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Current DateTime: 09:18:42 27 Jul 2009
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Current DateTime: 09:18:42 27 Jul 2009
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Current DateTime: 09:18:42 27 Jul 2009
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Provisions of Senate Health Panel Legislation
Published: Wednesday, 15 Jul 2009 | 2:53 PM ET
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By: Reuters

The Senate health committee approved its version of healthcare reform on Wednesday. The following are some of the provisions in the legislation:

Insurance Changes

  • Sets up a government-run health program to compete with private health insurers.
  • Sets up a gateway, or exchange, were businesses and individuals would shop for insurance policies among private and public plans.
  • Private insurance premiums could vary only by family size, region, actuarial value of the benefits, tobacco use and age.
  • Insurers can provide incentives for health promotion and disease prevention practices.
  • Insurers could not exclude consumers based on pre-existing health conditions, genetic information, disability or sex.
  • Dependents would be covered in family policies through age 26, rather than age 21 as in most current policies.
  • Health policies would not have annual or lifetime limits on benefit payments.
  • The government would subsidize insurance premiums for individuals and families with incomes up to 400 percent of the poverty level.

Insurance Coverage

  • Small businesses with 50 or fewer full-time workers could receive tax credits for subsidizing insurance coverage.
  • All individuals will be required to have health insurance or face a $750 penalty, exemptions will be made for those who cannot afford it.
  • All companies with more than 25 workers would be required to pay at least 60 percent of their workers' health insurance or face a $750 per full-time employee fee ($350 for part-time employees). The first 25 workers would be exempt.
  • Employers would be reimbursed temporarily through a Retiree Reserve Trust Fund for providing insurance for retirees over age 55 and their dependents, who are not yet eligible for Medicare, which usually starts at age 65. This would continue until the gateway, or exchange, is set up.

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