This bill could fundamentally alter how health insurance is administered for small businesses and self-employed individuals. By allowing these associations to pool their resources and claims, they can benefit from economies of scale that typically lower insurance costs. However, existing state regulations concerning health insurance may still apply, which means local laws and benefits could vary widely, impacting the accessibility and affordability of healthcare coverage for members across states.
Summary
SB1847, known as the Association Health Plans Act, seeks to amend the Employee Retirement Income Security Act of 1974 (ERISA) to provide clarity regarding the treatment of certain association health plans as employers. The bill enables groups or associations of employers to be recognized as a single employer, allowing them to establish employee welfare benefit plans that provide healthcare coverage. The plan must cover at least 51 employees when the members' employees are counted collectively, and must be in existence for at least two years, ensuring it maintains good faith efforts beyond just providing health insurance.
Contention
A significant point of contention surrounding SB1847 is the regulation of health benefits and potential discrimination based on health status. The bill proposes strong anti-discrimination measures, ensuring that plans established by employer associations cannot deny coverage based on pre-existing conditions or health status-related factors. While supporters argue that this will enhance coverage options for small businesses, opponents raise concerns about the potential for reduced standards in benefits and protections that currently exist under state regulations. Critics are wary that this could ultimately benefit larger employers at the expense of employees' health rights.