Senate has $ 100 billion deficit reduction plan over the next decade, but the means to accomplish this goal , but they are different . The House version by over one million U.S. dollars annual income families and earning more than $ 500,000 levy personal income surtax of 5.4% , could raise $ 461 billion of funds . The Senate is made to the family income more than 250,000 U.S. dollars , or more than $ 200,000 in personal income people improve Medicare payroll taxes . This so-called " Cadillac plan " would raise $ 149 billion within a decade , and only over the age of 55 years , except for the highest of high-risk professions or state health care costs of Americans .

House and Senate will not buy health insurance through the punishment of Americans and cuts in Medicare spending ways to increase revenue. In addition, both houses have agreed to tax medical device manufacturers , and even the Senate bill also calls for the pharmaceutical and health insurance industry to impose high costs. House plans to tax high-income earners , will not affect the middle class. But the Senate's " Cadillac plan " better equipped to deal with the risk of increased health care costs , which is the House bill can not be achieved .