1. Birkenstein Financial Associates Insurance Solutions for Life
An Update on The Affordable Care Act (Obamacare)

2. Disclaimer
To ensure compliance with requirements imposed by the IRS, we inform you that any U.S. federal tax advice contained in this communication is not intended or written to be used, and cannot be used, for the purpose of (i) avoiding penalties under the Internal Revenue Code or (ii) promoting, marketing or recommending to another party any transaction or tax- related matter(s). Please consult your own advisors for tax or legal advice.

3. Birkenstein Financial Associates

4. Birkenstein Financial Associates
Characteristics of ACA:
Origin: Health care was in bad shape.
Too many uninsured
Increasing medical costs
23 MM covered- Individual vs Medicaid
Coverage for Pre X
Children through age 26
MEC- Mental Health, Pregnancy, ER, etc.
Capped rising health care costs
Low income helped with subsidies and Medicaid expansion
Mandate
Birkenstein Financial Associates

5. Birkenstein Financial Associates
Some Negative Results, too:
Many carriers pulled out of the market
Premium increases
PPO Networks reduced
Group Coverage NOT as impacted!
Mergers blocked by DOJ
Aetna & Humana
Anthem & Cigna
Birkenstein Financial Associates

6. Birkenstein Financial Associates
The Legislative Climate in Washington:
Passing Legislation is like a chess game
Proposed Tax Law needs ACA repeal 1st
Reconciliation= No filibuster
The catch: The Byrd Rule
ACA repeal = $337B* Fox Business
Birkenstein Financial Associates

7. The American Health Care Act Birkenstein Financial Associates
Failed a few weeks ago
Jimmy Kimmel
Executive Order to IRS
Penalty & higher premiums for delaying
Subsidy based on age not income
Repeal of ACA taxes
Reduction in Medicaid Funding
Higher premium for Pre X
Fred Upton (R., Mich.) $8 B
MECs change
CBO Conclusion
Birkenstein Financial Associates

8. Birkenstein Financial Associates Insurance Solutions for Life
(847)