Key Near-Term Provisions
Key provisions of the health care reform law taking effect in 2013 and later
Key provisions beginning in 2013
- Contributions to FSAs limited to $2,500 annually, effective for plan years beginning on or after Jan. 1, 2013.
- Other 2013 provisions:
- New tax on high-income individuals.
- New tax on medical device manufacturers.
- Phased-in reductions in out-of-pocket maximums paid by Medicare Part D beneficiaries.
Key provisions beginning in 2014
- Availability of insurance exchanges in each state that will serve as a marketplace in which individuals and small employer groups can purchase health care coverage.
- Guaranteed issue of medical coverage.
- Pre-existing condition limitations prohibited for adults (prohibition on pre-existing condition limitations on children go into effect for plan years on or after Sept. 23, 2010).
- Individuals will be required to have medical coverage or face a penalty.
- Employers with 50 or more employees required to pay a fee for employees who receive premium subsidies to purchase coverage through the exchange.
- Waiting periods for health coverage limited to no more than 90 days (effective for plan years beginning on or after Jan. 1, 2014).
Key provisions beginning after 2014
- 2017: Each state determines whether it will allow larger employer group health plans (those with 101 employees or more) to purchase health insurance coverage through an Exchange.
- 2018: New tax on high-cost plans (a.k.a., “Cadillac plans”).
—Read about key provisions already in effect
—Return to main Health Care Reform page
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Contact Donyelle Mikacevich
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