In 2010 it will:
- Set up a high risk health insurance pool to provide uninsured people with medical problems access to affordable coverage
- Require all insurance plans, within 6 months, to allow dependent children to remain on their parents policies until the age of 26. In addition insurers will be prevented from denying coverage to children because of pre-existing conditions.
- Insurance companies will no longer be allowed to put lifetime limits on coverage. They will also only be able to cancel policies due to fraud.
- Small businesses with up to 25 employees will get tax credits to help them get and keep coverage for their employees.
- Medicare participants will get a $250 rebate on their prescriptions to shrink the out of pocket expenses they have for medications.
- Reduce Medicare payments to facilities and home health providers.
- Tax indoor tanning facilities 10%.
In 2011 it will:
- Provide the ability to disabled individuals to get a modest cash benefit through a long term care insurance program that will enable them to remain in their homes and cover nursing home costs
- Medicare recipients will get a 50% discount on brand name drugs, as part of narrowing the prescription coverage gap.
- Pay doctors and general surgeons an 10% more for practicing in underserved locations.
- Freeze payments to Medicare Advantage plans.
- Increase funding to community healthy centers which provide care to low income and uninsured people.
- Require employers to report health care benefits on employees W-2 tax statements
- $2.3 billion fee to be charged to drug manufacturers, increasing over time
In 2012 it will:
- Create non profit insurance co-operatives
- Medicare Payroll Tax will be expanded to include unearned income. That will be a 3.8 percent tax on investment income for families making more than $250,000 per year ($200,000 for individuals).
- Medicare payment reforms will be initiated by encouraging hospitals and doctors to join together in organizations that are geared to be quality driven and more accountable for results.
- Penalize hospitals with a high rate of preventable readmissions.
In 2013 it will:
- Reduce administrative costs by standardizing paperwork
- Limit tax-sheltered flexible spending account contributions.
- Sales tax will be charged on medical devices although many everyday items will be exempt.
In 2014 it will:
- Prohibit insurers from denying coverage to people with pre-existing conditions or refusing to renew their policy
- Creation of health insurance exchange programs
- Provide income-based tax credits for most consumers receiving their coverage through the exchanges, further reducing their cost
- Medicaid coverage expanded to cover up to 133% of the federal poverty line, or income of $29,327 for a family of four.
- Require everyone to purchase health insurance or face a $695 annual fine. There are some exceptions for low-income people.
- Penalty to employers with more than 50 workers if an employee gets their coverage through the exchange and receives a tax credit.
In 2018 it will impose a tax on employer-sponsored health insurance worth more than $10,200 for individual coverage or $27,500 for a family plan.
In 2020 the prescription coverage gap in the Medicare prescription benefit is totally phased out.