Committee on Ways and Means

FOR IMMEDIATE RELEASE
July 20, 2001
Contact: (202) 225-8933

Fletcher Bill Repeals All Restrictions on Medical Savings Accounts; Helps Provide Access to the Uninsured

WASHINGTON – Expansion of medical savings accounts (MSAs) will help lower the number of uninsured Americans. That is why MSAs are a critical component of the compromise "Patients’ Bill of Rights" crafted by Dr. Ernie Fletcher (R-KY), Rep. Collin Peterson (D-MN), Rep. Nancy Johnson (R-CT) and Ways and Means Chairman Bill Thomas (R-CA).

Advocates claim that the Ganske-Dingell legislation expands MSAs. Yet, a review of the details reveals that their provisions fall far short of the Fletcher-Peterson-Johnson Patients’ Bill of Rights, which repeals all restrictions on MSAs.

MSAs and the inclusion of Association Health Plans is part of a broader effort to ensure that patients have access to quality care at a price they can afford. These access provisions in the Fletcher legislation would expand insurance to an estimated nine million Americans, while Ganske-Dingell – which does not include these provisions -- would cause nearly six million Americans to lose health insurance.

Provision

Fletcher-Peterson-Johnson

Ganske-Dingell

Makes MSAs permanent

Yes

No, only extends for 2 years

Repeals 750,000 person cap on the program

Yes

No, only raises cap of 750,000 to 1 million policies

Expands eligibility from small business (2-50 employees) to all individuals

Yes

No, only expands to businesses up to 100 employees and continues to prohibit MSAs for those without employer coverage

Lowers minimum deductible to $1,000 per individual and $2,000 per family

Yes

No

Allows annual contributions to the MSA equal to 100% of deductible

Yes

No

Allows both employers and employees to contribute to MSAs

Yes

No

Encourages PPOs by allowing plans to cover first dollar for preventive benefits

Yes

No

Allows MSAs to be offered by cafeteria plans

Yes

No

GAO study on impact of MSAs

No

Yes

 

 

BACK to Committee on Ways and Means