The
Wall Street Journal reports that draft regulations "being developed
by the Obama administration say more than half of employer health care
plans may lose their grandfathered status and be required to comply with
the health overhaul bill approved March 23. The guidelines are likely
to touch off fresh disputes between President Obama and opponents of the
health care bill. Mr. Obama promised as part of his health overhaul
that Americans who liked their insurance coverage could keep it. The
regulations govern so-called grandfathered status, which allowed
employers to keep offering a plan even if it doesn't meet all the bill's
requirements. ... New plans would have to comply with all the bill's
requirements; grandfathered plans could avoid elements such as limits on
cost sharing" (Johnson, 6/12).
The new regulations would "limit
the changes that employers can make if they want to be exempt from
certain provisions of the health care law passed by Congress in March,"
The
New York Times adds. "Many employers want the exemption because it
allows them to keep their existing health plans intact with a minimum of
changes. More than 170 million Americans have employer-sponsored
insurance." Plans will lose their grandfathered status if they increase
employee's costs "by more than the rate of medical inflation plus 15
percentage points" or cut all benefits for a specific condition. The
grandfather status means that plans do not have to fulfill requirements
such as meeting "essential health benefits" to be mandated by the
government. However, even grandfathered plans would have to meet other
requirements, such as a prohibition against canceling policies when a
person gets sick (Pear, 6/13).
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