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Florida bans navigators from county health offices

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MIAMI (AP) — The Florida Department of Health has issued a memo telling county health departments to keep Patient Protection and Affordable Care Act (PPACA) navigators out of their offices.

Local health departments can accept public exchange brochures and other exchange outreach material, but they can distribute the materials only if consumers ask for information.

Agency officials said they sent the memo earlier this week to provide clarity for local departments about the exchange navigators because the navigators aren’t acting on behalf of the state.

PPACA calls for the new public exchange system to open Oct. 1.

“This program has raised privacy concerns due to the consumer information that will be gathered for use in a federal database,” the agency said in a statement Wednesday. “In light of this uncertainty and as an integrated Department of Health we sought to provide a consistent message across each county in Florida.”

Gov. Rick Scott, R, and Attorney General Pam Bondi have expressed similar concerns about privacy recently, joining other Republicans around the country who have been critical of PPACA,

Bondi is among attorneys general in 13 states who sent a letter to Sebelius last month questioning whether there will be enough protection of consumer data in the navigator program, saying the agency’s current guidelines “suffer numerous deficiencies.”

Scott also said there are many serious, unanswered questions about the navigators and ordered his cabinet to address the issue at a meeting last month, although nothing was resolved.

The federal government gave several Florida organizations nearly $8 million in grants to hire navigators to assist with the state exchange. Navigators will help people with various aspects of choosing an insurance plan under the new state exchange. For example, they might help someone estimate their family income for 2014, important in determining eligibility for federal tax credits to help pay the cost of coverage. As such, an applicant will have to furnish a Social Security number, tax documents and immigration status to determine eligibility for benefits.

Federal health officials said applicant information is not stored in a database, but is instead transferred instantaneously through a secure hub. For example, IRS officials won’t have access to health information or information about an applicant’s immigration status.

Navigators will be especially important in Florida where the Republican-controlled legislature has been resistant to PPACA and has opted to let federal officials run its state exchange, an online site where individuals and small businesses can shop for health insurance. The state isn’t spending any additional money on outreach efforts to get the message out to roughly 3.5 million uninsured Floridians.

Under the new online exchange, consumers will be able to choose from bronze, silver, gold, platinum and catastrophic plans that offer a range of premiums, deductibles and co-pays depending on variables such as how many doctors you want included in your network. Insurers are offering 308 plans through the exchange in Florida, according to state insurance officials.

Individuals will have to have health insurance from their employer or purchase it, and will pay a roughly $100 penalty next year if they don’t. Anyone making below the poverty line won’t be eligible for subsidies through the online marketplace. Federal health officials anticipate roughly 1 million Floridians will fall into a gap where they can’t get health insurance because the state rejected Medicaid expansion.

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