1. HEALTH REFORM: Where Are We Now? June 15, 2011 Grace-Marie Turner Galen Institute

2. A growing list of concerns Burdens on business: Businesses have to know “household” income for employees. MLR/grandfathering regulations. “McDonald’s” waivers. Health costs rising. Benefit mandates coming. Employers planning to exit health insurance. Resistance from states. Block indiv. mandate. Resist Medicaid expansion. Impede implementation. Extraordinary complexity. Health exchanges. tax credits. Mountains of regs, without public comment. Unintended consequences. Child-only policies vanishing. 80-100 million could lose coverage. 16,000 IRS agents. Costs soar. 40% of doctors plan to leave practice. SEIU drops dependents.

3. MLR battles Livelihood of brokers seriously threatened Little appreciation for value you bring NAHU Goal: Eliminate commissions from MLR calculation Beware: the “navigators”

5. People are confused 22% - Think the law has been repealed 26% - Are unsure Just over half know ObamaCare still stands 14% - Believe they have benefited from the law 17% - Say the law has already harmed them 45% - Think it will make the economy worse 55% - Favor full repeal of ObamaCare 67% - Favor repealing the individual mandate Source: “Kaiser Health Tracking Poll – February 2011,” The Henry J. Kaiser Family Foundation, February 24, 2011, www.kff.org/kaiserpolls/8156.cfm.

8. The battles will continue Legislative: Defund, dismantle, delay Regulatory: Strict oversight; CRA Legal: U.S. Supreme Court (2012) Political: 2012 primaries and elections

9. Top targets for changes to PPACA: Eliminate 1099 requirement : DONE Pass H.R. 1206 to preserve access to licensed independent insurance producers Repeal IPAB Significant changes to CLASS Act Delay, defund, deregulate, dismantle the law…

10. How does the new health care law drive up costs? Is your doctor really in charge of your health care decisions? Are your Constitutional rights threatened? Discover the law’s impact on your life in a new book from four nationally recognized health policy experts On sale March 22 Published by HarperCollins

11. Contact: Grace-Marie Turner Galen Institute www.galen.org (703) 299-8900 gracemarie@galen.org