Comparison of the Health Care Reform Bill

	House (based on original proposal)	Senate HELP Committee	Senate Finance Committee
Cost	$1.04 trillion	$1.34 trillion	N/A
Net Added to Deficit After Subtracting New Revenue and Adjusting for Spending Cuts	$239 billion	$1.04 trillion	N/A
Number of Uninsured in 2019 (without reform, the projected number is 53 million people)	17 million	36 million	N/A
Government-Run Insurance	Yes. The bill passed by Energy and Commerce would tie rates of reimbursement to health care providers with hospitals and doctors instead of to Medicare.	Yes	No. Instead, the bill will likely create nonprofit, consumer-run insurance cooperatives.
Individual Mandate	Yes. Individuals must purchase insurance or pay a penalty based on income.	Yes. Individuals must purchase insurance or pay a penalty based on cost of insurance.	Will likely require individuals to purchase insurance or pay a penalty based on the average cost of insurance.
Employer Mandate	Yes. Employers must pay 65% of family premiums or pay a penalty based on payroll. Small businesses with less than $500,000 on payroll are exempt. Payrolls up to $750,000 have a reduced contribution.	Yes. Employers must pay 60% of family premiums or pay $750 for each employee who is not offered coverage.	No. Will likely include a free-rider provision that would require employers who currently offer coverage to reimburse the government for employees who switch to insurance purchased through an exchange.
Revenue Raisers	The original proposal imposed a surcharge on families with incomes above $350,000 and individuals with incomes above $280,000, but House leaders are considering limiting the surtax to singles who earn more than $500,000 and families who earn more than $1 million.	The Senate HELP Committee does not have authority over raising revenue.	Considering imposing an excise tax on insurance companies that sell policies in excess of $21,000 a year for family coverage.
Insurance Reforms	Yes. Bans rejection based on preexisting conditions.	Yes. Bans rejection based on preexisting conditions.	Will likely ban rejection based on preexisting conditions.
Medicaid Expansion	Yes. Medicaid expanded to cover households earning less than 133 percent of the federal poverty level.	Yes. Medicaid expanded to individuals earning up to 150 percent of the federal poverty level.	Will likely expand Medicaid to cover everyone earning under 133 percent of the federal poverty level.
Insurance Subsidies	Yes. Available to households earning up to 400 percent of the poverty level.	Yes. Available to households earning up to 400 percent of the poverty level.	Will likely be available to households earning up to 300 percent of the poverty level.