Healthcare Reform

Even though the Affordable Care Act (commonly referred to as “Obamacare”) has been the law of the land for many years now, the laws and regulations surrounding healthcare are constantly changing.  Healthcare reform is a critical issue for NATSO members – large and small businesses alike – who want to provide health coverage to their employees without being subjected to unreasonable and unnecessary costs and obligations. 

Further, with the election of President Trump, Republicans have new opportunities to dismantle and/or rewrite a significant portion of Obamacare. Both Congress and the Administration are actively pursuing Obamacare repeal and/or replace legislation in 2017.

Of particular concern to NATSO members is: 

  • The “Employer Mandate” – Businesses with 50 or more full-time equivalent employees (“large employers”) must offer “affordable” health plans that provide “minimum value” coverage to all of their “full-time employees.”  If they fail to do so, they may be subject to a penalty if at least one full-time employee receives a subsidy for purchasing coverage on one of the Obamacare “Exchanges.”  At the present time, employees who work an average of 30 or more hours per week are considered full-time.  NATSO supports legislation that would increase this number to the more standard 40 hours per week.
  • Reporting Requirements – Employers that are subject to the employer mandate must compile monthly – and report annually – various data points to both the Internal Revenue Service (IRS) and their own employees.  These requirements can be excessively complicated and burdensome.  NATSO supports legislation that would ease the burden associated with these reporting requirements.
  • Cadillac Tax –An excise tax on employers that offer high-cost insurance plans.  (Recent legislation delayed the tax’s effective date to 2020.)

NATSO plays an active role with policymakers on Capitol Hill and in the various Executive Branch agencies tasked with implementing healthcare reform. 

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