Health Care For All Newsletter

October 2005

 

in this issue

 

Have You Signed Yet? 38,000+ Have ... Do It Today!

 

Legislative Health Reform -- Boiling Point Nears

 

Budget Implementation: The S-Lowdown

 

Medicare Part D -- Protecting Seniors

 

The Russian Roulette of Hospital Billing

 

Pool Regs Delayed and a New Waiting List

 

Help Hold Drug Companies Accountable

 

HCFA's Helpline Works for You

 

Check Out HCFA's Daily Blog

 

 

 

Have You Signed Yet? 38,000+ Have ... Do It Today!





 

The Massachusetts Affordable Care Today (MassACT!) campaign is on the streets! Ten days into signature collection and we have more than 38,000 collected. The initiative will:

 

• Expand MassHealth coverage to low income working adults and children;

 

• Restore MassHealth benefits like dental coverage and dentures;

 

• Provide sliding scale premium assistance to moderate income families and help for small business;

 

• Make our health system fairer by eliminating the $160 million surcharge that funds the Free Care Pool (lowering premiums), and create an affordable assessment on firms that don't to cover workers;

 

• Make that the state pay MassHealth providers fair costs;

 

• Raise the cigarette tax and discourage teens from starting to smoke.

 

MassACT needs your help to gather 100,000 signatures to put this plan on the ballot in November '06. Just a few hours this weekend would make a big difference.

 

Here's how to help:

 

1. Minimal: Download the petition form, fact sheet and instructions at www.massact.org. Print out the official petition. Look at the simple instructions -- it has to be done right. Sign the petition, get other voters in your household to sign, and mail it in. The address is on the petition. That would be a big help.

 

2. Moderate support: Download and print out the petition, and make copies. Take them to your meetings, your workplace, your neighbors, your parties in the next 2 weeks. Carry a bunch of petitions, because people who live in different towns or cities must sign different sheets. Once you get a decent number, send them in. They don't have to be full. The campaign can mail or deliver to you a stack of official petitions if you can't print them out.

 

3. Really help: Volunteer for the campaign. MassACT is organizing volunteers to get signatures at street fairs, markets, T-stops and places with lots of traffic. You can join us or we will set you up with signs, petitions, fact sheets, stickers and instructions.

 

To volunteer, go to www. massact.org, or call Lisa Vinikoor at 617-275-2807.

 

By the way, check out today's great Boston Globe  column by Eileen McNamara.

MassACT website: www.massact.org

 

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Legislative Health Reform -- Boiling Point Nears

 

Health reform is on the move in the State House. The House and Senate hope to finalize their proposals this month. Right now legislators are making key decisions about a health reform package ­ and they need to hear from you.

 

On Friday, Speaker Sal DiMasi will address a Blue Cross Foundation summit at the JFK Library where he is expected to preview the House health reform agenda.

 

Meanwhile, federal officials are warning the State that reform must be done by mid-January to avoid potential loss of federal dollars. 

Click here to read the letter.

 

Please contact your legislators and tell them real reform must be comprehensive. Real reform expands coverage, reduces costs, and is fairly funded.  Click here to identify your legislators and send an email message.

 

For more information on our comprehensive health reform legislation and the ACT! campaign, click below. For links to press coverage of the health reform debate, click here

 

 

Budget Implementation: The S-Lowdown

 

Although HCFA won important provisions in this year's 06 state budget, MassHealth has not implemented several of these legislative mandates.

 

Dental and Smoking Cessation Benefits: The FY06 budget restores dental coverage and smoking cessation benefits for pregnant women and mothers with kids under 3. MassHealth officials have convened workgroups to examine implementation, but no decisions have been made. Once decisions are made, the state must amend our federal Medicaid plan, and set up the systems to provide coverage.

 

For now, pregnant women and new moms can't get the benefits they were promised in the budget. MassHealth will not provide a timetable for implementing the coverage required by the budget.

 

CMSP Premiums Rollback: The 06 budget eliminated premiums for children in families under 200% of poverty in the Children's Medical Security Plan. Yet MassHealth continues to charge premiums for these kids, and continues to drop kids from the program for failure to pay premiums under the old schedule. MassHealth does not expect to implement the new premium schedule until December.

 

Meanwhile, legislators have expressed outrage at the imminent dropping of coverage of kids from CMSP due to the transition of the program from DPH to the MassHealth. The Boston Globe reports that more than 1000 kids may lose coverage due to "bureaucratic confusion." The Children's Health Access Coalition is mobilizing on these issues. To get involved, contact Mandi Janis at 617-275-2939, janis@hcfama.org

 

Children's Health Access Coalition

 

Medicare Part D -- Protecting Seniors

 

While some in Washington DC talk about delaying Medicare Part D drug coverage, we expect it to happen and are working to protect seniors. We are pushing to: 1. Protect access to Benzodiazepines for Prescription Advantage enrollees; 2. Provide Medicaid recipients and Prescription Advantage enrollees with access to drugs that Part D plans will not cover; 3. Give them time to negotiate exceptions and appeals as they transition to Medicare Part D. To help out, contact Melissa Shannon at shannon@hcfama.org for more details.

 

The Russian Roulette of Hospital Billing

 

A new HCFA report reveals wide variation in the treatment of low and moderate income patients across hospitals. The report: The Russian Roulette of Hospital Billing: A Review of 13 Hospitals’ Billing and Collection Practices, revealed the results of HCFA’s study of 13 Massachusetts hospitals’ billing and collection practices.

 

HCFA released the report in support of House Bills 2687 and 2752, which address the often excessive cost of care for patients lacking health insurance. The report highlights stark inconsistencies across hospitals’ billing and collection policies. HCFA found that many key aspects of billing and collection are currently not regulated by the state, leaving hospitals without guidance and consumers without protection.

 

As a result of the study, HCFA urged lawmakers to expand on pending legislation to establish clear, consistent and equitable hospital billing and collection regulations. Click below to view the report.

 

Hospital Billing Report

 

Pool Regs Delayed and a New Waiting List

 

In a supplemental budget signed by the Governor last month, the Legislature ordered a freeze of new Free Care Pool regs until 1/31/06. The regs were proposed to take effect 10/1/05. The legislative action puts off the regulations another month.

 

Meanwhile, more than uninsured 7861 persons eligible to be enrolled in MassHealth Essential languish on a waiting list. Gov. Romney says he wants to enroll all folks eligible for MassHealth but refuses to recommend lifting the cap.

 

Senate and House leaders have committed to raising the cap by 10,000 in an upcoming supp budget. We hope they remember this needy group -- all of whom now have care paid by the Free Care Pool.

 

Proposed Pool Regulations

 

Help Hold Drug Companies Accountable

 

HCFA is still seeking plaintiffs to participate in a lawsuit against major pharmaceutical companies challenging their pricing of prescription drugs. We need plaintiffs who took certain physician administered drugs in a doctor’s office or hospital.

 

We need plaintiffs who paid for at least some portion of the medication’s costs out of their own pockets. The drugs we are concerned with are used to treat cancer, arthritis, emphysema, asthma and hepatitis C. Click here  for more details.

 

Prescription Access Litigation Project

 

HCFA's Helpline Works for You

 

Every day, HCFA gets calls and emails from consumers all over Massachusetts seeking help navigating our insane health care system to get the care they need. Call the Helpline at 617-350-7279 or toll free at 800-272-4232 or email questions directly by clicking below.

 

Check Out HCFA's Daily Blog

 

Nearly every day, there's a short, easily digestible nugget of information, analysis, and insight at HCFA's Blog -- often information you'll find nowhere else. Massachusetts or the nation, organizing, policy, politics, advocacy -- it's all there. Check it out, and come back often.

 

Consumers Needed to Help Fight Drug Company Greed

 

Health Care For All is looking for Medicare recipients who have been treated with certain drugs in a hospital or doctor’s office to participate in a lawsuit against the major pharmaceutical companies for overcharging for prescription drugs.

Contact Melissa Shannon for More Information

 

http://www.hcfama.org

617-275-2911

Health Care For All

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Boston  MA  02108