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Comparing the Cost and Coverage Impacts of the House and Senate Leadership
Health Reform Bills: Long Term Costs for Governments, Employers, Families and
Providers

Prepared for: The Peter G. Peterson Foundation
By:
John Sheils
Randy Haught
Date: December 7, 2009
i
498093
Table of Contents

ABOUT THE LEWIN GROUP
EXECUTIVE SUMMARY..........................................................................................................................I
COMPARING THE COST AND COVERAGE IMPACTS OF THE HOUSE AND SENATE

LEADERSHIP HEALTH REFORM BILLS: LONG TERM COSTS FOR
GOVERNMENTS, EMPLOYERS, FAMILIES AND PROVIDERS...........................................1

A. Overview of the House and Senate Bills....................................................................................2 B. Coverage Effects..........................................................................................................................13 C. Impact on Federal Spending......................................................................................................16 D. Impact on State and Local Governments.................................................................................26 E. Private Employer Impacts..........................................................................................................28 F. Impact on Consumers.................................................................................................................33 G. Impact on National Health Spending.......................................................................................40 H. Impact on Hospital and Physician Income..............................................................................43

498093
About The Lewin Group

The Lewin Group is a health care and human services policy research and management
consulting firm. We have over 25 years of experience in estimating the impact of major health
reform proposals. The Lewin Group is committed to providing independent, objective and non-
partisan analyses of policy options. In keeping with our tradition of objectivity, The Lewin
Group is not an advocate for or against any legislation. The Lewin Group is part of Ingenix, Inc.,
which is a wholly owned subsidiary of the UnitedHealth Group. To assure the independence of
its work, The Lewin Group has editorial control over all of its work products.

Go tow ww .l ew in .c om/ in tegri ty for more information.
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