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Governor pushes to lower health care costs; AG applauds Supreme ruling Upholding validity of Safe Firearm Storage Law; OSHA proposes $178,800 fines for cave-in hazards
US Labor Department's OSHA proposes $178,800 in fines for Massachusetts and RI contractors for Newton cave-in hazards
The U.S. Department of Labor's Occupational Safety & Health Administration issued the following news release:
Responding to a complaint of potentially unsafe conditions at a synagogue under construction at 349 Dedham St. in Newton, Mass., the U.S. Department of Labor's Occupational Safety and Health Administration found that employees of Telsi Builders, the project's Newton-based general contractor, and its concrete subcontractor, Ocean State Forms Inc. of Cumberland, R.I., were working in excavations up to 14 feet deep that lacked protection against a collapse of their sidewalls.
"Workers at this site were needlessly exposed to cave-in hazards on multiple occasions," said Paul Mangiafico, OSHA's area director for Middlesex and Essex counties. "In one instance, had the unprotected 14-foot high excavation wall collapsed, it would have engulfed workers pouring concrete formwork and crushed them beneath tons of concrete as well as soil and debris."
The cave-in hazards were exacerbated by the placement of excavated spoils at the edge of excavations and the lack of a safe means of exiting the excavations. Workers for both contractors also risked impalement on unguarded protruding steel rebar, falls into uncovered 7-foot deep holes and head injuries from a lack of protective helmets for workers in the excavations. In addition, Telsi employees were exposed to additional fall hazards from defective and uninspected ladders and while crossing over an excavation on a plank that lacked guardrails.
As a result of these conditions, Telsi Builders and Ocean State Forms both have been issued four willful citations, with $84,000 apiece in fines; Telsi has been issued four serious citations, with $7,200 in fines; Ocean has been issued two serious citations, with $3,600 in fines. Telsi faces a total of $91,200 in fines, while Ocean State faces a total of $87,600. OSHA defines a willful violation as one committed with plain indifference to or intentional disregard for worker safety and health, while serious citations are issued when death or serious physical harm is likely to result from hazards about which the employer knew or should have known. Detailed information on trenching and excavation hazards and safety is available here.
"With the coming of warmer weather and thawing of the soil, I urge employers to review their work practices, equipment and training to ensure that none of their employees enters an excavation unless and until it is properly guarded," said Mangiafico. "Their workers' lives could depend on it."
Each contractor has 15 business days from receipt of its citations and proposed penalties to comply, meet with the OSHA area director or contest the findings before the independent Occupational Safety and Health Review Commission. The inspection was conducted by OSHA's Andover Area Office; telephone 978-837-4460.
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Governor pushes to lower health care costs for small businesses and families
The governor has issued the following news release:
Continuing his efforts to provide relief to Massachusetts small businesses and families from skyrocketing health care increases, Governor Deval Patrick today called on the Legislature to pass his proposal to lower premiums and help small businesses create jobs in the Commonwealth. In testimony before the Joint Committees on Health Care Financing, and Community Development and Small Business on the health care provisions of his Jobs Bill, the Governor outlined personal stories from small business owners about the burden of escalating costs and detailed how his plan will provide emergency relief so that small businesses - which make up 85% of the state's economy - can start hiring.
"On the main streets of the Commonwealth, we have an emergency on our hands. We can debate the whys and the hows of health care increases, but the strivers who are investing their energy, their time and their money to help the Massachusetts economy flourish can wait for answers no longer," said Governor Patrick. "We filed our proposals in a Jobs Bill for one reason: Without small business, there will be no economic recovery. If they don't start hiring, complete economic recovery will elude us. Next to access to capital, soaring health care costs are the consistent reason given for why they can't see their way to add more jobs."
The Governor's proposal includes the following measures:
- Recognizing that controlling health care costs is a shared responsibility, the bill provides oversight of health insurance company and provider rates by the Division of Insurance and the Division of Health Care Finance and Policy, respectively. Oversight of the reasonableness of rates charged by both insurers and providers, a temporary two-year measure, is meant to exert downward pressures on escalating health care costs as the Governor and the Legislature continue to move toward systemic changes to the state's health care payment system. For a period of two years, this oversight triggers a presumptive disapproval for those health insurer and provider rate increases that exceed benchmarks based on the prior year's consumer price index for medical services (2009 medical CPI is 3.2%). These rates would be disapproved, unless there is a compelling reason not to.
- Requires the Commissioner of Insurance to examine small business health insurance rating factors and prevent any duplicative or unjustified administrative charges that may drive up costs for small businesses.
- The legislation also empowers the Commissioner of Insurance to protect small businesses from rate shock caused by drastic increases in premiums driven by changes in the composition of their workforces (particularly the age of their workforces).
- A two year moratorium on the adoption of any new mandated benefits.
- Beginning in July, the bill gives smaller companies the choice of more affordable plans by requiring health insurance carriers in the small group market to offer at least one selective network plan with premiums that are at least 10 percent lower than the premiums for the full network product.
- Requires insurers to establish bi-annual open enrollment periods for individuals who purchase individual coverage to encourage people to maintain their health insurance.
In addition to measures aimed at reducing health care costs, the Governor's Jobs Bill, which he filed last month, provides tax credits for businesses that create new jobs, eases unemployment insurance costs for employers and creates a new organization dedicated to providing businesses with the financial capital and resources they need to grow.
The Governor has also directed Insurance Commissioner Joseph Murphy to conduct a series of hearings to review the double-digit premium increases burdening small businesses across Massachusetts. Throughout these hearings, countless small business owners have shared stories about how premium increases are crippling their ability to do business in Massachusetts.
"People are angry. During our six hearings across the Commonwealth, we heard from dozens of small-business owners who are faced with unpleasant decisions that affect the future and stability of their businesses," said Commissioner Murphy. "The Governor's proposed legislation will reduce these high increases in health insurance costs, and create the flexibility for small businesses to grow and thrive in our recovering economy."
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Working class non-elderly adults now make up the highest percentage of the uninsured because they have to maintain all the mandates while at the same time thier premiums are doubled because of age.
Here are your current mandates:
Chiropractic services
Contraceptive services
Diabetes-related services and supplies
Early intervention services
Home health care
Hormone replacement therapy (HRT)
Human leukocyte antigen testing (HLA)
Infertility treatment
Low protein food products for inherited amino acid and organic acid diseases (PKU)
Mental health care
Nonprescription enteral formulas
Scalp hair prostheses for cancer patients
Speech, hearing, and language disorders
continued on next post.
Alcoholism rehabilitation
Bone marrow transplants for treatment of breast cancer
Cardiac rehabilitation
Clinical trials for treatment of cancer
Cytologic screening (Pap smear)
Hearing screening for newborns
Hospice care
Lead poisoning screening
Mammography
Maternity health care (including minimum maternity stay)
Preventive care for children up to age six (including
specific newborn testing)
Off-label uses of prescription drugs to treat cancer
Off-label uses of prescription drugs to treat HIV/AIDS
And there were at one time 70 more mandates pending in the legislator, which the Governor is now trying to stop.
According to a DHCFP report, five mandates—maternity, mental
health, home health, preventive care for children, and infertility services—account for 80% of the total cost of the mandated benefits. And the report states, "Although mandated benefits provide protections for insured populations, they may also impact the ability of health insurers to offer affordable health care coverage options."
In the name of full disclosure, I have a confession, I am one of the 180,000 and counting, who has been given an exemption by the state because I earn too much for a subsidy but not enough to afford health insurance; so I may be a bit biased. I feel the state cares more about certain personal mandates than about getting everyone basic health care and is sacrificing a certain group of people to do it. But I'm willing to listen to other thoughts on the matter.
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In 2003, Mass was 24th in highest premiums, we now have the highest premiums in the country.
Small business owners, people who work for small businesses and the self-employed are now the uninsured. According to the IRS, for 2008, over 180,000 mass residents were given exemptions from the law because because they earn too much to qualify for a subsidy, but not enough to actually afford the premiums.
Cont.