US health care reform bill: the facts

736AM GMT twenty-two March 2010

The legislation aims to magnify coverage to 32 million uninsured people.

Here is what to design if the Senate passes the House"s changes and President Barack Obama signs the complete package in to law

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Within the initial year

* Insurance companies will be barred from dropping people from coverage when they get sick. Lifetime coverage boundary will be separated and annual boundary are to be restricted.

* Insurers will be barred from incompatible young kids for coverage since of pre-existing conditions.

* Young adults will be means to stay on their parents" health plans until the age of 26. Many health plans now dump dependents from coverage when they spin nineteen or finish college.

* Uninsured adults with pre-existing conditions will be means to acquire health coverage by a new module that will end once new word exchanges proceed handling in 2014.

* A proxy reinsurance module is combined to assistance companies say health coverage for early retirees in between the ages of 55 and 64. This additionally expires in 2014.

* Medicare drug beneficiaries who tumble in to the "doughnut hole" coverage opening will get a $250 rebate. The check in the future closes that opening that now starts after $2,700 is outlayed on drugs. Coverage starts again after $6,154 is spent.

* A taxation credit becomes accessible for a small small businesses to assistance yield coverage for workers.

* A 10 per cent taxation on indoor tanning services that make use of ultraviolet lamps goes in to outcome on Jul 1.

In 2011

* Medicare provides 10 per cent reward payments to initial caring physicians and ubiquitous surgeons.

* Medicare beneficiaries will be means to get a free annual wellness revisit and personalized impediment plan service. New health plans will be compulsory to cover surety services with small or no cost to patients.

* A new module underneath the Medicaid plan for the bad goes in to outcome in Oct that allows states to suggest home and village formed caring for the infirm that competence differently need institutional care.

* Payments to insurers charity Medicare Advantage services are solidified at 2010 levels. These payments are to be progressively marked down to move them some-more in line with normal Medicare.

* Employers are compulsory to divulge the worth of health benefits on employees" W-2 IRS forms.

* An annual price is imposed on curative companies formed on marketplace share. The price does not request to companies with sales of $5 million or less.

In 2012

* Physician remuneration reforms are implemented in Medicare to raise initial caring services and inspire doctors to form "accountable caring organizations" to urge peculiarity and potency of care.

* An inducement module is determined in Medicare for strident caring hospitals to urge peculiarity outcomes.

* The Centers for Medicare and Medicaid Services, that oversees the supervision programs, proceed tracking sanatorium readmission rates and puts in place monetary incentives to revoke preventable readmissions.

In 2013

* A inhabitant commander module is determined for Medicare on remuneration bundling to inspire doctors, hospitals and alternative caring providers to improved coordinate studious care.

* The starting point for claiming healing losses on itemized taxation earnings is lifted to 10 per cent from 7.5 per cent of income. The starting point stays at 7.5 per cent for the aged by 2016.

* The Medicare payroll taxation is lifted to 2.35 per cent from 1.45 per cent for people earning some-more than $200,000 and tied together couples with incomes over $250,000. The taxation is imposed on a small investment income at a rate of 3.8 per cent for that income group.

* A 2.9 per cent dig taxation is imposed on the sale of healing devices. Anything in all purchased at the sell turn by the open is released from the tax.

In 2014

* State health word exchanges for small businesses and people open.

* Most people will be compulsory to acquire health word coverage or compensate a excellent if they don"t. Healthcare taxation credits turn accessible to assistance people with incomes up to 400 per cent of misery squeeze coverage on the exchange.

* Health plans no longer can bar people from coverage due to pre-existing conditions.

* Employers with 50 or some-more workers who do not suggest coverage face a excellent of $2,000 for each workman if any workman receives subsidized word on the exchange. The initial thirty employees aren"t counted for the fine.

* Health word companies proceed profitable a price formed on their marketplace share.

In 2015

* Medicare creates a medicine remuneration module directed at rewarding peculiarity of caring rather than volume of services.

In 2018

* An dig taxation on high cost employer-provided plans is imposed. The initial $27,500 of a family plan and $10,200 for particular coverage is free from the tax. Higher levels are set for plans covering retirees and people in high risk professions.