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Government Relations Action Alert

Contacts Needed NOW to all Senators Opposing the Small Business Health Fairness Act (S.545)

THE ISSUE AT HAND

The full Senate may consider the Small Business Health Fairness Act, S.545 when it returns from its August recess in September. The House version (H.R.660) passed earlier this summer, largely along a party-line vote. NASW and our coalition partners are concerned the Senate bill could appear suddenly on the Senate floor for consideration. S.545 aims to provide small businesses, including associations, with lower cost and bare bones health insurance for their employee groups through association health plans (AHPs). NASW is highly supportive of increasing access to health care coverage for working people, but we oppose S.545, because it would exempt AHPs from state laws and regulations, eviscerating existing consumer protections, and increasing health insurance costs for those employee groups left out of the new plans.

ACTION NEEDED

All members of the Senate must be contacted immediately to hear opposition to S.545. Please call, fax, or e-mail your U.S. Senator and ask him or her to oppose the Small Business Health Fairness Act, S.545. A sample letter opposing the bill has been posted on NASW's Congress Web to e-mail or fax to Members of Congress. A sample phone message also follows. All Senators can be reached through the Capitol switchboard at 202-225-3121 to obtain their individual fax numbers. E-mail addresses are available through NASW's Congress Web: www.socialworkers.org/advocacy/grassroots/congressweb.asp  If you make a phone call, please let us know via e-mail at advocacy@naswdc.org

Sample Phone Message

My name is _________ from ________ (city, state). As a constituent, professional social worker, and member of the National Association of Social Workers, I am calling to ask Senator _________ (last name) to oppose the Small Business Health Fairness Act, S.545, which would exempt association health plans from state laws and regulations, thereby eviscerating existing consumer protections and coverage requirements and increasing insurance premiums for those left behind. I would appreciate the Senator’s strong opposition to this bill. Thank you.

TIMING

It is critical for opposition to be heard by early September, since S.545 may receive rapid floor consideration next month. The bill has strong support from small business advocates and Senators are now receiving many communications in support of the bill, which must be offset.

BACKGROUND

AHPs offer small businesses the opportunity to join together through trade and professional associations to collectively purchase health benefits at lower rates than they are typically offered individually. Current law requires AHPs to be regulated under both federal and state law. The Small Business Fairness Act would exempt AHPs from state laws, consumer protections, mandated benefit laws, and other safeguards­ thus, significantly increasing the risk for fraud and abuse. Recently, failures of association-type health plans have left more than 100,000 participants nationwide with over $30 million in unpaid medical bills. The National Association of Attorneys General warns that a mid-1970s experiment with a similar type of plan left at least 398,000 consumers stuck with a total of more than $123 million in unpaid claims. "Elimination of the state role and replacement with weak federal oversight is a bad deal for small businesses and for consumers," they warn.

The National Governors' Association, the National Conference of State Legislatures, many large health insurers, the National Association of Insurance Commissioners, and NASW have strongly opposed AHPs before Congress. Our reasoning is that, although AHPs could reduce insurance costs for some companies with young, healthy workers, many small businesses with older and higher risk employees would be left behind in the regular insurance market, facing significantly higher rates. The Congressional Budget Office estimates that AHPs would result in higher premiums for 80 percent of small businesses and their workers, ultimately resulting in more uninsured Americans.

TAKE ACTION NOW!

THANKS FOR YOUR ADVOCACY

 
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