It promotes employer-based insurance, relies on guaranteed issue of ‘actuarially equivalent’ plans, offers up a publicly financed Federal Insurer, uses a Massachusetts style Health Insurance Exchange (HIE) to match insureds with insurers, temporarily lowers the Medicare eligibility age to 55 years (if you can afford the premium that is designed to be cost neutral until the HIE kicks in) and lowers the income eligibility of generic Medicaid to 100% of the Federal Policy Level. It envisions a new governmental oversight entity called the ‘Independent Health Coverage Council' that will be made up of individuals nominated by the President and confirmed by the Senate ’
A Federal Insurer could be either/both a) an insurer of last resort (designed to avoid 'crowd out' by being a little bit more expensive than the other carriers but, in the end, it will cover you) or b) a competitor that forces the other plans to offer lower prices so that they avoid losing the member months of revenue. The BB appears to favor the latter but uses the former.
To give you an idea of the scope of the Independent Health Coverage Council, it would define what comprises ‘insurance’ and just what ‘affordability’ is. Big problems command big solutions, but that is an astonishing amount of power. This may be a key stumbling block in the filibuster prone Senate.
The Blues have been cautiously not unsupportive of this and AHIP is mulling this over. The DMCB suspects health insurers are grappling with the prospect of a) more premium revenue thanks to more persons being signed up and b) many smaller regional plans going out of business because they can't afford guaranteed issue. Health insurers will ultimately have to decide if resembling regulated utilities is all that bad.