The four waiver concepts are 1) account-based subsidies; 2) state-specific premium assistance; 3) adjusted plan options; and 4) risk stabilization strategies. bit.ly/2RpQghZ

About 2 weeks ago from ISAHU's Twitter via CoSchedule

September 2018 Legislative Update

Welcome to September and unfortunately the end of Summer.  It sure seems like it just began!!  But never fear, we’ll still have plenty of “heat” due to the political season heating up!

Federal Update

As noted last month, AHP’s (Association Health Plans), Drug pricing, ACA risk adjustment payments, Navigator funds, MLR, etc continue under discussion and are in various stages of change/implementation as we speak.  In addition, return to a 40 work week rule, Repeal/delay of the HIT tax and the Excise/Cadillac tax, allowance of COBRA as creditable coverage, changes to Medicare Advantage plans, employer reporting improvements and other initiatives are in the forefront of NAHU’s efforts in D.C.

As always, continued Thanks goes to NAHU’s staff – eg, Janet Trautwein, John Greene, Chris Hartman and Marcy Buckner as they help direct the overall legislative process in D.C.

Other items – 

Be sure to visit www.nahu.org for more detailed information on all NAHUFederal legislative
activities.

State House Update

Meetings are still in process of being set with appropriate leaders in the Indiana House and Senate to discuss next steps on promoting Section 1332 .  The discussions will relate to the possible use of “risk pool” Federal and State funds to encourage more competition from a payer and plan standpoint.  Use of non-compliant ACA product offerings is also a possibility.  All new guidance from D.C. will be a part of discussions.  Any updates on such discussions will continue to be shared.

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, PIANAIFA, Insurance Institute, IMA, IN Chamber and NFIB.  And it also affects the ongoing efforts of several ISAHUmembers 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 really new here.  Meetings on Section 1332 took place with the Insurance Commissioner and next steps will be with insurance committee heads to promote possible exemption filing by the Governor in the next session.  Updates will be provided.

General Information

The legislative committee is in process of being revamped to have specific individuals be responsible for various product areas of the industry which should lead to better information sharing on an ongoing basis.

As mentioned last month, the fall election season is in full swing.  I encourage each of you to get involved at some level with both State and Federal office candidates.  Let’s be a part of the solutions that are needed.  If you’d like more information on how to go about this, please feel welcome to reach out at any time.

D. Hall attended a fund raiser for Congresswoman Susa Brooks on September 17th.  Time was also spent with State Treasurer Kelly Mitchell and State Senator John Ruckelshaus.

D. Hall attended the HRCC BBQ held at the Indiana State Fairgrounds on September 18th.  Time was spent with Speaker Brian Bosman and Insurance Committee Representatives Peggy Mayfield, Cindy Kirchhofer, Kevin Mahan, Martin Carbaugh and Donna Schaibley and other Representatives like Ed Clere.  There was also the opportunity to meet various State Representative candidates from around the state plus other legislative lobbyists.

NAHU staff continue to be a vital part of ongoing discussions during this 115thCongress.  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.

And I 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, DOLDOI’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.

PACs

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 improve the healthcare system for your clients!

 

Dwight “D” Hall

ISAHU Legislative Chair

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Indiana State Association of Health Underwriters

Indiana State Association of Health Underwriters

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