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 BillSenate Finance DraftTri House BillIndividual MandateYesYesYesEmployer MandateYes (currently blank)No, but employers with workers at or below 300% FPL have to payYesMedicaid Expansion150% FPL, but still unclear133% FPL for pregnant women/children; 100% FPL for parents, childless adults133% FPLSubsidiesbetween 150–500% FPL on sliding scalebetween 133–300% FPL on sliding scalebetween 133–400% FPL on sliding scalePublic OptionYes (currently blank)No (Conrad’s co-op compromise)Yes, Medicare + ratesInsurance RegsGuarantee issue, modified community rating (2:1), no rescissionsGuarantee issue, modified community rating (7.5:1), no rescissionsGuarantee 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.