Comparison: Cost of the House Health Care Bill
Today, House Speaker Nancy Pelosi intoduced the latest House health care reform bill, fresh with estimates from the Congressional Budget Office and the Joint Committee on Taxation. We have also updated our comparisons chart of the House Tri-Committee bill, the Senate HELP bill, the Senate Finance Committee bill, and the President's Reserve Fund.
Below, we have broken down the major costs and savings in this version of the bill, compared to the original House Tri-Committee bill:
| Provisions | House Tri-Committee Bill |
Amended House Health Bill |
| Individual Penalties | $29 | $33 |
| Employer Payments | $208 | $135 |
| Mandate Provisions | $237 | $168 |
| Exchange Subsidies | ($773) | ($605) |
| Medicaid Expansion | ($438) | ($425) |
| Small Business Credits | ($53) | ($25) |
| Coverage Expansion | ($1264) | ($1055) |
| Physician Payment Updates | ($229) | n/a |
| Long-Term Care Insurance | n/a | $73* |
| Reinsurance | ($10) | ($10) |
| Other Spending Changes | ($53) | ($185) |
| Other Spending | ($292) | ($123) |
| Changes in Prescription Drug Payments | $47 | $83 |
| Medicare Advantage Cuts | $162 | $170 |
| Reductions in Provider Payment Updates | $196 | $173 |
| Medicare Premium Increase | n/a | n/a |
| Medicare Payment Commission | n/a | n/a |
| Measures to Slow Overall Health Care Cost Growth# | $5 | $7 |
| Measures to Reduce Federal Health Care Spending | $81 | $106 |
| Spending Offsets | $491 | $539 |
| Surtax on High Earners | $544 | $461 |
| Limit Itemized Deductions | n/a | n/a |
| Excise Tax on High Cost Insurance | n/a | n/a |
| Tax Gap and Loopholes Closing | $37 | $56 |
| Limits to Health Care Tax Benefits | $8 | $23 |
| Impose Fees on Health Care Companies | n/a | $20 |
| Tax Increases | $589 | $560 |
| Interactions and Other Spending and Taxes |
$0 | $15 |
| Ten Year Deficit Impact |
($239) | $104 |
| Tenth Year Deficit | ($65) | $9 |
| Reduction in Uninsured | 37 million | 36 million |
Numbers in billions, with positive numbers representing a reduction in the deficit
Sources: Congressional Budget Office, Joint Committee on Taxation, and Authors' Calculations
*Provision raises revenue through premiums; however, due to vesting rules, the program's costs occur mostly beyond the ten year window
#Net effect of spending for and savings from efforts to slow economy-wide health care cost growth
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