Category Archives: Blog

VCV Statement on King vs. Burwell Supreme Court Ruling

We are pleased that during this 50th anniversary year since the passage of the Voting Rights Act and the creation of Medicare and Medicaid, another landmark action to promote social justice has been taken. Today the Supreme Court released its decision on King v. Burwell, the case that considered whether those who live in states which operate under the federal health insurance marketplace would continue to receive subsidies.

The Court affirmed 6-3 that the these subsidies are lawful. Because Virginia participates in the federal marketplace, 286,000 Virginians who depend on those subsidies in order to pay their premiums every month can continue to receive the care that they need to stay healthy. The ruling confirms what we have known all along – the law was designed to provide a tax credit to any American who qualifies, regardless of the type of Marketplace they use.

We must now all turn our attention to the 400,000 Virginians who do not have access to affordable health insurance.

June 5th: Marching for Rural Care

In 2015, 283 of America’s rural hospitals face the possibility of closing down. To bring attention to the 62 million Americans who rely on rural healthcare, healthcare advocates are walking 283 miles from North Carolina to Washington DC between June 1st and June 15th.

Members of the walk include Adam O’Neal, the Mayor of Belhaven who walked the same route last year to bring attention to a hospital closing in his town. “Our rural hospitals are just as important as any urban medical center. When hospitals close, emergency rooms close and that means needless deaths — our children, family members, veterans, and neighbors. We have to stand up for ourselves and The Walk will get Washington’s and the nation’s attention” said O’Neal.

To follow the walk and to find events in Virginia, visit thewalknctodc.com.

May 15th: Nation Women’s Health Week

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Every year National Women’s Health Week commences on Mother’s Day to encourage women to make health a priority in their life. At VCV our focus on implementation of the Affordable Care Act and closing the coverage gap are critical to ensuring that women across Virginia have access to necessary medical care. Below are two examples of how our work is vital to women’s health.

 

The Affordable Care Act

When the ACA passed, Mary Bennett of Charlottesville, VA was eager to sign up for a plan in the Marketplace. A hourly worker for the state, Mary was not covered by her employer and paid $700 a month for a private health insurance plan with a $7,500 deductible. A two time cancer survivor, Mary advocated for health reform and quickly met with a Navigator through Enroll Virginia once the Marketplace opened. With multiple chronic illnesses, Mary knew that she needed a plan that would allow her to see specialists often for an affordable price. She selected a silver plan, which has a higher premium than the least costly plan but offers more coverage. Mary now only pays $350 a month for health insurance with a $2,500 deductible.

Mary is one example of the nearly 385,000 Virginians that have benefited from the ACA. She says that “under the ACA my policy is more affordable so I’m happier and less stressed.”

 

All ACA plans support women’s health by:

  • Not charging women more for plans just because of their gender
  • Including maternity care and newborn care as essential health benefits
  • Covering preventative services like mammograms and pap smears without cost sharing

 

Closing the Coverage Gap

If Virginia legislators decided to accept federal funding to expand our Medicaid program, 112,642 Virginia women of reproductive age¹ could have access to health insurance. Additionally, a recent study by VCU’s Massey Cancer Center found that women in non-expansion states like Virginia “are less likely to receive potentially lifesaving breast and cervical cancer screenings by 7.9 percent and 4.9 percent, respectively.”² Closing the coverage gap would allow thousands of Virginia women to access necessary medical care to stay healthy and prevent chronic disease. To help uninsured Virginia women access health insurance, contact your legislator and encourage them to close the coverage gap today!

 

¹ Planned Parenthood Advocates of Virginia

² State Medicaid Expansion Decisions and Disparities in Women’s Cancer Screening, Lindsay M. Sabik, PhD, , Wafa W. Tarazi, MHPA, Cathy J. Bradley, PhD

A Tribute to The Affordable Care Act on Its Birthday

Written by Director Karen Cameron

Sometimes I just can’t believe that the Affordable Care Act (ACA) was passed five years ago and, for the first time since I was diagnosed with diabetes at 13 years of age, I don’t have to worry about losing group health insurance. Before the ACA, I went a total of about three years without health insurance – the first time for a year when I graduated from college and could only find a full-time job that offered no coverage to “temporary” employees and then again when I was in graduate school and during its required year long residency. What I could buy on the private market would have cost more than a third of my income and would not have covered costs associated with my diabetes. So I, like well more than half a million people in Virginia today, was forced to play Russian Roulette with my health, purchasing my medication and supplies with cash and praying I wouldn’t get really sick and/or have lifelong bills I couldn’t pay.

 Today, thanks to the ACA, I can’t be charged more for health insurance just because I happen to have a chronic disease or because I am a woman. I could even get help paying for it if I couldn’t afford what was available to me. Young people, like me when I was uninsured, can stay on their parent’s insurance until they are 26. I can go to most restaurants and know how many calories are in my meal choices. I can get important annual screenings and a primary care visit without having to meet a deductible or paying out of pocket. All of this allows me, and my fellow Americans, to stay healthy and remain a tax paying, productive member of society.

All one has to do is remember the spiraling costs of health care and the increasing number of Americans who couldn’t afford to get or keep health insurance for decades prior to the ACA to appreciate its value and what it has meant for the health and well being of our citizens and our economy. It took real leadership for our President and members of Congress, many who lost their seats to do the right thing and support the ACA, to make something significant happen to address our health care access and cost problems. We can’t afford to turn back the clock.

General Assembly 2015: Unsatisfactory

Written by Policy Analyst, Erin Steigleder

The 2015 General Assembly session was a mixed bag for health care advocates. The legislature again refused to close the coverage gap, leaving millions of dollars on the table and leaving hundreds of thousands of Virginians without access to affordable health insurance. The best the legislature could muster were band-aids in the form of additional funding to community health centers and free clinics and limited benefits for those with severe mental illness (SMI).

Let’s be clear: More funding for our health care safety net is absolutely needed, and providing coverage, even limited coverage, to those with SMI will make a huge difference in their lives and in our state. The problem is that these steps just don’t make a significant impact on Virginia’s health status, unnecessarily add to Virginia’s taxpayers’ burden, and are certainly not the most cost-effective ways to address the problem.

During this General Assembly session, VCV worked  with other advocates to ensure that the revised budget included the Governor’s Access Plan (GAP) for people with SMI. When the GAP plan was proposed by Governor McAuliffe and approved as a Medicaid waiver program, it:

  • provided mental health and limited medical benefits for those with SMI with an income up to 100% of FPL ($11,670 annual income for an individual)
  • would benefit up to 20,000 Virginians.
The final budget agreement looks like this:
  • lowered the income level for eligibility for the program to 60% of FPL ($7,602 for an individual)
  • is predicted to serve up to 22,000 Virginians.

The GAP program will be funded through a partnership with the federal government, just like standard Medicaid, at a match rate of 50%. This means that for every state dollar spent on services for the program participants, the federal government will kick in a dollar. If our legislature had decided to close the coverage gap, the program recipients would have been able to access full Medicaid services at no cost to the state until 2017. Now, we are paying more than we need to in order to provide a lower level of care in a less efficient way.

Perhaps recognizing that they had not addressed the needs of the many other uninsured persons, the legislature added $4.1 million to the Governor’s proposed funding to the community health centers and free clinics next year. It appears that many legislators think that the safety net funding increase would fix the problem of people having trouble accessing health care, making increased access to Medicaid coverage unnecessary.

There are two major flaws with this idea:
  • Free clinics and community health centers very rarely provide specialty services, like cancer treatment, rehabilitation or surgery, and never provide inpatient care;
  • Expanding Medicaid would have brought in millions of federal tax dollars (including increased dollars to community health centers) that could have improved access and the health status of more than ten times as many Virginians without additional state expenditures.

Kentucky is one of the 28 states that decided to use those federal dollars and increase access to their state’s Medicaid program. They took advantage of the 100% funding from the federal government for their new enrollees, and Kentuckians have experienced a huge benefit. Not only did Kentucky have the second-largest drop in their uninsured rate (and now have a lower percentage of uninsured than Virginia), but the increased access to Medicaid is predicted to result in an infusion of $30.1 billion to Kentucky’s economy by 2021. And Kentucky isn’t the only state to reap these huge benefits. The 24 states that began their expanded Medicaid programs on January 1st of last year saw the healthcare job sector grow 30% faster than they did in other states that didn’t expand.

Virginia is not reaping either the social or economic benefits from the opportunity to increase access to our Medicaid program. Instead of closing the coverage gap, we are providing vital health care services to only a fraction of the people in need at a higher cost.  The Virginia legislature used to distinguish itself from the partisan politics in Washington and make rational decisions based on the needs of Virginians, but no longer. Virginians need our legislators to do the right thing, morally and economically, and close the coverage gap in 2016.

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