House Health Care Bill: What It Means for You

Changes to U.S. health care system that could be in store for 2010.

ByABC News
November 9, 2009, 9:09 AM

Nov. 9, 2009— -- Democrats scored a big win this weekend on health care legislation, bringing an overhaul of the U.S. health care system closer to reality. And while the legislation still needs to work its way through the Senate, the House bill offers a glimpse of what could be in store for Americans next year.

Under the House Democrats' bill, which passed Saturday night, all Americans would be required to have health insurance.

Large companies would have to offer coverage to their employees, and both consumers and companies would be slapped with penalties if they defy the government's mandate.

For low-income Americans, the bill would provide subsidies for buying insurance if they don't receive it through an employer. It would also create a federally regulated insurance exchange where individual Americans could shop for coverage.

In the bill's most controversial provision, the government would also sell insurance -– the so-called public option -- although the independent Congressional Budget Office forecasts that premiums for it would be more expensive than for policies sold by private firms.

The bill is projected to expand coverage to 36 million uninsured Americans, resulting in 96 percent of the nation's eligible population having insurance.

For families, the bill would ban insurers from denying coverage because of pre-existing medical conditions and prohibit insurers from dumping people from their coverage if they get sick. Insurers would no longer be able to charge higher premiums on the basis of gender or medical history.

Parents would be able to keep their children on their insurance plans up until age 27 and individuals who have insurance through COBRA would be able to keep their plans until the new health insurance exchange is up and running in 2013.

For seniors on Medicare, the plan would help fill the prescription drug "donut hole" by giving a 50 percent discount on brand-name drugs.

Small businesses would also be eligible to receive federal grants to fund wellness programs for the workplace.