The challenges of providing adequate health care for rural residents has been a common theme throughout the Midwest Rural Assembly. Stephanie Larson of the Center for Rural Affairs discussed how the recently passed health reform law could benefit rural communities.
Many farmers are self-employed and must travel great distances to find health care. There are too few doctors in rural areas. Additionally, one in five farmers has medical debt. Larsen outlined several provisions in the new health care law that will help address these issues.
Many aspects of the new health care law will take affect in 2014; however, some aspects of the law will be implemented more immediately. As of July 1, 2010 insurance companies must permit adult children under the age of 26 to remain on their parents insurance plans. Additionally, patients who fall into the Medicare “donut-hole,” a gap in prescription drug coverage that patients must cover out of pocket, will receive $250 to apply to drug costs that would not be otherwise covered. Also starting July 1, the government, at either the state or federal level, depending on the state’s preference, will create “high-risk pools” for people with pre-existing and chronic conditions who have been uninsured for six months or longer.
September 23, 2010 is another important implementation date of the health reform law. Larsen reported that after September 23, insurance companies will no longer be able to use rescissions, a term that refers to denying patients health insurance based on previous health conditions or errors in paperwork, even if their premiums have been paid.
Additional aspects of the law will continue to be phased in beginning in 2011 and continuing through 2014. Some of these aspects relevant to rural communities include incentives for health care providers to increase primary and preventive care, incentives for doctors practicing rural medicine, a 50-percent discount on drugs that fall into the Medicare prescription drug benefit program donut-hole, and a provision that will require nearly all Americans to obtain health insurance either through programs like Medicare or Medicaid, government-provided vouchers, or private coverage.