The Future of Health Reform - VIII - Obamacare Implementation Timeline

It has been 8 years since Obamacare has passed, and the law is virtually in full effect. Most of the changes were implemented in the initial years after the law's passage, up to 2014. A full listing of the timeline is here:

Health Reform Implementation Timeline

2010:

- Review of Health Plan Premium Increases

- Changes in Medicare Provider Rates

- Qualifying Therapeutic Discovery Project Credit

The goal of this law is to reward startups with tax credits who work on novel therapies.

- Medicaid and CHIP Payment Advisory Commission

- Comparative Effectiveness Research

- Prevention and Public Health Fund

- Medicare Beneficiary Drug Rebate

This is a $250 rebate to Medicare beneficiaries who reach the Part D coverage gap. Aimed at closing the donut hole.

- Small Business Tax Credits

Tax credit for small companies that choose to provide health insurance to their employees.

- Medicaid Drug Rebate

Increases the Medicare rebate % for branded drugs to 23%.

- Coordinating Care for Dual Eligibles

- Generic Biologic Drugs

Provides approval path for generic biologic drugs.

- New Requirements on Non-profit Hospitals

- Medicaid Coverage for Childless Adults

- Reinsurance Program for Retiree Coverage

- Pre-existing Condition Insurance Plan

- New Prevention Council

- Consumer Website

- Tax on Indoor Tanning Services

- Expansion of Drug Discount Program

- Adult Dependent Coverage to Age 26

- Consumer Protections in Insurance

- Insurance Plan Appeals Process

- Coverage of Preventive Benefits

- Health Centers and the National Health Service Corps

- Health Care Workforce Commission

- Medicaid Community-Based Services

2011:

- Minimum Medical Loss Ratio for Insurers

- Closing the Medicare Drug Coverage Gap

- Medicare Payments for Primary Care

- Medicare Prevention Benefits

- Center for Medicare and Medicaid Innovation

- Medicare Premiums for Higher-Income Beneficiaries

- Medicare Advantage Payment Changes

- Medicaid Health Homes

- Chronic Disease Prevention in Medicaid

- National Quality Strategy

- Changes to Tax-Free Savings Accounts

- Grants to Establish Wellness Programs

- Teaching Health Centers

- Medical Malpractice Grants

- Funding for Health Insurance Exchanges

- Nutritional Labeling

- Medicaid Payments for Hospital-Acquired Infections

- Graduate Medical Education

- Medicare Independent Payment Advisory Board

- Medicaid Long-Term Care Services

2012:

- Accountable Care Organizations in Medicare

- Uniform Coverage Summaries for Consumers

- Medicare Advantage Plan Payments

- Medicare Independence at Home Demonstration

- Medicare Provider Payment Changes

- Fraud and Abuse Prevention

- Annual Fees on the Pharmaceutical Industry

- Medicaid Payment Demonstration Projects

- Data Collection to Reduce Health Care Disparities

- Medicare Value-Based Purchasing

- Reduced Medicare Payments for Hospital Readmissions

2013:

- State Notification Regarding Exchanges

- Medicare Bundled Payment Pilot Program

- Medicaid Coverage of Preventive Services

- Medicaid Payments for Primary Care

- Itemized Deductions for Medical Expenses

- Flexible Spending Account Limits

- Medicare Tax Increase

- Employer Retiree Coverage Subsidy

- Tax on Medical Devices

- Financial Disclosure

- CO-OP Health Insurance Plans

- Extension of CHIP

- Medicare Disproportionate Share Hospital Payments

2014:

- Expanded Medicaid Coverage

- Presumptive Eligibility for Medicaid

- Individual Requirement to Have Insurance

- Health Insurance Exchanges

- Health Insurance Premium and Cost Sharing Subsidies

- Guaranteed Availability of Insurance

- No Annual Limits on Coverage

- Essential Health Benefits

- Multi-State Health Plans

- Temporary Reinsurance Program for Health Plans

- Basic Health Plan

- Employer Requirements

- Medicare Advantage Plan Loss Ratios

- Wellness Programs in Insurance

- Fees on Health Insurance Sector

- Medicare Payments for Hospital-Acquired Infections

2015:

- Increase Federal Match for CHIP

2016:

- Health Care Choice Compacts

2018:

- Tax on High-Cost Insurance