ARTICLES Introduction to Health Care Reform by William J
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National Academy of Elder Law Attorneys National Academy of Elder Law Attorneys • Spring 2011 • Volume 7 • Number 1 • NAELA JOURNAL ARTICLES Introduction to Health Care Reform By William J. Brisk, CELA Overview of Policy, Procedure, and Legislative History of the Affordable Care Act By Katherine Hayes, JD Health Care Changes: Challenges to Medicare By Vicki Gottlich, Esq., Patricia Nemore, Esq., and Alfred J. Chiplin Jr., Esq. The New CLASS Act By Morris Klein, CELA, CAP Volume 7 Volume Nursing Home Regulations By Charles Perez Golbert, Esq. | Health Care Reform’s Impact on Small Businesses and Individuals Number 1 By Ben A. Neiburger, Esq. Health Care Reform and End-of-Life Issues By Fay Blix, CELA, CAP The Affordable Care Act’s Changes to Medicaid’s Coverage for Long-Term Services and Supports By Gene Coffey, Esq. Bringing National Action to a National Disgrace: The History of the Elder Justice Ace By Brian W. Lindberg, Charles P. Sabatino, Esq., and Robert Blancato Pgs. 1 Health Insurance Reforms: Once In a Lifetime Change or Same as It Ever Was? to By Lucinda E. Jesson 168 Medicaid Expansion Under the 2010 Health Care Reform Legislation: The Continuing Evolution of Medicaid’s Central Role in American Health Care By Renée M. Landers, JD, and Patrick A. Leeman, JD Online Resources Available to Supplement Health Care Reform Discussion Prepared by Claire DeMarco, Esq. Spring 2011 001NAELAJournalCoverFinal.indd 1 4/15/11 11:02 AM National Academy of Elder Law Attorneys VOLUME VII SPRING 2011 NUMBER I ARTICLES IntroductIon to HealtH care reform By William J. Brisk, CELA ...............................................................................................vii overvIew of PolIcy, Procedure, and legIslatIve HIstory of tHe affordable care act By Katherine Hayes, JD ..................................................................................................... 1 HealtH care cHanges: cHallenges to medIcare By Vicki Gottlich, Esq., Patricia Nemore, Esq., and Alfred J. Chiplin Jr., Esq. ............... 11 tHe new class act By Morris Klein, CELA, CAP ........................................................................................... 35 nursIng Home regulatIons By Charles Perez Golbert, Esq. ......................................................................................... 45 HealtH care reform’s ImPact on small busInesses and IndIvIduals By Ben A. Neiburger, Esq. ................................................................................................. 61 HealtH care reform and end-of-lIfe Issues By Fay Blix, CELA, CAP ................................................................................................... 75 tHe affordable care act’s cHanges to medIcaId’s coverage for long-term servIces and suPPorts By Gene Coffey, Esq. ......................................................................................................... 93 brIngIng natIonal actIon to a natIonal dIsgrace: tHe HIstory of tHe elder JustIce act By Brian W. Lindberg, Charles P. Sabatino, Esq., and Robert B. Blancato.................... 105 HealtH Insurance reforms: once In a lIfetIme cHange or same as It ever was? By Lucinda E. Jesson....................................................................................................... 125 continued on next page i medIcaId exPansIon under tHe 2010 HealtH care reform legIslatIon: tHe contInuIng evolutIon of medIcaId’s central role In amerIcan HealtH care By Renée M. Landers, JD, and Patrick A. Leeman, JD .................................................. 143 onlIne resources avaIlable to suPPlement HealtH care reform dIscussIon Prepared by Claire DeMarco, Esq. ................................................................................. 165 ii National Academy of Elder Law Attorneys VOLUME VII SPRING 2011 NUMBER I NAELA JOURNAL BOARD OF EDITORS Editor-in-Chief Publications Chair William J. Brisk, CELA A. Frank Johns, CELA, CAP Executive Editors Charles Perez Golbert, Esq. Kevin Urbatsch, Esq. Articles Editors Spencer Bates, Esq. Bryan A. Liang, JD, MD, PhD Bridget O’Brien Swartz, Amy Parise DeLaney, CELA Rebecca C. Morgan, Esq. CELA Barbara Gilchrist, JD, PhD Mary E. WanderPolo, CELA Case Notes Editor Book Review Editor Student Articles Editor A. Kimberley Dayton, Esq. Carol Cioe Klyman, Esq. Barry Kozak, Esq. Editor for Quality Control Young/New Attorneys Section Liaison Ron M. Landsman, Esq. Jennifer Snyder, Esq. NAELA OFFICERS President Ruth A. Phelps, CELA, CAP President Elect Vice President Edwin M. Boyer, Esq., CAP Gregory S. French, CELA, CAP Treasurer Past President Howard S. Krooks, CELA, CAP Stephen J. Silverberg, CELA, CAP Secretary Executive Director Bradley J. Frigon, CELA, CAP Peter G. Wacht, CAE NAELA DIRECTORS Robert C. Anderson, CELA, CAP Rajiv Nagaich, Esq. Richard A. Courtney, CELA, CAP Marie Elena Puma, Esq. Timothy P. Crawford, CELA, CAP Catherine Anne Seal, CELA Hyman Darling, CELA Wendy H. Sheinberg, CELA H. Amos Goodall Jr., CELA Kristi Vetri, Esq. Sharon Kovacs Gruer, CELA, CAP Kathleen T. Whitehead, CELA Franchell Millender, CELA, CAP Shirley B. Whitenack, Esq., CAP iii Copyright © 2011 by the National Academy of Elder Law Attorneys, Inc. NAELA Journal (ISSN 1553-1686) is published twice a year by the National Academy of Elder Law Attor- neys, Inc., 1577 Spring Hill Road, Suite 220, Vienna, VA 22182, and distributed to members of the Academy and to law libraries throughout the country. Elder and Special Needs Law topics range over many areas and include: Preservation of assets, Medicaid, Medicare, Social Security, disability, health insurance, tax planning, conservatorships, guardianships, liv- ing trusts and wills, estate planning, probate and administration of estates, trusts, long-term care placement, housing and nursing home issues, elder abuse, fraud recovery, age discrimination, retirement, health law, and mental health law. Articles appearing in NAELA Journal may not be regarded as legal advice. The nature of Elder and Special Needs Law practice makes it imperative that local law and practice be consulted before advising clients. Statements of fact and opinion are the responsibility of the author and do not imply an opinion or endorsement on the part of the officers or directors of NAELA unless otherwise specifically stated as such. A subscription to NAELA Journal is available to law libraries for $60 per year. Single issues are available for $30. A combined subscription to NAELA News, distributed six times a year, and NAELA Journal is available to law libraries for $125 per year. Back issues of NAELA Journal and NAELA News are available on www. NAELA.org for NAELA members. Address changes or other requests regarding subscription information should be directed to Nancy Sween, Director of Communications and Publications, [email protected], 703- 942-5711 x225. iv The NAELA Journal Editorial Board invites the submission of manuscripts year-round with the following guidelines: 1. For initial approval of publication, it is strongly recommended, but not mandatory, that you submit a one- to two-page abstract, a thorough outline of the intended manuscript, and a list of sources. Alternatively, you may submit your final paper for consideration. 2. NAELA Journal policy is to give priority of consideration to original work not previously published. If the proposed work has been previously published, or something very similar, please provide a copy, and explain why the NAELA Journal Editorial Board should consider re-publishing your work. 3. Please conform text and citations to ALWD Citation Manual. 4. A table of contents will be generated from the main and subheadings in your article, so it is not required to submit a table of contents, but the heading levels should be clearly identified. 5. 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Articles will be edited for clarity and will be edited to fit the publication’s editorial style and length requirements. In addition, all first-person references and references to the author’s organization, products, or clients may be deleted at the editor’s sole discretion. 9. Authors should provide a biographical statement for publication with the article. 10. Each author will be required to sign a standard author agreement that acknowledges the mate- rial submitted is authentic, and grants NAELA the proper permissions to publish such article. The agreement, however, does not change copyright, which is maintained by the author or authors. 11. Articles should be submitted electronically in a standard word processing document (not a pdf file) to Nancy Sween, NAELA Director of Communications