By NextBestFitTask 4.2.3 of 6
State and local employee and retiree health plans close (teachers, police, firefighters); their premium spending becomes employer tax plus wage conversion.
Who does it
States / localities
When
Day 1
Trade-off
Closing state and local plans saves governments money but breaks benefit promises bargained by public unions.
Part of: End employer-sponsored insurance for covered services
Job-based coverage for UHP services ends for about 179 million people. Employer premium payments of $1.05T (private, federal, state & local) stop; the employer tax ($873.4B) is at its full rate. Worker premium contributions ($382.1B) end.
This step changes 5 existing laws, programs, or institutions. See the list.