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The Pioneer organization wanted to alert you to two proposed changes in the current efforts to reform the health care system that may have an impact on you.  The health care legislation now being developed from the reforms passed by the U.S. Senate and House of Representatives might soon be headed for a final vote in Congress and then on to President Obama to be signed into law. You may want to quickly contact your senators and congressmen to urge them to not change the Retiree Drug Subsidy Program and to carefully consider the excise tax proposal.
 
The first provision affects the Medicare Part D subsidy for prescription drug coverage, which has significant implications for both retirees and employers participating in the Medicare Part D program to provide needed drugs. 
The provision calls for the elimination of the tax free status of the employer subsidy. For Companies that still offer retiree prescription drug coverage today, the government provides a 28 percent subsidy to help offset the financial burden of that coverage. The subsidy was intended to help employers continue to offer prescription drug coverage so that these retirees would not have to use the Medicare Part D program. However, proposed changes affecting the Part D subsidy will make it less valuable to employers and, as a result, may have significant implications for both retirees and employers.
 
  • As a result of this change, employers may have to drop or revamp retiree prescription drug programs, potentially moving more retirees into the government's program.  Such movement of people from retiree plans will generate costs rather than revenue to the federal government, thus adding to the federal deficit, rather than financing health care reform
  • Under federal accounting rules (FAS 109), if the tax deduction for the costs of providing prescription drugs is permanently denied, companies will be required to reflect the entire value of that tax deduction for the entire lives of their beneficiaries as a loss immediately. For some companies, this loss will measure in the hundreds of millions of dollars and place the long-term impact of the new tax liability on their books, which could impact their stock prices.
 
The second provision taxes high- value health plans, which could result in diminished coverage for both active employees and retirees.  It was intended to address only excessive or luxury health benefits plans, it will, in fact, impact the health plans covering tens of millions of workers, including those in telecommunications, manufacturing, construction, mining, and public sectors.  While the Congressional Budget Office estimates that 1 of every 5 workers would be impacted by the excise tax in 2016, the number of impacted workers will rise over time since the thresholds for the tax are significantly below actual health care cost increases.
 
  •  The tax misses its mark because it assumes that high cost health plans have rich benefits.  It does not recognize what we know to be true:  the cost of health plans is heavily influenced by the age of the covered workforce and retirees, the proportion of covered dependents, the health status of the covered population, and the cost and practice patterns in the markets covered.
 
These two significant issues would likely have
the unintended effect of discouraging the provision of employer-sponsored health coverage, thereby undermining one of the goals of health reform legislation and placing more of the cost and burden of providing this vital coverage onto the federal government.
 
Please learn more about these proposed provisions in the legislation on the Retirees Take Action website and contact your senators and congressmen with your feedback.  The time for action is now!
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