Charles P. Rosen, CHRS

CAHU Past - President

VCAHU – Legislative Chair

Challenges Facing HU

Declining membership

Low morale

Lingering apprehension

Declining participation in HU meetings

Lots of bad news

Fear of the future

Commission cuts in individual

Fear-based motivation

Perpetual negativity – the sky is always falling

It starts with leadership – YOU!!!

1. Know how government works

2. Don’t forget the basics – Civics 101 3. Know how healthcare financing works

4. Know our industry – WSJ

CAHU and NAHU Members are

imperative in the legislative process.

Please watch your email and react

when you get a Call to Action or

Operation Shout request.

Bills can be scheduled for hearing at

the last minute.

•MLR Bill

•B. Long(R-MO) and K. Schrader(D-OR)HR815

•40 Hr. Work Week Bill

•T. Young(R-IN) and D. Lapinski(D-IL)S30/HR30

•Joint Letter to HHS Sec. Sylvia Mathews

•Delaying Small Group Expansion

•King V. Burwell in SCOTUS

Other Issues

• “CAHU” Bill - Rodriguez

• An insurer can’t change broker contract without

specified time

AB1163

• (Bonta-D)

• Eliminates family aggregate and makes each ind.

meet their own ded/OOPAB1305

• (Dababneh – D) Affects agents/cpas

• Makes insurance and tax fraud “signing apps” –

would be considered criminal profiteering.AB160

• (Wilk – R) – Health Benefits for Legislators

• Legislative Members as of 1/1/2016 would have to

enroll in the Exchange.

AB1109*

• (Hertzberg - D) – Taxation on services

• Expands the application of the Sales and Use Tax

law on specified servicesSB8

• (Hernandez – D) Provider Directories

• Would require weekly updates to provider

directories by carriers.SB137*

AB441 – (Wilk-R) – Imposes additional penalties and jail time for identity theft of seniors –Support

AB374 – (Nazarian – D) Removes Step Therapy requirement for patients – Oppose

AB339 – (Gordon – D) Standardizes drug formularies as the DMHC and DOI deem - Oppose

Cadillac” tax begins - a 40% excise tax on health coverage cost in excess of $10,200 for individuals and $27,500 for family ◦ Higher limits apply to those over 55 and

certain high risk jobs◦ Dental and vision currently not included

◦ Paid by self-insured plans and insured plans

◦ Expected to raise up to $32 billion nationally -- and likely to be passed on to consumers.

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Participate in CAHU Calls to Action

Write letters

Send emails

Make phone calls

Expand call to action by educating partner

agencies, organizations and colleagues on

CAHU priority issues

Participate in legislative hearings.

www.cahu.org

www.caladvocates.com

www.leginfo.ca.gov

www.gov.ca.gov

www.capitolbasement.com

www.wedrawthelines.org

www.healthexchange.ca.gov