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Affordable Care Act - Consumer Assistance Program Grants

Department of Health and Human Services

 
Synopsis
       


The synopsis for this grant opportunity is detailed below, following this paragraph. This synopsis contains all of the updates to this document that have been posted as of 06/07/2012 . If updates have been made to the opportunity synopsis, update information is provided below the synopsis.

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Any inconsistency between the original printed document and the disk or electronic document shall be resolved by giving precedence to the printed document.

Description of Modification

title correction

Document Type: Modification to Previous  Grants Notice
Funding Opportunity Number: CA-CAP-12-002
Opportunity Category: Discretionary
Posted Date: Jun 07, 2012
Creation Date: Jun 07, 2012
Original Closing Date for Applications: Jul 09, 2012    No Explanation
Current Closing Date for Applications: Jul 09, 2012    No Explanation
Archive Date: Aug 08, 2012
Funding Instrument Type: Grant
Category of Funding Activity: Health
Category Explanation:
Expected Number of Awards: 56
Estimated Total Program Funding: $29,900,000
Award Ceiling: $0
Award Floor: $0
CFDA Number(s): 93.519  --  Affordable Care Act (ACA) - Consumer Assistance Program Grants
Cost Sharing or Matching Requirement: No

Eligible Applicants

State governments
 

Additional Information on Eligibility:


Agency Name

CMS-Consumer Information & Insurance Oversight

Description

On March 23, 2010, the President signed into law the Patient Protection and Affordable Care Act. On March 30, 2010, the Health Care and Education Reconciliation Act of 2010 was also signed into law. The two laws are collectively referred to as the Affordable Care Act. The Affordable Care Act includes a wide variety of provisions designed to promote accountability, affordability, quality, and accessibility in the health care system. The Affordable Care Act also includes significant grant funding for States to work with the Federal government to implement health reform.Section 1002 of the ACA added section 2793 of the PHS Act, which provides for federal grants to States to establish, expand, or provide support for the establishment of independent offices of health insurance consumer assistance or ombudsman programs. Section 2793 of the PHS Act requires that, as a condition of receiving grant funds, consumer assistance or ombudsman programs must: assist consumers with filing complaints and appeals, assist consumers with enrollment into health coverage, and educate consumers on their rights and responsibilities with respect to group health plan and health insurance coverage. In addition, these programs must collect data on consumer inquiries and complaints to help the Secretary identify problems in the marketplace and strengthen enforcement of health laws such as the ACA and the Mental Health Parity and Addiction Equity Act by providing States and the U.S. Department of Health and Human Services (HHS) with information about potential situa tions in which health plans and issuers are not in compliance with the laws. Starting in 2014, programs must also help resolve problems with obtaining premium tax credits for coverage through Affordable Insurance Exchanges (Exchanges) established under section 1311 of the ACA. As health reform is implemented, consumers will need to understand new programs, avail themselves of new protections, and navigate the system to find the most affordable coverage that meets their needs. HHS interprets the statutory requirement to include providing assistance to uninsured individuals to obtain group health plan or health insurance coverage, and, if appropriate, referring them to other sources of coverage such as Medicaid, the Children?s Health Insurance Program (CHIP), or the Pre-existing Condition Insurance Plan (PCIP). For data collection activities, programs collect data on a range of consumer inquiries related to private coverage. In addition, programs collect data on the types of problems and inquiries encountered by consumers relating to public coverage, State high risk pools, and PCIP. Programs do not need to be capable of providing direct assistance to consumers on issues and problems related to Medicare, Medicaid, and CHIP. However, programs must be capable of making appropriate referrals for such consumers.

Link to Additional Information

Affordable Care Act Consumer Assistance Program Grants

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Synopsis Modification History

The following files represent the modifications to this synopsis with the changes noted within the documents. The list of files is arranged from newest to oldest with the newest file representing the current synopsis. Changed sections from the previous document are shown in a light grey background.

File Name Date
Modification #1 Jun 07, 2012
Original Synopsis Jun 07, 2012