ACA Employer Mandate Survey Closed: Preliminary Results
On January 1, 2015, many home care companies will face significant increased costs for employee health insurance or large financial penalties under the ACA employer mandate. That is the overall indication from responses to NAHC’s 2014 ACA Employer Mandate Impact Survey. “These results mirror the 2013 results, thereby indicating that home care companies have not found reasonable solutions to address the requirements of the ACA employer mandate,” stated Bill Dombi, NAHC’s VP for Law who managed the survey development.
A high priority policy issue for NAHC since the ACA was enacted in 2010, the organization has been to create solutions for home care companies relative to the employer mandate. NAHC has advocated for the elimination of the mandate, exceptions for home care and hospice companies, changes to the definition of “full-time” employee, delays in the effective date of the requirements, tax subsidies for private pay clients, increased Medicaid rates, and more in hopes of finding one or more solutions. NAHC President Val J. Halamandaris successfully took the message to the White House in 2012 and 2013, leading to delays in the application of the mandate. However, beginning January 1, 2015, any employer of 100 or more full-time equivalent (FTE) employees will find the mandate taking effect.
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