* New Jersey's coverage of poor families with children will
continue under Medicaid, but a new group -- childless adults -- will
be added, if Governor Christie decides to go along with the law. The
Supreme Court's decision took away the penalties for states that do
not implement that part of the law, leaving more discretion to the
states. New Jersey already meets the threshold set by the law when
it comes to families with children. The state currently provides
Medicaid coverage to 1 million people, or 11 percent of the
population.
* The uninsured -- 1.3 million or 15 percent of the state's
population -- have a few possibilities. The poorest -- single adults
with less than $14,857 income a year, or couples earning less than
$20,124 -- would qualify for Medicaid, if the governor agrees to its
expansion. That would take care of about 300,000 people in 2014.
Most of the rest could shop for insurance on a newly created
state health exchange, required under the law. The exchange would be
available to single people whose incomes are as high as $44,680, or
families with incomes as high as $92,200, based on the 2012 federal
poverty level. Enrollment through the exchange is expected to grow
from about 189,000 in 2014 to more than 500,000 after eight years.
Christie said after the Supreme Court ruling that he'll veto the
state Legislature's effort to create an exchange. He has already
done so once. It may not be known until after the November
presidential election if he'll propose an alternative or allow the
federal government to set one up, as the law provides.
The exchanges would provide plans that vary in price depending on
the level of coverage. Those who buy through the exchange would be
subsidized via tax credits, under the law. A few scenarios: A family
of four earning $22,050 could be required to pay no more than $441
per year toward the $12,000 premium. A family of four earning about
$88,000 would be required to pay $8,379 towards that same premium.
If the cost of insurance on the exchange is unaffordable, people
would be exempt from buying insurance and paying penalties. The law
sets the definition of "affordable" on a sliding scale.
Small businesses could also shop for insurance for their
employees on the exchange.
But here's the catch, and the most hotly debated part of the law:
If a business with more than 50 workers doesn't provide insurance to
its employees, or if an individual who files federal income taxes
doesn't buy coverage, the business or individual will have to pay a
penalty. For businesses, the penalty is roughly $2,000 per employee.
For the individual, it is $695 ($2,085 per family) or 2.5 percent of
income, whichever is greater.
The White House projects that 1 percent of Americans who will be
able to afford health insurance will choose not to buy it. The
secretary of Health and Human Services could give hardship
exemptions.
This penalty was at the crux of the Supreme Court's deliberations
and the element that got the most media attention. Chief Justice
John Roberts called this penalty a "tax" in his decision Thursday.
Congress is within its constitutional powers to levy a tax, he said
in upholding the law.
Opponents of health care reform, including Christie and Steve
Lonegan, state director of Americans for Prosperity, a group
associated with the Tea Party, have seized on his language. The law
is a "massive tax on middle class Americans," Lonegan said Saturday,
adding that the state's economy can ill afford the effect of the
penalties on small businesses.
The additional costs of insuring their workers would simply be
passed through to customers in the form of higher prices, say some
business owners, such as Albert Manzo of The Brownstone catering
venue in Paterson. Or, as Manzo suggested, it might make better
business sense to pay the penalty.
Democrats, on the other hand, say the law has the opposite
effect.
"People who have insurance are going to get a tax cut," said Rep.
Frank Pallone, D-Monmouth, an architect of the reforms. "They're
going to get coverage and pay less."
The law would eliminate the "freeloader tax" that every insured
American pays in extra premiums for people who use the health care
system but lack coverage, they say.
"They won't have to pay $1,000 extra in health care costs to
cover the cost of people without insurance," said U.S. Sen. Bob
Menendez. "Ninety-five percent of Americans will never be subject to
any penalty at all," he added. "The remaining 5 percent who
willingly choose not to have coverage and pin the cost on all of us,
they're the only people subject to any tax."
Each side will press its message going into the November
elections, the next acid test for health care reform in America.
Most Popular Stories
- SEO Traffic Lab Celebrate Wins at Digital Marketing Event 'Internet World 2013' in London
- Social Media Initiatives Should Follow Customers' Lead
- Apple CEO: Offshore Units Not a 'Tax Gimmick'
- U.S. Senate Accuses Apple of Large-scale Tax Avoidance
- UTEP Water Recycling Project Wins Venture Titles
- Marketo Makes a Mint in IPO: Stock Shoots Up More than 50 Percent
- Bieber Booed at Billboard Awards
- Crude Oil Up, Gasoline Down
- Austin Startup Compare Metrics Raises $3.5 Million for Expansion
- Why So Many Top 'Car Guys' Are Actually Women
News-To-Go
Advertisement
Advertisement
News Column
Health Changes Small for Majority
Page 2 of 2
Source: (C) 2012 The Record, Bergen County, NJ.
1 | 2 | Next >>
Story Tools



