Skip to comments.Health Care Package Major Provisions Timeline
Posted on 03/26/2010 5:32:03 PM PDT by Whenifhow
Timeline of Major Provisions in the Democrats Health Care Package
2-year tax credit (total cap of $1B) for new chronic disease therapy investments
Medicare cuts to hospitals begin (long-term care (7/1/09) and inpatient and rehabilitation facilities (FY10)
States and Federal officials review premium increases
FDA authorized to approve follow-on biologics
Increase brand name pharmaceutical Medicaid rebate (from 15.1% to 23.1%)
Medicare payments to physicians in primarily rural areas increase (2 years)
Deny black liquor eligibility for cellulosic biofuel producers credit
Tax credits provided to certain small employers for health care-related expenses
Increase adoption tax incentives for 2 years
Codify economic substance doctrine and impose penalties for underpayments (transactions on/after 3/23/10)
Provide income exclusion for specified Indian tribe health benefits provided after 3/23/10
Temporary high-risk pool and high-cost union retiree reinsurance ($5 B each for 3.5 years) (6/23/10)
Impose 10% tax on indoor UV tanning (7/1/10)
Medicare cuts to inpatient psych hospitals (7/1/10)
Prohibits lifetime and annual benefit spending limits (plan years beginning 9/23/10)
Prohibits non-group plans from canceling coverage (rescissions) (plan years beginning 9/23/10)
Requires plans to cover, at no charge, most preventive care (plan years beginning 9/23/10)
Allows dependents to stay on parents policies through age 26 (plan years beginning 9/23/10)
Provides limited protections to children with pre-existing conditions (plan years beginning 9/23/10)
Hospitals in Frontier States (ND, MT, WY, SD, UT ) receive higher Medicare payments (FY11)
Hospitals in low-cost areas receive higher Medicare payments for 2 yrs ($400 million, FY11)
Medicare Advantage cuts begin
No longer allowed to use FSA, HSA, HRA, Archer MSA distributions for over-the-counter medicines
Medicare cuts to home health begin
Wealthier seniors ($85k/$170k) begin paying higher Part D premiums (not indexed for inflation in Parts B/D)
Medicare reimbursement cuts when seniors use diagnostic imaging like MRIs, CT scans, etc.
Medicare cuts begin to ambulance services, ASCs, diagnostic labs, and durable medical equipment
Impose new annual tax on brand name pharmaceutical companies
Americans begin paying premiums for federal long-term care insurance (CLASS Act)
Health plans required to spend a minimum of 80% of premiums on medical claims
Physicians in Frontier States (ND, MT, WY, SD, UT ) receive higher Medicare payments
Prohibition on Medicare payments to new physician-owned hospitals
Penalties for non-qualified HSA and Archer MSA distributions double (to 20%)
Seniors prohibited from purchasing power wheelchairs unless they first rent for 13 months
Brand name drug companies begin providing 50% discount in the Part D donut hole
10% Medicare bonus payment for primary care and general surgery (5 years)
Employers required to report value of health benefits on W-2
Steps towards health insurance administrative simplification (reduced paperwork, etc) begins (5 yr process)
Additional funding for community health centers (5 years)
Seniors who hit Part D donut hole in 2010 receive $250 check (3/15/11)
New Medicare cuts to long-term care hospitals begin (7/1/11)
Additional Medicare cuts to hospitals and cuts to nursing homes and inpatient rehab facilities begin (FY12)
New tax on all private health insurance policies to pay for comp. eff. research (plan years beginning FY12)
Medicare cuts to dialysis treatment begins
Require information reporting on payments to corporations
Medicare to reduce spending by using an HMO-like coordinated care model (Accountable Care Organizations)
Medicare Advantage plans with a 4 or 5 star rating receive a quality bonus payment
New Medicare cuts to inpatient psych hospitals (7/1/12)
Hospital pay-for-quality program begins (FY13)
Medicare cuts to hospitals with high readmission rates begin (FY13)
Medicare cuts to hospice begin (FY13)
Impose $2,500 annual cap on FSA contributions (indexed to CPI)
Increase Medicare wage tax by 0.9% and impose a new 3.8% tax on unearned , non-active business income for those earning over $200k/$250k (not indexed to inflation)
Generally increases (7.5% to 10%) threshold at which medical expenses, as a % of income, can be deductible
Eliminate deduction for Part D retiree drug subsidy employers receive
Impose 2.3% excise tax on medical devices
Medicare cuts to hospitals who treat low-income seniors begin
Post-acute pay for quality reporting begins
CO-OP Program: Secretary awards loans and grants for establishing nonprofit health insurers
$500,000 deduction cap on compensation paid to insurance company employees and officers
Part D donut hole reduction begins, reaching a 25% reduction by 2020
Individuals without govt-approved coverage are subject to a tax of the greater of $695 or 2.5% of income
Employers who fail to offer affordable coverage would pay a $3,000 penalty for every employee that receives a subsidy through the Exchange
Employers who do not offer insurance must pay a tax penalty of $2,000 for every full-time employee
More Medicare cuts to home health begin
States must have established Exchanges
Employers with more than 200 employees can auto-enroll employees in health coverage, with opt-out
All non-grandfathered and Exchange health plans required to meet federally-mandated levels of coverage
States must cover parents /childless adults up to 138% of poverty on Medicaid, receive increased FMAP
Tax credits available for Exchange-based coverage, amount varies by income up to 400% of poverty
Insurers cannot impose any coverage restrictions on pre-existing conditions (guaranteed issue/renewability)
Modified community rating: individual or family coverage; geography; 3:1 ratio for age; 1.5 :1 for smoking
Insurers must offer coverage to anyone wanting a policy and every policy has to be renewed
Limits out-of-pocket cost-sharing (tied to limits in HSAs, currently $5,950/$11,900 indexed to COLA)
Insurance plans must include government-defined essential benefits and coverage levels
OPM must offer at least two multi-state plans in every state
Employers can offer some employees free choice vouchers for health insurance in the Exchange
Government board (IPAB) begins submitting proposals to cut Medicare
Impose tax on nearly all private health insurance plans
Medicare payment cuts for hospital-acquired infections begin (FY15)
More Medicare cuts to home health begin
States can form interstate insurance compacts if the coverage with HHS approval (2016)
Physician pay-for-quality program begins for all physicians
States may allow large employers and multi-employer health plans to purchase coverage in the Exchange.
States may apply to the Secretary for a limited waiver from certain federal requirements
Impose Cadillac tax on high cost plans, 40% tax on the benefit value above a certain threshold: ($10,200 individual coverage, $27,500 family or self-only union multi-employer coverage)
Find the bill online at
At the top of the page, click on
H.R.4872: Reconciliation Act of 2010
Oof. Good post. Thanks. Saving.
What Obamacare Means For Americans
Video - only
THE GREAT RENEGER
Max Baucus on Obamacares hidden agenda redistribution of wealth
Video - only
The content is irrelevant. Any federal version of health care is unconstitutional since Article 1 Section 8 does not specifically grant Congress the power to regulate health care! The people are not bound to comply with any unconstitutional act of Congress! People need to hold their Congress critters feet to the fire on this critical point!
An increase in the Medicare tax is a tax on the middle class, isn’t it?? Breaks Obama’s pledge, I think. Also the mandated tax for long term care will be up to another $200 per month out of your paycheck. As for home health care agencies, why don’t they just close all of them up, rather than peck them to death. Every year, cuts, cuts, cuts. So tell the elderly they must stay home alone when very ill or go into a government run institution to die, cause the care in them is abominable. It is all the same. You are old, you have lived a good life, now go die. We are not paying, period. But we will pay for an abortion if you need it.
Thanks for the URL and cite to the Bill. We’re finally seeing some real info. There’s even an omission (income) in the list above in regards to the tax.
An increase in the Medicare tax is a tax on the middle class, isnt it?? Breaks Obamas pledge, I think. Also the mandated tax for long term care will be up to another $200 per month out of your paycheck. As for home health care agencies, why dont they just close all of them up, rather than peck them to death. Every year, cuts, cuts, cuts. So tell the elderly they must stay home alone when very ill or go into a government run institution to die, cause the care in them is abominable. It is all the same. You are old, you have lived a good life, now go die. We are not paying, period. But we will pay for an abortion if you need it.
The article about Long Term care said it would be a voluntary program, but I wouldn’t doubt that it would be mandatory at some point.
From the article:
Those who participate will pay monthly premiums. After five years, theyll be covered and can receive benefits if they need care whether they are 20-somethings in snowboard accidents or 80-somethings with Parkinsons disease.
What about the Tricare for the Military/retired Military that was in the OBAMANATIONcare?
‘Can I expect my TRICARE enrollment fee, premiums, deductibles or co-pays to go up because of this legislation? There is nothing in the legislation that would change any TRICARE fees.’
That still doesn’t answer the question of the NEW BIG FEES passed in the 2009 DOD bill, that go into effect in 2011.
Does OBAMANATIONCARE negate the BIG NEW FEES in the DOD bill? Just because there are no new fees in OBAMANATIONCARE doesn’t mean that they aren’t still in the 2009 DOD bill.
This option would help reduce the costs of TFL, as well as costs for Medicare, by introducing minimum out-of pocket requirements for beneficiaries. Under this option, TFL would not cover any of the first $525 of an enrollees cost-sharing liabilities for calendar year 2011 and would limit coverage to 50 percent of the next $4,725 in Medicare cost sharing that the beneficiary incurred. (Because all further cost sharing would be covered by TFL, enrollees could not pay more than $2,888 in cost sharing in that year.) http://www.cbo.gov/ftpdocs/99xx/doc9925/12-18-HealthOptions.pdf
Saving but still don’t understand what some of this means.
Sure are a lot of cuts in Medicare while still increasing taxes.
I see nothing but rising taxes and costs of insurance.
there is no rule of law...
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