Over thirty years of working for social, economic, and political justice for all
New Hampshire Citizens Alliance 4 Park Street, Suite 304 Concord, NH 03301 603-225-2097
We are passionate about passing real health care reform that provides quality, affordable health care every American can count on. For more than a decade we have been working to gain access to quality, affordable health care for all residents of our state by educating elected officials and educating the public. We have held numerous information sessions all across the state to help get our message out so that the voices of New Hampshire residents can be heard in the halls of Congress. With 45 million people across the country without health insurance and living one accident or sickness away from financial ruin, the urgency to enact effective health care reforms has never been greater.
At the state level, we are a member of NH Voices for Health, a network of health advocacy organizations devoted to improving quality, cost, and access to health care in the Granite State.
With the health care reform, the Part D coverage gap with decrease. First, in 2010, all enrollees who spend in the gap will receive a rebate of $250. In 2011, all enrollees who spend in the coverage gap will receive a 50% discount on the total of their brand name prescriptions. Additional subsidies will be phased in by 2020, when pharmaceutical manufactures give a 50% discount on brand name drugs and the federal government will provide 25% of the cost, leaving 25% of the total cost for the Part D enrollee. For generic drugs, the enrollee will still only pay 25%, but the other 75% will be subsidized by Medicare.
This reform will cost the government $938 per year for 10 years, and should reduce the deficit by $124 billion in that decade.
How does reform affect employers?
Though there is no employer mandate, employers with more than 50 employees will have to pay a fee of $2000 per full-time employee in excess of 30 if they do not provide health insurance and they have one employee who receives a premium credit through the American Health Benefit Exchanges. If they offer coverage and still have an employee who receives credit through the Exchange are required to pay the lesser of $3000 for each employee receiving from the Exchange or $2000 for each full time employee. Large employers that offer coverage will be required to automatically enroll employees into the lowest cost premium plan of the employee does not sign up or opt out.
How does reform affect Medicaid?
Medicaid will expand to all individuals under 65 with incomes less than $14404 for an individual and $29327 for a family of 4 in 2009. Eligibility for Medicaid and Children's Health Insurance Program (CHIP) for children will remain the same until 2019.
What is the individual mandate?
All individuals will be required to have health insurance starting in 2014. There will be some exceptions, but those who do not will have a financial penalty of $695 per person, up to $2085 per family, or 2.5% of household income. The exceptions include financial hardships, religious objections, American Indians, people who have been uninsured for less than 3 months, people for which the lowest cost health plan exceeds 8% of their income, and people whose income is less than the filing threshold.