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A wonderful small MT company in my town will soon be faced with closing if the Health Care Reform bill is passed. She does not provide health insurance for her MTs but pays them well enough that they can afford their own (14 cpl). She cannot afford health insurance for them because her group is too small for any significant discounts. If the Health Care Reform passes which states that employers who do not provide health insurance will be fined/taxed $750 per employee, this MT company will be gone. There is no way she could afford to pay $30,000 in fines or taxes to the federal government.
It makes me wonder how many smaller companies will fail if this bill passes. Even larger companies who do not offer health insurance may find it easier to close their doors than pay the $750 per employee.
In addition, those MTs left without coverage will be faced with having to either buy insurance, go with the government run health care or be fined or put in jail, if they do not have either. As was said lately to rationalize this "everyone has to have car insurance, so why not make everyone have health insurance." What a stupid rationale that is.
So let's hope that this bill dies quickly. Even though it does not take effect for 3-4 years, the taxes and fines start right away. Small businesses of all types will be closing and this most certainly will include some well known and well liked MT companies.
;The following are excerpts from the actual bill(s). Of course, everything could change when they try to combine the House Bill with the Senate Bill. As it stands now, it looks like that small MTSO should not be concerned (if your numbers are accurate and actually only 40 MTs). That is the good news. The bad news is that they will probably never be able to increase the total number of employees (including office staff, tech staff, etc) to more than 49 people. That will dramatically impair their ability to take on new accounts in the future. In effect, the Health Care Reform Bill is going to prevent small MTSOs from ever becoming medium-sized MTSOs, without a major infusion of owner money to keep them afloat until new accounts bring in enough money to cover the added expenses for new employee’s insurance. So much for capitalism.
REQUIREMENTS FOR EMPLOYERS: Not required to offer coverage, but companies with more than 50 employees would pay a fee of $750 per employee if the government ends up subsidizing employees’ coverage.
SUBSIDIES: Tax credits for individuals and families likely making up to 400 percent of the federal poverty level, which computes to $88,200 for a family of four. Tax credits for small employers.
REQUIREMENTS FOR INDIVIDUALS: Almost everyone must get coverage through an employer, on their own or through a government plan. Exemptions for economic hardship. Those who are obligated to buy coverage and refuse to do so would pay a fine starting at $95 in 2014 and rising to $750.
HOW YOU CHOOSE YOUR HEALTH INSURANCE: Self-employed people, uninsured individuals and small businesses could pick a plan offered through new state-based purchasing pools. Would generally encourage employees to keep work-provided coverage.
BENEFITS PACKAGE: All plans sold to individuals and small businesses would have to cover basic benefits. The government would set four levels of coverage. The least generous would pay an estimated 60 percent of health care costs per year; the most generous would cover an estimated 90 percent.
INSURANCE INDUSTRY RESTRICTIONS: Starting in 2014: no denial of coverage based on pre-existing conditions. No higher premiums allowed for pre-existing conditions or gender. Limits on higher premiums based on age and family size. Starting upon enactment of legislation: children up to age 26 can stay on parents insurance; no lifetime limits on coverage.
GOVERNMENT-RUN PLAN: In place of a government-run insurance option, the estimated 26 million Americans purchasing coverage through new insurance exchanges would have the option of signing up for national plans overseen by the same office that manages health coverage for federal employees and members of Congress. Those plans would be privately owned, but one of them would have to be operated on a nonprofit basis, as many Blue Cross Blue Shield plans are now.