Affordable Health Care for America Act

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The Affordable Health Care for America Act (or HR 3962)

bill that was crafted by the United States House of Representatives of the 111th United States Congress on October 29, 2009. The bill was sponsored by Representative Charles Rangel
. At the encouragement of the
reform of the United States' health care system
. Known as the "House bill,” HR 3962 was the House of Representatives' chief legislative proposal during the health reform debate.

On December 24, 2009, the Senate passed an alternative health care bill, the

Patient Protection and Affordable Care Act (H.R. 3590).[2] In 2010, the House abandoned its reform bill in favor of amending the Senate bill (via the reconciliation process) in the form of the Health Care and Education Reconciliation Act of 2010
.

Key provisions

The central changes that would have been made by the legislation, had it been enacted, included the following:

Comparison with Senate version

The main House reform bill was the Affordable Health Care for America Act, which passed on November 7, 2009. The

Patient Protection and Affordable Care Act is the Senate version, passed December 24.[16]
The following table compares the two versions.

House Senate Notes
New 10-year costs (billions)[16] $1,052 $848
Projected 10-year change in deficit (billions)[16] -$109 -$132 New costs minus new savings and revenue
Number uninsured by 2019 (millions)[16] 17 23 54 without bill
Public option[16]
 Yes No
Insurance exchanges[16] Yes Yes H: National exchange;
S: State-based exchanges
Individual mandate[16] Yes Yes Penalty tax or fine if coverage not carried
(See Insurance subsidies below)
Employer mandate[16] Yes Yes Small businesses exempted
Abortion coverage[16] No Yes H: No in public option or subsidized plans;
may be covered by separate riders
S: Yes, but must be paid for separately without subsidies
New and increased taxes[16] Yes Yes H: Families with income > $1 million
S: High-cost insurance plans;
Wealthiest Americans Medicare taxes;
Indoor tanning tax
Insurance reforms[16] Yes Yes H: Remove anti-trust exemption
Both: Define qualified health benefit plan
Expand Medicaid[16] Yes Yes Max 2009 income, family of 4:
H: $33,000
S: $29,000.
Insurance subsidies[16] Yes Yes Prorated to $88,000 for family of 4 (2009)
H: Premium subsidies; S: Tax credits
Tax equity for domestic partners[17]
 Yes No
  • 2015 year rates are based on the second-tier level of a
    silver plan
    that was determined by the D.O.R.A.
  • 2015 Federal Poverty Level is now 133% to 401%
  • Everyone must obtain health insurance that meets the Minimal Essential Coverage (MEC) that is defined by the department of Human Services (DHS)
  • Affordable is based on percentage of 9.5% annual income of an individual
  • There is no out of pocket cost of Preventive care even on grandfather plan

History

The bill was introduced on October 29, 2009 and passed on November 7, during the 1st Session of the 111th Congress. Its primary sponsor was the Dean of the House, John Dingell of Michigan. The bill is a revised version of an earlier measure, the proposed

President's address to a joint session of Congress in September, 2009
concerning health care reform.

House actions

House voting map for H.R. 3590 where green indicates a 'Yes' and red a 'No'.

The Affordable Health Care for America Act, H.R. 3962, was introduced in the House of Representatives on October 29, 2009, and referred to several Committees for consideration.

On November 6, 2009, the House Committee on Energy and Commerce was discharged. The

House Committee on Rules introduced House Resolution 903 (H.Res. 903) along with a Committee Report, No. 111-330 Archived September 20, 2014, at the Wayback Machine. The Committee Report detailed the amendments considered as adopted if and when the bill passed the full House in Parts A & B; it provided the Stupak–Pitts Amendment
for consideration in Part C as well as the Boehner Amendment, a substitute for the bill, in Part D. The House Resolution outlined the process to be followed for Parts A through D in relation to H.R. 3962 and set the rules for debating the proposed bill.

The following day, House Resolution 903 was voted on and passed.[20] This, in effect, added the amendments outlined in Rules Committee Report No. 111-330, Parts A & B, to H.R. 3962. Part C, the Stupak–Pitts Amendment, was brought up, considered and passed.[21][22] Part D, the Boehner Substitute Amendment, was then brought up, considered but failed passage.[23][24]

The newly amended bill eventually passed the House of Representatives at 11:19 PM EST on Saturday, November 7, 2009, by a vote of 220–215. The bill passed with support of the majority of Democrats, together with one Republican who voted only after the necessary 218 votes had already been cast. Thirty-nine Democrats voted against the bill. All members of the House voted, and none voted "present".[25]

Both before and after passage in the House, significant controversy surrounded the

exchange's private plans sold to customers receiving federal subsidies. In mid-November, it was reported that 40 House Democrats said they will not support a final bill containing the Amendment's provisions.[26] Stupak has said that 15–20 Democrats will oppose adoption of the Senate bill because of objections to its abortion provisions as well as its tax on high-value health insurance plans.[27][28]
In March 2010, Stupak voted for the Senate language health care bill excluding the Stupak Amendment language.

Senate actions

The Affordable Health Care for America Act, H.R. 3962, as

General Orders
(Calendar No. 210, Nov. 16, 2009).

H.R. 3962 as eventually enacted

A different bill, under the same bill number H.R. 3962, was eventually passed by Congress and, on June 25, 2010, was signed by the President. This is the "Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010."[29]

See also

References

  1. ^ H.R. 3962
  2. ^ Pear, Robert (December 24, 2009). "Senate Passes Health Care Overhaul Bill". The New York Times. Archived from the original on November 15, 2013. Retrieved December 24, 2009.
  3. ^ a b c d e f g Congressional Research Service (CRS) Summary Archived October 17, 2013, at the Wayback Machine of H.R. 3962 as introduced, the Library of Congress, October 29, 2009
  4. ^ a b c d e Espo, David (November 8, 2009). "Landmark health bill passes House on close vote". PhysOrg.com. Associated Press. Archived from the original on June 6, 2011. Retrieved November 24, 2009.
  5. 111th Congress
    .
  6. PMID 20533752
    . Retrieved September 17, 2013.
  7. ^ a b c d Hulse, Carl; Pear, Rolbert (November 7, 2009). "Sweeping Health Care Plan Passes House". The New York Times. Archived from the original on March 31, 2011. Retrieved November 24, 2009.
  8. 111th Congress
    .
  9. ^ Leary, Alex (November 12, 2009). "Health care reform: Where the House, Senate agree and disagree". St. Petersburg Times. Archived from the original on December 5, 2009. Retrieved November 24, 2009.
  10. 111th Congress
    .
  11. ^ Cole, Michael (November 7, 2009). "House Passes Health Reform Bill with Key LGBT Provisions". Human Rights Campaign. Archived from the original on November 12, 2009. Retrieved November 9, 2009.
  12. 111th Congress
    .
  13. 111th Congress
    .
  14. 111th Congress
  15. ^ "A Comparison of House Senate Health Care Bills", Detroit Free Press, December 24, 2009
  16. ^ a b c d e f g h i j k l m Health-Care Reform: How the Bills Stack Up, The Washington Post, September 16, 2009 (updated December 24, 2009), Retrieved February 5, 2010
  17. ^ Moulton, Brian (March 18, 2010). "House Posts Health Care Bill, Leaves Out LGBT-Specific Provisions". Human Rights Campaign. Archived from the original on March 23, 2010. Retrieved March 22, 2010.
  18. ^ (H.R. 3200)
  19. ^ Topline Changes From Introduced Bill to Blended Bill Archived November 3, 2009, at the Wayback Machine, (PDF), House Committee on Energy and Commerce, October 29, 2009.
  20. ^ Roll call vote 882, via Clerk.House.gov – H.Res.903: On Agreeing to the Resolution
  21. ^ H.Amdt. 509, the Stupak of Michigan Amendment
  22. ^ Roll call vote 884, via Clerk.House.gov – H.Amdt.509: On Agreeing to the Stupak of Michigan Amendment
  23. ^ H.Amdt. 510, the Boehner of Ohio Substitute Amendment
  24. ^ Roll call vote 885, via Clerk.House.gov – H.Amdt.510: On Agreeing to the Boehner of Ohio Substitute Amendment
  25. ^ Roll call vote 887, via Clerk.House.gov – H.R.3590: On Passage Affordable Health Care for America Act
  26. ^ MacGillis, Alec (November 14, 2009). "Health-care reform and abortion coverage: Questions and answers". Washington Post. Retrieved November 24, 2009.
  27. ^ Kantor, Jodi (January 6, 2010). "Abortion Foe Defies Party on Health Care Bill". New York Times. Retrieved January 7, 2010.
  28. ^ Weisman, Jonathan (February 24, 2010), "Stupak: 15–20 Dems Can’t Back Obama Health Plan", Washington Wire, The Wall Street Journal, Retrieved February 24, 2010
  29. ^ Public Law no. 111-192, summarized at [1]. For the full text of what was actually enacted under the heading "H.R. 3962," see [2].

External links

Latest Congressional Budget Office scoring (all previous scoring for now superseded;
H.R. 3200
no longer applies)
Centers for Medicare and Medicaid Services
Estimates of the impact of H.R. 3962
Additional House committee generated information accompanying H.R. 3962 (November 6, 2009)
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