Under the “Forty Hours is Full Time Act” More Americans Would Lose Job-Based Health Coverage and Work Hours, While Federal Costs Would Increase
The Affordable Care Act (ACA) requires larger employers to provide health coverage to employees working 30 hours a week or more, or pay a penalty. S. 1188, the Forty Hours is Full Time Act of 2013, sponsored by Senators Susan Collins (R-ME) and Joe Donnelly (D-IN), would raise the threshold from 30 hours a week to 40.1 This brief analyzes the impact of the proposed act on workers’ hours and the federal budget. We find that the act would result in reductions in work hours for significant numbers of American workers, fewer workers obtaining job-based coverage, and an increase in the federal deficit of more than $140 billion over a ten-year budget window.
Under the ACA, large firms-those with 50 or more full-time equivalent workers-that do not offer affordable health coverage with minimum value to employees working 30 hours a week or more will pay a penalty to the federal government if at least one of their workers enrolls in subsidized coverage through one of the marketplaces.2 Implementation of the employer responsibility provision was postponed to January 2015.
The employer responsibility provision in the ACA serves several important functions. The ACA was designed to build on the current system of job-based coverage in the United States. Individuals with coverage through their jobs would keep that coverage, while people without access to job-based coverage would be protected from discrimination based on health status and would have access to affordable healthcare options through the new marketplaces. Low- and moderate-income families would have access to subsidies through the marketplaces or an expanded Medicaid program. The employer responsibility requirement reduces firms’ incentive to drop health care coverage in response to the availability of subsidized coverage and broader eligibility of Medicaid. Those firms that choose not to offer coverage would pay a penalty to the federal government which would contribute to the costs of federal healthcare subsidies.
Impact on Hours
The authors of the Forty Hours is Full Time Act argue that a higher threshold is needed because employers will cut employees’ hours in order to avoid either providing health insurance or paying a penalty for some workers.3 Under the current provisions in the ACA, we would expect reductions in work hours to be largely restricted to employees not currently receiving coverage through their employer who work just over the 30-hour a week threshold and have family income that makes them eligible for marketplace subsidies or Medicaid. Restructuring work to reduce hours below 30 hours a week for jobs that now typically have hours substantially above 30 hours a week would be costly. Part-time work is associated with greater turnover. Employers would face increased costs for hiring, training, and supervision, as well as an increase in costs for unemployment insurance.
The Forty Hours is Full Time Act would make it nearly costless for employers to reduce work hours to avoid the penalty given the ease of moving from a 40-hour to 39-hour work schedule. While an estimated 6.4 million employees in firms of 100 employees or more work between 30 and 36 hours a week, 55.4 million work 40 hours a week or more.4 Those most vulnerable to work hour reductions are employees who do not currently have access to job-based coverage, and have family incomes under 400 percent of the federal poverty level and would therefore be eligible for subsidies.
We estimate that 6.5 million Americans are in firms of 100 workers or more, work 40 hours or more a week, have incomes under 400 percent of the federal poverty level, and do not have job-based coverage through their employer and so would be vulnerable to reduced work hours under the proposed act. This represesents 5.6 percent of the United States workforce. To the degree that greater numbers of employers drop coverage as a result of the proposed act, the number of employees vulnerable to work hour reductions would increase correspondingly.
In contrast, under current law, the share of workers highly vulnerable to a reduction in work hours is 2.3 million workers, or 1.8 percent of the workforce.5
Impact on job-based coverage
Since employers can easily reduce work hours from 40 to 39 hours a week, S. 1188 would effectively eliminate the employer requirement which would thus no longer serve as a disincentive to employers dropping coverage in response to the new federal programs. Along with increasing the number of employees who would have their job-based coverage dropped, the act would also reduce the number of firms that would have begun offering coverage as a result of the employer responsibility provisions in the law.
In July, the Congressional Budget Office (CBO) estimated that delaying implementation of the employer requirement would result in 1 million fewer individuals with job-based coverage in 2014, half of whom would be uninsured and half enrolled in subsidized coverage, Medicaid, or a state Children’s Health Insurance Program.6A policy that makes the employer requirement effectively non-binding on a permanent basis would result in a greater reduction in job-based coverage.
The CBO has not analyzed the impact of permanently eliminating the employer requirement, but notes that it would be larger. Few employers will drop coverage for just one year as a result of the delay in the penalty. If the penalty became non-binding, more employers would choose not to offer coverage to their employees, resulting in a greater shift into Medicaid and subsidized coverage through the state and federal marketplaces. While it is too early to assess the results of the ACA on job-based coverage, it is notable that early reports of employers’ decisions to drop coverage in response to the law have largely been concentrated on employees working under 30 hours a week who are not covered by the employer requirement.7 National estimates of the net change in job-based coverage due to the Affordable Care Act range from a negative 1.8 percentage points, to a positive 2.9 percentage points.8
Impact on the Federal Budget
The most recent estimate from the CBO for employer penalty payments is $140 billion between 2014 and 2023. Since most employers could easily avoid payment of this penalty if the hours threshold were increased to 40, it is reasonable to assume that very little, if any, of this projected revenue would materialize were S. 1188 to be enacted. In addition to the direct revenue loss from the proposed act, there would be the additional cost associated with a shift of individuals from job-based coverage into subsidized coverage through the marketplaces or Medicaid. The CBO estimated that approximately half a million more individuals will get coverage through the marketplaces or enroll in Medicaid or CHIP in 2014 due to the Administration’s delay in enforcing the employer responsibility requirements, and it suggested that a permanent change in the rules would have a larger overall impact.
In their estimate of the effects of delaying the requirement for one year, the CBO projected $10 billion in lost revenue, $3 billion in greater costs for subsidies and Medicaid, which would be offset by $1 billion in higher tax revenue as a result of increased compensation, for a net cost of $12 billion a year. Costs would rise considerably over the current budget baseline in the later years.
The Forty Hours is Full Time Act would effectively eliminate the employer requirements under the Affordable Care Act. It would result in a reduction of employer-sponsored insurance and a shift of costs from employers onto the federal government. Lost revenue alone would be as much as $140 billion by 2023. Added to this would be the costs of additional subsidies and greater enrollment in Medicaid. Finally, S. 1188 would result in lost work hours for an estimated 6.5 million workers, nearly three times the number anticipated under current law.
Any hours threshold established for purposes of an employer requirement will create an incentive to keep work hours for some employees under that threshold. If Congress seeks to remove the incentive for firms to reduce work hours in order to avoid the penalty and at the same time not create a greater incentive for firms to drop coverage, they could pro-rate the penalty by hours worked and include part-time workers in the requirement. The City and County of San Francisco, for example, requires firms to spend a minimum amount per worker per hour on health care, including part-time workers.9 A similar method was proposed in the House health reform bill H.R. 3962.10
About the Authors
Ken Jacobs is the chair of the University of California, Berkeley, Center for Labor Research and Education. Dave Graham-Squire is a research associate at the University of California, Berkeley, Center for Labor Research and Education.
- United States, 113th Congress, 1st Session. S. 1188, To amend the Internal Revenue Code of 1986 to modify the definition of full-time employee for purposes of the individual mandate in the Patient Protection and Affordable Care Act. [Introduced in the U.S. House of Representatives; June 19, 2009]. Congressional Bills, GPO Access. Web. http://www.gpo.gov/fdsys/pkg/BILLS-113s1188is/ html/BILLS-113s1188is.htm
- Draft IRS regulations establish 130 hours a month as the standard measure and allow for look-back periods of up to 12 months to determine full- or part-time status. Federal Register Volume 78, Number 1, pages 218-253, January 3, 2013.
- Senator Joe Donnelly. Collins, Donnelly: Forty Hours Is Full Time, Press Release, June 19, 2013. http://www. donnelly.senate.gov/newsroom/press/collins-donnelly-forty-hours-is-full-time
- While the penalty applies to firms with more than 50 full-time equivalent employees, due to data limitations we restrict our analysis to workers in firms with more than 100 total employees. Thus, the table may slightly understate the number of potentially affected workers.
- For further discussion of the impact of current law on work hours see: Which workers are most at risk of reduced work hours under the Affordable Care Act?, UC Berkeley Labor Center Data Brief, February 2013. http://www.laborcenter.berkeley.edu/healthcare/ reduced_work_hours13.pdf
- United States Congressional Budget Office. Analysis of the Administration’s Announced Delay of Certain Requirements Under the Affordable Care Act. July 30, 2013. http://www.cbo.gov/publication/44465
- Alex Nussbaum. Trader Joe’s Sends Part-Timers to Obama Health Exchanges, Bloomberg, September 12, 2013. http://www.bloomberg.com/news/2013-09-12/ trader-joe-s-sends-part-timers-to-obama-health- exchanges.html
- Buchmueller, Thomas, Colleen Carey, and Helen G. Levy. Will Employers Drop Health Insurance Coverage Because Of The Affordable Care Act? Health Affairs, September 2013, 32:91522-1530.
- City and County of San Francisco Office of Labor Standards Enforcement. Health Care Security Ordinance (HCSO). http://sfgsa.org/index.aspx?page=418. For a discussion of the economic impacts of the law see: Colla, Carrie, Will Dow, and Arindrajit Dube. San Francisco’s ‘Pay Or Play’ Employer Mandate Expanded Private Coverage by Local Firms and a Public Care Program, Health Affairs, January 2013, 32:169-77.
- United States, 111th Congress, 1st Session. H.R. 3962, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. [Introduced in the U.S. House of Representatives, October 29, 2009]. Congressional Bills, GPO Access. Web. http://housedocs.house.gov/rules/ health/111_ahcaa.pdf
The Center for Labor Research and Education (Labor Center) is a public service project of the UC Berkeley Institute for Research on Labor and Employment that links academic resources with working people. Since 1964, the Labor Center has produced research, trainings, and curricula that deepen understanding of employment conditions and develop diverse new generations of leaders.
The views expressed in this policy brief are those of the authors and do not necessarily represent the Regents of the University of California, the UC Berkeley Institute for Research on Labor and Employment, The California Endowment, or collaborating organizations or funders.
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