The Congressional Budget Office (CBO) has released its preliminary score of the Senate Finance Committee health reform bill, as amended in committee.   In brief, the CBO concludes that the bill would cost $829 billion gross over 10 years, but result in a net savings of $81 billion over 10 years.  CBO estimates that the bill would would reduce direct spending on Medicare, Medicaid, and CHIP by $404 billion over the 2010–2019 period, and the Medicare and Medicaid provisions would increase federal revenues by approximately $16 billion over this period.  Program savings include $162 billion in reductions to annual updates to Medicare fee-for-service rates (other than physicians’ services), and a $117 billion cut in payments to Medicare Advantage plans.  The number of uninsured nonelderly individuals would be reduced by about 29 million, leaving about 25 million nonelderly residents uninsured (about one-third of whom would be unauthorized immigrants).  The Finance Committee is scheduled to vote on the bill on October 13, 2009.