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Life Health > Health Insurance

Republicans: Are PPACA exchange plans good for kids?

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Three Republican lawmakers are asking the U.S. Department of Health and Human Services (HHS) for a comparison of exchange plan and Children’s Health Insurance Program (CHIP) benefits.

Section 2101 of the Patient Protection and Affordable Care Act of 2010 (PPACA) requires the HHS secretary to complete an exchange plan-CHIP comparison by April 1, 2015, and to certify which of the exchange “qualified health plans” (QHPs) are comparable in terms of benefits and out-of-pocket costs to CHIP coverage.

Rep. Fred Upton, R-Mich., chairman of the House Energy & Commerce Committee, has joined with Sen. Orrin Hatch, chairman of the Senate Finance Committee, and Rep. Joseph Pitts, R-Pa., chairman of the House Energy & Commerce health subcommittee, to ask HHS Secretary Sylvia Burwell where the children’s coverage analysis is.

The lawmakers note in a letter to Burwell that PPACA lets states enroll children eligible for CHIP in HHS-certified QHPs after Sept. 30, 2015.

See also: Groups want kids on the health plan carton label

The lawmakers ask Burwell about the status of the HHS CHIP-exchange QHP comparison process.

“Has HHS determined which, if any, qualified health plans are comparable to CHIP?” the lawmakers ask. “If so, why wasn’t a list of such plans released by the April 1, 2015, deadline mandated by PPACA? When will HHS release this list?”

The lawmakers point out that CHIP funding is set to expire Sept. 30, 2017.

“What is HHS’ position on the extension or termination of CHIP?” the lawmakers ask.

See also: 4 things to know about PPACA and dental


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