May 2006
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Small-business health plans | Capitol Hill

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Small-business health plans

by Craig S. Brightup
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March 15 was a historic day for organizations such as NRCA that for years have lobbied Congress to pass association health plan (AHP) legislation. On that day, the Senate Committee on Health, Education, Labor and Pensions, chaired by Sen. Mike Enzi (R-Wyo.), approved and sent to the Senate S 1955—the Health Insurance Marketplace Modernization and Affordability Act of 2006. Its purpose is to facilitate creation of small-business health insurance pools across state lines, which are known as Small Business Health Plans or SBHPs. For all intents and purposes, SBHPs essentially are AHPs.

During the past decade, the House of Representatives passed AHP legislation no fewer than eight times, but this is the first time a Senate committee even has considered the issue—let alone approved it. Although the committee vote was 11-9 along party lines, S 1955 has a Democrat co-sponsor who is not on the committee—Sen. Ben Nelson (D-Neb.), who at one time was a state insurance commissioner. This is important because the National Association of Insurance Commissioners has opposed all previous AHP bills. However, they remain neutral on S 1955 because it provides a more visible role for state insurance commissioners in the oversight of SBHPs.

Opposition

Because states traditionally have regulated the sale of health insurance products, the National Governors Association remains opposed to S 1955. Organized labor and other entities that advocate government-run single-payer national health care are not supportive either. And perhaps the most vocal opponents are the patient-specific consumer groups that have been successful getting states to mandate coverage of their specific causes. For example, the American Diabetes Association is opposed because it believes SBHPs would be able to avoid state mandates on insurance...



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