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Health Care Reform 101

What are the Key Provisions of Health Care Reform?

Below are a few of the most notable changes, many of which go into effect on Jan. 1, 2014.

  • Coverage is available to everyone, regardless of health status or preexisting conditions.
  • Young adults up to age 26 can be covered under their parents’ plans.
  • Individuals and small businesses can purchase health care coverage through the Kentucky Health Benefits Exchange.
  • Lifetime policy limits have been banned and annual limits will be phased out by 2014.
  • Medicare has been strengthened, offering seniors better coverage and closing the prescription drug coverage donut hole.
  • Medicaid has been expanded to provide more assistance for low-income families.
  • Plans are required to offer coverage for certain essential benefits.
  • Individuals are required to have minimal essential coverage.
  • Employers with 100+ FTEs are required to offer coverage or pay a fine (effective Jan. 1, 2015).
  • Empliyers with 50+ FTEs are required to offer coverage or pay a fine (effective Jan. 1, 2016).
  • Small businesses with less than 25 employees may be eligible for tax credits when they provide coverage for employees.
  • Coverage has been expanded for early retirees.


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