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Published: Sunday, November 8, 2009

Details of the House health bill

The House health care bill approved Saturday night includes:

  • An individual mandate that would require people to buy health insurance.

  • An employer mandate that would require companies to cover their employees, though small businesses would be exempted.

  • Funding to create insurance exchanges to serve people who don't have employer coverage.

  • A government insurance option to compete with private plans on the exchange.

  • Subsidies to help households earning up to $88,000 in annual income for a family of four purchase coverage.

  • A historic Medicaid expansion that would provide free health care to all Americans with incomes below 150 percent of the federal poverty level.

  • Up to $400 billion in Medicare and Medicaid cuts, including to a Medicare Advantage managed-care program that serves nearly 11 million seniors.

  • A surcharge on taxpayers who earn more than $500,000 a year, or $1 million a year for families.

  • A crackdown on the insurance industry, including bans on lifetime limits, premium disparity based on health status and gender, and coverage denials based on pre-existing conditions. The bill also would end a federal antitrust exemption that has for decades protected firms from federal investigations.

    The Washington Post
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