CRFB has updated its health care chart, comparing the ten-year costs of the most recent legislation passed by the House and the bill introduced by Senator Reid in the Senate yesterday. To compare the most recent Senate bills with the previous HELP and Finance Committee bills, click here.

Provisions
10-Year Costs

House Bill

Senate Bill

Individual Penalties
 $33
 $8

Employer Payments
 $135
 $28

Mandate Provisions
 $168
 $36

Exchange Subsidies
 ($602)
 ($447)

Medicaid Expansion
 ($425)
 ($374)

Small Business Credits
 ($25)
 ($27)

Coverage Expansion
 ($1052)
 ($848)

Physician Payment Updates
 n/a
 ($11)

Medicare Prescription Drug Coverage
 n/a#
 ($23)

Measures to Slow Health Care Cost Growth
 ($31)
 ($17)

Other Spending Changes
 ($195)
 ($42)

Other Spending
 ($226)
 ($93)

Prescription Drug Cost Reductions
 $83#
 $51

Medicare Advantage Cuts
 $170
 $119

Reductions in Provider Payment Updates
 $173
 $160

Medicare Premium Increase
 n/a
 $36

Medicare Payment Commission
 n/a
 $23

Measures to Slow Overall Health Care Cost Growth
 $37
 $26

Measures to Reduce Federal Health Care Spending
 $106
 $129

Spending Offsets
 $569
 $544

Excise Tax on High Cost Insurance
 n/a
 $149

Tax Gap and Loopholes Closing
 $60
 $17

Surtax on High Earners
 $461
 n/a

Limits to Health Care Tax Benefits
 $22
 $43

Fees on Health Care Companies
 $20
 $108

Medicare Payroll Tax Increase for High Earners
 n/a
 $54

Tax Increases
 $563
 $370

Interactions and Other Spending and Taxes

 $15
 $48

Budgetary Impact Subtotal
 $37
 $57

CLASS Act+
 $72
 $72

Total Budgetary Impact
 $109
 $130

Tenth Year Deficit
 $9
 $8

Deficit Reduction in Second Decade
 0% to 0.25% of GDP
 0.25% of GDP

Reduction in Uninsured
 36 Million
 31 Million

Numbers in billions, with positive numbers representing a reduction in the deficit
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 nt belong in the bill as an offset.