Health Care Reform Timeline

The following represents a progressive timeline which we will continue to expand and revise when applicable.

 

2011

• Non Discrimination Rules
• Medicaid Long-Term Care Services

2012

January 1

• Reporting the value of employer-sponsored coverage on W-2s
• Uniform explanation of coverage
• Pre-enrollment document sent explaining benefits and exclusions
• 60-day notice for material modifications, if not provided in uniform explanation of coverage.
• Accountable Care Organization Requirements in Medicare
• Medicare Advantage Plan Payments

August 1

• First medical loss ratio rebates to be paid by August

Possible 2012 Implementations

• Comparative effectiveness fee ($1 per member/year)

2013

January 1

State Notification Regarding Exchanges
States specify to the Secretary of Health and Human Services (HHS) whether or not they will operate an American Health Benefit Exchange.

Medicare Retiree Part D Subsidy
The employer’s deduction for the amount of the Medicare Part D retiree drug subsidy becomes taxable.

Annual Fee on Medical Device Sales
Imposes an excise tax of 2.3% on the sale of any taxable medical device.

FSA contributions limited to $2,500
Employee contributions for FSAs will be capped at $2,500 annually, with future increases to allow for inflation.

Medicare payroll tax increase for high-wage employees

March 1

Employee Notification of Access to Exchanges
Employers are required to provide employees with written notice about exchanges, premium subsidies and free choice vouchers.