Republicans continued their corporation-friendly crusade with H.R. 1313, with the number being appropriate.
It would allow companies to require genetic testing of employees by means of a loophole in the ACA, which allows companies to demand that employees participate in so-called wellness programs, e.g. take part in cholesterol and other screenings, with the penalty for noncompliance being as much as a 50% increase in their health insurance costs. Some of this made sense, because employees who smoke are hurting themselves and the company. However, asking employees for their pregnancy plans went too far. And any shrewd couch potato simply lied on the form asking for "regularly of exercise."
H.R. 1313 would extend that loophole with respect to genetic testing, expressly forbidden in Public Law 10-233 -- "A group health plan, and a health insurance issuer offering health insurance coverage in connection with a group health plan, shall not request, require, or purchase genetic information for underwriting purposes ... A group health plan, and a health insurance issuer offering health insurance coverage in connection with a group health plan, shall not request, require, or purchase genetic information with respect to any individual prior to such individual’s enrollment under the plan or coverage in connection with such enrollment." Genetic testing would now be added to the list of things companies could extort from their hirelings.
It doesn't require an HR manager to figure out what would happen.
Someone with cystic fibrosis would probably be able to make it through the often grueling series of interviews for a plum corporate position, but as soon as genetic testing was completed, that employee would magically fall off the vitality curve.
Employees who know they have a genetic disease would be confronted with a Hobson's choice: pay more for medical insurance or let their employer gain serious leverage over them. And even if they refused to pay the corporate devil, the company would assume that dark secrets resided in that person's genetic closet, possibly leading to an early career demise.
Once the policy is established, the next shoe would drop, with companies outsourcing the storage of genetic data, via servers in foreign countries, of course. After one's genetic data was obtained via a cyber-breach, one might find it difficult to find a job -- any job. One can always obtain another credit card, but one cannot obtain a new genetic identity. Companies would skate away from such negligence after contracting for the usual paltry remedy, i.e. one year's worth of credit monitoring.
Given the push to repeal and then replace the ACA, it's likely that crafty social Darwinists yearn to return to the days where insurance companies could -- and did -- deny applicants for pre-existing conditions. Many people would find it impossible to obtain insurance.
Silicon Valley groupies might assert that eventually the problem will be moot, with science progressing to the point where genetic diseases are easily remedied. But be careful what you wish for: "We saw on your genetic testing results that you have Proboscis Halitosis. We scheduled an appointment to have that corrected, at 7:00 pm, right after the company-supplied meal. Then you can return to work until your hot-bunk slot becomes available at midnight."
Buffy, please report for duty.