Healthcare
MAYORS WANT CONTROL OVER INSURANCE PLANS | MAYORS WANT CONTROL OVER INSURANCE PLANS |
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MARCH 2010 VOICE: Amidst a staggering multi-billion dollar state budget deficit and tightened local budgets, municipal leaders are seeking dramatic changes to long-standing health insurance laws.
As we reported in the January edition of the Voice, legislation now before the House Committee on Municipal and Regional Government would eliminate collective and coalition bargaining rights when it comes to local health insurance. Local officials claim that the current system, whereby benefits are negotiated with organized labor and, in some instances, retirees, is too cumbersome to meet current challenges. With Boston Mayor Tom Menino leading the fight for relief, the Mass. Municipal Association has embarked on an all out lobbying effort to move a bill before the end of the 2010 session in July. What Boston and other communities are seeking is a change in Chapter 32B (municipal health insurance law) that would allow a mayor or town manager to make unilateral changes in insurance benefits, without first bargaining. They point to the system used at the state level, where the state Group Insurance Commission (GIC) controls benefit levels and plan design. While it is true that state employees and retirees do not bargain for health insurance benefits, state plan design is controlled by the 15-member GIC, with contribution rates set by the Legislature. Retiree and union representatives are members of the Commission, which then employs a professional staff to manage daily operations. With the possible exception of the City of Boston, most municipalities are ill equipped to take on the tasks performed by the GIC. As is the case with larger communities, the state is self insured, but contract with insurance carriers to administer the insurance benefits offered. "We feel strongly that collective and coalition bargaining work well and should not be undermined by local officials, who are really seeking total control over health care decisions. Our members should have a right to negotiate over their benefits," said Association Legislative Liaison Shawn Duhamel. "This is going to be a really tough fight though, particularly in light of the continuing fiscal problems. The mayors want total control over their plans and are lobbying hard to get it." Economy Hampers Bills
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