More opposition to the controversial Cadillac tax has emerged, this time in the form of a formal lobbying group.

As reported by the Washington, D.C. news source The Hill, a coalition composed of Big Pharma, unions and insurers filed last week to register as a lobbying organization under the name Alliance to Fight the Forty.

The forty refers to the 40 percent tax that would be assessed against "rich" health plans beginning in 2018 under the Patient Protection and Affordable Care Act.

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The Cadillac tax has been the focus of opposition from both Republicans and Democrats in Congress. The opponents argue that the tax, which was supposed to target "rich" plans, in fact would be assessed against many more plans and would affect companies that are merely providing competitive regional coverage for their employees.

The Hill reported that among the dozen-plus members of the new alliance are Pfizer, Blue Cross Blue Shield and the Labors International Union.

After the U.S. Supreme Court upheld the premium subsidies contained in PPACA, the Cadillac tax now remains as the primary repeal target of opponents to the law.

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Dan Cook

Dan Cook is a journalist and communications consultant based in Portland, OR. During his journalism career he has been a reporter and editor for a variety of media companies, including American Lawyer Media, BusinessWeek, Newhouse Newspapers, Knight-Ridder, Time Inc., and Reuters. He specializes in health care and insurance related coverage for BenefitsPRO.