Spring has finally sprung for most of us anyway!! And it is a welcome site for sure! Hopefully you have been able to enjoy at least some of the days/evenings as you get back to normal Springtime activities.
NAHU testified at the recent NAIC Spring Meeting in DC regarding changes to Medicare marketplace. They also recommended that the Trump Administration delay implementation of its prescription drug rebating rule.
Medicare For All legislation was introduced in the Senate with 14 co-sponsors. NAHU its active campaign to oppose the legislation with its coalition partner – Partnership for America’s Health Care Future. Stay tuned for additional updates coming from the DC office.
And the next round of court hearings are set in the 5th Circuit Appellate Court for the Texas v. U.S. ACA constitutionality case.
As reported last month, NAHU continues with other efforts to address the following in this new Congress – return to a 40 work week rule, permanent repeal of the HIT tax and the Excise/Cadillac tax, allowance of COBRA as creditable coverage, 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.
And as indicated last time, all “fixes” to the ACA have had to begin anew in the new Congress. Thankfully NAHU remains steadfast in moving these solutions forward. “Costs” to the budget still remain 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 may well be more difficult to bring such items to the floor for a vote. This is especially true due to the number of freshman Representatives.
State House Update
Your ISAHU Legislative Team continues to develop and maintain relationships with appropriate Leadership, Committee Chairs and Committee Members.
Discussions have continued with appropriate members in the Indiana House and Senate to promote Section 1332 initiatives such as “risk pools and non-compliant ACA product offerings.
All new guidance from D.C. will be a part of discussions. Any updates on such discussions will continue to be shared.
Work on STM bills also continues. It appears that discussions with Rep Martin Carbaugh and others via in person meetings and conference calls are helping to move a bill forward. Further meetings are occurring with the intent to expand the number of months of coverage from the current 6 months maximum. David Berman has continued to be instrumental in this effort.
The Session is winding down and will be over no later than April 29th. This means that the pace over the remaining time will be fast and furious for sure.
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 as more is known on their initiatives in the new Session.
ISAHU Legislative Chair Dwight “D” Hall, Co-Chair Susan Rider, Indianapolis Legislative Chair Mike Miles and ISAHU Past – President Denny Wright attended an event on April 16th in Indianapolis featuring Indiana Senators Todd Young and Mike Braun.
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. This list should be ready for distribution by the end of this 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.
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 here at ISAHU.
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!