Medical Aid
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The Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. AHCCCS provides medical insurance coverage to thousands of Arizonans each year, for which DES provides eligibility services.
The Government of Canada is sharing a Model Practice Standard for medical assistance in dying to support a safe and consistent approach to MAID across the country, prepared by the MAID Practice Standards Task Group.
In February 2015, the Supreme Court of Canada ruled in Carter v. Canada that parts of the Criminal Code would need to change to satisfy the Canadian Charter of Rights and Freedoms. The parts that prohibited medical assistance in dying would no longer be valid. The Supreme Court gave the government until June 6, 2016, to create a new law.
On October 5, 2020, the Minister of Justice and Attorney General of Canada introduced former Bill C-7: An Act to amend the Criminal Code (medical assistance in dying) in Parliament, which proposes changes to Canada's law on medical assistance in dying. These changes were introduced in response to the Superior Court of Québec's 2019 Truchon decision, in which it found the \"reasonable foreseeability of natural death\" eligibility criteria in the Criminal Code, as well as the \"end-of-life\" criterion from Québec's Act Respecting End-of-Life Care, to be unconstitutional. The changes were also informed by Canada's experience with MAID, feedback from over 300,000 Canadians, experts, practitioners, stakeholders, provinces and territories, provided during the January and February 2020 consultations, and the testimony of over 120 expert witnesses heard throughout former Bill C-7's study by the House of Commons and the Senate.
On February 2, 2023, the Government of Canada introduced legislation (Bill C-39) to extend the temporary exclusion of eligibility in circumstances where a person's sole underlying medical condition is a mental illness for a period of one-year, until March 17, 2024.
Not all health care providers are comfortable with medical assistance in dying. Participating in MAID may not be consistent with a provider's beliefs and values. The federal legislation does not force any person to provide or help to provide medical assistance in dying.
We understand that these provider rights could create challenges for persons who want to access medical assistance in dying. Persons are encouraged to contact their physician or nurse practitioner (if applicable) for questions about access. Persons may also wish to contact the resources set up within their province or territory to get information on MAID and other care options. (See: Supporting access to a range of care and support options)
Under the law passed in March 2021, Canadians whose only medical condition is a mental illness, and who otherwise meet all eligibility criteria, will not be eligible for MAID until March 17, 2023. This temporary exclusion of eligibility was intended to provide the Government of Canada with more time to study how MAID on the basis of a mental illness can safely be provided and to ensure appropriate safeguards are in place to protect those persons. However, the Government of Canada believes that more time is needed to complete and disseminate this important work.
On February 2, 2023, the Government of Canada introduced new legislation (Bill C-39) that would extend the delay of eligibility for MAID in circumstances where a person's sole underlying medical condition is a mental illness until March 17, 2024.
If you have a mental illness along with other medical conditions, you may be eligible to seek MAID. To note: Eligibility is always assessed on an individual basis, taking into account all of the relevant circumstances. However, you must meet all the criteria to be eligible for MAID.
The original temporary exclusion was intended to provide the Government of Canada and health professional bodies time to advance and implement appropriate clinical guidance for safely assessing and providing MAID to those whose only medical condition is a mental illness.
If you are experiencing a lot of pain and suffering due to your medical situation, talk to your physician or nurse practitioner about options in relation to your medical condition or circumstances and your possible interest in MAID.
The federal legislation on medical assistance in dying is part of the Criminal Code. It states that a person is not guilty of a criminal offence if they provide or assist in providing MAID according to the conditions and safeguards in the law.
Monitoring and reporting are critical components in building transparency and public trust in the law. They also help to reflect the seriousness of medical assistance in dying as an exception to the criminal laws that prohibit ending a human life.
Federal, provincial and territorial governments recognized the importance of the timely release of accurate information and collaborated to produce a series of interim reports about medical assistance in dying until the regulations were established in 2018.
On December 13, 2016, the Government engaged the Council of Canadian Academies (CCA) to conduct independent reviews related to specific types of requests for medical assistance in dying - requests by mature minors, advance requests, and requests where a mental disorder is the sole underlying medical condition. These issues were the subject of debate when Bill C-14, the Government's legislation on medical assistance in dying, was being considered by Parliament. The Act required the Ministers of Health and Justice to initiate independent reviews on the three issues and table reports in Parliament within 2 years of initiation.
The purpose of the reviews was to gather and analyze relevant information and evidence on the diverse perspectives and issues surrounding requests for medical assistance in dying in the three areas, in order to facilitate an informed, evidence-based, dialogue among Canadians and decision-makers.
The Illinois Department of Healthcare and Family Services (HFS) is committed to improving the health of Illinois' families by providing access to quality healthcare. This mission is accomplished through HFS Medical Programs that pay for a wide range of health services, provided by thousands of medical providers throughout Illinois, to about two million Illinoisans each year. The primary medical programs are:
Necessary medical benefits, as well as preventive care for children, are covered for eligible persons when provided by a healthcare provider enrolled with HFS. Eligibility requirements vary by program. Most people who enroll are covered for comprehensive services, including, but not limited to; doctor visits and dental care, well-child care, immunizations for children, mental health and substance abuse services, hospital care, emergency services, prescription drugs and medical equipment and supplies. Some programs, however, cover a limited set of services.
FamilyCare/All Kids Assist provides a full range of health benefits to eligible children 18 years of age and younger, and their parents or caretaker relatives. To be eligible, children must live in families with countable family income within 147 percent of the federal poverty level (FPL). The parents/caretaker relatives are eligible for coverage if the countable income is up to 138% FPL. Children covered under All Kids Assist have no co-payments or premiums. FamilyCare Assist parents have a co-payment per medical service or prescription received.
All Kids Share provides a full range of health benefits to eligible children. To be eligible children must have countable family income over 147 percent and at or below 157 percent of the FPL. Children in All Kids Share have a co-payment for each medical service and prescription received, up to a maximum of $100 per family per year. There are no co-payments for well-child visits and immunizations.
All Kids Premium Level 1 provides a full range of health benefits to eligible children. For children to be eligible, families must have countable income over 157 percent and at or below 209 percent of the FPL. Families eligible for All Kids Premium Level 1 pay monthly premiums based upon the number of children covered (ranging from one child to five or more). All Kids Premium Level 1 children have a co-payment for each medical service or prescription received, up to a maximum of $100 per family per year. There are no co-payments for well-child visits and immunizations. Families with children who are American Indians or Alaska Natives do not pay premiums or co-payments.
Health Benefits for Workers with Disabilities (HBWD) covers persons with disabilities who work and have earnings up to 350 percent of the FPL who buy-in to Medicaid by paying a small monthly premium. Eligible people may have up to $25,000 in non-exempt resources. Retirement accounts and medical savings accounts are exempt. Federal matching funds are available under Medicaid for these benefits. Comprehensive program information, as well as a downloadable application can be found on the HBWD Website.
State Renal Dialysis Program covers the cost of renal dialysis services for eligible persons who have chronic renal failure and are not eligible for coverage under Medicaid or Medicare. This program does not cover a comprehensive array of health services. Eligibility for the program is reviewed and determined on an annual basis. Participants must be a resident of Illinois, and meet citizenship requirements. The program assists eligible patients who require lifesaving care and treatment for chronic renal disease, but who are unable to pay for the necessary services on a continuing basis. The program covers treatment in a dialysis facility, treatment in an outpatient hospital setting and home dialysis, including patients residing in a long-term care facility. Individuals determined eligible for the program may be responsible for paying a monthly participation fee based on family income, medical expenses and liabilities, family members, and other contributing factors. All participation fees are paid directly to the dialysis center that provided the treatment. These benefits are financed entirely with state funds. Individuals may learn more or download an application at State Renal Dialysis Program 59ce067264