Archive for October, 2011

LEG REG REVIEW 2011, 34th Issue October 24, 2011

LEG REG REVIEW is a periodic newsletter produced by PHILLIPS ASSOCIATES, a professional lobbying and consultant firm located near the State Capitol.  It contains news on the legislative and regulatory scene in Pennsylvania that may be of interest to the Insurance and Business Communities.  It is a free member benefit for those who are members of the Pennsylvania Association of Health Underwriters (PAHU) or Manufacturers Association of South Central PA (MASCPA).  Subscription information may be obtained by contacting PHILLIPS ASSOCIATES at 717/728-1217 FAX 717/728-1164 or e-mail to xenobun@aol.com.  Please email jtrout2792@aol.com supplying both your name and e-mail address if you wish to be removed from this list.

CLASS FLUNKS FISCAL GRADE

HHS finally pulled the plug on the implementation of an important part of the Patient Protection Affordable Care Act (PPACA) with its decision to freeze the CLASS Act (Community Living Assistance Service and Supports).  The decision evolved from a realization that the finances would simply not be there to sustain it consistent with PPACA’s requirement that it be able to pay its own way.  CLASS was an employer based program with mandatory enrollment by workers unless they opted out.  Given the five-year vesting period (paying premiums in and not being able to claim) and probable adverse selection, the finances simply did not add up.  CLASS was required by PPACA to be self-sustaining.  CAUTIONARY NOTE:  The legal authorization for CLASS under the Patient Protection Affordable Care Act remains intact which means that the Obama Administration, if it chooses, could renew the implementation process.

INSURANCE COMMITTEE PLANS TOWING VOTE

On October 26, the House Insurance Committee plans a vote on House Bill 1908 (Micozzie-R-Delaware), a measure providing consumer protection to the owner of a vehicle if a tow truck is called or if a tow truck is directed by police to move a damaged or disabled vehicle after an accident.  The bill was only introduced last week.

MORE COMMITTEE WORK

  • Two additional House Insurance Committee hearings focused on the UPMC-Highmark contract dispute.  The hearings heard officials from the Department of Health October 18 and the Office of the Attorney General on October 19.
  • The Senate Public Health & Welfare Committee meets October 26 for a hearing on western PA’s health care delivery system.
  • The Senate Transportation Committee moved House Bill 563 (Geist-R-Blair), a measure that provides a liability exemption to property owners whose property is used for the conducting of motorcycle safety education.
  • Moving through the Senate Consumer Protection and Professional Licensure Committee was Senate Bill 628, a licensing bill governing those practicing acupuncture.  Of note is that the description of the bill says that it includes a provision on liability insurance.  Actually, the amendment does not change the amount which remains one million dollars per occurrence or claims made.
  • On October 25, the Senate Banking & Insurance Committee will take up House Bill 424 (Godshall-R-Montgomery) which amends the adjuster licensing law.

LEGISLATION INTRODUCED re HIGHMARK v. UPMC

Bills have been introduced regarding the Highmark/UPMC contract dispute.  Given the number of House and Senate hearings, expect additional legislation. House Bill 1910 (Frankel-D-Allegheny) mandates binding arbitration and House Bill 32 (DeLuca-D-Allegheny) expands Insurance Department powers relative to such a dispute by requiring that a hospital plan corporation provide 90 days notice before a contract expires.  The Department would convene a hearing to determine if “the pending expiration is in the public interest” and would have the authority to stay the termination for a period to allow negotiations to continue.

REGULATORY UPDATE

  • ACE American Insurance Company is seeking Insurance Department permission to acquire Penn Millers Insurance Company and American Millers Insurance Company, both domiciled in PA.
  • General Title Insurance Company is seeking to acquire Manito Title Insurance Company, a PA-based title insurance company.
  • Patient Safety Authority will meet in Harrisburg October 25.  details; 717/346-0469

 

NAHU NEWS

NAHU is moving its offices from Virginia to Washington, DC.  The office will be closed October 28 and re-open October 31. The NAHU website will also be down during that time, and NAHU staff e-mails will be unavailable. The new contact information for NAHU’s national office is:

1212 New York Avenue, NW, Ste. 1100
Washington DC 20005
Phone: 202-552-5060
Fax: 202-747-6820

In addition, dates have been set for the 2012 National Association of Health Underwriters Capitol Conference in Washington.  The conference is set for January 22-25 and the registration period has begun. (www.nahu.org )

TRANSPORTATION UPDATES

  • As of Sunday October 23, Governor Corbett had not yet signed House Bill 9 (Watson-R-Bucks). This legislation prevents junior drivers under 18 from having more than one passenger in the car outside of family for their first six months behind the wheel, requires drivers under 18 to wear seat belts, and increases the training requirement from 50 to 65 hours including ten hours of night driving.  The legislation also prohibits under 18 drivers from driving between 11:00 p.m. and 5:00 a.m. unless accompanied by a spouse 18 or over, or made necessary by employment or serving as a volunteer fire fighter.
  • Anti-texting Senate Bill 314 (Tomlinson-R-Bucks) moved through the House Transportation Committee and could be voted on this week by the full House. Since it was amended, it would still need to go back to the Senate for concurrence.  The bill does not ban use of cell phones nor does it include the dialing of a cell phone in the definition of texting.  In addition, SB 314 specifically precludes confiscation of a mobile phone if texting is observed by law enforcement.  So far, in its legislative journey, the bill has been amended six times.
  • Senator Jake Corman (R-Centre) said that he plans to introduce legislation to implement the recommendations from the Governor’s Transportation Funding Advisory Commission.  Among other things, the recommendations include increasing driver permit fees and lifting a cap on state-imposed taxes per gallon of gasoline.

 

CROP INSURANCE CONFERENCE AT PDA

The 12th Annual Crop Insurance Conference takes place at the Farm Show complex October 25.  It will include presentations on the upcoming Farm Bill, specific farmer concerns on Crop Insurance and an analysis of Dairy in Pennsylvania.  The conference is approved for seven CE credits.  Details: kapowell@pa.gov

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LEG REG REVIEW 2011, 33d Issue October 10, 2011

LEG REG REVIEW is a periodic newsletter produced by PHILLIPS ASSOCIATES, a professional lobbying and consultant firm located near the State Capitol.  It contains news on the legislative and regulatory scene in Pennsylvania that may be of interest to the Insurance and Business Communities.  It is a free member benefit for those who are members of the Pennsylvania Association of Health Underwriters (PAHU) or Manufacturers Association of South Central PA (MASCPA).  Subscription information may be obtained by contacting PHILLIPS ASSOCIATES at 717/728-1217 FAX 717/728-1164 or e-mail to xenobun@aol.com.  Please email jtrout2792@aol.com supplying both your name and e-mail address if you wish to be removed from this list.

TEEN DRIVING BILL AWAITING GOVERNOR’S NOD

Awaiting Governor Tom Corbett’s signature is a teen driving bill, HB 9 sponsored by Rep. Katharine Watson (R-Bucks).  This legislation prevents junior drivers under 18 from having more than one passenger in the car outside of family for their first six months behind the wheel, requires drivers under 18 to wear seat belts, and increases the training requirement from 50 to 65 hours including ten hours of night driving.  The legislation also prohibits under 18 drivers from driving between 11:00 p.m. and 5:00 a.m. unless accompanied by a spouse 18 or over, or made necessary by employment or serving as a volunteer fire fighter.  Passage of this bill does not dilute interest by many legislators in banning teen texting or restricting/prohibiting texting and hands-held cell phone use by all drivers. NOTE: Corbett is expected to sign HB 9 and may do so by the time you read this.

NFIP GETS REPRIEVE (SORT OF)

The National Flood Insurance Program (NFIP) continues to limp along after being given another life line by Congress.  The new November 18 sunset date presumably gives Congress time to look at a five-year reauthorization and initiate some reforms to the program such as phasing out some of the premium discounts for older structures (pre-FIRM).  The legislation was signed into law by President Obama on October 5.

OTHER FLOOD NEWS

  • A Flood Relief Package has been presented by six Senators (John Gordner-R-Columbia; John Yudichak-D-Luzerne; Lisa Baker-R-Luzerne; Dave Argall-R-Schuylkill; Gene Yaw-R-Lycoming; John Blake-D-Lackawanna).  State assistance in the form of grants, tax credits and infrastructure upgrades would be provided to victims of the recent floods caused by Hurricane Irene and Tropical Storm Lee.  It would also include a bond authorization to help pay for bridge and road repairs and provide for tax abatement by local taxing entities for properties substantially affected by the flood.  The Senators all have districts affected by Susquehanna and tributary flooding.
  • Senator John Wozniak (D-Cambria) suggested that a part of the Johnstown Flood Tax be used to actually help flood victims instead of a wide range of other programs over the years.  This is not the first time he has suggested this.  The 18% tax is imposed on liquor purchases.
  • FEMA has issued guidance on reducing damage from future disasters, link below:

Free Advice on Reducing Damage From Future Disasters

  • FEMA also suggested that property owners and renters who suffered damage from storms and floods caused by Hurricane Irene during the period Aug. 26-30, 2011 and/or Tropical Storm Lee beginning on Sept. 3, 2011, may still be eligible for disaster assistance from the Federal Emergency Management Agency (FEMA) even if they have insurance policies. 
  • FEMA says that the only way to know if a person is eligible for disaster relief is to register with FEMA by calling 800-621-FEMA (3362) or TTY 800-462-7585. If you use 711 or Video Relay Service (VRS), call 800-621-3362. Operators are multilingual and calls are answered seven days a week from 7 a.m. to 10 p.m. EDT. You can also register online at www.DisasterAssistance.gov or by smart phone or tablet at m.fema.gov. Lee alone; disaster assistance is just a phone call away.

UNPLEASANT BUDGET NEWS

Pennsylvania collected $2.3 billion in General Fund revenue in September, which was $151.8 million, or 6.1 percent less than anticipated.  Fiscal year-to-date (July 1-September 30) General Fund collections total $5.8 billion, which is $215 million, or 3.5 percent, below estimate.  August revenues were also down.

INSURANCE COMMITTEE HEARINGS UPDATE

  • On October 5, the House Insurance Committee convened a hearing on the Health Insurance Exchanges mandated by the Patient Protection & Affordable Care Act (PPACA).  Testifying was Cheryl S. Smith, Director of Leavitt Partners, LLP, on the Utah Exchange model.  She was a key architect of the Utah approach which facilitates access through the private sector. Key components are that Utah’s Exchange serves small groups rather than individuals; defined employer contributions go directly to employees to purchase insurance through the Exchange; and aggregated premiums, meaning that an individual or family could pool multiple employer contributions so as to allow purchase of a richer Exchange policy.  This last provision may be especially important to part-timers. The Utah Exchange has been operating for nine months.
  • Two additional House Insurance Committee hearings will continue its focus on the UPMC-Highmark contract dispute.  The hearings are expected to hear officials from the Department of Health October 18 and the Office of the Attorney General on October 19.

MEDICARE OPEN ENROLLMENT BEGINS
Medicare’s open enrollment period is earlier this year, running from October 15 – December 7, 2011.  During open enrollment, a Medicare beneficiary can decide to stay in Original Medicare or join a Medicare Advantage Plan, as well as change prescription drug coverage.  Someone already in a Medicare Advantage Plan can use Open Enrollment to switch back to Original Medicare.

REGULATORY UPDATES

  • Two companies are seeking Insurance Department approval to operate as domestic companies in PA.  They are stock casualty companies OBI Insurance Company and OneBeacon Specialty Insurance Company.
  • Going the other direction and seeking to re-domesticate from PA to another state is domestic stock life insurance company Unity Financial Life Insurance Company which would relocate to Ohio.
  • On September 29, the Insurance Department announced that CE providers are strongly urged to submit course applications and course renewals to the PA Insurance Department via Sircon Compliance Express.  (www.sircon.com; click on For Education Providers; then click on Online Sircon Education Provider Agreement.) The memo also said that effective January 1, 2012 CE providers will be required to submit all courses and course renewals online.

CMS LESSENS HRA REPORTING

Per a Center for Medicare & Medicaid Services (CMS) Alert issued September 27 and effective October 3, the Federal Government no longer requires Health Reimbursement Arrangements (HRAs) with an annual benefit level under $5000 to report.  Note that this change is for new HRAs or renewals of HRAs on or after October 3.  Funding deposits rolled over from the previous year’s coverage must be included when calculating the current year’s annual benefit amount.

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