Comparing Health Care Reform Bills (Updated Charts and Interactive Graphs)

CRFB has yet again updated its health care comparison chart -- as well as its interactive shareable graphs -- in light of CBO's first score of the health reconciliation bill. 

We encourage you to embed the graphs on your own websites, and only ask that you link back to us. See the charts and graphs here:

 

 

 
 
 
 (note: not yet updated to reflect latest Senate estimate, which CBO projects will be $10 billion higher over ten years)
 
 
Provisions 10-Year Cost
House Bill
Senate Bill
Reconciliation Bill (w/ Senate Bill)
Individual Penalties  $33 $15 $17
Employer Payments  $135 $27 $52
Mandate Provisions  $168 $42 $69
       
Exchange Subsidies  ($602) ($449) ($464)
Medicaid Expansion  ($425) ($386) ($434)
Small Business Credits  ($25) ($40) ($40)
Coverage Expansion  ($1052) ($875) ($938)
       
Physician Payment Updates  n/a n/a  n/a
Medicare Prescription Drug Coverage  n/a# ($21) ($41)
Measures to Slow Health Care Cost Growth  ($31) ($12) ($12)
Other Spending Changes  ($195) ($59) ($84)
Other Spending  ($226) ($92) ($137)
       
Prescription Drug Cost Reductions  $83# $51 $51
Medicare Advantage Cuts  $170 $118 $132
Reductions in Provider Payment Updates  $173 $157 $167
Medicare Premium Increase  n/a $36 $36
Medicare Payment Commission  n/a $28 $13
Measures to Slow Overall Health Care Cost Growth  $37 $19 $21
Measures to Reduce Federal Health Care Spending  $106 $124 $118
Spending Offsets  $569 $533 $538
       
Excise Tax on High Cost Insurance  n/a $149 $32
Tax Gap and Loopholes Closing  $60 $17 $45
Surtax on High Earners  $461 n/a n/a
Limits to Health Care Tax Benefits  $22 $42 $44
Fees on Health Care Companies  $20 $104 $110
Medicare Payroll Tax Increase for High Earners  n/a $87 $210
Tax Increases  $563 $399  $438
       
Interactions and Other Spending and Taxes
 $15  $41  $84
Budgetary Impact Subtotal  $37  $48  $54
CLASS Act+  $102   $70  $70
Budgetary Impact of Health Provisions  $138  $118  $124
Student Loan Reform  n/a  n/a  $19
Total Budgetary Impact $138 $118  $143
       
Tenth Year Surplus  $12  $11  $14
Deficit Reduction in Second Decade  0% to 0.25% of GDP  0.25% to 0.5% of GDP  0.5% of GDP
Reduction in Uninsured  36 Million  31 Million  32 Million

Numbers in billions, with positive numbers representing a reduction in the deficit. Numbers may not add due to rounding.
Sources: Congressional Budget Office, Joint Committee on Taxation, and Authors' Calculations.
#Cost of expanding prescription drug coverage incorporated into savings estimate for reducing payments.
+The CLASS Act makes available government-sponsored long-term care insurance. Because this insurance would have a "vesting period," the provision appears to raise considerable amounts of revenue over the next decade. However, these revenues must ultimately be used to cover the program's costs, and therefore do not belong in the bill as an offset.