Republican State Senators are co-sponsoring a Democratic proposal to restore the Maine Education Association’s (MEA) “virtual monopoly” of teachers’ taxpayer-funded health insurance.
Sens. Roger Sherman (R-Aroostook) and Tom Saviello (R-Franklin) are co-sponsors of An Act to Protect School Administrative Units and Taxpayers (LD 300), introduced by Rep. Henry Beck (D-Waterville). Beck’s bill would repeal a law passed in 2011—and subsequently upheld by two federal courts—that allows school districts to obtain medical loss information from the MEA Benefits Trust (MEABT) which manages a statewide health insurance plan for most of Maine’s public school work force.
Ralph W. Sarty Jr., former Republican representative of Denmark, wrote the law Beck, Sherman, Saviello and others now wish to undo after school superintendents in his district approached him with a complaint.
“Four superintendents came to me wanting their school districts’ medical loss information so that they could go buy insurance through competitive bidding rather than going through the teachers’ union,” said Sarty. “But MEABT refused to provide the information.”
Medical loss information is statutorily defined as the aggregate claims experience of the group insurance policy or contract, including premium amounts, the amount of claims paid and the loss ratio. Group insurers in Maine generally require at least two years of medical loss data before they can provide quotes. Without this information, school districts cannot shop for better, cheaper health insurance and are effectively forced to purchase plans from MEABT and its partner Anthem BlueCross BlueShield.
“I did some research and found that the schools did have the right to accept competitive bids for health insurance, but it was unclear whether the insurer or the teachers’ union had to provide the medical loss info required to do so,” said Sarty.
“The purpose of LD 1326 was to give school districts the option to explore ways to reduce health insurance costs by forcing MEABT to provide medical loss information,” said Sarty.
LD 1326 passed by large majorities in the House but only a three-vote margin in the Senate, with both Saviello and Sherman voting against.
“It was a contentious bill, and the teachers’ union fought it hard,” said Sarty. “The union said it was a union-buster, an attack on education, on teachers—it was none of these things,” he said. “It was simply a way to allow school districts to pursue competitive bidding in order to reduce health costs and save money.”
After Gov. Paul LePage signed Sarty’s bill into law in June of 2011, MEABT was flooded with requests from school districts all over the state for medical loss data and responded by filing a lawsuit in district court.
The district court denied MEABT’s request for an injunction halting the laws implementation, but the union appealed to the U.S. Court of Appeals for the First Circuit in Boston, arguing that the medical loss information of public school employees was the union’s confidential trade secret. On September 24, 2012, the Court of Appeals upheld the district court’s decision and the law.
The Court wrote that MEABT held a “virtual monopoly” on the health insurance of school employees that was “perpetuated by the very policy of non-disclosure which it seeks to protect.” The teachers’ union dropped its complaint in October for financial reasons.
Sarty said he did not think the 126th legislature would try to repeal the law he authored given that it was upheld by two federal courts. “I’m very disappointed they’re revisiting this,” he said.
“What disturbs me the most is the bill’s [LD 300’s] title— An Act to Protect Schools and Taxpayers?—give me a break.”
Sen. Tom Saviello voted against LD 1326 and is now co-sponsoring the attempt to repeal it. He said he voted against the original bill because he believed it would negatively impact teachers at rural schools in his district. He said he is now co-sponsoring LD 300 in order to continue the conversation. “I want the dialog to continue,” said Saviello.
“My feeling the first time around was that our school districts would see increased costs,” said Saviello. “If that doesn’t turn out to be the case, I may vote against [LD 300],” he said.
Sen. Roger Sherman, the other Republican co-sponsor of LD 300, is concerned about cherry-picking.
“I think [LD 1326] will decrease rates in the short-term. You’ll get low bids, I’ll put it that way,” said Sherman. “But some districts that aren’t as healthier or are older could see rates rise,” he said. “One massive heart attack in a small district could spike costs.”
Sherman said the question of whether districts that cost less to insure should pay higher premiums to subsidize more costly groups is an ethical dilemma. “It’s kind of a moral issue, I guess,” he said.
“Universal health care might help, I don’t know,” said Sherman. “There are some great studies about the European systems. Is that something we could use here? I just don’t know.”
Sherman said he was aware that his stance on health insurance placed him at odds with the majority of his fellow Republicans. “But the good thing about being termed out is that you don’t care anymore,” he said.
Calls placed to the Maine Education Association were not immediately returned.
Henry Beck, after initially agreeing to answer questions regarding his bill, did not respond to multiple inquiries.