health reform: where are we now? june 15, 2011 grace-marie turner galen institute

HEALTH REFORM: Where Are We Now?

June 15, 2011

Grace-Marie TurnerGalen Institute

A growing list of concernsBurdens on business: Businesses have to know “household” income for employees. MLR/grandfathering regulations. “McDonald’s” waivers. Health costs rising. Benefit mandates coming. Employers planning to exit health insurance.

Resistance from states. Block indiv. mandate. Resist Medicaid expansion. Impede implementation.

Extraordinary complexity. Health exchanges. tax credits. Mountains of regs, without public comment.

Unintended consequences. Child-only policies vanishing. 80-100 million could lose coverage. 16,000 IRS agents. Costs soar. 40% of doctors plan to leave practice. SEIU drops dependents.

MLR battles

Livelihood of brokers seriously threatened

Little appreciation for value you bring

NAHU Goal: Eliminate commissions from MLR calculation

Beware: the “navigators”

People are confused

22% - Think the law has been repealed

26% - Are unsure

Just over half know ObamaCare still stands

14% - Believe they have benefited from the law

17% - Say the law has already harmed them

45% - Think it will make the economy worse

55% - Favor full repeal of ObamaCare

67% - Favor repealing the individual mandate

Source: “Kaiser Health Tracking Poll – February 2011,” The Henry J. Kaiser Family Foundation, February 24, 2011, www.kff.org/kaiserpolls/8156.cfm.

The battles will continue

Legislative: Defund, dismantle, delay

Regulatory: Strict oversight; CRA

Legal: U.S. Supreme Court (2012)

Political: 2012 primaries and elections

Top targets for changes to PPACA:

Eliminate 1099 requirement : DONE

Pass H.R. 1206 to preserve access to licensed independent insurance producers

Repeal IPAB

Significant changes to CLASS Act

Delay, defund, deregulate, dismantle the law…

How does the new health care

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Is your doctor really in charge of

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Are your Constitutional rights

threatened?

Discover the law’s impact on your life

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Published by HarperCollins

Contact:

Grace-Marie Turner

Galen Institute

www.galen.org

(703) 299-8900

gracemarie@galen.org