ISAHU Legislative Article for June 2019
Welcome to Summer 2019! And hopefully the rain has stopped by the time you read this. Wettest June in history according to at least some reports.
Things on Capitol Hill and the White House continue to be extremely busy.
The White House recently released a final rule on HRA’s, NAHU formed a coalition with numerous partners to combat Surprise Billing issues, NAHU offered comments on several Congressional initiatives and the list goes on.
As reported last month, the House continues to work on NAHU supported legislation to treat COBRA as creditable coverage for Medicare Part B and the Trump Administration issued a final rule on pharmaceutical companies disclosing prices in advertising.
NAHU has also continued work on repeal of the HIT tax, Prescription Drug Transparency (Operation Shout of May 6th) and are part of 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, permanent repeal of the Excise/Cadillac tax, changes to Medicare Advantage plans, employer reporting improvements, HSA changes, MLR exclusion, etc. It was hoped that delay of the Cadillac Tax until 2023, delay of HIT Tax until 2022 and delay of the Medical Device Tax until 2025 would have been included in the overall Budget Bill that was to be passed by end of the 115th Congress. That did not happen so work continues in the new Congress to bring these items back to the table.
Any fixes to the ACA have had to begin anew in the new Congress. The chances of bipartisan 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 will remain somewhat of an obstacle to permanent repeal of some of these issues. However, with Democrats now in charge in of the pertinent committees in the House, it will be more difficult to bring such items to the floor for a vote.
State House Update
Your ISAHU Legislative Team continues to develop and maintain relationships with appropriate Leadership, Committee Chairs and Committee Members.
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 mentioned last time, 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 possibly improving the passed STM bill is in process. Dwight “D” Hall met with Rep Martin Carbaugh earlier in May and further discussions are 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.
Nothing to report this month. Meetings will be set as needed.
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 being slightly updated and will hopefully be ready for distribution by the beginning of the 2019 – 2020 association year.
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.
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!
Dwight “D” Hall
ISAHU Legislative Chair