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September Labor Bulletin

September 17, 2016 
By Michael Jordan

MagnaCare Labor Bulletin: Affordable Care Act A Hot Topic for Presidential Candidates  
What If They Repealed the Affordable Care Act?
Unions and other plan sponsors continue to grapple with healthcare cost spikes in response to rising drug prices and added costs associated with expanded coverage for more Americans. In this issue of the MagnaCare Labor Bulletin, we ask the question: How would repealing the Affordable Care Act (ACA) affect healthcare insurance coverage and costs?

Today’s Topic:  What If They Repealed the Affordable Care Act?
Trump wants to repeal, and Clinton wants to expand the law. Meanwhile, 78 percent of plan sponsors say they would maintain their current level of coverage mandated by the ACA, no matter what happens.
What’s the Point of the ACA?
Before the ACA, the American healthcare system had grown to an unsustainable rate, leaving many Americans and businesses priced out of affordable care. Without addressing this crisis, experts projected that healthcare costs would bankrupt the country incrementally and exponentially year after year. The ACA is intended to make health insurance coverage more secure and affordable for families and businesses, and curtail skyrocketing healthcare costs.  
What is the Patient Protection and Affordable Care Act?
What Are the Chances of Repeal?
Many Republicans are running for election on a promise to repeal the ACA, including presidential nominee Donald Trump and House Speaker Paul Ryan. Overturning the law, however, would eliminate some of its popular  features, such as the individual mandate requiring that nearly everyone get health coverage, and guaranteed coverage for individuals with pre-existing conditions. In addition, more than 20 million people would lose benefits and become uninsured, reversing a historic trend of expanded coverage.
Donald Trump vows to repeal Obamacare, promising Americans 'can choose your doctor again' at RNC
Healthcare IT News
Budgetary and Economic Effects of Repealing the Affordable Care Act
Congressional Budget Office
U.S. Uninsured Rate at 11.0%, Lowest in Eight-Year Trend
The Impact of Repeal
Organized labor fought hard to help pass the ACA, and is not pushing for its repeal. Labor is, however, continuing to push for repeal of the Cadillac Tax – the law’s potentially most costly mandate for unions and businesses alike. It’s interesting to note that, among plan sponsors that have shifted to high-deductible health plans, 68 percent said they would not undo this if the Cadillac Tax is repealed.  
A new report from the International Foundation of Employee Benefit Plans gauges how plan sponsors would react if the ACA were to be repealed:
•    78 percent would keep in place at least some of the provisions they have already implemented in their health plans

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