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Health Reform Legislation Timeline


The information in this timeline was adapted from The Kaiser Family Foundation's Health Reform Implementation Timeline.

    
State Legislative Action Required

    
State Agency Action Required
updated Item has been updated recently.

    
Grayed items have already taken effect.
Item
Effective Date
High risk pools
6/21/2010
Health insurance exchange
2014
Dependent coverage
9/23/2010
Lifetime limits
9/23/2010
Preventive services coverage
9/23/2010
Tax credits for small businesses
2010
Retiree health insurance
6/21/2010
Medical loss ratios
2012
Premium increase monitoring
2010
Medicare doughnut hole
7/1/2010
Care coordination for dual eligibles
2010
Annual provider rate increase cuts
2010
Physician-owned hospitals
2010
Medicaid coverage for childless adults
2010
Medicaid family planning services
2010
SCHIP coverage for children of state employees
2010
Medicaid drug rebates
2010
Medicaid and CHIP Payment and Access Commission
2010
Medicaid and SCHIP waivers
2010
Patient-Centered Outcomes Research Institute
2010
Emergency healthcare corps
2010
Workforce Advisory Committee
2010
Scholarships for health professionals
2010
Non-profit hospitals
2010
Deductibility of health insurance provider employee pay
2010
Trauma center program
2011
Medicaid reimbursement for primary care
2013
Medicaid expansion
2014
Individual health coverage requirement
2014
Employers required to offer health insurance
2014
Tax on Tanning Services
2010
Employer Wellness Programs
2011
National Health Promotion Council
2011
Restaurant Nutritional Content Disclosure
2011
State Health Care Workforce Planning/Implementation
9/30/2010
Maternal, Infant and Early Childhood Home Visiting Program
2010
Primary care residency programs
2011
Nurse managed health clinics
2010
Training programs for health professions
2010
Medicare preventive services
2011
Medicare health risk assessment
2010
State opt-out option for abortion coverage
1/1/2014
Assistance for pregnant or parenting teens and women
2010
School-based health centers
2010
Health plan appeals process
9/21/2010
Grants to strengthen public health infrastructure and capacity
12/31/2010
Abstinence and Personal Responsibility Education Programs
2010
Consumer Assistance Program
2010
Money Follows the Person
2010
Prevention and Public Health Fund programs
2010
Community Health Centers
2011
Long-term care assistance and programs
2010
Community Living Assistance Service and Supports (CLASS) program
1/1/2011
Therapeutic Discovery Project Program
11/1/2010
Consumer-driven health plans
2011
Annual limits
2011
Coverage for children with pre-existing conditions
2010
Accountable care organizations
1/1/2012
Innovation Center
9/30/2010
Essential health benefits
1/1/2014

The Health Law - Kaiser Health News

last updated on: 6/9/2025 4:00 AM