The Affordable Care ActPresented by

Marco GiamberardinoExecutive Director

NECA Government AffairsOctober 14, 2013

Protecting Your InterestsThe Challenge: Legislators and Regulators are

making decisions each and every day that are impacting electrical contractors at the National and/or state level:• How to get our sector back to work?• Can NECA Contractors stay competitive?• How can we protect Taft-Hartley Health Plans?• Will Congress make any changes to our plans?• How much will more will health care cost?

$64,000 Question: How will ObamaCare impact NECA contractors nationwide?

The Road to Health Care Reform:

How We Got Here

How We Got Here

The Affordable Care ActA Historic Milestone•ACA was sold on three general principles:

• Make Health Care “Affordable”• Universal Health Care for All• Guaranteed Choice

The Art of the Deal: WH Promises to Core Supporters•Labor collectively one of the strongest supporters of ACA

• Taft-Hartley Plans would be taken care of• Technical Corrections Package Promised

Ad Hoc Legislating: A Case Study

Legislation Was Poorly Crafted:•Left to Congress to Cull Together• Senate 1st Draft is What

Ultimately Passed• “Real” House Draft Never

Got Considered• No Technical

Corrections

ACA Unveiled

Where We Are Now

ACA Reality CheckThe ACA Cannot Be Repealed:•Supreme Court Affirmation of ACA

•President Obama was re-elected•Democrats retained control of the Senate

ACA Reality CheckReality Sets In: The Facts Are Revealed:•Administration unveils ACA rules

• 3 days after the 2012 election•Growing concerns over impact •Labor support publicly wanes•Congressional Dems publicly grow concerned•Administration announces delays & problems•Congress held new series of hearings on mandates, escalating costs, exchanges, implementation•Shutdown Showdown:• Ping-Pong game over “defunding”, delay, shutdown

ACA Broken PromisesWhite House-Labor Talks•House repealed/modified ACA 43+ times since 2011•Labor met with the WH more than 43 times since enactment of the ACA•Friday the 13th: President Obama tells Labor “NO”

• Multiemployer Plans will not be Qualified Health Plans• No tax subsidies for Taft-Hartleys for employer-provided health

coverage• Multiemployer Plans hit with $63 per person reinsurance fee• No alternative solutions for Multiemployer Plans

Labor’s Argument: •Our plans serve a different purpose, different workforce, than traditional plans, and deserve waiver•Would make the plans extremely, even uniquely, attractive to employers

Where We Are Going…NECA Leading the Industry:•Questions Answered: NECA Documents

• ACA FAQs• Recorded NECA ACA Webinars• NECA ACA Issue Policy paper

The Prescription for Rewriting the ACA Has Begun:•Meetings held with EVERY Senate Democrat and most Senate Republicans since July•Many meetings held with most House leaders

Reform and Repair the ACA• Repeal Transitional Insurance Fee• Repeal the “Cadillac Tax”• New insurance market rules must be repealed to

combat “Rate Shock”• Free-Rider Penalty for Large Employers Must Be

Addressed• Repeal Restrictions on Health Savings Accounts

and Flexible Spending Accounts• Enact Medical Malpractice Reform• Enact Medicaid Reform

Conclusions• Elections and Subsequent Policy

Decisions have Major Consequences for the Industry

• The Industry Needs to Participate in the Process

• NECA is Working to Protect Your Interests

Thank You for Your Support!

NECA Government Affairs

Marco GiamberardinoExecutive Director

NECA Government Affairs marco@necanet.org

(301) 215-4522