PolitiFact - Everything old is new again? The latest round of health policy proposals reprises existing ideas

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Republicans have floated ideas that could subtly let employers bypass the Affordable Care Act's basic benefits requirements. Options include association health plans, self-insurance and giving workers money to buy individual coverage.

published by The Hill. He wrote that the Biden proposal removes an important lower-cost alternative and could leave some consumers facing"sky-high medical bills for up to one year" if their policies expire between open enrollment periods for Affordable Care Act plans.

Another piece of the legislation would help more small employers self-insure, which also allows them to bypass many ACA requirements and most state insurance rules. The CHOICE Arrangement Act"will go a long way toward reducing insurance costs for employers, ensuring that workers continue to have access to high-quality, affordable health care," said Rep. Tom Cole, R-Okla.,Giving workers a set amount of money to buy their own coverage allows employees to choose what works best for them, supporters say. Critics warn that many workers may be unprepared to shop and that the effort by some employers might prove discriminatory.

Employers have some discretion in choosing which groups of employees are offered such accounts, often based on geography, but cannot create a group made up solely of"people over 65, or a class of sick people," said Paoli."The rules absolutely prohibit discrimination based on age or health condition."

The House legislation would make changes to allow more self-employed people and businesses that aren’t in the same industry to ally similarly.

 

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