2010   2011   2013   2014   2016   2017   2018
• Small business subsidies for providing coverage to employees
• Insurance companies barred from denying coverage to children with pre-existing illness
• Young adults permitted to stay on parents' policy till 26
• Implementation of tanning tax
• High risk pool for people with pre-existing conditions opens up
• Discrimination ban takes effect
• Medicare drug rebate program for expensive prescription drugs
• Insurers no longer allowed to rescind insurance for becoming sick
• Insurers can no longer impose lifetime coverage limits
   • Long-term care program
• $2.5 billion fee for pharmaceutical companies
• Detailing of health benefits on W-2 tax filing
• Requirement for 80-85% of premiums spent on medical services for insurers
   • High earning individuals on Medicare have to pay taxes
• Tax on wages raised from 1.45% to 2.35%
• 3.8% tax on unearned income
• 2.3% excise tax on medical devices
• Medicare bundled payments program launch
   • Exchanges begin for the uninsured and small businesses
• End to exclusion due to pre-existing conditions
• Health insurance becomes mandatory
• Subsidies for lower- and middle-income individuals/families
• Medicaid expansion
• Small business subsidies increase
• Fines for businesses with more than 50 employees and no inrsurance coverage
• $8 billion fee for insurance companies
• Medicare board to submit recommendations to curb spending
   • Penalty for those with out coverage of 2.5% of income or $695
   • Medium size businesses can use the exchange
   • 40% excise tax on most expensive plans