The Massachusetts Health Care Act of 2006 was an attempt to give healthcare to all of the residents of Massachusetts. The law mandated that nearly every resident of Massachusetts obtain a minimum level of insurance coverage, provided free health care insurance for residents earning less than 150% of the federal poverty level and mandated employers with more than 10 "full-time" employees to provide healthcare insurance. The law was amended significantly in 2008 and twice in 2010 to make it consistent with the federal Affordable Care Act. Massachusetts ' recent health reform has decreased the number of uninsured, but no study has examined medical bankruptcy rates before and after the reform was implemented. These brief statements say a lot about the health care plan and what it was designed to do. The plan was created by Governor Mitt Romney in Massachusetts beginning in 2005. As a public figure, the people either adored him or despised him. With his plan to control health care in the state of Massachusetts, the success rate was then determined by his popularity throughout the state, with his ability to make the act a form of succession to meet the needs of the people of his state. “Massachusetts, however, is facing challenges as it moves forward with health reform. In particular, two trends that began prior to health reform continue to put pressure on the health care system in the state: gaps in provider supply, particularly for primary care, and escalating
Romneycare requires everyone to get health insurance through the state market place. Both this law, and the Affordable Care Act require businesses to cover all full-time employees. Also, both laws make dropping an individual due of preexisting conditions illegal. Since 2006 almost 90% of Massachusites are insured, and since 2006 Massachusetts has had surpluses in its budget (Kolesnikova). With this extra money, public service projects were preformed such as restoring the I93 tunnel and the Leonard P. Zakim Bunker Hill Memorial Bridge. On a personal level, the law helps individuals and families who are struggling with money. Mary Flynn who has asthma normally paid $60 a month for her inhaler, after her insurance dropped her because of the asthma, she went to apply for RomneyCare. “I felt like they threw me a lifeline,” she said, adding that her inhaler now costs her just $3.50 a month. “It’s the best insurance I’ve ever had” (Kolesnikova). This state law, if properly administered on a federal level, would have similar positive affects nationally.
Dr. Donald A. Barr in Introduction to US Health Policy discusses the different methods in which states attempt to expand health care coverage throughout his book. In chapter eight, The Uninsured, Barr focusses on one such successful expansion. Massachusetts increases the number of people insured in their state through individual mandate, a term used to describe when a government requires individuals to obtain health care (240). After the success of Massachusetts, the federal government attempted a similar system through a policy called the Affordable Care Act (ACA). How does the ACA compare to the Massachusetts’s policy? Though the ACA was made to reflect the Massachusetts’s individual mandate policy, they also have some key differences.
Since the implementation of the Affordable Care Act (ACA) in 2010, there has been a continuous debate about the effects it will have on the United States economy. Many people argue that expanding insurance coverage for all people will create crippling cost burdens for the economy and taxpayers. While others believe that the ACA will in fact give the economy a much-needed boost. In 2006 as a measure to improve overall healthcare, the state of Massachusetts implemented the Health Care Insurance Reform Act. This paper looks at the positive and negative effects of the Massachusetts Health Care Insurance Reform Act (MHRA). Using a literature review of public health studies ranging from 2009-2012, I argue that there are both positive and negative effects of the Massachusetts Health Care Insurance Reform. While the Massachusetts Reform increased health insurance coverage for all citizens and decreased the number of uninsured citizens accessing emergency rooms, it also did very little to decrease already existing racial, ethnic, and socioeconomic disparities among minorities and whites in the state of Massachusetts. Understanding the Massachusetts Health Care Insurance Reform Act may help in the goal of trying to achieve near-universal healthcare. This paper provides an understanding of the missing pieces in the Massachusetts Health Care Insurance Reform Act and constitutes a starting place from which to understand the Affordable Care Act.
The American Health Care Act of 2017 (AHCA), H.R. 1628, is the House Republicans ' driving proposition to "cancellation and supplant" the Affordable Care Act (ACA) and "defund" Planned Parenthood (Civic Impulse, 2017). The AHCA is a spending compromise charge that is a piece of the 2017 government spending process; this status implies that it can 't be delayed in the United States Senate and can subsequently pass the Senate with a basic larger part of votes. It would revoke the parts of the Affordable Care Act inside the extent of the government spending plan, including arrangements contained in the Internal Revenue Code. Nevertheless, the Democrats are opposing the approval of the AHCA, in which
The years 1996 to 1997 brought about another wave of health care reform for Massachusetts. The expansions in 1996 and 1997 resulted in an increase in the number of people enrolled in MassHealth (Massachusetts Medicaid program). As well, one of the key elements of Massachusetts’s safety net is
This paper focuses on analyzing the Massachusetts health care system. Specifically it addresses how the 2006 health care reform law sought to increase health insurance coverage for the uninsured, underinsured, children, young adults, and low income residents. Its desire was for universal coverage for all its residents, and that it would be both reasonably priced and of value. The Law addressed need to decrease the barriers to health care, such as racial disparities, and overall health care costs while increasing access to provider, utilization of services, with a focus on quality care. This paper will exam how the Massachusetts health reform addressed these health care issues.
yourself how this new policy will affect the way you care for your patients, report clinical
In the United States there has been a concern about providing health care assistance to citizens for a number of years. In the late 1980’s and early 1990’s the government began proposing various bills that would provide health care relief with opposition from both political parties due to their different agendas on what would be best for Americans. In this case study, the Patient Protection and Affordable Care Act will address its origin and impact on healthcare, an analysis utilizing Bardach Eightfold Path process, and implementation in the workplace including state and Federal standards.
On March 23, 2010, President Obama signed comprehensive health reform, the Patient Protection and Affordable Care Act (PPACA), into law. The United States is at the beginning of a long overdue and much needed overhaul to the health care system. The changes made to the law by legislation, focuses on: provisions to expand public health coverage, an effort to control health care costs, initiatives to improve health care delivery system, and reorganization of spending under Medicare (Henry J. Kaiser Family Foundation, 2014). More than 90 changes were included in the law; some went into effect almost immediately such as: posting of caloric details at major chain restaurants, taxation on tanning, and more breastfeeding rooms and
Four years ago, Massachusetts’ Medicaid program (called MassHealth) faced a crisis. The eEligibility rules of the Affordable Care Act required the state to change eligibility systems and the initial effort to build “the Cadillac” of eligibility systems ended in a costly spectacular failure, and an FBI investigation as a result of a Pioneer Institute report drawn from inside whistleblower accounts.
In this paper I plan to discuss an increasingly difficult topic of The Patient Protection and Affordable Care Act. I will go over the basics of the act including who founded it, when, what it states as well as what its purpose is. I will also discuss the nine titles of the Affordable Care Act. I will then go over how four of the nine titles have affected how nurses provide care. I will finalize my paper by reflecting upon what I have learned from the Affordable Care Act.
In 2010, President Obama signed the Patient Protection and Affordable Care Act (PPACA). With this act in place, president Obama promised that he would make quality, affordable health care not a privilege, but a right. Before the Patient Protection and Affordable Care Act was signed into law, “over 30 million Americans were currently without health care coverage for themselves and their families.” Said Toni Scherling, a nurse practitioner at the North Memorial Hospital in Maple Grove Minnesota. Imagine how your life would be like if you were one of million Americans that needs medical coverage, but could not afford it.
In 2004, even as the law abounded in matters such as the choice of a marriage partner, there was a great stirring in Massachusetts among lobbyist and coalitions, to embark on a reform of health care. The issues were many and varied. A considerable number of persons stood to lose their Medicaid coverage due to an impending expiration of a federal health care waiver. There was an unease that 1“free riders”, were exhausting the resources intended for other purposes. There were tax issues, and concerns for persons who were not offered health insurance by their employers, whilst not being able to qualify for Medicaid.
In 2006 the state of Massachusetts wanted to help its millions of citizens who were uninsured. The state legislators as well as the governor put into place a plan to help citizens get insurance. A law was passed to reform insurance in Massachusetts, which was known as Chapter 58 of the Acts of 2006 of the Massachusetts General Court; its long form title is An Act Providing Access to Affordable, Quality, Accountable Health Care.
In Massachusetts, the Massachusetts Health Care Reform Act had a considerable impact on hospitals and the health care system. Most community health centers were benefiting from coverage expansions and safety net hospitals were struggling financially due to the fact that the state put more funding towards insurance subsidies to expand coverage. Academic medical centers (AMC) were able to