Health Care Law at Northern Mariana Islands (US)
Commonwealth Healthcare Corporation to ... The healthcare system in the Commonwealth of the Northern Mariana Islands (CNMI), a U.S. territory, is shaped by a combination of local laws, federal regulations, and unique territorial arrangements. Here's an overview of the key aspects:
🏛️ Legal Framework and Health Insurance
1. Medicaid and CHIP
Medicaid: CNMI operates its Medicaid program under a broad waiver granted by the U.S. federal government. This program covers low-income individuals, including those receiving Supplemental Security Income (SSI). Notably, CNMI was the only U.S. jurisdiction to participate in the SSI program. Medicaid eligibility is based on SSI requirements, with coverage extending to individuals who meet or can "spend-down" to meet 150% of the income and resource standards for SSI. (Northern Mariana Islands | Medicaid)
Children's Health Insurance Program (CHIP): CNMI administers CHIP as a Medicaid expansion program, providing coverage to uninsured children in families with incomes too high to qualify for Medicaid but who cannot afford private coverage. (Northern Mariana Islands | Medicaid)
2. Affordable Care Act (ACA) Protections
While CNMI does not operate a Consumer Assistance Program under the ACA, the consumer protections and benefits of the ACA still apply. Residents can seek assistance through the CNMI Department of Commerce for health insurance-related issues. (Northern Mariana Islands Health Insurance Consumer Help | CMS)
🏥 Healthcare Providers and Facilities
Commonwealth Healthcare Corporation (CHCC): The CHCC is the primary public healthcare provider in CNMI, operating hospitals and clinics across the islands. It is responsible for delivering a range of medical services to residents.
Private Healthcare Providers: In addition to public facilities, CNMI has private healthcare providers that offer specialized medical services.
⚖️ Reproductive Health Laws
Abortion is illegal in CNMI. The CNMI Constitution prohibits abortion except as provided by law, and no law has been passed legalizing abortion. Criminal law states that performing an abortion is a crime punishable by up to five years imprisonment. (Abortion in the Northern Mariana Islands)
🏢 Workplace Health and Safety
CNMI enforces workplace health and safety standards through the Commonwealth Occupational Safety and Health Act (OSHA). Additionally, the Environmental Health and Sanitation Act addresses public health issues such as food safety, water quality, sanitation, and vector control. (Workplace Health and Safety in Northern Mariana Islands)
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