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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
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Ganske-Dingell |
|
Makes MSAs permanent
|
Yes
|
No, only extends for 2 years
|
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Repeals 750,000 person cap on the
program
|
Yes
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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
|
|
|