Healthcare Law

Federal Health Insurance Reform

The Patient Protection and Affordable Care Act (PPACA) was enacted last year and created many reforms that have already taken effect:

  • No pre-existing conditions for children
  • Extension of dependent coverage for young adults
  • Free preventative service benefits
  • Abolishment of lifetime benefit caps
  • Regulations on annual benefit caps
  • Prohibition of coverage rescissions
  • Expanded appeal procedures

Additionally, 2011 marks the implementation of the medical loss ratio—requiring insurers to spend 80–85% of premium dollars on clinical services and quality activities.
Insurance reform is a dynamic concept, as agencies charged with implementing the law continually release guidance on implementation. Stay tuned this year for updates!