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How Will The New Health Insurance Laws Affect You

by Mark Riddix

Last Sunday night Congress passed the Patient Protection and Affordable Health Care Act. This act reforms the existing health care industry and is expected to insure an additional 32 million people. This bill was passed with quite a bit of controversy surrounding it. Polls consistently showed that the majority of Americans were not satisfied with the bill as it was currently written, and several Democrats voted against it along with all Republicans in the House of Representatives. Having said that, the President has signed it into law, and the deal is done. You may be wondering, how do these new health insurance laws affect you? Let’s take a look at the major ways in which the new health insurance bill will affect you.

1. Everyone will have to purchase health insurance.
By 2014, all Americans will have to purchase health insurance. Individuals that currently have health insurance will be affected the least by the new health care laws. Low and moderate income individuals will receive assistance from the government in order to purchase insurance. Individuals that fail to purchase insurance will be subject to fines and penalties. The penalty would be roughly $95 in 2014 and rise to $695 in 2016. There will be a maximum cap on fines.

2. Employers will have to offer insurance.
Employers with 50 or more employees must provide health insurance or pay fines if any of their employees receive federal subsidies to buy health insurance. Businesses that fail to offer insurance will be subject to fines and penalties. Employers with less than 50 employees are exempt from this rule. Employers with less than 25 employees who choose to offer insurance would receive tax credits as long as employees average salary is $50,000 per year.

3. No caps on medical coverage.
Insurance companies can no longer place restrictive annual limits or lifetime caps on the amount that they spend for medical coverage. In the past, insurance companies could places limits on the amount that they would spend for your medical expenses. If an individual had a disease such as cancer, these limits would have affected how much your insurance company would pay towards your treatment.

4. People with pre-existing conditions will receive coverage.
Health care reform means that all children will have access to medical insurance including children with pre-existing conditions. Adults with pre-existing conditions will also be able to have insurance coverage through high-risk pools as well. These high-risk pools will be run by states and limit the amount of money that you have to personally pay for medical insurance.

5. Kids can stay on their parents’ plan longer.
Adults under the age of 26 can stay on their parents plan. Previously, adults 19 and over had to find their own insurance policy if they were not enrolled in college. Now, adult children that are financially dependent upon their parents can stay on their parents’ policy.

6. Individuals can not be dropped by their insurance company.
Insurance companies will no longer be able to deny coverage to people that get sick. Health insurance companies are famous for saving money by dropping health care coverage for individuals with diseases or severe illnesses.

7. High income individuals will pay higher taxes.
Households that earn over $250,000 per year will be on the hook for higher taxes. Beginning in 2018, high income earners will have increased Medicare payroll taxes and taxes on unearned income. Unearned income applies to capital gains, interest, and dividend income.

8. 95% of Americans will now have health insurance coverage.
The biggest beneficiaries of health insurance reform are low and moderate income individuals, adult dependents under the age of 26, people with pre-existing conditions, and children. Seniors will receive a 50% discount on brand name prescription drugs. This should close up the doughnut hole which made seniors responsible for the entire cost of prescription drugs once they surpassed the coverage limit. Government subsidies to Medicare Advantage will be cut, costing some seniors to lose extra benefits.

For other bloggers’ opinions on the new health insurance laws, check out the following posts:

What do you think of the changes to the insurance laws?

(Photo credit: Listener42)


Mark Riddix is the founder and president of an independent investment advisory firm that provides personalized investing and asset management consulting. Mark has written financial columns for Baltimore and Washington, D.C. area newspapers and is the author of the book, Your Financial Playbook.

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Comments

  • gina

    I think that many of these reforms are good, but I do worry about how it will all be paid for. I see more increased taxes for high income earners, but I worry that it may trickle down…

  • http://www.healthinsuranceproviders.com Health Insurance Providers

    Also, check out this detailed time line of the health care reform bill in an easy to read picture form: http://www.healthinsuranceproviders.com/health-care-reform/

  • http://fundtips.blogspot.com/ Daddy Paul

    I think some reform was past due. I think this bill is too expensive. I think major changes need be made to this bill. I was a town hall meeting yesterday on this issue. The congressman was blaming Bush for the waste and abuse in Medicare and now with this bill waste and fraud won’t happen. The crowd laughed. Good golly Medicare waste and fraud has been going for years. I am sure 2000+ pages will stop the fraud. NOT!

  • http://madsaver.com Mac

    Yes, it was way past time for a major health care reform, but I’m not too happy with it as written. As a middle-income family guy with health insurance, I can only see my insurance costs rising. The insurers will be forced to insure more people and will pass the rising costs onto other members of their plans.

    The politicians should have attacked the wasteful medical spending, rather than throwing more money at the problem.

  • Courtney

    Children’s health care coverage is still not a guarantee…..

    Hours after President Barack Obama signed historic health care legislation, a potential problem emerged. Administration officials are now scrambling to fix a gap in highly touted benefits for children.

    Obama made better coverage for children a centerpiece of his health care remake, but it turns out the letter of the law provided a less-than-complete guarantee that kids with health problems would not be shut out of coverage.

    Under the new law, insurance companies still would be able to refuse new coverage to children because of a pre-existing medical problem, said Karen Lightfoot, spokeswoman for the House Energy and Commerce Committee, one of the main congressional panels that wrote the bill Obama signed into law Tuesday.

    However, if a child is accepted for coverage, or is already covered, the insurer cannot exclude payment for treating a particular illness, as sometimes happens now.

  • Mark Riddix

    All of these are excellent points! Health insurance reform should have addressed the problem of rising medical costs.

  • TheMadTurtle

    Section 10909 of the bill renews and expands the adoption tax credit. Personally, this is huge for my family. Adoption is so ridiculously expensive and the adoption tax credit is often the single thing that allows some families to adopt.

  • http://www.moneytalksnews.com/2010/03/22/how-health-care-reform-will-affect-you/ How Health Care Reform Will Affect You | Money Talks News

    [...] thoughts on the recent healthcare legislation and Mark Riddix of Money Crashers further describes how the new health insurance laws affect you.Subscribe to our newsletterLike this article? Subscribe to our biweekly newsletter for our newest [...]

  • http://www.moneytalksnews.com/2010/03/22/health-care-reform-8-positive-changes/ Health Care Reform: 8 Positive Changes | Money Talks News

    [...] [...]

  • Winston

    I am actually worse off with the passing of this bill. Right now, I don’t have health insurance and as a matter of fact, I don’t need one. For the last ten year that I have been in America, I have never gotten very ill or injured to the point where I would need major medical care. I wish, within this new law, there is a provision that gives people the option of not having a health insurance.

  • Sueellen Edmonds

    When does the law go into effect? I have a 19 year old at home that isn’t covered by our insurance now and he needs to be.

  • Mark Riddix

    I wasn’t aware of this. I need to read up on this section.

  • Mark Riddix

    I believe that the covering of financially dependent children is in effect now. I can double check that for you.

  • Karen Moore

    How will the new healthcare laws affect someone who gets cancer that has insurance? I know they can no longer drop you for that, but can they make your rates much higher where you can no longer afford to keep the health insurance? Or is the government limiting the % they can raise it one you get sick? Thanks!

  • brian broughton

    the new law concerning medical insyrance is complete horse crab. I can be fined if i have no insurance? That sounds alot like socialism. This is not the country that I was born in. This President admin. has no idea what the common citizen who has a low income goes through on a daily basis. If this is a start of Obama’s change , then we as Ammericans are in trouble. Most Americans can’t find gainful employment let alone health insurance. And on top of that we face a fine that increases over time. This is unacceptable. Thank You Hilary Clinton. God Bless America and chose your reps and congressman wisely with informed choices not just who is the “sexy” pick. Thank You

  • Mdiminovich

    i work for a medical place who is making it mandatory for us to get the insurance that they are providing us the cost is high and it a insurance company i dont like . can they make u take they insurance . do we as employer ‘s have a choice can we choose outside of the work place to choose a insurance we want and what we can pay for ? besides i thought we have until 2014 to have this taken care of our office gave us only less than 3 days to deal with this what is my right on this health law?

  • Julie Age 25

    First is this comments or questions? All I see are questions and poor grammar. Several points are confusing here. Are we actually helping low and moderate income families? I sounds like we are making it worse for everyone all around. Forcing poor people to pay for insurance they do not need, forcing insurance companies to provide no limits to everyone (they will eventually need a bail out), forcing small businesses to offer insurance to they’re employees…. Another thing that seems confusing; if there are 50 or fewer employees the company gets a tax credit only if the employees are paid over an average of $50k how is this beneficial to low income families? $50k is not low income where I come from shouldn’t it be if they make less than that? Sounds like they are helping the rich ones again. Also the penalties are much much larger to employers who cannot offer insurance- obviously if a business cannot offer insurance they cannot pay thousands for every employee they have just for a penalty not even to provide insurance for the employees. What happens to the penalty money anyway? If we as employees get the option to enroll or not- it would be more beneficial to me not to enroll because the penalty they impose will cost me less than the premiums I would pay. Increasing the penalty tax for all non-qualified medical expense distributions from health savings plans from 10% to 20%??? I’m sorry but if I put the money in the savings plan, and I earned the money, then who the hell are you to tell what I can and cannot do with it? What justifies you getting a chunk of it anyway? An excise tax on the “Cadilac Insurance Plan” Maybe this an effort to go after the rich, but it still isn’t what I had in mind. If the insurance costs more than $10k for one person and you work in a “high risk” environments, isn’t that enough? Those are not the people who should pay more; they are already being raped in premiums. One last thing people over 65 get to stay at their 7.5% threshhold for claiming itemized deductions (as oppsed to 10% for everyone else)??? Aren’t they on the list of people that this is supposed to help? Don’t they have more itemized deductions than everyone else? Isn’t their health expense higher than everyone else? So I ask again who are we helping?

  • Tbolin00

    I have always had health ins. Till June, I started a new job and my letter of previous ins. Coverage did not get to me till the 64th day. I sent it to my employer and was told it was to late to het ins. Everything would be considered preexisting. The cut off was 64 days. Now I am told I have to pay for ins. For a 18 months before I can claim anything so it won’t be preexisting. High blood pressure is my only problem. Now that I don’t have ins. How will this affect me. My ins. With my company before it got dropped was 650.00 for myself and my husband. That was with the Co. Paying a portion. How are we expected to live….. Work for ins., and gas. One of my pay checks went for ins. and one went for gas. The other 2 gos for gro. House note, car note, car ins., light bill, water bill, food, school lunches for my kids is over 300.00 a month. We are sinking fast as a nation. We have to be able to live. I work on average 80+ hrs a week to make ends meet and attend school online full time. I can’t handle another bill….. Will this cost me more money?

  • Jeremy

    I am 19 and a dependent to my parents, but my health insurance was still cut on my birthday(Nov. 3). I had All-Care Healthy Families. Was mine cut because of my parents, or are some companies exempt?

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