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Health Reform 
Health Insurance Exchanges
Health Reform Grants and Loans
Essential Health Benefits
Pre-Existing Condition Insurance Plans
Medicaid and Health Reform
Rate Review
Medical Loss Ratios
Individual and Small Group Markets
Medicare and Health Reform
Health Center and Clinic Grants
Early Retiree Reinsurance Program
State Positions on ACA
 
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Health Insurance Exchanges
Exchange Decision19 Declared State-based Exchange
7 Planning for Partnership Exchange
25 Default to Federal Exchange
-Default to Federal Exchange-
Structure of ExchangeNA-NA-
Type of ExchangeNA-NA-
Exchange Establishment Grant$643,955,606-NA-grant award amount
Early Innovator Grant$126,301,945-NA-grant award amount
Exchange Planning Grant$45,008,109-$1,180,312-grant award amount
Health Reform Grants and Loans
Consumer Assistance Program Grant$45,386,599- NA -grant award amount
Premium Review Grants$147,626,485-$226,598-grant award amount
CO-OP Loans$1,691,348,280---loan amount awarded
Pre-Existing Condition Insurance Plans
PCIP Funding$5,000-$69-in millions
PCIP Operating Structure27 State-run, 24 HHS-run-HHS-run-
PCIP Enrollment86,072-635-
Estimated Medicaid Expansion in Health Reform
% Change Medicaid Enrollment, 2014-2019-27.4-36.9expansion to 133% FPL
% Change State Medicaid Spending, 2014-2019-1.4-3.6expansion to 133% FPL
% Change Federal Medicaid Spending, 2014-2019-22.1-35.9expansion to 133% FPL
Medicare and Health Reform
Medicare Part D Rebate Dollars Awarded$939,169,250-$14,383,250-
Medicare Part D Coverage Gap Discounts$2,311,289,569-$31,800,246-total discount amount
State selected for duals demo program?15 Yes-No-
Medical Loss Ratios
Individual Market MLR Rebates$426,192,338-$2,987,314-total estimated rebate
Small Group MLR Rebates$376,736,583-$983,769-total estimated rebate
Large Group MLR Rebates$540,567,798-$0-total estimated rebate
Rate Review
State has effective rate review program?43+DC Yes, 1 Partial, 6 No-No-

Unemployment Rate (Seasonally Adjusted), 2011-2012 Health Insurance Coverage of the Total Population, states (2010-2011), U.S. (2011)
United States
307,891,500

49% Employer 49%

5% Individual 5%

16% Medicaid 15%

13% Medicare 15%

1% Other Public 2%

16% Uninsured 14%

Alabama
4,727,300

Contact

Executive Office

  • Governor: NA
  • Head of Health Department: Kathleen Sebelius, Secretary, Department of Health and Human Services

Legislature

  • Senate Number and Affiliation: NA
  • Representatives Number and Affiliation: NA
  • When the Legislature Meets: NA

Congressional Delegation

  • Senators Names and Party Affiliation: 100 (51 D, 47 R, 2 I)
  • Representatives Number and Affiliation: 436 (193 D, 240 R, 3 Vacant)

Contact Information

State Medicaid Factsheets Children's Health Fact Sheets Medicare Health Plan Tracker Medicaid Benefits Database
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