My Revised Proposal's Good Quality Health Coverage Employer Tax Credit

Brian Griffin | 02/07/2017 | Brian Griffin

[Brian Griffin]

Good Quality Health Coverage Employer Tax Credit

[President Trump has promised to improve health coverage and lower employer tax burdens.]

Employers who allow every qualified employee and
normally on-site, employer-managed "contracted"/"self-employed" person
with at least six months/$6,000 of employment
to sign up for qualified care and drug coverage (in the following calendar year)
may claim a tax credit of $3 against their federal corporate or personal income tax, but never both, for:
1. each qualified employee who received qualified care and drug coverage from the employer for a week and paid no more than $10 per week for it
2. each qualified employee who received qualified care and drug coverage from the employer for a week and paid no more than $25 per week for it
3. each $50 up to 40 per calendar year added to an HSA or FSA of a qualified employee or the employee's spouse, domestic partner, parent or child
up to 50% of their total FICA tax amount.
[The $10/week is intended to catch full-timers, the $25 per week is intended to catch part-timers.]
[The tax credit amount per hour of work averages out to be about the same.]
[The maximum tax credit amount per employee is about $433/year.]
[Subsidizing the employer is probably cheaper than subsidizing the employee.]
[This tax credit is to make it preferable to employers to include low-cost health coverage as compensation and to promote that fact.]

An qualified employee was a person who was:
a. always paid at least US federal minimum wages by the employer for work during the week and
b. subject to FICA tax withholding under US law for the week and
c. a genuine employee directly employed by the employer and
d. paid at least $200 for the week if in a live-in or blood relationship, marriage, domestic partnership a person with an ownership interest exceeding 5% of the employer
[That's to prevent small businesspeople from getting tax credits by employing their kid(s) for one-hour a week.]

Drug coverage shall be considered qualified for this section if it:
1. is PPACA conformant, or
2. costs the employer as least $15 per week per employee (in the calendar year(s)), or
3. covers, as lawfully prescribed and medically necessary/appropriate:
a. protease inhibitor(s), if available throughout the plan period at a total payor cost of under $200 for a 30-day supply,
b. at least one auto-immune recombinant drug, if available at a payor cost of under $30 per day of treatment level activity,
c. at least one recombinant clot-busting drug, if available at a payor cost of under $1,500 per course of treatment,
d. at least one long-acting recombinant insulin, if available at a payor cost of under $10 per day per covered patient,
e. at least one recombinant drug, under initial federal patent protection, for any covered person, in any multi-day treatment period,
if proven by clinical trial(s) to extend life at least three months for at least 30% of typical patients and
available at a payor cost of under $30 per day of treatment level activity,
f. at least one non-recombinant drug, under initial federal patent protection, for any covered person, in any 30-day period,
if proven by clinical trial(s) to extend life at least three months for at least 30% of typical patients and
available at a payor cost of under $300/30-day supply,
g. at least one other continuous/intermittent/short-term[<30 days] use drug, under initial federal patent protection, for any covered person, in any multi-day treatment period,
available at a payor cost of under $5/$8/$15 per day of treatment level activity,
and a 30-day dated purchase order for one prescribed drug during the plan term will be provided when medically necessary to the covered person at the maximum payor cost less 20%, if the drug is not available to the payor at or below the listed maximum cost, or
4. is/includes a Medicare Part D copy plan, or
5. is/includes a Medicare Part D sourced plan, or
6. is/includes a plan offer/drug maker acceptance plan.

Care coverage shall be considered qualified if it:
1. is PPACA conformant, or
2. (and dental coverage) cost the employer as least $50 per week per employee in the calendar year(s), or
3. has an in-network care scope factor of at least 80 and a patient financial quality factor of at least 80.

My full proposal is at: http://www.freerepublic.com/~briangriffin/index

[arthurus]

Your plan is a centralized government plan that "allows" some market like aspects. It must keep costs to the system, no matter how they are distributed, higher than would be the case in a free market. It is a government plan therefore if enacted it will every year thereafter be added to and subtracted from and jiggered and twiddled with. This group or that group will have its particular complaint addressed by increasing the cost to some other group or to the taxpayers at large. No detailed "plan" can be anything but a scheme to raise prices and limit access. That is how any government plan must and will work out. Have you noticed what happened to Reagan's tax reformation? To make the situation optimum , get the government away from any input. HeyĂ We are Constitutional Conservatives here!!! Why is a Constitutional Conservative laying out a plan for the government to keep its leaden hand on the neck of Medicine?