Monday, March 15, 2010

A look at Democrats' health care overhaul

President Barack Obama and congressional Democrats are pulling together a final version of a health care overhaul bill and pushing for House votes as early as this coming week. Democrats are awaiting cost assessments from the Congressional Budget Office that will allow them to finish details. Some of the main features as the bill takes shape:

_HOW MANY COVERED: 31 million uninsured Americans.

_INSURANCE MANDATE: Like the bills approved last year by the House and Senate, the proposal would require almost everyone to be insured or pay a fine. There is an exemption for low-income people.

_INSURANCE MARKET REFORMS: Stops unpopular insurance industry practices such as denying coverage to people with pre-existing conditions or charging women more. In response to recent insurance premium rate increases, including increases as high as 39 percent by Anthem Blue Cross in California, the legislation adopts an Obama proposal to give the federal government the authority to block rate hikes, roll back premium prices and force insurance companies to give rebates to consumers.

_MEDICAID: The legislation would expand the federal-state Medicaid insurance program for the poor to cover people with incomes up to 133 percent of the federal poverty level, $29,327 a year for a family of four. The federal government would pick up more of the tab, paying 100 percent of the cost for newly eligible individuals through 2017. A special deal that would have given Nebraska 100 percent federal financing for newly eligible Medicaid recipients in perpetuity has been eliminated. A different, one-time deal negotiated by Democratic Sen. Mary Landrieu for her state, Louisiana, worth as much as $300 million, remained.

_TAXES: The legislation would scale back a Senate-passed tax on high-cost insurance plans that was opposed by House Democrats and labor unions. The tax would be delayed from 2013 until 2018 and the thresholds at which it is imposed would be moved up from policies worth $8,500 for individuals and $23,000 for families, to $10,200 for individuals and $27,500 for families. Those changes mean $120 billion in lost revenue over 10 years that would be replaced mostly by applying an increased Medicare payroll tax to investment income as well as wages for individuals making more than $200,000, or married couples above $250,000. The Senate bill had applied the tax only to wage income.

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