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...Would the health-care industry have to pay for the cost of reform? Beginning in 2010, insurance companies would have to pay an annual total of $6 billion; pharmaceutical companies, $2.3 billion; medical-device makers, $4 billion; clinical laboratories, $750 million. The amount each individual company pays would depend on their market share...
...maternity and newborn care, pediatric services (including dental and vision), medical/surgical care, prescription drugs, radiation and chemotherapy, and mental health and substance abuse services ... In addition, plans could charge no cost-sharing (e.g., deductibles, copayments) ... for preventive care services ... Plans could also not include lifetime limits on coverage or annual limits on any benefits...
...Would there be an individual mandate? Yes. Beginning in 2013, individuals would be required to have health insurance. Individuals and families who do not have insurance for more than three months in a given year would be subject to an annual excise tax of $750 and $1,500, respectively, if their income is below 300% of the federal poverty line (or $66,150 for a family of four). Tax penalties for individuals and families with incomes above that would be $950 and $3,800. The excise tax would be waived for Native Americans and individuals and families whose health-insurance...
...Would there be an employer mandate? No. But employers would have to pay an annual tax penalty if any of their workers receive subsidies to purchase insurance through the exchanges. The tax penalty assessed to the employer would be either $400 per worker (regardless of how many workers receive subsidies) or the average cost of subsidies in a given year multiplied by the number of workers receiving them in the company - whichever is lower. (Businesses with fewer than 50 employees would be exempt from this...
...Qualifying small businesses that offer their employees health insurance would be eligible for a tax credit to offset their contribution to the costs of the policies. An employer with up to 25 full-time employees whose average annual wages are no more than $40,000 would have access to some part of the credit, though only companies with no more than 10 employees who earn an average of less than $20,000 a year would be eligible for the full credit. In 2011 and 2012, the full credit would be up to 35% of a small business's contribution...