AFL-CIO steps up criticism of PPACA

September 12, 2013 at 09:19 AM
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WASHINGTON (AP) — The AFL-CIO on Wednesday approved a resolution critical of parts of the federal Patient Protection and Affordable Care Act (PPACA) in spite of efforts by White House officials to discourage the labor federation from making its concerns so prominent.

The strongly worded resolution says PPACA will drive up the costs of union-sponsored health plans to the point that workers and employers are forced to abandon them. Labor unions still support the law's overall goals of reducing health costs and bringing coverage to all Americans, the resolution says, but adds that the law is being implemented in a way that is "highly disruptive" to union health care plans.

Some individual unions have complained about the law's impact for months. The resolution marks the first time the nation's largest labor federation has gone on record embracing that view. Unions were among the most enthusiastic backers of the law when it passed in 2010.

A labor official told The Associated Press that White House officials had been calling labor leaders for days to urge them not to voice their concerns in the form of a resolution. The official, who wasn't authorized to discuss the conversations publicly and requested anonymity, said many union leaders insisted that they wanted to highlight their concerns.

Asked about any efforts to discourage unions from passing the resolution, the White House said in a statement Wednesday night that officials "are in regular contact with a variety of stakeholders, including unions, as part of our efforts to ensure smooth implementation and to improve the law."

The AFL-CIO, one of the president's major boosters, approved the resolution just as the administration began rolling out a multimillion-dollar advertising campaign to encourage Americans to sign up for health care exchanges starting Oct. 1.

Harold Schaitberger, president of the International Association of Firefighters, said the intent of the resolution is to "point out the criticisms without being overly caustic."

"There have to be some changes made in the area that are giving a number of our unions great concern," said Schaitberger, who chaired the committee that hammered out the resolution's language.

The resolution was approved at the AFL-CIO's quadrennial convention in Los Angeles. It claims the new law will increase costs for health plans that are jointly administered by unions and smaller employers in the construction, retail and transportation industries. That could encourage employers to hire fewer union workers or abandon the health plans altogether and force union members to seek lower-quality coverage on the new health exchanges.

Union officials are seeking rule changes that would make their low-income workers eligible for the same types of federal subsidies they could get in the exchanges. They have also suggested rules that would treat their multi-employer plans as qualified exchange plans under the new law.

But the Congressional Research Service issued a memo earlier this year finding that neither change is allowed through rulemaking. The AFL-CIO resolution calls for the law to be amended by Congress if new rules cannot satisfy their concerns.

AFL-CIO President Richard Trumka held meetings at the White House last month in which he and other union leaders pressed the administration to make changes. Trumka has said he is encouraged that the White House is listening, but that no firm proposals have been made.

In a statement issued earlier Wednesday, the White House said there is nothing in the Affordable Care Act that changes the law for union plans. The statement said the White House would continue to work with unions and other stakeholders on ways to ensure smooth implementation of the law.

The AFL-CIO resolution was toned down from a draft originally offered by Sean McGarvey, head of the AFL-CIO's Building and Construction Trades Department. The early draft said the AFL-CIO could no longer support the health care law and called for its repeal unless changes were made to protect union multi-employer plans.

Republican critics of the health care law have seized on the union complaints to fuel their push to repeal the law. At the same time, GOP leaders have warned the White House against carving out any special deal for unions.

"We will do whatever is within our power to ensure that the administration does not once again provide a special exemption to unions at the expense of American taxpayers," Michigan Rep. Dave Camp and Utah Sen. Orrin Hatch wrote in a letter this week to Treasury Secretary Jack Lew. Camp is chairman of the House Ways and Means Committee and Hatch is top Republican on the Senate Finance Committee.

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