Senate Bill

Click here for Senate Bill as of 12-24-09 as pdf

Click here for Senate Bill as of 12-24-09 in Word

Click here for Senate bill and summaries by Democratic Policy Committee

Senate Manager’s Amendment on Health Reform: Dec. 10, 2009

Click here to download Senate Manager’s Amendment 12-19-09

Click here for section-by-section summary

Click here to download Highlights of Manager’s Amendments

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Chart With Dates for Application of Insurance Reforms
From Senate Leadership: The Patient Protection and Affordable Care Act balances the idea that if you like what you have, you can keep it, with the need to reform and regulate the health insurance market. While health insurance plans that exist today are grandfathered, most experts believe that consumers will choose new plans that do comply with regulations included in the Patient Protection and Affordable Care Act.

Click here to download Table With Dates for Applications

Click here to see list of proposed Senate amendments Dec. 10
The Senate Democrats’ health reform bill is online:

Full text here, 2074 pages (see below for links to summaries):

http://democrats.senate.gov/reform/patient-protection-affordable-care-act.pdf

Analysis of the bill is available at:

The Kaiser Foundation compares the House bill with the Senate bill.

<http://www.kff.org/healthreform/upload/housesenatebill_final.pdf>http://www.kff.org/healthreform/upload/housesenatebill_final.pdf

The Center on Budget and Policy Priorities comments:

Changes in Senate Health Bill Make Coverage More Affordable for Millions of Moderate-Income Families, Although not for Those on Low End of Subsidy Scale

http://www.cbpp.org/cms/index.cfm?fa=view&id=3004

(follow the link if you get an error message)

And a paper on actuarial value:

http://www.cbpp.org/files/10-13-09health2.pdf

Commonwealth Fund offers a recent analysis of the system change components in the House and Senate bills, 11/20/09
http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2009/Nov/Analysis%20of%20Health%20System%20Reform/Davis_BillsSystemReform_Exec%20Summ_cah.pdf

The following is available on the Democratic Policy Committee website:

http://dpc.senate.gov/dpcdoc-sen_health_care_bill.cfm

  • Full Text of the Bill

Summary

  • Short Summary of Legislation
  • Detailed Summary of Legislation
  • Section-by-Section Analysis

Background

  • The Cost of Inaction
  • Support for Reform from Republican Leaders
  • Frequently Asked Questions
  • Responding to Opponents

Immediate Benefits

  • Immediate Benefits
  • Implementation Timeline

Provisions

  • Making Coverage Affordable
  • Insurance Market Reforms that Protect Consumers
  • Reducing Premiums to Make Coverage Affordable
  • Cost Containment Provisions
  • The Health Insurance Exchange
  • Shared Responsibility for Health Care
  • Community Health Insurance Option
  • Abortion Provisions
  • Providing Affordable Choices for Small Businesses
  • Strengthening Medicare for our Nation’s Seniors
  • Strengthening and Improving Medicaid
  • Investing in Our Nation’s Health Care Workforce
  • Promoting Prevention and Improving Public Health
  • Improving the Quality of Care for All Americans
  • Reforming the Health Care Delivery System
  • Reducing Waste, Fraud and Abuse in Medicare, Medicaid, CHIP and Private Insurance
  • Biologics Price Competition and Innovation Act
  • More Affordable Medicines for Children and Underserved Communities
  • The Community Living Assistance Services and Supports Act

Helping Americans

  • How the Patient Protection and Affordable Care Act Will Help American Families
  • How the Patient Protection and Affordable Care Act Will Help Seniors
  • How the Patient Protection and Affordable Care Act Will Help Women
  • How the Patient Protection and Affordable Care Act Will Help Racial and Ethnic Minorities
  • How the Patient Protection and Affordable Care Act Will Help Early Retirees
  • How the Patient Protection and Affordable Care Act Will Help Rural Americans
  • How the Patient Protection and Affordable Care Act Will Help People with Disabilities
  • How the Patient Protection and Affordable Care Act Will Help Young Adults
  • How the Patient Protection and Affordable Care Act Will Help Children
  • How the Patient Protection and Affordable Care Act Will Help Health Care Providers
  • How the Patient Protection and Affordable Care Act Will Help States

A pdf of the tax proposals in the bill is here: http://www.jct.gov/publications.html?func=startdown&id=3635

Key budgetary and coverage figures from the CBO score:

http://cbo.gov/ftpdocs/107xx/doc10731/Reid_letter_11_18_09.pdf

Estimated Budgetary Impact

According to CBO and JCT’s assessment, enacting the Patient Protection and Affordable Care Act would result in a net reduction in federal budget deficits of $130 billion over the 2010–2019 period (see Table 1). In the subsequent decade, the collective effect of its provisions would probably be small reductions in federal budget deficits if all of the provisions continued to be fully implemented. Those estimates are subject to substantial uncertainty.

The estimate includes a projected net cost of $599 billion over 10 years for the proposed expansions in insurance coverage. That net cost itself reflects a gross total of $848 billion in subsidies provided through the exchanges, increased net outlays for Medicaid and the Children’s Health Insurance Program (CHIP), and tax credits for small employers; those costs are partly offset by $149 billion in revenues from the excise tax on high-premium

insurance plans and $100 billion in net savings from other sources. Over the 2010–2019 period, the net cost of the coverage expansions would be more than offset by the combination of other spending changes that CBO estimates would save $491 billion and other provisions that JCT and CBO estimate would increase federal revenues by $238 billion.

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