Home Letters To The Editor Important ObummerCare dates!


Six months after enactment:

  • Bar insurers from denying people coverage when they get sick.
  • Bar insurers from denying coverage to children with pre-existing conditions.
  • Bar insurers from imposing lifetime caps on coverage.
  • Require insurers to allow people to stay on their parents' policies until they turn 26.

Nine months after enactment

  • 50% of the donut hole will be covered. Eventually, the health care reform bill will close the donut hole entirely

Within A Year:

  • Provide a $250 rebate this year to Medicare prescription drug beneficiaries whose initial benefits run out when they enter the donut hole.
  • Require new insurance policies to cover certain preventive-care measures with no out-of-pocket cost to the consumer.
  • Require Insurance companies to stop imposing lifetime coverage limits on your insurance.
  • Sharply limit annual caps on your insurance.
  • Require Insurers with unusually high administrative costs to offer rebates to their customers, and every insurance company has to reveal how much it spends on overhead.


  • Require individual and small group market plans to spend 80% of premium dollars on medical services. Large group plans would have to spend at least 85%.
  • Taxes begin being levied on drug manufacturers.
  • Physicians' Medicare fees will be cut more than 25% unless the sustainable growth rate is permanently repealed by Congress; -
  • Initiate Medicare bonus of 10%over five years for primary care and general surgery (family medicine, internal medicine, geriatrics and pediatrics)


  • Businesses must file Form 1099s for all business-to- business transactions of $600 or more.

2013 :

  • Increase the Medicare payroll tax and expand it to dividend, interest and other unearned income for singles earning more than $200,000 and joint filers making more than $250,000.
  • Require public reporting of physician performance to begin.
  • Begin testing  Medicare pilot programs care payments based on "quality over quantity" of services rendered.
  • Make fewer medical expenses tax deductible.
  • Raise wage taxes from 1.45% to 2.35%;
  • New tax of 3.8 percent levied on unearned income streams like interest and dividends
  • New tax of 2.9 percent on medical device sales.


  • Provide subsidies for families earning up to 400% of poverty level, currently about $88,000 a year, to purchase health insurance.
  • Require most employers to provide coverage or face penalties.
  • Require most people to obtain coverage or face penalties for noncompliance.
  • Create  state insurance exchanges for individuals and small businesses to purchase coverage.
  • Prohibit Insurance companies from denying coverage for pre-existing conditions.
  • Expand Medicaid to all Americans under age 65 earning up to 133% of the federal poverty level.
  • Increase Subsidies for some small business providing coverage to employees.


  • Initiate independent Payment Advisory to make recommendations for cutting Medicare costs.


  • Penalties for individuals refusing to purchase insurance rise to 2.5% of taxable income or $695, whichever is greater.
  • Multi-state compacts allowed to sell policies across state lines


  • Impose a 40% excise tax on high-end insurance policies.


  • Expand health insurance coverage to 32 million people.

[Source: Speaker of the House, Congressional Budget Office, Kaiser Family Foundation via McClatchy Newspapers article 21 Mar 2010 ]


Ben Krause - Virginia  Beach

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