Archive for the ‘National Health Care Reform Legislation’ Category

Give states the option for new non-Medicaid plan

Gives states the option of establishing a federally-funded non-Medicaid state plan for people between 133-200% FPL who do not have access to affordable employer-sponsored coverage and would otherwise be eligible for subsidized coverage through a state-based exchange. The funding for this program will...
July 7th, 2010 | National Health Care Reform Legislation, new programs, Uncategorized | Read More

States required to create “Exchanges”

Requires each state to create an Exchange to facilitate the sale of qualified benefit plans to individuals, including the federally administered multi-state plans and non-profit co-operative plans. A catastrophic only policy would be available for those 30 and younger. In addition the states must create...
July 7th, 2010 | National Health Care Reform Legislation, new programs, requirements, Uncategorized | Read More

Changes requiring states to offer more assistance to Medicaid

Requires states to offer premium assistance and Medicaid wrap-around benefits to Medicaid beneficiaries who are offered employer-sponsored coverage if cost-effective to do so, under terms outlined already in current law. Source:NAHU
July 6th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, requirements, Uncategorized | Read More

Medicaid eligibility level increased

Medicaid eligibility level is increased to 133% FPL. The federal government will pay 100% of the cost of the new expansion population until 2016. Starting in 2017, all states except for the expansion states (including Nebraska), would then have to begin to have to pay a phased in amount of the cost of...
July 6th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Mandates healthcare purchase

Requires all American citizens and legal residents to purchase qualified health insurance coverage. Exceptions are provided for religious objectors, individuals not lawfully present and incarcerated, those who cannot afford coverage, taxpayers with income under 100 percent of poverty, members of Indian...
July 6th, 2010 | National Health Care Reform Legislation, requirements, Uncategorized | Read More

Small group coverage redefined

Redefines small group coverage as 1-100 employees. States may also elect to reduce this number to 50 for plan years prior to January 1, 2016. Source: NAHU
July 6th, 2010 | National Health Care Reform Legislation, requirements, Uncategorized | Read More

Waiting periods limited

Waiting periods in excess of 90 days are prohibited for all plans, including grandfathered plans. Source: NAHU
July 6th, 2010 | National Health Care Reform Legislation, requirements, Uncategorized | Read More

Employers with 50+ employees must offer coverage

An employer does not have to offer coverage, but if they do not offer qualified coverage and employ more than 50 full-time equivalent employees (with an exception for seasonal workers) and one or more employees receives a premium assistance tax credit to buy coverage through an exchange, the employer...
July 6th, 2010 | National Health Care Reform Legislation, requirements, Uncategorized | Read More

Employers must provide free choice vouchers

An employer that provides and contributes to health coverage for employees must provide free choice vouchers to each employee who is required to contribute between 8% and 9.8% of the employee’s household income toward the cost of coverage, if such employee’s household income is less than 400% of...
July 6th, 2010 | National Health Care Reform Legislation, requirements, Uncategorized | Read More

Health plans required to provide coverage documentation

Health plans, including self-insured employer plans and public programs, must also provide coverage documentation to both covered individuals and the IRS. Source: NAHU
July 6th, 2010 | National Health Care Reform Legislation, requirements, Uncategorized | Read More

Exchange notification required

Requires all employers provide notice to their employees informing them of the existence of an Exchange. Source: NAHU
July 6th, 2010 | National Health Care Reform Legislation, requirements, Uncategorized | Read More

New tax on medical device manufaturers

New excise tax on medical device manufacturers equal to 2.3 percent of the price for which the medical device is sold. The tax will not apply to eyeglasses, contact lenses, hearing aids, and any other device deemed by the Secretary of DHHS to be of the type available for regular retail purposes. Source:...
July 6th, 2010 | National Health Care Reform Legislation, tax changes, Uncategorized | Read More

HI and Medicare contribution tax

Beginning in 2013, additional 0.9 percentage Medicare Hospital Insurance tax (HI tax) on self-employed individuals and employees with respect to earnings and wages received during the year above $200,000 for individuals and above $250,000 for joint filers (not indexed). Does not change employer HI tax...
July 6th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, tax changes, Uncategorized | Read More

Unreimbursed medical expenses threshold increased

The threshold for the itemized deduction for unreimbursed medical expenses would be increased from 7.5% of AGI to 10% of AGI for regular tax purposes. The increase would be waived for individuals age 65 and older for tax years 2013 through 2016 (Effective January 1, 2013). Source: NAHU
July 6th, 2010 | National Health Care Reform Legislation, tax changes, Uncategorized | Read More

Extended reporting on payments and income required

Expands obligation of persons engaged in a trade or business to report on payments of other fixed and determinable income or compensation. Extends reporting to include payments made to corporations other than corporations exempt from income tax under section 501(a). Also expands the kinds of payments...
July 6th, 2010 | National Health Care Reform Legislation, requirements, tax changes, Uncategorized | Read More

New public long-term care program

Creates a new public long-term care program and requires all employers to enroll employees, unless the employee elects to opt out. Source: NAHU
July 6th, 2010 | National Health Care Reform Legislation, new programs, requirements, Uncategorized | Read More
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