Affordable Care Act Ruling Keeps PSO Participation Mandate Intact
The Supreme Court’s June 28 ruling upholding the Affordable Care
Act leaves intact the mandate that hospitals with 50 beds or more
must participate in a PSO by Jan. 1, 2015 in order to contract
with health plans in state insurance exchanges. Except for the
ruling that allows states to forgo Medicaid expansion, the
decision keeps the entire Act in place.
California was the first state to create an insurance exchange
after the Act passed and continues to be a change agent for
improving patient care and safety while reducing costs.
California plans to have its Health Benefit Exchange operational
by Jan. 1, 2014, when exchange participants will benefit from
federal tax subsidies and credits. The exchange is a new
insurance marketplace in which individuals and small businesses
can purchase competitively priced health plans.
The California Hospital Association held a Web seminar July 2
highlighting the statewide impact of the Act. CHA members can
access the presentation at calhospital.org/program-recordings
later this month.