House Ways and Means Committee: Has just begun detailed drafting of a version of the reform plan approved in March by its health subcommittee. It's similar to President Clinton's plan, with an employer mandate to provide coverage, a new Medicare program for the poor and uninsured, and price controls on providers if states don't conform to spending budgets.
House Education and Labor Committee: Was scheduled to start work late last week on a Clinton-type bill modeled after the proposal approved by its labor-management relations subcommittee.
Senate Finance Committee: Has struggled behind closed doors to strike a bipartisan accord. Is expected to rely on the president's proposal as a starting point.
Senate Labor and Human Resources Committee: Was expected last week to give final approval to a plan that would require employers to finance health coverage with subsidies for small firms and impose private insurance premium caps.
The major reform plans, some elements of which are being used by the committees:
Health Security Act: President Clinton's bill. Would require universal coverage by 1998, mainly by requiring employers to finance 80% of workers' premiums. Costs would be curbed through premium caps.
Equity and Access Reform Today Act: Chief sponsor is Sen. John Chafee (R-R.I.). Would rely on an individual rather than an employer mandate. No regulatory controls on private health spending.
Managed Competition Act: Chief sponsor is Rep. Jim Cooper (D-Tenn.). No mandates or price controls. Would expand access with a larger public program for the poor, insurance market reforms and more managed competition.
American Health Security Act: Chief sponsor is Rep. Jim McDermott (D-Wash.). A single-payer proposal that would finance all healthcare spending through taxes.