Affordable Health Care for America Act

From OpenCongress Wiki

(Difference between revisions)
Jump to: navigation, search

Line 1: Line 1:
{{Economic Policy (U.S.)|congress=111|bill=h3962}} <usbillinfo congress="111" bill="H.3962" />  
+
{{Economic Policy (U.S.)|congress=111|bill=h3962}} <usbillinfo bill="H.3962" congress="111" />  
  
 
{{Article summary| The Affordable Health Care for America Act ([http://www.opencongress.org/bill/111-h3962/show H.R. 3962]) is the final, merged version of the health care reform legislation that the House has been working on for much of 2009. The bill contains a moderate compromise on the public option by requiring the HHS Secretary to negotiate provider reimbursement rates rather than having them tied to Medicare. The bill also would require all individuals to have insurance, establish a new health insurance exchange, require most employers to provide insurance, ban insurance companies from denying coverage because of pre-existing conditions and more.<br>
 
{{Article summary| The Affordable Health Care for America Act ([http://www.opencongress.org/bill/111-h3962/show H.R. 3962]) is the final, merged version of the health care reform legislation that the House has been working on for much of 2009. The bill contains a moderate compromise on the public option by requiring the HHS Secretary to negotiate provider reimbursement rates rather than having them tied to Medicare. The bill also would require all individuals to have insurance, establish a new health insurance exchange, require most employers to provide insurance, ban insurance companies from denying coverage because of pre-existing conditions and more.<br>
  
}}
+
}}  
  
<br> <span style="font-size: medium;">'''Core Provisions '''</span>
+
This bill has been estimated to extend health insurance to roughly 96 percent of the population at a ten year cost of $894 billion. It contains a number of tax and revenue provisions that result in it being deficit neutral over the 10-year budget period.
  
#Protecting current insurance coverage from change
+
<span style="font-size: medium;">'''Expanding Coverage and Choice'''</span>
#Prohibiting preexisting condition exclusions
+
#Prohibiting rescission of health insurance coverage without clear and convincing evidence of fraud.
+
#Requiring all individuals to have qualifying insurance coverage or pay  fine
+
#Requiring most employers to provide health coverage or pay a fine
+
#Establishing a government-run health insurance option
+
#Expanding Medicaid eligibility to 150% of the Federal Poverty Level
+
#Levying a 5.4% surtax on individuals earning more than $500,000 in income annually.
+
  
<br>
+
* Established a new Health Insurance Exchange for individuals and employers to use for comparison shopping between health care plans. The Exchange will carry plans that meet certain minimum coverage standards and will be available to the general public as a website and telephone hotline.
 +
 
 +
* Creates a government-run public health insurance option to compete with the private plans offered on the Exchange. Unlike a previous version of the bill that would tie the public option to Medicare rates, the public option would have reimbursment rates that are negotiated by the Secretary of HHS. The Congressional Budget Office has estimated that the negotiated-rate public option would have higher premiums, on average, than similar private plans.
 +
 
 +
* The bill contains a number of consumer protections including a ban on insurance companies denying coverage because of pre-existing medical conditions. It would also prohibit annual and lifetime caps on benefits and would only allow insurance companies to consider age, geographic region and family size when setting rates.
 +
 
 +
* A long-standing exemption from the federal antitrust laws would be ended by the bill.

Revision as of 15:51, November 2, 2009

Back to main bill page for votes, text and more.

To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.
Sponsor: Rep. John D. Dingell [D, MI-12]Committees: House Energy and Commerce, House Education and Labor, House Ways and Means, House Oversight and Government Reform, House Budget, House Rules, House Natural Resources, House Judiciary, House Energy and Commerce - Health


Article summary (how summaries work)
The Affordable Health Care for America Act (H.R. 3962) is the final, merged version of the health care reform legislation that the House has been working on for much of 2009. The bill contains a moderate compromise on the public option by requiring the HHS Secretary to negotiate provider reimbursement rates rather than having them tied to Medicare. The bill also would require all individuals to have insurance, establish a new health insurance exchange, require most employers to provide insurance, ban insurance companies from denying coverage because of pre-existing conditions and more.


This bill has been estimated to extend health insurance to roughly 96 percent of the population at a ten year cost of $894 billion. It contains a number of tax and revenue provisions that result in it being deficit neutral over the 10-year budget period.

Expanding Coverage and Choice

  • Established a new Health Insurance Exchange for individuals and employers to use for comparison shopping between health care plans. The Exchange will carry plans that meet certain minimum coverage standards and will be available to the general public as a website and telephone hotline.
  • Creates a government-run public health insurance option to compete with the private plans offered on the Exchange. Unlike a previous version of the bill that would tie the public option to Medicare rates, the public option would have reimbursment rates that are negotiated by the Secretary of HHS. The Congressional Budget Office has estimated that the negotiated-rate public option would have higher premiums, on average, than similar private plans.
  • The bill contains a number of consumer protections including a ban on insurance companies denying coverage because of pre-existing medical conditions. It would also prohibit annual and lifetime caps on benefits and would only allow insurance companies to consider age, geographic region and family size when setting rates.
  • A long-standing exemption from the federal antitrust laws would be ended by the bill.
Toolbox

OpenCongress is a joint project of the Participatory Politics Foundation and the Sunlight Foundation. Questions? Comments? Contact Us