Medicaid
2010
- Eligibility levels for Medicaid cannot be reduced, states have option to expand
2011
- States receive incentives to offer home and community-based services, helping you live in your home instead of an institutional setting
2013
- Increased Medicaid payments for primary care services provided by primary care doctors
2014
- Medicaid expanded to everybody under age 65 with incomes up to 133% FPL—no asset test
Medicare
2010
- Eliminate co‐payments for preventive services
- Exempt preventive services from deductibles on Medicare
- $250 rebate to Medicare beneficiaries who incur cost exceeding their $2,700 worth of coverage, called the doughnut hole in Medicare Part D
- No guaranteed Medicare benefits are cut
2011
- 50% discount on brand‐name drugs in the doughnut hole
- Stronger incentives for hospitals to reduce avoidable and harmful re-admissions and reduce medical errors and acquired infections that occur too frequently
2020
- Doughnut hole is expected to be fully closed; beneficiary cost-sharing reduced to 25% of the total cost of prescription drugs, annually
Beginning in 2014, insurers cannot deny anyone coverage for pre-existing conditions, health premiums cannot be rated based on health status, and no annual or lifetime benefit caps allowed.
