ANA\C-Policy Page Covering the Affordable Health Care Act

ANA\C will keep you updated with the latest information you need to know on both the Federal & State level.
The full ACA goes into full swing on 1.2014.


ANA\C Secretary Alice Benjamin has written a progress report on the Affordable Care Act.

The first regional report examining implementation of the Affordable Care Act comes from the Nelson A. Rockefeller Institute of Governament, the public policy research arm of the State of New York, and is cosponsored by the Fels Institute of Government at the University of Pennsylvania

Managing Health Reform: California Round 1 State-Level Field Network Study of the Implementation of the Affordable Care Act. Read this report.


Health Insurance Market Place Open:
There is considerable information that everyone needs to know about the new Health Insurance Market.

Health Insurance Marketplace Basics

  • The Health Insurance Marketplace is the new way for Americans to get health care coverage according to their budget and needs. Open enrollment begins TODAY online at, by phone at 1-800-318-2596, or in person at local health centers and other facilities.
  • For an overview of the Health Insurance Marketplace, get the latest resources here. Training materials and presentations are also available here.

For state-specific information and resources and to sign up for email and text alerts, visit the State by State and How the Health Care Law Benefits You webpages on

Access Downloadable Materials

To help answer any questions that you or your patients may have about the Health Insurance Marketplace, access two publications:

Health Insurance Marketplace: 10 Things Providers Need to Know (

Health Insurance Marketplace: 10 Things to Tell Your Patients (

Community Resources

Host community meetings/nursing rounds in webinar, teleconference or in-person formats to talk about the ACA. To help you with the presentation, access PowerPoint slides, talking points and other educational materials at CMS can offer an Administration official to offer specifics and engage your members and community.

Web, Social Media Resources

Visit (Spanish: for state-specific information to sign up for email and text alerts, or contact the call center at 1-800-318-2596 1-800-318-2596 (TTY: 1-855-889-4325 1-855-889-4325). Help is available 24/7 in 150 languages.

Add marketplace widgets ( to your email signature.

Connect through social media at (Spanish: and follow on Twitter, @HealthCareGov
(Spanish: @CuidadoDeSalud)

Educational Resources

Obtain free Continuing Education via the Medscape module [login required], “What the Healthcare Marketplace Means for Practices and Patients”. Please take advantage of these opportunities to learn more about the Marketplace so that you can provide information to your patients, communities and fellow nurses. The Marketplace will help people get healthy and stay healthy, so please do your part to provide this critical information.

ANA will continue to share updates, announcements and resources as they become available.


Additional Time to Establish Protocols for Newly Required Face-to-Face Encounters for Durable Medical Equipment (DME):
On September 9, 2013 CMS announced they will be postponing the active enforcement and full compliance of the durable medical equipment face-to-face signature requirement until unspecificed date in 2014. Section 6407 of the ACA established a F2F encounter requirement for certain items of DME. The law requires that a physician must document that a physician, nurse practitioner, physician assistant or clinical nurse specialists has had a face-2-face encounter with the patient. CMS has twice posponed imprlementation of this rule.


Health Affairs Explores the "Thorns" Awaiting the Afforable Health Care Act:
With just weeks before the health insurance exchanges across the US open their web portals for business Health Affairs focuses on who stands to gain, or lose in their September issue. Read the attached.


Health Insurance Market Place Survey:
CMS requests healthcare providers to answer the Health Insurance Marketplace Survey for healthcare providers. Please send the completed survey to Print survey.


Mandatory Expansion of Medi-Cal Under ACA:
Information about the fiscal estimate of the Administration's proposal on the expansion of Medi-Cal.

Please consult for more detailed information.

Report From Covered California (formerly California Health Care Exchange)

California was the first state to enact legislation creating a Health Benefit Exchange following the passage of the Patient Protection and Affordable Care Act. Since its creation, Covered California has begun building the foundations that will be essential to the success of this new innovative health coverage marketplace. In 2011 Covered California adopted its vision, mission and values statement, setting the framework for doing business with a primary focus being on making it easy and affordable for Californians who are eligible to obtain health coverage. Enrollment for new subsidized coverage will begin on October 1, 2013-90 days in advance of when coverage begins on January 1, 2014. A full annual report is provided which covers in detail the work of Covered California.

Report from Director Peter Lee as of 1.23.13


We have archived reports from 2010-2012 on a variety of health care reform issues.