Key Provisions of the House Health Care Bill
The House passed H.R. 3962, called the "Affordable Health Care for America Act," in a 220 to 215 vote on Saturday night. Here's a look at some of the provisions in the $1.2 trillion dollar bill:
Creates a public health insurance option and a national exchange for the uninsured and small businesses to purchase health insurance. The Secretary of Health and Human Services would negotiate rates with doctors and hospitals on reimbursement rates.
The bill includes mandates for individuals to purchase and businesses to provide health insurance or pay a fine. Individual penalty is 2.5 percent of gross income unless they get a waiver. Businesses that don't offer insurance pay a fine equal to 8 percent of their payroll. Businesses with a payroll of less than $500,000 are exempt from the mandate.
Insurance companies are prohibited from denying coverage based on a pre-existing condition. There are caps on deductibles and annual out of pocket spending is capped at $5000.
Eliminates the Medicare doughnut hole over ten years.
Allows individuals up to 27-years-old to stay on their parent’s health insurance
Expands Medicaid from 100 percent to 150 percent of the Federal Poverty Level.
Provides tax subsidies for individuals between 150 and 400 percent (sliding scale) of the Federal Poverty Level. There are also tax subsidies for small businesses.
As amended, it prohibits federal funds from covering abortions. Women would need to purchase riders to insurance purchased on the exchange if they wanted that coverage.
The bill taxes individuals making more than $500,000 and $1 million for couples. It is a 5.4 percent tax.
Reduces overpayments to doctors who treat Medicare Advantage patients. It is estimated they are paid 14 percent more than doctors who treat Medicare patients.
CBSNews.com Special Report: Health Care
Jill Jackson is a CBS News Capitol Hill Producer. You can read more of her posts in Hotsheet here. You can also follow her on Twitter.
CBSNews.com Special Report: Health Care
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