PPACA: Virginia, Maine Panels Think Details

January 05, 2011 at 07:00 PM
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Government advisory groups in Virginia and Maine put together proposals discussing how their states should implement the new federal health care laws and regulations.

In Virginia, the Virginia Health Reform Initiative Advisory Council has given Gov. Bob McDonnell. R, 28 recommendations for expanding Medicaid to offer wider services and cover more beneficiaries in the state, as now required by the Affordable Care Act, the federal legislative package that includes the Patient Protection and Affordable Care Act of 2010 (PPACA).

The Virginia advisory council, headed by Virginia Health and Human Resources Secretary Bill Hazel, recommended that the state develop eligibility determination standards for the expanded health care program.

The Virginia council also outlined a plan for developing a computerized case management PPACAsystem, to help local and state health care agencies share information with each other and with doctors caring for the same patients.

Meanwhile, in Maine, the Maine Advisory Council on Health Systems Development sent outgoing Gov. John Baldacci, D, its final recommendations on PPACA implementation.

The Maine council prepared the proposals after holding a series of public meetings held by a council steering committee.

The council found that about 500,000 Maine residents could be eligible for PPACA health insurance subsidies.

The steering committee is calling for Maine to rein in medical malpractice suits, improve disease prevention program, and encourage the growth of worksite wellness programs.

In 2014, when PPACA is supposed to be fully operational, federal funding could replace some of the money Maine is now spending on the state's own Dirigo health insurance subsidy program, officials say.

One challenge for Maine, Virginia and other states seeking to implement PPACA is that the incoming House Republicans have pledged to repeal PPACA and a sister act, the Health Care and Education Reconciliation Act of 2010.

Democrats still hold a majority in the Senate, and President Obama continues to have the ability to veto any bills that Congress passes, but Republicans also have talked about using their majority in the House to find indirect ways to block PPACA implementation.

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