• Healthcare

    Thousands of labor-management, multiemployer health and welfare trust funds provide coverage to union-represented workers and their dependents, including medical, hospitalization, preventive and wellness care, prescription drugs, dental care and vision care. Without these trust funds, millions more working families would be uninsured and at risk for financial ruin in the event of a serious illness. The transient, project-based, mobile and seasonal employment patterns that characterize many of these industries would prevent workers from obtaining health coverage absent a central, pooled fund through which portable coverage is provided to workers as they move from employer to employer. The NCCMP is the only national organization devoted exclusively to protecting the interests of the millions of active and retired American workers and their families who rely on multiemployer plans for these health benefits. The NCCMP’s purpose is to assure an environment in which multiemployer plans can continue their vital role in providing benefits to working men and women.

    Current Efforts

    The health care system in the United States has faced and continues to face significant changes. Below are the issues that are priorities for multiemployer health plans and participants.

    Defend Health & Welfare Plans from Cost Increases Due to Medicaid Cuts

    The proposed spending cuts to Medicaid and the ACA premium subsidies contained in House and Senate reconciliation bills now being debated in Washington would create enormous challenges for multiemployer health and welfare plans and participants. These proposed cuts would drive both increases in cost for plans as the cost of uncompensated care for former Medicaid recipients is shifted to plans and plan enrollment and membership changes as a result of lost coverage, as well as reduced level of care for members as hospitals close or reduce capacity due to their lost revenue. Congress should not enact cuts to Medicaid or the ACA that will harm multiemployer health and welfare plans.

    Segal Report on Effect of Medicaid and ACA Cuts on Employment Based Health Plans

    Protect the Tax Exclusion for Employer-Sponsored Health Coverage

    Congress should not change the current exclusion from income for employer-sponsored health coverage. Capping or otherwise limiting the current exclusion of health benefits from taxable income or reducing the employer deductible would result in a direct tax on multiemployer plan participants and employers. The Cadillac tax was universally recognized to be a bad idea when Congress repealed it in 2019, and should not be revived.