Below is a list of key pieces of federal legislation NAHU is actively following. Please click on each bill to learn more. Note that the bills outlined below are just a few of the bills NAHU is actively involved with; this is not a complete list.
Employer Exclusion of Health Insurance
There are ongoing discussions about the future of the employer exclusion of health insurance. NAHU opposes any efforts that would eliminate or tax the employer-tax exclusion for health insurance.
Medical Loss Ratio (MLR)
Legislation to remove the agent/broker compensation from the Medical Loss Ratio (MLR) Requirement in the individual and small group markets.
H.R. 4575 | Reps. Billy Long (R-MO) and Kurt Schrader (D-OR)
S. 2303 | Sens. Johnny Isakson (R-GA) and Chris Coons (D-DE)
Cadillac/Excise Tax Repeal
Legislation to repeal the "Cadillac Tax" on middle class Americans' health plans.
H.R. 173 | Reps. Mike Kelly (R-PA) and Joe Courtney (D-CT)
S. 58 | Sens. Dean Heller (R-NV) and Martin Heinrich (D-NM)
Streamline Employer Reporting Requirements
Legislation to streamline the employer reporting process and strengthen the eligibility verification process for the health care premium tax credit and cost-sharing subsidy.
H.R. 3919 | Reps. Diane Black (R-TN) and Mike Thompson (D-CA)
S. 1908 | Sens. Mark Warner (D-VA) and Rob Portman (R-OH)
Stop the Health Insurance Tax (HIT)
Legislation to repeal the annual fee on health insurance providers enacted by the PPACA.
H.R. 246 | Reps. Kristi Noem (R-SD) and Kyrsten Sinema (D-AZ)
H.R. 5963 (moratorium for 2020) | Reps. Kristi Noem (R-SD) and Kyrsten Sinema (D-AZ)
S. 1859 (for 2018) | Sen. Cory Gardner (R-CO)
S. 1978 (tax-deductible) | Sen. Heidi Heitkamp (D-ND)
Small Business Tax Credit (SBTC)
Legislation to expand and modify the small business tax credit to purchase marketplace health insurance coverage.
H.R. 432 | Rep. Suzan DelBene (D-WA)
S. 1254 | Sen. Debbie Stabenow (D-MI)
Legislation to repeal the 30-hour threshold for full-time employee for purposes of the employer mandate in the PPACA and replace it with 40 hours.
H.R. 3798 | Reps. Jackie Walorski (R-IN) and Dan Lipinski (D-IL)
S. 1782 | Sens. Susan Collins (R-ME) and Joe Donnelly (D-IN)
Health Savings Accounts (HSAs) Reforms
Legislation to address issues with HSAs and employer-sponsored coverage and modernize HSA regulations.
H.R. 5138 | Reps. Mike Kelly (R-PA) and Earl Blumenauer (D-OR)
Treat COBRA as Creditable Coverage for Medicare
Legislation to allow seniors enrolled in COBRA coverage to transition to Medicare Part B without a penalty, the same as seniors who remain on similar employer-sponsored coverage, by providing for a one-time special enrollment period.
H.R. 5104 | Reps. Kurt Schrader (D-OR) and Carlos Curbelo (R-FL)
Medicare Observsation Status
Legislation to allow observation stays to be counted toward the three-day mandatory inpatient stay for Medicare coverage of a skilled nursing facility.
H.R. 1421 | Reps. Joe Courtney (D-CT) and Glenn Thompson (R-PA)
S. 568 | Sens. Sherrod Brown (D-OH) and Susan Collins (R-ME)
Legislation Enacted into Law:
Restore the Medicare Open Enrollment Period (OEP)
Legislation to preserve Medicare beneficiary choice by restoring and expanding the Medicare open enrollment and disenrollment opportunities repealed by PPACA.
This legislation was signed into law by President Obama on December 13, 2016 as part of the 21st Century Cures Act. The bill was passed by the House on December 1 and by the Senate on December 7.
Small Group Expansion
Legislation to provide states with flexibility in determining the size of employers in the small group market.
This legislation was signed into law by President Obama on October 7, 2015. The bill was passed by the House on September 28 and by the Senate on October 1.