One of the ideas now working its way through our legislative system addresses聽the fate of Obamacare in Hawaii.

Many people are concerned that our federal government will聽be changing the federal Affordable Care Act, sometimes known as Obamacare, and they聽would like Hawaii to keep it even if the feds don鈥檛.

The version now being considered in聽our Legislature, however, is so ham-fisted in its approach I call it 鈥淥bamacare Heavy.鈥

Protesters in Washington call for Obamacare to be preserved. In Hawaii, legislative proposals are going even further. Anthony Quintano/Civil Beat

The federal act works by specifying a set of benefits that all health plans need to聽offer, called 鈥渕inimum essential coverage.鈥

Among those benefits are: all major聽medical insurance is 鈥済uaranteed issue,鈥 meaning you can鈥檛 be denied coverage, even聽for pre-existing conditions; the law limits the variables on which the insurance price聽depends, and health status or gender are not among them; there are no annual or聽lifetime limits on health care; and insurance companies can鈥檛 drop you when you are聽sick or for making a mistake on your application.

The act also tries to spread the costs of minimum essential coverage throughout聽the population by adopting an 鈥渋ndividual mandate.鈥 Everyone, for themselves and for聽their dependents, must buy health insurance. If you don鈥檛, you pay a penalty that is聽enforced through the income tax system.

Our Legislature is now considering and , which聽would require insurers in Hawaii to issue policies of minimum essential coverage, and聽then would require those subject to the Hawaii tax system to buy those policies or pay a聽penalty of $695 (to be adjusted for cost of living) per year.

But the federal Obamacare聽system has various exemptions, including for those who can鈥檛 afford the insurance,听nonresidents, incarcerated people, short coverage gaps, people who were born or聽adopted into the household during the year and people who died.

The Obamacare聽Heavy bills as introduced had none of these exemptions. That would produce curious聽results like these:

鈥 Mom, Dad and Grandpa live together. Grandpa dies in February. Grandpa is聽claimed as a dependent on Mom and Dad鈥檚 joint return, so Mom and Dad are required聽to have insurance for Grandpa for the whole year. If they insured him only until he died, they聽would pay the penalty for 10 months.

鈥 Janna lives in Kansas for the whole year, not setting foot in Hawaii at all, but聽rents out some property in Papakolea. Janna is required to file a Hawaii nonresident聽return, and is also required to buy Hawaii insurance for the whole year. (Would that聽insurance even cover her because she lives in Kansas?)

鈥 Micah is a Hawaii resident but spends the whole year in a prison in Arizona. He聽is required to buy Hawaii insurance for the whole year. Same result if he was in聽Halawa. Obviously he wouldn鈥檛 be going to his local doctor鈥檚 office if he got sick.

鈥 Kimo is laid off from his job in March, and is barely able to put food on the table聽for his wife and three minor children. The federal system has tax credits for those聽unable to afford insurance and an exemption from the individual mandate for those like聽Kimo. But the credits require the participant to have bought insurance on an聽鈥淓xchange鈥; the exchange we in Hawaii tried to build imploded despite sucking up $205聽million in federal funding, and the federal exchange probably will go away if the federal聽law is repealed.

One version of the Hawaii bill has tax credits, but there is no聽exemption, so Kimo could be stuck with the penalty for the whole year 鈥 for himself, his聽wife and kids.

If we are seriously thinking of adopting Obamacare Heavy, we really need to聽consider working out the details to allow the system to be functional here.

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