I wanted you all to know about a new website sponsored by the Health Care Foundation of Greater Kansas City that really breaks down the Affordable Care Act into simple and concise answers to questions that people may have. It is called ReformReality.org. The website is user friendly and created for the general public, not policy wonks. It answers questions like:
How will this affect children?
It is part of the foundations program to spread the word regarding reform and is a great tool.
Understanding the Regional Impact of Health Reform
The Health Care Foundation of Greater Kansas City and the REACH Healthcare Foundation are sponsoring a forum for non-profit organizations to learn more about the impact in Missouri and Kansas of the national Patient Protection and Affordable Care Act.
September 29, 2010 from 1:00 3:00 p.m.
Dunlap Hall at the Holter Conference Center
St. Paul School of Theology, 5123 E. Truman Road, Kansas City, MO 64127
The event will feature a keynote address from Judy Baker, Regional VII HHS Director, and a panel conversation with health leaders in Missouri and Kansas including Andy Allison, E.D., Kansas Health Policy Authority; Sandy Praeger, Kansas Insurance Commissioner and John Huff, Missouri Insurance Commissioner. Space is limited. Please register by September 22nd.
Prop C is getting attention from the national media. The NY Times wrote a well informed piece on the ballot initiative, making the point that it is not a true test of the popularity of health reform and its impact is not much more than a fleeting headline. Click here to read the article.
The KC Star has written several editorials opposing the measure, one by Barb Shelly entitled Proposition C will only encourage freeloading. Click here to read the column.
On radio, a story featuring Ruth Ehresman of the Missouri Budget Project is running on the public news wire which can be found here. KC’s NPR station ran a long piece on the issue with several interviews including Andrea Routh of the Alliance. Listen here.
Fact Sheet – Temporary High Risk Pool Program
The creation of a high risk pool program was proposed by Congressional Republicans and included in the historic new health reform law to help provide affordable health insurance coverage to people who are uninsured because of pre-existing conditions. States may choose whether and how they participate in the program, which is funded entirely by the Federal government.
Background on the temporary high risk pool program is available at the U.S. Department of Health & Human Services.
The information below is provided by the National Council of Non Profits.
Small Nonprofits Can Start Claiming Credit Immediately
With the President’s signing of the Patient Protection and Affordable Care Act on March 23, 2010, all qualified small employers – both nonprofits and for-profits – can immediately claim a tax credit when they pay for at least half of the health insurance premiums for their employees. The full credit will be available to employers with 10 or fewer workers with average annual wages of $25,000, while firms with up to 25 or fewer employees and average annual wages of up to $50,000 will be eligible for part of the credit.
How It Works
The small employer credit will help all small employers (defined as 25 or fewer employees and average wages below $50,000 per year) provide insurance to their employees.
- In Phase I (2010-2013), small nonprofit employers can take a credit (in the form of 25% of the employer contribution for employee insurance premiums) and apply that credit to taxes withheld through payroll (and employees would still get full credit for taxes withheld from their pay).
- In Phase II (2014-onward), the amount of the credit increases to 35%.
The law treats for-profits and nonprofits differently in these respects: for-profits get a higher rate for the credit during both phases (35% in Phase I and 50% in Phase II), but nonprofits can claim the credit each pay period whereas for-profits must wait until year-end to claim an income tax credit, and then, only if they are profitable.
What You Need to Know
The Internal Revenue Service and U.S. Department of Labor will be issuing official guidance in the future, but, in the spirit of helping people have a better understanding, here are preliminary answers to some initial questions:
- What is the maximum health insurance credit amount a nonprofit employer can claim in 2010? If the nonprofit employs 10 or fewer workers with average annual wages of no more than $25,000, the full 25% credit can be applied to the aggregate amount of actual premiums paid by employer (or a lesser average premium amount in the state, as may be determined by the U.S. Department of Health and Human Services). The nonprofit must pay at least 50% of the employee premium to qualify.
- How much is the credit if I employ more than 10 employees and/or if average pay is more than $25,000? The calculation of the phase out is complicated and should be determined with the help of an accountant. Here is a general rule of thumb for estimating the benefit of the credit:
- Subtract from 25% (.25) either or both of the following calculations.
- Number of Employees (greater than 10): Start with the total number of full-time equivalent employees, subtract 10 and divide by 15. Multiply .25 by this new number. (A nonprofit with 15 employees subtracts 10 to come up with 5, and divides by 15 for a fraction of 1/3 (0.33). Multiplying .25 by .33 establishes a Number of Employees deduction of 8.25% (.0825).
- Average Wages (greater than $25,000): Subtract 1% (0.01) for every $1000 in average salary in excess of $25,000. For example, average annual wages of $30,000 would reduce the credit by 5% (0.05) (i.e., $30,000 – $25,000 = $5,000, and subtracting 1% for each $1,000 leads to a reduction of 5%).
In the example given, the maximum credit would be reduced from 25% to 11.75%
-
- Maximum credit – Number of employees reduction – Average wage deduction = Estimated credit value
- Using the numbers from above: 25.0% – 8.25% – 5.0% = 11.75%
- So if this small nonprofit employer spends $10,000 annually in insurance premiums, it could claim a credit of $1,175 for the year.
- What employees do I count? To determine the number of full-time equivalent employees, divide the total straight-time hours of paid work at your organization by 2080 (40 hours for 52 weeks). Overtime hours worked are not included in the calculation. Presumably salaried workers should be counted as working 2080 hours, but this will be clarified in the future by the Secretaries of the Treasury and Labor. The hours of leased employees are included, but you don’t count relatives and dependents of fiduciaries, nor seasonal workers working fewer than 120 days (such as camp counselors).
- What wages count? Total wages paid, divided by the number of full time equivalents. The amount is rounded down to the nearest lowest multiple of $1,000.
- How do I claim the credit? The small employer credit can be claimed against three of the payroll taxes that nonprofits regularly send into the IRS: the employer and employee share (combined total of 2.9%) of Medicare withholding, and the federal income taxes withheld by the employer on behalf of the employee. Employees will continue to get credit for their withheld income taxes payments.
- How long can I claim the credit? The credit is available immediately through 2013, and then for two years additional years as long as insurance is purchased through a newly created exchange.
The Uninsured:A KC Survival Guide airs Monday 8pm KCPT
THE UNINSURED: A Kansas City Survival Guide
Airs on KCPT – Monday, April 26, 8pm
Even though Congress passed a contentious healthcare reform bill this Spring, health watchers caution that it will take years to implement many of its key provisions, and even then, not all uninsured Americans will be guaranteed coverage.
In The Uninsured: A Kansas City Survival Guide, KCPT sets aside the divisive politics to navigate the places metro residents can turn when they find themselves without health insurance.
From emergency room care to free health clinics, KCPT takes a realistic look at what’s available and what you might expect when you get there. Host Nick Haines talks with Kansas City residents who are already struggling to access the medical system without an insurance card. He also consults with area experts on less obvious ways to get free or reduced health services in the metro.
As frustrating as the search can be, there are places to turn for people who have lost their insurance because of layoffs or cutbacks or who are not offered affordable coverage by their employers.
In the one-hour broadcast KCPT tracks options for residents:
- without health insurance
- older children aging out of their parents insurance plans
- employees who work for small -businesses that don’t offer a health insurance benefit
- insured patients who have pre-existing conditions not covered by their health plans
During the broadcast, viewers will have the opportunity to receive a free companion resource guide providing tips, options and a comprehensive listing of organizations providing preventive, dental and eye care at no or low cost.
KCPT’s program, THE UNINSURED: A Kansas City Survival Guide is made possible by a grant from Blue Cross and Blue Shield of Kansas City. Additional resources have been provided by the member organizations of the Greater Kansas City Cover the Uninsured Coalition.
