Health Care Reform Summary
Highlights:
- Improves
subsidies for premiums and cost-sharing for lower income individuals required to
purchase insurance
- Lowers the penalties for not buying coverage
-
Lessens the penalty for employers not offering coverage
- Provides $1 billion
to Secretary for Federal administrative expenses for implementing
- Closes
the Medicare Part D donut hole by $250 in 2010 and then gradually until fully
covered by 2020.
- Increases federal Medicaid funding to states for the cost
of those newly eligible under expansion of eligibility to 133% of poverty
-
Requires payment of Medicare rates to primary care physicians under Medicaid in
2013 - 100% federal funding for the increased cost to states
- Extends
prohibition on lifetime limits, prohibition on recissions, limits on excessive
waiting periods, and requirement to provide coverage to non-dependent children
up to age 26 to all existing plans six months after enactment.
- Annual
limits and preexisting conditions prohibited starting 2014
- Establishes new
requirements for community mental health centers that provide Medicare partial
hospitalization services in order to prevent fraud and abuse.
To read the H.R.
4872 in full detail, please click here.