A look at the health care bill
By ConnPolitics.tv Staff on Mar 22, 2010 | In News, President Bush | 24 feedbacks »
Washington (AP) – Congress approved a major overhaul of the nation’s health care system for President Barack Obama’s signature. Here are some of the features of the legislation.
HOW MANY COVERED: 32 million uninsured. Major coverage expansion begins in 2014. When fully phased in, 95 percent of eligible Americans would have coverage, compared with 83 percent today.
COST: $940 billion over 10 years, according to the Congressional Budget Office.
INSURANCE MANDATE: Almost everyone is required to be insured or else pay a fine, which takes effect in 2014. There is an exemption for low-income people.
INSURANCE MARKET REFORMS: Starting this year, insurers would be forbidden from placing lifetime dollar limits on policies, from denying coverage to children because of pre-existing conditions, and from canceling policies because someone gets sick.
Parents would be able to keep older kids on their coverage up to age 26. A new high-risk pool would offer coverage to uninsured people with
medical problems until 2014, when the coverage expansion goes into high gear. Major consumer safeguards would also take effect in 2014. Insurers would be prohibited from denying coverage to people with medical problems or charging them more. Insurers could not charge women more.
MEDICAID: Expands 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. Childless adults would be covered for the first time, starting in 2014. The federal government would pay 100 percent of costs for covering newly eligible individuals through 2016.
TAXES: To make up for the lost revenue, the bill applies an increased Medicare payroll tax to the investment income and to the wages of individuals making more than $200,000, or married couples above $250,000. The tax on investment income would be 3.8 percent. If the Senate follows through, it would impose a 40 percent tax on high-cost insurance plans above the threshold of $10,200 for individuals and $27,500 for families. The tax would go into effect in 2018.
PRESCRIPTION DRUGS: Gradually closes the “doughnut hole” coverage gap in the Medicare prescription drug benefit that seniors fall into once they have spent $2,830. Seniors who hit the gap this year will receive a $250 rebate. Beginning in 2011, seniors in the gap receive a discount on brand name drugs, initially 50 percent off. When the gap is completely eliminated in 2020, seniors will still be responsible for 25 percent of the cost of their medications until Medicare’s catastrophic coverage kicks in.
EMPLOYER RESPONSIBILITY: Employers are hit with a fee if the government subsidizes their workers’ coverage. The $2,000-per-employee fee would be assessed on the company’s entire work force, minus an allowance. Companies with 50 or fewer workers are exempt from the requirement. Part-time workers are included in the calculations, counting two part-timers as one full-time worker.
SUBSIDIES: The aid is available on a sliding scale for households making up to four times the federal poverty level, $88,200 for a family of four. Premiums for a family of four making $44,000 would be capped at around 6 percent of income.
HOW YOU CHOOSE YOUR HEALTH INSURANCE: Small businesses, the self-employed and the uninsured could pick a plan offered through new state-based purchasing pools called exchanges, opening for business in 2014. The exchanges would offer the same kind of purchasing power that employees of big companies benefit from. People working for medium-to-large firms would not see major changes. But if they lose their jobs or strike out on their own, they may be eligible for subsidized coverage through the exchange.
GOVERNMENT-RUN PLAN: No government-run insurance plan. People purchasing coverage through the new insurance exchanges would have the option of signing up for national plans overseen by the federal office that manages the health plans available to members of Congress. Those plans would be private, but one would have to be nonprofit.
ABORTION: The bill tries to maintain a strict separation between taxpayer dollars and private premiums that would pay for abortion coverage. No health plan would be required to offer coverage for abortion. In plans that do cover abortion, policyholders would have to pay for it separately, and that money would have to be kept in a separate account from taxpayer money. States could ban abortion coverage in plans offered through the exchange. Exceptions would be made for cases of rape, incest and danger to the life of the mother.
GOP HEALTH CARE SUMMIT IDEAS: Following a bipartisan health care summit last month, Obama announced he was open to incorporating several Republican ideas into his legislation. But two of the principle ones – hiring investigators to pose as patients and search for fraud at hospitals and increasing spending for medical malpractice reform initiatives – did not make it into the legislation. The egislation incorporates only one, an increase in payments to primary care physicians under Medicaid, an idea mentioned by Sen. Charles Grassley, R-Iowa.
24 comments
I actually like it. Are we sure it is a go now?? All Mr. Obama has to do is sign it? When will he sign it?? Today???
I thought I read there was another yet hurdle or vote needed. I hope that is NOT the case it we will just get her done and in to law.
Glen
Ahhh...don't you just love all of this change you can believe in???
Also, for those who fall into the qualifying category and get vouchers, you DO know that when the governments gets into financial trouble, and they will, that those vouchers will disappear. You will be asked to pay your premiums like those in higher income brackets, the amount taken from your pay will increase drastically and the quality of your healthcare will suffer as doctors leave for greener pastures.
If anybody still thinks this is Utopia, you will have a very rude awakening!
It will be niether as good as the people who support it hope, nor as bad as the people who disparage it fear.
To "Give me a break" - if a republican were to have offered a vote to include Tort reform, YBYSA it would have been in there.
Folks like you are unaware of what Communism is.
'People standing around with their hands out looking for "free" stuff IS the new America.'
People stand and wish to have equality, not something free. The notion that single-payer would be free, which I support, is not true, but we are willing to pay for it in order for everyone to be healthier and have a better nation.
Rosa?????
And you again prove why your mother should have swallowed.
OMG... *shrug*.
Honestly, leave it to a conservative to throw out a comment that elicits a response such as Able's.
Now we truly know the level of maturity of those within the Tea Party and Conservative movements.
Not one of you can draw a logical or factual argument.
You people on the right really are too funy.
Most of you haven't looked any further into the future than the end of your noses!
Those on the left are just as angry as those on the right, for many of the same reasons. Fundamental changes, a paradigm shift if you will, needs to occur. All these issues are not being fixed, it is like opening up a homeless center to cure homelessness.
The majority of individuals realize what has happened. Are there benefits to this bill? Of course. Are there negatives? Huge gaping wounds.
'You who I'm assuming is left isn't "funy" either.'
Me on the other hand, the next Adam Sandler.. except not rooting for Rudi.
Thanks, looking forward to your response.
just pasting this from a post I put up on another thread...
You posted that
" This bill does not effect Medicare, but you fail to understand that. "
My question is this...
How does taking 500 million (or was it billion? I forget now) from Medicare funding not effect Medicare??
How about the fact that they are entitling the majority of these much vaunted 30+ million more insured by way of medicaid, yet they are scaling back Medicaid payments to the States over the next 3 years??? How does that NOT translate into higher taxes across the board for all of us?? I'm quite curious about how you have a liberal elitist spin on that little FACT !!
Except the 17 States whose Reps took more Medicaid payments as bribes for their 'yes' votes, of course !!!
Cite your source. As last I heard the Nebraska Deal is not part of this bill.
"I'm quite curious about how you have a liberal elitist spin on that little FACT !!"
The same was you republican elitists spin the fact!
No we don't Alice. And you fail to understand and respect how angry liberals are with the war in Iraq, torture, and tax cuts for the rich.
"Most of you haven't looked any further into the future than the end of your noses!"
You never did that with the last administration, honey. And, you criticize those who look at how the past had effected the future... facts which you still choose to ignore.
"Alice and other conservatives, could you please give us some actual reasons as for why average citizens should be so angry about this bill? "
She can't, because she, like every other conservative, is angry. They have been angry ever since a democrat became president. They are even angrier that he is black.
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