236405 It's all about the implementation: How health reform's implementation details will impact persons with disabilities and chronic health conditions

Sunday, October 30, 2011

Heather A. McCabe, JD, MSW , Indiana University School of Social Work, Indianapolis, IN
Despite the recent vote for repeal and the legal challenges, the Affordable Care Act remains in effect and moving forward. The federal government is working on the complex system of regulations needed in order to implement the reforms. Work also has begun at the state level to investigate the best systems for state implementation. While language in the law has created some hope of improvements for persons who have disabilities or chronic health conditions, for example elimination of preexisting conditions and creation of additional community based options, it remains to be seen whether or not the final outcome of reforms will benefit all segments of the population. Recent language in California's “Bridge to Reform” has caused concern for disability groups. Under California's section 1115 waiver persons with disabilities will be required to sign up for managed care for the explicit purpose of coordinated care and saving the state health care dollars. Disability advocacy groups have voiced concern. This talk proposes to analyze the process in California in regards to issues of equal protection, ADA compliance, and access to appropriate care. In addition, other states will be examined for similar concerns that arise in real time and apply the same analysis to other situations implicating the same populations. The talk will conclude with discussion of possible advocacy and regulatory/statutory solutions to any perceived roadblocks to quality health care for all populations.

Learning Areas:
Public health or related laws, regulations, standards, or guidelines
Public health or related public policy

Learning Objectives:
Analyze different state health reform implementation strategies for impact on persons with disabilities and chronic conditions.

Keywords: Access to Health Care, Disability Policy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have done research and teaching in the area of public health law and policy for over 5 years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.