There will be a lot of chatter about the impact of this morning’s Supreme Court ruling, which upheld the individual mandate provision of the Patient Protection and Affordable Care Act of 2010 (PPACA).
The next big hurdle for PPACA are the November elections. Obviosuly we will be tracking this closely.....

Please call if you wish to discuss further. Below are some key points to consider....

Key Points:

  • Republican House leaders say they will quickly force a vote to repeal the law. House Democrats are carrying "pocket cards" (talking points) detailing how the reform law has already helped people (e.g., 86 million have received free preventive care).
  • The administration will have to continue to provide much-needed - and overdue - guidance for states, employers and insurance companies, among others, to answer the many outstanding questions that are holding up implementation of the law.
  • There will be a chorus of voices advising everyone to wait until after the fall elections before taking further action.
  • There will be more court cases challenging other provisions of PPACA.

Key Insurance Issues:

  • Full-scale implementation of PPACA will continue unabated.
  • All insurance reform provisions will remain in effect.
  • Many of the hesitant states will move to build exchanges while some will continue to refuse compliance.
  • Many state exchanges will not be operational until 2015 and they will have to engage in a partnership exchange or a federally facilitated exchange at least for the first few years.
  • The premium subsidy for qualified people buying coverage through the exchanges will move forward uninhibited.
  • The Medicaid program will largely remain as envisioned by PPACA. States will continue to push for flexibility on the maintenance-of-effort provisions due to increasing state budget pressures; in response, the administration will grant 1115 Waivers, but with reform elements.
  • Delivery reform will continue at the current pace, with some provisions being shelved due to budgetary constraints and HHS capacity.


R. Thomas Siino, RHU
Executive Benefits Group, LLC
President, NJAHU Northern NJ chapter
ph (973) 777-5500
fax (973) 777-0922
www.executiveben.com

 

 

 

 

 

 

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