On March 23, 2010, President Obama signed the Affordable Care Act. The following is a partial listing of key provisions of the new health care reform law that we implemented in the past few years.

What’s coming up in 2014:

Coverage for individuals participating in clinical trials

Insurance companies will provide coverage for routine patient costs for items and services furnished in connection with certain clinical trials when the criteria set by the government is met.

No more annual dollar limits

Health plans must provide benefits with no annual dollar limits.

No gender discrimination

Health insurers cannot charge you a higher or lower rate based on your gender.

Coverage with pre-existing conditions

Health insurance will cover pre-existing condition such as cancer, asthma, high blood pressure and arthritis.

Individual mandate

All legal U.S. residents are required to have basic health insurance.

Financial help with tax credits or a subsidy

Depending on your income, you may qualify for financial help. To receive tax credits or a subsidy, you must check your eligibility for premium assistance through the Health Insurance Marketplace and not have access to affordable coverage through Medicaid, Medicare, TRICARE, the Veteran’s Administration or an employer-sponsored plan.


A look at some important events that happened in 2012-2013:

Electronic health records

Doctors, hospitals, and health plans share a secure electronic system to keep your records organized and available wherever you are.

More women’s preventive care covered

As long as you use a doctor in your insurance network, women do not have to pay for many preventive services.

A standard summary of benefits and coverage

Insurance companies must send a Summary of Benefits and Coverage (SBC) that can be understood by everyone. The SBC tells you what’s covered, what’s not, and your estimated cost for care.

Health Insurance Marketplace opens

Starting October 2013, you can use the online Health Insurance Marketplace as one way to purchase insurance.


A look at some important events that happened in 2010 and 2011:

Access to care

You can go to any ER for emergency care whether or not it is in your insurer’s network.

Coverage for children with pre-existing conditions

Children under 19 years old cannot be denied coverage because of a condition they had while being treated by another insurance company or before they were enrolled for health insurance coverage.

No lifetime dollar limits

Health plans must provide benefits with no lifetime dollar limits.

Coverage for young adults under 26

If your plan covers children, they can be added or kept on the health insurance policy until they are 26 years old.

Accountability for how your premium dollars are spent

To make sure that health insurers spend your premium on care rather than administration and overhead, they are required to spend at least 80-85 cents of every premium dollar to improve quality of care and pay claims.

Small business tax credits

If you have fewer than 25 full-time employees making an average of about $50,000 per year or less, you may qualify for employer health tax credits.