• Affordable Care Act Resource Center

    • TMA Takes on Marketplace Madness

      Confused by all you’ve heard about the Affordable Care Act marketplace insurance plans? Do you know whether you’re in — or out — of the narrow networks? How will you tell if a patient is on an exchange plan? What happens to you if patients don’t make their premium payments? What, if anything, can you do about all of this? TMA answers these and other tough marketplace exchange questions. Updated: December 2015. MembersOnlyRed
  • 2016 Texas Exchange Markets

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  • Affordable Care Act in the News

    • TMA's Advocacy Priorities
      Healthy Vision 2020. That's TMA's strategic roadmap for TMA's state and federal advocacy initiatives for the remainder of the decade. It covers our work for physicians and patients in the Texas Legislature, U.S. Congress, and state and federal agencies. If you don’t know where you’re going, the old saying goes, you don’t need a map. Any road will take you there. But if you have a crystal clear vision of your destination, you need an equally detailed roadmap.
    • Physician Ranking
      ny insurers are increasingly offering incentives for patients to chose physicians deemed as providing lower-cost, and some plans award bonuses to doctors who are deemed “low cost.” Similarly, the ACA promotes "value-based purchasing," which would rely on a classification system to analyze physicians’ costs and determine who spends relatively less than their peers while delivering the same quality of care. TMA believes that neither Congress nor any other institution or company should publicly profile and penalize individual physicians based on faulty methodology. Plus ... Basic Steps for Reviewing and Disputing Physician Rankings & Tierings.
    • Hey, Doc
      TMA’s “Hey, Doc” educational campaign provides objective and nonpartisan answers to patients' most frequently asked questions about the ACA health insurance marketplace. We want to ensure all Texans understand what the marketplace does and what steps they need to take. Includes patient education materials for physicians offices to use.
    • Affordable Care Act
      The Patient Protection and Affordable Care Act (ACA), passed in 2010, has engendered intense political and legal debate, and made significant changes in the financing of U.S. health care. It also has thrown huge new regulatory requirements onto physicians practices. What is TMA doing to improve, repair, and refine the ACA? How is TMA helping physicians cope with the regulatory overload? What resources does TMA offer for physicians to help their patients navigate this new health care system?
    • Physician Advocacy
      TMA stands up for Texas physicians and their patients in the Texas Legislature, the U.S. Congress, the courtroom, and at state and federal agencies. Read how we do what we do, what we've accomplished, and how you can get involved.
    • Congressional Leaders to Highlight Border Health Conference
      Physician leaders from Texas will meet in El Paso with federal legislators and government officials to discuss critical health care needs and challenges facing communities along the U.S.-Mexico border. The 10th Annual Border Health Conference is sponsored by Texas Medical Association’s (TMA’s) Border Health Caucus (BHC). BHC’s mission is to ensure access to care for all patients along the border. 
    • ID ACA Exchange Plans on Insurance ID Cards
      HB 1514 testimony of Sara Austin, MD, before Senate Business and Commerce Committee, May 14, 2015
  • Hot Topics

    • What Qualified Health Plans are Operating on the Marketplace in My County This Year?
      As of Dec. 15, 2015, there were 19 insurance companies offering 543 different qualified health plans on the Affordable Care Act marketplace exchange in Texas for 2016. Each plan is offered on a county-by-county basis. Here is the list of plans, sorted by county.
    • PPACA Employer Mandate Delayed
      Physicians who have 50 or more employees have another year to comply with the "employer mandate" of the Patient Protection and Affordable Care Act (PPACA). The law requires employers with 50 or more employees to offer health insurance coverage or pay a penalty.
    • Find It, Fix It, Keep It: Patient Protection and Affordable Care Act
      Patient Protection and Affordable Care Act: Find What’s Missing. Keep What Works. Fix What’s Broken.
    • TMA: Don't Make Docs Pay For Inaccurate Plan Directories
      Calling it either "an enormously unfortunate oversight" or "a government grab at discount health care services," TMA is vehemently opposing a new federal policy regarding physician participation in the Affordable Care Act exchange marketplace health plans. 
    • Marketplace Means Decision for Doctors
      The opening of the health insurance marketplaces under the Affordable Care Act (ACA) on Jan.1 means you must be vigilant in your dealings with the health insurance companies. Or you could face major problems.
    • ACA: From Theory to Boots on the Ground
      New report from the Physicians Foundation examines the implementation of key provisions – in particular the health insurance exchanges – and ongoing challenges of health reform. It is the first installment in a series of reports on ACA coverage expansion and key mandates.
  • TMA Help for You to Survive and Thrive in the New Health Care Landscape

  • Congressman Mike Burgess, MD: The Case Against the ACA

    The Case Against Obamacare from texastribune on Vimeo.

    "The Case Against Obamacare" panel with U.S. Rep. Michael Burgess moderated by Scott Braddock at The Texas Tribune Festival September 24, 2011.

  • Full Text and Analysis of the Patient Protection and Affordable Care Act

    • Read the Full Text

      Read the entire bill, amendments, official summary, and legislative history at Congress.Org
    • TMA's Health Reform Bill Executive Summary

      Prepared by TMA experts, this analysis reviews what the bill does and does not do.
    • TMA Complete Summary

      Use this TMA staff summary of the bill and amendments to find which provision of the law may pertain to a particular question or issue. Then turn to the full text.
    • TMA Guiding Principles

      House of Delegates' guiding principles TMA followed as it made Texas physicians' voices heard in Washington during the debate.