EXCLUSIVE: The Finance Committee's Health Reform Outline

A Senate source just passed me the latest outline of the Senate Finance Committee's health reform proposal. This is the post-CBO revision. Apparently, after the committee staff received the scores, they dug deep and quickly developed this proposal to circulate among members and then send back to CBO. It was presented earlier today at a closed-door meeting.

Sources say that it's a major scale-back of the outline they had before. Specifically, subsidies have dropped from 400 percent of the poverty line to 300 percent. Medicaid eligibility has been tightened to 133 percent of poverty for children and pregnant women and 100 percent of poverty for parents and childless adults. The plans being offered in the exchange have seen their actuarial values sharply lowered.

Beyond the changes, this is also the clearest look we've had at the specific policies being considered. There's a fairly strong individual mandate, albeit with exemptions for those beneath the poverty line, those who would have to spend more than 15 percent of income for a plan, and undocumented workers. There are a variety of options for an employer mandate, or the absence of one. Sen. Kent Conrad's co-op idea is up for discussion. There's no public plan mentioned anywhere in the document.

Incidentally, I apologize for the size, and formatting, of the file: There's not an electronic version floating around, so this had to be scanned in. You can download it here.

UPDATED: Here's a version of the file with all the pages right side up.