Policy Efforts on the Health Insurer Fee
The Affordable Care Act levies an annual fee on health insurers of $8 billion starting in 2014, which increases over time. The fee applies to all health insurance risk revenue, including Medicaid and CHIP business. The cost of the annual insurer fee will be passed along to states and the federal government, raising costs in the program.

Letters and Statements
MHPA Statement for the Record to the Subcommittee on Health and Technology, House Committee on Small Business for a hearing on the health insurer fee's effect on small business, May 2013

Kansas Governor Brownback's letter to Senator Hatch, Chairman Upton calling for full repeal of the insurer fee based on NFIB finding of increased health costs and job loss associated with the fee, May 2013

Republican Governors Association (RGA) letter to Boehner, Reid, McConnell, and Pelosi to exempt Medicaid / CHIP from the insurer fee, April 2013

National Urban League letter to National Council of La Raza (NCLR) on the insurer fee possibly restricting Medicaid expansion, April 2013

MHPA thanks Senator Barrasso for his introduction of the Jobs and Premium Protection Act, S. 603, to repeal the insurer fee, April 2013

MHPA letter to Congressman Boustany recognizing his introduction of H.R. 763 to repeal the insurer fee, April 2013

MHPA Statement for the Record to the Subcommittee on Oversight of the House Committee on Ways and Means for the hearing on the "Tax-Related Provisions in the President's Health Care Law," March 2013

Pennsylvania Coalition of Medical Assistance MCOs letter to Governor Tom Corbett, May 2012

Massachusetts Health and Human Services Secretary Dr. JudyAnn Bigby, M.D. letter to MHPA, March 2012 

Virginia Health and Human Resources Secretary Dr. William A. Hazel, Jr., M.D. letter to MHPA, March 2012 

MHPA letter to Senator Barrasso, December 2011

National Governors Association letter to the Super Committee, November 2011

MHPA letter to Congressman Boustany, May 2011


Resources
PPACA Health Insurer Fee: Estimated Impact on State Medicaid Programs and Medicaid Health Plans
Prepared by Milliman, Inc. for Medicaid Health Plans of America, February 2012

        Highlights
        Fact Sheet
        Full Report


Estimated Premium Impacts of Annual Fees Assessed on Health Insurance Plans
Prepared by Oilver Wyman, October 2011

NEW STUDY: Annual Fee on Insurers Allocated by State
Prepared by Oilver Wyman, November 2012

Impact of ACA Annual Health Insurance Tax on State Medicaid Programs
Prepared by the Marwood Group, October 2011

Tax Policy Meets the Affordable Care Act: The Case of the Premium Tax
Prepared by Douglas Holtz-Eakin / American Action Forum, May 2012

MHPA Fact Sheet on Actuarial Soundess and the Health Insurer Fee
Plan to Attend MHPA 2013
Save Oct. 20-22 for MHPA 2013 at the Gaylord National Resort & Convention Center at National Harbor, MD. Our annual conference again will be the country’s largest gathering of top-level executives in the Medicaid health plan industry. For sponsorship and exhibiting opportunities at MHPA 2013, please click here.
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