PERC - Timeline - 2010

Thursday, April 11, 2013 02:50 PM

Enable dependent coverage up to age 26

• Implementation date: Sept. 23, 2010
• Fact sheet on the young adult coverage policy

Prohibit lifetime limits, restrict annual limits and prohibit coverage rescissions

• Implementation date: Sept. 23, 2010

Create temporary, state-run pre-existing condition insurance plan

• Implementation date: July 6, 2010.
• Program information

Create national early retiree reinsurance program

• Implementation date: June 1, 2010, ends no later than January 1, 2014.
• Program information

Prohibit pre-ex condition exclusions for children <19

• Implementation date: Sept. 23, 2010, expanding to all enrollees in 2014

Provide $250 rebate to Medicare patients in Part D doughnut hole

• Implementation date: First checks mailed to seniors in mid-June 2010
• Program information

Implement small business tax credits

• Implementation date: 2010 tax year
• Program information and FAQ updated Dec. 3, 2010

Mandate 85% medical loss ratio (MLR) for large group health plans, 80% MLR for individual/small group plans with rebates

• Implementation date: Requirement to report medical loss ratio effective plan year 2010; requirement to provide rebates effective Jan. 1, 2011
• Program information: HHS approves final rule on medical loss ratio recommendations. See details on complete regulation.

Ban new physician-owned hospitals, limit growth of existing facilities

• Implementation date: Starting Jan. 1, 2011, new physician-owned hospitals will not be eligible for a physician self-referral exception. Existing hospitals must comply with new requirements by September 2011.

Create Patient-centered Outcomes Research Institute to advance comparative effectiveness research

• Implementation date: March 23, 2010 Program information: 21 member board to be appointed no later than Dec. 23, 2010

Require no-cost sharing coverage for certain preventive services in new plans

• Implementation date: For health plan policies that start on or after Sept. 23, 2010
• Program information

Increase health professional workforce through scholarships and loans

• Implementation date: Effective immediately (federal FY 2010)
• Program information

Extend the 1.00 floor for the Geographic Practice Cost Index (GPCI) for physician work through December 2010. Adjust GPCI for practice expense by blending local and national averages for below average cost areas

• Implementation date: Effective immediately through December 31, 2010

Increase funding for community health centers and National Health Service Corps

• Implementation date: Effective October 2010