Suggestions to improve the bipartisan health care bill from Sens. Lamar Alexander (R-TN) and Patty Murray (D-WA) include: 1) Increase the threshold for requiring employers to offer health benefits to 200 full-time employees from the current 50; 2) Broaden the use of tax-advantaged accounts; 3) Add a provision creating a federal reinsurance fund to help finance care for America’s most expensive patients; 4) Loosen the existing rules to encourage growth of interstate sales of health-care policies; 5) Repeal the Independent Payment Advisory Board, a panel of appointed officials that is supposed to constrain the growth of Medicare costs.

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