Editor’s Note: This is the second part of a two-part series on the controversy surrounding health insurance for same-sex marriage partners.  You can find part 1 here.

Let’s assume that the Defense of Marriage Act (DMA) eventually gets repealed. States that don’t support gay marriage aren’t allowed to deny that other states do? Would this then open up the forum for the Federal Government to acknowledge same-sex marriages? It seems that for Obama to agree with what this appeals court in California is bringing up, the Defense of Marriage Act would have to be repealed. We’re talking about health benefits for federal employees and their partners — and it seems that same-sex partners of federal employees won’t be seeing health benefits any time soon unless the DMA is axed.

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Note from the Author: Before I even begin addressing this interesting piece of news, I would like to add a disclaimer. I greatly respect that there are a variety of opinions and beliefs in this world, and I am sure that our reader base is about as diverse as diverse can get. I mean, everyone cares about health insurance right? I also respect that not everyone is going to agree with my opinion. I realize that the sensitive and largely disputed topic of same-sex marriage usually involves disturbing some sort of beehive. If you choose not to agree with what is to follow, then I encourage you to post your thoughts in the comments section.

Even if you aren’t a resident of the Golden State, you probably heard all of the controversy and buzz around California’s Prop 8 back in November of 2008. The proposition passed by voters denies the rights of same-sex couples to legally get married. For those of us who believe that marriage should be a right for all people, regardless of their sexual preference, this proposition’s passage was incredibly disappointing. Interestingly enough, however, a federal appeals court in California seems like it is trying to redeem the state’s liberal reputation.

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Oh Boston…a stunning city rich with history, and understandably mad about their Red Sox. After all, they just so recently overcame the Curse of the Bambino to win a World Series, and it’s no surprise that the city and the baseball cans are rabid for the team’s good fortune to continue. One hospital that provides health care in Boston, Beth Israel Deaconess Medical Center, loves the team so much that they are not going to give up their partnership being the Sox’s “official hospital” while facing massive budget cuts. What is the hospital having to cut to keep ties with the team intact, and how might this effect hospital employees?

A Hospital’s Swing and a Miss

Imagine you are a hardworking, dedicated employee of your local hospital. You work hard, provide patients with the best care imaginable, and one day you come in to work to find that you won’t be getting matching contributions to your 401k as you were promised upon your initial hire. Why? “Oh, we want to keep out relationship with the Boston Red Sox strong. Sorry.”

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The language barrier for recent immigrants to the United States is taking a toll on how they receive access to and understand their health care options, according to a recent report by Kaiser. This further exemplifies the holes in the United States’ health care system, and raises huge concerns over those who are eligible and paying for health care yet are not receiving what they deserve. What is happening here and how can it be fixed?

Health care and immigration

I can only imagine how frustrating it is to be a newcomer to this country and want to get health care coverage, but not be able to find a single person to help you understand your options. For many who call the help lines for a plan like Medicaid, you may find that you can get instructions in Spanish, but what about the other hundreds of languages that immigrants speak? And what about other options for helping recent immigrants understand their health care options?

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Editor’s Preface: The new American Recovery and Reinvestment Act (ARRA) is a revolutionary step in addressing our most vital economic challenges. A significant portion of the money doled out by the ARRA ($59 billion) will go towards immediately addressing the health crisis. This is the second part in a two-part series on subsidies for COBRA in the ARRA. We have also extensively covered this subject in “COBRA Health Coverage in a Bad Economy” and “Stimulus Package and COBRA Health Coverage.” You can find Part 1 of this series at: “COBRA Health Subsidies and the Economic Recovery Act“

COBRA Subsidies and Your Health Insurance

Knowing who is and isn’t qualified for this 65% COBRA subsidy coverage can get a little sticky. The ARRA only provides the subsidy to AEI, or “assistance eligible individuals.” Who qualifies as one of these special AEI’s? Anyone who is eligible for COBRA coverage on or before September 1, 2008 or on or after December 31, 2009. This is an interesting way of looking at things, because wouldn’t it just be simpler to say anyone on or after September 1, since December 31 falls after that date? Moving on. An AEI is also someone who chooses to use COBRA during the original COBRA period, or during a special period of coverage. Just what is a special period of coverage? This special election period begins on the date of enactment of the ARRA and ends 60 days after the person’s health plan administrator provides the required notice to the individual. You also have to be covered by COBRA via an involuntary termination (covered in my last post) by your former employer’s health insurance coverage plan.

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Editor’s Preface: The new American Recovery and Reinvestment Act (ARRA) is a revolutionary step in addressing our most vital economic challenges. A significant portion of the money doled out by the ARRA ($59 billion) will go towards immediately addressing the health crisis. This two-part series by Tara Barnes will delve into the benefits of the stimulus package’s COBRA subsidy. We have also extensively covered this subject in “COBRA Health Coverage in a Bad Economy” and “Stimulus Package and COBRA Health Coverage.”

It cannot be denied-COBRA is a huge topic in the United States right now. People are up in arms about COBRA coverage (as can be seen from response here on previous blog postings) and some significant changes and new legislation put into place by the Obama administration may change the face of COBRA.

Spending in the ARRA for Health Insurance and Care Compared with Other Sectors

The ARRA (the American Recovery and Reinvestment Act) was signed on February 17, 2009 and directly affects the COBRA continuation coverage rules. Because so many Americans are upset with the way COBRA coverage works, will these changes benefit or hurt those who need to rely on COBRA to keep their health insurance? Are these new changes really going to make a difference in the things that citizens are frustrating about, like the monthly cost of COBRA? Read on to find out about the new act passed and how it will affect COBRA for those people living in the real world.
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