SJM1 TASKFORCE

National Health Care Reform- Fact Sheets/Brochures- Scope of Work for RFA's

SJM1 Final Report of Healthcare Reform Working Group

Meeting Information

SJM 1 ~ Health Care Reform Working Group

Health Care Insurance for Dependants

Small Business Health Care Tax Credit

 Rate Review of Health Care Insurance

Web Portal Information

Medical Loss Ratio Information

High Risk Pool Information

Regulations and Statues

Grant Opportunity for Insurance Rate Review

 

Meeting Information

May 5, 2010 (Wednesday)

  • Insurance Reform
  • Advisory Group Formation & Tasks
  • Agenda -- Minutes

June 3, 2010 (Thursday)

  • Health Insurance EXCHANGE
  • Business Impact, Tax Implications
  • Agenda -- Minutes

July 9, 2010 (Friday)

August 5, 2010 (Thursday)

September 2, 2010 (Thursday)

  • Consumer Protection & Education
  • Quality, Transparency & IT
  • Agenda -- Minutes

October 4, 2010 (Monday)

  • Final Wrap-UP
  • Draft Report Review &  Recommendations
  • Agenda -- Minutes

Back to List of Health Care topics

 


 

SJM 1 ~ HEALTH REFORM WORKING GROUP

Advisory Groups ~ Proposed Strategy
As of May 5, 2010

Self-Formation of Advisory Groups

    • Interested parties encouraged to organize themselves
    • Known Advisory Groups formed thus far:
      • Medicaid (Medicaid Coalition leading)
      • Long-Term Care (Disability Coalition leading)
      • Consumer Protection & Education (SW Women’s Law Center, Legal Aid and others leading)
      • Insurance & Exchanges (NMAHU leading)
    • Others yet to be confirmed
      • Workforce
      • Business Impact
      • Delivery Systems

Task Definition for Advisory Groups

    • Identify provisions of law relating to interest group
    • What are the timelines for implementation & decision-making
    • What are the key implementation or policy issues
    • What are the key decision points – legislative and administrative
    • Who has primary responsibility (Federal, State, Agency or shared)
    • What are the funding opportunities and associated timelines and primary responsibility
    • Any specific recommendations on policy or implementation issues and decision points

Working Documents

SJMI Worksheet
Timeline for SJM1 Meeting April 7

Health Reform Handouts and Documents

RE: Letter from the Secretary of Health and Human Services
RE: Patient Protection and Affordable Care Act of 2009: Health Insurance Exchanges
RE: Patient Protection and Affordable Care Act of 2009: Immediate Health Insurance Market Reforms
RE: Patient Protection and Affordable Care Act of 2009: Health Insurance Market Reforms
RE: Health Care Form Enacted
RE: FY 2009 CHIPRA Allotments
RE: SCHIP Formula - CRS Report for Congress
RE: Patient Protection and Affordable Care as passed - Section by Section Analysis

Deadlines

HEALTH CARE REFORM IMPLEMENTATION KEY DEADLINES

Links

The New Mexico Medical Insurance Pool at: http://www.nmmip.com/
New Mexico Health Insurance Alliance at: http://www.nmhia.com/
New Mexico Legislature Calendar at: http://www.nmlegis.gov/lcs/agecalendars.aspx

Information about Health Care Reform in NM and NM HCR Leadership Team

Take health care into your own hands http://www.healthcare.gov/

 

Back to List of Health Care topics


Health Care Insurance for Dependants

26 CFR Parts 54 and 206 29 CFR Dependent Children Age 26
Dependent - Sec Letter Expediting
Dependent Coverage - Fact Sheet 5-10-2010
Dependent Coverage - FAQ 5-10-2010
Dependents - Interim Final Rule 5-10-2010
IRS Notice n-10-38
 

 


Small Business Health Care Tax Credit

3_simple_steps
IRS FAQ on Small Business Health Care Tax Credit
N-10-44
RR-10-13
Small_Business_Health_Care_Tax_Credit_Scenarios

 

 


 Rate Review of Health Care Insurance

NAIC Repsonse to Rate Review Notice
Rate Review Federal Register Request for Comments Notice

 

 

 

 

Back to List of Health Care topics


Web Portal Information

Fact Sheet Web Portal
Health Insurance Oversight System (HIOS) Technical Instructions_STATE_Final
Interim Final Rule
State Slides
State Template_memo
Web Portal - Interim Final Rule
 

Web Portal Website:  www.healthcare.gov


Medical Loss Ratio Information

5 07 10 Letter to HHS Secretary Kathleen Sebelius
AHIP MLR Chart
Comments 5-12
MLR State Survey Responses
Definition - instructions
Federal MLR
HB0012
Health Reform Blank Agenda Proposal
MLR - Sec to Assurant
MLR Federal Register Request for Comments Notice
NAIC Response to MLR Notice 

 

 


High Risk Pool Information

HRP Side-by-Side with Senate Bill
NM Letter of Intent HHS Final 4-30-10
State High Risk Pool Solicitation
State_Cover
SOLICITATION FOR STATE PROPOSALS TO OPERATE QUALIFIED HIGH RISK POOLS


High Risk Pool Website:
http://www.healthcare.gov/law/about/provisions/pcip/index.html

 

 

Back to List of Health Care topics


Regulations and Statutes

NMSA Chapter 59A, Article 54 and 56

Article 54 – Medical Insurance Pool
Article 56 – Health Care Alliances
9-7-11.2 – NM Health Policy Commission

NMAC

13.10.11 – Health Insurance Alliance Plan of Operations and Eligibility Criteria
13.10.10 – Medical Insurance Pool Plan of Operations
Title 7 Chapter 1, Part 20 .16 – NM Health Policy Commission, Data Access Advisory Board








Funding Opportunities

Grant Opportunity for Insurance Rate Review

Work plan and Time line
Project Abstract
Summary of Enhancements

GRANT TASK FORCE Minutes June 16
GRANT TASK FORCE Minutes June 21
Rate Review Grant Agenda
Letter to the Governor

Governor's Letter Supporting Premium Rate Review Grant

Consumer Asst/Ombudsman Grant Application and Attachments

NM Consumer Assitance Grant Application
CA Program Abstract Final
CA Project Narrative Final
CA Timeline


News Release

* HHS Secretary Sebelius Announces New Pre-Existing Condition Insurance Plan