Health Care

I am pleased to provide you with information to help you connect with local healthcare resources that can provide enrollment assistance for the Affordable Care Act (ACA).  While my office does not have the expertise to enroll people in the healthcare marketplace, we are happy to refer you to resources that will help you enroll and/or answer your questions.

You may also visit healthcare.gov or call the toll-free ACA consumer helpline at 1(800) 318-2596 to get your marketplace questions answered.  Or you can call United Way’s 211 Line find out about enrollment assistance in your area.

 

If you would prefer to talk to someone locally about signing up for health insurance, please see some of the options available to you below (more local healthcare resources can be seen at healthcare.gov):
CLEVELAND AREA:
Care Alliance Health Center: 216-781-6724
Riverview Tower, 1795 W. 25th St., 2nd Floor, Cleveland, OH
ELYRIA/LORAIN AREA:
Lorain County General Health District: 440-322-6367
9880 Murray Ridge Rd., Elyria, OH 44035
HURON/SANDUSKY AREA:
United Way Port Clinton-Sutton Center: 419-734-6645
1854 E. Perry St, #300, Port Clinton, OH 43452

Huron County General Health District: (419) 668-1652, ext. 269.
180 Milan Road, Norwalk, OH 44857
PARMA AREA:
Parma Health Ministry: 440-843-8087
7000 Ridge Road, Parma, OH 44129

Cleveland Marketplace Enrollment Team-Cognosante: 216-643-2941
6100 Oak Tree Blvd., Suite 200, Independence, OH 44131
TOLEDO AREA:
Toledo-Lucas County Health Department: 419-213-4100
635 N. Erie St. Room 27, Toledo, OH 43604
 

Things you need to know


What is a Health Insurance Marketplace or Exchange?

A Health Insurance Marketplace or Exchange is a new way that Americans can compare and shop for health insurance. US citizens and others who are legally in the US can sign up for health insurance through the Marketplace. You cannot be turned down, and you may even be able to get help paying for your new insurance.

Open Enrollment is currently closed. However, you can still get coverage if you experience certain life changes: getting married, having a baby, losing other coverage, moving, or if you qualify for Medicaid or CHIP.


Do I have to sign up for health insurance?

You do need to sign up if you have no insurance, or if you are losing your coverage, or you are not eligible to be covered under an affordable, quality employer plan. If you don’t have insurance that qualifies as minimum essential coverage, you may have to pay a fee when you file your taxes.

You do not need to sign up if you care covered by Medicare, Medicaid for Elderly, Blind or Disabled, the VA health program, or a good and affordable insurance through your job or your spouse’s job.

Young adults can stay on their parents’ insurance until they turn 26, but they can also go to the Marketplace to see if they can get a less expensive insurance.
 

How much does it cost?

It does not cost anything to apply and learn what insurance plan options you qualify for, what the plans will cost per month, and what financial help you can receive.

Once you know your options, you can decide what health insurance plan is best for you and your budget.

You may qualify for a discount and/or tax credit from the federal government. The amount of financial assistance is calculated when you sign up.
 

What information do I need to sign up?

ID information for all members of your family (age, social security numbers, or legal permanent resident/green card or visa numbers).

Income for all family members – this is because you will have to estimate your 2014 family income to get your financial assistance (pay stub or tax forms, or other documents showing income).

Information about insurance offered through your job or your spouse’s job, even if you don’t take that insurance, including how much it costs for a single plan.
 

Important things to keep in mind after signing up:

You must pay your premiums (the amount you pay for your insurance) every month to keep your coverage.

Watch for information about the health insurance plan you select, such as a membership card or new member letter, which will help you get started with your new plan.

Report any changes in family income or number of people in your family by calling the Health Insurance Marketplace at 1-800-318-2596.

 

Health care, specifically health insurance coverage for all, mental health care, and medical liability coverage for healthcare providers, is one of the most important domestic policies today.

The Affordable Care Act, which was signed into law on March 23, 2010, puts consumers in charge by ensuring access to quality, affordable health care. The non-partisan Congressional Budget Office (CBO) has determined that the law will provide coverage to 32 million more people, or more than 94 percent of Americans, while lowering health care costs over the long term.

This historic legislation will reduce the deficit by $210 billion over the next ten years, with $1.2 trillion in additional deficit reduction in the following 10 years.

Although people share different views about the proper course of reform, the Affordable Care Act is a responsible approach to the challenges of the 21st Century and will repair much of what needs fixed so that our country remains strong and competitive.
 

UNDERSTANDING THE AFFORDABLE CARE ACT

Read the text of the law here.

Read a summary of the bill here.

Read about how the law affects my constituents in Ohio's 9th District here.

Review the key features and timeline for implementation of the law here.

Read the CBO analysis of the budgetary impact of the reconciliation bill here.

Read the President's Executive Order prohibiting the use of federal funds for abortion here.

Read about the small business health care tax credit here.

Visit healthcare.gov to learn more about the law here.
 

More on Health Care

November 25, 2019 Press Release

Washington, D.C. — Representatives Marcy Kaptur (D-Ohio) and David B. McKinley, P.E., (R-W.Va.)  introduced bipartisan legislation aimed at ensuring the funds that states receive from opioid settlements are used to fight the epidemic and are focused towards treatment, prevention, education, and enforcement.

 

July 24, 2019 Press Release

  

WASHINGTON — Congresswoman Marcy Kaptur (OH-09) released the following statement after the U.S. Department of Agriculture announced its proposed rule to dismantle state flexibility for the Supplemental Nutrition Assistance Program (SNAP), a decision that would deny food assistance for up to 3.1 million people across the U.S., including 64,752 households in Ohio’s Ninth Congressional District, and eliminate access to free school meals for low-income students:

 

July 9, 2019 Press Release

Washington, D.C. – Congresswoman Marcy Kaptur (D-OH) released the following statement after the Fifth Circuit Court of Appeals began hearing oral arguments in the Texas v. U.S. lawsuit, Republicans’ latest efforts to strike down every benefit afforded to the American people under the Affordable Care Act, including protections for 130 million Americans living with pre-existing conditions. Rep. Kaptur highlighted the devastating impact the Republican lawsuit would have on hard-working families across Northern Ohio and throughout the United States.

 

June 25, 2019 Press Release

WASHINGTON — Today, Congresswoman Marcy Kaptur (OH-09) released the following statement after the House passed H.R. 3055, an Appropriations package totaling $383.3 billion in discretionary spending that consists of five Fiscal Year 2020 funding bills, Commerce-Justice-Science, Agriculture-Rural Development-FDA, Interior-Environment, Military Construction-Veterans Affairs, and Transportation-Housing and Urban Development.

 

April 12, 2019 Press Release

Washington, D.C. — Today, Congresswoman Marcy Kaptur (OH-09) applauded the historic legislative achievements made in the first 100 of the new Democratic Majority in the House of Representatives:

March 22, 2019 Press Release

Cleveland — Today, Congresswoman Marcy Kaptur (OH-9), alongside medical experts and patient advocates, joined together for a press conference to call on the Trump Administration to reopen the United States–Mexico–Canada Agreement (USMCA) for negotiations so that a disastrous provision locking high prescription drug costs for millions of U.S. patients can be eliminated.

 

March 8, 2019 Press Release

Washington, D.C. — Today, Congresswoman Marcy Kaptur (OH-09), the longest serving woman in the history of Congress, joined fellow Members of Congress in co-sponsoring H.R. 1585, a bipartisan, robust, long-term reauthorization of the Violence Against Women Act.

February 14, 2019 Press Release

Washington, D.C. — Today, Congresswoman Marcy Kaptur (OH-09), alongside Representatives John Rutherford (FL-4), Tim Ryan (OH-13), and Derek Kilmer (WA-6), introduced the bipartisan Veterans’-Specific Education for Tomorrow’s Health Professionals Act of 2019.

 

February 6, 2019 Press Release

Washington, D.C. — Today, Congresswoman Marcy Kaptur (OH-09), Congresswoman Rosa DeLauro (CT-03), Congressman Tim Ryan (OH-13), Congresswoman Jan Schakowsky (IL-09), Congressman Bill Pascrell (NJ-09), and Congressman Jared Golden (ME-02) responded to President Trump’s State of the Union speech in which he praised his NAFTA 2.0 agreement.

January 10, 2019 In The News

More than 60 House Democrats are urging leadership to make the opioid crisis a top priority in the new Congress. The Democrats said Congress should dedicate more funding and staff to addressing the crisis, which killed 47,600 people in 2017. “Despite previous Congressional efforts to provide more resources to combat the opioid crisis to states and communities across this nation, there is much more to do,” said Rep. Marcy Kaptur (D-Ohio,), who led the letter, along with Reps.