Wednesday, January 30, 2008

Ohio Health Care Reform Proposed 

Lamaker unveils proposal after statewide hearings

By Marc Kilmer

Filed As:  Health Care

Ohio state Representative Jim Raussen unveiled a health care reform blueprint yesterday. His plan was developed after statewide hearings last year that heard from a variety of interest groups on how the health care system should be changed.Here are the key parts of the plan, as listed by the Dayton Business Journal:

  • Extending family coverage eligibility for children to age 29 from age 22.
  • Work to re-insure claims for individuals who fit into high-risk categories.
  • Providing tax credits, $2,500 for an individual and $4,000 per family, to households not on Medicaid but below the federal poverty level - $21,200 for a family of four - to purchase insurance.
  • Mandating increases in nursing staff salaries at state colleges and universities and placing a two-year moratorium on departmental cuts.
  • Requiring the Ohio Department of Education to tighten rules on nutrition and pricing for K-12 schools and remove trans-fat ingredients from meal offerings.
  • Creating a discount program through the Bureau of Workers' Compensation for employers that incorporate physician-directed wellness plans.
  • Requiring hospitals to disclose tax liability as compared to charitable care online.
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    There doesn't seem to be anything too innovative, but nothing too harmful, either. Yes, the trans-fat ban is silly, but at least he didn't push for a statewide ban on trans-fat for businesses. I don't like the mandate that parents' insurance continue to cover "children" up to age 29, but that seems to be a popular idea to cover those darn irresponsible kids.

    The idea to have the state issue re-insurance so people with chronic conditions can obtain private insurance is something that intrigues me. While I don't necessarily like the idea of the government getting involved in this area, it seems it may be the best way to correct what certainly appears to be a market failure. I haven't looked into this issue too much, but does anyone know of any good research on states that have tried this approach?

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