**Summary of Resolution of Key Differences between House and Senate
Stimulus Bills**

**[Individual Taxation]{.underline}**

  --------------- ----------------- ------------------- ------------------
  **Provision**   **House-passed    **Senate-passed     **Conference
                  bill**            bill**              Report**

  Individual AMT  No provision.     AMT patch for 2009. Senate.
  Patch                             *Costs \$69.8b /    
                                    11.*                

  Higher          No provision.     Allows computer     Senate.
  education                         technology and      
  expenses                          equipment as        
                                    qualified higher    
                                    education expense   
                                    for 2009 and        
                                    2010. *Costs \$6m   
                                    /11.*               

  Tax incentive   No provision.     Provides            Deduction is
  for purchasing                    above-the-line      limited to state
  certain motor                     deduction for       and local sales
  vehicles                          interest expenses   and excise taxes
                                    and state and local only.  In the case
                                    sales and excise    of taxpayers that
                                    taxes on purchases  do not itemize
                                    of new motor        their deductions,
                                    vehicles in 2009.   the new deduction
                                    Deduction is        would be in
                                    restricted to       addition to their
                                    expenses and taxes  standard
                                    attributable to the deduction. *Costs
                                    first \$49,500 of   \$1.7b / 11.*
                                    the purchase price. 
                                    The deduction is    
                                    phased-out for      
                                    taxpayers with AGI  
                                    in excess of        
                                    \$125,000           
                                    (\$250,000 in the   
                                    case of joint       
                                    returns). *Costs*   
                                    *\$10.5b / 11.*     

  Commuting       No provision.     Equalizes tax-free  Senate.
  benefits                          transit and parking 
                                    benefits, sets both 
                                    at \$230 for 2009,  
                                    and indexes equally 
                                    in 2010. *Costs     
                                    \$192m / 11.*       

  Refundable      Reduces earnings  Reduces earnings    Reduces earnings
  Child Tax       threshold for     threshold to        threshold to
  Credit          refundability to  \$8,100 for 2009    \$3,000 for 2009
                  \$0 for 2009 and  and 2010. *Costs    and 2010. *Costs
                  2010. *Costs      \$7.2b / 11*.       \$14.8b / 11. All
                  \$18.3b / 11.*                        outlays.*
  --------------- ----------------- ------------------- ------------------

Individual Taxation (cont.)

+--------------+----------------+------------------+-----------------+
| *            | **House-passed | **Senate-passed  | **Conference    |
| *Provision** | bill**         | bill**           | Report**        |
+--------------+----------------+------------------+-----------------+
| Making Work  | Provides up to | Provides up to   | Provides up to  |
| Pay Credit   | \$500 credit   | \$500 credit per | \$400 credit    |
|              | per worker for | worker for 2009  | per worker for  |
|              | 2009 and       | and 2010.        | 2009 and 2010.  |
|              | 2010.          | Phases-out for   | Phases-out for  |
|              | Phases-out for | one worker       | one worker      |
|              | one worker     | families from    | families from   |
|              | families from  | \$70,000 to      | \$75,000 to     |
|              | \$75,000 to    | \$82,500 and     | \$95,000 and    |
|              | \$100,000 and  | from \$140,000   | from \$150,000  |
|              | from \$150,000 | to \$165,000 for | to \$190,000    |
|              | to \$200,000   | two worker       | for two worker  |
|              | for two worker | families.        | families.       |
|              | families.      | Reduces the      | Reduces the     |
|              | *Costs         | credit by        | credit by       |
|              | \$145.3b /     | amounts paid by  | amounts paid by |
|              | 11.*           | SSA, Railroad    | SSA, Railroad   |
|              |                | Retirement and   | Retirement and  |
|              |                | VA. *Costs       | VA. Spouse not  |
|              |                | \$139.4b / 11.*  | required to     |
|              |                |                  | have a SSN or   |
|              |                |                  | TIN to qualify. |
|              |                |                  | *Costs \$116b / |
|              |                |                  | 11.  \$37b in   |
|              |                |                  | outlays.*       |
+--------------+----------------+------------------+-----------------+
| American     | 40% of the     | 30% of the       | 40%             |
| Opportunity  | credit is      | credit is        | refundability.  |
| Tax          | refundable.    | refundable.      | Adds funding    |
| Cred         | *Costs*        | *Costs* *\$12.9b | for the         |
| it/Education | *\$13.7b /     | / 11.* *\$2.7b   | possessions to  |
|              | 11*. *\$3.5b   | in outlays.*     | administer      |
|              | in outlays.*   |                  | refunds. *Costs |
|              |                |                  | \$13b / 11.     |
|              |                |                  | \$3.7b in       |
|              |                |                  | outlays.*       |
+--------------+----------------+------------------+-----------------+
| Homebuyer    | Extends        | Waives repayment | Same as House   |
| credit       | \$7,500 credit | requirement      | except          |
|              | through        | unless home is   | increases the   |
|              | 6/30/09 and    | resold within 24 | credit to       |
|              | waives         | months,          | \$8,000 and     |
|              | repayment      | increases credit | extends credit  |
|              | requirement    | to \$15,000,     | through         |
|              | unless home is | eliminates the   | 11/30/2009.     |
|              | resold within  | income           | *Costs \$6.7    |
|              | 36 months.     | phase-out,       | billion / 11.   |
|              | *Costs \$2.6b  | extends the      | \$1.86b in      |
|              | / 11*.         | credit through   | outlays.*       |
|              |                | 2009, and makes  |                 |
|              |                | available also   |                 |
|              |                | to               |                 |
|              |                | non-f            |                 |
|              |                | irst-homebuyers. |                 |
|              |                | Applies to       |                 |
|              |                | purchases after  |                 |
|              |                | date of          |                 |
|              |                | enactment.       |                 |
|              |                |                  |                 |
|              |                | *Costs \$39.2b   |                 |
|              |                | /11. *           |                 |
+--------------+----------------+------------------+-----------------+
| Unemployment | No provision.  | Excludes up to   | Senate.         |
| benefits     |                | \$2,400 of       |                 |
|              |                | unemployment     |                 |
|              |                | insurance        |                 |
|              |                | benefits from    |                 |
|              |                | 2009 gross       |                 |
|              |                | income.          |                 |
|              |                |                  |                 |
|              |                | *Costs \$4.7b /  |                 |
|              |                | 11.*             |                 |
+--------------+----------------+------------------+-----------------+

Business Taxation

+--------------+----------------+------------------+-----------------+
| *            | **House-passed | **Senate-passed  | **Conference    |
| *Provision** | bill**         | bill**           | Report**        |
+--------------+----------------+------------------+-----------------+
| Cancellation | No provision.  | Spread ratably   | Generally can   |
| of           |                | over the eight   | defer for 4-5   |
| indebtedness |                | years following  | years and       |
| income       |                | year of          | spread ratably  |
|              |                | cancellation,    | over the        |
|              |                | instead of       | following 5     |
|              |                | immediate        | years; applies  |
|              |                | recognition;     | to all          |
|              |                | limited to cash  | r               |
|              |                | re-acquisitions  | e-acquisitions; |
|              |                | of debt. *Costs  | also exempts    |
|              |                | \$26.2b / 3,     | certain         |
|              |                | \$813m / 11.*    | refinanced debt |
|              |                |                  | instruments     |
|              |                |                  | from AHYDO      |
|              |                |                  | interest        |
|              |                |                  | disallowance    |
|              |                |                  | rules. *Costs   |
|              |                |                  | \$42.5 / 3,     |
|              |                |                  | \$1.6b / 11.*   |
+--------------+----------------+------------------+-----------------+
| New markets  | No provision.  | Increases new    | Senate, except  |
| tax credit   |                | markets tax      | no AMT          |
|              |                | credit equity    | provision.      |
|              |                | limitation to a  | *Costs \$815m / |
|              |                | total of \$5     | 11.*            |
|              |                | billion for      |                 |
|              |                | calendar years   |                 |
|              |                | 2008 and         |                 |
|              |                |                  |                 |
|              |                | 2009; allows     |                 |
|              |                | 2009 credits     |                 |
|              |                | against AMT*.    |                 |
|              |                | Costs \$1b /     |                 |
|              |                | 11.*             |                 |
+--------------+----------------+------------------+-----------------+
| Election to  | No provision.  | *Costs \$805m /  | Senate.         |
| accelerate   |                | 11. \$402m in    |                 |
| AMT and      |                | outlays.*        |                 |
| research     |                |                  |                 |
| credits in   |                |                  |                 |
| lieu of      |                |                  |                 |
| bonus        |                |                  |                 |
| d            |                |                  |                 |
| epreciation  |                |                  |                 |
+--------------+----------------+------------------+-----------------+
| Small        | No provision.  | Temporarily      | Senate.         |
| business     |                | increases        |                 |
| capital      |                | section 1202     |                 |
| gains        |                | small business   |                 |
| exclusion    |                | capital gains    |                 |
|              |                | exclusion to     |                 |
|              |                | 75%. *Costs      |                 |
|              |                | \$829m / 11.*    |                 |
+--------------+----------------+------------------+-----------------+
| Built-in     | No provision.  | Temporarily cuts | Senate.         |
| gains        |                | the built-in     |                 |
| holding      |                | gains holding    |                 |
| period for S |                | period for S     |                 |
| corporations |                | corporations to  |                 |
|              |                | seven years from |                 |
|              |                | 10 years. *Costs |                 |
|              |                | \$415m / 11.*    |                 |
+--------------+----------------+------------------+-----------------+
| Broadband    | No provision.  | Broadband        | No provision.   |
| Internet     |                | Internet access  |                 |
|              |                | tax credit.      |                 |
|              |                | *Costs \$217m /  |                 |
|              |                | 11.*             |                 |
+--------------+----------------+------------------+-----------------+

Business Taxation (cont.)

  ---------------- ----------------- ------------------- ------------------
  **Provision**    **House-passed    **Senate-passed     **Conference
                   bill**            bill**              Report**

  Bonuses paid by  No provision.     Requires TARP       No provision.
  TARP recipients                    recipients paying   
                                     certain bonuses to  
                                     return TARP funds   
                                     or pay excise tax.  
                                     ***Raises** \$3.2b  
                                     / 10.*              

  Low-income       No provision.     Accelerates         Accelerates
  housing credit                     low-income housing  low-income housing
                                     credits and         credits and
                                     eliminates          eliminates
                                     reduction in basis  reduction in basis
                                     for receipt of      for receipt of
                                     certain federal     certain federal
                                     grants for purposes grants for
                                     of determining the  purposes of
                                     credit. *Costs      determining the
                                     \$1.7b / 11*        credit. *Costs
                                                         \$143m / 11*.

  3% withholding   House permanently Senate has 1-year   Senate.
  on government    repeals. *Costs   delay. *Costs       
  contracts        \$10.9b / 11*.    \$291m / 11*.       

  Net Operating    Extends Net       Same as House but   Only certain
  Losses           Operating Loss    no haircut. *Costs  businesses
                   carryback period  \$67.5b /2, \$19.5b eligible
                   for 2008 and 2009 / 11*.              (\$15,000,000 or
                   to 5 years, but                       less gross
                   with a 10%                            receipts test) and
                   haircut. *Costs                       only for NOLs in
                   \$54b / 2, \$15b                      2008. *Costs
                   / 11*.                                \$4.7b / 1, \$947m
                                                         / 11.*

  Work opportunity Expands credit to Expands credit to   Expands credit to
  credit           veterans released veterans released   veterans released
                   from active duty  from active duty    from active duty
                   during 2008, 2009 after 8/31/2001 and during the five
                   and 2010 and      before 2011 and     years prior to the
                   disconnected      disconnected youth  hiring date and
                   youth hired in    hired in 2009 and   disconnected youth
                   2009 and 2010.    2010. *Costs \$328m hired in 2009 and
                   *Costs \$208m /   / 11*               2010. *Costs
                   11.*                                  \$231m / 11.*

  TARP-triggered   No provision.     No provision.       Provides that
  ownership                                              TARP-triggered
  changes and NOLs                                       ownership changes
                                                         will not limit use
                                                         of NOLs. *Costs
                                                         \$3.2b / 11.*

  Small Business   No provision.     No provision.       Reduces the 2009
  Estimated Tax                                          required estimated
                                                         tax payments for
                                                         certain small
                                                         businesses.
                                                         *Negligible cost.*
  ---------------- ----------------- ------------------- ------------------

Energy

+--------------+----------------+------------------+-----------------+
| *            | **House-passed | **Senate-passed  | **Conference    |
| *Provision** | bill**         | bill**           | Report**        |
+--------------+----------------+------------------+-----------------+
| Credit for   | No provision.  | Establishes a    | \$2.3b credit   |
| investment   |                | new 30%          | to allocate*.   |
| in advanced  |                | investment tax   | Costs \$1.65b / |
| energy       |                | credit for       | 11.*            |
| property     |                | facilities       |                 |
|              |                | engaged in the   |                 |
|              |                | manufacture of   |                 |
|              |                | advanced energy  |                 |
|              |                | property. \$2b   |                 |
|              |                | credit to        |                 |
|              |                | allocate. *Costs |                 |
|              |                | \$1.4b / 11.*    |                 |
+--------------+----------------+------------------+-----------------+
| Election to  | No provision.  | *Costs \$1.8b /  | No provision.   |
| expense      |                | 11.*             |                 |
| m            |                |                  |                 |
| anufacturing |                |                  |                 |
| facilities   |                |                  |                 |
| for plug-in  |                |                  |                 |
| vehicles     |                |                  |                 |
+--------------+----------------+------------------+-----------------+
| Modification | No provision.  | Modifies tax     | *No date        |
| of credits   |                | credit for each  | restriction.*   |
| for          |                | qualified        |                 |
| alternative  |                | plug-in vehicle  | *Costs \$2b /   |
| motor        |                | placed in        | 11.*            |
| vehicles and |                | service during   |                 |
| qualified    |                | taxable year -   |                 |
| plug-in      |                | capped at        |                 |
| electric     |                | 200,000 cars per |                 |
| drive        |                | manufacturer;    |                 |
| vehicles     |                | sales before     |                 |
|              |                | 2015. *Costs     |                 |
|              |                | \$94m / 11.*     |                 |
+--------------+----------------+------------------+-----------------+
| Credit for   | No provision.  | Provides tax     | *Included in    |
| plug-in      |                | credit for       | \$2b / 11 score |
| electric     |                | electric plug-in | above.*         |
| vehicle      |                | electric drive   |                 |
| conversion   |                | conversion kit.  |                 |
|              |                | *Costs \$21m /   |                 |
|              |                | 11.*             |                 |
+--------------+----------------+------------------+-----------------+
| Treatment of |                | Alternative      | *Included in    |
| alternative  |                | motor vehicle    | \$2b / 11 score |
| motor        |                | credit allowed   | above.*         |
| vehicle      |                | against AMT.     |                 |
| credit       |                |                  |                 |
+--------------+----------------+------------------+-----------------+
| Smart meters | No provision.  | Five year        | No provision.   |
|              |                | depreciation for |                 |
|              |                | smart meters     |                 |
|              |                | purchased before |                 |
|              |                | 2011.  *Costs    |                 |
|              |                | \$22m / 11.*     |                 |
+--------------+----------------+------------------+-----------------+
| Grants for   | *2009 -- 2011  | No provision.    | House.          |
| specified    | outlay of      |                  |                 |
| energy       | \$158m;        |                  |                 |
| property in  | largely offset |                  |                 |
| lieu of tax  | by increased   |                  |                 |
| credits      | 2009-2016*     |                  |                 |
|              | *revenue of    |                  |                 |
|              | \$153m.*       |                  |                 |
+--------------+----------------+------------------+-----------------+

*Energy (cont.)*

  --------------- ----------------- ------------------- ------------------
  **Provision**   **House-passed    **Senate-passed     **Conference
                  bill**            bill**              Report**

  Section 25C     *Costs \$4.3b     Extends tax credits Senate. Applies to
  investment tax  /11.*             for improvements to tax years after
  credit for                        energy-efficient    12/31/08. *Costs
  improving                         existing homes      \$2b / 11.*
  energy                            through 2010.       
  efficiency of                     Applies to          
  existing homes                    taxpayers after     
                                    12/31/09. Imposes   
                                    stricter            
                                    qualification       
                                    standards than      
                                    House bill. *Costs  
                                    \$1.9b / 11*.       

  Temporarily     *Costs \$54m /    Similar. *Costs     House.
  increase credit 11*.              \$53m / 11*.        
  for alternative                                       
  fuel vehicle                                          
  refueling                                             
  property                                              
  --------------- ----------------- ------------------- ------------------

Bonds/Aid to States

+--------------+----------------+------------------+-----------------+
| *            | **House-passed | **Senate-passed  | **Conference    |
| *Provision** | bill**         | bill**           | Report**        |
+--------------+----------------+------------------+-----------------+
| High-speed   | No provision.  | Modifies speed   | Senate.         |
| rail bonds   |                | requirement for  |                 |
|              |                | high-speed rail  |                 |
|              |                | bonds.           |                 |
|              |                |                  |                 |
|              |                | *Costs \$288m /  |                 |
|              |                | 11.*             |                 |
+--------------+----------------+------------------+-----------------+
| Industrial   | No provision.  | Expands          | Senate.         |
| Development  |                | industrial       |                 |
| Bonds        |                | development      |                 |
|              |                | bonds to include |                 |
|              |                | creation of      |                 |
|              |                | intangible       |                 |
|              |                | property and to  |                 |
|              |                | eliminate        |                 |
|              |                | proceeds         |                 |
|              |                | restriction.     |                 |
|              |                |                  |                 |
|              |                | *Costs \$203m /  |                 |
|              |                | 11.*             |                 |
+--------------+----------------+------------------+-----------------+
| Grants to    | *2009 outlay   | No provision.    | House.          |
| States for   | of \$3b,       |                  |                 |
| low-income   | largely offset |                  |                 |
| housing in   | over 11 years  |                  |                 |
| lieu of      | by revenue     |                  |                 |
| low-income   | increase of    |                  |                 |
| housing      | \$2.9b. Costs  |                  |                 |
| credit 2009  | \$67m / 11.*   |                  |                 |
| allocations  |                |                  |                 |
+--------------+----------------+------------------+-----------------+
| School       | Authorizes     | Authorizes \$10b | House.          |
| Construction | \$22b in       | in bonds.        |                 |
| Bonds        | bonds. *Costs  |                  |                 |
|              | \$9.9b / 11*.  | *Costs \$4.5b /  |                 |
|              |                | 11*.             |                 |
+--------------+----------------+------------------+-----------------+
| Recovery     | Authorizes     | Authorizes \$15b | Authorizes      |
| Zone Bonds   | \$25b in       | in bonds, 40%    | \$25b in bonds, |
|              | bonds, 50%     | subsidy to       | 45% subsidy to  |
|              | subsidy to     | issuers of       | issuers of      |
|              | issuers of     | Recovery Zone    | Recovery Zone   |
|              | Recovery Zone  | Economic         | Economic        |
|              | Economic       | Development      | Development     |
|              | Development    | Bonds. *Costs    | Bonds. *Costs   |
|              | Bonds. *Costs  | \$3b / 11*.      | \$5.4b / 11.    |
|              | \$6b / 11*.    |                  | \$2.8b in       |
|              |                |                  | outlays.*       |
+--------------+----------------+------------------+-----------------+
| Build        | Permanently    | Provides two     | Senate but 35%  |
| America      | gives state    | years in which   | subsidy for all |
| Bonds -      | and local      | issuer can issue | issuers. *Costs |
| Taxable Bond | government     | taxable bonds;   | \$4.3b / 11.    |
| option for   | issuers the    | 35% subsidy of   | \$4b in         |
| governmental | ability to     | interest         | outlays.*       |
| issuers      | issue taxable  | payments, but    |                 |
|              | bonds, 35%     | 40% for small    |                 |
|              | subsidy of     | issuers.         |                 |
|              | interest       |                  |                 |
|              | payments.      | *Costs \$4.5b /  |                 |
|              | *Costs \$18.3b | 11*.             |                 |
|              | / 11.*         |                  |                 |
+--------------+----------------+------------------+-----------------+
| Tax credit   | No provision.  | No provision.    | Provides rules  |
| rules for    |                |                  | for RICs to     |
| RICs         |                |                  | pass through    |
|              |                |                  | tax credits.    |
|              |                |                  | *No cost.*      |
+--------------+----------------+------------------+-----------------+

Bonds/Aid to States (cont.)

+--------------+----------------+------------------+-----------------+
| *            | **House-passed | **Senate-passed  | **Conference    |
| *Provision** | bill**         | bill**           | Report**        |
+--------------+----------------+------------------+-----------------+
| Qualified    | Additional     | Additional       | House.          |
| energy       | \$2.4b         | \$2.4b           |                 |
| conservation | authorization. | authorization.   |                 |
| bonds        | Provides that  | *Costs \$803m /  |                 |
|              | green          | 11.*             |                 |
|              | community      |                  |                 |
|              | bonds shall    |                  |                 |
|              | not be deemed  |                  |                 |
|              | private        |                  |                 |
|              | activity bonds |                  |                 |
|              | for purposes   |                  |                 |
|              | of allocation  |                  |                 |
|              | rules for      |                  |                 |
|              | these bonds    |                  |                 |
|              | (note that     |                  |                 |
|              | this does      |                  |                 |
|              | remove such    |                  |                 |
|              | bonds from     |                  |                 |
|              | volume cap).   |                  |                 |
|              | *Costs \$803m  |                  |                 |
|              | / 11.*         |                  |                 |
+--------------+----------------+------------------+-----------------+
| AMT and      | For bonds      | Same as House.   | Also provides   |
| private      | issued during  |                  | AMT relief for  |
| activity     | 2009 and 2010, |                  | current         |
| bonds        | suspend        |                  | refundings of   |
|              | alternative    |                  | private         |
|              | minimum tax    |                  | activity bonds  |
|              | limitations on |                  | issued since    |
|              | pr             |                  | 1/1/04 during   |
|              | ivate-activity |                  | 2009 and 2010.  |
|              | tax-exempt     |                  |                 |
|              | bonds and      |                  | *Costs \$555m / |
|              | modify ACE to  |                  | 11.*            |
|              | exclude        |                  |                 |
|              | interest from  |                  |                 |
|              | all tax-exempt |                  |                 |
|              | bonds. *Costs  |                  |                 |
|              | \$481m / 11.*  |                  |                 |
+--------------+----------------+------------------+-----------------+

Trade

  --------------- ----------------- ------------------- ------------------
  **Provision**   **House-passed    **Senate-passed     **Conference
                  bill**            bill**              Report**

  Trade           No provision.     Simple two-year     Extension and
  adjustment                        extension, *Costs   expansion for two
  assistance                        \$108m / 11.*       years, including
  program                                               Health Coverage
                                                        Tax Credit. *Costs
                                                        \$1.6b / 11.*

  Byrd Amendment  No provision.     Prohibits           Senate.
                                    collection of       
                                    certain payments    
                                    made under          
                                    Continued Dumping   
                                    and Subsidy Offset  
                                    Act (Byrd           
                                    Amendment**)**      
                                    disbursements on    
                                    imports from Canada 
                                    and Mexico *Costs   
                                    \$90m / 11.*        
  --------------- ----------------- ------------------- ------------------

**[Health]{.underline}**

+--------------+----------------+------------------+-----------------+
| *            | **House-passed | **Senate-passed  | **Conference    |
| *Provision** | bill**         | bill**           | Report**        |
+--------------+----------------+------------------+-----------------+
| Health IT    | Provides \$34  | Provides \$35    | Provides \$35   |
|              | billion in     | billion in HIT   | billion in HIT  |
|              | incentive      | adoption         | adoption        |
|              | payments,      | incentives,      | incentives,     |
|              | beginning in   | beginning in     | beginning in    |
|              | 2011, to       | 2011. Penalizes  | 2011. Penalizes |
|              | physicians and | providers who do | non-adopters    |
|              | hospitals for  | not adopt HIT,   | beginning in    |
|              | HIT adoption,  | beginning in     | 2015. Each      |
|              | penalizing     | 2015. Each       | physician could |
|              | non-adoption   | physician could  | collect up to   |
|              | beginning in   | collect \$64,000 | \$65,000 in     |
|              | 2016. Each     | in incentives,   | incentives,     |
|              | physician      | while a hospital | while a         |
|              | could collect  | could receive as | hospital could  |
|              | \$64,000 in    | much as \$11.6   | receive as much |
|              | incentives,    | million.         | as \$16.5       |
|              | while a        |                  | million in      |
|              | hospital could | Expands the list | incentives. No  |
|              | receive as     | of providers who | restrictions on |
|              | much as \$16.5 | are eligible to  | how physicians  |
|              | million.       | receive HIT      | or hospitals    |
|              |                | funding to       | could use       |
|              | \$2 billion in | include Critical | leftover        |
|              | grants and     | Access Hospitals | incentive       |
|              | loans          | and gives        | payments if     |
|              | available      | providers who    | they purchase a |
|              | through the    | adopt early an   | low-cost HIT    |
|              | National       | extra \$3,000.   | system.         |
|              | Coordinator    |                  |                 |
|              | for HIT        | \$3 billion in   | Critical Access |
|              | (ONCHIT) at    | grants and loans | Hospitals are   |
|              | HHS.           | available        | eligible for    |
|              |                | through ONCHIT.  | smaller         |
|              | Includes       |                  | incentive       |
|              | significant    | Privacy          | payments        |
|              | HIPAA          | provisions are   |                 |
|              | expansions     | less onerous on  | \$2 billion for |
|              | regarding new  | HIPAA covered    | ONCHIT grants   |
|              | business       | entities in      | and loans.      |
|              | associate      | areas of breach  |                 |
|              | requirements,  | notification and | Mostly House    |
|              | breach         | disclosure,      | language on     |
|              | notification,  | though still an  | privacy, with   |
|              | disclosure,    | expansion to     | some discretion |
|              | client         | business         | by Secretary on |
|              | contacts and   | associates and   | accounting for  |
|              | enforcement,   | same new         | disclosure and  |
|              | which has      | enforcement      | small exception |
|              | resulted in    | regime as House. | for breach      |
|              | concerns of    |                  | notification.   |
|              | pharmacists,   | Allows State AGs |                 |
|              | businesses,    | to enforce the   | Same            |
|              | and health     | federal HIPAA    |                 |
|              | plans.         | law.             | Same            |
|              |                |                  |                 |
|              | Allows State   | Increases the    | *Net cost:      |
|              | AGs to enforce | limit on civil   | \$19.2 billion* |
|              | the federal    | monetary         |                 |
|              | HIPAA law.     | penalties to     |                 |
|              |                | \$1.5 million    |                 |
|              | Increases the  | and allows       |                 |
|              | limit on civil | plaintiffs to    |                 |
|              | monetary       | share in these   |                 |
|              | penalties to   | awards.          |                 |
|              | \$1.5 million  |                  |                 |
|              | and allows     | *Net cost:       |                 |
|              | plaintiffs to  | \$19.2 billion*  |                 |
|              | share in these |                  |                 |
|              | awards.        |                  |                 |
|              |                |                  |                 |
|              | *Net cost:     |                  |                 |
|              | \$19.1         |                  |                 |
|              | billion*       |                  |                 |
+--------------+----------------+------------------+-----------------+

Health (cont.)

+--------------+----------------+------------------+-----------------+
| *            | **House-passed | **Senate-passed  | **Conference    |
| *Provision** | bill**         | bill**           | Report**        |
+--------------+----------------+------------------+-----------------+
| Comparative  | Provides \$1.1 | Provides \$1.1   | Provides \$1.1  |
| E            | billion for a  | billion for a    | billion for a   |
| ffectiveness | new federal    | new federal      | new federal     |
| Research     | board to       | board to conduct | board to        |
|              | conduct        | "clinical"       | conduct         |
|              | "comparative"  | effectiveness    | "comparative"   |
|              | effectiveness  | research.        | effectiveness   |
|              | research.      |                  | research.       |
|              |                | Includes         |                 |
|              | Report         | language to      | The new federal |
|              | language       | ensure that this | board (Federal  |
|              | states the     | research could   | Coordinating    |
|              | research would | not be used to   | Council on      |
|              | result in      | harm Medicare    | Comparative     |
|              | access         | payments by      | Effectiveness   |
|              | restrictions   | denying access   | Research)       |
|              | to "more       | to needed care,  | cannot mandate  |
|              | expensive"     | regardless of    | coverage and    |
|              | treatments.    | cost.            | payment         |
|              |                |                  | decisions, but  |
|              | *Costs \$1.1   | *Costs \$1.1     | would allow the |
|              | billion*       | billion*         | board to make   |
|              |                |                  | r               |
|              |                |                  | ecommendations. |
|              |                |                  | Drops the       |
|              |                |                  | Senate language |
|              |                |                  | that would have |
|              |                |                  | prevented       |
|              |                |                  | access          |
|              |                |                  | restrictions in |
|              |                |                  | Medicare.       |
|              |                |                  |                 |
|              |                |                  | *Costs \$1.1    |
|              |                |                  | billion*        |
+--------------+----------------+------------------+-----------------+

Health (cont.)

+--------------+----------------+------------------+-----------------+
| *            | **House-passed | **Senate-passed  | **Conference    |
| *Provision** | bill**         | bill**           | Report**        |
+--------------+----------------+------------------+-----------------+
| COBRA        | Provides a 65% | Subsidizes       | Individuals     |
|              | premium        | premiums at 50%  | making up to    |
|              | subsidy for 12 | for 12 months.   | \$125,000 and   |
|              | months.        |                  | couples earning |
|              |                | No provision.    | up to \$250,000 |
|              | Expands the    |                  | would be        |
|              | duration of    | Allows           | eligible for    |
|              | eligibility    | individuals to   | 65% premium     |
|              | for those who  | opt-in to a      | subsidy for 9   |
|              | are 55-64 and  | cheaper employer | months. The     |
|              | for those who  | plan, if one is  | subsidy begins  |
|              | have worked    | offered.         | to phase-out    |
|              | for an         |                  | above these     |
|              | employer for   | *Costs \$ 20b *  | income levels   |
|              | 10 or more     |                  | and would not   |
|              | years.         |                  | apply to        |
|              |                |                  | individuals who |
|              | No provision.  |                  | earn more than  |
|              |                |                  | \$145,000 and   |
|              | *Costs         |                  | couples making  |
|              | \$30.3b*       |                  | more than       |
|              |                |                  | \$290,000.      |
|              |                |                  |                 |
|              |                |                  | Senate          |
|              |                |                  |                 |
|              |                |                  | Senate          |
|              |                |                  |                 |
|              |                |                  | *Costs \$24.7b* |
+--------------+----------------+------------------+-----------------+

Health (cont.)

+--------------+----------------+------------------+-----------------+
| *            | **House-passed | **Senate-passed  | **Conference    |
| *Provision** | bill**         | bill**           | Report**        |
+--------------+----------------+------------------+-----------------+
| Medicaid     | Each state     | Each state would | Each state      |
| Provisions   | would receive  | receive an       | would receive   |
|              | an automatic   | automatic 7.6%   | an automatic    |
| Temporary    | 4.9% increase  | increase in its  | 6.2% increase   |
| Federal      | in its FMAP    | FMAP rate.       | in its FMAP     |
| Medical      | rate. States   | States could     | rate. States    |
| Assistance   | could also     | also receive     | could also      |
| Percentage   | receive        | additional       | receive         |
| (FMAP)       | additional     | increases based  | additional      |
| increase     | increases      | off the increase | increases based |
|              | based off the  | in the           | off the         |
| Regulation   | increase in    | unemployment     | increase in the |
| Moratorium   | the            | rate in the      | unemployment    |
|              | unemployment   | state. 80% of    | rate in the     |
|              | rate in the    | new spending     | state. 65% of   |
|              | state. Half of | goes toward the  | new spending    |
|              | new spending   | across-the-board | goes toward the |
|              | goes toward    | increases for    | a               |
|              | the            | all States and   | cross-the-board |
|              | ac             | 20% of the       | increases for   |
|              | ross-the-board | increase based   | all States and  |
|              | increases for  | off              | 35% of the      |
|              | all States and | unemployment.    | increase based  |
|              | about half to  | The increase is  | off             |
|              | the increase   | from October 1,  | unemployment.   |
|              | based off      | 2008 through     | The increase is |
|              | unemployment.  | December 31,     | from October 1, |
|              | The increase   | 2010.            | 2008 through    |
|              | is from        |                  | December 31,    |
|              | October 1,     | No Provision     | 2010.           |
|              | 2008 through   |                  |                 |
|              | December 31,   | *Costs \$90.1    | House           |
|              | 2010.          | billion (total   |                 |
|              |                | Medicaid title)* | *Costs \$90.1   |
|              | Contains a     |                  | billion (total  |
|              | 60-day         |                  | Medicaid        |
|              | extension of   |                  | title)*         |
|              | the moratoria  |                  |                 |
|              | on Medicaid    |                  |                 |
|              | regulations    |                  |                 |
|              | produced by    |                  |                 |
|              | the Bush       |                  |                 |
|              | A              |                  |                 |
|              | dministration. |                  |                 |
|              |                |                  |                 |
|              | *Costs \$89.7  |                  |                 |
|              | billion (total |                  |                 |
|              | Medicaid       |                  |                 |
|              | title)*        |                  |                 |
+--------------+----------------+------------------+-----------------+
| Medicare     | Long-Term Care | Delays IME       | House           |
| Provisions   | Hospital       | regulations.     |                 |
|              | earmarks and   |                  | *Costs \$338    |
|              | the delay of   | *Costs \$191     | million*        |
|              | hospice and    | million*         |                 |
|              | Indirect       |                  |                 |
|              | Medical        |                  |                 |
|              | Education      |                  |                 |
|              | (IME)          |                  |                 |
|              | regulations.   |                  |                 |
|              |                |                  |                 |
|              | *Costs \$338   |                  |                 |
|              | million*       |                  |                 |
+--------------+----------------+------------------+-----------------+

Health (cont.)

+--------------+----------------+------------------+-----------------+
| *            | **House-passed | **Senate-passed  | **Conference    |
| *Provision** | bill**         | bill**           | Report**        |
+--------------+----------------+------------------+-----------------+
| Qualified    | No provision   | Provides a       | Senate          |
| Individual   |                | one-year         |                 |
| (QI) program |                | extension        | *Costs  \$562m* |
|              |                | through 2010 of  |                 |
|              |                | the QI program,  |                 |
|              |                | which helps      |                 |
|              |                | low-income       |                 |
|              |                | Medicare         |                 |
|              |                | beneficiaries    |                 |
|              |                | with their Part  |                 |
|              |                | B premiums.      |                 |
|              |                |                  |                 |
|              |                | *Costs  \$562m*  |                 |
+--------------+----------------+------------------+-----------------+
| Transitional | Extends TMA    | Extends TMA      | Same            |
| Medical      | through        | through December |                 |
| Assistance   | December 31,   | 31, 2010         | *Costs \$1.3    |
| (TMA)        | 2010 (current  | (current program | billion*        |
|              | program        | expires June     |                 |
|              | expires June   | 30). TMA helps   |                 |
|              | 30). TMA helps | workers who are  |                 |
|              | workers who    | transitioning    |                 |
|              | are            | from welfare to  |                 |
|              | transitioning  | work keep their  |                 |
|              | from welfare   | Medicaid         |                 |
|              | to work keep   | benefits.        |                 |
|              | their Medicaid |                  |                 |
|              | benefits.      | *Costs \$1.3     |                 |
|              |                | billion*         |                 |
|              | *Costs \$1.3   |                  |                 |
|              | billion*       |                  |                 |
+--------------+----------------+------------------+-----------------+

Temporary Assistance for Needy Families (TANF) and Unemployment

+--------------+----------------+------------------+-----------------+
| *            | **House-passed | **Senate-passed  | **Conference    |
| *Provision** | bill**         | bill**           | Report**        |
+--------------+----------------+------------------+-----------------+
| Waives       | No provision.  | *Costs \$1.1b /  | Senate.         |
| interest on  |                | 11.*             |                 |
| Federal      |                |                  |                 |
| loans to     |                |                  |                 |
| state        |                |                  |                 |
| unemployment |                |                  |                 |
| benefit      |                |                  |                 |
| programs     |                |                  |                 |
| through CY   |                |                  |                 |
| 2010         |                |                  |                 |
+--------------+----------------+------------------+-----------------+
| Extends TANF | No provision.  | *Costs \$319m /  | Senate.         |
| supplemental |                | 11.*             |                 |
| grants       |                |                  |                 |
| through FY   |                |                  |                 |
| 2010         |                |                  |                 |
+--------------+----------------+------------------+-----------------+
| Allows       | No provision.  | *No long-run     | Senate.         |
| States to    |                | cost.*           |                 |
| spend TANF   |                |                  |                 |
| carryover    |                |                  |                 |
| funds on     |                |                  |                 |
| noncash      |                |                  |                 |
| benefits     |                |                  |                 |
+--------------+----------------+------------------+-----------------+
| New TANF     | Provides       | Similar to       | Follow House,   |
| "emergency   | States up to   | House, but       | but provides    |
| fund" for    | \$8 billion    | provides \$3     | \$5 billion     |
| States that  | over two years | billion over 2   | over 2 years.   |
| increase     | for States     | years for States |                 |
| welfare      | that increase  | that increase    | *Costs \$3      |
| caseloads,   | welfare        | welfare          | billion.*       |
| and reduces  | caseloads;     | caseloads.       |                 |
| work and     | also allows    |                  |                 |
| activity     | States to      |                  |                 |
| requirements | ignore recent  |                  |                 |
| for welfare  | caseload rises |                  |                 |
| recipients   | in determining |                  |                 |
|              | the share of   |                  |                 |
|              | welfare        |                  |                 |
|              | recipients     |                  |                 |
|              | expected to    |                  |                 |
|              | engage in      |                  |                 |
|              | work,          |                  |                 |
|              | education,     |                  |                 |
|              | training and   |                  |                 |
|              | other          |                  |                 |
|              | productive     |                  |                 |
|              | activities.    |                  |                 |
+--------------+----------------+------------------+-----------------+
| Extend       | Extends        | Same as House.   | Same as House   |
| current      | current        |                  | and Senate.     |
| temporary    | temporary      |                  | *Costs \$27     |
| Federal      | program        |                  | billion.*       |
| extended     | through CY     |                  |                 |
| unemployment | 2009, with a   |                  |                 |
| insurance    | phaseout       |                  |                 |
| (UI) program | through        |                  |                 |
|              | mid-2010,      |                  |                 |
|              | using general  |                  |                 |
|              | revenue.       |                  |                 |
+--------------+----------------+------------------+-----------------+

TANF and Unemployment (cont.)

  ----------------- ----------------- ------------------- ------------------
  **Provision**     **House-passed    **Senate-passed     **Conference
                    bill**            bill**              Report**

  Federalize State  No provision.     No provision.       For States that
  portion of                                              trigger onto the
  permanent law                                           EB program (9
  Federal/State                                           currently,
  extended UI                                             including AK, CT,
  benefits (EB)                                           ID, MI, NC, OR,
  program                                                 PR, RI, and WA),
                                                          the Federal
                                                          government will
                                                          pick up the State
                                                          share (50%) of
                                                          program costs
                                                          through CY 2009,
                                                          with a phaseout
                                                          through mid CY
                                                          2010.

  Continue EB       No provision.     No provision.       Continue
  eligibility                                             eligibility for EB
  despite lack of                                         payments despite
  recent work                                             the unemployed
                                                          worker's lack of
                                                          recent work (an EB
                                                          program
                                                          requirement that
                                                          would otherwise
                                                          end eligibility as
                                                          some individuals
                                                          collect benefits
                                                          over long periods
                                                          and prior work
                                                          becomes more
                                                          remote).

  Increase in       Increases weekly  Same as House.      Same as House and
  weekly UI         UI checks by                          Senate. *Costs
  benefits          \$25, using                           \$8.8 billion*
                    general revenue.                      

  Unemployment      Offers States a   Similar to House    House.
  Insurance         one-time payment  (minor differences  
  "Modernization"   of part of \$7    involving timing).  
                    billion in                            
                    Federal                               
                    unemployment                          
                    funds if they                         
                    have permanently                      
                    expanded                              
                    eligibility for                       
                    UI benefits to                        
                    include recent                        
                    entrants to work,                     
                    part time workers                     
                    and others.                           
  ----------------- ----------------- ------------------- ------------------

*TANF and Unemployment (cont.)*

+--------------+----------------+------------------+-----------------+
| *            | **House-passed | **Senate-passed  | **Conference    |
| *Provision** | bill**         | bill**           | Report**        |
+--------------+----------------+------------------+-----------------+
| One-time     | One-time       | One-time payment | Senate, with    |
| payment to   | payment to SSI | (\$300) to       | payment amount  |
| recipients   | recipients     | Social Security  | lowered to      |
| of certain   | equal to the   | beneficiaries,   | \$250. *Costs   |
| federal      | "average"      | SSI recipients   | \$14.1b.*       |
| benefits     | monthly        | (and also        |                 |
|              | payment (about | certain veterans | New provision:  |
|              | \$450 per).    | and those        | one-time        |
|              | *Costs \$4b*.  | receiving        | refundable      |
|              |                | Railroad         | credit of \$250 |
|              |                | Retirement).     | in 2009 to      |
|              |                | *Costs \$17b*.   | certain         |
|              |                |                  | government      |
|              |                |                  | retirees who    |
|              |                |                  | are not         |
|              |                |                  | eligible for    |
|              |                |                  | Social Security |
|              |                |                  | benefits.       |
|              |                |                  | *Costs \$218m.* |
+--------------+----------------+------------------+-----------------+