The bullet point summary:
- As widely reported, the "Robust" public option is dead; long live the "Weak" public option! Enough House moderates - citing fiscal conservatism - rejected the cheaper option which would have paid providers at Medicare + 5%, and the bill as released would require the public option to negotiate fee schedules with providers like any other insurance company. IMHO, this is better policy even though it costs more, but hypocritical Blue Dogs get under my skin.
- 96% of legal American residents covered.
- The bill is Deficit Neutral and actually reduces the deficit by $100 Billion over ten years.
- Total expenditures are in the region of $900 Billion.
- Slows the rate of growth of Medicare from 6.6% to 5.3% annually.
- Expands Medicaid to 150% of federal poverty level (and I didn't find the citation but I read the Feds were going to pay 75% of the costs of the expansion).
- Financed though savings in Medicare Advantage, taxes on families earning >$1 million, individuals earning more than $500,000, taxes on the insurance industry and medical device makers.
- The Insurance industry's anti-trust exemption is revoked.
- Curiously, it allows states to make "insurance compacts" which will allow insurers to market policies across state lines -- a long-time conservative goal.
- Closes Medicare Part D donut hole
- All the typical insurance regulations, Insurance Exchanges, etc, with a strong employer mandate (8% of payroll for large companies).
The changes would provide more health care help for Nevadans without dipping into the state's budget at least temporarily.Under changes made by the Senate Finance Committee, Nevada would be one of four states to be reimbursed 100 percent by the federal government over five years for the cost of increasing the number of people eligible for Medicaid.After five years, the federal government would pay 82.3 percent of the cost to provide care to the newly eligible people. Nevada would pay 17.7 percent, said sources who worked on the legislation."I promised the people of Nevada that I wouldn't support any health insurance reform proposal that wasn't good for our state, and I meant it," Reid said in a statement.