How HDHPs Will Be Affected By Health Care Reform (HR 4872)
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March 25, 2010 by:
HDHPexpert
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Thus far it is very unclear how high-deductible health plans (HDHPs) will be affected by health care reform.
When searching the full text of the bill, H.R. 4872, there are zero occurrences of the word ‘HDHP’, zero occurrences of the word ‘HSA’, and not one single mention of the word ‘deductible’. Of course this doesn’t mean the bill won’t change high deductible plans and contribution limits, however as of today it does not look like there are any major changes being currently proposed.
The bill does aim to reduce the maximum pre-tax contributions that can be made to a Felxible Spending Account (FSA). Essentially cutting the maximum in half from $5000 per year to $2500 starting in 2012.
If the federal government does indeed drastically limit the annual pre-tax contributions to an FSA, it is not a stretch to think that future legislation will seek to limit HDHP contributions. More on this as it develops. Current HDHP contribution figures can be found here.
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Here is what I’ve been trying to ascertain about the Obama plan is this aspect about pre-existing conditions… Is there any stuff in the bill about if there is a cap on what insurance plans can demand if you have a pre-existing problem?
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Pre-existing condition limitations for children are out as of this year (2010). Major limitations on what insurance carriers can consider ‘pre-existing’ for children and adults are coming in 2014.
Keep in mind though that no insurance system will work if individuals are allowed to enroll in insurance only when they need it and terminate it when they don’t. We can’t have a system where individuals can obtain insurance from a hospital bed and have the insurance carrier cover the cost of that hospitalization. This would be similar to someone getting in a car accident and calling a car insurance company after the accident to set up a policy.
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