What Stays, What Goes in Health Reform?

On the other hand, these issues may take more time to examine, and could appear later or not at all:

• Determine which health insurance exchanges are needed—state or federal--and who should be included.


• Place a tax on high-cost (so-called "Cadillac") health plans for individuals and families.


• Place a surcharge on individuals with annual higher incomes (above $500,000) or families with higher incomes (above $1 million).


• Expand Medicaid coverage for individual just above the federal level. (The House called for 150% above the level; the Senate suggested 133%.)


• Establish a new trauma center program.