Updates

Communications from SPW

December 14, 2018

Will 2019 Bring a Medicaid Buy-in to Illinois?

Map of states exploring Medicaid buy-in, updated from unitedstatesofcare.org
Click to enlarge
When Governor-elect JB Pritzker and incoming legislators take office a few days from now, we hope among the top-of-mind issues for them will be healthcare – and the possibility of creating a public option that would allow Illinois residents to purchase a premium to participate in the state’s Medicaid program. Candidate JB Pritzker talked about his vision for such an initiative, which he called “IllinoisCares,” and his platform included a public health insurance option that would be available to all residents.

IllinoisCares would allow Illinois residents to purchase health insurance from the state, rather than a commercial plan. Forty-two states – including Illinois – already have Medicaid buy-in programs, but they are limited to working people with disabilities who have not been able to purchase affordable health insurance coverage that meets their health needs in the private market. Continue reading “Will 2019 Bring a Medicaid Buy-in to Illinois?”

December 13, 2018

The Healthcare Bills of 2018

To do in November: Override SB 1737 veto - checked!The new year will bring with it Public Act 100-1118, which protects Illinois consumers by imposing strict limitations on so-called “short term health insurance plans.”

Enacted in a veto override last month, it was perhaps the most dramatic of several important legislative achievements the now-outgoing 100th Legislature.

The Short-Term, Limited-Duration Health Insurance Coverage Act – The bill was developed with help from Protect our Care Illinois, in response to the Trump Administration’s proposed regulations to extend short-term insurance terms and make them renewable.These plans, which are essentially a form of junk insurance, are not bound by ACA consumer protections and can deny coverage for pre-existing conditions; analysts warned that extending their duration would undermine risk pools and cause Marketplace premiums to soar. Continue reading “The Healthcare Bills of 2018”

November 28, 2018

Challenge prejudice, change minds

Photo of an angry man“These women are hurting my soldiers’ careers. You’re wasting OUR time.” A major lambasted me during a training’s break. He continued: “My soldiers would never do that. Can we get back to our real work.” Although worded like a question, his last sentence spewed at me with such authoritative, deep guttural tones, that I clearly knew he meant it as a command.

Here I was, my very first training working with military victim advocates. Green as can be and the highest-ranking figure in the course commanding me to release the class. Of course, I couldn’t dismiss the class; and he technically didn’t have any authority over the matter. Continue reading “Challenge prejudice, change minds”

November 2, 2018

From Research Readiness to Empowering Action

Home page image from Disability Peer AdvocatesIt was a delightful surprise to hear from our cohort member Jody Verble last month that she had just created a website that offers tips and help on disability employment. Jody took part in our “research readiness” training. This course was put together for people with traumatic spinal cord injury to have a greater voice in the scientific studies that are done about that condition.

We invited our research readiness graduates and expert panel members to an On The Table event – one of the many gatherings held citywide in May as part of the Chicago Community Trust’s initiative to bring people together to spark conversations and projects for the public good.

“The message was TAKE ACTION,” Jody told us. “So I went home that day and bought this domain.” Continue reading “From Research Readiness to Empowering Action”

October 30, 2018

Would You Wait Three Decades?

Hands reaching out toward womanWhether you wait three hours or three decades, you’re damned if you do and damned if you don’t.

Politics aside, the media and others should be incredibly ashamed of their behavior.

The reckless victim-blaming appalled me.

In no case have I ever seen one’s unwillingness to come forward affect one’s credibility. Continue reading “Would You Wait Three Decades?”

October 29, 2018

Feds Will Subsidize Junk Health Coverage

Washington Post tweet about new guidance, featuring CMS Administrator Seema VermaRecent guidance from the Centers for Medicare and Medicaid Services encourages states to take new steps to circumvent the ACA. Specifically, it invites them to apply for Medicaid Section 1332 waivers in order to use ACA subsidies for short-term insurance and association health plans. These plans, originally intended only to tide people over between periods of more-permanent coverage, are little more than flimsy stop-gaps that scarcely merit the name of real health insurance. Continue reading “Feds Will Subsidize Junk Health Coverage”

September 19, 2018

Sexual Assault: A Community’s Responsibility

Mural of womanOnce at a high school track meet, a boy grabbed my butt. Before I could do anything, he scurried back to his group of male friends where they proceeded to point and laugh at me.

Later I told my mother what happened. She shared with me that a similar thing had happened to her when she was my age. It was comforting knowing that I was not alone. But it was frustrating knowing that my experience, like hers, would most likely not be addressed or taken seriously by any authority figure. Continue reading “Sexual Assault: A Community’s Responsibility”

September 6, 2018

A Strong, New Mental Health Parity Law

In Illinois, mental health and physcial health are equalBehavioral health coverage loopholes: Closed! SB 1707, a bipartisan mental health parity bill, is now the law of the state.

The bill, signed by Gov. Rauner on August 22, now Public Act 100-1023, strengthens the existing state parity law and arms the Department of Insurance with clear enforcement powers.

Calling it “the strongest mental health parity law in the nation,” the Kennedy Forum noted that introduction was spurred by a provider survey undertaken by the forum and its partners. Continue reading “A Strong, New Mental Health Parity Law”

August 24, 2018

VA Wrongly Denies MST Claims

Logos of the VA and VA OIGWe were distraught and disheartened – but sadly, not surprised – by the Department of Veterans Affairs’ Office of Inspector General report released Tuesday, which found that nearly half of the denied claims related to military sexual trauma were denied due to improper processing.

Wrongly denying services for MST is life-threatening. It is hard enough for a survivor to trust someone enough to disclose their experience in the first place – let alone go through this challenging process of applying for benefits only to be turned away. Continue reading “VA Wrongly Denies MST Claims”

August 14, 2018

Why the DIA is the Civil Rights Act of Today

Disability Integration Act supporterThe last 25 years have seen a massive shift toward preserving the ability of people with disabilities to remain integrated members of their communities. A bill now before Congress would go a long way toward making that the law of the land.

The Disability Integration Act addresses the fundamental issue that people who need long term services and supports (LTSS) are forced into institutions and thereby lose their basic civil rights. It would prohibit governments and insurers from denying home and community-based services (HCBS) that would enable these persons to live in the community and lead an independent life. Continue reading “Why the DIA is the Civil Rights Act of Today”