After much work, the 43
By resetting the healthcare conversation in
Bipartisan Problem Solvers Caucus Proposal to Stabilize the Individual Market (go to: https://drive.google.com/file/d/0BzGrAsu82Hmpc3g5OUxHRndjTGRVRUluNFFJNndBSklTRFpv/view?usp=sharing to view)
It is clear that the individual health insurance market is deteriorating in some areas of the country and we must act quickly to stabilize it. We all agree that the individual market needs restructuring, and we should swiftly implement changes in time to take effect for insurance plans offered for 2018. Committees of jurisdiction should begin to address the issue through regular order.
To stabilize the individual market and provide some immediate relief, we propose exploring? realistic solutions including the following:
1. Bring cost-sharing reduction (CSR) payments under the Congressional oversight and appropriations process, but ensure they have mandatory funding. CSR payments are an important part of helping households earning between 100% and 250% of the federal poverty level afford to participate in the individual market. Bringing CSR payments under the appropriations process ensures that
2. Create a dedicated stability fund that states can use to reduce premiums and limit losses for providing coverage--especially for those with pre-existing conditions.
3. Adjust the employer mandate by raising the threshold on the requirement for employers to provide insurance under the employer mandate to businesses of 500 employees or more. The current employer mandate places a regulatory burden on smaller employers and acts as a disincentive for many small businesses to grow past 50 employees. Additionally, the definition of "full time" under the employer mandate should indicate that a full-time work week is 40 hours.
4. Repeal the medical device tax. This tax adds a 2.3% sales tax on medical device supplies. The costs of the tax are passed on to consumers and it should be repealed.
5. Provide technical changes and clear guidelines for states that want to innovate on the exchange or enter into regional compacts to improve coverage and create more options for consumers.
* Section 1332 of the ACA allows states to innovate and share in health savings while offering strong plans with all essential health benefits. Some states have begun to experiment in this regard, with great potential for success. However, some technical legislative changes and/or revised HHS guidance may improve attractiveness to additional states.
* Similarly, Section 1333 of the ACA allows states to enter into Health Care Choice Compacts, which allow insurers to sell across state lines in participating states. However, HHS has not yet released regulations on Section 1333. HHS should issue clear guidelines and work with states to spur innovation and bring more choice and competition to the market while protecting consumers.
We must continue to explore additional ways to improve patient choice and responsibility, create positive incentives for providers to lower costs, and enhance state flexibility. During the August work period we will meet with constituents and stakeholders and will return to
We believe that this proposal should be paid for. We stand ready to work to find agreeable offsets within federal health care spending.
"The last great hope for this country is that
"For too long, health care has been viewed as a fiercely partisan battleground, but the
"Task one is to stabilize the insurance marketplace this year for all Americans. We need to ultimately implement sustainable reforms to improve our healthcare system, and it needs to be anchored from the ideological center in order to pass both chambers of
"The country is fed up with partisanship and politics taking precedence over real solutions to the problems we are facing, especially in health care. Right now we have serious problems in our individual health care marketplace that both sides recognize. Let's deal with them! Continued uncertainty will put that market into a death spiral. My colleagues and I in the Problem Solvers bipartisan caucus have listened to experts, insurers and providers to come up with a simple straightforward revision to the ACA to make sure 20 million Americans still get affordable health care without facing exponential increases in premiums or deductibles. Rank and file
"Many of us on both sides of the aisle came here to solve problems and get things done. And I always talk about how I make my decisions based on facts and working towards objectives that are achievable. While there is a lot of attention on areas of disagreement on healthcare, I am always trying to find areas of agreement. It doesn't take a doctor to diagnose that the individual market across the country is not healthy and urgent action is needed to help our constituents. For the last several weeks, members of the
"This is a starting point for bipartisan solutions to stabilize the individual insurance market, keep Americans covered, and slow the rise of premiums and deductibles. We all acknowledge there are parts of the Affordable Care Act that need to be fixed and parts that need to be protected, and we are putting party politics aside to get to work. Even on an issue as contentious as health care, in an atmosphere as partisan as D.C., we have found this common ground that we can build from." - Rep.
"It is time to set aside the purely partisan approach on health care and work together to enact durable and sustainable reforms for the American people. I am proud to join my colleagues, Republican and Democrat, in taking an important first step to demonstrate that we can work together to improve our health care system." - Rep.
"Americans are desperate for
"The path forward to fixing the healthcare mess is seeking bipartisan, common-sense common-ground. At the top of our list is stabilizing insurance markets and ensuring lower premiums for patients. Our other goals are simple and what I've fought for all along: Protect those with pre-existing conditions and ensure states that expanded Medicaid, like
"The American people are tired of the status quo in
"I'm glad to be part of a bipartisan group of House members working together to pick up the pieces of the
"The only way to improve health care outcomes for Americans is through bipartisan compromise. This point has been made clear over the previous six months of debate. I am eager to work across the aisle to advance health care proposals that improve upon the gains we have made." -Rep.
"The American people rightfully expect
"The voters in my district sent me to
"It is our job to navigate the complexities of this issue on behalf of the American people in a bipartisan manner." - Rep. Glenn "GT"
"As Chairman of the solutions-oriented
"It's critical to our democracy for Members of
"The insurance coverage crisis is a looming healthcare disaster for millions of Americans, and I am proud to join my colleagues in supporting bipartisan solutions to bring down costs and keep coverage options accessible." - Rep.
Read this original document at: https://costello.house.gov/media-center/press-releases/rep-ryan-costello-and-problem-solvers-caucus-announce-bipartisan