In the next five years more and more changes will be rolled out. Of the 91 changes, 60 are already in effect. You can see the full implementation timeline on at the Kaiser Foundation here. The last one takes effect January 1, 2018.
Some of the good changes are already in place - up to age 26 on parents health plan and temporary insurance for those with pre-existing conditions. There are still some new ones yet to start such as:
- Financial Disclosure: Requires disclosure of financial relationships between health entities, including physicians, hospitals, pharmacists, other providers, and manufacturers and distributors of covered drugs, devices, biologicals, and medical supplies. The first report is due to Congress April 1, 2013. Ooh, all these hidden payments will now become visible.
- No Annual Limits on Insurance coverage
- Guaranteed availability of insurance: Requires guarantee issue and renewability of health insurance regardless of health status and allows rating variation based only on age (limited to a 3 to 1 ratio), geographic area, family composition, and tobacco use (limited to 1.5. to 1 ratio) in the individual and the small group market and the Exchanges.