March 2010
Law enacted
June 2010
»Provides access to high-risk insurance pools
»Businesses with fewer than 25 employees eligible for tax credit
September 2010
»Bans exclusion of children younger than 19 because of pre-existing conditions
»Prohibits lifetime maximum cost provisions
»Mandates that children younger than 26 who are not eligible for other group coverage can stay on their parents' policies
2011
»Requires small-group plans to spend 80 percent of premiums on medical services; large-group plans, 85 percent
»Lets employers with fewer than 25 employees compete for wellness grants
»Requires disclosure of value of health benefits on W-2 forms
»Taxes pharmaceutical and medical device manufacturers
»Encourages businesses to offer temporary insurance for early retirees
»Taxes indoor tanning businesses
»Provides $250 rebate to senior citizens to help fill Medicare “doughnut hole”
»Limits executive pay deduction to $500,000 for insurance
2013
»Caps employee flexible savings account deduction at $2,500 annually
»Imposes hospital insurance tax on high-income people (individuals making $200,000 or more, couples making $250,000 or more)
»Increases Medicare payroll tax
»Provides $6 billion for nonprofit health care cooperatives
2014
»Requires people to obtain coverage
»Provides subsidies for lower-income people to buy insurance
»Establishes state-based insurance exchanges
»Requires businesses with more than 50 employees to provide coverage
»Requires businesses with more than 200 employees to “auto-enroll” new employees
»Allows employers to offer rewards of up to 30 percent of the cost of wellness programs to participating employees
»Establishes state pilot wellness programs
»Bars denial of overage for pre-existing conditions
2018
»Taxes “Cadillac” health plans that exceed $10,200 for individuals and $27,500 for families
Source: Aon Consulting
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