Health
More Than 10M Enrolled This Year Under Obama’s Health Law
RICARDO ALONSO-ZALDIVAR, Associated Press
KEVIN S. VINEYS, Associated Press
WASHINGTON (AP) — More than 10 million people have signed up for private health insurance this year under President Barack Obama’s law, the administration said Tuesday. That puts the nation finally within reach of coverage for all, but it may not last.
The report from the Department of Health and Human Services comes as dozens of insurers are proposing double-digit premium hikes for next year, raising concerns about future affordability. And the Supreme Court is weighing the legality of subsidized premiums for millions of consumers in more than 30 states. A decision is due around the end of the month.
The 10.2 million sign-ups represent consumers who enrolled in a plan and followed through by paying their first month’s premiums. That number will fluctuate during the year as some people get jobs that offer coverage, and others decide to drop their insurance.
Although it exceeds a target of 9.1 million set last year by HHS Secretary Sylvia M. Burwell, it’s not much of a cushion. “Enrollment has been lower and slower than what most people projected,” said Caroline Pearson of the data analysis firm Avalere Health.
Still, the combination of subsidized private coverage sold through online insurance exchanges in every state, along with Medicaid expansion in most states, has resulted in historic coverage gains.
Nearly 9 out of 10 adults now have health insurance — about the same proportion of Americans who buckle their seatbelts.
Health insurance is now a federal mandate for most people, with employer plans remaining as the mainstay for workers and their families. Violators risk fines and penalties.
A major private survey, the Gallup-Healthways Well-Being Index, found 88 percent of U.S. adults have coverage.
The new health insurance numbers could be just an ephemeral high-water mark if the Supreme Court invalidates subsidies for people in states using HealthCare.gov, the federal government’s online exchange.
In the 34 states most directly affected, nearly 6.4 million people could lose subsidies worth more than $1.7 billion a month. Without financial assistance, it’s expected that most of those consumers would drop coverage. As healthy people exit the market, premiums would spike for the remaining customers buying individual health insurance policies.
The court case revolves around the literal meaning of a handful of words in the complex law.
Opponents say the law only allows subsidies in states that set up their own insurance exchanges. Only 13 states and Washington, D.C., are running their own markets this year. The administration says that, when read in context, the law allows subsidies in all 50 states regardless of whether the federal HealthCare.gov is in charge of sign-ups.
If the Supreme Court invalidates the subsidies, Republican-led states that have resisted “Obamacare” would bear the brunt of the coverage losses. Of the 34 states most affected, 26 have GOP governors.
Nationally, 8.7 million people are getting an average of $272 a month, which covers most of their premiums. The national figure includes residents of states running their own insurance markets.
Here are some highlights from the report:
— Florida would be the biggest loser if the Supreme Court overturns subsidies, with 1.3 million residents losing nearly $390 million a month in financial assistance. The subsidies are delivered as tax credits and paid directly to insurers on behalf of consumers.
— Texas, North Carolina and Georgia would be the next three states hardest hit. In Texas, more than 830,000 people would lose subsidies; likewise for nearly 460,000 North Carolinians, and more than 410,000 residents of Georgia.
— Overall, 87 percent of the customers in states that would bear the consequences of the court ruling are receiving subsidies. In one of those states, Pennsylvania, Democratic Gov. Tom Wolf is moving to take over the operation of the health insurance marketplace as a bulwark against the potential loss of subsidies. Coverage for nearly 350,000 residents is at stake.
The Obama administration says it expects to win in court and officials say there is no backup plan if they lose the case. Leading congressional Republicans are promising to help consumers who lose subsidies, but it’s unclear Congress could pass any fix that Obama would sign.
“After a rocky start, the marketplaces are now generally stable, with steady growth in enrollment,” said Larry Levitt of the nonpartisan Kaiser Family Foundation. “A court decision for the challengers would roil the relatively calm waters.”
The figures released Tuesday cover the period through March 31.
Copyright 2015 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
California Black Media
Gov. Newsom Goes to Washington to Advocate for California Priorities
Gov. Gavin Newsom traveled to Washington, D.C., for meetings with senior Biden-Harris Administration officials and members of California’s congressional delegation. During the week, he pushed for increased resources to improve public safety and quality of life in California.
By Bo Tefu, California Black Media
Gov. Gavin Newsom traveled to Washington, D.C., for meetings with senior Biden-Harris Administration officials and members of California’s congressional delegation.
During the week, he pushed for increased resources to improve public safety and quality of life in California.
“California is continuing our work to secure additional tools and resources to improve access to health care, clean air and water, and secure critical funding to support communities recovering from disasters,” said Newsom.
At the White House, Newsom met with President Joe Biden and key officials, advocating for disaster relief funding, healthcare expansion, and environmental protection. He also engaged in discussions with senior Biden-Harris officials, including Interior Secretary Deb Haaland, to address water quality improvements and the San Luis Dam project, which will support water supplies for two million Californians.
“Building on our strong partnership with the Biden-Harris Administration, California is working closely with the White House over the next two months to deliver the critical protections and resources our communities need,” Newsom said.
On Capitol Hill, Newsom met with California Senators Alex Padilla and Adam Schiff, along with other Congressional leaders, to emphasize the need to approve pending disaster funding, healthcare programs, and environmental protections. He also previewed California’s upcoming special session to proactively address potential federal challenges when President-elect Donald Trump is sworn into office.
Newsom’s discussions also focused on securing Medicaid waivers from the Center for Medicare & Medicaid Services (CMS) to enhance behavioral health services and reduce homelessness. The state seeks approval for the BH-CONNECT waiver, which would address behavioral health and homelessness, and the MCO Tax Waiver, which would provide over $20 billion for Medi-Cal to improve healthcare access.
Additionally, California is pushing for Clean Air Act waivers from the U.S. Environmental Protection Agency (EPA), which are crucial for enforcing air quality regulations. These measures are projected to prevent 11,000 premature deaths and provide $116 billion in health benefits over the next three decades, according to the Governor’s office.
California Black Media
California Reports First Case of Mpox in the United States
On Nov. 16, the California Department of Public Health (CDPH), reported the first known case of clade 1 Mpox, previously known as Monkeypox, in the United States. However, the risk to the public remains low, according to the CDPH.
By Bo Tefu, California Black Media
On Nov. 16, the California Department of Public Health (CDPH), reported the first known case of clade 1 Mpox, previously known as Monkeypox, in the United States.
However, the risk to the public remains low, according to the CDPH.
“This case was confirmed in an individual who recently traveled from Africa and is related to the ongoing outbreak of clade I mpox in Central and Eastern Africa,” reads a statement the CDPH released.
According to the DDPH, “The affected individual received health care in San Mateo County based on their travel history and symptoms. The individual is isolating at home and recovering.”
Public health workers are also conducting a contact tracing exercise and reaching out to people who have been in close proximity to the affected person.
“The mpox specimens from the traveler are being sent to the CDC for further laboratory testing,” the CDPH press release continues.
Californians can take a number of steps to prevent Mpox. Here’s more information:
Preventing Mpox Infection
It appears clade I mpox spreads in a similar manner as clade II mpox, through close (skin-skin), intimate and sexual contact. The identification of a potentially more severe mpox version in the United States is a good reminder for individuals who have certain risk factors to take preventive action, including:
- Getting vaccinated if you may be at risk for mpox. For the greatest protection, make sure you get both doses of the vaccine. Find mpox vaccine (JYNNEOS) near you.
- Taking precautions if you were exposed to mpox. Get the mpox vaccine before symptoms develop and consider avoiding intimate contact with others for 21 days. Watch yourself for symptoms and get tested if they develop.
- Preventing spread if you have been told you have mpox. Avoid contact with others until the rash is healed, clean and disinfect shared areas in the home, and notify people who may have been exposed.
- Talking to your sexual partner(s).
- Avoiding skin-to-skin contact with those who have a rash or sores that look like mpox.
- Not sharing items with someone who has mpox.
- Washing your hands often.
- Protecting yourself when caring for someone with mpox by using masks, gowns and gloves.
Visit the CDPH website to learn more about Mpox with Sexual Health Toolkits and a Campaign Materials Page.
California Black Media
California Department of Aging Offers Free Resources for Family Caregivers in November
In honor of National Family Caregivers Month this November, the California Department of Aging (CDA) is spotlighting a range of free resources to support caregivers of older adults and individuals with disabilities. Through its extensive network of Caregiver Resource Centers (CRCs) and Area Agencies on Aging (AAAs), the state provides essential tools to help caregivers manage their responsibilities while prioritizing their own health and well-being.
By Bo Tefu, California Black Media
In honor of National Family Caregivers Month this November, the California Department of Aging (CDA) is spotlighting a range of free resources to support caregivers of older adults and individuals with disabilities. Through its extensive network of Caregiver Resource Centers (CRCs) and Area Agencies on Aging (AAAs), the state provides essential tools to help caregivers manage their responsibilities while prioritizing their own health and well-being. Resources offered include free education and training, counseling services, respite care, and financial and legal assistance.
“Caregiving is a great act of love, and this month — and every day — we uplift California’s caregivers as the under-recognized backbone of our families and communities,” said Susan DeMarois, director of the CDA. DeMarois emphasized the need for caregivers to access available support to better balance their roles without compromising their own health.
California is home to more than 4.5 million unpaid family caregivers, who contribute an estimated $81 billion annually in economic value through their care. Most caregivers are women who balance work, family, and caregiving responsibilities, often at the cost of their physical and emotional health. Given California’s aging population, the demand for caregiver support is rapidly growing, underscoring the importance of these free resources.
Thousands of caregivers accessed these services in the 2022-2023 fiscal year, benefiting from tools like professional care management and respite support. The Aging in California Resource Guide, available in six languages, offers additional information on caregiver support.
Caregivers can learn more about available resources by visiting the CDA website at aging.ca.gov and connecting with local CRCs or AAAs to discover personalized services to support them in their caregiving journey.
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