WASHINGTON – Addressing the nation’s growing
health care crisis, U.S. Reps. Nancy Johnson and Earl
Pomeroy, D-ND, introduced a bill Wednesday to provide
tax relief to caregivers and purchasers of long-term
care insurance.
“The time was yesterday,” Johnson said.
As America approaches 2011, when the first wave of
baby boomers will retire, the urgency of finding
long-term care solutions that will work without imposing
un unsupportable tax burden on the country only grows,
she added.
Johnson said her bill will help working families
afford long term care insurance and spread the high
costs of care among a larger number of people.
But a report prepared by the Center on Budget and
Policy Priorities, a liberal think-tank, charged that
tax deductions are meaningless since most of the people
who cannot afford long-term care insurance typically do
not earn enough to pay income tax.
The proposed bill would provide a tax deduction on
premiums paid for long-term care insurance. The tax
break would also apply to premiums paid through
employer-offered “cafeteria plans,” which allow workers
to choose from a buffet of benefit options, and to
flexible spending accounts, which allow workers to set
aside pre-tax money to cover an array of health care
costs.
The bill would also give people who require
assistance with a number of aspects of daily living, and
their caregivers, a $3,000 tax credit. The credit would
be phased out for individuals with incomes above $75,000
and for couples with incomes above $150,000.
Meanwhile, a 2001 study conducted by the American
Association of Retired Persons shows that many Americans
over 45 are ignorant of the costs of long term care, and
that many people assume their long-term needs are
covered when, in fact, they aren’t.
Thirty-one percent of those surveyed indicated they
had insurance that covered long-term care, but only 6
percent of Americans purchases long-term care insurance
prior to 1998, according to the Health Insurance
Association of America.
The study of 1,800 Americans was conducted by
telephone, with a margin of error of 3 percent. The
AARP, which endorsed Johnson’s legislation, estimates
that nursing home care can cost as much as $55,000
annually.
Similar bills were proposed in both houses of
Congress during the last session, but never went
anywhere. There are a thousand ways a bill can die, but
Johnson was optimistic Wednesday about the chances of
getting hers passed despite Congress’s attention being
focused elsewhere on the Bush administration’s tax cut
package. Still, she said she hoped the congressional
leadership would make long term care a priority.
The provisions in the Johnson-Pomeroy bill are
remarkably similar to some proposed by President Bush in
his 2004 budget, which may help give the bill a boost.
While Johnson declined to guess at the cost of the
bill Wednesday, estimates for the two versions proposed
last year ranged in the neighborhood of $33.5 billion
over 10 years.
Those costs could be offset if more Americans choose
to pay for long-term care insurance, since that would
mean fewer people relying on state and federal Medicaid
dollars to pay for their care, said Daniel C. Adcock of
the National Association of Retired Federal Employees at
the news conference.
However, according the Center on Budget and Policy
Priorities, the vast majority of Americans – 70 percent
– pay between no taxes and 15 percent of their income
and, therefore, a deduction on premiums would be of
little benefit to them. It would still however, provide
a great deal of relief to higher-income people, the
think tank said.