2010: Insurance companies were prohibited from placing lifetime limits on policyholders and from rescinding coverage. Health insurance companies were required to cover preventative services without co-payments.
2011: Primary care doctors get a 10 percent bonus payment for Medicare patients. Medicare Drug program will require drug companies to give patients a 50 percent discount in the “doughnut hole” gap.
2012: Annual fee of $2.8 billion assessed on drug manufacturers.
2013: Itemized deductions for unreimbursed medical expenses on tax returns increases from 7.5 percent to 10 percent of adjusted gross income. Payroll taxes for Medicare tax increases from 1.45 percent to 2.35 percent on earnings over $200,000 for individuals or $250,000 for families. All 50 states must offer a member-run health insurance company called a CO-OP. Any profits must be used to lower premiums, improve benefits or provide better quality to its members.
2014: Most Americans are required to have health care coverage. Employers will pay a fine if one of their full-time workers qualifies and receives a premium tax credit from the federal government. State-based health care exchanges will be available for individuals and small businesses to shop for insurance coverage. Pre-existing conditions on adults are eliminated.
2017: Employers with more than 100 employees may enter health care exchanges at the discretion of states.
2018: Excise tax will be enacted on “Cadillac” health plans that exceed $10,200 for individuals and $27,500 for families.