We now have three major congressional health reform proposals on the table, one developed by the Senate Finance Committe, one by the Senate Health Committee, and one by a tri-committee combo panel in the House of Representatives. Igor Volsky offers a convenient table through which you can compare the options:
|HELP Bill||Senate Finance Draft||Tri House Bill|
|Employer Mandate||Yes (currently blank)||No, but employers with workers at or below 300% FPL have to pay||Yes|
|Medicaid Expansion||150% FPL, but still unclear||133% FPL for pregnant women/children; 100% FPL for parents, childless adults||133% FPL|
|Subsidies||between 150 – 500% FPL on sliding scale||between 133 – 300% FPL on sliding scale||between 133 – 400% FPL on sliding scale|
|Public Option||Yes (currently blank)||No (Conrad’s co-op compromise)||Yes, Medicare + rates|
|Insurance Regs||Guarantee issue, modified community rating (2:1), no rescissions||Guarantee issue, modified community rating (7.5:1), no rescissions||Guarantee issue, modified community rating (2:1), no rescissions|
There’s been a certain amount of panic this week about the politics of health reform, but we can see here that the process continues to move forward. Even the relatively timid Finance bill would do a lot to improve the lives of tens of millions of Americans.