PUBLICATIONS

Legal Alert: Maryland Law Establishes Threshold for Healthcare Spending for Large Employers

Date   Jan 16, 2006
The Maryland legislature has overridden the governor's veto of a law that requires employers with 10,000 or more workers in the state to spend at least 8% of their payroll (for a for-profit employer; 6% for a nonprofit) on health insurance or else pay the difference into a state Medicaid fund.

The Maryland legislature has overridden the governor's veto of a law that requires employers with 10,000 or more workers in the state to spend at least 8% of their payroll (for a for-profit employer; 6% for a nonprofit) on health insurance or else pay the difference into a state Medicaid fund. See SB 790. Maryland Governor Robert Ehrlich vetoed the bill in May; however, the veto was overridden by the legislature on January 12, 2006, and became law in accordance with the Maryland Constitution.

The law, known as the Fair Share Health Care Fund Act, is the first law of this type to be enacted in the nation and has sparked a nationwide debate over the level of benefits employers should provide to employees. The law essentially became a fight between organized labor and business, raising questions about the extent to which government should intervene in private enterprise.

Critics of the law say it opens the door for broader state regulation of health care spending by private companies and sends the message that the state is antibusiness. Critics also argue that the law could have the unintended consequence of encouraging employers to meet the 8% threshold by lowering wages instead of increasing the amount paid for health insurance. Those in favor of the law claim it establishes an important baseline for corporate responsibility in Maryland and prevents large employers from relying on public assistance programs to care for its employees.

The law requires covered employers to file a report with the state, beginning in January 2007 and annually thereafter, stating the number of employees the employer had in the state during the immediately preceding calendar year, the amount spent by the employer on health insurance costs in the state, and the percentage of payroll the employer spent on health insurance costs in the state. Failure to submit the report will result in a $250 per day penalty for each day the report is not filed. Failure to make the payment required by the law will result in a $250,000 penalty.

More than 30 other states, including Michigan and Wisconsin, are considering similar measures.

If you have any questions about this law or any other labor or employment related issue, please contact the Ford & Harrison attorney with whom you usually work.