About 94% of nonelderly residents (those not covered by Medicare).
Aims to cover 97% of nonelderly Americans.
Cost
More than $1 trillion over 10 years.
About $615 billion over 10 years for its part of the health overhaul. The Senate Finance Committee is working on developing other provisions, which are expected to push the total price tag to near $1 trillion.
How it's paid for
$544 billion over the next decade from new income taxes on single people making more than $280,000 a year and couples making more than $350,000; $37 billion in business tax increases; about $500 billion in cuts to Medicare and Medicaid; about $200 billion from penalties paid by individuals and employers who don't obtain coverage.
To be determined by the Senate Finance Committee.
Requirements for individuals
Most individuals must have insurance, enforced through a tax penalty.
Essentially the same.
Requirements for employers
Large employers must provide insurance to their employees or pay a penalty of 8% of payroll. Companies with payroll of less than $250,000 annually would be exempt. That level could rise to $500,000.
Employers who don't offer coverage would pay a penalty of $750 a year for each full-time worker and half of that for part-time workers. Businesses with 25 or fewer workers would be exempt.
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SENATE
Subsidies
Individuals and families with annual incomes up to 400% of the poverty level ($88,000 for a family of four) would get sliding-scale subsidies. Some small businesses would also qualify for credits to help them buy insurance for their employees.
Essentially the same.
How you choose insurance
Individuals and employees of small businesses could shop for plans in new insurance marketplaces, or exchanges, with a public plan as one option.
Essentially the same.
Benefit package
A committee would recommend an "essential benefits package" including preventive and mental health services, with oral health and vision for children; out-of-pocket costs would be capped. That package would be the basic benefit package offered in the exchange and over time would become the minimum standard for employer plans. No denial for preexisting conditions.
Health plans must offer a package of essential benefits recommended by a new medical advisory council. No denial of coverage based on preexisting conditions.
Government-run plan
A new public plan to compete with private insurers. The plan would be run by the government but would pay doctors and hospitals based on what private insurers pay.
