Policy

Labor Unions May Get Obamacare Subsidies Intended for the Uninsured

Squeaky wheel and all that

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A few weeks ago, I discussed the fact that labor unions have been increasingly vocal about their objections to certain provisions of the Affordable Care Act. Obamacare will "shatter not only our hard-earned health benefits, but destroy the foundation of the 40 hour work week that is the backbone of the American middle class," wrote three labor leaders in July. Now, according to a report from InsideHealthPolicy, the Obama administration is considering offering insurance subsidies—intended for the uninsured—to labor union members who already have employer-sponsored coverage.

The issue at hand is the way Obamacare affects multi-employer health plans, also known as Taft-Hartley plans. These plans consist of employer-sponsored health insurance that is arranged between a labor union in a particular industry, such as restaurants, and small employers in that sector. Approximately 20 million workers in the United States are covered under such arrangements, including 800,000 of the 1.3 million members of the United Food and Commercial Workers International Union, whose leader, Joseph Hansen, signed the letter I described above.