Wednesday, August 26, 2009

HEALTH CARE REFORM: Chapter 10

Title VII is about Medicaid and CHIP. Subtitle A deals with Medicaid and Health Reform. Because Division A of the bill stated that all eligible Medicaid beneficiaries would be auto-enrolled absent other acceptable health insurance coverage, these provisions are important, establishing the procedure. Other provisions deal with the affordability credits discussed in Division A.

Subtitle B is about Prevention, requiring coverage of certain preventive services in Medicaid. Section 1714 contains a State Eligibility Option for Family Planning Services. States can choose to cover in their Medicaid program " family planning services and supplies...including medical diagnosis and treatment services that are provided pursuant to a family planning service in a family planning setting". Such services are only available to women who are not pregnant, so abortions definitely are not covered here.

Subtitle C deals with Access. Subtitle D deals with Coverage. Subtitle E deals with Financing. Subtitle F deals with Waste, Fraud, and Abuse. Subtitle G deals with Puerto Rico and the Territories. Subtitle H contains Miscellaneous provisions.

Title VIII, which begins on Page 819, is entitled Revenue-Related Provisions.

Title IX begins on Page 835 and contains Miscellaneous Provisions. For example, Section 1905 protects dual eligibles (at times the rules of Medicare and Medicaid can be in conflict with each other). That brings us to Page 854, the end of Division B of the bill.

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