One more time on Congress getting special treatment for Obamacare

English: Barack Obama signing the Patient Prot...
Barack Obama signing the Patient Protection and Affordable Care Act at the White House a (Photo credit: Wikipedia)

I’ve written on this before, but listening to conservative talk show hosts like Limbaugh and Kudlow rant and rave about Congress being treated better than the rest of us when it comes to Obamacare is so annoying I have to try one more time. It’s quite frustrating thinking that so many people buy into their garbage.

Don’t get me wrong, I count myself as conservative and there is certainly a place for sound, well thought out conservative ideas, but in this case the rhetoric is simply misleading and not productive.

Here is the real deal … again.

First, if your employer provides health insurance, Obamacare does not force you to leave your employer plan and obtain coverage through a health insurance exchange.

So, if we want members of Congress to be treated like the rest of us, they should simply keep their employer coverage (The Federal Employees Health Benefits Plan) like the rest of us.

Second, Members of Congress, their staffs and every other federal employee (all one million or so) pay on average 25% of the premium, which by the way is about the average percentage of the premium paid by employees in the private sector.

Again, if we want Congress treated like the vast majority of Americans, they should continue to pay 25% of the premium.

In a move to placate critics (why I’m not sure) the Affordable Care Act contains a provision requiring Members of Congress and their staffs to obtain their health insurance through a Obamacare exchange. Taken on its face this would also require these individuals to forego their employer contribution.

As you can see, rather than being treated better than the rest of us, Congress through its ineptness shot itself in the foot. There is no reason to feel sorry for them. However, that is not the fault of the many people affected.

Members of Congress and their staffs are still being forced out of the FEHBP and must select a plan from an exchange (unlike any other employee of any other company).

But now it gets iffy. Once Congress and its staffers figured out that they were going to lose their 75% employer contribution toward premiums, all hell broke loose. In effect they were getting a cut in pay. To fix this the Office of Personnel Managed ruled that the employer contribution would stay as it is. Conservatives screamed that Congress was receiving an unfair “subsidy,” a subsidy they have been receiving long before anyone ever heard of Obamacare… a “subsidy” just like tens of millions of Americans receive from their employer.

So, Congress lost its employer benefits, but retained the employer contribution. It is certainly no better off than the rest of Americans with employer coverage and perhaps a tad worse off because of its own doing, Congress and its staff do not get to keep the coverage they have and may like.

One may criticize continuation of the employer contribution because technically it is not mentioned in the law, but neither is it prohibited. Any employer can dump workers into an exchange, pay a penalty and continue to pay something toward the cost, directly or indirectly… likely saving money to boot.

In the final analysis conservatives have a red herring and nothing more. Taxpayers are paying for federal (and state and local government) health benefits just as they have done for decades

10 comments

  1. “First, if your employer provides health insurance, Obamacare does not force you to leave your employer plan and obtain coverage through a health insurance exchange.”

    Dick, this ignores the obvious. Health Reform prompts employers to either suffer significant increases in costs or make many changes in their plans to maintain current levels of spending (with allowance for inflation). We now have over a decade of employer’s responding by adjusting their plans to moderate the shift in costs. Over the past 20 years, according to data from BLS (pretty broad based stuff), employers have, on average (and averages can be deceiving), reduced spend on direct compensation (salary, wages, etc.) by 2%, and increased the slice of the rewards pie by 2% to spend on health coverage. Health Reform triggers even greater shifts of expense for many employers – so, do you expect employers to continue to redirect rewards from pay to health coverage costs? Health Reform anticipates that will be the result – that employers will continue coverage. I don’t – particularly if the Cadillac Tax shows up in 2018 in its current form. I don’t expect employers to continue existing coverage, pay a substantial portion of the costs, and an excise tax to boot. They will either reduce coverage or drop coverage – because, remember, no Cadillac Tax for public exchange coverage.

    “So, if we want members of Congress to be treated like the rest of us, they should simply keep their employer coverage (The Federal Employees Health Benefits Plan) like the rest of us.”

    No. If Health Reform is to remain the law of the land, we want members of Congress to have to comply with its terms – like the rest of us. You wonder why this provision is in the law – who it was designed to please. What you don’t consider is that no one cared about the impact on the vast majority of non-elderly Americans when they passed the law – and targeted employers and employees who source coverage through their employer as the source of the majority of funding for the coverage expansion to others. When I am being generous, I call it buying votes. When I am being objective, I call it something else.

    So here, for members of Congress, Health Reform says go to the exchange. For the rest of us, the government recently confirmed even last week that an “applicable large employer” cannot contribute towards the cost of public exchange coverage through their health plan (or indirectly, through a Health Reimbursement Account).

    Americans say apply the law based on its terms, as written, or change the law. Americans say stop creating exceptions for the priviledged classes (waivers for unions, delays for large employers, etc.)

    “As you can see, rather than being treated better than the rest of us, Congress through its ineptness shot itself in the foot.” In law after law, Congress exempts itself. Here, they did not. Your statement suggests the status quo, where Congress treats itself as above the law or better than the rest of us, should be maintained. Yes, it is their own fault. Staffers and members of Congress wrote this crap. You are entitled to your opinion that they should not be penalized for the stupidity and inefficiencies etc. incorporated in PPACA while the rest of us should be penalized as provided in the law (new taxes, mandates, etc.).

    “To fix this the Office of Personnel Managed ruled that the employer contribution would stay as it is.” The “unfair subsidy” is that the contribution is tax free – unlike the taxability of a similar contribution made to people who are NOT members of Congress and their staffs. No, this subsidy is NOT like that received by other Americans.
    No, the employer contribution is not prohibited by the law – but, the tax treatment is!

    What people hate is that everyone in Congress and the Administration will accept a decision by a department of the bureaucracy that bestows special treatment and tax preferences and somehow defeats the clear language of the statute and tax code.

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    1. I disagree with your assessment in this situation. While long term incentives may exist for employers to act to gradually eliminate their own plans, that is not the issue here. It is simply are they forced to move employees to exchanges and they are not. While employers may not be able to supplement the exchange on a tax advantaged basis, they certainly can do it.

      I can see why the 75% contribution would appear unfair given the status of another employer contribution being taxable, but of course in one case it is to maintain the status quo and in another I suspect to deter employers dumping on the exchanges … so they will use private exchanges to do the same thing and convert to defined contribution.

      Isn’t it interesting that employers cut raises when their health care costs go up, but do not reinstate that as when they reduce “promised” benefits prospectively. The entire employment commitment seems to work only one way.

      Dick

      Richard D Quinn Editor Quinnscommentary.com

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      1. The impact of PPACA varies all over the map – significant differences of employers large vs small, public vs private, for profit vs not for profit, those who currently offer coverage and those who don’t, those who cover spouses/dependents and those who don’t, those with represented employees in multiemployer plans and those who are not unionized, those who live in texas vs thosevwho live in new jersey vs those who live in new york.

        The reasons I disagree with you, and with conservative radio blowhards are different… They know so little about how health reform’s provisions, it is a really bad joke. however, you understate the issue when you suggest it is ok for congress to ignore the tax code and regulatory guidance. Either we all follow the law or we don’t. If we don’t, obviously, voluntary compliance will be a challenge and perhaps, increasingly, a thing of the past… That is something not too be trifled with… when it comes to taxes – and it is a very big deal.

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      2. I don’t condone ignoring the tax code or regulations, but in this case I’m betting they have some legal reasoning for this. Plus my position as you know is that they are entitled to the employer match, especially the 10,000 staffers who didn’t write that ridicules provision.

        Dick

        Richard D Quinn

        Blog http://www.quinnscommentary.com Twitter @quinnscomments

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      3. Ok we agree. Pay the employer money if you like/want, just tax it the same as for all other Americans … As provided in the tax code. Don’t pick and choose statutes to enforce and comply … Ignoring what you don’t like simply because you believe you are above the law or you write the rules.

        Dick, there is no statutory support to exclude the amount from taxation for congress when the exact same funding was reconfirmed, just a week or so ago by specific agency guidance, not to be allowed for other employers on the same basis.

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  2. Good Post Dick. There is so much garbage getting posted to the internet I stopped reading it. There was one the other day going around that it was so brazaar only an idiot would believe it.

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    1. If Federal employees still get their employer/taxpayer subsidy of 75% and an employee of a private company ,that decides to pay the fine, and force their employees into the exchange doesn’t get their employer subsidy, is that not special treatment for federal employees?

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      1. Well for one thing, the employer is not being forced to treat its employees like this, more likely they will use a private exchange to do the same thing.

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      2. The point is that before the law, Congress, staff and all federal employees had a choice of many plans under the FEHBP and received a 75% employer contribution and after 1-1-14 will be in an exchange plan and receive 75% employer match only because the law forces them out of the FEHBP. The law does not force anyone else out of an employer plan. Their employer might, but that’s a separate issue.

        It seems to me there are much bigger fish to fry with Congress and with Obamacare than this one.

        Employer provided and managed health benefits are gone, it’s just a matter of time before we all realize it.

        Dick

        Richard D Quinn

        Blog http://www.quinnscommentary.com Twitter @quinnscomments

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