The health care reform legislation has many different provisions involved, with enactment dates are staggered over the next five years. To help you get some idea of when certain reform conditions are set to go into effect, AUIC found this timeline, provided by the Kaiser Family Foundation.
2010

Insurance reforms

Establish a temporary national high-risk pool to provide health coverage to individuals with pre-existing medical conditions.
Provide dependent coverage for adult children up to age 26.
Prohibit individual and group health plans from placing lifetime limits on the dollar value of coverage and, prior to 2014, plans may only impose annual limits on coverage.
Prohibit insurers from rescinding coverage except in cases of fraud and prohibit pre-existing condition exclusions for children.
Provide tax credits to small employers with no more than 25 employees and average annual wages of less than $50,000 that purchase health insurance for employees.
Create a temporary reinsurance program for employers providing health insurance coverage to retirees over age 55 who are not eligible for Medicare (effective 90 days following enactment until Jan. 1, 2014).
Require health plans to report the proportion of premium dollars spent on clinical services, quality, and other costs and provide rebates to consumers for the amount of the premium spent on clinical services and quality that is less than 85 percent for plans in the large group market and 80 percent for plans in the individual and small group markets (requirement to report medical loss ratio effective plan year 2010; requirement to provide rebates effective Jan. 1, 2011).
Establish a process for reviewing increases in health plan premiums and require plans to justify increases. Require states to report on trends in premium increases and recommend whether certain plans should be excluded from the exchange based on unjustified premium increases.
Medicare

Provide a $250 rebate to Medicare beneficiaries who reach the Part D coverage gap in 2010 and gradually eliminate the Medicare Part D coverage gap by 2020.
Expand Medicare coverage to individuals who have lived in specific state-of-emergency areas and have developed certain health conditions as a result of the conditions in those areas.
Improve care coordination for dual-eligibles by creating a new office within Centers for Medicare and Medicaid Services – the Federal Coordinated Health Care Office.
Reduce annual market basket updates for inpatient hospital, home health, skilled nursing facility, hospice, and other Medicare providers, and adjust for productivity.
Ban new physician-owned hospitals in Medicare, requiring hospitals to have a provider agreement in effect by Dec. 31; limit the growth of certain grandfathered physician-owned hospitals.
Medicaid

Create a state option to cover childless adults though a Medicaid State Plan Amendment.
Create a state option to provide Medicaid coverage for family planning services to certain low-income individuals through a Medicaid state plan amendment up to the highest level of eligibility for pregnant women.
Create a new option for states to provide Children’s Health Insurance Program coverage to children of state employees eligible for health benefits if certain conditions are met.
Increase the Medicaid drug rebate percentage for brand name drugs to 23.1 percent (except the rebate for clotting factors and drugs approved exclusively for pediatric use increases to 17.1 percent); increase the Medicaid rebate for non-innovator, multiple source drugs to 13 percent of average manufacturer price; and extend the drug rebate to Medicaid managed care plans.
Provide funding for and expand the role of the Medicaid and CHIP Payment and Access Commission to include assessments of adult services (including those dually eligible for Medicare and Medicaid).
Tax changes

Limit the deductibility of executive and employee compensation to $500,000 per applicable individual for health insurance providers.