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Sunday, December 27, 2009

Health Bill Benefits for the Impatient

Some immediate benefits from the health care legislation advancing on Capitol Hill will ease the minds of parents who may have hit up against limitations of their existing health insurance. In many cases, the requirements, including the extended coverage for adult children, would apply only to new insurance plans, though insurers could apply the changes to existing policies.

Many major provisions in the health care legislation would not take effect for several years. New federal subsidies to help moderate-income Americans afford coverage would not begin until 2013 under the House bill, and 2014 under the Senate bill. A new requirement that nearly all Americans obtain insurance would take effect at the same time that the subsidies become available.

On the flip side, many of the new taxes and fees that will help pay for the legislation would take effect much sooner. For this reason, some Republicans have criticized the bill as akin to legislation on a layaway plan: pay now for benefits later.

Short-term Insurance expansion of state high risk pools To help people who cannot obtain insurance because of pre-existing conditions, both the Senate and House bills would provide $5 billion to increase the availability of coverage through state high-risk insurance pools. This provision would take effect 90 days after enactment of the legislation, but many details remain to be worked out.

Consumer assistance provisions Both the House and Senate bills would begin to impose new requirements aimed at making it easier for consumers to interact with insurers, including a requirement that health plans adopt uniform descriptions of plan benefits and appeals procedures and that they begin using identical forms.


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