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‘Play or pay’ policy as a part of health care reform would require that employers either provide health insurance to their workers or pay a penalty as a percentage of their payroll in order to assist low- or moderate-income families to obtain quality and affordable health care.
Under the House Tri-Committee discussion draft proposal, employers who choose not to provide basic health insurance to workers would have to pay an 8 percent penalty based on their overall payroll. Those workers would then be able to choose a plan that best meets their needs from a menu of insurance options in the national health care exchange, which would include both private plans and a public health insurance option.
The EPI also found that past studies that claim significant job losses as a result of ‘play-or-pay’ were based on proposals not on the table today in either the House or the Senate.
View the EPI analysis of ‘play-or-pay’.
Key Conclusions from the EPI report
What about other studies that show significant job losses associated with play-or-pay?
More information on the Tri-Committee discussion draft.
- “It is highly unlikely that a health care reform package including a play-or-pay policy will lead to job losses. On the contrary, such policy reform is likely to cause significant boost to employment.”
- “In short: concerns over job losses from comprehensive health care reform proposals that include play-or-pay employer contribution are overstated and unfounded.”
- “Moreover, it is likely that the positive effects on employment from health care reform will surpass by several orders of magnitude any modest job losses caused by a play-or-pay policy considered in isolation, providing a substantial boost for the U.S. economy and U.S. workers.”
What about other studies that show significant job losses associated with play-or-pay?
- “Prior studies instead modeled a requirement that all employers provide private health insurance to their employees. With average costs of compliance of 40% of payroll or more for employers facing such a requirement, it is not surprising that those prior studies found much larger effects on employment that would be expected from a play-or-pay policy with a cost of compliance of just 4-8% of payroll.”
More information on the Tri-Committee discussion draft.