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Pennsylvania Health Law Project: Helping People in Need Get the Health Care They Deserve
Season's Greetings from PHLP

Health is never taken for granted at PHLP. Only a few of us are fortunate enough not to need health care, and none of us can predict injury or major illness. 

As 2012 draws to a close, PHLP thanks everyone that helped us stand by people in distress: people who did nothing wrong but whose physical and mental well being is compromised by illness.

The backbone of our work is helping individuals. This calendar year, PHLP provided direct legal services to 4,500 Pennsylvanians. Every month this year, our eNews has profiled one of these clients. These profiles exemplify how we make a difference: stories of Pennsylvanians who had nowhere else to turn, and who, without our services, would have been significantly harmed.  

  • Kenneth Appleby, a 56-year-old resident of Potter County, whose pharmacy denied him a prescribed antibiotic to treat bronchitis because Mr. Appleby was over Pennsylvania’s new six-prescriptions-per-month limit. PHLP helped Mr. Appleby request a benefit limit exception for the antibiotic and obtain a five-day emergency supply while he waited for the exception to be approved.
  • “Carly”, a 19-year-old resident of Luzerne County, who was pregnant and did not have access to the medical care she needed to keep her chronic kidney disease from impacting her baby’s health. State officials said that because Carly lived with her fiancé and his mother, she was income ineligible for Medicaid. PHLP immediately contacted those officials on Carly’s behalf and advised them that non-spouse, non-guardian income should not be counted. Carly obtained coverage and received the medical care she needed to keep herself and her baby healthy.
Client experiences and their health care needs keep us grounded and push us to keep fighting for Pennsylvania’s most vulnerable. There is much work ahead, especially as federal and state officials begin final preparations for the once-in-a-generation coverage expansions that starts in January 2014.

Please consider us when you are making any year-end contributions to charitable organizations. Donations can be made by mail or by using our secure online form at www.phlp.org.
 
We wish you good health, and hope you will continue to stand for health access in the New Year!



Laval Miller-Wilson, JD
Executive Director

 
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PHLP in The News

Report: Medicaid Expansion Would Save Delaware $1 Billion, Cost Pennsylvania $2 Billion, Carolyn Beeler, NewsWorks, November 26, 2012

What We're Reading

Governor Corbett Announces State-Based Insurance Exchange Decision, Pennsylvania Insurance Department, December 12, 2012

The Challenges Facing Pennsylvania in Implementing the Health-Care Reform Law, Remarks by Secretary of Public Welfare for the Commonwealth of Pennsylvania Gary Alexander, December 13, 2012

Facts about Medicaid Expansion in Pennsylvania, The Hospital & Healthsystem Association of Pennsylvania, December 17, 2012

Federal Government’s Response to Frequently Asked Questions on Exchanges, Market Reforms and Medicaid, U.S. Department of Health and Human Services, December 10, 2012

The Cost and Coverage Implications of the ACA Medicaid Expansion: National and State-by State Analysis, The Urban Institute, November 28, 2012

Essential Health Benefits: What Have States Decided for Their Benchmark?, The Kaiser Family Foundation, December 7, 2012

Pennsylvania’s Proposed EHB Base-Benchmark Plan (this is the plan PA will default to if it does not select a benchmark by December 26, 2012). 

Medicaid/CHIP Participation Among Children and Parents, The Urban Institute, December 10, 2012

State Trends and Innovations in Medicaid Long-Term Services and Supports, Center for Health Care Strategies, Inc., December 2012 (includes Pennsylvania)
Support our work!

The Pennsylvania Health Law Project is a nationally recognized expert and consultant on access to health care for low-income consumers, the elderly, and persons with disabilities. PHLP engages in direct advocacy on behalf of individual consumers while working on the kinds of health policy changes that promise the most to the Pennsylvanians in greatest need.
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