Clark Hill

Government & Public Affairs Update

November 9, 2009

 

 

 

Government & Public Affairs Team

 

R. Daniel Beattie

Alan L. Canady

Delbert J. Chenault

Roderick S. Coy

Denise Ilitch

Andrew C. Richner

Donald F. Tucker

Reginald M. Turner
John Van Fossen, Practice Group Leader

Lucius A. Vassar
Chris Wagner

 

 

Offices

 

Birmingham, MI

Detroit, MI

Grand Rapids, MI

Lansing, MI

Chicago, IL

Phoenix, AZ

Washington, DC 

  

 

 

House Approves Updated Health Care Reform Bill, 220-215

On Saturday evening, the House of Representatives narrowly approved H.R. 3962, the Affordable Health Care for America Act, a sweeping reform bill resulting from months of negotiations.  Despite holding a 258 to 177 advantage in the House, 39 moderate Democrats joined all but one Republican, Anh (Joseph) Cao of Louisiana's Second Congressional District, in opposing the bill.  Some key components of the bill include:

  • Establishes the Health Insurance Exchange within the Administration to facilitate access of individuals and employers to a variety of health insurance options, including a public option
  • Prohibits preexisting condition exclusions
  • Provides for an affordability premium credit and an affordability cost-sharing credit for low-income individuals
  • Requires employers to offer health benefits coverage and make contributions towards that coverage (exempts small businesses with payrolls below $500,000 from this requirement)
  • Provides a tax credit for small businesses who provide health care coverage to their employees
  • Imposes a 5.4% surtax on individuals whose adjusted gross income exceeds $500,000 ($1 million for married couples filing jointly)
  • Requires the option of extending coverage for children under 27 years of age
  • Prohibits aggregate dollar lifetime limits on benefits
  • Extends COBRA coverage until an individual becomes eligible for health insurance coverage under the Act
  • Provides for grandfathered health insurance coverage
  • Limits premium variances
  • Limits annual cost-sharing to $5,000 for individuals  and $10,000 for a family
  • Prohibits abortion services from being required under an essential benefits package
  • Expands Medicaid eligibility for low-income individuals and families.

"It provides coverage for 96 percent of Americans. It offers everyone, regardless of health or income, the peace of mind that comes from knowing they will have access to affordable health care when they need it," said Rep. John Dingell (D-MI).

After initially involving committee chairmen and the White House,  Senate Majority Leader Harry Reid's (D-NV) office has taken control of the bill and is sharing scant details with other Senators while crafting the final bill from the versions approved by the Health, Education, Labor and Pesions Committee and the Finance Committee.  Whatever emerges from Reid's office will differ greatly from the House bill.

Reid said his goal is to have health care reform wrapped up by year's end.

 

 

If you have any questions concerning these issues, please contact Chris Wagner at 202.772.0924 or cwagner@clarkhill.com.

 

 

To find out more about Clark Hill and our Government & Public Affairs Practice Group, visit clarkhill.com or call 800.949.3124

 

 

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