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A Note About the AHCA from Deb Wilkinson

Since this week’s ACA Update Webinar has been cancelled and with the passage of the AHCA through the House, I wanted to take a few minutes to make note of some of the details:

  1. The Law is heading to the Senate.  Many of the provisions/amendments will be further scrutinized and may not make it through the mark-up process.
  2. Please don’t believe the pundits:  No matter if a State decides to adopt the MacArthur amendment or not (would allow states to waive off of EHD and Community Rating) Pre-Existing will NEVER BE AN ISSUE!
  3. Individual and Employer Mandate Penalties would be eliminated.
  4. Metal Level plans and AV will remain until 2020.
  5. Subsidies will remain until 2020 and will then be replaced by Tax Credits based on age and income.
  6. 30% Surcharge for those not covered for a period of 63 day or more lapse in coverage from the previous year. Applies to individuals and members of a group health plan.
  7. H.S.A. contributions increase. Excise Tax for non-qualified expenses reduced from 20% to 10%.
  8. Much, Much more….

Read the NAHU notice below to learn about the AHCA.
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Earlier today, the House passed the American Health Care Act (AHCA) by a slim majority: 217 to 213. A chart reflecting the contents of the legislation is available below. The legislation will now go to the Senate where additional changes are expected in order to meet the reconciliation requirements of that chamber. NAHU supports some of the House’s efforts to stabilize the market, such as through the creation of the Patient and State Stability Fund, establishing strong incentives for continuous coverage, allowing tax credits to be used for catastrophic coverage, expanding age rating bands and eliminating the Health Insurance Tax; however, we look forward to working with the Senate to provide thoughtful consideration of measures that can be incorporated into the AHCA to ensure the least amount of disruption to the market. 
 
We will have a full review of the legislation in Friday’s Washington Update. It is important to remember that this legislation is still pending, and has not been signed into law. At this time, the ACA and all of its regulations, penalties and enforcements is still the law, and compliance is still required. NAHU will continue to update you as this legislation moves through the political process to ensure your and your clients’ compliance with the law.
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