The President's Plan for Health Reform

Here are the essential features of the health care reform plan President Obama champions:

If You Have Health Insurance,
the President's Plan:

• Ends discrimination against people with pre-existing conditions.
• Limits premium discrimination based on gender and age.
• Prevents insurance companies from dropping coverage when people are sick and need it most.
• Caps out-of-pocket expenses so people don’t go broke when they get sick.
• Eliminates extra charges for preventive care like mammograms, flu shots and diabetes tests to improve health and save money.
• Protects Medicare for seniors.
• Eliminates the “donut-hole” gap in coverage for prescription drugs.

If You Don’t Have Insurance, the President's Plan:

• Creates a new insurance marketplace — the Exchange — that allows people without insurance and small businesses to compare plans and buy insurance at competitive prices.
• Provides new tax credits to help people buy insurance.
• Provides small businesses tax credits and affordable options for covering employees.
• Offers a public health insurance option to provide the uninsured and those who can’t find affordable coverage with a real choice.
• Immediately offers new, low-cost coverage through a national “high risk” pool to protect people with preexisting conditions from financial ruin until the new Exchange is created.

For All Americans, the President's Plan:

• Won’t add a dime to the deficit and is paid for upfront.
• Requires additional cuts if savings are not realized.
• Implements a number of delivery system reforms that begin to rein in health care costs and align incentives for hospitals, physicians, and others to improve quality.
• Creates an independent commission of doctors and medical experts to identify waste, fraud and abuse in the health care system.
• Orders immediate medical malpractice reform projects that could help doctors focus on putting their patients first, not on practicing defensive medicine.
• Requires large employers to cover their employees and individuals who can afford it to buy insurance so everyone shares in the responsibility of reform.


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