Resolution 54: AFL-CIO Convention Resolution on the Affordable Care Act
Submitted by the Building and Construction Trades Department, the International Union of Operating Engineers and the American Federation of Teachers
Referred to the Resolutions Committee
Referred to the Executive Council by the Resolutions Committee with the Recommendation that It Be Sent to the Convention for Adoption
Referred to the Convention by the Executive Council with a Recommendation for Adoption
WHEREAS, in 2009, the AFL-CIO Convention passed two health care resolutions – Health Care Reform Now and the Social Insurance Model for Health Care Reform – which reaffirmed the labor movement’s commitment to health care for all, ultimately through a single-payer system. In 2010, Congress passed the Affordable Care Act (ACA);
WHEREAS, the AFL-CIO continues to support the ACA’s goal of securing high-quality, affordable health coverage for all Americans; three years after the passage of the Affordable Care Act, we reaffirm our commitment to the goal of affordable, quality health care for all but recognize that the ACA remains a work in progress;
WHEREAS, the ACA’s expansion of comprehensive health insurance to 25 million more Americans, support for affordability through expanded Medicaid eligibility and premium subsidies and insurance market reforms are clear gains for working families. The new law also has eliminated some of the worst insurance company abuses, cut costs for seniors, and appears to be contributing to lower rates for individual coverage in states like California and New York;
WHEREAS, the federal agencies administering the ACA have interpreted the Act in ways that are threatening the ability of workers to keep health care coverage through some collectively bargained, non-profit health care funds. Republican governors in many states have refused to participate in implementing the Act and are even actively blocking efforts to provide health care to all through Medicaid expansion;
WHEREAS, for decades before the enactment of the Affordable Care Act, such quality, affordable health coverage has been provided to workers and their families through non-profit multiemployer health plans negotiated between unions and participating employers, including the approximately 20 million individuals covered by such plans today;
WHEREAS, the health coverage provided through multiemployer plans has met the goals of the Affordable Care Act by providing portable, affordable, high-quality coverage for workers who would otherwise be left out of typical employer plans, including participants in industries where employment is mobile or part-time;
WHEREAS, multiemployer health plans have been attractive to employers because they provide predictable, consistent and cost-effective long-term health coverage for workers;
WHEREAS, multiemployer health plans have been attractive to employees because they provide a consumer-oriented plan design, portability, stability and flexibility;
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