What the Affordable Care Act Means for Illinois Small Businesses
What the Affordable Care Act Means for Illinois Small Businesses Mary Timmel Outreach Manager Small Business Majority November 2012 1
JOYCE HARANT Small Business Project DirectorCAMPAIGN FOR BETTER HEALTH CARE HOWARD LEE WireHead Technology/ SBHCC Steering Committee Member
About Small Business Majority• Small business advocacy organization – founded and run by small business owners• National – offices in Washington, DC, Virginia, Ohio, Colorado, Missouri, New York and California• Research and advocacy on issues of top importance to small businesses (<100 employees) and the self-employed, including healthcare, access to credit and clean energy• Very focused on outreach to and education of small business owners across the country
Small businesses struggling withcosts" Soaring cost of health insurance – especially for small businesses – 25% of small business owners are uninsured (2012 Kaiser study)" 28% self-employed: not covered" Small firms pay 18% more than large businesses Our national study: Small business health costs would more than double by 2018 to $2.4 trillion without healthcare reform
Small businesses struggling withcostsOur most recent opinion survey: Small employers who don’t offercoverage say lack of affordability is the biggest reason (70%)Which one or two of the following best describes the reasons you do not provide healthbenefits? My business cannot afford it 70% My employees get coverage elsewhere 32% I do not believe it is the responsibility of my business to provide health insurance 16%Waiting to see what happens with the federal health care reform law 9% Too much paperwork and administration 5% Choosing the right insurance plan is too complicated 2% 0% 20% 40% 60% 80%
Small businesses struggling withcosts Another opinion survey of ours found: 72% of those who do offer say they are struggling to do soMy business is really struggling to 72%afford the cost of health coverage. (Asked of those who do provide coverage) 28% 0% 20% 40% 60% 80%
The new federal law• Builds on our existing healthcare system• Aims to rein in healthcare costs; reduces deficit by over $100B by 2020; by $1.3T by 2030 (Congressional Budget Office)• Upheld by the U.S. Supreme Court on June 28, 2012• Implementation is primarily the responsibility of the states – essential to have small business input• Important immediate benefits – other key provisions to be implemented over the next 4 years
Immediate consumer protections• Insurers will no longer be able to deny coverage for patients with pre-existing conditions (2010 for kids, 2014 for adults) • As of April 2012, 2,875 previously uninsured residents of Illinois with pre-existing condition now have access to healthcare through the ACA PCIP program.• Ban on lifetime caps that set lifetime limits on coverage (Sept. 23, 2010)• Adult children under 26 can stay on their parents’ plan (Sept. 23, 2010) • As of December 2011, 3.1M nationwide and 125,000 young adults in Illinois have benefitted from this provision.
Immediate consumer protections• Bans health plans from dropping coverage when someone gets sick, if either the employee or their employer made an unintentional mistake on their paperwork (Sept. 23, 2010)• First-dollar coverage for preventive care for all new plans (Sept. 23, 2010) • 54M Americans nationwide, including more than 2.3 M in Illinois, with private insurance now have preventative service with no cost-sharing.• Increased access to care -- community health centers (2011) • Increased support for the 42 health centers in Illinois operating 522 sites, providing health care services to over 1M people. Health Center grantees in Illinois have received $147,264,910.
Key provisions small businesses should know about• Provides immediate tax credit for most small businesses• Provides immediate access to a Preexisting Condition Insurance Plan for individuals and the self- employed • Establishes a competitive marketplace for small businesses and the self-employed
Small business tax credits• Available to businesses with employees• Available now (took effect tax year 2010)• Which businesses are eligible? þ Fewer than 25 full-time employees þ Average annual wages <$50,000 þ Employer pays at least 50% of the premium cost
Small business tax credits Our report: 159,900 Illinois small businesses are eligible (78.5% of all IL businesses); 48,400 businesses eligible for the maximum credit Illinois&Small&Businesses&That&Are&Eligible&for&Premium&Tax& Credits&in&2010&& NonFeligible&IL& businesses& Eligible&IL&businesses& 48,400& Maximum&Premium&Tax& 43,700& 159,900& 111,500& Credits& Some&Tax&Credits&
Small business tax credits• More than 2 in 5 small business owners who qualify for the credit are eligible for the maximum• 19.3 million employees work for businesses that can benefit from this credit• Total value of the credit for tax year 2011: $15.4B ¡ An average of $800 in savings per employee
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 (purchase through exchange)• Tax credits do not cover premium expenses of owners or their families• Tax credits can not be claimed by the self-employed• Still as an amendment to your 2010 taxes, or can be carried back as far back as tax year 2010
How to claim the small business tax credit• Small employers (businesses or tax-exempt) will use new Form 8941, available on www.irs.gov• Small businesses will include the amount of the credit as part of the general business credit on their income tax returns• The credit can be reflected in determining estimated tax payments for a year• The credit applies towards income tax, not employment tax
Preexisting Condition InsurancePlan (formerly high-risk pools)• Available to individuals -- incl. self-employed• Takes effect immediately• Eligibility: Individuals who have been uninsured for six months and have been denied coverage for a preexisting condition or have a letter from a physician stating they have a preexisting condition.• Plans = lower premiums due to federal funding ($5B over 5 years)• Available until full implementation in 2014 (no gap in coverage) – www.PCIP.gov
Workplace wellness• Grants to study small employer wellness programs ¡ $9M granted in 2011 ¡ Reduce the risk of chronic disease among employees and their families through evidence-based workplace health interventions and promising practices. ¡ Promote sustainable and replicable workplace health activities. ¡ Promote peer-to-peer healthy business mentoring.
Medical Loss Ratio: “80/20 rule”• Requires insurers to spend at least 80% of small groups’ premium expenses on medical claims and quality improvement.• Limits administrative and profit costs to 20% of premiums collected.• If carriers exceed this, they must make up for it by giving back rebates for the difference.• An estimated $1.1B will be given back in 2012 (HHS)• Nationally: ¡ Average rebate per enrollee in a small group plan: $76 ¡ Total rebates: $377M in the small group market, 28% of all small employer plans• Illinois: ¡ Total rebates: $61M, an average of $380 for the 163,000 families in Illinois covered by a policy.
Rate review• Insurance companies are required to publicly disclose and justify rate increases of 10% or more. (Sept. 1, 2011)• Insurers’ justification explanations will be posted on HealthCare.gov and each state’s rate review program will give customers a chance to comment on the explanations.• A state can approve or reject an unreasonable or excessive rate increase, if it has its own rate review law.• If a state does not have a rate review program, or has a rate review program that is ineffective, the federal government will conduct rate reviews in that state.
State health insurance exchanges:coming in 2014• Large online marketplace to shop for health coverage o Purchasing pool to increase buying power and reduce administrative costs o Small businesses with fewer than 50-100 workers eligible• Private insurance plans will compete o Improved competition will increase employer choice o Exchange can negotiate with insurers on behalf of small businesses to ensure higher quality and lower costs• RAND Study o Exchanges will expand coverage to 85.9% of small business employees, up from 60.4% today, an increase of 10.5 million workers
State health insurance exchange • One-stop shop web portal o Compare plans and get detailed information about price, quality andSmall Business Exchange service INSURANCE PLANS o Plans organized by category: bronze, silver, EXCHANGE gold, platinum Choice Comparison o Calculator to compare Billing Tax Credits costs across plan options SMALL BUSINESSES o Streamlined billing process
State insurance exchange• Many small business workers and self-employed entrepreneurs will receive affordability tax credits towards their premiums o Up to 400% of federal poverty level (approx. $90,000 for a family of four)• Ensure that more $$ go to medical care – reduced administrative costs• Other incentives for administrative efficiency and modernization• Expanded coverage and individual responsibility requirement – reduce hidden tax
State insurance exchange• States determine whether to keep the individual and small group markets separate or merge them• Insurance will still be sold outside exchange• Members of Congress must use the exchange
Exchange – key issues• Active vs. passive (can the exchange negotiate?)• Transparent design/full-disclosure on plans, costs• Expanding exchange to large firms in 2017• Incorporation of wellness and prevention programs• Regional exchanges• Role of brokers• Administrative issues: billing, payment, web, etc.• Effective education and outreach
Shared & individual responsibility• Businesses with fewer than 50 full-time workers – 96% of all businesses – are exempt from any requirement to offer insurance.
Guiding Principles for Establishing anIllinois Competitive Marketplace forSmall Businesses Accessible • Insurance plans must have a range of costs to ensure affordability. • Includeprovisions to help small businesses and their employees understand how to enroll, compare plans, and obtain personal assistance, as through a toll free hotline. • Iseasy for small businesses, employees and providers to use and reduces paperwork
Guiding Principles for Establishing anIllinois Competitive Marketplace forSmall Businesses Quality • Must be a choice of several plans with different benefit levels. • Small business must be represented on the Illinois Marketplace Governing Board, along with a diverse mix of expertise related to health care. • The Governing Board must be independent • Ensure ethnic, racial and cultural diversity in the membership Governing Board.
Guiding Principles for Establishing anIllinois Competitive Marketplace forSmall BusinessesContains Costs• Must have the same rules for plans inside andoutside of the competitive marketplace to ensurethat risk sharing is fair for all.• Governing Board and all procedures must becreated to protect against Conflicts of Interest• Transparency and consumer interests are fullyintegrated into the insurance marketplace, such aswith a Small Business and Consumer AdvisoryCommittee to the Governing Board.
The Voice of Small Business is NeededTo Enact a Health Care Marketplace (Insurance Exchange)* Governing Board*Cost Containment and Fairness +Rate Review + Active Negotiation with insurers*Financing/ Sustainability
Resources• Small Business Health CareConsortium- A project of theCampaign for Better Health Care *Join today & for more information:www.cbhconline.org/smallbusiness/You can help ensure small businessfriendly legislation & regulations in IL• Contact: Joyce Harant, SmallBusiness Project Director * 309-648-3035 * firstname.lastname@example.org
What is the Small BusinessHealth Care Consortium?A new tax exempt non partisan coalition ofsmall businesses.Educate about the impact of health reform.Enable a collective voice to foster needs ofsmall business and not the insuranceindustry.
Why it is Important to Participate in the SBHCC?Improve small business access toaffordable insurance that will help toattain and retain top talent.Have access to timely informationabout legislative changes & impactdecision making.
Why it is Important to Participate in the SBHCC?Ensure that employer of 50-100employees can use the exchange in2014Ensure ability of state to negotiateinsurance rates
What does this all mean for yourbottom line?Changes in average employer contribution per person covered
Resources• National HHS website: www.healthcare.gov• Our website: www.smallbusinessmajority.org o “What’s in Healthcare Reform for Small Businesses” o Detailed FAQ o Tax credit calculator
Join our network Contact • Emma Hollister, Network Coordinator • Email: email@example.com • Direct: (202) 828-8357 Ways to get involved: Connect with us! • Receive a monthly newsletter @SmlBizMajority • Share your story for media requests • Letters to the editor/Op-eds Small Business Majority • State events/Roundtables • Fly-ins • Webinars for business organizations
Illinois Mary Timmel Midwest Outreach Manager Small Business Majority firstname.lastname@example.org (314) 605-1645