state legislative update

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ADEA Deans Conference November 2014

STATE LEGISLATIVE UPDATE

Presented by: Jennifer T. Brown, J.D., Director of State Relations Advocacy and Governmental Relations, ADEA Policy Center

Community Water Fluoridation (Local/State Level Action)

•  Dallas, TX •  Kennebunk, ME •  Missouri – H.B. 1078 •  State of Colorado, November Ballot Measure

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Quiz Question What three states have dental therapists?

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Alternative Workforce Models

•  Maine – L.D. 1230 •  New Hampshire – S.B. 193 •  North Dakota Interim Committee •  New Mexico – CDHC Program

* See ADEA Memo on Maine, L.D. 1230

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Alternative Workforce Models States to watch in 2015… •  Hawaii

•  New Mexico*

•  Illinois*

•  North Dakota*

•  Massachusetts

•  Washington

•  New Hampshire

•  Vermont*  

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Quiz Question The average dental student will graduate with how much total student loan debt?

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Scholarship & Loan Repayment Programs

•  Michigan: S.B. 648 and S.B. 649 •  New York: A.B. 2719/S.B. 2190 •  Oklahoma: S.B. 1664

* See Updated ADEA Memo on Student Loan Repayment Programs by State

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Tobacco Regulations States that passed e-cigarette regulation bills in 2014 Colorado

Connecticut

Delaware

Florida

Georgia

Iowa

Illinois

Kentucky

Louisiana

Michigan

Missouri

Nebraska

Ohio

Rhode Island

South Carolina

South Dakota

Virginia

West Virginia

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Taxes & Regulations on Sugary Drinks •  Sugary Drink Tax: o  Berkeley, CA o  San Francisco, CA o  SWEET Act (federal) •  Sugary Drink Safety Warning: o  California: S.B. 1000 •  Sugary Drink Ban: o  New York City, NY

Quiz Question According to the CDC, how many people die each year in the U.S. of overdoses involving prescription painkillers?

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Prescription Drug Abuse 1 in 20 In 2010, 1 in 20 people in the U.S. (age 12 or older) reported using prescription painkillers for nonmedical reasons in the past year. 1 Month Enough prescription painkillers were prescribed in 2010 to medicate every American adult for 24 hours, each day, for a month.

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Adult Dental Benefits Under Medicaid In 2012, many states provided only a limited adult dental coverage under Medicaid, however: o  11 states provided comprehensive dental benefits to all adults; o  17 states provided emergency only; and o  8 states did not include any adult dental coverage in Medicaid

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The Children’s Health Insurance Program MACPAC Recommendation: Extend CHIP funding through FY17 Sen. Jay Rockefeller (D-WV): Extend CHIP through FY19

*Note: CHIP Sign-on Letters 13  

Quiz Question How many individuals selected a health plan during the 2014 open enrollment period for the health insurance marketplaces?

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The Affordable Care Act (ACA) and the EHB - Pediatric Dental Services What oral care services are generally covered as an EHB?: ü  Exams, cleanings, fluoride, sealants, X-rays; ü  Minor restorative services, such as fillings; ü  Major restorative services, such as crowns; and ü  Medically necessary orthodontia

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The Health Insurance Marketplaces and Pediatric Dental Services Stand-alone Plan

Embedded Plan

Bundled Plan

Definition of plan:

A separate dental plan

A health plan that covers both medical care and children’s dental care

A single, monthly fee is charged for a medical plan and a separate children’s dental plan

Examples of states with these plans:

California (2014), Nevada, and Washington

California (2015) and Connecticut

Offered outside of the Marketplace in New York

Purchase requirement:

Kentucky, Nevada, and Washington.

Average monthly pediatric premium:

$5

$30-38

Varies

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The Affordable Care Act (ACA) and Health Insurance Marketplaces v  Total number of pediatric dental plans purchased: 497,522 v  34% of the 1.1 million persons who selected a stand-alone dental plan through the FFM are young adults (ages 18-34)

*Data as of May 2014, HHS. **497,522 is based on enrollment data for ages 0-17, includes SBM and FFM.

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Quiz Question How many states/territories have indicated they will expand Medicaid either under the ACA or via an alternative expansion plan?

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The Affordable Care Act (ACA) Medicaid Expansion 27 states and the District of Columbia have indicated that they will participate in Medicaid expansion. States Indicating Participation in Medicaid Expansion Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Hawaii

Illinois

Iowa

Kentucky

Maryland

Massachusetts

Michigan

Minnesota

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Dakota

Ohio

Oregon

Pennsylvania

Rhode Island

Vermont

Washington

West Virginia

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