Sign Up to Receive PHI Alerts

Bill Would Exempt Eligible Long-Term Care Providers from ACA Employer Mandate

July 24, 2014

Rep. Steve Daines (R-MT) introduced a bill on July 14 that would exempt for two years some long-term care providers from offering employer-sponsored insurance coverage to their employees — primarily direct-care workers — as required by the Affordable Care Act (ACA).

Under the ACA, employers with 50 or more full-time workers are mandated to offer health coverage or face penalties, beginning January 1, 2015. The employer mandate was already delayed a full year last July.

If the “Ensuring Medicaid and Medicare Access to Providers Act” is passed, long-term care providers whose Medicare and Medicaid reimbursements “equals or exceeds 60 percent of the total gross receipts of such employer” during a specific timeframe would have two more years before they will be required to offer health coverage.

Since publicly funded health coverage reimburses providers at a lower rate than private plans, employers who provide long-term care to primarily Medicare and Medicaid consumers are “under extra financial pressures,” said Daines, according to an article in McKnight’s Long-Term Care News.

Daines has been an opponent of the ACA.

Of all direct-care workers in the nation, 28 percent lack health insurance coverage, according to the PHI State Data Center.

— by Deane Beebe

Caring for the Future

Our new policy report takes an extensive look at today's direct care workforce—in five installments.

Workforce Data Center

From wages to employment statistics, find the latest data on the direct care workforce.