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Tony_FLADEM

(3,023 posts)
Fri Oct 4, 2013, 12:22 PM Oct 2013

That Congressional Exemption From Obamacare? Another Myth

“Why are Congress and their families exempt from the new plan?” a questioner named Paul asked in a recent Yahoo Finance Q&A on the Affordable Care Act. “If the coverage is inferior, why don’t they stand behind it?”

Of all the misconceptions surrounding the new health reform law known as Obamacare—and there are many—one of the newest and most infuriating is the idea that Congress made itself “exempt” from a law that puts onerous new burdens on many other Americans. That contention is totally false. In fact, members of Congress, along with their personal staffers, are required to participate in Obamacare, which is a more stringent requirement than employees of many big companies face.

The confusion is understandable. Earlier this year, Congress did, in fact, consider passing legislation that would amount to an exemption, though that never happened. Then, in August, Sen. Ted Cruz (R-Texas) said in a speech that “President Obama just granted all of Congress an exception. And he did it because Harry Reid and the Senate Democrats who passed this thing came begging and said, ‘Please, please, please let us out of Obamacare.’” Nobody actually saw Harry Reid begging, but the claim gained traction nonetheless, and a chain email containing bogus information about Congress being exempt from Obamacare started to circulate.

Here’s what really happened. When the Affordable Care Act became law in 2010, it included a passage that said: “The only health plans that the Federal Government may make available to Members of Congress and congressional staff … are (I) created under this Act (or an amendment made by this Act); or (II) offered through an Exchange established under this Act (or an amendment made by this Act).”

In plain English, that means that at the end of this year, members of Congress and their personal staffs will no longer be eligible for the federal health care plan, and they’ll have to purchase insurance through an exchange instead. That requirement was initially proposed by Sen. Charles Grassley (R-Iowa), who opposed the law, as a kind of dare back in 2009, when legislators were still debating what would go in the bill. It caught on as a populist measure and made it into the final law.

Up until now, members of Congress, like all federal employees, have been able to select insurance from a government plan that’s similar to a lot of big-company plans, with one exception: It offers a lot more choices. In fact, the government plan, which has been in place for years, is remarkably similar to the exchanges established by the ACA.

http://finance.yahoo.com/blogs/the-exchange/congressional-exemption-obamacare-another-myth-153149342.html

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That Congressional Exemption From Obamacare? Another Myth (Original Post) Tony_FLADEM Oct 2013 OP
Well, technically there is an exemption leftstreet Oct 2013 #1
Worthy of a mythbuster. n/t Agnosticsherbet Oct 2013 #2
"In fact, Obama probably couldn’t enroll in the program bearing his name even if he wanted to," PoliticAverse Oct 2013 #3

leftstreet

(36,108 posts)
1. Well, technically there is an exemption
Fri Oct 4, 2013, 12:27 PM
Oct 2013
Congress to get Obamacare exemption

http://www.marketwatch.com/story/congress-to-get-obamacare-exemption-report-2013-08-02?dist=tcountdown


LOS ANGELES (MarketWatch) -- The White House has approved a deal that will exempt members of Congress and their staff from some of the provisions of the Affordable Care Act, Politico reported late Thursday. Under the law, popularly referred to as Obamacare, lawmakers and their aides were required to source health insurance "created" by the law or offered through one of its exchanges, and without the subsidies they currently enjoy, the members of Congress would have faced thousands of dollars in additional premium payments each year, the report said. However, the Office of Personnel Management now plans to rule that the government can continue to make a contribution to the health-care premiums of the lawmakers and their staff, it said, citing unnamed congressional sources and a White House official.


One of the provisions: employers won't be able to contribute above certain amounts

Obamacare attempts to change this dynamic. Under the law, health plans that cost over $10,200 for an individual or $27,500 for a family will have to pay an excise tax of 40 percent on every dollar that they exceed that cutoff beginning in 2018. As Jonathan Gruber, an MIT economics professor who helped design the law, explained to the New York Times, the tax is meant to reorient the way that employers approach their workers’ health problems and their associated costs. “It’s focusing employers on cost control, not slashing,” said Gruber.
http://thinkprogress.org/health/2013/05/28/2064441/employers-obamacare-cut-wasteful-spending/



9: What is a “Cadillac Health Plan”?

The PPACA imposes a 40 percent excise tax on “Cadillac” health insurance plans. This new tax will apply to health plans valued in excess of $10,200 for individuals and $27,500 for families. Those thresholds will grow annually by inflation plus 1 percent. The tax takes effect in 2018.
http://www.cpehr.com/affordable-care-act-obamacare-for-business


That was changed for 'Congress'

PoliticAverse

(26,366 posts)
3. "In fact, Obama probably couldn’t enroll in the program bearing his name even if he wanted to,"
Fri Oct 4, 2013, 01:47 PM
Oct 2013

Of course he could enroll in it. The only requirements to use the exchanges (marketplaces) can be found here:

https://www.healthcare.gov/am-i-eligible-for-coverage-in-the-marketplace/

To be eligible for health coverage through the Marketplace, you:

must live in the United States
must be a U.S. citizen or national (or be lawfully present)
can't be currently incarcerated

(note if you have qualifying employer offered insurance you are ineligible for ACA subsidies).

There is no reason for him to do so of course as he gets what is pretty much the best health care
there is as part of his job.


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