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California
Related: About this forumAffordable Care Act Timeline
Provisions Taking Effect in 2010 Elimination of lifetime dollar maximums on essential health benefits
Dependent coverage age extension
Elimination of pre-existing condition restrictions on children under age 19
Prohibition on retroactive coverage rescissions except in cases of fraud
Prohibition on cost-sharing for preventive care services
Coverage of emergency room treatment for emergency medical conditions
Coverage of obstetrical and gynecological care without pre-authorization or referral
Expansion of Medicaid to cover people, who are not eligible for Medicare, whose income is at or below the 133% FPL
Extension of CHIP benefits for eligible children (effective immediately)
$250 rebate when Medicare beneficiaries hit the coverage gap for prescription drugs
Small Business Health Care Tax Credit
Creation of the Early Retiree Reinsurance Program (ERRP)
States must establish a temporary high-risk pool to provide health coverage for individuals who cannot get coverage elsewhere due to pre-existing conditions
Grandfather Provision, which allows already existing plans to remain substantially the same
Provisions Taking Effect in 2011
Medical Loss Ratio reporting and rebates
New over-the-counter drug reimbursement rules and taxes
A new appeals process, including external review
Small business grants to provide comprehensive wellness programs
Provisions Taking Effect in 2012
Four-Page Summary of Benefits
W-2 Reportingemployers must include aggregate cost of employer-sponsored health coverage on annual W-2 form (informational only)
Quality of Care Reporting
Provisions Taking Effect in 2013
Employee notice of State Exchanges provided by employer
$2,500 cap on FSA contributions
Creation of Consumer Operated and Oriented Plan (CO-OP) programs which will create nonprofit health insurance companies that will operate in the states
New HIPAA electronic standards
Increase in medical deduction threshold
Provisions Taking Effect in 2014
Individual mandate that all U.S. citizens and legal aliens get health insurance
Operation of health benefit exchanges where there will be cost sharing subsidies for people between the 133% and 400% of the federal poverty level
Health benefit exchanges will be required to offer 4 tiers of coverage plans (bronze, silver, gold, and platinum) and a catastrophic plan
Required guaranteed issue and renewability and allow rating variation based on age, geographic location, family composition and tobacco use
Elimination of annual dollar maximums on essential health benefits
Elimination of waiting periods exceeding 90 days
Elimination of pre-existing condition restrictions for all enrollees
Automatic Enrollment of employees where the employer has over 200 employees
No more underwriting based on health-status factors (medical underwriting)
Transparency in coverage reporting
Fair health insurance premiums
Play-or-pay tax
Coverage for clinical trials
Comprehensive health insurance coverage
Provisions Taking Effect in 2017
Large employers are allowed to enter State Exchanges
Provisions Taking Effect in 2018
Increased taxes on Cadillac plans
http://www.cahba.com/health-care-reform/timeline.htm
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