CRFB has updated its health care chart, detailing the ten-year costs and savings from the most recent legislation passed by the House and the bill introduced by Senator Reid in the Senate yesterday. To compare the most recent Senate bills with the previous HELP and Finance Committee bills, click here.
View our comparison chart below.
|House Bill||Senate Bill|
|Small Business Credits||($25)||($27)|
|Physician Payment Updates||n/a||($11)|
|Medicare Prescription Drug Coverage||n/a#||($23)|
|Measures to Slow Health Care Cost Growth||($31)||($17)|
|Other Spending Changes||($195)||($42)|
|Prescription Drug Cost Reductions||$83#||$51|
|Medicare Advantage Cuts||$170||$119|
|Reductions in Provider Payment Updates||$173||$160|
|Medicare Premium Increase||n/a||$36|
|Medicare Payment Commission||n/a||$23|
|Measures to Slow Overall Health Care Cost Growth||$37||$26|
|Measures to Reduce Federal Health Care Spending||$106||$129|
|Excise Tax on High Cost Insurance||n/a||$149|
|Tax Gap and Loopholes Closing||$60||$17|
|Surtax on High Earners||$461||n/a|
|Limits to Health Care Tax Benefits||$22||$43|
|Fees on Health Care Companies||$20||$108|
|Medicare Payroll Tax Increase for High Earners||n/a||$54|
|Interactions and Other Spending and Taxes||$15||$48|
|Budgetary Impact Subtotal||$37||$57|
|Total Budgetary Impact||$138||$130|
|Tenth Year Deficit||$12||$8|
|Deficit Reduction in Second Decade||0% to 0.25% of GDP||0.25% of GDP|
|Reduction in Uninsured||36 Million||31 Million|
Numbers in billions, with positive numbers representing a reduction in the deficit. Numbers may not add due to rounding.
Sources: Congressional Budget Office, Joint Committee on Taxation, and Authors' Calculations.
#Cost of expanding prescription drug coverage incorporated into savings estimate for reducing payments.
+The CLASS Act makes available government-sponsored long-term care insurance. Because this insurance would have a "vesting period," the provision appears to raise considerable amounts of revenue over the next decade. However, these revenues must ultimately be used to cover the program's costs, and therefore do nt belong in the bill as an offset.