Congress examines science behind HGH test for NFL


WASHINGTON (AP) — A congressional committee has opened a hearing to examine the science behind a human growth hormone test the NFL wants to start using on its players.


Nearly two full seasons have passed since the league and the players' union signed a labor deal that set the stage for HGH testing.


The NFL Players Association won't concede the validity of a test that's used by Olympic sports and Major League Baseball, and the sides haven't been able to agree on a scientist to help resolve that impasse.


Among the witnesses before the House Oversight and Government Reform Committee on Wednesday is Pro Football Hall of Fame member Dick Butkus. In his prepared statement, Butkus writes: "Now, let's get on with it. The HGH testing process is proven to be reliable."


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Jenni Rivera jet linked to troubled company and executive









So far, this much is clear: Jenni Rivera, one of the most celebrated artists in the Latin world, died when her private jet went into a dive. The plane plummeted nose-first, 28,000 feet in 30 seconds, leaving its wreckage — and the remains of Rivera and six others — splayed across the side of the mountain like a wash of pebbles.


The investigation at the remote Mexican crash site is now in full swing, and authorities have not said whether they suspect maintenance problems or pilot error. But scrutiny has fallen on the plane and its pilots, one of whom was 78 years old. Interviews and documents link the jet to a troubled company — and an executive who was once imprisoned for faking the safety records of planes he bought from the Mexican government and sold to private pilots in the United States.


According to federal aviation records, the Learjet 25 carrying Rivera from a performance in Monterrey, Mexico, was built in 1969 and was owned by a Las Vegas company called Starwood Management LLC.





A Starwood executive, Christian E. Esquino Nunez, was accused of conspiring with associates in the 1990s and 2000s to falsify records documenting the history of planes they bought and sold — tail numbers, inspection stamps and logbooks. Esquino's "fraudulent business practices ... put the flying public at risk," federal authorities argued in documents obtained by The Times.


"We had a forewarning that this is what he is," Timothy D. Coughlin, an assistant U.S. attorney in San Diego, said. "Essentially they would manufacture the records ... that would indicate that maintenance was up to date. They would create them out of whole cloth." Once Esquino brought the planes across the border for sale, "it was open season," Coughlin said.


Coughlin prosecuted the case against Esquino in 2005, resulting in a guilty plea that sent Esquino to a federal prison in Lompoc, Calif., for two years.


After his release from prison, Esquino was deported from Southern California to his native Mexico, where he lives today.


For 20 years, Esquino has been embroiled in a briar of legal allegations, many involving airplanes — a bankruptcy and a restraining order, criminal indictments and civil judgments, cocaine-distribution charges, even a role in an alleged conspiracy to airlift relatives of the late Moammar Kadafi out of Libya.


On Wednesday, Esquino told The Times by telephone from Mexico City that the flight was not a charter as authorities have said. Rather, Rivera was in the final stages of buying the plane from Starwood for $250,000; the flight was offered as a free "demo."


Esquino, 50, described himself as Starwood's operations manager, and said he understood why his past would place him under scrutiny in the wake of the accident.


"Obviously my past — there is a story to it," he said. "It's unavoidable that they are going to look at my past.... I think it's fair to bring it up right now and question it."


However, he said, the jet was perfectly maintained. He said the only conceivable explanation for the crash was that pilot Miguel Perez Soto suffered a heart attack or was incapacitated in some way, and that a younger co-pilot, Alejandro Torres, was unable to save the plane. (Authorities stressed that they have not determined a cause of the crash or whether the plane had any problems.)


"We're all grieving," Esquino said. "I'm definitely very sorry that this happened."


Esquino said it was not a mistake to put a 78-year-old pilot at the helm of the flight. Perez had a valid license to fly in Mexico, authorities said Wednesday, but U.S. aviation sources said that in the United States, Perez was licensed to fly only under conditions that didn't require the use of instruments and was not allowed to carry passengers for hire.


Esquino said he had known and trusted Perez for 30 years. "I couldn't think of anyone more qualified," he said.


Rivera, 43, a famed Mexican American performer, mother of five and master of a growing international business empire, was killed Sunday when the private jet carrying her and four members of her entourage crashed near Iturbide, Mexico.


Rivera had sold 20 million albums, lived in a massive estate in Encino, was preparing to make her American network television debut and was at the height of her career.


The same plane, according to U.S. aviation records, sustained "substantial" damage in 2005 when a fuel imbalance left one wing tip weighing as much as 300 pounds more than the other. The unnamed pilot, despite having logged more than 7,000 hours in the air, lost control while landing in Amarillo, Texas, and struck a runway distance marker. No one was injured.


Esquino called that accident "minor" and said the plane had flown without issue for 1,000 hours since then.


Starwood formed in March 2007, two months after Esquino was released from prison. He probably knew, federal officials said Wednesday, that he would be unable to receive a license to buy and sell U.S.-registered aircraft following the federal charges and his deportation. Nevada employment records list Esquino's sister-in-law, Norma Gonzalez, as the sole corporate officer of Starwood. But according to allegations contained in court documents, it was Esquino — who has operated at times under the name Eduardo "Ed" Nunez — who was actually running the show.





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In Egypt, New Challenge to Referendum as Loan is Postponed


Hassan Ammar/Associated Press


Protests continued on Tuesday outside the presidential palace in Cairo.







CAIRO — President Mohamed Morsi’s advisers struggled Tuesday to work with a panel of politicians and intellectuals in an effort to work out last-minute proposals that might broaden support for an Islamist-backed draft constitution that is set to go before Egypt’s voters on Saturday, participants said.




Just outside Mr. Morsi’s office, thousands of his opponents staged a seventh night of demonstrations. Many of those against the proposed charter chanted for the downfall of Mr. Morsi, Egypt’s first democratically elected president.


Blocks away, crowds of Islamists denounced the secular opposition’s leaders as murderers for encouraging protests last week that led to deadly clashes with members of the Muslim Brotherhood.


The huge crowds of rivals underscored the animosity and distrust that have all but shut down political dialogue here just as Egypt is poised to complete its promised transition to a constitutional democracy.


Khaled al-Qazzaz, a spokesman for the president, said a “national dialogue” committee convened by Mr. Morsi was continuing to meet to try to come up with measures that might bridge the gap between the Islamists and their opponents over the proposed charter.


Mr. Qazzaz said the panel was discussing measures that the president could announce now but that would take effect after the referendum. “If a segment of society has concerns about some articles of the constitution, how are we going to bring them together?” he said, declining to provide more detail.


Separately, Egypt’s defense minister, Gen. Abdul Fattah el-Sisi, issued a formal invitation to Mr. Morsi, the leaders of all political factions and officials from across the institutions of government for what the invitation called “a meeting for humanitarian communication and national coherence in the love of Egypt.”


The invitation raised alarms that General Sisi intended to play a role in the constitutional debate and perhaps have the military resume the explicitly political role it had in managing the transition before Mr. Morsi took over. But a military spokesman later said in a statement that politics and policy were off the agenda.


Mr. Qazzaz called the event a display of unity at a military-run facility and said Mr. Morsi would attend. “It is social event to show that society is in coherence, that we are one big family,” he said.


Liberals complain that the charter does not do enough to prevent a future Islamist majority from limiting individual freedoms or women’s rights.


But the Islamists’ political strength may only partly account for the expected approval of the draft constitution in Saturday’s scheduled referendum. (Egyptians abroad begin voting on Wednesday.) The charter also promises stability after two years of the country’s chaotic transition.


The secular opposition’s main coalition postponed for a third day on Tuesday a formal announcement of its decision on whether to advocate a boycott of the referendum or to urge Egyptians to vote no. A statement on Sunday had appeared to declare a boycott.


People involved said the coalition was struggling to overcome internal disagreements. “Every hour there is a change,” an aide to one opposition leader said Tuesday evening.


Also on Tuesday, the chief of the largest judicial professional association, Ahmed al-Zend, announced that 90 percent of its members would refuse to monitor the polls. Judicial supervision of elections is required by Egyptian tradition and law, but the judges said they would boycott to protest the charter and Mr. Morsi’s decree, since withdrawn, putting the president above judicial review.


Mr. Zend was a loyalist of former President Hosni Mubarak who is now more or less openly at war with Egypt’s new Islamist leaders. Some doubted that he spoke for all of his members, and advisers to Mr. Morsi insist that they have the cooperation of enough judges.


On Tuesday, Mr. Morsi’s government also put off until next month the signing of a badly needed $4.8 billion loan from the International Monetary Fund intended to help prevent an economic collapse. Officials said they wanted more time to discuss the related economic reform package with the public.


“The delay will have some economic impact, but we are discussing necessary measures” to address that until the loan can be finalized, Finance Minister Mumtaz al-Said told Reuters by telephone. “I am optimistic,” he added.


Mayy El Sheikh contributed reporting.



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Hugh Hefner's Engagement Ring to Crystal Harris Revealed















12/11/2012 at 07:00 PM EST



The wedding's back on – though it may be a good idea to save that gift receipt.

Hugh Hefner, 86, officially confirms that he is once again engaged to Crystal Harris, 26, telling his Twitter followers, "I've given Crystal Harris a ring. I love the girl."

And to prove it, Harris posted photos of the big diamond sparkler, calling it "my beautiful ring."

Neither announced a wedding date, though sources tell PEOPLE they're planning to tie the knot at the Playboy Mansion in Los Angeles on New Year's Eve.

Whether that still happens remains to be seen.

This is the plan they had in 2011 – a wedding at the mansion – except that Harris called it off just days before the nuptials were scheduled to happen in front of 300 invited guests.

Hugh Hefner's Engagement Ring to Crystal Harris Revealed| Engagements, Crystal Harris, Hugh Hefner

Hugh Hefner and Crystal Harris

David Livingston / Getty

The onetime Playmate of the Month then ripped Hef's bedroom skills, calling him a two-second man, to which Hefner replied, "I missed a bullet" by not marrying her.

A year later, Hefner's "runaway bunny" bounded back to him.

Reporting by JENNIFER GARCIA

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DA investigating Texas' troubled $3B cancer agency


AUSTIN, Texas (AP) — Turmoil surrounding an unprecedented $3 billion cancer-fighting effort in Texas worsened Tuesday when its executive director offered his resignation and the state's chief public corruption prosecutor announced an investigation into the beleaguered agency.


No specific criminal allegations are driving the latest probe into the Cancer Prevention and Research Institute of Texas, said Gregg Cox, director of the Travis County district attorney's public integrity unit. But his influential office opened a case only weeks after the embattled agency disclosed that an $11 million grant to a private company bypassed review.


That award is the latest trouble in a tumultuous year for CPRIT, which controls the nation's second-largest pot of cancer research dollars. Amid the mounting problems, the agency announced Tuesday that Executive Director Bill Gimson had submitted his letter of resignation.


"Unfortunately, I have also been placed in a situation where I feel I can no longer be effective," Gimson wrote in a letter dated Monday.


Gimson said the troubles have resulted in "wasted efforts expended in low value activities" at the agency, instead of a focused fight against cancer. Gimson offered to stay on until January, and the agency's board must still approve his request to step down.


His departure would complete a remarkable house-cleaning at CPRIT in a span of just eight months. It began in May, when Dr. Alfred Gilman resigned as chief science officer in protest over a different grant that the Nobel laureate wanted approved by a panel of scientists. He warned it would be "the bomb that destroys CPRIT."


Gilman was followed by Chief Commercialization Officer Jerry Cobbs, whose resignation in November came after an internal audit showed Cobbs included an $11 million proposal in a funding slate without a required outside review of the project's merits. The lucrative grant was given to Dallas-based Peloton Therapeutics, a biomedical startup.


Gimson chalked up Peloton's award to an honest mistake and has said that, to his knowledge, no one associated with CPRIT stood to benefit financially from the company receiving the taxpayer funds. That hasn't satisfied some members of the agency's governing board, who called last week for more assurances that no one personally profited.


Cox said he has been following the agency's problems and his office received a number of concerned phone calls. His department in Austin is charged with prosecuting crimes related to government officials; his most famous cases include winning a conviction against former U.S. House Majority Leader Tom DeLay in 2010 on money laundering charges.


"We have to gather the facts and figure what, if any, crime occurred so that (the investigation) can be focused more," Cox said.


Gimson's resignation letter was dated the same day the Texas attorney general's office also announced its investigation of the agency. Cox said his department would work cooperatively with state investigators, but he made clear the probes would be separate.


Peloton's award marks the second time this year that a lucrative taxpayer-funded grant authorized by CPRIT instigated backlash and raised questions about oversight. The first involved the $20 million grant to M.D. Anderson Cancer Center in Houston that Gilman described as a thin proposal that should have first been scrutinized by an outside panel of scientific peer-reviewers, even though none was required under the agency's rules.


Dozens of the nation's top scientists agreed. They resigned en masse from the agency's peer-review panels along with Gilman. Some accused the agency of "hucksterism" and charting a politically-driven path that was putting commercial product-development above science.


The latest shake-up at CPRIT caught Gilman's successor off-guard. Dr. Margaret Kripke, who was introduced to reporters Tuesday, acknowledged that she wasn't even sure who she would be answering to now that Gimson was stepping down. She said that although she wasn't with the agency when her predecessor announced his resignation, she was aware of the concerns and allegations.


"I don't think people would resign frivolously, so there must be some substance to those concerns," Kripke said.


Kripke also acknowledged the challenge of restocking the peer-review panels after the agency's credibility was so publicly smeared by some of the country's top scientists. She said she took the job because she felt the agency's mission and potential was too important to lose.


Only the National Institutes of Health doles out more cancer research dollars than CPRIT, which has awarded more than $700 million so far.


Gov. Rick Perry told reporters in Houston on Tuesday that he wasn't previously aware of the resignation but said Gimson's decision to step down was his own.


Joining the mounting criticism of CPRIT is the woman credited with brainstorming the idea for the agency in the first place. Cathy Bonner, who served under former Texas Gov. Ann Richards, teamed with cancer survivor Lance Armstrong in selling Texas voters in 2007 on a constitutional amendment to create an unprecedented state-run effort to finance a war on disease.


Now Bonner says politics have sullied an agency that she said was built to fund research, not subsidize private companies.


"There appears to be a cover-up going on," Bonner said.


Peloton has declined comment about its award and has referred questions to CPRIT. The agency has said the company wasn't aware that its application was never scrutinized by an outside panel, as required under agency rules.


___


Follow Paul J. Weber on Twitter: www.twitter.com/pauljweber


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Grant to aid UC Berkeley's undocumented students









UC Berkeley announced a $1-million grant Tuesday to boost financial aid for undocumented students, which is thought to be the largest gift of its kind in the nation.

The donation from the Evelyn and Walter Haas Jr. Fund will supplement state aid for undocumented students that is scheduled to roll out over the next two semesters in a policy change authorized by the California Dream Act. Undocumented students will be eligible for state aid but not for federal grants or loans, and the donation — along with other private funds — will help fill in the gaps, officials said.


Starting next fall, the donation is expected to aid about 100 students a year with annual grants of $4,000 to $6,000 until the funds run out, officials said.








UC Berkeley Chancellor Robert J. Birgeneau said Tuesday that the Haas Fund gift grew out of a dinner he hosted last year to which he invited some undocumented students and some past UC donors, including Haas family members. The students talked about their immigration history and how they came to enroll at UC, deeply impressing the guests, he recalled.


"The individual stories of these students are so compelling," he said. "They are heroic. They encounter … challenges that very few of our students have to deal with." The Haas Fund later made the donation without a direct solicitation, he said.


Birgeneau said one of the biggest challenges for undocumented college students is that they cannot legally work to earn extra money for living expenses or books, even if they receive significant aid for tuition.


The extended Haas family, whose fortune comes from Levi Strauss Co., which makes jeans, has been generous to UC and San Francisco-area charities. Haas Fund President Ira Hirschfield called the future scholarship recipients "motivated, hardworking and inspiring."


An estimated 200 undocumented undergraduates attend UC Berkeley, and as many as 5,000 attend other California colleges. California is one of a dozen states allowing illegal immigrants to pay in-state tuition.


An earlier $300,000 gift from Elise Haas, granddaughter of the fund's founders, provides support services, such as academic and legal advice, a textbook lending library and mental health resources, for undocumented students at UC Berkeley.


Uriel Rivera, an undocumented student whose family emigrated from Mexico when he was 15, plans to return to UC Berkeley next semester after taking time off because he couldn't make ends meet. He saved money working at his family's convenience store in Los Angeles.


The new state aid, and the possibility of the Haas money, will be a great relief, he said. "I'm no longer going to be worried in school about what I'm going to eat, how I'm going to afford a place to live next semester, owing fines because I can't pay for tuition," said Rivera, 23, an ethnic studies and public policy major.


larry.gordon@latimes.com


cindy.chang@latimes.com





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World Briefing | Asia: Chinese Leader Offers Policy Hints



The state news media confirmed Monday that Xi Jinping, the new Communist Party chief, visited Guangdong Province over the weekend, a trip first reported by Hong Kong news organizations. Mr. Xi chose Guangdong and the special economic zone of Shenzhen for his first tour outside of Beijing as party chief, signaling that he might favor more market-oriented economic policies. Xinhua, the state news agency, reported Monday that Mr. Xi met with business executives in Guangzhou and talked about tax reform, support for exports, aid for small businesses and land use. “We need both a firm confidence in victory and a stronger sense of peril,” he said, and added that officials should carry out “deeper reform,” improve the mechanisms of the market economic system and strengthen the “rule of law.”


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Massive HP conference draws 10,000 attendees to ogle products, speakers, presentations






By Suzy Hansen


More than 10,000 customers, partners and attendees flocked to the Hewlett-Packard Discover conference in Frankfurt, Germany, this week to learn about HP’s latest products, exchange ideas, swap business cards and basically examine whether HP can improve the way their companies are run. The event was held at Messe Frankfurt, one of the world’s largest trade exhibition sites.






CEO Meg Whitman acknowledged in her speech on Tuesday that HP has gone through some rough times this past year. HP’s stock price has been nearly halved during her tenure. Whitman, however, pointed out that HP has $ 120 billion in revenue and is the 10th-largest company in the United States. In Q4, HP has generated $ 4.1 billion in cash flow.


“We are the No. 1 or No. 2 provider in almost every market,” Whitman told the crowd in Frankfurt.


Whitman emphasized  executives’ increasing concerns about security and said that it will be addressed by “a new approach”: HP’s security portfolio, with Autonomy and Vertica, which helps “analyze and understand the context of these events.” Executive Vice President of Enterprise Dave Donatelli spoke about converged infrastructure, or bringing together server, network and storage; their software-defined data centers; and their new servers, which “change the way servers have been defined.” George Kadifa, executive vice president of software, said 94 of the top 100 companies use HP software. HP is the sixth-largest software company in the world, with 16,000 employees in 70 countries, Kadifa added.


Also at the conference was Jeffrey Katzenberg, CEO of DreamWorks and an old friend of Whitman’s from their Disney days, who roused the crowd with a fun speech about his long relationship with HP. Katzenberg showed an old video of himself onstage with a lion, which nearly mauled him. This time, he appeared onstage with a guy in a lion suit. The lesson was to learn from past mistakes and move on.


“If I am smart enough to say ‘scalable multicorps processing,’ I am smart enough to not put myself onstage with a real lion again,” he joked.


The Discover conference is a key vehicle for HP to show off products it’s offering in the coming year. Among them were the latest ProLiant and Integrity servers, the 3PAR StoreServ 7000 and the StoreAll and StoreOnce storage systems. At the HP Labs section of the conference, attendees could learn about the cloud infrastructure or test HP’s new ElitePad 900.


Throughout the three-day event, which saw attendance grow by 30 percent this year, attendees wandered the enormous halls, milling around displays, watching videos, listening to speeches and participating in workshops. People gathered on clustered couches and chatted with new acquaintances, frequently stopping to plug in their various devices and recharge themselves with coffee. With people coming from all over the world, you could hear many languages spoken, from Arabic to French to the most bewildering of them all: the language of technology. Despite the large crowds, it was hard not to notice there were very few women among the thousands in attendance. In fact, when asked about this phenomenon, one female HP employee said, “Trust me, you aren’t the first person who has come up to me asking about this.”


Indeed, the Discover conference was like a forest of men in suits. The few women stood out like rays of sunlight. 


Regardless of their presence at this conference, women are making big strides in information technology. Among the leaders are HP CEO Whitman, who also led eBay; Carly Fiorina, who ran HP before Whitman; Yahoo! CEO Marissa Mayer; and Facebook COO Sheryl Sandberg. Were the women at the Discover conference surprised by the low female turnout?


“No, for IT this is standard,” said Stefanie, a 30-year-old product manager from Germany. “Many are afraid of all the technical stuff, and you have to prove that you are capable of it. You get more women in retail and distribution but not in high-tech areas, at least not in Europe. In America there are more women in management positions and in general.”


Americans might assume that Europe, with its generous social programs that include free daycare, enables more women to ascend the corporate ladder. But that still doesn’t mean that a woman trying to balance a high-tech career and a family is always accepted in European society.


“There is still a lot of emphasis on the family,” Stefanie said. “It’s easier to move up in the U.S., where there is a culture of ‘having it all.’ It’s quite a fight to get there here.”


Still, the IT industry might seem inhospitable to women. Could this male-dominated profession be male-dominant because women have a hard time breaking in?


Stefanie disagreed. “No, they actually like working with women,” she said. “They want to.”


One male conference attendee, who asked not to be named, was less certain.


“There’s a lot of ego and testosterone,” he said. “It can’t be easy” for women.


Tech News Headlines – Yahoo! News


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Hayden Panettiere Splits with Scotty McKnight















12/10/2012 at 07:50 PM EST







Hayden Panettiere and Scotty McKnight


Splash News Online


Is there a tear in her beer?

Nashville star Hayden Panettiere has broken up with her boyfriend of more than a year, New York Jets wide receiver Scotty McKnight, a source confirms to PEOPLE.

But the split doesn't appear to be the stuff of a sad country song. The actress, 23, is still friends with McKnight, 24, and one source tells TMZ that their pals wouldn't be surprised if they got back together.

This is Panettiere's second go at a relationship with an athlete. Before dating McKnight she was with Ukrainian boxer Wladimir Klitschko for about two years.
Julie Jordan

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Surprise: New insurance fee in health overhaul law


WASHINGTON (AP) — Your medical plan is facing an unexpected expense, so you probably are, too. It's a new, $63-per-head fee to cushion the cost of covering people with pre-existing conditions under President Barack Obama's health care overhaul.


The charge, buried in a recent regulation, works out to tens of millions of dollars for the largest companies, employers say. Most of that is likely to be passed on to workers.


Employee benefits lawyer Chantel Sheaks calls it a "sleeper issue" with significant financial consequences, particularly for large employers.


"Especially at a time when we are facing economic uncertainty, (companies will) be hit with a multi-million dollar assessment without getting anything back for it," said Sheaks, a principal at Buck Consultants, a Xerox subsidiary.


Based on figures provided in the regulation, employer and individual health plans covering an estimated 190 million Americans could owe the per-person fee.


The Obama administration says it is a temporary assessment levied for three years starting in 2014, designed to raise $25 billion. It starts at $63 and then declines.


Most of the money will go into a fund administered by the Health and Human Services Department. It will be used to cushion health insurance companies from the initial hard-to-predict costs of covering uninsured people with medical problems. Under the law, insurers will be forbidden from turning away the sick as of Jan. 1, 2014.


The program "is intended to help millions of Americans purchase affordable health insurance, reduce unreimbursed usage of hospital and other medical facilities by the uninsured and thereby lower medical expenses and premiums for all," the Obama administration says in the regulation. An accompanying media fact sheet issued Nov. 30 referred to "contributions" without detailing the total cost and scope of the program.


Of the total pot, $5 billion will go directly to the U.S. Treasury, apparently to offset the cost of shoring up employer-sponsored coverage for early retirees.


The $25 billion fee is part of a bigger package of taxes and fees to finance Obama's expansion of coverage to the uninsured. It all comes to about $700 billion over 10 years, and includes higher Medicare taxes effective this Jan. 1 on individuals making more than $200,000 per year or couples making more than $250,000. People above those threshold amounts also face an additional 3.8 percent tax on their investment income.


But the insurance fee had been overlooked as employers focused on other costs in the law, including fines for medium and large firms that don't provide coverage.


"This kind of came out of the blue and was a surprisingly large amount," said Gretchen Young, senior vice president for health policy at the ERISA Industry Committee, a group that represents large employers on benefits issues.


Word started getting out in the spring, said Young, but hard cost estimates surfaced only recently with the new regulation. It set the per capita rate at $5.25 per month, which works out to $63 a year.


America's Health Insurance Plans, the major industry trade group for health insurers, says the fund is an important program that will help stabilize the market and mitigate cost increases for consumers as the changes in Obama's law take effect.


But employers already offering coverage to their workers don't see why they have to pony up for the stabilization fund, which mainly helps the individual insurance market. The redistribution puts the biggest companies on the hook for tens of millions of dollars.


"It just adds on to everything else that is expected to increase health care costs," said economist Paul Fronstin of the nonprofit Employee Benefit Research Institute.


The fee will be assessed on all "major medical" insurance plans, including those provided by employers and those purchased individually by consumers. Large employers will owe the fee directly. That's because major companies usually pay upfront for most of the health care costs of their employees. It may not be apparent to workers, but the insurance company they deal with is basically an agent administering the plan for their employer.


The fee will total $12 billion in 2014, $8 billion in 2015 and $5 billion in 2016. That means the per-head assessment would be smaller each year, around $40 in 2015 instead of $63.


It will phase out completely in 2017 — unless Congress, with lawmakers searching everywhere for revenue to reduce federal deficits — decides to extend it.


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