1
 The premium 
5001
span

2
the elderly pay for coverage of doctor's bills under Part B of the Medicare health insurance plan 
1
elaboration-object-attribute-e

3
will rise to $29 a month in 1990 from $27.90,
5002
Same-Unit

4
 the Department of Health and Human Services said.
5002
attribution

5
 In addition, a second Part B premium 
5004
span

6
to cover the cost of the new program of insurance against catastrophic illness 
5
elaboration-object-attribute-e

7
will rise to $4.90 a month from $4,
5005
Same-Unit

8
 if Congress doesn't change the program.
5005
condition

9
 The House has voted to repeal most of the Catastrophic Coverage Act of 1988, however,
5007
consequence-n

10
 which would end the monthly catastrophic-care premium, as well as an unpopular income surtax 
5007
span

11
paid by about 40% of the wealthier Medicare beneficiaries.
10
elaboration-additional-e

12
 Under a less-sweeping Senate plan, the catastrophic-care monthly premium would continue,
5009
span

13
 rising to $4.90 next year,
12
elaboration-additional-e

14
 but the surtax would be abolished.
5010
Contrast

15
 Medicare Part B pays 80% of a beneficiary's allowable doctor's bills after an annual deductible of $75.
5014
circumstance

16
 The Catastrophic Coverage Act would add a stop-loss provision next year
5014
span

17
 to limit the maximum 
5013
span

18
beneficiaries must pay for doctors.
17
elaboration-object-attribute-e

19
 Both the House and Senate bills
5016
span

20
 to reduce the cost and coverage of the catastrophic-care plan 
19
elaboration-object-attribute-e

21
would eliminate the cap on doctor's bills.
5017
Same-Unit

22
 If the House prevails in its efforts 
5019
span

23
to kill the catastrophic-care plan,
22
elaboration-object-attribute-e

24
 the monthly Part B premium will be $29 next year.
5020
span

25
 If the Senate plan prevails,
5021
condition

26
 the premium will be $33.90,
5021
span

27
 with the additional $4.90 going to pay for expanded hospital coverage under Part A of Medicare.
5023
span

28
 Most of Part A's costs are paid by a payroll tax on workers and employers.
27
elaboration-additional

5001
span
5002
Same-Unit

5002
multinuc
5003
span

5003
span
5026
circumstance

5004
span
5005
Same-Unit

5005
multinuc
5006
span

5006
span
5012
span

5007
span
5008
span

5008
span
5011
Comparison

5009
span
5010
Contrast

5010
multinuc
5011
Comparison

5011
multinuc
5006
elaboration-additional

5012
span
5026
span

5013
span
16
elaboration-object-attribute-e

5014
span
5015
span

5015
span
5017
antithesis

5016
span
5017
Same-Unit

5017
multinuc
5018
span

5018
span
5025
span

5019
span
24
condition

5020
span
5024
Comparison

5021
span
5022
span

5022
span
5024
Comparison

5023
span
26
elaboration-additional

5024
multinuc
5018
elaboration-additional

5025
span
5012
elaboration-additional

5026
span
5027
span

5027
span



