Originally published March 18, 2010 at 8:41 PM | Page modified March 18, 2010 at 10:56 PM
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Some key features included in the health-care bill
Some of the main features of the health-care overhaul legislation:
Some of the main features of the health-care overhaul legislation:
COST: $940 billion over 10 years, according to the Congressional Budget Office.
HOW MANY COVERED: 32 million uninsured. Major coverage expansion begins in 2014. When fully phased in, 95 percent of eligible Americans would have coverage, compared with 83 percent today.
INSURANCE MANDATE: Almost everyone is required to be insured or else pay a fine. There is an exemption for low-income people. Mandate takes effect in 2014.
INSURANCE-MARKET REFORMS: Major consumer safeguards take effect in 2014. Insurers barred from denying coverage to people with medical problems or charging them more. Higher premiums for women would be banned. Starting this year, insurers would be forbidden from placing lifetime dollar limits on policies, and from denying coverage to children because of pre-existing medical problems. Parents would be able to keep older kids on their policies up to age 26. A new high-risk pool would offer coverage to uninsured people with medical problems until 2014, when the coverage expansion goes into high gear.
MEDICAID: Expands the federal-state Medicaid insurance program for the poor to cover people with incomes up to 133 percent of the federal poverty level, $29,327 a year for a family of four. Childless adults would be covered for the first time, starting in 2014. The federal government would pay 100 percent of the tab for covering newly eligible individuals through 2016.
TAXES: Scales back a Senate-passed tax on high-cost insurance plans that was opposed by House Democrats and labor unions. The tax would be delayed until 2018, and the thresholds at which it is imposed would be $10,200 for individuals and $27,500 for families. To make up for the lost revenue, the bill applies an increased Medicare payroll tax to investment income and wages for individuals making more than $200,000, or married couples earning more than $250,000. The tax on investment income would be 3.8 percent.
EMPLOYER RESPONSIBILITY: Businesses are not required to offer coverage. Instead, employers are hit with a fee if the government subsidizes their workers' coverage. The $2,000-per-employee fee would be assessed on the company's entire work force, minus an allowance. Companies with 50 or fewer workers are exempt. Part-time workers are included in the calculations, counting two part-timers as one full-time worker.
STUDENT-LOAN OVERHAUL: Requires the government to originate student loans, closing out a role for banks and lenders who charge a fee. The savings — projected to be more than $60 billion over a decade — are plowed into higher Pell Grants for college students and increased support for historically black colleges.
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