According to the Director of the Office of Management and Budget, Peter Orszag, the historic health insurance reform provides the most deficit reduction of any bill in the past decade. It’s estimated to reduce the deficit by more than 0 billion over the first decade, and by trillion in the following decade.

The health insurance reform bill includes help for major health insurance companies and doctor-owned hospitals. That includes help for the giant California-based insurance company Kaiser Permanente, according to congressional aides and lobbyists.

The latest changes to the 153-page health insurance reform bill include a provision that tax-exempt insurers would have to pay a new fee levied on insurers on only half of their premiums. Kaiser Permanente is one of these tax-exempt insurers.

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