U.S. Army Captain Michael Kelvington, commander of the Battle company, 1-508 Parachute Infantry battalion, 4th Brigade Combat Team, 82nd Airborne Division, bows next to remains of Gulam Dostager, a member of Afghan Local Police who was killed in the blast of an Improvised Explosive Device (IED) during the joint Tor Janda (Black Flag in Pashtu) operation, in Zahri district of Kandahar province, southern Afghanistan May 25, 2012.  REUTERS/Shamil Zhumatov  (AFGHANISTAN - Tags: MILITARY CIVIL UNREST CONFLICT TPX IMAGES OF THE DAY)

Reuters Photojournalism

Our day's top images, in-depth photo essays and offbeat slices of life. See the best of Reuters photography.  See more | Photo caption 

Members of the U.S. Navy Blue Angels fly over the World Trade Center in lower Manhattan as part of the 25th annual Fleet Week celebration in New York, May 23, 2012.  REUTERS/Eduardo Munoz (UNITED STATES - Tags: MILITARY ANNIVERSARY TPX IMAGES OF THE DAY)

Fleet Week

The U.S. Navy takes Manhattan for a week.  Slideshow 

Photo

The SpaceX mission

A privately owned unmanned rocket blasts off on a mission to be the first commercial flight to the International Space Station.  Slideshow 

FACTBOX: How do U.S. healthcare proposals compare?

Related Topics

Mon Jul 6, 2009 5:45pm EDT

(Reuters) - U.S. lawmakers returned from a weeklong break on Monday to face what could be the year's most severe test -- finding common ground on a huge, costly healthcare overhaul.

Lawmakers in Congress are working on several draft versions of proposals to meet President Barack Obama's top legislative priority of overhauling the U.S. healthcare system.

In the House of Representatives, three committees have joined together to produce one draft House bill.

In the Senate, the Health, Education, Labor and Pensions (HELP) Committee has started work on a second Democratic proposal, while the Senate Finance Committee is in closed-door negotiations over a possible third healthcare bill that would win bipartisan support.

Here is a summary comparing the various bills.

INSURANCE MARKET REFORMS

* The House and Senate bills all call for sweeping insurance market reforms.

* The House bill would set up a new government plan to compete with private companies. The Senate HELP panel bill leaves this open for later consideration.

* The Senate Finance Committee, chiefly to address Republican concerns, is instead looking at creating non-profit medical co-operatives to compete with insurers.

* All individuals would be required to obtain insurance under all of the bills.

* The Senate HELP bill leaves open the issue of employer responsibility. The House bill would require employers to pay an 8 percent of payroll "fee" if they choose not to provide health benefits to workers. The Senate Finance Committee is looking at requiring employers to pay a fee if their workers are insured by Medicaid or obtain federally subsidized coverage in the proposed insurance exchange.

* All the bills bar insurance companies from refusing to cover people or charging them more because of health history or gender. All the bills place some limits on insurance premiums.

* Insurers in all bills would be required to cover some preventive services.

* All the bills include caps on out-of-pocket expenses. The Finance Committee bill is expected to do the same.

INSURANCE GATEWAY OR EXCHANGE

* The House and Senate Finance bills would both create state insurance exchanges to act as clearing houses for individuals and small businesses to buy insurance.

* The Senate HELP committee bill proposes similar exchanges called "gateways."

* The HELP bill includes temporary reinsurance funding to help employers make medical coverage available for retirees between the ages of 55 and 64 until their state establishes a gateway.

* A proposed new public plan, or co-op, would be offered as an option available in the gateway.

OTHER COVERAGE PROVISIONS

* The HELP bill includes a sliding scale of subsidies for the purchase of insurance for people with incomes up to 500 percent of the poverty level. The Senate Finance bill would scale that back to 300 percent of the poverty level, about $66,150 for a family of four.

* Millions more people would become eligible for state Medicaid health plans for the poor. People with incomes up to 150 percent of the poverty level would be able to get Medicaid under Senate HELP bill. The Senate Finance and House bills put the level at 133 percent of poverty.

* A new support service for disabled, homebound and institutionalized people would be set up in the Senate HELP bill.

* All bills include incentives for employers to automatically enroll workers into offered health plans.

* All bills include prevention and wellness incentives.

* All bills include provisions to improve quality of healthcare in the Medicare program for the elderly. Payments to be designed to encourage quality, not quantity of services.

(Compiled by Donna Smith; Editing by Cynthia Osterman)

Comments (0)
This discussion is now closed. We welcome comments on our articles for a limited period after their publication.