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About a month ago from ISAHU's Twitter via CoSchedule

ISAHU Legislative Article for August 2019

The Indiana State Fair has come and gone once again setting attendance records!  I did my best to assist in that as attended 6 different nights during the 17 day event.  If you did not make it out, you missed a great opportunity.  I even got to catch up with Senator Mike Braun one evening which I’ll address later.

Federal Update

As Summer Recess continues, NAHU remains extremely active on Capitol Hill and in the White House.  Examples are:

NAHU is working with the Coalition Against Surprise Billing in ongoing efforts to bring this legislation to fruition.  The arbitration portion of the Current HR 748 that passed the House continues to be opposed by NAHU.

NAHU submitted comments to HHS in response to a proposed rule that would repeal nondiscrimination protections in the ACA.

As reported last month, the House voted to pass HR 748 to fully repeal the Cadillac Tax.  It has now moved to the Senate and it should be brought to the floor for a vote soon after Summer Recess is over.  President Trump is expected to sign it when it reaches his desk.

NAHU continues to work COBRA as creditable coverage, repeal of the HIT Tax, Prescription Drug Transparency, and play a lead role in a coalition opposing Single-Payer proposals.  Inroads are being made on all the above so stay tuned.

And as previously reported, NAHU continues with other efforts to address the following in this new Congress – return to a 40 work week rule, changes to Medicare Advantage plans, employer reporting improvements, MLR exclusion, etc.

All “fixes” to the ACA have had to begin anew in the new Congress.  Unfortunately, the chances of bi-partisan support on some issues remains skeptical at best at this point.  Thankfully NAHU continues their efforts in moving these and other solutions forward.  The “Cost” component to the budget may remain somewhat of an obstacle to permanent repeal of some of these issues.  It still appears that Democrats in charge in of the pertinent committees in the House are making it difficult to bring such items to the floor for a vote.

The Trump Administration has indicated plans to release a “phenomenal new healthcare plan” as early as September that would overhaul the U.S. healthcare system.

State House Update

Your ISAHU Legislative Team continues to develop and maintain relationships with appropriate Leadership, Committee Chairs and Committee Members.

As reported each month, discussions continue with appropriate members in the Indiana House and Senate to promote Section 1332 initiatives such as “risk pools and non-compliant ACA product offerings.  Work also continues on setting up appropriate meetings with appropriate personnel in the Governor’s administration as needed.  All new guidance from D.C. will be a part of discussions.  Any updates on such discussions will continue to be shared.

(Note: as a reminder, Democrats in the House on Capitol Hill have introduced plans to restrict any Section 1332 initiatives.  While President Trump will not sign any such legislation, this could unfortunately impact future discussions on the local level.)

Work continues on the possibility of improving the passed STM bill.  Further discussions are still being planned.

As I like to mention every month, the prevention of onerous Bills making it through the Legislature is due largely to ISAHU’s continued relationships with folks in the Governor’s office, Lt. Governor’s office and Statehouse that support our industry overall.  These relationships also directly impact the efforts of our ISAHU Lobbying firm – Bose Public Affairs, plus the efforts of our sister organizations – Big I, PIA, NAIFA, Insurance Institute, IMA, IN Chamber and NFIB.  And it also affects the ongoing efforts of several ISAHU members who continue to work on maintaining such working relationships with Legislators that may impact support for any legislation of assistance or detriment to the industry.

IDOI Update

Nothing to report this month.  Meetings will be set as needed.

General Information 

The ISAHU State and Federal Legislators of the Year were announced at the ISAHU Convention on July 30th.  The State Legislator was Representative Kevin Mahan and the Federal Legislator was Jackie Walorski.

Dwight “D” Hall met with Senator Mike Braun at the Indiana GOP Booth at the Indiana State Fair and spoke with him about NAHU initiatives for several minutes.  (Another reason to attend the State Fair next year.)

Reminder – FYI – The combined NAIFA/ISAHU Day On The Hill for next year has been set for Jan 21, 2020.  Please mark your calendars.

The Legislative committee has identified specific individuals to be responsible for various product areas of the industry which should lead to better information sharing on an ongoing basis.  It is still being slightly updated and should be ready for distribution next month.

NAHU staff continue to be a vital part of ongoing discussions with the new 116th Congress.  Details are provided in the Washington Updates each Friday.  Please be sure to read them which will assist you in responding to your client’s issues.

There are only three more weeks remaining of the Congressional recess.  NAHU strongly encourages all members to meet with their legislators on the importance of surprise billing, employer reporting, a full repeal of the Cadillac Tax and opposition to any single payor system.

As always, I would ask you to remember to thank the countless NAHU members around IN and the Country as a whole that continuously put in long hours to ensure the best information possible is being shared with Legislators, HHS, CMS, IRS, DOL, DOI’s and of course other NAHU members.  As you know, much of this is always done in anonymity and solely for the benefit of the Association, our members and the general public.

And as always – ongoing THANKS to all the Local Legislative Chairs who serve on the Legislative Committee as well as those that serve on other committees.  Your service is vitally important and greatly appreciated.


Ongoing simple message –  IF you are not participating in both PAC’s –  HUPAC – our Federal PAC and ISAHU-PAC – our State PAC, then PLEASE do so!   Both PAC’s help support activities that really do make a difference in the ongoing legislative battles.  Information can be found on the www.HUPAC.org , www.nahu.org  and the www.ISAHU.org  sites.

I and the rest of the ISAHU Legislative Committee greatly appreciate the opportunity to work with you to continue to promote real market based “healthcare reform”.  Please feel welcome to contact any of us at any time.

Thanks for all you do to continue to improve the healthcare system for your clients!

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Indiana State Association of Health Underwriters

Indiana State Association of Health Underwriters