Windy City Media Group Frontpage News Home
CELEBRATING 29+ YEARS OF Lesbian Gay Bisexual and Transgender NEWS

Search Gay News Articles
Advanced Search
Gay News Sponsor Windy City Times 2015-01-21
Download Issue
  News Index   About WCMG    Publications    Bars & Clubs     Calendar   Videos   Advertisers    OUT! Guide    Classifieds     AIDS @ 32       Marriage
 Local | National | World | Politics | Obits | Profiles | Views | Entertainment | Theater | Dance | Music | Film | Art | Books | TV/Gossip
 Travel | History | Marriage | Youth | Trans | Lesbian | Celebrations | Food | Nightlife | Sports | Health | Real Estate | Autos | Pets | Crime

THEATER REVIEW A Map of Virtue THEATER REVIEW A Map of Virtue
Playwright: Erin Courtney. At: Cor Theatre at Rivendell, 5779 N. Ridge Ave. ...

Browse Gay News Index   Browse Gay News Archives
  Windy City Times

Legal council head talks Obamacare, LGBT community
by Stephen Sonneveld
2013-02-28

facebook twitter pin it del.icio.us stumble upon digg google +1 reddit email


Ann Hilton Fisher, executive director of the AIDS Legal Council of Chicago, examined "Obamacare Implementation in Illinois: What Lawyers Know So Far" at the Feb. 20 Chicago Bar Association LGBT Committee meeting, co-sponsored by the Lesbian and Gay Bar Association of Chicago (LAGBAC).

Fisher spoke for an hour about the changes being incrementally instituted as a result of the sweeping Patient Protection and Affordable Care Act (ACA), colloquially known as the Affordable Care Act, the federal health-care law and Obamacare. The measure was signed into law March 23, 2010, and all phases are expected to be fully implemented by 2020.

Topics of the address included general interest items such as there being no health-insurance exchange legislation in Illinois, despite the fact that enrollment opens Oct. 1. Known as the "Health Insurance Marketplace," the exchanges "will allow individuals and small businesses to compare health plans, get answers to questions, find out if they are eligible for tax credits for private insurance or health programs ... and enroll in a health plan that meets their needs," according to HealthCare.gov .

Another portion of the Act will see the demise of the Medicare Part D "donut hole" by 2020, a 2006 provision that created a coverage gap in Medicare prescription payouts, forcing consumers to pay out-of-pocket when their drug costs reached the window of $2,700-$6,154, which greatly impacted the finances of the elderly and those with chronic conditions. The U.S. Department of Health and Human Services (HHS) reported, "Experts estimate that more than a quarter of Part D enrollees hit the donut hole and often stop following their drug regimen as a result of the added cost burden."

Fisher mentioned Medicaid changes that are expected to affect "350,000 people in Illinois." For primary care providers, the Medicaid rate will be raised to Medicare rate.

Also, the Cook County Bureau of Health Services received a federal waiver to begin implementing Medicaid expansion a year early, resulting in County Care, a program enrolling now that will provide health care to U.S. citizens who make less than $15,282 a year. The restricted network of providers includes the Howard Brown Health Center, which was created by and has been serving Chicago's LGBT community since 1974.

A contentious point of the Act calls for the creation by 2015 of Health Information Exchanges (HIE), which mandates that if providers "want to get Medicare reimbursement [they] have to have electronic medical records," Fisher stated.

With the governor's task force at work to establish the system, Fisher noted, "What we are being told is the technology can't actually sequester mental health or HIV records from your general records," though it may be possible at a later date.

Fisher told Windy City Times that unlimited access to someone's complete medical history is a sensitive issue because HIV patients are still discriminated against by nursing homes and doctors. "One of the things we say about people with HIV is that people need to have trusting relationships with their health care providers, because it's not an easy medication regiment," she said. "They need to have the power to decide for themselves who they're going to trust with this information. And so, we really want to preserve that."

During her presentation, Fisher pointed out, "Your records will go into the HIE unless you opt out. [O]ne of the things the advocates are trying to do is make sure that people know they have that option to opt out."

"The elephant in the room for all of us who are involved with HIV issues is what's going to happen to the Ryan White Care Act (CARE)," Fisher told the attended. "[CARE] was fundamentally passed and funded to make sure that people with HIV had access to medical care. With health care reform, people with HIV, unless they're undocumented, should be able to have access to medical care."

Despite what Fisher called "wonderful, convincing evidence" from Massachusetts for keeping CARE as support services, "The people at HHS have said we don't think after the ACA we're going to need special programs for special diseases."

She added, "In the meantime, places like the AIDS Foundation are talking to all the managed care providers, saying we've got a lot of expertise in case management for this population, don't you want to hire us to do it? And the managed care entities are saying, eh, you're small fish, we really don't have time to think about you right now."

An employee from a law firm said of CARE, "We're trying to figure out what to tell people who call us and want to know what's going to be happening with my health care."

Fisher responded, "If you are currently getting your health care at a [CARE] provider like Howard Brown, you're going to be fine, because Howard Brown is going to be in Medicaid, is going to be in the managed care plans, you're going to be able to choose a managed care plan where your provider at Howard Brown is your primary care provider, and you're going to be fine.

"It's going to be much harder if you're getting your care at say, the Open Door Clinic out in Elgin, which is really just providing medical care to people with HIV, which is not, I think, a federally qualified health center, has not entered into any arrangement with managed care plans, has not become Medicaid certified."

CBA LGBT Committee meetings such as this one are open to the public, said chair and Cook County State's Attorney David Amen. Though the committee does not have a website, information about future speakers if often available from CBA and LAGBAC.

In attendance was Eli Judge—president of the DePaul University College of Law's LGBT student group, the Outlaws—who called the presentation "phenomenal. I think that this is information that anyone should be aware of."

Captions:

Speaker: Ann Hilton Fisher, Executive Director, AIDS Legal Council of Chicago

Fisher speaking with Eli Judge, President of DePaul Outlaws, LGBT student group at the DePaul U. College of Law

David Amen, Chair of the CBA LGBT Committee, and Cook County State's Attorney.


facebook twitter pin it del.icio.us stumble upon digg google +1 reddit email




Windy City Media Group does not approve or necessarily
agree with the views posted below.
Please do not post letters to the editor here.
Please also be civil in your dialogue.
If you need to be mean, just know that the longer you
stay on this page, the more you help us.

Study: Bisexual women face poorer mental health 2015-01-21
Equality Illinois introduces 'Growing Your Family' series 2015-01-21
Local LGBT branch of Mensa to relaunch 2015-01-20
Fertility doctor helps lesbian couple become mothers 2015-01-13
Open Door Clinic's Dr. Constance Pachucki talks AIDS patients, career 2015-01-13
IL HIV Care Connect has new website with viral suppression info 2015-01-12
Get Covered Illinois hosts discussion for LGBT stakeholders 2015-01-12
Study compares mental health of trans, non-trans youth 2015-01-09
LGBT Chicago Area Mensa reactivates 2015-01-07
AFC announces recipients of challenge grants 2015-01-07
LGBT HealthLink grades states on LGBT tobacco integration 2014-12-29
CDPH reports track changes in HIV landscape 2014-12-24
March, vigil stress that sex workers' lives matter, too 2014-12-17
AFC webinar shows other PrEP methods may join Truvada 2014-12-17
LoBianco now at Chicago House 2014-12-17
World: London mayoral candidate; UKIP situation; Jamaican pastor 2014-12-17
National: LGBT bill in Congress; trans soldiers; blood ban 2014-12-17
ASK LAMBDA LEGAL HIV status and employment discrimination 2014-12-17
Legislators to HHS: End blood donation policy, go to risk-based policy 2014-12-15
Choucair steps down as CDPH head 2014-12-11
Report: New HIV diagnoses in Chicago falling 2014-12-10
AFC document sums up PrEP costs on marketplace 2014-12-10
VIEWS World AIDS Day and my community's ongoing struggle 2014-12-10
HIV-positive beauty queen discusses journey 2014-12-09
World news: HIV poll; Disney art project; Putin's claim 2014-12-09
AFC announces 18 grant recipients 2014-12-05
Vaccinate Illinois Week: CDPH offers flu vaccine clinics 2014-12-05
Vida/SIDA marks World AIDS Day with vigil, dinner 2014-12-04
Runway show marks World AIDS Day 2014-12-04
Illinois health dept. discusses plans for PrEP assistance 2014-12-04
News: India jails trans; Obama on AIDS; 2015 aging confab here 2014-12-03
Coming up: Homeless LGBT youth panel; World AIDS Day at Center 2014-12-03
On World AIDS Day, Lambda calls for end to HIV criminalization 2014-12-02
Providers ask for public's help in restoring HIV/AIDS funds 2014-12-01
Advocates plan for local PrEP push 2014-12-01
World AIDS Day proclamation by President Obama 2014-11-28
Having HIV/AIDS: Fighting stigma 2014-11-26
Chicagoans among POZ 100 youth 2014-11-26
New study suggests gay genetic link 2014-11-26
Report: ACA has led to fewer uninsured LGBTs 2014-11-26





Copyright © 2015 Windy City Media Group. All rights reserved.
Reprint by permission only. PDFs for back issues are downloadable from
our online archives. Single copies of back issues in print form are
available for $4 per issue, older than one month for $6 if available,
by check to the mailing address listed below.

Return postage must accompany all manuscripts, drawings, and
photographs submitted if they are to be returned, and no
responsibility may be assumed for unsolicited materials.
All rights to letters, art and photos sent to Nightspots
(Chicago GLBT Nightlife News) and Windy City Times (a Chicago
Gay and Lesbian News and Feature Publication) will be treated
as unconditionally assigned for publication purposes and as such,
subject to editing and comment. The opinions expressed by the
columnists, cartoonists, letter writers, and commentators are
their own and do not necessarily reflect the position of Nightspots
(Chicago GLBT Nightlife News) and Windy City Times (a Chicago Gay,
Lesbian, Bisexual and Transegender News and Feature Publication).

The appearance of a name, image or photo of a person or group in
Nightspots (Chicago GLBT Nightlife News) and Windy City Times
(a Chicago Gay, Lesbian, Bisexual and Transgender News and Feature
Publication) does not indicate the sexual orientation of such
individuals or groups. While we encourage readers to support the
advertisers who make this newspaper possible, Nightspots (Chicago
GLBT Nightlife News) and Windy City Times (a Chicago Gay, Lesbian
News and Feature Publication) cannot accept responsibility for
any advertising claims or promotions.

 

 

 

Sponsor
Sponsor
Sponsor
Sponsor
Sponsor
Sponsor


 

Chicago City Council prohibits police profiling of trans* people
 
Community responds to Rauner's nomination of Meeks as ISBE Chair
 
Aon devotes various resources to diversity
 
Jobe to become Illinois tourism chief
 
In the Life: Charles Bonanno
 
Windy City Times Current DownloadNightspots Current DownloadQueercast Current Download
Windy City Media Group BlogsJoin Our Email List!Donate Now
Sponsor


Sponsor

  News Index   About WCMG    Publications    Bars & Clubs     Calendar   Videos   Advertisers    OUT! Guide    Classifieds     AIDS @ 32       Marriage
 Local | National | World | Politics | Obits | Profiles | Views | Entertainment | Theater | Dance | Music | Film | Art | Books | TV/Gossip
 Travel | History | Marriage | Youth | Trans | Lesbian | Celebrations | Food | Nightlife | Sports | Health | Real Estate | Autos | Pets | Crime



About WCMG      Contact Us      Online Front  Page      Windy City  Times      Nightspots      OUT! Guide     
Identity      BLACKlines      En La Vida      Archives      Subscriptions      Distribution      Windy City Queercast     
Queercast Archives      Advertising  Rates      Deadlines      Advanced Search     
Press  Releases      Event Photos      Join WCMG  Email List      Email Blast     
Upcoming Events      Todays Events      Ongoing Events      Post an Event      Bar Guide      Community Groups      In Memoriam      Outguide Categories      Outguide Advertisers      Search Outguide      Travel      Dining Out      Blogs      Spotlight  Video      News Videos      Nightspots Videos      Entertainment Videos      Queercast Videos      Comedy Videos     
Classifieds      Real Estate      Place a  Classified     

Windy City Media Group produces Windy City Queercast, & publishes Windy City Times,
The Weekly Voice of the Gay, Lesbian, Bisexual and Trans Community,
Nightspots, Out! Resource Guide, and Identity.
5315 N. Clark St. #192, Chicago, IL 60640-2113 • PH (773) 871-7610 • FAX (773) 871-7609.