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David Chase, Small Business Majority
A Small Business Approach To Accessing
Credit
&
Healthcare Reform in California
About Small Business Majority
•  Public policy advocacy organization – founded
and run by small business owners
•  National – based in California – with offices in
Bay Area, Sacramento, Washington, DC and New
York
•  Research and advocacy on issues of top
importance to small businesses (<100
employees) and the self-employed
•  Very focused on access to credit and healthcare
costs – top concerns in our recent research
The Credit Squeeze
•  Higher reserve requirements mean less money to
lend for banks
•  Banks rather lend to larger companies because
the effort is the same, and a perception that
small business lending is more risky
•  Traditional collateral assets have been degraded
(real estate and receivables).
•  FDIC approving very few new banks. Fewer banks
means less credit.
Who Cares and Why?
•  Small business owners want to create
new jobs, but need loans to get them
going
•  Banks are being cautious – right policy for
them, but that hurts small business and
the economy
•  Policymakers trying to jumpstart the
economy know small businesses typically
produce the jobs that lead to economic
recovery
What Should Small Employers Do?
•  Talk to your existing bank
o  Ask to speak to a lending specialist or
business loan consultant
o  If your bank has refused you credit, tell them
you will leave for a lender that offers credit.
•  Shop for a new bank
•  Small or medium sized community bank
•  Large bank that is small-business friendly
•  Banks with dedicated SBA specialists
SBA Loans
•  7(a) - Lending Program
o  Loan guarantee program
o  Financing up to $750,000 from qualified
lenders
o  Working capital, asset purchases and
leasehold purchases
o  Personal guarantees required from owners
with 20% stake or more
o  10-year term
o  Available only to people with no other
resources
SBA Loans
•  7(m) - Microloan Program
o  Loans funded entirely by SBA
o  Financing up to $35,000
o  Funds use unrestricted; available to start-ups
o  Typically loans come with required enrollment
in technical assistance classes
o  Program not fully funded
Small Business Lending Fund
•  Treasury Department initiative to deploy
$30 billion to small and medium sized
banks (part of 2010 Jobs and Credit Act)
•  Funding is based on lending practices
(the more they lend, more $$ they will
receive)
•  Participating banks listed at
www.treasury.gov
o  31 banks (186 locations) in California
Factoring
•  What is factoring?
o  Using your unpaid invoices as collateral for a
loan, which the lender collects
•  Ideal for new businesses or firms with
strong client base
•  Dependent on credit history of clients
•  Beneficial for a quick-start
Main Street Partnership Banks
Legislation
•  State tax dollars usually held by Wall Street
banks
•  A partnership bank is established by the state
and keeps those dollars in the state to be used to
develop local business
•  Partnership bank acts like a banker s bank; no
direct-to-consumer loans.
•  Purchases loans exclusively from local banks to
provide them liquidity.
•  Leads to more and stronger local banks; more
lending to small businesses
How does a state bank work?
Main Street
Partnership
Bank
Bank of Small
Town
Friends Bank Local Bank
North Dakota and Vermont
Vermont N. Dakota
Population 622,000 647,000
General Fund budgets (2009) $1.1 b. $1.56 b.
Unemployment (%, 2010) 6.2 3.2
Budget deficit ($24 m.) $400 m.
Banks (2009) 22 102
Deposits held by out-of-state banks (%,
2009)
65 24
Total state loan portfolio (2009) $3,100 m. $2,619 m.
Commercial/Econ. Development
lending (2009)
$102 m. $1,333 m.
Net state banking revenue (2009) ($21 m.) $30 m.
Partnership Banks in California?
•  California estimated to take in $120B in
2011-12; most will sit in out-of-state bank on
Wall Street
•  Assembly Bill 750 passed September 2011
o  Bi-partisan support
•  Would have created blue ribbon commission to
study issue of Partnership Bank in California
•  Bill vetoed by Governor Brown
•  Governor asked the Legislature study the issue
themselves, not create a new commission
Healthcare Reform for California
Small Businesses
•  Tax credits available to most employers who cover
their workers
•  California high-risk pool that sells insurance to
individuals with pre-existing condition
•  Grandfather provisions to allow employers to keep
plans they already have
•  Employer responsibilities for healthcare benefits
•  Cost containment provisions to cut waste and improve
efficiency
•  Open marketplace to maximize choice and
competition
•  Your questions and comments
Small business tax credits
•  In effect now (as of tax year 2010)
o  $40 billion in credits by 2019
•  Which businesses are eligible?
 Fewer than 25 full-time employees
 Average annual wages <$50,000
 Employer pays at least 50% of the premium
cost
Small business tax credits
•  Tax credits on a sliding scale:
o  Up to 35% of premium expenses for 2010–13
o  Up to 50% of premium expenses for any two
years beginning 2014
•  Tax credits do not cover premium expenses of
owners or their families
•  Tax credits can not be claimed by the self-
employed
Small business tax credits
Our report: 456,500 CA businesses are eligible
(80% of all businesses); 135,900 CA businesses
are eligible for the maximum credit
Preexisting Condition Insurance
Plan (formerly called high-risk pools)
•  Available to individuals -- incl. self-employed
•  Takes effect immediately (accepting applications
now at www.pcip.ca.gov)
•  Eligibility: People who have been uninsured for six
months and have been denied for a preexisting
condition
•  California plan runs on federal funding ($761
million over 5 years) – No state dollars spent
•  Available until full implementation in 2014 -- no
gap in coverage
Grandfathering: If you like what
you have, you can keep it
•  A grandfathered plan is a health plan in which a
small business was enrolled on March 23, 2010
•  Grandfathered plans do not need to comply with
several insurance reforms, but do need to comply
with some provisions
•  Regulations allow for making several changes
(adding employees, changing carriers) without
jeopardizing grandfather status
o  Significant changes (dropping benefits, etc.) is cause for
losing grandfather status
•  Businesses with fewer than 50 workers – 96% of all
businesses – are exempt from any requirement to
offer insurance
Shared responsibility
•  As of 2014, businesses with > than 50 employees +
not offering minimum coverage + at least one
employee receiving a subsidy = must pay a fee
•  Two options on how the fee is calculated
o  $2,000 per # of employees minus 30
o  $3,000 for each employee receiving subsidy
Shared responsibility
Cost Containment – Cutting costs
saves small businesses money
•  Exchanges leverage pooled purchasing power to
lower premiums
•  Ensure that more $$ go to medical care
•  Premium increases are now reviewed by state
•  Incentives for prevention and wellness
o  Grants for up to 5 years to small employers that establish
new wellness programs
•  Other incentives for administrative efficiency and
modernization (e.g. pay for performance)
•  Expanded coverage and individual responsibility
requirement – reduce hidden tax
What is a Health Benefit Exchange?
•  One-stop shop web portal
Small Business Exchange
INSURANCE PLANS
EXCHANGE
Choice
Comparison
Billing
Tax Credits
SMALL BUSINESSES
•  Large marketplace to
shop for commercial
insurance
•  Compare plans for
information about price,
quality and service
•  Plans organized by
level: bronze, silver,
gold, platinum
•  Calculator to compare
costs across plan
options
•  Streamlined billing
process
What is a Health Benefit Exchange?
•  Opening on January 1, 2014
•  Voluntary
o (Unless you re a Member of Congress!!)
•  Individuals and small businesses eligible to
participate
•  Exchanges designed by states -- or by federal gov t
if a state so choses
•  State-based exchanges mean increased flexibility and
more input from small businesses and other
stakeholders
•  Not a new concept - Business groups, non-profits
and state gov t already run similar programs in CA,
CT, MA, NY, OH, UT
California s Key Decisions
•  Bi-partisan legislation in 2010 created CA Exchange
•  Separate individual and small business pools
•  Exchange acts as active purchaser which will negotiate
with insurers
•  Standalone government agency; exempt from some
state personnel and procurement requirements
•  Governed by five member board: Secretary of the
Health and Human Services Agency, two gubernatorial
appointees and two legislative appointees
•  Strict conflict of interest requirements; unpaid
California Health Benefit Exchange
•  Current status:
o  Held several public meetings and webinars
o  Hired former business leader as Executive
Director; hiring more staff now
o  Received $39M for planning; no state dollars
spent
o  Stakeholder advisory panels providing input from
small business owners and business organizations
o  Planning meetings around the state in 2012 to
collect feedback from employers et al.
o  Will focus more on small business issues in
January 2012
Decisions still to be made
•  Additional administrative services – Should the
exchange offer other human resource department
type services?
o COBRA administration
o Section 125 plans
o Flexible spending accounts
o Wellness plans
o Eligibility determination for tax credits and public
programs
•  Brokers/agents - What role should brokers/agents
play? How should they be compensated?
Decisions still to be made
•  Employee choice – Can employees select their own
plans?
•  Risk management – How do we ensure a well-
balanced risk pool?
•  Web portal – What features for the web portal?
o One-stop shopping
o Streamlined billing
o Tax credit calculator
Your input is essential now!
For more information
•  Our website: www.smallbusinessmajority.org
o  Information Summary
o  Detailed FAQ
o  Tax Credit Calculator
•  CA Healthcare Coverage Guide:
healthcoverageguide.org
•  California Health Benefit Exchange
www.healthexchange.ca.gov
•  National HHS website: www.healthcare.gov
Join Our Network
•  Erica Dowell, Network Coordinator
•  Email: edowell@smallbusinessmajority.org
•  Direct: (202) 535-3244
Connect with us!
@SmlBizMajority
Small Business Majority
Ways to Get Involved:
Contact
•  Receive a monthly newsletter
•  Share your story for media requests
•  Letters to the editor/Op-eds
•  State events/Roundtables
•  Fly-ins
•  Webinars for business organizations

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A Small Business Approach To Accessing Credit & Healthcare Reform in California

  • 1. David Chase, Small Business Majority A Small Business Approach To Accessing Credit & Healthcare Reform in California
  • 2. About Small Business Majority •  Public policy advocacy organization – founded and run by small business owners •  National – based in California – with offices in Bay Area, Sacramento, Washington, DC and New York •  Research and advocacy on issues of top importance to small businesses (<100 employees) and the self-employed •  Very focused on access to credit and healthcare costs – top concerns in our recent research
  • 3. The Credit Squeeze •  Higher reserve requirements mean less money to lend for banks •  Banks rather lend to larger companies because the effort is the same, and a perception that small business lending is more risky •  Traditional collateral assets have been degraded (real estate and receivables). •  FDIC approving very few new banks. Fewer banks means less credit.
  • 4. Who Cares and Why? •  Small business owners want to create new jobs, but need loans to get them going •  Banks are being cautious – right policy for them, but that hurts small business and the economy •  Policymakers trying to jumpstart the economy know small businesses typically produce the jobs that lead to economic recovery
  • 5. What Should Small Employers Do? •  Talk to your existing bank o  Ask to speak to a lending specialist or business loan consultant o  If your bank has refused you credit, tell them you will leave for a lender that offers credit. •  Shop for a new bank •  Small or medium sized community bank •  Large bank that is small-business friendly •  Banks with dedicated SBA specialists
  • 6. SBA Loans •  7(a) - Lending Program o  Loan guarantee program o  Financing up to $750,000 from qualified lenders o  Working capital, asset purchases and leasehold purchases o  Personal guarantees required from owners with 20% stake or more o  10-year term o  Available only to people with no other resources
  • 7. SBA Loans •  7(m) - Microloan Program o  Loans funded entirely by SBA o  Financing up to $35,000 o  Funds use unrestricted; available to start-ups o  Typically loans come with required enrollment in technical assistance classes o  Program not fully funded
  • 8. Small Business Lending Fund •  Treasury Department initiative to deploy $30 billion to small and medium sized banks (part of 2010 Jobs and Credit Act) •  Funding is based on lending practices (the more they lend, more $$ they will receive) •  Participating banks listed at www.treasury.gov o  31 banks (186 locations) in California
  • 9. Factoring •  What is factoring? o  Using your unpaid invoices as collateral for a loan, which the lender collects •  Ideal for new businesses or firms with strong client base •  Dependent on credit history of clients •  Beneficial for a quick-start
  • 10. Main Street Partnership Banks Legislation •  State tax dollars usually held by Wall Street banks •  A partnership bank is established by the state and keeps those dollars in the state to be used to develop local business •  Partnership bank acts like a banker s bank; no direct-to-consumer loans. •  Purchases loans exclusively from local banks to provide them liquidity. •  Leads to more and stronger local banks; more lending to small businesses
  • 11. How does a state bank work? Main Street Partnership Bank Bank of Small Town Friends Bank Local Bank
  • 12. North Dakota and Vermont Vermont N. Dakota Population 622,000 647,000 General Fund budgets (2009) $1.1 b. $1.56 b. Unemployment (%, 2010) 6.2 3.2 Budget deficit ($24 m.) $400 m. Banks (2009) 22 102 Deposits held by out-of-state banks (%, 2009) 65 24 Total state loan portfolio (2009) $3,100 m. $2,619 m. Commercial/Econ. Development lending (2009) $102 m. $1,333 m. Net state banking revenue (2009) ($21 m.) $30 m.
  • 13. Partnership Banks in California? •  California estimated to take in $120B in 2011-12; most will sit in out-of-state bank on Wall Street •  Assembly Bill 750 passed September 2011 o  Bi-partisan support •  Would have created blue ribbon commission to study issue of Partnership Bank in California •  Bill vetoed by Governor Brown •  Governor asked the Legislature study the issue themselves, not create a new commission
  • 14. Healthcare Reform for California Small Businesses •  Tax credits available to most employers who cover their workers •  California high-risk pool that sells insurance to individuals with pre-existing condition •  Grandfather provisions to allow employers to keep plans they already have •  Employer responsibilities for healthcare benefits •  Cost containment provisions to cut waste and improve efficiency •  Open marketplace to maximize choice and competition •  Your questions and comments
  • 15. Small business tax credits •  In effect now (as of tax year 2010) o  $40 billion in credits by 2019 •  Which businesses are eligible?  Fewer than 25 full-time employees  Average annual wages <$50,000  Employer pays at least 50% of the premium cost
  • 16. Small business tax credits •  Tax credits on a sliding scale: o  Up to 35% of premium expenses for 2010–13 o  Up to 50% of premium expenses for any two years beginning 2014 •  Tax credits do not cover premium expenses of owners or their families •  Tax credits can not be claimed by the self- employed
  • 17. Small business tax credits Our report: 456,500 CA businesses are eligible (80% of all businesses); 135,900 CA businesses are eligible for the maximum credit
  • 18. Preexisting Condition Insurance Plan (formerly called high-risk pools) •  Available to individuals -- incl. self-employed •  Takes effect immediately (accepting applications now at www.pcip.ca.gov) •  Eligibility: People who have been uninsured for six months and have been denied for a preexisting condition •  California plan runs on federal funding ($761 million over 5 years) – No state dollars spent •  Available until full implementation in 2014 -- no gap in coverage
  • 19. Grandfathering: If you like what you have, you can keep it •  A grandfathered plan is a health plan in which a small business was enrolled on March 23, 2010 •  Grandfathered plans do not need to comply with several insurance reforms, but do need to comply with some provisions •  Regulations allow for making several changes (adding employees, changing carriers) without jeopardizing grandfather status o  Significant changes (dropping benefits, etc.) is cause for losing grandfather status
  • 20. •  Businesses with fewer than 50 workers – 96% of all businesses – are exempt from any requirement to offer insurance Shared responsibility
  • 21. •  As of 2014, businesses with > than 50 employees + not offering minimum coverage + at least one employee receiving a subsidy = must pay a fee •  Two options on how the fee is calculated o  $2,000 per # of employees minus 30 o  $3,000 for each employee receiving subsidy Shared responsibility
  • 22. Cost Containment – Cutting costs saves small businesses money •  Exchanges leverage pooled purchasing power to lower premiums •  Ensure that more $$ go to medical care •  Premium increases are now reviewed by state •  Incentives for prevention and wellness o  Grants for up to 5 years to small employers that establish new wellness programs •  Other incentives for administrative efficiency and modernization (e.g. pay for performance) •  Expanded coverage and individual responsibility requirement – reduce hidden tax
  • 23. What is a Health Benefit Exchange? •  One-stop shop web portal Small Business Exchange INSURANCE PLANS EXCHANGE Choice Comparison Billing Tax Credits SMALL BUSINESSES •  Large marketplace to shop for commercial insurance •  Compare plans for information about price, quality and service •  Plans organized by level: bronze, silver, gold, platinum •  Calculator to compare costs across plan options •  Streamlined billing process
  • 24. What is a Health Benefit Exchange? •  Opening on January 1, 2014 •  Voluntary o (Unless you re a Member of Congress!!) •  Individuals and small businesses eligible to participate •  Exchanges designed by states -- or by federal gov t if a state so choses •  State-based exchanges mean increased flexibility and more input from small businesses and other stakeholders •  Not a new concept - Business groups, non-profits and state gov t already run similar programs in CA, CT, MA, NY, OH, UT
  • 25. California s Key Decisions •  Bi-partisan legislation in 2010 created CA Exchange •  Separate individual and small business pools •  Exchange acts as active purchaser which will negotiate with insurers •  Standalone government agency; exempt from some state personnel and procurement requirements •  Governed by five member board: Secretary of the Health and Human Services Agency, two gubernatorial appointees and two legislative appointees •  Strict conflict of interest requirements; unpaid
  • 26. California Health Benefit Exchange •  Current status: o  Held several public meetings and webinars o  Hired former business leader as Executive Director; hiring more staff now o  Received $39M for planning; no state dollars spent o  Stakeholder advisory panels providing input from small business owners and business organizations o  Planning meetings around the state in 2012 to collect feedback from employers et al. o  Will focus more on small business issues in January 2012
  • 27. Decisions still to be made •  Additional administrative services – Should the exchange offer other human resource department type services? o COBRA administration o Section 125 plans o Flexible spending accounts o Wellness plans o Eligibility determination for tax credits and public programs •  Brokers/agents - What role should brokers/agents play? How should they be compensated?
  • 28. Decisions still to be made •  Employee choice – Can employees select their own plans? •  Risk management – How do we ensure a well- balanced risk pool? •  Web portal – What features for the web portal? o One-stop shopping o Streamlined billing o Tax credit calculator Your input is essential now!
  • 29. For more information •  Our website: www.smallbusinessmajority.org o  Information Summary o  Detailed FAQ o  Tax Credit Calculator •  CA Healthcare Coverage Guide: healthcoverageguide.org •  California Health Benefit Exchange www.healthexchange.ca.gov •  National HHS website: www.healthcare.gov
  • 30. Join Our Network •  Erica Dowell, Network Coordinator •  Email: edowell@smallbusinessmajority.org •  Direct: (202) 535-3244 Connect with us! @SmlBizMajority Small Business Majority Ways to Get Involved: Contact •  Receive a monthly newsletter •  Share your story for media requests •  Letters to the editor/Op-eds •  State events/Roundtables •  Fly-ins •  Webinars for business organizations