Health Care Reform Implementation Dates

Health Care Reform Countdown:

Key Item	Description	Effective Date
1	No Lifetime or Annual Limits	2011
2	Prohibition on Rescissions	2011
3	Coverage of Preventative Health Services with no Cost-Sharing	2011
4	Extension of Dependent Coverage	2011
5	No Pre-Existing Condition Exclusion for Children	2011
6	Development and Utilization of Uniform Explanation of Benefits Standards Uniform Documents	2011 2012
7	Provisions of additional information for policyholders	2011
8	Prohibition of Discrimination Based on Salary	2011
9	Ensuring Quality Care	2012
10	Mandatory Loss Ratio Caps	2011
11	Independent Appeal Process	2011
12	Annual Review of Premium Increases	2010
13	High-Risk Pool for Individuals with Pre-existing Conditions	2011
14	Reinsurance for Early Retirees	2011
15	Information about Affordable Coverage Options	2010
16	Interim Relief-Delay Mandatory Reporting (Notice 2010-69) by a Year. Employers must disclose value of certain health plans on W-2 form.	For 2012 As Reported in 2013
17	Administrative Simplification Operating Rules for Electronic Exchange of Health Information Developed Effective	2011 2013
18	Requires annual 1099 reporting on payments made to all corporations on goods and services over $600 (Section 9006).	Repealed 4/14/2011
19	Plans must provide summaries of coverage.
20	Individual and employer mandates take effect.	2014
21	Health insurance plans have new guaranteed issue and pre-existing condition requirements.	2014
22	Exchanges are available for purchase of insurance coverage by individuals and small employers.	2014
23	Excise tax on “high-cost” health plans take effect.	2018