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Employers, Insurers Are Behind Trump Administration’s Latest Health Care Policy

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The Trump administration announced the finalization of a rule it says will ease the burden of employee health coverage for small businesses Thursday.

The Departments of Health and Human Services, Labor and the Treasury jointly issued the policy expanding health reimbursement arrangements that will help an estimated 800,000 Americans without insurance, according to HHS.

“The rule will provide hundreds of thousands of businesses a better way to offer health insurance coverage and millions of workers and their families a better way to obtain health coverage,” Joe Grogan, director of the White House Domestic Policy Council, said according to The Washington Post.

Employers and insurers are fans of the policy, which stems from a 2017 executive order President Donald Trump issued in the aftermath of the GOP’s failure to repeal and replace the Affordable Care Act.

“Health Reimbursement Arrangements are a critically important tool for small businesses and the self-employed to obtain access to affordable health care coverage,” Katie Vlietstra of the National Association for the Self-Employed said in a statement.

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“Since many self-employed and micro-businesses obtain health care in the individual market, HRAs can oftentimes make the difference in an entrepreneur’s ability to purchase health insurance coverage.”

Vlietstra said she was invited to the HRA announcement ceremony at the White House Rose Garden scheduled for Friday afternoon.

WaPo called Thursday’s policy ironic, saying the Trump administration is trying to unravel the ACA by allowing more people to buy ACA plans.

The policy could benefit more than 11 million employees and their family members when the rule is fully in place, HHS said.

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It is set to take effect in January 2020.

The policy lets employers choose to give employees tax-free money that they can use to buy health coverage instead of providing it to workers directly.

The Trump administration lifted restrictions the Obama administration had placed on HRAs, reported WaPo.

Under the rule, workers could opt out of group coverage and use the HRA to purchase short-term health plans.

The Trump administration lifted Obama administration restrictions on the short-term plans so that people can use them for longer amounts of time.

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But Democrats say the short-term plans are “junk” because they do not have to cover people with pre-existing conditions.

Pro-free-enterprise group FreedomWorks supported the finalization of the rule.

“This HRA rule will be a major boost for small- and mid-sized businesses across the United States and provide more flexibility for employers and workers. Importantly, it provides a means for employees to take ownership in their health insurance plans, making health insurers more responsive to their needs, rather than a third-party payer like an employer,” Jason Pye, FreedomWorks vice president of legislative affairs, said in a statement.

HRAs are also called health reimbursement accounts.

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