By Kate Steadman
KHN Staff Writer
The Congressional Budget Office, an independent government agency, estimated the costs and revenues of the three major health overhaul proposals before Congress. The table below lays out key items in the bills, including the total cost, the amount the bills reduce the federal deficit and the different taxes and fees that help fund each bill. Other items “scored” by the CBO include the CLASS Act, a new long-term care insurance program, and the so-called “Cadillac tax“.
|
PROVISIONS |
HOUSE BILL: Affordable Health Care for America Act* |
SENATE BILL: Patient Protection and Affordable Care Act* |
OBAMA BIILL |
| Gross Cost of Coverage Provisions |
$891 billion |
$875 Billion |
|
| Deficit Reduction |
$138 billion |
$118 Billion |
|
| Start Year for Exchanges and Subsidies |
2013 |
2014 |
|
| New Spending | |||
| Exchange |
$31 Billion |
$2 Billion |
|
| Subsidies |
$574 Billion |
$337 Billion |
|
| Small Employer Tax Credit |
$25 Billion |
$37 Billion |
|
| Medicaid Expansion |
$425 Billion |
$386 Billion |
|
| Medical Malpractice Reform Pilots |
N/A |
N/A |
|
| New Revenues | |||
| Changes to Medicare and Medicaid |
$396 Billion |
$430 Billion |
|
| Penalities Paid By Employers and Uninsured Individuals |
$168 Billion |
$39 Billion |
|
| Tax on High-Income Earners |
$460 Billion |
N/A |
|
| Fees on Certain Manufactuers and Insurers |
N/A |
$101 Billion |
|
| Hospital Insurance Tax |
N/A |
$87 Billion |
|
| ‘Cadillac Tax’ |
N/A |
$149 Billion |
|
| Public Option |
$5 Billion |
N/A |
|
| CLASS Act |
$102 Billion |
$70 Billion |
|
| Net Decrease In Uninsured |
36 Million** |
31 Million** |
|
* Cost estimates are for the period 2010-2019
** In 2019
