July 11, 2017

Brenda Hofmann
(262) 373-7756

71% of Employers Don't Want ACA Repealed

International Foundation survey reveals health care provisions supported and opposed by employers

Brookfield, Wisconsin—Since the Affordable Care Act (ACA) replacement morphed into the American Health Care Act and now the Better Care Reconciliation Act, access to health care could be changing, and employers are reacting to possible workplace impacts. In Employer Pulse Check: The Future of ACA, the International Foundation of Employee Benefit Plans surveyed employers from across the country and found 71 percent would not like ACA repealed entirely.

"Like the uncertainty that greeted employers when ACA was first introduced seven years ago, organizations are once again faced with the prospect of proposed changes that could impact their bottom line and make it difficult for future planning," said Julie Stich, CEBS, Associate Vice President of Content at the International Foundation. "With the possibility of new laws and regulations, employers will need to remain watchful in order to stay compliant."

If the ACA employer mandate were repealed, 96 percent of employers surveyed would continue to provide health benefits for workers. Of the organizations stating they would discontinue coverage, 64 percent said it would be due to the high cost of health care coverage.

Top Employer-Supported Health Care Provisions

  • 79% support the tax-favored status of employer-provided health coverage for employers.
  • 76% support the tax-favored status of employer-provided health coverage for workers.
  • 74% support the mental health benefit parity (i.e., the same level of benefits as for other medical conditions).
  • 69% support expanded use/flexibility for health savings accounts (HSAs).
  • 67% support the ban on preexisting condition exclusions.
  • 67% support increased wellness incentives as allowed under ACA.

Top Employer-Opposed Health Care Provisions

  • 85% oppose the Cadillac tax (excise tax on high-cost plans).
  • 65% oppose premiums based on medical experience (i.e., insurers can charge sicker individuals more).
  • 52% oppose the increased age-based premium differential between younger and older individuals (e.g., increased from three to five times).
  • 48% oppose the limit on health flexible spending (FSA) account salary reductions (i.e., $2,600 in 2017).

For access to the full results, visit www.ifebp.org/futureofaca.

Survey responses were received from 727 U.S. members of the International Foundation, representing organizations from fewer than 50 to more than 10,000 employees, and public employer/governmental entities, multiemployer benefit funds and corporation/single employer sectors.


The International Foundation of Employee Benefit Plans is the premier educational organization dedicated to providing the diverse employee benefits community with objective, solution-oriented education, research and information to ensure the health and financial security of plan beneficiaries worldwide. The Foundation has more than 33,000 multiemployer, corporate and public sector members representing over 25 million lives. For additional information, visit www.ifebp.org.