Under America’s Affordable Health Choices Act, H.R. 3200,employers would have to pay 72.5% of the premium for individual coverage and 65% of the premium for family coverage, according to a Business Insurance report.
Workers with individual coverage could not be required to pay more than $5,000 per year in out-of-pocket expenses, while such expenses would be capped at $10,000 for enrollees with family coverage, the report said. I ndividuals would be required to get coverage, either through their employer or a buying pool, or pay a penalty.
Preventive services would have to be covered without any employee cost-sharing and employers could not restrict new employee coverage because of pre-existing medical conditions, under the bill, according to the Business Insurance report.
Most employers not meeting the requirements would be hit with a penalty equal to 8% of pay for each employee to whom they did not offer coverage.
For employers with more than $250,000 in annual payroll, the penalty would begin at 2% of payroll, rising to the full 8% penalty for employers with annual payrolls above $400,000. However, employers with an annual payroll of $250,000 or less would be completely exempt from offering coverage or paying an assessment, Business Insurance said.
The reform measure would be funded in part by a new graduated surcharge on annual income of more than $350,000, Business Insurance said.
According to the Business Insurance report, the proposal would reimburse employers providing coverage for pre-Medicare eligible retirees at least age 55. Under that provision, employers would be reimbursed for 80% of the cost of a claim between $15,000 and $90,000.
Introducing the bill Tuesday were U.S. Representative George Miller,(D-California), chairman of the House Education and Labor Committee, U.S. Representative Charles B. Rangel, (D-New York), chairman of the Ways and Means Committee, and U.S. Representative Henry A. Waxman , (D-California), chairman of the Energy and Commerce Committee. The three panels, which have jurisdiction over health policy, are expected to begin considering the measure as early as this week, according to a Miller news release.
More information is also available on the social network site Facebook at http://www.facebook.com/pages/Health-Care-Reform/91591195417 .
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