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Sen. Rand Paul's Congressional Health Care for Seniors Act

Sen. Rand Paul's Congressional Health Care for Seniors Act

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Published by Senator Rand Paul

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Published by: Senator Rand Paul on Mar 15, 2012
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01/21/2013

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The Congressional Health Care for Seniors ActSen. Rand Paul (R-KY)
The Congressional Health Care for Seniors Act
Senator Rand Paul (R-KY)
112
th
Congress
Table of ContentsExecutive Summary
….……………………………………………….….………………………………………………………………….
2Summary of Key Provisions
………………………………………………………………………………………………………………3
 Better Health Care..
……………….…………………………………………………………………………………………………………3
 Lower Personal Costs..
……………………………………………………………………………………………………………………..6
 Lower Costs for Taxpayers..
……………………………………………………………………………………………………………..8
 Asking Members of Congress and Federal Employees to Share the Burden..
……………………………………
.9The Unsustainability of the Status Quo.
………………………………………………………………………………………….
10Conclusion.
…………………………………………………………………………………………………………………………………….
11
 
2
The Congressional Health Care for Seniors ActSen. Rand Paul (R-KY)
Executive Summary
The Congressional Health Care for Seniors Act (CHCSA) allows for all seniors to be enrolled into the same healthcare plan as their Members of Congress and other federal employees. By all accounts, elected officials andfederal employees receive the finest health insurance in the country. It is time for every senior to get the besthealth care in America.Not only is the Congressional health care plan better,
it’s less
expensive. Taxpayers will save $1 trillion over the first 10 years and
reduce Medicare’s
75-year unfunded obligation by almost $16trillion. Individual seniors will save thousands of dollars from theirpersonal health care budget each year while receiving moregenerous health benefits.The Federal Employee Health Benefits Plan (FEHBP) includes anarray of insurance options available to 4 million federal employeesand their dependents
roughly 8.5 million people in total. Thegovernment pays roughly three-quarters of the cost of healthinsurance plans chosen by individual participants based on theirneeds and preferences.In 2010, federal employees could choose from among the 250 plansparticipating in FEHBP, including 20 nationwide plans. The Office of Personnel and Management (OPM) enforces reasonable minimalstandards for plans, ensures the health plans are fiscally solvent, andenforces rules for consumer protection. There are no price controls,standardized benefits, or detailed guidelines for doctors or hospitals.All individuals within a plan pay the same premium regardless of their health status or pre-existing conditions.Under the CHCSA, not only will OPM continue to ensure protections for seniors, but the proposal also preventsthe agency from placing onerous new mandates on health insurance plans. Further, the CHCSA makes it easierfor new insurance plans to enter the ma
rket to compete for seniors’ business –
even allowing employers tocontinue covering seniors through retirement.In order to maintain low premiums and prevent plans from cherry-picking patients, the CHCSA creates a new
“high
-
risk pool” for the highest
-cost patients within the FEHBP. The federal government will directly reimbursehealth care plans for enrolling the costliest 5 percent of patients. This arrangement keeps premiums low whileallowing high-risk patients to get the same high-quality health care as every other enrollee
 –
federal employeesand seniors alike.The CHCSA ensures that every senior can afford the high-quality insurance FEHBP offers. In addition tosubsidizing three-quarters of the cost of the average plan, seniors who cannot afford to pay the remainingpremium will receive additional premium assistance and cost-sharing through the Medicaid program.
 
Key Points
The Congressional Health Carefor Seniors Act (CHCSA)provides better health care
benefits, choice, quality, andoutcomes
to
our nation’s
seniors.
The CHCSA will cost individualseniors $1,500 less per year inout of pocket costs, includingpremiums.
The CHCSA will save taxpayers$1 trillion over 10 years and
reduce Medicare’s
75-yearunfunded obligation by almost$16 trillion over the 75-yearwindow.

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