From a proposal to expand mandatory e-filings to numerous legislative activities, 2018 brought in a storm of Affordable Care Act (ACA) confusion for employers, their trusted advisors, and the American public. Several new rules impacted provisions of the health law, both for individuals and employers, and the midterm elections put the ACA back in the spotlight.
As many polls forecasted leading up to the midterm elections, the Democratic Party took back the House of Representatives and is now holding a majority with at least 220 seats. While Democrats failed to secure the Senate, the party did manage to maintain at least 44 seats, leaving them a strong minority.
President Trump is wasting no time when it comes to health care reform—at least on a symbolic level.
Many aspects of health care reform have been divisive issues for years, but this election cycle once again brought health care to the forefront of Americans’ minds. Some look at the election of Donald Trump as evidence that half the nation is behind his calls to repeal and replace the Affordable Care Act (ACA)—but is this actually true?
After a long election cycle and a seemingly longer night, the country finally has a President-elect. On Jan. 20, Donald Trump will assume the role of commander in chief, and if he holds true to his campaign promises, the Affordable Care Act will be one of the first concerns he addresses.
For those who have been waiting for the repeal of the Affordable Care Act since its inception, it’s still too early to celebrate—and definitely too early to put aside your 1095-Cs for the 2016 reporting season.
Now that the midterm elections are in the rearview mirror and a Democrat-controlled House has halted any imminent threats to the Affordable Care Act (ACA), it’s time to regroup and shed some light on common misconceptions about the health care law. If there’s one thing both sides of the aisle can agree on, it’s that the past nearly two years of the Trump Administration have been replete with health care confusion.
Nearly two weeks ago, several Republican Senators announced their opposition to the Better Care Reconciliation Act, the Senate’s Affordable Care Act (ACA) repeal and replace bill. Their opposition meant that the Senate would not have the simple majority vote required to pass the bill, and the Republicans’ long promised effort to repeal and replace the ACA seemed to end.
As if managing compliance with the Affordable Care Act wasn’t confusing enough, the election of Donald Trump and the appointment of Rep. Tom Price as Secretary of Health and Human Services has introduced even more uncertainty.
The future of the Affordable Care Act (ACA) has been shaky ever since Nov. 8. While it is clear that President-elect Trump intends to repeal and replace the act in some way, shape, or form, what exactly that replacement looks like is a little murkier.
UPS recently sent a memo to their employees informing them that they will be cutting spousal coverage. They cite the Affordable Care Act as the impetus for change in their coverage. This is largely related to the “Play or Pay” tax of the law. Under the “Play or Pay” tax, employers are required to offer coverage to at least 95% of their full-time employees and their dependents. Detailed regulations clarify that “dependents” means children only, and does not include spouses. This means that as long as employers offer an employee-only plan and an employee plus children plan, they would be in compliance with the regulations, and thus avoid tax liability. This is one strategy that an employer can take to comply with regulations, but also cut costs. It will be interesting to see if UPS’s major competitors will follow suit. I believe that we will see trends start to break out by industry when it comes to new coverage options. This is just a sign of what’s to come, so keep your eyes open!