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Wednesday, May 11, 2005

Health insurance crisis is getting harder to ignore

On the same day a study was released showing that 900,000 Pennsylvania residents lacked any kind of health insurance coverage, two area legislators held a press conference in Harrisburg to gather support for legislation that would help working Pennsylvanians hold on to their health insurance.

Sen. Rob Wonderling, R-24th Dist., and Rep. Curt Schroder, R-155th Dist., were joined Monday by a coalition of small businesses from across the state to promote legislation aimed at reducing the cost of health care coverage for the workers at small companies, where the bulk of Pennsylvanians work.

One of the business owners in attendance was Ron Black of the Ron Black Insurance Agency in Royersford. Black, who has been working in the insurance industry for more than 45 years, has been one of the staunchest supporters for reforming Pennsylvania’s health insurance regulations.

The release of a 61-page health insurance survey on the same day makes the bills that Wonderling and Schroder have introduced even more imperative.

According to an Associated Press analysis of the report, of Pennsylvania's 900,000 uninsured:
*19 percent (171,000) are black, or 14 percent of all blacks in the state.
* 4 percent (35,000) are Hispanic, or 9 percent of all Hispanics.
* 81 percent (734,000) are white, or 7 percent of all whites.
* 49 percent (450,000) are between the ages of 18 and 34.
* 49 percent (450,000) live in Philadelphia, Pittsburgh, or surrounding counties.
* 60 percent (543,000) are employed; 62 percent of the employed uninsured (337,000) work in the service sector.

In other words, this is a problem that cuts across all racial and socio-economic lines. This is a crisis that has been ignored far too long by our state legislators.
Wonderling and Schroder were joined in the Capitol by fellow legislators who support passage of Senate Bill 671 and House Bill 1240, small business owners who have formed a group called Pennsylvanians for Small Group Health Insurance Reform.

Pennsylvania is one of only two states that does not regulate for-profit insurance companies. That means these companies can discriminate on the basis of age, gender and health history. The only opposition to the reform bills has come from the insurance lobby, which says that more regulation would decrease competition.

Here’s a simple question for the lobbyists. If 48 other states regulate for-profit insurance carriers, where exactly are they going to go if Pennsylvania adopts the same rules? So much for the competition argument.

The legislation proposed by Wonderling and Schroder would simply level the playing field for all insurance carriers in Pennsylvania so they can’t "cherry-pick" which companies they want to serve. If you’re an insurance company doing business in Pennsylvania right now, you can choose not to provide affordable health plans for companies because they have too many women or too many employees over 40 or have had sick workers in the past. That’s not right.

Nobody is trying to drive insurance carriers out of Pennsylvania, but the reality is that Pennsylvania has one of the oldest populations in the country. If you want to do business here, you’re going to have to provide affordable insurance rates for companies that employ experienced workers.

Wonderling explained that Senate Bill 671 would ban the practice of medical underwriting for small groups in order to stabilize health insurance rates. The bill would require insurers to spread the cost of health care over a larger population so smaller companies are better able to offer coverage for their employees. Additionally, the legislation will expand benefit options, ensuring that all Pennsylvania small businesses will have insurers competing for their business.

"Our legislation is crucial to make health care coverage more affordable for working people and their families so they can have access to preventive care and medical treatment when they need it," Wonderling said.

Schroder said his bill proposes a uniform modified demographic rating format that would be used by all health insurers writing health insurance for small business employers in the state having between two and 50 employees.

"In serving as a member of the House Insurance Committee, I have heard many small-business owners ask for a change in insurance ratings so they can afford to provide health benefits," Schroder said. "Small-business owners want to be able to offer health insurance for their employees, but the cost has been prohibitive for them."

Pricing policies based upon the health history of each small business has driven the cost of health insurance out of reach for many Pennsylvanians employed by small businesses, Schroder said. All it takes is one sick employee for rates to double or triple, he added.

E-mail Tony Phyrillas at tphyrillas@pottsmerc.com

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