Legislative and Government Affairs
by Anita V. Dombrowski, SPHR
Once upon a time things actually slowed down over the summer. That doesn't seem to be true any more. The pace is a quick as ever and HR resources are continually being stretched further and further. I am hoping that the legislative information I will bring to your attention in this column will help you keep informed of important information you need to know.
Don't forget to check the Governmental Affairs section of the SHRM website http://www.shrm.org/government/ which has information about new legislation being considered at both the federal and state level. So, if you have a question about the status of legislation, just check the website.
For 2005, SHRM has targeted Health Care, Workforce Readiness, FMLA, FLSA/Workplace Flexibility and Retirement Security as its public priorities. It is important that we all express our opinions, both for and against, regarding these and any other issues where our voice as HR professionals needs to be heard. This section of the SHRM website also has the contact information for your legislative representatives. It is quick and easy to contact your representative and, as you know, every vote counts! So you need to express your opinion.
In this and future columns, I will be bringing to your attention information you should be aware of in your role as an HR practitioner. Please be advised there is a lot more information you need to know than what we can possibly put into this column. I hope to provide at least an overview of important topics with appropriate resources so you don't have to search for information. Also know, that since I am not an attorney, the information I will be discussing is strictly from my HR practitioner's viewpoint.
This month, the focus is on
The Medicare Prescription Drug, Improvement and Modernization Act or Medicare Part D
A topic that should be high on your radar screen at the moment is the Medicare Prescription Drug, Improvement and Modernization Act . Frequently referred to as "Medicare Part D", this Act adds outpatient prescription drug benefits to Medicare effective January 1, 2006.
This new prescription coverage is not free. For most Medicare participants, an additional monthly premium of approximately $37 will apply. There are no premiums for Medicaid participants and Medicaid participant benefits differ slightly.
A very brief overview of standard Part D benefits is as follows:
· $250 Deductible
· Prescriptions drug expenses between $251 and $2,250 are paid 75% by Medicare and 25% by participant
· Prescription drug expenses between $2,251 and $5,100 are paid 100% by participant (referred to as the "donut hole")
· Prescription drug expenses above $5,101 are paid 95% by Medicare and 5% by participant.
There is no automatic enrollment into the program. Unless covered by Medicaid, individuals must enroll in Part D and select a prescription plan in order to receive this coverage.
There are some important deadlines you need to be aware of regarding this new program.
The initial enrollment period for the Medicare Modernization Act begins November 25, 2005 and ends on May 15, 2006.
If an employer has decided to keep its existing retiree prescription drug program, the employer has the option to apply for a subsidy. The deadline to apply for this subsidy is September 30, 2005. For employers applying for the benefit subsidy, there is a separate Retiree Subsidy home page, http://rds.cms.hhs.gov/.
Under the Act, employers currently providing retiree prescription drug coverage must disclose on an annual basis whether its plan is “creditable” or “not creditable.” Creditable coverage is defined as the actuarial value of an employer's prescription drug coverage equaling or exceeding the actuarial value of standard Medicare Part D coverage. http://www.cms.hhs.gov/medicarereform/CCGuidance.pdf. The initial notification must be sent out prior to November 14, 2005. Model language can be found at http://www.cms.hhs.gov/medicarereform/Credcovrg.asp.
The Centers for Medicare and Medicaid Services (CMS) are committed to providing extensive outreach efforts to educate retirees and employers on this new program. Additional information about the Open Door Forum outreach efforts can be found at the CMS webpage http://www.cms.hhs.gov/medicarereform/.
This article provides the most basic overview of this new plan. More information and a list of FAQs can be found at the CMS website http://www.cms.hhs.gov/medicarereform/pdbma/employer.asp. SHRM also has valuable information regarding this new act on the opening page of its website at http://www.shrm.org/. Last but not least, implementation of new laws and regulations can be very confusing, your employment law attorney can assist with the "how to's" of implementation and answer questions unique to your business or industry.

