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Hawaii Prepaid Health Care (PHC) Act (PHCA) is a state law (Hawaii Revised Statutes Chapter 393) [1] enacted June 12, 1974 [2] in the State of Hawaii to improve health care coverage by employer mandate. The Hawaii Prepaid Health Care Act set a minimum standards of health care benefits for workers. [3] Upon its adoption in 1974, Hawaii became the first U.S. state to require minimum standards of health care benefits by law. [3] Hawaii State Rep. Yoshito Takamine, the longtime chairman of the House Labor Committee, was one of the law's chief architects and proponents. [3]
Among other things, Hawaii's law requires employers to offer coverage to employees working at least 20 hours per week for four or more consecutive weeks. In contrast, the federal Patient Protection and Affordable Care Act requires employers to offer coverage to employees working at least 30 hours per week effective Jan. 1, 2014. The two laws also establish different penalties for employers that do not offer coverage.
Before the passage of the Prepaid Health Care Act, Hawaii had an uninsured rate of 30%.[ citation needed ] By 2013, Hawaii's uninsured rate of 6.7% was the second-lowest uninsured rate in the nation, trailing only Massachusetts, which had an uninsured rate of 3.7%. [4] [5]
In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a significant portion of their funding.
In June 2003, the Maine, US Legislature passed a comprehensive health insurance plan, granting low-cost coverage to all state residents by 2009. The law stated that a semi-private agency would provide coverage to uninsured residents, small businesses, municipalities, and the self-employed. Premiums were set at a sliding scale, where individuals making below $27,000 and families making below $55,000 would be eligible for reduced rates, and the law called for the creation of a watchdog group to monitor hospital and doctor costs. The bill passed the Maine House of Representatives 105 to 38, and the Maine Senate 25 to 8.
The Employee Retirement Income Security Act of 1974 (ERISA) is a U.S. federal tax and labor law that establishes minimum standards for pension plans in private industry. It contains rules on the federal income tax effects of transactions associated with employee benefit plans. ERISA was enacted to protect the interests of employee benefit plan participants and their beneficiaries by:
The Massachusetts health care reform, commonly referred to as Romneycare, was a healthcare reform law passed in 2006 and signed into law by Governor Mitt Romney with the aim of providing health insurance to nearly all of the residents of the Commonwealth of Massachusetts.
This article lists the healthcare statements of some candidates for president during the 2008 US presidential election.
The Oregon Health Plan is Oregon's state Medicaid program. It is overseen by the Oregon Health Authority.
In the United States, health insurance helps pay for medical expenses through privately purchased insurance, social insurance, or a social welfare program funded by the government. Synonyms for this usage include "health coverage", "health care coverage", and "health benefits". In a more technical sense, the term "health insurance" is used to describe any form of insurance providing protection against the costs of medical services. This usage includes both private insurance programs and social insurance programs such as Medicare, which pools resources and spreads the financial risk associated with major medical expenses across the entire population to protect everyone, as well as social welfare programs like Medicaid and the Children's Health Insurance Program, which both provide assistance to people who cannot afford health coverage.
In the United States, health insurance coverage is provided by several public and private sources. During 2019, the U.S. population overall was approximately 330 million, with 59 million people 65 years of age and over covered by the federal Medicare program. The 273 million non-institutionalized persons under age 65 either obtained their coverage from employer-based or non-employer based sources, or were uninsured. During the year 2019, 89% of the non-institutionalized population had health insurance coverage. Separately, approximately 12 million military personnel received coverage through the Veteran's Administration and Military Health System.
Healthy San Francisco is a health access program launched in 2007 to subsidize medical care for uninsured residents of San Francisco, California operated by the San Francisco Department of Public Health. The program's stated objective is to bring universal health care to the city.
The history of health care reform in the United States has spanned many decades with health care reform having been the subject of political debate since the early part of the 20th century. Recent reforms remain an active political issue. Alternative reform proposals were offered by both of the major candidates in the 2008, 2016, and 2020 presidential elections.
The Oklahoma Health Care Authority (OKHCA) is an agency of the government of Oklahoma responsible for providing health insurance benefits for the state's SoonerCare members. The authority is the state-level counterpart to the federal Centers for Medicare and Medicaid Services.
The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act (PPACA) and colloquially as Obamacare, is a landmark U.S. federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the enactment of Medicare and Medicaid in 1965. Most of the act's provisions are still in effect.
Yoshito Takamine was an American politician and labor leader in Hawaii. Takamine, who was first elected to the Hawaii House of Representatives in 1958, when the state was still the Territory of Hawaii, served in the state House of Representatives for 12 consecutive terms until his retirement in 1984. Takamine, the longtime chairman of the House Labor Committee, oversaw the creation of the Hawaii Prepaid Health Care Act of 1974, which made Hawaii the first U.S. state to require minimum standards for the health care benefits offered to workers.
Health insurance costs in the United States are a major factor in access to health coverage. The rising cost of health insurance leads more consumers to go without coverage and increase in insurance cost and accompanying rise in the cost of health care expenses has led health insurers to provide more policies with higher deductibles and other limitations that require the consumer to pay a greater share of the cost themselves.
In the United States, individually purchased health insurance is health insurance purchased directly by individuals, and not those provided through employers. Self-employed individuals receive a tax deduction for their health insurance and can buy health insurance with additional tax benefits. According to the US Census Bureau, about 9% of Americans are covered under individual health insurance. In the individual market, consumers pay the entire premium without an employer contribution, and most do not receive any tax benefit. The range of products available is similar to those provided through employers. However, average out-of-pocket spending is higher in the individual market, with higher deductibles, co-payments and other cost-sharing provisions. Major medical is the most commonly purchased form of individual health insurance.
Covered California is the health insurance marketplace in the U.S. state of California established under the federal Patient Protection and Affordable Care Act (ACA). The exchange enables eligible individuals and small businesses to purchase private health insurance coverage at federally subsidized rates. It is administered by an independent agency of the government of California.
The Authority for Mandate Delay Act is a bill that would amend the Patient Protection and Affordable Care Act "to delay until 2015 enforcement of requirements that large employers offer their full-time employees the opportunity to enroll in minimum essential coverage." The bill was introduced into the United States House of Representatives during the 113th United States Congress.
The Affordable Care Act (ACA) is divided into 10 titles and contains provisions that became effective immediately, 90 days after enactment, and six months after enactment, as well as provisions phased in through to 2020. Below are some of the key provisions of the ACA. For simplicity, the amendments in the Health Care and Education Reconciliation Act of 2010 are integrated into this timeline.
The Save American Workers Act of 2013 is a bill that would change how the Patient Protection and Affordable Care Act defines full-time worker, by raising the threshold for offering employer-provided insurance from a minimum of 30 to 40 work hours a week. This is in order to remove the incentive some companies may have to reduce their employees' hours in order to avoid the employer healthcare mandate.
In the United States, essential health benefits (EHBs) are a set of ten benefits, defined under the Affordable Care Act (ACA) of 2010, that must be covered by individually-purchased health insurance and plans in small-group markets both inside and outside of health insurance marketplaces. Large-group health plans, self-insured ERISA plans, and ERISA-governed multi-employer welfare arrangements that are not subject to state insurance law are exempted from the requirement.