Employers threatened to dump millions of retirees onto the government program unless the government sweetened the deal for them. The companies were bluffing. For one thing, they had already largely dropped prescription drug coverage for salaried retirees or had shifted much of the cost to them. And they couldn’t unilaterally cancel coverage for union retirees covered by collectively bargained contracts. But lawmakers didn’t know employers were making an empty threat. In any case, providing a subsidy to employers was a safe political move: They would appear to be helping retirees, being pro-business,
So lawmakers awarded employers a generous subsidy. Beginning in 2006, the companies would receive a subsidy of 28 percent of what they paid, up to $1,330 per retiree, per year, to help pay for prescription drug coverage.
That sounds straightforward, but there were windfalls within windfalls. Not only was the subsidy tax-free, but employers could deduct the government handout. In other words, they could treat the free government money as if it were coming out of company coffers, and deduct every cent. Employers did the happy dance.
Even better: The legislation said that employers would receive a subsidy of 28 percent of the
It isn’t clear whether this boondoggle was the result of a drafting error—after all, these bills tend to be nailed down in the dead of night, after a lot of horse trading among various interested parties. Or, more likely, it was the result of the stealthy fingers of lawyers and lobbyists for employers. Regardless of how it got there, this unintended benefit for employers went unnoticed until after the Medicare drug law was passed.
When the Treasury discovered it in early 2004, it complained about this gravy train, which was, as tax loopholes go, pretty impressive. The federal Centers for Medicare & Medicaid Services, among others, criticized the deduction as a windfall. From the first, it was tops on the list of execrable giveaways that some in the Treasury had their knives out for, though they didn’t get a chance to take a stab at rescinding it until late in 2009.
At that point, the Obama administration was scrambling to identify dubious tax breaks it could eliminate to help offset the cost of the new health care program. The Medicare subsidy deduction was a prime candidate. Employers launched their lobbyists to try to save what some critics were calling double deduction. Echoing the threat they’d made in 2003, employers said that unless they were allowed to keep the deduction, they wouldn’t be able to afford to continue to provide the prescription drug coverage and would drop it altogether. This time, the argument didn’t work. The deduction would end, but not right away. Employers still had four more years to deduct the free money they received to subsidize benefits that the retirees, in many cases, were paying for.
But when health reform passed, employers correctly assumed that almost no one knew this backstory, or how the accounting worked, and were able to make some political hay.
AT&T announced that, because of health reform, it was taking a $1 billion hit. As predicted, shareholders, analysts, lawmakers, and the media assumed this meant that AT&T’s health care bills would rise by $1 billion. AT&T didn’t disabuse the public of this misperception.
What was really happening was that AT&T had to reverse part of the gain it had taken after the subsidy was granted in 2003. When it was awarded the subsidy, it estimated how much it would receive in government subsidies over the years, including the value of the deduction, which is recorded as a “deferred tax asset” (which simply means that when a company knows it will pay pensions, deferred comp, or other retiree benefits in the future, and deducts the amounts, it reports the value of those future deductions as an asset).
AT&T estimated how much it would receive in subsidies over the lives of its retirees and reduced its obligation by $1.6 billion in 2003.
Like many other companies, AT&T went ahead and cut prescription drug coverage for salaried retirees anyway. Less than a month after the Medicare Prescription Drug Act was passed, AT&T announced steep increases in deductibles and co-pays for prescription drugs, which shaved its costs by $440 million in 2004 alone.