Doctors Warn that ACA Pain Has Just Begun

The President’s unilateral delay of the employer mandate is about over.  Businesses with 50 or more full-time employees will have to start filing detailed reports with the IRS in January 2015, according to a statement by the Association of American Physicians and Surgeons (AAPS). “Full time” means 30 hours or more. Congressman Michael Burgess (R-Tex.) called attention to this during a conference call co-sponsored by the Galen Institute, “Penalties don’t kick in until next year, but the data collection requirements are huge and complex. Burgess said that professional assistance is likely needed.”

Employers must report the number of hours worked, as well as health insurance coverage for each worker. AAPS executive director Jane M. Orient, M.D said, “The pain from the Affordable Care Act has only just begun. Higher insurance premiums, penalties for not satisfying ObamaCare mandates, and data collection expenses are unaffordable for many businesses. Costs are passed along to workers, who may lose their job altogether or be forced to work at two part-time jobs, as well as to customers. Many businesses will decide not to expand, or could fold.” The Congressional Budget Office doesn’t count such costs to Americans, she noted.

In the King v. Burwell case, the Supreme Court could rule that ACA means what it says about subsidies only flowing  through state-established exchanges. That is the source of much uncertainty. If that is the decision, States that declined to set up an exchange could be under a lot of pressure. Orient said, “People need to remember that those subsidies are the trigger for the employer mandate’s penalties. There is no free money. Some get other taxpayers to help pay their premiums; others may lose their job.”

Last Updated 10/20/2021

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