Wednesday, August 13, 2008 State
Watch
Massachusetts Governor Proposes Rule That Would
Require Businesses To Contribute More to Health Coverage
Massachusetts Gov. Deval Patrick (D) on
Monday proposed a state regulation that would require businesses to
contribute more to employee health coverage or pay an annual "fair share"
penalty, the Boston Globe reports. Under existing state
law, businesses with more than 10 full-time workers must offer health
coverage or pay an annual penalty of $295 per worker. Employers could
choose either to cover at least 33% of their workers' premiums within the
first 90 days of employment or ensure that at least 25% of their full-time
workers are enrolled in an employer-sponsored plan.
The proposed
regulation would require employers to comply with both requirements or pay
the annual penalty. Public documents released on Monday stated that the
regulation, if adopted, would be implemented on Oct. 1. The new rule would
generate an estimated $45 million this fiscal year, which would be used to
close a funding gap in the state's health insurance law. A public hearing
on the proposed regulation is scheduled for Sept. 5.
Brian
Rosman, research director for Health Care For All, said, "We think this implements the
shared responsibility concept that was the hallmark of health care
reform," adding, "It makes sense to us to say to companies that offer
minimal or no benefits, 'You have to make a small
contribution.'"
The Retailers Association of Massachusetts, which represents
about 3,000 state businesses, said that the new regulation would force its
members -- especially small-business owners -- to spend thousands of
dollars more on employee health care and would lead some companies to drop
coverage altogether. Association President Jon Hurst said that hundreds of
businesses, particularly those that are seasonal, would be affected by the
proposed regulation because it would require them to submit quarterly
reports on workers' health coverage, rather than annual reports.
The proposed rule comes two weeks after lawmakers approved a
supplemental funding bill that increases funding for the state's health
insurance law by $100 million through additional assessments on insurance
companies' reserve accounts and hospitals, as well as money from the
Medical Security Trust Fund, which is used to fund health coverage for the
unemployed (Lazar, Boston Globe, 8/12).