Monday, December 28, 2015

For the first time since the dawn of the Affordable Care Act (ACA),

... Congress was poised on Dec. 18 to approve significant bipartisan changes to the law as part of a package of tax and spending measures wrapped into two separate bills that represented horse trading among Republican and Democrats on a grand scale. President Obama was expected to sign the legislation into law later on Dec. 18. Taken separately, the health care-related provisions in the stop-gap budget and tax bills are not fatal to the ACA, but the developments do add to the uncertainty as health plans try to figure out what lies ahead for the ACA in 2016, and more importantly, how they strategize for 13 months from now when a new president and Congress assume power.

What is clear is the omnibus package — which included a laundry list of provisions so diverse it ranged from permission for snow sledding on Capitol Hill in Washington, D.C., to freeing up domestic oil exports — is nearly a 100% win for health plans. After all, the legislation delays the excise tax, or Cadillac tax, on high-dollar employer health benefits for two years from 2018 to 2020 and gives a one-year respite in 2017 for insurers from the health insurer tax, or HIT, which could allow insurers to ease premiums on consumers or increase their margins. (Another tax, the medical device tax meant to help fund the ACA, was also delayed two years to 2018) .... (Excerpted from the Dec. 21 issue of Health Plan Week)

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