Comprehensive Immigration Bill Introduced

Immigration stamp on a passportRep. Solomon Ortiz (D-Tex.) and Rep. Luis Gutierrez (D-Ill.) have introduced the Comprehensive Immigration Reform for America’s Security and Prosperity (CIR ASAP) Act of 2009 (H.R. 4321), an immigration overhaul bill they hope will receive serious consideration early next year. In October, Rep. Gutierrez outlined a set of core principles that he planned to include in his reform legislation. Among those principles included in the new bill are a re-vamped employment verification system, increased penalties for employer noncompliance, overhaul of the employment-based visa system, and anti-discrimination provisions.

Title II of the new legislation would likely impact employers the most by establishing an employment verification system that would eventually apply to all workers and new hires. According to a summary (pdf) of the bill, this employment verification system would:

  • Create significant civil penalties for employers who do not comply with the requirements under the new system, and establish serious criminal penalties for knowingly hiring unauthorized aliens;
  • Include privacy protections by limiting the data that can be collected and stored in the database and requiring the agencies to develop the system with maximum security and privacy protections, and prohibit the creation of a national identification card;
  • Forbid employers from using the new system to discriminate against applicants or employees on the basis of nationality, and prohibit employers from terminating employment due to a tentative non-confirmation, using the system to screen employees prior to offering employment, or using the system selectively;
  • Allow an individual to register with the Social Security Administration and acquire a PIN that would allow them electronic access to their file in the system, update their information, and lock their file for purposes of employment.

Title V of the CIR ASAP Act would amend the H-1B, H-2B and L-1 visa programs, and would permanently reauthorize the EB-5 investor program, among other things.

Although immigration reform proponents have been clamoring for an overhaul bill, the lagging economy and high rate of unemployment, combined with the looming mid-term elections, may make this issue a low priority for some lawmakers. In addition, the current focus on healthcare, climate change, and job creation legislation may force immigration reform to the back burner.

Photo credit:  David Franklin

 

Two Laws Affecting Group Health Plans Will Take Effect in October

The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) (P.L. 110-343) (pdf) and Michelle’s Law (P.L. 110-381) (pdf), two laws that impact employer-sponsored group health plans, will take effect for plan years beginning on or after October 3, 2009 and October 9, 2009, respectively.  Calendar year plans have until January 1, 2010 to comply with both laws. 

The MHPAEA requires private group health benefit plans that provide mental health and/or substance use disorder benefits to offer them on a basis equivalent to the medical and surgical benefits provided.  In order to ensure coverage parity, the act imposes several plan design requirements upon group health benefit plans that offer mental health and/or substance use disorder benefits. The bill exempts certain small group health benefit plans and those that would incur a particular level of increased costs for all benefits due to compliance with the parity rule. These exemptions are specific and narrow.

Michelle’s Law similarly imposes certain coverage requirements on group health benefit plans. In essence, this law extends the health plan benefits coverage to a dependent child who is over the age of 18 and enrolled in college and would otherwise lose coverage in the event a medically necessary leave of absence would cause the child to lose full-time student status.

For more information on these laws, see Littler’s ASAPs: Equal Mental Health and Substance Use Benefits Realized by Russell D. Chapman and Andrea Jackson; and Michelle's Law Extends Group Health Benefit Plan Eligibility for Dependent Students on a Medically Necessary Leave of Absence by Steven J. Friedman and Andrea Jackson.

Senator Baucus Formally Unveils Healthcare Bill

After much fanfare, Senator Max Baucus (D-Mont.), Chairman of the Senate Finance Committee, yesterday officially released the America’s Healthy Future Act (pdf) for his committee’s consideration. Although designed to appeal to conservatives in comparison to the House’s Affordable Health Choices Act (H.R. 3200) and a similar measure approved by the Senate Health, Education, Labor and Pensions (HELP) committee, it is uncertain whether Baucus’s bill will draw any Republican support, and enough to reach the 60 votes needed to avoid a filibuster.

The American’s Healthy Future Act does not contain the more stringent employer mandates provided for in other prominent healthcare bills under consideration, but does impose certain requirements on large businesses.  According to a summary of the bill (pdf):

Effective January 1, 2013, all employers with more than 50 employees who do not offer coverage will have to reimburse the government for each full-time employee (defined as those working 30 or more hours a week) receiving a health care affordability tax credit in the exchange equal to 100 percent of the average exchange subsidy up to a cap of $400 per total number of employees whether they are receiving a tax credit or not.

 As a general matter, if an employee is offered employer-provided health insurance coverage, the individual would be ineligible for a health care affordability tax credit for health insurance purchased through a state exchange. An employee who is offered coverage that does not have an actuarial value of at least 65 percent or who is offered unaffordable coverage by their employer, however, can be eligible for the tax credit. Unaffordable is defined as 13 percent of the employee’s income. A Medicaid-eligible individual can always choose to leave the employer’s coverage and enroll in Medicaid. In this circumstance, the employer is not required to pay a fee.

Other key provisions of this bill affecting employers and the insurance industry would do the following:

  • Provide tax credits for small businesses to help them offer insurance to their employees;
  • Require insurance companies to offer coverage to all individuals regardless of health status or pre-existing conditions. The bill would allow limited variation in premium rates for tobacco use, age, and family composition. Variation in rating would also be allowed between – but not within – a geographic area;
  • Eliminate yearly and lifetime limits on the amount of coverage plans provide;
  • Create a Simple Cafeteria Plan through which small businesses could provide tax-free benefits to employees. Eligible employers that make contributions for employees under a simple cafeteria plan would be exempt from pension plan nondiscrimination requirements applicable to highly compensated and key employees;
  • Create web-based insurance exchanges that would standardize health plan premiums and coverage information to make purchasing insurance easier;
  • Give consumers the choice of non-profit, consumer owned and oriented plans (CO-OP);
  • Require insurers by 2014 to comply with new transparency and accountability standards or pay a penalty fee. Such standards include the requirement that each individual receives an outline of coverage presented in a uniform format not to exceed 4 pages nor include print smaller than 12-point font. Other standards would mandate that insurers publish the share of their premium revenue that is used for administrative expenses and not medical benefits. In addition, the bill would impose new requirements for the electronic exchange of payment and other health care information with hospitals, doctors and other providers;
  • Require employers to disclose the value of the benefit provided by the employer for each employee’s health insurance coverage on the employee’s annual Form W-2;
  • Eliminate the deduction for the subsidy for employers that maintain prescription drug plans for their Medicare Part D eligible retirees;
  • Levy a non-deductible excise tax of 35% on insurance companies and plan administrators for any health insurance plan that is above the threshold of $8,000 for singles and $21,000 for family plans. This tax would not apply to plans sold in the individual market;
  • Impose annual flat fees across the industry and according to market share on the pharmaceutical manufacturing, medical device manufacturing, and health insurance sectors, as well as on clinical laboratories. These fees would not apply to laboratories and manufacturers with earnings below certain thresholds.

Notably, Baucus’s bill does not provide for a public insurance option, but rather calls for the creation of health insurance cooperatives. Some Democratic lawmakers have said they would not support a healthcare bill in the absence of a public option. The bill would require all individuals – with certain exceptions – to obtain healthcare coverage or pay a fee.

Markup of this bill is scheduled to begin next week. If approved by the Senate Finance Committee, this healthcare reform bill will be merged with the more liberal bill that has already cleared the Senate Health, Education, Labor and Pensions Committee for full Senate consideration.
 

 

Protecting America's Workers Act Is Reintroduced in the Senate

On Wednesday, Sen. Edward Kennedy reintroduced the Protecting America’s Workers Act of 2009 (PAWA) (S. 1580), a bill that would amend the Occupational Safety and Health (OSH) Act by expanding its coverage, increasing whistleblower protections, and enhancing employer penalties for violations. Sen. Kennedy had introduced this bill twice before, with then-Senator Obama acting as a co-sponsor in 2007. In April of this year, Rep. Lynn Woolsey (D-CA) introduced a companion bill (H.R. 2067) in the House of Representatives.

Highlights of the current bill include the following:

  • Increased civil penalties for OSH Act violations
  • Removal of the requirement that a workplace death must occur before criminal penalties can attach
  • Provision of felony charges for repeat and willful violations that result in a worker’s death or serious injury
  • Expansion of OSH Act coverage to include airline and railroad employees, as well as Department of Energy contractors
  • Creation of regulations that give workers the right to refuse to do hazardous work
  • Requirement that OSHA investigate all cases of death and serious injuries

The Senate version of PAWA has been referred to the Senate Committee on Health, Education, Labor, and Pensions.
 

Measures Would Extend COBRA Coverage

Senator Roland Burris (D-IL) has introduced a bill that would extend temporarily the 18-month period of healthcare continuation coverage required by the Consolidated Omnibus Budget Reconciliation Act (COBRA). The COBRA Coverage Extension Act of 2009 (S. 1488) would provide up to 24 months of continuation coverage under group health plans required under COBRA, the law that amended the Employee Retirement Income Security Act (ERISA), the Internal Revenue Code and the Public Health Service Act to provide continuation of group health coverage for certain qualifying former employees, retirees, spouses, former spouses and dependent children. Specifically, S. 1488 would entitle any individual who is eligible for and has elected continuation coverage under COBRA as of the date of this bill’s enactment, and whose coverage would end before 12 calendar months had elapsed from the date of enactment due to an 18-month continuation limitation, to continue coverage until a full 12 months had passed after the date of enactment, or 24 months after the date of the qualifying COBRA event, whichever is earlier. This bill has been referred to the Senate Committee on Health, Education, Labor, and Pensions.

This bill joins another recent measure aimed at extending COBRA continuation coverage. The House’s much-publicized healthcare bill, America's Affordable Health Choices Act of 2009 (H.R. 3200), includes an amendment that would extend COBRA coverage until the individual becomes covered under another employer’s group health plan or under a health insurance exchange plan, the latter of which would be created under the bill itself. The extension would not apply to certain medical flexible spending arrangements. Offered by Rep. Susan Davis (D-CA), this amendment was approved by voice vote by the House Committee on Education and Labor on July 17. Given the development of the health insurance exchange system would not be established until the year 2013 at the earliest, it is conceivable that if this bill were to pass, COBRA continuation coverage could be extended for years. This healthcare bill has been approved by both the House Committees on Education and Labor, and Ways and Means.