PPACA Health Care Reform Timeline, 2012-2014

2012 

• Employers to distribute uniform summary of benefits and coverage (SBC) to participants
• 60-day advance notice of midyear material modifications to SBC content
• Form W-2 reporting for health coverage
• Coverage for additional women’s preventive care services begins

2013 

• $2,500 per plan year health FSA contribution cap
• Comparative effectiveness group health plan fees begin
• Annual dollar limits on essential health benefits cannot be lower than $2 million
• Employers notify employees about exchanges
• Medical device manufacturers’ fees start
• Higher Medicare payroll tax on wages exceeding $200,000/indiv.; $250,000/couples
• Change in Medicare retiree drug subsidy tax treatment takes effect
• Exchanges initial open enrollment period to begin

2014 

• Health insurance exchanges
• Individual coverage mandate
• Financial assistance for exchange coverage of lower-income individuals
• States may expand Medicaid
• HIPAA wellness limit
• Employer shared responsibility
• Additional reporting and disclosure
• No annual dollar limits
• Dependent coverage to age 26 for any covered employee’s child
• No pre-existing condition limits
• No waiting period over 90 days
• Additional standards for new or non-grandfathered plans
• Health insurance industry fees begin
• Temporary reinsurance fees
• Autoenrollment sometime after 2014  
  
  Source: Mercer.com