Implementation of the Reform Law

Kaiser Permanente has implemented the 2010 provisions, and is working to implement future key provisions in accordance with the schedule outlined in the law. In some cases, such as the coverage of adult children, the law calls on the benefit to be offered six months after the bill becomes law. In other cases, provisions of the health reform law will take effect in future years. In almost all cases, the government will need to put new regulations in place before we can make these changes.

Following is a list of key provisions and their implementation dates under the new law:

  • Effective immediately pending release of federal rules
    Small business tax credit
    Medicare Part D $250 rebate for enrollees who reach the gap
  • Effective in 90 days pending the release of federal rules
    Retiree reinsurance program
  • June 2010
    National high risk pool
  • Plan years starting after September 2010
    Dependent coverage up to age 26
  • September 2010
    No cost sharing for preventive services in newly purchased coverage
  • September 2010
    Pre-existing condition exclusions for children prohibited
  • January 2014
    Health insurance exchanges
  • January 2014
    Guaranteed issue of health coverage for all applicants
  • January 2014
    Requirement of all Americans to purchase health coverage begins