Important PPACA Dates

States Notify Health and Human Services ( HHS) if they will operate a Health exchange or default to the Federal Government


Closing Medicare Drug Coverage Gap-reducing co-insurance from 100% 2010 to 25% in 2020 in addition to the 50% brand name manufacturers discount

Medicare bundled payment pilot

Medicaid preventative care

Increased payments to doctors for Medicaid patients ( financed 100% by Federal Government

Medical Deduction Threshold increased from 7.5% to 10% of Adjusted Gross Income (AGI)

Flex Spending Account (FSA) limits caped at $2500 for Medical Expenses

Medicare Tax INCREASE

Employer Retiree Coverage Subsidy

2.3% Tax on Medical devices


April 1, 2013

Financial Disclosure- Requires financial disclosure of health entities including doctors, hospitals and manufacturers of drug devices

July 1, 2013

Establishment of Co-Op Health insurance plans- creates co-op to foster the creation of member run health insurance companies

Fiscal year 2013

Extension of Children’s Health Insurance Program through 2015

October 1, 2013

Medicare Disproportionate Shares Hospital (DSH) Payments- Reduces DSH by 75% then increases payments proportionate to the percentage of People uninsured and uncompensated care provided.

Medicaid DSH- requires secretary to establish methodology for distributing  DSH reductions.


NEW TAXES taking effect in 2013- see previous article


October or November of 2013

Anticipated “open enrollment period” to purchase health insurance through a health insurance exchange


January 1, 2014-

All plans become guarantee issue and must have the 12 essential benefit mandates included.

Eric Wilson