Sen. Ron Wyden (D, OR) is proposing amendments to the Senate healthcare bill that would give people who are eligible for coverage through their employer the option of buying cheaper coverage from the new insurance exchanges and keeping the difference. The legislation without the amendments opens up the exchanges only to small businesses and to people who don't have insurance through an employer. There are virtually no provisions in the Senate or House health bills that directly reward consumers for choosing cost-efficient care or lowering their medical costs through healthy behavior, the Wall Street Journal reports.