Updated Health Care Comparison Chart

Figure 1: Updated Comparison of Health Care Reform Legislation Provision

House

Mandate Provisions

$168

HELP Committee $88

$33 $135

$36 $52

$4 $23

X X

-$1,055

-$779/-$1,279*

-$829

X

-$605 -$425 -$25

-$723 X / -$500* -$56

-$461 -$345 -$23

X X X

-$226

-$24

-$72

X

n/a n/a+ -$10 -$29 -$185

X X X -$10 -$14

-$11 -$21 n/a -$14 -$26

X X X X X

Individual Mandate Penalties Employer Play-or-Pay Provision

Coverage Expansion Insurance Subsidies Medicaid Expansion Small Business Tax Credit

Other Spending Physician Payment Updates Medicare Prescription Drug Coverage Reinsurance for Seniors Measures to Slow Health Cost Growth Other Spending

Spending Offsets

Finance President’s Committee Reserve Fund $27 X

$569

X

$524

$645

Prescription Drug Cost Reductions Medicare Advantage Cuts Provider Payment Updates Medicare Premium Increase Medicare Payment Commission Measures to Slow Health Cost Growth

$83+ $170 $173 n/a n/a $37

X X X X X X

$28 $114 $185 $33 $22 $29

$105 $176 $110 $8 $2# $47

Measures to Reduce Federal Health Care Spending

$106

X

$113

$197

$560

X

$382

$296

$461 n/a n/a $56 $23 $20

X X X X X X

n/a n/a n/a $202 $17 $42

n/a $269 n/a $27 n/a n/a

Interaction and Other Effects

$15

$46

$49

-$33

Budgetary Impact Subtotal

$31

-$669/-$1,169*

$81

$908

Long-Term Care Insurance^

$73

$58

n/a

n/a

Total Budgetary Impact

$104

-$611/-$1,111*

$81

$908

Tax Increases Surtax on High Earners Limits to Itemized Deductions Excise Tax on High Cost Insurance Limits to Corporate Tax Benefits Limits to Health Care Tax Benefits Fees on Health Care Companies

Notes: Estimates in billions. Sources: CBO, JCT, OMB, and US Budget Watch calculations. X = Not addressed in the proposal, but expected in the final bill. *Assumes the addition of the Medicaid expansion as per CBO’s rough estimate; ^Generates upfront + savings due to “vesting period,” but ultimately spends down revenue on benefits; Costs of expanding # prescription drug coverage incorporated into savings estimate for reducing payments; Actual savings from establishing a commission to propose or enact payment changes are highly uncertain.