| 00:00:27 |
Ellmers, Renee - U.S. Representative, [R] North Carolina
MINUTED. >> ALL RIGHT. WE'RE GOING TO GO AHEAD AND GET STARTED. GOOD MORNING TO EVERYONE. I CALL TO HEARING TO ORDER. I WANT TO THANK THE WITNESSES...
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| 00:03:43 |
Richmond, Cedric L - U.S. Representative, [D] Louisiana
HEARING THEIR INPUT ON HOW WE CAN HELP TO REDUCE THE IMPACT OF SOME OF THE HEALTH CARE LAWS UNCERTAINTY, MANDATES, REGULATIONS, AND REQUIREMENTS FOR...
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| 00:07:47 |
Ellmers, Renee - U.S. Representative, [R] North Carolina
THAT IS HAVE TAKEN THEIR TIME OUT OF THE BUSY SCHEDULES TO BE HERE TODAY. I LOOK FORWARD TO HEARING FROM ALL OF YOU ALL. WITH THAT, I YIELD BACK. >> THANK...
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| 00:08:44 |
Larsen, Steve - Deputy Director
OVERSIGHT OR THE CCHIO, THE CENTER OF MEDICAID AND MEDICARE SERVICES. PRIOR TO HIS CURRENT POSITION, MR. LARSEN SERVED AT DIRECTOR OF THE DIVISION...
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| 00:14:13 |
Ellmers, Renee - U.S. Representative, [R] North Carolina
EXCEPTIONS. THE JUNE 17TH, 2010 AND NOVEMBER 17TH, 2010 RULES ON GRANDFATHERING LIST SEVERAL CHANGES THAT DISQUALIFY A PLAN FROM BEING GRANDFATHERED....
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| 00:14:35 |
Larsen, Steve - Deputy Director
OF ADDITIONAL ADMINISTRATIVE GUIDANCE. TO EXCHANGE HOW PLANS MUST COMPLY TO CONTINUE TO BE GRANDFATHERED, I'M WONDERING HOW CAN SMALL BUSINESSES COUNT...
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| 00:17:55 |
Altmire, Jason - U.S. Representative, [D] Pennsylvania
WE ARE ANTICIPATING ANYTHING. BUT WE CONTINUE TO REVIEW THESE. AS THEY NEED TO BE TWEAKED AND IMPROVED IF THEY NEED AROSE, WE CAN LOOK AT THAT AS AN...
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| 00:18:23 |
Larsen, Steve - Deputy Director
LEAD TO DECLINE IN EMPLOYER-SPONSORED COVERAGE. IN YOUR VIEW, WILL MOST SMALL FIRMS DROP THEIR COVERAGE OR SIMPLY PAY THE PENALTY? AND WHAT YOU DO EXPECT...
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| 00:22:15 |
Ellmers, Renee - U.S. Representative, [R] North Carolina
LOWERING THE COST? >> I KNOW THERE ARE VARYING ABOUT THE ELIGIBILITY AND RATE. WE ARE CURRENTLY WORKING WITH OUR COLLEAGUES AT TREASURY AND IRS TO...
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| 00:23:07 |
Larsen, Steve - Deputy Director
BUSINESS EMPLOYERS WHO HAVE -- WHO DON'T HAVE THE BENEFIT TO LARGE ADMINISTRATIVE STAFFS OR OUTSIDE BENEFIT COUNSELORS TO ADVISE THEM TO BE EXPECTED...
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| 00:31:28 |
Ellmers, Renee - U.S. Representative, [R] North Carolina
INSURANCE IS ON THE HEALTH OF THOSE BUSINESSES AND THEY ARE VOTING TO GROW. THE AFFORDABLE CARE ACT CONTAINING MANY PROVISIONS THAT I THINK ARE DETRIMENTAL...
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| 00:32:08 |
Holtz-Eakin, Douglas J. - President
HELP. THE TAX CREDIT IS STRUCTURED IN A WAY THAT PENALIZED GROWTH. IF YOU HAVE WORKERS AND PAY HIGHER WAGES. EVEN THE TEMPORARY TAX CREDIT GETS SCALED...
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| 00:37:13 |
Kingston, Jack - U.S. Representative, [R] Georgia
PACKAGE, INCLUDING A GOOD BENEFIT PACKAGE, WORKER SAFETY, A GOOD ENVIRONMENT TO WORK IN, AND HAS MANY EMPLOYEES WHO HAVE BEEN WITH HIM ON THE MANAGEMENT...
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| 00:39:25 |
Vaughn, Brian - President, Douglas
2001 I BOUGHT OUT MY PARTNER'S INTERESTS AND TODAY, I OPERATE THESE FOUR RESTAURANTS WITH MY WIFE CINDY. AT OUR FOUR RESTAURANTS WE ARE PROUD TO HAVE...
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| 00:45:05 |
Ellmers, Renee - U.S. Representative, [R] North Carolina
WERE UNDER 50 -- EXCUSE ME, SMALL EMPLOYERS WHO ONLY HAD 50 OR FEWER EMPLOYEES. IT WAS A NATIONALLY RANDOM SAMPLE, IT WASN'T JUST THE NFIB MEMBERS....
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| 00:45:37 |
Dennis, William J. - Senior Research Fellow
QUITE SIMPLE, I THINK. THE FIRST IS THAT WE ESSENTIALLY ARE IN THIS PERIOD OF DECLINING OFFER RATES BY THIS SERIES OF FIRMS. THEY'RE 42% NOW, WHICH...
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| 00:51:28 |
Altmire, Jason - U.S. Representative, [D] Pennsylvania
IT CHANGES. IT IS, IF YOU, THE EMPLOYEE, AS INDIVIDUAL ENROLLEE LIKE YOUR COVERAGE, YOU CAN KEEP IT. IN FACT, MOST EMPLOYEES DO HAVE INSURANCE THROUGH...
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| 00:52:04 |
Jost, Timothy - Professor
AS 5%. THEY CAN ADD NEW EMPLOYEES AND NEW DEPENDENTS. OF COURSE, IF THE PLAN CHANGES TOO MUCH, IT CEASES TO BE THE PLAN IT WAS. IT'S PROBABLY NO LONGER...
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| 00:57:02 |
Ellmers, Renee - U.S. Representative, [R] North Carolina
ARE DROPPING, PREMIUMS CAN'T CONTINUE TO RISE. THEY'RE GOING TO COME DOWN. AND WE ALREADY SAW THAT IN CONNECTICUT WHERE ONE INSURER DROPPED ITS RATES...
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| 00:57:26 |
Jost, Timothy - Professor
EARLIER WAS, WILL IT DRIVE SMALL INSURERS OUT OF THE MARKET? I'VE READ ALL THE STATE ADJUSTMENT REQUESTS THAT HAVE GONE FINAL, AND ONLY IN ONE STATE...
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| 00:59:01 |
Vaughn, Brian - President, Douglas
LIKELY DROP COVERAGE, AND WHAT IT WILL DO TO THE COST OF INSURANCE, I HAVE NO IDEA. THANK YOU. >> MR. DENNIS? >> ONE OF THE THINGS THAT'S REALLY IMPORTANT...
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| 01:00:18 |
Dennis, William J. - Senior Research Fellow
FROM THE LAST FIVE YEARS, IS THE RELATIVE DEMAND AND THE RELATIVE PURCHASES, IF YOU WILL, OF VARIOUS SERVICES HAVE BEEN MUCH SLOWER THAN AVERAGE. AND...
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| 01:02:44 |
Holtz-Eakin, Douglas J. - President
THE TIDAL WAVE UNDER CONTROL, PREMIUMS GO UP. >> THANK YOU. I HAVE ONE MORE QUESTION FOR YOU AT THIS TIME. DO YOU THINK THE HEALTH CARE'S MANDATE...
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| 01:04:20 |
Jost, Timothy - Professor
WORK. I THINK UNDER THIS LAW IT'S GOING TO CONTINUE TO WORK THAT WAY, IT'S JUST THAT EMPLOYEES AND INDIVIDUALS ARE GOING TO HAVE BETTER HEALTH CARE ...
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| 01:05:40 |
Vaughn, Brian - President, Douglas
1973, AND IT'S CONSTANTLY SHOWING THAT SMALL BUSINESSES ARE MUCH MORE PESSIMISTIC AND FEEL MUCH LESS -- HOW CAN I SAY -- FAVORABLE TOWARD THE ECONOMY...
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| 01:06:18 |
Dennis, William J. - Senior Research Fellow
WHAT DOES THAT HAVE TO DO WITH IT? IT SIMPLY MEANS IF THE GOVERNMENT HAS IT, THEN YOU DON'T HAVE IT, AND YOU HAVE LESS AVAILABLE TO DO THAT. SO THE...
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| 01:09:28 |
Altmire, Jason - U.S. Representative, [D] Pennsylvania
EXCLUSION. THAT CLEARLY IS INEQUITABLE, AND REALLY, I THINK IN THE LONG TERM, IT'S GOING TO HURT SMALLER FIRMS AND THEIR ABILITY TO PROVIDE THIS SORT...
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| 01:10:06 |
Dennis, William J. - Senior Research Fellow
LONG TERM, WE JUST CAN'T HAVE THAT. WE HAVE TO START BEING MORE PARSIMONIOUS ON THESE THINGS. >> SO YOU'RE IN SUPPORT OF THAT POLICY CHANGE? >> OF --...
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| 01:11:52 |
Vaughn, Brian - President, Douglas
SENSE? THERE ARE OTHER INDUSTRIES, WHETHER IT'S FINANCIAL OR INSURANCE INDUSTRIES, THEY'RE $10,000 PLUS PER EMPLOYEE, PROFIT PER EMPLOYEE. SO MY...
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| 01:13:56 |
Jost, Timothy - Professor
ANOTHER SUBSIDY FAVORS HIGH WAGE WORKERS. THOSE WHO CONCLUDE THERE WILL NOT BE AN EMPLOYEE DROP ARE COUNTING ON THE FACT THAT THAT TAX SUBSIDY FOR HIGH...
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| 01:14:39 |
Holtz-Eakin, Douglas J. - President
IN SUBSIDIZED COVERAGE FOR HEALTH INSURANCE, AND IT'S ABOUT HAVING A TAX SYSTEM THAT IS FAIR ACROSS THE LOW-END AND HIGH-WAGE WORKERS AND PROVIDES BETTER...
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| 01:19:29 |
King, Steven "Steve" - U.S. Representative, [R] Iowa
1995, AND WE PROVIDED NOT THE FIRST DAY BECAUSE I DIDN'T HAVE EMPLOYEES THE FIRST DAY, BUT OVER TIME, AS WE BEGAN TO ACCUMULATE EMPLOYEES, I TOOK...
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| 01:23:44 |
Jost, Timothy - Professor
COMMERCE WITH THE PURCHASE OF HEALTH INSURANCE, AND IF YOU EXPAND THE ARGUMENT TO UTILIZING HEALTH CARE SERVICES, IF AN INDIVIDUAL IS BORN AND DIES IN...
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| 01:27:00 |
Ellmers, Renee - U.S. Representative, [R] North Carolina
FIVE YEARS. EVERY TIME THOSE PREMIUMS GO UP, THEY COME UP AT EXPENSIVE WAGES. THERE'S NO WAY AROUND THAT. SO EVEN THOSE OSTENSIBLY SPARED THE GREATEST...
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| 01:27:27 |
Holtz-Eakin, Douglas J. - President
EMPLOYEES, SO 30 FULL-TIME AND A NUMBER OF PART-TIME. WITH THE EMPLOYEE MANDATE IN THE HEALTH CARE LAW, IS IT LIKELY YOU WILL CREATE ANY ADDITIONAL FULL-TIME...
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| 01:28:42 |
Vaughn, Brian - President, Douglas
WELL? >> I THINK SO. OBVIOUSLY, SOMEONE MENTIONED EARLIER THAT WAGES SHOULD BE A FUNCTION OF COMPETITION IN THE MARKET. AND I THINK THOSE OF US THAT...
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| 01:30:54 |
Jost, Timothy - Professor
BUSINESSES PROVIDE LESS RICH BENEFITS THAN LARGE BUSINESSES, BUT I TRIED TO CHECK ON THAT THE OTHER DAY AND FOUND OUT THAT, IN FACT, IF YOU LOOK AT...
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NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.