Election 2014: The Midterm Results, the ACA and You

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Election 2014: The Midterm Results, the ACA and You James Slotnick, JD Sun Life Financial AVP, Broker Education Join the conversation on Twitter using #SLFElection2014 The Midterm Results The Outlook for 2016 The Future of the ACA 2 On November 4 th, 36 Senate seats were up for grabs WA AK CA OR NV ID UT MT WY CO ND SD NE KS MN WI IA IL MO ME VT NH MI NY MA PA CT RI IN OH NJ MD DE WV VA KY HI AZ NM OK (2) NC TN AR SC (2) MS AL GA TX LA FL 21 Democratic Seats, 12 at-risk 15 Republican Seats, 3 at-risk (6 seats needed for majority) Democrat Republican Source: U.S. Senate, Cook Political Reporter, Washington Post, New York Times 3 1

Today, here s what we know Seats that flipped To Democrats To Republicans No States Alaska Arkansas Louisiana Montana North Carolina South Dakota West Virginia Colorado Iowa 4 Post-election 2014 WA AK HI CA OR NV ID UT MT WY CO ND SD NE KS MN WI IA IL MO ME VT NH MI NY MA PA CT RI IN OH NJ MD DE WV VA KY AK AZ NM OK AR TN NC SC MS AL GA TX LA FL 46 Democrats: 44(D) & 2 (I) 54 Republicans Democrat 44 Independent 2 Republican 54 Source: U.S. Senate 5 The six-year itch? Change in congressional party makeup after mid-term elections during President s second term Year President Party Senate Seat Changes 1958 Eisenhower Republican -12 1966 Kennedy/Johnson Democrat -4 1974 Nixon/Ford Republican -4 1986 Reagan Republican -8 1998 Clinton Democrat 0 2006 G.W. Bush Republican -6 2014 Obama Democrat - 9 Average -6 Source: 2008 Vital Statistics on Congress. 6 2

The Midterm Results The Outlook for 2016 The Future of the ACA 7 Since WWII, President s party has lost five of six attempts for third term President s party election results after two-term presidency Year President Party President s Party Election Result 1960 Eisenhower Republican Lost White House 1968 Kennedy/Johnson Democrat Lost White House 1976 Nixon/Ford Republican Lost White House 1988 Reagan Republican Won White House 2000 Clinton Democrat Lost White House 2008 G.W. Bush Republican Lost White House Source: 2008 Vital Statistics on Congress. 8 The Clinton Factor? States that have not voted for a Democratic Presidential nominee since President Clinton in 1996 Kentucky (8) Arkansas (6) Arizona (11) Louisiana (8) Tennessee (11) Missouri (10) West Virginia (5) 3

The 2016 Senate elections are a reversal of 2014 Senate seats in play, by election year 21 15 24 Democratic seats Republican seats 10 2014 2016 Source: Cook Political Report. 10 The 2016 Senate races by 2012 presidential performance Obama 15% Obama 5% Obama < 5% Romney Boxer (CA) +23 Blumenthal (CT) +17 Schatz (HI), +43 Mikulski (MD) +26 Schumer (NY) +28 Leahy (VT) +36 Murray (WA) +15 Wyden (OR) +5 Bennet (CO) + 5 Reid (NV) +7 Grassley (IA) +6 Ayotte (NH) +6 Toomey (PA) +5 Johnson (WI) +7 Portman (OH) +3 Rubio (FL) +1 Isakson (GA) +8 Murkowski (AK) +9 McCain (AZ) +9 Blunt (MO) +9 Coats (IN) +10 Scott (SC) +10 Shelby (AL) +22 Kirk (IL) +17 Boozman (AR) +24 Crapo (ID) +32 Moran (KS) +22 Paul (KY) +23 Vitter (LA) +17 Hoeven (ND) +20 Coburn (OK) +34 Thune (SD) +18 Lee (UT) +48 Source: The Cook Political Report, The National Journal. 11 The Midterm Results The Outlook For 2016 The Future of the ACA 12 4

Affordable Care Act Enrollment Getting from 2014 to 2024 25M 2024 2014 2015 13M 7M Individual Marketplace Source: Congressional Budget Office The Budget and Economic Outlook 2014 to 2024, RAND Changes in Health Insurance Enrollment Since 2013 13 The Legislative Outlook Republicans have a majority in both the House and Senate Senate majority provides them with control, but will need to compromise with Democrats to pass legislation Will need to work within the legislative process to make changes to current laws Are smaller changes more likely than a major ACA reform? Source: PPACA 14 Will the court cases ever end?..through an Exchange established by the State under section 1311 King vs. Burwell 4th Circuit Court Of Appeals 3-0 Decision Appealed to Supreme Court Arguments in March, Decision in June How would the employer mandate be affected by these cases? Source: PPACA 15 5

Summary Changes in the Senate 2016 will be challenging for Democrats and Republicans Could the Judiciary have the biggest impact on the ACA? 16 Thank you James R. Slotnick, JD james.slotnick@sunlife.com 2014 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. All rights reserved. Sun Life Financial and the globe symbol are registered trademarks of Sun Life Assurance Company of Canada. Visit us at www.sunlife.com/us. VADCE-4342 SLPC 26259 11/14 (exp. 11/15) 17 6