 Good morning and welcome to this week's edition of Encompass Live. I am your host, Krista Burns, here at the Nebraska Library Commission. Encompass Live is the Commission's weekly online event. Yes, you can call us a webinar. We won't be offended. We cover anything that may be of interest to librarians. We do these sessions live every Wednesday morning at 10 a.m. central time, but they are all recorded, so if you're unable to join us on Wednesday mornings, that's fine. You can always go to our website and watch all the archives of all our recordings there. We post recordings. If there's a presentation or slides involved or handouts are up there. Any websites that are included and mentioned during the session, we put into the Library Commission's delicious account, so those are all linked there as well. So you've got just everything after the fact. We don't make sure things here, presentations, book reviews, mini training sessions, basically anything related to libraries we can put on and have in the show. We have guest speakers that come in sometimes, and sometimes we have Nebraska Library Commission staff, which is what we have this morning. This morning next to me is Mary Sowers, who is the Government Information Services... It's a relatively new title, yes. Government Information Services Librarian here at the Nebraska Library Commission. Good morning, Krista. Good morning, Mary. And we did a session in July on the Health Care Act in Libraries. It was right after ALA, the annual ALA conference, where ALA announced, it depends on your point of opinion, good thing or bad thing, that libraries can help consumers apply for the new health care market in the health care marketplace. So we did a really quick on-the-fly through something together on what we knew then. And we decided a lot has come changed since then, which is good. More resources out there, more things available. So we decided to do an update for it. It's a month till this actually goes... That's correct. October 1st. It's going by very quickly. Yes, it is. I was very surprised that we already had to do another one already, and I was like, yeah, it's coming up. So this is an update to it. Probably some stuff that we mentioned before, just to make sure you're up on it, and what's going on with it. So I will just hand over to Mary and she's going to take it away and tell you, hopefully, everything you need to know. Good morning, everyone. Thank you so much for joining us. And I hope in the next hour I'll be able to give you some information that will help you help your patrons in enrolling for health care insurance through the Affordable Health Care Act and the health care marketplace. There is a lot of information out there. There are lots of websites that have information. But what I have tried to do this morning is to pull information and then compress it into some information that you can take back to your libraries for your staff and training them to be prepared for when people start asking questions if they haven't already, if your patrons haven't already. The first thing I wanted to do, and I realized that some of this will be a repeat, but this is just basic important information as an overview of ACA, the Affordable Care Act. It's sometimes a mouthful. Health insurance marketplace has been created as a result of the Affordable Care Act as a new way to find health coverage that fits everyone's budget and needs. With one application, patrons can see all of the health plan options and enroll. They can compare plans based on price, benefits, quality, and other important features before making a choice. They'll also find out if they can get lower costs on their premiums. And for a lot of people, that's a very important thing and that was one of the main things built into the Affordable Care Act and the whole health insurance marketplace idea was being able to make it affordable and make it less expensive. So they can find out if they can get lower costs on their premiums for private insurance. They can find out if they qualify for lower out-of-pocket costs, lower co-pays when they go to the doctor, or if there are bills left over that insurance doesn't cover, they might be able to get those reduced in cost so that they can actually afford them. Because sometimes, and I know I've been there, the out-of-pocket costs can be kind of prohibitive. So the marketplace will also tell them if they can qualify for low cost or free coverage available through Medicaid or the Children's Health Insurance Program, also known as CHIP. So that's just a real quick basic. Next is starting October 1st, 2013. So we're just under a month here. The health insurance marketplace, also known as the health insurance exchange or health marketplace exchange, will begin open enrollment. Unfortunately, plans and prices are not available until October 1st. At the moment, insurance companies in the states have applied and are receiving approval for their participation in the marketplace for each state. And like I said, unfortunately, that will not be available until October 1st. Coverage can start as soon as October 1st. And yes, I didn't know it would be there. No, I'm sorry. I apologize. I read that wrong. It can actually start as January 1st, 2014. And open enrollment ends March 31st, 2014. To receive coverage by January 1st, enrollment must be completed by December 15th. So if you want coverage to start or a patron wants coverage to start by January 1st. And also it could depend on the supplier, the provider that they choose. Enrollment must be done by December 15th. If they, they can still apply through March 31st, but the longer after the 15th that they apply, the longer past January 1st coverage could begin. So just something to keep in mind when people are asking questions about the dates. The marketplace website, healthcare.gov, will be the primary tool for delivering information to patrons about their healthcare coverage options. Now I am going to show you. This is the main healthcare.gov. Now my presentation this morning is definitely centered around Nebraska and things that we are doing here in Nebraska to help you prepare. But just to, for all of our listeners who are logged in from other places in the country this morning. When you go to healthcare.gov, you will need to go to what is the marketplace in my state. And then you can scroll down, get state information, select your state. I have noticed that we have a lot of people from Indiana logged in this morning and joining us. Welcome. And then as soon as that comes up, it says if you live in Indiana, you will use this website, healthcare.gov, to apply for coverage. So Indiana, along with Nebraska, is also using the federally facilitated website, healthcare.gov, for patrons to enroll in healthcare coverage. So like I said, healthcare.gov will be the primary tool for delivering information. And that website also has language sites within it. So there is the Spanish that's right up here at the top. But if I just typed in languages available, but I've also got it linked in my PowerPoint presentation, which I'll have access to later. You can... I apologize. Let me just go back to that. Yeah. Okay. I just embedded it here. Yeah. Yeah. Other language resources. There it is. Okay. In addition to English and Spanish, there are 12... Yeah, there are 12 other languages. And so you can just click on one of these, and then it will translate into that for your patron. So I am planning to come back to healthcare.gov more towards the end of the presentation this morning. We've got a lot of information to go through. And I'm going to say this more than once, healthcare.gov is the one website that you need to be most familiar with in guiding your patrons. So if people come in and they say, what website do I go to to get enrolled? Healthcare.gov is the first place you start. If they're from another state that they happen to be in your library that uses the government website, they can still come to healthcare.gov, go to the state that... And then from there, go to the location of their healthcare exchange. But again, I'm going to say healthcare.gov is the one website that all librarians and frontline service people need to explore extensively, be very, very familiar with it, be able to navigate through the entire thing so that you're really comfortable with what people are asking and where to go to. And just some other quick things as an overview. Patrons will be able to apply online by mail, telephone, or in person. But just like taxes, online is preferred. Government is pushing online applications for the healthcare marketplace just like they are for income taxes these days. Paper will be available. The paper application is not available just yet, but as of October 1st at the healthcare.gov, it will be available so that libraries can print out paper for their patrons if they ask for it, just like we do for tax forms. Yeah, that's always nice to have like a cheat sheet ahead of time. Yes, absolutely. And a little bit later on, I'm going to try to give you some ideas for ways to have ready handouts and cheat sheets for patrons. If you have one question that relates to the schedule of it, the enrollment ending on March 31st, what happens after March 31st? Can they still sign up? And I think what it is that there's it's like I don't we have here is there's an enrollment period. Yes, and it opens up again every year. That's correct. They have the same thing. Yes, that's correct. This year, it's open for six months as an initial sign up period. So October 1st through March 31st. Okay, they will not be after March 31st. They will not be able to enroll again until October 7th of 2014. Okay, and again, and then it will only run through, I believe the middle of December. Okay, so it's roughly about a two month time period at the end of every year after this initial year. So every year people if they haven't done it already, they'll be able to do it next year. Yes, or switch to some other. Yes, I know what we do you can check and compare as a different provider maybe come up who has different something better for you that you can switch to not accept and it has to be during open enrollment during the open enrollment. Yeah, and of course, there are always exceptions. For example, someone who's not going through an employer to get this, if they do get on with an employer, they might be able to to get insurance through that employer outside of open enrollment. But you know, there are exceptions. Okay, and the other thing about patrons applying online is again, just like income taxes, they can find out much sooner about their acceptance. And that I will say is probably one of the nice features about this is if they fill out the application online and assuming that they've got everything filled out correctly, and they submit it, they should be able to hear back specifically in a very short amount of time. Now the one other thing that people are probably going to ask about is starting in 2014, if consumers do not have some type of health insurance, they might pay a tax penalty. Now, obviously, we don't know what that would be. It's definitely on a person to person basis. But there is that possibility. So I'm not sure why it's like that. I'm not sure either. The slide will be complete when you get it. Yeah, that's correct. Okay, I want to move on to what can libraries do right now to prepare other than have the basic information about what the Affordable Care Act is, what it can do, and how you can help your patrons. Well, I've outlined a few things here as very specific ideas, and then also some more general ideas that leave things open to your imagination as an individual library, serving your individual community. For example, you could attend webinars or view archive sessions like this one. And as Krista mentioned, this webinar is recorded and will be available later today so that if your staff is on the desk right now and they can't watch this, they can go back in later. And there are, and I'm going to show you later some websites where webinars are available. Now, I did link to Web Junction in this one, in that OCLC Web Junction has a section on eHealth that has lots of different information about the Affordable Care Act and how libraries can help. But they also have webinars. And so if you scroll down to the bottom of the eHealth page, there are archived webinars that you can listen to and view. And that's just one example. So as we're going through here, there will be other places where you can see professional information, professional webinars directed librarians and information providers that you can go to for training. And just to get yourself up to speed with as much information as possible. And right off the bat too, I want to say read as much as possible as you can about the Affordable Care Act. Keep up with your local newspaper. Find out what articles they're printing about this. Professional websites and publications. For example, here in Nebraska, we have system administrators in various areas of the state. And they all put out a newsletter. And so we've tried to make sure that they have information that they can put in their newsletters to make sure all of their libraries have some information to go on. I've seen some other librarians I know across the country in different states talking about health care act presentations that they're going to workshops in their own areas. Yes, that are being done in person ones to like their city, maybe, or county doing some things. Yes, that's correct. In fact, I actually have some links for some things that are that happen to know are going on here in Lincoln and Omaha areas as to exactly that type of thing. Another idea that you can do for your library is to add a widget or badge to your website directing patrons to the health insurance marketplace. And this particular page is put out by the Centers for Medicare and Medicaid Services. And actually, if you type in cms.gov, it will get you and then marketplace, it will get you to this page. There are lots of things. Mainly, if you go to the get official resources, there are publications and articles for reading, you know, as to what all this is about. But the research has been leading up to this. Multimedia ideas, your widgets and badges are here and information on how to get those logos that you can use. Materials in Spanish and other languages. Partner resources. So this page is very valuable. And one of the one of the top websites that I recommend for professional materials. Another idea is if you have research database websites on your library catalog or your library website, add healthcare.gov as one of the entries and try to make it prominent so that people can see it easily. One of the most frustrating things for me is to visit a library's website and you have to search 10 times and keep going forward because something is so buried that you can't find it. This is something that needs to be right out front. So if you have databases on your website, add healthcare.gov and make it easy for patrons to find. Another idea is to print out and provide fact sheets to patrons. Actually, if I go back to CMS.gov and go to publications and articles, these are the fact sheets. Key dates. A lot of those have passed. The things you need to remember now are October 1, December 15, January 1 and March 31. But if you still want those, yeah, it will give you a list. And this is a printable sheet. Yeah, I was very impressed by the CMS website. There's so much they've created for people for librarians. This is for anyone helping people apply that you can just go grab these and written the articles for you already. They've created the nice flyers. You can just send up to a printer. So much work. Yeah, it is. Yeah. And this way you don't have to reinvent the wheel, you know, by gathering all of this information. But the one I was trying to link to was get ready to enroll in the marketplace. And this is what you can print again, print out, have a stack of them. Hand out to your patrons as they ask what they can do in the month before October 1. Okay. And these are just step by step instructions as to what they can do. The things to think about when choosing a health plan, that fact sheet is always there to is also there to they can go there to find information about what they will need. When it comes to getting ready to fill out an application, like for example, they'll need their social security number number, they'll need employer and income information for every number of the household. If they're trying, if you're trying to get an entire family enrolled, you need all that information for every person you're trying to enroll. If you have any current health insurance plans, you'll need policy numbers, you know, because all of that's factored in. And also to a completed employer coverage tool for every job based plan you or someone in your household is eligible for. Now, this is all available at the health care dot gov. And when you go to getting started to with the enrollment process, again, it will walk you through step by step with what you need to apply, including any forms that you need to have filled out ahead of time. Other additional ideas that libraries can think about trying to set up or to do to help their patrons, you could partner with community organizations, AARP. If you're out of outside Nebraska, find out, go to the arp.org website, find out your state contact information. You should have a state office, and usually in the capital city, not always, but usually in the capital city. Contact them. Contact the local health department. Here in Nebraska community action is our community assistance group. So contact someone like community action, whoever your community assistance group is to schedule and prevent, present affordable care act and health insurance marketplace programs in the library or other community locations. For example, I do know, and I've mentioned this later in one of my slides, that Lincoln is AARP and League of Women Voters have teamed up and they're going to be doing a program in one of the local churches. So just some ideas. Be thinking about who your community organizations are that you can team up with to come in and do presentations in the library, or do them in other community locations like churches and things like that. Also, you can print out patron handouts and post announcements about the programs that you've set up. And you can post them by doors on the library website, near computers, wherever your computer stations are, if you have a separate computer room for public computers, post announcements and information about the Affordable Care Act and the marketplace. Make the information, if you're posting it on your website, again, make it easy to find. You can create a one stop shopping display of announcements and handouts, including contact information for local area navigator organizations, which I'm going to talk about in just a moment, and also health center counselors, which I'm also going to talk about. One example I'd like to use is the Topeka Shawnee County Library in Topeka, Kansas, has created a wall of handout slots just for Affordable Care Act and the healthcare marketplace. So that and it's a lot of handouts like I've just shown you that are available on the websites that you can print out and just have whole stacks of them so that people can just go by and pick what they need and then take that to help them get signed up. You can also post basic information sheets in the library's public computer areas, which I've just mentioned, you know, if you do have like a separate room for just computers, post some more flyers there. Consider and again, I'm going to talk about this in just a little bit. You might consider having a librarian or two on your staff apply for and get training as an application and a sister and a certified application counselor. Now back at the Center for Medicare Services website, there was information on applying for becoming an application assistant or a certified application counselor. So keep that CMS.gov website in mind for information on how to apply to become a certified application counselor. When we listened to one of the Web Junction webinars, that was something that they suggested is that maybe have somebody on staff who is certified to answer questions and give advice because as usual, you know, in most cases, staff is not allowed to give advice on what programs you should choose, what information or insurance program you should choose, but a certified application counselor who's received extra training would be able to give advice like that. So just something to consider. Another idea would be anytime you're at or your library is involved in another event in the community, take brochures, fact sheets, and any other materials you have like program announcements to those events, make these available for public service radio announcements, and also public service newspaper articles about various public forums and programs that you might have set up for your community. Get the word out there. So whatever form of communication you can come up with, pass it on, pass on the information. And also too, when you print out or make up handouts and sheets and things for your patrons, customize handouts. Put your own library's logo on there and your own library's contact information so that it's not quite so generic and also too, if somebody's got a question, they can call and ask for more information and then you can direct them to the right place. Now this is at the moment, this is where the part of my presentation gets a little bit Nebraska specific. The government announced, and this is actually Department of Health and Human Services a couple of weeks ago, announced who the navigators by state are going to be. And here in Nebraska, we have two navigator organizations. Now a navigator is someone who has received extensive training. And they will be providing a vital role in helping consumers prepare electronic and paper applications. They will also help the person establish eligibility. And for like Medicare and the child insurance, child children's health insurance program. Navigators include navigators will also provide outreach and education to consumers to raise awareness about the marketplace here in Nebraska. The grant that we've received and more specifically, especially through community action in Nebraska, there will be 62 navigators added individual navigators added to the state based on the grant. So but the two organizations that are here in Nebraska are the Ponca Tribe of Nebraska and their main office is listed as Niagara and telephone number. And then also to the community action of Nebraska was which is our community, our community assistance group here in Nebraska. Now the I'm just going to click very briefly. This is the main page for the Ponca Tribe. And that's their various office locations around the state, mostly in the eastern part of the state. But then community action of Nebraska, I've actually taken you to their main website and to their map. Okay, so that when you go to the website and their website is can help.org. You can actually click on the particular area that you live in that is going to be covered by their services. And if you scroll down a little bit, it will give you their main site in that particular region or their their main office in that particular region. But then it will also give you that region's website. And from there you can go to find there all of the locations in that region, which is really nice. So that if you are in in the northeast part of Nebraska, which is actually in some parts in some ways covered in two ways by community action and Ponca Tribe, that you're in Cedar County and you want to know where exactly to go for community action help and navigator help in Cedar County. This website will do it. So what I've done here so that people can access this later is I have created links for all of the community action regions in Nebraska, including their main office locations and their main telephone numbers. And if you're not in Nebraska, I've added to the delicious links for this show. I found finally I knew I'd seen it before the location on the CMS website that talks about the navigators and has a list of all of them for all over the country. That's correct. So I've got that added so you can go there and find out who got the grant money in your seat. Yes, so that you can connect with them. Yes, correct. Thank you, Krista. I was looking for a lawyer. Yeah, you read my mind. Thank you. Now the other groups of and a lot of these health care health care centers do fall under the community action groups, but more but specifically these are health centers around the state of Nebraska that are also going through training to provide navigators and certified application counselors to help people one on one with signing up for insurance. And I've gone through and listed all of the health care centers. There are six here in the state of Nebraska and highlighted them with links to their webpages, their location, their main city location and their main telephone numbers, like for example, Panhandle Community Services in Gearing and East Central District Health Department in Columbus. Gearing is Western Nebraska. Columbus is a little bit more central. North Fort is, you know, East Central and then Lincoln and Omaha are East. So if you need more specific information so far as locations, like for example, in the Gearing, you can click on that, go to the website and then it will give you locations for all of their offices in that region and all of their health care centers in that region. Because not everybody lives in Gearing in Western Nebraska. So let's see, what do we have next? Oh, also in Nebraska, the insurance companies that have applied for permission from the state to sell insurance through the marketplace are four of them here in Nebraska. And grammatically, I realized that just was not right. But anyway, there are four that have applied for and are hoping to sell through the marketplace. Blue Cross and Blue Shield in Nebraska, which is already the largest provider here in Nebraska. Coventry Healthcare of Bethesda, Maryland, also already doing business here in Nebraska. Co-opportunity, Cooperative Healthcare provider from Iowa and Health Alliance Midwest Incorporated, a managed care company from Urbana, Illinois. Those four have applied for and are in the process of getting permission to sell. If they pursue, it could be all four or it could be less. The one company here in Nebraska, just in case anybody's wondering that did not apply was United Health Care, which no reason was given as to why they didn't. They're second largest to Blue Cross and Blue Shield. Now for the agents and brokers like them, I did actually also see when I was looking at the pages for the navigators and apply counselors, there's also training for them as well. Yes, that's correct. So you're talking about they had to apply to the federal government. Yes. So even I'm thinking that because they have to also apply and be approved and go through their own training, ideally, you know, sometimes you might think, well, if you send them to the actual people trying to sell it, they're just going to scam them or do something wrong. Yes, they've actually got people the same as the navigators and counselors that have gone through official training on how they're supposed to deal with the consumers applying. Yes, that's correct. Everybody had to go through training, whether it was the navigators, the counselors, the insurance companies, you know, like you just said, everybody has had to go through training or will. Yeah, they have applied. Now, so far as more patron assistance ideas, again, I want to reiterate first, remember that questions about healthcare are like taxes and legal issues. We help patrons find the information. We don't give them advice. And that's what I'm hoping, you know, that my presentation today is helping you do is to figure out the ways to guide people to the information without doing it for them. Secondly, as leading providers of internet access and computer literacy training for people who lack internet resources at home, libraries can anticipate higher demand for computer services. Now, some ideas that along those lines that have come to mind to me is I know some libraries are considering doing a dedicated terminal or terminals just for signing up for healthcare. I know during tax season, some libraries have dedicated terminals just for filling out their tax returns and submitting them. That's an idea that you might consider for the healthcare enrollment as well. And there are several ways that patrons can get help one-on-one with enrollment. And first of all is online chat through the healthcare.gov website. And it's at the bottom of the page. Here is the list it was. But on the main healthcare.gov, there is a yes, there it is at the live chat. Click on that and it will connect you with someone that you can just type in and ask questions all you need to. Other ways to get information and assistance with help is calling the 1-800 number. The 1-800 number has actually been up and running since June, as well as the main website, the healthcare.gov, it's been up and running since June. So there are people there now 24 hours a day, seven days a week. And then the assisted telephone is the telephone number is listed there as well. So if a patron comes in and says, I need to talk to someone about this, that you might not have a navigator set up yet, they can call right now and talk to someone. There are navigators who are in the process of being trained. Like I said, the navigator sites here in Nebraska are the community action of Nebraska and the Ponca tribe. Those groups are going through training now. As navigators, they are unbiased individuals trained to help consumers, small businesses and employees as they look for health coverage options. Certified application counselors, again, I mentioned that. Very similar to navigators, not quite as much training that they can still help people apply for. And most, I have noticed that most of the certified application counselors are being offered through the community health centers. And then also to application assisters. Can assist with enrollment, but not again, not quite as extensively trained as the certified and even the navigators that can still, if someone needs help, actually just the physical part of filling out an application. That's something that an application assistant could do. No, I think that's very important. I think about this is, and I know that we've heard a lot of the librarians saying, I can't do this. I can't take their personal health information. I don't even know what to tell them how to help them decide what they should choose, what's the best health care insurance for them. And the whole point of this is you don't have to know that, just like everything you do in your job. And the taxes is a perfect example. It's exactly the same situation. You would never in your wildest dreams presume to help a person complete their taxes or give them financial advice on the best way to get this deduction or that tax shelter. And you would certainly never give them legal advice. No, you know where to send them. Exactly. So you know where. And that's what this all these resources are. There are people who are being trained to specifically that you want to find out who they are and make sure you send them to the right. Yes, that's correct. I would also assume because this is what happens. There will be groups, organizations, I'll say people out there who will claim that they can help and are maybe not the appropriate scammer artists. Yes, whatever people trying to take advantage of the consumers who don't know better. And so you as librarians should also make sure whoever you are referring to people to we're trying to help them with you guys before you've had someone come up and they've got the email in their in their email that says, oh, look, I've just won the lottery from Ghana. And I want to give them my information and you help them realize that's not true. Yeah, same kind of thing. Make sure that these random people come to me are probably popping up all over the place. They are claiming they can help are not the ones that you directly the right place and say, here's the official people. These are the ones that have been trained. So this is it. They're not one of these people. And, you know, don't use them. And if someone comes to you as a library, I had someone else ask this. In general, I saw online some librarians say, this group blah, blah, blah, blah, I've never heard of has come to us. It wasn't in Nebraska. Someone else saying they would want to partner with us to help provide the information. And I said, that's nice. Have they gone through any of this training? Because if they haven't, I would, you know, think twice about that, just because someone says they can come into your library and help those patrons doesn't mean they've been officially trained. And these these navigators is something too that I read on there. That they have to actually there were once they've got this training, they are required. There's rules and regulations on them by law that says they have to keep the information private, just like a doctor level. Yes, that's right. So these only the groups and people who've been through this training have that put upon them. Random people out there can help. There may be some very good groups that say, I'm going to help the old woman, the elderly woman who came in and needs help. And that's nice of you being nice enough to help them. But are you required by law like trained not to divulge her personal information or health information? No, you might do it out of ethics, which is nice. Yes, but be so be wary of who comes to you asking to be as a help and make sure you get them to the right people. Yes, exactly. Now healthcare.gov, if they chat with someone or talk to someone, healthcare.gov should give them they should have a list of who they can talk to in their area. And so that will be legitimate information. So if someone comes up like Christa says and says, this group says they can help me, ask where they got the information, try to verify. And that's why it's so important for librarians to be aware of the groups that are qualified in their area to give assistance. So that if someone comes up with, like Christa said, a group that you haven't heard of, find out where they got the information and then direct them in the right way to the right group. Some websites that I wanted to point out that I consider some of the best ones for various types of information. Again, I can't say enough, healthcare.gov is the one website that every librarian and frontline service person needs to be really familiar with and navigating because that's the one that is going to get used the most in helping people get signed up for insurance. And I've already clicked on that a couple of times. So you've seen what it looks like. If I have time, I'm going to go back and help you navigate through some of that again. The marketplace.cms.gov. Again, that's the Center for Medicare and Medicaid services. That's where you go for a lot of professional information, your fact sheets that are printable, your logos, things that you can put on your website. Very, very valuable. Those two websites are my top two. Here in Nebraska, the Department of Insurance. And I realize this is, I'm not sure why it did that. Yes. And depending on what state you're in, go to your Department of Insurance website, find out what they are doing with, and you can either put it in as, here in Nebraska, it's put in as federal health care law. Yeah, it's a very short URL for us here. Oh, yeah, that's right. It's doi.nabrasca.gov. Thank you. And I apologize for the bad link there. You got to do Nebraska. You have to spell it Nebraska. That's right. There it is. Okay, found it. And then just add a CA to the end of the URL. Right. If you do happen to just go to the basic website, you have to scroll down a little bit, but it is federal health care law. So here in Nebraska, and then they have it divided out into different topics. You have consumers and health care providers, agents and navigators, companies, and marketplace and small business. Then if you click on consumers and health care providers, there is some information here. Usually the most recent thing that is come through the Department of Insurance is at the top, but things like navigator rules, documents like that, those are available through the Department of Insurance. There is the federally facilitated marketplace listed, frequently asked questions. The federal list of items required for application for health care insurance, lots of different documents that you can go through. And then there is a find a navigator. And until October 1st here in Nebraska, this page is currently under construction. And that's because the navigators are still in training. And until that has been completed and they're in place, they will not publish that. So that is the Nebraska Department of Insurance. But if you're not in Nebraska, just do go to your Department of Insurance website and see what they have available for your state. Another idea that I, another website that I would suggest that I did not put down for Nebraska is your own state's Department of Health and Human Services. Find out what they're doing. If anything, some states are doing it differently. Where here in Nebraska, the Department of Insurance is doing a little bit more than the Department of Health and Human Services, so far as outreach and getting they I noticed I remember we started when we did our session in July, right after a LA conference. That was one of the first ones you found like, Oh, my God, they've got and they were already there. Yes, they were on top of our department of insurance. Right. And I do know that a lot of websites, especially from the state perspective, are sending people directly to healthcare.gov or over to their state Department of Insurance. So it just depends on your state here in Nebraska. Our Department of Insurance is doing quite a bit. The American Library Association. And I'm not going to click on this one because I see we're kind of running out of time, but they do have an outline of the Basic Affordable Care Act. So you can read the whole thing in its real form, in its original form. They also have a section for the role of libraries and a list of resources, including publications and webinars that you can listen to or view web junctions. Same thing. They have a different perspective, overview, webinars and some examples of what other libraries are doing in helping prepare for Affordable Care Act and open enrollment. I've included AARP for the general website for AARP.org. This is General Affordable Care Act, mostly from the retired person's perspective, but lots of good articles here. AARP Nebraska State Office Contact Information. So if your community wants to try to get someone out to your area or to your library to like, for example, Omaha Public Library, and I just happen to know about them, they have set up starting in late September set up an entire group of sessions for AARP is coming in to talk to the public about the Affordable Care Act and open enrollment and the marketplace. Medline Plus is another one. A different perspective, but ACA information, health insurance information, lots of good information there as well. And some other examples that I wanted to be sure and give you are examples of actual public health care marketplace forums that are going on. I think I mentioned this earlier the League of Women Voters of Lincoln and the Lancaster Lincoln Lancaster County AARP are have teamed up and they are doing a session next week at one of the local churches and you know, there's address and time. Again, the Omaha Public Library are doing a whole and I've only listed one here from the whole group, but they're starting September 17th. Yes, they're doing like at least 10 for the general public. And then they're also doing a group that are specific, sorry, my apologies, specifically for small businesses. Yeah, for the shop. Yeah. And that's gonna be helpful to them as a small business is the ones that are probably the most concerned and wondering, yes, what will I have to do? I've never told this before. Exactly. Right. And at the healthcare.gov website, they have it divided into three sections. The first ones for individuals and families. The second one is for small business. So if you're a small business wanting to go in and find out what do I need to do, but you might not be able to attend a forum or group session, you can go to healthcare.gov and it will again give you step by step options as to what you need to do. This is another one of community forums on the health insurance marketplace co sponsored by community health endowment and the Lancaster County Medical Society. And I've just listed three that they're doing, but I think they actually had six listed as their forums. And if you have other questions of us here at the Commission, I am kind of the point person on this. So feel free to call, contact, email me anytime here at the library commission. This is my contact information. And I will be happy to answer any and all questions. And as any good librarian, if I don't know the answer, I'll either find out for you or direct you to the person who knows. So I want to thank Krista for having me on this morning. And I hope that this has been helpful in getting people thinking about ways that they can help their patrons in signing up for health care. Yeah, I think it's it's good to know there's so much information out there. There is when it was first, and I know I thought I had the same reaction. I don't even work in a public library. Well, the announcement came from at LA, the LA said libraries will be helping. I'm, I like everyone else said, what? We will what? Who told us who said this? And then you kind of, you know, step back, wait a day, take a big breath and say, you know what, you're right, they're going to come in no matter what. Yes, the consumers that our patrons are going to come to us for help because they always do anyway. I think what LA really meant was let's be prepared. Yes, exactly. So we're getting money, we're doing IMLS, they gave IMLS grant money to Web Junction to set up those workshops and training for them. So I think it was just a real heads up of this is coming whether you like it or not. And people are going to come in. So let's be prepared. Let's do something. Let's be organized. Exactly. And there's been so much information out there. It's awesome. Yes, it helped figure it out. Yeah, it can be overwhelming. So if you're trying to do your own research as to, you know, what do I need to know? That's, you can get bogged down very quickly, and all the different websites and trying to find, you know, what we need to know for helping patrons. And that's why what I tried to do this morning was pull together specific things from lots of different websites, some of it specific to Nebraska, but a lot of that useful for everybody. If we're doing environment groups in Nebraska and doing this look in your state, like that previous couple of slides of the specific events going on here, yes, in Nebraska, there's gonna be something in your state same type of groups doing the same kind of things. Go out and find them, connect with them. Yeah, and very possibly in your, in your location right there in your town, whatever your community groups are, find out, you know, what they're doing, if anything, if they're not partner with them, and they need a place to hold the event. Yes, absolutely. Training or the help. Tell them to come to the library. Absolutely. Give you the space. We'll give you the meeting room to do it. Yes, absolutely. Cool. All right, so if anybody have any questions or comments, we've got one question, one comment just thanks for a good job. And one comment was someone which is true that some states are not some governments, governors of some states are not all in on this health care act, and there may be pushback from them and not a lot of help coming from the top down. But it's happening anyway, so do it from your side. And anyway, you get out there and get what you can. That CMS website, I think what you were to talk about is being overwhelmed by so many things, you'll find articles and things. I think it's a great place that's got a lot of stuff consolidated in one place. Yes, yes, those years and health guides, here's some articles. And really, if at the very least, you don't have a special person, you can sign to this, you don't have a specific computer, you can sign to this, at the very least, know that site is there and find those things and print out a flyer and something. Yes, exactly. No matter how small you are, print out one of their flyers and, you know, so you've got something that you can just hand to patrons. Right. And you don't have to know you just say, go here. It's all there. Exactly. Yes, there's the phone number to call. Yes, you know, and give them the spiel as you have, I'm sure many times before, we are not allowed to give you legal advice, medical advice, whatever. So here's the that's right. Keep that in mind, you know, and that's why the tax example and the legal example are just this, it falls kind of in that line where you don't give the advice, you just know where to send them, or you can print off a form for them. So does anybody have any questions, comments? Thanks for the great info on the sites, comments reading so far. Doesn't look like anybody's had any specific questions, except for that one we had earlier. So I think we will wrap it up for today. Thank you very much, Mary. Thank you, Christa. We have been recorded the slides we will I have, I've added, I think that's caught all of the URLs and put them into a delicious, but I'll go back and double check and thank you. And I apologize for the bad words to make sure I caught all of them. So when the recording is done, it'll be sent out to everyone here, all of you who attended, you'll get an announcement of that link to it so you can have all of these resources available to you to grab. So let's do one of these You just type an end of the slide for me. So thank you very much for attending this morning. And I hope you'll join us next week. When? Yes. Next week's topic is a student scholarship student reflections on LA 2013. Here in Nebraska, we have a 21st century librarian program IMLS grant, where we helped library school students who are going to school for library science with money and things. And some of the money can send them to conferences. And we send a few of them to LA this year. And the people who attended you can see us there are going to come and join us next week and tell us about their experiences as students attending, possibly first time attending, I'm not exactly sure. But Catherine Brockmire, who is in charge of that grant here, the library commission is going to have some people on. So we'll hear about some of our scholarship students who went to LA for this year and see how what they learned up there. So sign up and join us for that next week. Also, end of the slide is on Facebook. So if you are a big Facebook user, you can follow us there. We post announcements of when we've got new sessions coming up, when the recording is ready. You can see here I did a quick reminder this morning that don't forget this morning. This is what we're doing as our topic. End of the slide is free and available to anyone out there to watch the live sessions of the recording. So go ahead and follow us there. And other than that, thank you very much and we'll see you next time. Bye bye.