July 2009
Benefits of America's
Affordable Health Choices Act
In the 1st Congressional District of Maine
Committee on Energy and Commerce
America's Affordable Health Choices Act would provide significant benefits in
the 1st Congressional District of Maine: up to 21,800 small businesses
could receive tax credits to provide coverage to their employees; 8,700
seniors would avoid the donut hole in Medicare Part D; 690 families
could escape bankruptcy each year due to unaffordable health care costs; health
care providers would receive payment for $113 million in uncompensated
care each year; and 53,000 uninsured individuals would gain access to
high-quality, affordable health insurance. Congresswoman Chellie Pingree represents
the district.
· Help for small businesses. Under the legislation, small businesses with 25 employees or
less and average wages of less than $40,000 qualify for tax credits of up to
50% of the costs of providing health insurance. There are up to 21,800
small businesses in the district that could qualify for these credits.
· Help for seniors with drug costs in the Part D donut hole. Each year, 8,700 seniors in the district hit the
donut hole and are forced to pay their full drug costs, despite having Part D
drug coverage. The legislation would provide them with immediate relief,
cutting brand name drug costs in the donut hole by 50%, and ultimately
eliminate the donut hole.
· Health care and financial security. There were 690 health care-related bankruptcies in the
district in 2008, caused primarily by the health care costs not covered by
insurance. The bill provides health insurance for almost every American
and caps annual out-of-pocket costs at $10,000 per year, ensuring that no
citizen will have to face financial ruin because of high health care costs.
· Relieving the burden of uncompensated care for hospitals and
health care providers. In
2008, health care providers in the district provided $113 million worth of
uncompensated care, care that was provided to individuals who lacked insurance
coverage and were unable to pay their bills. Under the legislation, these
costs of uncompensated care would be virtually eliminated.
· Coverage of the uninsured. There are 73,000 uninsured individuals in the district, 11%
of the district. The Congressional Budget Office estimates that
nationwide, 97% of all Americans will have insurance coverage when the bill
takes effect. If this benchmark is reached in the district, 53,000 people
who currently do not have health insurance will receive coverage.
· No deficit spending. The
cost of health care reform under the legislation is fully paid for: half
through making the Medicare and Medicaid program more efficient and half
through a surtax on the income of the wealthiest individuals. This surtax
would affect only 3,100 households in the district. The surtax would not
affect 99.0% of taxpayers in the district.
This analysis is based upon the
following sources: the Gallup-Healthways Survey (data on the uninsured);
the U.S. Census (data on small businesses); the Centers for Medicare and
Medicaid Services (data on the Part D donut hole, health care-related
bankruptcies (based on analysis of PACER court records), and uncompensated
care); and the House Committee on Ways and Means (data on the surtax).