OP Health Insurance Plan Creates the Consumer Operated and Oriented Plan (CO-OP) to foster the creation of non-profit, member-run health insurance companies. July 1, 2013 (see HHS Final Rule, Grant Awardees)
Sources: The Henry J. Kaiser Family Foundation, Health Reform Source: Implementation Guideline, http://healthreform.kff.org/timeline.aspx
The White House, The Affordable Care Act- Implementation Timeline, http://www.whitehouse.gov/healthreform/timeline

Additional Health Reform Resources:

• State Refor(u)m: http://www.statereforum.org/
• Coalition for Whole Health: http://www.coalitionforwholehealth.org/
• Kaiser Family Foundation (KFF): http://healthreform.kff.org/
• National Association of Medicaid Directors (NAMD): http://medicaiddirectors.org
• National Association of Insurance Commissioners (NAIC): http://www.naic.org/
• National Conference of State Legislatures (NCSL): http://www.ncsl.org/issues-research/health.aspx?tabs=831,139,1156
Public View

Regulatory Comments & Letters

NASADAD prepares comments or letters in response to national events, proposed legislation or regulations, agency initiatives, and other items of significance to NASADAD members.

Letters of Support

The following is an archive of letters of support that NASADAD has submitted on behalf of the membership in support of organizations or individuals who have made substance abuse prevention, treatment, and recovery a priority.

Substance Use Prevention, Treatment, and Recovery Services (SUPTRS) Block Grant

The Substance Use Prevention, Treatment, and Recovery (SUPTRS) Block Grant (formerly Substance Abuse Prevention and Treatment [SAPT] Block Grant) provides a large portion of funding for State publicly funded substance abuse prevention, treatment, and recovery systems. The following is an archive of letters and comments that NASADAD has submitted on behalf of the membership regarding the SUPTRS Block Grant.

Comments on Appropriations

The federal appropriations process decides the funding levels for all federal agencies and programs, including vital NASADAD priorities such as the SAPT Block Grant. The following is an archive of letters and comments that NASADAD has submitted on behalf of the membership regarding the appropriations process.

Comments on National Strategies and Reports

The U.S. Department of Health and Human Services (HHS) oversees federal health policy and a number of federal agencies that are important to Single State Agencies including the Substance Abuse and Mental Health Services Administration (SAMHSA), the Centers for Disease Control and Prevention (CDC), and others. Along with HHS, SAMHSA, and CDC, the Office of National Drug Control Policy (ONDCP) also has a stake in federal substance abuse policy, advising the Administration on drug control issues and coordinating federal agencies’ work related to drug control. The following is an archive of the letters and comments that NASADAD has submitted on behalf of the membership regarding proposed national substance abuse strategies, guidelines, and reports.

Comments on Health Reform and the Affordable Care Act (ACA)

Since the ACA’s passage in 2010, changes in health care delivery and financing have had a tremendous impact on the health care system at large and on State substance abuse agencies. The following is an archive of comments that NASADAD has submitted on behalf of the membership regarding health reform issues.

Comments on Current Events

The following is an archive of comments that NASADAD has submitted on behalf of the membership in response to national tragedies and other events.

Policy Statements

The following statements outlines the Associations position on policy issues.

Comments on Regulatory Initiatives and Guidance

The following is an archive of comments that NASADAD has submitted on behalf of the membership on various regulatory initiatives and guidance at the federal level.

Public View

State Youth Substance Abuse Coordinators Committee (SYSACC)

State Youth Substance Abuse Coordinators Committee (SYSACC) is a special interest section that will be called the Youth Coordinators.  The members of the Youth Coordinators will be designated representatives from State agencies responsible for funding and oversight of youth substance abuse services.

Adolescents and young adults constitute more than 25 percent of the admissions to the public substance abuse treatment system, according to the SAMHSA Treatment Episode Data Set.  This population presents distinct psychological and developmental characteristics from the “adults” who constitute the vast majority of the treatment population.

NPN, Public View

National Prevention Network

The National Prevention Network (NPN) is a NASADAD component group working to ensure effective and evidence-based tobacco, alcohol, other drug prevention programs and policies that are comprehensive and culturally competent. The NPN is comprised of State Prevention Coordinators who are responsible for substance use prevention systems in each State. Each year, NASADAD NPN host a national conference to highlight the latest research in the substance use prevention field. It provides a forum for prevention professionals, coalition leaders, researchers, and federal partners to share research, best practices, and promising evaluation results for the purpose of integrating research into prevention practice.

Annual Meeting, Public View

2011 Annual Meeting Presentations

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2011 Annual Meeting Presentations

Tuesday, June 7, 2011:

Learning Collaborative: Medicaid and Substance Abuse Services

SAMHSA, States and the Tribal Law and Order Act (Dennis O. Romero, Director, Office of Indian Alcohol and Substance Abuse/CSAP/SAMHSA)

Wednesday, June 8, 2011:

The New Financial Landscape

Luncheon on Substance Abuse Workforce

Systems Coordination

Current State of Medication Assisted Treatment (MAT)

NASADAD/CSAP Leadership Summit

Thursday, June 9, 2011

Progress and Priorities: Ms. Pam Hyde, Administrator, SAMHSA

Key Initiatives in Prevention

Capturing Quality: An Update on Data

 

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