2010

2012

2013

2014

2018

• Coverage for Young Adults
  Children will be able to stay on their parents' Health insurance plans until the age of 26.
• Small Business Tax Credits
  Businesses with fewer than 25 employees that offer health benefits and contribute at least 50% of the premium will be eligible to receive tax credits of up to 35% of their two year premium costs.  In 2014 the cred rises to 50%
• New Rules
  Insurance Companies will be banned from rescinding coverage if and when people get sick.  Insurance companies will also no longer be allowed to impose lifetime "caps" on coverage.  Annual limits on benefits will also be phased out by 2014.
• Workforce Improvements
  Student loan repayment programs for those who practice primary care, nursing and pediatrics will be expanded.  A new National Health Care Workforce Commission will make recommendations for any additional actions.
• Improving Quality
  An interagency work group will issue reports to congress on health care qualit, including recommendations for improving collaboration beween federal departments and agencies. 
• The "donut-hole"
  Medicare will issue $250 rebates to beneficiaries who fall into the Part D perscription drug gap called the "donut hole."
• Payment Reform
  Medicaid will begin a demostration project that will allow safety-net hospitals in up to five states to move from a fee-for-service model to a global fee mode.  Medicare will also work to protect rural areas from fluctuations in payment levels for hospitals and doctors.

• Increased Access to Care
  Community health center and National Health Services Corps funding will be increased by $11 billion dollars over five years in order to serve more low-income and uninsured patients.
• Retiree Benefits
  A reinsurance program will be created that helps employers offset some costs if they offer retiree health benefits.
• Premium Increase Reviews
  Insurance companies will be required to provide justification for premium increases to federal and some state governments BEFORE increases will take effect. Insureres will also be required to report the share of premiums spent on nonmedical costs.
• Coverage for Children
  Insurance companies can no longer exclude children with preexisting conidtions from health coverage or exclude their conditions.
• Preexisting Condition Insurance Plan
  People withpreexisting conditions who have also been uninsured for six months will have access to a temporary, Preexisting Condition Insurance Plan.  The premiums of the PCIP will be based on the health status of a standard population.  Annual out-of-pocket costs cannot exceed $5,950 for individuals and $11,900 for families. 
• Preventative Care
  All new group and individual health plans will be required to cover, for free, recommended preventative care services and immunizations.  Starting in 2011 Medicare will also offer free preventative care.