2014


Coming Soon:

  • Individuals without government approved coverage are subject to a tax of the greater of $695 or 2.5% of income
  • Employers who fail to offer ”affordable” coverage would pay a $3,000 penalty for every employee that receives a subsidy through the Exchange (Delayed til 2015)
  • Employers who do not offer insurance must pay a tax penalty of $2,000 for every full time employee time (Delayed til 2015)
  • More Medicare cuts to home health begin
  • States must have established Exchanges
  • Employers with more than 200 employees can auto enroll employees in health coverage, with opt-out(Delayed until 2015)
  • All non-grandfathered and Exchange health plans required to meet federally mandated levels of coverage
  • States must cover parents/childless adults up to 138% of poverty on Medicaid, received increased FMAP
  • Tax credits available for Exchange-based coverage, amount varies by income up to 400% of poverty
  • Insurers cannot impose any coverage restrictions on pre-existing conditions (guaranteed issue/renewability)
  • Modified community rating: individual or family coverage; geography; 3:1 ratio for age; 1.5 :1 for smoking
  • Insurers must offer coverage to anyone wanting a policy and every policy has to be renewed
  • Limits out-of-pocket cost sharing (tied to limits in HSAs, currently $5,950/$11,900 indexed to COLA)(Delayed til 2015)
  • Insurance plans must include government defined ”essential benefits ” and coverage levels
  • OPM must offer at least two multi-state plans in every state
  • Employers can offer some employees free choice vouchers for health insurance in the Exchange
  • Government board (IPAB) begins submitting proposals to cut Medicare
  • Impose tax on nearly all private health insurance plans
  • Medicare payment cuts for hospital acquired infections begin (FY15)