Health Care Highlights

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By Katie Ussin

BILLINGS - The showdown is set for Saturday night when the U.S. Senate will take up health care legislation.

Here is a look at the highlights of the proposals before lawmakers in Congress. The house narrowly passed its bill on a vote of 220-215, just one republican voted for it.

The bill creates an independent agency in the executive branch of the government called the Health Choices Administration that will be run by a commissioner appointed by the president. The commissioner will oversee the new health insurance exchange that will offer a public health insurance option alongside private insurance plans.

Enrollment in the public option is voluntary. However people who fail to enroll in any insurance program will be taxed 2.5% of their modified gross income.

Businesses with payrolls more than $500,000 dollars would be required to offer employees insurance or pay a fine. The bill would also stop insurance companies from denying coverage because of a pre-existing condition or dropping people when they get sick. Also in the bill, young adults can stay on their parent's insurance plan until age 27.

It states that it does not change state laws or federal laws regarding the coverage of abortions. It is estimated that the bill would extend insurance coverage to 36-million uninsured Americans.

The Congressional Budget Office said the bill would cost $891-billion over 10 years and reduce the federal deficit by $109-billion dollars. It is paid for by cuts to Medicare and tax increases on wealthy Americans.

In the Senate, the Patient Protection and Affordable Care Act, was announced by Senate Majority Leader Harry Reid, D-Nevada, Wednesday night. The bill has not yet been voted on by a full Senate. Reid said it would expand health insurance coverage to 30-million more Americans at an estimated cost of $849-billion over 10 years.

The CBO estimated the proposal would reduce the federal deficit by $130-billion over 10 years.

Like the House's version, the Senate's proposed bill sets up a new insurance exchange market to help those who have a difficult time getting coverage. A government-run public health insurance option would be included in that market; although states can opt out of the public option.

Senate republicans are up in arms because private companies that cover abortions would be allowed to enter the exchange market. The bill would require individuals to buy health insurance or face a fine of $95 in the first year that would increase in years to come.

The bill would also stop insurance companies from denying coverage because of a pre-existing condition. Unlike the House version, the Senate bill does not mandate that all employers offer health care. The bill includes a range of tax increases and new fees to pay for the legislation.

Reid needs to round up 60 votes in the 100-member Senate to overcome a certain GOP filibuster. Senator Max Baucus is in Helena with his ill mother and has not yet released a statement on the Senate version.

Tuesday, Nov 24 at 11:41 AM Yokel wrote ...

The sky is falling! The sky is falling! Be afraid be VERY afraid, the wolf is at the door and he is sooo hungry! Remember how Social Security, Medicade and Medicare absolutely destroyed America and took away all our freedom like the Republicans said it would? Run, hide, be afraid and whatever you do believe that which is in the best intrests of the insurance industry's bottom line and fear the black man in the white house 'cause he's gonna getcha!

Friday, Nov 20 at 8:03 PM Bob wrote ...

You are not kidding we do not want government telling us we are too fat. Taxing colas and burgers. Vote No!

Friday, Nov 20 at 8:01 PM Dan wrote ...

Wake up Montana! Rationing, soaring cost, Medicaid Cuts, to save "Medicaid", Mandate you buy or pay fine/jail. More Taxes than you can shake a stick at. Call your Senator and tell him to stayhome

Friday, Nov 20 at 12:33 PM Debbie wrote ...

They are also using bait and switch, the actual cost over 10 years will be over 2 tillion dollars. Yes 2 trillion. Cuts in Medicare for our elderly. I also agree with Matlilda the majority of Americans do not want.

Friday, Nov 20 at 9:28 AM Matilda wrote ...

In poll after poll after poll across America over the last 9 months, Americans have stated they do not want a government-run public option in any healthcare reform. It is so obvious that Obama, Pelosi and Reid could care less what the citizens of this country want...they are going to march to their own agenda, the agenda of tyranny, the agenda of government out of control. It is time for all Americans to rise up against the Obama playbook before it is too late.

Friday, Nov 20 at 9:25 AM Matilda wrote ...

1st it was mammograms, now it's cervical exams. This is the 2nd time this week the government has come out with limitations on healthcare for Americans! If you think this is bad, just wait until the government-run healthcare option that many of you folks seem to accept and/or support kicks in! Once any government-run option is voted in on the Hill, we will see an erosion that will begin immediately of any control we now have over our healthcare and the healthcare of all those we love.

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